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Agency Details

(as on: Monday, November 23, 2009)
Ministry:  HEALTH AND LONG-TERM CARE
Agency:  HEALTH SERVICES APPEAL AND REVIEW BOARD
Agency URL:  www.hsarb.on.ca
Address:  151 Bloor Street West, 9th Floor, Toronto M5S 2T5 ON
Tel.:  (416) 327-8512; 1(866)282-217
Fax:  (416) 327-8524

Background:  MINISTRY OF HEALTH APPEAL AND REVIEW BOARDS ACT, S.O. 1998, C. 18, PART II AND III
Period:  01-FEB-1999 - N/A
Type:  ADJ

Prerogative:  Mandatory Legislation; Minister's OIC
Function:  The board functions as a quasi-judicial adjudicative tribunal authorized to hold hearings and conduct reviews respecting appeals against the decision of: the General Manager of OHIP; insured health services and practitioner billing; community placement services regarding eligibility for placement in a long-term care facility; community-based long term care service providers regarding the scope and level of services provided; the Minister and ministry officials regarding health facility licensing and municipal health boards' compliance with mandatory programs; and public health officials regarding community health hazards and communicable diseases.

The Transitional Physician Audit Panel functions as a quasi-judicial adjudicative tribunal, an alternative process by which a physician can seek a review of certain matters pursuant to section 18.0.1 of the Health Insurance Act. This panel of the Health Services Appeal and Review Board is authorized to hold hearings and conduct reviews of opinions or decisions of the General Manager of OHIP with respect to OHIP payments.

Membership:  The Lieutenant Governor in Council appoints to the Health Services Appeal and Review Board at least twelve members and designates one member as chair and two members as vice-chairs. The chair may from time to time designate additional members to be vice-chairs. No more than three legally qualified medical practitioners may be appointed to the board.

For the Transitional Physician Audit Panel, the Lieutenant Governor in Council appoints at least nine members and designates one member as chair and two members as vice-chairs pursuant to subsections 7.1(2) and (4) of the Ministry of Health Appeal and Review Boards Act, 1998. The chair may from time to time designate additional members to be vice-chairs. The Lieutenant Governor in Council, on the recommendation of the Minister of Health and Long-Term Care and in consultation with the Ontario Medical Association and the College of Physicians and Surgeons of Ontario, shall appoint no fewer than six legally qualified medical practitioners. In addition, no fewer than three members of the Law Society of Upper Canada shall be appointed to serve as members of the Transitional Physician Audit Panel. Members of the Transitional Physician Audit Panel shall not otherwise sit as members of the Health Services Appeal and Review Board.

Term:  There is no limitation in legislation.

Meetings:  Board members must commit a minimum of one day each month for hearings and one day per month for Board business meetings. Typically, a hearing requires a half day of preparation. Post-hearing decision work requires one member of the panel of three to write the decision; depending on the complexity of the case, decision writing may take a half-day to four days. The other two members of the panel review, edit, and comment on the decision (an average of two hours of work). All proceedings are held in Toronto.

Requirements:  A person may not be appointed as a member of the board if the person is employed under Part III of the Public Service of Ontario Act, 2006 or is employed by a Crown Agency as defined in the Crown Agency Act, 2006.

A legally qualified medical practitioner who was subject to a review by the Medical Review Committee or who was required to reimburse the Plan under the Health Insurance Act may not be appointed under subsection (2) until at least 10 years have passed since he or she was subject to review by the Medical Review Committee or was required to reimburse the Plan.

