![]() ![]() The new omnibus or block transfer, beginning in fiscal year 1996–1997, merged the health and post-secondary education funding of the EPF Act with Canada Assistance Plan funding (the federal/provincial cost-sharing arrangement for social services). In the 1995 Budget, the federal government announced a restructuring of the EPF Act, from then on to be called the Federal-Provincial Fiscal Arrangements Act, with provisions for a Canada Health and Social Transfer (CHST). Although the DAR process includes dispute resolution provisions, the federal Minister of Health retains the final authority to interpret and enforce the Canada Health Act. The DAR process was formalized in the First Ministers' 2004 Accord. Pursuant to the commitment made by premiers under the 1999 Social Union Framework Agreement, federal, provincial and territorial governments (except Quebec) agreed through an exchange of letters, in April 2002, to a Canada Health Act Dispute Avoidance and Resolution (DAR) process. The application of financial penalties through deductions under the Canada Health Transfer is considered only as a last resort when all other options to resolve an issue collaboratively have been exhausted. However, when instances of possible non-compliance with the Act arise, Health Canada's approach to the administration of the Act emphasizes transparency, consultation and dialogue with provincial and territorial health care ministries. Provincial and territorial health care insurance plans generally respect the criteria and conditions of the Canada Health Act and many exceed the requirements of the Act. ![]()
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