Lok Sabha Question No. 2140 (UNSTARRED), answered on 2025-08-01
Subject: National Health Mission in Meghalaya
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Saleng A Sangma

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2140 TO BE ANSWERED ON 01 st AUGUST 2025

## NATIONALHEALTH MISSION IN MEGHALYA

## 2140. SHRI SALENG ASANGMA:

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

- (a) the details of projects and funds, specifically related to the health sector and the National Health Mission (NHM), sanctioned for the State of Meghalaya during the last five years; and
- (b) the total amount of funds, if any, that were returned or reverted by the State Government of Meghalaya to the Union Government during the said period?

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

(a): Health is a state subject; hence, the responsibility for improving the healthcare facilities lies with the respective State/UT Governments. The Ministry of Health and Family Welfare (MoHFW) supplements the efforts of all States / UTs in the healthcare sector through various Central Schemes. Under National Health Mission, Ministry of Health & Family Welfare provides financial and technical support to States/UTs to strengthen their healthcare systems based on the requirements posed by them in their Programme Implementation Plans (PIPs). Government of India provides approval for the proposal in the form of Record of Proceedings (RoPs) as per norms & available resources. NHM supports initiatives/projects under RCH, Health System Strengthening, Disease control programmes and Infrastructure maintenance. The details of various health projects approved for the State of Meghalaya are available in public domain at:

https://nhm.gov.in/index4.php?lang=1&level=0&linkid=53&lid=66

In addition to the National Health Mission, Government of India has allocated funds for developing public healthcare infrastructure and services to Meghalaya:

- i. PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) envisages increased investments in public health and other health reforms to provide better access to health in rural areas. The measures under the PM-ABHIM focus on developing capacities of health systems and institutions across the continuum of care at all levels, primary, secondary and tertiary, to prepare health systems in responding effectively to the current and future pandemics/disasters.
- ii. T he 15th Finance Commission (XV-FC) health grants complement existing budgets by providing ₹70,051 crore for 2021-26 to strengthen primary healthcare services. These grants empower local governments to upgrade Sub-Centers( SHCs), PHCs, and Urban Ayushman Arogya Mandir.
- iii. lndia COVID-19 Emergency Response & Health System Preparedness Package (ECRP-I & ll) : These packages, launched during the pandemic, aimed to build a resilient health system and provide free COVlD-19 testing, treatment, and vaccination. This reduced OOPE for pandemic-related healthcare expenses.
- iv. Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) offers cashless healthcare coverage of up to ₹5 lakh per eligible family per year for secondary and tertiary hospitalization. AB PM-JAY beneficiaries are eligible to take the benefits of the scheme through a network of over 31,466 hospitals in which 14,194 are private hospitals.
5. (b): Details of funds, specifically related to the health sector and the National Health Mission (NHM), sanctioned for the State of Meghalaya during the last five years are given at Annexure.

No funds were returned or reverted by the State Government of Meghalaya to the Union Government.

Annexure referred to in reply to parts (a) & (b) of the Lok Sabha Unstarred Question No. 2140 for 01.08.2025 asked by Shri Saleng A Sangma, Hon'ble MP regarding 'National Health Mission in Meghalaya'

Details of funds sanctioned/released to the State Government of Meghalaya during last five years

## I. NHMand PM-ABHIM

| Financial Year   | NHM             | NHM         | PM-ABHIM        | PM-ABHIM    |
|------------------|-----------------|-------------|-----------------|-------------|
|                  | Central Release | Expenditure | Central Release | Expenditure |
| 2020-21          | 202.63          | 213.36      | -               | -           |
| 2021-22          | 282.46          | 227.08      | 9.65            | 0.00        |
| 2022-23          | 261.56          | 319.08      | 43.28           | 8.80        |
| 2023-24          | 261.39          | 305.83      | 4.42            | 28.02       |
| 2024-25          | 297.95          | 393.01      | 10.50           | 27.34       |

Note:

- (i) The above releases relate to Central Govt. Grants & do not include State share contribution.
- (ii) Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per FMRs submitted by States/UTs and is provisional.

## II. ECRP-I and ECRP-II

(Rs. in cr.)

(Rs. in cr.)

|   ECRP-I |   ECRP-II |
|----------|-----------|
|    15.61 |    104.12 |

Note:

- (i) Release under ECRP-Phase I and is 100% Centrally funded.
- (ii) Release under ECRP-Phase II and is as per funding pattern under NHM.

## III. 15th Finance Commission Grants

| Year               |   Allocation |   Approved Amount (As perNLC) |   Release |
|--------------------|--------------|-------------------------------|-----------|
| 2021-22 to 2025-26 |       310.95 |                         299.1 |    117.16 |

(Rs. in cr.)

## IV. Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

(Rs. in cr.)

| Financial Year   |   Funds Released |
|------------------|------------------|
| 2020-21          |            49.52 |
| 2021-22          |            22.28 |
| 2022-23          |            47.31 |
| 2023-24          |            49.74 |
| 2024-25          |            40.09 |

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