Lok Sabha Question No. 142 (UNSTARRED), answered on 2019-06-21
Subject: CGHS and RSBY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajiv Pratap Rudy

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

## LOK SABHA UNSTARRED QUESTION NO. 142 TO BE ANSWERED ON 21 ST JUNE,2019

## CGHS AND RSBY

## 142. SHRI RAJIV PRATAP RUDY:

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

- (a)  whether  the  Central  Government H alth  Scheme  (CGHS)  and  Rashtriya Swasthya  Bima Yojana  (RSBY)  has  been effective  in  reducing  the  burden  of  out - ofpocketspending  of  poor households;
- (b) if so, the details thereof, if not, thereasons therefor;
- (c) the total number of beneficiaries under CGHS and RSBY during the last four years, year - wise and State - wise; and
- (d)  the  total  funds  allocated  under  the CGHS  and  RSBY  to  the  beneficiaries  in  the country, State/UT - wiseparticularly in Bihar?

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

(a) & (b): Central Government Health Scheme (CGHS) is a contributory scheme primarily of  Central  Government  Employees  and  Pens ioners.  CGHS  subscribers  are  provided  health facilities including OPD, medicines, reimbursement of expenditure incurred on hospitali etc.  On  the  other  hand,  Rashtriya  Swasthya  Bima  Yojana  (RSBY),  which  has  now  been subsumed in Ayushman Bharat - PMJAY, provided hospitalization cover of upto Rs. 30,000/ -per Annum  (on  family  floater  basis)  to  upto  5  members  of  BPL  and  11  other  categories unorganized workers' families. No assessment to measure reduction in out of pocket spending of poor households by RS BY has been done by the Government.

- (c): The number of CGHS beneficiaries during last four years is at Annexure - I . The total number of enrolled families under RSBY during the last four years year -wise and State - wise is at Annexure - II.
- (d):  Details  of  Funds  allocated  to  CGHS  Cities  including  CGHS,  Patna,  are  at  Annexure -III. There is no beneficiary wise allocation of Funds under RSBY by the Central Government. details  of  funds  released  under  RSBY  State/  UT  wise  is  at Annexure  IV .  No amount  was released to Bihar during last four years.

## CGHS beneficiaries during last four years

| City Name               |   As on 31-03-2016 |   As on 31-03-2017 |   As on 31-03-2018 |   As on 31-03-2019 |
|-------------------------|--------------------|--------------------|--------------------|--------------------|
| AGARTALA                |                 46 |                 49 |               1830 |               4367 |
| AHMEDABAD & GANDHINAGAR |              42151 |              47418 |              53188 |              60101 |
| AIZAWAL                 |                 25 |                 26 |                 49 |                572 |
| AMBALA                  |                  2 |                  2 |                  2 |                 10 |
| BENGALURU               |             101319 |             106342 |             111942 |             119140 |
| BERHAMPUR               |                  2 |                  2 |                  2 |                  4 |
| BHOPAL                  |              11503 |              13239 |              14810 |              16351 |
| BHUBANESHWAR            |              15895 |              17359 |              19229 |              21966 |
| CHANDIGARH              |              24896 |              27588 |              30375 |              33556 |
| CHENNAI                 |              94193 |             100424 |             108371 |             115461 |
| CUTTACK                 |                 29 |                 33 |                 35 |                306 |
| DEHRADUN                |              17870 |              21767 |              24771 |              29618 |
| DELHI AND NCR           |            1349104 |            1455969 |            1554786 |            1665908 |
| GANGTOK                 |                 17 |                 19 |                 41 |                163 |
| GAYA                    |                  0 |                  0 |                  2 |                  2 |
| GOA                     |                 44 |                 54 |                792 |               3152 |
| GUNTUR                  |                  2 |                  2 |                  2 |                 38 |
| GUWAHATI                |              36812 |              40208 |              43762 |              49483 |
| HYDERABAD               |             157044 |             167698 |             177570 |             187989 |
| IMPHAL                  |                 68 |                 82 |                815 |               2385 |
| INDORE                  |                893 |               1426 |               1817 |               2481 |
| JABALPUR                |              74262 |              78956 |              82869 |              86467 |
| JAIPUR                  |              43364 |              48120 |              52632 |              57908 |
| JALANDHAR               |                 25 |                 28 |                 34 |                 48 |
| JALPAIGURI              |                  0 |                  0 |                  0 |                 12 |
| JAMMU                   |               1442 |               2020 |               3040 |               5889 |
| KANPUR                  |              70331 |              75608 |              79736 |              84377 |
| KOLKATA                 |             123256 |             133265 |             144197 |             155017 |
| LUCKNOW                 |              55232 |              59627 |              64266 |              70093 |
| MEERUT                  |              35331 |              37334 |              39527 |              42090 |
| MORADABAD               |                  3 |                  3 |                  3 |                  3 |
| MUMBAI                  |             139473 |             150389 |             167429 |             184138 |
| NAGPUR                  |              70487 |              73673 |              76535 |              79432 |
| NELLORE                 |                 16 |                 16 |                 18 |                134 |
| PATNA                   |              35164 |              37882 |              41140 |              44955 |
| PONDICHERRY             |                154 |               1173 |               1634 |               2026 |
| PRAYAGRAJ               |              51441 |              53947 |              56443 |              59305 |
| PUNE                    |              96957 |             103550 |             109327 |             115826 |
| RAIPUR                  |                175 |                194 |                679 |               1037 |
| RAJAHMUNDRY             |                 14 |                 14 |                 15 |                 15 |
| RANCHI                  |              12349 |              13688 |              15082 |              16779 |

