1

ontario regulation 8/13

made under the

Health Insurance Act

Made: January 11, 2013
Filed: January 14, 2013
Published on e-Laws: January 14, 2013
Printed in The Ontario Gazette: February 2, 2013

Amending Reg. 552 of R.R.O. 1990

(GENERAL)

1.(1)The definition of “schedule of benefits” in subsection 1 (1) of Regulation 552 of the Revised Regulations of Ontario, 1990 is amended by adding the following paragraph:

21.Amendments dated January 1, 2013;

(2)The definition of “schedule of benefits” in subsection 1 (1) of the Regulation is amended by adding the following paragraph:

22.Amendments dated January 1, 2013 (effective as of April 1, 2013);

(3)The definition of “schedule of laboratory benefits” in subsection 1 (1) of the Regulation is amended by adding the following paragraph:

9.The Ministry of Health and Long-Term Care document titled “Addendum Dated December 4, 2012 (Effective as of January 1, 2013) to the Schedule of Benefits for Laboratory Services”;

2.Section 37.1 of the Regulation is amended by adding the following subsection:

(2.11)Despite subsection (2), the amount payable for a service rendered by a physician to an insured person on or after April 1, 2012 shall be determined as if page GP12 of the General Preamble to the schedule of benefits (Diagnostic Services Rendered by the Referring Physician), as it was deemed to read on April 1, 2012, did not exist.

3.The Regulation is amended by adding the following section:

37.8Despite subsection 37.1 (2), the amount payable for an insured service rendered by a physician in Ontario, as set out in the schedule of benefits, shall be reduced by 0.5 per cent if the service is rendered on or after April 1, 2013.

O. Reg. 76/12

4.Subsections 1 (2), (3) and (4) of Ontario Regulation 76/12, which would amend the definition of “schedule of benefits” in subsection 1 (1) of the Regulation, are revoked.

Commencement

5.(1)Subject to subsections (2) and (3), this Regulation comes into force on the day it is filed.

(2)Subsections 1 (1) and (3) shall be deemed to have come into force on January 1, 2013.

(3)Subsection 1 (2) and sections 2 and 3 come into force on April 1, 2013.

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