The Adults Living with an Intellectual Disability Act

The Adults Living with an Intellectual Disability Act, C.C.S.M. c. A6.1 (Assented to July 27, 1993) bilingual version (HTML) Table of Contents Section PART 1 INTERPRETATION AND ADMINISTRATION 1 Definitions 2 Presumed capacity re legal counsel 3 When Mental Health Act applies 4 Subject to Health Care Directives Act 5 Application to 17 year olds 6 Assisted decision making 7 Appointment of executive director 8 Delegation by executive director PART 2 SUPPORT SERVICES 9 Support services provided 10 Grants and agreements INDIVIDUAL PLAN 11 Requirement and review 12 Participation in development MEDIATION 13 Mediator appointed 14 Notice of mediation results 15 Settlement not binding APPEAL TO APPEAL BOARD 15.1 Decision by executive director 16 Subject matter and appellant 17-19 Repealed 20 Limitation on appeal board PART 3 PROTECTION AND EMERGENCY INTERVENTION PROTECTION 20.1 Abuse or neglect of adult living with an intellectual disability prohibited 20.2 Duty to protect adult living with an intellectual disability from abuse or neglect 21 Duty to report abuse or neglect 21.1 Protection from liability 21.2 Adverse employment action prohibited 22 Investigation by executive director 23 Order for entry 24 Solicitor-client privilege protected 25 Protective action by executive director 25.1 Report regarding professional, etc. 25.2 Report to employer 25.3 Reporting abuse or neglect to adult abuse registry committee 25.4 Reporting abuse or neglect at personal care homes EMERGENCY INTERVENTION 26 Emergency intervention action 27 Placement power suspended 28 Duty to inform re action PART 4 SUBSTITUTE DECISION MAKING DIVISION 1 — COMMISSIONER FOR ADULTS LIVING WITH AN INTELLECTUAL DISABILITY 29 Appointment 30 Authority 31 Delegation 32 Appointment if committee 33 Register of substitute decision makers DIVISION 2 — HEARING PANELS 34 Roster 35 Establishment of panel 36 Membership 37 Hearing to be held 38 Notice of hearing 39 Commissioner to provide information 40 Procedure for hearing 41 Hearing closed to public 42 Appointment for other area of decision making 43 Recommendations by hearing panel 44 Recommendations considered 45 Documents to be sent to commissioner DIVISION 3 — SUBSTITUTE DECISION MAKER FOR PERSONAL CARE APPLICATION FOR SUBSTITUTE DECISION MAKER FOR PERSONAL CARE 46 Incapacity for personal care 47 Application for appointment 48 No application if committee 49 Commissioner's preliminary investigation 50 Decision by commissioner 51 Notice of decision 51.1 Decision to refer to hearing panel 51.2 No referral to hearing panel 51.3 Notice of hearing by hearing panel 52 Hearing by hearing panel APPOINTMENT OF SUBSTITUTE DECISION MAKER FOR PERSONAL CARE 53 Decision re appointment 54 Persons eligible for appointment 55 Two or more substitute decision makers 56 Effective date of appointment POWERS OF SUBSTITUTE DECISION MAKER FOR PERSONAL CARE 57 Powers and conditions of appointment 58 Purchase of necessaries 59 Limitation re custody and divorce 60 Limitation re settling claims and proceedings 61 Matters excluded absolutely 62 Order re where person shall live 63-67 Repealed 68 Limitation on power re health care 69 Right to information re health care DUTIES OF SUBSTITUTE DECISION MAKER FOR PERSONAL CARE 70 Compliance with Act and appointment 71 Good faith 72 Provide explanations 73 Foster independence 74 Encourage participation 75 Least restrictive and intrusive action 76 Decisions on person's behalf RELATED MATTERS 77 Information respecting adult living with an intellectual disability 78 Right to information 79 Immunity 80 No compensation DIVISION 4 — SUBSTITUTE DECISION MAKER FOR PROPERTY APPLICATION FOR SUBSTITUTE DECISION MAKER FOR PROPERTY 81 Incapacity to manage property 82 Application for appointment 83 No application if committee 84 Commissioner's preliminary investigation 85 Decision by commissioner 86 Notice of decision 86.1 Decision to refer to hearing panel 86.2 No referral to hearing panel 86.3 Notice of hearing by hearing panel 87 Hearing by hearing panel APPOINTMENT OF SUBSTITUTE DECISION MAKER FOR PROPERTY 88 Decision re appointment 89 Persons eligible for appointment 90 Two or more substitute decision makers 91 Effective date of appointment POWERS OF SUBSTITUTE DECISION MAKER FOR PROPERTY 92 Powers and conditions of appointment 93 Limitation re settling claims and proceedings RELATED MATTERS 94 Information respecting adult living with an intellectual disability 95 Right to information re property 96 Delivery of property to substitute decision maker 97 Compensation DUTIES OF SUBSTITUTE DECISION MAKER FOR PROPERTY 98 Compliance with Act and appointment 99 Fiduciary duties 100 Accounts 101 Provide explanations 102 Foster independence 103 Encourage participation 104 Considerations in making decisions 105 Standard of care 106 Required expenditures 107 Liability for damages 108 Inventory and accounting 109 Accounting on expiration or termination of appointment 110 Additional information 111 Exception re Public Guardian and Trustee 112 Accounting on death of substitute decision maker 113 Accounting on death of adult living with an intellectual disability 113.1 Accounting to include notice of designation APPOINTMENT FOR PERSON RESIDING OUTSIDE MANITOBA 114 Appointment re non-resident DIVISION 5 — GENERAL PROVISIONS RESPECTING SUBSTITUTE DECISION MAKERS 115 Effect of decision by substitute decision maker 116 Contracts binding 117 Incidental powers 118 Completion of transactions entered into by adult living with an intellectual disability 119 Disputes between substitute decision makers DIVISION 6 — EMERGENCY APPOINTMENT, SUSPENSION AND VARIATION 120 Emergency appointment 121 Powers of emergency substitute decision maker 122 Notice of emergency appointment 123 Suspension and temporary appointment 124 Powers of temporary substitute decision maker 125 Notice of suspension and temporary appointment 126 Emergency variation of appointment 127 Notice of emergency variation 128 Eligibility for emergency appointment 129 Powers to be specified DIVISION 7 — TERMINATION, REPLACEMENT AND VARIATION OF APPOINTMENT 130 Application to terminate, replace or vary appointment 131 Refusal of frivolous application 132 Notice of application 133 Referral to hearing panel 134 No referral to hearing panel 135 Notice of decision 136 Termination of appointment 137 Appointing replacement substitute decision maker 138 Powers of replacement 139 Varying appointment of substitute decision maker DIVISION 8 — REVIEW BEFORE EXPIRATION OF APPOINTMENT 140 Review required before renewal 141 Referral to hearing panel 142 Hearing and recommendations 143 Opportunity to be heard 144 Decision to renew or vary appointment 145 Decision to terminate appointment 146 Notice of decision DIVISION 9 — APPEAL TO COURT OF KING'S BENCH 147 Appeal from decision of commissioner 148 Notice of application filed 149 Time for filing and serving 150 Service of notice of application 151 Documents filed by commissioner 152 Service on Public Guardian and Trustee 153 Stay of decision 154 Not compellable witness 155 Appeal as fresh matter 156 Powers of court on appeal 157 Effect of court order 158 Copy of court order to commissioner PART 5 NOTICE, CONFIDENTIALITY, IMMUNITY, REGULATIONS, OFFENCES AND REVIEW 159 Notice given by commissioner 160 Confidentiality re adult living with an intellectual disability 160.1 Confidentiality re person who reports abuse or neglect 161 Information to be furnished 162 Immunity 163 Regulations 164 Offences 164.1 Review of Act PART 6 TRANSITIONAL, CONSEQUENTIAL, C.C.S.M. REFERENCE AND COMING INTO FORCE 165 Orders under former Act 166-169 Repealed 170 Consequential amendments to The Mental Health Act 171-209 Consequential amendments to other Acts 210 C.C.S.M. reference 211 Coming into force WHEREAS Manitobans recognize that an adult living with an intellectual disability is presumed to have the capacity to make decisions affecting themselves, unless demonstrated otherwise; AND WHEREAS it is recognized that an adult living with an intellectual disability should be encouraged to make their own decisions; AND WHEREAS it is recognized that the support network of an adult living with an intellectual disability should be encouraged to assist the adult in making decisions so as to enhance the adult's independence and self-determination; AND WHEREAS it is recognized that when an adult living with an intellectual disability is assisted in decision making, the assistance should be guided by the adult's wishes, values and beliefs and provided in a manner that respects their rights, privacy and dignity and be the least restrictive and least intrusive form of assistance that is appropriate in the circumstances; AND WHEREAS it is recognized that substitute decision making should be invoked only as a last resort when an adult living with an intellectual disability needs decisions to be made and is unable to make these decisions by themselves or with the involvement of members of their support network; AND WHEREAS under the United Nations Convention on the Rights of Persons with Disabilities, which Canada ratified in 2010, member states are expected to promote, protect and ensure the full and equal enjoyment of all human rights and fundamental freedoms of adults living with an intellectual disability and promote respect for their inherent dignity; AND WHEREAS the equality rights of all Canadians, including adults living with an intellectual disability, are enshrined in the Canadian Charter of Rights and Freedoms ; S.M. 2023, c. 19, s. 3 . NOW THEREFORE HER MAJESTY, by and with the advice and consent of the Legislative Assembly of Manitoba, enacts as follows: PART 1 INTERPRETATION AND ADMINISTRATION INTERPRETATION Definitions 1(1) In this Act, "abuse" means, subject to subsection (3), (a) the use of physical force resulting in pain, discomfort or injury, including slapping, hitting, beating, burning, rough handling, tying up or binding, (b) the intentional causing of emotional or psychological harm, including through threats, intimidation, humiliation, harassment, coercion or restriction from appropriate social contact, (c) sexual contact, activity or behaviour between an adult living with an intellectual disability and an individual in a position of trust or authority, (d) non-consensual sexual contact, (e) the theft or destruction of the property of an adult living with an intellectual disability, or (f) an act or omission prescribed by regulation, but does not include neglect; (« mauvais traitements ») "adult abuse registry committee" means the Adult Abuse Registry Committee under The Adult Abuse Registry Act ; (« comité ») "adult living with an intellectual disability" means an adult living with an intellectual disability who needs assistance to meet their basic needs with regard to personal care or management of their property; (« adulte ayant une déficience intellectuelle ») "appeal board" means the Social Services Appeal Board under The Social Services Appeal Board Act ; (« Commission d'appel ») "area of decision making" means, in relation to the powers given to a substitute decision maker, the area of personal care or of property management; (« domaine décisionnel ») "capable" means mentally capable and "capacity" has a corresponding meaning; (« capable ») "commissioner" means the person appointed as the Commissioner for Adults Living with an Intellectual Disability under section 29; (« commissaire ») "committee" means (a) a committee appointed by the court under The Mental Health Act or otherwise, or (b) the Public Guardian and Trustee as a committee by operation of clause 80(1)⁠(b), (c) or (d) of The Mental Health Act as it read immediately before the coming into force of this Act; (« curateur ») "common-law partner" of a person means (a) another person who, with the person, registered a common-law relationship under section 13.1 of The Vital Statistics Act , and who is cohabiting with the person, or (b) another person who, not being married to the person, is cohabiting with them in a conjugal relationship and has so cohabited for a period of at least six months; (« conjoint de fait ») "court" means the Court of King's Bench; (« tribunal ») "executive director" means an executive director appointed under section 7; (« directeur général ») "health care" means any care, service, treatment, or procedure to maintain, diagnose, treat or provide for a person's physical or mental health and includes anything done for a therapeutic, preventive, palliative, diagnostic, cosmetic or other health-related purpose; (« soins de santé ») "health care directive" means a health care directive made in accordance with The Health Care Directives Act ; (« directives en matière de soins de santé ») "hearing panel" means a hearing panel established under section 35; (« comité d'audience ») "incapable" means mentally incapable and "incapacity" has a corresponding meaning; (« incapable ») "individual plan" means a plan for an adult living with an intellectual disability under section 11; (« plan individuel ») "intellectual disability" means significantly impaired intellectual functioning existing concurrently with impaired adaptive behaviour both of which manifested before the age of 18 years, but excludes an intellectual disability due exclusively to a mental disorder as defined in section 1 of The Mental Health Act ; (« déficience intellectuelle ») "minister" means the member of the Executive Council charged by the Lieutenant Governor in Council with the administration of this Act; (« ministre ») "nearest relative" means, with respect to a person, the adult person first listed in the following clauses who is living in Canada, relatives of the whole blood being preferred to relatives of the same description of the half-blood and the older or oldest of two or more relatives described in any clause being preferred to the other of those relatives regardless of gender: (a) a spouse, unless there is a common-law partner, (a.1) a common-law partner, (b) son or daughter, (c) father or mother, (d) brother or sister, (e) grandfather or grandmother, (f) grandson or granddaughter, (g) uncle or aunt, (h) nephew or niece; (« parent le plus proche ») "neglect" means, subject to subsection (3), an act or omission that causes or is reasonably likely to cause (a) the death of an adult living with an intellectual disability, (b) physical or psychological harm to an adult living with an intellectual disability, or (c) a significant loss to the property of an adult living with an intellectual disability, and includes an act or omission prescribed by regulation; (« négligence ») "proxy" means a person appointed as a proxy in a health care directive made in accordance with The Health Care Directives Act ; (« mandataire ») "service provider" means (a) a person who provides care, support services or related assistance for an adult living with an intellectual disability (i) in the course of professional, official or employment duties, (ii) as a student in a training placement, (iii) as a volunteer, or (iv) as an owner, operator or manager of a facility or business which provides such care, support services or related assistance, and (b) an employee of the government who provides services for an adult living with an intellectual disability in the course of employment duties; (« fournisseur de services ») "spouse" means the person to whom a person is married; (« conjoint ») "substitute decision maker" means a substitute decision maker for personal care or a substitute decision maker for property appointed in accordance with this Act; (« subrogé ») "substitute decision maker for personal care" means a person appointed as a substitute decision maker for personal care for an adult living with an intellectual disability in accordance with this Act; (« subrogé à l'égard des soins personnels ») "substitute decision maker for property" means a person appointed as a substitute decision maker for property for an adult living with an intellectual disability in accordance with this Act; (« subrogé à l'égard des biens ») " support network" means one or more persons who provide advice, support or assistance to an adult living with an intellectual disability and may include (a) the adult's spouse or common-law partner, (b) other members of the adult's family, and (c) others chosen by the adult; (« réseau de soutien ») "support services" means those services which may be provided for an adult living with an intellectual disability under section 9; (« services de soutien ») Reference to "Act" includes regulations 1(2) A reference to "this Act" includes the regulations made under this Act. Exceptions re definitions of "abuse" and "neglect" 1(3) The Lieutenant Governor in Council may, by regulation, prescribe circumstances in which an act or omission that would otherwise constitute abuse or neglect is not abuse or neglect. S.M. 2001, c. 9, s. 34 ; S.M. 2002, c. 24, s. 55 ; S.M. 2002, c. 48, s. 24 ; S.M. 2011, c. 26, s. 47 ; S.M. 2013, c. 46, s. 46 ; S.M. 2021, c. 11, s. 133 ; S.M. 2023, c. 19, s. 4 ; S.M. 2025, c. 11, s. 1 . Presumption of capacity re legal counsel 2 If the capacity of an adult living with an intellectual disability, or a person for whom an application for the appointment of a substitute decision maker is made, is in issue under this Act, the person shall be deemed to have capacity to retain and instruct counsel. S.M. 2023, c. 19, s. 5 . When Mental Health Act applies 3 The Mental Health Act , rather than this Act, applies to adults living with an intellectual disability who are patients in psychiatric facilities. S.M. 2023, c. 19, s. 78 . Act subject to Health Care Directives Act 4 This Act is subject to The Health Care Directives Act and where there is a conflict between this Act and The Health Care Directives Act , The Health Care Directives Act prevails. Application if person is 17 years of age 5 Despite anything in this Act, where a person is a child 17 years of age who appears to meet the criteria of this Act for the appointment of a substitute decision maker, an application under Part 4 may be made and considered as if the person were an adult, but an appointment of a substitute decision maker has no effect until the person becomes an adult. Assisted decision making 6(1) In this section, "assisted decision making" refers to the process whereby an adult living with an intellectual disability is enabled to make and communicate decisions with respect to their personal care or property and in which advice, support or assistance is provided to the adult by members of the adult's support network. Role of assisted decision making 6(2) Assisted decision making by an adult living with an intellectual disability with members of their support network should be respected and recognized as an important means of enhancing the adult's self-determination, independence and dignity. S.M. 2023, c. 19, s. 6 . ADMINISTRATION Appointment of executive director 7 The minister may appoint one or