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OntarioDid Not Pass43rd Parliament, 1st Session

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

Jurisdiction
Ontario Legislature
Legislature / Parliament
Legislative Assembly of Ontario
Session
43rd Parliament, 1st Session
Bill number
Bill 24
Full title
Health Care is Not for Sale Act (Addressing Unfair Fees Charged to Patients), 2022
Current status
Did Not Pass
Latest event
Lost on division
Last updated
Nov 24, 2022

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.

Chamber
Legislative Assembly of Ontario
Current Stage
Lost on division
Latest Activity
Nov 24, 2022
Plain-language explanation
In plain English (our explanation)

Our plain-language take, written for civic education.

Source: By PoliticalData.ca

AI-assisted, reviewed before publishing
Short Version

Bill 24 amends Ontario laws to address unfair fees charged to patients by regulated health professionals and independent health facilities.

What It Means

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.

What This Bill Does
  • 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
Who Is Affected
  • 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
Rights, Duties, Or Obligations
  • 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
Important Dates
  • The Act comes into force on the day it receives Royal Assent
Financial Or Tax Impacts
  • 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
Enforcement Or Penalties
  • 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
Uncertainties Or Limits
  • 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
Laws Or Regulations Affected
Regulated Health Professions Act, 1991 - Section 3
amended

Changed to require that health professionals treat patients with sensitivity, fairness, and respect (added 'fairness' to the existing 'sensitivity and respect' requirement)

Regulated Health Professions Act, 1991 - Section 51 of Schedule 2 (Subsection 51(1))
amended

Added charging a patient an unfair fee as defined in regulations to the list of acts that can be found to constitute professional misconduct

Regulated Health Professions Act, 1991 - Section 51 of Schedule 2 (Subsection 51(2))
amended

Added specific consequences for professional misconduct involving unfair fees: requires reimbursement to the patient and a three-month licence suspension

Regulated Health Professions Act, 1991 - Section 84 of Schedule 2
amended

Requires colleges to include measures in their patient relations programs for preventing and addressing unfair fees charged to patients

Regulated Health Professions Act, 1991 - Section 95 of Schedule 2 (Subsection 95(1))
amended

Adds authority for the Council to make regulations defining 'unfair fee' (subject to approval by the Lieutenant Governor in Council and the Minister)

Independent Health Facilities Act - Section 18(1)(e)
amended

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

Independent Health Facilities Act - Section 20.1(2)
amended

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 text

Process Snapshot

Step 1
First reading
Oct 26, 2022
Step 2
Second reading
Nov 24, 2022
Step 3
Committee review
Not reached yet
Step 4
Third reading
Not reached yet
Step 5
Royal assent
Not reached yet

Vote Summary

Yes
26
No
70
Abstain
0
Absent / Other
0
Final recorded vote
Nov 24, 2022
96 representative positions are recorded in this official snapshot for this vote.
Sponsor
France Gélinas
New Democratic Party of Ontario | Nickel Belt
Jurisdiction
Ontario Legislature

Representative Voting Breakdown

Vote badges include text labels so the table stays readable for everyone, even without color cues alone.

