Lok Sabha Question No. 930 (UNSTARRED), answered on 2020-02-07
Subject: Ayushman Bharat Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Khagen Murmu, Rampreet Mandal, Rajiv Ranjan (Lalan) Singh, Ajay Bhatt, Vinayak Bhaurao Raut, Riti Pathak, Nishikant  Dubey, Ramdas Chandrabhanji Tadas, Sumalatha Ambareesh, Subhas Sarkar, Diya Kumari, Jugal Kishore Sharma, Bhanu Pratap Singh Verma, Shrikant Eknath Shinde, Komati Reddy Venkat Reddy, Sujay Radhakrishna Vikhepatil, Sambhajirao Mane Dhairyasheel, Y. S. Avinash Reddy, S.R. Parthiban, Hibi Eden, Shardaben Anilbhai Patel, Ravindra Kushawaha, Ravi Kishan Shukla, Sunil Baburao Mendhe, Shriniwas Dadasaheb Patil, Giridhari Yadav, Nalin Kumar Kateel, Supriya Sadanand Sule, Kuldeep Rai Sharma, Kinjarapu Ram Mohan Naidu, Amol Ramsing Kolhe, Rama Devi, Gautham Sigamani Pon

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 930 TO BE ANSWERED ON 07 TH FEBRUARY, 20 20

## AYUSHMAN BHARAT YOJA NA

930. SHRI KHAGEN MURMU:

SHRI RAMPRIT MANDAL:

SHRI RAJIV RANJAN SINGH ALIAS LALAN SINGH:

SHRI AJAY BHATT:

SHRI VINAYAK RAUT:

SHRIMATI RITI PATHAK:

DR. NISHIKANT DUBEY:

SHRI RAMDAS C. TADAS:

SHRIMATI SUMALATHA AMBAREESH:

DR. SUBHAS SARKAR:

MS. DIYA KUMARI:

SHRI JUGAL KISHORE SHARMA:

SHRI BHANU PRATAP SINGH VERMA:

DR. SHRIKANT EKNATH SHINDE:

SHRI KOMATI REDDY VENKAT REDDY:

DR. SUJAY RADHAKRISHNA VIKHE PATIL:

SHRI DHAIRYASHEEL SAMBHAJIRAO MANE:

SHRI Y.S. AVINASH REDDY:

SHRI PARTHIBAN S.R.:

SHRI HIBI EDEN:

SHRIMATI SHARDABEN ANIL BHAI PATEL:

SHRI RAVI KISHAN:

SHRI RAVINDRA KUSHWAHA:

SHRI SUNIL BABURAO MENDHE:

SHRI SHRINIWAS PATIL:

SHRI GIRIDHARI YADAV:

SHRI NALIN KUMAR KATEEL:

SHRIMATI SUPRIYA SULE:

SHRI KULDEEP RAI SHARMA:

SHRI RAM MOHAN NAIDU KINJARAPU:

DR. AMOL RAMSING KOLHE:

SHRIMATI RAMA DEVI:

SHRI GAUTAM SIGAMAANI PON:

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

- (a)  the  targets  fixed,  progress  made,  funds  allocated,  number  of  beneficiaries  be Ayushman cards issued, medical treatment covered under the Ayushman Bharat Yojana (ABY), State/UT - wise;

- (b)  the  number  of  hospitals  empanelled  and  super  speciality  blocks  sanctioned  thereu State/UT and location - wise and the criteria adopted for their selection/ empanelment;
- (c)  whether  ABY  is  not  being  implemented  by  some  States,  if  so,  the  steps  being  tak implement it in all the States;
- (d)  whether  the  Government  proposes  to  cover  patients  suffering  from  prolonged  chro diseases incl uding cancer under ABY and if so, the steps taken thereon;
- (e) the steps taken to identify abuse prone packages under ABY along with number of cases and action taken against erring hospitals during each of the last three years and current
- ( f) whether the Government has received any suggestions/complaints from public/States to the  scheme  more  people  friendly  and  if  so,  the  details  thereof,  steps  taken  there monitoring mechanism, grievance redressal system available therefor;
- (g)the steps being taken by the Government to post adequate number of doctors/para - medics in medical institutions/hospitals/wellness centres to address the shortage under ABY; and
- (h) the percentage of claims that have been denied under the scheme till date , State/UT - wise, specially in Srikakulam?

