GUIDELINES OF RASHTRIYA AROGYA NIDHI (RAN) 1. Introduction: The Scheme provides for financial assistance to patients, living below poverty line who is suffering from major life threatening diseases, to receive medical treatment at any of the super specialty Govt. hospitals / institutes or other Govt. hospitals .The financial assistance to such patients is released in the form of ‘one time grant’ to the Medical Superintendent of the hospital in which the treatment is being received. The Department related Parliamentary Standing Committee on Human Resource Development in their 31st Report on the functioning of the Central Government Hospitals under the Department of Health, had expressed concern about inadequate facilities for the treatment of poor patients for major illness. The committee felt that it was essential to explore all appropriate sources of funds to assist poor patients coming to AIIMS or other Central Govt. Hospitals for their treatment of specific life threatening illness. In view of the recommendations of the above Committee, it was decided to set up a National Illness Assistance Fund renamed Rashtriya Arogya Nidhi (RAN) under the Department of Health, Ministry of Health & Family Welfare. The Committee on non-Plan Expenditure in its meeting held on 17th October 1996 approved the proposal for setting up of the fund. Accordingly the Rashtriya Arogya Nidhi (RAN) has been set up vide Resolution No. F-7-2/96-Fin-II dated 13/1/97 as published in the Gazette of India (Extraordinary) and has been registered under the Society Registration Act, 1860, as an autonomous Society. This was set up with an initial contribution of Rs. 5 crores from Ministry of Health & Family welfare. The Fund could also be subscribed by individuals in India or abroad with the approval of FCRA, Corporate bodies in private or public sector, philanthropic organisations and all contributions made to this fund are exempt from payment of Income-Tax under section 80-G of Income-Tax Act, 1961. 2. Setting up of Revolving Fund: The Fund will provide financial assistance to patients, living below poverty line who are suffering from major life threatening diseases, to receive medical treatment at any of the super speciality Hospitals/Institutes or other Government hospitals. The financial assistance to such patients would be released in the form of „one-time grant‟, which will be released to the Medical Supdt. of the Hospital in which the treatment has been/is being received. In a bid to speed up the assistance to the needy patients, the Scheme has been modified in January,1998 and an advance of Rs. 10 to 40 lakh has been kept with the Medical Supdts. of All India Institute of Medical Sciences (AIIMS), New Delhi, Dr. Ram Manohar Lohia Hospital, New Delhi, Safdarjung Hospital, New Delhi, Lady Harding Medical College(LHMC) & Smt. S.K. Hospital, New Delhi and Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, Jawaharlal Institute of Post graduate Medical Education & Research (JIPMER) Puducherry, to enable sanction of an amount up to Rs. 1,00,000/-( as substituted from Rs. 50,000/- w.e.f. 02-06-2008) in each deserving case reporting for treatment in the respective Hospital/Institute. The advance amount would be replenished as and when the reports of its utilisation are received from the Hospital/Institute. National Institute of Mental Health and Neuro Sciences(NIMHANS), Bangalore and Cittaranjan National Cancer Institute, Kolkata, Sanjay Gandhi Post Graduate Institute of Medical Sciences, (SGPGIMS) Lucknow, Gandhi Memorial & Associated Hospitals(KGMC)Lucknow, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS), Shillong, Regional Institute of Medical Sciences (RIMS), Imphal have also been given similar advances with suitable instructions to implement the Scheme. Further it has been decided that all the Central Government hospital/institutes will refer their cases to RAN Headquarters, where the amount of financial treatment exceeds Rs.1.00 lakh instead of referring to State Illness Assistance Fund (SIAF). Contd….2/ -: 2 :- 3. Setting up of State Illness Assistance Fund: All State Govts./UT Administrations have been advised vide Ministry of Health & Family Welfare letter dated 11/11/96 to set up an Illness Assistance Fund in their respective States/UTs. It has been decided that grant-in-aid from Central Government would be released to each of these States/UTs (with Legislature) where such Funds are set up. The