DDO Legislative Update

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


No Bills of interest.



No Regulations of interest.

 Articles of Interest


Opioid Crisis

‘Illegal’ payments for prescription opioids under review, says health minister

Prescription limits driving some patients to street drugs

Health ministers looking at electronic database to fight opioid crisis

Manslaughter charges for fentanyl dealers not the answer: experts

Alberta says Health Canada approves safe injection sites in Edmonton, Lethbridge



Brampton woman on life support is moving is bleeding but is dead doctors say.

Motherrisk hair test rejected by judge – 22 years before scandal blew up

‘It’s a tragedy’: How the flawed Motherrisk hair test helped fracture families across Canada



Questions raised about disclosure of Canadian research-policy breaches


Health Care

Health Ministers meet Cannabis-Opioid Crisis

Far too many hospital beds occupied by patients who don’t need to be there: report

6 months after coma, man still in ICU while he waits for place to live


Gord Downie

Kingston fan pay respects to Gord Downie

Gord Downie used voice to ‘shed a light’ on brain cancer, importance of reconciliation



Why our brain needs sleep, and what happens if we don’t get enough of it

DDO Legislative Update

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


No Bills of interest.



No Regulations of interest.

 Articles of Interest



University Health Network investigating errors in patients records

Long-term care patients in Quebec will soon be able to use surveillance cameras


Mental Health

Student mental health needs growing Ontario Colleges say



Setting the cannabis age at ’19 is not practical at all’ say lawyer



Universities introducing term limits for Canada Research Chairs to meet diversity targets



Who will be the doctors of death in a time of assisted suicide?



Toronto doctor had sex with 15-year-old girl, injected her with meds, police allege


Health Litigation

Lawyers spar over whether class-action into Motherisk drug-testing scandal should go ahead


Opioid Crisis

Opioid death toll hits record in B.C. despite push on prevention


What’s happening in our city this weekend:

Things to do this Weekend



DDO Legislative Update

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


Bill 161, Nick’s Law (Opioid Abuse Awareness), 2017

Introduced by Lisa MacLeod, MPP – Nepean-Carleton, Opposition, the Bill is currently ordered to be referred to the Standing Committee on Social Policy.

This Bill enacts the Nick’s Law (Opioid Abuse Awareness), 2017. If passed, this Bill will require the Ontario government to allocate at  least 10% of the Bulk Media Buy Program towards marketing campaign to raise awareness regarding the risk of prescription opioid abuse and fentanyl abuse.


For more information about the Bill:



Bill 163, Protecting a Woman’s Right to Access Abortion Services Act, 2017

Introduced by Hon. Yasi Naqvi, Attorney General, the Bill was carried on First Reading on October 4, 2017.

This Bill enacts the Safe Access to Abortion Services Act, 2017  and amends the Freedom of Information and Protection of Privacy Act in relation to abortion services.

The purpose of the Act is to protect access to abortion services. It defines multiple terms, including clinic, facility, and protected service providers who provide abortion services. The Act sets out the prohibitions of certain activities and establishes access zones for clinics, prescribed facilities and residences of protected service providers who provide abortion services. For example, section 3 prohibits certain activities in access zones for clinics or facilities, which includes advising a person to refrain from accessing abortion services, informing a person concerning issues related to abortion services, performing certain acts of disapproval, certain persistent requests and actions for the purpose of dissuading a person from accessing abortion services or a protected service provider from providing the service. The Act would also prohibits such activities in access zones for the residences of protected service provider.  Section 5 prohibits certain activities done for the purpose of dissuading protected service providers from providing abortion services in any area.

The Act also sets out offences and enforcement provisions. Individuals may not be convicted of an offence of contravening a prohibition in an access zone unless the person knew, or was given notice of, the location of the access zone.  Individuals may also seek right to damages for losses resulting from contraventions and the right to injunctions. The Act also provides for the powers of arrest without a warrant.

FIPPA is amended to remove an existing restriction on the application of the Act to records relating to the provision of abortion services and replaces it with a narrower restriction. A new subsection confirms that the Act continues to apply to statistical or other information relating to the provision of abortion services that is not referred to in the Act.