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

(a ) to( d) : The roll out plan of Ayushman Bharat -Health & Wellness Centers (AB - HWCs) as under :

- FY 2018- 19 = 15,000
- FY 2020- 21 = 30,000 (Cumulative 70,000)
- FY 2019- 20 = 25,000 (Cumulative 40,000)
- FY 2021- 2022 = 40,000 (Cumulative 1,10,000)
- Till 31st December 2022 = 40,000 (Cumulative 1,50,000)

Services at AB -HWCs are free and universal to all individua ls residing in the service area. Against the target of 40,000 AB - HWCs by FY 2019 - 20, approvals for more than 62,000 AB - HWCs have been given to States/UTs and as per AB -HWC portal, 29214 AB - HWC are functional as on 30.01.2020.

State/UT - wise  fund  released  f or  implementation  of  AB - HWCs  in  2019- 20  is  at Annexure I. The state -wise details of footfalls and screening done for hypertension, diabe and cancer as on 31.01.2020 is at Annexure II.

Ayushman  Bharat  Pradhan  Mantri  Jan  Arogya  Yojana (AB - PMJAY)  aims  to  provide health cover up to Rs 5 lakh per family per annum to around 10.74 crore poor and vulne families identified as per Socio Economic Caste Census (SECC) database. As on 04.02.20 over 80.61 lakh hospital admissions worth Rs. 11285.64 cores have been registered under AB -PMJAY across 32 States/UTs.

The State/UT wise details relating of eligible SECC beneficiary families, e - Cards issued, number of hospital admissions, and fund released is at Annexure III.

As  on  04.02.2020,  21,789 hospitals  have  been  empanelled  under  the  scheme.  These include public and private single speciality, multi - speciality and super speciality hospitals.   The location wise empanelled hospital details are available at PMJAY's official website www.pmjay.gov.inat the link ( https://hospitals.pmjay.gov.in/Search/ )

All  public  hospitals  (Community  Health  Centre  and  above),  in  the  States  implement AB - PMJAY, are de emed empanelled for providing hospitalization.  Further, State Government through  State  Health  Agencies,  empanel  private  hospitals  within  their  jurisdiction  ba defined criteria and hospital empanelment guidelines to provide care to beneficiaries. G uidelines for empanelment criteria of hospitals have been issued to the States.

The criteria for empanelment is divided into two broad categories:·

(a) General criteria -For hospitals that provide non - specialised general medical and surgical care with or wi thout ICU and emergency services.

(b) Special Criteria (for clinical specialties) -For each specialty, a specific set of criteria ha been identified. In order to offer a specialised clinical service, the hospital must hav specific infrastructure a nd human resource in place. Only those hospitals eligible under gener criteria can apply for empanelment under this category.

With prior approval, State Governments have the flexibility to revise/relax the empan criteria,  barring  minimum  requirem ents,  depending  on  their  local  context,  availability  o providers, and the need to balance quality and access. The detailed criteria for empanel available at https://www.pmjay.gov.in/documents .

Based on the proposals received from the States/ UTs, AB -HWC is being implemented in all States/ UTs except UT of Delhi.

The  States  of  Odisha,  Telangana,  West  Bengal  and  Union  Territory  of  Delhi  are  n implementing  AB - PMJAY.  The  implementation  of  scheme  was withdrawn  by  the  State Government  in  West  Bengal  from  January  2019.  Government  of  India  has  been  constantly requesting these State/UT Governments to join the scheme as beneficiaries of these Stat are deprived of benefits under AB - PMJ Y.