Grant-in-aid to States/UTs would be to the extent of 50% of the contributions made by the State Govts./UTs to the State Fund/Society subject to a maximum of Rs. 5 crores to States with larger number and percentage of population below poverty line viz. Andhra Pradesh, Bihar, Madhya Pradesh, Karnataka, Maharashtra, Orissa, Rajasthan, Tamil nadu, Uttar Pradesh and West Bengal and Rs. 2 crores to other States/UTs. The State/UT level Funds could also receive contributions/donations from donors, as mentioned for RAN. The Illness Assistance Fund at the State/UT level would release financial assistance to patients living in their respective States/UT up to Rs. 1.50 lakh in an individual case and forward all such cases to RAN, where the quantum of financial assistance is likely to exceed Rs. 1.50 lakh. The following States/UTs (with Legislature) have set up Illness Assistance Fund:Karnataka, Madhya Pradesh, Tripura, Andhra Pradesh, Tamil Nadu, Himachal Pradesh, Jammu & Kashmir, Maharashtra, West Bengal, Kerala, Mizoram, Rajasthan, Goa, Gujarat, Sikkim, Bihar, Chhattisgarh, Jharkhand, Haryana, Uttarakhand , Punjab, Uttar Pradesh and Manipur and the NCT of Delhi and Puducherry. The following States/UTs have not yet set up the States Illness Assistance Fund in spite of repeated reminders. 1. Meghalaya 2. Nagaland It has also been provided in the scheme that Union Territories (which do not have legislature) will be sanctioned a budget outlay out of the NIAF, as and when the UT administrations set up Illness Assistance Society/Committee. It was decided in the first meeting of the Managing Committee held on 21-10-98 that each UT will be sanctioned a budget outlay of Rs. 50 lakhs. Accordingly the following UTs have been sanctioned a budget outlay of Rs.50 lakhs each, during the year1998-99. 1. Lakshadweep 2. Daman & Diu 3. Dadra & Nagar Haveli 4. Andaman & Nicobar Islands 5. Chandigarh Contd.…3/ -: 3 : - 4. HEALTH MINISTER’S CANCER PATIENT FUND (HMCPF) WITHIN RAN: The “Health Minister‟s Cancer Patient Fund (HMCPF) within the Rashtriya Arogya Nidhi (RAN)” has also been set up in 2009. In order to utilize the Health Minister‟s Cancer Patient Fund, the revolving fund as under RAN, has been established in 27 Regional Cancer Centres (RCCs). Such step would ensure and speed up financial assistance to needy patients and help fulfil the objective of HMCPF under RAN. The financial assistance to the Cancer Patient up to Rs. 1,00,000/- (Rs. one lakh only) would be processed by the concerned Institutes/Hospitals on whose disposal the revolving fund has been placed. Individual cases which require assistance more than Rs. 1.00 lakh but not exceeding Rs. 1.50 lakh is to be sent to the concerned State Illness Assistance Fund of the State/UT to which the applicant belongs or the amount is more than Rs. 1.50 lakh initially 27 Regional Cancer Centres (RCCs) were proposed, at whose an proposal of revolving fund of Rs.1.00 lakh each, was placed. The list of Regional Cancer Centres is also given. 4.2 Eligibility for Health Minister’s Cancer Patient Fund (HMCPF) within RAN : (i) (ii) (iii) (iv) (v) The fund will provide financial assistance to patients, living below poverty line who is suffering from Cancer. Assistance is admissible for treatment in 27 Regional Cancer Centre(s) (RCC) only. Central Govt./State Govt. /PSU employees are not eligible for financial assistance from HMCPF. Re-imbursement of medical expenditure already incurred is not permissible. Grant from HMCPF would not be used where treatment /facilities for cancer treatment are available free of cost. 4.3 Requirement to be fulfilled by the Regional Cancer Centre(s) for further release of Revolving Fund: Regional Cancer Centre(s) are required to furnish: (i) (ii) Utilization Certificate in GFR-19 A. The list of beneficiaries indicating the nature of illness and amount sanctioned in each case. 4.4 All the Rules, Regulations and the Guidelines framed for running the RAN Scheme would apply to the Health Minister’s Cancer Patient Fund (HMCPF. Contd.…4 -4- List of 27 Regional Cancer Centre(s) : 1. 2. 3. 4. 5. Kamala Nehru Memorial Hospital, Allahabad, Uttar Pradesh. Chittaranjan National Cancer Institute, Kolkata, West Bengal Kidwai Memorial Institute of Oncology, Bangalore, Karnataka. Regional Cancer Institute (WIA), Adyar, Chennai, Tamil Nadu. Acharya Harihar Regional Cancer, Centre for Cancer Research & Treatment, Cuttack, Orissa. 