State Health Authority Uttarakhand
(An Autonomous Authority Under Uttarakhand Government)

Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

Date of implementation: 23.09.2018

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) is a scheme of the Government of India to provide free access to healthcare for 40% of people in the country. AB PM-JAY provides free secondary health care for that needing specialist treatment and tertiary health care for those requiring hospitalization.

It was launched in September 2018 by the Ministry of Health and Family Welfare. That ministry later established the National Health Authority as an organization to administer the program.

PM-JAY offers service to 50 crore people and is the world's largest government sponsored healthcare program. The program is a poverty alleviation programme as its users are people with low income in India.

Atal Ayushman -Uttarakhand Yojana (AAUY)

Date of implementation: 25.12.2018

At the time of implementation of AB PM-JAY in Uttarakhand, in order to bring equity of access to quality healthcare services to all their residents, State government of Uttarakhand had implemented Atal Ayushman Uttarakhand Yojana in the State. This had ensured that all the State beneficiaries get all the benefits that are availed by the SECC beneficiaries under AB PM-JAY scheme. This scheme included all the unique features as that in PM-JAY. State has used same IT platform, guidelines, EHCPs, amount of coverage and health benefit packages as in PM-JAY. The implementation agency for the scheme too is the same (SHA & ISA).

State Government Health Scheme (SGHS)

Date of implementation: under process

In this case going one step ahead, State of Uttarakhand has decided to imbibe the good take away points from CGHS & PM-JAY and as per the GO issued on May 2020, State government had announced the launch of SGHS scheme for the State government employees and pensioners.

For the scheme, State had chosen the IT platform (BIS & TMS), same as in PM-JAY, for beneficiary identification and transactional process of the hospitals. The hospitals where beneficiaries may take the treatment are same as in PM-JAY.

Unique key features of SGHS:

1. State Government employee and pensioners includes State PSU, Autonomous bodies, Local bodies, Aided institutions, Universities etc.
2. Unlimited coverage to SGHS beneficiaries.
3. Organ Transplant is available unlike AB-PMJAY & AAUY.
4. OPD is available for the SGHS beneficiaries.
5. National Portability same as AB-PMJAY and AAUY beneficiaries.
6. No referral policy unlike AAUY.
7. Contributory scheme likewise CGHS.

Conclusion:

The initiative taken by the State of Uttarakhand has made the State one and only State in India to provide total UHC to its entire beneficiary database. Through this initiative Uttarakhand had ensured that all their population get the same quality of care as the PM-JAY beneficiaries through robust IT platform in a transparent way.