S.I. No. 467/2016 - Health (Residential Support Services Maintenance and Accommodation Contributions) Regulations 2016

Type Statutory Instrument
Publication 2016-09-09
Last updated 2022-01-04
State In force superseded text
Text As published
articles 21

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ARRANGEMENT OF REGULATIONS

PART 1 PRELIMINARY MATTERS

1.

1.

Citation and commencement

2.

2.

Interpretation

3.

3.

Revocation of Regulations of 2005

4.

4.

Application

5.

5.

Calculation of RSS recipient’s weekly income

6.

6.

Information-gathering powers of RSS provider for purposes of making relevant calculation

7.

7.

RSS recipient to notify RSS provider of change of circumstances

PART 3 CONTRIBUTIONS PAYABLE BY RSS RECIPIENTS

8.

8.

Default contribution payable by RSS recipient

9.

9.

Contribution payable by RSS recipient following relevant calculation

PART 4 RELEVANT DAYS ON WHICH RSS RECIPIENT SHALL PAY NIL CONTRIBUTION

10.

10.

Definition of “relevant deadline”

11.

11.

Scenario 1

12.

12.

Scenario 2

13.

13.

Scenario 3

14.

14.

Scenario 4

PART 5 REIMBURSEMENTS AND UNDERPAYMENTS

15.

15.

Reimbursement following relevant calculation

16.

16.

Recovery of certain moneys

PART 6 MISCELLANEOUS

17.

17.

Payments to be made to RSS provider

18.

18.

Manner of payment

19.

19.

Limits on amounts of contributions

20.

20.

Collection and disposal of moneys

21.

21.

Transitional provisions

SCHEDULE 1 Contributions (Category A accommodation)

SCHEDULE 2 Contributions (Category B accommodation)

SCHEDULE 3 Contributions (Category C accommodation)

SCHEDULE 4 Excluded income for purposes of definition of “weekly income”

S.I. No. 467 of 2016

HEALTH (RESIDENTIAL SUPPORT SERVICES MAINTENANCE AND ACCOMMODATION CONTRIBUTIONS) REGULATIONS 2016

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of 9th September, 2016.

I, SIMON HARRIS, Minister for Health, in exercise of the powers conferred on me by section 67C(2) (amended by section 43 of the Health (Miscellaneous Provisions) Act 2014 (No. 33 of 2014)) of the Health Act 1970 (No. 1 of 1970), with the consent of the Minister for Public Expenditure and Reform, hereby make the following regulations:

PART 1 PRELIMINARY MATTERS

Citation and commencement

1.

(1) These Regulations may be cited as the Health (Residential Support Services Maintenance and Accommodation Contributions) Regulations 2016.

Interpretation

2.

(1) In these Regulations—

“Act of 1970” means the Health Act 1970 (No. 1 of 1970);

“Act of 1997” means the Taxes Consolidation Act 1997 (No. 39 of 1997);

“Act of 2005” means the Social Welfare Consolidation Act 2005 (No. 26 of 2005);

“Act of 2014” means the Health (Miscellaneous Provisions) Act 2014 (No. 33 of 2014);

“Category A accommodation” means accommodation in which medical care or nursing care is generally provided by or on behalf of the Executive on a 24 hour basis;

“Category B accommodation” means accommodation in which medical care or nursing care is generally provided by or on behalf of the Executive at least once per week and otherwise than on a 24 hour basis;

“Category C accommodation” means accommodation other than Category A accommodation or Category B accommodation;

“contribution” means a residential support services maintenance and accommodation contribution which is payable by virtue of section 67C(4);

“Executive” means the Health Service Executive;

“income”, in relation to an RSS recipient, means the following income (if any) received, or entitled to be received, by the recipient, whether in money or money’s worth and whether arising in the State or otherwise:

“income deductions”, in relation to an RSS recipient, means the following deductions (if any) made from the recipient’s income:

“in-patient services” means in-patient services as defined in section 53(8) of the Act of 1970;

“Regulations of 2005” means the Health (Charges for In-Patient Services) Regulations 2005 ( S.I. No. 276 of 2005 );

“relevant calculation”, in relation to an RSS recipient, means the calculation (if any) made by the RSS provider, in respect of that recipient, under Regulation 5(1);

“relevant calculation date”, in relation to an RSS recipient, means the date (if any) on which the RSS provider makes the relevant calculation concerned in respect of that recipient;

“relevant day”, in relation to an RSS recipient, means a day where—

“relevant deadline” has the meaning assigned to it by Regulation 10;

“relevant Schedule” means—

“RSS” means residential support services;

“RSS provider”, in relation to an RSS recipient, means—

“RSS recipient” means a person to whom these Regulations apply by virtue of Regulation 4(1);

“section 67C” means section 67C (amended by section 43 of the Act of 2014) of the Act of 1970;

“weekly income”, in relation to an RSS recipient, means the recipient’s income calculated on a weekly basis or the recipient’s yearly income divided by 52, as appropriate for that recipient, excluding—

Revocation of Regulations of 2005

3.

