Vol. 146, No. 7 — March 28, 2012
Registration
SOR/2012-42 March 15, 2012
DEPARTMENT OF VETERANS AFFAIRS ACT
Regulations Amending the Veterans Health Care Regulations
P.C. 2012-291 March 15, 2012
His Excellency the Governor General in Council, on the recommendation of the Minister of Veterans Affairs, pursuant to section 5 (see footnote a) of the Department of Veterans Affairs Act (see footnote b), hereby makes the annexed Regulations Amending the Veterans Health Care Regulations.
REGULATIONS AMENDING THE VETERANS
HEALTH CARE REGULATIONS
AMENDMENTS
1. Subsection 3(10) of the Veterans Health Care Regulations (see footnote 1) is replaced by the following:
(10) Clients who are in receipt of the cost to them of intermediate care or chronic care under section 21.1 or 21.2 are eligible to receive treatment benefits in Canada to the extent that the treatment benefits are not available to them as insured services under a provincial health care system.
2. The portion of section 6 of the Regulations before paragraph (a) is replaced by the following:
6. A client who receives treatment benefits referred to in paragraph 4(a) or (b) under section 3, and a client referred to in subsection 3(2.1) or (2.11), paragraphs 3(2.2)(b) or (2.21)(b) or any of subsections 3(4) to (10) who receives those benefits as an insured service under a provincial health care system, are eligible to receive supplementary benefits as follows :
3. The Regulations are amended by adding the following after section 21.1:
21.2 Subject to section 33.1, an overseas service veteran is eligible to receive the cost to them of intermediate care or chronic care in a community facility to the extent that it is not available to them as an insured service under a provincial health care system if they have applied to the Minister for admission to a departmental facility or contract bed and are not admitted because there is no vacancy in a departmental facility or contract bed within a reasonable distance of the community in which they normally reside.
COMING INTO FORCE
4. These Regulations come into force on the day on which they are registered.
REGULATORY IMPACT ANALYSIS STATEMENT
(This statement is not part of the Regulations.)
Executive summary
Issue: Amendments to the Veterans Health Care Regulations (VHCR) are required to provide authority for Veterans Affairs Canada (VAC) to (1) continue to provide financial support for long-term care services in community beds to overseas service veterans (OSV) when the veteran has been found eligible for a contract or departmental bed and none is available within a reasonable distance of their community; and (2) continue to reimburse health-related travel costs incurred by veterans eligible for treatment benefits from VAC for non-pensioned/ awarded conditions who are not eligible for these treatment benefits under the Regulations where the benefit is a provincially insured service.
Description: The regulatory change to provide authority to financially support overseas service veterans in community long-term care beds formalizes a successful pilot project to that effect which was launched in 2000 and has continued since that time. The regulatory change to compensate for travel costs provides required regulatory authority to continue VAC’s long-standing practice in this regard, which aims to ensure equal treatment by VAC of veterans across the country, regardless of what treatment benefits are covered by different provincial and territorial health care systems.
Cost-benefit statement: Broadly speaking, the key benefit from the amended Regulations is maintaining these key services to veterans, which, in turn, contributes to their well-being and quality of life. The cost-benefit analysis was conducted against a baseline scenario of not providing these services. Regarding the continuation of the provision of long-term care in community beds for overseas service veterans, the analysis found a net benefit of $33.5 million for overseas service veterans and a net benefit of $55.4 million for Veterans Affairs Canada. Regarding the continuation of the provision of compensation for health-related travel, the cost-benefit analysis found a net benefit of $27.7 million for veterans and a net cost of $30.8 million for Veterans Affairs Canada, which is the projected cost of maintaining this current practice.
Business and consumer impacts: Given that the regulatory changes allow for the continuation of existing practices, it is anticipated that there will be no noticeable impact on recipients of these benefits or those who are partners in their provision, such as long-term care facilities and health claims pro-cessing providers. Both initiatives have a positive impact on the health and well-being of the recipients. Placement in a community bed often allows veterans to stay in their communities and remain closer to family and other long-time support networks. Compensation of travel costs ensures that the cost of travel — particularly for lower-income veterans — is not a barrier to accessing needed medical care and services.
