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Kerala’s Private Hospital Association has moved the High Court looking for implementation of the newest National Health Benefit Package (HBP) 2.2, which has enhanced the charges of some well being packages underneath Central authorities’s flagship Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).
The plea states HBP 2.2 would offer higher healthcare services to financially backward sufferers and many of the states in India have already carried out but, Kerala authorities has not taken any steps on this regard.
Justice Devan Ramachandran has sought directions from each the Centre in addition to the State authorities, the National Health Authority (NHA) and the State Health Agency (SHA).
AB-PMJAY gives medical insurance protection together with hospitalization bills, daycare remedy, follow-up therapies and many others. to the poor and weak households. In the 12 months 2020, the Kerala authorities determined to implement AB-PMJAY as Karunya Arogya Suraksha Padhathi (KASP) and entered into an MoU with the NHA. The authority has made three revisions of package deal charges to the HBP – the newest one being HBP 2.2 launched in 2021-22.
The plea avers that the brand new well being package deal charges would cowl extra illness situations and medical procedures however, the state authorities was nonetheless following HBP 2.0 in Kerala. Further, as a result of non-implementation of the newest well being package deal, personal hospitals are going through numerous points in rendering therapies to needy sufferers.
Additionally, the petitioners have additionally challenged the notification issued by the state authorities on November 15, 2023, stating that it’ll not be implementing the brand new Health Benefit Package in Kerala because of monetary difficulties.
They additionally alleged that the state authorities has utilized the funds earmarked for the KASP Scheme through the use of it for different state authorities healthcare schemes.
“The state government on its part has unnecessarily converged and added beneficiaries of various other fully funded, State Government healthcare schemes like Comprehensive Health Insurance Scheme, Senior Citizen Health Insurance Scheme and Karunya Benevolent Fund under KASP and utilized the fund of the Central Government and State Government earmarked for KASP. It is owing to the said reason that there is paucity of fund on the part of the State Government,” the plea said.
The plea has been moved by Advocates Ok Anand and Ameer Salim.
Case title: Kerala Private Hospitals Association Vs Union Of India
Case quantity: WP(C) 40197/ 2023
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