Lok Sabha Question No. 402 (STARRED), answered on 2026-03-20
Subject: PM-ABHIM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Gopal Jee Thakur, Shri Madhavaneni Raghunandan Rao

## GOVERNMENTOFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILYWELFARE

## LOK SABHA STARRED QUESTION NO. 402* TO BE ANSWERED ON THE 20 TH MARCH, 2026

## PM-ABHIM

## *402. SHRI MADHAVANENI RAGHUNANDAN RAO: SHRI GOPAL JEE THAKUR:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the salient features of the Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) including its components for strengthening the primary, secondary and tertiary healthcare systems;
- (b) the details of funds sanctioned, released and utilised along with the progress achieved under the scheme, State/UT-wise;
- (c) the key features and functional scope of the Integrated Public Health Laboratories (IPHLs), Block Public Health Units and Critical Care Blocks (CCBs) established under the scheme across the country, State/UT-wise;
- (d) the details of facilities that the proposed IPHLs and CCBs are likely to provide to the people;
- (e) the details of diagnostic, surveillance, emergency and critical care services proposed to be provided through IPHLs and CCBs, particularly in aspirational and tribal districts of the country;
- (f) whether the Government has any plan to start a special scheme for tribal dominated districts in the country, if so, the details thereof; and
- (g) the manner in which PM-ABHIM is strengthening public health preparedness and critical care infrastructure in the country?

## ANSWER

## THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a) to (g) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 402* FOR 20 TH MARCH, 2026

(a) to (g): The Pradhan Mantri -Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched on 25 October 2021 with an outlay of Rs.64,180 crore for the period 2021-22 to 2025-26 to strengthen public health infrastructure for addressing the critical gaps in primary healthcare, diagnostics, surveillance, and critical care services across rural and urban areas.

The scheme envisages a new generation of reforms to integrate and strengthen health service delivery and public health action by providing a continuum of care at all levels, namely primary, secondary, and tertiary and for preparing the health systems to respond effectively to pandemics and disasters.

The key functional scope of its components namely Integrated Public Health Laboratory (IPHL), is to strengthen the district level public health laboratory facilities for comprehensive diagnostic services, disease surveillance, outbreak detection and confirmation; Block Public Health Unit (BPHU) is to strengthen the public health functions including disease surveillance, epidemiological investigation and outbreak response at Block level; and Critical Care Block (CCB) is to provide advanced critical care services including ICU beds, oxygen supported beds, ventilators and other life-saving facilities at district level.

Further, the detailed features and functional scope of the Integrated Public Health Laboratories (IPHLs), Block Public Health Units (BPHUs) and Critical Care Blocks (CCBs) under the CSS component of PM-ABHIM are available in the Operational Guidelines of PM-ABHIM, available at the URL given below:

https://mohfw.gov.in/sites/default/files/Operational%20Guideline%20%28CSS %20Component%29\_PM-ABHIM.pdf

Under CSS component of the scheme, administrative approvals have been accorded to the States/UTs under PM-ABHIM for 5 years ' period i.e. FY 2021-22 to FY 2025-26 for an amount of Rs. 32,928.82 Crores for construction/ strengthening and establishment of 9519 Building-less Sub-Health Centre -Ayushman Arogya Mandirs (SHC-AAMs), 5456 Urban Ayushman Arogya Mandirs (Urban-AAMs), 2151 Block Public Health Units (BPHUs), 744 Integrated Public Health Laboratories (IPHLs) and 621 Critical Care Blocks (CCBs) at District Hospitals/Government Medical College level, including 168 IPHLs and 110 CCBs in Tribal Districts under PM-ABHIM.

The State/UT-wise details of Central Release and Expenditure under PM-ABHIM from FY 2022 -23 to FY 2024 -25 are placed at Annexure-I . Further, the State/UT-wise progress under PM-ABHIM is placed at Annexure-II .

As a special initiative for the tribal areas, relaxation in NHM norms has been provided up to 10 Mobile Medical Units (MMUs) per district with Particularly Vulnerable Tribal Groups (PVTG) areas under the Pradhan Mantri Janjati Adivasi Nyaya Maha Abhiyan (PM-JANMAN), of Ministry of Tribal Affairs (MoTA) and up to 4 Mobile Medical Units (MMUs) per district are permitted in tribal and hard-to-reach areas, compared to 2 in plain districts.