RepresentativeRoleRidingPartyVoteNotes
MPP
MPPNickel BeltNew Democratic Party of OntarioYesRecorded without an additional note.
MPPDon Valley EastOntario Liberal PartyYesRecorded without an additional note.
MPPParkdale—High ParkNew Democratic Party of OntarioYesRecorded without an additional note.
MPPWaterlooNew Democratic Party of OntarioYesRecorded without an additional note.
MPPSpadina—Fort YorkNew Democratic Party of OntarioYesRecorded without an additional note.
MPPScarborough SouthwestNew Democratic Party of OntarioYesRecorded without an additional note.
MPPSudburyNew Democratic Party of OntarioYesRecorded without an additional note.
MPPNiagara CentreNew Democratic Party of OntarioYesRecorded without an additional note.
MPPOshawaNew Democratic Party of OntarioYesRecorded without an additional note.
MPPUniversity—RosedaleNew Democratic Party of OntarioYesRecorded without an additional note.
MPPOttawa CentreNew Democratic Party of OntarioYesRecorded without an additional note.
MPPTimiskaming—CochraneNew Democratic Party of OntarioYesRecorded without an additional note.
MPPToronto CentreNew Democratic Party of OntarioYesRecorded without an additional note.
MPPWindsor WestNew Democratic Party of OntarioYesRecorded without an additional note.
MPPThunder Bay—Superior NorthNew Democratic Party of OntarioYesRecorded without an additional note.
MPPOttawa—VanierOntario Liberal PartyYesRecorded without an additional note.
MPPDavenportNew Democratic Party of OntarioYesRecorded without an additional note.
MPPBeaches—East YorkOntario Liberal PartyYesRecorded without an additional note.
MPPGuelphGreen Party of OntarioYesRecorded without an additional note.
MPPLondon WestNew Democratic Party of OntarioYesRecorded without an additional note.
MPPToronto—DanforthNew Democratic Party of OntarioYesRecorded without an additional note.
MPPKingston and the IslandsOntario Liberal PartyYesRecorded without an additional note.
MPPLondon North CentreNew Democratic Party of OntarioYesRecorded without an additional note.
MPPLondon—FanshaweNew Democratic Party of OntarioYesRecorded without an additional note.
MPPHumber River—Black CreekNew Democratic Party of OntarioYesRecorded without an additional note.
MPPNiagara FallsNew Democratic Party of OntarioYesRecorded without an additional note.
MPPBrampton WestProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPWindsor—TecumsehProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPScarborough—AgincourtProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMarkham—UnionvilleProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPCambridgeProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPSimcoe—GreyProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPEtobicoke—LakeshoreProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPRichmond HillProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPPeterborough—KawarthaProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPScarborough CentreProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPNewmarket—AuroraProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMississauga—MaltonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPOakville North—BurlingtonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPCarletonIndependentNoRecorded without an additional note.
MPPBrampton EastProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPBarrie—InnisfilProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPBrampton CentreProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPNorthumberland—Peterborough SouthProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPFlamborough—GlanbrookProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPBarrie—Springwater—Oro-MedonteProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPOxfordProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPBrampton NorthProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPKenora—Rainy RiverProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPSimcoe NorthProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPThunder Bay—AtikokanProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPEtobicoke CentreProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPHaliburton—Kawartha Lakes—BrockProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPHuron—BruceProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPVaughan—WoodbridgeProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPAurora—Oak Ridges—Richmond HillProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMississauga CentreProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPHamilton East—Stoney CreekProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMississauga—StreetsvilleProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPStormont—Dundas—South GlengarryProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMarkham—StouffvilleProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPPickering—UxbridgeProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPBrampton SouthProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPScarborough NorthProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPElgin—Middlesex—LondonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPNiagara WestProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPOakvilleProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPKing—VaughanProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPLeeds—Grenville—Thousand Islands and Rideau LakesProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPDufferin—CaledonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPChatham-Kent—LeamingtonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPNipissingProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPScarborough—Rouge ParkProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPKitchener South—HespelerProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPLanark—Frontenac—KingstonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPRenfrew—Nipissing—PembrokeProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMississauga East—CooksvilleIndependentNoRecorded without an additional note.
MPPThornhillProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMarkham—ThornhillProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPWhitbyProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPPerth—WellingtonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPKanata—CarletonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPLambton—Kent—MiddlesexProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPBurlingtonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMiltonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPAjaxProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPHastings—Lennox and AddingtonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPBruce—Grey—Owen SoundProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPSarnia—LambtonProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPEglinton—LawrenceProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPSault Ste. MarieProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMississauga—LakeshoreProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPMississauga—Erin MillsProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPGlengarry—Prescott—RussellProgressive Conservative Party of OntarioNoRecorded without an additional note.
MPPDon Valley NorthIndependentNoRecorded without an additional note.
MPPBrantford—BrantProgressive Conservative Party of OntarioNoRecorded 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