Showing posts with label CAG Audit Report. Show all posts
Showing posts with label CAG Audit Report. Show all posts

Friday, January 31, 2025

Union Finance minister declines special category status to Bihar in Budget 2025-26

Disregarding Chief Minister Nitish Kumar's demand for grant of Bihar special category status, ahead of Bihar assembly election in November 2025, Nirmala Sitharaman, the Union Finance Minister donned Madubani Sari to refer to Bihar on three occasions in her 57-page long budget speech. All the States including Bihar have again been taken for a ride because the Union government has increased its share in import duties by raising the Agriculture Infrastructure and Development Cess (AIDC) but reduced the Basic Customs Duty (BCD), which is shared with states.

In her eighth speech budget speech, she announced the establishment of a Makhana Board in Bihar. The initiative aims to enhance production, processing, and value addition of Makhana in the state. She said, "A Makhana Board will be established in the state to improve production, processing, value addition, and marketing of makhana. The people engaged in these activities will be organized into FPOs. The Board will provide handholding and training support to makhana farmers and will also work to ensure they receive the benefits of all relevant Government schemes." FPOs refers to Farmer Producer Organizations. FPO is a generic name, which means farmer- producers’ organization incorporated/registered either under Part IXA of Companies Act or under Co-operative Societies Act of the concerned States. A Producer Organisation (PO) is a legal entity formed by primary producers, viz. farmers, milk producers, fishermen, weavers, rural artisans, craftsmen. A PO can be a producer company, a cooperative society or any other legal form which provides for sharing of profits/benefits among the members. FPO is one type of PO where the members are farmers. The ownership of the PO is with its members. It is an organization of the producers, by the producers and for the producers.

The minimum number of membership depends on the legal form of the PO. For example, 10 or more primary producers can incorporate a Producer Company under Section 581(C) of Indian Companies Act 1956 (same provisions are retained in the 2013 Act). Section 465(1) of the Companies Act, 2013 mentions that "the provisions of Part IX A of the Companies Act, 1956 (1 of 1956) shall be applicable mutatis mutandis to a Producer Company in a manner as if the Companies Act, 1956 has not been repealed until a special Act is enacted for Producer Companies." There is no restriction on the maximum number of membership. The Income derived by a Producer Company through agricultural activities as defined in Income Tax Act, 1961 as amended from time to time, is treated as agricultural income and is exempted from taxation.

Producer Organisation can be registered under any of the following legal provisions:
a. Cooperative Societies Act/Autonomous or Mutually Aided Cooperative Societies Act of the respective State
b. Multi-State Cooperative Society Act, 2002
c. Producer Company under Section 581(C) of Indian Companies Act, 1956, as amended  in 2013
d. Section 25 Company of Indian Companies Act, 1956, as amended as Section 8 in 2013
e. Societies registered under Society Registration Act, 1860
f. Public Trusts registered under Indian Trusts Act, 1882

The PO can undertake the following activities:
a. Procurement of inputs
b. Disseminating market information
c. Dissemination of technology and innovations
d. Facilitating finance for inputs
e. Aggregation and storage of produce
f. Primary processing like drying, cleaning and grading
g. Brand building, Packaging, Labeling and Standardization
h. Quality control
i. Marketing to institutional buyers
j. Participation in commodity exchanges
k. Export

The minister announced that the capacity of the Indian Institute of Technology (IIT), Patna will be expanded as part of a broader initiative to enhance IITs. This includes developing additional infrastructure across five IITs to accommodate 6,500 more students. 

A National Institute of Food Technology, Entrepreneurship, and Management will be set up in Bihar to promote food processing activities. She said,"The institute will provide a strong fillip to food processing activities in the entire Eastern region. This will result in (1) enhanced income for the farmers through value addition to their produce, and (2) skilling, entrepreneurship and employment opportunities for the youth." Besides the expansion of  the Patna airport, the minister announced a brownfield airport in Bihta, Patna. The minister announced financial support for the Western Koshi Canal ERM Project benefiting a large number of farmers cultivating over 50,000 hectares of land in the Mithilanchal region of Bihar.

Bihar government had submitted a 32-page long memorandum to the minister seeking Rs 13,000 crore in central assistance for flood management in North Bihar, additional borrowing limit, 1% GSDP rebate for Bihar until its per capita income reaches the national average. The State had asked for initiation of Pradhan Mantri Gram Sadak Yojana-5.0 to widen and strengthen rural roads, a 250 km Greenfield Corridor from Birpur to Deoghar to promote religious tourism, connecting Nepal’s Pashupatinath to Vaidyanath Dham in Bihar-Jharkhand, construction of a 270 km high-speed corridor from Ladaniya to Nawada and a 135 km Raxaul-Dighwara corridor to enhance regional connectivity and facilitate goods transport to Nepal, establishment of PM Gatishakti Railway University in Jamalpur, Bihta-Aurangabad and Sultanganj-Deoghar railway lines, creation of 10 new Kendriya Vidyalayas and renovation of Vikramshila University. The Union Budget 2024-25 had announced Rs 59,000 crore for road connectivity, power, and flood management in Bihar. One year after the announcement, there is nothing visible on the ground to demonstrate that these announcements in the Union Budget Speech are meaningful. 

Union Budget is the Annual Financial Statement (AFS), as provided under Article 112 of the Constitution of India. It shows the estimated receipts and expenditure of the Government of India for 2025-26 along with estimates for 2024-25 and also actuals for the year 2023-24. The receipts and disbursements are shown under three parts in which Government Accounts are kept viz., (i) The Consolidated Fund of India, (ii) The Contingency Fund of India and (iii) The Public Account of India. The Annual Financial Statement distinguishes the expenditure on revenue account from the expenditure on other accounts, as is mandated in the Constitution of India. The Revenue and the Capital sections together, make the Union Budget. 

The estimates of receipts and expenditure included in the Annual Financial Statement are net of refunds and recoveries respectively. The significance of the Consolidated Fund, the Contingency Fund and the Public Account as well as the distinguishing features of the Revenue and the Capital portions are as under:

The Consolidated Fund of India (CFI) draws its existence from Article 266 of the Constitution. All revenues received by the Government, loans raised by it, and also receipts from recoveries of loans granted by it, together form the Consolidated Fund of India. All expenditure of the Government is incurred from the Consolidated Fund of India and no amount can be drawn from the Consolidated Fund without due authorization from the Parliament.

Article 267 of the Constitution authorizes the existence of a Contingency Fund of India which is an imprest placed at the disposal of the President of India to facilitate meeting of urgent unforeseen expenditure by the Government pending authorization from the Parliament. Parliamentary approval for such unforeseen expenditure is obtained, ex-post-facto, and an equivalent amount is drawn from the Consolidated Fund to recoup the Contingency Fund after such ex-post-facto approval. The corpus of the Contingency Fund as authorized by Parliament presently stands at `30,000 crore.

