**Executive Summary**
This document is a response to Unstarred Question No. 1010 in the Lok Sabha regarding the Cashless Treatment for Road Accident Victims Scheme. It details the nationwide rollout of the scheme, funded jointly by General Insurance companies and the Central Government. The scheme was notified vide S.O. 2015(E) dated 05.05.2025 and Standard Operating Procedures (SOPs) for its implementation have been issued vide S.O. 2489 (E) dated 04.06.2025.
**Key Points / Main Content**
* **Scheme Overview:**
* Cashless Treatment for Road Accident Victims Scheme, 2025, has been notified under Section 162 of the Motor Vehicles Act, 1988.
* The scheme is jointly funded by General Insurance companies and the Central Government.
* It aims to provide seamless cashless treatment during the "Golden Hour," even in rural areas.
* **Implementation and Hospital Designation:**
* The National Health Authority has issued guidelines for onboarding additional hospitals by States/UTs (OM S-12018/81/2024 dated 20 May 2025).
* Hospitals empanelled under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) are automatically designated for the scheme.
* States/UTs are advised to mandate hospitals to provide treatment under the scheme.
* **Digital Infrastructure and Payment:**
* The scheme uses an end-to-end digital workflow integrating TMS 2.0 and eDAR.
* A complete digital trail exists from accident reporting through the 112 Emergency Response Support System (ERSS) platform to victim admission, treatment, police authentication, claim processing and final payment.
* Direct payment to hospitals will be enabled through the Public Financial Management System (PFMS).
* Payments to hospitals must be made within 10 days of claim approval by SHA for District Collectors or GI council.
* **Grievance Redressal and Monitoring:**
* A structured grievance redressal mechanism is in place at district, State, and national levels.
* District Road Safety Committees (DRSCs) are responsible for monitoring and coordination at the district level.
* Each district must appoint a Grievance Redressal Officer (GRO) to address scheme-related grievances.
* Grievances may be escalated to the District Collector, the State Road Safety Council (SRSC), or an Inter-Ministerial Steering Committee at the national level.
**Impact Analysis**
**Stakeholder: Road Accident Victims and Good Samaritans**
* **Impact:** Access to timely, cashless treatment at designated hospitals.
* **Action Required:** Utilize the 112 Emergency Response Support System (ERSS) to obtain information about the nearest designated hospital and ambulance services.
**Stakeholder: Hospitals (Public and Private)**
* **Impact:** Mandatory empanelment (especially private hospitals) and adherence to scheme guidelines for treatment and reimbursement.
* **Action Required:** Onboard under the scheme as per guidelines, implement TMS 2.0 and integrate with eDAR, and ensure compliance with claim processing protocols.
**Stakeholder: State Governments and Union Territories**
* **Impact:** Responsible for implementing and monitoring the scheme, onboarding additional hospitals, and ensuring compliance.
* **Action Required:** Designate and onboard hospitals, invoke laws regulating clinical establishments, and establish monitoring and grievance redressal mechanisms (DRSCs, GROs, SRSC).
**Stakeholder: Insurance Companies**
* **Impact:** Contribution to the scheme's funding, especially for insured vehicles.
* **Action Required:** Ensure timely payment of claims.
**Stakeholder: District Collectors/Deputy Commissioners**
* **Impact:** Responsible for overall implementation and monitoring of the scheme at the district level.
* **Action Required:** Onboard onto the Public Financial Management System (PFMS) to enable direct payment to hospitals.
Key Entities Referenced
Cashless Treatment for Road Accident Victims Scheme, 2025: A scheme for cashless treatment of road accident victims, aimed at providing timely medical care, especially within the "Golden Hour".
Section 162 of the Motor Vehicles Act, 1988: The legal mandate under which the Cashless Treatment for Road Accident Victims Scheme is based.
Ministry of Road Transport and Highways: The ministry responsible for overseeing the implementation and monitoring of the Cashless Treatment for Road Accident Victims Scheme.
112 Emergency Response Support System (ERSS): A platform integrated with the Cashless Treatment for Road Accident Victims Scheme to enable quick access to emergency services after a road accident.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY): Hospitals empanelled under this existing scheme are automatically deemed designated hospitals for the purposes of the Cashless Treatment for Road Accident Victims Scheme.