6. Regional Cancer Control Society, Shimla, Himachal Pradesh. 7. Cancer Hospital & Research Centre, Gwalior, Madhya Pradesh. 8. Indian Rotary Cancer Institute, (AIIMS), New Delhi. 9. R.S.T. Hospital & Research Centre, Nagpur, Maharashtra. 10. Pt. J.N.M. Medical College, Raipur, Chhatisgarh. 11. Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh. 12. Sher-I Kashmir Institute of Medical Sciences, Soura, Srinagar. 13. Regional Institute of Medical Sciences, Manipur, Imphal. 14. Govt. Medical College & Associated Hospital, Bakshi Nagar, Jammu. 15. Regional Cancer Centre, Thiruvananthapuram, Kerala 16. Gujarat Cancer Research Institute, Ahmedabad, Gujarat. 17. MNJ Institute of Oncology, Hyderabad, Andhra Pradesh. 18. Pondicherry Regional Cancer Society, JIPMER, Pondicherry. 19. Dr. B.B. Cancer Institute, Guwahati, Assam. 20. Tata Memorial Hospital, Mumbai, Maharashtra. 21. Indira Gandhi Institute of Medical Sciences, Patna, Bihar. 22. Acharya Tulsi Regional Cancer Trust & Research Institute (RCC), Bikaner, Rajashtan. 23. Regional Cancer Centre, Pt. B.D.Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana. 24. Civil Hospital, Aizawl, Mizoram. 25. Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow. 26. Govt. Arignar Anna Memorial Cancer Hospital, Kancheepuram, Tamil Nadu; 27. Cancer Hospital, Tripura, Agartala. Contd. 5/- -: 5 :5 Management Committee of RAN Rashtriya Arogya Nidhi is managed by a Management Committee, consisting of the following members:1. Union Health Minister - Chairman 2. Additional Secretary (Health) - Member 3. Spl. DG, DGHS - Member 4. Economic Adviser (M/o H& FW)- Member Secretary 5. C.C.A. (M/o H& F.W) - Treasurer 6 Technical Committee of RAN There is a Technical Committee to advise the managing Committee on technical matters, such as nature of illness to be covered for assistance under the Scheme and other ancillary issues. The Technical Committee comprises of the following:1. Spl (Senior Most), DGHS 2. Economic Adviser 3. Medical Superintendent, Dr. RML Hospital,N.Delhi, 4. HOD, Cardiology, AIIMS, New Delhi. 5. HOD, Haematology, AIIIMS, New Delhi 6. HOD, Medical Oncology, Safdarjung Hosp. New Delhi. For detailed information contact: Director (Grants) Ministry of Health & Family Welfare, Nirman Bhavan, New Delhi-110011 Tele.: 23063481/23061731 Frequently asked questions regarding Health Minister’s Cancer Patient Fund (HMCPF) and Rashtriya Arogya Nidhi (RAN) Q1. What is Rashtriya Arogya Nidhi (RAN) Rasthriya Arogya Nidhi (RAN) was set up on 13.01.1997 with initial contribution of Rs.5.0 crore made by Ministry of Health & Family Welfare. The Fund could also be subscribed by individuals in India or abroad with the approval of; Foreign Contribution Regulation (FCR) Act. Corporate Bodies in private or public sector, philanthropic organizations and all contribution made to RAN are exempted from payment of income tax under Section 80-C Income Tax Act 1961.. Q.2. Who is eligible to avail financial assistance under RAN Financial assistance is provided to patients, living below poverty line and who are suffering from major life threatening disease, to receive medical treatment. Q. 3. How the Below Poverty Line (BPL) status is established. BPL status is decided on the basis of income limit prescribed by the Planning Commission from time to time. Q.4. Which hospitals/organization provide treatment under RAN. Patients seeking Medical treatment at any of the super specialty hospitals/institution or other Government hospitals are eligible to receive financial assistance under RAN. No grant is released to patients seeking treatment at private hospitals. Q.5. Which a patient can seek assistance twice under RAN. Financial assistance is released in the form of “one time Grant” only under RAN. Q.6 What is the limit of financial assistance for treatment under RAN. No upper limit has been fixed for availing financial assistance under RAN. However, a Technical Committee has been constituted to scrutinize each case and recommend quantum of financial assistance. Q.7 Whether Central /State Government /PSU employees are eligible for financial assistance. No Q.8 Whether re-imbursement of medical expenditure already incurred is permissible under RAN. Re-imbursement of medical expenditure incurred for treatment is not permissible. Q.9 Whether common disease for which treatment is available free of cost in Government hospitals are covered under RAN. Diseases of common nature and disease for which treatment is