Bulletin Number
        December 24, 1998
Direct inquiries to

         Ministry of Health
         Processing Office

(address below)
    Physicians, Hospitals, Clinics, and Laboratories
Subject      Changes To Regulation 552 under the Health Insurance Act
Gender re-assignment surgery is no longer an insured service effective October 1, 1998. Services provided to Ontario residents who have completed the Gender Identity Clinic program at the Centre for Addiction and Mental Health, and who have been recommended for surgery by the Clinic prior to October 1, 1998 are eligible for out-of-country approval.

The Gender Identity Clinic will continue to be funded by the Ministry of Health as part of the integrated budget for the Centre for Addiction and Mental Health.

The changes which de-insure gender re-assignment surgery were recently made to the regulations under the Health Insurance Act.

Specifically, these changes affect Appendix D to the General Preamble, Item 7 of the Schedule of Benefits for Physician Services, Section 24, and Section 28.4 of Regulation 552 under the Health Insurance Act.

The Schedule of Benefits for Physician Services will be updated and distributed in the next amendment release.

Office locations
30 Poyntz St.
L4M 3P2
119 King St. W
P.O. Box 2280, Stn. A
L8N 4C8
220-808 Robertson St.
P9N 1X9
1055 Princess St.
P.O. Box 9000
K7L 5A9
Canada Life Square
Main Floor
235 King St. E.,
N2G 4N5
217 York St., 5th FloorP.O. Box 5700
Terminal A
N6A 1B7
201 City Centre Dr.
P.O. Box 7020, Stn. A
L5A 3M1
North Bay
101-447 McKeown St.
P1B 9S9
Exec. Tower,
Oshawa Centre.
419 King St. W.
P.O. Box 635 L1H 8L4
Fuller Building
75 Albert Street
K1P 5Y9
Owen Sound
981 2nd Avenue E.
N4K 2H5
550 Lansdowne St. W.
K9J 8J8
St. Catharines
59 Church St
3rd Floor
L2R 3C3
452 Christina St. N.
N7T 5W4
Sault Ste. Marie
Roberta Bondar Place
70 Foster Dr., Ste. 100
P6A 6V4
199 Larch St.,
Suite 801
P3E 5R1
Thunder Bay
435 James St. S. ,
Suite 113
P7E 6T1
38 Pine St. N., Ste. 110
P4N 6K6
2195 Yonge St.
P.O Box 1700 Stn. A
M5W 1G9
1427 Ouellette Ave.
N8X 1K1
Head Office
P.O. Box 38
Kingston, ON
K7L 5J2