Accident and Emergency patients in Guernsey may soon receive a grant towards the cost of a consultation.
A contribution of £12 would be paid by the States under plans put forward by the Social Security Department.
The scheme would operate in a similar way to the grant available to those being treated at a doctor's surgery.
When that arrangement was introduced in 1991, A&E was specifically excluded because of concerns people would use it as an alternative to visiting their GP.
Nearly 16,000 islanders went to A&E last year, so if the proposals are accepted by Guernsey's States, they will cost the Health Service around £19,000 a year.
A similar change is planned for the Casualty Department of the Mignot Memorial Hospital in Alderney.
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