Fergus O'Dowd (Louth, Fine Gael)
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754. To ask the Minister for Health if he will respond to a request from an organisation (details supplied) on behalf of its approximately 700 members who require coaguchek meters; and if he will make a statement on the matter. [33666/22]

Stephen Donnelly (Wicklow, Fianna Fail)
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The Health Service Executive (HSE) has statutory responsibility for pricing and reimbursement decisions, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013. 

In making a relevant reimbursement decision, the HSE is required under the 2013 Act to have regard to a number of criteria including efficacy, the health needs of the public, cost effectiveness and potential or actual budget impact. The Minister for Health has no role in these decisions.

The HSE have advised that CoaguChek® meters and International Normalised Ratio (INR) self-testing strips are not reimbursable under the General Medical Services (GMS) scheme, the Community Drug Schemes, or the Community Funded Schemes.

Whilst a range of diagnostics are available on the HSE's formal Reimbursement List for use in Diabetes, a change in HSE policy would be required to expand this to other therapeutic areas such as INR testing ancillaries.

The HSE have further advised that on very rare occasions, CoaguChek® strips were approved for reimbursement in the most exceptional circumstances under Discretionary Hardship Arrangements where it was clear that there was no other option for the patient i.e., the person was bed bound or could not travel to the INR clinic.