166 7.1 LTC Legislation

In Canada, LTC is one of the areas of health care that is neither publicly guaranteed nor insured under the Canada Health Act.^[1] Health & health care jurisdiction is a shared responsibility between federal & provincial governments. LTC services are governed by provincial and territorial legislation and not a part of Canada’s universal health coverage model.^[2] Variability across Canada includes:

• Services offered
• How care requirements are assessed
• Services that are publicly funded
• How facilities are governed^[3]

LTC ownership:

• In Canada, 46% of LTC homes are publicly (government) owned and 54% are privately owned
• 100% of territorial LTC homes are publicly owned
• 98% of LTC homes in Labrador and Newfoundland are publicly owned
• 88% are publicly owned in Québec
• 86% are private, not-for-profit homes in New Brunswick
• 65% are privately owned in British Columbia; 37% private for-profit & 28% not-for-profit
• 57% are private for-profit homes in Ontario^[4]