Lok Sabha Question No. 742 (UNSTARRED), answered on 2016-11-21
Subject: 2nd Generation Reforms ESIC - 2.0
Ministry: LABOUR AND EMPLOYMENT
Asked by: S.P. MUDDAHANUMEGOWDA, SHOBHA KARANDLAJE

## MINISTRY OF LABOUR AND EMPLOYMENT

## GOVERNMENT OF INDIA LOK SABHA

## UNSTARRED QUESTION NO. 742 TO BE ANSWERED ON 21.11.2016

## 2ND GENERATION REFORMS ESIC - 2.0

742. SHRI S.P. MUDDAHANUME GOWDA: KUMARI SHOBHA KARANDLAJE:

Will  the  Minister  of  LABOUR  AND  EMPLOYMENT  be  pleased  to state:

- (a)whether Employees' State Insurance Corporation (ESIC) has launched  2 nd   Generation  Reforms  ESIC-2.0  and  if  so,  the  details thereof;
- (b)whether  ESIC  also  proposes  to  increase  the  coverage  aspects/ sphere of ESI scheme so that more and more workers of the country get the social security benefits including medical care; and if so, the details thereof;
- (c)whether  ESIC  proposes  to  bear  the  expenses  on  super  speciality treatment of ESIC beneficiaries over and above the expenditure by State Governments, if so, the details thereof; and
- (d)whether  the  decision  related  to  preexisting  diseases  not  to  be considered for super speciality treatment will only be with prospective effect and if so, the details thereof?

## MINISTER OF STATE (IC) FOR LABOUR AND EMPLOYMENT

## ANSWER (SHRI BANDARU DATTATREYA)

- (a)- The second generation reforms i.e. ESIC 2.0 was launched by the Hon'ble Prime Minister on 20.07.2015. Three broad group of agendas namely-  extending  the  coverage  of  ESI  Scheme,  reforms  in  health services and Improving patients/ attendant care were unveiled. Details are as below:-

Contd..2/-

Agenda-1- Expansion-

1. Extending the coverage of ESI Scheme in all States/UTs.
2.  Covering  whole  of  393  districts  where  the  scheme  is  presently partially implemented in Centres.
3. To cover all the construction workers under ESIC.
4. To open health scheme for selected group, of unorganised workers like rickshaw-pullers/auto-rickshaw drivers in selected urban/metropolitan areas.
5. To start setting up State ESI Corporation/societies in all states as subsidiary of ESI Corporation to facilitate quicker disbursal of benefit and  improvement  in  health  facilities,  decentralized  decision  making system are to be put in place.

Agenda - 2: Reforms in Health Services-

1.  Computerization  of  its  core  activities  and  its  records.  The  health records of the Insured Persons to be preserved in electronic form.
2. All dispensaries, in a phased manner, to be converted to six bedded hospitals.
3. Daily change of bed-sheets in hospitals on different colour.
4. 24X7 Medical Helpline
5. Evening OPD for senior citizens and Differently - abled Patients.
6. 6.To start appropriate cancer/cardiology detection/ treatment facilitates at different level of hospitals.
7. To  provide  all possible  pathological  facilities in all  hospitals premises.
8. 8.To  provide  dialysis  facilities    in  all  ESIC  Model  Hospitals  on  PPP Model.

Contd…3/-

Agenda - 3 : Improving patients/attendant Care-

- 1) To put in place appropriate Queue Management System
- 2) To provide behavioral training to para-medical and other staff of the hospitals
- 3) To provide for a feedback system, for all Indoor patients.
- 4) To create at least one Mother and Child Care Hospital with higher facilities  in every state.
- 5) To provide for facility of yoga on all our hospitals.
- 6) To create tele-medecine facilities for the beneficiaries in phases.
- 7)  AYUSH  facilities  to  be  extended  up  to  the  dispensary  level  in phases, the first phase.
8. (b): The Employees State Insurance Corporation(ESIC) has approved the enhancement of wage ceiling from present Rs. 15,000 per month to Rs. 21,000/-. The draft Rules calling for objections has been published in Gazette of India on 06.10.2016. This enhancement of wage ceiling shall  bring  more  employees  under  ESIC  coverage.  In  addition,  the decision has also been taken to ensure coverage of the Scheme in all districts of the Country.
9. (c): Yes,  Madam.  The  ESIC  in  its  meeting  dated  07/08/2015  has decided to bear the expenses on super specialty treatment over and above the expenditure of state government.
10. (d):    Yes, Madam. The ESIC in its 166th Corporation meetings held on 07.08.2015 has decided to consider eligibility of pre existing diseases i.e. for malignancy & dialysis as prospective w.e.f. 30.08.2016.

Further, ESIC has revised eligibility for Super Specialty including the  children  of  Insured  Persons  with  congenital  diseases  &  genetic disorders.

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