Health (Amendment) Act 2005

• Permanent Page URL

Charges for in-patient services.

4.— Section 53 of the Health Act 1970 is amended—

(a) in subsection (2)—

(i) by substituting “Notwithstanding anything in the Health Acts 1947 to 2004 but subject to subsections (3), (4) and (6), the Minister shall” for “The Minister may”, and

(ii) in paragraph (a), by substituting “to whom the in-patient services are provided” for “who are not persons with full eligibility”,

and

(b) by inserting the following after subsection (2):

“(3) A charge imposed under regulations made under subsection (2) on or after the enactment of this subsection is not payable where the in-patient services concerned are provided to—

(a) a person under 18 years of age,

(b) a woman in respect of motherhood,

(c) a person detained involuntarily under the Mental Health Acts 1945 to 2001,

(d) a person who—

(i) is in a hospital for the care and treatment of patients with acute ailments (including any psychiatric ailment), and

(ii) requires medically acute care and treatment in respect of any such ailment,

or

(e) a person who pursuant to section 2 of the Health (Amendment) Act 1996 , in the opinion of the Health Service Executive, has contracted Hepatitis C directly or indirectly from the use of Human Immunoglobulin Anti-D or the receipt within the State of another blood product or a blood transfusion.

(4) The Health Service Executive may reduce or waive a charge imposed on a person under regulations made under subsection (2) on or after the enactment of this subsection if the Health Service Executive is of the opinion that, having regard to the financial circumstances of that person (including whether or not that person has dependants), it is necessary to do so in order to avoid undue financial hardship in relation to that person.

(5) For the avoidance of doubt, it is hereby declared that—

(a) regulations made under subsection (2) and in force immediately before the enactment of this subsection—

(i) shall continue in force on and after that enactment and may be amended or revoked, and

(ii) subject to paragraph (b), do not apply to persons with full eligibility,

and

(b) such regulations may be amended on or after that enactment to apply, in whole or in part, to persons with full eligibility.

(6) Where in-patient services have been provided to a person for—

(a) a period of not less than 30 days, or

(b) periods aggregating not less than 30 days within the previous 12 months,

then—

(c) a charge imposed under regulations made under subsection (2) on or after the enactment of this subsection for the further provision of any in-patient services to that person shall be charged at a weekly rate, and

(d) such weekly rate shall not exceed 80 per cent of the maximum of the weekly rate of the old age (non-contributory) pension within the meaning of the Social Welfare Acts.

(7) A period of 30 days referred to in subsection (6) begins to run immediately the person concerned is provided with in-patient services, and irrespective of whether during all or any part of that period the charge referred to in that subsection is not payable by virtue of the operation of subsection (3) or (4).

(8) Notwithstanding section 51, in this section ‘in-patient services’, in relation to any regulations made under subsection (2) on or after the enactment of this subsection, means the institutional services referred to in the definition of ‘in-patient services’ in section 51 only insofar as those institutional services consist of the maintenance of a person.”.