No effort has been taken by BJP government to expand the emergency service. Most of the states have pursued it on their own. Emergency medical services is run in Public Private Partnership mode in different states. The services, known by the helpline number 108, has proved to be very effective, saving an estimated 1.2 million lives over a decade. However, It has reached to only 19 states and 2 Union Territories. There are several problems associated with the services, due to lack of regulation and clear directives.