Bhutan’s health ministry warns against unlicensed private clinics

The ministry's statement follows reports-some informal, others anecdotal-suggesting that a number of unapproved private healthcare centres may be operating outside the formal system.

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Thematic image only. The ministry has also announced a one-year grace period, allowing current unlicensed operators time to regularise their status. PHOTO: KUENSEL

May 19, 2025

THIMPHU – The Ministry of Health (MoH) has issued a public warning against individuals and entities operating private healthcare centres without official approval, warning that anyone found breaching rules will face regulatory action, including prosecution.

A notification from the ministry reiterates that under Section 47 of the Healthcare Services Rules and Regulations (HSRR) 2025, offering healthcare services without prior authorisation is strictly prohibited.

The ministry’s statement follows reports—some informal, others anecdotal—suggesting that a number of unapproved private healthcare centres may be operating outside the formal system.

While the ministry is yet to verify the exact number of such centres, MoH officials said the notification was issued as a precautionary measure to protect the public and uphold the integrity of the healthcare system.

“At present, we don’t have verified data on the number of such private healthcare centres,” MoH officials said. “However, there are reports and informal accounts indicating that some individuals may be offering healthcare services without formal approval.”

The ministry has also announced a one-year grace period, allowing current unlicensed operators time to regularise their status.

“The ministry is currently focused on raising public awareness and encouraging voluntary compliance,” the MoH official said.  “The goal is to provide ample time for unlicensed providers to obtain proper clearance rather than abruptly halting services, which could disrupt care for patients.”

In line with Section 60 of the HSRR 2025, all licensed healthcare centres are mandated to prominently display a signboard in both Dzongkha and English. This must clearly state the name of the healthcare facility and its business hours. The signboard, along with the technical authorisation issued by the MoH, should be visible at the premises as proof of legitimacy.

“The public will be advised to look for these indicators when availing services to ensure that they are receiving care from a licensed centre,” the MoH official said.

The ministry stated that while it has not yet taken action against specific facilities, enforcement measures will follow if illegal operations persist.

“If we get concrete information and evidence, we will take action. We may first give warnings and then stop the services under compulsion,” the MoH official said.

A cross-check with the Ministry of Industry, Commerce and Employment revealed that no business licenses for private healthcare services have been issued to date.

As specified in the HSRR 2025, those who violate Section 47 or related provisions may face escalating penalties.

First-time offenders may be fined up to 30 days’ minimum wage. Second-time violations could lead to fines equivalent to 120 days’ minimum wage or temporary suspension. A third violation may result in permanent revocation of the operator’s right to practice.

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