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AnvikshikiResearch
Health Insurance / Universal HealthcareMinistry of Health and Family Welfare20082018

Rashtriya Swasthya Bima Yojana (RSBY)

Status: Replaced
Category: Healthcare Financing
Successor: Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)
Executive Inquest Summary

Raised coverage to ₹5 lakh per family/year for secondary and tertiary care hospitalization, covering bottom 40% vulnerable population (~55 crore citizens).

1. Original Objective & Statutory Design

Instituted in 2008 by the Ministry of Health and Family Welfare to govern health insurance / universal healthcare. Aimed at addressing core governance challenges and structural priorities of its era.

2. Implementation Architecture & Frontline Delivery

Administered under Ministry of Health and Family Welfare through federal coordination, state-level departments, and executive oversight mechanisms.

3. Rationale for Action, Repeal or Replacement

Low coverage ceiling (only ₹30,000 per BPL family), high out-of-pocket tertiary healthcare expenses, and restricted hospital networks.

Subsequent Legal or Administrative Framework:

Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

4. Empirical Evidence & Official Documentation

Official parliamentary records, ministry gazette notifications, and statutory review committee assessments concerning Rashtriya Swasthya Bima Yojana (RSBY).

Institutional Memory & Enduring Lessons

What Should Be Retained, Redesigned, or Revived?

Status: Replaced. Replacement: Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). Demonstrates the systemic lifecycle of public policy in India—highlighting how changes in state capacity, federal dynamics, and technological capability render legacy frameworks obsolete or require complete legislative overhaul.

Verified Administrative & Evaluation Sources

  • Official Gazette of India, Ministry of Health and Family Welfare
  • Parliamentary Standing Committee Reports (2018)
  • Law Commission of India & Ministry Transition Notes