Léim ar aghaidh chuig an bpríomhábhar
Gnáthamharc

Dáil Éireann díospóireacht -
Wednesday, 17 Apr 2002

Vol. 552 No. 1

Written Answers. - Drugs Refund Scheme.

Róisín Shortall

Ceist:

419 Ms Shortall asked the Minister for Health and Children if he has reached a decision as to the way in which, and when, persons who paid £42 on the drugs refund scheme, when they should correctly have paid £32, will be reimbursed; and the details of such a decision in this regard. [12055/02]

The drugs payment scheme was introduced with effect from 1 July 1999. The new scheme essentially amalgamated the existing drug cost subsidisation and drugs refund schemes and provided that families would only have to meet the first €53.33, £42, per month of expenditure on approved prescribed medicines. The existing threshold for the DCSS scheme was €40.63, £32, per month per individual and for the DRS it was €114.28, £90, per calendar quarter for each eligible person and his or her dependants. In the case of the DRS the person had to pay the purchase price of the drugs to the pharmacist and claim a refund from the appropriate health board at the end of the quarter.

The new drugs payments scheme was designed to bring about important improvements over the previous schemes, to be more user friendly and to significantly improve the cash flow situation for families and individuals incurring ongoing expenditure on medicines. The scheme was also designed to iron out anomalies whereby, for example, a person or family who might spend €101.58, £80, in one month on medicines and have no expenditure for the remainder of the quarter would not be entitled to any refund. Accordingly under this new scheme families are able to budget for the cost of prescribed medicines. Regardless of the cost of their prescribed medicines, families are liable only for a maximum of €53.33, £42, in any month. A further advantage is that applicants are not required to pay and claim a refund as in the previous schemes. In addition there are no qualifying criteria for the DPS unlike the previous DCSS where a person had to have a certificate from a doctor and be approved by a health board as having a long-term medical condition requiring regular and continuous prescribed drugs in excess of €40.63, £32, per month.

The financial benefits of the new DPS are reflected in the significantly increased spending level relative to the earlier schemes it replaced. The total cost of the DPS and the DCSS in 1998 – the last full year of operation – was £74.69 million. In contrast the new DPS cost £110 million in 2000 – the first full year of operation – and rose to £140 million in 2001. The aggregate benefits of the new scheme are clearly significantly greater than the previous schemes. The DPS was initially introduced on an administrative basis with the intention that regulations to underpin the operation of the new scheme would be introduced in due course. There were some legal precedents for this. Following further detailed consideration, the regulations were introduced in February 2001, putting the new scheme on a statutory basis. Given that claimants overall derived greater benefit from the new scheme, as reflected in the significant increase in spending on the new scheme, the question of possible refunds was not addressed when the regulations were being put in place. This question is now being re-examined and I am awaiting further legal advice from the Office of the Attorney General.
Barr
Roinn