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Advocacy, Home care, Legislation

Increased home care funding a key Ontario election issue

Voters encouraged to press candidates for their views

Now that the writ has dropped for a snap election in Ontario, key provincial and national seniors’ advocacy groups are urgently calling for the next session of the legislature to approve increased funding to ensure the growing demand for home care is addressed.

Home Care Ontario has issued an appeal for further investments that would provide over 16 million more hours of home care for seniors and their families across the province. In addition, the Canadian Association of Retired Persons (CARP) has officially endorsed Home Care Ontario’s call for further funding.  

For candidates in this election, the message is simple – it is paramount that all political parties prioritize care and supports for seniors, including significantly expanding the amount of home care available to help them stay safe and healthy at home.

Gaye Moffett, Founder, President and CEO of GEM Health Care Services, sits on the board of Home Care Ontario. “Home care wasn’t even mentioned in budgets 30 years ago but now it’s a hot button issue,” she says. “There isn’t one Ontarian that doesn’t want to stay at home as long as they can but without increased funding, home care services will be unattainable for many.”

Additional funding is required to support the ‘home first’ approach which experts agree is a win-win, improving quality of life for older adults while efficiently utilizing healthcare resources. By prioritizing home care over hospital or long-term care stays, seniors’ dignity and quality of life is preserved. The requested funding will support Home Care Ontario’s recommendations to support and grow the home care sector, which include:

• Increasing the number of visits and hours of home care provided by 10% a year for the next three years

• Investing $624 million over three years to improve compensation and help the sector attract and retain home care staff

• Providing specialized training and mentorship to retain skilled home care staff

• Enhancing the Ontario Seniors Care at Home Tax Credit and remove the existing barriers to support increased Home Care services for Ontarians.

“This is an issue that affects everyone,” notes Moffett. “Whatever stage you are at, you should be concerned about the future of home care and you need to remember that the government is not going to fully take care of you or loved ones’ financial needs as the requirement for care services increases.”

Moffett says it is her sincere hope that the next Ontario government agrees with this request for funding that has been widely endorsed. “I hope to see it get put into the next provincial budget for approval and that money begins to flow promptly, as has not always happened in the past,” she says. “We are counting on the government to do the right thing for seniors.”

Moffett and her counterparts encourage all voters to raise the issue with candidates in their provincial ridings. For more information, visit www.homenothallways.ca  or contact us at GEM Health Care Services.

Advocacy, Home care, Legislation, Long term care, Uncategorized

Why the time for a more accessible Seniors’ Tax Credit is now

Senior Couple at Home Office Reviewing Financial Documents and Consulting Tax Advisor for Retirement Planning
Senior Couple at Home Office Reviewing Financial Documents

If you or one of your loved ones is among Ontario’s over-80 population – or approaching that age – you might be interested in the current push to implement an enhanced Seniors’ Tax Credit in our province. The timing couldn’t be more urgent, given that Ontario’s 80+ population is set to double between 2023 and 2040. Properly administered, a Seniors’ Tax Credit will enable seniors to live and receive care in their homes and communities longer, saving long term care (LTC) spaces and hospital beds for those who need them most.

The call for a more accessible Seniors’ Tax Credit is backed by a group of health care, senior living, and real estate organizations in Ontario who understand the vital role it can play in our entire health care and housing continuum. This coalition of organizations is leading the charge to persuade the provincial government to implement a tax benefit that will truly work for Ontario’s seniors. Quebec’s new program serves as a valid model; thanks to its seniors’ tax credit, that province has reduced its LTC waitlist to just over 3,700 as of October 2024, versus 47,000 in Ontario.

One of the key aims is the desire to get rid of the ‘grey market’, whereby unlicensed providers are delivering some seniors’ home care services, often under the table. The legitimate organizations providing services have a powerful, united voice and agree wholeheartedly with a recent C.D. Howe Institute research paper which outlines the need for provinces to implement smart policies to address our growing senior population and economic challenges faced by some seniors. 

The 2022 Ontario budget did introduce a new refundable personal income tax credit called the Ontario Seniors Care at Home Tax Credit (OSCAH). However, the steps to qualify for OSCAH pose a challenge in that seniors must apply and be approved for a federal disability certificate in order to claim part-time attendant care in their homes as an eligible medical expense. As a result, the vast majority of home care recipients have difficulty claiming these expenses and receiving their credit. 

We all know that Ontario’s healthcare system is already stretched to the limit, and more funding alone won’t solve the capacity challenges. To sustain our healthcare system as baby boomers age, leveraging seniors’ care capacity outside of the publicly funded LTC and hospital sectors must be part of the solution. Based on current numbers, an enhanced Seniors’ Tax Credit would allow for 2400 seniors to be diverted from the LTC waitlist to be cared for in the community.

