Lok Sabha Question No. 3621 (UNSTARRED), answered on 2018-03-16
Subject: Rashtriya Arogya Nidhi
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAVINDRA BABU  PANDULA

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

## LOK SABHA UNSTARRED QUESTION NO. 3621 TO BE ANSWERED ON 16 TH MARCH, 2018

## RASHTRIYA AROGYA NID HI

## 3621. DR. RAVINDRA BABU:

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

- (a) whether Rashtriya Arogya Nidhi Scheme (RANS) is being implemented in the country;
- (b) if so, the details thereof, funds allocated/utilised State/UT - wise including Andhra Pradesh along with the details of the categ ories of treatment included under the scheme;
- (c) whether Government is aware that there is not even a single hospital in Andhra Pradesh with access to the scheme resulting in not having even a single beneficiary belonging to the State; and
- (d) if so, the reasons therefor, including the steps taken by the Government for expansion of the scheme to hospitals in Andhra Pradesh, including East Godavari district?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a): Yes,  the  scheme  Rashtriya  Arogya  Nidhi  (RAN)  is  under  implementation  in  the country.
- (b): The details of scheme and salient features are given in Annexure -I.  Th  details of funds allocated to patients of various State/UT wise are given at A nnexure - II. An amount of Rs. 24.00 crore (B.E.) was provided under the scheme in 2017 - 18, which has been utilised. An additional amount of Rs. 6.00 crore has been provided at R.E. stage.
- (c) & (d): All  the  Super - speciality  hospitals/institutes  or  other  G overnment  Hospitals situated  in  all  States/UTs  including  Andhra  Pradesh  are  covered  for  providing  med treatment to the patients living below poverty line under the Rashtriya Arogya Nidhi Sc

Financial assistance has been released in respect of 03 patients having trea at Sri Venkateswara Institute of Medical Sciences, Tirupati during the year 2017 - 18  under Rashtriya  Arogya  Nidhi  Scheme  and  financial  assistance  has  also  been  sanction addi tionally to 03 patients of Andhra Pradesh.

## A nnexure - I

The Rashtriya Arogya Nidhi (RAN) has been set up vide Resolution No. F - 7- 2/96 - Fin - II dated 13/1/1997 and registered under the Societies Registration Act, 1860, as a Society . The RAN was set upto provide financial assistance to patients, living below poverty line are suffering from major life threatening diseases, to receive medical treatment at super speciality Hospitals/Institutes or other Government hospitals. The financial assistance to such  patients  is  released  in  the  form  of  'one -time  grant',  which  is  released  to  the  Medical Superintendent of the Hospital in which the treatment has been/is being received.

Under RAN Revolving Funds have been set up in 13 Central Govern ment Hospitals/Institutions located all over India for providing financial assistance for t Rs.  2  lakh.  In  addition  financial  assistance  is  provided  for  individual  cases  r Government hospitals/institutions, which do not have a Revolv ing Fund and for cases referred by 13 Government hospitals/institutions with Revolving Funds for assistance exceeding lakh.

An  illustrative  list  of  categories  of  treatment  to  be  provided  from  the given in the Annexure A.

## An illustrative list of categories of treatment to be provided from the fund is as follows :

## 1. Cardiology & Cardiac Surgery :

1. Pacemakers
2. CRT/Biventricular pacemaker
3. Automatic Implantable Cardioverter defibrillator (AICD)
4. Combo devices
5. Diagnostic Cardiac Catheterization including Coronary Angiography
6. Interventional procedure including Angioplasty, Rota - ablation, Balloon Valvuloplasty e.g. PTMC, BPV etc.
7. ASD, VS D and PDA device closure
8. Peripheral Vascular Angioplasty, Carotid Angioplasty, Renal Angioplasty
9. Coil Embolization and Vascular plugs
10. Stents including Drug Eluting Stents
11. Electrophysiological Studies (EPS) and Radio Frequen cy (RF) Ablation
12. Heart surgery for Congenital and Acquired conditions including C.A.B.G
13. Vascular Surgery
14. Cardiac Transplantation etc.

## 2.Cancer :

1. Radiation treatment of all kinds including Radio Therapy and Gama Knife Surgery.
2. Anti - Cancer Chemotherapy supportive medication and antibiotic, Growth factor,
3. Bone Marrow Transplantation -Allogenic & Autologous
4. Diagonostic Procedures -Flow cytometry/cytogenetics /IHC Tumour Markers etc.
5. Surgery for cancer patients
6. Catheters, central lines and venous access devices.

## 3. Urology/Nephrology/Gastroenterology :

1. Dialysis and its consumable (Both haemodialysis as well as Peritoneal)
2. Plasmalpheresis in acute renal failure
3. Continuous renal replacement therapy in acute renal failure in ICU sick patient.
4. Vascular access consumables (Shunts, catheters) for Dialysis
5. Renal transplant - cost of renal transplant varies from 2.5 to 4.0 lakh Depending upon type of drug used as per patient need.
6. PCN and PCNL Kits
7. Lithotripsy ( for Stones)
8. Disposables & Stents for endoscopic surgical procedures in Urology & Gastroenterology.
9. 9.Liver Transplantation and Surgery for portal hypertension.

