Health Law Update

Bills

No new bills of interest.

Proposed Regulations

  1. College of Dental Hygienists of Ontario (CDHO) and College of Optometrists of Ontario (COO) Spousal Exception Regulations

The CDHO and COO are proposing regulations to permit their members to treat their spouses.

More informationhttps://www.ontariocanada.com/registry/view.do?postingId=32928&language=en

Open for Comments: June 12, 2020 – July 27, 2020

  1. College of Medical Radiation and Imaging Technologists of Ontario (CMRITO)

The CMRITO is proposing amendments to Ontario Regulation 866/93 (Registration) made under the Medical Radiation and Imaging Technology Act, 2017

More informationhttps://www.ontariocanada.com/registry/view.do?postingId=32847&language=en

Open for Comments:  June 12, 2020 –  July 27, 2020

  1. Proposed Regulatory Amendments to Ontario Regulation 203/94 (General) made under the Chiropody Act, 1991

The College of Chiropodists of Ontario (College) is proposing regulatory amendments to enable a flexible approach to prescribing drugs by replacing its current list of drugs with categories of drugs from which chiropodists and podiatrists can prescribe within their scope of practice. The College is also proposing to expand the list of controlled drugs and substances that members may prescribe and the list of substances that members may administer by injection into the foot.

More informationhttps://www.ontariocanada.com/registry/view.do?postingId=32898&language=en

Open for Comments:  June 12, 2020 –  July 27, 2020

  1. Proposed Regulatory Amendments to Ontario Regulation 202/94 (General) made under the Pharmacy Act, 1991

The Ontario College of Pharmacists is proposing regulatory amendments to allow pharmacists to: 1. Administer the influenza vaccine to children as young as 2 years old; 2. Renew prescriptions in quantities of up to a year’s supply; and 3. Administer certain substances by injection and/or inhalation for purposes that are in addition to patient education and demonstration.

More Information: https://www.ontariocanada.com/registry/view.do?postingId=32867&language=en

Open for Comments:  June 12, 2020 –  July 27, 2020

  1. Proposed Regulatory Amendments to Ontario Regulation 112/11 Designated Drugs and Standards of Practice made under the Optometry Act, 1991

The College of Optometrists of Ontario (College) is proposing regulatory amendments to its drug regulation by replacing its current list of drugs with categories of drugs from which optometrists may prescribe within the optometric scope of practice.

More Informationhttps://www.ontariocanada.com/registry/view.do?postingId=32927&language=en

Open for Comments: June 12, 2020 –  July 27, 2020

  1. Proposed Regulatory Amendments to Ontario Regulation 884/93 (Designated Drugs) made under the Midwifery Act, 1991

The College of Midwives of Ontario (College) is proposing regulatory amendments to enable a flexible approach to prescribing drugs by replacing its current list of drugs with categories of drugs from which midwives can prescribe. The College is also proposing to specify categories of controlled drugs and substances that midwives may prescribe, categories of drugs that midwives may administer by suppository, and categories of substances that midwives may administer by injection or inhalation.

More Information: https://www.ontariocanada.com/registry/view.do?postingId=32887&language=en

Open for Comments: June 12, 2020 –  July 27, 2020

  1. Regulation 569 (Reports) under the Health Protection and Promotion Act, R.S.O. 1990, c. H.7.

The Ministry of Health is now proposing amendments to Paragraph 11 of Section 5 of the Reports Regulation that would require the collection of information on race, income level, language, and household size for individuals who test positive for a novel coronavirus, including COVID-19.

The collection of data on race, income, language, and household size in a province-wide, standardized manner, for cases of COVID-19, is important to:

• Ensure a more complete picture of data collection related to COVID-19;

• Reduce inconsistencies in data collection efforts to date; and

• Inform effective public health practices and interventions in response to COVID-19.

