2019 Ontario Pre-Budget Submission
Executive Summary
Ontarians want the opportunity to live independently in their homes for as long as possible. Unfortunately, far too often the reality is much different. An aging and increasingly medically complex population, coupled with chronic underinvestment, has resulted in an unprecedented capacity challenge across our health care system. Overcrowding of hospitals has led to “hallway health care,” with many patients too sick to return home without supports and waiting to receive a more appropriate level of care.
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The Ontario Community Support Association (OCSA) applauds the government’s commitment to end hallway health care. OCSA knows that there is a clear need to build capacity across the health care system, but that will take years. Ontarians need relief sooner and the home and community care sector is an essential, cost-effective and readily available part of the immediate solution.
Effectively utilizing the sector will help to free up hospital capacity, prevent unnecessary emergency department visits, and give clients the opportunity to live independently and safely in their homes and communities for as long as possible. In addition, the home and community care sector encompasses health promotion, and preventative and re-enablement services, helping to avoid unnecessary and costly hospitalization and institutionalization.
While the home and community care sector has the potential to help end hallway health care and restore the province’s finances, this can only happen if the challenges facing the sector are addressed. Through
targeted investments, the development of a health human resource strategy to attract and retain frontline staff and a reduction of burdensome red tape, home and community care can be leveraged to ensure the best care in the most appropriate setting and reduce costs to the system.
The Ontario Community Support Association looks forward to partnering with government as it takes steps to transform our health care system for the people of Ontario.
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More Updates
Ontario, March 27, 2026 — The Ontario Community Support Association (OCSA) welcomes the Ontario government’s continued investment in home care and community support services as part of the 2026 provincial budget. Building on recent commitments, this investment signals a sustained shift toward strengthening care in the home and community as a central pillar of Ontario’s health system. As demand continues to grow—driven by an aging population, increasing caregiver strain, and sustained pressure across hospitals and long-term care—expanding access to care outside of institutions is critical to improving system flow and long term sustainability. “We are listening closely to what Ontarians are telling us—and so is the government,” said Lori Holloway, CEO of OCSA. “People want to receive care at home and in their communities, surrounded by the people and supports that matter most. This investment reflects that reality and moves us further toward a system designed around where people actually want and need care.” Home care and community support services each play distinct but complementary roles. Home care provides essential clinical and personal care in the home, while community support services focus on prevention, independence, and quality of life through programs such as Meals on Wheels, transportation, adult day programs, and caregiver respite. Together, they form the foundation of a modern, community-based care system that helps people remain at home longer while reducing avoidable hospital use and delaying or preventing long-term care placement. This level of sustained investment has the potential to significantly expand access to care at home, strengthen community capacity, and improve outcomes for individuals and families across the province—while supporting a more balanced and sustainable health system overall. OCSA is committed to working with government and system partners to ensure these investments translate into real improvements in access, stronger community supports, and measurable impact for Ontarians. About OCSA The Ontario Community Support Association represents more than 200 not-for-profit organizations providing home care and community support services across the province. OCSA members deliver essential services that help people live independently, age at home, and reduce pressure on hospitals and long-term care. For media inquiries please contact: Karla Sealy (she/her) Manager of Communications 416-256-3010/1-800-267-6272, ext 242 karla.sealy@ocsa.on.ca
Province-wide campaign highlights Meals on Wheels as essential to community care
Ontario relies on community health workers every day to treat illness, support mental health, provide care at home, help people live independently, and keep families well, and in many cases, they provide this care 24/7. They care for people of all ages and backgrounds, often with highly complex needs, and they are essential to achieving a sustainable and high performing healthcare system. Closing the wage gap is not simply about fairness; it is about protecting access to care, reducing system pressure, and ensuring Ontario ’ s healthcare investments deliver maximum impact. The ten provincial community health associations are committed to working collaboratively with the government to build a stable, sustainable community health workforce, which supports a stable and sustainable healthcare system, a goal we all share.
