Section 21
Operation And Regulation Of Health Institutions
(1) The provisions relating to level-wise structure of the health institutions and the services to be provided by such institutions shall be as prescribed by the Ministry.
(2) Minimum standards relating to health institutions and the services shall be as determined by the Ministry.
(3) Each health institution shall provide services subject to the standards referred to in sub-section (2).
(4) The health institutions established and in operation prior to the commencement of this Act, shall fulfill the standard prescribed pursuant to sub-section (2) within the time specified by the Ministry.
(5) The Federal, Provincial and Local Levels may, in order to provide health service, carry out necessary partnership with private or non-governmental health institutions.
(6) The Government of Nepal may determine the standards, license and regulation of the services to be provided by the private and non-governmental, private or cooperative, or non-profit-making or community health institutions by a notification in the Nepal Gazette,
(7) The Federation, concerned Province or Local Level may issue license to operate any health institution pursuant to the standards determined under sub-section (6).
(8) The provisions relating to issuing license to any health institution referred to in sub-section (7), and renewal thereof and carrying out monitoring, evaluation and regulation of such a health institution shall be in accordance with the Provincial and Local law.
(9) Notwithstanding anything contained in sub-section (8), the Provincial and Local Levels may issue a license, renew and carry out monitoring and regulation of any health institution under this Act, until the enactment of the Provincial and Local laws.