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Bill 203, Keeping Primary Care Fair Act (Restricting Private Payments for Nurse Practitioner Services), 2024

Shamji, Adil

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Bill 203 Original (PDF)

EXPLANATORY

NOTE

The

Bill amends the Commitment to the Future of Medicare Act,

2004 .

The

amendments prohibit nurse practitioners from accepting certain payments or

benefits for providing services to an insured person that would normally be

provided as insured services in specified settings. Payments or benefits for

these services may still be accepted from specified public sources or in

accordance with the regulations.

The

penalties for contraventions of the Act are increased.

new regulation-making power permits regulations providing for and governing

reimbursements of payments or benefits made for these services within six

months after the day this Act receives Royal Assent.

Bill 203 2024

Act to amend the Commitment to the Future of Medicare Act, 2004 with respect to

payments to nurse practitioners

His

Majesty, by and with the advice and consent of the Legislative Assembly of the

Province of Ontario, enacts as follows:

Section 8 of the Commitment to the Future of Medicare Act,

2004 is amended by adding the following definition:

“nurse

practitioner” means a registered nurse who holds an extended certificate of

registration under the Nursing Act, 1991 ;

(“infirmière praticienne ou infirmier praticien”)

Section 10 of the Act is amended by adding the following subsections:

Nurse

practitioner public services

(4.1) Subsection

(4.2) applies with respect to services that would normally be provided as

insured services if delivered in a publicly funded nurse practitioner-led

clinic or by a nurse practitioner in a Family Health Team (FHT) or a Community

Health Centre (CHC).

Restriction

(4.2) A

nurse practitioner shall not accept payment or benefit for providing to an

insured person a service described in subsection (4.1) unless it is provided,

(

a) from

a publicly-funded provider of primary health care services;

(

b) in

accordance with an arrangement made under subsection 2 (2) of the Health Insurance Act ;

(

c) from

a public hospital or prescribed facility for services rendered in that public

hospital or facility; or

(

d) if

permitted to do so by the regulations in the prescribed circumstances and on

the prescribed conditions.

(1) Subsection 19 (2) of the Act is amended by striking out

“$10,000” at the end and substituting “$20,000”.

(2) Subsection

19 (3) of the Act is amended by striking out “$1,000” at the end and

substituting “$2,000”.

(3) Subsection

19 (4) of the Act is amended by striking out “$25,000” at the end and

substituting “$50,000”.

Subsection 20 (1) of the Act is amended by adding the following clause:

(i.1) providing

for and governing reimbursements to patients of any payments or benefits made

for services described in subsection 10 (4.1) that are provided within six

months after the day the Keeping Primary Care Fair Act

(Restricting Private Payments for Nurse Practitioner Services), 2024

receives Royal Assent, which may be made subject to limitations or conditions;

Commencement

This Act comes into force on the day that is six months after the day this Act

receives Royal Assent.

Short

title

The

short title of this Act is the Keeping Primary Care

Fair Act (Restricting Private Payments for Nurse Practitioner Services), 2024 .

Date Bill stage Event Outcome Committee

October 28, 2024

Second Reading

Vote

Lost on division

October 24, 2024

Second Reading

Question put

Vote deferred

October 24, 2024

Second Reading

Debated

May 29, 2024

First Reading

Ordered for Second Reading

May 29, 2024

First Reading

Vote

Carried

First Reading

May 29, 2024

Carried

Ordered for Second Reading

Second Reading

October 24, 2024

Bell, Jessica

University—Rosedale

Fraser, John

Ottawa South

Kernaghan, Terence

London North Centre

Leardi, Anthony

Essex

Shamji, Adil

Don Valley East

Question put

October 28, 2024

Lost on division