Lok Sabha Question No. 3014 (UNSTARRED), answered on 2021-08-06
Subject: Treatment of COVID Patients under PMJAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Srinivas Kesineni

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

## LOK SABHA UNSTARRED QUESTION NO. 3014 TO BE ANSWERED ON 06 TH  AUGUST, 2021

## TREATMENT OF COVID PATIENTS UNDER PMJAY

## 3014.  SHRI KESINENI SRINIVAS: MS. S. JOTHIMANI:

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

- (a)  the  number of persons treated for COVID-19 and non COVID-19 diseases across the country under the PM-JAY programme of Ayushman Bharat Mission, State/ UT-wise for FY 2019-20 and FY 2020-21;
- (b) the details of total budget allocated and utilised on COVID- 19 and non COVID- 19 patients  under  the  PM-JAY  programme of  Ayushman Bharat Mission, State/  UT-wise and year-wise;
- (c) the number of individuals who have been registered under the PMJAY scheme from January 2020 to June 30, 2021, State/UT-wise and year-wise;
- (d) the list of dalits, tribal families and women who were treated under Ayushman Bharat in private hospitals from its inception till now, State/UT-wise; and
- (e)  the  details  of  the  efforts  made  by  the  Government  to  improve  registrations  under PM-JAY?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND

## FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

- (a)  Public  Health  being  a  State  subject,  response  to  the  COVID-19  pandemic  is  primarily directed  by  the  State  Governments.  National  Health  Authority  has  been  providing  necessary support  to  States/UTs  for  ensuring  free COVID-19  testing  and  treatment  to  all  eligible beneficiaries under Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).

When COVID-19 pandemic started, initially existing treatment packages were used for providing COVID related treatment. Later, special packages for treatment and testing of COVID-19 were introduced. Many State Governments decided to make COVID-19 testing & treatment free for all residents. While some of them used Ayushman Bharat PMJAY ecosystem including the NHA's IT platform, others made it free. COVID-19 treatments have been captured in both general and COVID-19 specific packages of AB-PMJAY.

For the financial year 2020-21, a total of 3,27,672 hospital admissions were authorized towards COVID-19 treatment. The State/UT-wise details of the same are at Annexure I.

(b) The allocation of funds under AB-PMJAY is integrated both for COVID-19 and non-COVID19 treatments. Funds are released as per the requirement of States/UTs. Out of a total of Rs. 5537.02 crore released to States/UTs in FY 2019-20 and FY 2020-21, COVID-19 treatments worth Rs. 1157.66 crore were authorized in FY 2020-21.   The details of funds released by NHA under the scheme, State-wise and year-wise, for financial years 2019-20 and 2020-21 are at Annexure II. The State/UT wise break-up of COVID-19 treatments is at Annexure III.

Further,  State/UT-wise  non-COVID  utilization  under  AB-PMJAY  for  financial  years  2019-20 and 2020-21 is at Annexure IV.

(c) AB-PMJAY is an entitlement based scheme. The entitled beneficiary may directly visit any empanelled  hospital  (public  or  private)  for  availing  treatment.  However,  to  increase  health awareness amongst beneficiaries, Ayushman cards are issued to them.

During the period from January 2020 to June 2021, 4.3 crore beneficiaries have been verified under the scheme. The details thereof are at Annexure V.

(d)  List  of  dalits,  tribal  families  and  women  who  were  treated under  Ayushman  Bharat  in private hospitals from its inception till now is at Annexure VI.

