All ~260 blood banks in the state now face a fixed compliance deadline, forcing budget allocation, documentation upgrades, and audit readiness on a 12‑month clock. Private blood banks must plan for NABH (not NQAS), which can raise operating costs and create a near-term risk of service disruption if centres fail audits or cannot complete accreditation in time. For hospitals and large transfusion users, supplier qualification and continuity plans need updating because non-accredited centres may become non-viable vendors once enforcement begins.