Legislation Archives - GEM Healthcare Services

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.

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.