AB - PMJAY has a set of 1393 packages across 23 specialties including one unspecifi surgical  package  covering  a  vast  spectrum  of  acute  and  chronic  conditions.  These  pack include  most  of  the  secondary  and  tertiary  treatment  across  all  critical  speciali ies  like cardiology, oncology, neurosurgery, Orthopaedics etc. Details of packages under the schem available at the website www.pmjay.gov.in .

- (e) : Based  on  forensics  and  medical  audit  analysis  under  AB - PMJ AY,  certain  high - risk packages have been identified. Following key steps have been taken to prevent abuse of packages:
- i. Pre - authorisation is mandatory for these packages.
- ii. Most of these packages have been reserved for public hospitals
- iii. Suspect trigg ers under these packages are being sent to the States for appropriate act

Ayushman Bharat -PMJAY was launched on 23.09.2018. Since its launch, the Action against fraudulent hospitals/entities is as under -

- i. More than 440 hospitals have been served Sh ow Cause Notice/suspended/de - empanelled in different states.
- ii. Out of these, 205 have been de - empanelled
- iii. FIRs have been lodged against 6 hospitals
- iv. Amount of penalties levied is more than Rs. 4.6 Crore
5. (f) : Constant  communication  is  maintained  with  the  S tate  Health  Agencies  for  ensuring seamless  implementation  of  the  scheme  across  country.  Routine  inputs  regarding  IT  sys health  benefit  packages  etc  are  received  from  different  stakeholders.  These  feedback evaluated and suitably incorporated, if de emed appropriate.

The progress of the scheme is continuously being assessed and monitored on real time b A  dashboard  with  various  key  performance  indicators  (KPI)  has  been  designed  to  consta monitor the scheme. The performance of the scheme i s objectively evaluated in terms of cards issued, number of hospitalization cases, quality of treatment provided, timely payment of etc

Also,  to  ensure  that  disputes  and  grievances  involving  beneficiaries,  healthcare  provi other stakeholders are resolved in an efficient, transparent and time bound manner, Gri Redressal  Guidelines  have  been  developed  and  a  Central  Grievance Redressal  Management System has been established. Grievances can be registered on the portal, through nation centre (14555) or PMJAY website, through mail, letter, fax etc. for resolution as per -defined process. Also, a three - tier grievance redressal structure has been setup to ensure timely redressal of grievances at District, State & National level.

- (g): Operational  guidelines on Ayushman  Bharat -Comprehensive  Primary  Helath  Care through Health and Wellness Centres prescribe the human resource requirements in AB - HWCs as below -

| Facility            | Human Resources prescribed (HR)                                                 |
|---------------------|---------------------------------------------------------------------------------|
| Sub Centre AB - HWC | Community Health Officer (CHO) 2 Multipurpose workers                           |
| PHC - AB - HWC      | Two Medical Officer Staff Nurses Lab Technician Pharmacist Lady Health Visitors |

Only those Sub Health Centres and Primary Health Centres that have complied with t above  HR  norms  are  being  considered  as  operational  AB -HWCs,  besides  satisfying  other functionality  criterion  prescribed  in  the  Operational  Guidelines.  To  ensure  and availability of above medical professionals and para medics in AB -HWCs, necessary financial and  technical  support  is  being  provided  to  the  States  under  NHM.  Besides  this,  N Conditionality framework and mechanisms of additional incentives encourage state s to complete recruitment  for  vacant  positions  of  the  necessary  human  resources  at  PHC  and  SHCs  be transformed as AB - HWCs.

(h) : Under AB-PMJAY claims submitted by empanelled healthcare providers are examined at different levels by experts includi ng doctors. Claims not submitted as per the guidelines are declined by the claim processing team set up by the States.  As on 04.02.2020, the State/ details of percentage of claims declined under AB - PMJAY is at Annexure IV . The percentage of claims declined in Srikakulam is 0.75%.