The Regulations of 2005 are revoked.

Application

4.

(1) These Regulations apply to persons (not being persons referred to in section 67C(7)) with full eligibility or limited eligibility to whom residential support services are, or are to be, provided either by—

Calculation of RSS recipient’s weekly income

5.

(1) Subject to paragraphs (2) to (4), if the RSS provider is in possession of information (from whatever source) that satisfies the provider that the provider is able to calculate an RSS recipient’s weekly income in respect of a period which includes one or more than one relevant day, the provider shall make that calculation as soon as is practicable.

Information-gathering powers of RSS provider for purposes of making relevant calculation

6.

(1) Where the RSS provider is unable, before the passing of the relevant deadline, to be satisfied as referred to in Regulation 5(1) or (2) in respect of an RSS recipient and a relevant day, the provider shall make a request in writing to the recipient, whether before, on or after that expiration, to give to the provider, within 42 days of the request having been made, the information specified in the request and within that recipient’s possession which will enable the provider to be so satisfied.

RSS recipient to notify RSS provider of change of circumstances

7.

An RSS recipient shall give notice in writing to the RSS provider of any change in circumstances that is likely to have a bearing on the accuracy of a relevant calculation made, or to be made, in respect of the recipient, as soon as may be after the person becomes aware of that change in circumstances.

PART 3 CONTRIBUTIONS PAYABLE BY RSS RECIPIENTS

Default contribution payable by RSS recipient

8.

Subject to Regulation 9, Part 4, Regulation 21 and section 67C(3)(aa), an RSS recipient shall, in respect of a relevant day, pay, as a contribution, the maximum daily amount specified in column (3) of the relevant Schedule.

Contribution payable by RSS recipient following relevant calculation

9.

(1) Subject to paragraph (3), Part 4, Regulation 21 and section 63C(3)(aa), the contribution required, but for this Regulation, to be paid by an RSS recipient under Regulation 8 shall not apply to the recipient in respect of a relevant day—

PART 4 RELEVANT DAYS ON WHICH RSS RECIPIENT SHALL PAY NIL CONTRIBUTION

Definition of “relevant deadline”

10.

In this Part, “relevant deadline” means—

31 December 2016,

30 June 2017,

the last day of the period of 28 days from and including the first relevant day on which he or she is liable to pay a contribution under these Regulations after he or she again so becomes an RSS recipient in relation to that provider.

Scenario 1

11.

(1) Paragraph (2) applies where—

whichever occurs first.

Scenario 2

12.

(1) Paragraph (2) applies where—

whichever occurs first.

Scenario 3

13.

(1) Paragraph (2) applies where—

whichever occurs first.

Scenario 4

14.

(1) Paragraph (2) applies where—

and

whichever occurs first.

PART 5 REIMBURSEMENTS AND UNDERPAYMENTS

Reimbursement following relevant calculation

15.

(1) Paragraph (2) applies if—

Recovery of certain moneys

16.

(1) Paragraph (2) applies if it comes to the knowledge of the RSS provider that—

PART 6 MISCELLANEOUS

Payments to be made to RSS provider

17.

Contributions required to be paid by an RSS recipient under these Regulations shall be paid to the RSS provider.

Manner of payment

18.

(1) Subject to paragraphs (2) and (3), contributions required to be paid by an RSS recipient under these Regulations shall be paid in euro—

Limits on amounts of contributions

19.

(1) If the total amount of contributions required to be paid by an RSS recipient in respect of a period referred to in Regulation 18(1)(a) or (3) is greater than the weekly equivalent amount, the amount payable by that recipient in respect of that period shall be rounded down to the nearest 50 cents.

the total amount of contributions payable by that recipient in respect of the period referred to in paragraph (b) shall be deemed to be nil.

Collection and disposal of moneys

20.

(1) Moneys due and owing by an RSS recipient in respect of contributions required to be paid under these Regulations to the RSS provider shall be collected and recoverable by the provider.

in respect of contributions required to be paid under these Regulations, and

in respect of contributions required to be paid under these Regulations.

Transitional provisions

21.

(1) Subject to Part 4, this Regulation applies—

the daily amount specified in column (3) of Schedule 1 opposite the mention of the relevant weekly income band specified in column (2) of Schedule 1 within which the weekly amount of the recipient’s income referred to in clause (ii) falls;

the daily amount specified in column (3) of Schedule 2 opposite the mention of the relevant weekly income band specified in column (2) of Schedule 2 within which the weekly amount of the recipient’s income referred to in clause (ii) falls.