Annexure-I

| SHILLONG      |   12340 |   14327 |   16964 |   19760 |
|---------------|---------|---------|---------|---------|
| SHIMLA        |     387 |    1650 |    2086 |    2948 |
| SILIGURI      |       0 |       0 |       0 |      23 |
| TIRUNELVELI   |       8 |       8 |      10 |      10 |
| TRICHY        |     331 |     377 |     420 |     472 |
| TRIVANDRUM    |   32248 |   34687 |   37256 |   39662 |
| VADODARA      |       0 |       0 |       1 |      33 |
| VARANASI      |      64 |      90 |     122 |     366 |
| VIJYAWADA     |      24 |      26 |      28 |     123 |
| VISAKHAPATNAM |    3389 |    6437 |   13477 |   17205 |
| TOTAL         | 2710182 | 2926796 | 3149161 | 3399206 |

## Annexure II

| RSBY Scheme: Statewise Status for the last four years   | RSBY Scheme: Statewise Status for the last four years   | RSBY Scheme: Statewise Status for the last four years   | RSBY Scheme: Statewise Status for the last four years   | RSBY Scheme: Statewise Status for the last four years   | RSBY Scheme: Statewise Status for the last four years   |
|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|
| S.No.                                                   | State                                                   | No. of Enrolled Families                                | No. of Enrolled Families                                | No. of Enrolled Families                                | No. of Enrolled Families                                |
| Year                                                    | Year                                                    | 2015-16                                                 | 2016-17                                                 | 2017-18                                                 | 2018-19                                                 |
| 1                                                       | Assam                                                   | 1421104                                                 | 1421104                                                 | 1421104                                                 | *                                                       |
| 2                                                       | Bihar                                                   | 6899144                                                 | 7028409                                                 | 7028409                                                 | *                                                       |
| 3                                                       | Chhattisgarh                                            | 3442749                                                 | 4146227                                                 | 4146227                                                 | 4146227                                                 |
| 4                                                       | Gujarat                                                 | 1876628                                                 | 2691497                                                 | 2691497                                                 | 2691497                                                 |
| 5                                                       | Haryana                                                 | 437850                                                  | *                                                       | *                                                       | *                                                       |
| 6                                                       | Himachal Pradesh                                        | 480588                                                  | 480588                                                  | 480588                                                  | 480588                                                  |
| 7                                                       | Jharkhand                                               | 1682894                                                 | *                                                       | *                                                       | *                                                       |
| 8                                                       | Karnataka                                               | 6731881                                                 | 6206620                                                 | 6206620                                                 | 6206620                                                 |
| 9                                                       | Kerala                                                  | 2021572                                                 | 2060953                                                 | 2044417                                                 | 2044417                                                 |
| 10                                                      | Manipur                                                 | 70925                                                   | 70925                                                   | 70925                                                   | 70925                                                   |
| 11                                                      | Meghalaya                                               | 256138                                                  | 256138                                                  | 130516                                                  | 130516                                                  |
| 12                                                      | Mizoram                                                 | 152983                                                  | 194886                                                  | 194886                                                  | 194886                                                  |
| 13                                                      | Nagaland                                                | *                                                       | 255314                                                  | 233328                                                  | 233328                                                  |
| 14                                                      | Orissa                                                  | 4462959                                                 | 4462959                                                 | 4462959                                                 | 4462959                                                 |
| 15                                                      | Punjab                                                  | 232352                                                  | *                                                       | *                                                       | *                                                       |
| 16                                                      | Rajasthan                                               | 2769097                                                 | *                                                       | *                                                       | *                                                       |
| 17                                                      | Tripura                                                 | 492022                                                  | 481331                                                  | 481331                                                  | 481331                                                  |
| 18                                                      | Uttar Pradesh                                           | 285229                                                  | *                                                       | *                                                       | *                                                       |
| 19                                                      | Uttarakhand                                             | 1464242                                                 | 285229                                                  | *                                                       | *                                                       |
| 20                                                      | West Bengal                                             | 6150716                                                 | 6290446                                                 | 6290446                                                 | 6290446                                                 |
| Grand Total                                             | Grand Total                                             | 41331073                                                | 36332626                                                | 35883253                                                | 27433740                                                |