…………………

## Annexure I

Allocation  and  Central  Release  under  Ayushman  Bharat  Yojana - Health  & Wellness Centers  / Comprehensive Primary Health Care during the F.Y. 2019-20

| S.No.   |                           | 2019- 20 (Rs. In   | 2019- 20 (Rs. In   |
|---------|---------------------------|--------------------|--------------------|
| S.No.   | States                    | Allocation         | Central Release    |
| 1       | Andaman & Nicobar Islands | 1.45               | 0.28               |
| 2       | Andhra Pradesh            | 59.05              | 35.25              |
| 3       | ArunachalPradesh          | 11.85              | 8.59               |
| 4       | Assam                     | 99.28              | 97.60              |
| 5       | Bihar                     | 110.13             | 84.19              |
| 6       | Chandigarh                | 1.02               | 0.54               |
| 7       | Chattisgarh               | 52.61              | 42.10              |
| 8       | Dadra & Nagar Haveli      | 1.45               | 0.75               |
| 9       | Daman & Diu               | 0.81               | 0.44               |
| 10      | Delhi                     | -                  | -                  |
| 11      | Goa                       | 1.36               | 1.01               |
| 12      | Gujarat                   | 60.18              | 47.67              |
| 13      | Haryana                   | 26.54              | 22.63              |
| 14      | Himachal Pradesh          | 22.03              | 21.89              |
| 15      | Jammu & Kashmir           | 45.38              | 32.94              |
| 16      | Jharkhand                 | 49.96              | 39.58              |
| 17      | Karnataka                 | 65.20              | 52.06              |
| 18      | Kerala                    | 25.20              | 20.38              |
| 19      | Lakshadweep               | 0.28               | 0.19               |
| 20      | Madhya Pradesh            | 112.65             | 87.82              |
| 21      | Maharashtra               | 122.01             | 97.64              |
| 22      | Manipur                   | 9.71               | 7.27               |
| 23      | Meghalaya                 | 9.35               | 8.02               |
| 24      | Mizoram                   | 6.49               | 4.96               |
| 25      | Nagaland                  | 7.02               | 5.34               |
| 26      | Orissa                    | 67.86              | 54.27              |
| 27      | Puducherry                | 0.90               | 0.14               |
| 28      | Punjab                    | 27.17              | 20.39              |
| 29      | Rajasthan                 | 115.56             | 68.64              |
| 30      | Sikkim                    | 2.48               | 1.33               |
| 31      | Tamil Nadu                | 69.31              | 65.46              |
| 32      | Tripura                   | 13.77              | 7.35               |
| 33      | Uttar Pradesh             | 245.17             | 195.82             |
| 34      | Uttarakhand               | 25.73              | 25.13              |
| 35      | West Bengal               | 79.55              | 61.55              |

| 36          | Telangana   | 42.64    | 31.25    |
|-------------|-------------|----------|----------|
| Grand total | Grand total | 1,591.15 | 1,250.47 |

Note:

2. Allocation is as per Budget Estimate (BE).
1.  The  above  information  comprises  of  Ayushman  Bharat- Health  & Wellness  Centres  under NRHM and NUHM.
3. No allocation has been provided to Union Territory of Delhi due to non-receipt of proposal of the  component  viz.  Ayushman  Bharat-Health  &  Wellness  Centre  as  there  are  no  Health  & Wellness Centres in Delhi.
5. The above releases relate to Central Govt. Grants & do not include State share contribution.
4. Release  for the F.Y. 2019-20 is updated up to 23.01.2020 and is provisional.
6.  The  release  reported  for  Jammu  and  Kashmir  is  the  combined  release  made  to  two  U.Ts Jammu & Kashmir and Ladakh before the re-organization order dated 31.10.2019 against the Central Allocation of Rs.45.38 Crore.
7.  After  re-organization  of  the  State  of  Jammu  &  Kashmir,  the  revised  allocation  for  UT  of Jammu & Kashmir is Rs.38.21 crore and Ladakh is Rs.7.17 Crore.