Under NHM, the Ministry of Health and Family Welfare (MoHFW) is responsible for two key interventions: of the scheme Dharti Aaba Janjatiya Gram Utkarsh Abhiyan (DA-JGUA) of Ministry of Tribal Affairs (MoTA) namely, (i) provision of Mobile Medical Units (MMUs) to cover left-out villages lacking nearby healthcare facilities, and (ii) issuance of Ayushman Cards to uncovered tribal households under the Pradhan Mantri Jan Arogya Yojana (PM-JAY).

Under National Health Mission (NHM), norms have been relaxed for tribal/hilly/hard-to-reach areas to strengthen healthcare access. The population criteria for setting up Sub-Health Centres (SHCs), Primary Health Centres (PHCs), and Community Health Centres (CHCs) have been reduced from 5,000 to 3,000, 30,000 to 20,000, and 1,20,000 to 80,000, respectively. One Accredited Social Health Activist (ASHA) is allowed per habitation in tribal and hard-to-reach areas instead of one per 1,000 population.

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Annexure I State/UT-wise Central Release and Expenditure under Pradhan Mantri Ayushman Bharat Health Infrastructure Mission from FY 2022-23 to FY 2024-25

(Rs. In Crore)

| S. No.   | Name of the State/UT               | 2022-23         | 2022-23      | 2023-24         | 2023-24      | 2024-25         | 2024-25      |
|----------|------------------------------------|-----------------|--------------|-----------------|--------------|-----------------|--------------|
| S. No.   | Name of the State/UT               | Central Release | Expendit ure | Central Release | Expendit ure | Central Release | Expendi ture |
| 1        | Andaman and Nicobar Islands        | 1.11            | 0.00         | 0.00            | 0.00         | 1.05            | 1.57         |
| 2        | Andhra Pradesh                     | 15.76           | 6.25         | 35.78           | 28.85        | 39.07           | 65.16        |
| 3        | Arunachal Pradesh                  | 0.10            | 0.00         | 8.83            | 2.25         | 1.05            | 2.44         |
| 4        | Assam                              | 2.26            | 1.16         | 91.45           | 68.45        | 159.61          | 177.34       |
| 5        | Bihar                              | 7.17            | 0.00         | 0.00            | 50.69        | 15.92           | 185.61       |
| 6        | Chandigarh                         | 4.79            | 1.73         | 10.38           | 5.83         | 5.13            | 6.34         |
| 7        | Chattisgarh                        | 1.34            | 11.01        | 32.23           | 19.64        | 18.63           | 31.05        |
| 8        | Dadra &Nagar Haveli and Daman &Diu | 0.24            | 0.00         | 0.28            | 0.21         | 0.53            | 0.51         |
| 9        | Delhi                              | 0.00            | 0.00         | 0.00            | 0.00         | 0.00            | 0.00         |
| 10       | Goa                                | 0.06            | 0.00         | 3.75            | 0.00         | 0.10            | 0.21         |
| 11       | Gujarat                            | 29.54           | 32.24        | 46.04           | 56.13        | 79.38           | 146.63       |
| 12       | Haryana                            | 1.31            | 0.00         | 17.67           | 16.63        | 36.00           | 88.63        |
| 13       | Himachal Pradesh                   | 28.05           | 9.98         | 15.69           | 15.27        | 44.81           | 52.92        |
| 14       | Jammu &Kashmir                     | 1.00            | 0.00         | 44.01           | 36.67        | 60.44           | 63.71        |
| 15       | Jharkhand                          | 183.04          | 240.87       | 102.27          | 454.05       | 65.27           | 289.16       |
| 16       | Karnataka                          | 37.10           | 18.75        | 100.57          | 104.47       | 118.91          | 198.19       |
| 17       | Kerala                             | 24.89           | 4.72         | 0.00            | 36.66        | 24.58           | 36.15        |
| 18       | Ladakh                             | 0.00            | 0.00         | 0.62            | 0.31         | 0.62            | 0.62         |
| 19       | Lakshadweep                        | 0.63            | 0.00         | 0.00            | 0.07         | 0.00            | 0.51         |
| 20       | Madhya Pradesh                     | 98.70           | 99.43        | 228.52          | 300.93       | 63.19           | 295.14       |
| 21       | Maharashtra                        | 4.07            | 0.00         | 31.76           | 34.47        | 65.48           | 86.82        |
| 22       | Manipur                            | 10.92           | 4.56         | 13.78           | 16.89        | 5.74            | 21.20        |
| 23       | Meghalaya                          | 43.28           | 8.80         | 4.42            | 28.02        | 10.50           | 27.34        |
| 24       | Mizoram                            | 1.52            | 0.27         | 4.52            | 1.32         | 3.82            | 7.27         |
| 25       | Nagaland                           | 0.08            | 0.00         | 4.42            | 0.60         | 0.00            | 1.71         |
| 26       | Odisha                             | 211.46          | 258.55       | 171.58          | 423.43       | 149.05          | 248.42       |
| 27       | Puducherry                         | 0.19            | 0.62         | 2.67            | 2.88         | 2.50            | 4.28         |
| 28       | Punjab                             | 24.16           | 0.00         | 0.00            | 2.07         | 8.92            | 45.33        |
| 29       | Rajasthan                          | 83.59           | 108.50       | 173.06          | 280.43       | 157.76          | 262.93       |
| 30       | Sikkim                             | 0.75            | 0.26         | 3.88            | 2.05         | 1.67            | 3.74         |
| 31       | Tamil Nadu                         | 150.42          | 183.35       | 279.36          | 389.37       | 224.99          | 512.33       |
| 32       | Telangana                          | 53.88           | 83.75        | 95.21           | 141.73       | 208.82          | 348.04       |

