🎯 Schemes & WelfareMAINS · GS2.13 · GS2.10

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

For Prelims

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 ↗
Related: Schemes & Welfare · this week's cards · Public Health