National Health Policy — Amendments

Amendment	Year	Description	Impact
Policy Shift	2005	Launch of the National Rural Health Mission (NRHM), a major programmatic shift to strengthen primary healthcare, especially in rural areas. This was a precursor to the comprehensive approach of NHP 2017.	Significantly improved access to primary healthcare, reduced IMR and MMR, and strengthened public health infrastructure, laying the groundwork for NHP 2017's focus on CPHC.
Policy Shift	2013	Launch of the National Urban Health Mission (NUHM), addressing the specific health needs of the urban poor, complementing NRHM. Both were later subsumed under the National Health Mission (NHM).	Extended focus on primary healthcare to urban populations, recognizing growing urbanization challenges. Contributed to a more holistic national health mission framework.
Policy Shift	2018	Launch of Ayushman Bharat (AB), comprising PMJAY and Health and Wellness Centres (HWCs). This was the most significant programmatic implementation directly stemming from NHP 2017.	Operationalized NHP 2017's vision for CPHC and financial protection, significantly expanding health insurance coverage and strengthening primary care infrastructure across the country.
Policy Shift	2021	Launch of PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), a long-term investment in public health infrastructure, spurred by lessons from the COVID-19 pandemic.	Aims to fill critical gaps in public health infrastructure, from primary to tertiary care, focusing on surveillance, diagnostics, and critical care, directly supporting NHP 2017's infrastructure goals.