As the Deputy is aware the issue of a medical card to any individual is solely a matter for the chief executive officer of the relevant health board as provided for under sections 58 and 59 of the Health Act, 1970.
However, I understand from health boards that a medical card holder is issued with either a renewal form or a review form prior to the expiry of his/her medical card. In the event of this form not being completed and returned to the relevant health board, a reminder, and later a final notice, is issued before the withdrawal of any medical card.
Health boards make prior arrangements with local community welfare officers to assist persons not in a position to complete and return the form, such as the handicapped, blind persons etc.
Cardholders found not to be eligible on review are notified to that effect.