The Karnataka government has decided to submit proposals this year for new government medical colleges in Ramanagara and Bagalkot. The plan for Kanakapura was delayed due to a lack of proper infrastructure. For three years, medical colleges in Ramanagara and Kanakapura remained just hopes because teaching and non-teaching staff were not fully recruited. The National Medical Commission (NMC) rejected proposals to start these colleges in 2023-24 and 2024-25 due to these issues. Deputy Chief Minister D.K. Shivakumar and Medical Education Minister Sharan Prakash Patil met officials and instructed them to prepare properly and apply again to the NMC. Despite this, the 2025-26 proposal for Kanakapura was rejected again because the required infrastructure and staff were missing. The state gave administrative approval in October 2025 to build a medical college and hospital in Kanakapura with a budget of around ₹550 crore. Construction tenders have been invited. Minister Patil said, “It has been decided to submit a request to the NMC for the opening of medical colleges in Ramanagara and Bagalkot this year.” Ramanagara’s Rajiv Gandhi University of Health Sciences new campus is 50% complete and will finish in seven months. There is also a 300-bed district hospital available for the college. Bagalkot will see a new medical college next year, with a tender for a ₹450 crore college project already issued. It will also use the district hospital. For Kanakapura, though the medical college has approval, a minimum 220-bed hospital is required and it is not ready. Minister Patil said, “Due to lack of infrastructure, we have decided not to submit a proposal for Kanakapura now. After construction finishes, we will apply.” About recruitment, the government faces a High Court stay on new hires due to internal reservation issues. They are making contractual hires meanwhile and waiting for final court approval to complete staffing. The government is also pushing existing medical colleges to propose more seats. Last time, NMC approved 450 undergraduate and 421 postgraduate seats. This year, colleges with good facilities have been asked to request seat increases again.