## State-wise details of footfalls and screening under AB-HWCs

| Sl. No.           | State Name               | Total Footfall    | Total screening for hypertension   | Total screening for diabetes   | Total screening for oral cancer   | Total screening for breast cancer   | Total screening for cervical cancer   |
|-------------------|--------------------------|-------------------|------------------------------------|--------------------------------|-----------------------------------|-------------------------------------|---------------------------------------|
| High_Focus        | High_Focus               | High_Focus        | High_Focus                         | High_Focus                     | High_Focus                        | High_Focus                          | High_Focus                            |
| 1                 | Chhattisgarh             | 25,99,687         | 16,76,310                          | 14,13,362                      | 9,18,734                          | 4,28,884                            | 1,90,255                              |
| 2                 | Rajasthan                | 16,91,744         | 3,18,120                           | 2,60,914                       | 1,48,747                          | 72,300                              | 31,392                                |
| 3                 | Uttar Pradesh            | 1,09,12,622       | 20,04,313                          | 14,50,223                      | 5,77,664                          | 1,72,344                            | 74,473                                |
| 4                 | Odisha                   | 90,16,009         | 16,92,113                          | 14,71,331                      | 10,96,036                         | 4,15,993                            | 2,06,447                              |
| 5                 | Madhya Pradesh           | 44,31,288         | 13,39,907                          | 12,28,574                      | 9,15,967                          | 2,61,210                            | 86,942                                |
| 6                 | Bihar                    | 19,90,930         | 1,34,795                           | 66,249                         | 6,486                             | 3,395                               | 3,063                                 |
| 7                 | Jharkhand                | 5,38,463          | 1,09,529                           | 61,429                         | 34,242                            | 19,842                              | 5,725                                 |
| 8                 | Uttarakhand              | 3,68,235          | 1,28,056                           | 1,02,965                       | 66,601                            | 37,408                              | 5,326                                 |
| Non_High_Focus    | Non_High_Focus           | Non_High_Focus    | Non_High_Focus                     | Non_High_Focus                 | Non_High_Focus                    | Non_High_Focus                      | Non_High_Focus                        |
| 9                 | Tamil Nadu               | 50,21,722         | 73,40,118                          | 55,42,402                      | 3,43,978                          | 23,67,073                           | 18,31,439                             |
| 10                | Haryana                  | 29,91,090         | 3,84,675                           | 3,30,730                       | 2,06,582                          | 1,06,409                            | 34,321                                |
| 11                | Maharashtra              | 33,55,694         | 32,51,545                          | 31,09,664                      | 25,34,192                         | 10,91,960                           | 6,46,269                              |
| 12                | Karnataka                | 49,38,835         | 5,95,876                           | 5,53,040                       | 2,33,422                          | 35,163                              | 12,108                                |
| 13                | West Bengal              | 11,016            | 5,30,571                           | 4,29,304                       | 1,15,474                          | 60,067                              | 14,673                                |
| 14                | Punjab                   | 8,60,578          | 7,17,213                           | 4,15,212                       | 2,13,126                          | 1,52,241                            | 59,406                                |
| 15                | Gujarat                  | 1,03,21,731       | 20,73,231                          | 20,50,585                      | 14,57,768                         | 7,04,234                            | 6,06,720                              |
| 16                | Andhra Pradesh           | 1,54,53,028       | 24,19,643                          | 22,22,728                      | 16,36,606                         | 8,15,909                            | 7,92,918                              |
| 17                | Kerala                   | 66,56,074         | 2,44,475                           | 1,06,166                       | 4,411                             | 836                                 | 1,249                                 |
| 18                | Jammu & Kashmir          | 2,48,190          | 76,467                             | 73,475                         | 45,297                            | 15,694                              | 2,329                                 |
| 19                | Telangana                | 20,59,122         | 43,82,649                          | 42,46,168                      | 42,90,075                         | 22,75,808                           | 17,41,844                             |
| 20                | Himachal Pradesh         | 7,66,065          | 3,08,824                           | 1,69,780                       | 52,823                            | 22,079                              | 10,841                                |
| 21                | Goa                      | 2,53,858          | 10,354                             | 9,281                          | 8,357                             | 4,375                               | 2,651                                 |
| Union_Territories | Union_Territories        | Union_Territories | Union_Territories                  | Union_Territories              | Union_Territories                 | Union_Territories                   | Union_Territories                     |
| 22                | Puducherry               | 18,07,119         | 33,858                             | 28,350                         | 20,182                            | 6,300                               | 1,304                                 |
| 23                | Daman & Diu              | 1,49,364          | 1,45,287                           | 1,44,094                       | 1,19,285                          | 41,928                              | 12,942                                |
| 24                | Andman & Nicobar Islands | 2,12,577          | 11,909                             | 11,360                         | 10,790                            | 5,974                               | 2,963                                 |
| 25                | Delhi                    | 0                 | 0                                  | 0                              | 0                                 | 0                                   | 0                                     |
| 26                | Chandigarh               | 1,20,349          | 22,532                             | 20,830                         | 5,023                             | 2,397                               | 1,482                                 |
| 27                | Lakshadweep              | 0                 | 0                                  | 0                              | 0                                 | 0                                   | 0                                     |
| 28                | Dadra & Nagar Haveli     | 1,25,554          | 27,218                             | 26,255                         | 24,973                            | 15,401                              | 15,017                                |