More Informationhttps://www.ontariocanada.com/registry/view.do?postingId=32967&language=en

Comments Due Date: June 21, 2020

  1. Proposed regulations to support proclamation of the Not-for-Profit Corporations Act, 2010

Proposed regulations to support proclamation of the Not-for-Profit Corporations Act, 2010 (ONCA), including: 1. General Regulation related to technical matters; and 2. Corporations Sole Regulation to prescribe provisions that apply to corporations sole (i.e. a corporation constituted in a single person who, in right of some office or function, has corporate status).

More Informationhttps://www.ontariocanada.com/registry/view.do?postingId=32747&language=en

Comments Due Date: June 22, 2020

Government news

Ontario Prepares for the Safe Reopening of Schools

Ontario Moves Forward with Infrastructure Projects that Improve Communities and Create Jobs

Ontario Makes Major Investment in Mental Health and Technology to Support Students

Ontario Marks Three Months Since Declaration of Emergency

Ontario Extends Emergency Orders

Ontario Expanding Data Collection to Help Stop Spread of COVID-19

More People Can Get Back to Work as Additional Businesses and Services to Reopen This Week

Articles of Interest

COVID-19

Canada tops 100000 reported coronavirus cases

Mandatory masks a ‘small and hopefully temporary’ measure people can handle, health official says

‘A very powerful moment in our history’: Southern First Nations take greater control over health care

Should wearing a mask in public be mandatory?

‘A public relations campaign’: Some provinces at odds with Trudeau government over COVID-19 infrastructure plans

Insurers May Only Pay For Coronavirus Tests When They’re ‘Medically Necessary’

Occupational health nurses to become new front line as Ontario reopens, advocate says

Privacy and AI

PM says a national contact tracing app is coming next month, how will it work?

Ford says new COVID-19 contact tracing app has ‘100 per cent privacy’

Big Tech Zeros In on the Virus-Testing Market

Virtual Reality Helps Medics Beat Coronavirus

Creating Planet Data To Fight Covid-19 And Future Healthcare Emergencies

How Technology Is Helping Increase Diversity In Clinical Trials

Black Lives Matter

Black Lives Matter network to spend $12M US to fight institutionalized racism

Things to Do this Weekend

3 Inexpensive Father’s Day Gift Ideas For The Coronavirus Era

Health Law Update

Bills

Bill 190, COVID 19 Response and Reforms to Modernize Ontario Act, 2020

This Bill was introduced by Hon. Paul Calandra, Minister without Portfolio, on May 12, 2020 and it received Royal Assent on the same day.

Schedule 1 – Alternative Filing Methods for Business Act, 2020

  • The Schedule enacts the Alternative Filing Methods for Business Act, 2020. The Act permits documents required or permitted to be filed by in-person delivery or mail under certain business statutes to instead be filed by alternative methods, and permits electronic signatures and electronic copies in respect of certain documents, to address public health and safety concerns in respect of an emergency declared under the Emergency Management and Civil Protection Act.

Schedule 2 – Business Corporations Act

  • New Part XIX added to the Act to provide that certain provisions of the Act are temporarily suspended and that replacement provisions apply during the temporary suspension period. These provisions were set out in an order made under the Emergency Management and Civil Protection Act and filed as O. REG 107/20.

Schedule 3 – Business Names Act

  • The Act is amended to permit electronic signatures on certain documents, to permit for copies of certain documents to be used in place of originals and to accommodate alternative methods of filing under the Alternative Filing Methods for Business Act, 2020

Schedule 7 – Corporations Act

  • A new Part VIII is added to the act to provide that certain provisions of the Act are temporarily suspended and that replacement provisions apply during the temporary suspension period, which are set out in Schedule 2 of the Act. Those provisions were previously set out in an order made under subsection 7.1(2) of the Emergency Management and Civil Protection Act and filed as O. REG 107/20.
  • Amendments retroactive to March 17, 2020.