Money held by Government in trust are kept in the Public Account. The Public Account draws its existence from Article 266 of the Constitution of India. Provident Funds, Small Savings collections, receipts of Government set apart for expenditure on specific objects such as road development, primary education, other Reserve/Special Funds etc., are examples of moneys kept in the Public Account. Public Account funds that do not belong to the Government and have to be finally paid back to the persons and authorities, who deposited them, do not require Parliamentary authorization for withdrawals. The approval of the Parliament is obtained when amounts are withdrawn from the Consolidated Fund and kept in the Public Account for expenditure on specific objects (the actual expenditure on the specific object is again submitted for vote of the Parliament for withdrawal from the Public Account for incurring expenditure on the specific objects). 

The Union Budget can be demarcated into the part pertaining to revenue which is for ease of reference termed as Revenue Budget and the part pertaining to Capital which is for ease of reference termed as Capital Budget.

The Revenue Budget consists of the revenue receipts of the Government (Tax revenues and Non-Tax revenues) and the revenue expenditure. Tax revenues comprise proceeds of taxes and other duties levied by the Union. The estimates of revenue receipts shown in the Annual Financial Statement take into account the effect of various taxation proposals made in the Finance Bill. Non-tax receipts of the Government mainly consist of interest and dividend on investments made by the Government, fees and other receipts for services rendered by the Government. Revenue expenditure is for the normal running of Government Departments and for rendering of various services, making interest payments on debt, meeting subsidies, grants in aid, etc. 

Broadly, the expenditure which does not result in creation of assets for the  Government of India, is treated as revenue expenditure. All grants given to the State Governments/Union Territories and other parties are also treated as revenue expenditure in the books of Union Government even though some of the grants may be used for creation of capital assets by Grantee bodies/entities.

Capital receipts and capital payments together constitute the Capital Budget. The capital receipts are loans raised by the Government (these are termed as market loans), borrowings by the Government through the sale of Treasury Bills, the loans received from foreign Governments and bodies, recoveries of loans from State and Union Territory Governments and other parties and miscellaneous capital Receipts etc. Capital payments consist of capital expenditure on acquisition of assets like land, buildings, machinery, equipment, as also investments in shares, etc., and loans and advances granted by the Central Government to the State and the Union Territory Governments, Government companies, Corporations and other parties. 

The estimates of receipts and disbursements in the Annual Financial Statement and of expenditure in the Demands for Grants are shown according to the accounting classification referred to under Article 150 of the Constitution.

Article 113 of the Constitution mandates that the estimates of expenditure from the Consolidated Fund of India included in the Annual Financial Statement and required to be voted by the Lok Sabha, be submitted in the form of Demands for Grants. The Demands for Grants are presented to the Lok Sabha along with the Annual Financial Statement. Generally, one Demand for Grant is presented in respect of each Ministry or Department.

At the time of presentation of the Annual Financial Statement before the Parliament, a Finance Bill is also presented in fulfilment of the requirement of Article 110 (1)(a) of the Constitution, detailing the imposition, abolition, remission, alteration or regulation of taxes proposed in the Budget. It also contains other provisions relating to Budget that could be classified as Money Bill. A Finance Bill is a Money Bill as defined in Article 110 of the Constitution.

The Macro-Economic Framework Statement is presented to Parliament under Section 3 of the Fiscal Responsibility and Budget Management (FRBM) Act, 2003 and the rules made thereunder. It contains an assessment of the growth prospects of the economy along with the statement of underlying assumptions. It also contains an assessment regarding the GDP growth rate, the domestic economy and the stability of the external sector of the economy, fiscal balance of the Central Government and the external sector balance of the economy. The FRBM Act came into force on July 2, 2004 with the Fiscal Responsibility and Budget Management Rules, 2004

The FRBM Act generally bars the Union Government from borrowing from the Reserve Bank of India (RBI) except in special situations to meet temporary excess of cash disbursement over cash receipt, subscription of primary issues and thereafter on grounds of national security, national calamity, etc., and open market operations in the secondary market.

The Rules were amended by Fiscal Responsibility and Budget Management (Amendment) Rules, 2007 on January 23, 2007. It was amended again on September 5, 2012 by Fiscal Responsibility and Budget Management (Amendment) Rules, 2012, on May 7, 2013 by Fiscal Responsibility and Budget Management (Amendment) Rules, 2013, June 25, 2015 by Fiscal Responsibility and Budget Management (Amendment) Rules, 2015 on October 31, 2015 by Fiscal Responsibility and Budget Management (Second Amendment) Rules, 2015 and on April 2, 2018 by Fiscal Responsibility and Budget Management (Amendment) Rules, 2018

Notably, Section 7A of the FRBM Act, 2003, as amended in May 2012, provided that the Union Government may entrust the Comptroller and Auditor General (CAG) of India to review periodically as required, the compliance of the provisions of this Act and such reviews shall be laid before both Houses of Parliament. Rule 8 was framed and notified in October 2015 to carry out the effect of Section 7A of the Act. The notified Rule provide that the CAG shall carry out an annual review of the compliance of the provisions of the Act and the Rules made thereunder by the Central Government beginning with the Financial Year 2014-15. The review includes:
(i) analysis of achievement and compliance of targets and priorities set out in the Act and the Rules made thereunder, Medium Term Fiscal Policy Statement, Fiscal Policy Strategy Statement, Macro-economic Framework Statement and Medium Term Expenditure Framework Statement;
(ii) analysis of trends in receipts, expenditure and macro-economic parameters in relation to the Act and the Rules made thereunder;
(iii) comments related to classification of revenue, expenditure, assets or liabilities having a bearing on the achievement of targets set out in the Act and the Rules made thereunder; and
(iv) analysis of disclosures made by the Central Government to ensure greater transparency in its fiscal operations.

In compliance to Section 6 of FRBM Act, along with Budget, six disclosure statements, are placed before the Parliament.

The first Report of CAG-Report No. 27 of 2016-on compliance of the provisions of FRBM Act in respect of financial year 2014-15 was presented in Parliament in August 2016. This 82-page long report was based on the audit conducted in conformity with the auditing standards issued by the CAG of India. 

It recorded understatement about assets. As per the disclosure made by the Government, the  cumulative total of assets at the end of the year 2014-15 was Rs 9,71,354.25 crore. It pointed out inconsistency in the disclosure pertaining to asset register. The clarification for variation in the closing and opening figures in respect of assets for financial years 2012-13 and 2013-14 was not given in the Form D-4 of relevant years, which indicated absence of transparency in disclosure.

It recorded inconsistency in figures of loans to Foreign Governments. Examination of Form D-4 disclosure revealed that a sum of Rs 9,773.73 crore was shown as loans outstanding from foreign governments at the end of 2014-15. Similar information contained in the Union Government Finance Account revealed that a sum of Rs  9,210.62 crore was outstanding as loans from foreign governments at the end of 2014-15. Thus, there was overstatement of ` 563.11 crore of loans outstanding from foreign governments in Form D-4 disclosure. It also recorded inconsistency in disclosure of grants for creation of capital assets Rule 6 of the amended FRBM Rules requires laying of a statement providing the Ministry-wise breakup of grants for creation of capital assets in Form D-6. The disclosure requires providing details of budget and revised provisions for the current financial year and BE for ensuing financial year.