For more information about the Bill:



Bill 164, Human Rights Code Amendment Act, 2017

Introduced by Nathalie Des Rosiers,  MPP (Ottawa-Vanier), Government, the Bill was carried on First Reading on October 4, 2017.

 This Bill amends the Human Rights Code to include immigration status, genetic characteristics, police records and social conditions as prohibited grounds of discrimination. Amendments to various provisions of the Act are made including the right to equal treatment without discrimination due to genetic characteristics because of a person refusal to undergo a genetic test or refusal to disclose the results of a genetic test.

For more information about the Bill:





Ontario Regulation 202/94 – Pharmacy Act, 1991

The Ontario College of Pharmacists (“OCP”) is currently seeking feedback on the proposed amendments to O.REG 202/94. These amendments include implementing an Intern Pharmacist and Intern Pharmacy Technician class of registration, integrating Pharmacy Technicians into 2 part register for distinguishing members who provide patient care; incorporating pharmacy technicians into quality assurance regulations; eliminating unnecessary steps in registration and shifting from hourly reporting of practice to a self-declaration of competency in conjunction with practice assessments

Comments are due: November 20, 2017.

For more information about this regulation:



Articles of Interest

Opioid Crisis

Ontario forms opioid emergency task force to address ongoing crisis

Taking Action to Prevent Opioid Addiction and Overdose


Abortion Clinics and New Legislation

Ontario to create ‘safe access zones’ around abortion clinics with new legislation


Health Care

Ontario family warns others: Their regular dental visit resulted in HIV tests

New figures show hospital overcrowding will have ‘drastic impact’ on care, Ontario NDP says

Three Ontario nursing homes ordered to stop new admissions because of substandard care

Public invited to provide feedback about hospital performance


Mental Health

Ontario health minister won’t join call for inquest into Hamilton hospital suicides

DDO Legislative Update

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


Bill 160 – Strengthening Quality and Accountability for Patients Act, 2017


Introduced by Hon. Eric Hoskins, Minister of Health and Long-Term Care, the Bill was carried on First Reading on September 27, 2017.


This Bill amends, repeals and enacts various health-care related bills to strengthen quality and accountability for patients:


  1. Ambulance Act
    • Amendments are made in respect of directives by the Minister, appointment of Directors, powers of inspectors and investigator, disclosures, paramedics, fee rules, definitions and regulation making authority.
    • If passed, paramedics are given increased flexibility to deliver alternative care options on-scene to patients, avoiding unnecessary visits to the emergency department.


  1. Excellent Care for All Act, 2010
    • Ontario Health Quality Council (the “Council”) can lease office space without obtaining Lieutenant Governor in Council’s approval
    • Permit the Council to collect, use, and disclose PHI for purposes to be prescribed by regulations
    • Create exemption from application of the Freedom of Information and Protection of Privacy Act for records in custody/control of the Council that were prepared or obtained by the patient ombudsman in the course of conducting an investigation within meaning of section 13.3 of the Excellent Care for All Act, 2010.
    • Allow the government to make regulations specifying purposes for which Health Quality Ontario may collect, use and disclose PHI in its yearly reports


  1. Health Protection and Promotion Act
    • Replacing terms, adding Ontario Agency for Health Protection and Promotion as a recipient of reports regarding diseases and events, extending dismissal notice and attendant rights of medical officers of health to associate medical officers of health, remove approval requirements for an acting medical officer of health appointed by a board of health,  Minister may issues orders relating to new or emerging diseases and provisions related to such orders, amend matters subject to Lieutenant Governor in Council and Minister regulations, and remove transition provisions.
    • If passed, HPPA, would permit regulation of recreational water facilities like splash pads and pools to protect infants and children. It would also regulate personal service settings like barber shops, nails salons, and tattoo parlours to better prevent infection.


  1. Health Sector Payment Transparency Act, 2017
    • This is a new Act and has been getting a lot of coverage in the media. The purpose of this Act is to require the reporting of information about the financial relationships that exist in Ontario’s health care system, including health care research and education , and to enable the collection, analysis and publication of that information in order to strengthen transparency.
    • The Act requires certain transactions to be reported to the Minister who will analyze and publish the information and it also establishes a framework for inspections and other compliance mechanisms.
    • The Act provides for periodic review by the Minister.
    • The medical industry would have to report all information about transfer of value, which include meals, hospitality, travel associated expenses and financial grants. This information would be available online, and can be accessed by the public.


