Politician(s) lobbied: Emer Higgins (Minister of State), Department of Children, Equality, Disability, Integration and Youth
Intent: Review criteria for Long Term Illness Scheme to include Amyloidosis and the neuropathies such as Charcot Marie Tooth and spinal muscular atrophy (SMA), with a specific timeline and commitment in place.
Methods: Meeting
Details by Method
Meeting
MDI CEO met with the Minister on 16 July, at which he advocated for Review criteria for Long Term Illness Scheme to include amyloidosis and the neuropathies such as Charcot Marie Tooth and spinal muscular atrophy (SMA), with a specific timeline and commitment in place. He highlighted the inequities in the Long-Term Illness Scheme, noting that people living with such conditions remain excluded despite comparable levels of disability and support needs to those living with eligible conditions.
Politician(s) lobbied: Emer Higgins (Minister of State), Department of Children, Equality, Disability, Integration and Youth
Intent: A more transparent and timely reimbursement process for rare condition and neuromuscular treatments, including regular progress updates on applications such as those for Givinostat (DMD), Risdiplam (SMA) and Skyclarys (Friedreich’s ataxia).
Methods: Meeting
Details by Method
Meeting
MDI CEO met with Emer Higgins, TD, Minister of State with responsibility for Disability, at the Department of Health on 16 July and advocated for improvements to the process for neuromuscular treatment reimbursement applications currently under review.
Politician(s) lobbied: Jennifer Carroll MacNeill (Minister), Department of Health; Pádraig Rice (TD), Dáil Éireann, the Oireachtas; Colm Burke (TD), Dáil Éireann, the Oireachtas; Michael Cahill (TD), Dáil Éireann, the Oireachtas; Sorca Clarke (TD), Dáil Éireann, the Oireachtas; David Cullinane (TD), Dáil Éireann, the Oireachtas; Martin Daly (TD), Dáil Éireann, the Oireachtas; Pádraig O'Sullivan (TD), Dáil Éireann, the Oireachtas; Peter Roche (TD), Dáil Éireann, the Oireachtas; Marie Sherlock (TD), Dáil Éireann, the Oireachtas
Intent: To secure the timely assessment, pricing and reimbursement of Skyclarys (omaveloxolone) by the HSE, with a view to enabling equitable access for eligible people living with Friedreich’s ataxia in Ireland as soon as possible following completion of the relevant review and decision-making processes.
Methods: Letter
Details by Method
Letter
Joint letter from Friedreich’s Ataxia Research Alliance (FARA) Ireland Ireland and MDI to Joint Oireachtas Committee on Health, asking that it uses its platform to: Advocate for prioritisation of the assessment and reimbursement process for Skyclarys; Engage with the relevant stakeholders, including the HSE and NCPE, to ensure that the urgency of this matter is recognised; Highlight the unmet need faced by individuals living with Friedreich’s ataxia in Ireland.
Letter
Joint letter with Friedreich's Ataxia Research Alliance (FARA) Ireland to the Minister for Health on 21 May asking for her Department to prioritise and support an expedited review and reimbursement process for Skyclarys, (omaveloxolone) for for eligible people living with Friedreich’s ataxia.
Politician(s) lobbied: Jennifer Carroll MacNeill (Minister), Department of Health
Intent: Reimbursement of and timely access to Givinostat (Duvyzat®) for boys living with Duchenne Muscular Dystrophy (DMD).
Methods: Letter
Details by Method
Letter
Asking the Minister for Health to advise on the date of the HSE Drugs Group meeting re reimbursement of Givinostat (Duvyzat®) and continue to support the progression of the application through the final stages of reimbursement in a timely manner.Also requesting that her department supports the timely approval of a full-time Clinical Nurse Manager Grade 2 position within CHI to ensure the treatment can be safely and effectively integrated into the care pathway without further delaying access.
Letter
Requesting that the HSE consider the eligibility criteria adopted by UK National Institute for Health and Care Excellence (NICE) when determining access to Givinostat in Ireland. NICE includes boys with DMD who can walk, as well as those who can stand with or without support. Adopting a similar approach would help ensure fairness and avoid boys in the Republic being disadvantaged compared to their peers in Northern Ireland.
Politician(s) lobbied: Jennifer Carroll MacNeill (Minister), Department of Health
Intent: Timely reimbursement of and access to Risdiplam (Evrysdi) for adults with SMA.
Methods: Email
Details by Method
Email
Asking for continued support regarding the reimbursement of Risdiplam (Evrydsi) for adults with SMA.
