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

Proposed Regulations


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


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