Bill 235 explained in plain English
Support for Seniors and Caregivers Act, 2024
Ontario legislature bill summary, status, timeline, sponsor, votes, and official sources.
At a glance
Official Legislative Assembly of Ontario snapshot for 43rd Parliament, 1st 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 235 amends Ontario's long-term care and retirement homes laws to strengthen dementia care, caregiver support, resident protections against abuse and neglect, and enforcement powers, and to allow ministry officials to issue directions on infectious disease management in retirement homes.
Bill 235, the Support for Seniors and Caregivers Act, 2024, amends two Ontario laws: the Fixing Long-Term Care Act, 2021 and the Retirement Homes Act, 2010. For long-term care homes, the bill requires: - Licensed homes to provide organized dementia care programs - Licensed homes to recognize and respect residents' cultural, linguistic, religious and spiritual needs - Every home to have a Clinical Director (a physician or registered nurse in the extended class) instead of a Medical Director who must be a physician - Discussions about psychotropic drug use with the Clinical Director or other designated staff - Regular consultation between the Clinical Director, nursing staff, and other health professionals The bill creates new offences and enforcement tools: - Makes it an offence if a licensee, staff member, volunteer, or professional service provider abuses or neglects a resident - Makes it an offence for corporate officers or board members to authorize, permit, or allow such abuse or neglect - Creates a general offence for licensees who violate the Act or its regulations - Adds inspection powers allowing inspectors to require examinations, tests, and expert reports (at the licensee's expense) - Adds investigation powers for provincial offences officers, including the ability to seek warrants to enter premises, search, seize evidence, and issue production orders - Makes it an offence to obstruct an investigation or destroy relevant records - Extends the time limit for charging someone with an offence from two years to four years For retirement homes, the bill: - Adds a new resident right: the right to ongoing support from caregivers to support physical, mental, social and emotional well-being - Allows senior ministry officials to issue binding directions or recommendations to retirement homes about preventing and managing infectious respiratory and gastrointestinal diseases - Makes it clear that local medical officers of health and Health Protection and Promotion Act orders take priority over these directions The bill comes into force on the day it receives Royal Assent, with some sections (sections 2, 3, 7, and 8 of Schedule 1, and section 1 of Schedule 2) coming into force on a later date set by proclamation of the Lieutenant Governor.
- Requires long-term care home licensees to establish organized dementia care programs
- Requires long-term care home licensees to establish organized programs recognizing and respecting residents' cultural, linguistic, religious and spiritual needs
- Changes the requirement from a Medical Director (who must be a physician) to a Clinical Director (who must be a physician or registered nurse in the extended class)
- Requires discussions about psychotropic drug use with the Clinical Director or other designated staff and requires reports and advice on such use
- Requires the Clinical Director to consult with nursing and other health professionals
- Creates an offence for abuse or neglect of residents by licensees, staff, volunteers, or professional service providers
- Creates an offence for corporate officers or board members who authorize, permit, or concur in abuse or neglect
- Creates a general offence for licensees who violate the Act or regulations
- Allows the Director to request placement coordinators to submit reports on placement and admission matters
- Expands inspector powers to require examinations, tests, and expert reports at the licensee's expense
- Adds investigation powers for provincial offences officers, including warrant authority to search premises, seize evidence, and access data systems
- Allows provincial offences officers to seize evidence in plain view without a warrant
- Allows provincial offences officers to search without a warrant in exigent circumstances
- Authorizes provincial judges or justices of the peace to issue production orders requiring third parties to produce documents or data
- Creates an offence for obstructing investigations or destroying relevant records
- Changes the time limit for charging someone with an offence from two years to four years
- Requires regulations governing information provision in English and French for long-term care homes
- Adds a resident right in retirement homes: the right to ongoing support from caregivers
- Allows designated senior ministry officials to issue binding directions or recommendations to retirement homes on infectious respiratory and gastrointestinal disease prevention and management
- Makes directions on infectious diseases mandatory to implement, while recommendations must be considered
- Clarifies that local medical officer of health advice and Health Protection and Promotion Act orders take priority over ministry directions
- Residents of long-term care homes in Ontario
- Residents of retirement homes in Ontario
- Licensees of long-term care homes
- Licensees of retirement homes
- Staff members and volunteers working in long-term care homes
- Professional service providers (health, social work, or social services) providing services to long-term care homes or residents
- Corporate officers and directors of long-term care home operators
