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O. Reg. 283/15: GENERAL
filed September 18, 2015 under Health Insurance Act, R.S.O. 1990, c. H.6
Skip to contentontario regulation 283/15
made under the
Health Insurance Act
Made: September 16, 2015
Filed: September 18, 2015
Published on e-Laws: September 18, 2015
Printed in The Ontario Gazette: October 3, 2015
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:
28. Amendments dated September 1, 2015 (effective as of October 1, 2015);
(2) The definition of “schedule of benefits” in subsection 1 (1) of the Regulation is amended by adding the following paragraph:
29. Amendments dated September 1, 2015 (effective as of April 1, 2016);
2. The Regulation is amended by adding the following section:
37.10 (1) Despite subsection 37.1 (2), the amount payable for an insured service rendered by a physician in Ontario, as set out in the schedule of benefits, shall be reduced by 1.3 per cent if the service is rendered on or after October 1, 2015.
(2) For greater certainty, the reduction under subsection (1) is in addition to, and not in place of, any other reduction provided for under this Regulation.
3. The Regulation is amended by adding the following section:
37.11 (1) Despite subsection 37.1 (2) where, in respect of a fiscal year, $1,000,000 has already been payable from the Plan for the professional component of insured services rendered by a physician in Ontario after all the adjustments under this Regulation to the amount set out in the schedule of benefits have been applied, the amount payable to the physician for the professional component of insured services rendered in Ontario for the remainder of the fiscal year shall be reduced by 1 per cent.
(2) For greater certainty, the reduction under subsection (1) is in addition to, and not in place of, any other reduction provided for under this Regulation.
(3) In this section,
“fiscal year” means the period beginning on April 1 in one year, and ending on March 31 in the following year;
“professional component” has the same meaning as in the schedule of benefits.
Commencement
4. (1) Subject to subsections (2) to (4), this Regulation comes into force on the day it is filed.
(2) Subsection 1 (1) and section 2 come into force on October 1, 2015.
(3) Subsection 1 (2) comes into force on April 1, 2016.
(4) Section 3 shall be deemed to have come into force on April 1, 2015.