Number 16 of 1994

HEALTH INSURANCE ACT 1994

REVISED

Updated to 1 April 2023

Introduction

This Revised Act presents the text of the Act as it has been amended since enactment, and preserves the format in which it was passed.

Related legislation

Health Insurance Acts 1994 to 2022: this Act is one of a group of Acts included in this collective citation, to be construed together as one (Health Insurance (Amendment) Act 2022 (49/2022), s. 8(3). The Acts in this group are:

• Health Insurance Act 1994 (16/1994)

• Health Insurance (Amendment) Act 2001 (17/2001)

• Health Insurance (Amendment) Act 2003 (11/2003)

• Health Insurance (Amendment) Act 2007 (3/2007)

• Health Insurance (Miscellaneous Provisions) Act 2009 (24/2009), Part 2

• Health Insurance (Miscellaneous Provisions) Act 2011 (34/2011), ss. 2, 3 and 4

• Health Insurance (Amendment) Act 2012 (45/2012)

• Health Insurance (Amendment) Act 2013 (48/2013), other than s. 12

• Health Insurance (Amendment) Act 2014 (42/2014), other than s. 8

• Health Insurance (Amendment) Act 2015 (54/2015), other than s. 6

• Health Insurance (Amendment) Act 2016 (19/2016), other than s. 8

• Health Insurance (Amendment) Act 2017 (37/2017), other than s. 6

• Health Insurance (Amendment) Act 2018 (35/2018), other than ss. 5 to 7

• Health Insurance (Amendment) Act 2019 (49/2019), other than s. 5

• Health Insurance (Amendment) Act 2020 (24/0020), other than s. 5

• Health Insurance (Amendment) Act 2021 (47/0021), other than s. 8

• Health Insurance (Amendment) Act 2022 (49/0022), other than s. 7

Annotations

This Revised Act is annotated and includes textual and non-textual amendments, statutory instruments made pursuant to the Act and previous affecting provisions.

An explanation of how to read annotations is available at

www.lawreform.ie/annotations.

Material not updated in this revision

Where other legislation is amended by this Act, those amendments may have been superseded by other amendments in other legislation, or the amended legislation may have been repealed or revoked. This information is not represented in this revision but will be reflected in a revision of the amended legislation if one is available.

Where legislation or a fragment of legislation is referred to in annotations, changes to this legislation or fragment may not be reflected in this revision but will be reflected in a revision of the legislation referred to if one is available.

A list of legislative changes to any Act, and to statutory instruments from 1972, may be found linked from the page of the Act or statutory instrument at

www.irishstatutebook.ie.

Acts which affect or previously affected this revision

• Health Insurance (Amendment) Act 2022 (49/2022)

• Health Insurance (Amendment) Act 2021 (47/2021)

• Health Insurance (Amendment) Act 2020 (24/2020)

• Health Insurance (Amendment) Act 2019 (49/2019)

• Data Protection Act 2018 (7/2018)

• Health Insurance (Amendment) Act 2018 (35/2018)

• Health Insurance (Amendment) Act 2017 (37/2017)

• Health Insurance (Amendment) Act 2016 (19/2016)

• Health Insurance (Amendment) Act 2015 (54/2015)

• Health Insurance (Amendment) Act 2014 (42/2014)

• Freedom of Information Act 2014 (30/2014)

• Health Insurance (Amendment) Act 2013 (48/2013)

• Health Insurance (Amendment) Act 2012 (45/2012)

• Ministers and Secretaries (Amendment) Act 2011 (10/2011)

• Health Insurance (Miscellaneous Provisions) Act 2011 (34/2011)

• Health Insurance (Miscellaneous Provisions) Act 2009 (24/2009)

• Voluntary Health Insurance (Amendment) Act 2008 (6/2008)

• Health Insurance (Amendment) Act 2007 (3/2007)

• Health Insurance (Amendment) Act 2003 (11/2003)

• Health Insurance (Amendment) Act 2001 (17/2001)

All Acts up to and including Health (Amendment) Act 2023 (7/2023), enacted 4 April 2023, were considered in the preparation of this revision.