“daily equivalent amount”, in relation to the amount of contribution payable by an RSS recipient under paragraph (2)(a), means the amount of the last weekly charge—

“equivalent accommodation” means—

“relevant accommodation”, in relation to an RSS recipient referred to in the definition of “daily equivalent amount”, means accommodation which is the same accommodation as, or is equivalent accommodation to, the accommodation provided to the recipient on a relevant day referred to in paragraph (1)(b)(iii);

“transitional period” means the period from and including 1 January 2017 to and including 30 June 2017.

SCHEDULE 1

Part 3

Contributions (Category A accommodation)

Reference Number (1) Weekly Income* (2) Daily Amount (3) Weekly Equivalent Amount (4)
1. €208.00 or any greater amount €25.00 €175.00
2. €203.00 to €207.99 €24.29 €170.00
3. €198.00 to €202.99 €23.58 €165.00
4. €193.00 to €197.99 €22.86 €160.00
5. €188.00 to €192.99 €22.15 €155.00
6. €183.00 to €187.99 €21.43 €150.00
7. €178.00 to €182.99 €20.72 €145.00
8. €173.00 to €177.99 €20.00 €140.00
9. €168.00 to €172.99 €19.29 €135.00
10. €163.00 to €167.99 €18.58 €130.00
11. €158.00 to €162.99 €17.86 €125.00
12. €153.00 to €157.99 €17.15 €120.00
13. €148.00 to €152.99 €16.43 €115.00
14. €143.00 to €147.99 €15.72 €110.00
15. €138.00 to €142.99 €15.00 €105.00
16. €133.00 to €137.99 €14.29 €100.00
17. €128.00 to €132.99 €13.58 €95.00
18. €123.00 to €127.99 €12.86 €90.00
19. €118.00 to €122.99 €12.15 €85.00
20. €113.00 to €117.99 €11.43 €80.00
21. €108.00 to €112.99 €10.72 €75.00
22. €103.00 to €107.99 €10.00 €70.00
23. €98.00 to €102.99 €9.29 €65.00
24. €93.00 to €97.99 €8.58 €60.00
25. €88.00 to €92.99 €7.86 €55.00
26. €83.00 to €87.99 €7.15 €50.00
27. €78.00 to €82.99 €6.43 €45.00
28. €73.00 to €77.99 €5.72 €40.00
29. €68.00 to €72.99 €5.00 €35.00
30. €63.00 to €67.99 €4.29 €30.00
31. €58.00 to €62.99 €3.58 €25.00
32. €53.00 to €57.99 €2.86 €20.00
33. €48.00 to €52.99 €2.15 €15.00
34. €43.00 to €47.99 €1.43 €10.00
35. €38.00 to €42.99 €0.72 €5.00
36. €37.99 or any lesser amount Nil Nil

*This column does not apply where the RSS recipient is required to pay a contribution under Regulation 8.

SCHEDULE 2

Part 3

Contributions (Category B accommodation)

Reference Number (1) Weekly Income* (2) Daily Amount (3) Weekly Equivalent Amount (4)
1. €194.00 or any greater amount €18.58 €130.00
2. €189.00 to €193.99 €17.86 €125.00
3. €184.00 to €188.99 €17.15 €120.00
4. €179.00 to €183.99 €16.43 €115.00
5. €174.00 to €178.99 €15.72 €110.00
6. €169.00 to €173.99 €15.00 €105.00
7. €164.00 to €168.99 €14.29 €100.00
8. €159.00 to €163.99 €13.58 €95.00
9. €154.00 to €158.99 €12.86 €90.00
10. €149.00 to €153.99 €12.15 €85.00
11. €144.00 to €148.99 €11.43 €80.00
12. €139.00 to €143.99 €10.72 €75.00
13. €134.00 to €138.99 €10.00 €70.00
14. €129.00 to €133.99 €9.29 €65.00
15. €124.00 to €128.99 €8.58 €60.00
16. €119.00 to €123.99 €7.86 €55.00
17. €114.00 to €118.99 €7.15 €50.00
18. €109.00 to €113.99 €6.43 €45.00
19. €104.00 to €108.99 €5.72 €40.00
20. €99.00 to €103.99 €5.00 €35.00
21. €94.00 to €98.99 €4.29 €30.00
22. €89.00 to €93.99 €3.58 €25.00
23. €84.00 to €88.99 €2.86 €20.00
24. €79.00 to €83.99 €2.15 €15.00
25. €74.00 to €78.99 €1.43 €10.00
26. €69.00 to €73.99 €0.72 €5.00
27. €68.99 or any lesser amount Nil Nil

*This column does not apply where the RSS recipient is required to pay a contribution under Regulation 8.

