“Health insurance is talked about in many countries of the world but India is going beyond that and ensuring health assurance”
“Our schemes today directly address the needs of the common citizens”
“When the citizens of the country are empowered, the country becomes powerful”
“An Ayushman card is a 5 lakh rupee ATM. This is an ATM card that will keep giving benefits of free treatment every year”
“Over a period of 30-40 years, there is a guarantee of 1.5-2 crore worth of treatment”

The Prime Minister, Shri Narendra Modi kickstarted the distribution of PMJAY-MA Yojana Ayushman cards in Gujarat via video conferencing, today. The Prime Minister also interacted with the beneficiaries of PMJAY-MA Yojana Ayushman cards via video conferencing.

Interacting with Shri Piyushbhai from Tuwar in Banaskantha, the Prime Minister enquired about his family and his recent health conditions. The Prime Minister was happy to know that the Ayushman Bharat scheme had given him a new lease on life. The Prime Minister assured him that the government will always take care of everyone like him.

The Prime Minister interacted with Shri Damor Lalabhai Somabhai from Mahisagar and inquired if his cancer treatment went through well. The Prime Minister expressed delight that Shri Damor’s treatment was covered by the Ayushman Bharat scheme and he did not have to spend a single penny. He also urged Shri Damor to take a vow to quit tobacco and asked him to spread awareness about the scheme.

Smt. Ramilaben, Darjee in Gandhinagar informed the Prime Minister that, if Ayushman Card was not available, she would have had to take a loan for her treatment and chances were that she would have avoided the operation. The Prime Minister expressed happiness that mothers and sisters are taking advantage of the scheme.

Addressing the gathering, the Prime Minister expressed delight that such a mega event about public health is taking place just before Dhanteras and Diwali. He noted the coincidence that Dhanteras is at hand and Lord Dhanvantari who is considered to be the originator of Ayurveda is worshipped on the occasion. Quoting the Shastras, the Prime Minister recited, “Arogyam Paramam Bhagyaam” and expressed happiness that under the leadership of Chief Minister Bhupendra Patel, an event of such massive scale was taking place to give Arogya Dhan to lakhs of people of Gujarat.

Referring to the spirit of ‘Sarve Santu Niramaya’ i.e. may all be free of diseases, the Prime Minister said Ayushman Yojana aims for health for all. The Prime Minister appreciated the enormity of the campaign of distributing 50 lakh cards to the people in the state. This bears testimony to the sensitivity of the Gujarat Government. “We have been hearing about health insurance in many countries of the world but India is going beyond that, ensuring health assurance”.

The Prime Minister also highlighted the changed political thinking and work culture. In the earlier governments, schemes for the benefit of the common man had become a mere formality. The money that was spent on these schemes was done keeping in mind a particular area and political interests. “It was necessary to change this situation and we took the lead in this change. Today when planning is done, we first study the condition of common citizens and study their needs”, he said. The Prime Minister continued “Our schemes today directly address the needs of the common citizens”

The Prime Minister emphasized, “When the citizens of the country are empowered, then the country becomes powerful. That's why we have focussed on empowering the common citizen, especially the women of the country”. He listed free gas connection, pucca houses, toilets, free ration, and piped water as examples of this approach. The Prime Minister informed that so far, around 4 crore poor patients have availed the benefit of Arogya under this scheme across the country. He further added that out of this, about 50 lakh poor patients are from Gujarat. Highlighting the commitment, the Prime Minister informed that the government has spent crores of rupees for the treatment of these beneficiaries. Noting that the money would have been spent from the pockets of the beneficiaries if they had to get treatment outside this scheme, the Prime Minister expressed satisfaction that half of the beneficiaries of Ayushman Bharat are my mothers and sisters. Shri Modi further added that these mothers and sisters used to hide their diseases in the interest of the family and suffer because they were afraid of the debt that might pile up due to the high cost of treatment. “Ayushman Bharat Yojana has also liberated poor mothers and sisters from this problem”, he added, “Simply speaking, an Ayushman card is a 5 lakh rupee ATM. This is an ATM card that will keep giving benefits every year” He further explained the benefit that if a person lives for 30-40 years, there will be a guarantee of 1.5-2 crore worth of treatment over that period. “Ayushman card will be your true friend, the biggest troubleshooter”, he added.

