Lok Sabha Question No. 3394 (UNSTARRED), answered on 2020-03-13
Subject: Financial Assistance to the Poor Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Chandra Prakash Choudhary

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

LOK SABHA UNSTARRED QUESTION NO. 3394 TO BE ANSWERED ON 13 TH MARCH, 2020

## FINANCIAL ASSISTANCE TO THE POOR PATIENTS

## 3394. SHRI CHANDRA PRAKASH CHOUDHARY:

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

- (a) the criteria and procedure fixed for providing financial assistance to the poor patients to meet their medical expenses from the Vivekananda Kosh, Rashtriya Arogya Nidhi a nd Cancer Patient Fund;
- (b) the details of the financial assistance provided to the patients from the said funds separately during the last three years and the current year and the number of be eficiaries, State/UT - wise;
- (c)  whether  the  Government  has received  complaints regarding  delay  in  taking  action  on applications received seeking assistance from the said funds and death of patients due to the said delay, if so, the details thereof; and
- (d) the remedial steps taken/proposed to be taken forimmediate action on applications received in this regard and to check unnecessary delay in the process?

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

(a ) to (d ): The  Ministry  of  Health  and  Family We fare  provides  financial  assistance  for treatment  of    poor  patients  suffering  from    identified  life  threatening  diseases  an treatment  in  Government  hospitals,  under  the    Umbrella  Scheme  of  Rashtriya  Arogya  Nid (RAN).   Ministry of Health and Fa mily Welfare is not implementing Vivekananda Kosh.

Under  the  Umbrella  Scheme  of  RAN,  financial  assistance  is  provided  to  patien belonging to families living below State/UT - wis threshold poverty lines and who are suffering from major life threatening di seases/cancer/rare diseases, formedical treatment at Government hospitals. Financial assistance upto Rs.15 lakh is provided for eligible patients in the form 'one -time grant' to the Medical Superintendent of the Government hospital where the treatment is  being  received.  The  scheme  has  three  components,  namely  (i)  Rashtriya  Arogya  Nid (RAN) -to p rovide financial assistance to patients suffering from life threatening diseas than  Cancer,  (ii)  Health  Minister's  Cancer  Patients  Fund  (HMCPF) - to  provide  financial assistance to patients suffering from Cancer; and (iii) Scheme for financial assi stance for patients suffering from specified rare diseases.

Common  application  form  has  been  prescribed  for  submission  of  request  for  financi assistance under  Umbrella Scheme of RAN. The application is required to be submitted to treating  hospita ls  along  with  supporting  documents  regarding  income  and  ration  card    an recommended by the treating doctor and medical superintendent of the hospital concerned. receipt of applications complete in all respect, financial assistance is approved within period of one month.No specific complaint has been received regarding death due to delay in taking on applications for financial assistance.

In a bid to speed up the assistance to the needy patients, revolving  funds have been set up  at  16  Government  hospitals    and  28  Regional  Cancer  Centres/hospitals  for  HMCPF component. An amount upto Rs. one crore (Rs. two crore in case of AIIMS, New Delhi in ca of RAN) is placed at the disposal of hospital with revolving fund. P owers have been delegated to the Medical Superintendents/Directors of the hospitals with revolving funds for pro treatment up to Rs. 5 lakh for eligible patients in each case, out of revolving fund. O involving treatment beyond Rs. 5 lakh in hospitals with revolving fund and all the cases for financial assistance from hospitals not having revolving fund are  referred to Departm Health & Family Welfare, Government of India for approval.

Under the Umbrella Scheme of RAN funds are not rel eased to States/UTs, but to the hospitals where eligible patients receive treatment. Details of funds released under HMCPF and R during last three years are as under :

| Year                         | Component   |   Funds released (Rs. in crore) |
|------------------------------|-------------|---------------------------------|
| 2016- 17                     | HMCPF       |                           20.27 |
| 2016- 17                     | RAN         |                           25.57 |
| 2017- 18                     | HMCPF       |                            8.66 |
| 2017- 18                     | RAN         |                           44.27 |
| 2018- 19                     | HMCPF       |                           10.35 |
| 2018- 19                     | RAN         |                           48.5  |
| 2019- 20 (upto 29 - 2- 2020) | HMCPF       |                           33.34 |
|                              | RAN         |                           27.47 |

