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Dáil Éireann debate -
Tuesday, 11 Feb 2003

Vol. 561 No. 1

Written Answers. - Health Insurance.

Jack Wall

Question:

146 Mr. Wall asked the Minister for Health and Children when he intends to bring the promised draft regulations on risk equalisation within the health insurance industry before the Houses of the Oireachtas; and if he will make a statement on the matter. [3429/03]

Dan Boyle

Question:

176 Mr. Boyle asked the Minister for Health and Children his position in relation to the reintroduction of the principle of risk equalisation into the health insurance market here; his views on whether risk equalisation is an important market mechanism to balance the effect of a community rating system in relation to the operation of health insurance services here; his further views on whether his failure to utilise the powers at his disposal to introduce the necessary regulations is indicative of a long-term intention to abolish the community rating system; and if he will make a statement on the matter. [3437/03]

I propose to take Questions Nos. 146 and 176 together.

I am fully committed to supporting and maintaining the operation of our voluntary private health insurance market on the principles of community rating, open enrolment and lifetime cover. I am further committed to making regulatory provision for a scheme of risk equalisation as a necessary support to community rating going forward.

The current position is that my Department has completed the preparation of a draft scheme to be submitted for approval by each House of the Oireachtas at an early date. In advance of this, arrangements are proceeding to introduce a short Bill that will make further provision relating to the Health Insurance Authority and to risk equalisation.

As regards the view expressed concerning failure to utilise powers, I consider that view to be uninformed and incorrect. The Deputy will be aware that plans for the regulation of our health insurance market have been the subject of fundamental differences with BUPA and have attracted close interest on the part of the EU Commission.

My Department has, at all times, kept the Commission advised of proposed regulatory arrangements. While the Commission has formally accepted, in principle, Ireland's entitlement to have specific legal provisions in the interest of the common good in voluntary health insurance, it has emphasised the need for proportionality in any measures that may be taken. Furthermore, ongoing representations and complaints by BUPA have caused the Commission to revisit the matter on a number of occasions, including quite recently.

The latest position is that, arising from BUPA's complaint, the EU's Competition Directorate General is currently considering a detailed submission made by my Department. This submission makes the case in relation to the necessity for risk equalisation in a market operated on the basis of community rating, open enrolment, and lifetime cover, and that it does not constitute State aid under EU competition rules. I anticipate that the outcome of the Directorate General's current deliberations will be advised to my Department during March.
Question No. 147 answered with Question No. 117.
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