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Ontario Health Information Privacy Legislation

Ontario Health Information Privacy Legislation. A Policy Analysis Facilitated by Alex Drossos December 3, 2002. Agenda. Introduction Historical Background Research Questions and Objectives Policy Process How a Bill Becomes a Law Legislative Powers What do you think? Findings

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Ontario Health Information Privacy Legislation

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  1. Ontario Health Information Privacy Legislation A Policy Analysis Facilitated by Alex Drossos December 3, 2002

  2. Agenda • Introduction • Historical Background • Research Questions and Objectives • Policy Process • How a Bill Becomes a Law • Legislative Powers • What do you think? • Findings • Still to Come

  3. Introduction • Importance of Health Information Privacy Legislation • Canadians value the privacy of their health information • HIPAA in the US; also other Countries • Alberta, Saskatchewan, Manitoba (Quebec; BC/Alberta)

  4. Krever Commission First recommended legislation in 1980 PHIPA, 1999 For discussion only PHIPA, 2000 First reading Died on “Order Paper” PIPEDA, 2000 Federal Merger of Health and Private Sector Info PPIA, 2002 MCBS Takes Lead MOHLTC acts as advisor to Health related components Initial Version “Leaked” Now in 32nd-33rd Draft Historical Background

  5. Questions and Objectives • How has the policy process unfolded? • Why so many iterations? • What has been the impact of stakeholder submissions? • What is the current situation and where are things headed?

  6. Policy Process Problem Definition / Agenda Setting Policy Formulation& Adoption Evaluation Policy Implementation

  7. Pre-legislative Stages First Reading Second Reading Third Reading Royal Assent In Force Committee How a Bill Becomes a Law

  8. Legislative Powers • Usually through a “Government Bill” • Cabinet is collective executive • Strong party discipline • Extremely unlikely that a Government Bill will be defeated • May be delayed, held up, or pushed aside • End-product of consensus building

  9. Why so many iterations? What has been the stakeholder impact? What’s next??? What do you think? http://cbc.ca/news/bigpicture/ privacy/video.html Mike Wise reports on Health Privacy (CBC News)June 20, 2002

  10. Findings • Over 300 submissions from stakeholders (at PHIPA, 2000 iteration) • Submission time period extended during PPIA, 2002 • Plus stakeholder group meetings • Has not followed the norm in terms of Government Bill process

  11. Findings (cont’d) • Media, media, media • Read: Interests, values • Politics, politics, politics • Read: Actors, institutions • Public opinion, public opinion, public opinion • Read: Values

  12. Still to Come… • Recently delayed (again!) • PIPEDA takes effect on Jan 1, 2004 • Timing with provincial elections? • Split into two pieces of legislation again? • Will go through, but a matter of how soon!

  13. Question and Answer Period

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