Its recommendations were as under:

(i) To address the issues of inconsistency in the FRBM Act/Rules, the Government may carry out suitable amendments.
(ii) The Government should follow the format of Form D-6 as prescribed under the FRBM Rules.
(iii) Budgetary provisioning as well as their accountal need to be in harmony with the codal provisions relating to classification structure of accounts to avoid misclassification of expenditure.
(iv) The Government may transfer specific purpose levies/cess collected to the funds earmarked for the purpose.
(v) A mechanism for recognizing the result of annual operations of NSSF and its impact on the Government finances may be put in place.
(vi) To facilitate correct identification and booking of expenditure as grants on creation of capital assets, the Government may consider defining the criteria for classification of expenditure as grants for creation of capital assets and its compliance by the Ministries/Departments.
(vii) The Government may exclude such grants, which does not lead to creation of assets owned by the grantee organisations, from categorising as grants for creation of capital asset.
(viii) The Government may strengthen the process of making underlying assumptions for projection of receipt and expenditure in various fiscal policy statements to insulate them from frequent changes and to seamlessly integrate the projection in the Budget.
(ix) Necessary steps may be taken to append additional statements in the Union Government Finance Accounts as suggested by the 12th Finance Commission to ensure greater transparency in the accounts.
(x) Disclosure statements prepared under the FRBM Act and Rules made thereunder should be complete in all respect and transparent.

The conclusion of the first audit report reads: "Transparency in fiscal operations of the Government is an important ingredient to achieve the accurate target of fiscal indicators envisaged under the FRBM Act. However, it was noticed that the Government did not append additional disclosure statements as recommended by Twelfth Finance Commission to bring more transparency in its operations. There was lack of adequate transparency with regard to direct tax receipt figures. Further, the disclosures made by the Government in various Forms envisaged under the FRBM Act were not complete and at variance with other publications, such as Union Government Finance Accounts and Detailed Demands for Grants." 

The audit report was signed by Mukesh Prasad Singh, Director General of Audit, Central Government and counter signed by Shashi Kant Sharma, 12th CAG of India on July 18, 2016. Sharma is an officer of the Bihar cadre.  

Ahead of the finalisation of the very first audit report, Union Government had constituted a committee in May 2016 under the chairmanship of N. K. Singh, the former Revenue and Expenditure Secretary to comprehensively review the working of the FRBM Act over last 12 years. Singh is an officer of the Bihar cadre.  

In the Nira Radia tapes, N.K. Singh can be heard stating that he got the order of the speakers in the Rajya Sabha changed to give an edge on retroactive tax rebates to Reliance Industries Limited. On July 9, 2009, N K Singh informed Nira Radia about Pranab Mukherjee's announcement of tax benefit on the gas and its indirect withdrawal, because he made it applicable only for only for NELP-VIII. NELP refers to New Exploration Licensing Policy. 

N.K Singh said, Arun Shourie "was very, very, very critical of this whole gas thing and said in the BJP parliamentary board meeting, day before yesterday. Now whatever he said in that meeting, day before yesterday, is one aspect. But what attitude BJP will take on this whole issue of the debate on the finance bill, which is beginning from Monday, in both houses of Parliament is of vital importance. Because if a large number of opposition MPs and Samajwadi will definitely join in begin to say that Pranab Mukherjee has given a bad largesse...it will benefit only one company...then Pranab Mukherjee is in the defensive and therefore the question of extending it retrospectively goes out of the window. So this whole managing that stuff in a way and also I think, you know, Arun is speaking, Shourie is speaking as a listed speaker in the Rajya Sabha for the BJP." 

N.K.Singh claimed that they have managed to make Arun Shourie the second speaker after M.Venkaiah Naidu. Pranab Mukherjee had moved the Finance Bill, 2009 to give effect to the financial proposals of the Central Government for the financial year 2009-10 on July 29, 2009. The proceedings of the day reveal that Arun Shourie was not allowed to speak by Rajnath Singh, the President of BJP although he was asked to prepare for it. The debate commenced with Ravi Shankar Prasad, followed by Venkaiah Naidu. Later, N.K. Singh claimed that his Reliance advocacy was for national ‘energy security'.

The NELP was started in 1999. Bidding of oil blocks and gas blocks under this policy from then onwards is subject to a profit-sharing contract. In that profit-sharing contract, a contractor is given the mandate to explore and find out whether there is any commercial viability with regard to oil or gas. Whatever expenses are incurred in finding out or searching oil, they are  reimbursed. That is how there is a share of the Government and of the contractor with regard to  the profit that comes which is known as the profit petroleum. That only comes when oil or gas is commercially viable.

NELP-VIII refers to the eighth round of NELP. Under NELP-VIII, 70 areas or blocks for exploration were offered, the biggest licensing round in India. Out of these 70 blocks, 24 are deepwater blocks, 28 are shallow water blocks and 18 are onland blocks. The NELP-VIII bid was launched on April 9, 2009. The bids were opened on October 12, 2009. 76 bids were received for 36 blocks. The bids were closed on October 12, 2009. Oil and Natural Gas Corporation (ONGC) won 17 out of the 25 oil and gas blocks it had bid for along with its partners. ONGC, in partnership with certain consortia members, had submitted bids for 25 oil and gas exploration blocks and won 17 of them. Reliance Industries Limited (RIL), which had won 45 blocks in the previous round of auctions, stayed away from making any bid in the eight round except for one coal bed methane block. None of the five top global majors, namely Exxon, Shell, Chevron, Statoil and Conoco Philips had participated with bids.

The terms of reference of the FRBM Review Committee also included looking into various aspects, factors, considerations going into determining the FRBM targets; to examine the need and feasibility of having a ‘fiscal deficit range’ as the target in place of the existing fixed numbers (percentage of GDP) as fiscal deficit target and to examine the need and feasibility of aligning the fiscal expansion or contraction with credit contraction or expansion respectively in the economy. The Committee had submitted its four volume report on January 23, 2017. It was published on April 12, 2017.

The major recommendations made by the Committee included:
Repeal the existing FRBM Act, 2003 and the FRBM Rules, 2004.
Enact a new Debt and Fiscal Responsibility Act, in pursuance of the new Act, enact, and adopt the Debt and Fiscal Responsibility Rules, as per drafts suggested by the Committee.
• Adopt a prudent medium-term ceiling for general government debt of 60 per cent of GDP to be achieved by no later than financial year 2022-23. Within the overall ceiling of 60 per cent, adopt a ceiling of 40 per cent for the Centre, and the balance 20 per cent for the State.
• Adopt fiscal deficit as the key operational target consistent with achieving the medium term debt ceiling.
• The path of fiscal deficit to GDP ratio of 3.0 per cent in financial year 2017-18 to financial year 2019-20, 2.8 per cent in financial year 2020-21, 2.6 per cent in financial year 2021-22 and 2.5 per cent in financial year 2022-23 be adopted.
• Revenue deficit to GDP ratio to decline steadily by 0.25 percentage points each year with the path specified as follows: 2.3 per cent in financial year 2016-17, 2.05 per cent in financial year 2017-18, 1.8 per cent in financial year 2018-19, 1.55 per cent in financial year 2019-20, 1.30 per cent in financial year 2020-21, 1.05 per cent in financial year 2021-22 and 0.8 per cent in financial year 2022-23.
• The deviation from the stipulated fiscal deficit target shall not exceed 0.5 percentage points in a year in case of invocation of Escape Clauses.
• Constitute a Fiscal Council with the Terms and Conditions as mentioned in the Report of the Committee.
 
