Ambulance Act

PART I DEFINITIONs

1 (1) In this Act, “air ambulance services” includes all services provided by an ambulance service in connection with the transportation of persons by air; (“services d’ambulance aériens”) “ambulance” means a conveyance used or intended to be used for the transportation of persons who, (a) have suffered a trauma or an acute onset of illness either of which could endanger their life, limb or function, or (b) have been judged by a physician or a health care provider designated by a physician to be in an unstable medical condition and to require, while being transported, the care of a physician, nurse, other health care provider, emergency medical attendant or paramedic, and the use of a stretcher; (“ambulance”) “ambulance service” means, subject to subsection (2), a service that is held out to the public as available for the conveyance of persons by ambulance; (“service d’ambulance”) “base…

PART II PROVINCIAL RESPONSIBILITIES

2 The Minister is responsible for the administration and enforcement of this Act. R.S.O. 1990, c. A.19, s. 2.

3 The Minister may establish an advisory council for the purpose of advising the Minister on matters respecting the provision of ambulance services in the Province. 1999, c. 12, Sched. J, s. 2. Section Amendments with date in force (d/m/y) 1999, c. 12, Sched. J, s. 2 - 1/05/2000

4 (1) The Minister has the duty and the power, (a) to ensure the existence throughout Ontario of a balanced and integrated system of ambulance services and communication services used in dispatching ambulances; (b) Repealed: 1997, c. 30, Sched. A, s. 5 (2). (c) to establish, maintain and operate communication services, alone or in co-operation with others, and to fund such services; (d) to establish standards for the management, operation and use of ambulance services and to ensure compliance with those standards; (e) to monitor, inspect and evaluate ambulance services and investigate complaints respecting ambulance services; and (f) to fund and ensure the provision of air ambulance services. R.S.O. 1990, c. A.19, s. 4 (1); 1997, c. 30, Sched. A, s. 5 (1-4); 1999, c. 12, Sched. J, s. 3. Powers of Minister (2) The Minister has, in addition to the powers under subsection (1), the power, (a…

PART III RESPONSIBILITIES OF UPPER-TIER MUNICIPALITIES

General

5 Repealed: 2009, c. 33, Sched. 18, s. 1 (1). Section Amendments with date in force (d/m/y) 1997, c. 30, Sched. A, s. 6 - 1/01/1998; 1999, c. 9, s. 2 - 23/12/1999;1999, c. 12, Sched. J, s. 4 - 1/05/2000 2009, c. 33, Sched. 18, s. 1 (1) - 15/12/2009

6 (1) Every upper-tier municipality shall, (a) except as otherwise provided by regulation, be responsible for all costs associated with the provision of land ambulance services in the municipality, subject to any grant made to the municipality under subsection 4 (3); and (b) be responsible for ensuring the proper provision of land ambulance services in the municipality in accordance with the needs of persons in the municipality. 1997, c. 30, Sched. A, s. 6; 1999, c. 9, s. 3 (1, 2); 2009, c. 33, Sched. 18, s. 1 (2, 3). Responsibility outside municipality (2) Nothing in this Part prevents a communication service from dispatching ambulances from within an upper-tier municipality to areas outside the municipality. 1997, c. 30, Sched. A, s. 6. Same, agreements as between municipalities (3) If an ambulance is dispatched from an ambulance service situated in an upper-tier municipality or in a l…

6.1 (1) The circumstances in which an upper-tier municipality shall select a person to provide land ambulance services in the municipality are as follows: 1. Where an operator who provides land ambulance services in the municipality ceases to provide those services. 2. Where the certificate of an operator who provides land ambulance services in the municipality is revoked or not renewed under this Act. 3. Where the agreement between the municipality and an operator for the provision of land ambulance services is terminated or expires and is not renewed. 4. Where a new ambulance service is required to provide land ambulance services in the municipality. 1997, c. 30, Sched. A, s. 6; 1999, c. 9, s. 4; 1999, c. 12, Sched. J, s. 6 (1-3); 2009, c. 33, Sched. 18, s. 1 (7). Notice of ceasing to operate (2) An operator who provides land ambulance services in an upper-tier municipality shall give …

