Pádraig O'Sullivan (Cork North Central, Fianna Fail)
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1453. To ask the Minister for Health to outline the instructions he gave to the HSE regarding the reimbursement of medicines in 2024 as per the letter of determination, whether patient access to medicines may be delayed pending the identification of efficiencies or if reimbursements budget impact reimbursements will flow continuously throughout 2024 commencing in January; and if he will make a statement on the matter. [56337/23]

Stephen Donnelly (Wicklow, Fianna Fail)
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Following the announcement of the budget allocation for my Department, I have issued a Letter of Determination to the HSE outlining my priorities and funding levels for 2024. This will be the basis on which the HSE will draw up its National Service Plan (NSP) for 2024. The HSE is required to prepare and submit an NSP within 21 days of receipt of the letter of determination. Once I have agreed and signed off on it, the NSP will be published in due course.