A TECHNO-ECONOMIC NEWS MAGAZINE FOR MEDICAL PLASTICS AND PHARMACEUTICAL INDUSTRY
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Aimed & Regulatory Update

Medical Devices sector applauds budget announcements on healthcare sector

The Medical Devices industry has welcomed the interim Union Budget 2024 lauding the measures announced in connection with the healthcare sector, but expressed hope that their demands including on customs duty would have been addressed.

Association of Indian Medical Device Industry (AiMeD), the umbrella association of Indian manufacturers of medical devices covering all types of medical devices, praised the interim Union Budget 2024 as a comprehensive continuity of the earlier roadmap for India's 'Atmanirbhar Bharat'. But it also pointed out, "we await the fine print to study if Department of Pharmaceuticals' recommendations have been addressed as seemingly the budget has fallen short of expectations for addressing the rising import graph of medical devices and soaring import bills worth over Rs 63,200 crore ($8 billion)". The Association has requested an increase in custom duty to 10-15 percent and a predictable tariff policy to support the domestic industry.

Medical Technology Association of India (MTaI), which represents leading research-based medical technology companies with a large footprint in manufacturing and training in India, on the other hand appreciating the measures announced, said that a reduced customs duty could have helped the growth of FDI in the medical technology sector.

Rajiv Nath, Forum Coordinator, AiMeD applauded the government's announcements including those regarding the establishment of medical colleges and the expansion of preventive vaccination and Ayushman Bharat to ASHA and Aganwadi workers. He also welcomed the port connectivity corridors and high traffic density corridors through PM Gati Shakti and the focus on Northeastern states as it will improve supply chain management and infrastructure.

The domestic medical technology industry may benefit from the budget's focus on green growth, youth and women empowerment, and farmer centricity, which are aligned with Vision 2047, and the principle of reform, perform, and transform will ensure that India has a modular economic structure for all sections of business and society during the Kartavya Kal, enabling India to address global challenges and sustain development. The AiMeD was expecting an increase in Custom Duty to a nominal 10%-15% Duty and a predictable tariff policy, correction of Inverted Duty by levying Health Cess of 5% custom duty on balance Medical Devices (this was not earlier applied to all HS Codes), trade margin capping by monitoring MRP of Imports (if over 10 - 20 times of CIF) and income tax benefits for project investments in Medical Devices Manufacturing.

"We can only be hopeful that the fine print of the Union Budget would possibly act upon our recommendations," said Nath. "We do hope to see in the fine print action on the assurances from various government departments to implement the National Medical Devices Policy 2023 and make it attractive and profitable to make in India rather than import into India," he added.

Pavan Choudary, Chairman, Medical Technology Association of India (MTaI) & Managing Director, Vygon India said, “The schemes for maternal and child care which are currently in place are disparate and sometimes deficient. Bringing them under one common, standardized platform would help deliver optimal and comprehensive care throughout India''.

“While the customs duty has not gone down which was our expectation, and remains at the same level, this itself will take FDI in MedTech to a never-before high this financial year. However, if the government had reduced the customs duties, the FDI in MedTech could have taken a meteoric trajectory”, he added.

Sanjay Bhutani, Board Member, MTaI & Managing Director, Bausch & Lomb stated, “With schemes like cervical cancer vaccination for younger girls and covering Anganwadi and Asha workers under Ayushman Bharat, this budget emphasized on healthcare, especially for women, adolescents, and children. Also, the plan to increase the number of medical colleges using the existing infrastructure will surely enhance the healthcare facilities in tier 2 tier 3 cities. However, we feel if customs duty on medical devices were reduced, India would further its journey to become the global hub for medical tourism."

"Also, we were expecting the Direct taxes and personal income taxes to go down which would have attracted more FDI and put more money in the hands of consumers, respectively", he added.

MTaI has requested the government to reduce the high customs duties to 2.5% on medical devices, remove the 5% health cess, removal of undue complications in the tax provisions and put healthcare services under zero rated Goods and Services Tax (GST) for hospitals to avail GST credit on inputs, among others. Since the custom duty regime on most of the medical devices in many neighboring countries is lower than in India, the difference in duties created could lead to the smuggling of the low-bulk-high-value devices. The result will not only be loss of revenue for the government but also the patient will be beset with products which are not backed by adequate legal and service guarantees, it said.

MTaI has also said that the 5% healthcess ad valorem imposed on imported medical devices has further compounded the burden on the industry. An additional tax threatens to not only dent the access to advanced medical equipment coming to India but will also leave patients bearing the brunt of these additional costs adding to the inflationary spiral. There is also a skill gap that needs to be addressed, it said in the pre-budget memorandum.

