Lok Sabha Question No. 6553 (UNSTARRED), answered on 2018-04-06
Subject: Health Minister’s Discretionary Grant
Ministry: HEALTH AND FAMILY WELFARE
Asked by: AJAY NISHAD

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

## LOK SABHA UNSTARRED QUESTION NO. 6553 TO BE ANSWERED ON 6 TH APRIL, 2018

## HEALTH MINISTER'S DI SCRETIONARY GRANT

## 6553. SHRI AJAY NISHAD:

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

- (a) the criteria and the process for providing financial assistance to the poor patients to meet their medical expenses from his discretionary fund and cancer patient fund;
- (b) the number of patients benefitted ncluding the financial assistance provided to the patients from the said funds separately during each of the last three years and the current year, State/UT -wise;
- (c) whether complaints have been received regarding delay in taking action on applications seeking assistance under the said funds;
- (d) if so, the details thereof; and
- (e) the corrective steps taken/ proposed to be taken by the Government in this regard?

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

- (a): The details of criteria and the process for providing financial assistance to patients under Health Minister's Discretionary Grant (HMDG) and Health Minister's Cancer Patient Fund (HMCPF)to meet their medical expenses are given at Annexure -I.
- (b): Details  of  patients  benefitted  and  financial  assistance  provided  under Health Minister's  Discretionary  Grant  (HMDG) and Health Minister's  Ca ncer  Patient  Fund (HMCPF) during the last three years are at Annexure - II and Annexure - III respectively.
- (c) to (e): No complaints have been received in this regards. The applications complete in all respect as per the guidelines are generally processed w ith in a period of one month.

## ANNEXURE - I

The  criterion  for  granting  financial  assistance  to  poor  patients  under  Health  Minister's Discretionary  Grant  (HMDG),  and  Health  Minister's  Cancer  Patient  Fund  (HMCPF)  under R ashtriya Arogya Nidhi (RAN) are asunder:

## A. HMDG:

- (i) Only  those  patients  having  annual  family  income  up  to  Rs.1.25,000/ - and  below , are eligible  for  financial  assistance under Health  Minister's  Discretionary  Grant  (HMDG). Financial Assistance up to a maximum of Rs. 1,25,000/ - is provided to t he poor indigent patients from the Health Minister's Discretionary Grant to defray a part of the expenditure on hospitali zation/treatment in Government h ospitals for life threatening diseases cov under  Rashtritya  Arogya  Nidhi  (RAN)  in  cases  where  free medical  facilities  are  not available.
- (ii) To avail financial assistance under HMDG, the patient is required to submit :
- a) Application  form  in  prescribed  proforma  duly  signed  by  the  treating  doc countersigned by the Medical Superintendent of the Governmen t hospital/institute.
- b) Copy of the income certificate.
- (iii) Financial assistance is granted to the patient -
- (a) Rs.75,000/ - , if the estimated cost of treatment is up to Rs.1,25,000/ - ;
- (b) (b)  Rs.1,00,000/ - if  the  estimated  cost  of  treatment  is  above  Rs.1,25,000/ - and  up  to Rs.1,75,000/ - ; and
- (c) (c) Rs.1,25,000/ -if the estimated cost of treatment is above Rs.1,75,000/ - .

## B. HMCPF

- (i) Under the Health Minister's Cancer Patient Fund (HMCPF) the cr iterion is as under:
- (a) Financial assistance is provided to patients, below poverty line suffering fro undergoing treatment in any of the 27 Regional Cancer Centres (RCC) recognized by the Government of India . The financial assistance to the cance r patient up to Rs. 2 lakh (Rs. Two Lakh only) is provided by the Institute/Hospitals concerned through the fund  placed  at  their  disposal.  The  cases  of  financial  assistance  above Rs.  2  lakh are referred to the Ministry of Health and Family Welfare by the h ospitals for assistance .
- (b) The following criteria have been fixed for providing financial assistance to p
- (i) The applicant has to submit an application in the prescribed proforma duly filled in by the treating Doctor/HOD and countersigned by the Medical Superintendent of the hospital (Government h ospital) where the patient is receiving the treatment;
- (ii) Income certificate in original from the BDO/ Tehsildar/Collector /SDM; and
- (iii) Copy of ration card.

