Lok Sabha Question No. 3797 (UNSTARRED), answered on 2017-03-24
Subject: Rashtriya Arogya Nidhi
Ministry: HEALTH AND FAMILY WELFARE
Asked by: UDIT RAJ, SUNIL KUMAR SINGH

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

## LOK SABHA UNSTARRED QUESTION NO. 3797 TO BE ANSWERED ON 24 th MARCH, 2017

## RASHTRIYA AROGYA NID HI

## 3797. DR. UDIT RAJ:

## SHRI SUNIL KUMAR SINGH:

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

- (a) the total number of beneficiaries under the Rashtriya Arogya Nidhi (RAN) during the last three years;
- (b) the name of the diseases covered under the said scheme and name of hospitals empanelled therein;
- (c) the total amount of financial support received in RAN during the above period;
- (d)  whether  a  revolving  fund  of  Rs. fifty  lakhs  has  been  placed  at  the  disposal of  Central Government hospitals for providing financial assistance to the BPLpatients and if so, the details thereof;
- (e) whether the Government proposes to raise the amount of financial assistance from Rs. two lakhs to five lakhs in case where emergency surgery is to be conducted and if so, the details thereof; and
- (f) t he steps the Government proposes to take to increase the awareness about RAN?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a): Total no of beneficiaries under RAN during the last three years is 1140. Year - wise break up is as below:
- I. 376 beneficiaries in 2015 - 16
- II. 429 beneficiaries in 2014 - 15
- III. 335 beneficiaries in 2013 - 14
- (b): An illustrative list of categories of treatment to be provided from the Fund is g the Annexure I. The RAN was set up to provide financial assistance to patients, living bel poverty line and who are suffering from major life threatening diseases, to receive me treatment at any of the super speciality Government Hospitals/Institutes or other Gove rnment hospitals.
- (c) : The budgetary allocation under RAN during the years 2013 - 14 to 2015 - 16, totalled Rs. 5690 lakh.

(d) & (e) : Yes. Revolving Funds have been set up in 13 Central Government Hospitals/Institutes  and  funds  up  to  Rs .  50 lakh  are  placed  at  their  disposal  for  providin treatment upto Rs. 2 lakh in each case and up to Rs. 5 lakh in emergency cases. List of Government hospitals/Institutes, where revolving funds have been set up, is at Annexure - II.

(f): The  vario us  steps  taken  by  the  Government  to  increase  awareness  about  the  RAN Scheme, inter - alia, include letters to the State Governments for publicizing the Scheme in respective States, Press Note in the leading newspapers of the country giving information about the Scheme, uploading  all details regarding the Scheme, viz documents required,  eligib criteria, procedure and contact details for queries, publication of an Appeal in the new disseminating information about the Scheme and circulation of Scheme  details  in  pamphlet format to all State Health Directors/Central Institutions and Hospitals.

## Annexure- I

## Illustrative list of categories of treatment to be provided Grant from the fund is as follows (This list is reviewed by the Technical Committee from time to time )

## 1. Cardiology & Cardiac Surgery :

- 1) Pacemakers including CRT/Biventricular pacemaker.
- 2) Automatic Implantable Cardioverter Defibrillator (AICD) and devices.

Comb

- 3) Coronary Artery Disease including Diagnostic Cardiac Catheterization an Coronary Angiography.
- 4) Interventional procedure including Angioplasty, with or without  Stent metal Stents as well as Drug Eluting Stents) Rota -ablation, Balloon Valvuloplasty.
- 5) ASD, VSD and PDA device closure.
- 6) Peripheral Vascular Angioplasty including Carotid Angioplasty & Renal Angioplasty, Aortic Surgery and Stent Grafting.
- 7) Coil Embolization and Vas cular plugs.
- 8) Electrophysiological Studies (EPS) and Radio Frequency (RF) Ablation.
- 9) Cardio vascular surgery for Congenital and Acquired conditions including C.A.B.G, Valve replacement etc.
8. 10)Heart/Lung Transplantation.(ceiling cost may be upto CGHS rates)
9. 11)Intra Aortic Balloon Pump (IABP).
10. 12)Thrombolytic Therapy for Acute Myocardial Infarction, Thromboembolism & Prosthetic valve Thrombosis.
11. 13)IVC Filter

## 2.Cancer :

- 1) Radiation treatment of all kinds including Radio Therapy and Gama Knife Surgery/GRT/MRT/Brachytherapy.
- 2) Anti - Cancer Chemotherapy with supportive medication including hormonal therapy.
- 3) Bone Marrow Transplantation -Allogenic & Autologous
- 4) Diagnostic Procedures -including PET scan.
- 5) Surgery for operable malignant tumours.

