Lok Sabha Question No. 917 (UNSTARRED), answered on 2021-07-23
Subject: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Pradeep Kumar Singh, Bhagirath Chaudhary, Sunil Kumar Singh, Poonam (Mahajan) Vajendla Rao, Kripanath Mallah, Rajiv Pratap Rudy, Manoj Kishorbhai Kotak, Sumedhanand Saraswati

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

## LOK SABHA U NSTARRED QUES TION NO. 917 TO BE ANSWERED ON 23 RD JULY, 2021

## AYUSHMAN BHARAT PRAD HAN MANTRI JAN AROGY A YOJANA

## 917. SHRI PRADEEP KUMAR S INGH:

SHRI BHAGIRATH CHOUD HARY:

SHRI SUNIL KUMAR SIN GH:

SHRIMATI POONAM MAHA JAN:

SHRI KRIPANATH MALLA H:

SHRI RAJIV PRATAP RU DY:

SHRI MANOJ KOTAK:

SHRI SUMEDHANAND SAR ASWATI:

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

- (a)  the  salient features,  procedure  involved,  targets fixed,  progress  made,  funds  allocated, number ofbeneficiaries benefited particularly during the COVID - 19 pandemic, Ayushman cards issued, medical treatment covered and amount of medical claims settled under the Ayushm an Bharat Yojana (ABY),State/UT - wise;
- (b) the number of CHCs, PHCs, AB - HWCs and other hospitals empanelled and super speciality blockssanctioned and proposed to be empanelled thereunder, State/UT wise;
- (c) whether the Government proposes to upgrade sub- Centres and PHCs to Health and Wellness Centres under ABY, if so, the details thereof, States/UT - wise;
- (d)  whether  the  Government  proposes  to  cover patients  suffering  from  prolonged  chronic diseases including  cancer  under  ABY  and  if  so,  the  steps  taken there on  along  with  list  of ailments covered thereon; and
- (e) whether Government proposed to formulate any effective policy to provide state - of - the - art facilities in Ayushman Bharat Yojana;
- (f) whether cases of eligible beneficiaries left out/ not covered under ABY have come to the notice of the Government, particularly in Assam and if so, the corrective steps taken thereon, State/UT - wise; and
- (g) whether it is a fact that the Government is entering into a cooperation with World Health Organization for technical support to the aforementioned scheme and if so, the details thereof?

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

( a) : Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB - PMJAY) was launched on 23 rd September 2018. The salient features of AB - PMJAY are at Annexure -I.

As  regards  procedure  involved,  AB - PMJAY  is  an  entitlement - based  scheme.  All  the eligible beneficiary families are covered from day one of the implementation of the sch the  States/UTs.  AB - PMJAY  does  not  require  enrolment.  However,  beneficiary  verifica tion process is being undertaken to verify the genuineness of the beneficiary. Ayushman card issued  to  all  eligible  beneficiaries  as  part  of  this  process  to  ensure  easy  availin benefits.

Targets are not fixed for AB - PMJAY as the scheme ope rates on the basis of beneficiary demand for healthcare services. All the eligible beneficiaries of the implementing States entitled for free healthcare services under the scheme from the day of launch of the schem

A total of 1.96 crore hospital admissions worth Rs. 24,315 crore have been authorized through a network of approximately 23,000 Empanelled Health Care Providers (EHCPs). The State/UT wise details are at Annexure -II.

The funds allocated for the scheme for the current financial year 20 21- 22 ar  Rs. 6400 crore.

Following  the  onset  of  Covid - 19,  AB- PMJAY  provided  valuable  support  to  the healthcare  ecosystem  by  ensuring  that  beneficiary  registration  process  was  kept  acti empanelled hospitals continued to provide services to the scheme benefi iaries. However, there was a noticeable impact on the uptake of the scheme on account of factors such as restri mobility,  restrictions  on  elective  surgeries,  reluctance  from  scheme  beneficiaries hospitals due to fear of infection a nd designation of public facilities as dedicated COVID centres During the period from 01 st March 2020 -19 th July 2021, a total of approx. 1.05 crore hospital admissions worth approx. Rs. 11,862 crore have been authorized under AB - PMJAY.

