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Health Insurance (Amendment) Act 2019

In short

This law amends the Health Insurance Act 1994 to update amounts related to health insurance premiums paid from the Risk Equalisation Fund and hospital utilisation credits, and makes a related change to the Stamp Duties Consolidation Act 1999.

What it regulates

  • The amount of premium to be paid from the Risk Equalisation Fund for certain insured persons from 1 April 2020.
  • The amount of the hospital utilisation credit applicable from 1 April 2020.
  • The definition of "specified rate" for stamp duties on health insurance contracts.
  • Amendments to section 11C of the Principal Act, changing a date from 1 April 2019 to 1 April 2020.

Who it concerns

  • Insured persons with health insurance contracts.
  • Individuals and entities involved in health insurance contracts, particularly those renewed or entered into on or after 1 April 2020.

Key points

  • The hospital utilisation credit for in-patient services on an overnight accommodation basis is €100 per night, and for day case basis is €75, applicable to contracts entered into or renewed on or after 1 April 2020.
  • The premium paid from the Risk Equalisation Fund varies by age, gender, and type of cover (non-advanced or advanced), with amounts ranging from Nil for those under 65 to €4,300 for males aged 85 and over with advanced cover, applicable on or after 1 April 2020.
  • The "specified rate" for stamp duties on relevant contracts renewed or entered into on or after 1 April 2020 is €52 for an insured person aged less than 18 years with non-advanced cover, €150 for an insured person aged less than 18 years with advanced cover, and €157 for an insured person aged 18 years or over with non-advanced cover.
  • The "specified rate" for stamp duties for contracts renewed or entered into between 1 April 2019 and 31 March 2020 is also defined, with different amounts.
Legal text
Legal text

Health Insurance (Amendment) Act 2019 Skip to content Disclaimer Feedback Helpdesk Gaeilge Léim go dtí an t-ábhar Séanadh Aiseolas Deasc chabhrach English Gaeilge English Produced by the Office of the Attorney General Táirgthe ag Oifig an Ard-Aighne Home Legislation Acts of the Oireachtas Statutory Instruments Pre-1922 Legislation Constitution External Resources Bills (Houses of the Oireachtas) Iris Oifigiúil / Official Gazette Revised Acts (LRC) Classified List of Legislation (LRC) Translations (acts.

  1. ie)Translations (Houses of the Oireachtas) Government Publications for Sale EU Law (EUR-Lex) FAQ Disclaimer Feedback Helpdesk Search Baile Reachtaíocht Achtanna an Oireachtais Ionstraimí Reachtúla Reachtaíocht Réamh-1922 Bunreacht Acmhainní Seachtracha Billí (Tithe an Oireachtais) Iris Oifigiúil Achtanna Athbhreithnithe (CAD) (An Coimisiún um Athchóiriú an Dlí) Liosta Rangaithe Reachtaíochta Aistriúcháin (achtanna.
  2. ie)Aistriúcháin (Tithe an Oireachtais) Foilseacháin Rialtais ar Díol Dlí AE (EUR-Lex) CCanna (Ceisteanna Coitianta) Séanadh Aiseolas Deasc chabhrach Cuardach TitleTeideal Year(
  3. s)or rangeBliain nó blianta nó raon TypeCineál All Legislation Acts Statutory Instruments Advanced SearchCuardach Casta HomeBaile ActsAchtanna 2019 Health Insurance (Amendment) Act 2019 Health Insurance (Amendment) Act 2019 Permanent Page URL View by SectionAmharc de réir Ailt View Full ActAmharc ar an Acht Iomlán Bill History Stair Bille Commencement, Amendments, SIs made under the Act Tosach Feidhme, Leasuithe, IRí arna ndéanamh faoin Acht Open PDFOscail PDF Print Full ActPriontáil an tAcht Iomlán Number 49 of 2019 HEALTH INSURANCE (AMENDMENT) ACT 2019 CONTENTS 1. Definition 2. Amendment of section 11C of Principal Act 3. Hospital Utilisation Credit - amendment of amount specified 4. Amendment of Schedule 4 to Principal Act 5. Amendment of section 125A of Stamp Duties Consolidation Act 1999 6. Short title, commencement, collective citation and construction Acts Referred to Health Insurance Act 1994 (No. 16) Health Insurance Acts 1994 to 2018 Stamp Duties Consolidation Act 1999 (No. 31) Number 49 of 2019 HEALTH INSURANCE (AMENDMENT) ACT 2019 An Act to amend the Health Insurance Act 1994 to specify the amount of premium to be paid from the Risk Equalisation Fund in respect of certain classes of insured persons from 1 April 2020; to amend that Act to specify the amount of the hospital utilisation credit applicable from 1 April 2020; to make a consequential amendment to the Stamp Duties Consolidation Act 1999 ; and to provide for related matters. [26th December, 2019] Be it enacted by the Oireachtas as follows: Definition 1. In this Act, “Principal Act” means the Health Insurance Act 1994 . Amendment of section 11C of Principal Act 2. Section 11C of the Principal Act is amended, in subsection

