Come October 1, 2027 and two-wheeled road ambulances will become operational to support rapid emergency response and last-mile access to medical care, in rural and remote locations as well as hilly terrain.
The ministry of road transport and highways has issued a draft notification proposing amendments to the Central Motor Vehicles Rules, 1989, to establish a regulatory framework for two-wheeled road ambulances.
At present, two-wheeled road ambulances are not regulated as a distinct vehicle category under the Central Motor Vehicles Rules. Consequently, there are no national requirements governing their construction, functional safety, patient-handling systems, type approval, registration and fitness inspection.
The proposed amendments seek to address these gaps through the adoption of AIS-209 (Part 1):2026 – construction and functional requirements for life support two-wheeled road ambulances.
The standard provides for key construction and functional safeguards, including vehicle stability and braking performance, parking brake and gradeability requirements, rear visibility, coupling integrity, emergency conspicuity and warning devices, and safe patient loading, restraint and protection from environmental exposure.
“Two-wheeled road ambulances of the L2 category manufactured on or after 1 October 2027 are proposed to comply with AIS-209 (Part 1):2026,” the ministry said in a statement issued on Monday.
Such ambulances may be registered to ply in areas determined by the respective state governments, it said.
According to the statement, two-wheeled road ambulances will be treated as transport vehicles and will be subject to fitness requirements, with renewal of the certificate of fitness every two years.
The proposed framework is expected to bring greater safety and accountability to the design and operation of two-wheeled road ambulance.
“It will also support faster emergency response and improve access to emergency medical care in locations where conventional ambulances may encounter mobility or access constraints,” it added.
