The Bihar health department has announced a comprehensive plan to bolster intensive care unit (ICU) services across the state. Key initiatives include mandatory training for ICU nurses, the establishment of tele-ICU hubs to facilitate real-time consultations between remote hospitals and specialists, and a GPS-based directory to categorize ICU facilities into levels I, II, and III. These measures are in response to expert consultations and the Supreme Court's guidelines aimed at enhancing critical care services. The Bihar Nursing Council will develop a skill-based training roadmap and upgrade nursing curricula to better equip graduates for managing critically ill patients. Additionally, a statewide assessment will identify gaps in ICU specialist availability, with plans to increase postgraduate seats in relevant specialties. The roadmap also emphasizes the need for standardized ICU referral protocols, simplified documentation processes, and stronger infection surveillance systems. The health department aims to ensure that hospitals register their ICU facilities and adhere to new staffing and maintenance guidelines, ultimately improving the accessibility and quality of critical care services in Bihar.