On August 19, 2025, the Delhi high court-headed by Justice Ravinder Dudeja, rejected the bail application of Arvind Dham, the former chairperson of Amtek Group, who faced a bank fraud of 27,000 crores under the Prevention of Money Laundering Act (PMLA). The defence of Dham rested on the sick and infirm status that relied on Section 45(1) on the PMLA. Nonetheless, the Court made it clear that medical conditions on their own do not necessarily result in the granting of bail in serious economic offences. Bail on medical grounds can only be allowed when treatment in custody is substandard. The Court observed that the medical conditions of Dham could be treated in jail, where the authorities are required to offer the required medical attention. In addition, the Court referred to the gravity of the charges of accounting manipulation and the control over more than 500 entities, which is a sign of a systematic and intentional criminal conspiracy. The Court also raised an issue of the possibility of interference in evidence and the interference with witnesses who needed to be kept in custody. The ruling emphasises that in cases involving the PMLA, medical defences cannot be based on bare assertions that a patient was not treated properly and should be given priority over the seriousness of the accused crimes.