Parliament Question: Strengthening of Primary Healthcare Services through AAMs

GOVERNMENTOFINDIA MINISTRYOFHEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE LOK SABHA UNSTARREDQUESTION NO. 928 TOBE ANSWERED ON24TH JULY,2026 STRENGTHENING OFPRIMARYHEALTHCARE SERVICESTHROUGH AAMS †928. DR. MANNALALRAWAT:

SHRIDINESHBHAI MAKWANA:

SHRIDAMODAR AGRAWAL:

SHRIBIDYUTBARAN MAHATO:

SMT.SHOBHANABEN MAHENDRASINHBARAIYA:

SHRICHAVDAVINODLAKHAMSHI:

Will the Minister of HEALTHAND FAMILYWELFAREbe pleased tostate:

(a) the total number of beneficiaries covered and the number of hospital admissions registered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in the country, State-wise, particularly in Gujarat and Udaipur district of Rajasthan and Nabarangpur andMalkangiri district of Odisha;

(b) the steps taken by the Government to expand health insurance coverage andto strengthen primary healthcare services through Ayushman Arogya Mandirs, along with the progress achievedinthe said districts;

(c) the measures taken by the Government for the expansion of digital health initiatives such as Ayushman Bharat Health Account (ABHA) under the Ayushman Bharat Digital Mission

(ABDM) and their integration with other schemes, along with the number of ABHA ID createdinthe said districts;

(d) the impact of the said scheme in reducing out-of-pocket health expenditure for the people and towards achieving the goal of Universal Health Coverage (UHC) including district-wise, detailsfor Nabarangpur andMalkangiri; and

(e) the number of beneficiaries and the amount of funds spent under the said scheme in the State of Rajasthan, particularly in the Bhilwara Parliamentary Constituency, during the last three years, district-wise andyear-wise? 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 carehospitalization 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- economicstatus.

As on30.06.2026, a total of 12.69crore hospital admissions have been authorized underAB- PMJAYacross the country. The State/UT-wise detailsof eligible beneficiary familiescovered and authorized hospital admissions underthe Scheme, including Gujarat, are at Annexure.A total of 5.01 lakh hospital admissions have been authorized in Udaipur district of Rajasthan.

In the state of Odisha, AB-PMJAY was launched in April 2025. Since the launch of the scheme, from April 2025 to 30.06.2026, total 11,920 and 22,808 hospital admissions have beenauthorizedinNabarangpur andMalkangiri districts, respectively.

Through 1.86 lakh Ayushman Arogya Mandirs in the country, including 535, 224 and 103 AAMs in Udaipur district of Rajasthan, Nabarangpur and Malkangiri districts of Odisha respectively, comprehensive primary healthcare is provided by strengthening Sub Health CentresandPrimaryHealth Centres.

(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 and the government is progressively integrating central and state level health programs with ABDM. 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, as a result of which 2.73 lakh health facilities are now using ABDM enabled software, 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.

The state-wise list of ABHA created, are maintained on a real-time dashboard and can be

accessed at:dashboard.abdm.gov.inAs on 20.07.2026, a total of 41,35,300 ABHAs have been created in Udaipur district of Rajasthan and a total of 12,25,142 and 6,06,036 ABHAs have been created in the Nabarangpur andMalkangiri districts of Odisha, respectively.

(d): According to the National Health AccountsEstimates2022-23, out of pocketexpenditure asa proportion of totalhealthexpenditure declinedfrom 62.6% in2014-15 to43.4% in2022-

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.

Since the launch of the Scheme in Odisha in April 2025 and up to 30.06.2026, 11 lakh and

5.46 lakh Ayushman cards have been created in Nabarangpur and Malkangiri district respectively, enabling eligible beneficiaries to avail cashless treatment at empanelled hospitals across the country. During the same period, a total of 11,920 hospital admissions amounting to Rs. 24.76 crore and 22,808 hospital admissions amounting to Rs. 66.17 crore have beenauthorizedin Nabarangpur andMalkangiri districts respectively.

(e): A total of 66.37 lakh families are eligible under AB-PMJAY in Rajasthan. A total of

58.21 lakhhospital admissions amounting toRs. 6,513.29crore, have beenauthorized during the last three years (FY 2023-24 to FY 2025-26) in Rajasthan. The constituency-wise data is not captured underAB-PMJAY, however, the district-wise andyear-wise detailsof numberof beneficiaries and hospital admissions authorized during the last three years in the districts

underBhilwara LokSabhaParliamentary Constituency are asunder:

No.ofhospital Amountauthorized Financial No.ofbeneficiaries admissions forhospital District Year availedtreatment authorized admissions(incrore ofrupees) 2023-24 47,079 69,357 64.41 Bhilwara 2024-25 34,099 47,838 52.40 2025-26 41,700 60,563 69.68 2023-24 23,756 33,083 30.39 Bundi 2024-25 19,942 27,668 30.17 2025-26 20,437 29,288 32.90Annexure State/UT-wise detailsof eligible beneficiaryfamiliescoveredandauthorized hospital admissions underAB-PMJAY(ason30.06.2026) No.ofhospital NumberofEligibleBeneficiaries admissions State/UT covered authorized

(inlakhs) AndamanAndNicobar 32,572 0.048 Islands AndhraPradesh 78,65,341 107.91 ArunachalPradesh 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 JammuAndKashmir 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 MadhyaPradesh 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 1.41Odisha 77,79,939 19.06 Puducherry 1,52,164 1.98 Punjab 27,35,109 36.58 Rajasthan 80,72,469 92.97 Sikkim 58,764 0.50 TamilNadu 1,16,21,507 127.45 Telangana 39,78,169 31.09 TheDadra&NagarHaveli 49,733 1.74 AndDaman&Diu Tripura 6,27,394 6.51 UttarPradesh 1,80,17,007 100.98 Uttarakhand 9,73,184 20.25 WestBengal* 1,43,39,146 NA *TheMoU with the Government of West Bengalhasbeensigned recently.

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