Dáil Éireann Debate, Wednesday - 20 September 2023
951. Deputy Fergus O'Dowd asked the Minister for Health to outline if there is any consideration being given to extending the review cycle for medical card holders with a spinal cord injury to ten years; and if he will make a statement on the matter. [40054/23]
View answerIn accordance with the provisions of the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE. The Act obliges the HSE to assess whether a person is unable, without undue hardship, to arrange general practitioner services for himself or herself and his or her family, having regard to his or her overall financial position and reasonable expenditure.In that regard the HSE is also required to undertake periodic reviews of eligibility in order to ensure that a person continues to meet the qualifying criteria required to continue holding eligibility. Where any medical or GP visit card holder has a review process initiated, it should be noted that he/she will continue to retain their eligibility for the duration of the review process.Every effort is also made by the HSE, within the framework of the legislation, to provide an eligibility assessment process that is responsive and sensitive to people’s needs, in particular, to take full account of the difficult circumstances in the case of applicants who may be in excess of the income guidelines. Social and medical issues are also considered when determining whether undue hardship exists for an individual accessing general practitioner or other medical services and to that end, the HSE may exercise discretion and grant a medical card where an applicant exceeds his or her income threshold.
