Rule 18 Specifies Conditions for Medical Perquisite Exemption Under Section 17



Quick Summary
New Draft Income-tax Rules, 2026, detailed in Rule 18, outline specific conditions for medical benefits to qualify for tax exemption under Section 17. The rules set stringent criteria for hospital approvals, focusing on infrastructure, staffing, and record-keeping to ensure only qualified institutions receive recognition. This aims to standardise medical facilities and prevent misuse of tax relief for employee medical reimbursements.

The Draft Income-tax Rules, 2026 introduce detailed compliance norms under Rule 18 governing exemption of medical benefits from perquisite valuation under Section 17(2)(b)(ii) of the Income-tax Act. The rule lays down strict approval criteria for hospitals treating prescribed diseases, ensuring that only qualified and well-equipped medical institutions qualify for tax exemption benefits. This move is aimed at standardizing hospital infrastructure, staffing, and patient care documentation before
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FAQ :

Rule 18 specifies the conditions under which medical benefits can be exempted from perquisite valuation under Section 17(2)(b)(ii) of the Income-tax Act, requiring detailed compliance norms for hospital approvals.

Hospitals must be registered locally, comply with building bye-laws, have proper ventilation, lighting, and sanitation, possess at least 10 iron spring beds, a 180 sq. ft. operation theatre with a sterilisation room, a 180 sq. ft. labour room (if providing maternity services), aseptic conditions, a duty room for nurses, adequate storage, safe drinking water, and isolation facilities.

Approved hospitals must maintain a high-pressure sterilizer, instrument sterilizer, oxygen cylinders with attachments, surgical equipment including IV apparatus, a pathological laboratory for tests, an ECG monitoring system, and a standby generator.

There must be one qualified doctor per 20 beds available round-the-clock. For ICU facilities, a minimum of two qualified doctors must be on duty 24/7, with four nurses exclusively for every four ICU beds, and one nurse per five beds round-the-clock for general care.

Eligible diseases include Cancer, Tuberculosis, AIDS, major organ diseases requiring surgery, ENT and eye surgeries, orthopaedic surgeries, gynaecological and obstetric surgeries, serious ailments requiring at least 3 days of hospitalisation, burn injuries, mental disorders, drug addiction, and severe allergic reactions.

A 'qualified doctor' must hold a degree recognised by the Medical Council of India and be registered with a State Medical Council. A 'nurse' must possess a recognised Nursing Council certificate and be registered under applicable law.




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