These sectors enjoy social importance, and GST law provides broad exemptions to prevent increased burden on end consumers.
5.1 Healthcare Services
Notification No. 12/2017–CTR (Sl. No. 74):
Exemption for services by:
Clinical establishments (hospitals, clinics).
Authorized medical practitioners.
Paramedics.
Taxable Areas:
Cosmetic surgery (non-essential).
Room rent in hospitals exceeding ₹5,000 per day (Notification 03/2022–CTR, w.e.f. 18 July 2022).
Ambulance services — exempt.
5.2 Education Services
Exemptions under Notification No. 12/2017–CTR (Sl. No. 66):
Services by:
Educational institutions (pre-school to higher secondary).
Degree-granting universities recognized by law.
Institutions providing education as part of curriculum for qualification.
Taxable Areas:
Coaching institutes, skill training, online courses (not recognized by law).
Auxiliary services like canteen, transport, or printing (taxable unless provided by the institution itself).
5.3 Key Compliance Points
No ITC allowed on inputs used exclusively for exempt services (Rule 42).
Healthcare and education institutions providing both taxable and exempt supplies must maintain segregated records.
Example:
A university offering both degree courses (exempt) and short-term certification programs (taxable) must proportionately reverse ITC.
| Area |
Provision / Rule |
Practical Impact |
| Input Tax Credit (ITC) |
Sec. 16–18 |
Credit on inputs, input services, and capital goods allowed unless blocked (Sec. 17(5)) |
| Job Work |
Sec. 143 |
Inputs/capital goods can be sent without tax under challan; must be returned within 1/3 years |
| E-way Bill |
Rule 138 |
Mandatory for goods movement > ₹50,000 |
| Reverse Charge |
Sec. 9(3)/(4) |
On freight (GTA), legal services, etc. |
| Inverted Duty Refund |
Sec. 54(3) |
Refund allowed if input tax rate > output rate |
| Area |
Provision |
Implication |
| Composite vs Mixed Supply |
Sec. 2(30), 2(74) |
Impacts tax rate classification |
| Time of Supply |
Sec. 13 |
Earlier of invoice or payment date |
| Place of Supply |
Sec. 12 & 13 of IGST Act |
Determines State jurisdiction |
| ITC on Common Services |
Rule 42/43 |
Requires proportionate reversal if partly exempt |
| Aspect |
Provision / Notification |
Rate / Rule |
| Residential Apartments |
Notification 03/2019–CTR |
5% without ITC |
| Affordable Housing |
Notification 03/2019–CTR |
1% without ITC |
| Commercial Construction |
Regular rate |
18% with ITC |
| Joint Development Agreement (JDA) |
Notif. 04/2018–CTR |
GST on developer’s construction service at possession/allotment |
| Supply Type |
Taxability |
| Interest on loans/deposits |
Exempt (Notification 12/2017–CTR) |
| Credit card annual fee, processing fee |
Taxable @18% |
| Forex services |
Taxable based on value formula (Rule 32) |
| Insurance services |
Taxable @18% (life insurance partly exempt) |
| Industry |
Key GST Feature |
Special Rule / Notification |
| Manufacturing |
ITC on inputs, job work, inverted duty refund |
Sec. 16, 54(3), Rule 43 |
| Services (General) |
Place of supply, zero-rated exports |
Sec. 13, IGST Act |
| Real Estate |
5%/1% rate (no ITC) for residential |
Notif. 03/2019–CTR |
| BFSI |
50% ITC restriction, exempt interest income |
Rule 38 |
| Healthcare |
Broad exemption; cosmetic surgery taxable |
Notif. 12/2017–CTR |
| Education |
Exemption for recognized institutions |
Notif. 12/2017–CTR |