Bill 24 explained in plain English
Health Care is Not for Sale Act (Addressing Unfair Fees Charged to Patients), 2022
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 24 amends Ontario laws to address unfair fees charged to patients by regulated health professionals and independent health facilities.
Bill 24 changes two Ontario laws to address unfair fees charged to patients for health care services. For regulated health professionals (such as doctors, nurses, and other licensed practitioners), the bill adds "fairness" as a requirement in how they deal with patients. It allows professional discipline panels to find that a health professional has committed misconduct if they or someone on their behalf charged a patient an unfair fee. If this happens, the panel can require the health professional to reimburse the patient and suspend their licence for three months. The bill also requires colleges that oversee these professionals to include measures in their patient relations programs to prevent and address unfair fees. Additionally, the bill gives the government authority to define "unfair fee" through regulations. For independent health facilities (private facilities that provide certain health services), the bill allows the provincial Director to revoke or suspend a facility's licence if the facility is or will be charging unfair fees to patients. The bill also allows the Director to remove specific services from a facility's licence if the Director believes fees for those services are being charged unfairly. The bill comes into force when it receives Royal Assent.
- Amends the Regulated Health Professions Act, 1991 to add 'fairness' as a principle that health professionals must follow in dealing with patients
- Allows discipline panels to find that a regulated health professional committed professional misconduct if the professional or another person charged a patient an unfair fee as defined in regulations
- Provides that if professional misconduct involves charging an unfair fee, the panel may require the professional to reimburse the patient for the unfair fee and suspend the professional's licence for three months
- Requires colleges governing regulated health professionals to include measures in their patient relations programs to prevent and address unfair fees charged to patients
- Authorizes the government to make regulations defining 'unfair fee'
- Amends the Independent Health Facilities Act to allow the Director to revoke or suspend a facility's licence if the facility is or will be charging unfair fees to patients
- Allows the Director to remove specific services from an independent health facility's licence if the Director believes fees for those services are being charged unfairly to patients
- Patients who receive services from regulated health professionals (such as doctors, nurses, dentists, physiotherapists, and other licensed health practitioners)
- Regulated health professionals (members of regulated health professions overseen by professional colleges)
- Patients who receive services from independent health facilities (private health care facilities)
- Independent health facilities and their operators
- Professional colleges that govern regulated health professionals
- The Director responsible for licensing independent health facilities
- Regulated health professionals must treat patients with sensitivity, fairness, and respect
- Professional colleges must include measures in their patient relations programs to prevent and address unfair fees
- Patients have the right to have complaints about unfair fees heard by a discipline panel
- Patients who are found to have been charged an unfair fee may be reimbursed by the health professional
- Regulated health professionals who charge unfair fees may have their licence suspended for three months
- The Director has authority to revoke or suspend an independent health facility's licence if it is charging unfair fees
- The Director has authority to remove specific services from an independent health facility's licence based on unfair fee practices
- The Act comes into force on the day it receives Royal Assent
- Patients found to have been charged unfair fees by regulated health professionals may receive reimbursement
- Regulated health professionals may face financial penalties through required reimbursement to patients
- Independent health facilities may lose revenue if services are removed from their licence due to unfair fee practices
- A regulated health professional found to have committed professional misconduct by charging an unfair fee must reimburse the patient for the amount paid for the unfair fee
- A regulated health professional found to have committed professional misconduct by charging an unfair fee must have their certificate of registration suspended for three months
- An independent health facility's licence can be revoked or suspended if the facility is or will be charging unfair fees to patients
- An independent health facility can have specific services removed from its licence if the Director believes fees for those services are being or will be charged unfairly
- The bill does not define 'unfair fee' itself; instead it authorizes the government to define this term through regulations, which means the specific meaning of 'unfair fee' is not yet established
- The bill does not specify what constitutes an 'unfair fee' or provide examples, leaving this to be determined through future regulations
- The bill does not specify the process by which patients can complain about unfair fees or how complaints will be investigated
- The bill does not address what happens if a patient-facing third party (such as a billing agent or clinic) charges the unfair fee on behalf of a health professional
- The bill does not specify whether the three-month suspension is mandatory or discretionary for professional misconduct involving unfair fees
- The bill does not specify what types of fees are covered (for example, whether it applies to lab fees, facility fees, prescription charges, etc.)