more executive directors who shall under the direction of the minister (a) exercise some or all of the powers and perform some or all of the duties of an executive director under this Act; (b) respond to inquiries respecting support services under Part 2; (c) respond to inquiries respecting the protection of adults living with an intellectual disability and emergency intervention action under Part 3; and (d) perform such other duties and exercise such other powers as may be required by the minister. S.M. 2023, c. 19, s. 78 . Delegation by executive director 8 An executive director may in writing authorize a person to perform any of the duties or exercise any of the powers of that executive director. PART 2 SUPPORT SERVICES Support services provided 9 The minister may provide or arrange for the provision of support services for an adult living with an intellectual disability. S.M. 2023, c. 19, s. 78 . Authority for grants and agreements 10(1) The minister may make grants or payments to, purchase services from, or enter into agreements with, persons or organizations to provide support services for adults living with an intellectual disability under such terms and conditions as the minister considers appropriate. Records and disclosure 10(2) A person or organization that receives a grant or payment or enters into an agreement under subsection (1) shall (a) keep accounting records and financial statements respecting the grant, payment or agreement, in such form and for such periods of time as the minister may require; (b) keep such records and such statistics and prepare such information respecting the programs, policies or procedures of that person or organization pertaining to support services as the minister may require; and (c) upon request, provide to the minister (i) the accounting records and financial statements referred to in clause (a), certified by an auditor, and (ii) the records, statistics and other information referred to in clause (b). Audit by an auditor 10(3) The minister may request an auditor, who may be the Auditor General, to examine and audit the documents required to be kept under clauses (2)⁠(a) and (b) and to report to the minister. Access to documents 10(4) To facilitate an examination and audit under subsection (3), the person or organization shall give the auditor (a) an opportunity to examine, audit and make copies of any document respecting the grant, payment or agreement referred to in subsection (1); and (b) all reasonable assistance to enable that person to examine, audit and make copies of any document respecting the grant, payment or agreement. Action by minister 10(5) The minister may refuse to make a grant or payment under subsection (1), including a payment under an agreement, if (a) the person or organization fails to comply with subsection (4); (b) the person or organization refuses to provide the minister with documentation requested under clause (2)⁠(c); or (c) the report of the auditor indicates that the accounting records and financial statements provided to the minister are not in order. S.M. 2001, c. 39, s. 31 ; S.M. 2023, c. 19, s. 78 . INDIVIDUAL PLAN Individual plan required 11(1) The executive director shall develop an individual plan for every adult living with an intellectual disability who receives support services under this Part. Review of individual plan 11(2) The executive director may review an individual plan and vary it, or determine that the person for whom support services were provided is no longer an adult living with an intellectual disability. S.M. 2023, c. 19, s. 78 . Participation in individual planning process 12 The executive director shall take reasonable steps to ensure that the adult living with an intellectual disability and the adult's substitute decision maker or committee if any, have an opportunity to participate in the development of, and are informed of any decisions respecting, the individual plan. S.M. 2023, c. 19, s. 7 . MEDIATION Mediator appointed 13 If a dispute arises (a) as to whether the person for whom support services are requested is an adult living with an intellectual disability; or (b) concerning the individual plan or any other issue as to the design or implementation of support services for an adult living with an intellectual disability; the executive director may, on request, appoint a mediator who shall endeavour to facilitate a settlement of the dispute. S.M. 2023, c. 19, s. 78 . Executive director advised of mediation results 14 Within a reasonable period following the mediator's appointment, the mediator shall advise the participants and the executive director in writing of the results of the mediation. Settlement not binding 15 A settlement of a dispute under mediation is not binding on the government or on any person. APPEAL TO APPEAL BOARD Decision by executive director 15.1 When there is a dispute about a matter referred to in clause 16(1)⁠(a) or (b), the executive director shall (a) make their decision in writing and include reasons; and (b) advise each person referred to in subsection 16(2) of the right to appeal the decision to the appeal board. S.M. 2001, c. 9, s. 34 . Matters which may be subject of appeal 16(1) Whether or not mediation is attempted, a person referred to in subsection (2) may appeal to the appeal board a decision of the executive director (a) as to whether the person for whom support services are requested is an adult living with an intellectual disability; or (b) as to the individual plan for an adult living with an intellectual disability, or any other issue as to the design or implementation of support services for an adult living with an intellectual disability, unless the decision involves (i) an increased allocation of funds for support services for the person for whom support services are requested, or (ii) a change to regulations or policies respecting support services for adults living with an intellectual disability. Who may bring appeal 16(2) An appeal to the appeal board may be made by (a) the person for whom support services are requested; or (b) the person's substitute decision maker or committee. The Social Services Appeal Board Act applies 16(3) The provisions of The Social Services Appeal Board Act apply with respect to an appeal to the appeal board. S.M. 2001, c. 9, s. 34 ; S.M. 2023, c. 19, s. 78 . 17 to 19 [Repealed] S.M. 2001, c. 9, s. 34 . 20(1) [Repealed] S.M. 2001, c. 9, s. 34 . Limitation on appeal board 20(2) The appeal board shall not make an order concerning the individual plan or any other issue as to the design or implementation of support services for an adult living with an intellectual disability, if implementing the order could involve (a) an increased allocation of funds for support services for the adult living with an intellectual disability; or (b) a change to regulations or policies respecting support services for adults living with an intellectual disability. S.M. 2001, c. 9, s. 34 ; S.M. 2023, c. 19, s. 78 . PART 3 PROTECTION AND EMERGENCY INTERVENTION PROTECTION Abuse or neglect of adult living with an intellectual disability prohibited 20.1 No person shall abuse or neglect an adult living with an intellectual disability. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 78 . Duty to protect adult living with an intellectual disability from abuse or neglect 20.2 A service provider, substitute decision maker or committee has a duty to take all reasonable steps to protect the adult living with an intellectual disability in respect of whom they are a service provider, substitute decision maker or committee from abuse or neglect. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 8 . Duty to report abuse or neglect 21(1) A person who believes on reasonable grounds that an adult living with an intellectual disability is, or is likely to be abused or neglected, shall immediately report the belief and the information on which it is based to the executive director. Subsection (1) applies despite restrictions 21(2) Subsection (1) applies despite any restriction respecting the disclosure of information, in legislation or elsewhere. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 9 . Protection from liability 21.1 No action or other proceeding may be brought against a person for reporting in good faith that an adult living with an intellectual disability is or is likely to be abused or neglected. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 10 . Adverse employment action prohibited 21.2 No person shall dismiss, suspend, demote, discipline, harass, interfere with or otherwise disadvantage a person who makes a report under section 21. S.M. 2011, c. 26, s. 47 . Investigation by executive director 22(1) When the executive director receives a report under section 21 or believes on reasonable grounds that an adult living with an intellectual disability is or is likely to be abused or neglected, the executive director shall investigate the matter. Director to inform and involve adult living with an intellectual disability 22(1.1) The executive director shall (a) take reasonable steps to inform the adult living with an intellectual disability that a report under section 21 has been made and that an investigation is to be conducted; and (b) attempt, to the fullest practical extent, to (i) involve the adult in the investigation, and (ii) determine and accommodate the adult's wishes respecting the conduct of the investigation. Duty to inform others 22(1.2) The executive director shall take reasonable steps to inform at least one of the following persons that a report under section 21 has been made and that an investigation is to be conducted: (a) a currently-appointed substitute decision maker for the adult living with an intellectual disability, if any; (b) the committee of the adult living with an intellectual disability, if any. Powers of investigation 22(2) In conducting an investigation under this section, the executive director may (a) communicate with and visit the adult living with an intellectual disability and may enter any place at any reasonable time for this purpose; (b) require any person to provide any information, including personal information as defined in The Freedom of Information and Protection of Privacy Act and personal health information as defined in The Personal Health Information Act , or produce any record, paper or other thing in the person's custody or under the person's control which, in the opinion of the executive director, may be relevant to the investigation; and (c) solicit, accept and review reports and information which in the opinion of the executive director, may be relevant to the investigation. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 11 . Order for entry 23(1) On application by the executive director, a justice may make an order authorizing the executive director, a peace officer or any other person named in the order to enter any place for the purposes of an investigation under section 22 if the justice is satisfied that (a) there are reasonable grounds to believe that an adult living with an intellectual disability is or is likely to be abused or neglected; and (b) the executive director has been unable to gain access to that adult living with an intellectual disability. Authority to enter 23(2) An order under subsection (1) is sufficient authority for the person named in the order to enter, using reasonable force if necessary, any place specified in the order. Peace officer to assist 23(3) A person named in an order under subsection (1) may request the assistance of a peace officer in taking action under this section, and the peace officer shall provide such assistance. S.M. 2023, c. 19, s. 12 . Solicitor-client privilege protected 24 Nothing in section 21 or 22 abrogates a privilege that may exist between a solicitor and their client. Protective action by executive director 25(1) If, after an investigation, the executive director believes that an adult living with an intellectual disability is or is likely to be abused or neglected, the executive director may take such action to protect the adult as the executive director considers appropriate, including one or more of the following: (a) providing or arranging for support services for the adult in accordance with Part 2; (b) requesting an investigation by a law enforcement agency with jurisdiction respecting the matter; (c) taking emergency intervention action under section 26; (d) applying for the appointment of a substitute decision maker under subsection 47(1) or 82(1); (e) applying for an emergency appointment of a substitute decision maker, or for suspension or variation of an appointment, on an emergency basis under Division 6 of Part 4; (f) applying for termination of the appointment of a substitute decision maker, replacement of a substitute decision maker or variation of an appointment under Division 7 of Part 4. Director to inform of findings 25(2) At the conclusion of an investigation, the executive director shall take reasonable steps to inform the adult living with an intellectual disability and any other person given notice under subsection 22(1.2) of (a) the findings of the investigation; and (b) any protective action to be taken. S.M. 2023, c. 19, s. 13 . Report regarding professional, etc. 25.1(1) If the executive director believes on reasonable grounds that a person (a) has abused or neglected an adult living with an intellectual disability; or (b) has failed to report information in accordance with section 21; the executive director may report the matter to the body or person that governs the professional status of the person or certifies, licenses, or otherwise authorizes or permits the person to carry on the person's work or occupation. Requirement to investigate 25.1(2) A body or person who receives a report under subsection (1) must (a) investigate the matter to determine whether any professional status review or disciplinary proceedings should be commenced against the person; and (b) on conclusion of the investigation and any proceedings, advise the executive director of the determination under clause (a), the reasons for the determination, and, if applicable, the results of any professional status review or disciplinary proceedings. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 14 . Report to employer 25.2 If, after an investigation, the executive director believes that an adult living with an intellectual disability has been abused or neglected and the employment duties of the person who abused or neglected the adult (a) involve the care of an adult living with an intellectual disability, or the provision of support services or other assistance to an adult living with an intellectual disability; or (b) permit unsupervised access to adults living with an intellectual disability; the executive director must report the name of the person who abused or neglected the adult to the person's employer or manager or supervisor at the person's place of employment. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 15 . Reporting abuse or neglect to adult abuse registry committee 25.3(1) In addition to taking action under this Part, if after an investigation, the executive director believes that (a) a person (i) has abused an adult living with an intellectual disability, (ii) has neglected an adult living with an intellectual disability, or (iii) has abused and neglected an adult living with an intellectual disability; (b) the person meets any criteria which may be set out in the regulations; and (c) no extenuating circumstances as set out in the regulations exist; the executive director must provide a report about the matters in clauses (a) to (c) to the adult abuse registry committee, in accordance with the regulations. Additional information about report for committee 25.3(2) If the executive director receives a request for further information about their report from the adult abuse registry committee, (a) the executive director may investigate the matter and provide the committee with any further information that relates to their report; and (b) subsection 22(2) and section 24 apply, with necessary changes. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 16 . Reporting abuse or neglect at personal care homes 25.4(1) If, after an investigation, the executive director believes that an adult living with an intellectual disability was abused or neglected at a personal care home on or after April 1, 2023, the executive director must notify the minister responsible for the administration of The Protection for Persons in Care Act . Content of notice 25.4(2) The notice provided under subsection (1) must include a brief description of the abuse or neglect and identify the personal care home where the abuse or neglect occurred. Meaning of "personal care home" 25.4(3) In this section, "personal care home" has the same meaning as in The Health System Governance and Accountability Act . S.M. 2023, c. 42, s. 5 and 6. EMERGENCY INTERVENTION Emergency intervention action 26(1) The executive director may, at any time and without a court order, take such emergency intervention action as is necessary to protect the adult living with an intellectual disability, including removing the adult to a place of safety, if the executive director believes on reasonable grounds that (a) the adult is or is likely to be abused or neglected; and (b) there is immediate danger of death or serious harm or deterioration to the physical or mental health of the adult. Right of entry 26(2) When taking action under subsection (1), the executive director may, without a court order and using reasonable force if necessary, enter any place and take any steps necessary to protect the adult living with an intellectual disability, including removing the adult to a place of safety. Peace officer to assist 26(3) The executive director may request the assistance of a peace officer in taking action under this section, and the peace officer shall provide such assistance. Duration of emergency intervention 26(4) The executive director may continue emergency intervention action taken under this section for not more than 120 hours from the time the executive director commences the action. S.M. 2023, c. 19, s. 17 . Placement power of substitute decision maker suspended 27 If the adult living with an intellectual disability who is the subject of emergency intervention action under section 26 has a substitute decision maker for personal care who has the power to decide where the adult should live, that power is suspended during the period of an emergency intervention. S.M. 2023, c. 19, s. 18 . Duty to inform adult living with an intellectual disability re emergency intervention 28(1) When taking action under section 26, the executive director shall inform the adult living with an intellectual disability who is the subject of the emergency intervention action of (a) the action taken or to be taken; and (b) the reasons for the action. Duty to inform others 28(2) Within 24 hours after taking