As  on  20.07.2021,  a total  of 16.14  c rore  Ayushman  cards  have  been  issued  to  the scheme beneficiaries.

( b) : AB - PMJAY  provides  services  only  for  inpatient  treatment,  therefore,  only  hospi providing inpatient services are empanelled under this scheme.

Accordingly, NHA has d eveloped guidelines for empanelment of hospitals under the scheme. The empanelment of hospitals under AB - PMJAY is done for general treatment and for treatment under particular speciality. The guidelines for empanelment of hospitals under AB - PMJAY can be ac cessed on PMJAY website. ( https://pmjay.gov.in/sites/default/files/2020 -06/Empanelment- and- De - empanelment- guidelines.pdf )

Since  th e  empanelment  of  hospitals  under  AB - PMJAY  is  primarily  done  by  the respective State/UT Governments, flexibility has been provided to the State/UT Government modify the empanelment criteria based on local requirements including supply and demand.

As on 20 th July 2021, approx. 23,000 hospitals have been empanelled under AB - PMJAY by various State/UT Governments. The State/UT wise details of the empanelled hospitals a Annexure-III.

( c) : Under Ayushman Bharat Health and Wellness centre, Government of India is committed to establish 1,50,000 Health and Wellness Centres (AB - HWCs) by upgrading the Sub Health

Centres (SHCs) and rural and urban Primary Health Centres (PHCs) to bring health care closer to the community.

As on 20 th July 2021, 77,406 AB - HWCs are operational across the country. Details are at Annexure -IV.

Details of financial assistance provided to States/UTs are at Annexure -V.

( d) : AB - PMJAY  provides  treatment  corresponding  to  a  total  of  1669  procedures  under  2 different specialties including chronic diseases like Cancer, Diabetes, Heart Disease a non- communicable  diseases  and  renal  and  corneal  transplant.  The  specialty  wise  breakup packages is provided under Annexure -VI.

Chemotherapy and Radiotherapy packages, along with surgical oncology are covered a part of can cer treatment under the scheme.

Additionally,  there  is  a  category  of  unspecified  packages  which  can  be  booked procedures which are not defined in the Health Benefit Packages (HBPs).

( e) : The  following  measures  have  been  adopted  by  NHA  to  offer  state - of - the - art  healthcare service delivery under AB - PMJAY

- Public hospitals empanelled under AB - PMJAY are reimbursed for treatment provided under the scheme at par with cost reimbursed to their private sector counterparts. These fu be leveraged by such institutions to carry out infrastructural development a nd establish state -of - the - art facilities. NHA has issued necessary guidelines and instructions to the SHA public hospitals to encourage the same. Many States have effectively used the funds a to  public  hospitals  for  infrastructure  upgradation  a nd  for  providing  better  amenities  to beneficiaries.
- A targeted approach is being followed to empanel the top corporate hospitals in the c under AB- PMJAY.
- NHA has partnered with Quality Council of India to develop a quality certification pr forempanelled hospitals. AB - PMJAY quality certifications include Bronze, Silver and Gold Quality certifications. Hospitals achieving PMJAY Gold, Silver and Bronze certifica are provided 15%, 10% and 5% higher package rates respectively. As on 19th July, 2021 over 200 empanelled hospitals have been Quality Certified under the scheme.
- Further, if an empanelled hospital attains entry level NABH accreditation, it is ince by reimbursing the cost of treatment at a rate which is 10 per cent higher that the standard package rates. Similarly, a PMJAY empanelled hospital attaining full NABH accreditat is paid 15 percent higher rate.

These  incentives  have  been  designed  to  promote  state - of - the - art  healthcare  service delivery under AB - PMJAY.

( f) :Benefi ciary families under AB - PMJAY have been identified from the SECC - 2011 database on the basis of 6 deprivation criteria and 11 occupational criteria across rural and u respectively. Details are at Annexure -I.