The report of the FRBM Review Committee defined ‘general government debt’ as "total liabilities of the Central Government and the State Government excluding inter-governmental liabilities." It had provided Draft Statement of Objects & Reasons for the Debt Management and Fiscal Responsibility Bill, 2017 and Draft Debt Management & Fiscal Responsibility Bill, 2017. It drew on the debate in the Constitutent Assembly. Besides the chairman, there were four members of the committee including Dr. Arvind Subramanian who had given a Note of Dissent against the report of the FRBM Review Committee. The other members were Rathin Roy, Director, National Institute of Public Finance and Policy, Dr. Urjit Patel, Governor, RBI and Sumit Bose, former Finance Secretary. The report  acknowledged Dr. E.A.S. Sarma as the architect of the first FRBM Act. 

The 82-page long report of the CAG of India-Report No. 32 of 2017-on the compliance of the provisions of the FRBM Act and the Rules made thereunder by the Central Government for the year ended March 2016. The report contains significant results arising from the review of compliance of the provisions of the Act. The instances mentioned in this report during the test audit are for the period 2015-16. It refers to matters relating to the period prior to and subsequent to 2015-16 are included wherever found necessary. It has been referred to as the second report.

The report records the "arrears of interest receipts from State/Union Territory Governments and other loanee entities as disclosed through Union Government Finance Accounts for financial year 2015-1616 was at variance with disclosure made through Form D-2"

It is recorded that "Ministry of Information and Broadcasting while furnishing information in respect of Form D-2, did not furnish the arrears of interest amounting to 3,753.11 crore which was receivable from Prasar Bharti and clearly appearing in Section 3 of Statement No.15 of UGFA of 2015-16." UGFA refers to Union Government Finance Accounts. CAG responded:"Ministry of Information and Broadcasting stated (February 2017) that information relating to Prasar Bharti (statutory and autonomous organisation) was not included in Form D-2 furnished to the Ministry of Finance, as information was called for only in respect of State/UT Governments, Public Sector and Departmental Commercial Undertakings. In view of the reply of the Ministry of Information and Broadcasting, the information collated and presented to the Parliament in Form D-2 by the Ministry of Finance is incomplete."

It also records the incorrect information of coal levy in arrears. It recalled that Supreme Court had cancelled (September 2014) allocation of 204 captive coal blocks and imposed additional levy @ Rs 295 per tonne on coal extracted. In the first report of CAG on FRBM (No.27 of 2016), a para on outstanding amount of coal levy amounting to Rs 3,368 crore (as on 31 March 2015) and its non-inclusion in the disclosure statement (Form D-2) pertaining to arrears of non-tax revenue was made. It was noticed that for the reporting year 2015-16, the outstanding amount of coal levy furnished to the Ministry of Finance in Form D-2 by the Ministry of Coal was incorrect, in comparison to information furnished to Audit.

The report records what Ministry of Finance stated in June 2017:"Budget Division compiles the information strictly on the basis of the information furnished by the respective Ministries/Departments. Ministry further added that Budget Division has no means to verify the authenticity of the information provided by the Ministries/Departments independently. Citing the example of inconsistent information on arrears of non-tax revenue by Ministry of Information and Broadcasting, Ministry stated that Audit itself has attested error on the part of the line Ministry. Ministry of Finance however added that efforts were being made to rectify the errors/ inconsistency." CAG responded to it saying, "Ministry of Finance, being the nodal Ministry for the administration of the FRBM Act, should issue appropriate directions to all the Ministries/Departments to ensure coordination so that correct and consistent figures are included in the prescribed disclosure forms and other linked documents.

The report records that in the Annual Financial Statement and Union Government Finance Accounts, the estimates and actual collection from Tax Revenue are reflected after taking into account the amount of refunds (including interest on refunds). Analysis of direct  tax receipt of the Union Government, revealed that substantial portion of tax collected are refunded every year. In financial year 2015-16, amount of refunds included Rs 6,886 crore as expenditure on interest on refunds. Though the amount of refunds was substantial, no information about the quantum of refunds was disclosed either in the Annual Financial Statement or in the Union Government Finance Accounts. As such, the accounts of the Government were not transparent in respect of information on Tax Revenue collections.

The Ministry stated (June 2017) that in Finance Accounts revenue receipts are categorized as ‘Tax Revenue Receipts’ and ‘Non-tax Revenue Receipts’ and figures for Direct Taxes are not shown separately. It added that in Finance  Accounts, tax collections are accounted/shown at the minor head level which are net of refunds. Refund of revenue is accounted for at one level below, viz. sub  head level.

CAG responded: "Reply of the Ministry does not address the audit concern relating to transparency in accountal of gross tax collection and refunds made therefrom in a year, although net collections are captured in the accounts. The Union Government Finance Accounts are prepared at Minor Head level, whereas the amount of refunds despite being significant are recorded at a lower level of classification and thereby refunds get obscured in this compilation. Appropriate disclosure of this information in the Union Government Finance Account or in Budget documents would address the transparency requirement as envisaged in the FRBM Act."

The details of liabilities are also reflected through Union Government Finance Accounts (UGFA) showed variation in the position of liabilities of the Government at the end of financial year 2015-16, as reflected through Receipt Budget and UGFA. The gross liabilities on account of National Small Savings, Provident Funds, Other Accounts in Public Account in the UGFA 2015-16 have been reflected as Rs 12,31,500 crore. However in Receipt Budget, the National Small Savings, Provident Funds, Other Accounts liabilities though shown on gross basis, has a variation of Rs 43,139 crore on account of non-inclusion of amount of investment of Post Office Insurance Fund through Private Fund Managers.

Responding to these findings, the Ministry stated in June 2017 that "the observation regarding variation in the amount of total liabilities is being examined and comments/reply in this regard will be communicated shortly." It is not clear whether the Ministry communicated its promised reply regarding variation in the amount of total liabilities.  

The report has recorded variation in expenditure on grants for creation of capital assets. In the Budget document, figure of actual expenditure incurred on grants for creation of capital assets appears in Budget at a Glance and Ministry-wise details thereof are appended with Expenditure Budget, Volume-I. In Union Government Finance Accounts, compiled by the Controller General of Accounts (CGA) under the Ministry of Finance, this figure appears in Appendix to Statement No. 9 as a disclosure statement. Accounts at a Glance is another document published by the CGA providing macro level overview of financial information of the Government for relevant year. While comparing the actual figure of expenditure on grants for creation of capital assets for financial year 2015-16, variation was noticed between the Budget documents and documents compiled/prepared by CGA.

The Ministry stated (June 2017) that information provided in the Budget Statement on grants for creation of capital assets was based on the inputs/information provided by various Ministries/Departments. It further submitted that Budget Division has no means to verify the authenticity of the information provided by the Ministries/Departments independently. Ministry  however intimated that efforts are being made to rectify the errors/ inconsistency.

