The Minister must publicly disclose specified payment information about each physician covered by the regulation, and may also disclose additional physician and compliance details.
(Consolidated up to 288/2025) ALBERTA REGULATION 162/2020 Alberta Health Care Insurance Act PHYSICIAN PAYMENT AND COMPLIANCE DISCLOSURE REGULATION Table of Contents 1 Definitions 2 Ministerial disclosure 3 Date of disclosure 4 Extension of time 4.1 Ministerial disclosure re contraventions and failures to comply 4.2 Timing of disclosure re contraventions and failures to comply 5 Coming into force Definitions 1 In this Regulation, (a) “Act” means the Alberta Health Care Insurance Act ; (b) “fee for service benefits” means the benefits referred to in section 20.3(1)(a)(i) of the Act that are payable on a fee for service basis for insured medical services; (c) “fiscal year” means the period beginning on April 1 of one year and ending on March 31 of the next year; (d) “insured medical services” means insured medical services as defined in the Medical Benefits Regulation (AR 84/2006). Ministerial disclosure 2 (1) This section applies in respect of each physician in respect of whom fee for service benefits are paid. (2) The Minister shall disclose to the public for each fiscal year in respect of each physician to whom this section applies all amounts of the fee for service benefits paid in respect of the physician during the fiscal year. (3) The Minister may disclose the following to the public for each fiscal year in respect of each physician to whom this section applies: (a) the name of the physician; (b) the location in Alberta where the physician provided the majority of the insured medical services in respect of which the amounts referred to in subsection (2) were paid during the fiscal year; (c) the area or areas of medicine in which the physician has received a specialist or interim certificate referred to in section 9(1) of the Medical Benefits Regulation (AR 84/2006) and in which the physician provided the insured medical services in respect of which the amounts referred to in subsection (2) were paid; (d) the total number of individual patients, excluding repeat visits by those patients, to whom the physician provided the insured medical services in respect of which the amounts referred to in subsection (2) were paid during the fiscal year; (e) the total number of days during the fiscal year on which the physician provided the insured medical services in respect of which the amounts referred to in subsection (2) were paid; (f) the name of any person, organization or body, including a person, organization or body referred to in section 4(2) of the Claims for Benefits Regulation (AR 81/2006), to which an amount referred to in subsection (2) was paid and the total amount paid to each of those persons, organizations or bodies during the fiscal year. Date of disclosure 3 (1) The Minister shall disclose the information referred to in section 2(2) with respect to the fiscal years ending March 31, 2018, March 31, 2019 and March 31, 2020 on or before the 60th day after the date on which this Regulation comes into force. (2) With respect to the fiscal year ending March 31, 2021 and subsequent fiscal years, the Minister shall disclose the information referred to in section 2(2) on or before June 30 of the following fiscal year. Extension of time 4 If the Minister has received an application under section 20.3(5) of the Act in respect of a physician, the Minister may extend the time period within which disclosure must take place in respect of the physician or may temporarily exclude information, documents or records, including the physician’s personal information, from disclosure pending completion of the Minister’s review of the application or the outcome of a related court action. Ministerial disclosure re contraventions and failures to comply 4.1 The Minister may, under section 20.31 of the Act, disclose to the public the following information relating to a person’s contravention of or failure to comply with Part 1, Division 1 of the Act or the regulations made under that division: (a) the name of the person; (b) the particulars of each contravention or failure to comply by the person, including (i) the provision of Part 1, Division 1 of the Act, or of the regulations made under that division, that the person contravened or failed to comply with, and (ii) the location at and date on which the contravention or failure to comply occurred; (c) an amount charged, collected or received by any person as a result of the contravention or failure to comply that is in addition to or in excess of benefits that are payable by the Minister; (d) the name of any person who has charged, collected or received an amount referred to in clause (c); (e) the contents of an order made by the Minister under Part 1, Division 1 of the Act as a result of the contravention or failure to comply; (f) any other information relating to the contravention or failure to comply that the Minister considers appropriate to disclose. AR 288/2025 s3 Timing of disclosure re contraventions and failures to comply 4.2 The Minister may disclose the information described in section 4.1 at any time after the date on which the contravention or failure to comply came to the attention of the Minister. AR 288/2025 s3 Coming into force 5 This Regulation has effect on the coming into force of section 1(7) of the Health Statutes Amendment Act, 2020 .