In a letter addressed to the Chief Minister, Patil expressed concern over what he termed a move to transfer a critical public health asset into private hands, warning that such a decision could have long-term implications for affordable healthcare in the state

Officials stated that out of a total of 2.43 crore accounts, nearly 68 lakh were deactivated due to non-compliance, bringing the number of active beneficiaries down to approximately 1.75 crore