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ontario regulation 53/23

made under the

�������� Works Act, 1997

Made: March 23, 2023
Filed: March 24, 2023
Published on e-Laws: March 24, 2023
Printed in The �������� Gazette: April 8, 2023

Amending O. Reg. 134/98

(GENERAL)

1. (1) Subparagraph 1 ii of subsection 55 (1) of �������� Regulation 134/98 is amended by striking out “other than a periodic oculo-visual assessment as referred to in paragraph 1.1” and substituting “other than a service described in paragraph 1.1”.

(2) Paragraph 1.1 of subsection 55 (1) of the Regulation is revoked and the following substituted:

1.1�� Subject to subsection (1.0.0.1), for every member of the benefit unit once every 24 months, an amount equal to,

i.�� $48.00 for a periodic oculo-visual assessment performed by an optometrist, or

ii.�� $50.65 for a periodic oculo-visual assessment performed by a physician.

(3) Subparagraph 1.1 i of subsection 55 (1) of the Regulation, as made by subsection (2), is amended by striking out “periodic oculo-visual assessment” and substituting “major oculo-visual examination”.

(4) Subsection 55 (1.0.0.1) of the Regulation is revoked and the following substituted:

(1.0.0.1) An amount under paragraph 1.1 of subsection (1) is only payable if,

(a)�� the member of the benefit unit has not had a periodic oculo-visual assessment, a major oculo-visual examination or a major eye examination within the preceding 24 months; and

(b)�� the member of the benefit unit is not entitled to payment on his or her behalf for the periodic oculo-visual assessment, the major oculo-visual examination or the major eye examination under the �������� Health Insurance Plan established under the Health Insurance Act.

(5) Subsection 55 (5) of the Regulation is revoked and the following substituted:

(5) In this section,

“major eye examination” has the same meaning as a major eye examination as described in the document referred to in,

(a)�� the definition of “schedule of optometry benefits” in subsection 1 (1) of Regulation 552 of the Revised Regulations of ��������, 1990 made under the Health Insurance Act, as that definition read on April 1, 2023, when the examination is performed by an optometrist, or

(b)�� the definition of “schedule of benefits” in subsection 1 (1) of Regulation 552 of the Revised Regulations of ��������, 1990 made under the Health Insurance Act, when the examination is performed by a physician; (“examen de la vue majeur”)

“periodic oculo-visual assessment” has the same meaning as a periodic oculo-visual assessment as described in the document referred to in,

(a)�� the definition of “schedule of optometry benefits” in subsection 1 (1) of Regulation 552 of the Revised Regulations of ��������, 1990 made under the Health Insurance Act, as that definition read on April 1, 2023, when the assessment is performed by an optometrist, or

(b)�� the definition of “schedule of benefits” in subsection 1 (1) of Regulation 552 of the Revised Regulations of ��������, 1990 made under the Health Insurance Act, when the assessment is performed by a physician. (“bilan oculo-visuel périodique”)

(6) Subsection 55 (5) of the Regulation, as remade by subsection (5), is amended by adding the following definition:

“major oculo-visual examination” has the same meaning as a major oculo-visual examination as described in the document referred to in the definition of “schedule of optometry benefits” in subsection 1 (1) of Regulation 552 of the Revised Regulations of ��������, 1990 made under the Health Insurance Act; (“examen oculo-visuel majeur”)

Commencement

2. (1) Except as otherwise provided in this section, this Regulation comes into force on the day it is filed.

(2) Subsections 1 (1), (2) and (5) come into force on April 1, 2023 or, if this Regulation is filed after that day, are deemed to have come into force on that day.

(3) Subsections 1 (3), (4) and (6) come into force on September 1, 2023 or, if this Regulation is filed after that day, are deemed to have come into force on that day.

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