Lok Sabha Question No. 5572 (UNSTARRED), answered on 2025-04-04
Subject: Expenditure under AB-PMJAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Adv Dean Kuriakose

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 5572 TO BE ANSWERED ON 04 TH APRIL, 2025

## EXPENDITURE UNDER AB-PMJAY

## 5572. ADVDEAN KURIAKOSE:

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

(a) the total expenditure incurred by the Union Government for claims under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) scheme alongwith the details of central contribution to the State Governments since its inception, State-wise;

(b) the overall claim expenditure of the State Governments under AB-PMJAY scheme since its inception, State-wise; and

(c) whether a committee was constituted by the Union Government for revision of the overall premium for the scheme and if so, the details thereof along with the main recommendations given by the committee for the State of Kerala?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a) and (b): Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (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 the Ministry of Finance, from time to time.

The ratio of Central share to State share for all States, except North-Eastern States and 3 Himalayan States/UTs, is 60:40. For North-Eastern States and 3 Himalayan States/UTs (viz. Jammu and Kashmir, Himachal Pradesh and Uttarakhand), the ratio of Central share to State share is 90:10. In the case of Union Territories, the Central contribution of premium is 100% for UTs without legislature, while it is 60:40 for those with legislature. The same ratio is applicable for expenditure for treatments of senior citizens of age 70 years and above.

State/UT-wise details of total expenditure incurred in hospital admissions under AB-PMJAY are at Annexure .

(c): Regular updation such as expansion of beneficiary base, inclusion of new procedures, empanelment of new hospitals and other improvements are done in the scheme as per requirements from time to time.

## State/UT-wise details of total expenditure incurred in hospital admissions under AB-PMJAY

| State/UT                    | Amount for hospital admissions (in crore of Rupees)   |
|-----------------------------|-------------------------------------------------------|
| Andaman And Nicobar Islands | 11.10                                                 |
| Andhra Pradesh              | 17,787.80                                             |
| Arunachal Pradesh           | 12.77                                                 |
| Assam                       | 2,630.43                                              |
| Bihar                       | 2,280.77                                              |
| Chandigarh                  | 63.97                                                 |
| Chhattisgarh                | 8,537.68                                              |
| DNH&DD                      | 113.78                                                |
| Goa                         | 5.21                                                  |
| Gujarat                     | 14,922.13                                             |
| Haryana                     | 3,258.50                                              |
| Himachal Pradesh            | 457.36                                                |
| Jammu And Kashmir           | 2,893.05                                              |
| Jharkhand                   | 2,923.18                                              |
| Karnataka                   | 8,922.62                                              |
| Kerala                      | 7,892.47                                              |
| Ladakh                      | 32.76                                                 |
| Lakshadweep                 | 4.14                                                  |
| Madhya Pradesh              | 8,570.12                                              |
| Maharashtra                 | 6,764.63                                              |
| Manipur                     | 294.34                                                |
| Meghalaya                   | 944.59                                                |
| Mizoram                     | 186.40                                                |
| Nagaland                    | 196.25                                                |
| Puducherry                  | 98.20                                                 |
| Punjab                      | 3,259.93                                              |
| Rajasthan                   | 7,216.97                                              |
| Sikkim                      | 24.77                                                 |
| Tamil Nadu                  | 8,230.80                                              |
| Telangana                   | 4,663.58                                              |
| Tripura                     | 405.60                                                |
| Uttar Pradesh               | 9,488.94                                              |
| Uttarakhand                 | 3,002.85                                              |

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