Lok Sabha Question No. 125 (UNSTARRED), answered on 2024-02-02
Subject: Allocation of Funds under PMJAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nihal Chand Chauhan

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTHAND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 125 TO BE ANSWERED ON 02 ND FEBRUARY, 2024

## ALLOCATION OF FUNDS UNDER PMJAY

## 125. SHRI NIHAL CHAND:

Will the Minister of HEALTHAND FAMILYWELFARE be pleased to state:

- (a) the salient features of Pradhan Mantri Jan Arogya Yojana;
- (b) the details of the funds sanctioned, allocated and utilized so far under the said scheme in the States including Rajasthan;
- (c) the details of Health and Welfare centres functional in Rajasthan under the said scheme, districtwise;
- (d) the details of the number of beneficiaries covered so far under the said scheme in the States including Rajasthan; and
- (e) whether the Government has taken cognizance of the incidence of covering non-beneficiaries in the said scheme in States including Rajasthan and if so, the details thereof along with the details of the steps taken by the Government in this regard?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (PROF. S. P. SINGH BAGHEL)

- (a) to (e): Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is the world's largest publicly funded health assurance scheme which provides health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalization to 12 crore families. The salient features of the scheme are at Annexure-I .

The budget allocated under AB-PMJAY for the Financial Year 2023-24 is Rs. 7200 crore, out of which Rs. 4554.4 crore have been released to States/UTs implementing the scheme as part of central share of funds. There is no State specific allocation under the scheme. Central share of funds is released to the States/UTs on the basis of actual utilization of the scheme by the beneficiaries, subject to a ceiling.

As on 14.01.2024, a total amount of Rs. 501.3 crore has been released to the State of Rajasthan as part of central share of funds in current financial year (FY 2023-24).

In the State of Rajasthan, a total of 1,922 hospitals, including 969 private hospitals, have been empaneled to provide healthcare benefits to scheme beneficiaries. District-wise details of number of hospitals empaneled under the scheme in the State of Rajasthan are at Annexure-II.

Presently, 55 crore individuals corresponding to 12 crore families are covered under the scheme. Further, States/UTs have expanded the beneficiary base beyond SECC eligible families on their own.

In the State of Rajasthan, AB-PMJAY is being implemented in convergence with State specific scheme Mukhya Mantri Chiranjeevi Swasthya Bima Yojana (MMCSBY). A total of 1.40 crore families are eligible for healthcare benefits under the integrated scheme. Out of which 66.37 Lakh families are supported by Central and State Governments. Funding related to rest 73.6 Lakh families is managed by the State Government.

Beneficiaries under AB-PMJAY are verified through Aadhaar e-KYC only. Beneficiaries have to undergo Aadhaar authentication at the time of availing services. Since PMJAY is an entitlementbased scheme, the name of beneficiary is pre-decided and therefore, beneficiary database cannot be changed to add or replace beneficiaries. However, whenever the details about the ineligibility of any listed beneficiary is brought to the notice of SHA or NHA, necessary action is taken.

*****

## Salient features of AB-PMJAY are as follows:

-  It is the world's largest Government funded health insurance scheme in terms of the number of beneficiaries
-  It is a completely cashless and paperless scheme.
-  The scheme 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.
-  A versatile three-tier implementation framework has been setup to operationalize the scheme across National, State and district levels.
-  There is no cap of family size, age or gender. Hence, there is strong gender equity under PMJAY.
-  Benefits under PMJAY are portable throughout the country thereby helping beneficiaries hailing from medically underserved areas and belonging to migrant worker categories.
-  It has a robust, modular, scalable and interoperable IT platform. The IT platform ensures seamless exchange of information and a centralized database that is useful for evidencebased policy making.

## Progress of the scheme:

-  As on 29.01.2024, over 30.8 crore Ayushman Cards have been created across the country.
-  Approx. 50% of the individuals verified under PM-JAY IT system are women.
-  Further, 6.22 crore hospital admissions worth Rs. 79,174 crore have been authorized under the scheme.
-  Women account for approximately 48% of total authorized hospital admissions.

## District-wise details of number of hospitals empaneled under AB-PMJAY in the State of Rajasthan

| District       |   Number of hospitals empaneled |
|----------------|---------------------------------|
| Ajmer          |                              71 |
| Alwar          |                             115 |
| Banswara       |                              29 |
| Baran          |                              21 |
| Barmer         |                              51 |
| Bharatpur      |                              62 |
| Bhilwara       |                              50 |
| Bikaner        |                              42 |
| Bundi          |                              23 |
| Chittorgarh    |                              35 |
| Churu          |                              48 |
| Dausa          |                              40 |
| Dholpur        |                              14 |
| Dungarpur      |                              23 |
| Ganganagar     |                              79 |
| Hanumangarh    |                              44 |
| Jaipur         |                             374 |
| Jaisalmer      |                              23 |
| Jalore         |                              34 |
| Jhalawar       |                              27 |
| Jhunjhunu      |                              84 |
| Jodhpur        |                             123 |
| Karauli        |                              29 |
| Kota           |                              55 |
| Nagaur         |                              80 |
| Pali           |                              47 |
| Pratapgarh     |                              11 |
| Rajsamand      |                              27 |
| Sawai Madhopur |                              35 |
| Sikar          |                             104 |
| Sirohi         |                              20 |
| Tonk           |                              33 |
| Udaipur        |                              69 |
| Total          |                            1922 |