Your committee begs to report the following bill, as amended:

Bill 166, An Act to amend the Ministry of Training, Colleges and Universities Act / Projet de loi 166, Loi modifiant la Loi sur le ministère de la Formation et des Collèges et Universités.

Speaker, I beg leave to present a report from the Standing Committee on Social Policy and move its adoption.

I would like to thank Gisele Raymind from Hanmer in my riding for this petition. It’s called “Coverage for Take-Home Cancer Drugs.”

Basically, cancer drugs, if they are administered in a hospital, are covered with no out-of-pocket expenses. But for more and more cancer drugs, you don’t need to be in a hospital anymore; you can take them at home, which is great for patient care, but that means that you have to pay for them. For many people, that’s a huge barrier to care.

In other provinces, whether we look at British Columbia, Alberta, Manitoba or Quebec, they all cover take-home cancer drugs so that you can focus on getting through your cancer treatment and getting better as fast as you can. The Canadian Cancer Society has called on the government to cover take-home cancer drugs. I think it is high time for Ontario to join other provinces in Canada and make sure that every patient facing cancer can put all of their energy into getting better, not into trying to get coverage for the drugs that will help them do better.

I am happy to add my name to this petition and I will ask my good page Aura to bring the petition to the Clerk.

Basically, medicare is a program that defines us as Canadians and as Ontarians, where the care we get is based on our needs, not on our ability to pay. Under this government, we have seen more and more of the publicly paid-for care being delivered by for-profit companies. The for-profit companies are there for one reason: to make money. It is really easy to make money off of the backs of sick people. Once you are sick, nothing else matters.

We have to make sure that our health care system is protected, that we do not want people to make money off of the backs of sick people, and people are signing this petition by the hundreds every single day. I get big stacks of it coming to my office to make sure that the services we get will be based on our needs, not on our ability to pay.

I support this petition and will ask Shiara to bring it to the Clerk.

Did you know, Speaker, that right now there are more than 1,742 people on the wait-list for an organ in Ontario? And that, of those people, every third day one of them will die waiting for an organ? It doesn’t have to be that way. Over 81% of Ontarians want to be a donor. If you ask 81% of us that want to be a donor, only a fraction of this—36%—have signed their donor card.

I have a bill in the name of one of my colleagues, Peter Kormos, who would change this. We would basically copy what has been done in Nova Scotia, where we would assume consent, give people many, many chances to opt out, all the way until after death—their loved ones will have an opportunity to opt out—but I can guarantee you that that will increase the number of organs available for people who need them and would bring a lot of relief to our health care system at the same time.

This is something that I strongly support. Peter Kormos started it, and I would be very happy to see it become a reality. So I’ll be happy to add my name to it and give it to page Simon to bring to the Clerk.

Il y a plusieurs programmes du système de santé qui n’existent pas dans le nord de l’Ontario. On doit se déplacer, soit à Toronto, Ottawa, London, pour les recevoir. Le gouvernement nous rembourse les frais de transport, les frais d’hébergement, étant donné que les services ne sont pas disponibles dans le Nord. Par contre, les frais n’ont pas été mis à jour depuis très longtemps.

Et là, je vais faire un petit paragraphe, parce que dans le budget qui vient d’être déposé, il y aura une augmentation des frais d’hébergement, qui passeront de 100 $ par nuit à 175 $ par nuit. Mais les frais de transport, les autres frais, n’ont pas changé depuis les années 1990. On a besoin de mettre ce programme-là à jour, parce qu’il y a des gens qui vont choisir de ne pas avoir de traitements parce qu’ils ne peuvent pas payer pour se rendre dans le sud de l’Ontario.

Je suis d’accord avec cette pétition. Je vais la signer et je demande à Simon de l’amener à la table des greffiers.

Resuming the debate adjourned on April 24, 2024, on the motion for second reading of the following bill:

Bill 188, An Act to amend the Child, Youth and Family Services Act, 2017 and various other Acts / Projet de loi 188, Loi modifiant la Loi de 2017 sur les services à l’enfance, à la jeunesse et à la famille et diverses autres lois.

It’s my honour again to present the following petitions on behalf of Dr. Sally Palmer, professor emerita at the school of social work in the faculty of social sciences at McMaster University. The petition is “To Raise Social Assistance Rates.”

This petition speaks about how Ontario’s social assistance rates are well below Canada’s official Market Basket Measure poverty line. They do not cover the cost of food. They do not cover the cost of rent. Ontario Works rates have been frozen for six years, and the small increases this government would pat itself on the back for for ODSP are leaving people below the poverty line. The fact that they have indexed it means that they have kept people below the poverty line.

This petition recommends the doubling of social assistance so that people can live with dignity, people can buy food that is healthy and have a safe place to call home.