(e) Following steps have been taken to issue e-cards to the beneficiaries:

-  NHA collaborated with  service  providers  such  as  CSC  e-Governance  Services  India Ltd. and UTI Infrastructure Technology and Services Limited (UTIITSL) for issuing free Ayushman cards to eligible beneficiaries.
-  Comprehensive on-ground Ayushman card generation campaign called 'Aapke Dwar Ayushman' was launched by NHA. The campaign leveraged the grassroots network of frontline  health  workers,  Panchayati  Raj  executives  (elected  representatives  and officials),  and  other  resources  to  conduct  door-to-door  beneficiary  mobilization  and Ayushman  card  generation.  Massive  IEC  campaigns  were  undertaken  across  the States.
-  A comprehensive media and outreach strategy to spread awareness and empowering the  beneficiaries  about  their  entitlements  under  the  scheme  has  been followed.  This includes use of media vehicles such as outdoor media, announcements at major bus stations, passenger train branding, national and regional press coverage, op-eds and advertorials  in  print  media,  radio  campaign,  telecast  of  beneficiary  testimonials  via Doordarshan, mass messaging through SMS, traditional media etc.
-  The village level beneficiary data is now published and available for use at grassroots for verification under the scheme.

Annexure I Authorized COVID related hospital admissions in FY 2019-20 & 2020-21

| #     | State/UT                                    | Authorized Hospital Admissions FY 2019-20   | Authorized Hospital Admissions FY 2019-20   | Authorized Hospital Admissions FY 2020-21   | Authorized Hospital Admissions FY 2020-21   |
|-------|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|
| #     | State/UT                                    | Non COVID                                   | COVID*                                      | Non COVID                                   | COVID                                       |
| 1     | Andaman and Nicobar Islands                 | 153                                         |                                             | 338                                         | 6                                           |
| 2     | Andhra Pradesh                              | 6,06,295                                    |                                             | 4,45,122                                    | 87,081                                      |
| 3     | Arunachal Pradesh                           | 1,354                                       |                                             | 77                                          |                                             |
| 4     | Assam                                       | 90,194                                      |                                             | 92,880                                      | 519                                         |
| 5     | Bihar                                       | 1,60,157                                    |                                             | 89,226                                      | 12                                          |
| 6     | Chandigarh                                  | 3,515                                       |                                             | 5,378                                       | 1                                           |
| 7     | Chhattisgarh                                | 6,37,038                                    |                                             | 4,79,436                                    | 20,804                                      |
| 8     | Dadra and Nagar Haveli | Daman and Diu | 33,995                                      |                                             | 18,928                                      | 1                                           |
| 9     | Goa                                         | 374                                         |                                             | 140                                         |                                             |
| 10    | Gujarat                                     | 11,40,679                                   |                                             | 8,17,616                                    |                                             |
| 11    | Haryana                                     | 97,531                                      |                                             | 1,30,527                                    | 340                                         |
| 12    | Himachal Pradesh                            | 48,250                                      |                                             | 29,347                                      | 13                                          |
| 13    | Jammu and Kashmir                           | 67,360                                      |                                             | 68,224                                      | 1                                           |
| 14    | Jharkhand                                   | 4,09,935                                    |                                             | 2,97,682                                    | 796                                         |
| 15    | Karnataka                                   | 5,94,854                                    |                                             | 6,84,329                                    | 93,388                                      |
| 16    | Kerala                                      | 9,77,373                                    |                                             | 10,11,709                                   | 25,364                                      |
| 17    | Ladakh                                      |                                             |                                             | 397                                         |                                             |
| 18    | Madhya Pradesh                              | 2,78,442                                    |                                             | 3,78,502                                    | 4,769                                       |
| 19    | Maharashtra                                 | 2,14,923                                    | 4                                           | 1,33,806                                    | 89,720                                      |
| 20    | Manipur                                     | 12,808                                      |                                             | 16,284                                      | 87                                          |
| 21    | Meghalaya                                   | 1,24,716                                    |                                             | 1,19,760                                    | 568                                         |
| 22    | Mizoram                                     | 27,726                                      |                                             | 16,986                                      | 8                                           |
| 23    | Nagaland                                    | 10,227                                      |                                             | 7,357                                       | 1                                           |
| 24    | Puducherry                                  | 1,370                                       |                                             | 2,425                                       | 142                                         |
| 25    | Punjab                                      | 1,96,707                                    |                                             | 4,23,186                                    |                                             |
| 26    | Rajasthan                                   | 9,25,684                                    |                                             | 4,10,464                                    | 1,023                                       |
| 27    | Sikkim                                      | 1,215                                       |                                             | 2,024                                       | 3                                           |
| 28    | Tamil Nadu                                  | 8,54,899                                    |                                             | 15,68,937                                   | 1,733                                       |
|       |                                             | 51,154                                      |                                             | 30,211                                      | 44                                          |
| 29 30 | Tripura Uttar Pradesh                       | 2,89,236                                    |                                             | 3,17,935                                    | 858                                         |
| 31    | Uttarakhand                                 | 1,30,298                                    |                                             | 1,20,912                                    | 390                                         |
| 32    | Total                                       | 79,88,462                                   | 4                                           | 77,20,145                                   | 3,27,672                                    |