CAG observed: "Ministry of Finance, being the nodal Ministry for the administration of the FRBM Act, should ensure that information being collected and disclosed under the Act is complete, accurate and consistent with other Government documents brought out by the various arms of the same Ministry." It is not clear whether CAG's advice has been paid heed to.  

The audit report made the following recommendations:
i. Deferment of fiscal targets needs to be carried out through appropriate amendment in the Act.
ii. The disclosure relating to liability on annuity projects may be modified  suitably to reflect the amount of unpaid annuity liability at the end of a particular financial year.
iii. An appropriate mechanism needs to be put in place by the Government to avoid instances of inconsistencies in estimation and correct reporting of components of expenditure having bearing on deficit indicators.
iv. The Government may transfer specific purpose levies/cess collected to the designated funds.
v. A mechanism for recognising the result of annual operation of NSSF and its impact on the Government finances may be put in place.
vi. Criteria for classification of expenditure as grants for creation of capital assets may be prescribed for appropriate compliance by the Ministry/Department. Assets created out of such grants but not owned by the grantee organization may be excluded from categorizing as grants for creation of capital assets.
vii. The Government may strengthen the process of making underlying assumptions for projections of receipt and expenditure in various fiscal policy statements to insulate them from frequent changes and to seamlessly integrate the projections in the Budget.
viii. The Government should ensure adequate transparency and consistency in its fiscal operations so that fiscal indicators are computed accurately and disclosure forms as mandated under the Act contain correct information.

Its recommendation reads:"The Government should ensure adequate transparency and consistency in its fiscal operations so that fiscal indicators are computed accurately and disclosure forms as mandated under the Act contain correct information."

Its conclusion reads:"Transparency in fiscal operations of the Government is an important ingredient to achieve the accurate target of fiscal indicators envisaged under the FRBM Act. However, there was lack of transparency in disclosing the deficit figures in Budget at a Glance and Annual Financial Statements. Expenditure on grants for creation of capital assets as disclosed through Union Government Finance Accounts and Expenditure Budget was at variance. Further, gross liability position of the Government shown through Union Government Finance Accounts and Receipt Budget were also at variance. Though a significant amount of refund  is made from gross direct tax collection, its depiction is obscured in the Government Finance Accounts and other publications. The disclosures made by the Government through various Forms envisaged under the FRBM Act were not complete and at variance with corresponding information contained in Union Government Finance Accounts"

The report was signed by Mukesh Prasad Singh, Director General of Audit, Central Government and counter signed by Shashi Kant Sharma, 12th CAG of India on July 14, 2017. Sharma demitted the office of CAG of India on September 24, 2017. While being in that position had assumed the office of Chairman of United Nations Board of Auditors on January 11 2017 and demitted it when he ceased to be the CAG of India.

The 89 page long report of the CAG-Report No. 20 of 2018-discusses the compliance of the provisions of FRBM Act, 2003 and the Rules made thereunder by the Union Government for the financial year 2016-17. Audit has examined a few cases of off budget financing and analyzed impact of such operations on overall fiscal operations. It has underlined that "Government has increasingly resorted to off-budget financing for revenue as well as capital spending." It pointed out that "There is mismatch between the provision under FRBM Act and corresponding provision under FRBM Rules in respect of liability targets." It observed:"The Government could not meet the mid-year fiscal deficit and Revenue deficit target of 70 per cent of Budget Estimate for the year 2016-17 even after relaxing this target twice from 45 per cent in 2004-05 to 60 per cent in 2012-13 and 70 per cent in 2015-16. Further, factors responsible for such deviation vis-à-vis expenditure and receipt, and specific corrective measures, which Government was to take in the year, were not presented in the statement to the Parliament." For some reason this report is referred to as the third report of the CAG on the compliance of the provisions of the Act and the Rules made thereunder by the Union Government for the year ended March 2017.

It records: "Taking into account the understatement of Public Account liability of 7,63,280 crore, total liability of the Central Government at the end of the financial year 2016-17 would be ` 76,69,545 crore which is 50.5 per cent of  GDP rather than 45.5 per cent against the projection of 47.10 per cent in MTFP statement 2016-17." It also records: "Misclassification of expenditure, short/non-transfer of levy/cess to earmarked funds in the Public Account from the CFI, etc. resulted in understatement of revenue expenditure at least by 50,999 crore and hence revenue deficit was understated by the same amount." It records: Refunds of 1,72,894 crore (including interest on refunds of taxes) were made from gross direct tax collection in financial year 2016-17 but no  corresponding disclosure was available in the Government accounts." It pointed out: "Disclosure statements mandated under the FRBM Act and the Rules made thereunder placed before Parliament reflected inconsistencies relating to disclosure of non-tax revenue and assets." The report was signed by Mamta Kundra, Director General of Audit, Central Government on July 25, 2018 and counter signed by the Rajiv Mehrishi, the 13th CAG of India on July 25, 2018. Just prior to the signatures is a recommendation which reads: "Government may ensure explicit disclosures of all transactions having fiscal implications and avoid presenting mis-matched figures."

The CAG's report made the following  recommendations:
(i) The Government may ensure adherence to the medium term fiscal path as specified under FRBM Act/Rules and align its annual achievements accordingly.
(ii) Mid-year benchmarks for comparison with pro-rata performance against the budget estimates should be realistic and mid-course corrections should enable achievement of year-end targets, which should be disclosed transparently to Parliament.
(iii) Government may consider putting in place a policy framework for off-budget financing, which, amongst others, should include disclosure to Parliament:
a) The rationale and objective of off-budget financing, quantum of off-budget financing and budgetary support under the same project/scheme/programme, instruments and sources of financing, means and strategy for debt servicing of off budget financing, etc.
b) Details of off budget financing undertaken during a financial year by/through all the bodies/companies substantially owned by Government; and
c) Government may consider disclosing the details of off-budget Borrowings through disclosure statements in Budget as well as in Accounts.
(iv) Government may ensure that all transfers/funds meant to be kept in the designated funds in Public Account, including those for meeting future liability, specific-purpose cesses, etc. are not kept in the Consolidated  Fund to avoid overstatement of revenue receipts.
(v) Government may lay down guidelines for treating which items created out of grants for creation of capital assets qualify as Capital Assets and expenditure only for those assets should be considered as grants for creation of capital assets.
(vi) Government may ensure explicit disclosures of all transactions having fiscal implications and avoid presenting mis-matched figures.

The 96-page long report of the CAG for the years 2017-18 and 2018-19-Report No. 6 of 2021-on the compliance of the provisions of the FRBM Act and the Rules made thereunder by the Union Government for the year ended March 2016 contained significant results arising from the review of compliance of the provisions of the Act. The instances mentioned in the report are those, which came to notice in the course of test audit for the period 2015-16. The matters relating to the period prior to and subsequent to 2015-16 were included, wherever deemed necessary. It dealt with the years ending in March 2018 and March 2019. The report was signed by Manish Kumar, Director General of Audit, Finance & Communication, CAG of India on June 30, 2021counter signed by Girish Chandra Murmu, the 14th CAG of India on July 5, 2021. Murmu was the CAG till November 20, 2024. This report has been mentioned as the second report of the CAG on the compliance of the provisions of the Act and the Rules made thereunder by the Union Government for the year ended March 2017.

