Bill 97 explained in plain English
Transparent and Accountable Health Care Act, 2022
Ontario legislature bill summary, status, timeline, sponsor, votes, and official sources.
At a glance
Official Legislative Assembly of Ontario snapshot for 42nd Parliament, 2nd Session. Representative vote breakdowns appear when the Assembly publishes an Ayes and Nays page for the bill.
Our plain-language take, written for civic education.
Source: By PoliticalData.ca
Bill 97 requires health sector organizations and their suppliers that receive at least $1 million in annual public funding to comply with Ontario's executive compensation, salary disclosure, and Ombudsman Act requirements, and allows the Auditor General to audit their operations.
Bill 97 is called the Transparent and Accountable Health Care Act, 2022. It aims to increase transparency and accountability for organizations that receive public funding for health care in Ontario. The bill defines two main groups of organizations that must follow new rules: 1. **Major health sector organizations** – These are organizations that receive at least $1 million per year in public funds from the Ontario Ministry of Health. Examples include hospitals, long-term care homes, boards of health, air ambulance services, health clinics, and Ontario Health. 2. **Publicly-funded suppliers** – These are businesses or organizations that receive at least $1 million per year in public funds (directly or indirectly) from major health sector organizations or from other publicly-funded suppliers. This could include contractors, vendors, and companies providing goods or services to health organizations. Once an organization meets these funding thresholds (starting April 1, 2022), it must: - Follow the **Broader Public Sector Executive Compensation Act, 2014** – which sets rules about how much executives can be paid - Follow the **Public Sector Salary Disclosure Act, 1996** – which requires public disclosure of employee salaries - Be treated as a "governmental organization" under the **Ombudsman Act** – which means people can file complaints about the organization with the Ombudsman - Allow the **Auditor General of Ontario** to audit any part of their operations at any time The bill applies to for-profit organizations as well as non-profit ones. The Act comes into force immediately upon receiving Royal Assent. The government can make additional regulations to carry out the bill's purposes.
- Creates definitions for 'major health sector organizations' (organizations receiving at least $1 million annually from the Ministry of Health) and 'publicly-funded suppliers' (organizations receiving at least $1 million annually directly or indirectly from major health sector organizations or other publicly-funded suppliers)
- Requires major health sector organizations to comply with the Broader Public Sector Executive Compensation Act, 2014 by deeming them designated employers under that Act if they are not already
- Requires publicly-funded suppliers to comply with the Broader Public Sector Executive Compensation Act, 2014 by deeming them designated employers under that Act if they are not already
- Requires major health sector organizations to comply with the Public Sector Salary Disclosure Act, 1996 by deeming them employers under that Act if they are not already
- Requires publicly-funded suppliers to comply with the Public Sector Salary Disclosure Act, 1996 by deeming them employers under that Act if they are not already
- Deems major health sector organizations and publicly-funded suppliers to be governmental organizations under the Ombudsman Act if they are not already, allowing public complaints to the Ombudsman
- Grants the Auditor General of Ontario authority to audit any aspect of the operations of major health sector organizations and publicly-funded suppliers
- Authorizes the Lieutenant Governor in Council to make regulations necessary or advisable to carry out the Act's purposes
- Brings the Act into force upon Royal Assent
- Boards of health
- Designated air ambulance service providers
- Hospitals
- Independent health facilities
- Ontario Health and organizations that are part of Ontario Health
- Long-term care homes
- Out-of-hospital premises operators
- Group purchasing organizations
- Publicly-funded suppliers (contractors, vendors, and other organizations providing goods or services to major health sector organizations that receive at least $1 million in public funds annually)
- For-profit and non-profit organizations receiving at least $1 million in public funds from health sector organizations
- Members of the public who may file complaints with the Ombudsman about these organizations
- The Ombudsman of Ontario
- The Auditor General of Ontario
- Major health sector organizations and publicly-funded suppliers must comply with the Broader Public Sector Executive Compensation Act, 2014 starting in the first fiscal year (beginning on or after April 1, 2022) in which they receive at least $1 million in public funds
- Major health sector organizations and publicly-funded suppliers must comply with the Public Sector Salary Disclosure Act, 1996 in any fiscal year in which they receive at least $1 million in public funds
- Major health sector organizations and publicly-funded suppliers are subject to investigation by the Ombudsman starting in the first fiscal year (beginning on or after April 1, 2022) in which they receive at least $1 million in public funds
- The Auditor General of Ontario has the right to audit any aspect of operations of major health sector organizations and publicly-funded suppliers in any fiscal year in which they receive at least $1 million in public funds
- Members of the public have the right to file complaints with the Ombudsman about major health sector organizations and publicly-funded suppliers
- The Act comes into force on the day it receives Royal Assent (Section 10)
- The funding threshold for determining major health sector organizations and publicly-funded suppliers applies to fiscal years beginning on or after April 1, 2022 (Sections 3(1) and 4(1))
- The bill does not specify any direct financial costs, subsidies, or tax changes
- The bill does not specify penalties or enforcement mechanisms; enforcement of the Broader Public Sector Executive Compensation Act, 2014, the Public Sector Salary Disclosure Act, 1996, and the Ombudsman Act would be governed by those respective Acts
- The Auditor General is authorized to audit operations but the bill does not specify what powers the Auditor General has to enforce findings or issue orders
- The bill text does not specify which organizations are currently designated employers under the Broader Public Sector Executive Compensation Act, 2014 or which are currently governmental organizations under the Ombudsman Act, so it is unclear which health organizations will be newly subject to these requirements
- The bill does not define what 'public funds' means in detail, but instead refers to the definition in the Broader Public Sector Accountability Act, 2010; the specific scope of what counts as public funds is not provided in this bill
- The bill does not explain what specific rules or restrictions are contained in the Broader Public Sector Executive Compensation Act, 2014 or the Public Sector Salary Disclosure Act, 1996, which are the Acts being applied
- The bill does not specify what the Lieutenant Governor in Council might include in regulations under Section 9
- The bill text does not indicate the bill's current status or whether it has received Royal Assent
Major health sector organizations and publicly-funded suppliers that are not already designated employers under this Act are deemed to become designated employers, meaning they must comply with rules governing executive compensation
Source: Sections 5(1) and 5(2)
Major health sector organizations and publicly-funded suppliers that are not already employers under this Act are deemed to become employers, meaning they must comply with salary disclosure requirements in fiscal years when they receive at least $1 million in public funds
Source: Sections 7(1) and 7(2)
Major health sector organizations and publicly-funded suppliers that are not already governmental organizations under this Act are deemed to become governmental organizations, meaning the Ombudsman can investigate complaints about them
Source: Sections 6(1) and 6(2)
The Auditor General of Ontario is explicitly authorized to audit any aspect of the operations of major health sector organizations and publicly-funded suppliers in fiscal years when they receive at least $1 million in public funds
Source: Sections 8(1) and 8(2)
Generated using AI from official bill text. Not legal advice. It is written by PoliticalData.ca for civic education, automatically checked and spot-reviewed before publishing.
Official textProcess Snapshot
Vote Summary
This bill is still active. We only show vote counts after the legislature publishes a recorded division.
No published representative vote breakdown
This bill is still moving through the process. When a recorded division is published, representative positions can be listed here.
Official sources
Status, sponsor, votes, and timeline on this page are drawn from these official legislative sources and public records. Each summary above is attributed to its own source.
How this data is sourced