| Funds Allocated to CGHS Cities for the year 2019-20   | Funds Allocated to CGHS Cities for the year 2019-20   | Funds Allocated to CGHS Cities for the year 2019-20   | Funds Allocated to CGHS Cities for the year 2019-20   |
|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|
|                                                       | CGHS City                                             | STATE                                                 | ( Rs. in Thousand)                                    |
| 1                                                     | AHEMDABAD                                             | GUJARAT                                               | 630994                                                |
| 2                                                     | ALLAHABAD                                             | UTTAR PRADESH                                         | 585699                                                |
| 3                                                     | BANGALORE                                             | KARNATAKA                                             | 1340889                                               |
| 4                                                     | BHOPAL                                                | MADHYA PRADESH                                        | 229998                                                |
| 5                                                     | BHUBANESWAR                                           | ORRISA                                                | 269871                                                |
| 6                                                     | CHANDIGARH                                            | CHANDIGARH                                            | 419711                                                |
| 7                                                     | CHENNAI                                               | TAMIL NADU                                            | 1365202                                               |
| 8                                                     | DEHRADUN                                              | UTTRAKHAND                                            | 424642                                                |
| 9                                                     | GUWAHATI                                              | ASSAM                                                 | 251698                                                |
| 10                                                    | HYDERABAD                                             | TELANGNA & ANDHRA PRADESH                             | 1749372                                               |
| 11                                                    | JABALPUR                                              | MADHYA PRADESH                                        | 699188                                                |
| 12                                                    | JAIPUR                                                | RAJASTHAN                                             | 955593                                                |
| 13                                                    | KANPUR                                                | UTTAR PRADESH                                         | 845071                                                |
| 14                                                    | KOLKATA                                               | WEST BENGAL                                           | 2100954                                               |
| 15                                                    | LUCKNOW                                               | UTTAR PRADESH                                         | 924927                                                |
| 16                                                    | MEERUT                                                | UTTAR PRADESH                                         | 645765                                                |
| 17                                                    | MUMBAI                                                | MAHARASHTRA                                           | 1808931                                               |
| 18                                                    | NAGPUR                                                | MAHARASHTRA                                           | 985104                                                |
| 19                                                    | PATNA                                                 | BIHAR                                                 | 479401                                                |
| 20                                                    | PUNE                                                  | MAHARASHTRA                                           | 1105580                                               |
| 21                                                    | RANCHI                                                | JHARKHAND                                             | 157935                                                |
| 22                                                    | SHILLONG                                              | MEGHALAYA                                             | 90851                                                 |
| 23                                                    | THIRUVANTHAPURAM                                      | KERALA                                                | 528490                                                |
| 24                                                    | Delhi &NCR                                            | Delhi                                                 | 18174458                                              |

