22 April 2020
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The Economy Observer
How are states behaving under COVID-19?
Tight financial position demands relaxations from the center
Public health and sanitation, hospitals and dispensaries are part of the 61 items that come under the State List or List-II
in Schedule Seven to the Constitution of India. It is not surprising then that states are at the forefront in the fight
against the Coronavirus (COVID-19) pandemic. Since public health is a state subject, the economic capacity of the state
does play an important role in providing apt health services and facilities to its citizens. Therefore, in this note, we look
at the general trend in fiscal spending on public health by various Indian states and their fiscal position.
On an aggregate basis, all states spent only INR1.3t (or 0.73% of GDP) on medical and public health in FY18, amounting
to ~4.5% of total spending by states. A study of 22 states and union territories (UTs) confirms that Delhi (DL) tops the
list with the highest share of health spending (~12.5% of total spending), followed by Assam (AS) at 6.6%. Telangana
(TS) and Andhra Pradesh (AP) spend the least (~3.5% of total spending) on health sector.
Further, the fiscal position of 18 states suggests that eight states have budgeted for a 3% fiscal deficit of the GSDP
(Gross State Domestic Product) or higher for FY21, only seven states have targeted a surplus on the revenue account
while 10 states have outstanding liabilities of 24% of the GSDP or more for this year. What’s more, for 10 states, the
committed expenditure (interest, salary and pension payments) amounted to more than 53% of the revenue receipts,
as against the average of all states at ~49%.
As per our assessment, Punjab (PB), Rajasthan (RJ), Kerala (KL) and Himachal Pradesh (HP) are the four most fiscally-
stressed states. Three other states – West Bengal (WB), Uttarakhand (UK) and Uttar Pradesh (UP) – also have a tight
fiscal position. In contrast, Maharashtra (MH), which is the worst affected by COVID-19, had one of the best financial
positions; MH had the lowest fiscal deficit and outstanding liabilities in FY19, second only to Odisha (OD).
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Not surprisingly then, when Kerala borrowed INR59b in the first week of April (7 Apr’20), accounting for 44% of its
approved limit during Apr-Dec’20, it came at a hefty cost of 7.9%/9% for 10-year/15-year paper. However, Kerala was
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not the only state to borrow at such a high rate on 7 Apr’20. Rajasthan (RJ) raised INR10b through 7-year paper at
8.3%, Haryana (HR) paid 8% to raise INR50b via 10-year paper while Himachal Pradesh (HP) and Punjab (PB) did not
accept any bids for their 10-year securities, probably because of higher rates. Even Maharashtra (MH) borrowed at
7.83% for 10-year security. Largest-ever issuance of INR375b in that auction is likely to have played a role in garnering
such high interest rates. Bond yields, however, have softened since then in line with lower issuances. Overall, states
need substantial relaxation in terms of their borrowings and fiscal deficit to fight COVID-19.
States’ total health spending just 0.73% of GDP in FY18:
Public health and
sanitation, hospitals and dispensaries are part of 61 items that come under the State
List or List-II in
Schedule Seven
to the Constitution of India. It is, thus, not surprising
that states are at the forefront in the fight against the COVID-19 pandemic.
All states together spent
INR1.3t on public health in
FY18, amounting to 4.5% of
total spending and 24-year
high of only 0.73% of GDP.
An analysis of health spending by states confirms that all states together spent
INR1.3t on public health in FY18 (the last year for which actual data is available;
have deliberately avoided FY19RE and FY20BE due to substantial differences
between REs/BEs and actuals), amounting to 4.5% of total spending and only 0.73%
of GDP
(Exhibit 1).
What is notable, however, is that health spending by states has
increased consistently during the past decade, from 0.5% of GDP in FY08 to 24-year
high of 0.73% in FY18. A study of 22 states and UTs confirms that the National
Capital Territory of Delhi (DL) tops the list with the highest share of health spending
(12.6% of total spending), followed by Assam (AS) at 6.6%. Telangana (TS) and
Andhra Pradesh (AP) spent the least (~3.5% of total spending) on the health sector
(Exhibit 2).
Nikhil Gupta – Research Analyst
(Nikhil.Gupta@MotilalOswal.com); +91 22 6129 1555
Yaswi Agarwal
– Research Analyst
(Yaswi.Agarwal@motilaloswal.com); +91 22 7193 4196
Investors are advised to refer through important disclosures made at the last page of the Research Report.
Motilal Oswal research is available on
www.motilaloswal.com/Institutional-Equities,
Bloomberg, Thomson Reuters, Factset and S&P Capital.