## Annexure II

| North_East   | North_East        | North_East   | North_East   | North_East   | North_East   | North_East   | North_East   |
|--------------|-------------------|--------------|--------------|--------------|--------------|--------------|--------------|
| 29           | Tripura           | 2,50,143     | 45,288       | 38,589       | 26,467       | 12,424       | 9,427        |
| 30           | Assam             | 21,02,024    | 7,24,472     | 6,43,200     | 6,24,433     | 3,28,622     | 4,384        |
| 31           | Meghalaya         | 1,70,463     | 33,590       | 28,916       | 26,800       | 17,469       | 1,262        |
| 32           | Arunachal Pradesh | 20,275       | 7,951        | 6,892        | 3,515        | 1,744        | 215          |
| 33           | Manipur           | 66,050       | 36,637       | 32,877       | 28,577       | 18,679       | 5,379        |
| 34           | Mizoram           | 35,775       | 5,789        | 2,467        | 1,284        | 939          | 141          |
| 35           | Nagaland          | 44,994       | 7,143        | 3,455        | 0            | 0            | 0            |
| 36           | Sikkim            | 96,954       | 19,173       | 18,970       | 18,543       | 7,940        | 1,801        |
| GROUP        | GROUP             | GROUP        | GROUP        | GROUP        | GROUP        | GROUP        | GROUP        |
| 37           | Ladakh            | 29,851       | 0            | 0            | 0            | 0            | 0            |
|              |                   | 8,97,17,473  | 3,08,59,631  | 2,63,19,837  | 1,58,16,460  | 95,23,041    | 64,16,708    |