- The bill does not specify the timeline within which the Director must investigate or make decisions about independent health facilities charging unfair fees
Changed to require that health professionals treat patients with sensitivity, fairness, and respect (added 'fairness' to the existing 'sensitivity and respect' requirement)
Added charging a patient an unfair fee as defined in regulations to the list of acts that can be found to constitute professional misconduct
Added specific consequences for professional misconduct involving unfair fees: requires reimbursement to the patient and a three-month licence suspension
Requires colleges to include measures in their patient relations programs for preventing and addressing unfair fees charged to patients
Adds authority for the Council to make regulations defining 'unfair fee' (subject to approval by the Lieutenant Governor in Council and the Minister)
Expanded the grounds for the Director to revoke or suspend a facility's licence to include situations where the facility is or will be charging unfair fees to patients, in addition to existing grounds related to operating unlawfully or without honesty and integrity
Added authority for the Director to remove services from an independent health facility's licence if the Director believes fees for those services are being or will be charged in an unfair manner to patients
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 |
|---|---|---|---|---|---|
France GélinasSponsor MPP | MPP | Nickel Belt | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Don Valley East | Ontario Liberal Party | Yes | Recorded without an additional note. |
| MPP | Parkdale—High Park | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Waterloo | 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 | MPP | Scarborough Southwest | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Sudbury | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
MPP | MPP | Niagara Centre | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Oshawa | New Democratic 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 | Timiskaming—Cochrane | New Democratic 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 | Windsor West | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Thunder Bay—Superior North | New Democratic Party of Ontario | Yes | Recorded without an additional note. | |
| MPP | Ottawa—Vanier | Ontario Liberal Party | Yes | Recorded without an additional note. | |
MPP | MPP | Davenport | New Democratic Party of Ontario | Yes | Recorded without an additional note. |
| MPP | Beaches—East York | Ontario Liberal Party | Yes | Recorded without an additional note. | |
| MPP | Guelph | Green 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 | 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 | Brampton West | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Windsor—Tecumseh | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Scarborough—Agincourt | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Markham—Unionville | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Cambridge | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Simcoe—Grey | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Etobicoke—Lakeshore | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Richmond Hill | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
MPP | MPP | Peterborough—Kawartha | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
MPP | MPP | Scarborough Centre | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Newmarket—Aurora | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Mississauga—Malton | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Oakville North—Burlington | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Carleton | Independent | No | Recorded without an additional note. | |
| MPP | Brampton East | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Barrie—Innisfil | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Brampton Centre | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Northumberland—Peterborough South | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Flamborough—Glanbrook | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Barrie—Springwater—Oro-Medonte | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Oxford | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Brampton North | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Kenora—Rainy River | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Simcoe North | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Thunder Bay—Atikokan | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Etobicoke Centre | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Haliburton—Kawartha Lakes—Brock | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Huron—Bruce | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Vaughan—Woodbridge | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Aurora—Oak Ridges—Richmond Hill | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Mississauga Centre | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Hamilton East—Stoney Creek | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Mississauga—Streetsville | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Stormont—Dundas—South Glengarry | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Markham—Stouffville | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Pickering—Uxbridge | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Brampton South | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Scarborough North | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Elgin—Middlesex—London | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Niagara West | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Oakville | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | King—Vaughan | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Leeds—Grenville—Thousand Islands and Rideau Lakes | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Dufferin—Caledon | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Chatham-Kent—Leamington | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Nipissing | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Scarborough—Rouge Park | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Kitchener South—Hespeler | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
MPP | MPP | Lanark—Frontenac—Kingston | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Renfrew—Nipissing—Pembroke | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Mississauga East—Cooksville | Independent | No | Recorded without an additional note. | |
MPP | MPP | Thornhill | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Markham—Thornhill | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Whitby | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
MPP | MPP | Perth—Wellington | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Kanata—Carleton | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Lambton—Kent—Middlesex | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Burlington | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Milton | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Ajax | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Hastings—Lennox and Addington | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
MPP | MPP | Bruce—Grey—Owen Sound | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Sarnia—Lambton | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Eglinton—Lawrence | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
MPP | MPP | Sault Ste. Marie | Progressive Conservative Party of Ontario | No | Recorded without an additional note. |
| MPP | Mississauga—Lakeshore | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Mississauga—Erin Mills | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
| MPP | Glengarry—Prescott—Russell | Progressive Conservative Party of Ontario | No | Recorded without an additional note. | |
MPP | MPP | Don Valley North | Independent | No | Recorded without an additional note. |
MPP | MPP | Brantford—Brant | Progressive Conservative Party of Ontario | No | 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