Vol. 540 No. 1
283 Mr. Kenneally asked the Minister for Health and Children if children suffering from Down's syndrome are automatically entitled to a medical card; if not, if there are different interpretations as to the entitlement of such a child in the various health board areas; and if he will make a statement on the matter. [19971/01]
Entitlement to health services is primarily based on means. Under the Health Act, 1970, determination of eligibility for medical cards is the responsibility of the chief executive officer of the appropriate health board other than for persons aged 70 years and over, who are automatically eligible for a medical card. Medical cards are issued to persons who, in the opinion of the chief executive officer, are unable to provide general practitioner medical and surgical services for themselves and their dependants without undue hardship.
Income guidelines are drawn up to assist in the determination of a person's eligibility and these are revised annually in line with the consumer price index. However, the guidelines are not statutorily binding and even though a person's income exceeds the guidelines, a medical card may still be awarded if the chief executive officer considers that his or her medical needs or other circumstances would justify this. Although children with Down's syndrome are not at present automatically eligible for a medical card, medical cards may be awarded on the basis of individual circumstances. It is open to all persons to apply to the chief executive officer of the appropriate health board if they are unable to provide health services for themselves or their dependants without hardship.
The Deputy may be aware that under the programme for prosperity and fairness, the health board chief executive officers are examining the operation of the medical card scheme in consultation with the social partners. Particular emphasis is being placed on the needs of families with children, and on removing anomalies and barriers to take-up, including information deficits. The review is expected to be completed mid-year.
