Lok Sabha Question No. 241 (STARRED), answered on 2018-12-28
Subject: Rashtriya Swasthya Bima Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KIRTI (JHA) AZAD, BHARATI DHIRUBHAI SHIYAL

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 241 TO BE ANSWERED ON THE 28 TH DE C EMBER ,2018

## RASHTRIYA SWASTHYA B IMA YOJANA

## *241. SHRI KIRTI AZAD: DR. BHARATIBEN D. SHYAL:

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

- (a) whether the Government has done any assessment of performance/efficacy the erstwhile Rashtriya Swasthya Bima Yojana (RSBY) run under the Ministry Labour a nd Employment and if so, the details and the outcome thereof along w the reasons for phasing out the said Scheme;
- (b)  whether  evidence  from  RSBY  shows  that  it  distorted  health  providers' behaviour and increased transaction costs and if so, the details thereof;
- (c) whether the Government proposes to strengthen public health services so dependency on private hospitals is reduced and if so, the details thereof; an
- (d) the number of AYUSH practitioners who have taken bridge courses for thei deployment  at  various  health  and  wellness  centres  for  screening  of  NCDs implementation of other allopathic programmes?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 241* FOR 28 TH DECEMBER , 20 18

(a)&  (b)  The  Government  has not  done  any  assessment  of  performance efficacy  or  effect  on  health  providers  behaviour  of  the  erstwhile  Ras Swasthya  Bima  Yojana  (RSBY)  run  under  the  Ministry  of  Labour  and Employment.

With  the  launch  of  Ayushman  Bharat  Pradhan  Mantri  Jan  Arogya Yojana  (PMJAY)  on  23.09.2018,  RSBY  now  stands  subsumed  in  it  in  the states where PMJAY is being implemented.

Rashtriya  Swasthya  Bima  Yojana  (RSBY)  provided  health  insurance cover of up to Rupees 30,000/ - per family per annum on family floater basis (maximum  5  members  per  family)  to  the  families  of    Below  Poverty  Line (BPL) and  11 other categories of Unorganized Workers. On the other hand, PMJAY provides benefit coverage of up to Rs. 5 lakh per annum per family around  10.74  crore identified poor  and  vulnerable  families  to  meet  costs hospitalisation. This  is  an  entitlement - based  scheme  and  the  families  are identified  based  on  deprivation  and  occupational  criteria  as  per Economic  Caste  Census  (SECC)  data. All  existing  bene ficiaries  of  RSBY have also been covered under PMJAY.

(c) 'Public Health & Hospitals' being a State Subject, the primary responsibility of strengthening of their health care services is that of State/UT  governments.  However,  under  the  Nationa l  Health  Mission,  the Central Government provides financial and technical support to the State to  strengthen  their  public  healthcare  system  so  as  to  provide  acces affordable  and  quality  healthcare,  especially  to  the  poor  and  vulne sections o f the population in both urban and rural areas. This support u NHM includes support to provide a host of free services for maternal heal child  health,  adolescent  health,  family  planning,  universal  immunisa programme,  and  for  major  diseases  suc h  as  Tuberculosis,  Leprosy,  vector borne  diseases  such  as  Malaria,  Dengue  and  Kala  Azar,  etc.  Other  maj initiatives for which states are being supported include Janani Shishu Su Karyakram  (JSSK),  Rashtriya  Bal  SwasthyaKaryakram  (RBSK),  Rashtriya Kishor  Swasthya  Karyakram  (RKSK),  implementation  of  NHM  Free  Drugs and Free Diagnostics Service Initiatives, PM National Dialysis Programme implementation  of  National  Quality  Assurance  Framework.    States  are  al supported to strengthen the public health facilities to meet the Indian Public Health Standards (IPHS)

As part of Ayushman Bharat, the Government is supporting States fo strengthening Sub Centres and Primary Health Centres PHCs) as Health an Wellness Centres for provision of comprehensive primary care that includes prevention and health promotion at  the  community  level  with  continuum  of care approach.

Under PMJAY, all Public Hospitals (Community Health Centre and above) are deemed empanelled under PMJAY. Private Health Care Providers are empanelled under PMJAY as per defined criteria and guidelines.

(d) As on 26.12.2018, 1555 Ayurveda Practitioners (AYUSH Practitioners) have  been  enrolled  in  the  Certificate  Programme  in  Community  Health (Bridge Course ) for deployment in Health and Wellness Centres.

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