Universal Health Coverage — Amendments

Amendment	Year	Description	Impact
73rd Amendment Act	1992	Granted constitutional status to Panchayati Raj Institutions (PRIs), empowering them with responsibilities including public health, sanitation, and hospitals (as per the Eleventh Schedule, Entry 23). This decentralization is crucial for grassroots health planning and delivery.	Facilitates local ownership and implementation of primary healthcare initiatives, making UHC more responsive to local needs and improving community participation in health programs, especially in rural areas.
74th Amendment Act	1992	Granted constitutional status to Urban Local Bodies (ULBs), entrusting them with functions including public health, sanitation, and provision of medical facilities (as per the Twelfth Schedule, Entry 6).	Enables ULBs to play a vital role in urban health planning, sanitation, and the delivery of primary healthcare services in urban areas, which is essential for achieving UHC in rapidly urbanizing India.