The federal government unveiled its new dental-care plan on Monday — a $13-billion insurance program that will start covering routine dentistry costs next year for people who meet a certain income threshold.
Ottawa will cover kids under 18 and some seniors first before expanding the program to all eligible low- and middle-income Canadians in 2025.
Applications for seniors aged 87 and over will open later this month. Other age groups will able to apply in the new year.
The staggered application process is designed to make the rollout as smooth as possible. The government says it expects millions of people to avail themselves of this new component of Canada’s social safety net.
Coverage will be phased in over time, but some eligible participants will start to receive benefits as early as May 2024. Costs incurred before the relevant start date will not be covered.
This insurance-based program replaces the interim program that has been sending cheques directly to families with kids under 12 for the last year.
To be eligible for the program, a person must have a household income below $90,000 and no access to an existing private insurance plan. The person must also have filed a tax return so the government can verify income.
The plan is most generous for families that have household incomes below $70,000. They face no co-pays to a participating dentist, hygienist or denturist, and Ottawa will pick up the tab for covered services like cleaning, polishing, examinations, X-rays, fillings, root canal treatments and complete and partial removable dentures.
Families with incomes between $70,000 and $79,999 will face a 40 per cent co-pay, and for those in the $80,000 to $89,999 income bracket, the co-pay jumps to 60 per cent. The federal plan will cover the rest of the costs incurred.
Services to be covered under the Canadian dental care plan:
Preventive services, including scaling (cleaning), polishing, sealants and fluoride
Diagnostic services, including examinations and x-rays
Restorative services, including fillings
Endodontic services, including root canal treatments
Prosthodontic services, including complete and partial removable dentures
Periodontal services, including deep scaling
Oral surgery services, including extractions.
Health Minister Mark Holland described the government’s plan as “transformative” because it will provide coverage to the nearly nine million Canadians who do not already have access to dental insurance.
“We know we can have the best health system in the world and today is a monumental step in that direction,” Holland said.
“It’s going to make life better for eligible Canadian residents who won’t have to choose between paying their bills and getting the help they absolutely need,” he said.
$13B dental plan to be ‘transformative,’ minister says
Federal Health Minister Mark Holland says a $13-billion dental-care plan will significantly improve access for millions of Canadians who don’t have access to care through workplace insurance plans.
Citizens’ Services Minister Terry Beech said Canadians do not need to do anything at this stage — the federal government will reach out to eligible people by mail to invite them to apply for the benefit when it’s their turn.
The first letters will go out to invite seniors 70 and up to apply for the plan — those seniors will apply over the phone.
Here’s when seniors can expect to receive those letters:
Seniors aged 87 and above starting in December 2023
Seniors aged 77 to 86 starting in January 2024
Seniors aged 72 to 76 starting in February 2024
Seniors aged 70 to 71 starting in March 2024
Then, in May 2024, the application process will switch from the telephone to online as people aged 65 and older become eligible to apply.
People with valid disability tax credit certificates and children under 18 will be able to apply starting in June 2024.
NDP Leader Jagmeet Singh claimed the government is only pressing ahead with this program now because his party “forced” Ottawa to enact it as a condition of the confidence-and-supply agreement that could keep the Liberals in power until 2025.
“People are living with pain, people are worried about the cost if they do have to go to the dentist. We’ve been fighting to make sure people get coverage while out-of-touch Liberals and cutting-back Conservatives don’t want to deliver help to people. We’ve forced this government to take action,” he said at a press conference in Toronto.
The Liberal Party’s 2021 election platform made no mention of a dental care program.
“We’ve used our power in this minority government to give people help,” Singh added. “(Conservative Leader) Pierre Poilievre, despite having taxpayer-funded dental care for most of his adult life, voted against kids getting dental care. Conservatives have made it clear what their priorities are — cutting and gutting.”
Filling gaps in system
In a background briefing with reporters, senior public servants responsible for the program stressed that this federal initiative is meant to “fill the gaps” in the system and not replace existing provincial and territorial programs that already cover some oral health services.
But the federal government has received no assurances from the premiers that they will keep their programs operational once the national program rolls out.
