The telangana government's ambitions to build medical colleges in each of the 33 districts may be hampered by new restrictions on the establishment of new medical institutions released by the National Medical Commission (NMC). The eight new medical colleges that are being built in telangana for 2024–2025 and their NMC approval are now in doubt.

According to the NMC guidelines for undergraduate programmes, it will only adhere to the ratio of 100 MBBS seats for every 10 lakh people in states and UTs while allowing new medical colleges. This ratio is stated in the regulation for undergraduate programmes under the establishment of new medical institutions, beginning of new medical courses, and increasing seats for existing programmes and regulation-2023.

All of the south indian states, as well as smaller governments around the nation, will no longer be permitted to start new medical institutions as of the next year as a result of these latest recommendations. The laws also limit the total number of MBBS seats for a medical college to 150, and beginning in 2024–2025, medical institutions seeking more MBBS seats are not permitted to have more than 150 seats (for a year). According to the revised NMC recommendations, telangana should now have a maximum of 3,809 medical seats for its 3.84 crore population. However, telangana has 8515 total medical seats, 3690 of which are in government medical schools.

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