Executive Summary:
This document is a response to Lok Sabha Unstarred Question No. 2140 regarding the National Health Mission (NHM) in Meghalaya, answered on August 1, 2025. It details the funds sanctioned and released to the State Government of Meghalaya for various health sector projects over the last five years (2020-2025), and confirms that no funds were returned by the State Government to the Union Government. The information is provided by the Minister of State in the Ministry of Health and Family Welfare.
Key Points / Main Content:
* **National Health Mission (NHM) and PM Ayushman Bharat Health Infrastructure Mission (PMABHIM):**
* The Ministry of Health and Family Welfare provides financial and technical support to States/UTs under NHM, based on their Programme Implementation Plans (PIPs).
* NHM supports projects under RCH, Health System Strengthening, Disease control programs and Infrastructure maintenance.
* PMABHIM aims to increase investments in public health and develop health systems to effectively respond to pandemics/disasters.
* Central releases and expenditures for NHM and PMABHIM from 2020-2021 to 2024-2025 are detailed in the annexure.
* **COVID-19 Emergency Response and Health System Preparedness Package (ECRP):**
* ECRP I and II were launched to build a resilient health system and provide free COVID-19 testing, treatment, and vaccination, reducing out-of-pocket expenditure.
* Releases under ECRP I are 100% Centrally funded.
* Releases under ECRP II follow the funding pattern under NHM.
* **15th Finance Commission (XVFC) Health Grants:**
* XVFC health grants provide ₹70,051 crore for 2021-26 to strengthen primary healthcare services.
* These grants empower local governments to upgrade Sub-Centers (SHCs), PHCs, and Urban Ayushman Arogya Mandirs.
* Allocation, approved amount, and release details from 2021-22 to 2025-26 are provided.
* **Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY):**
* ABPMJAY offers cashless healthcare coverage up to ₹5 lakh per eligible family per year for secondary and tertiary hospitalization.
* Beneficiaries can access the scheme through a network of over 31,466 hospitals, including 14,194 private hospitals.
* Funds released under ABPMJAY from 2020-21 to 2024-25 are specified.
* **Funds Returned:**
* No funds were returned or reverted by the State Government of Meghalaya to the Union Government during the specified period.
Impact Analysis:
* **State Government of Meghalaya:**
* *Impact:* Receives financial and technical support from the Union Government for healthcare projects and infrastructure development through various schemes like NHM, PMABHIM, XVFC grants, ECRP, and ABPMJAY.
* *Action Required:* Utilize the allocated funds effectively for strengthening the healthcare system, improving infrastructure, and ensuring access to quality healthcare services for the population.
* **Citizens of Meghalaya:**
* *Impact:* Benefit from improved healthcare infrastructure, better access to healthcare services, reduced out-of-pocket expenditure on healthcare, and financial protection through ABPMJAY.
* *Action Required:* Utilize the available healthcare facilities and schemes to improve their health and well-being.
* **Ministry of Health and Family Welfare (MoHFW):**
* *Impact:* Responsible for providing financial and technical support to the State Government of Meghalaya for healthcare development.
* *Action Required:* Monitor the utilization of funds and the progress of projects, and provide necessary guidance and support to ensure the effective implementation of the schemes.
Key Entities Referenced
National Health Mission: A centrally sponsored scheme of the Government of India that aims to improve healthcare delivery across the country.
Meghalaya: A state in Northeast India, focus of the policy document regarding health projects and funds.
Ministry of Health and Family Welfare: A ministry of the Government of India responsible for health policy.
PM Ayushman Bharat Health Infrastructure Mission: A health infrastructure mission focused on increased investments in public health.
15th Finance Commission: The Fifteenth Finance Commission of India, which provided health grants to strengthen primary healthcare services.
India COVID19 Emergency Response Health System Preparedness Package: Packages launched during the COVID-19 pandemic to build a resilient health system.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana: A health scheme offering cashless healthcare coverage for eligible families.
