In response to Unstarred Question No. 1062 addressed to the Minister of Health and Family Welfare regarding pending bills under the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) as of February 2025, the Minister of State in the Ministry of Health and Family Welfare (Shri Prataprao Jadhav) stated that claim settlements are ongoing and are handled by State Health Agencies (SHAs). The NHA guidelines stipulate payment to hospitals within 15 days for intra-state claims and 30 days for portability claims (hospitals located outside the state). Hospital empanelment and opting out of the AB-PMJAY scheme are voluntary. The question also inquired if the pending bills have crossed Rs. 1.21 lakh crore. The date of question is 05th December 2025.
Key Entities Referenced
Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY): A national health scheme under which pending bills are the subject of the parliamentary question.
Ministry of Health and Family Welfare: The government ministry responsible for the AB-PMJAY scheme.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH ANDFAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1062
TOBE ANSWERED ON05TH DECEMBER, 2025
PENDING BILLS UNDER AB-PMJAY
1062. SHRIBAPI HALDAR:
Will the Minister of HEALTHAND FAMILYWELFAREbe pleased tostate:
(a) whether it is a fact that pending bills under the Ayushman Bharat - Pradhan Mantri Jan
Arogya Yojana (AB-PMJAY) scheme in the country have crossed Rs. 1.21 lakh crore, as of
February, 2025;
(b) if so, the detailsthereof; and
(c) the number of hospitals that have suspended the said scheme, citing pending bills across
the country, State-wise?
ANSWER
THE MINISTER OFSTATEIN THE MINISTRYOFHEALTHAND
FAMILYWELFARE
(SHRIPRATAPRAOJADHAV)
(a) to (c): Under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY),
settlement of claims is an ongoing process and claims are settled by respective State Health
Agencies (SHAs). NHAhaslaid down guidelinesfor payment of claim tohospitals within 15
days of claims submission for the intra-state hospitals (hospitals located within State) and
within 30 days in case of portability claims (hospitals located outside State). Under AB-
PMJAY,empanelmentandoptingoutoftheschemebyhospitalsisentirelyvoluntary.
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