OCSA calls for sizeable 2024 investment in home and community care to allow sector to pay staff equitably and meet skyrocketing demand for services

(Toronto, Ontario. December 12, 2023.) The Ontario Community Support Association (OCSA) urges the provincial government to make a significant investment in home and community care in the 2024 Budget to allow the sector to compensate their staff fairly, and to meet the increasing demands for services as Ontario’s population ages.

In their pre-budget submission, OCSA recommends that the province commit to an investment of $533 million to fortify and stabilize the home and community care sector. It suggests the $533 million investment be structured as follows: 

$290 million to increase service providers’ operational budgets by 3% and service volumes by 3% this year to meet growing community need and to build a comprehensive basket of home and community care services in each community across the province.  
Up to $77 million for retroactive pay increases to prevent wage disparities from worsening as a result of Bill 124 arbitration awards
$116 million in increases to keep pace with increases in other sectors and start closing the gap between the sectors. 
Approximately $50 million to apply the permanent $3 an hour PSW wage increase to all hours of work not just direct care hours.

“We acknowledge and are grateful for the government’s substantive investment in home and community care in the 2023 budget,” noted Deborah Simon, CEO of Ontario Community Support Association (OCSA). “Unfortunately though, our sector is facing a perfect storm - a health human resources crisis due in large part to wage inequity between sectors, as well as skyrocketing demand for services. Without significant financial investments and dedicated strategic planning over the next few years, this storm will continue to worsen, and many vulnerable Ontarians will be denied the services they rely on to live well and safely at home and in their communities.”

In the last budget, the province allocated $18 million for community support PSWs and other community support staff were allocated wage increases of 2%. Home care staff also received increases of 3 and 4.6%. While OCSA is grateful for these increases, they are still a considerable distance from the 11% increase awarded to hospital nurses and the 8% increase for emergency medical services, and therefore exacerbate the wage gap and prevent services providers from being able to recruit and retain the workforce they need to deliver these critical community healthcare services.

“We know that the majority of elderly Ontarians and those experiencing disability prefer to receive care at home,” says Simon, “And with Ontario’s 80+ population projected to more than double by 2040, the government needs to take urgent action to ensure that the home and community care sector is adequately funded and resourced to provide Ontarians with healthcare where and how they prefer to receive it – at home and in their communities, and delivered by trained professionals.” 

To read OCSA’s full pre-budget submission, click here.  For further information, please contact Rhiana Alfadili at OCSA at rhiana.alfadili@ocsa.on.ca.  

More Updates

Ontario Community Support Association Warns Budget 2026 Must Protect Community Care or Hospital Pressures Will Worsen