  1. Long-Term Care Homes Act, 2007
    • “Secure units” provisions are repealed and a new system is enacted to deal with the restraining and confining of residents.
    • System of administrative penalties are provided for, Director and Minister is given power to suspend a license. The Minister may also make operational and policy directives in respect of long-term care homes.


  1. Health Care-Consent Act, 1996
    • Act is amended to provide rules with respect to confining in a care facility, and respecting reviews by the Consent and Capacity Board.


  1. Personal Health Information Protection Act, 2004
    • Related amendments are made to PHIPA


  1. Substitute Decisions Act, 1992
    • Related amendments are made to SDA


  1. Medical Radiation and Imaging Technology Act, 2017
    • This Act repeals and replaces the Medical Radiation Technology Act, 1991. This Act governs the practice of medical radiation and imaging technology.


  1. Ontario Drug Benefit Act
    • This Act is amended to specify that regulations are not required in order for the Minister and the executive officer to disclose personal information.
    • 23(3)(b) is repealed and replaced to make a change relating to establishing reimbursements criteria for certain drug benefits listed on the ODB Formulary. Currently, section 23 of the ODBA indicates the reimbursement criteria for these benefits could include a requirement that the use of a drug be prescribed by a physician or member of a class of physicians specified by the executive officer. The amendment provides the executive officer to establish the reimbursement criteria relating to any prescriber or class of prescribers and not only physicians.


  1. Ontario Mental Health Foundation Act
    • This Act is repealed, and consequential amendments are made to other Acts.


  1. Oversight of Health Facilities and Devices Act, 2017
    • Regulatory system is established for community health facilities and energy applying and detecting medical devices such as X-ray machines, CT scanners, ultrasounds and MRIs.
    • The position of executive officer for the regulatory system is created.
    • Inspecting bodies are made to carry out functions with respect to community health facilities.
    • Wide range of enforcement tools are provided for.


  1. Independent Health Facilities Act, Healing Arts Radiation Protection Act and the Private Hospitals Act are repealed.


  1. Retirement Homes Act, 2010
    • The Act is amended to allow the Minister, if it believes it is within public interest to do so, to unilaterally amend the MOU between the Minister and the Retirement Homes Regulatory Authority (“Authority”) after giving the Authority the notice that the Minister considers reasonable in the circumstances.
    • The Minister may require the Authority to:
      1. Establish advisory committees and policy, legislative or regulatory reviews related to the Authority be carried out.
      2. Make available to the public certain information relating to the compensation for members of its boards of directors or officers or employees of the Authority.
    • Auditor General may audit the Authority
    • 70 of the Act is made more specific regarding the permitted confinement of residents of a retirement home.
    • Power of an investigator under s. 80 of the Act to conduct investigations under a warrant are expanded
    • Registrar may apply to the Superior Court of Justice for an order directing a person to comply with a provision of the Act or the regulations made under it or with an order made under the Act. Upon application, the court may make any order that the court thinks fit.


For more information about the Bill: http://www.ontla.on.ca/web/bills/bills_detail.do?locale=en&Intranet=&BillID=5096

News Release by MOHLTC: https://news.ontario.ca/mohltc/en/2017/09/ontario-improving-transparency-in-health-care.html

Backgrounder by MOHLTC: https://news.ontario.ca/mohltc/en/2017/09/strengthening-quality-and-accountability-for-patients-act-2017.html



Ontario Regulation 358/17

O.REG 358/17 is an amending regulation of RRO 1990, REG 460 under the Freedom of Information and Protection of Privacy Act.

The Schedule designates agencies, boards, commissions, corporations and other bodies as institutions and persons as head of that institution is updated to include:

  • Health Shared Services Ontario, and the CEO

The following institutions have been removed from the Schedule:

  • Ontario Seniors’ Secretariat
  • Ontario Women’s Directorate
  • Pan/Parapan American Games Secretariat
  • Provincial Advisory Committees

This regulation came into force on September 5, 2017.

