Central Government Health Scheme (CGHS) and Rashtriya Swasthya Bima Yojana (RSBY)

Central Government Health Scheme (CGHS) and Rashtriya Swasthya Bima Yojana (RSBY)

UNSTARRED QUESTION NO: 142

CGHS and RSBY

Rajiv Pratap Rudy

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

(a) whether the Central Government Health Scheme (CGHS) and Rashtriya Swasthya Bima Yojana (RSBY) has been effective in reducing the burden of out-ofpocket spending of poor households;

(b) if so, the details thereof, if not, the reasons therefor;

(c) the total number of beneficiaries under CGHS and RSBY during the last four years, year-wise and State-wise; and

(d) the total funds allocated under the CGHS and RSBY to the beneficiaries in the country, State/UT-wise particularly in Bihar?

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

(a) & (b): Central Government Health Scheme (CGHS) is a contributory scheme primarily of Central Government Employees and Pensioners. CGHS subscribers are provided health facilities including OPD, medicines, reimbursement of expenditure incurred on hospitalization etc. On the other hand, Rashtriya Swasthya Bima Yojana (RSBY), which has now been subsumed in Ayushman Bharat-PMJAY, provided hospitalization cover of upto Rs. 30,000/- per Annum (on family floater basis) to upto 5 members of BPL and 11 other categories of unorganized workers’ families. No assessment to measure reduction in out of pocket spending of poor households by RSBY has been done by the Government. 

(c): The number of CGHS beneficiaries during last four years is at Annexure-I. The total number of enrolled families under RSBY during the last four years year- wise and State-wise is at Annexure-II.

(d): Details of Funds allocated to CGHS Cities including CGHS, Patna, are at Annexure-III. There is no beneficiary wise allocation of Funds under RSBY by the Central Government. The details of funds released under RSBY State/ UT wise is at Annexure IV. No amount was released to Bihar during last four years.

Annexure-I 
  

City Name	As on 31-03-2016	As on 31-03-2017	As on 31-03-2018	As on 31-03-2019
AGARTALA	46	49	1830	4367
AHMEDABAD & GANDHINAGAR	42151	47418	53188	60101
AIZAWAL	25	26	49	572
AMBALA	2	2	2	10
BENGALURU	101319	106342	111942	119140
BERHAMPUR	2	2	2	4
BHOPAL	11503	13239	14810	16351
BHUBANESHWAR	15895	17359	19229	21966
CHANDIGARH	24896	27588	30375	33556
CHENNAI	94193	100424	108371	115461
CUTTACK	29	33	35	306
DEHRADUN	17870	21767	24771	29618
DELHI AND NCR	1349104	1455969	1554786	1665908
GANGTOK	17	19	41	163
GAYA	0	0	2	2
GOA	44	54	792	3152
GUNTUR	2	2	2	38
GUWAHATI	36812	40208	43762	49483
HYDERABAD	157044	167698	177570	187989
IMPHAL	68	82	815	2385
INDORE	893	1426	1817	2481
JABALPUR	74262	78956	82869	86467
JAIPUR	43364	48120	52632	57908
JALANDHAR	25	28	34	48
JALPAIGURI	0	0	0	12
JAMMU	1442	2020	3040	5889
KANPUR	70331	75608	79736	84377
KOLKATA	123256	133265	144197	155017
LUCKNOW	55232	59627	64266	70093
MEERUT	35331	37334	39527	42090
MORADABAD	3	3	3	3
MUMBAI	139473	150389	167429	184138
NAGPUR	70487	73673	76535	79432
NELLORE	16	16	18	134
PATNA	35164	37882	41140	44955
PONDICHERRY	154	1173	1634	2026
PRAYAGRAJ	51441	53947	56443	59305
PUNE	96957	103550	109327	115826
RAIPUR	175	194	679	1037
RAJAHMUNDRY	14	14	15	15
RANCHI	12349	13688	15082	16779
SHILLONG	12340	14327	16964	19760
SHIMLA	387	1650	2086	2948
SILIGURI	0	0	0	23
TIRUNELVELI	8	8	10	10
TRICHY	331	377	420	472
TRIVANDRUM	32248	34687	37256	39662
VADODARA	0	0	1	33
VARANASI	64	90	122	366
VIJYAWADA	24	26	28	123
VISAKHAPATNAM	3389	6437	13477	17205
TOTAL	2710182	2926796	3149161	3399206

