DDO Legislative Update

A weekly scan of new legislation and regulations important to the Ontario health sector, as well as articles of interest.

Bills

 The Ontario Legislature has adjourned until September 11, 2017.

 Regulations

REG 201/96 of the Ontario Drug Benefit Act – The proposed amendments to O.REG 201/96 are required to create and implement the OHIP+: Children and Youth Pharmacare Program (“OHIP+”). As of January 1, 2018, the province will provide drug coverage for children and youth who are covered by OHIP and aged 24 and under, regardless of family income. Enrollment would be automatic based on age and OHIP coverage, and eligible drug products would be available at no costs. The proposed amendments would:

  • Prescribe persons who have OHIP coverage and are aged 24 or under as a class of eligible persons for the purposes of the ODB Program;
  • Specify that no co-payment may be charged to ODB-eligible persons who are under 25; and
  • Prescribe the implementation of OHIP+ as a purpose for which the MOHTLC may collect, use, and disclose personal information under s. 13 of the Ontario Drug Benefit Act.

Articles of Interest

Physicians

Hamilton doctor disciplined in United States for ‘inappropriate’ practices

Marijuana

When marijuana is legal in Canada there may not be enough to go around

Attorney General say marijuana survey will carry ‘lots of weight’

Fertility

Health Canada seeks feedback on modernizing fertility act

Do egg donors face long-term health risks?

Love Letter to My Future Surrogate

Insightful Reads

Taken

Self-care

For a good night’s sleep, have something to get up for

Things to do this weekend in Toronto

DDO Legislative Update

A weekly scan of new legislation and regulations important to the Ontario health sector, as well as articles of interest.

Bills

The Ontario Legislature has adjourned until September 11, 2017.

Regulations

Proposed regulatory amendments to support the implementation of the Patients First Act, 2016 (“PFA’):

  • O.REG 515/09
  • O.REG 417/06
  • O.REG 279/07
  • O.REG 95/09
  • O.REG 554/06
  • O.REG 398/93

There are proposed amendments to various regulations under the Local Health System Integration Act, 2006 (“LHSIA”), Community Care Access Corporation Act, 2001, and French Language Services Act (“FLSA”). For O.REG 515/09, the proposed amendments under LHSIA are expected to strengthen accountability, improve health system planning, design and delivery of French language services, and enhance access to services that are linguistically appropriate for Ontario Francophones. Secondly, 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 proposed amendments to O.REG 393/93 under the FLSA would remove Champlain CCAC and North East CCAC as designated agencies under the Act.

Comments are due on September 4, 2017.

For more information about the proposed regulatory amendments: http://www.ontariocanada.com/registry/view.do?postingId=24427&language=en

Articles of Interest

Physicians

Ontario doctors plan to appeal court decision to identify top-billers

Naturopaths not ‘real’ doctors, despite video claims they are ‘medically trained’: critics

MAID

Ontario clinicians raise concerns over assisted dying co-ordination service

Canadian doctors turn away from assisted dying over fees

Low fees have B.C. doctors thinking twice about providing assisted dying

Marijuana

A look inside Ohio’s lawsuit against opioid manufacturers

As Canada moves to legalize pot, questions about advertising take spotlight

Self-care

Things to do this weekend

Proposed regulations under LHIN legislation

On June 21st the Ministry of Health and Long-Term Care completed the transition of all 14 Community Care Access Centres in Ontario.  The administration and coordination of home care and community services and long-term care home placements will now be performed by the 14 Local Health Integration Networks (LHINs).

On July 4th, the Ministry released for consultation draft regulations that facilitate this transition.  Regulations under the Local Health System Integration Act are proposed to preserve the provision of services in French and to reflect the LHINs’ expanded mandate to arrange and provide home and community care services. Issues of patient safety, and quality of services and programs provided by the LHIN, will be discussed in proposed quality committees to be created at each LHIN. The text of each regulation amendment is available here:

http://www.ontariocanada.com/registry/showAttachment.do?postingId=24427&attachmentId=34511

 

Submissions to the Ministry about these regulations are due by September 4, 2017.

DDO Legislative Update

A weekly scan of new legislation and regulations important to the Ontario health sector, as well as articles of interest.

Bills

The Ontario Legislature has adjourned until September 11, 2017.

Regulations

O. REG 201/96 under the Ontario Drug Benefit  The proposed amendments to the Regulation would allow the Executive Officer to reduce the amount paid to pharmacies for claims submitted to the Ontario Drug Benefit Program (ODB). The reduction would be calculated as 2.8% of the sum of the dispensing fee, compounding fee, and mark-up claimed by a pharmacy for all ODB-funded drug products. This temporary adjustment will take effect on September 1, 2017 and end on whatever dates occurs earlier: February 28, 2019 or the day the total payment adjustment reaches 35 million dollars. These amendments are a result of the shortfall that accrued in the fiscal year 2016/2017 from the Ministry of Health and Long Term Care pharmacy related and drug pricing initiatives, which have yet to fully mature, and are currently not meeting the saving expectations:

  • reduced mark-up for high-cost drugs;
  • reduced dispensing fee for residents of long-term care homes;
  • introduction of a maximum quantity policy for chronic use medications; and
  • a change to the no-substitution policy to enhance the use of safe, effective generic alternatives to brand name products.

Comments are due on August 10, 2017.

For more information about the proposed Regulation:

http://www.ontariocanada.com/registry/view.do?postingId=24291&language=en

O.REG 187/17 under the Broader Public Sector Executive Compensation Act, 2014  – O.REG 304/16 is amended to implement new requirements about executive salary and performance-related pay caps and adjustments, salary and performance-related pay envelope and maximum increases, and comparator organizations and development of a compensation program (i.e. what type of information should be included in the framework).This Regulation came into effect on June 8, 2017. It was published in the Ontario Gazette on June 24, 2017.

For more information about the regulation: https://www.ontario.ca/laws/regulation/r17187

Articles of Interest

Long-Term Care Homes

Ontario calls for public inquiry into LTC amid Wettlaufer sentencing

Ex-nurse Elizabeth Wettlaufer sentenced to life in prison for Ontario nursing home murders

Health Care Funding

Federal health care deal ‘dangerous, reckless and risky’: Manitoba Premier

Opinions

The Right to Language Accessibility in Ontario’s Health Care System

 

 

 

Transfer of CCACs to LHINs is complete

Bill 41, the Patients First Act, provided for the CCACs to be merged into the LHINs by Ministerial order.  That process is now complete.  The CCACs began transitioning on May 3rd with the North Simcoe Muskoka LHIN, and ended on June 21st with the Central East LHIN.

Below is the summary chart showing the transfer dates for the LHINs:

LHIN Transfer Date
NSM May 3, 2017
HNHB May 10, 2017
WW May 17, 2017
SE May 17, 2017
SW May 24, 2017
CHAM May 24, 2017
MH May 31, 2017
CW May 31, 2017
NE May 31, 2017
TC June 7, 2017
CENT June 7, 2017
ESC June 21, 2017
NW June 21, 2017
CE June 21, 2017