April 26, 2019: A weekly scan of new legislation and regulations important to the Ontario health sector, as well as articles of interest.
Bill 100, Protecting What Matters Most Act (Budget Measures), 2019
This Bill is still in second reading.
More Information: Bill 100
REG 201/96 – Implementing a Health Network System Processing Fee, Ontario Drug Benefit Act (“ODBA”)
MOHLTC is proposing amendments to the regulation under the ODBA that would change pharmacy reimbursement policies to introduce an administration fee for the processing and payment of drug claims, and establish a smarter, more efficient and fiscally responsible system to delivery publicly funded health benefits. This amendment is conditional on the introduction and passage of legislative amendments related to the ODBA. The amendments would introduce an administration fee of $0.10 for the processing and payment of drug claims, and would be deducted from each claim for payment submitted by a pharmacy for a drug funded under the Ontario Drug Benefit Program.
More Information: https://www.ontariocanada.com/registry/view.do?postingId=29431&language=en
Comment Due Date: May 24, 2019
Reg 201/96 – Establishing Efficient Pharmacy Reimbursement Policies, ODBA
MOHLTC is proposing the following amendments:
- Prescribing a tiered mark-up payable to pharmacies and dispensing physicians for supplying listed drug products under the ODBA that is based on the cost of the drug dispensed; and
- Removing the payment of a dispensing fee for drug products supplied for a long term care (“LTC”) home resident by a pharmacy service provider retained by the LTC home. Instead of dispensing fee, these pharmacy service providers would receive a professional fee for all pharmacy services provided to the LTC home that is based on the number of beds in the home.
More Information: https://www.ontariocanada.com/registry/view.do?postingId=29454&language=en
Comment Due Date: May 24, 2019
Reg 79/10, Long-Term Care Homes Act, 2007
Proposed amendments allow the designation of High Acuity Priority Access Beds in LTC homes. Applicants meeting eligibility criteria would be placed on a separate waiting list. To be eligible, applicant would need to require and likely benefit from the following:
- Ongoing nursing and other personal care given by or under the supervision of a registered nurse who has relevant expertise whether as the result of training or experience; or
- Ongoing technology-based care that requires the support of a member of a college as defined under the Regulated Health Professions Act, 1991.
More Information: https://www.ontariocanada.com/registry/view.do?postingId=29389&language=en
Comment Due Date: May 22, 2019
Regulation 552, Health Insurance Act
MOHLTC is proposing to amend regulation 552 under the Health Insurance Act to end the Ontario Health Insurance Program (OHIP) coverage for emergency services (arising while outside of the country) for Ontarians travelling outside of Canada. If approved, this change would take effect October 1, 2019.
More information: https://www.ontariocanada.com/registry/view.do?postingId=29390&language=en
Comment Due Date: April 30, 2019
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Articles of Interest
11 Ontario cannabis stores have been fined $12,500 for not being open yet
Ontario pharmacist now required to complete a cannabis course
Health Care System
Nova Scotia: This is the face of the health-care crisis: Woman issues plea to N.S premier
Ontario looks to cut OHIP program covering emergency medical costs abroad
London-area hospital trio eye Ontario health team application
Ottawa’s chief medical officer talks priorities as public health agency braces for change
Ontario’s proposed cuts welcomed by critics of ’boutique psychiatrists’ who over-treat wealthy patients
Ambulance dispatchers in ‘hectic and unhealthy’ office, MPP Fife says
Randall Denley: Ontario’s health system needs change. But has Ford got it right?
Provincial cuts will cost Hamilton millions and threaten public health services
Long Term Care Homes
Advocates cry foul after Ontario officials alter nursing home inspection report without explanation
Privacy watchdog taking Facebook to court, says company breached privacy laws
Professionalism and Misconduct
Edmonton gynecologist cleared of misconduct charge
Vaughn doctor arrested for allegedly sexually assaulting female patient during physical exam
Things to do this Weekend
Things to do this weekend in Toronto
Everything to do, see, eat and drink at Stackt, Toronto’s new outdoor market made of shipping containers
Toronto’s 25 best sandwiches