emergency intervention action with respect to an adult living with an intellectual disability under section 26, the executive director shall take reasonable steps to inform at least one of the following persons of the action taken: (a) the nearest relative of the adult; (b) any currently-appointed substitute decision maker for the adult; (c) the adult's committee, if any; (d) an adult person with whom the adult lives, if any; (e) any other person, including a member of the adult's support network, the executive director considers appropriate. S.M. 2023, c. 19, s. 19 and 78. PART 4 SUBSTITUTE DECISION MAKING DIVISION 1 COMMISSIONER FOR ADULTS LIVING WITH AN INTELLECTUAL DISABILITY Appointment of commissioner 29 A Commissioner for Adults Living with an Intellectual Disability shall be appointed under Part 3 of The Public Service Act . S.M. 2021, c. 11, s. 133 ; S.M. 2023, c. 19, s. 21 . Authority of commissioner 30 The commissioner is responsible for (a) exercising the powers and performing the duties of the commissioner under this Act; (b) upon request, providing information to adults living with an intellectual disability as to their rights under this Act; (c) upon request, providing information as to the process for appointing substitute decision makers; (d) upon request, providing information to substitute decision makers as to their powers and duties under this Act; (e) mediating and seeking to resolve disputes between substitute decision makers; (f) receiving and investigating complaints regarding substitute decision makers; and (g) performing such other duties and exercising such other powers as may be required by the minister. S.M. 2023, c. 19, s. 78 . Delegation 31 The commissioner may in writing authorize a person or persons to perform any of the duties or exercise any of the powers of the commissioner. Appointment if committee 32 If the commissioner appoints a substitute decision maker for a person for whom a committee has been appointed under Part 8 of The Mental Health Act , the commissioner shall immediately after making the appointment provide a copy of the appointment to (a) the Director of Psychiatric Services under The Mental Health Act ; and (b) the Public Guardian and Trustee. S.M. 1998, c. 36, s. 136 ; S.M. 2013, c. 46, s. 46 . Register of appointments 33(1) The commissioner shall establish and maintain a register of appointments of substitute decision makers which shall include for each appointment (a) the name of the adult living with an intellectual disability for whom a substitute decision maker is appointed; (b) the name, address and telephone number of the substitute decision maker; (c) the area of decision making granted to the substitute decision maker, the extent of the person's powers and the terms and conditions of the appointment; and (d) the effective date and duration of the appointment. Updating of register 33(2) The commissioner shall update the information contained in the register whenever they receive new information respecting the matters referred to in subsection (1). Notice of changes 33(3) A substitute decision maker shall promptly notify the commissioner in writing of (a) any change in the name, address or telephone number of the substitute decision maker; and (b) any change in the name of the adult living with an intellectual disability. Access to register 33(4) The commissioner shall provide information contained in the register under subsection (1) to any person who requests the information and pays any fee that may be prescribed by regulation. S.M. 2023, c. 19, s. 78 . DIVISION 2 HEARING PANELS Hearing panel roster 34(1) The Lieutenant Governor in Council shall appoint at least 20 persons to be on a roster to act as members of hearing panels. Composition of roster 34(2) The hearing panel roster shall be composed of (a) parents of adults living with an intellectual disability or other members of families of adults living with an intellectual disability; (b) lawyers; and (c) persons who do not fall within clause (a) or (b). Term and reappointment 34(3) A person may be appointed to the hearing panel roster for such term as may be fixed by the Lieutenant Governor in Council, and may be reappointed. Members remain on roster 34(3.1) A member of the hearing panel roster remains on the roster until they are reappointed, a successor is appointed or the appointment is revoked. Remuneration and expenses 34(4) A member of the hearing panel roster shall be paid the remuneration fixed by the Lieutenant Governor in Council and reasonable expenses incurred in the course of their duties under this Act. S.M. 2023, c. 19, s. 78 ; S.M. 2025, c. 11, s. 1 . Hearing panel established 35(1) The commissioner shall establish a hearing panel for each application that is referred to a hearing panel under Division 3, 4 or 7. Hearing panel to make recommendations 35(2) A hearing panel shall hold a hearing for the purpose of making recommendations to the commissioner, in accordance with this Act, with regard to the application. Two or more matters with respect to same person 35(3) The commissioner may refer two or more applications to the same hearing panel for consideration at the same time, if they relate to the same person and the commissioner is of the opinion that they should be dealt with together. Three members on each hearing panel 36(1) Each hearing panel shall be composed of three members appointed by the commissioner from the hearing panel roster. Criteria for appointment 36(2) Where possible, (a) each hearing panel shall be composed of (i) a parent of an adult living with an intellectual disability or another family member of an adult living with an intellectual disability, (ii) a lawyer, and (iii) a person who does not fall within subclause (i) or (ii); and (b) the members of a hearing panel shall have a substantial connection to the same region of the province as the person for whom the application is made. Eligibility 36(3) A person is not eligible to act as a member of a hearing panel if the person (a) is related by blood to the person for whom the application is made; (a.1) is or has been related by marriage to the person for whom the application is made; (a.2) is or has been a common-law partner of the person for whom the application is made; (a.3) is or has been connected by common-law relationship to the person for whom the application is made; (b) is a service provider for the person for whom the application is made; (c) is a lawyer who is acting for or has acted for the person for whom the application is made; (d) is a physician who is treating or has treated the person for whom the application is made; or (e) in the opinion of the commissioner, could be in a position where the person's interests could conflict with the interests of the person for whom the application is made. Common-law relationships 36(3.1) For the purpose of clause (a.3), persons are connected by common-law relationship if one is the common-law partner of a person who is related by blood to the other. Presiding member 36(4) The commissioner shall designate one member of a hearing panel to be the presiding member. Two members may act if vacancy 36(5) If a vacancy occurs on a hearing panel after it has commenced a hearing, the remaining two members may complete the hearing. S.M. 2002, c. 24, s. 55 ; S.M. 2023, c. 19, s. 22 . Hearing panel to hold hearing 37 When an application is referred to a hearing panel, the hearing panel shall hold a hearing within a reasonable time after the referral. Notice of hearing 38(1) The commissioner shall give notice of a hearing before a hearing panel at least seven days before the date of a hearing. Content of notice 38(2) The notice must (a) state the date, time and place of the hearing; (b) identify in general terms the purpose of the hearing; and (c) advise the person of the right to appear before the hearing panel and to be represented by another person. Information to hearing panel 39 The commissioner shall provide the hearing panel with a copy of the application and any relevant material in their possession. Procedure for hearing panels 40(1) The commissioner may determine the procedures for hearing panels. Evidence 40(2) The hearing panel is not bound by the rules of law respecting evidence applicable to judicial proceedings. Adult living with an intellectual disability entitled to be present 40(3) The adult living with an intellectual disability, or the person for whom an application is made, is entitled to be present at the hearing. Opportunity to be heard 40(4) The hearing panel shall give the following persons an opportunity to present information and make representations, and, where possible, to do so orally: (a) the persons given notice of the hearing; and (b) any other person with the consent of (i) the adult living with an intellectual disability, or the person for whom an application for the appointment of a substitute decision maker is made, or (ii) the hearing panel. Representation 40(5) A person referred to in clause (4)⁠(a) may be represented by another person. S.M. 2023, c. 19, s. 78 . Hearing closed to public 41(1) A hearing before a hearing panel shall be closed to the public, but any member of the public may attend the hearing with the consent of the adult living with an intellectual disability or the person for whom an application for the appointment of a substitute decision maker is made.

Ban on publication and broadcast 41(2) No person shall publish in a newspaper or other publication, or broadcast on radio or television, the name or other identifying information of (a) the adult living with an intellectual disability; or (b) the person for whom an application for the appointment of a substitute decision maker is made; who is the subject of a hearing before a hearing panel. S.M. 2023, c. 19, s. 23 and 78. Appointment for other area of decision making 42(1) If, during the course of a hearing the hearing panel determines that it may be in the interests of the person for whom the application is made to appoint a substitute decision maker for an area of decision making in addition to the area requested in the application, the hearing panel shall report the matter to the commissioner immediately. Review of need for appointment in other area 42(2) The commissioner shall review the report and make a preliminary investigation in accordance with section 49 or 84, as the case may be, to determine whether the commissioner should proceed to consider the matter and, if so, whether to refer the matter to the hearing panel. S.M. 2023, c. 19, s. 23 . Referral to same hearing panel 42(3) If the commissioner refers the matter to the hearing panel, the commissioner shall give notice of the referral to the persons who were provided with notice of the hearing and any other person the commissioner considers appropriate. Consideration without hearing panel 42(3.1) If the commissioner decides to consider the matter without referring it to the hearing panel, the commissioner shall give notice of the procedure to the persons who were provided with notice of the hearing and any other person the commissioner considers appropriate. Division 3 or 4 applies 42(4) A matter referred to in subsection (3) or (3.1) is considered to be an application for the appointment of a substitute decision maker in that other area of decision making. The provisions of Division 3 or 4, as the case may be, apply with necessary modifications to the application. S.M. 2021, c. 30, s. 31 . Recommendations by hearing panel 43 At the conclusion of a hearing, the hearing panel shall make written recommendations to the commissioner, with reasons, with regard to the matters referred by the commissioner to the hearing panel. Recommendations considered 44(1) Upon receiving the recommendations of the hearing panel, the commissioner (a) shall consider the recommendations and any documents considered by the hearing panel; and (b) may make such inquiries that the commissioner considers appropriate of (i) any person who provided information to the hearing panel, or (ii) any other person. Opportunity to be heard 44(2) If the commissioner makes an inquiry under clause (1)⁠(b), the commissioner shall, before making a decision with respect to the application, (a) inform those persons who were given notice of the hearing and participated in it, of the nature of the information; and (b) give them an opportunity to explain or refute it. Documents forwarded to commissioner 45 In addition to the recommendations, the presiding member shall forward to the commissioner any documents considered by the hearing panel. DIVISION 3 SUBSTITUTE DECISION MAKER FOR PERSONAL CARE APPLICATION FOR SUBSTITUTE DECISION MAKER FOR PERSONAL CARE Incapacity for personal care 46 For the purposes of this Act, a person is incapable of personal care if the person is not able to understand information that is relevant to making a decision concerning their own health care, or their own physical, emotional, psychological, residential, educational, vocational or social needs, or similar needs, or is not able to appreciate the reasonably foreseeable consequences of a decision or lack of a decision. Application for appointment 47(1) Any person may apply to the commissioner for the appointment of a substitute decision maker for personal care for a person the applicant believes to be an adult living with an intellectual disability and in need of a substitute decision maker for personal care. Application in writing 47(2) An application shall be made in writing in a form approved by the commissioner. Applications in both areas of decision making 47(3) An application may be accompanied by an application for the appointment of a substitute decision maker for property for the same person. Copy of application to person 47(4) The commissioner shall give the person for whom the application is made a copy of the application. S.M. 2023, c. 19, s. 24 . No application if committee 48 No application may be made for a person for whom a committee of both property and personal care has been appointed under The Mental Health Act . S.M. 1998, c. 36, s. 136 ; S.M. 2023, c. 19, s. 24 . Commissioner's preliminary investigation 49 On receiving an application under subsection 47(1), the commissioner shall make a preliminary investigation as to (a) whether the person for whom the application is made appears to be an adult living with an intellectual disability; (b) whether the person for whom the application is made appears to have a support network and reasonable efforts have been made to involve the support network with the person; and (c) whether the person for whom the application is made (i) appears to be incapable of personal care by themselves or with the involvement of a support network, and (ii) appears to need decisions to be made on their behalf with respect to personal care. S.M. 2023, c. 19, s. 25 . Decision to dismiss application 50(1) If the commissioner determines, after a preliminary investigation, that the person for whom the application is made is not an adult living with an intellectual disability, the commissioner shall dismiss the application. Decision to request individual plan 50(2) If the commissioner determines, after a preliminary investigation, that the person for whom the application is made appears to be an adult living with an intellectual disability but the criteria set out in clauses 49(b) and (c) have not been met, the commissioner shall dismiss the application but may request the executive director (a) to take steps to involve a support network with the adult; or (b) to develop or review an individual plan for the adult under Part 2. Decision to consider application 50(3) If, after a preliminary investigation, the commissioner determines that all the criteria set out in section 49 have been met, the commissioner shall proceed to consider the application. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 26 and 78. Notice of decision 51(1) The commissioner shall give notice of their decision under section 50 to (a) the person for whom the application is made; (b) the applicant; (c) the proposed substitute decision maker for personal care for the person, if any; (d) any currently-appointed substitute decision maker for the person; (e) the person's committee, if any; (f) the person's nearest relative; and (g) any other person, including a member of the support network of the adult living with an intellectual disability, the commissioner considers appropriate. Reasons upon request 51(2) At the request of a person notified of a decision under subsection (1), the commissioner shall provide written reasons for the decision. 51(3) [Repealed] S.M. 2021, c. 30, s. 31 . S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 27 . Decision to refer to hearing panel 51.1(1) The commissioner may refer an application or part of an application to a hearing panel at any stage after making a decision under subsection 50(3), in which case the hearing panel shall hold a hearing for the purpose of making recommendations to the commissioner. Notice of referral to hearing panel 51.1(2) The commissioner shall give notice of a referral to a hearing panel to the persons given notice under subsection 51(1). S.M. 2021, c. 30, s. 31 . No referral to hearing panel 51.2(1) Alternatively, the commissioner may consider an application after making a decision under subsection 50(3) without referring the application to a hearing panel and shall give notice of this procedure to the persons given notice under subsection 51(1). Opportunity to be heard 51.2(2) If the commissioner considers an application without referring it to a hearing panel, the commissioner shall give the persons given notice under subsection 51(1) an opportunity to present information and make representations respecting the application. Referral if objection 51.2(3) Despite subsection (1), if the commissioner has chosen to consider the application without a hearing panel but receives, within 14 days of the date of the notice, a written objection to that procedure from a person given notice under subsection (1), the commissioner shall refer the application to a hearing panel. S.M. 2021, c. 30, s. 31 . Notice of hearing by hearing panel 51.3 When an application is referred to a hearing panel under section 51.1 or subsection 51.2(3), the commissioner shall give notice of the hearing to the persons given notice under subsection 51(1). S.M. 2021, c. 30, s. 31 . Hearing by hearing panel 52 If an application is referred to a hearing panel under section 51.1 or subsection 51.2(3), the hearing panel shall hold a hearing in accordance with Division 2 for the purpose of making recommendations to the commissioner (a) as to whether the criteria set out in section 49 respecting the appointment of a substitute decision maker for personal care for the person have been met; and (b) if the criteria set out in section 49 have been met, as to (i) the selection of an appropriate substitute decision maker for personal care for the person, (ii) the powers the substitute decision maker should be granted, and (iii) the duration and any terms and conditions of the appointment of the substitute decision maker. S.M. 2021, c. 30, s. 31 . APPOINTMENT OF SUBSTITUTE DECISION MAKER FOR PERSONAL CARE Decision to appoint 53(1) The commissioner shall appoint a substitute decision maker for personal care for a person if the commissioner determines that (a) the person for whom the application is made (i) is an adult living with an intellectual disability, (ii) is incapable of personal care by themselves or with the involvement of a support network, and (iii) needs decisions to be made on their behalf with respect to personal care; and (b) the appointment of a substitute decision maker for personal care is reasonable in the circumstances. Notice of decision 53(2) The commissioner shall give notice of a decision under subsection (1) to the persons given notice under subsection 51(1) and to the substitute decision maker who is appointed if that person is not otherwise given notice under that subsection. Decision not to appoint 53(3) If the commissioner determines that not all the criteria set out in subsection (1) are met, the commissioner shall (a) dismiss the application; and (b) give notice of the decision to the persons given notice under subsection 51(1). Reasons upon request 53(4) At the request of any person given notice under this section, the commissioner shall provide written reasons for their decision. