Written answers

Tuesday, 14 May 2019

Department of Health

Long-Term Illness Scheme Coverage

Photo of Éamon Ó CuívÉamon Ó Cuív (Galway West, Fianna Fail)
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369. To ask the Minister for Health his plans to extend cover under the long-term illness scheme for drugs related to the treatment of fibromyalgia; and if he will make a statement on the matter. [20926/19]

Photo of Simon HarrisSimon Harris (Wicklow, Fine Gael)
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The LTI Scheme was established under Section 59(3) of the Health Act 1970 (as amended). The conditions covered by the LTI are: acute leukaemia; mental handicap; cerebral palsy; mental illness (in a person under 16); cystic fibrosis; multiple sclerosis; diabetes insipidus; muscular dystrophies; diabetes mellitus; parkinsonism; epilepsy; phenylketonuria; haemophilia; spina bifida; hydrocephalus; and conditions arising from the use of thalidomide.

Under the LTI Scheme, patients receive drugs, medicines, and medical and surgical appliances directly related to the treatment of their illness, free of charge.

There are no plans to extend the list of conditions covered by the Scheme at this time. However, I wish to inform the Deputy that the LTI Scheme will be included as part of a review of the current eligibility framework, including the basis for existing hospital and medication charges, to be carried out under commitments given in the Sláintecare Implementation Strategy.

For people who are not eligible for the LTI scheme, there are other arrangements which protect them from excessive medicine costs.

Under the Drug Payment Scheme, no individual or family pays more than €124 a month towards the cost of approved prescribed medicines. The scheme significantly reduces the cost burden for families and individuals with ongoing expenditure on medicines.

People who cannot, without undue hardship, arrange for the provision of medical services for themselves and their dependants may be entitled to a medical card. In the assessment process, the HSE can take into account medical costs incurred by an individual or a family.

 People who are not eligible for a medical card may still be able to avail of a GP visit card, which covers the cost of GP consultations.

Photo of Éamon Ó CuívÉamon Ó Cuív (Galway West, Fianna Fail)
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370. To ask the Minister for Health his plans to extend the long-term illness scheme to include cover for those over 21 years of age who suffer from type 1 diabetes for the use of the FreeStyle Libre device for blood monitoring; and if he will make a statement on the matter. [20927/19]

Photo of Simon HarrisSimon Harris (Wicklow, Fine Gael)
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Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.

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