Gujarat following the loss of two assembly seats in by-elections, Keshubhai Patel resigned and yielded power to Narendra Modi. BJP retained a majority in the 2002 election, and Narendra Modi remained as Chief Minister. On 1 June 2007, Narendra Modi became the longest serving Chief Minister of Gujarat. BJP retained the power in subsequent elections in 2007 and 2012 and Narendra Modi continued as the Chief Minister. After Narendra Modi became the Prime Minister of India in 2014, Anandiben Patel became the first female Chief Minister of the state.Vijay Rupani took over as Chief Minister and Nitin Patel as Dy. Chief
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.