The draft rules, issued under the Central Motor Vehicles Rules, 1989, seek to bring construction, safety, registration and inspection standards under one national umbrella. Two-wheeled ambulances have been pitched as a practical solution for last-mile medical response in congested cities, remote villages, mountainous terrain and narrow roads where larger ambulances can be delayed or blocked. The draft also says two-wheeled ambulances will be treated as transport vehicles and must undergo a fitness certificate renewal every two years. The draft rules are open for public comments for 30 days from the date of notification. If cleared, the move would give India a legally recognised framework for a smaller, faster emergency vehicle that could complement conventional ambulances rather than replace them.