Proposals will be put to Tynwald next week in preparation for the ending of the Reciprocal Health Agreement in April 2010.
Liberal Vannin Leader Peter Karran is moving a motion on Tuesday suggesting passengers leaving the Island by air or sea should pay a levy into a fund which would cover them for hospital treatment in the UK.
Mr Karran would also like to see a fund manager in place and not a civil servant to handle the paperwork.
He says it's an important issue and needs to be adressed sooner rather than later.
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