Lok Sabha Question No. 952 (UNSTARRED), answered on 2019-11-22
Subject: Ayushman Mitra under AB-PMJAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Thomas Chazhikadan

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

## LOK SABHA UNSTARRED QUESTION NO. 952 TO BE ANSWERED ON 22 ND NOVEMBER, 2019

## AYUSHMAN MITRA UNDER AB - PMJAY

## 952. SHRI THOMAS CHAZHIKADAN:

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

- (a) the State - wise details of funds allocated/released and the number of persons benefited u AB - PMJAY so far;
- (b) whether the Government has any plan to rope in private hospitals an d Ayushman Mitras for providing quality healthcare under the scheme, if so, the details thereof including the s adopted to prevent profiteering by private hospitals/agencies;
- (c)  whether  some  private  hospitals  have  requested  to  revise  package  ra tes  offered  under  the Mission, if so, the details thereof and the steps taken in this regard; and
- (d) the details of the States/UTs that have not signed MoUs so far with the Governmen implementation of the scheme?

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

- (a ):      Under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB - PMJAY), there is no State - wise  allocation  of  funds.    The  State/UT -wise  details  of  funds  re leased  and  number  of persons benefited under the scheme are at Annexure.
- (b):            State  Governments,  through  State  Health  Agencies,  empanel  hospitals  within jurisdiction to provide healthcare to eligible beneficiaries based on the guidelines. U -PMJAY,  as  on  20.11.2019,  20,905  hospitals  are  empanelled.  Out  of  these ,  9,905  are  private hospitals.
- Under AB-PMJAY, the payment is made based on 1393 Health Benefit Packages (HBP). Further, there is a robust anti - fraud & abuse mechanism in place for preventing the abuse.
- (c) : Feedback  is  constantly  received  on various  aspects  of  AB - PMJAY  from  different stakeholders, which are continuously evaluated and acted upon if necessary.
- An  exercise  of  rationalising  the  Health  Benefit  Packages  to  remove  anomalies recently been completed.
- (d ) : The  States of  Odisha,  Telangana,  and  UT  of  Delhi  have  not  yet  signed  the  MoU  for implementation of AB - PMJAY.