I fully support this petition, will affix my signature and deliver it with Ruby to the Clerk.

When I had to end my debate this morning, I was sharing some of the pressures that are facing the Children’s Aid Society of London and Middlesex, and I had talked about the fact that fully half of the families that the children’s aid society is working with are those who are struggling with lack of access to mental health and addiction services in the community.

One third of the families are struggling with mental health or addiction challenges for caregivers and an additional 17% of families are struggling with a child’s behaviour or conflict in the home that could be endangering other children. These families are struggling because they can’t access the community-based services that these caregivers or their children need, and the consequence, particularly for those young people with the most critical needs, is that sometimes those families feel that they don’t have anywhere to turn; they don’t know what to do next. What we are seeing in London, and we are seeing across the province, are young people, children, being surrendered to children’s aid in the desperate hope that this might be a way to get their children the treatment they require.

The children’s aid society—their data system to keep track of the children in the system, they’ve actually created a new category called “youth in need of treatment” or “not otherwise in need of protection,” because the children who are being surrendered are not being surrendered because of child protection reasons. They’re being surrendered because they need mental health treatment and they don’t have access to that.

The reason for this is that community-based agencies in the province that support children and youth mental health services are not mandatory services. They are funded to a certain level, and that is the amount of support that they provide. When they run out of resources, young people are put on a waiting list, and that’s what we hear more and more from families in the province.

But the mandate of the CAS is that children who are surrendered to that agency are taken into protection. The CAS does not have the ability to turn these families away. In London, we heard that nine youth have been voluntarily surrendered to CAS, and that is a more significant increase than we had seen in the community previously. It’s frustrating for the staff at CAS, who know that these young people who are being surrendered aren’t going to get the treatment that they need after being surrendered to the children’s aid society. The problem is the lack of services in the community.

When the government launched this bill, that was one of the responses of the Ontario Association of Children’s Aid Societies. They said that the bill addresses the back end of child welfare. We have to address the back end of child welfare. We have to ensure that when kids are housed in group homes or foster families, they are safe, but we also need to act proactively to keep kids out of care in the first place.

The Ontario Association of Children’s Aid Societies said that the issue is that the government is not dealing with causation. They’re not dealing with those factors that lead to children going into care in the first place. And so, I would encourage this government to look at the community-based treatment options that are available to young people in this province and provide the funding that those services need so that young people can get the support, the treatment that they require in order to move forward.

Another issue that I would encourage the government to address and that has been brought to my attention in London is the issue of kin families. In the London CAS, there are 135 foster homes, but there are 72 kin homes. Kin placements are really—where they are available, that is a preferred option for CASs when they have to take kids into protection. It is much better for the child to be with kin family, rather than to be in a foster family or a group home. And yet, we do not provide the same support for kin arrangements as we do for foster families.

This again makes it frustrating for those child protection workers at the CAS when they have a kin family, a willing family who wants to take that child in, but can’t afford to do so because the amounts that kin families are reimbursed are so far less than the amounts that foster families or adoptive families receive. Kin families receive $280 a month for a child, whereas families that adopt or take legal custody receive over $1,000 per month per child until the child turns 21. I have heard from kin families or potential kin families who would like to support that child, who would like to take that child in, and simply can’t afford to do so. That should never be the case, because that is in the best interests of the child.

So, Speaker, this bill that we have before us today, Bill 188, as I said at the outset, it’s actually a pleasure to be able to participate in a debate on legislation that all sides of the House seem to agree on. But it’s also an opportunity to highlight some of the other issues that need to be addressed to fully support young people in this province to enable them to reach their full potential and to prevent young people having to go into care in the first place.

Further debate?

Thank you to the member from London West. I appreciate your remarks, but I was also reading reports—there were 79 reports totalling 4,644 pages from one source alone that the Liberal government, propped up by the NDP, missed the chance to improve child welfare in Ontario. I am thankful that Bill 188 is addressing a lot of these things, but I’m sure there’s still more to be done. But don’t you think what we have with the welfare redesign and also the Ready, Set, Go Program and a lot of other things that we have improved on is a big improvement from what we had before?

Thank you to the member from London West for such an impassioned speech on the Supporting Children’s Futures Act. One thing that really struck me is her talking so passionately about parents having to surrender their children to access services and really giving their children up to the children’s aid because they have no other options. The fact that in Ontario, children’s aid societies now have a youth in need of treatment but not in need of care really tells the story of how broken this system is. I wanted to give you an opportunity, please, to talk about why this is happening and really how desperate and dismal a state of affairs it is that parents have to give their children up for them to access mental health supports.