Hospital - wise  details  of  number  of  patients  benefitted  under  Rashtriya  Arogya  Nid (RAN)and Health  Minister's  Cancer  Patients  Fund  (HMCPF)  components  of  the  Umbrella Scheme of RAN during the last three years is at Annexure - I & II respectively.

| Hospital-wise details of patients benefitted under RashtriyaArogyaNidhi (RAN)   | Hospital-wise details of patients benefitted under RashtriyaArogyaNidhi (RAN)   | Hospital-wise details of patients benefitted under RashtriyaArogyaNidhi (RAN)   | Hospital-wise details of patients benefitted under RashtriyaArogyaNidhi (RAN)   | Hospital-wise details of patients benefitted under RashtriyaArogyaNidhi (RAN)   |
|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|
| S. No.                                                                          | Hospital                                                                        | 2016-17                                                                         | 2017-18                                                                         | 2018-19                                                                         |
|                                                                                 | Name of                                                                         | No.of Patients                                                                  | No.of Patients                                                                  | No.of Patients                                                                  |
| 1                                                                               | AIIMS, Delhi                                                                    | 642                                                                             | 1200                                                                            | 710                                                                             |
| 2                                                                               | AIIMS, Bhubaneshwar                                                             | 1                                                                               | 1                                                                               | 1                                                                               |
| 3                                                                               | DR. RMLH Delhi                                                                  | 50                                                                              | 6                                                                               | 7                                                                               |
| 4                                                                               | G B Pant Hospital, Delhi                                                        | 11                                                                              | 7                                                                               | 2                                                                               |
| 5                                                                               | BHU Varanasi                                                                    | --                                                                              | 1                                                                               | 4                                                                               |
| 6                                                                               | GSMHS, Jammu                                                                    | 3                                                                               | 2                                                                               | --                                                                              |
| 7                                                                               | GBPCH Srinagar                                                                  | 1                                                                               | --                                                                              | --                                                                              |
| 8                                                                               | ILBS, Delhi                                                                     | 24                                                                              | 15                                                                              | 17                                                                              |
| 9                                                                               | IPGMER,Kolkata                                                                  | --                                                                              | --                                                                              | --                                                                              |
| 10                                                                              | KGMU, Lucknow                                                                   | 1                                                                               | --                                                                              | 1                                                                               |
| 11                                                                              | LNJP, Delhi                                                                     | 11                                                                              | 15                                                                              | 13                                                                              |
| 12                                                                              | NEIGRIHMS, Shillong                                                             |                                                                                 | --                                                                              | 3                                                                               |
| 13                                                                              | NRSMCH, Kolkata                                                                 | --                                                                              | --                                                                              | --                                                                              |
| 14                                                                              | PGIMER, Chandigarh                                                              | 81                                                                              | 31                                                                              | 33                                                                              |
| 15                                                                              | RCC, Thituvananthapuram                                                         | --                                                                              | --                                                                              | 4                                                                               |
| 16                                                                              | GTB Hospital, Delhi                                                             | 1                                                                               | 1                                                                               | --                                                                              |
| 17                                                                              | Safdarjang Hospital, Delhi                                                      | 118                                                                             | 75                                                                              | 69                                                                              |
| 18                                                                              | GMCH, Guwahati                                                                  | 5                                                                               | 1                                                                               | 3                                                                               |
| 19                                                                              | SGPGIMS,Lucknow                                                                 | 7                                                                               | 12                                                                              | 31                                                                              |
| 20                                                                              | SKIMS, Srinagar                                                                 | 25                                                                              | 50                                                                              | 61                                                                              |
| 21                                                                              | TMC, Mumbai                                                                     | --                                                                              | 3                                                                               | 1                                                                               |
| 22                                                                              | GMC, Jammu                                                                      | --                                                                              | 5                                                                               | 1                                                                               |
| 23                                                                              | IGMC, Shimla                                                                    | --                                                                              | 2                                                                               | --                                                                              |