Notably, just prior to the signatures is an audit summation which reads: "Audit noticed variations in RD and FD figures between those depicted in the Budget at a Glance(BAG) and those depicted in the Union Government Finance Accounts (AFS) for both years,due to netting of certain receipts and expenditure in the BAG. The balances under National Small Savings Fund (NSSF) do not explicitly disclose the substantial accumulated deficit in the fund and significant amounts loaned for funding revenue expenditure of the Government which would have to be serviced through budgetary support. Further, there were inadequacies in disclosures in Form D-2 - Arrears of Non-Tax Revenue and D-4 - Asset Register."
 
Form D-2 is one of the disclosure forms which provides details of arrears of Non-Tax Revenue (NTR). Disclosure Form D-4 relates to physical and financial assets of the Government. Receipt Budget 2020-21 provides details of assets of the Union Government as at the end of reporting year 2018-19. As per the disclosure made by the Government, the cumulative total of assets at the end of the year 2017-18 and 2018-19 was `15,10,277.64 crore and 16,99,853.14 crore respectively. During audit, errors in compilation of assets by various Ministries were also noticed. Assets were found to be overstated by `5,90,875 crore. In addition, inconsistency was noticed in figures of loans to Foreign Governments. Examination of Form D-4 revealed that a sum of 14,077.04 crore was shown as loans outstanding from Foreign Governments at the end of 2017-18. Similar information contained in the Union Government Finance Accounts (UGFA)2017-18, revealed that a sum of 13,433.02 crore was outstanding as loans from foreign Governments. Thus, there was a variation of `644.02 crore of loans outstanding from foreign Governments. Similar examination of Form D-4 for 2018-19 revealed that a sum of 14,093.67 crore was shown as loans outstanding from Foreign Governments whereas information contained in the UGFA 2018-19 revealed that a sum of 13,558.87 crore was outstanding as loans from foreign Governments. Thus, there was a variation of 534.80 crore of loans outstanding from foreign Governments. Variation in figures of closing and opening balances of assets On examination of Form D-4 appended with Receipts Budget 2019-20 and 2020-21, variations were noticed in the closing and opening balances of assets.

Significantly, opening balance of assets for 2018-19 was less by 3,116.36 crore as compared to the carry-over balance of assets at the end of 2017-18. The Ministry of Finance explained (June 2020 and December 2020) that the same was due to revision in the opening balance on account of factors such as a) inclusion of “Railway Safety Fund” by Ministry of Railway, b) omission of investment in HEFA and c) reporting of assets by additional Missions in Ministry of External Affairs. The reasons for the variation disclosed by Government lack adequate transparency as instead of an item wise quantitative reconciliation of the variation of `3,116 crore, only instances were mentioned without quantification. The Ministry further replied that footnotes are also provided below the statements to insure clarity and transparency. However, effort shall be made to insure greater comprehensiveness in the footnote of statement of asset register. HEFA refers to Higher Education Financing Agency is a joint venture of Ministry of Education, Government of India and Canara Bank for financing creation of capital assets in premier educational institutions in India. HEFA is registered under Section 8 (Not-for-profit) under the Companies Act 2013 as a Union Govt company and as Non–deposit taking Systematically Important (NBFC-ND-SI) with RBI. HEFA incorporated on May 31, 2017, is a joint venture of Ministry of Education, Government of India and Canara Bank with an agreed equity participation in the ratio of 90.91% and 09.09% respectively. 

Section 2 (a) of the FRBM Act defines "fiscal deficit". It means "the excess of total disbursements, from the Consolidated Fund of India, excluding repayment of debt, over total receipts into the Fund (excluding the debt receipts), during a financial year."

Section 2 (bc) defines "gross domestic product". It means "the sum of the gross value added by all resident production units plus that part of taxes, less subsidies, on products, which is not included in the valuation of output, during a financial year, reckoned at current market prices, as published by the Central Statistics Office from time to time." Section 2 (ca) defines "real gross domestic product". It means "gross domestic product, reckoned at constant prices, as published by the Central Statistics Office from time to time." These definitions were inserted on March 31, 2018. 

The FRBM Act was amended by Finance Act, 2018. The words “achieving sufficient revenue surplus and” omitted from the long title of the original FRBM Act by section 210 of Act 13 of 2018 with effect from March 29, 2018.

Significantly, in the Jan Vishwas Act 2023, more than 180 legal provisions were decriminalized. Now the proposed Jan Vishwas Bill 2.0 is aimed at decriminalizing more than 100 provisions in various laws.

Sunday, December 8, 2024

CAG Report Reveals Crisis ridden Bihar’s Healthcare System, Media Highlights Decay of Health Department

The 294 page long report of the Comptroller and Auditor General (CAG) of India with regard to Performance Audit on Public Health Infrastructure and Management of Health Services, Government of Bihar was tabled on November 28, 2024. It was sent to the government on October 28, 2024. The report is signed by Raj Kumar, Principal Accountant General (Audit), Bihar and countersigned by Comptroller and Auditor General (CAG) of India.

The relevant part of Article 151 reads: "The reports of the Comptroller and Auditor-General of India relating to the accounts of a State shall be submitted to the Governor of the State, who shall cause them to be laid before the Legislature of the State." Article 148 of the Constitution makes a provision for CAG of India, It reads:"There shall be a Comptroller and Auditor-General of India who shall be appointed by the President by warrant under his hand and seal and shall only be removed from office in like manner and on like grounds as a Judge of the Supreme Court." Article 149 of the Constitution deals with the duties and powers of the CAG. It reads: "The Comptroller and Auditor-General shall perform such duties and exercise such powers in relation to the accounts of the Union and of the States and of any other authority or body as may be prescribed by or under any law made by Parliament and, until provision in that behalf is so made, shall perform such duties and exercise such powers in relation to the accounts of the Union and of the States as were conferred on or exercisable by the Auditor-General of India immediately before the commencement of this Constitution in relation to the accounts of the Dominion of India and of the provinces respectively." Article 150 of the Constitution deals with the "Form of Accounts of The Union and of The States." It reads: "The accounts of the Union and of the States shall be kept in such form as the President may, on the advice of the Comptroller and Auditor-General of India, prescribe." CAG's performance audit report on Public Health Infrastructure and Management of Health Services was prepared for submission to the Governor of Bihar under Article 151.

The news channels, newspapers, news sites and social media reported the decay of the Bihar's Health Department recorded in the CAG's audit report.

The Hindu says, CAG reports highlights glaring deficiencies in Bihar health infrastructure Out of budget provisions of ₹69,790.83 crore made during FYs 2016-17 to 2021-22, Bihar spent only ₹48,047.79 crore (69 %), leading to non-utilizations of ₹21,743.04 crore (31%).

Indian Express has reported that As Bihar’s healthcare system crumbled and doctor shortage persisted, state failed to spend its full health budget for years, CAG finds. According to the CAG, "between the financial years of 2016-17 and 2021-22, the state spent only Rs 48,047 crore (69 per cent) of total budget provisions of Rs 69,730 crore".

