West Bengal becomes the 36th State/UT to join Ayushman Bharat PM-JAY
The National Health Authority and West Bengal will sign an MoU to roll out the ₹5-lakh health-assurance scheme — completing near-universal coverage of states and UTs under PM-JAY.
What happened
- The Government of West Bengal is set to join Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), becoming the 36th State/Union Territory to implement the scheme.
- An MoU will be signed between the National Health Authority (NHA) — under the Ministry of Health & Family Welfare — and the WB Department of Health & Family Welfare at Vigyan Bhawan, New Delhi.
- The ceremony will be presided over by Union Health Minister J.P. Nadda, with Ministers of State and the Union Health Secretary present.
- AB PM-JAY provides health cover of ₹5 lakh per family per year for secondary and tertiary hospitalisation to eligible beneficiaries — the world's largest publicly funded health-assurance scheme.
- Cover is delivered through a network of empanelled public and private hospitals, with portability of benefits across states.
- Rollout is expected to extend financial protection against catastrophic health expenditure to millions of eligible beneficiaries in the state.
For Prelims
- AB PM-JAY: the world's largest publicly funded health-assurance scheme — ₹5 lakh/family/year for secondary & tertiary care to the bottom ~40% — implemented by the National Health Authority (NHA). Highest-probability fact on this card.
- NHA: the National Health Authority is the apex body implementing PM-JAY (state-level: State Health Agencies); don't confuse it with the National Health Mission or the National Medical Commission.
- The two pillars of Ayushman Bharat: (1) AB-PMJAY (insurance/assurance) and (2) Ayushman Arogya Mandirs (primary care, formerly HWCs) — PM-JAY is the hospitalisation pillar.
- Vay Vandana extension: PM-JAY now also covers all citizens aged 70+ regardless of income — a frequently-updated add-on to recall.
- '36th State/UT': implementation is state-by-state via MoU since health is a State subject (List II); a few states had stayed out — this near-completes national coverage. (Note: a couple of states still run their own parallel schemes.)
- Out-of-pocket expenditure (OOPE): PM-JAY's core goal is cutting catastrophic OOPE, a major cause of impoverishment; link to Universal Health Coverage (UHC) and the WHO frame.
- Empanelment & portability: beneficiaries can be treated cashless at empanelled public/private hospitals anywhere in India — portability is a defining design feature.
- Don't confuse: AB-PMJAY (the ₹5 lakh entitlement + Ayushman card) is distinct from ABHA (the 14-digit digital health ID under ABDM) — a recurring mix-up.
For UPSC: West Bengal will become the 36th State/UT to implement AB PM-JAY via an NHA–state MoU. Anchor the scheme: world's largest publicly funded health-assurance, ₹5 lakh/family/year for secondary & tertiary care, run by the National Health Authority, with empanelled-hospital portability and the Vay Vandana 70+ extension. Frame it as cutting catastrophic out-of-pocket spending on the road to Universal Health Coverage — and note health is a State subject, hence the state-by-state MoU route.
What it is NOT: AB-PMJAY (₹5 lakh hospitalisation cover + Ayushman card) is NOT the same as ABHA/ABDM (the 14-digit digital health ID). And PM-JAY covers secondary & tertiary hospitalisation — it is NOT primary/OPD care, which the Ayushman Arogya Mandirs provide.
For Mains
Syllabus: GS2.13 · GS2.10 · Linkage L1
Anchor
Completing national coverage of a health-assurance floor — financial protection against catastrophic hospitalisation as a UHC building block.
Substantiation (data)
West Bengal the 36th State/UT to implement AB PM-JAY; ₹5 lakh/family/year for secondary & tertiary care; NHA–state MoU; nationwide portability.
Exemplification
Cite PM-JAY as the example of insurance-mode UHC reducing out-of-pocket expenditure at scale.
Problematisation
Empanelment gaps, package-rate disputes, private-hospital participation and fund flow remain challenges; assurance must pair with primary care.
Way-forward
Strengthen primary care (Arogya Mandirs), rationalise package rates, expand empanelment, and integrate with digital health (ABDM).
Position
The state's stance: a portable, publicly funded ₹5-lakh assurance is central to equitable, accessible healthcare.
Deploys into: health-system reform & Universal Health Coverage · AB PM-JAY & the National Health Authority · out-of-pocket expenditure & catastrophic health spending · cooperative federalism in health (GS2.13 health, GS2.10 government interventions).
Ministry of Health and Family Welfare · 2026-06-07 · PRID 2270056 · PIB source ↗