Willie O'Dea (Limerick City, Fianna Fail)
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621. To ask the Minister for Health if he will consider ensuring that all children born with Down syndrome are automatically entitled to medical cards from birth; and if he will make a statement on the matter. [50496/13]

Alex White (Dublin South, Labour)
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Under the provisions of the Health Act 1970, eligibility for health services in Ireland is based primarily on residency and means and medical cards are not awarded to any particular group of patients on the basis of a specific medical condition. However, the HSE has discretion to grant a medical card in certain circumstances. Medical card applicants who are unsuccessful following the means assessment, but who indicate that they suffer from a medical condition, are then referred to the Medical Officer for consideration on a medical discretionary basis.

The Government is committed to introducing, on a phased basis, a universal GP service without fees within its term of office, as set out in the Programme for Government and the Future Health strategy framework. As announced in the Budget, it has been decided to commence the roll-out of a universal GP service by providing all children aged 5 and under with access to a GP service without fees. This will mean that almost half of the population will have access to GP services without fees. The Government is providing new, additional funding of €37 million to meet the cost of this measure. The implementation of this measure will require primary legislation. The necessary administrative arrangements will be made in 2014, when the specifics of the legislation are known.

The introduction of a universal GP service constitutes a fundamental element in the Government's health reform programme. The current Government is the first in the history of the State to have committed itself to implementing a universal GP service for the entire population. A well functioning health system should provide equal access to healthcare for its patients on the basis of health needs, rather than ability to pay. The principles of universality and equity of access mean that all residents in Ireland should be entitled to access a GP services that is free at the point of use.