The Prime Minister recalled that as the Chief Minister, he had introduced Chiranjeevi, Balbhog and Khilkhilat schemes. Mukhyamantri Amritam was introduced many years ago in Gujarat. The introduction of PMJAY-MA will enable the people of Gujarat to avail benefit of free treatment even outside Gujarat.

Background

As the then Chief Minister of Gujarat, Prime Minister had started the ‘Mukhyamantri Amrutam (MA)’ scheme in 2012 to shield poor citizens from the catastrophic costs of medical treatment and illness. In the year 2014, ‘MA’ Yojana was extended to cover families with an annual income limit of Rs. 4 lakh. The scheme was further extended to several other groups as well and later rebranded as Mukhyamantri Amrutam Vatsalya (MAV) Yojana.

Drawing from the experience of the success of this scheme, the Prime Minister launched the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in 2018 - the largest health insurance scheme in the world providing coverage of up to Rs. 5 lakh per family per year for primary, secondary and tertiary care hospitalization without any cap on the family size and age. With the launch of the AB-PMJAY, Gujarat integrated MA / MAV Yojana with the AB-PM-JAY scheme in 2019 with the name PMJAY-MA Yojana and the beneficiaries under MA/MAV and AB-PMJAY became eligible for co-branded PMJAY-MA cards.

During the programme, the Prime Minister kickstarted the distribution of these cards which was followed by 50 lakh colour-printed Ayushman cards were distributed to all the beneficiaries across Gujarat at their doorstep by National Health Authority empanelled agencies after performing e-KYC of beneficiaries.

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శ్రీరామ జన్మభూమి ఆలయ ధ్వజారోహణ ఉత్సవం సందర్భంగా ప్రధానమంత్రి ప్రసంగం
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PM chairs 50th meeting of PRAGATI
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Prime Minister Shri Narendra Modi chaired the 50th meeting of PRAGATI - the ICT-enabled multi-modal platform for Pro-Active Governance and Timely Implementation - earlier today, marking a significant milestone in a decade-long journey of cooperative, outcome-driven governance under the leadership of Prime Minister Shri Narendra Modi. The milestone underscores how technology-enabled leadership, real-time monitoring and sustained Centre-State collaboration have translated national priorities into measurable outcomes on the ground.

Review undertaken in 50th PRAGATI

During the meeting, Prime Minister reviewed five critical infrastructure projects across sectors, including Road, Railways, Power, Water Resources, and Coal. These projects span 5 States, with a cumulative cost of more than ₹40,000 crore.

During a review of PM SHRI scheme, Prime Minister emphasized that the PM SHRI scheme must become a national benchmark for holistic and future ready school education and said that implementation should be outcome oriented rather than infrastructure centric. He asked all the Chief Secretaries to closely monitor the PM SHRI scheme. He further emphasized that efforts must be made for making PM SHRI schools benchmark for other schools of state government. He also suggested that Senior officers of the government should undertake field visits to evaluate the performance of PM SHRI schools.

On this special occasion, Prime Minister Shri Narendra Modi described the milestone as a symbol of the deep transformation India has witnessed in the culture of governance over the last decade. Prime Minister underlined that when decisions are timely, coordination is effective, and accountability is fixed, the speed of government functioning naturally increases and its impact becomes visible directly in citizens’ lives.

Genesis of PRAGATI

Recalling the origin of the approach, the Prime Minister said that as Chief Minister of Gujarat he had launched the technology-enabled SWAGAT platform (State Wide Attention on Grievances by Application of Technology) to understand and resolve public grievances with discipline, transparency, and time-bound action.

Building on that experience, after assuming office at the Centre, he expanded the same spirit nationally through PRAGATI bringing large projects, major programmes and grievance redressal onto one integrated platform for review, resolution, and follow-up.