Representations  have  been  received  r egarding  the  inclusion  of  families  under  AB -PMJAY. However, the beneficiary database under the scheme has been frozen with the approv of the Union Cabinet.

At the same time, it may be noted that the 33 States/UTs implementing the scheme h expanded the scope of AB - PMJAY  to  include other categories of beneficiaries beyond SECC 2011 at their own cost. As on 20 th July, 2021, approximately 13.44 crore beneficiary families ar covered under AB - PMJAY.

With respect to Assam, it may be noted that in additio n to AB - PMJAY, the Government is implementing a local health insurance scheme known as 'Atal Amrut Abhiyan' (AAA).

AAA is an enrolment based scheme, providing insurance coverage of up to Rs. 2 Lak per year to every entitled family in the State. Moreover, those families belonging to the APL category with income between Rs. 1.2 Lakh and 5 Lakh per annum can also avail the benefi AAA  by  paying  a  nominal  premium  of  Rs.  100/ - per  year  per  member.  Thus,  eligible beneficiaries can avail services under either of these schemes.

( g) : National Health Authority has entered into a collaboration with WHO to carry out res and evaluation studies. In this regard, a study on 'Mainstreaming quality in empanelled hospitals under PMJAY' is being conducted in three S tates viz. Haryana, Gujarat and Uttar Pradesh.

1. AB-PMJAY is the world's largest Government funded health assurance scheme.
3. AB-PMJAY is a completely cashless and paperless scheme.
2. AB-PMJAY  provides  health  assurance  of  up  to  Rs.5  Lakh  per  family  per  year  for secondary and tertiary healthcare hospitalizations.
4. The benefits under AB-PMJAY are portable across the country.
6. The beneficiary families under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (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:
5. There is no cap on family size, or age or gender.

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

## Automatically included:

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

## Deprivation criteria in rural area:

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

## Occupational criteria in urban area:

2. Beggar
1. Rag picker
3. Domestic worker
5. Construction worker/ Plumber/ Mason/ Labour/ Painter/ Welder/ Security guard/ Coolie and other head-load worker
4. Street vendor/ Cobbler/hawker / Other service provider working on streets
6. Sweeper/ Sanitation worker / Mali
8. Transport  worker/ Driver/ Conductor/  Helper  to  drivers and  conductors/  Cart  puller/ Rickshaw puller
7. Home-based worker/ Artisan/ Handicrafts worker / Tailor
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 being 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.
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 being implemented in Insurance mode, Mixed mode and Trust mode.
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.

## State wise details of Ayushman-cards issued, authorized hospitals admissions by count and amount under AB-PMJAY and schemes converged with AB-PMJAY

| State/UT                                    | Ayushman cards issued #   | Authorized Hospital Admissions   | Value of authorized hospital admissions (in Rs)   |
|---------------------------------------------|---------------------------|----------------------------------|---------------------------------------------------|
| Andaman and Nicobar Islands                 | 33,844                    | 651                              | 16,011,653                                        |
| Andhra Pradesh*                             | 11                        | 1,245,956                        | 35,454,214,219                                    |
| Arunachal Pradesh                           | 22,726                    | 1,812                            | 31,559,579                                        |
| Assam                                       | 12,420,824                | 252,251                          | 3,749,546,919                                     |
| Bihar                                       | 6,869,237                 | 287,389                          | 2,770,023,718                                     |
| Chandigarh                                  | 63,524                    | 11,406                           | 81,696,009                                        |
| Chhattisgarh                                | 13,240,939                | 1,551,997                        | 15,108,847,365                                    |
| Dadra and Nagar Haveli | Daman and Diu | 416,028                   | 67,444                           | 455,095,733                                       |
| Goa                                         | 21,867                    | 10,282                           | 331,417,452                                       |
| Gujarat                                     | 7,641,318                 | 2,426,337                        | 36,636,319,474                                    |
| Haryana                                     | 2,616,418                 | 290,815                          | 3,588,146,295                                     |
| Himachal Pradesh                            | 1,075,101                 | 96,035                           | 1,077,353,995                                     |
| Jammu and Kashmir                           | 4,794,200                 | 200,034                          | 1,860,995,910                                     |
| Ladakh                                      | 93,516                    | 1,615                            | 18,187,716                                        |
| Jharkhand                                   | 8,992,890                 | 867,385                          | 8,767,034,692                                     |
| Karnataka                                   | 9,782,602                 | 1,581,386                        | 17,576,957,813                                    |
| Kerala                                      | 6,621,730                 | 2,478,238                        | 19,135,502,001                                    |
| Lakshadweep                                 | 1,636                     | 1                                | 1,800                                             |
| Madhya Pradesh                              | 24,791,352                | 853,881                          | 12,140,065,052                                    |
| Maharashtra                                 | 7,162,216                 | 479,528                          | 12,416,017,419                                    |
| Manipur                                     | 313,634                   | 36,759                           | 453,214,817                                       |
| Meghalaya                                   | 1,655,716                 | 287,303                          | 2,210,910,884                                     |
| Mizoram                                     |                           |                                  |                                                   |