More Informationhttps://www.ola.org/en/legislative-business/bills/parliament-42/session-1/bill-190

Regulations

  1. Digital Health Interoperability – Proposed Amendments to O. REG 329/04

The proposed regulations would the following amendments to O.REG 329/04:

  • Establish that Ontario Health shall establish interoperability specifications that pertain to digital health assets, subject to direction and approval of the minister
  • Establish that HICs must ensure that the digital health assets that they select, develop or use are compliant with applicable interoperability specifications
  • Require Ontario Health to establish a certification process by which a list of digital health assets that are compliant with specifications may be published
  • Require HICs to provide Ontario Health with reports upon request, and to cooperate and assist the Agency to support compliance monitoring
  • Require Ontario Health to establish a compliance monitoring process.
  • Establish that enforcement of the regulation would occur by means of complaint to the IPC supported by any reports or information collected in the process of compliance monitoring.

More Informationhttps://www.ontariocanada.com/registry/view.do?postingId=32590&language=en

Deadline for Comments: July 22, 2020

  1. Amendment of O. Reg 329/04 to enable Proclamation of Part V.1 of PHIPA

Amendments to O. REG 329/04 includes:

  • Clarifying the requirement of a HIC to notify the IPC of the existence of a circumstance set out in s. 6.3(1) of the Regulation shall be done at the first reasonable opportunity
  • New Paragraph under s. 6.4(1) of the Regulation adding that PHI collected from the EHR without authority must be included in the annual report that HICs must provided to the Commissioner

New provisions to enable proclamation and implementation of Part V.1:

  • Name Ontario Health as the prescribed organization under Part V.1 of PHIPA
  • Establish prescribed data elements that may be used for unique identification of individuals for the purposes of collecting their information by means of the HER
  • Clarify that HICs collecting from the EHR are required to notify the Commissioner under any circumstances where they would be required to notify the Commissioner if the collection were for a use or disclosure outlined in section 6.3 of the Regulation (on loss, theft, etc of information) and to do so at the earliest opportunity.
  • Set a series of requirements for consent directives and for notices of override of consent directives for the purposes of ss. 55.7(6), 55.6(a0 and 55.7(7)(b).
  • Exempt HICs that disclose information that was collected from the EHR from ss. 12(1) and 12(3) of the Act where a HIC that collected PHI is required to notify an individual under s. 55.5(7)(a) or to notify the Commissioner under s. 55.5(7)(b) of the Act
  • Set out a variety of regulatory provisions for coroners accessing the EHR for the purposes of the Coroners Act

More Informationhttps://www.ontariocanada.com/registry/view.do?postingId=32687&language=en

Comments Due Date: July 10, 2020

Government news

Ontario Opens Up COVID-19 Testing Across the Province

Ontario Takes Further Action to Protect Seniors and Staff in Long-Term Care Homes during COVID-19 Outbreak

Ontario Taking Action at High Risk Long-Term Care Homes

Ontario Extending Emergency Orders During COVID-19 Outbreak

Ontario Takes Immediate Action to Investigate Worst Hit Long-Term Care Homes

Volunteers and Small Businesses Step Up to Help Those in Need

New Chief Nursing Officer In Ministry Of Health

Ministry of Health to Hold Technical Briefing

Articles of Interest

COVID-19

Youth mental health deteriorating under pandemic stresses, new CAMH study reveals

NDP health critic calls to reopen Ontario regionally

Health care workers left without pandemic pay say they’re the forgotten front line

Ford says he’s done ‘taking bullets’ for union members who wouldn’t inspect care homes

Employers need to get serious about preventing workplace injuries in the home during pandemic, expert says

Cancer patients sickened by COVID-19 have higher mortality rate: study

Pharma chiefs say coronavirus vaccine could be ready this year, but challenges ‘daunting’

More Canadians are dying of overdoses during virus crisis

Coronavirus public health restrictions shouldn’t mean dying alone

Indigenous communities come together virtually during coronavirus despite barriers and inequities

Coronavirus: Ontario’s regulated health professionals can reopen if approved by governing bodies