Source: AB-HWC portal {31.01.2020 (1200hrs) }

## Annexure - III

| State/UT wise details under AB-PMJAY (As on 04.02.2020)   | State/UT wise details under AB-PMJAY (As on 04.02.2020)   | State/UT wise details under AB-PMJAY (As on 04.02.2020)   | State/UT wise details under AB-PMJAY (As on 04.02.2020)   | State/UT wise details under AB-PMJAY (As on 04.02.2020)   | State/UT wise details under AB-PMJAY (As on 04.02.2020)   |
|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|
| State/UT                                                  | State/UT wise family target (in #                         | State/UT wise grant in aid provided                       | State/UT wise grant in aid provided                       | Number of Card issued #                                   | Number of hospital admission #                            |
|                                                           | lakhs)                                                    | Amount (in cr.) 2018-19                                   | Amount (in cr.) 2019- 2020                                |                                                           |                                                           |
| Andaman And Nicobar Islands                               | 0.21                                                      | 0.2                                                       | 0.4                                                       | 11,965                                                    | 125                                                       |
| Andhra Pradesh*                                           | 144.00                                                    | 182.9                                                     | 107.1                                                     | 0                                                         | 6,11,325                                                  |
| Arunachal Pradesh                                         | 0.90                                                      | 2.3                                                       | -                                                         | 1,069                                                     | 1,628                                                     |
| Assam**                                                   | 27.00                                                     | 21.1                                                      | 82.2                                                      | 1,22,79,077                                               | 1,12,169                                                  |
| Bihar                                                     | 109.00                                                    | 88.3                                                      | -                                                         | 43,48,901                                                 | 1,56,892                                                  |
| Chandigarh                                                | 0.70                                                      | 0.7                                                       | 1.5                                                       | 47,452                                                    | 3,219                                                     |
| Chhattisgarh                                              | 41.50                                                     | 217.4                                                     | 62.8                                                      | 27,10,199                                                 | 7,95,722                                                  |
| Dadra And Nagar Haveli and                                | 0.70                                                      | 3.3                                                       | -                                                         | 2,77,438                                                  | 27,578                                                    |
| Daman And Diu                                             | 0.50                                                      | 1                                                         | -                                                         | 1,18,037                                                  | 9,813                                                     |
| Goa                                                       | 0.40                                                      | 0.6                                                       | 0.1                                                       | 21,079                                                    | 10,084                                                    |
| Gujarat                                                   | 70.00                                                     | 77.5                                                      | 212.3                                                     | 73,46,491                                                 | 12,69,401                                                 |
| Haryana                                                   | 15.50                                                     | 26.8                                                      | 50.4                                                      | 18,74,424                                                 | 87,824                                                    |
| Himachal Pradesh                                          | 4.80                                                      | 17.2                                                      | 13.6                                                      | 8,16,306                                                  | 50,870                                                    |
| UT of Jammu and Kashmir and UT of Ladakh                  | 6.10                                                      | 20.6                                                      | 19.3                                                      | 11,42,247                                                 | 61,252                                                    |
| Jharkhand                                                 | 57.00                                                     | 170.2                                                     | -                                                         | 86,80,489                                                 | 4,53,218                                                  |
| Karnataka**                                               | 115.00                                                    | 159.3                                                     | 85.9                                                      | 97,82,874                                                 | 5,19,067                                                  |
| Kerala                                                    | 40.90                                                     | 25                                                        | 97.6                                                      | 62,80,933                                                 | 8,23,349                                                  |
| Lakshadweep                                               | 0.01                                                      | -                                                         | -                                                         | 589                                                       | 1                                                         |
| Madhya Pradesh                                            | 118.00                                                    | 72.6                                                      | 84.6                                                      | 1,38,29,213                                               | 2,73,272                                                  |
| Maharashtra                                               | 83.60                                                     | 266.3                                                     | 162                                                       | 62,73,326                                                 | 2,91,164                                                  |
| Manipur                                                   | 2.80                                                      | 7.2                                                       | 7.2                                                       | 2,11,447                                                  | 11,696                                                    |
| Meghalaya                                                 | 8.40                                                      | 15.6                                                      | 14.8                                                      | 15,53,912                                                 | 1,05,355                                                  |
| Mizoram                                                   | 1.95                                                      | 17.5                                                      | 11.1                                                      | 3,93,273                                                  | 31,301                                                    |
| Nagaland                                                  | 5.70                                                      | 4.7                                                       | -                                                         | 2,44,901                                                  | 8,219                                                     |
| Puducherry                                                | 1.00                                                      | 1.5                                                       | -                                                         | 98,041                                                    | 676                                                       |
| Punjab                                                    | 45.87                                                     | 2.2                                                       | 24                                                        | 40,83,773                                                 | 1,34,972                                                  |
| Rajasthan *                                               | 59.70                                                     | -                                                         | 106.4                                                     | 0                                                         | 7,04,401                                                  |
| Sikkim                                                    | 0.40                                                      | 1                                                         | -                                                         | 28,431                                                    | 958                                                       |
| Tamil Nadu**                                              | 147.00                                                    | 305                                                       | 441.8                                                     | 2,47,27,248                                               | 10,00,963                                                 |
| Tripura                                                   | 4.90                                                      | 12.8                                                      | 5.6                                                       | 8,86,141                                                  | 51,696                                                    |
| Uttar Pradesh                                             | 118.00                                                    | 85                                                        | 100.3                                                     | 86,00,045                                                 | 3,05,626                                                  |
| Uttarakhand                                               | 19.70                                                     | 12.5                                                      | 8                                                         | 37,74,543                                                 | 1,30,351                                                  |

