Acts and Regulations

H-3 - Health Services Act

Full text
Regulations
11The Lieutenant-Governor in Council may make regulations
(a) establishing a health services plan;
(b) providing for the administration and operation of the health services plan;
(c) defining beneficiaries for the purposes of the health services plan and establishing categories of beneficiaries;
(d) defining and prescribing entitled services;
(e) determining the kinds of entitled services for which specified categories of beneficiaries shall be eligible;
(f) deeming certain kinds of services not to be entitled services;
(g) respecting the time, manner, and form in which the accounts shall be rendered and in which any other information required in connection with the account shall be submitted;
(h) providing for participation fees;
(i) prescribing the method of assessing accounts with respect to the cost of entitled services and of determining the amount payable therefor;
(j) regulating the payment to providers of services in the Province for providing entitled services to beneficiaries either by a tariff of authorized payments or in accordance with any other system of payment on a basis that provides reasonable compensation for entitled services rendered and the manner and form thereof;
(k) prescribing the amounts to be paid with respect to the cost of entitled services provided
(i) in another province, or
(ii) outside Canada;
(l) respecting reimbursement to beneficiaries for entitled services for which they have paid, to the extent that no claim therefor has been made by the person supplying such services;
(m) providing that claims for payment for entitled services must be submitted within a specified time from the date on which such services were supplied, and providing for the pro rata reduction, or refusal, of such payments if the specified time period is exceeded;
(n) providing for the appointment of advisory committees and prescribing the duties of such committees;
(o) fixing the remuneration for members of committees while attending meetings or otherwise carrying out their prescribed duties;
(p) respecting appeals from anything done under this Act or the regulations and the procedure thereof; and
(q) generally for the administration of this Act.
1971, c.6, s.11
Regulations
11The Lieutenant-Governor in Council may make regulations
(a) establishing a health services plan;
(b) providing for the administration and operation of the health services plan;
(c) defining beneficiaries for the purposes of the health services plan and establishing categories of beneficiaries;
(d) defining and prescribing entitled services;
(e) determining the kinds of entitled services for which specified categories of beneficiaries shall be eligible;
(f) deeming certain kinds of services not to be entitled services;
(g) respecting the time, manner, and form in which the accounts shall be rendered and in which any other information required in connection with the account shall be submitted;
(h) providing for participation fees;
(i) prescribing the method of assessing accounts with respect to the cost of entitled services and of determining the amount payable therefor;
(j) regulating the payment to providers of services in the Province for providing entitled services to beneficiaries either by a tariff of authorized payments or in accordance with any other system of payment on a basis that provides reasonable compensation for entitled services rendered and the manner and form thereof;
(k) prescribing the amounts to be paid with respect to the cost of entitled services provided
(i) in another province, or
(ii) outside Canada;
(l) respecting reimbursement to beneficiaries for entitled services for which they have paid, to the extent that no claim therefor has been made by the person supplying such services;
(m) providing that claims for payment for entitled services must be submitted within a specified time from the date on which such services were supplied, and providing for the pro rata reduction, or refusal, of such payments if the specified time period is exceeded;
(n) providing for the appointment of advisory committees and prescribing the duties of such committees;
(o) fixing the remuneration for members of committees while attending meetings or otherwise carrying out their prescribed duties;
(p) respecting appeals from anything done under this Act or the regulations and the procedure thereof; and
(q) generally for the administration of this Act.
1971, c.6, s.11