Lok Sabha Question No. 2433 (UNSTARRED), answered on 2018-03-09
Subject: Unspent Health Fund
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MOHAMMAD SALIM, MD. BADARIDDOZA KHAN

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2433 TO BE ANSWERED ON 9 TH MARCH, 2018

## UNSPENT HEALTH FUND

## 2433. SHRI MOHD. SALIM: SHRI MD. BADARUDDOZA KHAN:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  the  increase  in  unspent health  fund  by  the  States  have  come  to  the notice  of Government;
- (b)  if  so,  the  details  thereof  during  the last  three  years,  State/UT - wise particularly West Bengal;
- (c) whether some of the States have also been found to be diverting funds earmarked by the centre for health sector to other areas; and
- (d) if so, the details thereof and action taken by the Government to discontinue suchpractice in future?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) : No, the overall unspent health fund by the States has not increased. The Govern has been monitoring the unspent balances a nd in certain States where unspent balances are more,  no  funds  or  reduced  funds  are  released  to  States  under  National  Health  Mis (NHM).  As  a  result  of  no  release  or  reduced  release,  the  unspent  balances  eventuall reduced with the booking of expend iture on progressive basis. However, as evident from the annexed Statement, there is a trend of reduced unspent balances in the last 3 years.
- (b): A  statement  showing  State/UT  wise  unspent  balances  under  NHM  during  the  last three years is enclosed as Anne xure.
- (c)& (d): The  Comptroller  and  Auditor  General  of  India  (CAG)  in  its  report  on Performance Audit of NRHM for the period from 2011 - 12 to 2015 - 16 has pointed out certain instances of diversion of Central funds under NHM to State specific schemes for health CAG aud it report was immediately shared with the States for necessary action in this The States have been asked to desist from such practice as Ministry did not support the

## Annexure

## Statement ShwoingState - wise Unspent Balances under NHM for the F.Y. 2014 -15 to 2016 -17

Rs. in crore

| Sl. No.                    | States                    | 2014-15   | 2015-16   | 2016-17   |
|----------------------------|---------------------------|-----------|-----------|-----------|
| A - High Focus States      |                           |           |           |           |
| 1                          | Bihar                     | 48.19     | 18.61     | 226.67    |
| 2                          | Chattisgarh               | - 172.24  | - 242.59  | - 270.70  |
| 3                          | Himachal Pradesh          | - 129.43  | - 142.20  | - 253.06  |
| 4                          | Jammu & Kashmir           | 118.68    | 120.64    | 150.34    |
| 5                          | Jharkhand                 | 399.80    | 448.65    | 426.27    |
| 6                          | Madhya Pradesh            | - 195.35  | - 357.66  | - 29.00   |
| 7                          | Orissa                    | 71.97     | - 43.11   | - 102.19  |
| 8                          | Rajasthan                 | - 165.33  | 122.06    | 114.41    |
| 9                          | Uttar Pradesh             | 1,565.26  | 1,431.71  | 383.42    |
| 10                         | Uttarakhand               | - 37.88   | - 58.93   | - 115.71  |
| Total                      | Total                     | 1,503.69  | 1,297.17  | 530.47    |
| B -NE States               |                           |           |           |           |
| 11                         | Arunachal Pradesh         | 83.62     | 111.09    | 124.41    |
| 12                         | Assam                     | 247.34    | 147.68    | 22.56     |
| 13                         | Manipur                   | 133.40    | 156.20    | 155.71    |
| 14                         | Meghalaya                 | 159.27    | 127.94    | 142.12    |
| 15                         | Mizoram                   | - 3.06    | - 69.21   | - 73.50   |
| 16                         | Nagaland                  | 107.47    | 152.08    | 126.95    |
| 17                         | Sikkim                    | 36.19     | 28.99     | 23.09     |
| 18                         | Tripura                   | 115.76    | 144.92    | 142.01    |
| Total                      | Total                     | 879.98    | 799.71    | 663.35    |
| C - Non -High Focus States |                           |           |           |           |
| 19                         | Andhra Pradesh            | 869.43    | 764.42    | 442.73    |
| 20                         | Goa                       | 1.48      | 0.79      | - 11.32   |
| 21                         | Gujarat                   | 593.95    | 467.06    | 442.52    |
| 22                         | Haryana                   | - 27.76   | - 36.03   | - 35.57   |
| 23                         | Karnataka                 | 347.35    | 246.00    | 251.48    |
| 24                         | Kerala                    | 319.75    | 62.96     | 73.13     |
| 25                         | Maharashtra               | - 133.56  | - 540.60  | 330.71    |
| 26                         | Punjab                    | 298.99    | 119.30    | - 30.89   |
| 27                         | Tamil Nadu                | - 464.18  | - 386.30  | - 915.94  |
| 28                         | Telangana                 | 196.76    | 244.05    | 258.49    |
| 29                         | West Bengal               | 1,223.29  | 1,334.32  | 861.83    |
| Total                      | Total                     | 3,225.52  | 2,275.97  | 1,667.16  |
| D - Small States / UTs     |                           |           |           |           |
| 30                         | Andaman & Nicobar Islands | - 7.69    | 27.53     | 43.51     |

| 31          | Chandigarh           | 0.56     | 7.50     | 8.36     |
|-------------|----------------------|----------|----------|----------|
| 32          | Dadra & Nagar Haveli | 4.60     | 6.94     | 6.71     |
| 33          | Daman & Diu          | - 3.93   | - 3.93   | - 2.64   |
| 34          | Delhi                | 159.96   | 219.65   | 306.48   |
| 35          | Lakshadweep          | 4.59     | 7.56     | 7.06     |
| 36          | Puducherry           | - 1.38   | - 4.54   | - 1.60   |
| Sub Total   | Sub Total            | 156.71   | 260.71   | 367.88   |
| Total       | Total                | 5,765.90 | 4,633.56 | 3,228.85 |
| Others      | Others               | 182.07   | 274.89   | 274.89   |
| Grand Total | Grand Total          | 5,947.97 | 4,908.45 | 3,503.74 |

## Note:

Negative unspent balance was due to pending arrears payment under Infrastructure Maintenance.

The unspent balance is derived after deducting the Expenditure reported as per FMR from Central release