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Elizabeth Toller

Director General, Health Canada (HC)13 communications in the past year

Lobbied by

Canadian Medical Association

4

HEALTH DATA INTEROPERBILITY: Provide CMA’s perspective as it relates to health data interoperability that would ensure providers have access to the right information at the right time when providing care, and improve patient outcomes and their health care experience. BUDGET: Provide CMA’s perspective on the Government of Canada’s budget, particularly as it relates to modernizing Canada’s health care system by enhancing efficiency, driving innovation, and promoting equitable access to care. HARMFUL ONLINE CONTENT: Advocate to address the escalation of online harassment, intimidation, and threats of violence targeting physicians, other health workers, and anyone seeking health care treatment, including measures to strengthen the Criminal Code of Canada and the Canadian Human Rights Act. TECHNOLOGY AND ARTIFICIAL INTELLIGENCE: provide CMA’s perspective on the impact of technology and artificial intelligence on the health care sector and the means through which advancements can be foreseen and managed. HEALTH PROMOTION AND DISEASE PREVENTION: Increased investments in health and social-determinants-of-health related programs, including measures to address the opioid crisis, mental health and addictions, and the regulation of natural health products. ADMINISTRATIVE BURDEN: Advocate for measures to alleviate the administrative burden on physicians and support their professional wellbeing, including investment to facilitate the development of EHRs and EMRs in Canada, improved remuneration for the completion of federal health forms, the development of a Federal Disability Benefit, ensuring that physicians are not captured in the definition of "promoters" in the Disability Tax Credit Promoters Restrictions Regulations, providing clarity and guidance on federal forms, and advocacy on discontinuing the requirement that employees present sick notes to their employers. The CMA is advocating that the trade of medical goods and medications be protected to avoid disruptions to patient care. Specifically, that the government: Continue to ensure pharmaceutical products and medical devices are not included in any countermeasures on tariffs. Improve safeguards for Canadian health data. Improve labour mobility so physicians can work across the country. Make it easier for qualified physicians to immigrate and work in Canada, including by fast-tracking immigration steps for US physicians. PAN CANADIAN LICENSURE: Advocate for the ability for physicians with full licences to practise independently without restrictions or for medical resident trainees registered in any Canadian jurisdiction to practise or train in any other Canadian jurisdiction without having to acquire more than one licence or pay additional licensing fees. This includes exploring enabling legislation in the provinces and territories. INTEGRATED HEALTH HUMAN RESOURCES Advocate for an Integrated Health Human Resources Strategy, including creating retention incentives and addressing administrative burden for health care professionals, increasing the number of doctors and nurses and ensuring that every Canadian has access to a family doctor or primary health team, increasing access to virtual care, creating an action plan to get internationally trained health care professionals to work, improving workforce data collection across health systems and investing in a supply needs-based planning tool, and facilitating team-based health care. MEDICAL MIS/DISINFORMATION: Provide CMA’s perspective on the impacts of medical misinformation and disinformation, including on public trust in science, medicine, and public health experts. INDIGENOUS HEALTH: Improvement to the health and health care services provided to Indigenous peoples in Canada including adding inclusive lettering on health cards across Canada. Advocating for the creation of a national Chief Health Accountability Officer. PUBLIC-PRIVATE HEALTHCARE: The CMA is conducting a series of in-person sessions across the country to engage key s

HealthCareCAN

3

Strengthening Canada’s health workforce including promoting health workforce safety. Advancing adoption of AI in the healthcare and health research sectors. Improving Canada’s physical and digital infrastructure for both health research and healthcare delivery. Federal role in the health system as it relates to funding, the use of federal spending power, and pan-Canadian priorities, including in the areas of aging, older adult care, child and youth health, mental health and substance use, palliative care, Indigenous health, public health, and data. Advancing Canada’s health research and innovation agenda as it relates to funding, policy and program design, and regulatory matters, including in the areas of clinical trials and development of innovative medical treatments.

Accenture

1

Edelman will assist the client to promote Accenture Health services to drive transformational change in the Canadian health system.

Arthritis Society Canada

1

Discussions with government officials about timely access to care and treatment for people living with arthritis (including pharmacare, addressing wait times, models of care, and pain management). Excise Tax Act, specifically with respect to the application of sales tax on medical cannabis Discussions with government officials with respect to policy and regulation of medical cannabis. Discussions with government about strategies and supports to help improve quality of life for people living with arthritis. Advocate for increased government funding for research, innovation and data related to arthritis and to support patient oriented research. Government support for health charities.

