35 (1) A health service provider or Ontario Health Team may integrate its services with those of another person or entity. 2019, c. 5, Sched. 1, s. 35 (1); 2020, c. 13, Sched. 1, s. 2 (1, 4). Application of other Act (2) Nothing in this Act shall be interpreted as preventing the application of the Public Sector Labour Relations Transition Act, 1997, in accordance with the terms of that Act, to an integration mentioned in subsection (1). 2019, c. 5, Sched. 1, s. 35 (2). Notice (3) If the integration mentioned in subsection (1) relates to services that are funded, in whole or in part, by the Agency, the health service provider or Ontario Health Team, (a) shall give notice of the proposed integration to the Minister, unless the regulations provide otherwise; (b) may proceed with the proposed integration if the provider or Team is not required to give the notice mentioned in clause (a); (c) shall not proceed with the proposed integration until 90 days have passed since giving the notice mentioned in clause (a), if the provider or Team is required to give the notice and the Minister does not give notice under subsection (6); (d) shall not proceed with the proposed integration until 90 days have passed since the Minister gives notice under subsection (6), if, (i) the provider or Team is required to give notice under clause (a), (ii) the Minister gives notice under subsection (6), and (iii) the Minister does not issue a decision under subsection (8); (e) despite clauses (c) and (d), may proceed with the proposed integration at any time if the Minister notifies the provider or Team that the Minister does not intend to give notice of a proposed decision under subsection (6) or issue a decision under subsection (8); and (f) shall not proceed with the proposed integration that is the subject of a decision under subsection (8), if the Minister issues such a decision. 2019, c. 5, Sched. 1, s. 35 (3); 2020, c. 13, Sched. 1, s. 2 (1, 2, 5, 12, 19, 20). Exceptions (4) Subsection (3) does not apply to an integration that requires a decision of the Minister or a Director under the Integrated Community Health Services Centres Act, 2023 or the Fixing Long-Term Care Act, 2021. 2019, c. 5, Sched. 1, s. 35 (4); 2021, c. 39, Sched. 2, s. 4 (5); 2023, c. 4, Sched. 1, s. 69 (3). Required contents (5) A notice under clause (3) (a) must include, (a) a description of the proposed integration, including the identity of the parties involved with the integration; (b) the health service provider’s or Ontario Health Team’s analysis of any financial implications, service delivery implications, health system implications or human resource implications of the proposed integration, where applicable; (c) where applicable, a description of any community engagement processes that the provider or Team used to consider the proposed integration, and a description of any issues that were raised in those consultation processes and the provider’s or Team’s analysis, if any, of those issues; (d) a description of the proposed timing or staging of the implementation of the proposed integration; and (e) a description of the level of approval received by the provider or Team within its organization. 2019, c. 5, Sched. 1, s. 35 (5); 2020, c. 13, Sched. 1, s. 2 (1, 2, 5, 12). Notice of proposed decision (6) No later than 90 days after the health service provider or Ontario Health Team gives the notice required under subsection (3), the Minister may, (a) request more information about the proposed integration from the provider or Team and where such a request has been made, (i) the provider or Team shall provide the information within 30 days of the request by the Minister, and (ii) the time limit for the Minister to take the steps set out in this clause and clauses (b) and (c) shall be extended, once only, by an additional 60 days; (b) notify the provider or Team that the Minister proposes to issue a decision under subsection (8); (c) provide a copy of the proposed decision to the provider or Team; and (d) publish the proposed decision on a website. 2019, c. 5, Sched. 1, s. 35 (6); 2020, c. 13, Sched. 1, s. 2 (1, 2, 5, 12, 13). Submissions (7) Any person may make written submissions about the proposed decision to the Minister no later than 30 days after the Minister publishes the proposed decision on a website. 2019, c. 5, Sched. 1, s. 35 (7). Issuing a decision (8) If more than 30 days, but no more than 90 days, have passed after the Minister gives notice under subsection (6) and after the Minister has considered any written submissions made under subsection (7), the Minister may, if the Minister considers it in the public interest to do so, issue a decision ordering the health service provider or Ontario Health Team not to proceed with the integration mentioned in the notice under clause (3) (a) or with a part of the integration. 2019, c. 5, Sched. 1, s. 35 (8); 2020, c. 13, Sched. 1, s. 2 (1, 7). Matters to consider (9) In issuing a decision under subsection (8), the Minister may consider any matter that the Minister considers relevant. 2019, c. 5, Sched. 1, s. 35 (9). Variance (10) An integration decision mentioned in subsection (8) may be different from the proposed decision that was the subject of the notice given under subsection (6). 2019, c. 5, Sched. 1, s. 35 (10). Section Amendments with date in force (d/m/y) 2019, c. 5, Sched. 1, s. 49 (5) - no effect - see 2023, c. 4, Sched. 1, s. 69 (5) - 18/05/2023 2020, c. 13, Sched. 1, s. 2 (1, 2, 4, 5, 7, 12, 13, 19, 20) - 08/07/2020 2021, c. 39, Sched. 2, s. 4 (5) - 11/04/2022; 2021, c. 39, Sched. 2, s. 4 (6) - no effect - see 2023, c. 4, Sched. 1, s. 79 (2) - 18/05/2023 2023, c. 4, Sched. 1, s. 69 (3) - 25/09/2023