The issue of medical card eligibility for large families is under consideration by my Department in conjunction with health board chief executive officers who, under the Health Act, 1970, are responsible for the determination of eligibility for medical cards. The Programme for Prosperity and Fairness refers to the fact that health board chief executive officers are examining the operation of the medical card scheme in consultation with the social partners. Particular emphasis is being placed on the needs of families with children, and on removing anomalies and barriers to take-up, including information deficits.