Lok Sabha Question No. 138 (STARRED), answered on 2023-02-10
Subject: Beneficiaries under Ayushman Bharat Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shrirang Appa Barne, Vivek Narayan Shejwalkar

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

## LOK SABHA STARRED QUESTION NO. 138 TO BE ANSWERED ON THE 10 TH  FEBRUARY, 2023

## BENEFICIARIES UNDER AYUSHMAN BHARAT YOJANA

## *138. SHRI SHRIRANG APPA BARNE: SHRI VIVEK NARAYAN SHEJWALKAR:

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

- (a) the funds allocated/utilized under the Ayushman Bharat Yojana (ABY) along with the total number of beneficiaries in the country as on date, State/UTwise;
- (b) the details of the claims registered under the Yojana during each of the last three years, State/UTwise;
- (c) the number of hospitals empanelled by the Government and those working under the local body administration and private hospitals in the cities to cover the medical treatment under ABY, State/UTwise;
- (d) the number of new hospitals empanelled during the last three years along with the number of hospitals targeted to be empanelled in future under the ABY, State/UTwise including Odisha, Rajasthan and Uttar Pradesh;
- (e) the total number of beneficiaries who have availed treatment under ABY in the newly empanelled hospitals, State/UT-wise;
- (f) the list of charges fixed for carrying out various medical procedures eligible for reimbursement with the empanelled hospitals; and
- (g)  whether  the  Government has  issued  any  guidelines to the States/UTs  regarding the treatment of vulnerable, disabled persons under the Yojana and if so, the details thereof along with the number of Ayushman Cards issued to such persons?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (DR MANSUKH MANDAVIYA)

- (a) to (  g) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 138 FOR 10 TH  FEBRUARY, 2023

Details of funds allocated/utilized under Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) are as under:

(in crore of rupees)

| Financial Year   |   Budget Estimate |   Revised Estimate | Funds Utilized             |
|------------------|-------------------|--------------------|----------------------------|
| 2018-19          |              2400 |               2160 | 1849.50                    |
| 2019-20          |              6400 |               3200 | 2992.90                    |
| 2020-21          |              6400 |               3100 | 2544.10                    |
| 2021-22          |              6400 |               3199 | 2940.60                    |
| 2022-23          |              6412 |               6412 | 4580.10 (as on 02.02.2023) |

State/UT-wise  details  of  total  number  of  authorized  hospital  admissions  and the total number of hospitals empanelled as well as the number of authorized hospital admissions and the number of hospitals empanelled during 2019-20 to 2021-22 under the  scheme are at  Annexure-I. Empanelment of hospitals is voluntary on the part of intending private hospitals. Intending private hospitals apply for empanelment and get empanelled under the scheme subject to fulfilment of laid down criteria. State/UT-wise details of claims submitted under the scheme during each of the last three years are at Annexure-II. Details of Health Benefit Packages (HBPs) are available at the following link:

https://pmjay.gov.in/sites/default/files/2022-04/HBP%202022%20..pdf

As  per  instructions  issued  by  Ministry  of  Health  &  Family  Welfare  to States/UTs on 23.06.2022, States/UTs may use their own datasets for identification of beneficiaries under AB-PMJAY.  For this purpose, only poor, deprived and marginalized  families  may  be  enrolled,  keeping  the  overall  design  and  intent  of  the scheme intact. As of 02 nd February 2023, a total of 23.07 crore beneficiaries have been verified under the scheme for issuance of Ayushman cards.

