203. Deputy Brian Stanley asked the Minister for Health the next step towards the full implementation of Sláintecare and provide full medical card cover to those whose income is equal to or below the median wage; and if she will make a statement on the matter. [52041/26]

As part of Sláintecare, my Department is undertaking a long-term wide-ranging review of the existing eligibility framework, to clearly assess what is working well and to inform future policy proposals regarding the eligibility framework based on robust evidence. Phase 1 of which includes a review of the existing eligibility arrangements for health services to see how they align with current population needs. This Phase is complete and the report is in the final drafting stage.

Currently Medical Card provision is primarily based on financial assessment. In accordance with the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE, which assesses each application on a qualifying financial threshold.

Every effort is made by the HSE, within the framework of the legislation, to support applicants in applying for a medical card and, in particular, to take full account of the difficult circumstances in the case of applicants who may be in excess of the income guidelines. In such circumstances, the HSE may exercise discretion and grant a medical card.

Regarding changes to medical card thresholds, to ensure the medical card system is responsive and sensitive to people's needs, my Department keeps medical card issues under review and any changes are considered in the context of any potential broader implications for Government policy, the annual budgetary estimates process and legislative requirements arising.