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Bulletin Number 4330	Date December 24, 1998	Direct inquiries to Ministry of Health Processing Office (address below)
Distribution 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
Barrie 30 Poyntz St. L4M 3P2	Hamilton 119 King St. W P.O. Box 2280, Stn. A L8N 4C8	Kenora 220-808 Robertson St. P9N 1X9	Kingston 1055 Princess St. P.O. Box 9000 K7L 5A9	Kitchener Canada Life Square Main Floor 235 King St. E., N2G 4N5
London 217 York St., 5th FloorP.O. Box 5700 Terminal A N6A 1B7	Mississauga 201 City Centre Dr. P.O. Box 7020, Stn. A L5A 3M1	North Bay 101-447 McKeown St. P1B 9S9	Oshawa Exec. Tower, Oshawa Centre. 419 King St. W. P.O. Box 635 L1H 8L4	Ottawa Fuller Building 75 Albert Street K1P 5Y9
Owen Sound 981 2nd Avenue E. N4K 2H5	Peterborough 550 Lansdowne St. W. K9J 8J8	St. Catharines 59 Church St 3rd Floor L2R 3C3	Sarnia 452 Christina St. N. N7T 5W4	Sault Ste. Marie Roberta Bondar Place 70 Foster Dr., Ste. 100 P6A 6V4
Sudbury 199 Larch St., Suite 801 P3E 5R1	Thunder Bay 435 James St. S. , Suite 113 P7E 6T1	Timmins 38 Pine St. N., Ste. 110 P4N 6K6	Toronto 2195 Yonge St. P.O Box 1700 Stn. A M5W 1G9	Windsor 1427 Ouellette Ave. N8X 1K1
		Head Office P.O. Box 38 Kingston, ON K7L 5J2