Seanad debates

Wednesday, 9 October 2019

Health and Childcare Support (Miscellaneous Provisions) Bill 2019: Second Stage

 

10:30 am

Photo of Catherine NooneCatherine Noone (Fine Gael) | Oireachtas source

I fully support the legislation. As the Minister said, the Bill seeks to maintain the provision of certain health benefits to eligible residents of the North of Ireland. In the context of a Brexit deal or no-deal outcome, the card is an extremely important issue for people resident in the North. The reimbursement of necessary medical expenses to eligible residents of the North is an exceptional provision, which is being proposed, as the Minister said, by the Government in the spirit of the Good Friday Agreement. The EHIC programme is a real success story. The idea that residents of the North would be precluded or excluded from using the card, especially when they voted to remain in the EU, cannot be countenanced. Given that it is within our power to avoid such an outcome, it is good that we are doing so.

Concerns over the loss of EHIC benefit have emerged as a crucial issue for those entitled to EU citizenship and living in the North. The issue has come to represent a very tangible example of the unwanted loss of long-standing EU rights, benefits and opportunities. We cannot highlight that enough. As Senator Gallagher said, many of us harbour a hope that the legislation, and many other measures being prepared and put in place in advance of Brexit, will not be required. Achieving this objective has proved complex from a policy point of view and from the legal and operational perspectives. Officials in the Department of Health have worked intensely to progress this matter in recent months. I acknowledge the work that has been done by the Minister and his officials to get this legislation to this point so quickly.

The Government recently approved the immediate drafting of a Bill to provide for the benefits similar to those available under EHIC to residents of Northern Ireland in the case of a no-deal Brexit. The Government understands the importance placed on continued access to the benefits of EU membership, including these provisions. The legislation will provide the benefits of EHIC, albeit through a domestic reimbursement mechanism in Irish law, in line with the Government's commitment to the Good Friday Agreement. This is a clear priority in the context of contingency planning for a no-deal Brexit or a no-Brexit deal, which we would prefer.

I agree with the suggestion made by Senator Devine that we should make it as easy as possible to avail of the card. While the roll-out of the new public services card, PSC, has not run smoothly recently, that experience speaks to the necessity of a card such as this. I have visited other countries where a considerable amount of personal information is downloaded on to a card. I understand that there are data issues but it would be great if we had a similar card for people to use when they travel. People could present the card or card number when they avail of medical services in a hospital in Ireland and thus make their information available to the people who want to provide medical care. I am a strong proponent of such a card. Again, I agree with the Senator that we should make it as easy as possible for people to use the EHIC because people do not always have the card to hand when it is required.

Given the limited timeframe available, it is crucial to ensure the speedy passage of the legislation through the Houses of the Oireachtas, as a matter of priority, to achieve enactment before the end of the month. This will ensure that arrangements are in place, if needed, from 1 November. The phrase "if needed" is the operative part of my sentence. I thank the Minister and his officials for their work on the legislation.

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