|               | 356,647    | 55,878    | 576,271,260    |
|---------------|------------|-----------|----------------|
| Nagaland      | 258,083    | 19,194    | 277,952,667    |
| Puducherry    | 250,454    | 6,184     | 31,688,824     |
| Punjab        | 7,021,511  | 756,583   | 8,631,451,965  |
| Rajasthan*    | -          | 1,336,147 | 7,809,870,450  |
| Sikkim        | 36,667     | 4,012     | 37,808,637     |
| Tamil Nadu    | 24,727,508 | 3,102,787 | 38,240,413,903 |
| Tripura       | 1,255,479  | 99,404    | 670,014,773    |
| Uttar Pradesh | 14,189,874 | 769,531   | 7,965,274,653  |
| Uttarakhand   | 3,973,158  | 308,192   | 3,960,546,591  |
| West Bengal @ | -          | 17,636    | 170,981,470    |
| Undefined &   | 762,296    | 122,244   | 903,192,165    |

* - Details of individual beneficiary card holders are not available for Rajasthan and Andhra Pradesh

Note:

- # - Total Ayushman cards data also includes 4.68 Crore beneficiary cards issued by State using State IT systems
- & - State related information for some transactions is not available as certain implementation data had been shared offline
- @-West Bengal was initially implementing the scheme. On 10th January 2019, the State Government decided to withdraw from the implementation of the scheme

