OCSA Statement on Bill 175 Proceeding to Committee During COVID-19
OCSA Analysis and Statement on Bill 175
The province had actively engaged the Ontario Community Support Association (OCSA) on the development of a new legislative framework for the home and community care sector, which led to the introduction of Bill 175 and the associated proposed regulation summary on February 25, 2020. OCSA had been supportive of the approach for developing Bill 175 and the province’s plan to modernize the sector. However, COVID19 has halted sector consultations on Bill 175 and the proposed regulations.
In the past number of months, the sector has been solely focused on responding to the COVID-19 pandemic by supporting and delivering services that enable frail seniors and adult with physical disabilities safely isolate and stay healthy during COVID-19. This is why OCSA believes that there is no need to hastily move the bill through the legislative process until further engagement with the sector. At present, OCSA strongly believes that the timing is not right to move forward with this legislation.
COVID-19 has had a great impact on the health sector and has fundamentally changed how services are delivered across the entire health sector. The passing of Bill 175 should be delayed until the COVID-19 pandemic has passed, which would enable the sector to better understand and incorporate key learnings from the pandemic response.
OCSA is calling on government to consult the sector about the lessons learned from COVID-19 in order to ensure a successful transformation of the home and community care sector for clients, providers and front-line staff. Our support of this legislation and associated regulations is contingent on open and transparent collaboration between government, the home and community care sector and other stakeholders. The recent pandemic is a great opportunity for us to learn, adapt and create resilient and sustainable systems for the future. We must make the most of this opportunity.
Summary of OCSA’s Analysis of Bill 175 and the Proposed Regulatory Framework
for the Modernization of the Home and Community Care Sector
At present, the Home Care and Community Services Act, 1994 (HCCSA) and associated regulations govern the home and community care sector. Much of the clinical and service delivery requirements in home and community care are set out in legislation and regulation as opposed to regulation and policy as is the case in other health sectors. Bill 175 proposes to repeal the HCCSA and establish the Connecting Care Act, 2019 (CCA), associated regulations and policy as the oversight framework to govern the sector. This proposal would shift the clinical and service delivery requirements from legislation to regulation and policy.
Overall, OCSA supports adopting a more patient focused regulatory system for the sector. Bill 175 moves away from rigid legislation that directs clinical services – such as service maximums and the need for client assessments –towards services that are more current and reflective of client need.
Summary of Recommendations
Bill 175
- Require Ontario Health Board meetings to be open to the public.
- Carry over the exemption from the Public Vehicles Act for transportation services funded by the Ministry of Health.
Bill 175
- Enshrine the principle that client fees should not be a barrier to accessing care in regulation.
- Develop a provincial framework for care coordination in order to ensure quality and consistency.
- Leverage existing care coordination resources to enhance front-line care and focus care coordination on those who need it most.
- Develop a clear and consistent policy framework to ensure an equitable and client focused approach to address the removal of service maximums.
- Offer support and resources for organizations, especially small organizations, that would be impacted by their designation as Health Information Custodians.
- Prescribe through regulation qualification standards and requirements for being a home and community care health service provider.
- Establish procurement guidelines for contracting services which include a preference for not-for-profit providers with a history of high-quality service.
- Do not proceed with the addition of public hospitals as a location of service for home and community care until comprehensive engagement with both the home and community care sector and the hospital sector is completed.
- Consult extensively with the sector before moving forward on the development of new regulations for residential congregate care settings.
Share
More Updates
TORONTO, May 30, 2025 - The Ontario Community Support Association (OCSA) is pleased to announce the appointment of Lori Holloway as its new Chief Executive Officer, effective June 30, 2025. A recognized leader in Ontario's health and community care sectors, Holloway brings over 20 years of experience driving system change, championing equitable access to care, and strengthening community-based services. Her appointment marks a full-circle moment—returning to OCSA after previously serving as Chief of Operations over a decade ago. Holloway's extensive leadership portfolio includes roles as CEO of Bellwoods Centres for Community Living, National Director of Health and Wellness at the Canadian Red Cross, and Interim CEO of CANES Community Care. She is known for her collaborative leadership style and proven ability to lead organizations through complexity while keeping people and purpose at the centre. "Lori is a values-driven leader with deep roots in our sector," says Steve Sherrer, Chair of the OCSA Board of Directors. "At a time when demand for home and community care is growing and the policy landscape is shifting, her strategic insight and operational expertise will be invaluable in advancing OCSA's mission. We're thrilled to welcome her back to the sector and this exciting role with the organization." Holloway takes over from outgoing CEO, Deborah Simon. "We extend our deepest gratitude to Deborah for her tireless dedication and lasting contributions," says Sherrer. "Thanks to her leadership, OCSA is well positioned to navigate the opportunities and challenges ahead." This leadership transition comes at an important time as OCSA calls for more support for the sector through its Everyone Needs Home and Community Care campaign. Through the campaign, all Ontarians are encouraged to visit www.everyoneneedscare.ca to learn more and to connect to their MPPs for better funding, visibility, and support for home and community care. About OCSA The Ontario Community Support Association (OCSA) champions a strong, sustainable home and community care sector in Ontario. The association represents over 220 not-for-profit organizations deliver high-quality services that help seniors, people with disabilities, and those with complex care needs remain independent in their homes and communities. These proactive and cost-effective services prevent unnecessary hospitalizations, emergency room visits and premature institutionalization. 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
Toronto, ON — Today, on Personal Support Worker (PSW) Day , the Ontario Community Support Association (OCSA) proudly joins communities across the province in recognizing the extraordinary contributions of Personal Support Workers. PSWs are the backbone of Ontario’s home and community care system, providing essential support that enables people to live safely and independently at home. Each year on May 19th, PSW Day is an opportunity to show our deep appreciation for the dedication, compassion, and professionalism of these vital frontline workers. Whether helping seniors with daily tasks, supporting people with disabilities, or providing companionship to those facing isolation, PSWs deliver the care that’s needed—and the care that’s wanted—every single day. As Ontario faces a growing demand for home and community care, the role of PSWs has never been more important. OCSA continues to advocate for investments that will strengthen the PSW workforce, and this is part of the Everyone Needs Home and Community Care advocacy campaign. OCSA encourages all Ontarians to take a moment today to thank a PSW in their life. You can also visit www.everyoneneedscare.ca to learn more about how to support the people who provide essential care in your community. Happy PSW Day—and thank you to all the Personal Support Workers who make a difference every day.
OCSA Launches New Campaign Empowering Ontarians to Call for More Support for Home and Community Care
Against the backdrop of uncertain times, Ontarians need and want more access to these services
