Union Budget 2019-20 is broadly a step in the right direction. A number of the key health sector related programmes have seen a substantial increase in budgetary allocation this year. However, it is important to note that while the Union Budget is an important instrument, a large part of the action, both in terms of increased spending on the health sector as well as quality implementation at scale, lies in states. Thus, it will need the centre and states to work in tandem if the NHP 2017 goals of increased health spending as well as improved outcomes are to be achieved in a timely manner.