## ANNEXURE-II

## Details of Patients/Funds released during the last three years under Health Minister's Discretionary

## Grant (HMDG)

Rs. In lakh

| State             | 2014-2015      | 2014-2015   | 2015-2016      | 2015-2016   | 2016-2017      | 2016-2017   | 2017-2018      | 2017-2018   |
|-------------------|----------------|-------------|----------------|-------------|----------------|-------------|----------------|-------------|
| State             | No of patients | Amount      | No of patients | Amount      | No of patients | Amount      | No of patients | Amount      |
| Andhra Pradesh    | --             | --          | --             | --          | --             | --          | 01             | 00.25       |
| Arunachal Pradesh | --             | --          | --             | --          | --             | --          | --             | --          |
| Assam             | --             | --          | 01             | 00.50       | 05             | 05.00       | 13             | 15.25       |
| Bihar             | 68             | 50.85       | 111            | 84.96       | 88             | 70.89       | 66             | 58.25       |
| Chhattisgarh      | 01             | 01.00       | --             | --          | --             | --          | 01             | 00.75       |
| Delhi             | 21             | 16.73       | 28             | 21.45       | 41             | 35.69       | 16             | 14.94       |
| Goa               | --             | --          | --             | --          | --             | --          | --             | --          |
| Gujrat            | --             | --          | --             | --          | --             | --          | --             | --          |
| Haryana           | 08             | 06.75       | 05             | 04.25       | 21             | 17.95       | 10             | 09.73       |
| Himachal          | 01             | 00.50       | 02             | 01.50       | 01             | 01.00       | 01             | 01.25       |
| Pradesh           |                |             |                |             |                |             |                |             |
| J&K               | 16             | 13.00       | 16             | 12.75       | 08             | 08.50       | 03             | 03.50       |
| Jharkhand         | 06             | 05.25       | 03             | 02.50       | 06             | 04.70       | 06             | 05.20       |
| Karnataka         | --             | --          | --             | --          | --             | --          | --             | --          |
| Kerala            | 02             | 01.50       | 02             | 01.75       | 13             | 13.50       | --             | --          |
| Maharashtra       | 01             | 01.00       | --             | --          | --             | --          | --             | --          |
| M.P               | --             | --          | 10             | 07.00       | 13             | 11.93       | 28             | 29.57       |
| Manipur           | 01             | 01.00       | --             | --          | --             | --          | 01             | 00.42       |
| Meghalaya         | 01             | 00.50       | 05             | 04.25       | --             | --          | 19             | 21.85       |
| Mizoram           | --             | --          | --             | --          | --             | --          | 02             | 01.86       |
| Nagaland          | --             | --          | --             | --          | --             | --          | --             | --          |
| Odisha            | --             | --          | --             | --          | 03             | 02.96       | --             | --          |
| Puducherry        | --             | --          | 02             | 01.00       | --             | --          | 01             | 01.25       |
| Punjab            | --             | --          | 02             | 01.75       | 03             | 03.25       | 02             | 01.85       |
| Rajasthan         | 04             | 03.25       | --             | --          | 03             | 03.00       | 04             | 03.96       |
| Sikkim            | --             | --          | --             | --          | --             | --          | --             | --          |
| Tamilnadu         | 01             | 01.00       | --             | --          | 16             | 17.75       | 15             | 15.40       |
| Telangana         | --             | --          | --             | --          | 01             | 01.25       | --             | --          |
| Tripura           | --             | --          | --             | --          | --             | --          | 01             | 01.25       |
| U.P               | 70             | 54.80       | 62             | 47.07       | 111            | 81.75       | 114            | 92.93       |
| W. Bengal         | 113            | 87.98       | 35             | 27.90       | 08             | 07.23       | 03             | 01.08       |
| Uttarakhand       | 01             | 00.75       | 01             | 01.00       | 02             | 02.25       | 08             | 07.75       |

