What action on Sasikala for Jayalalithaa’s death?

The Arumugasamy Commission which investigated the mystery shrouding the death of former Chief Minister Jayalalithaa has implicated V.K Sasikala, Dr. Sivakumar, the then Health Secretary Dr. J. Radhakrishnan, then Health Minister C. Vijayabaskar as the perpetrators of the crime and has recommended for investigation.
Besides these persons, Jayalalitha had been treated by Dr. Y.V.C. Reddy and Dr. Babu Abraham. Therefore, the commission also mentions that an inquiry should be ordered.

Is it mandatory for the government to take action based on this, and if it decides to do so, can it be taken directly? What will the activities be like? Various questions have arisen now.
The government may accept or reject the report of an inquiry body set up to find out the truth. It is not mandatory for the government to accept the report. But the Tamil Nadu government has immediately issued an order that action will be taken against the persons mentioned by the Arumugasamy Commission. This shows that the government is ready to take action.

The Chief Secretary shall direct the concerned departments to take action with the concurrence of the Chief Minister. CBCID inquiry may be ordered to investigate. They can register a case and file a charge sheet in court after an inquiry into the negligence and intent of the accused. If necessary, arrest can also be made.
There is no denying that if the government shows reluctance now that the report has been published; there is a possibility of going to court against it. But the Commission's report only recommended and did not order. So the accused will not file a case against the Commission.

Former Chief Justice of Jharkhand Karpaka Vinayagam has opined that if the case continues as it is, the courts are less likely to accept it.
However, it has come to light that there have been many irregularities in Jayalalithaa's treatment. It will come to light through the steps to be taken by the Tamil Nadu government.  The truth is that the truth cannot be hidden for long!