Annexure II   

RSBY Schem e: Statewise Status for the last four years
S.No.	State	No. of Enrolled Families
Year		2015-16	2016-17	2017-18	2018-19
1	Assam	1421104	1421104	1421104	*
2	Bihar	6899144	7028409	7028409	*
3	Chhattisgarh	3442749	4146227	4146227	4146227
4	Gujarat	1876628	2691497	2691497	2691497
5	Haryana	437850	*	*	*
6	Himachal Pradesh	480588	480588	480588	480588
7	Jharkhand	1682894	*	*	*
8	Karnataka	6731881	6206620	6206620	6206620
9	Kerala	2021572	2060953	2044417	2044417
10	Manipur	70925	70925	70925	70925
11	Meghalaya	256138	256138	130516	130516
12	Mizoram	152983	194886	194886	194886
13	Nagaland	*	255314	233328	233328
14	Orissa	4462959	4462959	4462959	4462959
15	Punjab	232352	*	*	*
16	Rajasthan	2769097	*	*	*
17	Tripura	492022	481331	481331	481331
18	Uttar Pradesh	285229	*	*	*
19	Uttarakhand	1464242	285229	*	*
20	West Bengal	6150716	6290446	6290446	6290446
Grand Total		41331073	36332626	35883253	27433740

 * States not implementing RSBY during the period.

Annexure III
     

Funds Allocated to CGHS Cities for the year 2019-20
	CGHS City	STATE	( Rs. in Thousand)
1	AHEMDABAD	GUJARAT	630994
2	ALLAHABAD	UTTAR PRADESH	585699
3	BANGALORE	KARNATAKA	1340889
4	BHOPAL	MADHYA PRADESH	229998
5	BHUBANESWAR	ORRISA	269871
6	CHANDIGARH	CHANDIGARH	419711
7	CHENNAI	TAMIL NADU	1365202
8	DEHRADUN	UTTRAKHAND	424642
9	GUWAHATI	ASSAM	251698
10	HYDERABAD	TELANGNA & ANDHRA PRADESH	1749372
11	JABALPUR	MADHYA PRADESH	699188
12	JAIPUR	RAJASTHAN	955593
13	KANPUR	UTTAR PRADESH	845071
14	KOLKATA	WEST BENGAL	2100954
15	LUCKNOW	UTTAR PRADESH	924927
16	MEERUT	UTTAR PRADESH	645765
17	MUMBAI	MAHARASHTRA	1808931
18	NAGPUR	MAHARASHTRA	985104
19	PATNA	BIHAR	479401
20	PUNE	MAHARASHTRA	1105580
21	RANCHI	JHARKHAND	157935
22	SHILLONG	MEGHALAYA	90851
23	THIRUVANTHAPURAM	KERALA	528490
24	Delhi & NCR	Delhi	18174458

  Annexure-IV
   

RSBY Scheme: Statewise fund release Status for the last four years
		Amount released in Financial Year (Rs. In Crore)
Sr. No.	Name of State	2015-16	2016-17	2017-18	2018-19
1	Assam	23.24	54.72	0.00	0.00
2	Chhattisgarh	88.77	114.09	171.38	0.00
3	Gujarat	74.24	22.34	15.07	31.55
4	Haryana	4.67	0.60	0.00	0.00
5	Himachal Pradesh	13.90	12.30	6.15	0.00
6	Karnataka	94.99	45.89	7.39	21.93
7	Kerala	112.37	73.29	77.53	86.90
8	Madhya Pradesh	1.00	0.00	0.00	0.00
9	Manipur	1.17	2.20	0.00	0.00
10	Meghalaya	4.10	4.10	0.00	11.08
11	Mizoram	9.43	14.13	12.96	5.48
12	Nagaland	0.00	0.00	4.87	0.00
13	Odisha	59.55	31.70	55.75	55.76
14	Puducherry	0.17	0.00	0.00	0.00
15	Punjab	2.80	0.00	0.00	0.00
16	Rajasthan	53.57	0.00	0.00	0.00
17	Tripura	15.64	10.83	0.04	0.00
18	Uttar Pradesh	11.91	0.00	0.00	0.00
19	Uttarakhand	10.20	0.00	9.15	0.00
20	West Bengal	93.38	50.47	95.01	9.73
Grand Total		675.10	436.66	455.30	222.42