| West Bengal   | 111.90   | 31.3   | -     |              | 17,636    |
|---------------|----------|--------|-------|--------------|-----------|
| Total         | 1,363.14 | 1,850  | 1,699 | 12,04,43,864 | 80,61,823 |

* E-cards have been issued on State IT system. Details are not yet available

# The above information relates to beneficiaries supported under AB PM-JAY in alliance with state schemes

** 4.68 Cr cards have made by states using their own IT systems

Note: Implementation  of  the  scheme  has  been  rolled  back  in  West  Bengal  by  the  State Government from January 2019

## Annexure - IV

| State/UT wise details of claim denied (As on 04.02.2020)   | State/UT wise details of claim denied (As on 04.02.2020)   |
|------------------------------------------------------------|------------------------------------------------------------|
| State/UT                                                   | Percentage of claims declined                              |
| Andaman And Nicobar Islands                                | 8.70%                                                      |
| Andhra Pradesh                                             | 0.60%                                                      |
| Arunachal Pradesh                                          | 0.30%                                                      |
| Assam                                                      | 7.00%                                                      |
| Bihar                                                      | 8.80%                                                      |
| Chandigarh                                                 | 3.80%                                                      |
| Chhattisgarh                                               | 5.30%                                                      |
| Dadra And Nagar Haveli and                                 | 3.20%                                                      |
| Daman And Diu                                              | 1.70%                                                      |
| Goa                                                        | 0.00%                                                      |
| Gujarat                                                    | 0.10%                                                      |
| Haryana                                                    | 3.30%                                                      |
| Himachal Pradesh                                           | 4.70%                                                      |
| UT of Jammu and Kashmir and UT of Ladakh                   | 1.30%                                                      |
| Jharkhand                                                  | 4.10%                                                      |
| Karnataka                                                  | 2.10%                                                      |
| Kerala                                                     | 14.60%                                                     |
| Lakshadweep                                                | 0.00%                                                      |
| Madhya Pradesh                                             | 11.40%                                                     |
| Maharashtra                                                | 2.30%                                                      |
| Manipur                                                    | 2.80%                                                      |
| Meghalaya                                                  | 0.50%                                                      |
| Mizoram                                                    | 1.00%                                                      |
| Nagaland                                                   | 1.80%                                                      |
| Puducherry                                                 | 0.30%                                                      |
| Punjab                                                     | 2.90%                                                      |
| Rajasthan                                                  | 0.00%                                                      |
| Sikkim                                                     | 1.50%                                                      |
| Tamil Nadu                                                 | 1.70%                                                      |
| Tripura                                                    | 8.40%                                                      |
| Uttar Pradesh                                              | 6.70%                                                      |
| Uttarakhand                                                | 9.10%                                                      |