Brain Canada Foundation

1

Brain Canada Foundation is seeking a top-up to its current funding to support the development and application of AI to accelerate research, advance our understanding of the brain, and identify solutions for brain diseases and disorders. Brain Canada Foundation is seeking additional funding to increase the Canada Brain Research Fund, which is currently funded by the Government of Canada, through Health Canada, and which current funding expires March 31, 2028. Brain Canada Foundation wishes to engage the Government on policy development issues related to medical research support, mental health, Indigenous health, and sex and gender diversity in the medical and research fields.

CANADIAN NURSES ASSOCIATION/ASSOCIATION DES INFIRMIERES ET INFIRMIERS DU CANADA(CNA)

1

Urging the federal government to lead the development of and work with the provinces and territories to implement a pan-Canadian digital health strategy. That the minister of health create a public awareness campaign to bring attention to the scourge of counterfeit prescription drugs That the federal government lead efforts to educate health-care workers on the importance of medication safety and deprescribing Support for regulated nurses working at full scope of practice Strengthening of programs and supports for vulnerable populations, including child health, senior's health and domestic maternal, newborn and child health strategy development. Strengthening and creating programs to support illness prevention and health promotion, long term care, palliative care, home and community care, affordable housing and other social determinants of health Strategies to address the health human resources crisis and nursing shortages across Canada, including providing funding to provinces and territories to help optimize workloads; financial supports for nurses and health-care workers such as loan forgiveness, tax incentives, retention bonuses for senior nurses; creating a mental health action plan for health-care workers; increasing training and education for health-care workers. Seeking funding for the Nursing the Future initiative Seek funding for nursing research Review the Income Tax Act, List of Authorized Medical Practitioners to ensure all categories of nurses are easily identified. Requesting the federal government to create a one-time fund of $1.2 billion over four years via the Primary Care Transition Fund II to expand the establishment of primary care teams in each province and territory, with a special focus in remote and underserved communities. Reinstate the position of a Chief Nursing Officer at the federal level, and support for CNO's in all provinces and territories. Provide funding for a comprehensive, universal, public, affordable prescription medication coverage that ensures access in all health-care settings based on need and not the ability to pay Protection of public from the ongoing and growing threat of antimicrobial resistance Pandemic Planning and COVID-19: ensure all nurses are properly supported and protecting by ensuring appropriate stockpiling of PPE, support for mental health while on the front lines, support for nursing students, increased access to education and training when return to work or working in various care setting while responding to a pandemic, ensuring appropriate guidelines and resources are disseminated and developed and ensure senior nurses are part of discussions and advisory review boards during pandemics in planning phases as well as post pandemic in the review. Nursing-entry to practice Invest in strategies to prevent and mitigate the health effects of climate change Influencing the Canada Health Transfer and Health Bilateral Agreements between the federal government and provinces and territories to urge governments to increase healthcare investments and invest in priority areas such as the health workforce, primary care, long-term care, mental health, data and virtual care, and surgeries and backlogs. Increasing federal health transfers to the provinces and territories via a demographic top-up to meet the needs of Canada's aging population. Increase support to Canadians who provide care for aging relatives and friends. Incorporate Primary Health Care (PHP) principles within a Health in All Policies approach Improving care in long-term care facilities through enhanced access to and provision of care from regulated nurses. Improve community- and home-based health promotion Improve access to primary care, home care, and palliative and end-of-life care for all people in Canada. Funding to support nursing certification across Canada to strengthen the safe delivery of expert care to older adults. Funding to support newly graduated nurses moving into professional practice for the first tim

Canadian Health Information Management Association

1

Advocate for the role of health information professionals in discussion relating to the adoption of Artificial Intelligence in the health sector. Advocate on issues relating to the role of Health Information Professionals as it relates to the future of the workforce.