6.2 Repealed: 1998, c. 34, s. 2. Section Amendments with date in force (d/m/y) 1998, c. 34, s. 2 - 5/03/1999

6.3 Repealed: 2009, c. 33, Sched. 18, s. 1 (8). Section Amendments with date in force (d/m/y) 1997, c. 30, Sched. A, s. 6 - 1/01/1998; 1999, c. 9, s. 5 - 23/12/1999; 1999, c. 12, Sched. J, s. 7 - 1/05/2000 2009, c. 33, Sched. 18, s. 1 (8) - 15/12/2009

6.4 Repealed: 2009, c. 33, Sched. 18, s. 1 (8). Section Amendments with date in force (d/m/y) 1997, c. 30, Sched. A, s. 6 - 1/01/1998; 1999, c. 9, s. 6 - 23/12/1999; 1999, c. 12, Sched. J, s. 8 (1-3) - 1/05/2000 2009, c. 33, Sched. 18, s. 1 (8) - 15/12/2009

6.5 Repealed: 2009, c. 33, Sched. 18, s. 1 (8). Section Amendments with date in force (d/m/y) 1997, c. 30, Sched. A, s. 6 - 1/01/1998; 1999, c. 9, s. 7 (1, 2) - 1/05/2000; 1999, c. 9, s. 7 (3-5) - 23/12/1999; 1999, c. 12, Sched. J, s. 9 (1-9) - 1/05/2000 2009, c. 33, Sched. 18, s. 1 (8) - 15/12/2009

6.6 Repealed: 2009, c. 33, Sched. 18, s. 1 (8). Section Amendments with date in force (d/m/y) 1997, c. 30, Sched. A, s. 6 - 1/01/1998 1999, c. 9, s. 8 (1-3) - 23/12/1999 2009, c. 33, Sched. 18, s. 1 (8) - 15/12/2009

PART IV DELIVERY AGENTS

6.7 (1) For the purposes of this Part, the Minister may by order designate a delivery agent for any geographic area of the Province described in the order. 1998, c. 34, s. 3 (1). Designated area (2) Despite Part III, a designated area described in an order made under subsection (1) may include the territory of one or more upper-tier municipalities. 1998, c. 34, s. 3 (1). Delivery agents (3) The following organizations may be designated as delivery agents under this section: 1. An upper-tier municipality or a local municipality. 2. An agency, board or commission established by the Province. 1998, c. 34, s. 3 (1). Legislation Act, 2006, Part III (4) Part III (Regulations) of the Legislation Act, 2006 does not apply to an order under this section. 1997, c. 30, Sched. A, s. 6; 2006, c. 21, Sched. F, s. 136 (1). Notice of designation (5) The Minister shall, promptly after making an order unde…

6.8 (1) Part III applies with necessary modifications to a delivery agent as though it were an upper-tier municipality and a delivery agent has, with respect to the geographic area for which it is designated, all the powers, duties and responsibilities of an upper-tier municipality under Part III. 1997, c. 30, Sched. A, s. 6; 1998, c. 34, s. 4 (1). If upper-tier municipality included in designated area (1.1) If a designated area includes an upper-tier municipality, the upper-tier municipality ceases to have the powers, duties and responsibilities assigned to it under Part III. 1998, c. 34, s. 4 (2). Application (2) Part III applies with necessary modifications to the designated area as though it was the area included in the boundaries of an upper-tier municipality. 1997, c. 30, Sched. A, s. 6; 1998, c. 34, s. 4 (3). (3) Repealed: 1998, c. 34, s. 4 (4). Section Amendments with date in for…

6.9 (1) If a designated area consists only of one local municipality, the local municipality shall pay to the delivery agent all costs associated with the provision of land ambulance services in the designated area. 1997, c. 30, Sched. A, s. 6. Same, two or more local or upper-tier municipalities (2) If a designated area consists of two or more local or upper-tier municipalities, all costs associated with the provision of land ambulance services in the designated area shall be apportioned among the municipalities and paid by the municipalities to the delivery agent in accordance with the regulations. 1997, c. 30, Sched. A, s. 6; 1998, c. 34, s. 5 (1). Same, unorganized territories and local or upper-tier municipalities (3) If a designated area includes one or more local or upper-tier municipalities and territory without municipal organization, all costs associated with the provision of l…

