Lok Sabha Question No. 4300 (UNSTARRED), answered on 2024-12-20
Subject: Beneficiaries of Ayushman Bharat Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Giridhari Yadav, Shri Ramprit Mandal

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4300 TO BE ANSWERED ON 20 TH DECEMBER, 2024

## BENEFICIARIES OFAYUSHMAN BHARAT YOJANA

## 4300. SHRI GIRIDHARI YADAV: SHRI RAMPRIT MANDAL:

Will the Minister of HEALTHAND FAMILYWELFARE be pleased to state:

(a) whether the Government is aware that several hospitals refuse to provide treatment to the beneficiaries despite having Ayushman Card with them and force them to deposit money, if so, the details thereof; and

(b) whether the Government takes any action against such hospitals irrespective of being Government or private hospitals, if so, the details thereof?

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

(a) and (b): Under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), as per the terms and conditions of empanelment, hospitals cannot deny treatment to eligible beneficiaries of the scheme. In case of denial of treatment by the empaneled hospital, beneficiaries can lodge grievances. Under AB-PMJAY, a three-tier grievance redressal system at District, State and National level has been created to resolve the issues faced by beneficiaries in utilizing healthcare services. At each level, there is a dedicated nodal officer and Grievance Redressal Committees to address the grievances.

Beneficiaries can file their grievances using different mediums including web-based portal Centralized Grievance Redressal Management System (CGRMS), Central & State call centers (14555), email, letter to State Health Agencies (SHAs) etc. Based on the nature of grievance, necessary action including providing of support to the beneficiaries in availing treatment under the scheme, is taken.

Further, in appropriate cases, provisions for taking stringent action (such as de-empanelment, levying penalty on errant hospitals, suspension, issuance of warning letter, lodging of FIRs) are available to the State Health Authorities against fraudulent entities.

State/UT-wise details of private hospitals against which punitive action like suspension of hospital, issuance of warning letter and de-empanelment of hospital, have been taken, are as under:

| State/UT          |   Number of hospitals |
|-------------------|-----------------------|
| Andhra Pradesh    |                    39 |
| Assam             |                     1 |
| Bihar             |                     1 |
| Chandigarh        |                     2 |
| Chhattisgarh      |                     4 |
| Goa               |                     1 |
| Gujarat           |                     5 |
| Haryana           |                     7 |
| Jammu And Kashmir |                    42 |
| Jharkhand         |                     6 |
| Karnataka         |                    49 |
| Kerala            |                     8 |
| Madhya Pradesh    |                   127 |
| Punjab            |                    11 |
| Rajasthan         |                    10 |
| Tamil Nadu        |                    25 |
| Uttar Pradesh     |                   542 |

Note: Data as on 30.11.2024

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