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Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: What are the current income thresholds to qualify for a medical card for a single person?

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: The Minister of State's officials may have.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: That is €184 a week.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: If somebody was on a living wage would that qualify them under those criteria?

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: It is certainly not €184 week. It is probably double that.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: In more ways than one.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: I was supporting you for the leadership but I am taking it back now Bernard.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: I will make a few points on this section. I welcome what this section does. It is important to reiterate what the Bill does and does not do. It does give clarity as to the professions that may administer medical products but it states very clearly that it does not confer new powers or scope of practice on any profession. It is important to make that point. I support what the Bill...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: I will make a point of clarification. I welcome that important move. I assume the Minister would have to set out specifically what medicines a pharmacist potentially could dispense?

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: It is a pre-emptive move.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: That is fine.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: The modalities of the extension of prescribing are being worked out.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: It will be a legislative enabler.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: That is okay.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: I will support the amendment but I just want to make a point about the substance of the section, which relates to having medicine shortage protocols in place. I have been looking for this for some time and have engaged with the Minister of State on it. If I am correct, the provisions relate to medicinal product shortages by facilitating the implementation of a framework for medicine...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: I would like clarification on what a settled pragmatic decision or position of the Government might be.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: Is there provision for an opt-out, or perhaps not an opt-out but that a member state could have a derogation to make a decision, as opposed to this being a one-size-fits-all approach across the European Union? If the proposal is to reduce data exclusivity from eight years to six years, albeit with the caveat that Mr. O'Connor has given on the buyback, whatever about where it eventually...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: This is the concern that is being shared by the industry. It states the US will be watching this with regard to anything that makes it more difficult for a company to protect its intellectual property, particularly when there is large investment in high-tech drugs, and we all know how important that is for patients and the industry. I get that there is a balance to be struck. I get all of...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: Would it be possible to get a note on this, given that it will be an important issue and the Parliament will have to make decisions on it? Perhaps a note can be given to members of the committee to inform us as best the Department can on the process so far, what has been proposed and the position of the Government or the Department. Mr. O'Connor said a number of Departments are meeting.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: I will come back to the Minister of State. A threshold of €184 week is a very low income threshold bar, which is the point I am making, given it has not been reviewed since 2009. Notwithstanding the over 70s, we are talking about the general population.

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