6.10 (1) If the Minister does not designate a delivery agent for an area of the Province that is not part of an upper-tier municipality for municipal purposes, the Ministry shall be deemed to be the delivery agent for that area for the purposes of this Act and the area shall be deemed to be a designated area for the purposes of this Act. 1997, c. 30, Sched. A, s. 6. Payment to Ministry (2) If the Ministry is deemed to be the delivery agent for a designated area in accordance with subsection (1) and that area includes one or more local municipalities, (a) the amount that each municipality must pay shall be determined in accordance with section 6.9 and, if applicable, with the regulations made under section 22.0.1; and (b) the time at which and the manner in which the amount is payable shall be determined in accordance with the regulations made under section 6.9. 1997, c. 30, Sched. A, s. …

part iv.1 land ambulance services — designated persons

7 (1) The Minister may make regulations, (a) designating one or more persons who have met the certification requirements under this Act for the purpose of providing land ambulance services; (b) designating one or more persons for the purpose of ensuring the provision of land ambulance services. 2007, c. 10, Sched. A, s. 2. Duties, obligations, etc. (2) A regulation made under subsection (1) may provide for, (a) the duties, obligations, powers and responsibilities of a designated person in providing or ensuring the provision of land ambulance services; (b) the terms and conditions to which a designated person is subject. 2007, c. 10, Sched. A, s. 2. Power and authority (3) Despite anything in Part III or IV or anything in clause 8 (1) (b), a designated person has the power and authority to do anything provided for in a regulation made under subsection (1). 2007, c. 10, Sched. A, s. 2. Oth…

7.0.1 (1) The Minister may issue operational or policy directives to the operator of a land ambulance service where the Minister considers it to be in the public interest to do so. 2017, c. 25, Sched. 1, s. 2. Binding (2) An operator shall comply with every directive of the Minister. 2017, c. 25, Sched. 1, s. 2. General or particular (3) An operational or policy directive of the Minister may be general or particular in its application and may include, but is not limited to, (a) conveyance of persons by ambulance to destinations other than hospitals; and (b) responsibilities in addition to the provision of ambulance services, including, (i) providing treatment by paramedics to persons who may not require conveyance by ambulance, (ii) ensuring treatment provided by paramedics is in accordance with the prescribed standard of care, and (iii) other responsibilities to facilitate the adoption …

pART IV.2 Designated AIR AMBULANCE SERVICE PROVIDERS

7.1 (1) On the recommendation of the Minister, and despite the Not-for-Profit Corporations Act, 2010 or any other Act or law, the Lieutenant Governor in Council may appoint one or more provincial representatives to sit on the board of directors of a designated air ambulance service provider. 2014, c. 13, Sched. 2, s. 2. Rights and responsibilities (2) Unless otherwise provided in his or her instrument of appointment or in the regulations, a provincial representative appointed under subsection (1) has the same rights and responsibilities as an elected member of the board of directors. 2014, c. 13, Sched. 2, s. 2 (1). Section Amendments with date in force (d/m/y) 2014, c. 13, Sched. 2, s. 2 (1) - 1/07/2015; 2014, c. 13, Sched. 2, s. 2 (2) - 19/10/2021

7.2 (1) The Minister may issue directives to a designated air ambulance service provider where the Minister considers it to be in the public interest to do so. 2014, c. 13, Sched. 2, s. 2 (1). Directives to be followed (2) A designated air ambulance service provider shall carry out every directive of the Minister. 2014, c. 13, Sched. 2, s. 2 (1). Section Amendments with date in force (d/m/y) 2014, c. 13, Sched. 2, s. 2 (1) - 1/07/2015

7.3 The regulations may provide for one or more provisions that are deemed to be included in an agreement between Ontario and a designated air ambulance service provider, whether the agreement was entered into before or after the regulation was made and, where the regulations so provide, the provision or provisions are deemed to be part of the agreement for all purposes. 2014, c. 13, Sched. 2, s. 2 (1). Section Amendments with date in force (d/m/y) 2014, c. 13, Sched. 2, s. 2 (1) - 1/07/2015

7.4 (1) Where the Lieutenant Governor in Council considers it in the public interest to do so, the Lieutenant Governor in Council may appoint one or more persons as special investigators to investigate and report on, (a) the quality of the administration and management of a designated air ambulance service provider; (b) the quality of the care and treatment provided by a designated air ambulance service provider; (c) the services provided by a designated air ambulance service provider; or (d) any other matter relating to a designated air ambulance service provider. 2014, c. 13, Sched. 2, s. 2 (1). Powers (2) A special investigator appointed under this section, (a) has the powers of an investigator for the purposes of section 18 and any other provision of this Act and the regulations, and may exercise those powers in connection with all aspects of the operation of a designated air ambulan…

