Bill 74 – The People’s Health Care Act, 2019 – has been reported out of Committee and was ordered for third reading yesterday.

There are very few changes – the handful of significant changes are summarized below:

  • Big changes for LTC homes. Sections 33(2)(d) and (e) are changed to remove a prohibition on the Minister issuing a specific type of integration order to municipalities and boards of management that are LTC licensees and to stand-alone LTCs that are not part of another type of health service provider. The Minister may now issue an integration order to these LTC homes to “co-ordinate services with or partner with” another person/entity funded by Ontario Health. In the first draft these types of LTC homes were protected from the issuance of this type of integration order.
  • Facilitated integration decisions. The Minister can issue a “facilitated decision” order only after the parties reach an agreement with respect to the integration – this is an improvement.
  • Appointment of supervisor. The Bill clarifies that the Minister may only appoint a supervisor over a health service provider that is funded by Ontario Health.
  • Indigenous health. In a couple places there’s a positive obligation on the Minister to engage with Indigenous communities before specifying the planning entities for Indigenous health that it will formally engage with.
  • Equity. Generally, in the background, there is a new commitment to equity and equitable health outcomes.


If you have any questions, please contact Kathy O’Brien @