O.C. 269/2020

A.R. 162/2020

September 9, 2020


            The Lieutenant Governor in Council makes the Physician Payment Disclosure Regulation set out in the attached Appendix.

For Information only

Recommended by:          Minister of Health

Authority:                             Alberta Health Care Insurance Act
                                                (section 16)


 

APPENDIX

Alberta Health Care Insurance Act

PHYSICIAN PAYMENT
DISCLOSURE REGULATION

Table of Contents

                1       Definitions

                2       Ministerial disclosure

                3       Date of disclosure

                4       Extension of time

                5       Coming into force

Definitions

1   In this Regulation,

                                 (a)    “Act” means the Alberta Health Care Insurance Act;

                                 (b)    “fee for service benefits” means the benefits referred to in section 20.3(1)(a)(i) of the Act that are payable on a fee for service basis for insured medical services;

                                 (c)    “fiscal year” means the period beginning on April 1 of one year and ending on March 31 of the next year;

                                 (d)    “insured medical services” means insured medical services as defined in the Medical Benefits Regulation (AR 84/2006).

Ministerial disclosure

2(1)   This section applies in respect of each physician in respect of whom fee for service benefits are paid.

(2)  The Minister shall disclose to the public for each fiscal year in respect of each physician to whom this section applies all amounts of the fee for service benefits paid in respect of the physician during the fiscal year.

(3)  The Minister may disclose the following to the public for each fiscal year in respect of each physician to whom this section applies:

                                 (a)    the name of the physician;

                                 (b)    the location in Alberta where the physician provided the majority of the insured medical services in respect of which the amounts referred to in subsection (2) were paid during the fiscal year;

                                 (c)    the area or areas of medicine in which the physician has received a specialist or interim certificate referred to in section 9(1) of the Medical Benefits Regulation (AR 84/2006) and in which the physician provided the insured medical services in respect of which the amounts referred to in subsection (2) were paid;

                                 (d)    the total number of individual patients, excluding repeat visits by those patients, to whom the physician provided the insured medical services in respect of which the amounts referred to in subsection (2) were paid during the fiscal year;

                                 (e)    the total number of days during the fiscal year on which the physician provided the insured medical services in respect of which the amounts referred to in subsection (2) were paid;

                                 (f)    the name of any person, organization or body, including a person, organization or body referred to in section 4(2) of the Claims for Benefits Regulation (AR 81/2006), to which an amount referred to in subsection (2) was paid and the total amount paid to each of those persons, organizations or bodies during the fiscal year.

Date of disclosure

3(1)  The Minister shall disclose the information referred to in section 2(2) with respect to the fiscal years ending March 31, 2018, March 31, 2019 and March 31, 2020 on or before the 60th day after the date on which this Regulation comes into force.

(2)  With respect to the fiscal year ending March 31, 2021 and subsequent fiscal years, the Minister shall disclose the information referred to in section 2(2) on or before June 30 of the following fiscal year.

Extension of time

4   If the Minister has received an application under section 20.3(5) of the Act in respect of a physician, the Minister may extend the time period within which disclosure must take place in respect of the physician or may temporarily exclude information, documents or records, including the physician’s personal information, from disclosure pending completion of the Minister’s review of the application or the outcome of a related court action.

Coming into force

5   This Regulation has effect on the coming into force of section 1(7) of the Health Statutes Amendment Act, 2020.