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Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: How many are under appeal?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: But the medical cards have still been removed.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: How many more reviews were due to take place at the time the cessation of reviews was announced?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: Yes. Where were we in the process of reviewing all discretionary medical cards?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: How many discretionary medical card reviews were taking place? What is the actual figure?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: The review date is shown on the card.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: I am sure every public representative knows of people who were given a medical card in February and which was up for review in March.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: It is ridiculous.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: In that case, the HSE had a legitimate reason to ask for a review.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: I know that; I mean in the sense that the HSE believed the guidelines and information on income from the Department of Social Protection and Revenue showed that it was right to send a letter to the people concerned.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: I understand that, but a person over 70 years receiving a letter looking for all of this information can find it extremely threatening.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: They are only asked once.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: The other significant concern expressed to public representatives relates to information being lost in the PCRS.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: Does this involve a root and branch review of the PCRS, from the beginning of the process, when the application for a medical card is submitted, through to the point at which a decision is made on the application?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: There has been great reference in the media to an alleged case in which a parent was asked to prove their child still had Down's syndrome in order to retain a medical card that had been granted on a discretionary basis. Did that actually happen?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: Was the question that was alleged actually put to the person concerned?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: Has the investigative process been changed?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: Is Mr. O'Brien saying there will not be such a misunderstanding in the future?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: The review of discretionary medical cards has now stopped. What is the position in reviewing what we might call "normal" medical cards?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Paul Connaughton: However, in recent days a person contacted me to say he had been told that the review of his medical card was stalled until such time as the decision was taken on discretionary medical cards.

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