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 78 . Persons eligible for appointment 54(1) The commissioner may appoint as a substitute decision maker for personal care (a) any adult individual who consents to act as a substitute decision maker for personal care and who, in the opinion of the commissioner, (i) is apparently capable, suitable and able to act as the substitute decision maker, and (ii) will not be in a position where the adult individual's interests conflict with the interests of the adult living with an intellectual disability; or (b) the Public Guardian and Trustee, if there is no individual who meets the criteria in clause (a). Conflict of interest 54(2) For the purpose of subclause (1)⁠(a)⁠(ii), (a) a service provider for the adult living with an intellectual disability is in a position of conflict unless the service provider is (i) a volunteer, or (ii) a student in a training placement; (b) a person is not in a position of conflict by reason only of the fact that the person is (i) the substitute decision maker for property of the adult living with an intellectual disability, (ii) the committee of the adult living with an intellectual disability, (iii) a proxy for the adult living with an intellectual disability, (iv) a relative of the adult living with an intellectual disability, or (v) a potential beneficiary of the adult living with an intellectual disability. S.M. 2013, c. 46, s. 46 ; S.M. 2023, c. 19, s. 28 . Two or more substitute decision makers 55(1) With the consent of the persons, the commissioner may appoint two or more persons to act as substitute decision makers for personal care, jointly or otherwise. Joint substitute decision makers 55(2) In the event of the death of a joint substitute decision maker for personal care, the surviving substitute decision maker may exercise all the powers that had been granted jointly. Alternate substitute decision maker 55(3) The commissioner may appoint an alternate substitute decision maker for personal care to act (a) in the event of the death of the substitute decision maker for personal care; or (b) during the temporary absence of the substitute decision maker for personal care. Effective date of appointment 56 An appointment of a substitute decision maker for personal care is effective on the date it is made. POWERS OF SUBSTITUTE DECISION MAKER FOR PERSONAL CARE Powers granted must relate to incapacity 57(1) When appointing a substitute decision maker for personal care, the commissioner shall (a) determine the areas of personal care in which the adult living with an intellectual disability is incapable; and (b) grant only those powers to the substitute decision maker that relate to the areas of incapacity for only as long as appropriate. Powers that may be granted 57(2) In the appointment of a substitute decision maker for personal care, the commissioner shall specify which of the following powers are granted: (a) to decide where, with whom and under what conditions the adult living with an intellectual disability is to live; (b) to give, refuse or withdraw consent to health care on the behalf of the adult living with an intellectual disability; (c) to decide whether the adult living with an intellectual disability should work and, if so, the nature or type of work, for whom the adult is to work and other related matters; (d) to decide whether the adult living with an intellectual disability should participate in any educational, vocational, training or lifeskills programs and, if so, the nature and extent of the participation and other related matters; (e) to decide whether the adult living with an intellectual disability should participate in any social or recreational activities and, if so, the nature and extent of the participation and other related matters; (f) to commence, continue, settle or defend any claim or proceeding that relates to the adult living with an intellectual disability other than a claim or proceeding that relates to the adult's property; (g) to make decisions about daily living on behalf of the adult living with an intellectual disability, including decisions regarding support services under Part 2; (h) any other power specified by the commissioner that is reasonably necessary for the personal care of the adult living with an intellectual disability; (i) any other power that may be specified in the regulations. Terms and conditions 57(3) In the appointment of the substitute decision maker for personal care, the commissioner may, in accordance with this Act, impose any terms and conditions that the commissioner considers appropriate. Duration of appointment 57(4) In the appointment of the substitute decision maker for personal care, the commissioner shall specify the duration of the appointment, which shall not be longer than five years. S.M. 2023, c. 19, s. 29 and 78. Purchase of necessaries 58(1) Subject to any limitation contained in the appointment, a substitute decision maker for personal care may purchase necessaries for the adult living with an intellectual disability without the adult's consent or the consent of the adult's substitute decision maker for property or committee, if any. Reimbursement for necessaries purchased 58(2) When a substitute decision maker for personal care purchases necessaries for the adult living with an intellectual disability (a) the adult is liable to pay for them or reimburse the substitute decision maker for personal care for any money spent; or (b) if there is a substitute decision maker for property, or a committee of the adult's estate, that person shall, out of the estate, pay for the necessaries or reimburse the substitute decision maker for personal care for any money spent. S.M. 2023, c. 19, s. 30 . LIMITATIONS ON POWERS Limitation re custody and divorce 59 A substitute decision maker for personal care has no power (a) to change arrangements in respect of custody of or access to a child; or (b) to commence divorce proceedings on behalf of the adult living with an intellectual disability; unless the commissioner has, at the request of the substitute decision maker, specifically granted that power. S.M. 2023, c. 19, s. 78 . Limitation on settlement of claims or proceedings 60(1) A substitute decision maker for personal care may not settle a claim or proceeding on behalf of an adult living with an intellectual disability, whether or not legal proceedings have been commenced, without the approval of the court. Exception for Public Guardian and Trustee 60(2) Subsection (1) does not apply when the substitute decision maker is the Public Guardian and Trustee. S.M. 2013, c. 46, s. 46 ; S.M. 2023, c. 19, s. 78 . Matters excluded absolutely 61 A substitute decision maker for personal care has no power to give consent on behalf of the adult living with an intellectual disability to (a) medical treatment for the primary purpose of research; (b) sterilization that is not medically necessary for the protection of the adult's health; (c) the removal of tissue for transplant or medical education or medical research; (d) voluntary admission to a psychiatric facility; (e) the adoption or guardianship of a child; or (f) participation in an activity or project whose primary purpose is research. S.M. 2023, c. 19, s. 31 . POWER TO DECIDE WHERE THE ADULT LIVING WITH AN INTELLECTUAL DISABILITY LIVES Apprehension order 62(1) A substitute decision maker for personal care may make an application to a justice requesting an order for the apprehension of the adult living with an intellectual disability if (a) the substitute decision maker has the power under clause 57(2)⁠(a) to decide where, with whom and under what conditions the adult is to live; and (b) the adult refuses to live where, with whom or under the conditions that the substitute decision maker has decided. Procedure 62(2) A justice who receives an application under subsection (1) shall, if the justice considers it appropriate to do so, hear and consider the allegation of the substitute decision maker and the evidence of any witnesses without notice to the person named in the application. Order 62(3) After a hearing under subsection (2), the justice may issue an order authorizing the substitute decision maker, a peace officer or any other person named in the order to enter any place specified in the order and apprehend the adult living with an intellectual disability if the justice has reasonable grounds to believe that (a) the applicant is the adult's substitute decision maker and has the power set out in clause 57(2)⁠(a); and (b) the adult is refusing to live where, with whom or under the conditions that the substitute decision maker has decided. Authority to enter 62(4) An order under subsection (3) is sufficient authority for the person named in the order to enter, using reasonable force if necessary, any place specified in the order. Peace officer to assist 62(5) A person named in an order under subsection (3) may request the assistance of a peace officer in taking action under this section, and the peace officer shall provide such assistance. Copy of order to commissioner 62(6) The applicant shall provide the commissioner with a copy of an order made under this section. S.M. 2023, c. 19, s. 33 . 63 [Repealed] S.M. 2023, c. 19, s. 34 ; S.M. 2025, c. 11, s. 1 . 64 [Repealed] S.M. 2023, c. 19, s. 35 and 78; S.M. 2025, c. 11, s. 1 . 65 [Repealed] S.M. 2023, c. 19, s. 36 ; S.M. 2025, c. 11, s. 1 . 66 [Repealed] S.M. 2023, c. 19, s. 37 ; S.M. 2025, c. 11, s. 1 . 67 [Repealed] S.M. 2023, c. 19, s. 38 ; S.M. 2025, c. 11, s. 1 . POWER TO MAKE HEALTH CARE DECISIONS Limitation on health care power 68 The commissioner shall not grant, and a substitute decision maker for personal care does not have, power to give, refuse or withdraw consent to health care under clause 57(2)⁠(b) if the adult living with an intellectual disability, when capable, made a health care directive that (a) appoints a proxy to exercise that power; or (b) expresses a decision of the adult respecting the proposed health care. S.M. 2023, c. 19, s. 39 . Right to information re health care 69(1) A substitute decision maker for personal care who has been granted the power to make health care decisions under clause 57(2)⁠(b) has the right to be provided with all of the information necessary to make informed health care decisions on behalf of the adult living with an intellectual disability. Right applies despite restrictions 69(2) Subsection (1) applies despite any restriction concerning the disclosure of confidential health information, in legislation or elsewhere. S.M. 2023, c. 19, s. 78 . DUTIES OF SUBSTITUTE DECISION MAKER FOR PERSONAL CARE Compliance with Act and appointment 70 A substitute decision maker for personal care shall comply with this Act and any terms and conditions of their appointment. Good faith 71 A substitute decision maker for personal care shall exercise their powers and perform their duties diligently and in good faith. Provide explanations 72 A substitute decision maker for personal care shall make reasonable efforts to explain to the adult living with an intellectual disability what the powers and duties of the substitute decision maker for personal care are. S.M. 2023, c. 19, s. 40 . Foster independence 73 A substitute decision maker for personal care shall seek to foster the independence of the adult living with an intellectual disability. S.M. 2023, c. 19, s. 41 . Encourage participation 74 A substitute decision maker for personal care shall encourage the adult living with an intellectual disability to participate, to the extent of the adult's abilities, in the substitute decision maker's decisions about the adult's personal care. S.M. 2023, c. 19, s. 42 . Least restrictive and intrusive course of action 75 A substitute decision maker for personal care shall choose the least restrictive and least intrusive course of action that is available and is appropriate in any particular situation. Decisions on person's behalf 76(1) In making decisions on behalf of the adult living with an intellectual disability, a substitute decision maker for personal care shall be guided by the following considerations: (a) the adult's wishes; (b) the adult's values and beliefs if the substitute decision maker has no knowledge of the adult's wishes and has used reasonable diligence to ascertain whether there are such wishes; (c) the best interests of the adult if (i) the substitute decision maker has no knowledge of the adult's wishes, values and beliefs and has used reasonable diligence to ascertain whether there are such wishes, values or beliefs, or (ii) the substitute decision maker cannot follow those wishes, values or beliefs without endangering the health or safety of the adult or another person. Best interests re health care 76(2) A substitute decision maker for personal care who has the power to make health care decisions under clause 57(2)⁠(b) shall consider the following factors when determining the best interests of the adult living with an intellectual disability under clause (1)⁠(c): (a) whether the adult's condition or well-being is likely to be improved by the proposed health care; (b) whether the adult's condition or well-being is likely to improve without the proposed health care; (c) whether the benefit the adult is expected to obtain from the proposed health care outweighs the risk of harm to the adult; (d) whether less restrictive or less intrusive health care is a reasonable alternative to the health care proposed. S.M. 2023, c. 19, s. 43 . RELATED MATTERS Information respecting adult living with an intellectual disability 77 The commissioner may provide a substitute decision maker for personal care with any information in the commissioner's possession respecting the adult living with an intellectual disability that is relevant to the exercise of the substitute decision maker's powers. S.M. 2023, c. 19, s. 78 . Right to information 78 A substitute decision maker for personal care (a) has the same right of access to information relating to matters for which the substitute decision maker has authority as the adult living with an intellectual disability would have if capable; and (b) may consent to the release of that information to another person. S.M. 2023, c. 19, s. 44 . Immunity 79 No proceeding for damages shall be commenced against a substitute decision maker for personal care for anything done or omitted in good faith in connection with their powers and duties under this Act. No compensation 80 A substitute decision maker for personal care is not entitled to receive compensation or remuneration for acting as a substitute decision maker. DIVISION 4 SUBSTITUTE DECISION MAKER FOR PROPERTY APPLICATION FOR SUBSTITUTE DECISION MAKER FOR PROPERTY Incapacity to manage property 81 For the purposes of this Act, a person is incapable of managing property if the person is not able to understand information that is relevant to making a decision in the management of their property, or is not able to appreciate the reasonably foreseeable consequences of a decision or lack of a decision. Application for appointment 82(1) Any person may apply to the commissioner for the appointment of a substitute decision maker for property for a person the applicant believes to be an adult living with an intellectual disability and in need of a substitute decision maker for property. Application in writing 82(2) An application shall be made in writing in a form approved by the commissioner. Applications in both areas of decision making 82(3) An application may be accompanied by an application for the appointment of a substitute decision maker for personal care for the same person. Copy of application to person 82(4) The commissioner shall give the person for whom the application is made a copy of the application. S.M. 2023, c. 19, s. 45 . No application if committee 83 No application may be made for a person for whom a committee has been appointed under The Mental Health Act . S.M. 1998, c. 36, s. 136 . Commissioner's preliminary investigation 84 On receiving an application under subsection 82(1), the commissioner shall make a preliminary investigation as to (a) whether the person for whom an application is made appears to be an adult living with an intellectual disability; (b) whether the person for whom the application is made appears to have a support network and reasonable efforts have been made to involve the support network with the person; and (c) whether the person for whom the application is made (i) appears to be incapable of managing the person's property by themselves or with the involvement of a support network, and (ii) appears to need decisions to be made on the person's behalf with respect to their property. S.M. 2023, c. 19, s. 46 . Decision to dismiss application 85(1) If the commissioner determines, after a preliminary investigation, that the person for whom the application is made is not an adult living with an intellectual disability, the commissioner shall dismiss the application. Decision to request individual plan 85(2) If the commissioner determines, after a preliminary investigation, that the person for whom the application is made appears to be an adult living with an intellectual disability, but the criteria set out in clauses 84(b) and (c) have not been met, the commissioner shall dismiss the application but may request the executive director (a) to take steps to involve a support network with the adult; or (b) to develop or review an individual plan for the adult under Part 2. Decision to consider application 85(3) If, after a preliminary investigation, the commissioner determines that all the criteria set out in section 84 have been met, the commissioner shall proceed to consider the application. