Lok Sabha Question No. 40 (UNSTARRED), answered on 2024-02-02
Subject: Beneficiary under AB-PMJAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajeshbhai Naranbhai Chudasama

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

## LOK SABHA UNSTARRED QUESTION NO. 40 TO BE ANSWERED ON 02 ND FEBRUARY, 2024

## BENEFICIARY UNDER AB-PMJAY

## 40. SHRI RAJESHBHAI CHUDASAMA:

Will the Minister of HEALTHAND FAMILYWELFARE be pleased to state:

- (a) the total number of beneficiaries treated under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) since its inception, year-wise and State/UT-wise;
- (b) the reasons for the increase/decrease in expenditure incurred towards this programme for the beneficiaries;
- (c) the total insurance claimed from the hospitals/ healthcare institutions for this programme; and
- (d) the total insurance collected by the hospitals/ healthcare institutions for this programme?

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

- (a) to (d): State/UT-wise and Financial Year-wise details of number of authorized hospital admissions under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) are at Annexure .

AB-PMJAY is being implemented since September, 2018. Over the last five years of scheme implementation, 33 States/UTs have joined the scheme. The scheme uptake has gradually increased over the years. Further, States like Punjab and Rajasthan started implementing the scheme in late 2019, while the State of Telangana started the implementation of the scheme in May, 2021. Later, the uptake of the scheme was also affected during COVID-19 pandemic. All these factors impacted the overall uptake of the scheme.

The scheme utilization has now recorded a significant increase during the last two years. During 2022-23, the funds allocated have been fully utilized other than those under North-East component. Further, the budget allocated for the financial year 2023-24 is Rs. 7,200 crore out of which Rs. 4,553.4 crore have been released to States / UTs implementing AB-PMJAY as part of the Central share of funds. The budget allocation for the current year (FY 2023-24) is expected to be fully utilized based on the current trend of the scheme uptake.

As of 15 th Jan 2024, approximately 6.19 crore claims have been submitted by the empanelled hospitals for the treatment provided under AB-PMJAY. As on date, 5.78 crore claims have been settled.

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## State/UT-wise and Financial Year-wise details of number of authorized hospital admissions under AB-PMJAY

| State / UT                  | FY2018-19   | FY2019-20   | FY2020-21   | FY2021-22   | FY2022-23   | FY2023-24   |
|-----------------------------|-------------|-------------|-------------|-------------|-------------|-------------|
| Andaman And Nicobar Islands | 14          | 150         | 311         | 794         | 695         | 413         |
| Andhra Pradesh              | 1,39,925    | 5,76,991    | 7,56,406    | 11,60,904   | 15,42,183   | 12,62,734   |
| Arunachal Pradesh           | 375         | 1,234       | 70          | 231         | 1,019       | 846         |
| Assam                       | 32,702      | 84,422      | 91,772      | 1,75,310    | 2,39,612    | 3,10,496    |
| Bihar                       | 18,462      | 1,50,567    | 84,812      | 1,14,882    | 2,12,504    | 1,97,009    |
| Chandigarh                  | 273         | 3,135       | 5,206       | 8,207       | 10,271      | 11,113      |
| Chhattisgarh                | 2,30,971    | 6,27,786    | 4,92,288    | 8,93,285    | 12,86,731   | 10,17,055   |
| DNHandDD                    | 7,675       | 31,621      | 18,862      | 20,526      | 21,422      | 14,481      |
| Goa                         | 9,723       | 374         | 139         | 167         | 407         | 1,420       |
| Gujarat                     | 3,14,087    | 11,38,567   | 8,23,589    | 5,58,564    | 9,08,184    | 8,19,523    |
| Haryana                     | 10,426      | 93,830      | 1,37,044    | 1,84,108    | 2,82,782    | 3,41,886    |
| Himachal Pradesh            | 8,238       | 45,089      | 28,394      | 46,548      | 62,142      | 41,316      |
| Jammu AndKashmir            | 6,278       | 65,762      | 62,519      | 2,46,823    | 3,79,759    | 2,69,539    |
| Jharkhand                   | 1,07,125    | 4,02,636    | 2,92,945    | 3,24,024    | 4,05,671    | 2,58,022    |
| Karnataka                   | 1,18,153    | 5,80,443    | 6,52,150    | 10,83,580   | 22,13,619   | 24,33,887   |
| Kerala                      | -           | 9,69,810    | 10,40,111   | 16,96,845   | 12,22,500   | 5,16,487    |
| Ladakh                      | -           | -           | -           | 505         | 5,186       | 4,324       |
| Lakshadweep                 | -           | 1           | -           | 64          | 401         | 322         |
| Madhya Pradesh              | 42,612      | 2,61,496    | 3,77,006    | 7,02,119    | 11,49,586   | 10,14,950   |
| Maharashtra                 | 1,08,062    | 2,03,957    | 1,42,631    | 1,29,700    | 3,17,164    | 3,02,664    |
| Manipur                     | 1,459       | 12,527      | 16,330      | 24,050      | 38,866      | 25,853      |
| Meghalaya                   | 1,122       | 1,24,358    | 1,23,680    | 1,45,224    | 1,85,112    | 1,28,454    |
| Mizoram                     | 7,067       | 27,584      | 16,915      | 13,904      | 23,309      | 21,679      |
| Nagaland                    | 262         | 10,096      | 7,344       | 5,650       | 12,456      | 21,227      |
| Puducherry                  | -           | 1,361       | 2,477       | 11,863      | 24,733      | 24,223      |
| Punjab                      | -           | 1,94,052    | 4,15,749    | 5,28,728    | 2,96,695    | 4,99,661    |
| Rajasthan                   | -           | 9,25,683    | 4,18,192    | 12,34,819   | 16,40,401   | 15,90,934   |
| Sikkim                      | 9           | 1,205       | 1,937       | 2,753       | 4,792       | 4,837       |
| Tamil Nadu                  | 8,05,291    | 8,15,775    | 18,94,989   | 44,94,343   | 14,19,371   | 7,90,670    |
| Telangana                   | -           | -           | -           | 2,71,016    | 5,59,443    | 4,85,617    |
| Tripura                     | 7,763       | 50,950      | 30,075      | 45,892      | 76,522      | 68,434      |
| Uttar Pradesh               | 65,920      | 2,81,158    | 3,14,580    | 4,94,345    | 8,22,346    | 8,57,219    |
| Uttarakhand                 | 20,321      | 1,24,524    | 1,12,217    | 1,81,034    | 2,58,843    | 2,50,414    |
| Total                       | 20,64,315   | 78,07,144   | 83,60,740   | 1,48,00,807 | 1,56,24,727 | 1,35,87,709 |

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