## ANNEXURE-III

## Details of Patients/Funds released during the last three years under Health Minister's Cancer Patient Fund (HMCPF)

Rs. In lakh

| State             | 2014-2015      | 2014-2015   | 2015-2016      | 2015-2016   | 2016-2017      | 2016-2017   | 2017-2018      | 2017-2018   |
|-------------------|----------------|-------------|----------------|-------------|----------------|-------------|----------------|-------------|
| State             | No of patients | Amount      | No of patients | Amount      | No of patients | Amount      | No of patients | Amount      |
| Andhra Pradesh    | --             | --          | 12             | 72.45       | 01             | 05.20       | --             | --          |
| Arunachal Pradesh | --             | --          | --             | --          | --             | --          | --             | --          |
| Assam             | 05             | 21.05       | --             | --          | 03             | 10.00       | --             | --          |
| Bihar             | 111            | 542.90      | 60             | 306.28      | 56             | 329.22      | 09             | 48.00       |
| Chhattisgarh      | --             | --          | 02             | 21.00       | --             | --          | --             | --          |
| Delhi             | 12             | 65.40       | 04             | 33.00       | 04             | 19.60       | 01             | 03.00       |
| Goa               | 26             | 96.76       | --             | --          | --             | --          | --             | --          |
| Gujrat            | --             | --          | --             | --          | --             | --          | --             | --          |
| Haryana           | --             | --          | 13             | 70.55       | 18             | 78.53       | 01             | 05.15       |
| Himachal Pradesh  | --             | --          | 05             | 45.00       | 05             | 14.00       | --             | --          |
| J&K               | 17             | 55.07       | 28             | 109.52      | 23             | 102.36      | 03             | 15.80       |
| Jharkhand         | 05             | 09.61       | 02             | 12.50       | 02             | 09.50       | --             | --          |
| Karnataka         | --             | --          | 01             | 05.00       | --             | --          | --             | --          |
| Kerala            | 03             | 20.70       | 01             | 06.30       | 02             | 07.50       | --             | --          |
| Maharashtra       | --             | --          | 02             | 22.00       | --             | --          | --             | --          |
| M.P               | 23             | 107.69      | 10             | 56.50       | 06             | 26.90       | --             | --          |
| Manipur           | 09             | 37.84       | --             | --          | 01             | 06.00       | --             | --          |
| Meghalaya         | --             | --          | --             | --          | --             | --          | --             | --          |
| Mizoram           | 01             | 03.00       | --             | --          | 01             | 02.00       | --             | --          |
| Nagaland          | --             | --          | --             | --          | --             | --          | --             | --          |
| Odisha            | 04             | 15.71       | 01             | 05.00       | 01             | 04.00       | --             | --          |
| Puducherry        | --             | --          | --             | --          | --             | --          | --             | --          |
| Punjab            | 03             | 18.00       | 01             | 05.00       | --             | --          | --             | --          |
| Rajasthan         | 09             | 43.27       | 02             | 10.00       | 02             | 15.00       | --             | --          |
| Sikkim            | --             | --          | --             | --          | --             | --          | --             | --          |
| Tamilnadu         | --             | --          | 12             | 53.44       | 01             | 04.60       | --             | --          |
| Telangana         | --             | --          | --             | --          | --             | --          | --             | --          |
| Tripura           | --             | --          | --             | --          | 01             | 02.50       | --             | --          |
| U.P               | 171            | 710.38      | 74             | 424.40      | 83             | 424.13      | 07             | 39.00       |
| Uttarakhand       | 17             | 54.50       | 06             | 33.42       | 01             | 04.00       | --             | --          |
| W. Bengal         | 13             | 100.00      | 24             | 93.40       | 10             | 40.00       | --             | --          |