Wednesday, 8 May 2019

Questions (684, 853, 865, 872, 955)

Catherine Murphy

Question:

684. Deputy Catherine Murphy asked the Minister for Health the status of financial assistance for persons seeking IVF treatments; the date on which financing persons for same will commence in 2019; the way in which the application process will be governed; the eligibility criteria for the scheme; and if he will make a statement on the matter. [18666/19]

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Michael Lowry

Question:

853. Deputy Michael Lowry asked the Minister for Health the status of financial support for couples that have to pay for IVF; and his plans in this regard. [19318/19]

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Peter Burke

Question:

865. Deputy Peter Burke asked the Minister for Health the status of the provision of IVF through the public health system; when persons will be able to apply for same; the criteria in order to apply for same; and if he will make a statement on the matter. [19361/19]

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Louise O'Reilly

Question:

872. Deputy Louise O'Reilly asked the Minister for Health the funding streams that have been created and are available for couples in regard to IVF in view of comments by the Taoiseach in 2018 (details supplied). [19376/19]

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Micheál Martin

Question:

955. Deputy Micheál Martin asked the Minister for Health if he will report on the €1 million that has been allocated to assist infertile couples access IVF in 2019; the criteria being used for same; if funding has been spent to date; the number of couples it will assist in 2019; and if he will make a statement on the matter. [19687/19]

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Written answers (Question to Health)

I propose to take Questions Nos. 684, 853, 865, 872 and 955 together.

In October 2017, the Government approved the drafting of a Bill on assisted human reproduction (AHR) and associated areas of research, based on the published General Scheme of the Assisted Human Reproduction Bill. The Joint Oireachtas Committee on Health is currently conducting a review of the General Scheme as part of the pre-legislative scrutiny process, which began in January of last year. The Joint Committee intends to report thereon before the summer recess and the recommendations in its report will be considered during the ongoing process of drafting this Bill in conjunction with the Office of the Attorney General.

Interlinked with the legislation, officials in my Department, in conjunction with the HSE, are developing a model of care for infertility and an associated public fund for AHR. This work includes developing proposals on the allocation of the €1 million fund for use in relation to providing public AHR treatment which was announced in December 2018.

Accordingly, options in relation to the parameters of any potential public funding model, including what eligibility criteria may be included, are still under consideration, and an announcement will be forthcoming once the relevant decisions have been finalised.

It should be noted that while AHR treatment is not currently funded by the Irish Public Health Service there is some support available in that patients who access IVF treatment privately may claim tax relief on the costs involved under the tax relief for medical expenses scheme. In addition, a defined list of fertility medicines needed for fertility treatment is covered under the High Tech Arrangements administered by the HSE. Medicines covered by the High Tech Arrangements must be prescribed by a consultant/specialist and authorised for supply to the client’s nominated community pharmacy by the High Tech Hub managed by the Primary Care Reimbursement Service. The cost of the medicines is then covered, as appropriate, under the client’s eligibility, i.e., Medical Card or Drugs Payment Scheme.

Overall, the development of a model of care for infertility will help to ensure the provision of safe, effective and accessible services through the public health system as part of the full range of services available in obstetrics and gynaecology.