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 47 and 78. Notice of decision 86(1) The commissioner shall give notice of their decision under section 85 to (a) the person for whom the application is made; (b) the applicant; (c) the proposed substitute decision maker for property for the person, if any; (d) any currently-appointed substitute decision maker for the person; (e) the person's committee, if any; (f) the person's nearest relative; and (g) any other person, including a member of the support network of the adult living with an intellectual disability, the commissioner considers appropriate. Reasons upon request 86(2) At the request of a person notified of a decision under subsection (1), the commissioner shall provide written reasons for the decision. 86(3) [Repealed] S.M. 2021, c. 30, s. 31 . S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 48 . Decision to refer to hearing panel 86.1(1) The commissioner may refer an application or part of an application to a hearing panel at any stage after making a decision under subsection 85(3), in which case the hearing panel shall hold a hearing for the purpose of making recommendations to the commissioner. Notice of referral to hearing panel 86.1(2) The commissioner shall give notice of a referral to a hearing panel to the persons given notice under subsection 86(1). S.M. 2021, c. 30, s. 31 . No referral to hearing panel 86.2(1) Alternatively, the commissioner may consider an application after making a decision under subsection 85(3) without referring the application to a hearing panel and shall give notice of this procedure to the persons given notice under subsection 86(1). Opportunity to be heard 86.2(2) If the commissioner considers an application without referring it to a hearing panel, the commissioner shall give the persons given notice under subsection 86(1) an opportunity to present information and make representations respecting the application. Referral if objection 86.2(3) Despite subsection (1), if the commissioner has chosen to consider the application without a hearing panel but receives, within 14 days of the date of the notice, a written objection to that procedure from a person given notice under subsection (1), the commissioner shall refer the application to a hearing panel. S.M. 2021, c. 30, s. 31 . Notice of hearing by hearing panel 86.3 When an application is referred to a hearing panel under section 86.1 or subsection 86.2(3), the commissioner shall give notice of the hearing to the persons given notice under subsection 86(1). S.M. 2021, c. 30, s. 31 . Hearing by hearing panel 87 If an application is referred to a hearing panel under section 86.1 or subsection 86.2(3), the hearing panel shall hold a hearing in accordance with Division 2 for the purpose of making recommendations to the commissioner (a) as to whether the criteria set out in section 84 respecting the appointment of a substitute decision maker for property for the person have been met; and (b) if the criteria set out in section 84 have been met, as to (i) the selection of an appropriate substitute decision maker for property for the person, (ii) the powers the substitute decision maker should be granted, and (iii) the duration and any terms and conditions of the appointment of the substitute decision maker. S.M. 2021, c. 30, s. 31 . APPOINTMENT OF SUBSTITUTE DECISION MAKER FOR PROPERTY Decision to appoint 88(1) The commissioner shall appoint a substitute decision maker for property for a person with respect to all or any part of the person's property if the commissioner determines that (a) the person for whom the application is made (i) is an adult living with an intellectual disability, (ii) is incapable of managing the person's property by themselves or with the involvement of a support network, and (iii) needs decisions to be made on the person's behalf with respect to their property; and (b) the appointment of a substitute decision maker for property is reasonable in the circumstances. Notice of decision 88(2) The commissioner shall give notice of a decision under subsection (1) to the persons given notice under subsection 86(1) and to the substitute decision maker who is appointed if that person is not otherwise given notice under that subsection. Decision not to appoint 88(3) If the commissioner determines that not all the criteria set out in subsection (1) are met, the commissioner shall (a) dismiss the application; and (b) give notice of the decision to the persons given notice under subsection 86(1). Reasons upon request 88(4) At the request of any person given notice under this section, the commissioner shall provide written reasons for their decision. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 78 . Persons eligible for appointment 89(1) The commissioner may appoint as a substitute decision maker for property (a) any adult individual who consents to act as a substitute decision maker for property and who, in the opinion of the commissioner, (i) is apparently capable, suitable and able to act as the substitute decision maker, and (ii) will not be in a position where the adult individual's interests conflict with the interests of the adult living with an intellectual disability; (b) a trust company registered and authorized to carry on business in Manitoba; or (c) the Public Guardian and Trustee, if there is no individual who meets the criteria in clause (a). Appointment of non-residents 89(2) An individual who does not reside in Manitoba shall not be appointed as a substitute decision maker for property, except as provided in subsection 90(2). Conflict of interest 89(3) For the purpose of subclause (1)⁠(a)⁠(ii), (a) a service provider for the adult living with an intellectual disability is in a position of conflict unless the service provider is (i) a volunteer, or (ii) a student in a training placement; (b) a person is not in a position of conflict by reason only of the fact that the person is (i) the substitute decision maker for personal care of the adult living with an intellectual disability, (ii) the committee of the adult living with an intellectual disability, (iii) a proxy for the adult living with an intellectual disability, (iv) a relative of the adult living with an intellectual disability, or (v) a potential beneficiary of the adult living with an intellectual disability. S.M. 2013, c. 46, s. 46 ; S.M. 2023, c. 19, s. 49 . Two or more substitute decision makers 90(1) With the consent of the persons, the commissioner may appoint two or more persons to act as substitute decision makers for property, jointly or otherwise. Residency requirement where two or more substitute decision makers 90(2) When appointing two or more substitute decision makers, the commissioner may appoint an individual who does not reside in Manitoba as a substitute decision maker for property if at least one of the other persons to be appointed is (a) an individual who resides in Manitoba; or (b) a trust company registered and authorized to carry on business in Manitoba. Joint substitute decision makers 90(3) In the event of the death of a joint substitute decision maker for property, the surviving substitute decision maker may exercise all the powers that had been granted jointly. Alternate substitute decision maker 90(4) The commissioner may appoint an alternate substitute decision maker for property to act (a) in the event of the death of the substitute decision maker for property; or (b) during the temporary absence of the substitute decision maker for property. Effective date of appointment 91 An appointment is effective on the later of (a) the date it is made; or (b) the date on which the substitute decision maker for property provides any bond or other security required under clause 92(4)⁠(b). POWERS OF SUBSTITUTE DECISION MAKER FOR PROPERTY Powers granted must relate to incapacity 92(1) When appointing a substitute decision maker for property, the commissioner shall (a) determine the areas of property management in which the adult living with an intellectual disability is incapable; (b) grant only those powers to the substitute decision maker that relate to those areas of incapacity for only as long as appropriate; and (c) specify if the powers granted relate to all or to a part of the property of the adult living with an intellectual disability. Powers that may be granted 92(2) In the appointment of a substitute decision maker for property, the commissioner shall specify which of the following powers are granted: (a) to purchase, sell, dispose of, encumber or transfer personal property; (b) to purchase, sell, dispose of, mortgage, encumber or transfer real property; (c) to transfer property held in trust by the adult living with an intellectual disability, either solely or jointly with another, to the person beneficially entitled to it; (d) to exchange or partition property or give or receive money for equality of exchange or partition; (e) to grant or accept leases of real or personal property, or give a consent to a transfer or assignment of a lease, to surrender a lease, with or without accepting a new lease, or accept a surrender of a lease; (f) to receive, deposit and invest money; (f.1) to make a designation in accordance with section 2.1 of The Beneficiary Designation Act (Retirement, Savings and Other Plans) ; (g) to draw, accept and endorse bills of exchange and promissory notes, endorse bonds, debentures, coupons and other negotiable instruments and securities, and assign choses in action; (h) to give or receive a notice on behalf of an adult living with an intellectual disability that relates to their property; (i) to carry on the trade or business of the adult living with an intellectual disability; (j) to exercise a power or give a consent required for the exercise of a power vested in the adult living with an intellectual disability; (k) to exercise a right or obligation to elect belonging to or imposed on the adult living with an intellectual disability; (l) to execute any documents on behalf of the adult living with an intellectual disability that are necessary to comply with The Homesteads Act ; (m) to commence, continue, settle or defend any claim or proceeding respecting the property of the adult living with an intellectual disability; (n) to compromise or settle a debt owing by or to the adult living with an intellectual disability; (o) to make expenditures from the property of the adult living with an intellectual disability for gifts, donations or loans; (p) any other power specified by the commissioner that is reasonably necessary for the management of the property of the adult living with an intellectual disability; (q) any other power that may be specified in the regulations. Authority of substitute decision maker 92(3) A substitute decision maker for property has the right (a) to take possession and control of the real and personal property under their power; and (b) to manage, handle and administer it to the extent of their power. Terms and conditions 92(4) In the appointment of the substitute decision maker for property, the commissioner (a) may, in accordance with this Act, impose any terms and conditions that the commissioner considers appropriate; and (b) may, as a condition of the appointment, require that the person appointed provide to the commissioner a bond or other security in such form and amount and upon such terms and conditions as may be prescribed in the regulations. Exception re trust company and Public Guardian and Trustee 92(5) Clause (4)⁠(b) does not apply if the substitute decision maker for property is a trust company or the Public Guardian and Trustee. Duration of appointment 92(6) In the appointment of the substitute decision maker for property, the commissioner shall specify the duration of the appointment, which shall not be longer than five years. S.M. 2013, c. 46, s. 46 ; S.M. 2022, c. 17, s. 10 ; S.M. 2023, c. 19, s. 50 . LIMITATION ON POWERS Limitation on settlement of claims or proceedings 93(1) A substitute decision maker for property may not settle a claim or proceeding on behalf of an adult living with an intellectual disability, whether or not legal proceedings have been commenced, without the approval of the court. Exception for Public Guardian and Trustee 93(2) Subsection (1) does not apply if the substitute decision maker is the Public Guardian and Trustee. S.M. 2013, c. 46, s. 46 ; S.M. 2023, c. 19, s. 78 . RELATED MATTERS Information respecting adult living with an intellectual disability 94 The commissioner may provide a substitute decision maker for property with any information in their possession respecting the adult living with an intellectual disability that is relevant to the exercise of the substitute decision maker's powers. S.M. 2023, c. 19, s. 78 . Right to information re property 95 A substitute decision maker for property (a) has the same right of access to information relating to matters for which the substitute decision maker has authority as the adult living with an intellectual disability would have if capable; and (b) may consent to the release of that information to another person. S.M. 2023, c. 19, s. 51 . Delivery of property to substitute decision maker 96 A person who has custody or control of property which belongs to an adult living with an intellectual disability and which is under the power of a substitute decision maker for property shall on request (a) provide to the substitute decision maker for property any document, record or information in the person's possession or under the person's control respecting the property; and (b) deliver the property to the substitute decision maker for property. S.M. 2023, c. 19, s. 78 . Compensation 97 A substitute decision maker for property may receive from the property of the adult living with an intellectual disability, compensation for services rendered where the substitute decision maker (a) is the Public Guardian and Trustee; or (b) has obtained prior approval respecting the proposed compensation, including approval of the amount, from the commissioner. S.M. 2013, c. 46, s. 46 ; S.M. 2023, c. 19, s. 78 . DUTIES OF SUBSTITUTE DECISION MAKER FOR PROPERTY Compliance with Act and appointment 98 A substitute decision maker for property shall comply with this Act and any terms and conditions of their appointment. Fiduciary duties 99 A substitute decision maker for property is a fiduciary whose powers and duties shall be exercised and performed diligently, with honesty and integrity and in good faith, for the benefit of the adult living with an intellectual disability. S.M. 2023, c. 19, s. 78 . Accounts 100 A substitute decision maker for property shall keep accounts of all transactions involving the property of the adult living with an intellectual disability. S.M. 2023, c. 19, s. 52 . Provide explanations 101 A substitute decision maker for property shall make reasonable efforts to explain to the adult living with an intellectual disability what the powers and duties of the substitute decision maker for property are. S.M. 2023, c. 19, s. 53 . Foster independence 102 A substitute decision maker for property shall seek to foster the independence of the adult living with an intellectual disability. S.M. 2023, c. 19, s. 54 . Encourage participation 103 A substitute decision maker for property shall encourage the adult living with an intellectual disability to participate, to the extent of the adult's abilities, in the substitute decision maker's decisions about the adult's property. S.M. 2023, c. 19, s. 55 . Considerations in making decisions 104 In making decisions on behalf of the adult living with an intellectual disability, a substitute decision maker for property shall (a) take into consideration the adult's wishes, values and beliefs, to the extent that they can be ascertained; and (b) act in the best interests of the adult and the adult's estate. S.M. 2023, c. 19, s. 56 . Standard of care where no compensation 105(1) A substitute decision maker for property who does not receive compensation for managing the property shall exercise the degree of care, diligence and skill that a person of ordinary prudence would exercise in the conduct of the person's own affairs. Standard of care where compensation 105(2) A substitute decision maker for property who receives compensation for managing the property shall exercise the degree of care, diligence and skill that a person in the business of managing the property of others is required to exercise. Required expenditures 106(1) Subject to any terms and conditions in the appointment or in the regulations, a substitute decision maker for property shall make the following expenditures from the property of the adult living with an intellectual disability: (a) expenditures that are reasonably necessary for the adult's support, education and care; (b) expenditures that are reasonably necessary for the support, education and care of the adult's dependents; (c) expenditures that are necessary to satisfy the adult's other legal obligations. Guiding principles 106(2) The following rules apply to expenditures under subsection (1): (a) the value of the property, the accustomed standard of living of the adult living with an intellectual disability and their dependants and the nature of other legal obligations shall be taken into account; (b) expenditures under clause (1)⁠(b) may be made only if the property is and will remain more than sufficient to provide for expenditures under clause (1)⁠(a); (c) expenditures under clause (1)⁠(c) may be made only if the property is and will remain more than sufficient to provide for expenditures under clauses (1)⁠(a) and (b). S.M. 2023, c. 19, s. 57 and 78. Liability for damages 107(1) A substitute decision maker for property is liable for damages resulting from a breach of their duty under this Act. Relief from liability 107(2) If a court is satisfied that a substitute decision maker for property who has committed a breach of duty has nevertheless acted honestly, reasonably and diligently, the court may relieve the substitute decision maker for property from all or part of the liability. ACCOUNTING BY SUBSTITUTE DECISION MAKER FOR PROPERTY Filing of inventory on appointment 108(1) A substitute decision maker for property shall (a) within six months after the effective date of the appointment or sooner if required by the commissioner, file with the commissioner, in accordance with the regulations, a true inventory and account of the property, debts and liabilities of the adult living with an intellectual disability which are under the power of the substitute decision maker; and (b) immediately file with the commissioner a revised inventory and account, in accordance with the regulations, if any property, debt or liability is discovered after the filing of an inventory and account under clause (a).

