GST rate amendments: reclassification and altered rates for transport, clinical establishments and GTA option changes, with input tax credit conditions. The notification amends CGST rates and classifications for transport, clinical establishment room charges and related services, inserts definitions and an annexure, and creates a pre financial year option for Goods Transport Agencies to elect forward charge payment; lower rates where provided are subject to disallowance of input tax credit on goods and services used in supplying those services.