Holland said conversations are ongoing with other levels of government. “I think they understand this isn’t an opportunity to shove off costs,” he said.
There’s also a risk of some employers scrapping the dental plans they offer their workers and pushing people onto this new federal plan.
A decision to dismantle those plans would push up the price tag of the dental care plan — in its current form, it is slated to cost the federal treasury about $4.4 billion a year.
Dedicated call centre for queries
The program will be administered by insurance giant Sun Life and dentists, dental hygienists and denturists will directly submit claims to that company for reimbursement. If there’s a co-pay, insured people will pay that cost out of pocket to the provider.
While the program will be run by a third party, the government said people can still work with Service Canada agents to deal with any issues that arise, including eligibility or coverage disputes. There will be a dedicated call centre to deal with dental services.
The government is hopeful that oral health professionals will enrol in the program and accept the Canadian dental-care insurance plan as payment.
Officials said the government will launch an education campaign to brief dentists, dental hygienists and denturists and the organizations that represent them in the new year on how they can sign up to provide covered care.
There will be a set “fee schedule” for services — but the costs reimbursed by Ottawa will vary from province to province.
The government said the fees paid are “relatively generous compared to other public plans across the country,” which should provide an incentive for providers to participate.
Holland acknowledged the government “still has work to do” to guarantee the country’s dentists will provide services to publicly insured clients.
“The core success of this plan is making sure oral health professionals are signing up,” he said. “I’m extraordinarily optimistic there is going to be very strong uptake.”
Holland said he met recently with seniors in Nova Scotia and they didn’t seem hopeful that the proposed dental program would actually materialize.
They had been living with the same set of dentures for decades, he said.
Holland assured them the program was coming and seniors would be able to tap the insurance program to help cover dental costs.
“That was one of the most powerful moments for me politically, to see that look of optimism and joy and what that dignity means. The dignity of being able to get new dentures,” he said.
NDP MP Don Davies is the party’s health critic; he helped to design the framework of this dental care initiative. He praised the program’s rollout as “a truly historic moment.”
“We are building on the legacy of Tommy Douglas who laid the foundation for our country’s public health care system,” Davies said of the former NDP leader who called for “head to toe” health coverage.
OTTAWA – The New Democrats confirmed Thursday they won’t help Pierre Poilievre’s Conservatives topple the government next week, and intend to join the Bloc Québécois in blocking the Tories’ non-confidence motion.
The planned votes from the Bloc and the New Democrats eliminate the possibility of a snap election, buying the Liberals more time to govern after a raucous start to the fall sitting of Parliament.
Poilievre issued a challenge to NDP Leader Jagmeet Singh earlier this week when he announced he will put forward a motion that simply states that the House has no confidence in the government or the prime minister.
If it were to pass, it would likely mean Canadians would be heading to the polls, but Singh said Thursday he’s not going to let Poilievre tell him what to do.
Voting against the Conservative motion doesn’t mean the NDP support the Liberals, said Singh, who pulled out of his political pact with Prime Minister Justin Trudeau a few weeks ago.
“I stand by my words, Trudeau has let you down,” Singh said in the foyer outside of the House of Commons Thursday.
“Trudeau has let you down and does not deserve another chance.”
Canadians will have to make that choice at the ballot box, Singh said, but he will make a decision about whether to help trigger that election on a vote-by-vote basis in the House.
The Conservatives mocked the NDP during Question Period for saying they had “ripped up” the deal to support the Liberals, despite plans to vote to keep them in power.
Poilievre accused Singh of pretending to pull out of the deal to sway voters in a federal byelection in Winnipeg, where the NDP was defending its long-held seat against the Conservatives.
“Once the votes were counted, he betrayed them again. He’s a fake, a phoney and fraud. How can anyone ever believe what the sellout NDP leader says in the future?” Poilievre said during Question Period Thursday afternoon.
At some point after those comments, Singh stepped out from behind his desk in the House and a two-minute shouting match ensued between the two leaders and their MPs before the Speaker intervened.
Outside the House, Poilievre said he plans to put forward another non-confidence motion at the next opportunity.
