Medical card threshold anomaly
Deputy Naughten raised a constituent's medical card refusal caused by outdated means-testing rules that treat a small rental income less favourably than a contributory pension. The Minister said the issue will be addressed, that drafting is under way, and outlined the expansion of free GP and medical card coverage.
I thank the Minister for his reply. To put a face on this discussion, in November last year, I raised the case of Una with the then Tánaiste. Una was a pensioner aged 66 at that time and despite working all her life, she was in receipt of a non-contributory State pension. She was refused the medical card because she receives a net income of €1 per week on top of her pension for renting out a field. Her next-door neighbour gets an extra €11 per week in the State contributory pension and qualifies for the medical card. This anomaly arises because these medical card thresholds have not been revised since 2005. The basic rate of social welfare income has gone up by €83.23 and Una and everyone like her are being denied access to a medical card for the sake of €1. This needs to be urgently addressed.
Comment on this
I assure the Deputy it will be addressed and we will work with him on that. The Department of Health is working on the matter and we are concluding the drafting of the legislation. For the information of the House, as of 1 October last, there were over 1.6 million medical card holders and over 595,000 GP visit card holders. This means more than 42% of the population has access to free GP care, and rightly so. Eligibility for the cards was extended to all children aged under eight years from 11 August 2023, so considerable progress has been made on the expansion of the medical card programme and the GP visit card. I commend the Minister for Health on the work he has done on that.
On the specific issue the Deputy raised, the Government has agreed the principle and the objective. We are concluding the work on the drafting of the finalised legislation. That will come to Government for approval to publish it. We want to move this Bill through the Houses early in the new year because there are many people who would offer a room and accommodation via the rent-a-room scheme and we want to ensure they do not lose their medical cards. I thank the Deputy for raising the matter.