Lok Sabha Question No. 2959 (UNSTARRED), answered on 2018-08-03
Subject: AB-NHPM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VEENA DEVI, K. ASHOK KUMAR, ANIL SHIROLE, HEMAMALINI, KAVITHA KALVAKUNTLA, KRUPAL BALAJI TUMANE, RODMAL NAGAR, SUSHIL KUMAR SINGH, SANTOSH KUMAR, NAGARAJAN P., PARBHUBHAI NAGARBHAI VASAVA, George Baker, GOPAL CHINAYYA SHETTY, CHANDRAKANT BHAURAO KHAIRE, DIPSINH SHANKARSINH RATHOD, OM PRAKASH YADAV, SISIR KUMAR ADHIKARI, SUMEDHANAND SARASWATI, MANOJ KUMAR TIWARI, M. CHANDRAKASI, MOHANBHAI KALYANJIBHAI KUNDARIYA, SANTOSH AHLAWAT, HARI OM PANDEY, ABHISHEK SINGH

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2959 TO BE ANSWERED ON 3 rd AUGUST, 2018

## AB - NHPM

2959. SHRIMATI VEENA DEVI:

SHRI K. ASHOK KUMAR:

SHRI ANIL SHIROLE:

SHRIMATI HEMA MALINI:

SHRIMATI KAVITHA KALVAKUNTLA:

SHRI KRUPAL BALAJI TUMANE:

SHRI NAGAR RODMAL:

SHRI SUSHIL KUMAR SINGH:

SHRI SANTOSH KUMAR:

SHRI P. NAGARAJAN:

SHRI PARBHUBHAI NAGARBHAI VASAVA:

SHRI GEORGE BAKER:

SHRI GOPAL SHETTY:

SHRI CHANDRAKANT KHAIRE:

SHRI D.S. RATHOD:

SHRI OM PRAKASH YADAV:

SHRI SISIR KUMAR ADHIKARI:

SHRI SUMEDHANAND SARSWATI:

SHRI MANOJ TIWARI:

SHRI M. CHANDRAKASI:

SHRI KUNDARIYA MOHAN BHAI KALYANJI BHAI:

SHRIMATI SANTOSH AHLAWAT:

SHRI HARI OM PANDAY:

SHRI ABHISHEK SINGH:

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

- (a) whether the Ayushman Bharat National Health Protection Mission (AB - NHPM) aims at providing a coverage of Rs. 5 lakh per family annually benefiting more than 10 crore poor families in the country;
- (b) if so, the details thereof along with salient features of the said Mission;
- (c) whether many State Governments have shown reluctance to implement the said Mission in their States as they already have similar Mission, if so, the details thereof;
- (d) whether the Government has completed the empanelment of hospitals under the said Mission and if so, the details thereof, State/UT - wise; and

(e) the long term action plan formulated by the Government for the succ ssfully implementation of the said Mission?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Yes.
- (b): The salient features of the Scheme are:
- (i) Ayushman Bharat - National Health Protection Mission is an entitlement based scheme. Families figuring in the specified deprivation criteria of SECC database (both rur urban) are entitled to claim benefits under the Scheme.
- (ii) There is no cap on family size.
- (iii) Cashless  and  paperless  access  to  services  for  the  beneficiaries  at  the  point  of (both public and private) empanelled hospitals.
- (iv) All India Portability.
- (v) Using a robust IT backbone.
- (vi) To be implemented by States either on Trust Mode or Insurance Mode or both; under Trust  mode,  States  set  up  State  Health  Agency  &  under  Insurance  Mode  Insurance Providers are selected through open bidding process.

(c): As  on  30.07.2018,  26  States/UTs  have  signed  Memorandum  of  Understanding    for implementing  Ayushman  Bhar at -National  Health  Protection  Mission  (AB - NHPM).These States/UTs  are  namely  Uttar  Pradesh,  Andaman  &  Nicobar  Island,  Lakshadweep,  Dadar  & Nagar Havelli, Daman & Diu, Chhattisgarh, Mizoram, Jharkhand, Bihar, Uttarakhand, Jammu & Kashmir,  Manipur,  Meghalay a,  Gujarat,  Himachal  Pradesh,  Chandigarh,  Tripura,  Nagaland, Arunachal  Pradesh,  Sikkim,  Andhra  Pradesh  and  West  Bengal.  With  the  rest  of  the  Sta consultations regarding joining the AB - NHPM are underway.

(d) : The empanelment of the Hospitals with AB - NH PM is to be done by the respective States. State Nodal Agencies have started the process of empanelment. Under the Mission all pu hospitals (Community Health Centre and above) are deemed to be empanelled. For empanelmen of Private Hospitals, defined criteria and hospital empanelment guidelines have been issued to a the States.

(e): At  National  level  National  Health  Agency  has  been  established  which  will  act implementing  body  for  Ayushman  Bharat -Pradhan  Mantri  Jan  Swasthya  Yojana  and coordina ting with the States.  The State/UTs have been directed to create similar bodies State/UT  level.    The  States  have  been  given  the  flexibility  in  deciding  the  mo implementation of the Scheme through Insurance or Trust or mixed mode.  A robust IT system being  developed  by  National  Health  Agency  intends  to  provide  seamless  portability beneficiaries from one State to another across the Country.