Lok Sabha Question No. 941 (UNSTARRED), answered on 2020-09-18
Subject: Financial Assistance for Medical Treatment
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vijay Kumar

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

## LOK SABHA UNSTARRED QUESTION NO. 941 TO BE ANSWERED ON 18 th SEPTEMBER, 2020

## FINANCIAL ASSISTANCE FOR MEDICAL TREATMEN T

## 941. SHRI VIJAY KUMAR:

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

(a)  the  criteria  and  process  fixed  for  providing financial  assistance  from  Government discretionary funds i.e, the National Health Fund and Cancer Patient Funds to poor patients to enablethem to meet medical expenses;

(b)  the  details  of  financial  assistance  provided  to the  patients  and  the  number  of  patients benefitted  from the  said  funds  separately  during  the  last  three  years  and current year, State/UT - wise;

- (c)  whether  any  complaints have  been  received regarding  delay  in  action  on  applications seeking assistance under the said funds and death of patients due to such delay;
- (d) if so, the details thereof; and

(e) the corrective steps taken/proposed to be taken to xpedite the processing of applications and action taken thereon to avoid inordinate delay?

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

(a)to (e): The Government provid es financial assistance for treatment of poor patients suffering from life threatening d isease undergoing treatment in G overnment hospitals under the Umbrella Scheme of Rashtriya Arogya Nidhi (RAN). The scheme has proved beneficial for poor patients in meeting the high cost of t reatment of life threatening diseases. Under this scheme, patients belonging to BPL families are eligible for one time grant upto Rs. 1 for treatment in Government hospitals. Government servants are not eligible for assi under this scheme. Furt her, reimbursement of expenditure already incurred is not admissible Ministry of Health and Family Welfare is not im plementing National Health Fund.

Common application form has been prescribed for submission of request for financi assistance under the RAN scheme. The application is required to be submitted to the treatin hospitals  along  with  supporting  documents  regarding  income  and ration  card  an recommended by the treating doctor and Medical Superintendent of the Government hospit concerned.  On  re ceipt  of  applications  complete  in  all  respect,  financial  assistanc approved. No specific complaint has been received regarding death due to delay in ta action on applications for financial assistance.

Assistance under the scheme is relea sed to treating Government hospitals and not to individual  patients  or  State  Governments.  Hospital - wise  details  of  funds  released under HMCPF  component  of  the  Umbrella  scheme  of  Rashtriya  Arogya  Nidhi  and  patients benefitted is at Annexure - 1.

In a bid to speed up the assistance to the needy patients, r evolving  funds have been set  up  at  18  Government  hospitals    for  RAN  component  and  28  Regional  Cancer Centres/hospitals for HMCPF component. An amount upto Rs. one crore (Rs. two crore i case  of  AIIMS,  New  D elhi  in  case  of  RAN)  is  placed  at  the  disposal  of  hospital  wi revolving fund. Powers have been delegated to the Medical Superintendents/Directors of th hospitals with revolving funds for providing treatment up to Rs. 5 lakh for eligible p each case,  out  of  revolving  fund.  Only  cases  involving  treatment  beyond  Rs.  5  lak hospitals  with  revolving  fund  and  all  the  cases  for  financial  assistance  from  hospi having revolving fund are  referred to Department of Health & Family Welfare, Gove rnment of India for approval.

## Annexure-I

|                                                                              |                  | 2017-18              | 2017-18        | 2018-19              | 2018-19        | 2019-20              | 2019-20        | 2020-21              | 2020-21               |
|------------------------------------------------------------------------------|------------------|----------------------|----------------|----------------------|----------------|----------------------|----------------|----------------------|-----------------------|
|                                                                              | Name of Hospital | Amount (Rs. In Lakhs | No.of Patients | Amount (Rs. In Lakhs | No.of Patients | Amount (Rs. In Lakhs | No.of Patients | Amount (Rs. In Lakhs | S. No. No.of Patients |
| Cancer Hos.Tripura, Agartala                                                 | 50               | -                    | -              | -                    | 100            | -                    | -              | -                    | 1                     |
| Cancer Hospital &Research centre, Gwalior, M.Pradesh.                        | 240              | 1447                 |                | 123.67               | 534            | 256 313              | 100            | 161                  | 2                     |
| Chittaranjan National Cancer Institute, Kolkata,                             | 70               | 762                  | 90             | 770                  | 100            | -                    | -              | -                    | 3                     |
| Civl Hospital, Aizawl, Mizoram                                               | -                | -                    | -              | -                    | 20             | --                   | -              | -                    | 4                     |
| Dr.B.B.Cancer Institute, Guwahati, Assam.                                    | 65               | 1116                 | 20             | 15                   | 100            | --                   | -              | -                    | 5                     |
| AIIMS, New Delhi.                                                            | 118.15           | 59                   | 255.21         | 123                  | 1225           | 268                  | 227            | 127                  | 6                     |
| Kamala Nehru Memo.Hospital, Allahabad, Uttar Pradesh.                        | 25               | -                    | -              | -                    | 61.40          | 201                  | -              | -                    | 7                     |
| Kidwai Memorial Institute of Oncology,Bangalore, Karnataka                   | 40               | -                    | -              | -                    | --             | --                   | -              | -                    | 8                     |
| Post Graduate Institute of Medical Education &Research, Chandigarh           | -                | -                    | 33.50          | 5                    | 25             | 05                   | 02             | 01                   | 9                     |
| Pt. B.D.Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana. | -                | -                    | -              | -                    | --             | --                   | -              | -                    | 10                    |
| Pt.J N MMedical College, Raipur, Chhattisgarh                                | -                | -                    | -              | -                    | --             | --                   | -              | -                    | 11                    |
| Puducherry Regional Cancer Society, JIPMER, Puducherry                       | 20               | 12                   | 87.51          | 118                  | 40             | --                   | -              | -                    | 12                    |
| Regional Cancer Centre, Thiruvananthapuram Kerala                            | 20               | 95                   | 81.50          | 86                   | 62             | 58                   | -              | -                    | 13                    |

