Under the Health Act, 1970, determination of eligibility for medical cards is the responsibility of the chief executive officer of the appropriate health board. Medical cards are issued to persons who, in the opinion of the chief executive officer, are unable, without undue hardship, to provide general practitioner, medical and surgical services for themselves and their dependants.
It is important to note that entitlement to a medical card under the Health Act, 1970 is based on hardship rather than on any specification that a particular number of the population should have a card. The decrease in the percentage of persons with a card is a reflection of a general improvement in the economy in recent years.
As the Deputy may be aware, the health board chief executive officers are undertaking a review of the medical card scheme in keeping with a commitment made under the Programme for Prosperity and Fairness. Particular emphasis will be placed on the needs of families with children, and on removing anomalies and barriers to take-up, including information deficits.