Business Standard has reviewed the note. Currently, many state governments are paying a high premium for an insurance cover up to Rs 300,000. For instance, Rajasthan, which runs Bhamashah health insurance scheme for around 10 million families is paying a premium of around Rs 1,250 per family for an insurance cover of Rs 300,000. The Centre has proposed to provide an insurance cover of Rs 500,000 per family.
An official said the Union health ministry had to move the EFC as the latter's approval is required for all schemes of the Union government where the budgetary allocation is in excess of Rs 5 billion.
The EFC, which is chaired by the Secretary (Expenditure), had its first meeting on Modicare on Thursday which remained inconclusive and the bureaucrats are expected to meet again next week.
The Niti Aayog and the Union Health Ministry had moved the EFC for the approval detailing how the Modicare would be rolled out. It said the government would be setting up a National Health Protection Council (NHPC), National Governance Board (NGB) and National Health Agency (NHA) before roll-out of the scheme on August 15.
The NHPC, which will provide the policy guidance, would be chaired by the Union Health Minister and co-chaired by the vice-chairman Niti Aayog. Health Ministers of states would be his members and co-chairperson of NGB would act as its member secretary.
NGB, which would be the decision-making body, would be constituted after appointing Member (Health) at Niti Aayog its chairperson and secretary (Health) as its co-chairperson. NGB members include CEO Niti Aayog, Mission director National Health Rural Mission, secretaries of various central ministries, four principal secretaries of the states, two domain experts to be nominated by the chair and co-chair and CEO of National Health Agency (NHA).
The NHA, would be the implementing agency for Modicare, and his CEO would be an officer of the rank of additional secretary or joint secretary. The proposal before the EFC has also demanded an additional joint secretary in the Union Health Ministry.
The proposal estimates that setting up of NHA, infrastructure, IT and another administrative cost would be a one-time cost of around Rs. 3 billion.