Voting in Canadian Election With National Flag Backdrop Generative AI

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.

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

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.

Untitled design 1

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.