Long-Term Care Homes

Liberal MPs call for national standards for long-term-care homes

Ottawa needs to address long-term care crisis via funding, national standards: doctors

Privacy & AI

As Toronto COVID-19 hotspot maps show an unequal toll, Ontario has yet to start collecting income and race data

Ontario needs to be more transparent with COVID-19 data, critics say

‘Hack-For-Hire’ Attacks Increase As Covid-19 Spreads

We Have To Learn The Lessons Of The Pandemic And Take Healthcare Into The Digital Age

Things to do this Weekend

Just some of the virtual events TL Insiders can look forward to in June

10 Toronto stores that will deliver ice cream and gelato right to your door

What beers Toronto brewers are drinking in isolation—and how you can have them delivered

Federal non-profits may apply to delay their AGMs

Federal non-profits incorporated under the Canada Not-for-profit Corporations Act must hold their annual general meeting (AGM) within 15 months of the previous AGM and no later than 6 months after the end of the previous fiscal year.

Given that there are physical distancing orders in place in various jurisdictions, including in Ontario where social gatherings of more than 5 people are currently prohibited, it may be difficult to hold a safe and legal AGM during the COVID-19 pandemic emergency.

Corporations Canada has issued guidance on how an AGM may be safely held during COVID – including reminding corporations of the rules around holding virtual (electronic) meetings and signing unanimous resolutions in lieu of holding a meeting.

There is also a new application form that federal non-profits may complete and submit to Corporations Canada requesting approval of a delay in the AGM. The form can be found here:

https://corporationscanada.ic.gc.ca/eic/site/cd-dgc.nsf/eng/cs06828.html

There is a deadline for submitting the application – at least 30 days before the AGM notice is required to be sent. Each application is evaluated on its merits on a case-by-case basis.

Please contact either Kathy O’Brien (kobrien@ddohealthlaw.com) or Michael Gleeson (mgleeson@ddohealthlaw.com) for more information.

Ontario Emergency Orders – updated to May 11, 2020

The updated emergency orders chart can be downloaded here:

EMCPA Orders and other Regs.INQDDO.May11.20

Disclaimer: This chart is provided for information purposes only and is not legal advice.  Please note that the links provided to https://www.ontario.ca/laws/ will contain the text of the regulations in this document; however, the statutes accessible at that site might not reflect these regulatory amendments.  Please consult www.ontla.on.ca for the full text of proposed legislation. This chart is current only to the date indicated.

Please note that this chart does not contain public health directives, federal orders, Ministry of Health or Ontario Health communications such as guidances, memos and updates.

Ontario Emergency Orders – updated chart

The Ontario government has been enacting emergency orders daily since the declaration of the emergency due to the COVID-19 pandemic. A table of these orders is available at this link:

EMCPA Orders and other Regs.INQDDO.April24

Disclaimer: This chart is provided for information purposes only and is not legal advice.  Please note that the links provided to https://www.ontario.ca/laws/ will contain the text of the regulations in this document; however, the statutes accessible at that site might not reflect these regulatory amendments.  Please consult www.ontla.on.ca for the full text of proposed legislation. This chart is current only to the date indicated.

Please note that this chart does not contain public health directives, federal orders, Ministry of Health or Ontario Health communications such as guidances, memos and updates.

Stay safe.

Ontario Emergency Orders

The Ontario government has been enacting emergency orders daily since the declaration of the emergency due to the COVID-19 pandemic.   A table of these orders is available at this link:

EMCPA Orders and other Regs.INQDDO.April14

Disclaimer: This chart is provided for information purposes only and is not legal advice.  Please note that the links provided to https://www.ontario.ca/laws/ will contain the text of the regulations in this document; however, the statutes accessible at that site might not reflect these regulatory amendments.  Please consult www.ontla.on.ca for the full text of proposed legislation. This chart is current only to the date indicated.

Please note that this chart does not contain public health directives, federal orders, or Ministry of Health communications such as guidances, memos and updates.

Stay safe.