By Karla Sealy • January 16, 2026

Ottawa, Ontario – [January 14, 2026] — The Ontario Community Support Association (OCSA) is calling on the provincial government to prioritize sustained investment in Home Care and Community Support Services in the 2026 Ontario Budget. Without action, seniors will lose essential services and hospital emergency rooms will face even greater pressures. Appearing today before the Standing Committee on Finance and Economic Affairs, OCSA CEO Lori Holloway highlighted that community-based care is a cornerstone of Ontario’s health system—keeping people healthy at home, enabling them to age with dignity and preventing unnecessary hospital and long-term care admissions. “Without new investment in Community Support Services, seniors will lose meals and personal care services, caregivers will lose day programs for their loved ones, and hospital beds will fill up as more people are stuck waiting for care that should be delivered at home,” said Holloway. OCSA represents more than 200 not-for-profit home care and community care providers across Ontario, delivering services such as high-needs home care, Meals on Wheels, assisted living, transportation to medical appointments, adult day programs for people living with dementia, and respite supports for caregivers. While the province has made recent investments in home care expansion, OCSA emphasized that these gains are fragile if the community supports that enable people to remain safely at home are allowed to erode. Community Support Services account for less than two per cent of Ontario’s total health budget, yet received no funding increase in Budget 2025 . As a result, many providers are already planning service reductions or facing difficult decisions, including reducing meal delivery routes, limiting day programs and respite services, scaling back transportation programs, and closing adult day programs for part of the week. In turn, service reductions will place additional strain on working caregivers, 69% of whom are experiencing burnout and nearly half of whom are considering leaving the workforce to care for their loved ones. “These are not abstract risks,” Holloway said. “They are real service reductions being planned right now in communities across the province.” When community supports are unavailable, patients end up in hospital and/or remain in hospital beds longer—not because they need acute care, but because the services required for safe discharge do not exist. A hospital Alternate Level of Care (ALC) bed costs approximately $730 per day , compared to $103 per day for home and community care. Ontario’s aging demographics make the issue increasingly urgent. Nearly one in five Ontarians is now over the age of 65 , and the senior population is expected to grow significantly over the next decade. OCSA is urging the government to immediately: Sustain home care through a renewed multi-year investment of $442 million investment annually, and predictable funding; Invest $150 million annually to stabilize Community Support Services and prevent service cuts; and Address workforce shortages by closing the wage gap facing community health workers, who earn 23 to 46 per cent less than their hospital counterparts. “Ontario cannot build its way out of an aging population with hospitals and long-term care beds alone,” Holloway said. “Care delivered at home and in the community is where people want to be, and it is the most cost-effective and compassionate approach for the health system.” About the Ontario Community Support Association 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 more information visit www.ocsa.on.ca or @OCSATweets 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

Ontario Community Support Association Welcomes $1.1 Billion Investment in Home Care Announced in Fall Economic Statement

By Davina Yawson • November 7, 2025

Toronto, ON – The Ontario Community Support Association (OCSA) welcomes the Government of Ontario’s announcement in the 2025 Fall Economic Statement of a $1.1 billion investment to protect and expand home care services. This significant commitment demonstrates government’s recognition of the vital role that home and community care plays in the province’s healthcare system. “The Ontario Community Support Association welcomes this significant investment in home care. Previous funding commitments have helped stabilize the sector, supporting a measurable reduction in staff turnover and fewer missed care visits. These improvements mean more Ontarians are receiving the care they need, when and where they need it. We encourage the government to continue to invest in programs like Hospital to Home and organizations that bring together home care, community support, and independent living services, which are essential to building a system that keeps people healthy, connected, and cared for at home.” — Lori Holloway, Chief Executive Officer, Ontario Community Support Association As the province looks ahead, OCSA stands ready to collaborate with the Ministry of Health and system partners to advance innovative models that integrate home care, community support, and independent living services. Together, these efforts will help build a sustainable, connected system that keeps people healthy and cared for at home. About the Ontario Community Support Association (OCSA) OCSA represents the full spectrum of organizations that deliver home and community support services across Ontario, helping people live independently and with dignity where they want to be—at home. Through advocacy, research, and member collaboration, OCSA works to strengthen the sector and build a more connected, person-centered health system. Media Contact: Karla Sealy Ontario Community Support Association Email: karla.sealy@ocsa.on.ca Website: www.ocsa.on.ca

OCSA releases new policy paper: Transforming Seniors’ Care—A Roadmap for Creating Healthy Ageing Community Hubs in Ontario

By Davina Yawson • June 13, 2025

With Ontario’s senior population expected to nearly double by 2046, the need for coordinated, community-based care has never been more urgent. OCSA’s latest policy paper outlines a practical roadmap for scaling Healthy Ageing Community Hubs—integrated models that deliver health, social, and housing supports to help older adults age safely at home. The paper identifies six key policy recommendations: integrated and flexible funding, expansion of existing models, streamlined regulation, digital health integration, empowered local leadership, and province-wide service mapping. These hubs are already demonstrating improved outcomes—from reduced hospital use to higher client satisfaction—but scaling them requires system-level action. This paper is a call to policymakers, health system leaders, and community organizations to build on what works.