available free of cost under other health scheme/programme are not eligible for grants under RAN. Q.10 Whether State Government are also operating such fund. All State Governments except Meghalaya and Nagaland have set up Illness Assistance Fund in their respective States/UTs. Grant-in-aid is released to each of the States/UTs by Central Government under RAN, where such funds have been set up. The Grant-in-aid to States/UTs would be to the extent of 50% of the contributions made by the States/UTs subject to a minimum of Rs. 5.0 crore to States which larger number and population below poverty line and Rs.2.0 crore to other States. The illness Assistance Fund at State/UTs level would release financial assistance to patients up Rs.1.50 lakh in an individual cases living in their respective States/UTs and forward all such cases to Central Government, where quantum of assistance is more than Rs.1.50 lakh. Q.11 What is the constitution of the Technical Committee of RAN. 1. 2. 3. 4. 5. 6. Spl. DG (Senior most), DGHS, Economic Adviser, Medical Superintendent, Dr. RML Hospital, New Delhi, HOD, Cardiology, AIIMS, New Delhi, HOD, Haematology, AIIMS, New Delhi, HOD, Medical Oncology, Safdarjung Hospital, New Delhi. Q.12. Whether any Management Committee has been constituted for managing affairs of RAN. RAN is managed by a Management Committee consisting of the following members : 1. 2. 3. 4. 5. Union Health Minister – Chairman, Additional Secretary(Health)- Member, Spl. DG, DGHS, - Member, Economic Adviser – Member. CCA, M/o Health & FW – Treasurer. Q.13. Whether any list of diseases has been prepared for treatment under RAN An illustrative list of diseases has been prepared and is available on the website of Ministry of Health & Family Welfare : www.mohfw.nic.in under head “Major Programmes”. The list is also modified from time to time. Q.14 How the RAN is funded by the Central Government. Budgetary provisions are made to fund the RAN Scheme by the Central Government. Q.15 Whether the funds released by the Central Government are audited. Fund released by the Central Government are audited by the Chartered Accountants. Audit Report submitted by them is sent to the Office of the Director General of Audit for conducting further audit. The audit report is also laid on the tables of both the houses of the Parliament. Q.`16 Whether any application form has been prescribed for seeking treatment under RAN. An application form has been prescribed for this purpose, which is available free of cost and can also be downloaded from the website of this Ministry. Q.17 What is the procedure to apply for availing assistance under RAN. (i) Application in prescribed format duly signed/stamped by the treating doctor and Head of Department and countersigned by the Medical Superintendent from the Government hospital from where the patient is receiving treatment, should be submitted to the Section Officer, Grants Section, Ministry of Health & Family Welfare, Room No. 541- A wing, Nirman Bhavan, New Delhi-1. (ii) Monthly income of the patient/parents duly certified by the Block/Mandal Development Officer, Tehsildar, SDM, Special Officer of Municipal Board and District Officer certifying that the beneficiary belongs to a family living below poverty line in the area of their jurisdiction indicating source of income . The original certificate is required for the purpose. (iii) Copy of the BPL Ration Card duly attested by a Gazetted Officer with official seal. Q.18. What is the time limit set by the Grants section to process the request of the applicant for financial limit. The application complete in all respect is processed with in a period of one month. Q.19 Whether the grants are released in the name of the patients. The grants are released to the Medical Superintendent of the hospital, where the patient is being treated. Q.20 Whether visiting hours have been prescribed for the visitors. The patients or their representative may visit Grants Section between 11 AM to 12 Noon on working days to enquire about status of their cases. In case they are not satisfied, they may also meet the Under Secretary (Grants) and Director (Grants) at the following address: Director (Grants) Room No. 433-C, Nirman Bhavan, New Delhi- 1 Under Secretary (Grants) Room No. 434- C Wing, Nirman Bhavan, New Delhi -1. Q 21. Whether the officers concerned are available on phone: The patients may also contact the officers concerned on phone. The details