The year 2025 proved tough for Telangana’s Health Department, balancing reforms, budget hikes, and staff recruitment alongside fresh challenges. Early in the year, MBBS students at Government Medical College Asifabad protested faculty shortages. This agitated concerns about academic quality and patient care in new government medical colleges facing staff and infrastructure gaps. The state’s main health insurance, Aarogyasri, hit turmoil when Telangana Aarogyasri Network Hospitals Association (TANHA) stopped admitting patients over ₹1,100 crore dues. After 10 days, services resumed following Health Minister C. Damodar Raja Narasimha’s promise of phased payments. Regulatory cracks showed up with an illegal kidney transplant racket found at Alakananda Hospital. The private hospital did transplants without required approval, exposing enforcement flaws. On the positive side, Dr A. Narendra Kumar was named the first full-time Director of Medical Education since Telangana's creation. Infrastructure projects, though, lagged behind. The new Osmania General Hospital, costing ₹2,700 crore, only began construction in October with a 30-month timeline, deferring its initial two-year target. Also, the Telangana Institute of Medical Sciences remained unopened despite promises to launch it in 2025. The health budget rose to ₹12,393 crore, a ₹925 crore jump from last year. The Telangana Transplantation of Human Organs Bill, 2025 passed unanimously, aiming to tighten organ trade controls. Maternal mortality showed a slight rise to 45 deaths per 100,000 live births, despite national declines. In June, a food poisoning event at the Institute of Mental Health caused one death and sickened about 70 patients. The Health Department acted by relieving the Resident Medical Officer and suspending the food supplier. The National Medical Commission issued notices to 26 government medical colleges over infrastructure and staff shortages. Following public reports, CM A. Revanth Reddy demanded action plans for all 34 medical colleges. Stipend delays led to protests from MBBS interns, triggering an inquiry. By September, TANHA again stopped Aarogyasri admissions citing ₹1,400 crore arrears. Recruitment, however, brightened the scene with over 11,000 health posts filled and 5,000 more hiring underway. As 2025 closes, Telangana’s health system balances fresh momentum in staffing and policies against execution hurdles.