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Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Stephen Donnelly: I cannot get into ophthalmology in this debate but I am more than happy to speak to Deputy Healy-Rae about it offline. I will respond to his relevant question on the healthcare providers who are required to support patients. With regard to the margin for pharmacists, the current situation is that pharmacists will have two types of patients. These are patients with medical cards and...
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): David Cullinane: Why does the State not just cover the entire cost?
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Stephen Donnelly: For the reason I gave previously. We had a choice. This comes down to option 1 or option 2. We could have looked to cover GP fees-----
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): David Cullinane: I am speaking about the full cost of the medicine.
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Stephen Donnelly: I am answering exactly that. Option 1 would be what Deputy Cullinane is suggesting, which is the margin for the pharmacist, the product and the GP consultations, as we have done for free contraception.
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): David Cullinane: Leave the GPs out of it; just the pharmacists.
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Stephen Donnelly: Just the pharmacists. That option would cost more money. If we had gone further than providing the medicines for free, we would, in the first instance, have had to bring in something like age bands. I do not think that would have been appropriate. I spoke to the National Women's Council about it. The view I got back was that the way we are doing it is the right way to do it, which is to...
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): David Cullinane: I have a quick further point. Is there any sense as to what that margin might be? That is the obvious question we are going to be asked. I get what the Minister is saying. I am not interested in the GP side of it. When a woman goes to get the product, the State will pay for the cost of the product and then the margin, profit, or whatever we want to call it is paid by the person. What...
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Stephen Donnelly: I thank Deputy Cullinane. This will be a matter for various pharmacists, just as it is today. A private patient going to a pharmacist today buying HRT products-----
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): David Cullinane: So it is not free HRT
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Stephen Donnelly: It is free HRT, of course it is, but we cannot expect pharmacists to prescribe without a fee or a margin. They do it today.
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Richard Boyd Barrett: Who will pay the margin?
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Stephen Donnelly: We have been very clear from day one that the funding is for the full cost of the medicines or devices to be covered. This is what the State is going to fund.
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): David Cullinane: If there is a charge, it is not free.
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Richard Boyd Barrett: I have a question. Is it free or is it not free? Will the Minister explain because it is not coming across very clearly? The State is covering the costs of the products and the HRT.
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Stephen Donnelly: The cost of the medicine.
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Richard Boyd Barrett: But there is a margin. Who will pay the margin and how much will it be? How much is it likely to be? Why is the State not paying the margin?
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): David Cullinane: I have the same question.
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Stephen Donnelly: I thank the Deputies. It is the same question and the same answer. What we are doing is funding the costs of the medicines and the devices. What is not included is the GP visit, which is just as relevant. I know the Deputy is not asking about the GP visit but it is just as relevant because it is for a prescription. Half the country now has access to free GP care. For the other half...
Health Insurance (Amendment) Bill 2024: Committee and Remaining Stages (23 Oct 2024): Róisín Shortall: What is the timeline involved? Is it years away?

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