Under the 1970 Health Act, the Health Service Executive may arrange for the supply, without charge, of drugs, medicines and medical and surgical appliances to people with a specified condition, for the treatment of that condition through the long-term illness scheme, LTI. The LTI does not cover GP fees or hospital co-payments. The conditions are: mental handicap, mental illness, for people under 16 only, phenylketonuria, cystic fibrosis, spina bifida, hydrocephalus, diabetes mellitus, diabetes insipidus, haemophilia, cerebral palsy, epilepsy, multiple sclerosis, muscular dystrophies, parkinsonism, conditions arising from thalidomide and acute leukaemia. There are currently no plans to extend the list of eligible conditions.
The medical card, GMS, and drugs payment, DPS, schemes provide assistance towards the cost of approved drugs and medicines for people 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. Non-medical card holders, and people with conditions not covered under the LTI, can use the drugs payment scheme, DPS. Under this scheme, no individual or family unit pays more than €85 per calendar month towards the cost of approved prescribed medicines.