GOVERNMENT OF INDIA
MINISTRY OF ROAD TRANSPORT AND HIGHWAYS
LOK SABHA
UNSTARRED QUESTION NO - 1010
ANSWERED ON- 05TH FEBRUARY, 2026
CASHLESS TREATMENT FOR ROAD ACCIDENT VICTIMS
1010 KM. SUDHA R:
SHRI K C Venugopal:
Will the Minister of ROAD TRANSPORT AND HIGHWAYS
सड़क परिवहन औि िाजमार्ग मंत्री
be pleased to state:
(a) the timeline for the nationwide rollout of the cashless treatment
scheme for road accident victims and the budgetary allocation
made for its implementation;
(b) the manner in which the scheme will ensure seamless cashless
treatment during the "Golden Hour", particularly in rural and remote
areas with limited trauma care facilities;
(c) whether private hospitals will be mandatory empanelled under
the scheme and if so, the operational mechanism for reimbursing
hospitals;
(d) the manner in which the Road Safety Fund will be augmented to
meet the increased financial outgo under the scheme, especially in
cases involving uninsured vehicles;
(e) the details of safeguards proposed to prevent delays, denial of
treatment or misuse of funds; and
(f) whether robust grievance redressal and monitoring mechanisms
would be put in place and if so, the details thereof?
ANSWER
THE MINISTER OF ROAD TRANSPORT AND HIGHWAYS
(SHRI NITIN JAIRAM GADKARI)(a) to (d) In accordance with the legal mandate under Section 162
of the Motor Vehicles Act, 1988, Cashless Treatment for Road
Accident Victims Scheme, 2025 (Scheme) has been notified
vide S.O. 2015(E) dated 05.05.2025 . Further, comprehensive
guidelines detailing the process flow, roles and responsibilities of
various stakeholders, and the Standard Operating Procedures
(SOPs) for its implementation have been issued vide S.O. 2489 (E)
dated 04.06.2025.
The scheme is jointly funded with contributions by General
Insurance companies for cases where the offending motor vehicle is
insured. The contribution by General Insurance companies is a
percentage of the third-party premium. For cases involving road
accidents by motor vehicles other than insured, budgetary support
will be provided by the Central Government.
To ensure availability of treatment facilities in rural and remote
areas, National Health Authority has issued detailed guidelines for
designation and onboarding of additional hospitals by
States/UTs vide OM S-12018/81/2024 dated 20 May 2025. As per the
Scheme guidelines notified vide S.O. 2489(E) dated 04.06.2025,
hospitals empanelled under the Ayushman Bharat Pradhan Mantri
Jan Arogya Yojana (AB PM-JAY) shall be automatically deemed
designated hospitals for the purposes of the Scheme.
A complete digital trail for the Scheme will exist from the time
of accident reporting through the 112 Emergency Response Support
System (ERSS) platform to victim admission, treatment, police
authentication, claim processing and final payment. This has been
achieved through amalgamation of existing digital assets –
Electronic Detailed Accident Report (eDAR) used by police officials
and TMS 2.0 used by hospitals to ensure end-to-end digitization of
the scheme and tracking of each case. The revised scheme would
be launched when substantive number of District Collectors/Deputy
Commissioners of districts are onboarded on Public Financial
Management System (PFMS) to enable direct payment to hospitals.
(e) Through integration with the 112 Emergency Response
Support System (ERSS), the victim or Good Samaritan (RAH-VEER)
can obtain necessary information regarding the nearest designated
hospital and will be provided facility of an ambulance.
States/UTs have been advised to invoke provisions of laws
regulating clinical establishments and mandate hospitals to provide
treatment to road accident victims under the Cashless Scheme.The Scheme operates through an end-to-end digital workflow
integrating the Transaction Management System (TMS 2.0) and the
electronic Detailed Accident Report (eDAR) platform, creating an
electronic linkage between accident details and treatment records
for each case. To ensure timely payment to hospitals providing
cashless treatment under the scheme, a period of 10 days has been
defined from the claim being approved by SHA for District Collectors
or GI council to make the payments, as the case maybe.
(f) The Scheme provides for a structured grievance redressal and
monitoring mechanism at the district, State and national levels to
ensure effective implementation and timely resolution of issues.
Under the Scheme guidelines, District Road Safety Committees
(DRSCs) are responsible for overall monitoring and coordination at
the district level. A dedicated Grievance Redressal Officer (GRO) or
point of contact is required to be appointed at the district level by
the DRSC for addressing grievances related to the Scheme.
In case a grievance is not resolved satisfactorily at the district
level, the matter may be escalated to the District Collector and
thereafter to the State Road Safety Council (SRSC), which functions
as the nodal agency for implementation of the Scheme in the
respective State or Union Territory. At the national level, an Inter-
Ministerial Steering Committee chaired by Secretary, Ministry of
Road Transport and Highways, oversees the overall implementation
and monitoring of the Scheme, including review of issues arising
during execution.
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