- Board and committee members managing long-term care homes
- Families and caregivers of seniors in these homes
- Placement coordinators for long-term care home placement and admission
- Inspectors conducting compliance inspections
- Provincial offences officers conducting investigations
- Designated senior ministry officials directing or recommending infectious disease prevention measures
- Long-term care home licensees must establish organized dementia care programs
- Long-term care home licensees must establish organized programs recognizing and respecting residents' cultural, linguistic, religious and spiritual needs
- Long-term care home licensees must ensure residents have reasonable opportunity to practice religious and spiritual beliefs
- Long-term care homes must have a Clinical Director (physician or registered nurse in extended class)
- The Clinical Director must advise the licensee on medical matters and perform prescribed duties
- The Clinical Director must consult with nursing and health professionals
- Discussions about psychotropic drug use must occur with the Clinical Director or designated staff
- Placement coordinators must submit reports to the Director upon request
- Inspectors can require examinations, tests, and expert reports at licensee expense
- Provincial offences officers can conduct investigations with warrant authority
- Residents of retirement homes have the right to ongoing support from caregivers
- Retirement home licensees must implement directions from designated senior ministry officials regarding infectious disease prevention
- Retirement home licensees must consider and decide whether to implement recommendations from designated senior ministry officials regarding infectious disease prevention
- No inspector can conduct medical or health tests to determine a resident's medical or health condition
- Most of the bill comes into force on the day it receives Royal Assent
- Schedule 1, sections 2, 3, 7, and 8 (dementia care, cultural/linguistic/religious/spiritual recognition, Clinical Director requirements, and psychotropic drug regulations) come into force on a day to be named by proclamation of the Lieutenant Governor
- Schedule 2, section 1 (caregiver support right) comes into force on a day to be named by proclamation of the Lieutenant Governor
- Schedule 2, section 2 (infectious disease directions) comes into force on the day the bill receives Royal Assent
- The bill received Royal Assent on December 4, 2024 (based on the 3rd Reading date)
- Licensees bear the cost of any examinations, tests, and expert reports required by inspectors under the expanded inspection powers
- Licensees may face financial costs associated with implementing dementia care programs and cultural, linguistic, religious and spiritual recognition programs
- Licensees may face costs associated with implementing directions from ministry officials regarding infectious disease prevention and management
- Potential fines up to $200,000 for first offences and $400,000 for subsequent offences for directors or officers convicted under subsection 75(3)
- Abuse or neglect of a resident is an offence for licensees, staff, volunteers, and professional service providers
- Corporate officers or board members who authorize, permit, or concur in abuse or neglect are guilty of an offence
- Every licensee who contravenes or fails to comply with any provision of the Act or regulations is guilty of an offence (section 104.1)
- For offences under subsection 75(3) involving a director or officer, the first offence carries a maximum fine of $200,000 and subsequent offences carry a maximum fine of $400,000
- Any person who hinders, obstructs, or interferes with a provincial offences officer executing a warrant or serving a production order is guilty of an offence
- Any person who destroys or alters a record or thing relevant to an investigation is guilty of an offence
- Prosecutions must be commenced within four years after the day evidence first came to the attention of a provincial offences officer
- The bill does not specify penalties for the general offence under section 104.1, indicating these may be prescribed by regulation
- The bill does not specify what content must be included in dementia care programs, leaving details to regulations
- The bill does not specify the duties of the Clinical Director beyond consulting with other staff and performing duties prescribed by regulation
- The bill does not define the scope of what constitutes 'reasonable opportunity' to practice religious and spiritual beliefs
- The bill does not define what constitutes 'abuse or neglect' in detail, leaving interpretation to case law and regulations
- The bill does not specify when examinations and tests can be required or what standards apply
- The bill does not specify what expert knowledge or qualifications an inspector may require
- Several key sections (2, 3, 7, 8 of Schedule 1 and section 1 of Schedule 2) come into force on a date to be named by proclamation, so their effective date is uncertain
- The bill does not specify penalties or fines for general offences under section 104.1, leaving this to be prescribed by regulation
- The bill refers to 'prescribed' positions for designated senior employees but does not list which positions are prescribed
- The bill does not specify what constitutes exigent circumstances for searches without a warrant
Substantially amended to add dementia care requirements, strengthen cultural and spiritual recognition, change Medical Director to Clinical Director, expand enforcement powers and offences, add investigation authorities for provincial offences officers, and lengthen the prosecution limitation period.
