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ontario regulation 137/05

made under the

Ontario Works Act, 1997

Made: March 23, 2005
Filed: March 24, 2005
Printed in The Ontario Gazette: April 9, 2005

Amending O. Reg. 134/98

(General)

1. (1) Subparagraph 1 ii of subsection 55 (1) of Ontario Regulation 134/98 is revoked and the following substituted:

ii. the cost for dental services and vision items and services, other than a periodic oculo-visual assessment as referred to in paragraph 1.1, for dependent children, if those services and items and that cost have been approved by the Minister,

(2) Subsection 55 (1) of the Regulation is amended by adding the following paragraph immediately before the heading “winter clothing for children”:

1.1 Subject to subsection (1.0.0.1), an amount equal to $39.15 for a periodic oculo-visual assessment for every member of the benefit unit once every 24 months.

(3) Section 55 of the Regulation is amended by adding the following subsection:

(1.0.0.1) An amount under paragraph 1.1 of subsection (1) is only payable if,

(a) the member of the benefit unit has not had a periodic oculo-visual assessment or a major eye examination within the preceding 24 months; and

(b) the member of the benefit unit is not entitled to payment on his or her behalf for the periodic oculo-visual assessment or the major eye examination under the Ontario Health Insurance Plan established under the Health Insurance Act.

(4) Section 55 of the Regulation is amended by adding the following subsection:

(5) In this section,

“major eye examination”,

(a) has the same meaning as a major eye examination as described in the document entitled “Schedule of Benefits for Optometry Services (November 1, 2004)”, published by the Ministry of Health and Long-Term Care and available from that Ministry, when the examination is performed by an optometrist, or

(b) has the same meaning as a major eye examination as described in the document entitled “Schedule of Benefits — Physician Services under the Health Insurance Act (July 1, 2003)”, including amendments made on and before December 1, 2004, published by the Ministry of Health and Long-Term Care and available from that Ministry, when the examination is performed by a physician; (“examen de la vue majeur”)

“periodic oculo-visual assessment”,

(a) has the same meaning as a periodic oculo-visual assessment as described in the document entitled “Schedule of Benefits for Optometry Services (November 1, 2004)”, published by the Ministry of Health and Long-Term Care and available from that Ministry, when the assessment is performed by an optometrist, or

(b) has the same meaning as a periodic oculo-visual assessment as described in the document entitled “Schedule of Benefits — Physician Services under the Health Insurance Act (July 1, 2003)”, including amendments made on and before December 1, 2004, published by the Ministry of Health and Long-Term Care and available from that Ministry, when the assessment is performed by a physician. (“bilan oculo-visuel périodique”)

2. Section 57.1 of the Regulation is revoked and the following substituted:

Extended Health Benefits For Recipients who Cease to be Eligible for Income Assistance

57.1 If a person is not eligible for income assistance for a month because the income of the person’s benefit unit, as determined under this Regulation, exceeds or is equal to the benefit unit’s budgetary requirements, as determined under this Regulation, the benefit set out in each subparagraph of paragraph 1 and in paragraph 1.1 of subsection 55 (1) shall be paid with respect to each member of the person’s benefit unit if,

(a) the person is a recipient in the month immediately before becoming eligible for this benefit;

(b) the person is otherwise eligible for income assistance;

(c) the administrator is satisfied that the member of the benefit unit meets the criteria for the benefit, as set out in the subparagraph or paragraph, as the case may be; and

(d) the benefit unit’s income, as determined under this Regulation, is less than the sum of its budgetary requirements, as determined under this Regulation, and the value of its benefits under paragraphs 1 and 1.1 of subsection 55 (1). 

3. (1) Section 58.1 of the Regulation is amended by striking out “the benefit set out in each subparagraph of paragraph 1” in the portion before clause (a) and substituting “the benefit set out in each subparagraph of paragraph 1 and in paragraph 1.1”.

(2) Clause 58.1 (a.1) of the Regulation is amended by striking out “as set out in the subparagraph” and substituting “as set out in the subparagraph or paragraph”.

4. This Regulation shall be deemed to have come into force on November 1, 2004.

 

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