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Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 10: In page 42, to delete lines 7 to 14.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 11: In page 43, line 11, after “expenses” to insert “, and any net loss of income,”. On foot of amendments submitted by Deputies Shortall, Cullinane and Kenny on Committee Stage, I am introducing this amendment to speak to the issues they raised. Essentially this will bring in an allowance for net loss of income to be included as part...

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 12: In page 44, to delete lines 30 to 34 and substitute the following: “(a) an appropriate medical specialist has stated in the specified form that such child is due to undergo medical treatment which, in the opinion of the specialist— (i) is likely to cause a significant and irreversible impairment to the child’s fertility, and (ii)...

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I thank the Deputies. To be honest, I do not have a policy view on this. This is an expert view from the HSE. As I understand it, the HSE is essentially saying that rather than linking the decision-making on this to a disease, we should link it to the treatment for the child. A disease may or may not cause fertility issues, some of which may be permanent and some of which may be...

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I thank both Deputies. It is specialist advice. The concept of the word “irreversible” is in favour of the patient. Let us take one child as an example. If, based on current medicine, the treatment to be provided to the child would cause irreversible infertility, that would give the child access. Hopefully, that would become reversible through science in the future but if...

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: Essentially, this is looking at doing it on a case-by-case basis. It is saying that we should not just categorise any child who has a progressive disease. It is saying we should characterise this based on the treatment we will apply to this child. As such, it does move it to a case-by-case basis.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 13: In page 45, lines 18 to 20, to delete all words from and including “or” in line 18 down to and including “be” in line 20.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 14: In page 47, line 27, to delete “three” and substitute “12”. This group of amendments, amendments Nos. 14 to 16, inclusive, increases the minimum time period from three to 12 months between the time at which a clinic sends notification of non-payment for storage and that clinic being able to dispose of such stored materials, whether...

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 15: In page 50, line 1, to delete “three” and substitute “12”.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 16: In page 52, line 10, to delete “three” and substitute “12”.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 17: In page 53, line 30, to delete “abnormalities” and substitute “variants”. While I certainly was not qualified in terms of the correct terminology, we had a long conversation about the correct terminology to use. This grouping of 11 amendments seeks, on foot of suggestions from Deputy Shortall and others, to refine and improve some of...

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 18: In page 53, line 33, to delete “mental” and substitute “intellectual”.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 19: In page 54, line 2, to delete “a child who suffers from” and substitute “an existing child who has”.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 20: In page 54, line 12, to delete “abnormalities” and substitute “disorders”.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 21: In page 54, line 14, to delete “abnormal” and substitute “unbalanced”.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 22: In page 54, line 16, to delete “defects” and substitute “disorders”.

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I think we were all in a similar position on Committee Stage. We went back to the HSE with that in mind to ask whether we could facilitate this for the reasons we all discussed on Committee Stage. We got very strong pushback on patient safety grounds and I will now go through that. I was hoping to come in with something facilitating the discussion we had but we got very strong pushback....

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: As I said, I approached this with a view to facilitating it. I will read for the Deputies the exact clinical advice we got back. We unequivocally do not support or recommend this approach and would highlight the risks of overseas doctors being involved in the provision of such clinical advice and decision-making in such a sensitive area who operate outside the context of Irish legislation...

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: Obviously, but under the treatment abroad scheme, for example, it might be possible to identify centres of excellence around Europe where we could say, "Yes, you can go for this particular thing because the treatment abroad scheme works on the basis that it is something we provide here under the public system and you cannot get it, so you can get it abroad." I have a lot of sympathy with the...

Health (Assisted Human Reproduction) Bill 2022: Report and Final Stages (29 May 2024)

Stephen Donnelly: I move amendment No. 24: In page 54, line 26, to delete “sex.” and substitute “sex;”.

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