Central government directed the Medical Council of India to provide some relaxations in norms, for opening of new medical colleges in rustic and hilly areas. To implement the National Rural Health Mission (NRHM), the central government is ready to provide accessible, affordable and quality health services to the poorest households in remotest areas of the country.

As the number of doctors in rural areas is very low, the establishment of new medical colleges is essential for the effective implementation of NRHM.  The government has appointed 150 teachers and doctors for three medical colleges and directed them to join the respective colleges within a week. Medical colleges should have 500-bed hospitals.

Bihar's health minister Nand Kishore Yadav said:  “We will be using local sadar hospitals. We have also rented space for these medical colleges to be made functional immediately.” He added, “The newly appointed teachers are for first year classes. Within a period of one year, we will provide the complete infrastructure for the new medical colleges.”  However, this process had been followed after MCI issued a formal notification in this regard, Minister of State for Health & Family Welfare, Smt. Panabaka Lakshmi told the Lok Sabha.