Lok Sabha Question No. 1106 (UNSTARRED), answered on 2020-02-07
Subject: Implementation of Ayushman Bharat Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: C. R. Patil

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

## LOK SABHA UNSTARRED QUESTION NO. 1106 TO BE ANSWERED ON 7 th FEBRUARY, 2020

## IMPLEMENTATION OF AY USHMAN BHARAT YOJANA

## 1106. SHRI C.R. PATIL:

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

- (a) the efforts being made by the Government to make Ayushman Bharat Yojana holistic, beneficial, comprehensive,  streamlined  and  easy - to - access  on  the lines  of  Pulse - Polio Campaign;
- (b) whether  indifferent  attitude  is  adopted  by  certain private  hospitals  while  providing treatment to the beneficiaries of Ayushman Bharat Yojana and other Central health scheme card holders;
- (c) whether there is any complaint redressal system t Cen ral and State level to deal with such a situation;
- (d) whether Jan Aushadhi Kendras are making medicines available at affordable rates if so, the details thereof; and
- (e) the efforts being made to increase the number of such kendras?

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

- (a) : As  part  of  Ayushman  Bharat,  the  Government  is  supporting  the  States  fo strengthening Sub Health Centres and Primary Health Centres to be transformed as Hea and Wellness Centres (AB - HWCs) for provision of comprehensive primary health care with continuum of care approach. Services at Ayushman Bharat -Health & Wellness Centres (AB -HWCs) are free and universal to all individuals residing in the service area.

Under AB-HWCs, C omprehensive Primary Healthcare is being provided to include promotive, preventive, curative, palliative and rehabilitative services. Servic Population based enumeration of persons above 30 years of age and screening of individ prioritizing high risk cases for Non Communicable Diseases -Hypertension, Diabetes and three common cancers (oral, cervix and breast) along with communicable diseases like and leprosy has been initiated at these AB - HWCs. Health promotion and wellness activities like Yo ga and other physical activities are also being provided, apart from services being  made  available    for  Maternal  and  Child  Health  including  immunization  an communicable diseases.

Ayushman  Bharat -Pradhan  Mantri  Jan  Arogya  Yojana  (AB - PMJAY)  aims to provide  health  cover  of  Rs.  5  lakh  per  family  per  year  for  secondary  and  tertiar hospitalization to around 10.74 crore poor and vulnerable families (approximately 50 individuals) identified as per Socio -Economic Caste Census database. The re is no cap on the family size under the scheme. The salient features of the scheme are at Annexure I.

Further,  keysteps  takento  make  benefits  under  AB - PMJAY  accessible  to  all  the entitled beneficiaries are as under -

- As on 04.02.2020, 21,789 hospitals have been empanelled under AB - PMJAY  across the country.  These  hospitals  are  from  Public  sector,  Private  sector,  and  hospitals  un administrative  control  of  Ministry  of  Railways,  Coal  India  Limited,  Ministry  of  H Affairs, and other Ministries of C entral Government. Also, a beneficiary from one State can avail benefits from an empanelled Hospital anywhere in the Country.
- To facilitate availing of benefits, e -card  are issued at the point of service i.e. empanelle hospitals. Further, Memorandum o f Understanding has been signed with Common Service Centres (CSC) e -governance India Ltd for beneficiary identification and issuing of e - cards. States/UTs  have  also  been  advised  to  issue  e - cards  to  entitled  beneficiaries  in  mission mode.
- Different medium s of communications like radio, TV, hording etc have been deployed fo spreading awareness about the scheme.
- Details about the scheme are available to the beneficiaries website(www.pmjay.gov.in).

(b) : No.

As on 04.02.2020, total 10,032 privat e hospitals are empanelled under AB -PMJAYfor providing  hospitalization  care  services.  In  case  of  any  grievance  from  the  benefici matter is taken up for redressal.

- (c): To ensure that disputes and grievances involving beneficiaries, healthcare pro ider and  other  stakeholders  are  resolved  in  an  efficient,  transparent  and  time  bound  m Grievance  Redressal  Guidelines  have  been  developed  and  a  Central  Grievance  Redressa Management System has been established. Grievances can be registered on the po rtal, through national call centre (14555) or PMJAY website, through mail, letter, fax etc. forresol per a well - defined process. Also, a three - tier grievance redressal structure has been setup to ensure timely redressal of grievances at District, S tate & National level.
- (d) : With an objective of making quality generic medicines available at affordable pr to all, Government of India has launched the Pradhan Mantri Bhartiya Janaushadhi Pariyojan (PMBJP). Under this scheme, dedicated outlets kno wn as Janaushadhi Kendra are opened to provide  generic  medicines.  The  medicine  under  PMBJP  is  priced  on  the  principle  of maximum of 50% of the average price of thetop three branded medicines. Therefore, the price ofa Jan Aushadhi Medicines is cheaper b y at least 50% and in some cases, by 80% to 90% of the market price of branded medicines.

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- (e) : By the end of March 2014, 72 Janaushadhi Kendras were functional in the countr As  on  03.02.2020,  6085  Janaushadhi  Kendras  are  functional  across  the  country.  Ye ar - wise details about number of functional Janaushadhi Kendras are as under -

| Financial Year             |   Number of Janaushadhi Kendras functional |
|----------------------------|--------------------------------------------|
| 2014- 15                   |                                         86 |
| 2015- 16                   |                                        240 |
| 2016- 17                   |                                        960 |
| 2017- 18                   |                                       3193 |
| 2018- 19                   |                                       5056 |
| 2019- 20(As on 03.02.2020) |                                       6085 |

Department  of  Pharmaceuticals  has  written    letters  to    Chief  Ministers,  C Secretaries and District Magistrates to open Janaushadhi Kendras in the maximum number Government Hospitals to make available quality generic medicines at affordable prices the citizens.

Further, Bureau of Pharma PSUs of India (BPPI), the implementing agency of PMBJP has requested these states several times for providing free space in Government Hospit opening of Janaushadhi Kendras and conducted meetings with State Governments officers. BPPI  also  organizes  workshops  and  seminars  to  encourage  private  entrepreneurs    a Pharmacists for opening Janaushadhi Kendras.