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Date: 2025-12-05 Category: Not Applicable State: Union Government Country: India

Parliament Question: Central Funds Released under NHM

Issued by Ministry of Health and Family Welfare · Not Applicable

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Executive Summary & Key Takeaways

**Executive Summary** The document is a response to Lok Sabha Unstarred Question No. 969, regarding central funds released under the National Health Mission (NHM). It provides details of funds allocated, released, and utilized by the Union Government to states across the country in the health sector from Financial Year (F.Y.) 2020-21 to F.Y. 2024-25. The original question was to be answered on 05th December, 2025. **Key Points / Main Content** * **National Health Mission (NHM) Overview:** * The Ministry of Health & Family Welfare (MoHFW) implements NHM to achieve universal access to equitable, affordable, and quality healthcare. * The Government provides technical and financial support to States/UTs to improve health infrastructure, human resources, availability, and accessibility to quality health care. * **Financial Details:** * State/UT-wise details of Central Release and Expenditure under NHM from F.Y. 2020-21 to F.Y. 2024-25 are provided in Annexure-I. * **State Responsibility:** * Public Health is a State subject; the primary responsibility of providing basic health services lies with the respective States/UTs Governments. * **Fund Allocation and Approval:** * Proposals from State/UT Governments are received as Programme Implementation Plans (PIPs). * The Government of India approves proposals in the form of Record of Proceedings (RoPs) as per norms and available resources. * Annual resource envelope is decided based on a state's population, area, health lag, and socio-economic factors. * **Funding Share:** * The funding is shared 60:40 between the Centre and the States (90:10 for the 8 North Eastern and 3 Himalayan States) and 100:0 for UTs without legislature. * **Compliance:** * The Release of funds is subject to compliance by States/UTs with guidelines from the Department of Expenditure, Ministry of Finance. **Impact Analysis** **State/UT Governments** * **Impact:** States receive financial and technical support to improve health infrastructure and services. States also have primary responsibility to ensure basic health services to all citizens. * **Action Required:** States/UTs must submit Programme Implementation Plans (PIPs). They must also comply with the guidelines prescribed by the Department of Expenditure, Ministry of Finance to receive funds under NHM and utilise funds effectively and report expenditures accurately. **Citizens:** * **Impact:** Citizens benefit from improved healthcare infrastructure, human resources, availability, and accessibility to quality health care, especially underserved and marginalized groups. * **Action Required:** No direct action required. **Ministry of Health and Family Welfare (MoHFW)** * **Impact:** MoHFW oversees the implementation of the National Health Mission (NHM) and is responsible for providing technical and financial support to States/UTs. * **Action Required:** Review proposals from State/UT Governments and provide approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

