Written answers

Wednesday, 11 June 2025

Photo of Cian O'CallaghanCian O'Callaghan (Dublin Bay North, Social Democrats)
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367. To ask the Minister for Health the supports for parents who have to pay high medical costs for essential medicines for their children; if supports will be improved for parents who do not qualify for a medical card; and if she will make a statement on the matter. [31102/25]

Photo of Jennifer Carroll MacNeillJennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)
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There has been a significant focus on improving access to and the affordability of healthcare services over the last few years. This includes reductions in the Drugs Payment Scheme threshold, expansion of access to free GP care, and the abolition of all public in-patient hospital charges for children and adults. These measures continue to create a health and social care service that offers affordable access to quality healthcare.

People who cannot, without undue hardship, arrange for the provision of medical services for themselves and their dependants may be eligible for a medical card under the General Medical Services (GMS) Scheme. In accordance with the provisions of the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE.

In certain circumstances the HSE may exercise discretion and grant a medical card, even though an applicant exceeds the income guidelines, where he or she faces difficult financial circumstances, such as extra costs arising from illness. In circumstances where an applicant is still over the income limit for a medical card, they are then assessed for a GP visit card, which entitles the applicant to GP visits without charge.

Prescription charges under the GMS Scheme were introduced in the Health (Amendment) (No. 2) Act 2010. On 1 November 2020, prescription charges were reduced to:

  • €1 per item with a maximum charge of €10 per month, for those aged over 70.
  • €1.50 per item with a maximum charge of €15 per month, for those aged under 70.
Under the Drugs Payment Scheme (DPS), no individual or family pays more than €80 a month towards the cost of approved prescribed medicines. The DPS is not means tested and is available to anyone ordinarily resident in Ireland. The DPS threshold was reduced twice in 2022:
  • From €114 to €100 on 1 January 2022.
  • From €100 to €80 on 1 March 2022.
The number of claimants on the DPS has more than doubled since these threshold reductions. The DPS significantly reduces the cost burden for families and individuals with ongoing expenditure on medicines and who do not have medical card eligibility.

Consideration of further changes to the DPS threshold or to prescription charges will be made in the context of current healthcare priorities and the budget available.

Individuals may also be entitled to claim tax relief on the cost of their medical expenses, including medicines prescribed by a doctor, dentist, or consultant. Relief is at the standard tax rate of 20%.

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