Accounting 108(2) A substitute decision maker for property shall, at the request of the commissioner, file with the commissioner an accounting of the property, debts, liabilities, receipts and disbursements of the adult living with an intellectual disability, in accordance with the regulations. Copy of inventory or accounting 108(3) A substitute decision maker for property shall give a copy of an inventory or accounting prepared under this section to (a) the adult living with an intellectual disability; and (b) the substitute decision maker for personal care of the adult living with an intellectual disability; on the request of that person. S.M. 2023, c. 19, s. 58 and 78. Accounting on expiration or termination of appointment 109(1) A substitute decision maker for property whose appointment expires or is suspended or terminated for any reason shall provide, in accordance with the regulations, an accounting of the property, debts, liabilities, receipts and disbursements of the adult living with an intellectual disability, to (a) the commissioner; (b) the adult; (c) any currently-appointed substitute decision maker for the adult; and (d) any other person the commissioner considers appropriate. Time for providing accounting 109(2) An accounting under subsection (1) shall be provided within 30 days of the expiration, suspension or termination of the appointment, or within such further time as the commissioner may allow. Delivery of property 109(3) A substitute decision maker for property whose appointment expires or is suspended or terminated for any reason shall as soon as reasonably possible deliver any property of the adult living with an intellectual disability that is in their custody or under their control and any relevant documents, records or information to (a) the adult; or (b) the adult's new substitute decision maker for property, if any. S.M. 2023, c. 19, s. 59 . Additional information 110 In addition to the requirements of sections 108 and 109, the commissioner may require a substitute decision maker for property to provide such further information or documentation as the commissioner considers necessary. Public Guardian and Trustee as substitute decision maker 111(1) The requirements of section 108, subsections 109(1) and (2), and section 110 do not apply if the substitute decision maker for property is the Public Guardian and Trustee. Accounting by Public Guardian and Trustee 111(2) If the Public Guardian and Trustee is the substitute decision maker for property, and the appointment of the Public Guardian and Trustee expires or is suspended or is terminated for any reason, the Public Guardian and Trustee shall provide an accounting of the property, debts, liabilities, receipts and disbursements of the adult living with an intellectual disability to (a) the adult; and (b) any substitute decision maker for property for the adult who is appointed in the place of the Public Guardian and Trustee. S.M. 2013, c. 46, s. 46 ; S.M. 2023, c. 19, s. 60 . ACCOUNTING ON DEATH OF SUBSTITUTE DECISION MAKER OR ADULT LIVING WITH AN INTELLECTUAL DISABILITY Accounting on death of substitute decision maker 112 On the death of a substitute decision maker for property, the executor under the will or the administrator of the estate of the substitute decision maker for property shall comply with the requirements of sections 109 and 110. Accounting on death of adult living with an intellectual disability 113(1) On the death of an adult living with an intellectual disability, the adult's substitute decision maker for property shall (a) provide an accounting to the executor under the will or to the administrator of the estate of the adult; and (b) deliver any property of the adult in their custody or under their control to the executor or administrator. Powers of Public Guardian and Trustee on adult's death 113(2) If the Public Guardian and Trustee is the substitute decision maker for property for an adult living with an intellectual disability who dies, until notified of the appointment of an executor or administrator for the adult, the Public Guardian and Trustee may, with respect to property which is under the power of the Public Guardian and Trustee, (a) exercise the powers of an executor under the will or an administrator of the estate of the adult for the purpose of paying the adult's debts and funeral expenses and gathering in the assets of the adult's estate; and (b) commence, continue or defend any claim or proceeding on behalf of the estate of the adult. S.M. 2013, c. 46, s. 46 ; S.M. 2023, c. 19, s. 62 . Accounting to include notice of designation 113.1 A substitute decision maker for property must include notice of any designation made by the substitute decision maker under section 2.1 of The Beneficiary Designation Act (Retirement, Savings and Other Plans) with an accounting provided under this Division. S.M. 2022, c. 17, s. 10 . APPOINTMENT FOR PERSON RESIDING OUTSIDE MANITOBA Application for appointment re non-resident 114(1) Any person may apply to the commissioner in writing, in a form approved by the commissioner, for the appointment of a substitute decision maker for property for a person who (a) is not a resident of Manitoba; and (b) has real or personal property in Manitoba. Decision to appoint substitute decision maker for non-resident 114(2) Where the commissioner determines that (a) the person for whom the application is made under subsection (1) is an adult living with an intellectual disability; and (b) there has been a determination, in accordance with the laws of another province or territory of Canada or of any other jurisdiction designated by regulation, that the person for whom the application is made is incapable of managing the person's property; the commissioner may, without referring the matter to a hearing panel or giving the persons entitled to notice under subsection (4) an opportunity to present information and make representations respecting the matter, appoint a person who meets the eligibility criteria for a substitute decision maker set out in this Division to be the substitute decision maker for property in respect of the property in Manitoba. Terms and conditions of appointment 114(3) The commissioner may, in accordance with this Act, confer such powers and impose such terms and conditions on a substitute decision maker appointed under subsection (2) as the commissioner considers appropriate. Notice of appointment 114(4) The commissioner shall give notice of an appointment under subsection (2) to (a) the adult living with an intellectual disability; (b) the applicant; (c) the person appointed as the substitute decision maker for property; and (d) any other person the commissioner considers appropriate. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 78 . DIVISION 5 GENERAL PROVISIONS RESPECTING SUBSTITUTE DECISION MAKERS Effect of decision by substitute decision maker 115 Any decision made, action taken, consent given or thing done by a substitute decision maker in accordance with this Act with respect to any matter within their power is deemed for all purposes to have been decided, taken, given or done by the adult living with an intellectual disability as though the adult living with an intellectual disability were a capable adult. S.M. 2023, c. 19, s. 78 . Contracts binding 116 If a substitute decision maker enters into a contract on behalf of an adult living with an intellectual disability in accordance with this Act, the contract is binding on the adult after the appointment expires or is suspended or is terminated, and on the adult's executors, administrators or heirs after the adult dies, in the same manner and to the same extent as if the adult had made the contract and had been an adult capable of making the contract. S.M. 2023, c. 19, s. 63 . Incidental powers 117 A substitute decision maker may do whatever is necessarily incidental to the exercise of any powers conferred on the substitute decision maker. Completion of transactions entered into by adult living with an intellectual disability 118(1) A substitute decision maker has the power to complete a transaction that the adult living with an intellectual disability entered into before becoming incapable. Completion of transactions on death of adult living with an intellectual disability 118(2) Where there is no executor or administrator, or the executor or administrator fails to act, a substitute decision maker has the power to complete a transaction that the substitute decision maker entered into before the death of the adult living with an intellectual disability. S.M. 2023, c. 19, s. 64 and 78. Mediation of disputes between substitute decision makers 119 If a dispute arises between two or more substitute decision makers for an adult living with an intellectual disability in the performance of their duties, any of them may refer the dispute to the commissioner and the commissioner shall endeavour to mediate between the substitute decision makers and seek to resolve the dispute. S.M. 2023, c. 19, s. 78 . DIVISION 6 EMERGENCY APPOINTMENT, SUSPENSION AND VARIATION EMERGENCY APPOINTMENT Application for emergency appointment 120(1) Any person may apply to the commissioner in writing for the appointment of an emergency substitute decision maker for personal care or for property for a person who does not have a substitute decision maker for that area of decision making. Hearing panel and representations not required 120(2) The commissioner is not required to refer an application under subsection (1) to a hearing panel or to give the persons entitled to notice under section 122 an opportunity to present information and make representations respecting the application. Emergency appointment 120(3) On receiving an application or on the commissioner's own initiative, the commissioner may appoint an emergency substitute decision maker for personal care or for property if the commissioner determines that (a) there is immediate danger of death or serious harm or deterioration to the physical or mental health of the person, or of serious loss to the person's property; (b) the person for whom the application is made (i) is an adult living with an intellectual disability, (ii) is incapable of personal care or of managing their property, and (iii) needs decisions to be made on their behalf on an emergency basis to prevent the danger described in clause (a); and (c) prompt action is required in view of the nature and urgency of the situation. Term of appointment 120(4) An appointment under this section cannot exceed 30 days, but if while the emergency appointment is in effect an application for the appointment of a substitute decision maker is made under Division 3 or 4, the commissioner may extend the appointment under this section for an additional 60 days. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 78 . Powers of emergency substitute decision maker 121 An emergency substitute decision maker may be granted the same powers and is subject to the same duties, terms and conditions as a substitute decision maker appointed under Division 3 or 4. Notice of decision 122(1) The commissioner shall give notice of (a) a decision appointing an emergency substitute decision maker for personal care to the persons listed in clauses 51(1)⁠(a) to (f) and to the substitute decision maker who is appointed if that person is not otherwise given notice under one of those clauses; and (b) a decision appointing an emergency substitute decision maker for property to the persons listed in clauses 86(1)⁠(a) to (f) and to the substitute decision maker who is appointed if that person is not otherwise given notice under one of those clauses. Reasons on request 122(2) The commissioner shall provide written reasons for the decision when requested to do so by a person referred to in subsection (1). EMERGENCY SUSPENSION AND TEMPORARY APPOINTMENT Application for suspension and temporary appointment 123(1) Any person may apply to the commissioner in writing for a suspension on an emergency basis of the appointment of a substitute decision maker for personal care or for property and the appointment of a temporary substitute decision maker. Hearing panel and representations not required 123(2) The commissioner is not required to refer an application under subsection (1) to a hearing panel or to give the persons entitled to notice under section 125 an opportunity to present information and make representations respecting the application. Suspension and temporary appointment 123(3) On receiving an application or on the commissioner's own initiative, the commissioner may suspend the appointment of a substitute decision maker and appoint a temporary substitute decision maker if the commissioner determines that (a) there is an immediate danger of death or serious harm to, or deterioration in, the physical or mental health of a person who continues to be an adult living with an intellectual disability, or of serious loss to that person's property; (b) the substitute decision maker (i) has failed to act in accordance with this Act or the terms and conditions of the appointment, or (ii) has acted in an improper manner or in a manner that has endangered or may endanger the well-being or property of the adult living with an intellectual disability; (c) prompt action is required in view of the nature and urgency of the situation; and (d) the adult living with an intellectual disability needs decisions to be made on the adult's behalf to prevent the danger described in clause (a). Term of suspension and appointment 123(4) A suspension and appointment under this section may be for such duration as the commissioner considers appropriate. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 78 . Powers of temporary substitute decision maker 124 A temporary substitute decision maker has the same powers and duties as did the substitute decision maker that they replace, and the appointment is subject to the same terms and conditions as the original appointment. Notice of decision 125(1) The commissioner shall give notice of a decision under section 123 to the persons listed in clauses 51(1)⁠(a) to (f) or 86(1)⁠(a) to (f), as the case may be, and to the substitute decision maker who is appointed if that person is not otherwise given notice under one of those clauses. Reasons on request 125(2) The commissioner shall provide written reasons for the decision when requested to do so by a person referred to in subsection (1). EMERGENCY VARIATION Application for emergency variation 126(1) Any person may apply to the commissioner in writing for an emergency variation of the appointment of a substitute decision maker for personal care or for property. Hearing panel and representations not required 126(2) The commissioner is not required to refer an application under subsection (1) to a hearing panel or to give the persons entitled to notice under section 127 an opportunity to present information and make representations respecting the application. Emergency variation of appointment 126(3) On receiving an application or on the commissioner's own initiative, the commissioner may, on an emergency basis, vary the appointment of a substitute decision maker if the commissioner determines that (a) there is an immediate danger of death or serious harm to, or deterioration in, the physical or mental health of the adult living with an intellectual disability, or of serious loss to the adult's property; and (b) prompt action is required to protect the adult or property in view of the nature and urgency of the matter. Limitation re personal care and property 126(4) When making a decision to vary an appointment on an emergency basis, the commissioner shall not (a) vary an appointment of a substitute decision maker for personal care to include powers respecting property; or (b) vary an appointment of a substitute decision maker for property to include powers respecting personal care. Term of appointment 126(5) An emergency variation under this section cannot exceed 30 days, but if an application for the variation of an appointment is also made under Division 7, the commissioner may extend the variation under this section for a further 60 days. