Heather Humphreys (Cavan-Monaghan, Fine Gael)
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267. To ask the Minister for Health if he will consider basing the income threshold for the over 70s medical card on net income as opposed to gross income; and if he will make a statement on the matter. [45518/13]

James Reilly (Dublin North, Fine Gael)
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Under the arrangements effected by the Health Act 2008, a much simplified system of assessment for eligibility was introduced in respect of persons aged 70 or over, based on the significantly higher gross income thresholds rather than the standard net income limits. Under the net income assessment system, allowance may be made for rent/mortgage, travel to work and child care costs. However, these would not be a factor for the vast majority of older people.