Key Entities Referenced

National Health Mission (NHM): A centrally sponsored scheme implemented by the Ministry of Health & Family Welfare to provide financial and technical support to States/UTs for improving healthcare access and quality. Ministry of Health and Family Welfare (MoHFW): The primary ministry responsible for implementing the National Health Mission and allocating funds for health initiatives across states and Union Territories. States/UTs: The recipients of central funds under the National Health Mission, responsible for implementing public health services and providing basic health services to their citizens. Programme Implementation Plans (PIPs): Proposals submitted by States/UTs to the Union Government detailing their plans for utilizing funds under the National Health Mission. Ministry of Finance: The funding source that dictates that funds under NHM are subject to compliance by the States/UTs.
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GOVERNMENTOFINDIA MINISTRYOFHEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE LOK SABHA UNSTARREDQUESTION NO. 969 TOBE ANSWERED ON05TH DECEMBER, 2025 CENTRALFUNDS RELEASED UNDERNHM 969.DR. SHARMILASARKAR: Will the Minister of HEALTHANDFAMILYWELFARE be pleasedtostate: (a) the amount of funds allocated/released and utilised by the Union Government to the States across the countryinthe healthsector during the last five years, State-wise andyear-wise; (b) the mannerin which such funds are allocated toeachStates andUnion Territoriesinthe country alongwith the criteria fixedfor distribution of these healthfunds; (c) the amount of funds owed/yet to be released to the State of West Bengal under the National HealthMission (NHM) andthe amount of funds releasedso far, year-wisedetails; and (d) the timeline fixedfor the release of the remainingfunds? ANSWER THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY WELFARE (SHRIPRATAPRAO JADHAV) (a) to (d): With the objective of attainment of universal access to equitable, affordable and quality health care services, the Ministry of Health & Family Welfare (MoHFW) is implementing National Health Mission (NHM). Government provides technical and financial support to the States/UTs for improvement in health infrastructure, availability of adequate human resources to health facilities, to improve availability and accessibility to quality health care especially for the underserved and marginalized groups. The details of State/UT-wise Central Release and Expenditure including West Bengal underthe National Health Mission (NHM) from F.Y. 2020-21 to F.Y. 2024-25 is at Annexure- I. Further, Public Health, is a State subject hence the primary responsibility of providing basic health services to all citizens of the country lies with the respective States/UTs Government. The proposals from State/UT Governments are received in the form of Programme Implementation Plans (PIPs)under NHM and Government of India provides approval for the proposals in the form of Record of Proceedings(RoPs) aspernorms & available resources. Under NHM, annual resource envelope of a State is decided based on its population and a weightage factorwhich dependson area of the State,healthlagandsocio-economic factors of the State. As per Department of Expenditure (DoE), Ministry of Finance D.O. No. 32/PSO/FS/2015 dated 28th October, 2015 the funding will be shared 60:40 between the Centre and the State (90:10 for the 8 North Easternand3HimalayanStates) and100:0for UTswithout legislature. Release of funds under NHM is subject to compliance by States/UTs of the guidelines prescribed in thisregardbyDepartment of Expenditure, Ministry of Finance.Annexure-I State/UT-wiseCentralRelease&ExpenditureunderNationalHealthMissionfortheFY2020-21toFY2024-25 Rs.InCrore 2020-21 2021-22 2022-23 2023-24 2024-25 S.No. NameoftheState/UT Central Central Central