On 17 August 2018,
Imran Khan nominated Buzdar as PTI's candidate for the office of
Chief Minister of Punjab. His nomination surprised many in the
PTI and received widespread criticism as he was a lesser known figure in Pakistan's political spectrum. According to Khan, he chose to support Buzdar because Buzdar hailed from an economically backwards area of
Punjab, so much so that he was the only member of the Punjab Assembly who "lacked electricity at his home". Other analysts claimed the selection was because Buzdar lacked an independent power base, competence, and was thus totally reliant on Khan to hold on to office. He was sworn in on 20 August 2018. After assuming the office as the Chief Minister of Punjab, Buzdar held consultations with
Imran Khan and formed a 23-member cabinet. The 23-member cabinet was sworn in on 27 August 2018. The second part of his cabinet, consisting of 12 provincial ministers was sworn in on 13 September 2018 increasing the size of the cabinet to 35.
Chaudhry Sarwar was made
Governor of Punjab on 5 September 2018.
Criticism Under Buzdar's watch as the Chief Minister, five Inspector Generals of the
Punjab Police were changed. He was largely and consistently criticized for his incompetence during his time as chief minister, and was criticized as one of the worst appointments Khan made during his tenure. It was later revealed that several PTI members including
Jahangir Tareen and
Asad Umar were against Buzdar's appointment as Chief Minister, and it was one of the major points of disagreement among Khan and other party members. During his tenure, the provincial government failed to implement its promise of a Punjab Mazdoor Card and had not issued them or given minimum wage to any labourers by 9 April 2022, despite a deadline set the previous year and the registration of workers.
Education and Healthcare In
Dera Ghazi Khan the government established the district's first technical varsity, constructed a Boys Degree College, started a Bachelor of Science program in
Tonsa District, and solarised schools in the tribal areas of the district. In 2019 Buzdar announced a five-year education policy titled "The New Deal" for the province, saying the government would aim to enroll 4.8 million children estimated to be out of school in Punjab into schools. In 2020 He launched the Insaaf Medicine Card under the Punjab
Sehat Sahulat Program for various diseases including
AIDS,
hepatitis, and
tuberculosis. In January 2022 Buzdar introduced a Rs 400 billion health-card program for
Lahore Division. In May 2021, Buzdar announced a Rs 13.80 billion universal health insurance program for
Layyah District; introducing Rs 725,000 health insurance for families every year and five days medicine provided to patients. A mother & child hospital costing Rs. 5.73 billion was also completed. Out of 5 million families in Punjab, the Sehat Sahulat Program only benefitted 93,000 people in 2019, a success rate of 0.2 percent.
The Express Tribune said that the offices of CEO and COO of the Punjab Health Insurance Initiative Management Company (PHIIMC) had been left vacant for two years and was being run on an "ad hoc basis". In addition, the program did not cover
OPD and
emergency services,
Express Tribune saying as a result the program "has proven to have been largely useless for the masses."
Development budget In March 2021, Buzdar unveiled "uplift" projects worth Rs. 25 billion for several
districts in Punjab, he said Rs. 8.41 billion would be allocated to new projects In June 2021,
Dawn reported that the provincial budget "doles out massive funds for the
Pakistan Tehreek-i-Insaf legislators for execution of development projects in their constituencies under the district development package". The budget proposed Rs 560bn in development spending to fund a 3-year district package "that will be spent mostly on the schemes recommended by the PTI legislators".
COVID-19 Response cases in
Punjab, Pakistan in June 2020. On 22 March 2020, Buzdar's government enacted a 2-day closure of public areas and centres in response to the
COVID-19 Pandemic in Pakistan. Usman Buzdar urged people to stay at home and practice
social distancing. On 28 March, Buzdar announced a Rs10 billion relief package for financial support of 2.5 million families of daily-wage earners, each family was entitled to Rs 4000 assistance excluding the beneficiaries of the
Benazir Income Support Programme (BISP). Provincial taxes were lowered by Rs 18 billion while the
Punjab Infectious Diseases Prevention and Control Ordinance, 2020, was introduced to allow the government to implement public health measures under the cover of law. Buzdar said that the
Punjab government had decided to grant a 90-day imprisonment rebate to prisoners in jails across the province which would benefit some 3,100 prisoners. The government said it would provide a month's additional salary to all healthcare workers across Punjab. Punjab Minister for Finance
Hashim Jawan Bakht said that the economic package would help the health sector and the
Provincial Disaster Management Authority (PDMA) cope with the crisis with an immediate funding of Rs. 11.5 billion. Buzdar also said laboratories around the province would test 3,200 people every day for coronavirus and 10,000 doctors and paramedics were being recruited to fight the pandemic.
Resignation On 28 March 2022, Buzdar offered his resignation as Chief Minister of Punjab to Prime Minister Imran Khan to ease the political crises surrounding
no-confidence motion against Imran Khan. On 1 April 2022, his resignation was accepted by the
Governor of Punjab, but he remained in office till the appointment of the new Chief Minister. Buzdar was set to be replaced by
Chaudhry Parvez Elahi, leader of PML-Q. On 30 April 2022, he left office of Chief Minister when
Hamza Shahbaz took oath as newly elected Chief Minister. ==Controversies and scandals==