| 24                                                                              | IKDRC, Ahmedabad                                                                | 9                                                                               | 5                                                                               | 4                                                                               |
| 25                                                                              | KEM, Mumbai                                                                     | --                                                                              | 1                                                                               | --                                                                              |
| 26                                                                              | MMABM, Anantnag                                                                 | 1                                                                               | --                                                                              | 1                                                                               |
| 27                                                                              | NITRD, Delhi                                                                    | 2                                                                               | --                                                                              | --                                                                              |
| 28                                                                              | SCTIMST, Thiruvananthapuram                                                     | 34                                                                              | 32                                                                              | 66                                                                              |
| 29                                                                              | Cancer Institute (WIA), Chennai                                                 | --                                                                              | 4                                                                               | 2                                                                               |
| 30                                                                              | Delhi state Cancer Institute                                                    | --                                                                              | 1                                                                               | --                                                                              |
| 31                                                                              | Dist. Hospital, Kozhencherry                                                    | --                                                                              | 2                                                                               | 1                                                                               |
| 32                                                                              | BRAM, Raipur                                                                    | --                                                                              | 1                                                                               | 1                                                                               |
| 33                                                                              | Govt. Hospital, Ernakulam                                                       | --                                                                              | 3                                                                               | --                                                                              |
| 34                                                                              | GMC, Kottayyam                                                                  | --                                                                              | 1                                                                               | 1                                                                               |
| 35                                                                              | GMC, Thiruvananthapuram                                                         | --                                                                              | 1                                                                               | --                                                                              |
| 36                                                                              | HBCH&RC, Vishakhapatnam                                                         | --                                                                              | 2                                                                               | 2                                                                               |
| 37                                                                              | KNMH, Allahabad                                                                 | --                                                                              | 3                                                                               | 3                                                                               |
| 38                                                                              | LHMC, Delhi                                                                     | --                                                                              | 1                                                                               | 1                                                                               |
| 39                                                                              | PCTH&RC, Puducherry                                                             | --                                                                              | 12                                                                              | 22                                                                              |
| 40                                                                              | PGIMS, Rohtak                                                                   | --                                                                              | 2                                                                               | --                                                                              |
| 41                                                                              | SAT, Thiruvananthapuram                                                         | --                                                                              | 1                                                                               | --                                                                              |
| 42                                                                              | SMS, Jaipur                                                                     | --                                                                              | 1                                                                               |                                                                                 |
| 43                                                                              | SVIMS, Tirupati                                                                 |                                                                                 |                                                                                 | -- 20                                                                           |
| 44                                                                              | RMLIMS, Lucknow                                                                 | -- --                                                                           | 10 --                                                                           | 1                                                                               |
| 45                                                                              | JMMC, Aligarh                                                                   | --                                                                              | --                                                                              | 1                                                                               |
| 46                                                                              | RIMS, Ranchi                                                                    | --                                                                              | --                                                                              | 1                                                                               |
| 47                                                                              | JIPMER, Puducherry                                                              | 42                                                                              | --                                                                              | --                                                                              |
| 48                                                                              | NIMHANS, Bengaluru                                                              | 51                                                                              | --                                                                              | --                                                                              |
| 49                                                                              | Civil Hospital, Aizawl                                                          | --                                                                              | --                                                                              | 2                                                                               |