National Herald reports Huge gaps in Bihar's medical facilities, says CAG report Facility of diagnosis and management of cases of cardio-vascular disease, cancer, myocardial infraction and stroke facilities were not available in any of the test-checked district hospitals.

The Times of India has reported that Bihar's healthcare system in shambles, says CAG report

Press Trust of India and The Print has reported that CAG audit report finds acute shortage of doctors in Bihar

Swastha Bharat says, बिहार में स्वास्थ्य व्यवस्था भगवान भरोसे

ABP reports CAG Report For Period 2016-22:बिहार के स्वास्थ्य सेवा क्षेत्र पर भारत के नियंत्रक एवं महालेखा परीक्षक की रिपोर्ट में पाया गया है कि राज्य में चिकित्सकों और पैरामेडिकल स्टाफ की भारी कमी है.

New Indian Express has reported that Bihar faces acute healthcare crisis: CAG report highlights severe shortage of doctors, staff, and equipment The CAG report also scrutinized procurement data from the Bihar Medical Services and Infrastructure Corporation Limited (BMSICL).

The important findings relating to human resources of the healthcare infrastructure and services are as under:

•There were 49 per cent vacancies across the offices of the department i.e., Directorate of Health Services, State Drug Controller, Food Safety wing, AYUSH and Medical College and Hospitals (MCHs).

• In Bihar, against the projected population of 12.49 crore as of March 2022, 1,24,919 allopathic doctors (1:1,000) were required to fulfil the recommendation of World Health Organisation (WHO) against which, only 58,144 (1:2,148) allopathic doctors were available as of January 2022.

• Shortage of staff nurse against sanctioned strength varied from 18 per cent (Patna) to 72 per cent (Purnea). Shortage of paramedics against the sanctioned strength ranged from 45 per cent (Jamui) to 90 per cent (East Champaran). 

• There was significant staff shortage in all the cadres ranging from 35 per cent to 81 per cent, in AYUSH health care facilities.

• The Human Resource agency hired for recruitment of required manpower, at different levels of healthcare services published (October 2019-January 2021) advertisements for 82 types of 24,496 posts. However, recruitment of 35 types of 13,340 posts was pending as of January 2022.

The findings relating to Healthcare Services are as under:

 • Basic amenities such as drinking water, fan, separate toilets for males and females, chairs etc., were deficient in the Out-Patient Department (OPD)/registration areas of the test-checked healthcare facilities (four SDHs, two RHs, four CHCs and 10 PHCs).

• As per Indian Public Health Standards, emergency OT was to be made available in each SDH, but it was not available in all the test-checked four SDHs. Besides, accident and trauma care services were also not available in any of the test-checked SDHs (except Mahua (Vaishali)).

• Out of 20 test-checked healthcare facilities, Antenatal Care (ANC) facility was not available in SDH, Udakishunganj, PHC, Bihta and Noorsarai. In the remaining 17 healthcare facilities, whenever a registered pregnant woman turned up for ANC, a new number was being allotted to her. Besides, one per cent to 67 per cent of the registered pregnant women were not supplemented with full course of IFA tablets during 2016-22.

• Out of 24 cases of maternal deaths reported in 16 test-checked healthcare facilities, during FYs 2016-22, maternal death review had been conducted in only one case, in PHC, Goraul.

• In test-checked 68 healthcare facilities of different levels (from HSC to SDH) required number of  diagnostic test facilities were not available from 19 per cent to 100 per cent and diagnostic facilities were not available beyond OPD hours except CHC, Kako and PHCs Ratni Faridpur, Sikariya and Shankarpur.

• In test-checked healthcare facilities, shortages of Lab Technicians (LTs) ranged from nil to 100 per cent (on average) against the sanctioned strength during 2016-22.

• Joint physical verification of 25 ambulances showed that none of the ambulances had required equipment/medicine/consumables as per the agreement. The shortages ranged from 14 per cent to 100 per cent.

• Six test-checked blood banks operated without valid license, for a period ranging between three years to 21 years. This depicts lack of monitoring control on the part of SDC.

• None of the test-checked 10 SDHs, RHs and CHCs had functional Blood Storage Units (BSUs). In eight healthcare facilities, BSUs were non-functional due to the non-availability of manpower and authorisation certificates issued by the State Licensing Authority even when the equipment and consumables were available.

The findings relating to Availability of Drugs/Medicines, Equipment and Other Consumables of the healthcare infrastructure and services are as under:

 • For providing necessary medicines to the patients free of cost at all health care facilities, the department had prepared an Essential Drugs List (containing up to 387 number of drugs during 2016-22), but the nodal agency i.e., BMSICL, had executed rate contracts with suppliers for only 14 to 63 per cent drugs, during the period, resulting in non-availability of such medicines.

• During 2016-22, BMSICL received 197.38 crore units of drugs/ surgical items valuing ₹ 1,290.39 crore, against 13,440 purchase orders. The received drugs/surgical items had remaining shelf life from 35 per cent to 74 per cent of their total life against the required minimum 75 per cent.

• In test-checked healthcare facilities, non-availability of essential drugs for Out-Patient Departments ranged between 21 per cent to 65 per cent and for In-Patient Departments, the non-availability was 34 per cent to 83 per cent, during 2016-22.

• In Darbhanga Medical College and Hospital (DMCH) and Government Medical College and Hospital (GMCH), Bettiah, it was observed that 45 per cent to 68 per cent drugs were not available during FYs 2019-21, due to short/non-supply of drugs by the BMSICL.

• State Ayush Society, Bihar, could not purchase essential drugs prescribed by Government of India (GoI), though grants of ₹ 35.36 crore for this purpose were provided during FYs 2014-20.

• In Government Tibbi College & Hospital, Patna, 55 drugs costing ₹ 22.33 lakh, purchased during October 2018 to October 2019, without assessment of their requirement, could not be utilised and had been kept idle in stock, and the shelf-life of 20 medicines had already expired.

• Acute shortages of equipment were noticed in the departments of each of the test-checked medical college and hospitals. The shortages, against the required number of machines and equipment, ranged between 25 per cent and 100 per cent, 33 per cent and 94 per cent and 50 per cent and 100 per cent, in DMCH, PMCH and GMCH, respectively.

• Out of available 132 ventilators in test-checked healthcare facilities, only 71 (54 per cent) ventilators were found functional. Four ventilators were non-functional and 57 (43 per cent) were lying idle, due to non-availability of technician and non-functional ICU.

The findings relating to Healthcare Infrastructure are as under:

• There was significant shortage of healthcare facilities, from Health Sub-Centre(HSC) level to Referral Hospital (RH)/Community Health Centre (CHC) level. Further, Sub-Division al Hospitals (SDHs) were not available in 47 sub-divisions.

• Government of Bihar had not prepared any comprehensive health policy/plan, aligned with the National Health Policy, 2017, to address the gaps of infrastructure/equipment in every healthcare facility.

• Health Department accorded (March 2007 to February 2010) sanction for upgradation of 399 out of 533 Primary Health Centres (PHCs) into CHCs but the executing agency i.e., Bihar State Building Construction Corporation Limited had completed construction work of buildings in only 191 PHCs, as of March 2022.

