Access to Information Orders
Decision Information
NATURE OF THE APPEAL: The Ministry of Health and Long Term Care (the Ministry) received the following request under the Freedom of Information and Protection of Privacy Act (the Act ): I understand that the Government of Ontario rebates to physicians a significant portion of the fees they pay to the Canadian Medical Protective Association [(CMPA)]. I am interested in getting particulars of this program, that is, the Agreement or regulations involved and the amounts. The Ministry advised the requester to forward his request to the Ministry's Freedom of Information (FOI) office. The requester then asked the Ministry's FOI office for the following: (a) A Memorandum of Understanding signed by CMPA, [Ontario Medical Association (OMA)], and the Ministry of Health and Long-Term Care. I don't know the date, but the document is mentioned in the current CMPA website. (b) The amounts paid by the Ministry under the Memorandum in the years to which it applies. I do not ask for amount paid to or for any individual. I request yearly totals. I also ask for a breakdown by specialties or regions if that information already exists. (c) Predecessor Agreements, or Memorandums of Understanding for earlier time periods. My understanding is that the subsidy program for Medical Malpractice insurance began in 1986, but I am not sure of that. (d) With regard to the predecessor Agreements, information similar to that mentioned in (b) (e) With regard to (b) and (c), I ask how the amounts paid are calculated. I suppose that information is in the Agreements, but if other documents are needed, I ask for those. The Ministry granted access, in part, to records responsive to the request. The Ministry provided information responsive to part (b) of the request and advised that it does not collect data by specialty or region. However, the Ministry indicated that the CMPA fee schedule is available on the CMPA web site and that it is broken down by specialty or region. The Ministry also provided information responsive to part (e) of the request. With respect to part (e), the Ministry stated: Under the 1987 MOHLTC [the Ministry of Health and Long Term Care]/OMA Agreement, the government agreed to subsidize physician malpractice coverage. Since 1987, the government has continued to pay the difference between the 1986 fee and the current fee. Access was denied to the record responsive to part (a) of the request, in its entirety, pursuant to section 17(1) of the Act . Access was also denied to records responsive to parts (c) and (d) of the request on the basis that they do not exist. The requester, now the appellant, appealed the Ministry's decision to deny access to the Memorandum of Understanding (MOU). In addition, he believes that the other records he is seeking must exist and that further agreements also exist based on the Ministry's response to part (e) of his request. The appellant also raised section 29(1)(b)(ii) (adequacy of decision letter) of the Act as an issue. He stated that the Ministry did not provide reasons, in its decision letter, for citing the section 17(1) exemption. During the mediation stage, the appellant advised that in addition to pursuing his appeal with respect to section 29(1)(b)(ii) of the Act , he wanted sections 24 and 29(1)(a)(ii) (reasonable search) of the Act to be considered as an issue in this appeal. He stated that the Ministry did not specify, in its decision letter, that he could appeal its decision that responsive records do not exist. Also during mediation, the appellant explained to the mediator that, at a minimum, the 1987 MOHLTC/OMA Agreement ought to exist as well as any reimbursement agreements that pre-date the signing of the 2000 MOU. The Ministry agreed to conduct a further search in an attempt to locate the 1987 MOHLTC/OMA Agreement and any other previous agreements. The Ministry advised that it conducted a further search and did not locate any other responsive records. Further mediation was unsuccessful and the appeal was referred to adjudication. After the completion of the mediation stage but prior to the issuance of the Notice of Inquiry, the appellant sent this office a letter setting out his position on the issues in dispute. He also raised the possible application of section 23 of the Act (the public interest override). This office then sought representations from the Ministry on all of the issues raised by the appellant including section 23, and from two affected parties on the application of the section 17(1) exemption only. The non-confidential portions of the appellant's pre-inquiry representations were shared with the Ministry and the two affected parties. The Ministry submitted representations, as did one of the two affected parties. Also, at this time, one of the affected parties and the Ministry advised that the MOU had been published in the July/August 2003 edition of the Ontario Medical Review. The Ministry subsequently issued a supplementary decision letter in which it advised that it was withdrawing its section 17(1) exemption claim in regard to the MOU and would be providing the appellant with access in full to it. Accordingly, section 17(1) is no longer at issue and, by extension; it is no longer necessary for me to consider the application of sections 29(1)(b)(ii) and 23. Accordingly, the sole remaining issue identified in the Notice of Inquiry provided to the Ministry was whether it had conducted a reasonable search for responsive records. The Ministry agreed to share the non-confidential portions of its representations that address only the reasonable search issue with the appellant. The appellant also made representations raising the question of whether the Ministry properly interpreted the scope of the request. The appellant's representations were shared with the Ministry, in their entirety. The Ministry then made additional representations by way of reply, addressing the issues raised by the appellant. DISCUSSION: SCOPE OF THE REQUEST Section 24 of the Act imposes certain obligations on requesters and institutions when submitting and responding to requests for access to records. This section states, in part: (1) A person seeking access to a record shall, (a) make a request in writing to the institution that the person believes has custody or control of the record; (b) provide sufficient detail to enable an experienced employee of the institution, upon a reasonable effort, to identify the record; and . . . . . (2) If the request does not sufficiently describe the record sought, the institution shall inform the applicant of the defect and shall offer assistance in reformulating the request so as to comply with subsection (1). Institutions should adopt a liberal interpretation of a request, in order to best serve the purpose of spirit of the Act . Generally, ambiguity in the request should be resolved in the requester's favour [Orders P-134, P-880]. To be considered responsive to the request, records must "reasonably relate" to the request [Order P-880]. The Ministry is of the view that the request relates only to the 2000 MOU "and to any predecessor Agreements" and does not, the
Decision Content
NATURE OF THE APPEAL:
The Ministry of Health and Long Term Care (the Ministry) received the following request under the Freedom of Information and Protection of Privacy Act (the Act):
I understand that the Government of Ontario rebates to physicians a significant portion of the fees they pay to the Canadian Medical Protective Association [(CMPA)]. I am interested in getting particulars of this program, that is, the Agreement or regulations involved and the amounts.
The Ministry advised the requester to forward his request to the Ministry’s Freedom of Information (FOI) office. The requester then asked the Ministry’s FOI office for the following:
(a) A Memorandum of Understanding signed by CMPA, [Ontario Medical Association (OMA)], and the Ministry of Health and Long-Term Care. I don’t know the date, but the document is mentioned in the current CMPA website.
(b) The amounts paid by the Ministry under the Memorandum in the years to which it applies. I do not ask for amount paid to or for any individual. I request yearly totals. I also ask for a breakdown by specialties or regions if that information already exists.
(c) Predecessor Agreements, or Memorandums of Understanding for earlier time periods. My understanding is that the subsidy program for Medical Malpractice insurance began in 1986, but I am not sure of that.
(d) With regard to the predecessor Agreements, information similar to that mentioned in (b)
(e) With regard to (b) and (c), I ask how the amounts paid are calculated. I suppose that information is in the Agreements, but if other documents are needed, I ask for those.