States using their own IT platform provide COVID related data offline.

## Details of funds released to States/UTs under AB-PMJAY

| #   | States/UTs        | Total Funds released in FY 2019-20 (Rupees in crore)   | Total Funds released in FY 2020-21 (Rupees in crore)   |
|-----|-------------------|--------------------------------------------------------|--------------------------------------------------------|
| 1   | Andaman & Nicobar | 0.41                                                   | 0.27                                                   |
| 2   | Andhra Pradesh    | 374.07                                                 | 261.23                                                 |
| 3   | Arunachal Pradesh |                                                        | 0.67                                                   |
| 4   | Assam             | 133.23                                                 | 12.10                                                  |
| 5   | Bihar             | 82.49                                                  |                                                        |
| 6   | Chandigarh        | 3.82                                                   | 1.84                                                   |
| 7   | Chhattisgarh      | 280.37                                                 | 112.62                                                 |
| 8   | DNH& DD           | 2.02                                                   | 4.24                                                   |
| 9   | Goa               | 0.06                                                   | 0.49                                                   |
| 10  | Gujarat           | 212.33                                                 | 99.84                                                  |
| 11  | Haryana           | 58.69                                                  | 71.92                                                  |
| 12  | Himachal Pradesh  | 19.12                                                  | 32.93                                                  |
| 13  | Jammu and Kashmir | 33.44                                                  | 22.70                                                  |
| 14  | Jharkhand         | 126.50                                                 | 100.32                                                 |
| 15  | Karnataka         | 254.13                                                 | 160.85                                                 |
| 16  | Kerala            | 97.56                                                  | 145.61                                                 |
| 17  | Ladakh            |                                                        | 1.62                                                   |
| 18  | Madhya Pradesh    | 118.46                                                 | 164.80                                                 |
| 19  | Maharashtra       | 241.88                                                 | 376.65                                                 |
| 20  | Manipur           | 17.10                                                  | 11.45                                                  |
| 21  | Meghalaya         | 18.07                                                  | 49.52                                                  |
| 22  | Mizoram           | 12.41                                                  | 14.97                                                  |
| 23  | Nagaland          | 10.89                                                  | 12.27                                                  |
| 24  | Puducherry        |                                                        | 1.23                                                   |
| 25  | Punjab            | 55.55                                                  | 46.85                                                  |
| 26  | Rajasthan         | 200.07                                                 | 258.31                                                 |
| 27  | Sikkim            | 0.09                                                   | 1.85                                                   |
| 28  | Tamil Nadu        | 441.77                                                 | 359.81                                                 |
| 29  | Tripura           | 20.18                                                  | 8.98                                                   |
| 30  | Uttar Pradesh     | 147.49                                                 | 167.63                                                 |
| 31  | Uttarakhand       | 30.73                                                  | 40.52                                                  |
|     | Total             | 2992.93                                                | 2544.09                                                |

Note: States using their own IT platform provide COVID related data offline.