SCHEDULE 3

Part 3

Contributions (Category C accommodation)

Reference Number (1) Weekly Income* (2) Daily Amount (3) Weekly Equivalent Amount (4)
1. €188.00 or any greater amount €10.00 €70.00
2. €184.50 to €187.99 €9.50 €66.50
3. €181.00 to €184.49 €9.00 €63.00
4. €177.50 to €180.99 €8.50 €59.50
5. €174.00 to €177.49 €8.00 €56.00
6. €170.50 to €173.99 €7.50 €52.50
7. €167.00 to €170.49 €7.00 €49.00
8. €163.50 to €166.99 €6.50 €45.50
9. €160.00 to €163.49 €6.00 €42.00
10. €156.50 to €159.99 €5.50 €38.50
11. €153.00 to €156.49 €5.00 €35.00
12. €149.50 to €152.99 €4.50 €31.50
13. €146.00 to €149.49 €4.00 €28.00
14. €142.50 to €145.99 €3.50 €24.50
15. €139.00 to €142.49 €3.00 €21.00
16. €135.50 to €138.99 €2.50 €17.50
17. €132.00 to €135.49 €2.00 €14.00
18. €128.50 to €131.99 €1.50 €10.50
19. €125.00 to €128.49 €1.00 €7.00
20. €121.50 to €124.99 €0.50 €3.50
21. €121.49 or any lesser amount Nil Nil

*This column does not apply where the RSS recipient is required to pay a contribution under Regulation 8.

SCHEDULE 4

Regulation 2(1)

Excluded income for purposes of definition of “weekly income”

Item No. Category of Income
1. The first €120 of weekly income from employment of a rehabilitative nature.
2. Any moneys received by way of training allowance from an organisation while undergoing a course of rehabilitation training provided by the organisation (being an organisation approved of by the Minister for Health for the purposes of the provision of such training).
3. Any moneys received by way of a maintenance grant as defined in Part 1 of Schedule 3 to the Act of 2005.
4. The amount (if any) of a rent supplement received pursuant to regulations made under section 198(3) of the Act of 2005 or similar subsidy received towards accommodation costs.
5. The amount (if any) of a supplementary welfare allowance received under sections 198, 200, 201 and 206 of the Act of 2005, other than a rent supplement received pursuant to regulations made under section 198(3) of that Act.
6. Family income supplement under Part 6 of the Act of 2005.
7. Child benefit under Part 4 of the Act of 2005.
8. Guardian’s payment (contributory) under Chapter 19 of Part 2 of the Act of 2005.
9. Guardian’s payment (non-contributory) under section 168 of the Act of 2005.
10. Domiciliary care allowance under Chapter 8A of Part 3 of the Act of 2005.
11. Any allowance under Regulation 14 of the Child Care (Placement of Children in Foster Care) Regulations 1995 ( S.I. No. 260 of 1995 ).
12. Any allowance under Regulation 14 of the Child Care (Placement of Children with Relatives) Regulations 1995 ( S.I. No. 261 of 1995 ).
13. Any allowance under a scheme administered by the Minister for Social Protection and known as the Fuel Allowance Scheme.
14. Any increase in the amount of benefit or assistance received under Part 2 or 3 of the Act of 2005 by virtue of being resident on an island as defined in section 2 of that Act.
15. Any increase in the amount of benefit or assistance received under Part 2 or 3 of the Act of 2005 by virtue of being a person living alone.
16. Any moneys received by way of a mobility allowance payable under section 61 of the Health Act 1970 .
17. Any increase in the amount of benefit or assistance received under the Act of 2005 in respect of a qualified adult as defined in section 2(2) of that Act.
18. Any increase in the amount of benefit or assistance received under the Act of 2005 in respect of a qualified child as defined in section 2(3) of that Act.
19. Interest on the sum of all savings where that sum (or, as the case may be, that part of that sum) on which interest is earned does not exceed €15,000.
20. Any of the following payments (including any income derived therefrom):

The Minister for Public Expenditure and Reform consents to the making of the foregoing Regulations.

GIVEN under the Official Seal of the Minister for Public Expenditure and Reform,

1 September 2016.

PASCHAL DONOHOE,

Minister for Public Expenditure and Reform.

GIVEN under my Official Seal,

2 September 2016.

SIMON HARRIS,

Minister for Health.

EXPLANATORY NOTE

(This note is not part of the Instrument and does not purport to be a legal interpretation.)

In keeping with section 67C(2)(a) of the Health Act 1970 , these Regulations are made by the Minister for Health, with the consent of the Minister for Public Expenditure and Reform.

The main provisions of these Regulations are that:

The requirement to pay a contribution under these Regulations comes into operation on 1 January 2017 and the Health (Charges for In-Patient Services) Regulations 2005 are revoked on that date.

This document does not substitute the official text published in the Irish Statute Book. We accept no responsibility for any inaccuracies arising from the transcription of the original into this format.

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