Shalene Curtis Micaleff

US Tariffs: working with the federal government to advocate on minimizing the impact of tariffs on access to dental care in Canada. ISO TECHNICAL COMMITTEE 106: creation of international standards for dental devices and materials TAXATION OF HEALTH BENEFITS: to discuss the negative impact and strain that taxing employer provided health benefits would have on the health of Canadians and on the provincially funded healthcare system. SENIORS ORAL HEALTH: funding and administration of oral health care for seniors living independently and in long term care facilities PRE-BUDGET CONSULTATIONS: Federal investments or taxation changes to improve the oral health care of Canadians and practice environment for dentists PERSONAL INFORMATION PROTECTION AND ELECTRONIC DOCUMENT ACT (PIPEDA): PRIVACY PROTECTION OF HEALTH INFORMATION AND THE REGULATORY REVIEW: Improvement to privacy legislation to protect the privacy of health information ORAL HEALTH RESEARCH, ACCESS AND DATA: increased funding for research and projects to help improve the oral health of Canadians, such as filing of submissions and advocacy for improvements to the Oral Health Access Fund NON INSURED HEALTH BENEFITS: Improvement to the dental program in order to enhance the oral health status of patients accessing the program. NATIONAL TOBACCO CONTROL PROGRAMS: Strengthening Canada's tobacco control strategy MARKETING TO KIDS: Sugar/Healthy Eating: to discuss the importance regarding regulations and legislation, Including Bill C-252, surrounding food and beverage marketing to young children. Healthy Eating: to discuss the issue of food labeling and healthy eating for Canadians and its positive impact on oral health. INDIGENOUS ORAL HEALTH: Programs and policies related to prevention and care to improve the oral health of Indigenous peoples. HEALTH PROMOTION AND DISEASE PREVENTION: Increased investment and improved regulations to protect and enhance the oral health of Canadians HEALTH INFORMATION TECHNOLOGIES (ELECTRONIC HEALTH RECORDS): Investment and needed regulations to facilitate the development of EHRs in Canada HEALTH HUMAN RESOURCES: discussions on addressing health human resources challenges within dentistry, including challenges in remote areas, the Canada student loan forgiveness, internationally trained dentists, administrative staffing. FLUORIDE: promotion of positive public health initiatives and achievements EXCISE TAX ACT: GST AND DENTAL SERVICES: Changes to the application of the GST (zero-rate) on Dental practices DENTAL EDUCATION: Increase funding for Canadian Faculties of Dentistry DENTAL CARE FUNDING: discussions around the federal budgetary process and program development with regard to funding of dental care, including the Canadian Dental Care Plan. DE-INSURANCE: To discuss the potential impact of the Canadian Dental Care Plan (CDCP) on employer-provided dental coverage and to advocate for a range of strategies that prevent employers from dropping their dental benefits, including but not limited to tax credits and changes in eligibility requirements. CHEMICAL MANAGEMENT PLAN: The Challenge Process, with regard to regulation of Bisphenol A in oral health care. CEPA (Canadian Environment Protection Act) - Mercury- ROMS (Risk Management Strategy) with regard to safe disposal of dental amalgam waste. CAPITAL GAINS TAX: to discuss the impact that the recent changes to the capital gains tax regulations have on Canadian dentists and to advocate for amendments and/or exemptions that would mitigate the adverse effects. ANTI INDIGENOUS RACISM IN HEALTH: discussions to promote the Truth and Reconciliation Calls to Action as they relate to Health, such as funding for cultural safety programs in dentistry.