## State/UT-wise amount authorized for COVID-19 testing and treatment for FY 2020-21

|   Sl No. | State/UT                    | Amount authorized towards testing and treatment of COVID-19 (In Rs)   |
|----------|-----------------------------|-----------------------------------------------------------------------|
|        1 | Andaman and Nicobar Islands | 330                                                                   |
|        2 | Andhra Pradesh              | 1,77,53,81,876                                                        |
|        3 | Assam                       | 1,04,39,200                                                           |
|        4 | Bihar                       | 2,28,350                                                              |
|        5 | Chandigarh                  | 18,000                                                                |
|        6 | Chhattisgarh                | 15,14,17,640                                                          |
|        7 | DNH & DD                    | 40,760                                                                |
|        8 | Gujarat                     | 1,18,53,275                                                           |
|        9 | Haryana                     | 2,21,14,520                                                           |
|       10 | Himachal Pradesh            | 3,03,900                                                              |
|       11 | Jammu and Kashmir           | 7,920                                                                 |
|       12 | Jharkhand                   | 1,56,77,620                                                           |
|       13 | Karnataka                   | 4,25,53,50,000                                                        |
|       14 | Kerala                      | 81,84,63,449                                                          |
|       15 | Madhya Pradesh              | 5,22,06,409                                                           |
|       16 | Maharashtra                 | 2,03,63,47,444                                                        |
|       17 | Manipur                     | 23,48,591                                                             |
|       18 | Meghalaya                   | 1,98,69,600                                                           |
|       19 | Mizoram                     | 3,05,505                                                              |
|       20 | Nagaland                    | 34,200                                                                |
|       21 | Puducherry                  | 22,94,700                                                             |
|       22 | Punjab                      | 1,500                                                                 |
|       23 | Rajasthan                   | 68,59,100                                                             |
|       24 | Sikkim                      | 86,100                                                                |
|       25 | Tamil Nadu                  | 2,35,21,56,521                                                        |
|       26 | Tripura                     | 2,78,880                                                              |
|       27 | Uttar Pradesh               | 1,08,85,665                                                           |
|       28 | Uttarakhand                 | 3,16,27,664                                                           |
|       29 | Total                       | 11,57,65,98,719                                                       |

State/UT-wise break-up of non-COVID hospitalizations in FY 2019-20 and FY 2020-21