Annexure III

## Annexure - IV

| RSBY Scheme: Statewise fund release Status for the last four   | RSBY Scheme: Statewise fund release Status for the last four   | RSBY Scheme: Statewise fund release Status for the last four   | RSBY Scheme: Statewise fund release Status for the last four   | RSBY Scheme: Statewise fund release Status for the last four   | RSBY Scheme: Statewise fund release Status for the last four   |
|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|
|                                                                |                                                                | Amount released in Financial Year (Rs. Crore)                  | Amount released in Financial Year (Rs. Crore)                  | Amount released in Financial Year (Rs. Crore)                  | Amount released in Financial Year (Rs. Crore)                  |
| Sr. No.                                                        | Name of State                                                  | 2015- 16                                                       | 2016- 17                                                       | 2017- 18                                                       | 2018- 19                                                       |
| 1                                                              | Assam                                                          | 23.24                                                          | 54.72                                                          | 0.00                                                           | 0.00                                                           |
| 2                                                              | Chhattisgarh                                                   | 88.77                                                          | 114.09                                                         | 171.38                                                         | 0.00                                                           |
| 3                                                              | Gujarat                                                        | 74.24                                                          | 22.34                                                          | 15.07                                                          | 31.55                                                          |
| 4                                                              | Haryana                                                        | 4.67                                                           | 0.60                                                           | 0.00                                                           | 0.00                                                           |
| 5                                                              | Himachal Pradesh                                               | 13.90                                                          | 12.30                                                          | 6.15                                                           | 0.00                                                           |
| 6                                                              | Karnataka                                                      | 94.99                                                          | 45.89                                                          | 7.39                                                           | 21.93                                                          |
| 7                                                              | Kerala                                                         | 112.37                                                         | 73.29                                                          | 77.53                                                          | 86.90                                                          |
| 8                                                              | Madhya Pradesh                                                 | 1.00                                                           | 0.00                                                           | 0.00                                                           | 0.00                                                           |
| 9                                                              | Manipur                                                        | 1.17                                                           | 2.20                                                           | 0.00                                                           | 0.00                                                           |
| 10                                                             | Meghalaya                                                      | 4.10                                                           | 4.10                                                           | 0.00                                                           | 11.08                                                          |
| 11                                                             | Mizoram                                                        | 9.43                                                           | 14.13                                                          | 12.96                                                          | 5.48                                                           |
| 12                                                             | Nagaland                                                       | 0.00                                                           | 0.00                                                           | 4.87                                                           | 0.00                                                           |
| 13                                                             | Odisha                                                         | 59.55                                                          | 31.70                                                          | 55.75                                                          | 55.76                                                          |
| 14                                                             | Puducherry                                                     | 0.17                                                           | 0.00                                                           | 0.00                                                           | 0.00                                                           |
| 15                                                             | Punjab                                                         | 2.80                                                           | 0.00                                                           | 0.00                                                           | 0.00                                                           |
| 16                                                             | Rajasthan                                                      | 53.57                                                          | 0.00                                                           | 0.00                                                           | 0.00                                                           |
| 17                                                             | Tripura                                                        | 15.64                                                          | 10.83                                                          | 0.04                                                           | 0.00                                                           |
| 18                                                             | Uttar Pradesh                                                  | 11.91                                                          | 0.00                                                           | 0.00                                                           | 0.00                                                           |
| 19                                                             | Uttarakhand                                                    | 10.20                                                          | 0.00                                                           | 9.15                                                           | 0.00                                                           |
| 20                                                             | West Bengal                                                    | 93.38                                                          | 50.47                                                          | 95.01                                                          | 9.73                                                           |
| Grand Total                                                    | Grand Total                                                    | 675.10                                                         | 436.66                                                         | 455.30                                                         | 222.42                                                         |