*****

Annexure-I State/UT-wise details of number of hospitals empanelled and total number of authorized hospital

## admissions under AB-PMJAY

| State/UT                    | Number of hospitals empanelled (FY 2019-20 to FY 2021-22)   |   Number of authorized hospital admissions (FY 2019-20 to FY 2021-22) | Total number of hospitals empanelled (as on 29.01.2023)   | Total number of authorized hospital admissions (as on 29.01.2023)   |
|-----------------------------|-------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------|---------------------------------------------------------------------|
| Andaman And Nicobar Islands | -                                                           |                                                                  1331 | 7                                                         | 1,931                                                               |
| Andhra Pradesh              | 1464                                                        |                                                               2322812 | 2,475                                                     | 2,837,878                                                           |
| Arunachal Pradesh           | 51                                                          |                                                                  1618 | 62                                                        | 3,046                                                               |
| Assam                       | 216                                                         |                                                                358883 | 333                                                       | 584,109                                                             |
| Bihar                       | 289                                                         |                                                                360222 | 975                                                       | 551,844                                                             |
| Chandigarh                  | 18                                                          |                                                                 16952 | 32                                                        | 25,465                                                              |
| Chhattisgarh                | 1503                                                        |                                                               2031021 | 1,622                                                     | 3,335,143                                                           |
| DNH&DD                      | -                                                           |                                                                 71098 | 7                                                         | 96,645                                                              |
| Goa                         | 27                                                          |                                                                   680 | 37                                                        | 10,747                                                              |
| Gujarat                     | 377                                                         |                                                               2532739 | 2,921                                                     | 3,594,754                                                           |
| Haryana                     | 264                                                         |                                                                419661 | 728                                                       | 640,981                                                             |
| Himachal Pradesh            | 70                                                          |                                                                123577 | 273                                                       | 184,562                                                             |
| Jammu And Kashmir           | 123                                                         |                                                                386772 | 300                                                       | 716,121                                                             |
| Jharkhand                   | 241                                                         |                                                               1032324 | 858                                                       | 1,468,263                                                           |
| Karnataka                   | 2699                                                        |                                                               2314164 | 3,434                                                     | 3,436,427                                                           |
| Kerala                      | 469                                                         |                                                               3717517 | 761                                                       | 4,762,213                                                           |
| Ladakh                      | 1                                                           |                                                                   599 | 10                                                        | 6,410                                                               |
| Lakshadweep                 | 5                                                           |                                                                    68 | 6                                                         | 395                                                                 |
| Madhya Pradesh              | 733                                                         |                                                               1358677 | 1,034                                                     | 2,412,848                                                           |
| Maharashtra                 | 611                                                         |                                                                501012 | 1,108                                                     | 706,380                                                             |
| Manipur                     | 65                                                          |                                                                 53040 | 93                                                        | 87,117                                                              |
| Meghalaya                   | 28                                                          |                                                                393475 | 183                                                       | 555,947                                                             |
| Mizoram                     | 20                                                          |                                                                 58473 | 96                                                        | 84,892                                                              |
| Nagaland                    | 42                                                          |                                                                 23133 | 145                                                       | 33,058                                                              |
| Puducherry                  | 27                                                          |                                                                 15881 | 32                                                        | 35,694                                                              |
| Punjab                      | 924                                                         |                                                               1155441 | 937                                                       | 1,390,857                                                           |
| Rajasthan                   | 1007                                                        |                                                               2562922 | 1,098                                                     | 3,929,711                                                           |
| Sikkim                      | 11                                                          |                                                                  6107 | 17                                                        | 9,917                                                               |
| Tamil Nadu                  | 755                                                         |                                                               7205165 | 1794                                                      | 8,595,773                                                           |
| Telangana                   | 430                                                         |                                                                272588 | 746                                                       | 654,251                                                             |
| Tripura                     | 53                                                          |                                                                127270 | 146                                                       | 199,139                                                             |
| Uttar Pradesh               | 1378                                                        |                                                               1104106 | 3,324                                                     | 1,835,969                                                           |
| Uttarakhand                 | 74                                                          |                                                                433818 | 244                                                       | 666,398                                                             |

Note: States/UT of Odisha, West Bengal and Delhi are not implementing AB-PMJAY.