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 65 . Notice of decision 127(1) The commissioner shall give notice of a decision under subsection 126(3) to the persons listed in clauses 51(1)⁠(a) to (f) or 86(1)⁠(a) to (f), as the case may be, and to the substitute decision maker who is appointed if that person is not otherwise given notice under one of those clauses. Reasons on request 127(2) The commissioner shall provide written reasons for the decision when requested to do so by a person referred to in subsection (1). GENERAL REQUIREMENTS Eligibility for appointment 128 A person cannot be appointed as a substitute decision maker under this Division unless they meet the eligibility criteria for a substitute decision maker set out in Division 3 or 4, as the case may be. Powers to be specified 129 When a substitute decision maker is appointed under this Division, the commissioner shall, in accordance with this Act, (a) specify the powers of the substitute decision maker and the duration of the appointment and impose such terms and conditions as the commissioner considers appropriate; and (b) limit the powers conferred on the substitute decision maker to those required in view of the nature and urgency of the situation. DIVISION 7 TERMINATION, REPLACEMENT AND VARIATION OF APPOINTMENT APPLICATION AND PROCEDURE Application for termination, replacement or variation 130(1) Any person may apply in writing to the commissioner for one or more of the following: (a) the termination of the appointment of a substitute decision maker for personal care or for property; (b) the appointment of a person to replace a substitute decision maker for personal care or for property whose appointment has been terminated, or who has died; (c) the variation of an appointment of a substitute decision maker for personal care or for property. Form of application 130(2) An application under subsection (1) shall be in a form approved by the commissioner. Commissioner may initiate application 130(3) In response to a complaint or on the commissioner's own initiative, the commissioner may initiate an application under this section. S.M. 2023, c. 19, s. 66 . Refusal to consider frivolous application 131(1) The commissioner may refuse to consider an application received under subsection 130(1) that they consider to be frivolous or vexatious. Notice of decision to dismiss 131(2) The commissioner shall give notice of a decision to refuse to consider an application to the applicant and the adult living with an intellectual disability. S.M. 2023, c. 19, s. 78 . Notice of application 132 Except where the commissioner has refused to consider an application under section 131, the commissioner shall give notice of an application to (a) the adult living with an intellectual disability; (b) any currently-appointed substitute decision maker for the adult living with an intellectual disability; (c) the proposed substitute decision maker, if any; (d) the committee of the adult living with an intellectual disability, if any; (e) the nearest relative of the adult living with an intellectual disability; and (f) any other person, including a member of the support network of the adult living with an intellectual disability, the commissioner considers appropriate. S.M. 2023, c. 19, s. 67 . Decision to refer to hearing panel 133(1) The commissioner may refer an application or part of an application to a hearing panel at any stage, in which case the hearing panel shall hold a hearing for the purpose of making recommendations to the commissioner. Notice of referral and hearing 133(2) The commissioner shall give notice of the following to the persons given notice under section 132: (a) a referral to a hearing panel; (b) the hearing by the hearing panel. Division 2 applies 133(3) Division 2 applies, with necessary modifications, if an application is referred to a hearing panel under this section. S.M. 2021, c. 30, s. 31 . No referral to hearing panel 134(1) Alternatively, the commissioner may consider an application without referring it to a hearing panel and shall give notice of this procedure to the applicant and the persons given notice under section 132. Opportunity to be heard 134(2) If the commissioner considers an application without referring it to a hearing panel the commissioner shall give the applicant and the persons notified under section 132 an opportunity to present information and make representations respecting the application. Notice of decision 135(1) The commissioner shall give notice of a decision with respect to an application under section 130 to the applicant, to the persons given notice under section 132 and to a substitute decision maker who is appointed if they are not otherwise given notice under that section. Reasons on request 135(2) The commissioner shall provide written reasons for the decision when requested to do so by a person referred to in subsection (1). TERMINATION Decision to terminate 136 On application under clause 130(1)⁠(a), the commissioner (a) shall make a decision to terminate the appointment of the substitute decision maker if the commissioner determines that one or more of the criteria for the appointment of a substitute decision maker for personal care in subsection 53(1) or for property in subsection 88(1), as the case may be, are no longer met; and (b) may make a decision to terminate the appointment of the substitute decision maker if the commissioner determines that the substitute decision maker (i) is unable or is unwilling or refuses to act or to continue to act as substitute decision maker, (ii) has failed to act in accordance with this Act or the terms and conditions of the appointment, (iii) has acted in an improper manner or in a manner that has endangered or that may endanger the well-being or property of the adult living with an intellectual disability, or (iv) is no longer a suitable person to act as a substitute decision maker. S.M. 2023, c. 19, s. 78 . REPLACEMENT Decision to appoint replacement substitute decision maker 137(1) If, on application under clause 130(1)⁠(b), the commissioner determines that the criteria for the appointment of a substitute decision maker for personal care in subsection 53(1) or for property in subsection 88(1), as the case may be, continue to be met, the commissioner may appoint a person to replace a substitute decision maker (a) whose appointment has been terminated under clause 136(b); or (b) who has died, where there is no surviving joint substitute decision maker or where no alternate substitute decision maker has been appointed. Eligibility for appointment 137(2) A person cannot be appointed as a substitute decision maker under this section unless they meet the eligibility criteria for a substitute decision maker set out in section 54 or section 89, as the case may be. Powers of replacement substitute decision maker 138 A substitute decision maker appointed under section 137 has the same powers and duties as the substitute decision maker they replace, and the appointment is subject to the same terms and conditions as the original appointment. VARIATION Decision to vary appointment 139(1) On an application under clause 130(1)⁠(c) to vary an appointment, the commissioner may, in accordance with this Act, make a decision to do one or more of the following: (a) vary the powers conferred or the duties imposed on the substitute decision maker in the appointment; (b) vary the terms and conditions of the appointment; (c) vary the duration of the appointment but shall not extend it beyond five years from the effective date of the appointment being varied; (d) appoint an additional or alternate substitute decision maker for personal care or for property, on such terms and conditions as the commissioner considers appropriate. Limitation re personal care and property 139(2) When making a decision to vary an appointment under this section, the commissioner shall not (a) vary an appointment of a substitute decision maker for personal care to include powers respecting property; or (b) vary an appointment of a substitute decision maker for property to include powers respecting personal care. Eligibility for appointment 139(3) A person cannot be appointed as a substitute decision maker under this section unless they meet the eligibility criteria for a substitute decision maker set out in section 54 or section 89, as the case may be. DIVISION 8 REVIEW OF APPOINTMENT BEFORE RENEWAL Appointment not renewed if no review 140(1) An appointment of a substitute decision maker for an adult living with an intellectual disability may not be renewed unless a review of it is undertaken in accordance with this Division. More than one renewal of appointment 140(2) An appointment may be renewed more than once if a review is undertaken in accordance with this Division before each renewal. Purpose of review 140(3) The purpose of a review is to determine whether the criteria for the appointment of a substitute decision maker, as set out in subsection 53(1) or 88(1), as the case may be, continue to be met and if so (a) whether the appointment of the person named as the substitute decision maker should be renewed or whether another person should be appointed as the substitute decision maker; (b) whether an additional or alternate substitute decision maker should be appointed; and (c) whether the powers of the substitute decision maker or the terms or conditions of the appointment should be varied and, if so, in what respect. S.M. 2023, c. 19, s. 78 . Referral to hearing panel 141(1) For the purpose of a review, the commissioner may establish a hearing panel under section 35 and refer one or more of the matters described in subsection 140(3) to the hearing panel for a hearing and recommendations. Commissioner may review without referral 141(2) Alternatively, the commissioner may conduct the review without referring the matters to a hearing panel. Notice of review 141(3) The commissioner shall give notice of the review and the procedure that has been chosen to (a) the adult living with an intellectual disability; (b) any currently-appointed substitute decision maker for the adult living with an intellectual disability; (c) the committee of the adult living with an intellectual disability, if any; (d) the nearest relative of the adult living with an intellectual disability; and (e) any other person, including a member of the support network of the adult living with an intellectual disability, the commissioner considers appropriate. Referral if objection 141(4) Despite subsection (2), if the commissioner has chosen to conduct the review without a hearing panel but receives, within 14 days of the date of the notice, a written objection to that procedure from a person given notice under subsection (3), the commissioner shall refer the review to a hearing panel. Notice of hearing by hearing panel 141(5) When an application is referred to a hearing panel under subsection (1) or (4), the commissioner shall give notice of the hearing to the persons given notice under subsection (3). S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 68 . Hearing and recommendations 142(1) When a review is referred to a hearing panel, the hearing panel shall hold a hearing for the purpose of making recommendations to the commissioner. Division 2 applies 142(2) Division 2 applies, with necessary modifications, if a review is referred to a hearing panel. Opportunity to be heard 143 If the commissioner conducts a review without referring the matters to a hearing panel, the commissioner shall give the persons who are given notice under subsection 141(3) an opportunity to present information and make representations respecting the review. DECISION ON A REVIEW Decision to renew or vary appointment 144(1) If the commissioner determines that the criteria for the appointment of a substitute decision maker set out in subsection 53(1) or 88(1), as the case may be, continue to be met, the commissioner may do one or more of the following: (a) renew the appointment of the substitute decision maker; (b) terminate the appointment of the substitute decision maker and appoint another person as a substitute decision maker; (c) appoint an additional or an alternate substitute decision maker. Powers may be continued on renewal 144(2) When an appointment is renewed under clause (1)⁠(a), the commissioner may continue the powers granted in the original appointment or may vary them. Limitation re personal care and property 144(3) When varying powers in an appointment under this section, the commissioner shall not (a) vary an appointment of a substitute decision maker for personal care to include powers respecting property; or (b) vary an appointment of a substitute decision maker for property to include powers respecting personal care. Powers on appointment 144(4) A substitute decision maker who is appointed under clause 1(b) or (c) may be granted the same powers and is subject to the same duties, terms and conditions as a substitute decision maker appointed under Division 3 or 4, as the case may be. Terms and conditions 144(5) The commissioner may impose any terms and conditions that they consider appropriate when renewing or making an appointment under this section. Duration of appointment 144(6) A renewal of an appointment under this section shall not be longer than five years from the date of the renewal if the Public Guardian and Trustee has been appointed the substitute decision maker, and ten years from that date for all other appointments. S.M. 2021, c. 30, s. 31 . Decision to terminate appointment 145 If the commissioner determines that one or more of the criteria for the appointment of a substitute decision maker set out in subsection 53(1) or 88(1), as the case may be, are no longer met, the commissioner shall terminate the appointment of the substitute decision maker. Notice of decision 146(1) The commissioner shall give notice of a decision under section 144 or 145 to the persons given notice under subsection 141(3) and to any substitute decision maker who is appointed if that person is not otherwise given notice under that subsection. Reasons on request 146(2) The commissioner shall provide written reasons for the decision when requested to do so by a person referred to in subsection (1). DIVISION 9 APPEAL TO COURT OF KING'S BENCH Appeal from decision of commissioner 147(1) An appeal to the court may be made by a person referred to in subsection (2) from a decision of the commissioner made under this Part, other than a decision (a) under subsection 50(3) or 85(3) to proceed to consider an application; (a.1) under section 51.1, 51.2, 86.1 or 86.2 as to whether or not to refer an application or part of an application to a hearing panel; or (b) [repealed] S.M. 2025, c. 11, s. 1 ; (c) under subsection 133(1), 134(1), 141(1) or 141(2) as to whether or not to refer a matter to a hearing panel. Persons who may appeal 147(2) The following persons may appeal a decision of the commissioner referred to in subsection (1): (a) the person for whom the application was made, or for whom the review was undertaken, which gave rise to the decision; (b) the applicant for an appointment or a decision of the comissioner; (c) the person who was proposed in the application to be the substitute decision maker, if any; (d) any currently-appointed substitute decision maker for the person referred to in clause (a); (e) the committee for the person referred to in clause (a), if any; (f) any other person who was given notice of the decision being appealed and made representations to a hearing panel or to the commissioner, as the case may be. Appeal with leave of court 147(3) In addition to those persons specified in subsection (2), any person with leave of the court may appeal a decision of the commissioner referred to in subsection (1) to the court. