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Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: With due respect, I do not believe it is unreasonable to say "where that information is held by the health insurance business in respect of insured persons". If they have the information, they should hand it over.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: The Minister could take this on board if she wanted to modify it slightly so the information is held by the insurer. Question, "That the words proposed to be deleted stand", put and declared carried.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: I move amendment No. 29: In page 16, to delete lines 12 to 16. This addresses the appointment of further advisors. There is enough advice within the Department, the HIA and the HSE without seeking outside advice. We are trying to reduce costs - there are cutbacks in hospitals and we have debated Crumlin Hospital, medical cards, palliative care and people lying on trolleys - so I see no need...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: What is the role of the HIA? Are there no actuaries in the Department of Finance or the HIA who could be called upon? What are they doing in the Health Insurance Agency? It is the agency with the expertise in this area and I find it difficult to accept that we must enshrine in law that outside advisors are needed.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: No one wants to deny the Minister the best advice when it is needed, and I am sure other Departments can call upon advice, but it is odd that it must be legislated for. I would have imagined the Government is always entitled to do that.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: I move amendment No. 49: In page 20, to delete lines 25 to 49. This amendment proposes to delete subsections (2) and (3) of section 11, which pertains to penalties, including the lines (a) specifying the type of contract and the information, and (b) requiring registered undertakings, the advertising of which relates (whether in whole or in part) to the contract, to ensure that the information...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: Is the Minister arguing that these sections confer additional protections for consumers?

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: All right. I have no problem with that - or with the first half, anyway.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: I move amendment No. 52: In page 33, to delete lines 16 to 42. I seek the deletion of section 19 of the Bill, which amends section 112A of the Taxes Consolidation Act 1997. Amendments Nos. 53 and 54 are in conflict with this.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: Under section 19, the proposed new subsection 1(a) of section 112A states: In this section- (a) as respects so much of a payment that qualifies for relief under section 470, 'appropriate percentage', 'authorised insurer', 'relevant contract' and 'relievable amount' have the same meanings, respectively, as in section 470, The Minister has reassured Deputy O'Sullivan that nothing herein incurs...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: I move amendment No. 55: In page 34, to delete lines 1 to 3. This amendment proposes to delete section 20 which states: Section 458 of the Act of 1997 is amended, in the Table to that section, in Part 2, by inserting "section 470B" before "section 472". Amendment No. 56 proposes to delete section 21 which states: Section 470 of the Act of 1997 is amended, in subsection (1), in the definition...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: The Minister referred to a philosophical discussion and I am certain we could have one. She also indicated the Bill was time-limited to three years. I note amendment No. 60 refers to "the year of assessment 2009, 2010 or 2011" and states "where a payment made to an authorised insurer is a monthly or other instalment towards the payment of the total annual premium due under a relevant...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: The House has been informed the legislation will only apply for three years. Deputies were also informed that the VHI would be authorised by 1 January and, thereafter, 1 March. The most recent date we have been given is 1 September. We have little faith in the ability of the Government to adhere to the initial timeframes it expresses, often with a view to bringing this side of the House...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: That applies to the Minister too.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: I wonder if the figure the Minister cited refers to general practitioners or consultants. In any event, it is a red herring. The main point is that the Minister maintains we cannot have a system of risk equalisation. Of course we can and it is available in other countries. The Minister is merely fiddling with the margins instead of addressing the real issue. We will take a Mickey Mouse...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: She used the words "risk equalisation".

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: If the Minister meant to say "universal health insurance", this can be achieved within a five year period and without additional costs. We are spending €5,000 annually on health for each man, woman and child in this country compared to €4,000 in Holland, which is ranks first in terms of quality and second in terms of value for money. If it can be done in that country, it can be done...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: That is a supposition.

Commissions of Inquiry: Motion (Resumed) (1 Jul 2009)

James Reilly: I acknowledge the Minister, Deputy Moloney's contribution. It is right that we do. I was going to say the reason we put this motion forward was the ambivalence and confusion with Deputy Moloney having made a statement a few weeks back and the Minister then having a change of heart. I fully acknowledge the Minister's right to do that and I welcome his comments. I had hoped, as others had,...

Written Answers — Residential Services for People with Disabilities: Residential Services for People with Disabilities (1 Jul 2009)

James Reilly: Question 119: To ask the Minister for Health and Children if she will ring-fence funding for the implementation of the Health Information and Quality Authority, National Quality Standards on Residential Services for People with Disabilities; and if she will make a statement on the matter. [26721/09]

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