Question : Rashtriya Swasthya Bima Yojana

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether Rashtriya Swasthya Bima Yojana (RSBY) has been implemented in all the States across the country, if so, the details thereof along with the funds allocated thereunder during each of the last three years and the current year, State/UTwise;

(b) whether the Government has constituted any committee/authority to study the implementation and effectiveness of the said scheme, if so, the details and the findings thereof ;

(c) if not, the reasons therefor along with the time by which the said committee/ authority is likely to be constituted;

(d) whether the Government has achieved the targets fixed under the said scheme, if so, the details thereof and if not, the reasons therefor alongwith the steps taken by the Government in this regard;

(e) whether the Government has issued any guideline for implementation of health insurance scheme for weavers under RSBY platform across all the States in the country, if so, the details thereof; and
(f) the steps taken by the Government to promote the RSBY in the country?

ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(SHRI JAGAT PRAKASH NADDA)
(a): Rashtriya Swasthya Bima Yojana (RSBY) a centrally sponsored health insurance scheme was launched in 2007 and operationalized in April, 2008. This Scheme has been transferred from Ministry of Labour and Employment to Ministry of Health and Family Welfare on “as is where is” basis with the effect from 01.04.2015. At present the Rashtriya Swasthya Bima Yojana
Contd……

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(RSBY) is being implemented in 19 States/UTs through Insurance mode. The scheme is being funded, both by Centre as well as by the implementing State, on the approved premium. Funds allocation during the last three years and current year i.e. 2012-13 to 2015-16 for release of central share on premium under RSBY is as under:

Sl. No. Year Budget Estimate
(In Crore)

1 2012-13 1568.56
2 2013-14 1265.00
3 2014-15 1319.30
4 2015-16 700.00
Total 4852.86

(b) & (c): An evaluation study was made by GIZ when RSBY was being implemented by Ministry of Labour and employment. Key findings are at Annexure.
(d) 3,68,36,005 beneficiary families have been covered under RSBY Scheme against the target of 7,30,56,515 families in the states implementing RSBY. Reasons for low enrolment in some States are due to implementation of the scheme by the States in phased manner.
(e) The Health Insurance Scheme for weavers by using RSBY platform is implemented only in the State of Tamil Nadu and the budget allocation for the same is made by Ministry of Textiles.
(f) Approval for continuation of RSBY has been granted to the implementing states as required by them. Approval has also been granted to the states for floating of fresh tenders wherever required. All implementing states have been directed to take necessary action in claiming release of central share on premium so that there is no delay in release of central share.
………………

Annexure
FINDINGS OF EVALUATION STUDY BY GESELLCHAFT FUR INTERNATIONALE ZUSAMMENARBEIT (GIZ) ON IMPLEMENTATION OF RSBY

i. High levels of awareness on eligibility. However, detailed information about the scheme was found to be lacking.

ii. The non-enrolees had to spend more that Rs.17,000/ per year on an average for hospitalization while RSBY enrolled has spent very less out of pocket payment.

iii. Access to private hospitals was noted in more than 70 percent of the respondents, both enrolees and non-enrolees.

iv. 90% of the respondents mentioned being highly satisfied with the RSBY Scheme.