Sussex Strategy Group

Children's Healthcare Canada

1

Protect children and youth from online harms by advancing evidence-informed policies (Bill C-34) that promote safer digital environments, support healthy development and well-being, and strengthen protections against harmful online content, interactions, and platform practices. PT stream of the Build Communities Strong Fund, specifically the $5 billion announced specifically for healthcare infrastructure, making sure that children's healthcare needs are taken into account in the program development. Creation of an Indigenous Guiding Circle within Children's Healthcare Canada to provide guidance and counsel on how to better advocate for FNIM children and youth health issues. Protect the Public Health Agency of Canada’s critical work, building confidence in vaccines for children and combatting mis and disinformation influencing decisions impacting children’s health. Protect and expand capacity to deliver on Jordan’s Principle and the Inuit Child First Initiative (a federal responsibility); Top up and broaden the eligibility for the Youth Mental Health Fund, with a focus on prevention, early assessment and rapid intervention in the early years; Include Children’s Priorities in Nation-Building Investments : Asking for capital investments in the children’s healthcare system, including support for research, workforce planning, and the implementation of learning health systems. Advancing a National Children's Strategy to advance child and youth health and well-being outcomes.

Council of Canadian Innovators

1

The Council of Canadian Innovators (CCI) is engaging with government officials to discuss the alignment between CCI’s priorities and the federal government’s efforts to foster innovation in Canada. These discussions focus on ensuring that government programs and policies effectively support high-growth Canadian technology firms and strengthen the country’s innovation ecosystem. Canadian Sovereign AI Compute Strategy: advocacy was focused on bringing domestic firms into the value chain through policies and measures that provide equal opportunity for Canadian Head Quartered companies. Discussion on the intangible economy, SR&ED, and economic growth as it relates to domestic expenditures for intellectual property filing, as well as a focus on small and medium-sized companies. US Trade - discussed Tariffs and handling of Canada US Mexico Trade Agreement. Sustainable Development Technology Canada (SDTC) to establish a sponsorship agreement related to CCI's Board education training program for the intangible economy. Small Business and Tourism, Changes to Canadian Export Program (CanExport) so it allows more technology companies to apply Procurement – Changes to Request for Proposal (RFP) process to break down large bundles into smaller amounts for Medium and Small Business (SMEs) can apply Health Canada: advocate for an increase of resources for Therapeutics Canada for them to speed up processing times and efficiencies within their department; create working groups and framework with industry leaders and health Canada on digital and data health, and create a therapeutics working group with industry and health Canada. Finance – Changes to Scientific research and experimental development (SR&ED) tax incentive program to make the process easier for Medium and Small Business (SMEs) to apply and report on the current program, to further increase the maximum a SME can apply for Export Development Canada (EDC) to establish a sponsorship agreement related to CCI's Board education training program for the intangible economy. Environment and Climate Change Canada, give input and feedback on the PanCanada Framework, Canada-China agreement for scientific and technological cooperation, and the relationship between Carbon Dioxide (CO2) Emitters & CO2 Reducers. Our focus is on involving Canadian high-growth firms in the policies and programs the government is working on regarding climate change and the greening of government. Discussions on international trade, specifically on the North American Free Trade Agreement with respect to data localisation, labour mobility and tariffs. Defence & Security: advocate for a domestic-focused cybersecurity ecosystem that has Canadian companies at the centre of a national cybersecurity defence policy. Citizenship and immigration – Change the current work visa time lines, seek changes to the the Labour Market Impact Assessment for expatiating and a faster process Changes to Industrial Research Assistance Program (IRAP) to make the process easier for Medium and Small Business (SMEs) to apply and report on the current program, to Increase the maximum amount a SME can apply for Canada Revenue Agency (CRA) - changes to (scientific research and experimental development) SR&ED program with how it is administered and reviewed. Discussed companies SR&ED claims and issues with their processing. Business Development Bank of Canada (BDC) to establish a sponsorship agreement related to CCI's Board education training program for the intangible economy.

Green Shield Canada

1

Understanding and developing options for Canada's response and proposed policies related to tariffs Promote policies that increase access to telehealth solutions, including primary care and mental health through both private and public administration. Prescription drug policy and funding, with respect to access to high-cost drugs for rare diseases, the establishment of a national drug formulary, bulk purchasing programs Healthcare policy and potential legislation relating to employee benefit programs and the cost of pharmaceuticals Federal human resources health and wellness policy and the promotion of mental health and digital health services Federal funding, as well as the development and testing of national standards, for mental health services to Canadians Development and implementation of a federally-funded dental care program for low-income Canadians Co-development of mental health programming for Indigenous populations Application of Harmonized Sales Tax (HST) to the activities of insurance intermediaries, as well as related enforcement and audit policies. Application by Green Shield Holdings Inc. to establish an insurance company

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