March 23, 2021

The middle class is unserved when it comes to insurance coverage

Health: There is a gap in insurance coverage for middle-income groups in India. While the bottom two income quintiles are covered by the Pradhan Mantri Jan Arogya Yojana (PM-JAY), the top income quintile is covered by commercial insurance. This leaves people in the middle two income quintiles—where the population is not rich enough to afford commercial insurance, and not poor enough to be covered under government-sponsored health insurance schemes. It is therefore critical to ensure universal access to healthcare insurance, so that no one is excluded in terms of disease or category of persons.

In Budget 2021-22, the PM Atmanirbhar Swasth Bharat Yojana (PM-ANSBY) received an outlay of INR 64,180 crore over six years. It aims to develop capacities at various levels of the healthcare system, create new institutions, and strengthen existing ones.

Additionally, on the lines of the Developmental Financial Institution (DFI) which is being planned to stimulate investments in infrastructure, there is a need for a DFI specific to the health sector. This will increase healthcare access in Tier-2 and Tier-3 cities and also come in with technical assistance that ensures proper usage of funds.

Read this article that examines how public funds in healthcare have been allocated.


May 20, 2021

Home Ministry extends validity period of FCRA registration certificates

Fundraising & Communications: The Ministry of Home Affairs (MHA) has issued a circular extending the validity of FCRA registration certificates to September 30th, 2021. This applies to all FCRA licences that have expired or will expire between September 29th, 2020 and May 31st, 2021. The decision to extend the deadline has been driven by the exigencies arising from the COVID-19 situation.

FCRA refers to the Foreign Contribution (Regulation) Act 2010, which permits charitable organisations based in India to raise funds from foreign sources.

The order also clarified that nonprofits that have already opened an account and have the requisite permission to receive foreign aid, can henceforth receive it only in these newly-opened accounts.

The FCRA law was amended in September 2020 to include a clause that mandated that all nonprofits receiving foreign aid must necessarily open an account in State Bank of India’s New Delhi Main Branch. The government had initially set the deadline for this account opening as March 31st, 2021; it later extended it to June 30th, 2021 after several nonprofits argued in court that there had been delays because necessary approvals from MHA had not been received.

Several organisations have not been able to receive foreign funds during the crisis caused by the second wave, and this has impacted their COVID-19 relief efforts. Relaxing the foreign funding rules could significantly help organisations ramp up their operations to help individuals, supply critical healthcare equipment, and respond to communities in rural areas.

Read this article to know how amending the FCRA can have unforeseen implications.


May 20, 2021

Corporate spending on oxygen support and medical equipment now counts as CSR

Philanthropy & CSR: The Ministry of Corporate Affairs (MCA) has issued a circular that allows corporate spending on health infrastructure for COVID-19 care to qualify as corporate social responsibility (CSR) expenditure.

This includes setting up medical oxygen generation and storage plants, manufacturing and supply of oxygen concentrators, ventilators, cylinders, and other medical equipment to counter COVID-19.  

The announcement comes at a time when all efforts are being directed towards expediting efforts to support the country’s healthcare infrastructure.

According to the circular, companies can now undertake projects and activities in collaboration with other companies using CSR funds. Additionally, they can contribute to specified research and development projects, as well as publicly funded universities and certain organisations that conduct research in science, technology, engineering, and medicine.

The government had earlier clarified that setting up makeshift hospitals and temporary COVID-19 care facilities would also be considered a CSR activity. Rajesh Verma, the Corporate Affairs Secretary, has requested businesses to consider converting vacant office buildings into COVID-19 facilities to cater to the rapidly increasing caseload.

Read this article to understand why media attention on COVID-19 deaths due to lack of oxygen in big cities has skewed donor priorities.