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More, and less: On Budget 2026 and health-care spending

07 Feb 2026
2 min

Health-Care Budget Overview 2026

The 2026 health-care budget reflects aggressive allocation in certain sectors, though it falls short of expectations for significant health-care spending as a percentage of GDP.

  •  Total allocation: Over ₹1.05 lakh crore, a 10% increase over the previous year's revised estimates. 
  •  Health budget as a percentage of GDP: Approximately 0.26%. 
  •  Health budget as a percentage of total government expenditure: Approximately 1.9%. 

Key Initiatives and Allocations

Finance Minister Nirmala Sitharaman introduced significant initiatives, including the Biopharma SHAKTI scheme:

  • Biopharma SHAKTI scheme: ₹10,000 crore initiative to transform India into a manufacturing hub for biologics and biosimilars over five years. 
  • Clinical Trial Infrastructure: Network of 1,000 accredited clinical trial sites. 
  •  Establishment of three new National Institutes of Pharmaceutical Education and Research (NIPER). 
  •  Modernization of seven existing NIPER units. 
  •  Establishment of a second NIMHANS campus in North India and two upgraded national mental health institutes. 

Training and Care Affordability

  • Training Goals: Train one lakh allied health professionals and 1.5 lakh care workers for elderly care over the next five years. 
  • Affordability Measures:
    • Exemption of 17 cancer medicines and rare disease treatments from customs and import duties.
    • Reduction of tax collected at source on medical and educational remittances from 5% to 2%.

Criticism and Concerns

Public health activists have criticized the government's refusal to increase health-care allocation to 2.5% of GDP by 2025, as outlined in the 2017 National Health Policy.

  • National Health Mission: Drop in funding despite consistent fund utilization. 
  •  Fiscal devolution has enabled states to invest more in health, but concerns about reduced central funding potentially leading to uneven health-care improvements persist. 

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Fiscal devolution

Fiscal devolution refers to the transfer of financial resources and certain taxation powers from the central government to sub-national governments (states or local bodies). This enables states to have greater autonomy in their spending and development initiatives.

National Health Mission

The National Health Mission (NHM) encompasses its two sub-missions, the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). It aims to provide effective healthcare to the rural and urban poor. It is a major CSS under review.

National Health Policy

The National Health Policy is a framework set by the government to guide the development of the health sector. It outlines the principles, goals, and strategies for improving public health, ensuring access to healthcare services, and achieving health-related Sustainable Development Goals.

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