I am informed by the Health Service Executive (HSE) that, as part of a review in 2007 of the assessment process for medical cards and GP visit cards, one of the issues examined was the most appropriate way in which to take account of the costs incurred by applicants in travelling to work. Accordingly, the Executive developed an assessment methodology using Automobile Association data on motoring costs.
I understand that, since March 2007, in the assessment process these costs are reckoned on the following basis: an amount per mile/kilometre from home to place of employment (30 cent per mile); a weekly amount of €50 to cover standing charges (including car loan repayments). These provisions replaced an arrangement whereby a simple 50 cent per mile was allowed.
My Department is currently carrying out a data collection exercise and review of the eligibility criteria for medical cards, which is expected to be completed by autumn 2008. This will give effect to the Towards 2016 commitment to review the eligibility criteria for the assessment of medical cards in the context of medical, social and economic/financial need, with a view to clarifying entitlement to a medical card.