Lok Sabha Question No. 1090 (UNSTARRED), answered on 2022-07-22
Subject: Provision of cheap Cardiac Stents and other Medical Equipments
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sumalatha Ambareesh

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

LOK SABHA UNSTARRED QUESTION NO. 1090

TO BE ANSWERED ON 22 nd  July, 2022

## PROVISION OF CHEAP CARDIAC STENTS AND OTHER MEDICAL EQUIPMENTS

## 1090: SHRIMATI SUMALATHA AMBAREESH:

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

- (a) whether the Government is providing cheap cardiac stents and other medical equipments to the patients;
- (b) if so, the details thereof;
- (c) the number of patients benefitted under the scheme during the last three years, year-wise;
- (d) whether the Government has received any suggestion/complaint to make it more flexible to cover the eligible and deserving beneficiaries in large numbers; and
- (e) if so, the details thereof along with the response of the Government in this regard?

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

(a  to  e):  National  Health  Authority  (NHA)  is  mandated  with  the  implementation  of Ayushman  Bharat  Pradhan  Mantri  -  Jan  Arogya  Yojana  (ABPM-JAY).  AB  PM  -  JAY provides an annual health cover of Rs. 5 Lakhs per eligible beneficiary family for secondary and  tertiary  care  hospitalizations  corresponding  to  1,949  treatment  procedures  across  27 specialties.

The treatment packages under Ayushman Bharat PM-JAY cover for the cost of implants to certain  procedures.  The  quality  certified  implants  are  permitted  to  be  used.  The  choice regarding the brand of implant is with the empaneled healthcare providers / treating doctor.

As of 21st July 2022, more than 3.63 Crore hospital admissions amounting to over Rs.42,880 Crores  have  been  authorized  under  Ayushman  Bharat  PM-JAY.  The  authorized  hospital admissions  for  the  previous  three  financial  years  from  FY  2019/20  to  FY  2021/22  are  as follows:

| Financial Year   |   No. of authorized hospital admissions (in Lakhs) |
|------------------|----------------------------------------------------|
| 2019-20          |                                              80.33 |
| 2020-21          |                                              80.71 |
| 2021-22*         |                                             144.88 |

Note: - Hospital admissions data for Rajasthan and Telangana for FY 2021-22 is sourced directly from the respective State Health Agencies.

Further,  the  authorized  hospital  admissions  for  the  previous  three  financial  years  from  FY 2019/20 to FY 2021/22, involving the use of cardiac stents or implants, is as follows:

| Financial Year   |   No. of authorized hospital admissions (in Lakhs) |
|------------------|----------------------------------------------------|
| 2019-20          |                                               1.28 |
| 2020-21          |                                               1.04 |
| 2021-22          |                                               1.63 |

The National Pharmaceutical Pricing Authority (NPPA) under the Department of Pharmaceuticals (DoP) fixes the ceiling price for all drugs notified under Schedule-I of the Drugs (Prices Control) Order, 2013 (DPCO, 2013) and monitors price trends so that drugs remain affordable.

Bare metal stents and drug eluting stents have been included in the Schedule-I of the Drugs (Prices  Control)  Order,  2013.  The NPPA  had  fixed  the  ceiling  prices  of  Stents  initially  on 13th February  2017  at ₹7,260  for  Bare  Metal  Stents  and ₹29,600  for  Drug  Eluting Stents (including  BVS/  Biodegradable).  The  fixation  of  the  ceiling  price  of  coronary  stents  has resulted in an estimated notional saving of ₹4450 crore annually.

(NPPA) vide Gazette Notification No. S.O. 1502(E) dated 30th March 2022 notified the latest revised ceiling price, based on WPI, for the Coronary Stents as follows:

|   Sl. No | Type                                                                                                            | Ceiling Price   |
|----------|-----------------------------------------------------------------------------------------------------------------|-----------------|
|        1 | Bare Metal Stents                                                                                               | Rs. 9,373.03/-  |
|        2 | Drug Eluting Stents (DES) including metallic DES And Bioresorbable Vascular Scaffold (BVS)/Biodegradable Stents | Rs. 34,128.13/- |

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