Michael Ring (Mayo, Fine Gael)
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Question 184: To ask the Minister for Health and Children if she will make a recommendation to the Health Service Executive to ensure that people with cystic fibrosis are automatically issued with a medical card; and if she will make a statement on the matter. [10904/08]

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. Under Section 45 of the Health Act 1970, medical cards are provided for persons who, in the opinion of the HSE, are unable without undue hardship to arrange general practitioner medical and surgical services for themselves and their dependants. This provision also entitles qualifying dependants to avail of a medical card. The HSE may also grant a person full eligibility for a particular service where the person would be unable, without undue hardship, to provide that service for themselves or their dependants.

In assessing an application for a medical card on behalf of a child, the HSE uses guidelines based on the means of the child's parent(s)/guardian(s), which includes their income after tax and PRSI, and takes account of reasonable expenses incurred in respect of rent or mortgage payments, child care and travel to work. The assessment process also takes account of other factors, such as medical or social need, which may impact on their ability to meet the cost of GP services. The HSE has discretion, in cases of exceptional need, to provide assistance to individuals where undue hardship would otherwise be caused.

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. As part of this general review, a review of the eligibility criteria for medical cards in the context of economic/financial, medical and social need is being undertaken with a view to clarifying entitlement to a medical card, and is expected to be completed by Autumn, 2008.