Regulation - LGIC
Bill or Act:
Bill 175, The Connecting People to Home and Community Care Act, 2020 (CPHCCA)
Summary of Proposal:
On February 25, 2020, the government introduced Bill 175, The Connecting People to Home and Community Care Act, 2020, which received Royal assent on July 8th 2020. Bill 175 will be proclaimed into force once the proposed new and modernized home and community care regulations are ready at which Home Care and Community Services Act, 1994 HCCSA will be repealed.
At the time of introducing the Connecting People to Home and Community Care Act, 2020, on February 25, 2020, the ministry posted a summary of the proposed home and community care regulations for public feedback:
Since then, the Modernizing Ontario for People and Businesses Act, 2020 (MOPBA), which came into force January 1, 2021, sets out requirements that any instruments governed by the MOPBA, including proposed regulations, must include an analysis of the regulatory burden.
The purpose of this posting is to invite feedback on the expected regulatory burden of the proposed regulatory framework (please see February 25, 2020 posting: https://www.ontariocanada.com/registry/view.do?postingId=31727&language=en) for Home and Community Care.
Analysis of Regulatory Impact:
In compliance with requirements set out in the MOPBA, which came into force January 1, 2021 the Ministry has performed a preliminary analysis of the regulatory impact and anticipates that there will be both costs and benefits (or cost savings) to home and community care sector stakeholders.
Stakeholders include approved home and community care agencies, community support service agencies, and service provider organizations. The preliminary estimate accounts for costs at the organization and staff level - including care coordinators, nurses, personal support workers, allied health and management staff involved in delivery of services.
Key costs associated with new requirements set out in the regulatory framework include:
Staff education and training on the application of the new regulations in the context of their jobs (including for care coordinators, nurses, PSWs, and management), which is estimated to require between half-a-day to a full-day's time per year.
Administrative/compliance costs for home and community care provider organizations of complying with the new requirements (e.g., investigating and responding to alleged abuse, harm, or risk of harm within 10 days; executing and overseeing contracts with service provider organizations; legal services fees) which is estimated to require between half-an-hour to up to 4 hours per incident.
The combined total estimated cost for these requirements for all home and community care stakeholders over 10-year period is approximately $2.2 million. Estimated annual costs will be approximately $212, 875.
Benefits of a new regulatory framework include:
A more integrated care delivery system for patients that will support better outcomes.
Health system cost avoidance opportunities resulting from more efficient use of heath care resources (e.g., more care in the community rather than in costly hospital/institutional alternatives).
An important step forward that will embed provisions regarding the funding and delivery of home and community care in the Connecting Care Act, 2019, (CCA) signaling that modernizing home and community care as part of an integrated, connected health care system centred around the needs of patients
enabling Ontario Health Teams and Health Service Providers to assume responsibility for the delivery of home and community care within an integrated, connected health care system centred around the needs of patients.
Cost-saving from reducing duplication of services including assessments, and integration of services that meet the needs of the population while improving patient/client safety.
August 27, 2021
Comments Due Date:
October 11, 2021
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