Regulation - LGIC

Proposed Regulatory Amendments to support implementation of the Patients First Act, 2016

Regulation Number(s):
1. O.REG. 515/09
2. O.REG. 417/06
3. O.REG. 279/07
4. O.REG. 95/09
5. O.REG. 554/06
6. O.REG. 398/93
Instrument Type:
Regulation - LGIC
Bill or Act:
Local Health System Integration Act, 2006 (LHSIA), Community Care Access Corporations Act, 2001(CCAC Act), French Language Services Act (FLSA)
Summary of Decision:
Made: December 13, 2017
Filed: December 18, 2017
Published on e-Laws: December 18, 2017
Printed in The Ontario Gazette: January 6, 2018
Analysis of Regulatory Impact:
No new administrative cost for business.
Further Information:
Proposal Number:
Posting Date:
July 4, 2017
Summary of Proposal:
With the passage of the Patients First Act, 2016 (PFA), the Ministry of Health and Long-Term Care initiated structural changes to the health care system to increase access to care, improve the patient experience, and deliver higher quality care. Under the PFA, the LHINs are newly responsible for home and community care (formerly the function of Ontario's fourteen Community Care Access Centres (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 are being transferred to the LHINs to enable the LHINs to take on this expanded mandate. The 14 CCAC-LHIN transitions are occurring in a staged manner to ensure there is a focus on maintaining continuity of patient care, supporting the LHINs and enabling any lessons and success factors from each transition to be carried over to the next transition. The first transition took place on May 3, 2017 and the last transitions on June 21, 2017.

To reflect the implementation of changes enabled by the PFA, including the completion of transfers of CCACs to the LHINs, the Ministry is proposing changes to support an environment, in which the fourteen CCACs are dissolved and the fourteen LHINs are responsible for the administration and coordination of home and community care services and long-term care home placement services.

Proposed amendments to O. Reg. 515/09 under Local Health System Integration Act, 2006 (LHSIA) are expected to strengthen accountability, improve health system planning, design and delivery of FLS, and enhance access to services that are linguistically appropriate for Ontario's Francophone population. These amendments are intended to support the LHINs in fulfilling their obligation in Section 5 (e.1) of LHSIA to respect the requirements of the French Language Services Act (FLSA), by engaging and collaborating with the French Language Health Planning Entities in the planning and delivery of French Language Health Services.

Proposed amendments to O.Reg 417/06 under LHSIA are intended to reflect the expansion of the LHIN mandate to include the management and delivery of home and community care services. The creation of a Quality Committee within each LHIN will ensure that issues regarding the quality of services and programs overseen by the LHIN have a forum for discussion and resolution. The scope of the LHIN Quality Committee would include discussions on patient safety and quality. The proposed amendments to O. Reg. 398/93 under the FLSA would remove two CCACs that were designated in 2015 from the list of designated agencies under the FLSA: Champlain CCAC and North East CCAC. The services in French for which these two CCACs were designated will continue to be offered by the Champlain and North East LHINs.

The proposed text of the regulatory amendments is provided in the appendix. Materials are available for download below. Should you wish to send supporting materials with your comments to the Regulatory Registry, please email
Contact Address:
LHIN Renewal Branch, 80 Grosvenor Street, 5th Floor, Hepburn Block, Toronto, ON M7A 1R3

Effective Date:
January 1, 2018