| Annexure - II                                                                                     | Annexure - II                                                                                     | Annexure - II                                                                                     | Annexure - II                                                                                     | Annexure - II                                                                                     |
|---------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|
| Hospital-wise details of patients benefitted under Health Minister's Cancer Patients Fund (HMCPF) | Hospital-wise details of patients benefitted under Health Minister's Cancer Patients Fund (HMCPF) | Hospital-wise details of patients benefitted under Health Minister's Cancer Patients Fund (HMCPF) | Hospital-wise details of patients benefitted under Health Minister's Cancer Patients Fund (HMCPF) | Hospital-wise details of patients benefitted under Health Minister's Cancer Patients Fund (HMCPF) |
| S. No.                                                                                            | Name of Hospital                                                                                  | 2016-17                                                                                           | 2017-18                                                                                           | 2018-19                                                                                           |
| 1                                                                                                 | Cancer Hospital, Tripura, Agartala                                                                | No.of Patients 259                                                                                | No.of Patients -                                                                                  | No.of Patients -                                                                                  |
| 2                                                                                                 | Cancer Hospital& Research centre, Gwalior,MP                                                      | 478                                                                                               | 1447                                                                                              | 534                                                                                               |
| 3                                                                                                 | Chittaranjan National Cancer Institute, Kolkata,                                                  | 235                                                                                               | 762                                                                                               | 770                                                                                               |
| 4                                                                                                 | Civil Hospital, Aizawl, Mizoram                                                                   | 1                                                                                                 | -                                                                                                 | -                                                                                                 |
| 5                                                                                                 | Dr.B.B.Cancer Institute, Guwahati, Assam.                                                         | 919                                                                                               | 1116                                                                                              | -                                                                                                 |
| 6                                                                                                 | AIIMS, New Delhi.                                                                                 | 265                                                                                               | 59                                                                                                | 123                                                                                               |
| 7                                                                                                 | AIIMS, Bhubaneshwar                                                                               | --                                                                                                | --                                                                                                | 1                                                                                                 |
| 8                                                                                                 | Kamala Nehru Memorial Hospital, Prayagraj, UP                                                     | 502                                                                                               | -                                                                                                 | -                                                                                                 |
| 9                                                                                                 | Kidwai Memorial Institute of                                                                      | 26                                                                                                | -                                                                                                 | -                                                                                                 |
|                                                                                                   | Oncology,Bangalore, Karnataka Post Graduate Institute of                                          |                                                                                                   |                                                                                                   |                                                                                                   |
| 10                                                                                                | Medical Education & Research, Chandigarh                                                          | 6                                                                                                 | -                                                                                                 | 5                                                                                                 |
| 11                                                                                                | Puducherry Regional Cancer Society, JIPMER, Puducherry Regional Cancer Centre, Thiruvananthapuram | 10 -                                                                                              | 12 95                                                                                             | 18 86                                                                                             |
| 12 13                                                                                             | Kerala Regional Cancer Control Society, Shimla, HP                                                | 318                                                                                               | 388                                                                                               | 165                                                                                               |
|                                                                                                   | Regional Cancer Institute (WIA), Adyar, Chennai, Tamil Nadu                                       | 44                                                                                                | 51                                                                                                | 25                                                                                                |
| 14                                                                                                | Sanjay Gandhi Post Graduate Institute of Medical Sciences., Lucknow, UP                           |                                                                                                   |                                                                                                   | -                                                                                                 |
| 15 16                                                                                             | Sher-I Kashmir Institute of Medical Sciences, Soura, Srinagar.                                    | 2 20                                                                                              | 1 3                                                                                               | 20                                                                                                |
| 17                                                                                                | Tata Memorial Hospital, Mumbai, Maharashtra                                                       | 1                                                                                                 | -                                                                                                 | 3                                                                                                 |
| 18                                                                                                | GMC, Jammu                                                                                        | 1                                                                                                 | -                                                                                                 | 1                                                                                                 |
| 19                                                                                                | GSMHS, Srinagar                                                                                   | 1                                                                                                 | -                                                                                                 | -                                                                                                 |
| 20                                                                                                | NRSMCH, Kolkata                                                                                   | 6                                                                                                 | -                                                                                                 | -                                                                                                 |
| 21                                                                                                | Dr.RML Hospital, Delhi                                                                            | 1                                                                                                 | -                                                                                                 | -                                                                                                 |
|                                                                                                   | Safdarjang Hospital, Delhi                                                                        | 8                                                                                                 | -                                                                                                 | 1                                                                                                 |
| 22                                                                                                | GMC, Guwahati                                                                                     | 3                                                                                                 | -                                                                                                 | -                                                                                                 |
| 23 24                                                                                             | NIMS, Hyderabad                                                                                   | 1                                                                                                 | -                                                                                                 | -                                                                                                 |
| 25                                                                                                | SCTIMST, Thiruvananthapuram                                                                       | 2                                                                                                 | -                                                                                                 | -                                                                                                 |
| 26                                                                                                | HomiBhabha, Vishakapatnam                                                                         | --                                                                                                | --                                                                                                | 6                                                                                                 |
| 27                                                                                                | Cancer Hospital, Aurangabad                                                                       | --                                                                                                | --                                                                                                | 1                                                                                                 |
| 28                                                                                                | SSPH, NOIDA, UP                                                                                   | --                                                                                                | --                                                                                                | 1                                                                                                 |
| 29                                                                                                | NEIGRIHMS, Shillong                                                                               | --                                                                                                | --                                                                                                | 1                                                                                                 |
| 30                                                                                                | BHU, Varanasi                                                                                     | --                                                                                                | --                                                                                                | 1                                                                                                 |
| 31                                                                                                | SVIMS, Tirupati                                                                                   | --                                                                                                | --                                                                                                | 11                                                                                                |