O. Reg. 322/01: GENERAL

 

ONTARIO regulation 322/01

made under the

Health Insurance Act

Made: August 8, 2001
Filed: August 15, 2001
Printed in The Ontario Gazette: September 1, 2001

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

(General)

Note: Since the end of 2000, Regulation 552 has been amended by Ontario Regulations 14/01, 66/01, 183/01, 250/01, 272/01 and 306/01.  Previous amendments are listed in the Table of Regulations published in The Ontario Gazette dated January 20, 2001.

1. (1) Item 2 of the Table to subsection 8 (2) of Regulation 552 of the Revised Regulations of Ontario, 1990 is amended by striking out paragraph 1 in Column 2 and substituting the following:

1. The medication must be prescribed by a physician on the medical staff of a hospital graded, under the Public Hospitals Act, as a Group O hospital.

(2) Item 4 of the Table to subsection 8 (2) of the Regulation is amended by striking out paragraph 1 in Column 2 and substituting the following:

1. The medication must be prescribed by a physician on the medical staff of a hospital graded, under the Public Hospitals Act, as a Group S hospital.

(3) Item 5 of the Table to subsection 8 (2) of the Regulation is amended by striking out paragraph 1 in Column 2 and substituting the following:

1. The medication must be prescribed by a physician on the medical staff of a hospital graded, under the Public Hospitals Act, as a Group T hospital.

(4) Item 6 of the Table to subsection 8 (2) of the Regulation is amended by striking out paragraph 1 in Column 2 and substituting the following:

1. The medication must be prescribed by a physician on the medical staff of a hospital graded, under the Public Hospitals Act, as a Group U hospital.

2. (1) Paragraphs 2 and 3 of subsection 9 (1) of the Regulation are revoked and the following substituted: 

2. A hospital graded, under the Public Hospitals Act, as a Group A, B, C, E, F, G, J or R hospital.

(2) Subsection 9 (6) of the Regulation is revoked and the following substituted:

(6) Subject to subsection 11 (1), an insured person is entitled to receive computerized axial tomography scanning services in a hospital graded, under the Public Hospitals Act, as a Group M hospital without paying any charge to the hospital for such services.

(3) Subsection 9 (8) of the Regulation is revoked and the following substituted:

(8) It is a condition of payment by the Plan to a hospital for the performance of a computerized axial tomography scan that the scan be performed by and on the premises of a hospital graded, under the Public Hospitals Act, as a Group M hospital.

3. Subsection 10 (2) of the Regulation is revoked and the following substituted:

(2) This section applies only with respect to an insured person receiving,

(a) insured in-patient services provided in a hospital listed in Part II of Schedule 1, Part II of Schedule 2 or Part II of Schedule 4 or a hospital graded, under the Public Hospitals Act, as a Group F, G or R hospital; or

(b) insured in-patient services provided in a hospital graded, under the Public Hospitals Act, as a Group A, B or C hospital if the insured person is awaiting placement in a hospital referred to in clause (a) or another institution.

4. Clause 15 (1) (b) of the Regulation is revoked and the following substituted:

(b) the hospital to or from which the services are required is listed in Schedule 1 or 4 or is graded, under the Public Hospitals Act, as a Group A, B, C, E, F, G, J or R hospital; and

5. (1) Paragraphs 2 and 3 of subsection 35 (1) of the Regulation are revoked and the following substituted: 

2. The hospitals graded, under the Public Hospitals Act, as Group A, B, C, E, F, G, J or R hospitals.

(2) Subsection 35 (3) of the Regulation is revoked and the following substituted:

(3) Each hospital graded, under the Public Hospitals Act, as a Group M hospital is designated for the purpose of performing computerized axial tomography scans.

(3) Subsection 35 (8) of the Regulation is revoked and the following substituted:

(8) If a hospital pays for a computerized axial tomography scan performed on a scanner that is not installed and operated on the premises of a hospital graded, under the Public Hospitals Act, as a Group M hospital, no claim to recover the cost of the scan is an allowable expense that may be made against the Plan.