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Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: I thank Deputy Cullinane. This will be a matter for various pharmacists, just as it is today. A private patient going to a pharmacist today buying HRT products-----

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: It is free HRT, of course it is, but we cannot expect pharmacists to prescribe without a fee or a margin. They do it today.

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: We have been very clear from day one that the funding is for the full cost of the medicines or devices to be covered. This is what the State is going to fund.

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: The cost of the medicine.

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: I thank the Deputies. It is the same question and the same answer. What we are doing is funding the costs of the medicines and the devices. What is not included is the GP visit, which is just as relevant. I know the Deputy is not asking about the GP visit but it is just as relevant because it is for a prescription. Half the country now has access to free GP care. For the other half...

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: It is a bit away but it is certainly part of the planning. The latest information I have is St.Vincent's, that is, the national maternity hospital, is still the preferred location for that. On Deputy Boyd Barrett's point, sometimes a spirited response is required.

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: I know you are. I was smiling because, like the Deputy, I speak to healthcare workers every day. He heard me repeatedly accept everything is not perfect. I am the first to admit that. We deal with it every day. We are about halfway through the journey that needs to be taken. It goes to something Deputy Healy-Rae was saying, which is that I am acutely aware the vast majority of the...

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: I accept that and I am not suggesting everything is perfect. The Deputy talked of an application for a new CT scanner. That will be looked at. The capital budget is bigger than it has ever been. The Deputy did not say and may not have been told that last year and this year two new X-ray machines were funded, there is a national pelvic floor health centre in St.Michael's and additional...

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: I will finish on this.

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: We do not want to do that.

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: Thank you. In section 1, amendment No. 1 is a consequential amendment to the preliminary and general part of the Bill, required as a result of amendments inserting the hormone replacement therapy provisions. Amendment No. 2 inserts a new Part 2 into the Bill, to provide for free hormone replacement therapy products related to menopause for certain women. It also provides a drafting...

Health Insurance (Amendment) Bill 2024: Financial Resolution (23 Oct 2024)

Stephen Donnelly: I move: THAT section 125A of the Stamp Duties Consolidation Act 1999 (No. 31 of 1999) be amended to provide for the specified rate of stamp duty in respect of an insured person in respect of relevant contracts renewed or entered into on or after 1st January, 2025, and on or before 31st March, 2025, and on or after 1st April, 2025, in the manner and to the extent specified in the Act giving...

Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024)

Stephen Donnelly: I move amendment No. 1: In page 3, between lines 10 and 11, to insert the following: “PART 1 PRELIMINARY AND GENERALShort title, collective citations, construction and commencement 1. (1) This Act may be cited as the Health Insurance (Amendment) and Health (Provision of Menopause Products) Act 2024. (2) The Health Acts 1947 to 2022 and Part 2 (other than section 5) may be cited...

Health Insurance (Amendment) Bill 2024: Second Stage (23 Oct 2024)

Stephen Donnelly: -----to make things better and they are succeeding. That does not suit everybody. There are some people in this Chamber who want the public to believe we live in a failed state and that everything in healthcare is terrible. Everything in healthcare is not terrible. Things are getting better every year and every month. Are there parts of our healthcare service that do not work for...

Health Insurance (Amendment) Bill 2024: Second Stage (23 Oct 2024)

Stephen Donnelly: -----but just this week, after years of work, we were able to announce really important progress on children's spinal services. We were able to announce that this year, the number of children waiting more than four months will fall from 86 to 20. I fully accept that it is still 20 too many, but we have gone from 86 to 20 in one year and all 20 of them in consultation with their surgeons...

Health Insurance (Amendment) Bill 2024: Second Stage (23 Oct 2024)

Stephen Donnelly: The improvements I am talking about have been achieved by our healthcare professionals and I acknowledge that. We rightly spend a lot of time talking about hospital-based care but look at what has happened in community-based care, again as called for under Sláintecare. My constituency does not have a big hospital. We do not have a model 3 or model 4 hospital but in my time, I have...

Health Insurance (Amendment) Bill 2024: Second Stage (23 Oct 2024)

Stephen Donnelly: Children who were referred to specialist care-----

Health Insurance (Amendment) Bill 2024: Second Stage (23 Oct 2024)

Stephen Donnelly: I appreciate that the Deputies do not like the truth.

Health Insurance (Amendment) Bill 2024: Second Stage (23 Oct 2024)

Stephen Donnelly: I appreciate that the truth does not suit them.

Health Insurance (Amendment) Bill 2024: Second Stage (23 Oct 2024)

Stephen Donnelly: Democracy may not suit the Deputies and the truth may not suit them-----

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