Principal Secretary to the Prime Minister of India a retired 1972 batch Gujarat cadre Indian Administrative Service (IAS) officer, was appointed by the Appointments Committee of the Cabinet to serve as newly-elected Prime Minister Narendra Modi's additional principal secretary. The status of an additional principal secretary—akin to the principal secretary—is generally considered equivalent to the Cabinet Secretary, the Government of India's topmost civil servant. Principal Secretary to the Prime Minister of India The Principal Secretary to the Prime Minister of India (PS to the PM; IAST: ) is the senior-most bureaucrat in, and the administrative head of, the Prime Minister's Office. The officeholder is generally a civil servant,
Narendra Modi 2000 crore for a government-funded health insurance program, and a decrease in the budget of the National Health Mission. Modi initially appointed Harsh Vardhan, a doctor and an advocate of tobacco control, as minister of health. However, Vardhan was replaced in November 2014 by Jagat Prakash Nadda. The government introduced stricter packaging laws for tobacco which requires 85% of the packet size to be covered by pictorial warnings. An article in the medical journal "Lancet" stated that the country "might have taken a few steps back in public health" under Modi. A new National Health Policy was approved in 2017.