(1)(b), by the substitution of “1 April 2020” for “1 April 2019”. Hospital Utilisation Credit - amendment of amount specified 3.
(1)The Principal Act is amended by the substitution of the following Schedule for Schedule 3: “SCHEDULE 3 Amount Specified For Purposes Of Definition Of ‘Hospital Utilisation Credit’
  1. For the provision of in-patient services on overnight accommodation basis - €100 per night.
  2. For the provision of in-patient services on day case basis - €75.”.
(2)Schedule 3 to the Principal Act, as substituted by subsection
(1), only applies in the case of a health insurance contract entered into or renewed on or after 1 April 2020 (and, accordingly, that Schedule, as in force immediately before that date, shall continue to apply in the case of a health insurance contract entered into or renewed on or after 1 April 2018 but before 1 April 2020). Amendment of Schedule 4 to Principal Act
  1. Schedule 4 to the Principal Act is amended by the substitution of the following Table for Table 2: “TABLE 2 Amounts Applicable On Or After 1 April 2020 Class of Insured Person Amount of premium to be paid from Fund Male aged 50 years and over but less than 55 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be Nil Male aged 50 years and over but less than 55 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be Nil Female aged 50 years and over but less than 55 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be Nil Female aged 50 years and over but less than 55 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be Nil Male aged 55 years and over but less than 60 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be Nil Male aged 55 years and over but less than 60 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be Nil Female aged 55 years and over but less than 60 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be Nil Female aged 55 years and over but less than 60 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be Nil Male aged 60 years and over but less than 65 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be Nil Male aged 60 years and over but less than 65 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be Nil Female aged 60 years and over but less than 65 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be Nil Female aged 60 years and over but less than 65 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be Nil Male aged 65 years and over but less than 70 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €350 Male aged 65 years and over but less than 70 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €1,150 Female aged 65 years and over but less than 70 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €225 Female aged 65 years and over but less than 70 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €675 Male aged 70 years and over but less than 75 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €575 Male aged 70 years and over but less than 75 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €1,850 Female aged 70 years and over but less than 75 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €425 Female aged 70 years and over but less than 75 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €1,300 Male aged 75 years and over but less than 80 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €850 Male aged 75 years and over but less than 80 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €2,650 Female aged 75 years and over but less than 80 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €625 Female aged 75 years and over but less than 80 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €1,950 Male aged 80 years and over but less than 85 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €1,075 Male aged 80 years and over but less than 85 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €3,350 Female aged 80 years and over but less than 85 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €775 Female aged 80 years and over but less than 85 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €2,525 Male aged 85 years and over on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €1,225 Male aged 85 years and over on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €4,300 Female aged 85 years and over on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be €925 Female aged 85 years and over on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be €3,025 ”. Amendment of section 125A of Stamp Duties Consolidation Act 1999
  2. Section 125A of the Stamp Duties Consolidation Act 1999 is amended by the substitution of the following definition for the definition of “specified rate”: “ ‘specified rate’ means— (a) in respect of relevant contracts renewed or entered into on or after 1 April 2019 and on or before 31 March 2020— (i) €59 in respect of an insured person aged less than 18 years insured under a relevant contract which provides for non-advanced cover, (ii) €148 in respect of an insured person aged less than 18 years insured under a relevant contract which provides for advanced cover, (iii) €177 in respect of an insured person aged 18 years or over insured under a relevant contract which provides for non-advanced cover, and (iv) €444 in respect of an insured person aged 18 years or over insured under a relevant contract which provides for advanced cover, and (b) in respect of relevant contracts renewed or entered into on or after 1 April 2020— (i) €52 in respect of an insured person aged less than 18 years insured under a relevant contract which provides for non-advanced cover, (ii) €150 in respect of an insured person aged less than 18 years insured under a relevant contract which provides for advanced cover, (iii) €157 in respect of an insured person aged 18 years or over insured under a relevant contract which provides for non-advanced cover, and (iv) €449 in respect of an insured person aged 18 years or over insured under a relevant contract which provides for advanced cover.”. Short title, commencement, collective citation and construction 6.
(1)This Act may be cited as the Health Insurance (Amendment) Act 2019.
(2)(
  1. a)Section 5 shall come into operation on 1 January 2020. (
  2. b)Sections 2 , 3 and 4 shall come into operation on 1 April 2020.
(3)The Health Insurance Acts 1994 to 2018 and this Act (other than section 5 ) may be cited together as the Health Insurance Acts 1994 to 2019 and shall be construed together as one. Privacy Statement Accessibility European Legislation Identifier (PDF) Open Data License Ráiteas Príobháideachais Inrochtaineacht Aitheantóir Eorpach Reachtaíochta (ELI) Ceadúnas Sonraí Oscailte Liosta Fianán © Government of Ireland. Oireachtas Copyright Material is reproduced with the permission of the Houses of the Oireachtas © Rialtas na hÉireann. Atáirgtear ábhar faoi Chóipcheart le cead ó Thithe an Oireachtais

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