are given below : Director (Grants) Tel : 2306 3481 Under Secretary (Grants) Tel ; 23061510 Q.22 Whether the guidelines regulating RAN and other eligibility conditions for release of grants to the patients are available on website The detailed guidelines regulating RAN are available at website www.mohfw.nic.in under head “Major Programmes” . Q.23 Whether list of beneficiaries along with amount sanctioned to them is displayed on website. The list of beneficiaries under RAN is also displayed at the website www.mohfw.nic.in under head “Major Programmes” . Q.24 Whether any cancer patient fund has been set up within RAN. Health Minister‟s Cancer Patient Fund (HMCPF) within RAN has been established as a separate corpus fund, which is also managed by the Managing Committee and Technical Committee of RAN including a co-opted member, who is cancer expert working in DGHS An amount of Rs. 100.00 crore has been placed in the corpus fund and the earning from the corpus fund accrued out of interest is not used for administrative cost. Q.25. Details of cancer institutes, who provide treatment to cancer patients. 27 Regional Cancer Centres have been authorized for treatment of cancer patients. List of this Institute is available at the website www.mohfw.nic.in. under head “Major Programmes” . Q.26. What are the eligibility conditions for seeking treatment under HMCPF. i) Patients living poverty line and suffering from cancer are eligible ii) Assistance is available for treatment at 27 Regional Cancer Centres only. iii) Centre/State and PSU employees are not eligible for financial assistance from HMCPF. iv) Re-imbursement of medical expenditure already incurred is not permissible. v) Grants from HMCPF will not be available for treatment of cancer, where free treatment is available. Q.27 How much assistance is given to each patient suffering from Cancer. No upper limit has been fixed for availing financial assistance by the patient suffering from cancer. However, a Technical Committee has been constituted to scrutinize each case and recommend quantum of financial assistance. Details of funds released to Regional Cancer Centre's from Health Minister's Cancer Patient Fund under RAN (Rs. in Lakhs) S. No. Name of Centres (27RCCs) 1 Acharya Harihar Regional Cancer Centre, Cuttack 2 Acharya Tulsi Regional Cancer Trust &Research Institute BiKaner, Rajasthan Cancer Hos.Tripura, Agartala 3 2014No. of 15(upto patient 14.07.14 No. of patient 2012 -13 No. of patient 2013-14 20 24 - - - - - - 2 - - - - - 20 551 60 1110 40 539 10 10 32 20 74 30 161 10 201112 5 Cancer Hospital & Research centre, Gwalior, M.Pradesh. Chittaranjan National Cancer Institute, Kolkata, 80 322 80 332 50 - - 6 Civl Hospital, Aizawl, Mizoram 20 156 60 374 20 - - 7 Dr.B.B.Cancer Institute, Guwahati, Assam. 30 923 60 1202 30 401 10 8 Govt. Arignar Anna Memorial Cancer Hospital,Kancheepuram, Tamil Nadu Govt. Medical College & Associate Hospital, Bakshi Nagar, Jammu. Gujarat Cancer Researach Institute, Ahmedabad, Gujarat Indian Rotary Cancer Institute, (AIIMS), New Delhi. Indira Gandhi Institute of Medical Sciences, Patna, Bihar Kamala Nehru Memorial Hospital, Allahabad, Uttar Pradesh. Kidwai Memorial Institute of Oncology,Bangalore, Karnataka MNJ Institute of Oncology, Hyderabad, Andhra Pradesh. Post Graduate Institute of Medical Education & Research, Chandigarh Pt. B.D.Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana. Pt.J N M Medical College, Raipur, Chhattisgarh - - 10 - - - - - - - - - - - 20 110 20 35 10 - 20 - - - - - - - - - - 45 20 43 30 299 20 40 513 90 790 40 - - - - - - - - - 10 - - - 10 - - 30 50 - 10 - - 20 - - - 86 20 7 10 10 60 282 160 181 60 1080 50 40 839 50 637 40 11 25 40 56 60 67 30 - - - - - - - - 20 28 20 - - - - - 3 - - - - -- 215 20 299 10 225 20 30 172 20 139 20 510 4330 760 5283 440 2902 165 4 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Puducherry Regional Cancer Society, JIPMER, Puducherry Regional Cancer Centre, Thiruvananthapuram Kerala Regional Cancer Control Society, Shimla, Himachal Pradesh Regional Cancer Institute (WIA), Adyar, Chennai, Tamil Nadu Regional Institute of Medical Sciences, Manipur, Imphal. RST Hospital & Research Centre, Nagpur, Maharashtra. Sanjay Gandhi Post Graduate Institute of Medical Sciences., Lucknow Sher-I Kashmir Institute of Medical Sciences, Soura, Srinagar. Tata Memorial Hospital Mumbai, Maharashtra Total *******
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