Thank you to the member for the question. I want to assure the member that the NDP would never prop up the Liberals, just as we would never prop up any government that was going to undermine the rights of vulnerable children. The NDP has been calling for the reinstatement of the child and youth advocate. That is something that is missing from this bill that there was an opportunity for the government to move ahead with. The NDP has been calling for years for an end of for-profit group homes that exploit loopholes, that take advantage of children, that are abusive to children. We saw that horrendous exposé of what is happening to some of the most marginalized and vulnerable children in a for-profit group system.

One of the things that this bill proposes to do is extend what I will call the mandatory reporting requirement. That mandatory reporting requirement also exists for some professionals, such as teachers, physicians and social workers. They have a duty to report if they have a reasonable suspicion of child neglect or a child being in need of protection. The proposal in this bill is to extend that reporting requirement to early childhood educators.

You might think that’s a responsibility or a burden, but actually, it’s meant to protect the early childhood educator, who now doesn’t have to make the call. They have an obligation to do it, and therefore that gives them certain legal protections in view of the fact that now that the law has placed them under the obligation to report, they are now protected. I think that’s a very good development. I would like to ask the member to express her opinion on that.

We agree that is a very good development. It’s too bad that it has taken this long for such a development to be put in place, because we have been calling for whistle-blower protections in this sector for a number of years. Certainly we have an obligation to ensure that people—teachers, educators—who are employed in the care of children can report suspicions of abuse without fearing that they will not be protected. This is one of the reasons that we do support this bill. We do recognize that this is important, but it’s sad that it is so long overdue.

We do not have a children’s mental health system that is coordinated, that is easy for families to navigate, that ensures that young people who are in deep crisis get the mental health treatment that they require. We really need to take a systemic look at the mental health system and make sure that the services are there for parents and children who need them.

We had heard the former provincial child advocate—he had said that he received roughly 19,000 serious occurrence reports, a quarter produced by group residential homes. The government has failed to enable that kind—

I am pleased to be able to ask a question of my colleague from London West, who talked about the importance of keeping children safe who are in care, but also the need to keep them out of care in the first place, as she had mentioned that the government is not dealing with causation in a way that they ought to be with so much at stake and mentioned some of the community-based treatment options generally.

I’m wondering if, specifically, the member could give us some examples of ways to support children so that they’re able to stay out of care and be served better in the community.

I recognize the member for Essex.

It’s my honour to speak on Bill 188, the Supporting Children’s Futures Act, 2024. Before I begin, I would like to thank my colleague the Minister of Children, Community and Social Services for bringing forth this crucial bill. This bill, if passed, would significantly enhance the safety, security and well-being of children and youth in care across our province.

Speaker, our government stands firm in its commitment to ensure that no one is left behind. We are working towards a province where all children, youth and families, including those getting support through Ontario’s children and youth services sector, have the resources and support they need to thrive. This bill is all about stepping up to better protect the rights of children and youth, enhancing the quality of services and improving the accountability of service providers.

Since 2022, our government has been working hard at redesigning Ontario’s child welfare system. We’re focusing on early intervention, improving outcomes for children and tearing down barriers to support. We did that because every child and youth deserves a decent start in life and a safe and stable home, regardless of their circumstances.

This bill is packed with initiatives aimed at ensuring quality care and services for children and youth in care. We are talking about introducing new offences and administrative penalties to boost oversight of out-of-home care. We’re expanding who is responsible for reporting concerns, with better information sharing to keep our kids safe. Plus, we are levelling the playing field by strengthening privacy provisions for youth formerly in care.

Since launching the comprehensive redesign of child welfare in Ontario, we have put many new measures in place. This includes, just to name a few, developing a new framework for what out-of-home care looks like; increasing and enhancing oversight and accountability for out-of-home care, and supporting that oversight by adding 20 new positions across the province to support the management, inspection and oversight of out-of-home care for children and youth; and launching the Ready, Set, Go Program, which provides youth in the care of children’s aid societies with the life skills they need, starting at 13, and financial support when they leave care up to the age of 23.

Speaker, transforming child and family services is a significant undertaking, and it takes time. Many of the reforms proposed in this bill are designed to better support youth and provide the skills and knowledge that will help them transition to adulthood. The changes also build on the Ready, Set, Go Program, which we launched back on April 1, 2023. This program represents another significant step coming out of the Child Welfare Redesign Strategy. The Ready, Set, Go Program provides youth transitioning out of care with life skills and supports they need to pursue post-secondary education, skilled trades training and employment opportunities.

Under the new program, children’s aid societies will begin focusing on helping children plan for their future at an earlier age. Starting at 13, they will begin learning practical life skills and planning education goals. At age 15, the emphasis will expand to financial literacy and preparing for the workforce, including managing personal finances, setting up a bank account, grocery shopping, résumé building, and how to access social services and other supports.