Shri Saleng A Sangma: Member of Parliament who asked the unstarred question in Lok Sabha regarding National Health Mission in Meghalaya.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH ANDFAMILYWELFARE
DEPARTMENTOFHEALTH ANDFAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 2140
TOBE ANSWERED ON01stAUGUST2025
NATIONALHEALTH MISSIONIN MEGHALYA
2140. SHRISALENG ASANGMA:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:
(a) the details of projectsand funds, specifically related to the health sector and the National Health
Mission (NHM), sanctionedfor the Stateof Meghalaya during the last five years; and
(b) the total amount of funds, if any, that were returned or reverted by the State Government of
Meghalaya tothe Union Government during the said period?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH ANDFAMILY
WELFARE
(SHRIPRATAPRAOJADHAV)
(a): Health is a state subject; hence, the responsibility for improving the healthcare facilities lies
with the respective State/UT Governments. The Ministry of Health and Family Welfare (MoHFW)
supplements the efforts of all States / UTs inthe healthcaresector through variousCentral Schemes.
Under National Health Mission, Ministry of Health & Family Welfare provides financial and
technical support to States/UTs to strengthen their healthcare systems based on the requirements
posed by them in their Programme Implementation Plans (PIPs). Government of India provides
approval for the proposal in the form of Record of Proceedings (RoPs) as per norms & available
resources. NHM supports initiatives/projects under RCH, Health System Strengthening, Disease
control programmesandInfrastructure maintenance. The details of varioushealth projectsapproved
for the Stateof Meghalaya are availableinpublic domainat:
https://nhm.gov.in/index4.php?lang=1&level=0&linkid=53&lid=66
In addition to the National Health Mission, Government of India has allocated funds for
developingpublic healthcare infrastructure andservices toMeghalaya:
i. PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) envisages increased
investments in public health and other health reforms to provide better access to health in rural
areas. The measures under the PM-ABHIM focus on developing capacities of health systems
and institutions across the continuum of care at all levels, primary, secondary and tertiary, to
prepare healthsystems inresponding effectively tothe current andfuture pandemics/disasters.
ii. The 15th Finance Commission (XV-FC) health grants complement existing budgets by
providing ₹70,051 crore for 2021-26 to strengthen primary healthcare services. These grants
empower local governments to upgrade Sub-Centers( SHCs), PHCs, and Urban Ayushman
Arogya Mandir.iii. lndia COVID-19 Emergency Response & Health System Preparedness Package (ECRP-I
& ll) : These packages, launched during the pandemic, aimed to build a resilient health system
and provide free COVlD-19 testing, treatment, and vaccination. This reduced OOPE for
pandemic-related healthcareexpenses.
iv. Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) offers cashless
healthcare coverage of up to ₹5 lakh per eligible family per year for secondary and tertiary
hospitalization. AB PM-JAY beneficiaries are eligible to take the benefits of the scheme
through a network of over31,466 hospitals inwhich 14,194are private hospitals.
(b): Details of funds, specifically related to the health sector and the National Health Mission
(NHM), sanctionedfor the Stateof Meghalaya during the last five yearsare givenat Annexure.
No funds were returned or reverted by the State Government of Meghalaya to the Union
Government.Annexure
Annexure referred to in replyto parts(a) & (b) of the Lok SabhaUnstarred Question No. 2140
for 01.08.2025 asked by Shri Saleng A Sangma, Hon’ble MP regarding “National Health
Mission inMeghalaya”
Detailsof funds sanctioned/released tothe StateGovernment of Meghalaya during last five years
I. NHM andPM-ABHIM
(Rs. incr.)
Financial NHM PM-ABHIM
Year
CentralRelease Expenditure CentralRelease Expenditure
2020-21 202.63 213.36 - -
2021-22 282.46 227.08 9.65 0.00
2022-23 261.56 319.08 43.28 8.80
2023-24 261.39 305.83 4.42 28.02
2024-25 297.95 393.01 10.50 27.34
Note:
(i) The above releasesrelate toCentral Govt. Grants & donot include State share contribution.
(ii) Expenditure includes expenditure against Central Release, State release & unspent balances at
the beginningof the year. ExpenditureisasperFMRssubmitted by States/UTs andisprovisional.
II. ECRP-I andECRP-II
(Rs. incr.)
ECRP-I ECRP-II
15.61 104.12
Note:
(i) Release underECRP-Phase I andis100% Centrallyfunded.
(ii) Release underECRP-Phase II andisasperfunding patternunderNHM.
III. 15thFinanceCommission Grants
(Rs. incr.)
Year Allocation ApprovedAmount(AsperNLC) Release
2021-22 to2025-26 310.95 299.1 117.16
IV. Ayushman Bharat – PradhanMantri JanArogyaYojana(AB-PMJAY)
(Rs. incr.)
FinancialYear FundsReleased
2020-21 49.52
2021-22 22.28
2022-23 47.31
2023-24 49.74
2024-25 40.09
******