India’s workers get a health boost under new labour codes: Here’s what you should know

India’s new labour codes now mandate free annual health checkups for employees over 40, marking a major step toward preventive workplace healthcare.

By Pritha Chakraborty

Nov 24, 2025 18:58 IST

The Government of India has brought in four new labour codes, replacing 29 older laws with a single framework. A key reform- employers must now provide free annual medical checkups for all employees over 40, a major step toward preventive health in workplaces. Of these reforms, one of the key provisions is that employers will now be required to provide free annual medical check-ups to all employees over the age of 40. Enshrined in the Occupational Safety, Health and Working Conditions (OSH) Code, this is a significant move toward preventive health at the workplace.

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What health benefits do the new labour codes bring for employees?

Compulsory health checkups for older workers

Under the OSH Code, 2020, annual medical examinations by employers are to be made available free of cost for all employees above 40 years of age. As per a report by NDTV, the provision clearly intends to facilitate the early detection of NCDs such as diabetes, hypertension, and cardiovascular disease-diseases of growing concern for India’s working population.

Expanded health coverage and social security

Besides, the new social security provisions also fortify health access through ESI. While ESI remains mandatory for establishments with hazardous operations, smaller firms with less than 10 employees can now participate voluntarily, which could improve health cover. For the first time, gig and platform workers find representation in social security schemes, guaranteeing them benefits such as medical coverage, which earlier left them unprotected.

Benefits for fixed-term and contract workers

Fixed-term and contract workers now receive almost equal treatment as permanent staff, enjoying health benefits, leave, and social security. As per the report by NDTV, this ensures that seasonal or temporary workers have access to preventive care, thus closing a big gap in coverage.

Why does this matter for public health and productivity?

As per the report, regular check-ups promote early detection, which can prevent serious illnesses and reduce mortality. Evidence from research indicates that preventive screenings result in improved health awareness, increased productivity, and reduced long-term health care costs. Employers benefit in terms of reduced absenteeism and improved performance at the workplace, while workers enjoy improved general well-being.

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Challenges ahead

The mandate only extends to employees above 40 years, leaving the young workforce out of preventive screening. As per the NDTV report, the scope and quality of checkups will be defined by government regulations. Small firms, especially in remote areas, may face challenges implementing these measures.

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