As mentioned, a more accessible tax credit will help seniors afford the necessary services that will enable them to age in the communities of their choice. It would also incentivize senior-focused development and unlock more housing units for young Ontarians who want to start families. If you agree that the time for change in Ontario is now, we encourage you to contact your local Member of Provincial Parliament and add your voice to the chorus pushing for a more accessible Seniors’ Tax Credit. For more information, please visit the Seniors’ Tax Credit website or contact us at GEM Health Care Services.

Serious curly haired woman manages household family budget calculates expenditures takes care of finances and savings sits at table with receipts dressed in domestic clothes poses at home
Advocacy, Aging in place, Family, Home care, Legislation

Why helping families pay for home care makes sense

For seniors, aging-in-place at home is the most comfortable, safe, and affordable option.

That’s why Gaye Moffett is on the board of Home Care Ontario, to work closely with other home care advocates to keep their work top of mind with every level of government.

Here’s what they’re working on right now to get families more support:

Home care co-payments and tax credits

Right now, anyone admitted to a long-term care facility only pays part of the cost. The government subsidizes the rest. 

As an alternative to moving people to a long-term care facility,  Gaye is advocating for a co-pay option to support clients at home. It’s a good investment for the government to make. With less overhead, providing care at home is more cost-effective than at a facility.

Other government incentives are also on the table, such as enhancing tax credits like the Ontario Seniors Care at Home (OSCAH) tax credit, and exempting family-funded care from sales taxes like the HST.

Raising the reputation, visibility and awareness of family-funded home care

One of the biggest challenges home care providers face is the invisibility of the work they do.

When you drive past a hospital or long-term care facility, you know there are people being cared for within those walls. It’s easy to forget that care is also being provided in people’s private homes.

Gaye and her colleagues are raising awareness by advocating for accreditation for family-funded care providers, agency licensing, an authority to over see allied health, and stronger enforcement of labour standards in the grey market to protect people from unlicensed ‘caregivers’ advertising their services on Kijiji.

Contributing to health system transformation

With health system transformation underway due to the pandemic, Gaye wants people to know how family-funded care providers are contributing to those efforts.

That’s why they’re sending educational materials to Ontario Health Teams (OHTs) about their work. 

They’re also engaging the OHTs directly to explain why enhancing home care services is a better option than creating ‘add-on’ services via retirement homes, which come with overhead costs similar to long-term care facilities.

For Gaye and her fellow advocates, investing in home care just makes sense.

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Advocacy

When it comes to navigating home care, we have your back

Finding help for your loved one when they need it the most is never easy.

That’s why Gaye Moffett truly is a ‘gem’ (pardon the pun) when it comes to advocating for her clients and the public in general.

Here are a few ways she pitches in: 

Talking to insurance companies

Being fortunate enough to have private insurance may be a wonderful thing, but getting it approved can sometimes be a challenge.

Insurance companies need to know that the care you need reaches the threshold for a nurse, not just homemaking or personal care.

If for some reason you get turned down, you may not know what to do next. 

This is where Gaye steps in on behalf of her clients. She will contact your insurance company herself and explain why a nursing level of care is required, which helps speed up the approval process.

Representing her clients with Home Care Ontario 

One of the benefits of the Canadian healthcare system is that it combines public options with family-funded care.

This creates a flexibility that allows folks with private insurance to supplement what they’re already eligible for. However, this can also make the system more complex and tough to navigate.

That’s why Gaye takes an active role with Home Care Ontario, to be aware of gaps in the system so she can advocate for family-funded care providers.

By staying in the loop, Gaye helps her clients get the care they need while reducing demand on the public system.

Identifies and advocates for key pieces of legislation to reduce home care costs for Ontarians

By networking with other home care professionals and developing strong working relationships with officials at every level of government, Gaye has her eye on the big picture. 

Through her understanding of how each level of government supports home care services for all Canadians, she can effectively advocate for specific legislation changes. 

In addition to playing a part in the Ontario government’s legislation that requires the licensing of Temporary Help Agencies, Gaye is working behind the scenes on two more key pieces of legislation that will make home care more affordable at the provincial and federal levels.

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Advocacy, Home care, Legislation, Safety

Critical legislation changes just made home care safer in Ontario

Critical legislation changes just made home care safer in Ontario">

As the founder of GEM Health Care Services and member of the board for Home Care Ontario, Gaye Moffett does a lot of advocacy work for her clients behind the scenes.

