BC Health Minister to enforce the Medicare Protection Amendment Act

This morning Health Minister Adrian Dix announced that BC will bring into force outstanding sections of the Medicare Protection Amendment Act. See below for the full release:
Link to BC government release (with backgrounder): https://news.gov.bc.ca/releases/2018HLTH0027-000559
“In addition to increasing access to surgeries and MRIs, the Government of British Columbia is bringing into force outstanding sections of the Medicare Protection Amendment Act, 2003, to further support patients and strengthen B.C.’s public health-care system, Adrian Dix, Minister of Health, announced today.
“I am taking action today to protect our public health-care system, and to correct the previous government’s failure to enforce the law, something done at the expense of patients,” said Dix.
The Medicare Protection Amendment Act, 2003, which enhances authority around extra billing, was passed in 2003, but some sections were not brought into force. Currently, the Medical Services Commission can audit practitioners and clinics, and can seek a court-ordered injunction to stop the practice of extra billing, but other actions are limited.
Extra billing means charging a patient or a representative for health care that should be provided at no cost, because it is covered under the Medical Services Plan (MSP), or publicly funded as a benefit under the Hospital Insurance Act.
During 2017-18, the Ministry of Health audited three private clinics. Based on these audits, as well as a previous one, Health Canada estimated that extra billing in B.C., in violation of the Canada Health Act, for the 2015-16 fiscal year, was $15.9 million. In March 2018, federal health funding to B.C. was reduced by this amount.
“The consequences of the failure of the previous government to enforce the law has cost patients millions of dollars. This has to stop,” said Dix.  “We are taking strong action today and will be asking the federal government to restore funding to B.C. in the coming year as a result.”
Sections of the Medicare Protection Amendment Act, 2003 that are coming into force, and new actions that can be taken by the Medical Services Commission, include:
  • Making it an offence to extra bill for services insured under the Medicare Protection Act or the Hospital Insurance Act;
  • Clarifying that selling priority access to medically necessary care is extra billing;
  • Providing new protections for beneficiaries and establishing that they are not liable to pay for extra billing charges;
  • Creating consequences for practitioners, or others, such as privately owned medical clinics, who have extra-billed beneficiaries;
  • Ensuring that all diagnostic facilities, including non-approved diagnostic facilities, cannot charge beneficiaries for diagnostic services if the services would be covered under MSP.
With implementation of these new provisions, government has clarified the rules around extra billing, authorized the Medical Services Commission to refund beneficiaries in cases of extra billing and set out clear consequences for breaking those rules. Any person who extra bills may now be required to refund the fee paid, face fines of up to $10,000 for a first offence, and $20,000 for a second offence if convicted of wrongly charging patients. Practitioners may also be de-enrolled from MSP, making them unable to bill the public health-care system. Six clinics have audits planned for this fiscal year: three are already underway; three are in the planning stage.

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