|                                             | FY 2019-20                             | FY 2019-20                                            | FY 2020-21                             | FY 2020-21                                            |
|---------------------------------------------|----------------------------------------|-------------------------------------------------------|----------------------------------------|-------------------------------------------------------|
| State/UT                                    | Authorized Hospital Admissions (Count) | Authorized Hospital Admissions Amt. (In crore of Rs.) | Authorized Hospital Admissions (Count) | Authorized Hospital Admissions Amt. (in crore of Rs.) |
| Andhra Pradesh                              | 6,06,295                               | 1732.87                                               | 4,45,122                               | 1255.42                                               |
| Chhattisgarh                                | 6,37,038                               | 587.43                                                | 4,79,436                               | 519.78                                                |
| Karnataka                                   | 5,94,854                               | 701.72                                                | 6,84,329                               | 611.56                                                |
| Tamil Nadu                                  | 8,54,899                               | 1579.83                                               | 15,68,937                              | 1165.73                                               |
| Maharashtra                                 | 2,14,923                               | 546.00                                                | 1,33,806                               | 364.36                                                |
| Madhya Pradesh                              | 2,78,442                               | 388.79                                                | 3,78,502                               | 546.05                                                |
| Kerala                                      | 9,77,373                               | 693.72                                                | 10,11,709                              | 688.26                                                |
| Punjab                                      | 1,96,707                               | 236.81                                                | 4,23,186                               | 473.90                                                |
| Uttar Pradesh                               | 2,89,236                               | 325.64                                                | 3,17,935                               | 302.42                                                |
| Gujarat                                     | 11,40,679                              | 1713.29                                               | 8,17,616                               | 1139.10                                               |
| Haryana                                     | 97,531                                 | 128.50                                                | 1,30,527                               | 156.22                                                |
| Bihar                                       | 1,60,157                               | 155.15                                                | 89,226                                 | 80.97                                                 |
| Jharkhand                                   | 4,09,935                               | 392.39                                                | 2,97,682                               | 298.01                                                |
| Assam                                       | 90,194                                 | 128.82                                                | 92,880                                 | 142.52                                                |
| Tripura                                     | 51,154                                 | 30.19                                                 | 30,211                                 | 24.24                                                 |
| Uttarakhand                                 | 1,30,298                               | 119.05                                                | 1,20,912                               | 170.83                                                |
| Arunachal Pradesh                           | 1,354                                  | 2.32                                                  | 77                                     | 0.18                                                  |
| Himachal Pradesh                            | 48,250                                 | 47.62                                                 | 29,347                                 | 36.18                                                 |
| Nagaland                                    | 10,227                                 | 13.98                                                 | 7,357                                  | 10.76                                                 |
| Manipur                                     | 12,808                                 | 19.69                                                 | 16,284                                 | 16.37                                                 |
| Chandigarh                                  | 3,515                                  | 3.13                                                  | 5,378                                  | 3.34                                                  |
| Meghalaya                                   | 1,24,716                               | 95.12                                                 | 1,19,760                               | 93.60                                                 |
| Mizoram                                     | 27,726                                 | 25.88                                                 | 16,986                                 | 21.02                                                 |
| Goa                                         | 374                                    | 1.06                                                  | 140                                    | 0.28                                                  |
| Ladakh                                      |                                        |                                                       | 397                                    | 0.45                                                  |
| Jammu and Kashmir                           | 67,360                                 | 36.02                                                 | 68,224                                 | 67.48                                                 |
| Puducherry                                  | 1,370                                  | 1.17                                                  | 2,425                                  | 0.86                                                  |
| Andaman And Nicobar Islands                 | 153                                    | 0.12                                                  | 338                                    | 1.09                                                  |
| Dadra and Nagar Haveli | Daman and Diu | 33,995                                 | 24.91                                                 | 18,928                                 | 11.72                                                 |
| Rajasthan                                   | 9,25,684                               | 538.89                                                | 4,10,464                               | 242.09                                                |
| Sikkim                                      | 1,215                                  | 1.65                                                  | 2,024                                  | 1.62                                                  |
| Total                                       | 79,88,462                              | 10271.76                                              | 77,20,145                              | 8446.41                                               |

## State/UT-wise, Year-wise breakup of Ayushman cards generated

| State/UT                    | Jan 2020 - Dec 2020   | Jan 2021 - Jun 2021   | Total      |
|-----------------------------|-----------------------|-----------------------|------------|
| Andaman and Nicobar Islands | 19,410                | 5,217                 | 24,627     |
| Andhra Pradesh              | 1                     | 9                     | 10         |
| Arunachal Pradesh           | 1,156                 | 20,603                | 21,759     |
| Assam                       | 72,341                | 63,273                | 135,614    |
| Bihar                       | 1,795,963             | 1,362,137             | 3,158,100  |
| Chandigarh                  | 8,436                 | 9,969                 | 18,405     |
| Chhattisgarh                | 528,907               | 10,073,682            | 10,602,589 |
| DNH and DD                  | 24,285                | 14,295                | 38,580     |
| Goa                         | 1,012                 | 81                    | 1,093      |
| Gujarat                     | 176,263               | 216,850               | 393,113    |
| Haryana                     | 696,758               | 319,637               | 1,016,395  |
| Himachal Pradesh            | 69,343                | 203,513               | 272,856    |
| Jammu and Kashmir           | 1,654,504             | 2,035,185             | 3,689,689  |
| Jharkhand                   | 295,258               | 111,274               | 406,532    |
| Karnataka                   | 172                   | 24                    | 196        |
| Kerala                      | 353,697               | 107,804               | 461,501    |
| Lakshadweep                 | 1,052                 | 4                     | 1,056      |
| Ladakh                      | 688                   | 61,229                | 61,917     |
| Madhya Pradesh              | 4,226,416             | 6,993,356             | 11,219,772 |
| Maharashtra                 | 926,432               | 151,670               | 1,078,102  |
| Manipur                     | 65,725                | 39,795                | 105,520    |
| Meghalaya                   | 38,134                | 89,313                | 127,447    |
| Mizoram                     | 28,802                | 2,052                 | 30,854     |
| Nagaland                    | 17,903                | 17,648                | 35,551     |
| Puducherry                  | 57,009                | 85,295                | 142,304    |
| Punjab                      | 906,269               | 2,390,687             | 3,296,956  |
| Sikkim                      | 5,184                 | 4,251                 | 9,435      |
| Tamil Nadu                  | 165                   | 101                   | 266        |
| Tripura                     | 300,127               | 104,995               | 405,122    |
| Uttar Pradesh               | 2,663,987             | 3,479,670             | 6,143,657  |
| Uttarakhand                 | 378,982               | 138,074               | 517,056    |
| Grand Total                 | 15,314,381            | 28,101,693            | 43,416,074 |

