Lok Sabha Question No. 346 (UNSTARRED), answered on 2023-02-03
Subject: Per capita Health Expenditure on Government Employees
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Karti P. Chidambaram

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

LOK SABHA UNSTARRED QUESTION NO. 346 TO BE ANSWERED ON 03 rd  FEBRUARY, 2023

## PER CAPITA HEALTH EXPENDITURE ON GOVERNMENT EMPLOYEES

## 346. SHRI KARTI P. CHIDAMBARAM:

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

- (a) the details of combined health expenditure by the Union and State Governments, from FY 2015-16 to 2022-23 alongwith the break-up of the proportion of spending by Union and State Governments, year-wise;
- (b) the  details  of  per  capita  expenditure  by  the  Union  Government  on  its  employees  and pensioners  under  Central  Government  Health  Scheme,  Ex-Serviceman  Contributory Health Scheme, Railway Health Service, during said period, year-wise;
- (c) the details of per capita expenditure by Union Government on its citizens, during the said period, year-wise;
- (d) whether it is a fact that per capita expenditure on Government employees and pensioners is greater than that on other citizens and if so, the reasons therefor; and
- (e) whether the Government proposes to consider the suggestion of transforming CGHS into a Universal Health Coverage model within the same fiscal space, as per a NITI Aayog study and if so, the details thereof?

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

- (a) to (e) :  As per the available National Health Accounts Estimates (NHA) Report, the details of the Government Health Expenditure (GHE) with the share of Union and State is as under: -

| Indicator                                           | 2015-16   | 2016-17   | 2017-18   | 2018-19   |
|-----------------------------------------------------|-----------|-----------|-----------|-----------|
| Government Health Expenditure (GHE) (Rs. In crores) | 1,61,863  | 1,88,010  | 2,31,104  | 2,42,219  |
| Union government as% of GHE                         | 35.6%     | 31.4%     | 40.8%     | 34.3%     |
| State government as% of GHE                         | 64.4%     | 68.6%     | 59.2%     | 65.7%     |

Source: National Health Accounts

As  per  the  available  National  Health  Accounts  Estimates  (NHA)  Report,  the  Government Health Expenditure (Centre+State) and Union Government Expenditure on Central Government Health Scheme (CGHS), Ex-Serviceman Contributory Health Scheme (ECHS) and Railway Health Services are as given below: -

| Year    | Expenditure on crore)         | Expenditure on crore)                   | Expenditure on crore)                           | Expenditure on crore)           |
|---------|-------------------------------|-----------------------------------------|-------------------------------------------------|---------------------------------|
|         | Government Health Expenditure | Central Government Health Scheme (CGHS) | Ex-Serviceman Contributory Health Scheme (ECHS) | (Rs. In Railway Health Services |
| 2015-16 | 161863                        | 2531                                    | 2563                                            | 2213                            |
| 2016-17 | 188010                        | 3285                                    | 2914                                            | 3183                            |
| 2017-18 | 231104                        | 3668                                    | 3869                                            | 3508                            |
| 2018-19 | 242219                        | 4060                                    | 3226                                            | 4606                            |

Source: National Health Accounts

Further, the per capita Government Health Expenditure (Centre + State) for the year 2015-16, 2016-17, 2017-18 & 2018-19 was Rs. 1261, 1418, 1753 & 1815 respectively.

The  Ministry  has  taken  many  initiatives  for  improvement  of  CGHS,  some  which  include extension of the scheme from 25 in 2014 to 77 cities in 2022, settlement of hospital bills on the NHA-IT platform and option to store CGHS card on Digi Locker.

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