Statutory instruments which affect or previously affected this revision

• Health Insurance Act 1994 (Section 11E(2)) Regulations 2022 (S.I. No. 553 of 2022)

• Health Insurance Act 1994 (Information Returns) (Amendment) Regulations 2022 (S.I. No. 148 of 2022)

• Health Insurance Act 1994 (Risk Equalisation Scheme) (Amendment) Regulations 2022 (S.I. No. 147 of 2022)

• Health Insurance Act 1994 (Preparation of Financial Statements) Regulations 2022 (S.I. No. 146 of 2022)

• Health Insurance Act 1994 (Section 11E(2)) Regulations 2021 (S.I. No. 696 of 2021)

• Health Insurance Act 1994 (Section 11E(2)) Regulations 2020 (S.I. No. 538 of 2020)

• Health Insurance Act 1994 (Section 11E(2)) Regulations 2020 (S.I. No. 378 of 2020)

• Health Insurance Act 1994 (Section 11E(3)) Regulations 2013 (Amendment) Regulations 2020 (S.I. No. 90 of 2020)

• Health Insurance Act 1994 (Section 11E(3)) (No. 3) (Amendment)Regulations 2019 (S.I. No. 471 of 2019)

• Health Insurance Act 1994 (Section 11E(3)) (No. 3) Regulations 2013 (S.I. No. 401 of 2019)

• Health Insurance Act 1994 (Determination of Relevant Increase under section 7A and Provision of Information under section 7B) (Amendment) Regulations 2018 (S.I. No. 224 of 2018)

• Health Insurance Authority Superannuation Scheme 2016 (S.I. No. 637 of 2016)

• Health Insurance Act 1994 (Lifetime Cover) (Revocation) Regulations 2016 (S.I. No. 627 of 2016)

• Health Insurance Act 1994 (Section 11 E(2) (No. 2)) Regulations 2016 (S.I. No. 573 of 2016)

• Health Insurance Act 1994 (Section 11E(2)) Regulations 2016 (S.I. No. 120 of 2016)

• Health Insurance Act 1994 (Information Returns) (Amendment) Regulations 2015 (S.I. No. 608 of 2015)

• Health Insurance Act 1994 (Section 11E(2) (No. 3)) Regulations 2015 (S.I. No. 544 of 2015)

• Health Insurance Act 1994 (Section 11E(2) (No. 2)) Regulations 2015 (S.I. No. 151 of 2015)

• Health Insurance Act 1994 (Section 11E(2)) (Revocation) Regulations 2015 (S.I. No. 102 of 2015)

• Health Insurance Act 1994 (Section 11E(2)) Regulations 2015 (S.I. No. 101 of 2015)

• Health Insurance Act 1994 (Minimum Benefit) (Amendment) Regulations 2015 (S.I. No. 96 of 2015)

• Health Insurance Act 1994 (Open Enrolment) Regulations 2015 (S.I. No. 79 of 2015)

• Health Insurance Act 1994 (Section 11E(2)) (No. 5) Regulations 2014 (S.I. No. 621 of 2014)

• Health Insurance Act 1994 (Minimum Benefit) (Amendment) Regulations 2014 (S.I. No. 612 of 2014)

• Health Insurance Act 1994 (Section 17) Levy Regulations 2014 (S.I. No. 528 of 2014)

• Health Insurance Act 1994 (Section 11E(2)) (No. 4) Regulations 2014 (S.I. No. 496 of 2014)

• Health Insurance Act 1994 (Section 11E(3)) Regulations 2014 (S.I. No. 438 of 2014)

• Health Insurance Act 1994 (Section 11E(2)) (Revocation) Regulations 2014 (S.I. No. 437 of 2014)

• Health Insurance Act 1994 (Section 11E(2)) (No. 3) Regulations 2014 (S.I. No. 389 of 2014)

• Health Insurance Authority Employee Superannuation Scheme 2014 (S.I. No. 318 of 2014)

• Health Insurance Act 1994 (Determination of Relevant Increase under section 7A and Provision of Information under section 7B) Regulations 2014 (S.I. No. 312 of 2014)

• Health Insurance Act 1994 (Section 11E(2)) (No. 2) Regulations 2014 (S.I. No. 202 of 2014)

