The central government has removed the previous cap on hospital building heights and has relaxed rules for vertical expansion, enabling existing hospitals to add floors subject to safety, structural and land use regulations. The decision is intended to make better use of scarce urban land and to speed up capacity increases without requiring new ground acquisitions. Authorities said the change will apply to both public and private hospitals and will be accompanied by revised procedural norms for approvals. Officials framed the move as aimed at addressing persistent shortages of beds and speciality services in densely populated areas by facilitating upward growth of hospital campuses. The amended norms require hospitals to meet enhanced standards for fire safety, seismic resistance and patient access before additional storeys are sanctioned. Local building codes and medical land classification rules will continue to apply and will be harmonised with the new central guidelines. Healthcare providers have been advised to commission structural audits and to integrate clinical workflows, vertical circulation and emergency evacuation into expansion designs. Planners said vertical expansion will reduce the need for acquiring new plots, lower project timelines and potentially ease capital requirements linked to land purchase. However, officials stressed that permission will be contingent on compliance with environmental clearances and urban infrastructure considerations. The central agency will issue a model set of procedures to guide municipal authorities and state governments in implementing the change, while hospitals and investors will be required to follow prescribed documentation and engineering standards. Observers said the reform will reshape investment in urban healthcare capacity while keeping patient safety and regulatory oversight central to any expansion. States will be encouraged to streamline approval timelines and to adopt digital clearances to reduce administrative delays and to ensure consistency across jurisdictions.