7.5 (1) On the recommendation of the Minister, the Lieutenant Governor in Council may appoint a person to be the supervisor of a designated air ambulance service provider where the Lieutenant Governor in Council considers it in the public interest to do so. 2014, c. 13, Sched. 2, s. 2 (1). Notice of appointment (2) The Minister shall give the board of directors of a designated air ambulance service provider at least 14 days notice before recommending to the Lieutenant Governor in Council that a supervisor be appointed. 2014, c. 13, Sched. 2, s. 2 (1). Immediate appointment if no quorum (3) Subsection (2) does not apply if there are not enough members on the board of directors of a designated air ambulance service provider to form a quorum. 2014, c. 13, Sched. 2, s. 2 (1). Immediate appointment in urgent circumstances (4) Subsection (2) does not apply where the Minister is of the opinion …

7.6 In making a decision in the public interest under this Part, the Lieutenant Governor in Council or the Minister, as the case may be, may consider any matter they regard as relevant, including, without limiting the generality of the foregoing, (a) the quality of the administration and management of the designated air ambulance service provider; (b) the proper management of the health care system in general; (c) the availability of financial resources for the management of the health care system and for the delivery of air ambulance services; (d) the accessibility of air ambulance services in the Province; and (e) the quality of the care and treatment provided by the designated air ambulance service provider. 2014, c. 13, Sched. 2, s. 2 (1). Section Amendments with date in force (d/m/y) 2014, c. 13, Sched. 2, s. 2 (1) - 1/07/2015

7.7 (1) No person shall retaliate against another person, whether by action or omission, or threaten to do so because, (a) anything has been disclosed to an inspector, investigator or special investigator in connection with a designated air ambulance service provider; (b) anything has been disclosed to the Ministry in connection with a designated air ambulance service provider including, without limiting the generality of the foregoing, (i) if the Ministry has been advised of a breach of a requirement under this Act in connection with a designated air ambulance service provider, (ii) if the Ministry has been advised of any matter concerning patient care provided by a designated air ambulance service provider that the person advising believes ought to be reported to the Ministry, or (iii) if the Ministry has been advised of any other matter concerning the operation of a designated air amb…

PART V CERTIFICATION

8 (1) No person shall operate an ambulance service unless, (a) the person holds a certificate issued by the certifying authority in accordance with subsection (2); and (b) in the case of a person who wishes to provide land ambulance services, the person has been selected to provide land ambulance services in accordance with Part III or is otherwise entitled to provide land ambulance services under this Act. 1999, c. 12, Sched. J, s. 12. Certification (2) A person shall be issued a certificate by the certifying authority only if the person has successfully completed the certification process prescribed by the regulations. 1999, c. 12, Sched. J, s. 12. Expiry of certificate (3) A certificate shall expire at the end of the period prescribed by the regulations. 1999, c. 12, Sched. J, s. 12. Renewal of certificate (4) A certificate shall be renewed by the certifying authority only if, before …

9 (1) The Minister shall appoint a person, body or organization as the certifying authority for the purposes of this Act. 1999, c. 12, Sched. J, s. 13. Powers and responsibilities (2) The certifying authority shall, (a) ensure that all operators meet the certification criteria referred to in subsection 8 (5); (b) have such powers and responsibilities as may be set out in the appointment; and (c) be subject to such terms, conditions or limitations as may be specified in the appointment. 1999, c. 12, Sched. J, s. 13. Transfer of certain powers (3) In an appointment under this section, the Minister may delegate to the certifying authority the power to set the fees referred to in subsection 22.1 (1) and may transfer to the certifying authority any of the powers given to the Director under subsection 11 (1). 1999, c. 12, Sched. J, s. 13. Section Amendments with date in force (d/m/y) 1999, c. …

10 Repealed: 1998, c. 18, Sched. G, s. 45 (2). Section Amendments with date in force (d/m/y) 1998, c. 18, Sched. G, s. 45 (2) - 1/02/1999