• Health Insurance Act 1994 (Section 11E(2)) (Amendment) Regulations 2014 (S.I. No. 167 of 2014)

• Health Insurance Act 1994 (Section 11E(2)) Regulations 2014 (S.I. No. 148 of 2014)

• Health Insurance Act 1994 (Section11E(2)) (No. 3) Regulations 2013 (S.I. No. 568 of 2013)

• Health Insurance Act 1994 (Section11E(3)) (No. 4) Regulations 2013 (S.I. No. 567 of 2013)

• Health Insurance Act 1994 (Information Returns) (Amendment) Regulations 2013 (S.I. No. 522 of 2013)

• Health Insurance Act 1994 (Section11E(3)) (No. 3) Regulations 2013 (S.I. No. 364 of 2013)

• Health Insurance Act 1994 (Section 11E(3)) (No. 2) Regulations 2013 (S.I. No. 204 of 2013)

• Health Insurance Act 1994 (Section 11E(2)) (No. 2) Regulations 2013 (S.I. No. 203 of 2013)

• Health Insurance Act 1994 (Section11E(2)) Regulations 2013 (S.I. No. 93 of 2013)

• Health Insurance Act 1994 (Section11E(3)) Regulations 2013 (S.I. No. 92 of 2013)

• Health Insurance Act 1994 (Risk Equalisation Scheme) Regulations 2013 (S.I. No. 70 of 2013)

• Health Insurance Act 1994 (Information Returns) (Amendment) Regulations 2011 (S.I. No. 690 of 2011)

• Finance (Transfer of Departmental Administration and Ministerial Functions) Order 2011 (S.I. No. 418 of 2011)

• Health Insurance Act 1994 (Information Returns) Regulations 2009 (S.I. No. 294 of 2009)

• Health Insurance Act 1994 (Registration) (Amendment) Regulations 2009 (S.I. No. 72 of 2009)

• Risk Equalisation (Amendment) Scheme 2008 (S.I. No. 228 of 2008)

• Risk Equalisation (Amendment) Scheme 2007 (S.I. No. 220 of 2007)

• Health Insurance Act 1994 (Registration) (Amendment) Regulations 2005 (S.I. No. 335 of 2005)

• Risk Equalisation (Amendment) Scheme 2005 (S.I. No. 334 of 2005)

• Health Insurance Act 1994 (Minimum Benefit) (Amendment) Regulations 2005 (S.I. No. 333 of 2005)

• Health Insurance Act 2001 (Open Enrolment) Regulations 2005 (S.I. No. 332 of 2005)

• Risk Equalisation (Amendment) Scheme 2003 (S.I. No. 710 of 2003)

• Risk Equalisation Scheme 2003 (S.I. No. 261 of 2003)

• Health Insurance Act 1994 (Section 17) Levy Regulations 2001 (S.I. No. 255 of 2001)

• Health Insurance Act, 1994 (Establishment Day) Order 2001 (S.I. No. 40 of 2001)

• Health Insurance Act 1994 (Risk Equalisation) (Revocation) Regulations 1999 (S.I. No. 32 of 1999)

• Health Insurance Act 1994 (Commencement) Order 1999 (S.I. No. 28 of 1999)

• Health Insurance Act (Risk Equalisation Scheme) 1996 (S.I. No. 84 of 1996)

• Health Insurance Act 1994 (Minimum Benefit) Regulations 1996 (S.I. No. 83 of 1996)

• Health Insurance Act 1994 (Lifetime Cover) Regulations 1996 (S.I. No. 82 of 1996)

• Health Insurance Act 1994 (Open Enrolment) Regulations 1996 (S.I. No. 81 of 1996)

• Health Insurance Act 1994 (Registration) Regulations 1996 (S.I. No. 80 of 1996)

• Health Insurance Act 1994 (Commencement) Order 1994 (S.I. No. 191 of 1994)

All statutory instruments up to and including Social Welfare (Consolidated Claims, Payments and Control) (Amendment) (No. 5) (Income Disregard) Regulations 2023 (S.I. No. 162 of 2023), made 3 April 2023, were considered in the preparation of this revision.