Lok Sabha Question No. 233 (STARRED), answered on 2020-03-06
Subject: Linking of Medical Records with Ayushman Health Cards
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kumbakudi Sudhakaran

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 233 TO BE ANSWERED ON THE 6 TH MARCH, 2020 LINKING OF MEDICAL R ECORDS WITH AYUSHMAN HEALTH CARDS

## *233. SHRI KUMBAKUDI SUDHAKARAN:

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

- (a) whether the Gove rnment proposes to link medical history and record s of the Ayushman Bharat Yojana beneficiaries with the Ayushman Health Card;
- (b) if so, the details th ereof along with the provisions made for data security of the medical records on these cards;
- (c)  whether  t he  Government  provides  Ayushman Health  Cards  to  mig rant workers and nomadic groups and if so, the details thereof; and
- (d) if not, the reasons therefor?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. HARSH VARDHAN)

- (a) to (d) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 233* FOR 6 TH MARCH , 2020

(a) & (b)Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (AB - PMJAY) is an entitlement - based scheme and no registration or enrolment of  beneficiaries  is  required  for  availing  the  benefits  under  the  sc However, in order to create awaren ess and facilitate easy availing of benefits e- cards have been issued to the beneficiaries after verifying their identi the scheme.

Under AB-PMJAY, certain information of medical treatment of beneficiaries  is  linked  to  the  AB - PMJAY  e - Card  ID  andis  saved  in  an encrypted  manner.  This  information  is  collected  with  due  consent  of beneficiary  and  follows  strong  Information  Security  and  Data  Priva Standards. The details of provisions undertaken for data security of me recordsby  National  Hea lth  Authority, linked  to  AB - PMJAY e- cards  are  at Annexure I.

The  Government  of  India  has  recently  released  the  National  Digita Health Blueprint (NDHB) report. This report extensively lays down the pa for establishment of digital healthcare ecosystem wh ich also covers Electronic Health Records. Stringent measures for data privacy and security have b proposed in the NDHB.

(c) & (d) AB - PMJAY covers deprived families in rural areas and families of workers of identified occupational categories in urban a reas, as per the Socio -Economic  Caste  Census  (SECC) - 2011  data.  Further,  all  such  beneficiary families under erstwhile Rashtriya Swasthya Bima Yojana that do not figure the targeted groups as per SECC data are also covered under AB - PMJAY. The details of entitled categories under the scheme are at Annexure II. The famil of Migrant workers and nomadic groups fulfilling the entitlement criteri also covered under AB - PMJAY. Due to portability feature in AB - PMJAY, any beneficiary can seek treatment atany of the empaneled hospitals across the Country.

## Details  of  provisions  undertaken  for  data  security of  the  medical  records linked to AB-PMJAY e-cards are as follows:

- I. The  data is stored at a  Government  Community  Cloud,  as  per  the recommendation of Ministry of Electronics & IT, Government of India.
- II. The data is completely encrypted and the access to this data is restricted.
- III. The data can be accessed only through the respective application(s) - and no back-end entry is plausible to fetch data.
- IV. There are regular security audits of the systems as well as the infrastructure by STQC, CERT-In and internal security teams.
- V. The  platforms  are  implemented  on 3-Tier  architecture,  and  access  is  only through a middleware, that too network restricted.
- VI. A fully  implemented detailed  Information  Security  and  Data  Privacy  system has been put in place.

## Entitled Categories under PMJAY

1. The different categories in rural area include:

- i) Automatically included households (based on fulfilling any of the 5 parameters of inclusion):

- a. Households without shelter.

- b. Destitute, living on alms.

- c. Manual scavenger families.

- d. Primitive tribal groups.

- e. legally released bonded labour

- ii) Families based on Standard Deprivation Parameter

- a. Only one room with kucha walls and kucha roof (D1)

- b. No adult member between age 16 to 59 (D2)

- c. Female headed households with no adult male member between age 16 to 59  (D3)

- d. Disabled member and no able bodied adult member    (D4)

- e. SC/ST households (D5)

- f. Landless households deriving major part of their income from manual casual labour (D7)

2. For  urban  areas ,  11  defined occupational  categories are  entitled  under  the scheme -

- I. Rag picker

- II. Beggar

- III. Domestic worker

- IV. Street vendor/ Cobbler/hawker / Other service provider working on streets

- V. Construction worker/ Plumber/ Mason/ Labor/ Painter/ Welder/ Security guard/ Coolie and other head-load worker

- VI. Sweeper/ Sanitation worker / Mali
- VII. Home-based worker/ Artisan/ Handicrafts worker / Tailor
- VIII. Transport worker/ Driver/ Conductor/ Helper to drivers and conductors/ Cart puller/ Rickshaw puller
- IX. Shop worker/ Assistant/ Peon in small establishment/ Helper/ Delivery assistant / Attendant/ Waiter
- X. Electrician/ Mechanic/ Assembler/ Repair worker
- XI. Washer-man/ Chowkidar
3. Under RSBY ,  BPL  and  11  other  categories  of  unorganized  workers  i.e. Building  and other construction workers registered with the Welfare Boards, Licensed Railway Porters, Street Vendors, MNREGA workers who have worked for more than 15 days during the preceding financial year, Beedi Workers, Domestic Workers, Sanitation Workers,  Mine  Workers,  Rickshaw  pullers,  Rag  pickers  and  Auto/Taxi  Driver  were covered.  Families  enrolled  under  erstwhile  Rashtriya  Swasthya  Bima  Yojana  (RSBY) but not in targeted SECC data are also covered under PMJAY.

## Total no. of beneficiaries under PMJAY

| Sr. No.   | Categories                                                                                            |   Households (number in crore) |
|-----------|-------------------------------------------------------------------------------------------------------|--------------------------------|
| 1         | i) Rural (based on deprivation criteria)                                                              |                           8.03 |
|           | ii) Rural (automatically included)                                                                    |                           0.16 |
| 2         | Urban                                                                                                 |                           2.33 |
| 3         | Families enrolled under erstwhile Rashtriya Swasthya Bima Yojana (RSBY) but not in targeted SECC data |                           0.22 |
| Total     | Total                                                                                                 |                          10.74 |