11 (1) If an operator has contravened a standard or requirement of this Act or the regulations and the contravention would constitute a failure to meet the certification criteria referred to in subsection 8 (5), the Director may, (a) order the operator to remedy the contravention within the time frame specified in the order; (b) subject to section 14, order the operator to complete the certification process referred to in subsection 8 (2) within the time frame specified in the order; (c) make both orders referred to in clauses (a) and (b); or (d) make such orders as may be prescribed by regulation. 1999, c. 12, Sched. J, s. 14. Copy of order to municipality (2) If an order is made under subsection (1), the Director shall provide a copy of the order to the upper-tier municipality in which the operator provides land ambulance services as soon as practicable after the order is made. 1999, c…

12 Repealed: 1999, c. 12, Sched. J, s. 15. Section Amendments with date in force (d/m/y) 1999, c. 12, Sched. J, s. 15 - 1/05/2000

13 Repealed: 1999, c. 12, Sched. J, s. 15. Section Amendments with date in force (d/m/y) 1999, c. 12, Sched. J, s. 15 - 1/05/2000

14 (1) If the Director proposes to make an order under clause 11 (1) (b), he or she shall serve notice of the proposal, together with written reasons therefor, on the operator. 1999, c. 12, Sched. J, s. 16. Content of notice (2) A notice under subsection (1) shall inform the operator that the operator is entitled to a hearing by the Board if the operator mails or delivers, within 15 days after service of the notice under subsection (1), notice in writing requiring a hearing to the Director and the Board, and the operator may require such a hearing. 1999, c. 12, Sched. J, s. 16. Powers of Director where no hearing (3) If an operator does not require a hearing by the Board in accordance with subsection (2), the Director may make an order under clause 11 (1) (b). 1999, c. 12, Sched. J, s. 16. Powers of Board where hearing (4) If an operator requires a hearing by the Board in accordance with…

15 (1) The Director or the operator who has required the hearing and such other persons as are specified by the Board are parties to proceedings before the Board under this Act. R.S.O. 1990, c. A.19, s. 15 (1); 1999, c. 12, Sched. J, s. 17 (1). Notice of hearing (2) Notice of a hearing under section 14 shall afford the operator a reasonable opportunity to show that the operator has successfully completed, or is capable of successfully completing, the certification process referred to in subsection 8 (2). 1999, c. 12, Sched. J, s. 17 (2). Examination of documentary evidence (3) An operator who is a party to proceedings under section 14 shall be afforded an opportunity to examine before the hearing any written or documentary evidence that will be produced or any report the contents of which will be given in evidence at the hearing. R.S.O. 1990, c. A.19, s. 15 (3); 1999, c. 12, Sched. J, s.…

16 (1) Any party to the proceedings before the Board may appeal from its decision to the Divisional Court in accordance with the rules of court. 1998, c. 18, Sched. G, s. 45 (4). Record to be filed in court (2) Where any party appeals from a decision of the Board, the Board shall forthwith file in the Divisional Court the record of the proceedings before it in which the decision was made, which, together with the transcript of evidence if it is not part of the Board’s record, shall constitute the record in the appeal. 1998, c. 18, Sched. G, s. 45 (4). Powers of court on appeal (3) An appeal under this section may be made on questions of law or fact or both and the court may affirm or may rescind the decision of the Board and may exercise all powers of the Board to direct the Director to take any action which the Board may direct him or her to take and as the court considers proper and fo…

PART VI GENERAL

17 (1) Except where otherwise provided, any notice required by this Act to be served shall be served personally or by registered mail addressed to the person to whom notice is to be given at the person’s last known address and, where notice is served by registered mail, the service shall be deemed to have been made on the third day after the day of mailing unless the person to whom notice is given establishes that the person did not, acting in good faith, through absence, accident, illness or other cause beyond the person’s control receive the notice until a later date. R.S.O. 1990, c. A.19, s. 17. Service on municipality (2) Any notice under this Act required to be served on a delivery agent that is a local municipality or an upper-tier municipality shall, (a) if served personally, be served on the treasurer, clerk or deputy-clerk of the municipality; or (b) if served by registered mail…

17.1 (1) The council of a local municipality or upper-tier municipality may pass by-laws, (a) relating to the establishment or acquisition of an ambulance service and, subject to this Act and the regulations under it, the maintenance, operation and use of such a service; and (b) with respect to ensuring the provision of land ambulance services in the municipality. 1998, c. 34, s. 8; 2002, c. 17, Sched. F, Table. Operation outside municipality (1.1) If a by-law of a municipality relating to the operation of a land ambulance service is in effect under subsection (1), the municipality, subject to this Act and the regulations under it, has the authority to operate the land ambulance service outside the boundaries of the municipality. 2002, c. 17, Sched. F, Table. Conflict (2) A by-law passed under this section is without effect to the extent that it conflicts with a regulation or an order ma…

