Health Sciences 3400A/B Chapter Notes - Chapter 1: Canada Health Transfer, Canada Health Act, Fiscal Year
17 Dec 2016
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Health Policy Reading
Canada Health Act
• Piece of Canadian Federal legislation
• Made in 1984
• Specifies the conditions and criteria with which the provincial and territorial
health insurance programs must conform in order to get federal payments
o Called the Canada Health Transfer
• Deals ONLY with the finance
• States
o The primary objective of Canadian health care policy is to protect,
promote and restore the physical and mental well-being of residents of
Canada and to facilitate reasonable access to health services without
financial or other barriers
• Purpose
o To establish criteria and conditions in respect of insured health services
and extended health care services provided under provincial law that
must be must be met before a full cash contribution may be made
• Cash Contribution
o Subject to this act
o A part of the Canada Health Transfer
o A full cash contribution from the federal government to each province for
each fiscal year
• Program Criteria
o In order for the province/territory to get this money they must meet
▪ Public administration
• Non for profit basis
▪ Comprehensiveness
• Health care plan must ensure all health services are
insured by wherever the law permits
o Hospitals
o Medical practitioners
o Etc
▪ Universality
• Must entitle one hundred percent of the insured people of
the province to the insured health services
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▪ Portability
• Must not impose any minimum period of residence
o Three month waiting period is universal for all
provinces and territories
▪ Accessibility
• Must provide payment for insured health services in
accordance with a tariff system by law of the province
• Must provide for reasonable compensation for all insured
health services rendered by medical practitioners
o Cannot underpay doctors
• Must provide for the payment of amounts to hospitals
▪ Accessibility covers the rights of doctors*
Definitions
• Extended health care services
o Means the following services, as more particularly defined in the
regulations, provided for residents of a province, namely
▪ Nursing home intermediate care service
▪ Adult residential care service
▪ Home care service
▪ Ambulatory health care service
• These services cost extra
• Dentist
o A person lawfully entitled to practise dentistry in the place in which the
practice is carried on by that person
• Extra billing
o The billing for an insured health service rendered to an insured person by
a medical practitioner or a dentist in an amount in addition to any
amount paid or to be paid for that service by the health care insurance
plan of a province
• Health Insurance Plan
o In relation to a province, a plan or plans established by the law of the
province to provide for insured health services
• Health Care Practitioner
o A person lawfully entitled under the law of a province to provide health
services in the place in which the services are provided by that person
• Hospital
find more resources at oneclass.com
find more resources at oneclass.com