After spending the past few years lobbying the provincial and federal governments about three key pieces of legislation to keep clients safe and lower the cost of care, she’s happy to report a recent victory.

The Government of Ontario has passed legislation requiring Temporary Help Agencies to be licensed to continue their operations. 

The eligibility criteria to be licensed is stringent to protect both employees and clients, as well as preventing the loss of tax dollars. 

“We’re certainly in favour of this legislation,” said Moffett. “It stops people from putting up a ‘fly-by-night’ temp agency on Kijiji without any oversight or regulation.”

How do you get a licence?

The bar for a Temporary Help Agency to meet the licensing criteria includes:

  • CRA business number
  • WSIB certificate
  • Liability insurance and indemnification
  • Third party quality control, eg. ISO or other relevant certification
  • Criminal background and vulnerable population checks for all staff
  • Putting $25,000 in escrow to cover wages in the event of bankruptcy
  • Application fee of $750

How does this legislation help?

While the legislation protects temporary employees from unfair wages and exploitation in any industry or sector, it’s especially important for home care staffing agencies.

“Our clients are vulnerable and working conditions for our employees can be precarious due to the unpredictable nature of the work,” said Moffett. “They need a staffing agency that knows how to conduct a care assessment so that clients are getting what they need, and staff are being matched to the right clients on a consistent basis.”

Some online home care staffing agencies that call themselves a “matching platform” claim to lower costs by “avoiding overhead” (such as care assessment conducted by a licensed health care practitioner). 

These outfits will also need to apply for a licence before January 1, 2024 and meet the same criteria or face stiff penalties. The government started accepting applications in July, 2023.

“While temporary help agencies are vital to Ontario’s businesses and jobseekers looking to get their foot in the door, for too long they have operated in a grey zone that allows criminals to prey on vulnerable workers,” said Monte McNaughton, Minister of Labour, Immigration, Training and Skills Development. “Our government’s licensing system will ensure law-abiding businesses can have confidence in the THAs and recruiters they work with and that those who abuse workers face the harshest fines in Canada and are banned from operating in our province.”

How will it be enforced?

Penalties for contravening the act will be stiff, ranging from $15,000 for a first offense, to $25,000 for a second offense within three years of the first, and $50,000 for a third offense within the same three year period.

Officers will be looking for these contraventions:

  • operating as a temporary help agency without a licence
  • acting as a recruiter without a licence
  • clients knowingly using an unlicensed temporary help agency, or
  • employers, prospective employers or other recruiters knowingly engaging or using the services of an unlicensed recruiter

And if you’re wondering whether the staffing agency that’s sending your home care worker is licensed, you’ll be able to check with an online search of the government’s database.

Check out our other “Buyer Beware” posts for more tips on screening your caregivers for safety and security, as well as their qualifications.

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Advocacy, Home care

Why community PSW’s deserve better compensation

Why community PSW’s deserve better compensation">

People who receive home care services love their personal support workers (PSWs). 

And why wouldn’t they? PSWs provide the personal care seniors, people with disabilities and other vulnerable populations need to stay in their homes — like bathing, providing medication, meal prep and light housekeeping.

Community PSWs spend more time with home care clients than any other home care worker and become an important presence in their lives. They play a critical role in our healthcare system by significantly improving quality of life for their clients in a cost effective manner — most of the dollars spent on PSWs goes to care rather than on operating an institution. 

So why are community PSWs paid a lot less than PSWs who work in the hospital or long term care? 

Before the pandemic, home care PSWs were paid an average of $16 – $17 per hour. Those who worked in a hospital or long term care facility made $25 to $30 per hour. While the government did increase pay for community PSWs, it’s still falling short by an average of $5 per hour.  

This doesn’t make sense. PSWs in the community need the same skill set and perform the same tasks as those who work in institutions. If anything, home care PSWs have a tougher job because they work alone and in more challenging conditions.

We hire a lot of PSWs and send them everywhere — sometimes almost all the way to Kingston —  but we can’t guarantee them a 9-5 schedule because our clients’ care plans vary and people’s needs are always changing. It’s just the reality of the homecare sector. That’s why a lot of PSWs must work for more than one agency. Understandably, they’ll take whoever can give them the most hours and the best shifts.

The government could help solve this by giving care provider agencies more funds to compensate our PSWs’ for their travel time. We pay a flat rate between shifts, but there’s no incentive for us to pay more for their travel time because we won’t get paid for it. Every time our PSWs need to travel, providers like GEM lose money. 

That’s why we want the Ontario government to invest more in this critical service, so care providers like ours don’t have PSWs leaving us to work for minimum wage jobs that give them steadier work.

The important role PSWs play in our health system has been neglected for long enough.