Note: Few States have already verified 100% beneficiaries, therefore, numbers of beneficiaries verified in this period is low.

## Hospital admissions authorized in private hospitals empanelled in AB-PMJAY for SCs, STs and Women

| States/UTs        | Hospital admissions authorized under AB PM-JAY   | Hospital admissions authorized under AB PM-JAY   | Hospital admissions authorized under AB PM-JAY   |
|-------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|
| States/UTs        | Dalits (SC Beneficiaries)                        | Tribal (ST Beneficiaries)                        | Women Beneficiaries                              |
| A&N               | -                                                | -                                                | 150                                              |
| ANDHRA PRADESH    |                                                  |                                                  | 4,10,131                                         |
| ARUNACHAL PRADESH | -                                                | 10                                               | 14                                               |
| ASSAM             | 2,993                                            | 3,730                                            | 51,904                                           |
| BIHAR             | 28,847                                           | 2,186                                            | 58,802                                           |
| CHANDIGARH        | 1,940                                            | -                                                | 3,932                                            |
| CHHATTISGARH      | 57,682                                           | 58,109                                           | 5,63,255                                         |
| DNH AND DD        | 95                                               | 392                                              | 2,466                                            |
| GOA               | -                                                | 31                                               | 44                                               |
| GUJARAT           | 23,883                                           | 29,464                                           | 1,96,737                                         |
| HARYANA           | 96,304                                           | 58                                               | 1,02,597                                         |
| HIMACHAL PRADESH  | 4,837                                            | 588                                              | 11,326                                           |
| JAMMU AND KASHMIR | 4,577                                            | 3,376                                            | 47,605                                           |
| JHARKHAND         | 45,545                                           | 61,141                                           | 3,38,731                                         |
| KARNATAKA         | 51                                               | 28                                               | 1,09,865                                         |
| KERALA            | 2,028                                            | 208                                              | 3,67,937                                         |
| MADHYA PRADESH    | 4,312                                            | 2,212                                            | 1,70,079                                         |
| MAHARASHTRA       | 135                                              | 592                                              | 1,51,546                                         |
| MANIPUR           | 1,395                                            | 5,375                                            | 9,018                                            |
| MEGHALAYA         | 171                                              | 14,929                                           | 96,156                                           |
| MIZORAM           | 1                                                | 603                                              | 2,211                                            |
| NAGALAND          | 1                                                | 3,962                                            | 5,705                                            |
| PUDUCHERRY        | 596                                              | -                                                | 1,585                                            |
| PUNJAB            | 13,529                                           | 24                                               | 1,85,386                                         |
| SIKKIM            | 94                                               | 474                                              | 600                                              |
| TAMIL NADU        | -                                                | -                                                | 7,90,272                                         |
| TRIPURA           | 383                                              | 116                                              | 1,080                                            |
| UTTAR PRADESH     | 1,76,194                                         | 3,414                                            | 2,58,316                                         |
| UTTARAKHAND       | 4,510                                            | 1,402                                            | 77,515                                           |
| TOTAL             | 470103                                           | 192424                                           | 4014965                                          |