Lok Sabha Question No. 1044 (UNSTARRED), answered on 2015-12-04
Subject: Rashtriya Arogya Nidhi
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HARI MANJHI

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1044 TO BE ANSWERED ON 4 TH DECEMBER, 2015

## RASHTRIYA AROGYA NID HI

## 1044. SHRI HARI MANJHI:

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

(a)  whether  the  Government  has launched  Rashtriya  Arogya  Nidhi  (RAN) to  cater  to  the healthcare needs of the patients living below the poverty line (BPL);

(b) if so, the details thereof along with the name of the disea ses covered under the said scheme and name of hospitals empanelled therein;

(c)  whether  a  revolving  fund  of  Fifty Lakh  has  been  placed  at  the  disposal  of Central Government hospitals for providing financial assistance to the BPL patients, if so, the detai ls thereof; and

(d) whether the Government proposes to raise the amount of financial assistance from Rs. Two Lakhs to Five Lakhs in case where emergency surgery is to be conducted and if so, the details thereof?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (SHRI JAGAT PRAKASH NADDA)

(a) & (b) : Yes, The Rashtriya Arogya Nidhi (RAN) has been set up vide Resolution No. F -7- 2/96 - Fin - II  dated  13/1/1997  and  registered  under  the  Society  Registration  Act,  1860, Society . The RAN was set up to provide fin ancial assistance to patients, living below poverty line and who are suffering from major life threatening diseases, to receive medical trea any of the Government super speciality Hospitals/Institutes or other Government hospital financial as sistance to such patients is released in the form of 'one -time grant', which is released to the Medical Superintendent of the Hospital in which the treatment has been/is being re An  illustrative  list  of  categories  of  treatment  provided  from  the  fund is  at Annexure . All Government  hospitals/institutions  are  covered  for  treatment  to  poor  patients  under  Ra Arogya Nidhi.

(c): Yes. R evolving  funds  have  been  set  up  in  12  designated  Central  Government Hospitals/Institutions and funds upto Rs. Fifty L akhs are placed at their disposal for providing treatment to the BPL patients suffering from life threatening diseases.

(d): Financial powers delegated to 12 designated Central Government Hospitals/Instituti have been enhanced from Rs. Two Lakh to Rs. F ive Lakh for providing financial assistance in cases where emergency surgery is required.

An illustrative list of categories of treatment to be provided from the fund is as f llows : (This list is reviewed by the Technical Committee from time to time ):

## 1. Cardiology & Cardiac Surgery :

1. Pacemakers
2. CRT/Biventricular pacemaker
3. Automatic Implantable Cardioverter defibrillator (AICD)
4. Combo devices
5. Diagnostic Cardiac Catheterization including Coronary Angiography
6.  Interventional procedure including Angioplasty, Balloon Valvuloplasty e.g PTMC, Aortic & Pulmonary Ballon Valvulotomy, FFR, IVUS etc.
7. ASD, VSD and PDA device closure
8. Angioplasty including Pe ripheral Vascular Angioplasty, Aortic Angioplasty, Renal Angioplasty
9. Coil Embolization and Vascular plugs
10. Stents, Bare metal Stents as well as Drug Eluting Stents
11. Electrophysiological Studies (EPS) and Radio Frequency (RF) Ab lation
12. Heart surgery for Congenital and Acquired conditions including C.A.B.G, Valve replacement etc.
13. Vascular Surgery
14. Cardiac Transplantation etc.

## 2.Cancer :

1. Radiation treatment of all kinds including Radio Therapy and Gama Knife Surgery.
2. Anti - Cancer Chemotherapy supportive medication and antibiotic, Growth factor,
3. Bone Marrow Transplantation -Allogenic & Autologous
4. Diagonostic Procedures -Flow cytometry/cytogenetics /IHC Tumour Markers etc.
5. Surgery for cancer patients

## 3. Urology/Nephrology/Gastroenterology :

1. Dialysis and its consumable (Both haemodialysis as well as Peritoneal)
2. Plasmalpheresis including all consumbales.
3. Vascular access consumables (AV Grafts, catheters including perm catheters) for Dialysis
4. Renal transplant -cost of renal transplant varies, ceiling rate may be follo per CGHS rates.
5. Lithotripsy ( for Stones)
6. Treatment of Acute Humoral/Cellular Rejaection in kidney transplant.
7. Treatment of Rapidly progressive Glomerulonephritis, Nephritis and Vasculitis.
8. Liver Transplantation and Surgery for portal hypertension.

## 4.Orthopedics :

1. Artificial prosthesis for limbs
2. Implants and total hip and knee replacement
3. External fixaters
4. AO implants, used in the treatment of bone diseases and fractures
5. Spiral fixation Implant -Pedicle Screws (Traumatic, Paraplegic, Quadriplegic)
6. Implant for Fracture fixation (locking plates & modular)
7. Replacement Hip -Bipolar /fixed
8. Bone Substitutes

## 5 Neurosurgery - Neurology :

- 1 Brain Tumors
- 2 Head injuries
- 3 Intracranial aneurysm
- 4 Vascular Malformations of brain & spinal cord.
- 5 Spinal tumors
- 6 Degenerative /Demyelinating diseases of brain/spinal cord
- 7 Stroke
- 8 Epilepsy
- 9 Movement disorders
- 10 Neurological infections
- 11 Traumatic Spine Injury
- 12 Occlusive Vascular Disease of Brain

## 6.Endocrinology :

1. Cases of complicated diabetes which require one time treatment e.g. amputation or renal transplant
2. Hypo pituitarism
3. GH deficiency
4. Cushings Syndrome
5. Adrenal insufficiency
6. Endocrine surgery
7. Osteoporosis

## 7.  Mental Illness :

1. Organic Psychosis acute and chronic
2. Functional psychosis including Schizophrenia, Bio - polar disorders, delusional disorders and other acute polymorphic psychosis
3. Severe OCD,Somatoform disorders, eating disorders.
4. Developmental  disorders  including  autisms  spectrum  disorders  and Severe behavioural disorders during childhood.
5. Psycho  diagnosis,  neuropsychological  assessments,  IQ  assessments, blood  tests  like  serum  lithium  and  dr ug  level  of  carbamazepine, valporate,  phenytoin  and  any  other  similar  medications:  CSF  studie screening for substances or abuse/toxicology.

## 8. Miscellaneous:

Other  major  ill ness/treatment/intervention  considered  appropriate    for  financi assistance by Medical Superintendent/Committee ofDoctors could be considered for grant.