Politician(s) lobbied: Emer Higgins (Minister of State), Department of Children, Equality, Disability, Integration and Youth
Intent: Access to: 1. Risdiplam for adults with SMA; 2 Givinostat for children with Duchenne muscular dystrophy; 3. Skyclarys for people living with Friedreich's ataxia.
Methods: Email
Details by Method
Email
Requesting a meeting with Emer Higgins, the Minister of State attending cabinet with responsibility for Disability, to discuss the reimbursement of treatments for muscular dystrophy and related neuromuscular conditions, and other matters related to the wellbeing of members of Muscular Dystrophy Ireland.
Politician(s) lobbied: Tom Clonan (Senator), Seanad; Nicole Ryan (Senator), Seanad; Manus Boyle (Senator), Seanad; Peter Roche (TD), Dáil Éireann, the Oireachtas; Martin Daly (TD), Dáil Éireann, the Oireachtas; Sorca Clarke (TD), Dáil Éireann, the Oireachtas; Teresa Costello (Senator), Seanad; Maria Byrne (Senator), Seanad; Marie Sherlock (TD), Dáil Éireann, the Oireachtas; Pádraig O'Sullivan (TD), Dáil Éireann, the Oireachtas; David Cullinane (TD), Dáil Éireann, the Oireachtas; Michael Cahill (TD), Dáil Éireann, the Oireachtas; Pádraig Rice (TD), Dáil Éireann, the Oireachtas
Intent: Address ongoing challenges and inequities in the health system re rare disease and ensure that Ireland's approach to rare disease policy, from newborn screening to medicine reimbursement is guided by transparency, timeliness, and compassion.
Methods: Submission
Details by Method
Submission
Submission included: - access to treatments for all adults with SMA, and to emerging therapies for DMD;- implement approved newborn screening for SMA; - develop Early Access Treatment Programme and ensure infrastructure and workforce readiness for newly approved therapies.We urged the Committee to ensure that Ireland’s approach to rare disease policy, from newborn screening to medicine reimbursement is guided by transparency, timeliness, and compassion.
Politician(s) lobbied: Jennifer Carroll MacNeill (Minister), Department of Health
Intent: Equal access to life-saving treatments for all adults with spinal muscular atrophy (SMA) in Ireland
Methods: Meeting
Details by Method
Meeting
A brief meeting took place at MDI’s National Conference on 7 December 2025 between Minister MacNeill, Bindu Nair (MDI Chairperson) and Emer O’Sullivan (MDI Board Member). The Minister had attended the conference to address attendees on a range of issues of interest to them.
Politician(s) lobbied: Unknown
Intent: Equal access to life-saving treatments for all adults with spinal muscular atrophy (SMA) in Ireland
Methods: Event / ReceptionEmailMeeting
Details by Method
Event / Reception
Campaign briefing in the AV Room, Leinster House on 27 May 2025, calling for equal access to treatments for all adults living with SMA in Ireland.
Email
Discussed with Councillor Caroline Brady submission of motion in support of campaign to South Dublin County Council.
Email
Email to Dr Colm Henry, Chief Clinical Officer, HSE requesting 1. clarification on the individual patient approval system put in place by the HSE to enable reimbursement for patients who meet pre-defined criteria for treatments as per a HSE-devised managed access protocol and 2. a meeting to discuss the above.
Email
Follow up thank you for support/ attending / raising PQs; clarifying any issues; and urging continued support.
Email
Joint email from MDI CEO and SMA Ireland Director urging all current Oireachtas Members' support by: attending a briefing on the campaign at the Audio-Visual Room, Leinster House on 27 May; leveraging their role as elected representative to address this injustice; sharing campaign posts on social media. Approx 2 - 5 emails per DPO.
Meeting
Meeting with Shane Moynihan TD to discuss the issue.
Email
Seeking a meeting with Minister for Health, Jennifer Carroll MacNeill TD to discuss the issue.
Politician(s) lobbied: Unknown
Intent: Timely assessment of Givinostat for boys living with Duchenne muscular dystrophy
Methods: Event / ReceptionMeetingEmail
Details by Method
Event / Reception
Briefing on the campaign held at the Audio-Visual Room, Leinster House on Wednesday 11 June.
Meeting
MDI CEO met with Olivia Rooney TD to discuss the matter further.
Email
MDI CEO sought an opportunity to discuss the matter further with the Minister for Health.