“We want a carbon-tax election as soon as possible, so that we can axe Trudeau’s tax before he quadruples it to 61 cents a litre,” he said.
Liberal House leader Karina Gould says there is much work the government still needs to do, and that Singh has realized the consequences of potentially bringing down the government. She refused to take questions about whether her government will negotiate with opposition parties to ensure their support in future confidence motions.
Bloc Québécois Leader Yves-François Blanchet hasn’t ruled out voting no-confidence in the government the next time a motion is tabled.
“I never support Liberals. Help me God, I go against the Conservatives on a vote that is only about Pierre Poilievre and his huge ambition for himself,” Blanchet said Thursday.
“I support the interests of Quebecers, if those interests are also good for Canadians.”
A Bloc bill to increase pension cheques for seniors aged 65 to 74 is now at “the very centre of the survival of this government,” he said.
The Bloc needs a recommendation from a government minister to OK the cost and get the bill through the House.
The Bloc also wants to see more protections for supply management in the food sector in Canada and Quebec.
If the Liberals can’t deliver on those two things, they will fall, Blanchet said.
“This is what we call power,” he said.
Treasury Board President Anita Anand wouldn’t say whether the government would be willing to swallow the financial implications of the Bloc’s demands.
“We are focused at Treasury Board on ensuring prudent fiscal management,” she said Thursday.
“And at this time, our immediate focus is implementing the measures in budget 2024 that were announced earlier this year.”
This report by The Canadian Press was first published Sept. 19, 2024.
OTTAWA – Treasury Board President Anita Anand has been sworn in as federal transport minister at a ceremony at Rideau Hall, taking over a portfolio left vacant after Pablo Rodriguez resigned from cabinet and the Liberal caucus on Thursday.
Anand thanked Rodriguez for his contributions to the government and the country, saying she’s grateful for his guidance and friendship.
She sidestepped a question about the message it sends to have him leave the federal Liberal fold.
“That is a decision that he made independently, and I wish him well,” she said.
Prime Minister Justin Trudeau was not present for the swearing-in ceremony, nor were any other members of the Liberal government.
The shakeup in cabinet comes just days after the Liberals lost a key seat in a Montreal byelection to the Bloc Québécois and amid renewed calls for Prime Minister Justin Trudeau to step down and make way for a new leader.
Anand said she is not actively seeking leadership of the party, saying she is focused on her roles as minister and as MP.
“My view is that we are a team, and we are a team that has to keep delivering for our country,” she said.
The minority Liberal government is in a more challenging position in the House of Commons after the NDP ended a supply-and-confidence deal that provided parliamentary stability for more than two years.
Non-confidence votes are guaranteed to come from the Opposition Conservatives, who are eager to bring the government down.
On Thursday morning, Rodriguez made a symbolic walk over the Alexandra Bridge from Parliament Hill to Gatineau, Que., where he formally announced his plans to run for the Quebec Liberal party leadership.
He said he will now sit as an Independent member of Parliament, which will allow him to focus on his own priorities.
“I was defending the priorities of the government, and I did it in a very loyal way,” he said.
“It’s normal and it’s what I had to do. But now it’s more about my vision, the vision of the team that I’m building.”
Rodriguez said he will stay on as an MP until the Quebec Liberal leadership campaign officially launches in January.
He said that will “avoid a costly byelection a few weeks, or months, before a general election.”
The next federal election must be held by October 2025.
Conservative Leader Pierre Poilievre said he will try to topple the government sooner than that, beginning with a non-confidence motion that is set to be debated Sept. 24 and voted on Sept. 25.
Poilievre has called on the NDP and the Bloc Québécois to support him, but both Jagmeet Singh and Yves-François Blanchet have said they will not support the Conservatives.
Rodriguez said he doesn’t want a federal election right away and will vote against the non-confidence motion.
As for how he would vote on other matters before the House of Commons, “it would depend on the votes.”
Public Services and Procurement Minister Jean-Yves Duclos will become the government’s new Quebec lieutenant, a non-cabinet role Rodriguez held since 2019.
This report by The Canadian Press was first published Sept. 19, 2024.
— With files from Nojoud Al Mallees and Dylan Robertson
