Proposed Regulations and Regulatory Amendments to enable the implementation of the Patients First Act, 2016.
Regulation - LGIC
Bill or Act:
Health Insurance Act and others - below
Summary of Decision:
Regulatory amendments under various statutes were approved to support implementation of the Patients First Act, 2016, including for the purpose of supporting the continuity of patient care and enabling the Local Health Integration Networks (LHINs) to provide or assist in providing health care to individuals as the Community Care Access Centres (CCACs) did:
R.R.O. 1990, Reg. 552, General under the Health Insurance Act, including housekeeping amendments
O.REG. 386/99 - Provision of Community Services under the Home Care and Community Services Act, 1994
O.REG. 179/95: Conveyance of Assets under Home Care and Community Services Act, 1994
O.REG. 79/10: General under the Long-Term Care Homes Act, 2007
O.REG. 201/96, General under the Ontario Drug Benefit Act
O.REG. 387/07, Prescribed Bodies, Crown as Employer under the Pay Equity Act, including housekeeping amendments
O.REG. 445/10, General under the Excellent Care for All Act, 2010, including housekeeping amendments
All of the regulations were approved as proposed on the Regulatory Registry website, with the exception of the amendment to Reg. 386/99 under the Home Care and Community Services Act, 1994 regarding the delivery of community support services. Based on the feedback received during the public comment period, the Ministry of Health and Long-Term Care decided not to include in the proposed regulation any provisions relating to the delivery of community support services pending further review.
The amended Regulation 79/10 under the Long-Term Care Homes Act, 2007 and amended Regulation 386/99 under the Home Care and Community Services Act, 1994 were filed and came into effect on April 13, 2017.
The remaining regulatory amendments listed above were filed and came into effect on April 19, 2017.
August 10, 2017
Summary of Proposal:
On December 7, 2016, Ontario passed Bill 41, the Patients First Act, 2016 (PFA) to help patients and their families obtain better access to a more local and integrated health care system, improve the patient experience and deliver higher-quality care. The Act received Royal Assent on December 8, 2016.
Ontario's 14 LHINs are responsible for planning and funding of hospitals, long-term care homes, community services and mental health and addiction services. Under the PFA, the LHINs are newly responsible for home and community care (currently the function of Ontario's 14 CCACs) and primary care planning to ensure that patients receive better coordinated care, and that the health system is more integrated and responsive to local needs. The functions, employees, and assets of CCACs will be transferred to the LHINs to enable the LHINs to take on this expanded mandate.
Upon transfer, all services currently provided, coordinated or contracted by the CCACs will become the responsibility of the LHINs.
1. R.R.O 1990, Reg. 552: General (Health Insurance Act)
2. O. REG. 386/99 - Provision of Community Services (Home Care and
Community Services Act, 1994 (HCCSA)
3. Create Regulations: Direct Funding (HCCSA)
4. O. REG. 179/95: Conveyance of Assets (HCCSA)
5. O.REG. 79/10: General (Long-Term Care Homes Act, 2007)
6. O.REG. 201/96: General (Ontario Drug Benefit Act)
7. O.REG. 387/07: Prescribed Bodies, Crown as Employer (Pay Equity
8. O.REG. 445/15: General (Excellent Care for All Act, 2010 (ECFAA))
9. O.REG. 187/15 Annual Quality Improvement Plan (ECFAA)
The ministry is proposing regulatory changes under a number of statutes:
- Seven regulatory amendments and regulations under various Acts to support continuity of patient care and enable LHINs to provide or assist in providing health care to individuals as the CCACs currently do;
- Two regulatory amendments under the Excellent Care for All Act, 2010 to enable implementation of related changes in the Patients First Act, 2016, including to strengthen health system quality; and
- Housekeeping amendments to three of the regulations referenced above.
Descriptions of the proposed regulatory amendments are available in English and French. These materials are available for download in PDF format below.
Bills or Acts: 1. Health Insurance Act 2. Home Care and Community Services Act, 1994 3. Long-Term Care Homes Act, 2007 4.Ontario Drug Benefit Act
5. Pay Equity Act 6. Excellent Care for All Act, 2010
Should you wish to forward supporting materials as attachments to your comments to the Regulatory Registry, you may send to the following email address: RegRegistry_PFAct@ontario.ca.
Alison Blair, Director, Local Health Integration Network Renewal Branch
Health System Accountability and Performance Division, Ministry of Health and Long-Term Care
80 Grosvenor Street, Hepburn Block, 5th Floor Toronto, ON M7A 1R3
April 19, 2017