DENTAL CARE FUNDING: discussions around the federal budgetary process and program development with regard to funding of dental care, including the Canadian Dental Care Plan and the Interim Federal Health Program. HEALTH HUMAN RESOURCES: discussions on addressing health human resources challenges within dentistry, including challenges in remote areas, the Canada student loan forgiveness, Canada Student Grant, PGWP for dental assistants, internationally trained dentists, administrative staffing. US Tariffs: working with the federal government to advocate on minimizing the impact of tariffs on access to dental care in Canada. DE-INSURANCE: To discuss the potential impact of the Canadian Dental Care Plan (CDCP) on employer-provided dental coverage and to advocate for a range of strategies that prevent employers from dropping their dental benefits, including but not limited to tax credits and changes in eligibility requirements. TAXATION OF HEALTH BENEFITS: to discuss the negative impact and strain that taxing employer provided health benefits would have on the health of Canadians and on the provincially funded healthcare system. SENIORS ORAL HEALTH: funding and administration of oral health care for seniors living independently and in long term care facilities PRE-BUDGET CONSULTATIONS: Federal investments or taxation changes to improve the oral health care of Canadians and practice environment for dentists PERSONS WITH DISABILITIES: increased funding and federal leadership to improveprovincially funded dental programs for persons with disabilities. PERSONAL INFORMATION PROTECTION AND ELECTRONIC DOCUMENT ACT (PIPEDA): PRIVACY PROTECTION OF HEALTH INFORMATION AND THE REGULATORY REVIEW: Improvement to privacy legislation to protect the privacy of health information ORAL HEALTH RESEARCH, ACCESS AND DATA: increased funding for research and projects to help improve the oral health of Canadians, such as filing of submissions and advocacy for improvements to the Oral Health Access Fund NON INSURED HEALTH BENEFITS: Improvement to the dental program in order to enhance the oral health status of patients accessing the program. NATIONAL TOBACCO CONTROL PROGRAMS: Strengthening Canada's tobacco control strategy MARKETING TO KIDS: Sugar/Healthy Eating: to discuss the importance regarding regulations and legislation, Including Bill C-252, surrounding food and beverage marketing to young children. Healthy Eating: to discuss the issue of food labeling and healthy eating for Canadians and its positive impact on oral health. ISO TECHNICAL COMMITTEE 106: creation of international standards for dental devices and materials INDIGENOUS ORAL HEALTH: Programs and policies related to prevention and care to improve the oral health of Indigenous peoples. HEALTH PROMOTION AND DISEASE PREVENTION: Increased investment and improved regulations to protect and enhance the oral health of Canadians HEALTH INFORMATION TECHNOLOGIES (ELECTRONIC HEALTH RECORDS): Investment and needed regulations to facilitate the development of EHRs in Canada FLUORIDE: promotion of positive public health initiatives and achievements EXCISE TAX ACT: GST AND DENTAL SERVICES: Changes to the application of the GST (zero-rate) on Dental practices DENTAL EDUCATION: Increase funding for Canadian Faculties of Dentistry CHEMICAL MANAGEMENT PLAN: The Challenge Process, with regard to regulation of Bisphenol A in oral health care. CEPA (Canadian Environment Protection Act) - Mercury- ROMS (Risk Management Strategy) with regard to safe disposal of dental amalgam waste. CAPITAL GAINS TAX: to discuss the impact that the recent changes to the capital gains tax regulations have on Canadian dentists and to advocate for amendments and/or exemptions that would mitigate the adverse effects. ANTI INDIGENOUS RACISM IN HEALTH: discussions to promote the Truth and Reconciliation Calls to Action as they relate to Health, such as funding for cultural safety programs in dentistry.

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

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 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. 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. 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. 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. 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, ensuring that physicians are not captured in the definition of "promoters" in the Disability Tax Credit Promoters Restrictions Regulations, and advocacy on discontinuing the requirement that employees present sick notes to their employers. 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 stakeholders, including the public, physicians, patients/PWLE, policymakers, system leaders and others, in a dialogue on public-private healthcare. What we hear will inform CMA policy moving forward, and our recommendations for action at a national level. PHYSICIAN PARLIAMENTARIAN CAUCUS: advocate for the formation of a Physician Parliamentarian