Expenditu Central Expendit Central Expenditu Expenditure Expenditure Release Release Release re Release ure Release re AndamanandNicobar 1 Islands 36.91 42.68 43.68 31.20 45.26 42.28 37.84 40.71 49.99 44.41 2 AndhraPradesh 1,097.81 2,385.48 1,199.37 2,448.67 1,489.45 1,914.34 1,096.01 2,833.44 1,319.61 2,439.82 3 ArunachalPradesh 243.04 209.06 188.53 248.51 233.82 424.78 404.55 399.44 388.86 472.93 4 Assam 1,807.48 1,846.86 1,955.93 2,194.36 1,981.83 2,307.00 2,257.06 2,626.87 2,076.25 2,607.54 5 Bihar 1,814.63 2,415.34 1,748.76 1,905.35 1,586.57 3,717.81 2,032.95 4,010.97 2,367.18 4,466.31 6 Chandigarh 22.21 19.52 17.47 26.86 38.09 26.98 30.58 31.85 43.43 37.29 7 Chattisgarh 979.41 1,521.30 969.61 1,833.45 1,195.08 2,152.45 875.80 1,743.79 969.11 1,784.09 Dadra&NagarHaveli 36.39 35.74 8 andDaman&Diu 38.59 45.02 58.28 41.61 39.92 41.96 40.96 40.47 9 Delhi 125.73 210.83 127.37 237.79 35.15 298.11 150.54 338.41 240.39 365.44 10 Goa 34.81 67.43 26.01 60.56 55.42 84.64 48.97 84.53 55.06 95.17 11 Gujarat 1,005.66 1,894.46 1,094.48 1,835.81 1,120.06 2,292.35 1,506.96 4,040.00 1,324.86 3,198.15 12 Haryana 531.50 829.12 577.07 879.91 681.21 1,185.43 524.01 1,221.41 562.49 1,127.06 13 HimachalPradesh 441.94 425.58 555.09 525.09 494.65 567.83 470.36 629.76 523.70 654.52 14 Jammu&Kashmir 667.46 657.53 459.10 779.61 651.52 917.02 805.22 956.95 1,040.76 1,110.30 15 Jharkhand 602.80 999.71 640.18 1,176.55 810.30 1,495.17 958.06 1,992.91 964.31 1,986.59 16 Karnataka 1,232.19 2,320.37 1,274.71 2,200.92 1,246.67 2,376.94 1,187.60 2,741.98 1,295.81 2,478.23 17 Kerala 788.22 1,457.75 771.47 1,230.96 1,036.76 1,592.96 189.15 1,246.25 1,351.78 1,422.88 18 Ladakh 91.89 38.56 44.79 62.81 94.95 109.67 120.44 119.67 135.98 150.50 19 Lakshadweep 7.11 6.99 8.41 7.26 9.97 9.29 3.79 7.10 9.68 10.00 20 MadhyaPradesh 2,377.14 3,397.82 2,295.66 3,714.92 2,582.10 4,489.15 2,545.68 5,202.61 2,430.91 5,225.77 21 Maharashtra 1,833.59 3,503.62 1,769.67 4,227.31 2,187.13 4,501.75 2,729.30 5,001.70 2,417.95 4,364.86 22 Manipur 189.49 112.79 95.59 154.09 61.40 214.69 169.12 159.32 279.16 295.79 23 Meghalaya 202.63 213.36 282.46 227.08 261.56 319.08 261.39 305.83 297.95 393.01 24 Mizoram 143.73 131.36 93.82 153.16 111.82 135.33 134.42 179.84 159.96 174.67 25 Nagaland 188.21 159.72 126.66 192.16 91.38 161.93 184.84 196.69 204.47 243.60 26 Odisha 1,617.63 2,347.24 1,263.07 2,587.72 1,284.69 3,402.50 1,901.77 3,356.68 1,916.79 3,585.01 27 Puducherry 25.55 47.32 21.33 46.36 20.73 48.51 30.80 45.74 26.27 49.27 28 Punjab 568.14 908.98 349.21 918.96 448.89 1,054.39 91.49 1,428.94 878.21 1,027.72 29 Rajasthan 2,000.58 2,943.21 1,924.95 3,230.01 1,460.80 3,726.21 2,785.46 4,350.63 2,398.62 4,772.33 30 Sikkim 70.13 52.06 51.86 46.06 73.30 88.69 68.17 75.77 81.67 89.59 31 TamilNadu 1,522.71 2,172.33 1,631.91 3,039.39 1,652.24 3,191.84 1,996.06 3,104.16 1,742.67 3,461.74 32 Telangana 671.88 1,354.93 725.67 1,556.65 683.77 2,062.93 564.93 1,288.75 1,110.43 1,872.42 33 Tripura 225.91 249.74 217.95 237.24 231.90 287.20 264.31 309.62 268.67 279.35 34 UttarPradesh 3,772.95 7,080.45 3,235.46 6,210.20 5,133.59 8,828.29 4,928.14 10,572.60 5,853.43 10,377.162020-21 2021-22 2022-23 2023-24 2024-25 S.No. NameoftheState/UT Central Central Central Expenditu Central Expendit Central Expenditu Expenditure Expenditure Release Release Release re Release ure Release re 35 Uttarakhand 583.25 503.53 553.47 606.07 505.01 647.13 711.33 709.79 604.05 760.15 36 WestBengal 1,895.01 2,598.62 1,654.26 2,229.46 1,252.32 3,509.86 890.42 3,641.98 688.44 3,583.07 Note: 1) TheabovereleasesrelatetoCentralGovt.Grants&donotincludeStatesharecontribution. 2) Expenditure includes expenditure againstCentral Release, State release & unspentbalances at the beginningof the year. Expenditure is as per FMRs submitted by States/UTsandisprovisional. *****

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