Hours before NEET-UG 2024, Patna police acted on a tip-off and arrested 13 people including four examinees who had allegedly paid Rs 30–50 lakh for the paper. CBI later traced burnt question-paper scraps to a school in Hazaribagh, where the paper was photographed inside the strongroom on exam morning and circulated to solver groups. The Supreme Court found 155 identified beneficiaries but declined a nationwide re-test. Three CBI charge sheets were filed against 40 accused by October 2024; about 49 persons were arrested.