17.2 The Minister shall appoint one or more employees in the Ministry of Health and Long-Term Care as Director for the purposes of any provision of this Act and the regulations. 2017, c. 25, Sched. 1, s. 3. Section Amendments with date in force (d/m/y) 2017, c. 25, Sched. 1, s. 3 - 12/12/2017

18 (1) The Director may appoint inspectors and investigators for the purposes of this Act and the regulations and such appointments shall be in writing. R.S.O. 1990, c. A.19, s. 18 (1); 1997, c. 30, Sched. A, s. 14 (1). Powers of inspectors or investigator (2) An inspector or investigator, upon the production of his or her appointment under subsection (1), may enter the business premises or conveyances or any other vehicles of an operator at any time and may examine, extract information from and make copies of the operator’s books, accounts and records pertaining to the ambulance service or to any current or former employees and may inspect the conveyances, supplies and equipment for the purpose of determining their compliance with the regulations. R.S.O. 1990, c. A.19, s. 18 (2); 1997, c. 30, Sched. A, s. 14 (2); 2017, c. 25, Sched. 1, s. 4 (1). Same (2.0.1) An inspector or investigator…

19 (1) In this section, “operator” means the operator of an ambulance service or communication service, unless the context requires otherwise; (“exploitant”) “personal health information” has the same meaning as in the Personal Health Information Protection Act, 2004. (“renseignements personnels sur la santé”) 2004, c. 3, Sched. A, s. 76 (3). Disclosure without consent (2) The persons named in the following paragraphs may disclose to each other personal health information about an individual without the individual’s consent where the disclosure is reasonably necessary for purposes relating to the discharge or exercise by the recipient of the information of their duties or powers under this Act or the regulations: 1. The Minister and an operator. 2. The Minister and a medical director. 3. The Minister and one of an upper-tier municipality and a delivery agent. 4. An operator and one of an…

20 (1) Where a provider of air ambulance services that is a body corporate incorporated under the laws of any jurisdiction other than Ontario is continued as a corporation under the Corporations Act, the following shall apply to the continued body corporate (the “continued corporation”) from the date of continuance: 1. The property of the body corporate continues to be the property of the continued corporation. 2. The continued corporation continues to be liable for the obligations of the body corporate. 3. An existing cause of action, claim or liability to prosecution is unaffected. 4. Any civil, criminal, administrative, investigative or other action or proceeding pending by or against the body corporate may be continued by or against the continued corporation. 5. Any conviction against, or ruling, order or judgment in favour of or against the body corporate may be enforced by or again…

20.0.1 No person other than a paramedic acting in the course of or in relation to his or her duties as a paramedic for an ambulance service shall hold himself or herself out as a paramedic or emergency medical attendant. 2017, c. 25, Sched. 1, s. 6. Section Amendments with date in force (d/m/y) 2017, c. 25, Sched. 1, s. 6 - 01/04/2020

20.1 No person shall charge a fee or a co-payment for or in connection with the provision of ambulance services or a class or kind of service provided by the operator of an ambulance service authorized by this Act, whether or not the person is transported by ambulance, unless the fee or co-payment is, (a) a co-payment authorized under the Health Insurance Act; or (b) a fee under this Act. 1999, c. 12, Sched. J, s. 21; 2017, c. 25, Sched. 1, s. 7. Section Amendments with date in force (d/m/y) 1999, c. 12, Sched. J, s. 21 - 01/05/2000 2017, c. 25, Sched. 1, s. 7 - 01/11/2019

21 If a person who is transported in an ambulance is receiving assistance under the Ontario Works Act, 1997 or is the dependant of a person receiving such assistance, the delivery agent designated under that Act is also liable for and shall pay that person’s share of the ambulance service operator’s fee as established under subsection 22.2 (1). 2009, c. 33, Sched. 18, s. 1 (9). Section Amendments with date in force (d/m/y) 1997, c. 30, Sched. A , s. 17 - 1/01/1998 2009, c. 33, Sched. 18, s. 1 (9) - 15/12/2009 CTS 19 JA 21 - 1

