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Healthcare Policy

Dáil Éireann Debate, Thursday - 7 May 2026

Thursday, 7 May 2026

Questions (542)

Pádraig Rice

Question:

542. Deputy Pádraig Rice asked the Minister for Health to provide clarification on the way in which the Mental Health Bill 2024 will be interpreted and applied in relation to adult transgender people seeking gender-affirming hormone therapy; to confirm whether informed consent through a GP, with appropriate information, will be the default pathway without the requirement for prior psychiatric or psychological assessment; and if she will make a statement on the matter. [33793/26]

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Written answers

As the Deputy will be aware and as set out in the Programme for Government 2025, this Government is committed to ensuring a transgender healthcare service that is based on clinical evidence, respect, inclusiveness and compassion.

It is in this context that my department has provided funding to the HSE in 2024, 2025 and this year for the establishment and development of the National Clinical Programme for Gender Healthcare. This programme is developing an updated clinical Model of Care with the aim of designing clinical pathways to deliver safe and effective health and social care for those seeking gender affirming healthcare services. This work will also inform an implementation plan for its delivery.

Developing a model of care for Gender Healthcare Services is a complex process and the HSE and my department are working closely together to support the process, ensure transparency and keep the patient at the centre of the process.

It is important that the HSE is given time to develop a model of care that is based on the best clinical evidence and that will deliver the best outcomes for persons with gender incongruence or dysphoria.

The Mental Health Bill 2024 completed all stages in the Oireachtas on 29 April 2026 and is with the President for her consideration. Should the Bill be enacted and commenced, it will, among other things, put in place statutory regulations that will apply to community-based mental health residences and services for the first time.

Department officials have begun preliminary work with the HSE and the Mental Health Commission to look at how best to operationalise the new legislation, including the regulation of community mental health services.

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