Lok Sabha Question No. 2364 (UNSTARRED), answered on 2023-12-18
Subject: Health Sector Grant to Local Governments
Ministry: FINANCE
Asked by: Pramila Bisoyi, N.K. Premachandran

## GOVERNMENT OF INDIA MINISTRY OF FINANCE DEPARTMENT OF EXPENDITURE

## LOK SABHA UNSTARRED QUESTION NO. 2364

Answered on Monday the 18 th  December, 2023/ AGRAHAYANA 27, 1945 (SAKA)

## Health Sector Grant to Local Governments

## 2364.  SHRIMATI PRAMILA BISOYI: SHRI N. K. PREMACHANDRAN:

Will the Minister of FINANCE be pleased to state:

- (a) the details of the funds released by 15 th  Finance Commission as health sector grant utilization to local Governments for the Financial Years 2021-22, 202223 and till October 2023-24, State-wise including Kerala;
- (b) the  details  of  budget  utilization  certificates  submitted  by  States  including Kerala in this regard for the FYs 2021-22 and 2022-23;
- (c) whether there is any conditionality attached to utilize the said grant especially to  carry  out  recurring  expenditures  by  the  local  Governments;  if  so,    the details thereof;
- (d) the  action  initiated  by  the  Government  on  releasing  the  grants  to  Kerala without certificates as a special case; and
- (e) the steps taken or proposed to be taken by the Government to expedite the utilization of the said grant during the last two years?

## ANSWER MINISTER OF STATE FOR FINANCE

## (SHRI PANKAJ CHAUDHARY)

- (a) State-wise  details  of  15 th   Finance  Commission  recommended health sector grant through local governments released to States including Kerala  in the Financial  Years  2021-22,  2022-23  and  till  October  2023-24  are  given  in Annexure-I.

Contd. on page-2.

- (b) As per the Operational Guidelines issued by the Department of Expenditure for  the  release  of  health  grant  through  local  governments,  the  States including Kerala are required to submit Grant Transfer Certificate (GTC) of the  previous installment released.  Twenty-one states including Kerala have submitted the GTC for the grant released in the Financial Year (FY) 202122.  GTC has been submitted by two States (Tamil Nadu and West Bengal) for the grant released in the Financial Year (FY) 2022-23.
- (c) to (d) Health sector grant through local governments is to be utilized for the purpose stipulated by the 15 th   Finance  Commission for each component of health  grant  and  as  per  the  component  specific  approval  accorded  to  each State by the National Level Committee. No request for any relaxation in the guidelines in respect of the State of Kerala has been received so far from the Nodal Ministry.
- (e) Ministry of Health & Family Welfare (MoH&FW) being the Nodal Ministry is  continuously monitoring the utilization of the said grant through  NHMPMS portal  set  up  by  the  Ministry.    Further,  to  push  utilization  of  funds, States have been given flexibility for Inter-component adjustments with the prior approval of the National level Committee (NLC).

**********

## Annexure referred to in reply to Part (a) of the Lok Sabha Unstarred Question No.2364 for 18.12.2023.

| State-wise details of Health Grant through Local governments released   | State-wise details of Health Grant through Local governments released   | State-wise details of Health Grant through Local governments released   | State-wise details of Health Grant through Local governments released   | State-wise details of Health Grant through Local governments released         |
|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------------|
| S. No.                                                                  | Name of State                                                           | Amount of Health Grant Released in FY 2021-22 (Rs. in crore)            | Amount of Health Grant Released in FY 2022-23 (Rs. in crore)            | Amount of Health Grant Released in FY 2023-24, upto 30-10-2023 (Rs. in crore) |
| 1                                                                       | Andhra Pradesh                                                          | 488.1527                                                                | 1.17                                                                    | 489.7675                                                                      |
| 2                                                                       | Arunachal Pradesh                                                       | 46.944                                                                  | 0                                                                       | 0                                                                             |
| 3                                                                       | Assam                                                                   | 272.2509                                                                | 0.002                                                                   | 0                                                                             |
| 4                                                                       | Bihar                                                                   | 1116.3054                                                               | 0                                                                       | 0                                                                             |
| 5                                                                       | Chhattisgarh                                                            | 338.7944                                                                | 0                                                                       | 0                                                                             |
| 6                                                                       | Goa                                                                     | 31.4496                                                                 | 0                                                                       | 0                                                                             |
| 7                                                                       | Gujarat                                                                 | 629.22                                                                  | 367.3199                                                                | 0                                                                             |
| 8                                                                       | Haryana                                                                 | 301.379                                                                 | 3.1907                                                                  | 0                                                                             |
| 9                                                                       | Himachal Pradesh                                                        | 98.0099                                                                 | 0                                                                       | 0                                                                             |
| 10                                                                      | Jharkhand                                                               | 444.3983                                                                | 0.0529                                                                  | 0                                                                             |
| 11                                                                      | Karnataka                                                               | 551.53                                                                  | 0                                                                       | 0                                                                             |
| 12                                                                      | Kerala                                                                  | 427.13                                                                  | 94.3                                                                    | 458.0291                                                                      |
| 13                                                                      | Madhya Pradesh                                                          | 922.7992                                                                | 439.0192                                                                | 446.61                                                                        |
| 14                                                                      | Maharashtra                                                             | 778.0069                                                                | 16.6591                                                                 | 0                                                                             |
| 15                                                                      | Manipur                                                                 | 42.8771                                                                 | 0                                                                       | 0                                                                             |
| 16                                                                      | Meghalaya                                                               | 58.6484                                                                 | 0                                                                       | 0                                                                             |
| 17                                                                      | Mizoram                                                                 | 31.19                                                                   | 0                                                                       | 0                                                                             |
| 18                                                                      | Nagaland                                                                | 57.01                                                                   | 0                                                                       | 0                                                                             |
| 19                                                                      | Odisha                                                                  | 461.7673                                                                | 125.3005                                                                | 336.1457                                                                      |
| 20                                                                      | Punjab                                                                  | 399.6558                                                                | 0                                                                       | 0                                                                             |
| 21                                                                      | Rajasthan                                                               | 656.171                                                                 | 176.5638                                                                | 0                                                                             |
| 22                                                                      | Sikkim                                                                  | 20.978                                                                  | 0                                                                       | 0                                                                             |
| 23                                                                      | Tamil Nadu                                                              | 805.928                                                                 | 801.0777                                                                | 0                                                                             |
| 24                                                                      | Telangana                                                               | 418.2015                                                                | 419.1861                                                                | 0                                                                             |
| 25                                                                      | Tripura                                                                 | 84.082                                                                  | 0                                                                       | 0                                                                             |
| 26                                                                      | Uttar Pradesh                                                           | 1790.7712                                                               | 38.3167                                                                 | 0                                                                             |
| 27                                                                      | Uttarakhand                                                             | 150.0965                                                                | 0                                                                       | 0                                                                             |
| 28                                                                      | West Bengal                                                             | 828.0694                                                                | 826.7221                                                                | 2.337                                                                         |
| x                                                                       | Total                                                                   | 12251.8165                                                              | 3308.8807                                                               | 1732.8893                                                                     |