• The Department provided (April 2011 to November 2015) funds of ` 257.02 crore to Bihar Medical Services & Infrastructure Corporation Limited (BMSICL), for upgradation of 198 PHCs into CHCs but work was started at 93 places and only 67 works for construction of buildings could be completed.

• Out of total 1,932 Primary Health Centres/Additional Primary Health Centres (APHCs), 846 (44 per cent) were not functioning on 24X7 basis. Further, only 566 (29 per cent) had labour room, 276 (14 per cent) had Operation Theatre (although mandatory as per guidelines) and only 533 (28 per cent) had at least four beds, against the requirement of six beds.

• It was observed that only 4,129 (52 per cent) Health and Wellness Centres (HWCs) were in existence, as on March 2022, against the target of 7,974 in the State and several deficiencies such as non-availability of toilets, drinking water, waiting space facilities were found in the test-checked HWCs.

The findings relating to Financial Management of the healthcare infrastructure and services are as under:

• Government of Bihar (GoB) made budget provisions of ₹ 69,790.83 crore during financial years (FYs) 2016-17 to 2021-22. Out of these provisions, only ₹ 48,047.79 crore (69 per cent) were spent by the Department, leading to savings of ₹ 21,743.04 crore (31 per cent).

• The savings were mainly attributable to: (i) the absence of gap analysis for raising demands for the budget and (ii) non-receipt of indents/demands from districts, on time.

• The percentage of expenditure on healthcare against the Gross State Domestic Product (GSDP) ranged between 1.33 per cent and 1.73 per cent only, whereas the percentage of healthcare expenditure against the Budget of the state, was between 3.31 per cent and 4.41 per cent, less than the required 2.5 per cent and 8 per cent of the GSDP and State Budget, respectively.

• In all the test-checked three Medical College and Hospitals (MCHs), during FYs 2016-22, 100 per cent persistent savings were noticed, in certain heads of expenditure viz., Training, Publishing and printing etc. However, the Department kept releasing funds, which remained unutilised and were surrendered on the last day of that financial year.

The finding relating to Implementation of Centrally Sponsored Schemes of the healthcare infrastructure and services are as under:

• There were delays in payments (31 to 60 days in 17 per cent, 61 to 180 days in 18 per cent and more than 180 days in six per cent cases) made to sampled 2,378 Janani Suraksha Yojana beneficiaries, covered in nine test-checked healthcare facilities during financial years 2016-22. In 11 per cent cases, no payments were made.

The findings relating to Adequacy and Effectiveness of the Regulatory Mechanisms of the healthcare infrastructure and services are as under:

 • Only 27 to 42 per cent of sellers could be inspected by the Drug Inspectors during FYs 2016-22 (up to November 2021) and due to inadequate number of inspections, it could not be ascertained that provisions of the Act/Rules were being complied and quality drugs were being provided to the patients.

• There was acute shortage of manpower in State Drug Controller (SDC) establishment (100 per cent on the post of Deputy Drug Controller, 26 per cent in Assistant Drug Controller and 36 per cent in Drug Inspector), as of December 2021. This was one of the important reason for less inspections leading to ineffective monitoring mechanism.

• Out of 1,350 samples collected for quality test, only 17 per cent samples could be analysed within the stipulated time and remaining were analysed with delays of 61 days to 540 days. Due to delays in analysis, it could not be possible to take timely action, in case the drugs were found of sub-standard quality.

The findings relating to Sustainable Development Goals of the healthcare infrastructure and services are as under:

• As per SDG India Index Report (2020-21) of NITI Aayog, Bihar scored 66, out of 100 SDG index score for SDG-3.

• Achievement of Bihar in respect of key health indicators (like MMR, NMR, TFR etc.) was far below the SDG target, as well as average national achievement during 2020-21.

The CAG's Audit Report recommends that the State government ought to ensure:
1. that adequate number of healthcare personnel are deployed in healthcare facilities, according to relevant norms/benchmark.

2. that waiting time for registration is reduced, by adding registration counters and registration staff etc. 

3. availability of maternity services (Antenatal Care, Intra-partum care and Post-partum care) to every pregnant woman/mother.

4. that radiology and Ambulance services are operational in the designated healthcare facilities, with the required manpower and equipment.

5. preparation of Comprehensive plans for Bio-Medical Waste management.

6. segregation of Bio-Medical Waste and proper disposal thereof, as also the establishment of Effluent Treatment Plants in all healthcare facilities.

7. that Fire Safety Plan is prepared by the Health Department and fire extinguishers
are installed in every healthcare facility.

8. at healthcare facility level there is a defined and established system for grievance redressal mechanism for beneficiaries.

9. BMSICL executes rate contracts, prepare annual procurement plan for procurement of equipment, to ensure their timely availability and distribution thereof across healthcare facilities.

10. terms and conditions of the supply contracts are adhered to, for ensuring the timely supply and adequate shelf life of drugs. 

11. that drugs and surgical items are stored at the prescribed temperature and moisture standards, to help preserve their shelf life.

12. that required equipment and drugs as per EDL, are available in all the healthcare facilities.

13. carrying out quality tests of each batch of drugs and surgical items. Further, proficiency tests of drugs are conducted, to ensure random cross-checking of the quality of test results.

14. to provide the required equipment and make them functional in healthcare facilities, in accordance with MCI/NMC norms.

15. proper utilisation of idle ventilators through deployment of adequate manpower.

16. that Health Department conducts a proper review of all civil works, for their timely completion, through the concerned agencies.

17. to prepare a comprehensive health policy/plan, to bridge gaps in infrastructure, in the existing healthcare facilities.

18. that budget provisions of the Health Department are prepared on a realistic basis, considering the demands raised on the basis of gap analysis, at the district level.

19. timely finalisation of tenders and completion of projects, so that available funds are utilised effectively.

20. adequate allocation of funds for primary healthcare, as well as enhancement in healthcare sector spending, in line with the National Health Policy, 2017.

21. that available funds are utilised in line with time bound targets, as framed under the guidelines of NAM.

22. that arrangements are made to ensure timely payment to the beneficiaries under the Janani Suraksha Yojna. 

23. periodic inspections of manufacturers’/sellers’ establishments.

24. deployment of sufficient and qualified manpower in the offices of the State Drug Controller and State Drug Controller (AYUSH), for their effective functioning.

25. timely testing of Allopathic and AYUSH drugs, to mitigate the possible risks of spurious/NSQ drugs.

26. upgradation of training infrastructure to ensure regular training to technical staff, for updating their skills.

27. proper maintenance and regular updation of records relating to Application, Renewal, Cancellation and Grant of licences, to Manufacturing Units and Blood Banks.

28. that District Registration Authorities monitor clinical establishments under their area and enforce the provisions of the Clinical Establishments Act. 

29. that Maternal and child healthcare services are provided according to the relevant norms and standards, to achieve the desired SDG target, related to maternal and child health.

30. phased targets are outlined for all districts, in line with the overall targets, as outlined in the Bihar SDG Vision document.

31. district-wise status of SDG health indicators is prepared and monitored regularly.