The Clinical Establishment Act (CEA) is a law in India that establishes national standards for clinical establishments, including hospitals, nursing homes, and diagnostic centers. The CEA aims to ensure that these establishments provide high-quality healthcare services and protect the rights of patients.

Under the CEA, all clinical establishments in India are required to register with the appropriate state or union territory government. Registration is necessary for the establishment to legally operate and provide healthcare services.

However, certain types of establishments are exempt from the requirement to register under the CEA. These include establishments that provide emergency services, traditional healthcare systems such as ayurveda and yoga, and establishments that are owned and operated by the government.

Currently, all states and union territories in India are required to implement the CEA. However, the specific requirements for registration and compliance may vary by state.

The penalty for operating a clinical establishment without registering under the CEA can vary, but it may include fines and other legal consequences. It is important for clinical establishments to ensure that they are in compliance with the CEA to avoid any potential legal issues.

Overall, the Clinical Establishment Act is an important law in India that aims to ensure the provision of high-quality healthcare services and protect the rights of patients. It is important for all clinical establishments in India to understand and comply with the CEA to ensure the legal and ethical operation of their facilities.