Srinagar, Oct 23: The Jammu and Kashmir Government has revised the Civil Services (Medical Attendance and Allowance) Rules, 1990, expanding the definition of dependent family members, updating medical reimbursement ceilings and regulating payments for treatment at specified private hospitals outside the Union Territory.

The Finance Department notified the amendments through Government Notification S.O. 276, dated October 23, 2026, modifying Rules 3, 5 and 6-A of the existing rules.
Under amended Rule 3, family members will qualify as wholly dependent on a government employee if they ordinarily reside with the employee and their total monthly income does not exceed Rs 9,000 plus dearness allowance on the date of consideration.
The revised definition includes dependent divorced or separated daughters and stepmothers, alongside other eligible dependants, including spouses, parents, children, stepchildren, widowed sisters and widowed daughters, subject to prescribed conditions.
The amended Rule 5 explicitly covers cardiac devices, intraocular lenses and respiratory support equipment, including CPAP, BiPAP and oxygen concentrators, under provisions governing medical appliances and reimbursement.
A revised schedule sets maximum reimbursement ceilings for cardiac procedures and devices, eye surgeries, respiratory equipment, hearing aids, cochlear implants, artificial limbs and other prosthetic appliances.
The ceiling for double valve replacement has been fixed at Rs 1,10,500, while mitral or aortic valve replacement carries a limit of Rs 45,050.
For cardiac devices, the ceilings include Rs 34,840 plus GST for a single-chamber pacemaker without rate response, Rs 83,200 plus GST for a dual-chamber pacemaker and Rs 4,90,000 plus GST for a cardiac resynchronisation therapy defibrillator (CRT-D).
The reimbursement ceiling for an oxygen concentrator and a CPAP device has been set at Rs 45,000 each, plus GST. A bilevel CPAP device carries a ceiling of Rs 68,000 plus GST.
The revised schedule also prescribes reimbursement limits for prosthetic appliances, with rates varying according to the device, technology and patient's age.
For adults above 12 years, the ceiling for a standard below-knee prosthesis is Rs 20,000, while a standard above-knee prosthesis carries a limit of Rs 40,840 under the specified category.
For a high-end above-knee prosthesis fitted with a silicone or polyurethane liner and shuttle-lock mechanism, the ceiling has been fixed at Rs 73,040.
Separate rates apply to children in different age groups, as well as to upper-limb prostheses, externally powered devices and silicone finger, thumb and partial-hand appliances.
Rule 6-A has also been amended to regulate reimbursement for treatment at specified hospitals outside Jammu and Kashmir.
The listed institutions include Apollo Group hospitals in Delhi, Chennai, Hyderabad, Bengaluru and Kolkata; Escort Heart Institute in Delhi; the Institute of Liver and Biliary Sciences in New Delhi; and Jaslok Hospital in Mumbai.
Under the amended provision, reimbursement for treatment at these institutions will be restricted to the amount payable for the corresponding procedures at the All India Institute of Medical Sciences (AIIMS), New Delhi.
The amendments introduce revised eligibility criteria and reimbursement ceilings for government employees and their eligible dependants, including limits for medical appliances and treatment at designated hospitals.
Highlight the biggest changes firstTrim the long reimbursement list