I propose to take Questions Nos. 1135 and 1211 together.
Under the provisions of the Health Act 1970, eligibility for health services in Ireland is based primarily on residency and means and medical cards are not awarded to any particular group of patients on the basis of a specific medical condition. However, the HSE has discretion to grant a medical card in certain circumstances. Medical card applicants who are unsuccessful following the means assessment, but who indicate that they suffer from a medical condition, are then referred to the Medical Officer for consideration on a medical discretionary basis.
The processing of medical cards at a national level, rather than at a local level as before mid-2011, ensures that all people are assessed in a similar and fair manner when applying for a medical card. The consideration of discretion is now standardised and operates in an equitable manner. The medical card scheme is now underpinned with a stronger foundation which enables better governance, more transparency and efficient modern processes. Under these processes, nobody who is entitled to a medical card will lose it or be refused one.
I would like to point out that there has been no change in the policy of awarding discretionary medical cards.
The information sought by the Deputy concerning medical card figures granted on a discretionary basis is not readily available. However, I have asked the Health Service Executive to supply this information to me and I will forward it to the Deputy as soon as possible.
