Public Funding, Insurance, and Medical Devices

SAC-Ontario advocates for streamlined, equitable, and transparent funding models that improve access to speech-language pathology and audiology services as well as essential medical devices across Ontario. This includes engaging with provincial programs and insurers to reduce barriers, enhance affordability, and ensure timely access to care.

Latest Updates

Support for Seniors and Caregivers

Ontario Government announces $9 million investment in the new Improving Dementia Care Program (IDCP)

On February 24, 2026, the Ontario government announced a $9 million investment in the new Improving Dementia Care Program (IDCP) and the expansion of Behavioural Specialized Units (BSUs) in long-term care homes. These initiatives aim to enhance person-centred care for residents living with dementia, many of whom experience complex communication and swallowing challenges.

Dementia can affect a person’s communication abilities and swallowing function, and speech‑language pathologists (S‑LPs), audiologists, and communication health assistants are uniquely trained to provide supportive, evidence‑based care in these areas. For example, negative or distress‑related responsive behaviours, such as agitation, resistance, or withdrawal, often reflect a patient’s attempt to communicate unmet needs, discomfort, or frustration. Recognizing this highlights the important role S‑LPs play in informing and guiding person‑centred behavioural care plans.

The expansion of IDCP and BSUs presents an important opportunity to integrate communication and swallowing expertise directly into dementia care. As the complexity of care in long-term care homes increases, the demand for specialized communication services will grow.

SAC continues to advocate on behalf of our members to ensure that S-LPs, audiologists, and communication health assitants are included in these programs, thereby improving safety, engagement, and quality of life for residents across Ontario’s long-term care system.

Support for Seniors and Caregivers Act, 2025

On May 15, 2025, the Ontario government reintroduced the Support for Seniors and Caregivers Act, 2025, part of a broader $114 million investment to improve access to community and social programs that help seniors stay active, healthy, and supported at home and in care settings.

Key highlights include:

  • Mandatory dementia care programs in all long-term care homes
  • Strengthened rights for residents to receive ongoing support from family and friends
  • Recognition of cultural, linguistic, religious, and spiritual needs, including increased access to French-language services
  • New offences related to abuse or neglect of long-term care residents and enhanced investigation practices

Complementary initiatives include expanded dementia support, community-based services for seniors at home, and development of AI tools for early detection of osteoporosis.

As S-LPs and audiologists provide a wide range of services to seniors, these investments have the potential to expand access to vital communication health services. SAC will continue to monitor developments and advocate for the integration of S-LPs and audiologists into long-term care and community-based programs.

Assistive Devices Program

Update on the ADP Hearing Devices Application Process

We are pleased to announce that the Ministry of Health has confirmed the final changes to the Assistive Devices Program (ADP) Hearing Devices Application Process, which will take effect on March 2, 2026. These updates reflect consultations with SAC and other hearing healthcare advocates in early 2025.

Key Updates
  • Simplified signatures: The prescriber signature is no longer required on the ADP form, allowing for more effective streamlining of the ADP application process. With the removal of the prescriber signature, ADP vendors are now required to retain a copy of the applicant’s hearing aid prescription on file and must provide a copy of the hearing aid prescription to the applicant upon procurement of the hearing device.
  • Attestation Sheet: As part of the new ADP Hearing Device Application and funding process, ADP vendors will be required to review a new summary sheet with applicants outlining rights, key information on obtaining hearing aids, and the differences between audiologists and hearing instrument specialists. Both the applicant (or agent) and vendor sign this sheet.
  • Goals: Reduce physician involvement, clarify roles, and ensure compliance with the Regulated Health Professions Act (RHPA).

For any applications with an Authorizer’s signature date before March 2, 2026, please continue to use the current forms and system. The existing forms are available in the Central Forms Repository.

If you have questions regarding these changes, please contact the ADP at adpvendors@ontario.ca for vendors, adpauthorizers@ontario.ca for authorizers, or adp@ontario.ca for general inquiries. 

Advocating for Removing of Physician Signature Requirement

SAC is continually receiving inquiries about the Assistive Device Program (ADP).  

On November 26, 2025, SAC sent a letter to the Ontario Ministry of Health advocating for the removal of the physician signature requirement on ADP applications for communication aids. The letter highlights how this requirement delays access to care, creates financial and administrative burdens for families, and does not reflect the clinical knowledge of S-LPs, who are fully qualified to recommend these devices.  

For Audiologists, SAC continues to support the formal recognition of their role as the front-line hearing health professionals responsible for prescribing hearing aids. 

SAC strongly supports streamlining the patient journey in communication and hearing healthcare. Updates to current guidelines are necessary to: 

  • protect the public; 
  • uphold standards of care; and 
  • ensure equitable access to safe, high-quality hearing services for all Ontarians. 

SAC will continue to engage with members, stakeholders, and ADP, and will share future developments as they arise. 

Progress Timeline

Support for Seniors and Caregivers

February 24, 2026

Ontario announced a $9 million investment in the new Improving Dementia Care Program (IDCP) and the expansion of Behavioural Specialized Units (BSUs) in long-term care homes.

February 24, 2026

May 15, 2025

Ontario reintroduces the Support for Seniors and Caregivers Act, 2025, with investments to enhance dementia care, community services, and support for seniors at home.

May 15, 2025
Assistive Devices Program (ADP)

January 2026

The Ontario Ministry of Health confirmed that changes to the ADP Hearing Devices Application Process will come into effect on March 2, 2026.

January 2026

November 26, 2025

SAC sent a letter to the Ontario Ministry of Health advocating for the removal of the physician signature requirement on ADP communication aids.

November 26, 2025

May 2025

SAC engages ADP to discuss long-term solutions, including the formal recognition of audiologists as front-line prescribers of hearing aids.

May 2025

April 2024

SAC launched a member feedback survey regarding the proposed process audiologists must follow under the ADP.

April 2024

May 2023

SAC met with the Ontario Ministry of Health to propose a “red tape reduction” measure that would allow dispensing audiologists to sign as both prescriber and authorizer on ADP forms.

May 2023

December 2022

SAC met with the Ontario Ministry of Health to discuss proposed changes to ADP hearing aids, presenting findings from the member survey on potential impacts.

December 2022

August 2022

SAC informed members about proposed changes to the ADP hearing aid funding model and launched a member feedback survey.

August 2022

Relevant Documents

External Links

Ontario Government News Release – Support for Seniors and Caregivers Act, 2025