Emer Higgins (Dublin Mid West, Fine Gael)
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41. To ask the Minister for Health the system for providing medical cards to persons on palliative care; if a means test applies; the length of time the application process takes; and if he will make a statement on the matter. [23277/20]

Stephen Donnelly (Wicklow, Fianna Fail)
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Under the Health Act 1970, eligibility for a medical card is based primarily on means and does not provide for automatic eligibility based on having a particular disease or illness.

That said, it is vitally important we do as much as possible to support people in palliative care, including where appropriate through the provision of a medical card. I wish therefore at the outset to thank the Deputy for raising such an important issue.

The HSE has a compassionate system in place for the provision of medical cards when it is informed that a patient is receiving end of life treatment – that is when patients unfortunately have a prognosis of less than 12 months.

Importantly, these applications do not require a financial means assessment nor are they ever reassessed. This approach is appropriate and undoubtedly is a great source of assurance to persons who are receiving palliative care and in need of support.

I am informed that generally, such medical cards are active on the system within 24 hours of the HSE National Medical Card Unit reviewing a medical report and completed application form from a healthcare professional.

Individuals may also qualify for a medical card through the means assessment process. The HSE may exercise discretion and grant a medical card where individuals exceed the income guidelines.

Separately, I also note that since 2015 medical cards are awarded without the need of a financial assessment to all children under 18 years of age with a diagnosis of cancer.