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Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: No as it would be premature to debate the issue at this stage in light of the fair deal scheme, which is only on Second Stage. The Civil Unions Bill has not been brought in yet.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: I do not propose to accept this amendment. Such a provision could have implications for eligibility for health services generally and requires more detailed consideration, rather than being rushed in by way of amendment to this Bill. Furthermore, the gross income limits are set at a level at which it is expected that the vast majority of persons over 70 will continue to hold a medical card....

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: A divorced person, in applying for a medical card, would be considered a single person, as opposed to separated.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: Separated people are not divorced so they would still be considered a couple.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: The Bill applies to people who are either married or single so a person in the case mentioned by the Senator would have to apply under the 1970 Act.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: He or she would apply for a medical card as a single person.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: The person would apply as a single person for assessment under the normal medical card scheme under the Health Act 1970.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: As I pointed out earlier, there are still options for such people to apply. They can apply under the discretionary card scheme, leaving the decision at the discretion of the general medical officer. They can also apply under the existing scheme, where the income threshold is no more than €201 per week.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: Income will not be imputed from the property of the person in question for means testing purposes, unless it is rented and the rental income is included as part of his or her income. Savings or similar investments up to €36,000 in the case of a single person, or €72,000 in the case of a couple, will be disregarded and only the interest from savings above these figures will be considered...

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: The Senator has answered her own question.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: Yes, the Senator is correct. Once they are not divorced, they are still considered to be married.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: I do not propose to accept this amendment. The HSE is under a statutory obligation to satisfy itself that applicants for medical cards satisfy the criteria set down in the legislation. In doing so, I would expect the HSE to act reasonably, fairly and objectively. However, the language of the amendment — in particular, the words "unnecessarily intrusive or invasive questions" — is...

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: I do not propose to accept this amendment as this provision has been drafted in the standard format, which gives the Minister regulatory powers to amend the income limits. I do not propose to depart from this approach.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: To answer Senator O'Toole's question first, that regulation just needs to be laid before the Houses of the Oireachtas.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: No.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: Senator Twomey asked me about the €700 and €1,400 figures. Those are based on the income bands of the majority, some 95%, of people over 70, given the available figures that we sourced. It was aimed at the highest number of people who would still retain the medical card, hence the figures of €700 and €1,400 per week.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: Yes. The Deputy also asked about the letter to GPs. We must wait until this legislation is passed and the Department will be then in contact with the HSE which will, in turn, make contact with GPs about this.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: It will come into effect on 1 January.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: That is not the advice we have received.

Seanad: Health Bill 2008: Committee and Remaining Stages (12 Dec 2008)

Máire Hoctor: If a person has a capital sum in a bank, the interest on the sum will be taken into account in the assessment. A superannuation lump sum in a bank is considered a capital sum.

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