|   33 | Tripura       |   0.90 |   0.38 |   2.48 |   1.43 |   2.12 |   2.94 |
|------|---------------|--------|--------|--------|--------|--------|--------|
|   34 | Uttar Pradesh | 173.71 | 254.04 | 247.96 | 252.69 | 400.95 | 544.74 |
|   35 | Uttarakhand   |  32.31 |   1.6  |   0    |  16.35 |  26.89 |  31.07 |
|   36 | West Bengal   |   0    |   9.75 |  30.91 |  49.78 |  78.4  |  92.35 |

Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution.
2. 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.

## Annexure-II

## I. Building less-AAM (Sub-Centers - Ayushman Arogya Mandir)

| S. No.   | States         |   Units Approved |
|----------|----------------|------------------|
| 1        | Rajasthan      |             1112 |
| 2        | Jharkhand      |              893 |
| 3        | Manipur        |               64 |
| 4        | Uttar Pradesh  |             1670 |
| 5        | Assam          |              768 |
| 6        | Odisha         |              604 |
| 7        | West Bengal    |              385 |
| 8        | Meghalaya      |              251 |
| 9        | Bihar          |             2546 |
| 10       | Andhra Pradesh |              696 |
| 11       | Karnataka      |              530 |
|          | Total          |             9519 |

## II. Urban- AAM(U-HWC)

| S. No.   | State / UT       |   Units Approved |
|----------|------------------|------------------|
| 1        | Andhra Pradesh   |               45 |
| 2        | Chandigarh       |               19 |
| 3        | DNH&DD           |                4 |
| 4        | Gujarat          |              410 |
| 5        | Mizoram          |                1 |
| 6        | Odisha           |              140 |
| 7        | Tamil Nadu       |              708 |
| 8        | Telangana        |              500 |
| 9        | Karnataka        |              817 |
| 10       | Puducherry       |               32 |
| 11       | Jammu &Kashmir   |               79 |
| 12       | Rajasthan        |              639 |
| 13       | Uttar Pradesh    |              674 |
| 14       | Himachal Pradesh |               38 |
| 15       | Delhi            |             1139 |
| 16       | A&NIslands       |                4 |
| 17       | Manipur          |                3 |
| 18       | West Bengal      |              204 |
|          | Total            |             5456 |

