Open Letter on Bill 124
Open Letter on Bill 124
DOWNLOAD PDFMay 25, 2021
Dear Premier Ford and Deputy Premier Elliott,
Bill 124 has some significant and concerning impacts on community-based home and community care service providers which this letter looks to address
Since March 2020, this province has battled COVID-19. Ontario healthcare workers have risen to the unprecedented challenge of being on the frontlines of an unrelenting pandemic, facing hardship, long hours, while risking their own personal health.
Playing a key role in this crisis has been the home and community care front line workers who serve and protect the most vulnerable Ontarians, helping keep seniors and people with disabilities living safely and independently in their own homes and communities thus lowering their risk of exposure to COVID-19.
The home and community care workforce is in a crisis only exasperated by the current pandemic. Recruitment and retention of front-line workers is our most pressing challenge. Nurses and Personal Support Workers are the lowest paid in the health system, and these wage disparities have led many front-line workers leaving the sector to go work to those that are better compensated. Capping salaries of an already drastically low paid workforce will only lead to alarming vacancies in our sector.
Our sector needs wage parity, not wage caps. PSWs in the home and community care sector are making on average 19% less than PSWs in the hospital sector and 9% less than PSWs in the long-term care sector. Nurses in the home and community care have a median salary wage gap versus hospitals at $11.00 an hour. Between 2004 and 2019, the maximum annual wage growth for Registered Nurses in home care was between 1.3% and 2.2%.
The home and community care sector is a crucial and cost-effective player in ending hallway health care, and can ensure Ontarians receive care at home and in their community rather than prematurely in expensive institutionalized settings. However, this cannot be achieved if the sector cannot recruit and retain the appropriate human resources to deliver services at home and in the community.
We strongly recommend that community-based not-for profit home and community care providers be exempt from Bill 124 in the same way that for-profit providers of home and community care are exempt.
Bill 124 will further strain our members’ ability to recruit and retain front-line workers. The Government cannot reward the incredible dedication shown by our sector’s workforce, especially over the last 14 months, with compensation restrictions. Our sector cannot afford this and neither can the over 1 million seniors and adults with physical disabilities who rely on these workers to live independently at home.
On behalf of the home and community care sector, we urge you to immediately exempt home and community care workers from Bill 124.
Should you need further information, please contact Eric Mariglia, Manager of Policy, Government and Stakeholder Relations, at eric.mariglia@ocsa.on.ca or 416-256-3021 ext 227.
Sincerely,
Deborah Simon
CEO, OCSA
CEO, OCSA
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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

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.

