Finian McGrath (Dublin North Central, Independent)
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Question 270: To ask the Minister for Health and Children if she will grant all families of children with a disability a medical card regardless of income. [14017/07]

Mary Harney (Dublin Mid West, Progressive Democrats)
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At present, medical cards are granted primarily on the basis of means and individual circumstances. Under the Health Act, 2004, determination of eligibility for medical cards is the responsibility of the Health Service Executive. Persons aged seventy years and over are automatically entitled to a medical card, irrespective of means. The HSE has discretion, in cases of exceptional need, to provide assistance to individuals where undue hardship would otherwise be caused.

Medical cards are made available to persons and their dependants who would otherwise experience undue hardship in meeting the cost of General Practitioner (GP) services. In 2005 the GP visit card was introduced as a graduated benefit so that people on lower incomes, particularly parents of young children, who do not qualify for a medical card would not be deterred on cost grounds from visiting their GP.

Since the beginning of 2005 substantial changes have been made to the way in which people's eligibility for a medical card is assessed and these apply equally to the assessment process for a GP visit card. The income guidelines have been increased by a cumulative 29% and in addition allowance is now made for reasonable expenses incurred in respect of mortgage/rent, child care and travel to work costs. In June 2006 I agreed with the Health Service Executive a further adjustment to the assessment guidelines for GP visit cards and these are now 50% higher than those in respect of medical cards.

I have no plans to provide for the granting of medical cards to any particular group as a whole. However, my Department is currently reviewing all legislation relating to eligibility for health and personal social services with a view to making the system as fair and transparent as possible.

Finian McGrath (Dublin North Central, Independent)
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Question 271: To ask the Minister for Health and Children if the DTSS is under threat due to the Government's failure to complete a full review of the scheme; and if she will urgently support the scheme for medical cardholders. [14018/07]

Mary Harney (Dublin Mid West, Progressive Democrats)
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The Dental Treatment Service Scheme (DTSS) provides for a range of dental services for adult medical card holders from participating dentists holding contracts with the Health Service Executive (HSE).

The DTSS Review Group was established in May 2006 to undertake a comprehensive review of Primary Care Oral Health Services provided under the DTSS. Represented on the Review Group are the HSE, the Health Service Employers Agency, the Department of Health and Children, the Department of Social and Family Affairs, the Department of Finance and the Irish Dental Association (IDA). The Group is chaired by Mr Finbar Flood.

Since the Group was established, a legal issue has arisen with regard to the Competition Act 2002 as it relates to the negotiation of professional fees. My Department has sought legal advice from the Attorney General in this regard. In the meantime, the management side has offered to continue discussions on the non-fee element of the review. The IDA has not accepted this offer.

I understand that the IDA has balloted its members on a proposal to withdraw the association's support from the DTSS and that this proposal has been carried. The existing contractual arrangements with private dental practitioners under the DTSS for the provision of dental services to eligible patients remain in place.