## State/UT list of empanelled hospitals in AB-PMJAY

| State/UT                                    | PHC   | CHC   |   Other Govt. Hospitals |   Private Hospitals |   Total Hospitals |
|---------------------------------------------|-------|-------|-------------------------|---------------------|-------------------|
| Andaman and Nicobar Islands                 |       |       |                       3 |                   0 |                 3 |
| Andhra Pradesh                              |       |       |                     774 |                 565 |              1339 |
| Arunachal Pradesh                           | 2     | 3     |                      35 |                   1 |                41 |
| Assam                                       | 12    | 15    |                     185 |                 159 |               371 |
| Bihar                                       | 265   | 152   |                     193 |                 266 |               876 |
| Chandigarh                                  |       | 1     |                       7 |                  18 |                26 |
| Chhattisgarh                                | 720   | 162   |                     133 |                 442 |              1457 |
| Dadra and Nagar Haveli | Daman and Diu | 0     | 3     |                       4 |                   0 |                 7 |
| Delhi                                       |       |       |                      32 |                  64 |                96 |
| Goa                                         | 7     | 6     |                       6 |                  13 |                32 |
| Gujarat                                     | 310   | 222   |                    1367 |                 530 |              2429 |
| Haryana                                     |       | 95    |                      81 |                 391 |               567 |
| Himachal Pradesh                            | 3     | 35    |                     111 |                  82 |               231 |
| Jammu and Kashmir                           | 1     | 44    |                     138 |                  43 |               226 |
| Ladakh                                      |       | 7     |                       3 |                   0 |                10 |
| Jharkhand                                   | 2     | 143   |                     130 |                 514 |               789 |
| Karnataka                                   |       |       |                    2894 |                 542 |              3436 |
| Kerala                                      | 1     | 33    |                     158 |                 520 |               712 |
| Lakshadweep                                 |       | 2     |                       4 |                   0 |                 6 |
| Madhya Pradesh                              | 8     | 277   |                     167 |                 419 |               871 |
| Maharashtra                                 |       |       |                     296 |                 669 |               965 |
| Manipur                                     | 4     | 9     |                      46 |                  11 |                70 |
| Meghalaya                                   | 112   | 27    |                      25 |                  18 |               182 |
| Mizoram                                     | 54    | 4     |                      31 |                   5 |                94 |
| Nagaland                                    | 34    | 20    |                      30 |                  14 |                98 |
| Odisha                                      |       |       |                      30 |                   1 |                31 |
| Puducherry                                  |       | 4     |                       8 |                  11 |                23 |
| Punjab                                      | 2     | 133   |                     109 |                 634 |               878 |
| Rajasthan                                   |       | 2     |                     594 |                 189 |               785 |
| Sikkim                                      |       |       |                      10 |                   1 |                11 |
| Tamil Nadu                                  |       |       |                    1541 |                1580 |              3121 |
| Telangana                                   |       |       |                      12 |                  17 |                29 |
| Tripura                                     | 79    | 22    |                      37 |                   2 |               140 |
| Uttar Pradesh                               | 19    | 820   |                     263 |                1612 |              2714 |
| Uttarakhand                                 |       | 62    |                      62 |                 101 |               225 |
| West Bengal                                 |       |       |                      61 |                   7 |                68 |

## Functional Health and Wellness Centres as on 20 th July 2021

| S.No.   | STATE                     | Functional HWCs as on 20 th July 2021   | Functional HWCs as on 20 th July 2021   | Functional HWCs as on 20 th July 2021   | Functional HWCs as on 20 th July 2021   |
|---------|---------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|
|         |                           | SHC-HWC*                                | PHC-HWC**                               | UPHC-HWC***                             | TOTAL                                   |
| 1       | Andaman & Nicobar Islands | 58                                      | 17                                      | 5                                       | 80                                      |
| 2       | Andhra Pradesh            | 2,904                                   | 1,145                                   | 243                                     | 4,292                                   |
| 3       | Arunachal Pradesh         | 136                                     | 63                                      | 4                                       | 203                                     |
| 4       | Assam                     | 1,539                                   | 617                                     | 53                                      | 2,209                                   |
| 5       | Bihar                     | 1,057                                   | 1,019                                   | 98                                      | 2,174                                   |
| 6       | Chandigarh                | 0                                       | 28                                      |                                         | 28                                      |
| 7       | Chhattisgarh              | 2,457                                   | 634                                     | 45                                      | 3,136                                   |
| 8       | Dadra & Nagar Haveli      | 52                                      | 8                                       |                                         | 60                                      |
|         | Daman & Diu               | 26                                      | 4                                       |                                         | 30                                      |
| 9       | Goa                       | 53                                      | 54                                      | 5                                       | 112                                     |
| 10      | Gujarat                   | 4,468                                   | 1,469                                   | 316                                     | 6,253                                   |
| 11      | Haryana                   | 430                                     | 360                                     | 100                                     | 890                                     |
| 12      | Himachal Pradesh          | 554                                     | 497                                     | 14                                      | 1,065                                   |
| 13      | Jammu & Kashmir           | 915                                     | 378                                     | 16                                      | 1,309                                   |
| 14      | Jharkhand                 | 1,378                                   | 177                                     | 54                                      | 1,609                                   |
| 15      | Karnataka                 | 3,298                                   | 2,166                                   | 365                                     | 5,829                                   |
| 16      | Kerala                    | 1,520                                   | 859                                     | 93                                      | 2,472                                   |
| 17      | Ladakh                    | 69                                      | 20                                      |                                         | 89                                      |
| 18      | Lakshadweep               | 0                                       | 3                                       |                                         | 3                                       |
| 19      | Madhya Pradesh            | 5,098                                   | 1,124                                   | 145                                     | 6,367                                   |
| 20      | Maharashtra               | 6,376                                   | 1,824                                   | 457                                     | 8,657                                   |
| 21      | Manipur                   | 154                                     | 55                                      | 2                                       | 211                                     |
| 22      | Meghalaya                 | 182                                     | 78                                      | 19                                      | 279                                     |
| 23      | Mizoram                   | 120                                     | 53                                      | 8                                       | 181                                     |
| 24      | Nagaland                  | 168                                     | 48                                      | 7                                       | 223                                     |
| 25      | Odisha                    | 316                                     | 1,229                                   | 90                                      | 1,635                                   |
| 26      | Puducherry                | 80                                      | 39                                      | 2                                       | 121                                     |
| 27      | Punjab                    | 2,270                                   | 328                                     | 93                                      | 2,691                                   |
| 28      | Rajasthan                 | 160                                     | 1,957                                   | 280                                     | 2,397                                   |
| 29      | Sikkim                    | 74                                      | 16                                      | 1                                       | 91                                      |
| 30      | Tamil Nadu                | 3,027                                   | 1,381                                   | 460                                     | 4,868                                   |
| 31      | Telangana                 | 1,875                                   | 634                                     | 223                                     | 2,732                                   |
| 32      | Tripura                   | 241                                     | 33                                      | 5                                       | 279                                     |
| 33      | Uttar Pradesh             | 6,644                                   | 1,656                                   | 435                                     | 8,735                                   |
| 34      | Uttarakhand               | 536                                     | 359                                     | 38                                      | 933                                     |
| 35      | West Bengal               | 4,041                                   | 783                                     | 339                                     | 5,163                                   |
| Total   |                           | 52,276                                  | 21,115                                  | 4,015                                   | 77,406                                  |

