ontario regulation 285/26

made under the

Health Insurance Act

Made: August 13, 2026
Filed: August 17, 2026
Published on e-Laws: August 17, 2026
Published in The Ontario Gazette: September 5, 2026

Amending Reg. 552 of R.R.O. 1990

(GENERAL)

1. (1) The definition of “schedule of benefits” in subsection 1 (1) of Regulation 552 of the Revised Regulations of Ontario, 1990 is amended by adding the following paragraph:

51. Amendments dated July 16, 2026 (effective as of April 1, 2026).

(2) The definition of “schedule of benefits” in subsection 1 (1) of the Regulation is amended by adding the following paragraph:

52. Amendments dated July 22, 2026 (effective as of July 1, 2026).

2. (1) Subsection 16 (1) of the Regulation is amended by striking out “Column 1 of”.

(2) Subsection 16 (5) of the Regulation is amended by,

(a) striking out “Column 1 of” and substituting “the Column titled “OHIP” in”;

(b) striking out “Column 2” and substituting “the Column titled “D.D.S””; and

(c) striking out “Column 3” and substituting “the Column titled “Spec””.

(3) Subsections 16 (5.1), (5.2) and (5.3) of the Regulation are revoked and the following substituted:

(5.1) The amount that would otherwise by payable by the Plan for an insured service rendered by a dental surgeon is increased by,

(a) 2.8 per cent if the service was rendered on or after April 1, 2025 but before April 1, 2026; and

(b) 3.83 per cent if the service was rendered on or after April 1, 2026 but before October 1, 2026.

(4) Clause (h) of the definition of “schedule of dental benefits” in subsection 16 (8) of the Regulation is amended by adding “but before October 1, 2026” at the end.

(5) The definition of “schedule of dental benefits” in subsection 16 (8) of the Regulation is amended by adding the following clauses:

(i) the document published by the Ministry of Health titled “Schedule of Benefits — Dental Services under the Health Insurance Act” dated July 27, 2026 (effective October 1, 2026), but does not include the “[Commentary…]” portions of the document or the Column titled “INTL” in Parts I, II and III of the document, if the service is performed on or after October 1, 2026 but before April 1, 2027,

(j) the document published by the Minister of Health titled “Schedule of Benefits — Dental Services under the Health Insurance Act” dated July 28, 2026 (effective April 1, 2027), but does not include the “[Commentary…]” portions of the document, the Column titled “INTL” in Parts I, II and III of the document or any of its appendices, if the service is performed on or after April 1, 2027.

(6) Subsection 16 (9) of the Regulation is revoked.

Commencement

3. (1) Except as otherwise provided in this section, this Regulation comes into force on the day it is filed.

(2) Subsection 1 (1) is deemed to have come into force on April 1, 2026.

(3) Subsection 1 (2) is deemed to have come into force on July 1, 2026.