| State-wise details of beneficiaries covered and amount released under AB PMJAY (As on 20.11.2019)   | State-wise details of beneficiaries covered and amount released under AB PMJAY (As on 20.11.2019)   | State-wise details of beneficiaries covered and amount released under AB PMJAY (As on 20.11.2019)   | State-wise details of beneficiaries covered and amount released under AB PMJAY (As on 20.11.2019)   | State-wise details of beneficiaries covered and amount released under AB PMJAY (As on 20.11.2019)   |
|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|
| Sl. No.                                                                                             | State                                                                                               | Beneficiary families covered (in lakhs)                                                             | Total fund released in 2018 - 19                                                                    | Total fund released in 2019 - 20                                                                    |
| 1                                                                                                   | Andaman And Nicobar Islands                                                                         | 0.21                                                                                                | 0.15                                                                                                | 0.41                                                                                                |
| 2                                                                                                   | Andhra Pradesh                                                                                      | 144                                                                                                 | 182.85                                                                                              | 107.12                                                                                              |
| 3                                                                                                   | Arunachal Pradesh                                                                                   | 0.90                                                                                                | 2.31                                                                                                | -                                                                                                   |
| 4                                                                                                   | Assam*                                                                                              | 27                                                                                                  | 21.08                                                                                               | 82.21                                                                                               |
| 5                                                                                                   | Bihar                                                                                               | 109                                                                                                 | 88.27                                                                                               | -                                                                                                   |
| 6                                                                                                   | Chandigarh                                                                                          | 0.70                                                                                                | 0.68                                                                                                | 1.5                                                                                                 |
| 7                                                                                                   | Chhattisgarh                                                                                        | 41.5                                                                                                | 217.43                                                                                              | 23.54                                                                                               |
| 8                                                                                                   | Dadra And Nagar Haveli                                                                              | 0.70                                                                                                | 3.25                                                                                                | -                                                                                                   |
| 9                                                                                                   | Daman and Diu                                                                                       | 0.50                                                                                                | 1.02                                                                                                | -                                                                                                   |
| 10                                                                                                  | Goa                                                                                                 | 0.40                                                                                                | 0.64                                                                                                | 0.04                                                                                                |
| 11                                                                                                  | Gujarat                                                                                             | 70.0                                                                                                | 77.5                                                                                                | 212.33                                                                                              |
| 12                                                                                                  | Haryana                                                                                             | 15.5                                                                                                | 26.81                                                                                               | 50.36                                                                                               |
| 13                                                                                                  | Himachal Pradesh                                                                                    | 4.8                                                                                                 | 17.18                                                                                               | 13.61                                                                                               |
| 14                                                                                                  | UT of Jammu And Kashmir and UT of Ladakh                                                            | 6.1                                                                                                 | 20.64                                                                                               | 19.26                                                                                               |
| 15                                                                                                  | Jharkhand                                                                                           | 57                                                                                                  | 170.17                                                                                              | -                                                                                                   |
| 16                                                                                                  | Karnataka*                                                                                          | 115                                                                                                 | 159.31                                                                                              | 85.9                                                                                                |
| 17                                                                                                  | Kerala                                                                                              | 40.9                                                                                                | 25                                                                                                  | 36.28                                                                                               |
| 18                                                                                                  | Lakshadweep                                                                                         | 0.01                                                                                                | 0                                                                                                   | -                                                                                                   |
| 19                                                                                                  | Madhya Pradesh                                                                                      | 118                                                                                                 | 72.57                                                                                               | -                                                                                                   |
| 20                                                                                                  | Maharashtra                                                                                         | 83.6                                                                                                | 266.32                                                                                              | 162.03                                                                                              |
| 21                                                                                                  | Manipur                                                                                             | 2.8                                                                                                 | 7.18                                                                                                | 7.18                                                                                                |
| 22                                                                                                  | Meghalaya                                                                                           | 8.4                                                                                                 | 15.57                                                                                               | -                                                                                                   |
| 23                                                                                                  | Mizoram                                                                                             | 1.95                                                                                                | 17.48                                                                                               | 2.58                                                                                                |
| 24                                                                                                  | Nagaland                                                                                            | 5.7                                                                                                 | 4.72                                                                                                | -                                                                                                   |
| 25                                                                                                  | Puducherry                                                                                          | 1                                                                                                   | 1.52                                                                                                | -                                                                                                   |
| 26                                                                                                  | Punjab                                                                                              | 45.87                                                                                               | 2.24                                                                                                | 23.95                                                                                               |
| 27                                                                                                  | Rajasthan                                                                                           | 59.7                                                                                                | 0                                                                                                   | -                                                                                                   |
| 28                                                                                                  | Sikkim                                                                                              | 0.4                                                                                                 | 1.03                                                                                                | -                                                                                                   |
| 29                                                                                                  | Tamil Nadu*                                                                                         | 147                                                                                                 | 304.98                                                                                              | -                                                                                                   |
| 30                                                                                                  | Tripura                                                                                             | 4.9                                                                                                 | 12.81                                                                                               | -                                                                                                   |
| 31                                                                                                  | Uttar Pradesh                                                                                       | 118.1                                                                                               | 85.01                                                                                               | 72.49                                                                                               |
| 32                                                                                                  | Uttarakhand                                                                                         | 19.7                                                                                                | 12.54                                                                                               | 7.96                                                                                                |
| 33                                                                                                  | West Bengal                                                                                         | 111.9                                                                                               | 31.28                                                                                               | -                                                                                                   |

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

**Family count for Telangana, Odisha and Delhi have not been considered since they have not joined PMJAY scheme. The State Government of West Bengal has withdrawn from the scheme from January, 2019