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National Plan for Eye Care Access

Full Title: An Act to establish a national strategy for universal eye care

Summary#

This bill orders the federal Minister of Health to create a national strategy for universal access to eye care, vision correction, and vision aids. It sets deadlines to table the strategy in Parliament and to publish progress and effectiveness reports. It does not create new benefits or funding on its own.

  • Requires consultation with provinces, territories, Indigenous governing bodies, eye care professionals, and patient groups (Development, subsec. (1)).
  • Strategy must identify barriers and measures to improve access to exams, devices (glasses, contacts, low‑vision aids), medical and surgical eye care, and eye care linked to other diseases (Contents, subsec. (2)(a)-(b)).
  • Minister must table the strategy in both Houses within 18 months of the Act coming into force and publish it online within 10 days (Tabling of strategy, subsec. (1); Publication, subsec. (2)).
  • Requires a follow‑up effectiveness report within 5 years of tabling, then tabling and online publication within 10 days (Report within five years, subsec. (1)-(3)).
  • Preamble notes high out‑of‑pocket spending on eye care and rising costs of vision loss, but the bill itself plans and reports rather than funds services (Preamble).

What it means for you#

  • Households
    • No immediate change to coverage or prices. The bill creates a plan, not new benefits. Any future coverage would require separate agreements or laws (Contents, subsec. (2)).
    • If the Act becomes law, you could see a public strategy within 18 months that outlines how access to exams, glasses, contacts, and low‑vision aids could improve (Tabling of strategy, subsec. (1); Contents, subsec. (2)(b)(i)-(ii)).
  • People with eye conditions or at risk (e.g., diabetes, arthritis)
    • The strategy must address access to diagnosis and treatment of eye conditions related to other diseases, and to medical and surgical eye care (Contents, subsec. (2)(b)(iii)-(v)).
    • No guaranteed new services yet; the plan will outline options and barriers.
  • Workers (optometrists, ophthalmologists, opticians, low‑vision specialists)
    • You may be consulted during strategy development (Development, subsec. (1)).
    • The strategy may propose ways to expand routine exams, medical care, surgery, and device access, which could affect demand for services (Contents, subsec. (2)(b)).
  • Businesses (optical retailers, device suppliers)
    • No direct mandates. The strategy could recommend actions that influence coverage for glasses, contacts, and low‑vision aids (Contents, subsec. (2)(b)(ii)).
  • Provinces, territories, and Indigenous governing bodies
    • You will be consulted on the national strategy (Development, subsec. (1)).
    • The bill does not require you to adopt specific programs, but it may recommend measures that would need your approval or participation (Contents, subsec. (2)).
  • Service users and advocates
    • The Minister must publish the strategy and a 5‑year effectiveness report online within 10 days of tabling, providing public accountability (Publication, subsec. (2); Report within five years, subsec. (1)-(3)).

Expenses#

Estimated net cost: Data unavailable.

  • No explicit appropriations or new funding are included in the bill text (entire Act).
  • The bill creates planning, consultation, and reporting duties for Health Canada; administrative costs are not estimated in the bill. Data unavailable.
  • No new taxes, fees, or mandated provincial spending are specified (entire Act).

Proponents' View#

  • A national plan can reduce unequal access across regions by identifying barriers and mapping practical steps for exams, devices, and treatments (Contents, subsec. (2)(a)-(b)).
  • Early detection and accessible treatment can prevent or reverse many cases of vision loss, improving quality of life and reducing downstream costs (Preamble).
  • Canadians pay over 70% of private eye care costs out of pocket; a strategy can propose ways to lower direct costs for families (Preamble).
  • The projected cost of vision loss could exceed $30 billion by 2032; better access and prevention could limit this growth (Preamble).
  • Required public reporting and a 5‑year effectiveness review increase transparency and accountability for progress (Tabling of strategy, subsec. (1); Report within five years, subsec. (1)-(3)).

Opponents' View#

  • The bill does not fund services or mandate coverage, so it may produce a plan without concrete change unless future agreements or budgets follow (Contents, subsec. (2); entire Act).
  • Health care delivery is mainly provincial. A federal strategy may face jurisdictional limits and uneven uptake across provinces and territories (Development, subsec. (1)).
  • The 18‑month timeline to develop the strategy delays any potential benefits; real changes could take years beyond the required 5‑year review (Tabling of strategy, subsec. (1); Report within five years, subsec. (1)).
  • Administrative work to consult widely and report may consume resources without clear outcomes if recommendations are not implemented (Development, subsec. (1); Report within five years, subsec. (1)).
  • The preamble’s figures on out‑of‑pocket costs and future burdens set the case for action, but the bill provides no costed plan to achieve savings; expected savings are uncertain and depend on later policy choices (Preamble; entire Act).

Timeline

Nov 19, 2024 • House

First reading

Healthcare