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 78 ; S.M. 2025, c. 11, s. 1 . METHOD OF APPEAL Notice of application filed 148 An appeal under section 147 shall be commenced by filing a notice of application. Time for filing and serving 149 A notice of application under section 148 shall be filed in the court and served on the persons referred to in section 150, within 30 days after the applicant receives a copy of the decision of the commissioner, or within such further time as the court permits. Service of notice of application 150 The applicant shall serve the notice of application upon (a) each person who was given notice of the decision being appealed; and (b) the commissioner. Commissioner files decision in court 151 Immediately upon receiving a copy of the notice of application, the commissioner shall deliver to the court copies of (a) the application which gave rise to the decision being appealed; (b) the recommendations of the hearing panel made with respect to the matter, if any; (c) the decision in respect of which the appeal is made; (d) the reasons for the decision, if any; (e) the appointment; and (f) any other documents the commissioner considers relevant to the appeal. Service on Public Guardian and Trustee 152(1) No appeal under section 147 shall be heard by the court unless the Public Guardian and Trustee is served with a copy of the notice of application at least 10 days prior to the date fixed for the hearing. Public Guardian and Trustee right to be heard 152(2) Upon being served, the Public Guardian and Trustee has a right to be heard with respect to the appeal. S.M. 2013, c. 46, s. 46 . Stay of decision 153 The court may stay the decision being appealed on such terms as are considered just. Not compellable witness 154 Neither the commissioner nor a member of a hearing panel shall be required to give evidence respecting information obtained in the performance of duties or the exercise of powers under this Act in an appeal. Appeal as fresh matter 155 The hearing of the appeal shall be a fresh hearing and the court may consider the documents referred to in section 151, and any further material or evidence that it considers relevant to the appeal. POWERS OF COURT Powers of court on appeal 156(1) Except for an appeal referred to in subsection (2), the court may (a) set aside, vary or confirm the decision of the commissioner; or (b) make any decision that in its opinion the commissioner could have made. Powers of court re dismissal of application 156(2) Where an appeal is from the commissioner's decision to dismiss an application for the appointment of a substitute decision maker, the court may (a) confirm the decision of the commissioner to dismiss the application; or (b) set aside the decision of the commissioner and make an order in accordance with subsections (3) and (4). Court appoints substitute decision maker 156(3) Where the court sets aside the decision of the commissioner under clause (2)⁠(b), the court shall proceed to consider the application for the appointment of a substitute decision maker and may appoint a substitute decision maker who meets the eligibility criteria set out in Division 3 or 4, as the case may be. Powers to be specified 156(4) When a substitute decision maker is appointed under subsection (3), the court shall, in accordance with Division 3 or 4, as the case may be, specify the powers of the substitute decision maker, the duration of the appointment and impose such terms and conditions as the court considers appropriate. Effect of court order 157 An order of the court made under section 156 is deemed to be a decision of the commissioner for the purposes of this Act and the commissioner shall carry out the commissioner's duties and may exercise the commissioner's powers under this Act as if the order made under section 156 were a decision made by the commissioner. Copy of order to commissioner 158 The applicant shall provide the commissioner with a copy of any order made under this Division. PART 5 NOTICE, CONFIDENTIALITY, IMMUNITY, REGULATIONS, OFFENCES AND REVIEW NOTICE Notice given by commissioner 159(1) Where the commissioner is required to give any notice under this Act, the notice shall be in writing and given as set out in this section. Notice given by ordinary mail 159(2) Any notice given by the commissioner may be given by sending a copy of the notice by prepaid, first class mail to the last known address where the person resided or carried on business. Notice to adult living with an intellectual disability if hearing panel established 159(3) Despite subsection (2), a notice given by the commissioner to an adult living with an intellectual disability or a person for whom an application for the appointment of a substitute decision maker is made shall be given by (a) leaving a copy of the notice with the person; or (b) sending a copy of the notice, together with an acknowledgment of receipt card, by mail to the last known address where the person resided; in the following circumstances: (c) [repealed] S.M. 2021, c. 30, s. 31 ; (c.1) under section 51.2 (alternative procedure with opportunity to make representations for application re appointment of substitute decision maker for personal care); (d) under section 51.3, (hearing by hearing panel re appointment of substitute decision maker for personal care); (d.1) under section 86.2 (alternative procedure with opportunity to make representations for application re appointment of substitute decision maker for property); (e) under section 86.3 (hearing by hearing panel re appointment of substitute decision maker for property); (f) under clause 133(2)⁠(b) or subsection 134(1) (procedure chosen for application re termination, replacement or variation); (g) under subsection 141(3) or (5) (review and procedure chosen). Effective notice under clause (3)⁠(b) 159(4) Notice given by mail under clause (3)⁠(b) is effective (a) only if the acknowledgment of receipt card or a post office receipt, bearing a signature that purports to be the signature of the person to be given notice, is received by the commissioner; and (b) on the date on which the commissioner receives either receipt signed as provided in clause (a). When notice mailed 159(5) A notice sent by ordinary mail under subsection (2) is deemed to be received on the fifth day after the day of mailing, unless the person to whom it is sent establishes that, acting in good faith, they did not receive the notice or did not receive it until a later date because of absence, accident, illness or other cause beyond that person's control. Notice dispensed with 159(6) Where the commissioner is unable, after making reasonable efforts, to ascertain the existence or address of a person who is to be given notice under this Act, other than a person referred to in subsection (3), the commissioner may dispense with giving notice to that person under this section. Actual notice sufficient 159(7) Despite the fact that notice is not given as set out in this section, it is sufficiently given if notice actually came to the attention of the person to whom it was intended to be given within the time for giving it under this Act. S.M. 2021, c. 30, s. 31 ; S.M. 2023, c. 19, s. 78 . CONFIDENTIALITY Confidentiality re adult living with an intellectual disability 160 The commissioner, an executive director, a member of a hearing panel and any person engaged in the administration of this Act shall maintain confidentiality with respect to all information about an adult living with an intellectual disability which comes to their knowledge in the performance of duties or the exercise of powers under this Act, and shall not disclose such information except (a) with the consent of the adult to whom the information relates or, if that adult is incapable of providing consent, with the consent of a person authorized to consent on the adult's behalf; (b) in accordance with this Act; (c) where disclosure is required by another Act; (d) by order of a court; (e) where disclosure is necessary to the performance of duties or exercise of powers under this Act; or (f) where, in the opinion of the person requested to disclose information, disclosure is in the best interests of the adult. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 70 . Confidentiality re person who reports abuse or neglect 160.1 An executive director and any person engaged in the administration of this Act shall not disclose any information that could reasonably be expected to reveal the identity of a person who makes a report of abuse or neglect under section 21, except (a) with the consent of the person who makes a report of abuse or neglect; (b) where disclosure is required by another Act; (c) by order of a court; (d) where disclosure is necessary to the performance of duties or exercise of powers under this Act; or (e) where, in the opinion of the person who makes a report of abuse or neglect, disclosure is in the best interests of the adult living with an intellectual disability. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 71 . Information to be furnished 161(1) Despite any restriction in legislation or elsewhere, respecting the disclosure of information, the commissioner or executive director may require any person who in the opinion of the commissioner or executive director is able to give any information respecting an application, investigation, or other matter under this Act (a) to furnish the information to the commissioner or executive director, as the case may be; and (b) to produce any record, document or thing which, in the opinion of the commissioner or the executive director, relates to the application, investigation, or other matter and which is in the possession or under the control of that person. Solicitor-client privilege protected 161(2) Nothing in subsection (1) abrogates a privilege that may exist between a solicitor and their client. IMMUNITY Immunity re furnishing information 162(1) No action or other proceeding may be brought against a person (a) [repealed] S.M. 2011, c. 26, s. 47 ; (b) for complying with a requirement to furnish information or produce any record, document or thing. Immunity re powers and duties 162(2) No action or other proceeding may be brought against the commissioner, an executive director, a member of a hearing panel or an employee of the government (a) for any act done in good faith, in the exercise or intended exercise of a power, or in the performance or intended performance of a duty under this Act; or (b) for any neglect or default in good faith in the exercise of a power or the performance of a duty under this Act. S.M. 2011, c. 26, s. 47 . REGULATIONS Regulations 163 The Lieutenant Governor in Council may make regulations (a) [repealed] S.M. 2025, c. 11, s. 1 ; (b) respecting support services provided for adults living with an intellectual disability; (c) establishing fees or a method of determining fees to be charged for services provided; (c.1) for the purpose of section 25.3, setting out criteria and extenuating circumstances, and the information to be included in the report; (d) respecting the powers of substitute decision makers and the terms and conditions of an appointment of a substitute decision maker; (e) respecting the form, amount and terms and conditions of any bond or other security required to be provided by a substitute decision maker for property and the conditions upon which, and the manner in which, bonds or other security may be forfeited or realized upon; (f) respecting expenditures made by a substitute decision maker for property from the property of the adult living with an intellectual disability; (g) respecting inventories and accounts of the property of the adult living with an intellectual disability, including debts, liabilities, receipts and disbursements, to be filed with the commissioner by a substitute decision maker for property; (h) designating jurisdictions outside Canada for the purposes of subsection 114(2); (i) prescribing forms and providing for their use; (j) [repealed] S.M. 2025, c. 11, s. 1 ; (k) establishing fees or a method of determining fees to be charged for residential care or placement services provided for adults living with an intellectual disability by residential care facilities approved or licensed under The Social Services Administration Act ; (l) [repealed] S.M. 2025, c. 11, s. 1 ; (m) in addition to section 165, establishing further transitional provisions for persons formerly subject to Part II of The Mental Health Act as it read immediately before the coming into force of this Act; (n) defining words or phrases for which no definition is given in this Act; (o) respecting any matter the Lieutenant Governor in Council considers necessary or advisable to carry out the intent and purpose of this Act. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 72 ; S.M. 2025, c. 11, s. 1 . OFFENCES Offences 164(1) A person is guilty of an offence under this Act who (a) abuses or neglects an adult living with an intellectual disability in contravention of section 20.1; (b) fails to take all reasonable steps to protect an adult living with an intellectual disability as required under section 20.2; (c) fails, refuses or neglects to report that an adult living with an intellectual disability is or is likely to be abused or neglected as required under section 21; (d) interferes with any person who is attempting to report, reports or has reported that an adult living with an intellectual disability is or is likely to be abused or neglected; (e) discloses the identity of a person who makes a report of abuse or neglect, in contravention of section 160.1; (f) dismisses, suspends, demotes, disciplines, harasses, interferes with or otherwise disadvantages a person who makes a report of abuse or neglect, in contravention of section 21.2; (g) interferes with the commissioner, executive director or any person in the exercise of powers or the performance of duties under this Act; (h) withholds, destroys, conceals or refuses to furnish any information, or produce any record, paper or thing required to be produced under this Act; (i) publishes in a newspaper or other publication, or broadcasts on radio or television, the name or other identifying information of (i) an adult living with an intellectual disability, or (ii) a person for whom an application for the appointment of a substitute decision maker is made, who is the subject of a hearing before a hearing panel; (j) falsely holds themselves out, or falsely represents themselves, as a substitute decision maker for an adult living with an intellectual disability, or as a substitute decision maker having powers other than those powers granted by the commissioner; or (k) in a statement made in any proceeding under this Act, asserts something that the person knows to be untrue. Onus 164(1.1) In any proceedings for an offence under clause (1)⁠(b), it shall be for the accused to prove on a balance of probabilities that they took all reasonable steps to protect an adult living with an intellectual disability as required under section 20.2. Penalties 164(2) A person who is guilty of an offence under subsection (1) is liable on summary conviction to a fine of not more than $50,000 or imprisonment for a term of not more than 24 months, or both. Prosecution within two years 164(3) A prosecution under this Act may be commenced not later than two years after the alleged offence is committed. S.M. 2011, c. 26, s. 47 ; S.M. 2023, c. 19, s. 73 .

REVIEW OF ACT Review of Act 164.1(1) Within five years after this section comes into force and every 10 years after that, the minister must appoint a person to undertake a comprehensive review of the effectiveness of this Act and report their findings to the minister. LG in C approval required 164.1(2) The appointment is subject to the approval of the Lieutenant Governor in Council. Consultation 164.1(3) A person undertaking a review under this section must consult with the public and, in particular, with adults living with an intellectual disability and their families. Contents of report 164.1(4) A report may include recommendations for improving the effectiveness of this Act. Tabling report in Assembly 164.1(5) The minister must table a copy of the report in the Assembly on any of the first 15 days on which the Assembly is sitting after the minister receives it. S.M. 2023, c. 19, s. 74 . PART 6 TRANSITIONAL, CONSEQUENTIAL, C.C.S.M. REFERENCE AND COMING INTO FORCE Transitional: definitions 165(1) In this section, "former Act" means Part II of The Mental Health Act as it read immediately before the coming into force of this Act; (« ancienne loi ») "order" means an order under the former Act (a) made by the Director of Psychiatric Services placing a person in an institution or under supervision, or (b) made by a provincial judge ordering a person to be sent to an institution or appointing a custodian for a person. (« ordonnance ») Orders preserved for three years 165(2) Despite the repeal of the former Act, an order that is in effect when this Act comes into force continues in effect until (a) an application is dismissed under subsection 50(1), 50(2), 85(1) or 85(2); (b) an application for the appointment of a substitute decision maker for the person in respect of whom the order is made, is finally disposed of under this Act; or (c) three years after this Act comes into force; whichever comes first. Rescission of orders 165(3) During the period that it continues in effect under subsection (2), an order may be rescinded by the commissioner, and for that purpose the commissioner has the same powers respecting orders under the former Act as did the Director of Psychiatric Services or a provincial judge. 166 [Repealed] S.M. 2023, c. 19, s. 75 ; S.M. 2024, c. 9, s. 1 ; S.M. 2025, c. 11, s. 1 . 167 [Repealed] S.M. 2023, c. 19, s. 76 ; S.M. 2024, c. 9, s. 1 ; S.M. 2025, c. 11, s. 1 . 168 [Repealed] S.M. 2023, c. 19, s. 78 ; S.M. 2025, c. 11, s. 1 . 169 [Repealed] S.M. 2025, c. 11, s. 1 . 170 to 209 NOTE: These sections contained amendments to The Mental Health Act and consequential amendments to other Acts, which amendments are now included in those Acts. C.C.S.M. REFERENCE AND COMING INTO FORCE C.C.S.M. reference 210 This Act may be referred to as chapter A6.1 of the Continuing Consolidation of the Statutes of Manitoba . S.M. 2023, c. 19, s. 77 . Coming into force 211 This Act comes into force on a day fixed by proclamation. NOTE: S.M. 1993, c. 29 was proclaimed in force October 4, 1996.