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Dáil Éireann debate -
Tuesday, 23 Jan 1996

Vol. 460 No. 3

Written Answers. - Medical Card Directives.

Frances Fitzgerald

Question:

151 Ms F. Fitzgerald asked the Minister for Health the plans, if any, he has to introduce new directives in relation to medical cards, principally to deal with those who find their weekly income marginally above the guidelines for eligibility for a medical card. [19222/95]

Limerick East): Under the Health Act, 1970, medical cards are issued to persons who, in the opinion of the chief executive officer of the appropriate health board are unable, without undue hardship, to provide general practitioner services for themselves and their dependants.

Income guidelines are drawn up by the chief executive officers to assist in the determination of a person's eligibility and these guidelines are revised annually in line with the consumer price index. The income guidelines were increased with effect from 1 January on this basis. However, these guidelines are not statutorily binding and even though a person's income exceeds the guidelines, that person may still be awarded a medical card if the chief executive officer considers that the person's medical needs or other circumstances would justify this.

It is open to all persons to apply to the chief executive officer of the appropriate health board for health services if they are unable to provide these services for themselves and their dependants without hardship. I am satisfied that health boards give sympathetic consideration to such applications when the circumstances warrant it.
I should also point out that assessment procedures for medical card eligibility will continue to be reviewed and whatever improvements are necessary in the interest of equity will be implemented.
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