Vol. 567 No. 5
303 Mr. Cregan asked the Minister for Health and Children the illnesses which qualify for a long-term illness card; if Parkinson's disease is included; the services provided free by the LTI card; if it includes medication only; if general practitioner services are also included; if the procedure for the granting of the LTI card can be simplified and expedited; and if he will make a statement on the matter. [14289/03]
Under the Health Act 1970, a health board may make arrangements for the supply without charge of drugs, medicines and medical and surgical appliances to persons suffering from any of the following conditions, who are not already medical card holders, for the treatment of that condition under the long-term illness scheme or LTI: mental handicap, mental illness – for persons under 16 years only, phenylketonuria, cystic fibrosis, spina bifida, hydrocephalus, diabetes mellitus, diabetes insipidus, haemophilia, cerebral palsy, epilepsy, multiple sclerosis, muscular dystrophies, parkinsonism and acute leukaemia. Parkinson's disease is included in the list of illnesses covered by the terms of the LTI.
The assessment procedures for the granting of an LTI card are the responsibility of each health board. Persons who suffer from any of the above illnesses may apply directly to their local board for admission to the scheme. General practitioner services are not covered by the terms of the LTI. There are a range of other schemes which provide assistance towards the cost of approved drugs and medicines for individuals with significant ongoing medical expenses.
People who cannot, without undue hardship, 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. In determining eligibility, the chief executive officer has regard to the applicant's financial circumstances. Health boards use income guidelines to assist in determining eligibility. However, where a person's income exceeds the guidelines, a medical card may be awarded 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.
Non-medical card holders and people with conditions not covered under the LTI can use the drug payment scheme. Under this scheme, no individual or family unit pays more than €70 per calendar month towards the cost of approved prescribed medicines.