BOARD MEMBERS
No.   POSITION      MEMBER NAME       TENURE     REMUNERATION    LOCATION  
1.CHAIR (PART-TIME)LAMOUREUX, LINDA23-APR-2008 - 22-AUG-2013NILMARKHAM
2.VICE-CHAIR (PART-TIME)BURSTYN, MARLA K.03-NOV-2004 - 26-FEB-2010$491 PER DIEMTORONTO
3.VICE-CHAIR (PART-TIME)FARHA, SORAYA03-MAR-2004 - 02-MAR-2012$491 PER DIEMTORONTO
4.MEMBER (PART-TIME)ROPER, DAWN22-JUN-2006 - 21-JUN-2010$398 PER DIEMAJAX
5.MEMBER (PART-TIME)GREEN, DAVID10-AUG-2006 - 09-AUG-2010$398 PER DIEMBRAMPTON
6.MEMBER (PART-TIME)AZIZ, MUAZAZ18-FEB-2009 - 17-FEB-2011$398 PER DIEMMISSISSAUGA
7.MEMBER (PART-TIME)D'AMOURS, MARC18-FEB-2009 - 17-FEB-2011$398 PER DIEML`ORIGNAL
8.MEMBER (PART-TIME)KIRKE, LESLIE18-FEB-2009 - 17-FEB-2011$398 PER DIEMTORONTO
9.MEMBER (PART-TIME)PROULX, CHANTAL18-FEB-2009 - 17-FEB-2011$398 PER DIEMOTTAWA
10.MEMBER (PART-TIME)MCKEOWN, SHARON25-FEB-2009 - 24-FEB-2011$398 PER DIEMWINDSOR
11.MEMBER (PART-TIME)JOVANOVIC, STEPHEN11-MAR-2009 - 10-MAR-2011$398 PER DIEMWINDSOR
12.MEMBER (PART-TIME)KELLY, THOMAS JOSEPH JOHN11-MAR-2009 - 10-MAR-2011$398 PER DIEMLONDON
13.MEMBER (PART-TIME)LEDGER, SHELLEY D.11-MAR-2009 - 10-MAR-2011$398 PER DIEMTORONTO
14.MEMBER (PART-TIME)LOBU, TAIVI11-MAR-2009 - 10-MAR-2011$398 PER DIEMTORONTO
15.MEMBER (PART-TIME)SOSSIN, LORNE11-MAR-2009 - 10-MAR-2011$398 PER DIEMTORONTO
16.MEMBER (PART-TIME)ST-HILAIRE, GABRIELLE HÉLÈNE11-MAR-2009 - 10-MAR-2011$398 PER DIEMOTTAWA
17.MEMBER (PART-TIME)VAUTHIER, JANICE HELEN11-MAR-2009 - 10-MAR-2011$398 PER DIEMTHUNDER BAY
18.MEMBER (PART-TIME)BÉLANGER-HARDY, LOUISE YVONNE25-MAR-2009 - 24-MAR-2011$398 PER DIEMOTTAWA
19.MEMBER (PART-TIME)KOVANCHAK, STEPHEN G.08-APR-2009 - 07-APR-2011$398 PER DIEMTHUNDER BAY
20.MEMBER (PART-TIME)COYNE, DEBORAH30-SEP-2009 - 29-SEP-2011$398 PER DIEMTORONTO
21.MEMBER (PART-TIME)YEDVAB, JAY OKUN07-MAY-2004 - 04-JUL-2012$398 PER DIEMTORONTO
22.MEMBER (PART-TIME)BURSTYN, MARLA K.03-NOV-2004 - 20-NOV-2012NILTORONTO
23.MEMBER (PART-TIME)LUM, LILLIE LAI QUON01-FEB-1999 - 22-MAR-2013$398 PER DIEMTHORNHILL
24.MEMBER (PART-TIME)MOSS, CHRISTINE T.01-FEB-1999 - 22-MAR-2013$398 PER DIEMTORONTO
25.MEMBER (PART-TIME)DOWNING, BETH15-JUL-2005 - 14-JUL-2013$398 PER DIEMOAKVILLE
26.MEMBER (PART-TIME)LAWFORD, MICHELE JUSTINE16-FEB-2000 - 20-FEB-2014$398 PER DIEMKINGSTON
27.MEMBER (PART-TIME)COHEN, MAY09-APR-2003 - 08-APR-2014$398 PER DIEMTORONTO
28.MEMBER (PART-TIME)MULLAN, ELIZABETH A. (LIZ)15-APR-2003 - 14-APR-2014$398 PER DIEMTORONTO
29.PANEL MEMBERFREEDMAN, PAUL EDWARD21-DEC-2004 - 19-JUN-2010$635 PER DIEMTORONTO
30.PANEL MEMBERKERENYI, NORBERT ANDREW21-DEC-2004 - 19-JUN-2010$635 PER DIEMTORONTO
31.PANEL MEMBERNG, NELLY WING-KWONG21-DEC-2004 - 19-JUN-2010$635 PER DIEMNORTH YORK
32.PANEL MEMBERRASKY, HOLLY20-JUN-2007 - 19-JUN-2010$635 PER DIEMTORONTO
33.PANEL MEMBERDARANI, SHAHEEN A.23-JUL-2008 - 22-JUL-2010$635 PER DIEMTORONTO
34.PANEL MEMBERFISHER, GARRY23-JUL-2008 - 22-JUL-2010$635 PER DIEMSIMCOE
35.PANEL MEMBEROPLER, SUSAN E.23-JUL-2008 - 22-JUL-2010$635 PER DIEMTORONTO
36.PANEL MEMBERRAMSBOTTOM, DAVID JAMES23-JUL-2008 - 22-JUL-2010$635 PER DIEMDUNDAS
37.PANEL MEMBERSEIF, ATIH23-JUL-2008 - 22-JUL-2010$635 PER DIEMNORTH YORK