## State/UT-wise and Year-wise details of claims submitted under AB-PMJAY

| State/UT                    | FY 2019-20   | FY 2019-20                  | FY 2020-21   | FY 2020-21                  | FY 2021-22   | FY 2021-22                  |
|-----------------------------|--------------|-----------------------------|--------------|-----------------------------|--------------|-----------------------------|
| State/UT                    | Count        | Amount (in crore of Rupees) | Count        | Amount (in crore of Rupees) | Count        | Amount (in crore of Rupees) |
| Andaman And Nicobar Islands | 138          | 0.10                        | 254          | 0.87                        | 782          | 2.13                        |
| Andhra Pradesh              | 373015       | 864.97                      | 411339       | 1072.37                     | 631169       | 1635.39                     |
| Arunachal Pradesh           | 15           | 0.09                        | 15           | 0.03                        | 56           | 0.17                        |
| Assam                       | -            | -                           | 76604        | 106.08                      | 178207       | 268.52                      |
| Bihar                       | 145342       | 131.37                      | 82959        | 74.09                       | 111900       | 129.18                      |
| Chandigarh                  | 2953         | 2.27                        | 5177         | 3.13                        | 8052         | 5.09                        |
| Chhattisgarh                | 617527       | 553.33                      | 465817       | 489.22                      | 854559       | 918.33                      |
| DNH&DD                      | 31467        | 18.02                       | 18966        | 11.60                       | 20383        | 14.53                       |
| Goa                         | 48           | 0.12                        | 133          | 0.26                        | 166          | 0.37                        |
| Gujarat                     | 129490       | 244.70                      | 290034       | 620.09                      | 557369       | 1568.38                     |
| Haryana                     | 91551        | 117.47                      | 135487       | 153.57                      | 183234       | 234.81                      |
| Himachal Pradesh            | 44289        | 41.13                       | 28818        | 34.70                       | 45199        | 65.34                       |
| Jammu And Kashmir           | 65247        | 32.83                       | 56763        | 45.74                       | 244725       | 434.60                      |
| Jharkhand                   | 395683       | 378.68                      | 289063       | 287.03                      | 317833       | 429.50                      |
| Karnataka                   | 574981       | 886.52                      | 791975       | 1325.95                     | 1230777      | 1685.71                     |
| Kerala                      | 956006       | 660.88                      | 1028627      | 737.67                      | 1694424      | 1560.03                     |
| Ladakh                      | -            | -                           | -            | -                           | 388          | 0.48                        |
| Lakshadweep                 | 1            | 0.00018                     | -            | -                           | 58           | 0.18                        |
| Madhya Pradesh              | 250014       | 321.92                      | 356729       | 489.73                      | 680315       | 1086.75                     |
| Maharashtra                 | 597406       | 1362.89                     | 659818       | 1498.36                     | 851156       | 2052.34                     |
| Manipur                     | 11120        | 16.45                       | 16711        | 16.74                       | 23007        | 28.52                       |
| Meghalaya                   | 123600       | 92.06                       | 122986       | 94.15                       | 144665       | 117.07                      |
| Mizoram                     | 27508        | 25.50                       | 17350        | 20.79                       | 13827        | 17.71                       |
| Nagaland                    | 9886         | 13.12                       | 7389         | 10.54                       | 5585         | 11.13                       |
| Puducherry                  | 1299         | 0.95                        | 2509         | 1.14                        | 11530        | 6.68                        |
| Punjab                      | 186731       | 222.47                      | 413259       | 459.24                      | 524389       | 651.56                      |
| Rajasthan                   | 681802       | 645.69                      | 372281       | 342.71                      | 1047519      | 1353.98                     |
| Sikkim                      | 1172         | 1.51                        | 1826         | 1.39                        | 2706         | 1.92                        |
| Tamil Nadu                  | 785598       | 1003.99                     | 1858530      | 827.56                      | 4620020      | 1578.73                     |
| Telangana                   | -            | -                           | -            | -                           | 277837       | 622.79                      |
| Tripura                     | 50052        | 28.55                       | 28549        | 22.20                       | 44615        | 38.95                       |
| Uttar Pradesh               | 276855       | 296.50                      | 311374       | 292.12                      | 482303       | 532.89                      |
| Uttarakhand                 | 123730       | 118.76                      | 109779       | 153.80                      | 172859       | 380.32                      |