## III. Block Public Health Units (BPHUs)

| S. No   | State / UT       |   Units Approved |
|---------|------------------|------------------|
| 1       | Chhattisgarh     |               91 |
| 2       | Jammu &Kashmir   |              287 |
| 3       | Madhya Pradesh   |              196 |
| 4       | Rajasthan        |              184 |
| 5       | Odisha           |              197 |
| 6       | Uttarakhand      |               78 |
| 7       | Uttar Pradesh    |              515 |
| 8       | Himachal Pradesh |               73 |
| 9       | Assam            |              207 |
| 10      | Jharkhand        |              165 |
| 11      | Bihar            |              158 |
|         | TOTAL            |             2151 |

## IV. Integrated Public Health Labs (IPHLs)

|   S. No. | State / UT     |   Units Approved |
|----------|----------------|------------------|
|        1 | A&NIslands     |                3 |
|        2 | Andhra Pradesh |               26 |
|        3 | Bihar          |               38 |
|        4 | Chandigarh     |                1 |
|        5 | Chhattisgarh   |               28 |
|        6 | DNH&DD         |                3 |
|        7 | Delhi          |               11 |
|        8 | Goa            |                2 |
|        9 | Haryana        |               22 |
|       10 | Jammu &Kashmir |               20 |
|       11 | Karnataka      |               31 |
|       12 | Ladakh         |                2 |
|       13 | Lakshadweep    |                1 |
|       14 | Madhya Pradesh |               55 |
|       15 | Manipur        |               15 |
|       16 | Meghalaya      |               10 |
|       17 | Nagaland       |               11 |
|       18 | Puducherry     |                4 |
|       19 | Punjab         |               22 |
|       20 | Rajasthan      |               33 |

| 21   | Sikkim            |   3 |
|------|-------------------|-----|
| 22   | Tamil Nadu        |  38 |
| 23   | Telangana         |  33 |
| 24   | Tripura           |   7 |
| 25   | Maharashtra       |  36 |
| 26   | Himachal Pradesh  |  12 |
| 27   | Mizoram           |  10 |
| 28   | Uttar Pradesh     |  75 |
| 29   | Kerala            |  14 |
| 30   | Gujarat           |  33 |
| 31   | West Bengal       |  23 |
| 32   | Odisha            |  30 |
| 33   | Jharkhand         |  24 |
| 34   | Assam             |  33 |
| 35   | Arunachal Pradesh |  22 |
| 36   | Uttarakhand       |  13 |
|      | Total             | 744 |

## V. Critical Care Hospital Block (CCBs)

|   S. No. | State / UT     |   Units Approved |
|----------|----------------|------------------|
|        1 | Andhra Pradesh |               24 |
|        2 | Bihar          |               38 |
|        3 | DNH&DD         |                1 |
|        4 | Madhya Pradesh |               50 |
|        5 | Maharashtra    |               36 |
|        6 | Manipur        |                2 |
|        7 | Meghalaya      |                3 |
|        8 | Mizoram        |                1 |
|        9 | Nagaland       |                1 |
|       10 | Punjab         |               22 |
|       11 | Rajasthan      |               33 |
|       12 | Sikkim         |                1 |
|       13 | Tamil Nadu     |               37 |
|       14 | Tripura        |                1 |
|       15 | Telangana      |               31 |
|       16 | Chhattisgarh   |               23 |
|       17 | Jharkhand      |               23 |
|       18 | West Bengal    |               22 |

| 19   | Jammu &Kashmir    |   10 |
|------|-------------------|------|
| 20   | Karnataka         |   34 |
| 21   | Himachal Pradesh  |    8 |
| 22   | Gujarat           |   32 |
| 23   | Uttar Pradesh     |   74 |
| 24   | Odisha            |   28 |
| 25   | Uttarakhand       |    5 |
| 26   | Puducherry        |    4 |
| 27   | Kerala            |   14 |
| 28   | Assam             |   27 |
| 29   | Haryana           |   22 |
| 30   | A&NIslands        |    1 |
| 31   | Arunachal Pradesh |    1 |
| 32   | Chandigarh        |    1 |
| 33   | Delhi             |    9 |
| 34   | Goa               |    2 |
|      | Total             |  621 |

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