The Ready, Set, Go Program is a game-changer for youth transitioning out of care. We have increased the financial assistance, raising it from $850 to $1,800 a month at the age of 18, gradually decreasing to $1,000 by age 20. Those staying in care at 21 receive $1,000, and at age 22, $500. Plus, they can work up to 40 hours a week without losing support. And for those pursuing education or training, we are providing an extra $500 monthly from age 20, ensuring they have the resources to thrive. These monthly financial support increases will provide youth better quality of life and safer housing opportunities so that they can focus on their studies or work. By extending care until 23 and increasing financial support, we are giving these youth a solid foundation for their future.

The Ready, Set, Go Program, developed with input and advice from former youth in care, child welfare advocates, partners, and informed by research, has a three-year, $170-million funding commitment from the government. In addition, we are expected to support more than 4,000 youth this year as they prepare for adulthood. It’s a great start to support the transition from being a youth in care to becoming a young adult.

Speaker, at its core, the Supporting Children’s Futures Act, 2024, is all about looking out for the children and youth in Ontario who need our support the most. It’s about putting measures in place to make sure they’re safe, well cared for, and have the opportunities they deserve to succeed. If this bill passes, it’s going to make a real difference. We are talking about strengthening oversight and enforcement tools for out-of-home care, ensuring that our kids’ privacy is respected, and updating our laws based on what we have learned since they were first put in place.

These changes aren’t just about the here and now; they are about setting our children up for success in the long run. In the short term, it means safer and more consistent services for those living away from home. But in the long term, it means preparing them for adulthood and giving them the tools they need to succeed.

Our government is committed to making life better for all children and youth in Ontario, especially those in care. Some examples of these measures include:

—mandating information-sharing between children’s aid societies and the ministry about specific health and safety risks to children in licensed out-of-home care settings;

—requiring children’s aid services to visit children placed in out-of-home care more frequently: every 30 days, instead of every 90 days;

—requiring unannounced, in-person visits by children’s aid societies in certain circumstances; for example, if a visit cannot be scheduled because the society was unable to contact the child or the caregivers, or if there are concerns related to the well-being of the child; and

—requirements that give youth in children’s residences and foster homes greater guarantees of privacy.

These measures may seem small, but they add up to big changes that will make a real, tangible difference in the lives of our most vulnerable youth. And that is something worth fighting for.

In closing, the passage of Bill 188 would bring us closer to our vision of an Ontario where every child, youth and family has the resources they need to thrive. Our children and youth are the future, and it is our responsibility to ensure that they have the support they need to succeed. I urge all the members of this House to support this bill as we continue to strengthen families and communities across this great province.

On the contrary, I think it is telling me that the NDP speaker’s priority seems to be giving their defeated candidate from Don Valley West a job. I’ve also noticed that she said of this bill’s privacy provisions, there are positive changes in this announcement.

From 2008 to 2019, the office of the children’s advocate wrote 79 reports that total 4,644 pages. It is just for one source. It should have been the spur of the Liberal government to act, and it should have made the NDP demand action from them, from the previous government.

In fact, it’s our government that knew the time for more reports was over. It was our government that took action and redesigned the children’s welfare system. The child advocate’s investigative function was folded into the Office of the Ombudsman and continues to this day.

The changes also aim to better protect children and youth with a history in the child welfare system that would further restrict access by others to their welfare records.

These changes—

It’s now time for questions.

Thank you to the member for Markham–Unionville for his comments. I know I don’t have much time, but we’re hearing a lot of positive feedback from even the opposition on this bill. They’ve said it’s a good bill, that it’s a good start. They’re happy to see some changes after years of neglect.

Do you have some parts of this bill that you think are going to be really important to improve the lives of vulnerable children in Ontario?

Earlier in the debate, we heard about kin placements, which is a preferred option for children being placed in temporary custody, but the money reimbursed to those families—so a family placement, a kin placement—is $280 a month versus the $1,000 that is for adoptive families. That’s a huge difference.

And when we know being placed with family is a better option with better outcomes, why is that not something we see in this bill? And would the government be willing to make that change based on the recommendations from those in the know making decisions in the best interests of children?

My question to the government with regard to Bill 188, the Supporting Children’s Futures Act: There are immediate steps that you can do today to advance the futures and keep safe and well the children and youth of Ontario.

One of those things is to pass Bill 174, the Missing Persons Amendment Act. That would really help protect vulnerable people, especially those with disabilities. This is a bill that I understand the member from Hamilton Mountain has put forth. This government has said yes to this and yet you have not delivered.

Another thing to help our children and youth: bring back the provincial child and youth advocate so there can be a voice, an independent non-partisan voice, in this Legislature speaking on behalf of children and youth. Don’t do it for the NDP; do it for the kids. Do it for the family. Do it for the people who feel down and out and betrayed by the care system.