Derek McDowell
Question:178 Mr. McDowell asked the Minister for Health and Children if he will make provision for coeliacs to claim under the drugs payment scheme for gluten free items and foods. [3926/00]
Written Answers. - Drug Payment Scheme.
There is provision under the new drug payment scheme for the reimbursement of approved gluten free foods. The new scheme, with a threshold of £42 per month per individual or family, was introduced on 1 July 1999 and replaced the drug cost subsidisation scheme, DCSS, and drug refund scheme, DRS. The primary aim of the new drug payment scheme is to bring about important improvements over the previous schemes and the scheme is designed to be more streamlined, user friendly and to significantly improve the cash flow situation for families and individuals incurring ongoing expenditure on medicines.
A common list of reimbursable items was introduced for the general medical services scheme and the drug payment scheme to ensure equity in relation to the products reimbursed by the State under both schemes. The list of reimbursable food items to which persons registered under the drug payment scheme are entitled is, therefore, in line with those items available to medical card holders and includes breads, bread mixes, flours and pizza bases. It is considered that the range of such items available under State reimbursement schemes provides a reasonable choice and persons requiring items which are not reimbursable would be expected to meet the full cost of such items. There are no plans to include other coeliac foods in the common list.
People who are unable without undue hardship to arrange for the provision of medical services for themselves and their dependants may be entitled to a medical card. Eligibility for a medical card is solely a matter for the chief executive officer of the relevant health board to decide. In determining eligibility for a medical card, the local health board has regard to the financial circumstances of the applicant. Income guidelines are used by health boards to assist in determining a person's eligibility. However, even though a person's income exceeds the guidelines, the per son 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. Medical cards may also be issued to individual family members on this basis.
Derek McDowell
Question:179 Mr. McDowell asked the Minister for Health and Children if he will amend the drugs refund scheme in order to permit elderly siblings living together to be treated in the same manner as a married couple. [3927/00]
The new drug payment scheme, with a threshold of £42 per month per individual or family, was introduced on 1 July 1999 and replaced the drug cost subsidisation scheme, DCSS, and drug refund scheme, DRS. The primary aim of the new drug payment scheme is to bring about important improvements over the previous schemes and the scheme is designed to be more streamlined, user friendly and to significantly improve the cash flow situation for families and individuals incurring ongoing expenditure on medicines.
For the purposes of the new scheme, families include spouse and children under 18 years. A child with a physical disability or a mental handicap or illness who cannot maintain himself or herself fully, who is ordinarily resident in the family home and who does not hold a current medical card, may be included in the family expenditure under this scheme regardless of age. Children over 18 years and under the age of 23 years who are in full-time education are also included.
There are no plans at this time to change these arrangements.