For more information about the regulation:  https://www.ontario.ca/laws/regulation/r17358


Articles of Interest

TGLN & Constitutional Challenge

Liver Transplant rules violate my rights, dying man says

Recovering alcoholic’s unique court battle for liver transplant shelved after his health improves


Ontario bill will reveal drug company payments to doctors

Canada’s access to information system faring worse under Trudeau government-audit

Opioid Crisis

Public Health Board Members call on Ontario to declare opioid crisis state of emergency

Statement on Ontario’s Opioid Strategy

Pharmacies lobby for mandatory $75 prescription consult to help curb opioid crisis

Health Care

Ontario poised to reopen shuttered hospital to cope with bed crunch

‘Working with one arm tied behind our back’: Hospitals are ill-equipped to treat obese patients, experts say

Grey Matters: Medical mistakes made on patients must be red-flagged

Mental Health

Human rights commission accuses Ontario of mistreating prisoners with mental health issues

Ontario teen who lost parents urges feds to create national mental health plan

Health Litigation

Brampton family goes to court to keep daughter on life support

Ottawa spent $110K in legal fees fighting First Nations girl over $6K dental procedure


Ottawa woman named chair of Ontario’s first Patient and Family advisory council after daughter’s death

Ontario appoints supervisor for Brant Community Healthcare System

Interesting Reads

Untold story of the Canadian Kardashians

What’s happening in our city this weekend:

Chef Gordon Ramsey just helped launch Cobalt Social pop-up restaurant in Toronto

AGO: Guillermo del Toro: At Home with Monsters

Interesting Podcast to make your commute better:

My Favorite Murder: https://itunes.apple.com/us/podcast/my-favorite-murder-karen-kilgariff-georgia-hardstark/id1074507850?mt=2

DDO Legislative Update

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


Bill 126: Illegal Pill Press Act, 2017

Introduced by

Michael Harris, MPP (Kitchener—Conestoga)

  • Critic, Research, Innovation & Science
  • Member, Standing Committee on Estimates
  • Critic, Transportation
  • Progressive Conservative Party of Ontario

Current Status

  • April 27, 2017: First Reading – Carried
  • September 21, 2017: Second Reading – Debate
    • Second Reading – Carried
    • Ordered referred to Standing Committee – Standing Committee on General Government


This Bill makes changes to the Drug and Pharmacies Regulation Act. It proposes to prohibit a person from possessing or using designated pharmaceutical equipment, unless that person is either a pharmacist or a person acting under the supervision of a pharmacist. Also, if the person uses the equipment, he or she must use the equipment in a pharmacy that has received a certificate of accreditation.

A designated pharmaceutical equipment is considered any of the following: a pill or tablet press, a tablet machine, a capsule filling machine, a pharmaceutical mixer or a tablet punch or die, subject to the qualifications, if any, that are specified by the regulations made under the Act, and any other equipment that is specified by the regulations.

Full Text of the Bill




Homes for Special Care Funding Rate Increase

The Ministry of Health and Long-Term Care wants to modernize the Homes for Special Care program. The proposed regulations include the following changes, with effective date of January 1, 2018 or the date the regulation is filed, whichever is later:

  • 43 of Regulation 636 under the Homes for Special Care Act be amended, authorizing the Ministry of Health and Long-Term Care to provide a 3% increase in the funding rate provided to licensees.
  • Funding rate per person will increase from $1,556.12 to $1,602.80 for each full month the tenant receives care in the home.
    • The daily funding rate per person (for periods less than a month) is proposed to increase from $51.16 to $52.69.

Comments due: October 19, 2017

For more information about the regulation: http://www.ontariocanada.com/registry/view.do?postingId=24905&language=en


Homes for Special Care Modernization (OPDP)

As above, this proposed change also relates to the modernization of the Homes for Special Care program, to take effect on January 1, 2018, if approved. The Ministry of Health and Long-Term Care is proposing an amendment to Ontario Regulation 201/96, under the Ontario Drug Benefit Act, to support the Community Homes for Opportunity program, an initiative related to the Homes for Special Care program. The Ministry of Health and Long-Term Care is proposing to prescribe persons who reside in homes that are part of the Community Homes for Opportunity program who are insured persons under the Health Insurance Act as a class of eligible persons for the purposes of the Ontario Drug Benefit Act.

Comments due: October 19, 2017

For more information about the regulation: http://www.ontariocanada.com/registry/view.do?postingId=24906&language=en