Lok Sabha Question No. 1007 (UNSTARRED), answered on 2021-12-03
Subject: Implementation of AB-PMJAY in Assam
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kripanath Mallah

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

## LOK SABHA UNSTARRED QUESTION NO. 1007 TO BE ANSWERED ON 03 RD DECEMBER, 2021

## IMPLEMENTATION OF AB-PMJAY IN ASSAM

## 1007.  SHRI KRIPANATH MALLAH:

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

(a)  the  salient  features  of  the  Ayushman  Bharat  -Pradhan  Mantri  Jan  AarogyaYojana (AB-PMJAY) along with the number of people residing in the remotest areas of Assam covered thereunder;

(b) the details of the funds sanctioned, allocated and utilized under this mission within Assam so far; and

(c)  the  status of  implementation of the said scheme in Assam during last three years and the steps being taken by the Government to cover each and every corner of the State under the said scheme?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) to (c): The salient features of Ayushman  Bharat -Pradhan Mantri Jan ArogyaYojana (AB-PMJAY) are at Annexure. In Assam, AB-PMJAY is implemented in convergence  with  Atal  AyushmanYojana.  As  informed  by  National  Health Authority,  the  total  number  of  families  across  the  remotest  districts  of  Assam  viz. Dima Hasao, Hailakandi, KarbiAnglong, West KarbiAnglong and South SalmaraMancachar  that  are  eligible  for  benefits  under  converged  scheme  is 2,19,568.

As of 26 th November 2021, an amount of Rs. 198.04 crore has been released for the implementation of AB-PMJAY in Assam. An amount of Rs. 196.62 crore has been utilized.

As  of  1 st December  2021,  3.19  Lakh  hospital  admissions  worth  Rs.  480.32  crore have been authorized under the converged scheme.

The following IEC activities have been undertaken for extending the benefits of the scheme to each and every corner of the State:

1. Roadside Hoardings
2.  Hospital Branding  like  Banners,  Hoardings,  Standee,  Vinyl  Stickers,  PMAM Apron
3. Newspaper Advertisements
4. Press Meet
5. Press Release
6. Social Media Campaigns

1. AB-PMJAY is the world's largest Government funded health assurance scheme.
2.  AB-PMJAY  provides  health  assurance  of  up  to  Rs.5  Lakh  per  family  per  year  for secondary and tertiary healthcare hospitalizations.
3. AB-PMJAY is a completely cashless and paperless scheme.
4. The benefits under AB-PMJAY are portable across the country.
5. There is no cap on family size, or age or gender.
6. The beneficiary families under Ayushman Bharat -Pradhan Mantri Jan ArogyaYojana  (AB-PMJAY)  have  been  identified  from  the  Socio-Economic  Caste Census  (SECC)  of  2011  on  the  basis  of  select  deprivation  and  occupational  criteria across rural and urban areas. Details are as below:

## Detailed list of criteria for eligibility under AB-PMJAY as per SECC 2011

Automatically included:

1. Households without shelter
2. Destitute/ living on alms
3. Manual scavenger families
4. Primitive tribal groups
5. Legally released bonded labour

Deprivation criteria in rural area:

- D1: Only one room with kutcha walls and kutcha roof
- D2: No adult member between age 16 to 59
- D3: Female headed households with no adult male member between age 16 to 59
- D4: Disabled member and no able-bodied adult member
- D5: SC/ST households
- D7:  Landless  households  deriving  major  part  of  their  income  from  manual  casual labour

Occupational criteria in urban area:

- 1)  Rag picker
- 2)  Beggar
- 3)  Domestic worker
- 4)  Street vendor/ Cobbler/hawker / Other service provider working on streets
- 5)  Construction worker/ Plumber/ Mason/ Labour/ Painter/ Welder/ Security guard/ Coolie and other head-load worker
- 6)  Sweeper/ Sanitation worker / Mali
- 7)  Home-based worker/ Artisan/ Handicrafts worker / Tailor
- 8)  Transport  worker/  Driver/  Conductor/  Helper  to  drivers  and  conductors/  Cart puller/ Rickshaw puller
- 9)  Shop worker/ Assistant/ Peon in small establishment/ Helper/ Delivery assistant / Attendant/ Waiter
- 10)  Electrician/ Mechanic/ Assembler/ Repair worker/Washer-man/ Chowkidar
7.  The  number  of  eligible  beneficiaries  under  SECC  2011  is  10.74  crore  (50  crore people). 33 States/UTs implementing AB-PMJAY have further expanded the coverage of the scheme to include 13.44 crore families (65 crore people).
8. AB-PMJAY is implemented in all States and UTs barring West Bengal, NCT of Delhi and Odisha.
9. The scheme is implemented across the country through a three-tier model. National Health Authority, an attached office of the Ministry of Health and Family Welfare with full functional autonomy, is the apex body implementing AB-PMJAY across the country. For effective  implementation  of  AB-PMJAY  at  States/UTs  level,  State  Health  Agencies (SHAs) have been established. District Implementation Units (DIUs) have been set up for  ensuring  on-ground  coordination  between  scheme  stakeholders  and  for  smooth implementation.
10. AB-PMJAY is completely funded by the Government and costs are shared between Central  and  State  Governments  in  the  ratio  as  per  the  extant  directives  issued  by Ministry of Finance.
11. The States/UTs have been provided with the flexibility to implement the scheme in the operational  model  best  suited to the local  conditions.  Thus,  AB-PMJAY  is implemented in Insurance mode, Mixed mode and Trust mode.