Source: Schedule 1, sections 1-15
Amended to add a new resident right regarding caregiver support and to authorize senior ministry officials to issue directions and recommendations regarding infectious disease prevention and management in retirement homes.
Source: Schedule 2, sections 1-2
Referenced in the bill for procedures related to seized items and in the definition of 'provincial offences officer', but not directly amended by this bill.
Source: Schedule 1, section 1
Referenced as taking priority over ministry directions regarding infectious disease management in retirement homes.
Source: Schedule 2, section 2, subsection 60.1(5)
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
Representative Voting Breakdown
Vote badges include text labels so the table stays readable for everyone, even without color cues alone.
| Representative | Role | Riding | Party | Vote | Notes |
|---|---|---|---|---|---|
| MPP | Kitchener Centre | Green Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Brampton West | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Windsor—Tecumseh | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Essex | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Parkdale—High Park | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Markham—Unionville | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Haldimand—Norfolk | Independent | Yes | Recorded without an additional note. | |
| MPP | Cambridge | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Simcoe—Grey | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Waterloo | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Ottawa West—Nepean | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Spadina—Fort York | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Etobicoke—Lakeshore | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Richmond Hill | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Peterborough—Kawartha | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Scarborough Centre | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Newmarket—Aurora | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Mississauga—Malton | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Scarborough Southwest | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Oakville North—Burlington | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Nickel Belt | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Mushkegowuk—James Bay | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Brampton East | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | York—Simcoe | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Brampton Centre | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Northumberland—Peterborough South | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Flamborough—Glanbrook | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Barrie—Springwater—Oro-Medonte | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Oxford | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Timmins | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Brampton North | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Parry Sound—Muskoka | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Simcoe North | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Etobicoke Centre | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Huron—Bruce | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Vaughan—Woodbridge | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Aurora—Oak Ridges—Richmond Hill | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | York Centre | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Mississauga Centre | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Hamilton East—Stoney Creek | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Mississauga—Streetsville | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Stormont—Dundas—South Glengarry | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Markham—Stouffville | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Pickering—Uxbridge | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Brampton South | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Scarborough North | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Elgin—Middlesex—London | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Willowdale | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Oakville | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | King—Vaughan | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Leeds—Grenville—Thousand Islands and Rideau Lakes | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Dufferin—Caledon | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Durham | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Chatham-Kent—Leamington | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Nipissing | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Milton | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Sudbury | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
| MPP | St. Catharines | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Kitchener South—Hespeler | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | University—Rosedale | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Ottawa Centre | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Ottawa South | Ontario Liberal Party | Yes | Recorded without an additional note. |
MPP | MPP | Lanark—Frontenac—Kingston | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Timiskaming—Cochrane | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Renfrew—Nipissing—Pembroke | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Toronto Centre | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Thornhill | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Windsor West | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Markham—Thornhill | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Whitby | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Ottawa—Vanier | Ontario Liberal Party | Yes | Recorded without an additional note. | |
| MPP | Beaches—East York | Ontario Liberal Party | Yes | Recorded without an additional note. | |
MPP | MPP | Perth—Wellington | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Algoma—Manitoulin | Independent | Yes | Recorded without an additional note. | |
| MPP | Guelph | Green Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Hamilton Mountain | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Burlington | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Ajax | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | London West | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Toronto—Danforth | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Hastings—Lennox and Addington | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Bruce—Grey—Owen Sound | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Sarnia—Lambton | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Eglinton—Lawrence | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Sault Ste. Marie | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Mississauga—Lakeshore | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Hamilton West—Ancaster—Dundas | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Hamilton Centre | Independent | Yes | Recorded without an additional note. |
| MPP | Mississauga—Erin Mills | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Kiiwetinoong | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Glengarry—Prescott—Russell | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Orléans | Ontario Liberal Party | Yes | Recorded without an additional note. | |
MPP | MPP | Kingston and the Islands | Ontario Liberal Party | Yes | Recorded without an additional note. |
| MPP | London North Centre | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | London—Fanshawe | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Humber River—Black Creek | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
MPP | MPP | Niagara Falls | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Brantford—Brant | Progressive Conservative Party of Ontario | Yes | Recorded without an additional note. |
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