Scale and Impact

Prime Minister noted that over the years the PRAGATI led ecosystem has helped accelerate projects worth more than 85 lakh crore rupees and supported the on-ground implementation of major welfare programmes at scale.

Since 2014, 377 projects have been reviewed under PRAGATI, and across these projects, 2,958 out of 3,162 identified issues - i.e. around 94 percent - have been resolved, significantly reducing delays, cost overruns and coordination failures.

Prime Minister said that as India moves at a faster pace, the relevance of PRAGATI has grown further. He noted that PRAGATI is essential to sustain reform momentum and ensure delivery.

Unlocking Long-Pending Projects

Prime Minister said that since 2014, the government has worked to institutionalise delivery and accountability creating a system where work is pursued with consistent follow-up and completed within timelines and budgets. He said projects that were started earlier but left incomplete or forgotten have been revived and completed in national interest.

Several projects that had remained stalled for decades were completed or decisively unlocked after being taken up under the PRAGATI platform. These include the Bogibeel rail-cum-road bridge in Assam, first conceived in 1997; the Jammu-Udhampur-Srinagar-Baramulla rail link, where work began in 1995; the Navi Mumbai International Airport, conceptualised in 1997; the modernisation and expansion of the Bhilai Steel Plant, approved in 2007; and the Gadarwara and LARA Super Thermal Power Projects, sanctioned in 2008 and 2009 respectively. These outcomes demonstrate the impact of sustained high-level monitoring and inter-governmental coordination.

From silos to Team India

Prime Minister pointed out that projects do not fail due to lack of intent alone—many fail due to lack of coordination and silo-based functioning. He said PRAGATI has helped address this by bringing all stakeholders onto one platform, aligned to one shared outcome.

He described PRAGATI as an effective model of cooperative federalism, where the Centre and States work as one team, and ministries and departments look beyond silos to solve problems. Prime Minister said that since its inception, around 500 Secretaries of Government of India and Chief Secretaries of States have participated in PRAGATI meetings. He thanked them for their participation, commitment, and ground-level understanding, which has helped PRAGATI evolve from a review forum into a genuine problem-solving platform.

Prime Minister said that the government has ensured adequate resources for national priorities, with sustained investments across sectors. He called upon every Ministry and State to strengthen the entire chain from planning to execution, minimise delays from tendering to ground delivery.

Reform, Perform, Transform

On the occasion, the Prime Minister shared clear expectations for the next phase, outlining his vision of Reform, Perform and Transform saying “Reform to simplify, Perform to deliver, Transform to impact.”

He said Reform must mean moving from process to solutions, simplifying procedures and making systems more friendly for Ease of Living and Ease of Doing Business.

He said Perform must mean to focus equally on time, cost, and quality. He added that outcome-driven governance has strengthened through PRAGATI and must now go deeper.

He further said that Transform must be measured by what citizens actually feel about timely services, faster grievance resolution, and improved ease of living.

PRAGATI and the journey to Viksit Bharat @ 2047

Prime Minister said Viksit Bharat @ 2047 is both a national resolve and a time-bound target, and PRAGATI is a powerful accelerator to achieve it. He encouraged States to institutionalise similar PRAGATI-like mechanisms especially for the social sector at the level of Chief Secretary.

To take PRAGATI to the next level, Prime Minister emphasised the use of technology in each and every phase of the project life cycle.

Prime Minister concluded by stating that PRAGATI@50 is not merely a milestone it is a commitment. PRAGATI must be strengthened further in the years ahead to ensure faster execution, higher quality, and measurable outcomes for citizens.

Presentation by Cabinet Secretary

On the occasion of the 50th PRAGATI milestone, the Cabinet Secretary made a brief presentation highlighting PRAGATI’s key achievements and outlining how it has reshaped India’s monitoring and coordination ecosystem, strengthening inter-ministerial and Centre-State follow-through, and reinforcing a culture of time-bound closure, which resulted in faster implementation of projects, improved last-mile delivery of Schemes and Programmes and quality resolution of public grievances.