| 14                                                                             | Regional Cancer Control Society, Shimla, Himachal Pradesh   | 50   | 388   | 40   | 165    | --   | --     | -   | -   |
|--------------------------------------------------------------------------------|-------------------------------------------------------------|------|-------|------|--------|------|--------|-----|-----|
| Regional Cancer Institute (WIA), Adyar, Chennai, Tamil Nadu                    | 95                                                          | 51   | 70    | 125  | 34.12  | 07   | 100    | -   | 15  |
| RST Hospital &Research Centre, Nagpur, Maharashtra.                            | -                                                           | -    | -     | -    | 20     | --   | -      | -   | 16  |
| Sanjay Gandhi Post Graduate Institute of Medical Sciences., Lucknow, U.Pradesh | 7                                                           | 1    | -     | -    | 66     | 03   | -      | -   | 17  |
| Sher-I Kashmir Institute of Medical Sciences, Soura, Srinagar.                 | 15.8                                                        | 3    | 35.35 | 20   | 126.44 | 86   | 105.50 | 08  | 18  |
| Tata Memorial Hospital Mumbai, Maharashtra                                     | 50                                                          | -    | 35.50 | 3    | 64.50  | 05   | 4.5    | 08  | 19  |
| Arunachal State Hospital, Naharlagun                                           | -                                                           | -    | -     | -    | --     | --   | -      | -   | 20  |
| GMC, Jammu                                                                     | -                                                           | -    | 3.00  | 1    | 3      | 01   | -      | -   | 21  |
| GSMHS, srinagar                                                                | -                                                           | -    | -     | -    | 12.25  | 05   | -      | -   | 22  |
| ILBS, Delhi                                                                    | -                                                           | -    | -     | -    | 15.10  | 03   | -      | -   | 23  |
| MCH, Kolkata                                                                   | -                                                           | -    | -     | -    | --     | --   | -      | -   | 24  |
| NRSMCH, Kolkata                                                                | -                                                           | -    | -     | -    | --     | --   | -      | -   | 25  |
| RML Delhi                                                                      | -                                                           | -    | -     | -    | --     | --   | -      | -   | 26  |
| Safdarjang Hospital, Delhi                                                     | -                                                           | -    | 5.42  | 1    |        |      | -      | -   | 27  |
| GMC, Guwahati                                                                  | -                                                           | -    | -     | -    | --     | --   | -      | -   | 28  |
| NIMS, Hyderabad                                                                | -                                                           | -    | -     | -    | --     | --   | -      | -   | 29  |
| 30 SCTIMST, Tvm.                                                               | -                                                           | -    | -     | -    |        |      | -      |     | -   |
| 31 SVIMS, Tirupati                                                             | -                                                           | -    | 32.00 | 11   | 370    | 64   | 32     | 08  |     |
| 32 HBCH&RC, Vishakhapatnam                                                     | -                                                           | -    | 28.80 | 6    | 36     | 09   | 09     | 02  |     |
| Cancer Hospital, Aurangabad                                                    | -                                                           | -    | 1.50  | 1    | 17.50  | 06   | 05     | 01  | 33  |
| AIIMS, Bhubaneshwar                                                            | -                                                           | -    | 2.00  | 1    | --     | --   | -      | -   | 34  |
| SSPH, NOIDA, UP                                                                | -                                                           | -    | 3.00  | 1    | 68.50  | 18   | 07     | 02  | 35  |

| 36   | NEIGRIHMS, Shillong                     | -      | -    | 2.20   | 1    | --    | --   | -     | -   |
|------|-----------------------------------------|--------|------|--------|------|-------|------|-------|-----|
| 37   | BHU, Varanasi                           | -      | -    | 1.50   | 1    | 19.70 | 07   | 02    | 01  |
| 38   | AIIMS, Patna                            | -      | -    | -      | -    | --    | --   | 01.70 | 01  |
| 39   | Acharya Tulsi Cancer Research Institute | --     | --   | --     | --   | 9.5   | 04   | 14.25 | 06  |
| 40   | General Hospital,Ernakulam              | -      | -    | -      | -    | 02    | 01   | -     | -   |
| 41   | HomiBhabha ,Varanasi                    | -      | -    | -      | -    | 69    | 29   | -     | -   |
| 42   | IGIMS Patna                             | -      | -    | -      | -    | 03    | 01   | -     | -   |
| 43   | KEM,Mumbai                              | -      | -    | -      | -    | 4.50  | 01   | -     | -   |
| 44   | SafdarjungHospital,New Delhi            | -      | -    | -      | -    | 36.32 | 08   | -     | -   |
| 45   | SMGS, Jammu                             | -      | -    | -      | -    | 12    | 04   | -     | -   |
| 46   | RIMS, Imphal                            | -      | -    | -      | -    | 30    | 00   | -     | -   |
|      | Total                                   | 865.95 | 3934 | 951.66 | 1988 | 3019  | 1107 | 609   | 326 |

Note: Number of patients benefitted is as per the reports received from the hospitals regarding treatment availed by the bene ficiaries.

Complete report from all the hospitals for the financial year 2019 - 20 has not been received and the financial year 2020- 21 is underway.