Lok Sabha Question No. 2152 (UNSTARRED), answered on 2015-12-11
Subject: Rashtriya Swasthya Bima Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MEENAKASHI LEKHI, KINJARAPU RAM MOHAN NAIDU, RITA TARAI, Pratyusha Rajeshwari Singh, RAJESH VERMA

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

## LOK SABHA UNSTARRED QUESTION NO. 2152 TO BE ANSWERED ON 11 TH DECEMBER, 2015

## RASHTRIYA SWASTHYA B IMA YOJANA

## 2152. SHRIMATI MEENAKASHI LEKHI:

SHRI RAM MOHAN NAIDU KINJARAPU:

SHRIMATI RITA TARAI:

SHRIMATI PRATYUSHA RAJESHWARI SINGH:

SHRI RAJESH VERMA :

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

- (a) whether Rashtriya Swasthya Bima Yojana (RSBY) has been implemented in all the States across the country, if so, the details thereof along with the funds allocated thereunder d of the last three years and the current year, State/UTwise;
- (b) whether the Government has constituted any committee/authority to study the implementation and effectiveness of the said scheme, if so, the details and the findings t
- (c) if not, the reasons therefor along with the time by which the said committee/ aut likely to be constituted;
- (d)  whether  the  Government  has  achieved  the  targets  fixed  under  the  said  scheme,  if  s details thereof and if not, the reasons therefor alongwith the steps taken by the Gover this regard;
- (e) whether the Government has issued any guideline for implementation of health insurance scheme for weavers under RSBY platform across all the States in the country, if so, the thereof; and
- (f) the steps taken by the Government to promote the RSBY in the country?

## ANSWER THE MINISTER OF HEALTH A ND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a) : Rashtriya Swasthya Bima Yojana (RSBY) a centrally sponsored health insurance scheme was launched in 2007 and operationalized in April, 2008. This Scheme has been transferred Ministry of Labour and Employment to Ministry of Health and Family Welfare on 'as is where is' basis with the effect from 01.04.2015. At present the Rashtriya Swasthya Bima Yojana

(RSBY) is being implemented in 19 States/UTs through Insurance mode . Th e scheme is being funded, both by Centre as well as by the implementing State, on the approved premium. F allocation  during  the  last  three  years  and  current  year  i.e.  2012 - 13  to  2015 - 16  for  release  of central share on premium under  RSBY is as under:

| Sl. No.   | Year     |   Budget Estimate (In Crore) |
|-----------|----------|------------------------------|
| 1         | 2012- 13 |                      1568.56 |
| 2         | 2013- 14 |                      1265    |
| 3         | 2014- 15 |                      1319.3  |
| 4         | 2015- 16 |                       700    |
| Total     | Total    |                      4852.86 |

- (b )  &  (c ) : An evaluation study was made by GIZ when RSBY was being implemented by M inistry of Labour and employment. Key findings are at Annexure.
- (d)3,68,36,005 beneficiar y families have been covered under RSBY Scheme against the t arget of 7,30,56,515 families in the states implementing RSBY. Reasons for low enrolment in some States are due to imp lementation of the scheme by the States in phased manner.
- (e) The Health Insurance Scheme for weavers by using RSBY platform is implemented only i the State of Tamil Nadu and the budget allocation for the same is made by Ministry of Text
- (f) Approval for continuation of RSBY has been granted to the implementing states as requ by them. Approval has also been granted to the states for floating of fresh tenders w required. All implementing states have been directed to take necessary action i n claiming release of central share on premium so that there is no delay in release of central share.

………………

## FINDINGS OF EVALUATION STUDY BY GESELLCHAFT FUR INTERNATIONALE ZUSAMMENARBEIT (GIZ) ON

## IMPLEMENTATION OF RSBY

- i. High levels of awareness on eligibility.  However, detailed information about the scheme was found to be lacking.
- ii. The non - enrolees had to spend more that Rs.17,000/ per year on an average for hospitalization while RSBY enrolled has spent very less out of pocket payment.
- iii. Access to private hospitals was noted in more than 70 percent of the respondents, both enrolees and non - enrolees.
- iv. 90% of the respondents mentioned being highly satisfied with the RSBY Scheme.

## Annexure