## Delhi does not implement HWC Programme

**- Primary Health Centre Health and Wellness Centre

***- Primary Health Centre Health and Wellness Centre

Annexure - V Central Release (allocation) for the activity Ayushman Bharat - Health & Wellness Centres for the FY 2018-

## 19 to 2020-21 (Rupees in crore)

|          |                                                      |                   | 0.85              |                   |
|----------|------------------------------------------------------|-------------------|-------------------|-------------------|
|          | &Nicobar Islands                                     |                   |                   |                   |
| 1        | Andaman                                              | 0.80              |                   | 1.16              |
| 2 3 4    | Andhra Pradesh Arunachal Pradesh Assam               | 43.51             | 52.44             | 59.38             |
| 5        |                                                      | 8.15              | 8.59 97.60 88.78  | 14.80 89.69       |
|          |                                                      | 68.67 88.50       | 0.84              | 119.22 1.51       |
|          | Bihar                                                |                   |                   |                   |
| 6        | Chandigarh                                           | 0.71 36.42 1.13   | 65.66             | 28.08 2.09        |
| 7 8 9    | Chattisgarh Dadra &Nagar Haveli and Daman &Diu Delhi | -                 | 1.64 -            | -                 |
|          | Goa                                                  |                   |                   |                   |
|          |                                                      | 0.79              |                   | 0.88              |
| 10       |                                                      |                   | 1.26              |                   |
| 11       | Gujarat                                              | 44.64             | 49.98 24.03 27.21 | 69.75 29.02 25.87 |
| 12       | Haryana                                              | 18.45             | 38.88             | 39.27             |
| 13       | Himachal Pradesh Jammu &Kashmir Jharkhand            | 16.08 32.66       |                   |                   |
| 14 15 16 |                                                      |                   |                   | -                 |
| 17       | Karnataka                                            | 26.02 47.98 18.43 | 75.81 54.70 21.65 |                   |
| 18       |                                                      |                   |                   | 75.51 27.73       |
|          | Kerala                                               |                   |                   |                   |
|          | Lakshadweep Pradesh                                  | 0.18              | 0.26 87.82 97.64  | 0.24              |
| 19       | Madhya Maharashtra Manipur                           | 87.74 91.27 5.44  |                   | 140.35 138.60     |
| 20 21 22 |                                                      | 8.64              |                   | 8.06 9.17         |
|          | Meghalaya Mizoram                                    | 4.03              | 9.22 12.46        |                   |
| 23 24 25 | Nagaland                                             |                   | 5.19              | 5.25 6.22 77.06   |
|          |                                                      | 5.01              | 5.34 95.49 0.22   |                   |
| 26 27    | Orissa Puducherry                                    | 48.34             | 20.39             | -                 |
| 28       |                                                      | 14.46 19.69 83.70 | 68.64             |                   |
|          | Punjab Rajasthan Sikkim                              | 2.16              | 1.62              | 22.17 62.63 2.71  |
| 29 30 31 | Tamil Nadu                                           | 56.41 10.18       | 89.12 13.57       | 82.65             |
|          |                                                      | 176.10            |                   | 9.27              |
|          | Tripura                                              |                   | 330.85            |                   |
| 32       | Uttar Pradesh                                        |                   |                   | 279.52            |
| 33 34 35 | Uttarakhand West Bengal Telangana                    | 19.62 59.47 46.14 | 30.31 61.55 33.70 | 26.93 99.44 35.94 |
| 36       | Ladakh                                               |                   |                   | 7.36              |
| Total    | Total                                                | 1,191.52 1,573.31 | 1,191.52 1,573.31 | 1,597.53          |

