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GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH ANDFAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 2111
TOBE ANSWERED ON 31STJULY, 2026
PROGRESSOFAB-PMJAY
2111. SHRIBASAVARAJ BOMMAI:
SMT.D K ARUNA:
SHRIGAJENDRASINGH PATEL:
SMT.POONAMBEN HEMATBHAIMAADAM:
SHRIDUSHYANTSINGH:
SHRIJAGDAMBIKAPAL:
SHRIASHISHDUBEY:
MS. BANSURISWARAJ:
Will the Minister of HEALTHAND FAMILYWELFAREbe pleased tostate:
(a) the progress made under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana
(AB-PMJAY) in terms of the number of beneficiaries covered and hospital admissions in the
country, State-wise includingKarnataka,Madhya Pradesh includingJabalpur district;
(b) the steps taken by the Government to expand health insurance coverage and strengthen
primaryhealthcare through AyushmanArogya Mandirs inthe country;
(c) the measures implemented by the Government for the expansion of digital health
initiatives such as the Ayushman Bharat Health Account (ABHA) under the Ayushman
Bharat Digital Mission andintegration with otherschemes; and
(d) the impact of AB-PMJAY in reducing out-of-pocket expenditure and moving towards
Universal HealthCoverage?
ANSWER
THE MINISTER OFSTATEIN THE MINISTRYOFHEALTHAND
FAMILYWELFARE
(SHRIPRATAPRAOJADHAV)
(a) and (b): Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides
health coverage of Rs. 5 lakh per family per year for secondary and tertiary care
hospitalization to 12 crore economically vulnerable families, constituting the bottom 40% of
India's population. In March 2024, the scheme was expanded to include approximately 37
lakh families of Accredited Social Health Activists, Anganwadi Workers, and Anganwadi
Helpers. The scheme was further expanded in October 2024 to cover 6 crore senior citizens
of age 70 years and above belonging to 4.5 crore families irrespective of their
socio-economic status.As on 30.06.2026, a total of 12.69 crore hospital admissions have been authorized under
AB-PMJAY across the country. The State/UT-wise details of eligible beneficiary families
covered and authorized hospital admissions under the Scheme, including Karnataka and
Madhya Pradesh, are at Annexure. Further, as on 30.06.2026, a total of 3.76 lakh hospital
admissions have beenauthorised underthe scheme inJabalpur district of Madhya Pradesh.
Under National Health Mission, through 1.86 lakh Ayushman Arogya Mandirs (AAM) in the
country, comprehensive primary healthcare is provided by strengthening Sub Health Centres
and Primary Health Centres. These AAM provide preventive, promotive, rehabilitative and
curative care for an expanded range of services encompassing reproductive and child
healthcare services, communicable diseases, non-communicable diseases and other health
issues.
(c): The Ayushman Bharat Digital Mission (ABDM) was launched by the Government of
India in September 2021 to support the development of an integrated, citizen-centric national
digital health ecosystem. Several national health programme platforms, including
AB-PMJAY, Nikshay, RCH and NCD are integrated with ABDM. In addition, various
government and private Hospital Management Information System (HMIS) have also been
integrated with ABDM, enabling these systems to create Ayushman Bharat Health Account
(ABHA), create & share digital health records for seamless interoperability across the
ecosystem.
The government has taken several initiatives to enhance ABDM adoption. These include
development of use cases for quickregistration, easy payments, the ‘Model Facility’ initiative
to develop selected public and private healthcare facilities across India for end-to-end
adoption of ABDM and incentivesto healthfacilities anddigital solution companies tocreate
digitalhealth records. In addition,National HealthAuthority (NHA) hasenteredintoanMoU
with CDAC and developed an affordable ABDM enabled HMIS specifically for small
healthcare facilities. Further, NHA actively promotes awareness and citizen engagement
through participation in public events such as trade fairs, marathons, medical conferences,
technology events, encouraging the creation of ABHAand the adoption of digital healthcare.
NHA, States and Union Territories also undertake targeted Information, Education &
Communication (IEC) activities and capacity-building initiatives to further strengthen
ABDM adoption.
(d): According to the National Health AccountsEstimates2022-23, out of pocketexpenditure
as a proportion of total health expenditure declined from 62.6% in 2014-15 to 43.4% in
2022-23. This substantial reduction indicates that households are incurring a considerably
lower share of healthcare costs directly from their own pockets, owing to increased public
investment inhealthand the expansion of publiclyfinancedhealth insurance schemessuch as
AB-PMJAY.
Further, many states have expanded the beneficiary base beyond the centrally targeted
beneficiary numbers by converging their state specific schemes with AB-PMJAY. The
expansion of the beneficiary base under AB-PMJAY, coupled with the integration of various
state health insurance schemes, has significantly enhanced the scheme's outreach among
vulnerable populations across the country.These initiatives have broadened the coverage of
the scheme, contributing towards the Government's vision of achieving Universal Health
Coverage.Annexure
State/UT-wise detailsof eligible beneficiaryfamiliescoveredandauthorized hospital
admissions underAB-PMJAY(ason30.06.2026)
No. of hospital
Number of EligibleBeneficiaries admissions
State/UT
covered authorized
(inlakhs)
AndamanAnd Nicobar
32,572 0.048
Islands
Andhra Pradesh 78,65,341 107.91
Arunachal Pradesh 1,33,249 0.17
Assam 37,25,630 21.93
Bihar 1,32,60,433 36.19
Chandigarh 1,04,084 1.08
Chhattisgarh 45,70,670 92.56
Delhi 8,95,526 0.58
Goa 1,07,089 0.31
Gujarat 67,01,820 87.08
Haryana 24,78,787 37.88
HimachalPradesh 7,99,728 4.97
Jammu And Kashmir 10,84,365 21.57
Jharkhand 36,19,092 29.88
Karnataka 87,51,412 153.44
Kerala 35,94,528 81.90
Ladakh 24,474 0.38
Lakshadweep 3,498 0.02
Madhya Pradesh 1,06,34,139 81.03
Maharashtra 1,32,92,650 51.26
Manipur 3,73,701 3.53
Meghalaya 4,30,702 13.41
Mizoram 2,26,156 2.12
Nagaland 2,96,233 1.41
Odisha 77,79,939 19.06Puducherry 1,52,164 1.98
Punjab 27,35,109 36.58
Rajasthan 80,72,469 92.97
Sikkim 58,764 0.50
Tamil Nadu 1,16,21,507 127.45
Telangana 39,78,169 31.09
The Dadra & Nagar Haveli
49,733 1.74
And Daman& Diu
Tripura 6,27,394 6.51
Uttar Pradesh 1,80,17,007 100.98
Uttarakhand 9,73,184 20.25
West Bengal* 1,43,39,146 NA
*TheMoU with the Government of West Bengalhasbeensigned recently.
*****