## 3.Urology/Nephrology/Gastroenterology/GI Surgery :

- 1) Dialysis (Both Haemodialysis as well as Peritoneal)
- 2) Plasmalpheresis in ABO incompatible donors
- 3) Continuous RRT in Acute Renal failure
- 4) Vascular access consumables (AV Grafts, Catheters including perm catheters) for Dialysis.
- 5) Renal transplant - The ceiling cost may be upto CGHS rates.
- 6) USG guided PCNL and USG guided SPC.
- 7) Endoscopic surgical procedures in urology including CPE with TURBT,CPE with endoscopic catheterization, CPE with clot evacuation.
- 8) Endoscopic surgical procedures in GI surgery.

Pulmonar

- 9) Acute GI emergencies like Acute Pancreatitis, GI bleeding, Cholan Peritonitis,  Intestinal  Obstruction,  Biliary  stricture,  Acute  Fulminant itis, Hepatic Encephalopathy, Hepatic Abscess etc.
- 10)  Liver  Transplantation  and  Surgery  for  portal  hypertension - the  ceiling  cost may be up to CGHS rates.

## 4.Orthopedics :

- 1) Treatment of Traumatic & Pathological Fracture.*
- 2) Implants for joint replacement.* *
- 3) Spinal fixation Implant.**
4. *Only Indigenous implants for use in Fracture and Poly Trauma will be per under the scheme.
5. **Justification  for  Non  Indigenous  Implants  would  be  provided  by  the  tr doctor.

## 5. Neurosurgery -Neurology :

- 1) BrainTumours
- 2) Head injury
- 3) Intracranial aneurysms & aneurysms of week vessels.
- 4) Vascular Malformations of brain & spinal cord
- 5) Spinal Tumours
- 6) Degenerative /Demyelinating diseases of brain/spinal cord
- 7) Cerebrospinal Stroke
- 8) Status Epilepticus
- 9) Movement Disorders
10. 10)Neurological infections (Acute/chronic)
11. 11)Traumatic Spinal Injury
12. 12)Occlusive Vascular Disease of Brain
13. 13)Guillain Barre Syndrome
14. 14)Myasthenia Gravis in Crisis (medical and surgical)
15. 15)Acute Polymyositis withVentilatory Failure
16. 16)Acute or Chronic Autoimmune Diseases

## 6.Endocrinology :

- 1) Complications and sequel of diabetes which require one time treatment e.g. Amputation or Renal Transplant or Retinal detachment, Glaucoma etc. .
- 2) GH deficiency
- 3) Adrenal insufficiency (Acute/Chronic)
- 4) Cushing's Disease
- 5) Endocrine surgery with post surgical treatment for one year.
- 6) Metabolic Bone Disease/Renal Tubular Acidosis.

## 7. Mental Illness :

Any treatment requiring one time grant for mental disorders including

- 1) Organic Psychosis (acute/ chronic)
- 2) Functional psychosis including Schizophrenia, Bio - polar Disorders, delusional disorders and other acute polymorphic psychosis
- 3) Severe OCD, Somatoform disorders.
- 4) Developmental  disorders  including  Autism  spectrum  disorders  and  Sev behavioral disorders during childhood.
- 5) Psycho diagnostics,  neuropsychological  assessments,  IQ  assessment,  bl tests like serum lithium and drug level of carbamazepine, valporate, p and any other similar medications.
- 6) CSF studies screening for substances abuse/toxicology.

## 8. Gynecology :

Uterine Artery Embolization for Post Partum Hemorrhage

## 9. Miscellaneous :

Any life saving procedure/ any other major illness/treatment/intervention cons appropriate for financial assistance by Medical Superintendent/Committee of Doctors co considered for grant.

## Annexure - II

## List of Central Government hospitals/Institute s, where revolving funds have been set up

1. All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029.
2. Safdarjung Hospital, New Delhi - 110029.
3. Dr. R.M.L Hospital, New Delhi - 110001.
4. Lady Hardinge Medical College& Mrs. Sucheta Kriplani Hospital, N.Delhi - 110001.
5. Post Graduate  Institute of Medical Sciences &  Research  (PGIMER), Chandigarh -160012            .
6. Jawaharlal  Institute  of  Post  Graduate  Medical  Education  and  Research  (  JIPMER Dhanvantari Nagar, Puducherry - 605006.
7. Chittaranjan  National  Cancer  Inst itute  (  CNCI),37,  S.P.MukherjeeRoad,  Kolkatta -700026.
8. National  Institute  of  Mental  Health  &  Neuro  Sciences  (NIMHANS),(Deemed University),  Bangalore -560029.
9. North  Eastern  Indira  Gandhi  Regional  Institute  of  Health  &  Medical  Science (NEIGRIHMS), Shillong- 793018, Meghalaya.
10. 10.Medical  Superintendent,  Regional  Institute  of  Medical  Sciences  (RIMS),  Imphal Manipur- 795004.
11. 11.Sanjay Gandhi Post Graduate Institute of Med. Sciences, Raebareli Road, Lucknow - 226014, (U.P).
12. 12.Gandhi Memorial & Associated Hospital & K.G. Medical College , Lucknow, (U.P) -226003.
13. 13.Sher - I Kashmir Institute of Medical Sciences, Srinagar