S. No.

Name of the State/UT

Allocation in 2018-19

Allocation in 2019-20

Note:  1. The above releases relate to Central Govt. Grants & do not include State share contribution.

Allocation in 2020-21

## Specialty wise breakup of packages and procedures under AB-PMJAY

| S. No.   | Specialty                          | HBP 2.1   | HBP 2.1   | HBP 2.1    |
|----------|------------------------------------|-----------|-----------|------------|
| S. No.   | Specialty                          | Code      | Packages  | Procedures |
| 1        | Burns Management                   | BM        | 6         | 21         |
| 2        | Cardiology                         | MC        | 21        | 27         |
| 3        | Cardio-thoracic & Vascular surgery | SV        | 35        | 129        |
| 4        | Emergency Room Packages            | ER        | 3         | 4          |
| 5        | General Medicine                   | MG        | 81        | 106        |
| 6        | General Surgery                    | SG        | 105       | 159        |
| 7        | Infectious Diseases                | ID        | 3         | 3          |
| 8        | Interventional Neuroradiology      | IN        | 10        | 15         |
| 9        | Medical Oncology                   | MO        | 72        | 264        |
| 10       | Mental Disorders Packages          | MM        | 10        | 10         |
| 11       | Neo-natal care Packages            | MN        | 10        | 10         |
| 12       | Neurosurgery                       | SN        | 61        | 94         |
| 13       | Obstetrics &Gynaecology            | SO        | 60        | 80         |
| 14       | Ophthalmology                      | SE        | 41        | 54         |
| 15       | Oral and Maxillofacial Surgery     | SM        | 14        | 19         |
| 16       | Orthopedics                        | SB        | 74        | 134        |
| 17       | Organ & Tissue Transplant          | OT        | 1         | 6          |
| 18       | Otorhinolaryngology                | SL        | 35        | 79         |
| 19       | Pediatric Medical management       | MP        | 48        | 67         |
| 20       | Pediatric surgery                  | SS        | 19        | 35         |
| 21       | Plastic & reconstructive Surgery   | SP        | 8         | 12         |
| 22       | Polytrauma                         | ST        | 10        | 23         |
| 23       | Radiation Oncology                 | MR        | 14        | 46         |
| 24       | Surgical Oncology                  | SC        | 80        | 125        |
| 25       | Urology                            | SU        | 96        | 146        |
| 26       | Unspecified Surgical               | US        | 1         | 1          |
| Total    | Total                              | Total     | 918       | 1669       |