## 4.Orthopedics :

1. Artificial prosthesis for limbs
2. Implants and total hip and knee replacement
3. External fixaters
4. AO implants, used in the treatment of bone diseases and fractures
5. Spiral fixation Implant -Pedicle Screws (Traumatic, Paraplegic, Quadriplegic)
6. Implant for Fra cture fixation (locking plates & modular)
7. Replacement Hip -Bipolar /fixed
8. Bone Substitutes

## 5. Neurosurgery -Neurology :

- 1 Brain Tumors
- 2 Head injuries
- 3 Intracranial aneurysm
- 4 AVMs
- 5 Spinal tumors
- 6 Degenerative /Demyelinating diseases of brain/spinal cord
- 7 Stroke
- 8 Epilepsy
- 9 Movement disorders
- 10 Neurological infections

## 6.Endocrinology :

1. Hormonal replacement for lifelong therapy :
2. Cases of complicated diabetes which require one time treatment
3. -e.g. amputation or renal transplant
4. -Hypo pituitarism
5. -Hypo thyrodism
6. -GH deficiency
7. -Cushings Syndrome
8. -Adrenal insufficiency
9. -Endocrine surgery

## 7. Mental Illness :

1. Organic Psychosis acute and chronic
2. Functional psychosis including Schizophrenia, Bio - polar
3. Disorders, delusional disorders and other acute polymorphic psychosis
4. 3 Severe OCD, Somatoform disorders, eating disorders
4. Developmental  disorders  including  autisms  spectrum  disorders  and Severe behavioural disorders during childhood.

## 8. Drugs :

1. Immunosuppressive drugs
2. Anti D
3. Anti Haemophilic Globulin
4. Erythropoietin
5. Blood & Blood products/Plasma for patients of Burns
6. Liposomal Amphotericin
7. Peg Interferon
8. Ribavarin
9. CMV treatment (IV Gancyclovir, Valganciclovir)
10. Voriconazole
11. Anti - rejection treatment (ATG, OKT 3)
12. Treatment for Post -transplant viral infection
13. Any life supporting drugs.

## 9. Investig ations :

Ultra - sound,  Doppler  studies,  Radio - nucleotide  scans,  CT  Scan, Mammography,  Angiography  for  all  organs,  M.R.I,  E.E.G,  E.M.G,  Uro -dynamic  studies,  Cardiac  Imaging - Stress  Thallium  &  PET,  Cardiac  MRI, Investigation for CMV, BK Virus, TMT, Echocardio graphy.

Psycho diagnostics, neuropsychological assessments, IQ assessments, blood  tests  like  serum  lithium  and  drug  level  of  carbamazepine,  valpora phenytoin  and  any  other  similar  medications  :  CSF  studies  screening  f substances or abuse/toxicology.

## 10. Others :

1. Immunoglobulin for AIDP (GB Syndrome ) and Myasthenia Gravis.
2. Anti viral
3. Anti Fungal
4. Wilson disease : Penicillamine A
5. Botulinum A toxin injection for spasticity
6. Baclofen for spasticity

## 11. Miscellaneous :

Shunts for Hydrocephalus.

- 12 .      Other major illness/treatment/intervention considered appropriate  for assistance by Medical Superintendent/Committee ofDoctors could be considered for grant.

Annexure - II Individual cases of financial assistance provided under Rashtriya Arogya Nidhi

(Rs. in lakhs)

| Name of State/UT   | 2017-18 (upto 16.02.2018)   | 2017-18 (upto 16.02.2018)   |
|--------------------|-----------------------------|-----------------------------|
| Name of State/UT   | No. of Patient              | Amount                      |
| Andhra Pradesh     | 3                           | 15.04                       |
| Arunachal Pradesh  | --                          | --                          |
| Assam              | 1                           | 3.00                        |
| Bihar              | 139                         | 661.97                      |
| Chandigarh         | --                          | --                          |
| Chhattisgarh       | 3                           | 19.45                       |
| Delhi              | 38                          | 219.07                      |
| Gujarat            | --                          | --                          |
| Haryana            | 48                          | 231.63                      |
| Himachal Pradesh   | 7                           | 17.30                       |
| J.& K.             | 58                          | 231.42                      |
| Jharkhand          | 8                           | 62.72                       |
| Karnataka          | 1                           | 11.75                       |
| Kerala             | 13                          | 54.22                       |
| Madhya Pradesh     | 23                          | 133.96                      |
| Maharashtra        | --                          | --                          |
| Manipur            | 9                           | 66.37                       |
| Meghalaya          | --                          | --                          |
| Mizoram            | --                          | --                          |
| Nagaland           | --                          | --                          |
| Odisha             | 1                           | 2.50                        |
| Puducherry         | 6                           | 34.05                       |
| Punjab             | 3                           | 9.75                        |
| Rajasthan          | 7                           | 32.93                       |
| Sikkim             | 2                           | 8.94                        |
| Tamil Nadu         | 22                          | 59.65                       |
| Tripura            | --                          | --                          |
| Uttar Pradesh      | 177                         | 845.67                      |
| Uttarakhand        | 12                          | 57.85                       |
| West Bengal        | 10                          | 66.61                       |
| Total              | 591                         | 2845.85                     |