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C-450
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ENGLISHSUMMARYSUMMARY1 Canada Health Act1 Canada Health Act6 Coming into Force6 Coming into Force
First Session, Forty-second Parliament,
64-65-66-67-68 Elizabeth II, 2015-2016-2017-2018-2019
HOUSE OF COMMONS OF CANADA
BILL C-450
An Act to amend the Canada Health Act
FIRST READING, May 16, 2019
Ms. Leitch
421498
SUMMARY
This enactment amends the Canada Health Act to add to the requirements that a province must meet in order to qualify for a full cash contribution the criterion of accountability in relation to the timely delivery of health services. It also provides for the referral of certain defaults to arbitration for determination. 
Available on the House of Commons website at the following address:
www.ourcommons.ca
1st Session, 42nd Parliament, 
64-65-66-67-68 Elizabeth II, 2015-2016-2017-2018-2019
HOUSE OF COMMONS OF CANADA
BILL C-450
An Act to amend the Canada Health Act
Her Majesty, by and with the advice and consent of the Senate and House of Commons of Canada, enacts as follows:
R.‍S.‍, c. C-6
Canada Health Act
1 The Canada Health Act is amended by adding the following after section 7:
Additional criterion — accountability
7.‍1 In addition to meeting the other requirements of this Act, in order that a province may qualify for a full cash contribution referred to in section 5 for a fiscal year, the law of the province must, throughout the fiscal year, satis­fy the criterion described in section 12.‍1 respecting accountability.
2 The Act is amended by adding the following after section 12:
Accountability
12.‍1 In order to satisfy the criterion respecting accountability, the law of a province
(a) must provide for measures to ensure that insured health services are delivered in a timely manner that meets reasonable standards of care;
(b) must provide that legal proceedings may be brought against the government of the province in respect of insured health services that are not delivered in a timely manner; and
(c) must permit an insured person to receive hospital services, physician services or surgical-dental services that are provided outside the health care insurance plan of the province if there is no reasonable access to care under the plan.
3 (1) Subsection 14(1) of the Act is replaced by the following: 
Referral to arbitration
14 (1) Subject to subsection (3), the Minister shall refer a matter to arbitration if the Minister, after consultation in accordance with subsection (2) with the minister responsible for health care in a province, is of the opinion that a default described in any of paragraphs (a) to (c) is occurring in the province and the province has not given an undertaking satisfactory to the Minister to remedy the default within a period that the Minister considers reasonable:
(a) the health care insurance plan of the province does not or has ceased to satisfy any one of the criteria described in sections 8 to 12; 
(b) the law of a province does not or has ceased to satis­fy the criterion described in section 12.‍1; or
(c) the province has failed to comply with any condition set out in section 13.
(2) The portion of subsection 14(2) of the Act before paragraph (a) is replaced by the following:
Consultation process
(2) Before referring a matter to arbitration under subsection (1) in respect of a province, the Minister shall
(3) Subsection 14(3) of the Act is replaced by the following:
When no consultation can be achieved
(3) The Minister may act without consultation under subsection (1) if the Minister is of the opinion that a sufficient time has expired after reasonable efforts to achieve consultation and that consultation will not be achieved. However, the Minister shall first notify in writing the minister responsible for health care in the province that the matter is to be referred to arbitration.
Request
(4) On referring a matter to arbitration, the Minister shall make a written request to the chief justice of the superior court of the province in which the matter arises to appoint a judge of that court to act as arbitrator.
Appointment of arbitrator 
(5) Within a reasonable period after receipt of a request referred to in subsection (4), the chief justice shall, after any inquiry that he or she considers necessary, appoint a judge as arbitrator.
Joint statement
(6) On the appointment of an arbitrator, the parties shall prepare a joint statement of the issues in dispute and shall submit that statement to the arbitrator.
Hearing
(7) Within 21 days after being appointed, the arbitrator shall hold a hearing.
Determination
(8) Within 60 days after being appointed, the arbitrator shall determine whether a default described in any of paragraphs (1)‍(a) to (c) is occurring in the province and advise the Minister of his or her determination.
Judges Act
(9) Subsection 57(3) of the Judges Act does not apply in respect of a judge acting as an arbitrator under this Act.
4 The portion of subsection 15(1) of the Act before paragraph (a) is replaced by the following:
Order reducing or withholding contribution
15 (1) If, on the referral of a matter under section 14, the arbitrator’s determination is that the health care insurance plan of a province does not or has ceased to satisfy any one of the criteria described in sections 8 to 12, that the law of a province does not or has ceased to satisfy the criterion described in section 12.‍1 or that a province has failed to comply with any condition set out in section 13, the Minister shall so inform the Governor in Council who may, by order,
5 Section 16 of the Act is replaced by the following: 
Reimposition of reductions or withholdings
16 In the case of a continuing failure to satisfy any of the criteria described in sections 8 to 12.‍1 or to comply with any condition set out in section 13, any reduction or withholding under section 15 of a cash contribution to a province for a fiscal year shall be reimposed for each succeeding fiscal year as long as the Minister is satisfied, after consultation with the minister responsible for health care in the province, that the default is continuing.
Coming into Force
One year after royal assent
6 This Act comes into force on the first anniversary of the day on which it receives royal assent.
Published under authority of the Speaker of the House of Commons
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