State Governments are instrumental in delivering healthcare services under the ESI Act. An enabling provision was inserted in the Act to establish a body at the State level to address certain operational issues.

A committee, entitled Medical Services and Medical Education (MSME), was constituted to explore various options to improve operational efficiency.

A 24x7 telephone help line was set-up to enable patients to contact doctors from any place, and the number of tie-up arrangements with private health facilities has been increased to ensure that medical advice is available round the clock.

For ease of compliance employers have been given the facility to pay contributions online through any of the 58 scheduled banks.

Regular "SuvidhaSamagam" (Facilitation Conclave) is now available providing a platform for stakeholders to raise issues of concern and clarify any scheme-related tters on a one-to-one basis.

A "New Inspection Policy" was introduced to remove subjectivity in the selection of units for statutory inspection. The inspection reports are uploaded in the system within a stipulated time, and are accessible to employers online.