22 (1) The Lieutenant Governor in Council may make regulations, (0.a) governing grants made under subsection 4 (3), including, (i) determining the amount of the grants or providing the method of determining the amount of the grants, (ii) respecting the portion of the costs associated with the provision of land ambulance services for which a grant may be made and determining the amount of that portion or providing that the amount be determined by the Minister, and (iii) prescribing terms and conditions under which a grant may be made and providing that the Minister may impose terms and conditions; (a) prescribing the standards of ambulances, vehicles and equipment for ambulance services and paramedics and of their maintenance and repair; (a.1) prescribing standards for the equipment used in communication services and for their maintenance and repair; (b) governing the management, operatio…

22.0.1 (1) The Lieutenant Governor in Council may make regulations providing that the following costs are to be determined in accordance with the regulations: 1. The costs for which an upper-tier municipality is responsible under Part III. 2. The costs for which a delivery agent is responsible under Part IV. 3. The costs referred to in section 6.9. 1997, c. 30, Sched. A, s. 19; 2017, c. 25, Sched. 1, s. 9. Same (2) A regulation under this section may, (a) provide that the costs associated with the provision of land ambulance services in two or more upper-tier municipalities or designated areas be shared among the municipalities or delivery agents otherwise responsible for the costs; (b) provide for the allocation or the method of determining the allocation of those shared costs among the municipalities and delivery agents otherwise responsible for the costs; (c) require the municipalitie…

22.1 (1) The Minister may set fees relating to the issuance of certificates and the certification process prescribed by the regulations. 1999, c. 12, Sched. J, s. 24. Non-application of the Legislation Act, 2006, Part III (2) Part III (Regulations) of the Legislation Act, 2006 does not apply to a fee set under this section. 2017, c. 25, Sched. 1, s. 10. Section Amendments with date in force (d/m/y) 1999, c. 12, Sched. J, s. 24 - 01/05/2000 2017, c. 25, Sched. 1, s. 10 - 12/12/2017

22.2 (1) The Minister may, by regulation, establish fees that may be charged for each class or kind of service provided by the operator of each class of ambulance services, may determine the methods and times for payment of such fees, may determine by whom such fees may be charged and may determine the classes of persons to whom the fees may be charged. 2017, c. 25, Sched. 1, s. 11. Regulations (2) The Minister may make regulations prescribing fees for the purposes of this section. 2017, c. 25, Sched. 1, s. 11. Section Amendments with date in force (d/m/y) 2017, c. 25, Sched. 1, s. 11 – 01/11/2019

23 (1) A person who contravenes this Act or the regulations is guilty of an offence. 2002, c. 18, Sched. I, s. 1 (1). Same, obstruction (2) A person who prevents or obstructs or attempts to prevent or obstruct an inspector or investigator or a special investigator from entering premises or making an inspection or conducting an investigation is guilty of an offence. 2002, c. 18, Sched. I, s. 1 (1); 2014, c. 13, Sched. 2, s. 5 (1). Same, request for information (3) A person who refuses to comply with a request for information or for copies of any books, accounts or records made by an inspector or investigator or a special investigator under subsection 18 (2.1) is guilty of an offence. 2002, c. 18, Sched. I, s. 1 (1); 2014, c. 13, Sched. 2, s. 5 (2). (3.1) Repealed: 2002, c. 18, Sched. I, s. 1 (2). Penalty, individual (4) An individual who is convicted of an offence under this section is li…

24 The Minister shall not be held to be vicariously liable for the acts or omissions of operators or their employees. R.S.O. 1990, c. A.19, s. 24.

25 (1) No proceeding, other than a proceeding referred to in subsection (3), shall be commenced against the Crown or the Minister with respect to anything done by the Lieutenant Governor in Council or the Minister regarding, (a) a directive under section 7.0.1 or 7.2; (b) the appointment of a special investigator or a supervisor under section 7.4 or 7.5; (c) a directive or a decision under section 7.5; or (d) any action or omission of a special investigator or supervisor done in good faith in the performance of a power or of an authority under Part IV.2. 2014, c. 13, Sched. 2, s. 6; 2017, c. 25, Sched. 1, s. 12. Protection from personal liability (2) No action or other proceeding for damages or otherwise shall be instituted against any of the following persons for any act done in good faith in the execution or intended execution of any duty or authority under this Act or the regulations …