The measures like the fund of Rs. 1 lakh crore through a 50-year interest-free loan to promote tech-savvy growth, aiming at providing long-term financing with extended tenors and minimal to no interest rates will incentivize private sectors to significantly amplify research and innovation, particularly in emerging domains, thereby greatly benefiting the MedTech industry, said Deepak Sharma, Co-founder and CEO, MedLern, a digital learning solution for hospitals and healthcare professionals.

(Ref: https://www.pharmabiz.com/NewsDetails.aspx?aid=166132&sid=1 Dated February 2, 2024)


DoP invites applications under AMD-CF scheme

The Department of Pharmaceuticals (DoP) has invited applications from eligible candidates under the scheme for Assistance to Medical Device Clusters for Common Facilities (AMD-CF), fixing the last date of filing the applications as February 10, 2024.

The Department has come out with the guidelines for the scheme with a proposed financial outlay of Rs. 300 crore, on May 9, 2023, to offer financial assistance to strengthen the existing and new medical device clusters through creation of common infrastructure facilities. It has also announced procedures to select a Project Management Agency (PMA) for the scheme.

The eligible applicants may apply through online mode only, after going through the detailed guidelines published by the Department, informed a Department official.

The industry organisations have also applauded the DoP’s move to set up the scheme, stating that this will play an important role in attracting foreign and domestic investments in the MedTech space.

The Scheme, with two sub-schemes, is expected to help in boosting the domestic manufacturing capacity and improving the quality of clusters for sustainable growth of the medical devices sector.

The scheme further intends to support central or state governments, institutions, or organisations to establish or strengthen the testing laboratories for medical devices to meet the needs arising due to the roll out of the licensing regime of the Medical Devices Rules (MDR), 2017.

The Scheme has two components or sub schemes - Assistance for Common Facilities (CF) and Assistance for Testing Facilities (TF) - and would be running for three years from 2023-24 to 2025-26. The tenure of the scheme is from the financial year 2023-24 to the financial year 2026-27.

Both the sub-schemes are designed to set up 12 common facilities and 12 testing laboratories, under which the common facilities will be supported with a financial assistance of Rs. 240 crore (Rs. 48 crore in the first year, Rs. 128 crore in the second and Rs. 64 crore in the third year) for the common facilities and Rs. 60 crore (Rs. 18 crore for the first, Rs. 30 crore for the second and Rs. 12 crore for the third year) for the testing facilities.

Assistance for Common Facilities is planned to strengthen the medical devices clusters’ capacity for their sustained growth by creating common infrastructure facilities. Medical devices manufacturing units in a cluster who have come together to form a Special Purpose Vehicle (SPV) to execute the project of developing common facilities and the clusters promoted by the State governments, are expected to benefit from the sub-scheme. There shall be a minimum of five medical device manufacturing units as members of SPV. Clusters promoted by state governments may not need to form an SPV.

The SPV should have representatives from cluster members, financial institutions, state and central government and R&D organisations and the individual manufacturing unit cannot hold more than 40 per cent in the SPV. The Medical Devices enterprises shall hold at least 51 per cent equity of the SPV.

For Common Infrastructure Facilities for medical device clusters, the limit of support will be 70 per cent of the approved project cost or Rs. 20 crore, whichever is less, as per the approval of the Scheme Steering Committee (SSC). In the case of Himalayan States and States in the NorthEast Region, the grant-in-aid would be Rs. 20 crore per Cluster or 90 per cent of the project cost of the CIF, whichever is less. The grant will be released in instalments, with 30 per cent each released in the first, second and third installment while the rest of the 10 percent will be released at the fourth stage where the SPV has mobilised and spent its 100 per cent share in proportion of the first three grants.

The sub scheme is expected to have benefits including improvement in quality of medical devices, regulatory compliance specified for medical devices, increased availability of trained personnel for the clusters, increased competitiveness of units in the cluster and reduction in the manufacturing cost of the devices.

The sub scheme on assistance for testing facilities is aimed at strengthening availability of more medical device testing laboratories in order to boost manufacturing of quality medical devices, and national or state level government of private institutions interested to establish or strengthen testing facilities for medical devices to test Class A, B, C and D medical devices including in vitro diagnostic medical devices under MDR, 2017 can apply for the assistance. Other legal entities which open a separate account for the funds to be utilised for the project assistance under the sub-scheme can also apply for the grant.

(Ref: https://www.pharmabiz.com/NewsDetails.aspx?aid=165760&sid=1 Dated January 15, 2024)

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