Background
This regulatory submission concerns two initiatives: (1) the provision of financial support for long-term care services in community beds to overseas service veterans (OSVs); and (2) the reimbursement of health-related travel costs.
Long-term care — Overseas service veterans (OSVs)
All overseas service veterans (OSVs), namely those who served overseas in the First World War, the Second World War or the Korean War, are entitled to long-term care in a contract or departmental bed should they need it. VAC has authority under Part Ⅲ (Long Term Care) of the Veterans Health Care Regulations to fund care to OSVs in either a contract or departmental bed, but not in a community facility.
In the late 1990s, veterans began, in record numbers, seeking long-term care support from VAC. The largest cohort of these veterans were OSVs, who at the time were eligible for support in a contract or departmental bed, but not a community bed. In order to meet the needs of these veterans when no bed was available, a pilot project called the Wait List Management Initiative (WLMI) was implemented in July 2000. Through this initiative, which has continued since this time, VAC provides overseas service veterans with financial support for care in a community bed if they are assessed as eligible for long-term care placement but no contract or departmental bed is available within a reasonable distance of their community.
Health-related travel costs
The Veterans Health Care Regulations provide that certain veterans and individuals who served in close support to our veterans are eligible to receive treatment benefits from the Department. These benefits are outlined in paragraphs 4(a) and (b) of the Regulations and include any medical, surgical, or dental examination or treatment provided by a health professional, and the provision of any surgical or prosthetic device or any aid approved by the Minister, the maintenance of the device or aid and any home adaptation that are necessary to accommodate or facilitate its use.
Part Ⅰ, section 6, of the Regulations allows VAC to provide reimbursement for the costs of travel to receive this treatment.
Veterans are eligible for treatment benefits from VAC when the treatment is associated with a service-related disability/ condition for which they have received a favourable disability pension or award decision. VAC has the authority under the Regulations to reimburse these veterans for health-related travel (and escort) expenses incurred to obtain these treatment benefits, as long as they are related to the veterans’ pensioned or awarded condition.
Some veterans are also eligible for treatment benefits from VAC for non-pensioned or awarded conditions to the extent that they are not available as insured services under a provincial health care system. The VAC practice has been to reimburse travel expense claims for this group regardless of whether the benefit is a provincially insured service.
Issue
Veterans Affairs Canada conducted reviews of its programs and identified that the Wait List Management Initiative and reimbursement of health-related travel costs to veterans eligible for treatment benefits from VAC for non-pensioned/awarded conditions when the benefit is a provincially insured service were outside the scope of VAC’s authority. This second group is referred to later in this submission as the “target group.”
Both these initiatives have been shown to be beneficial to veterans. As a result, these regulatory amendments update the Veterans Health Care Regulations to ensure these programs are delivered within and supported by appropriate regulatory frameworks.
A risk assessment completed on this initiative identified no priority risks. Indeed, implementation of this proposal ensures that VAC can continue to deliver existing services and benefits to veterans and their families, thus maintaining client satisfaction, and that this is done within proper regulatory authority.
Objectives
These regulatory amendments ensure the Department has the authority to continue providing these two benefits to veterans. The regulatory changes
(1) Authorize the Department to continue to provide financial support for long-term care services and related treatment benefits to overseas service veterans in community beds if they have been found eligible for a contract or departmental bed and none is available within a reasonable distance of their community; and
(2) Authorize the Department to continue to reimburse health-related travel costs incurred by veterans eligible for treatment benefits from VAC for non-pensioned/awarded conditions who are not eligible for treatment benefits under the VHCR where the benefit is a provincially insured service.
Description
The Veterans Health Care Regulations govern the provision of health care benefits and services by the Government of Canada to veterans and other groups who served in close support of our veterans. Both the changes will be achieved through amendments to these Regulations.
Long-term care — Overseas service veterans (OSVs)
This initiative formalizes the Wait List Management Initiative, which was established through a pilot project launched in 2000 and has continued since that time. It allows for the payment of care in community facilities for overseas service veterans if the veteran has been found eligible for a contract or departmental bed and none is available within a reasonable distance of their community.
This initiative has proven successful given that, without the WLMI, these overseas service veterans would not receive a VAC contribution towards the cost of care in a community bed and would be required to pay the full provincial rate. Additionally, the Department has been able to provide the service without increasing the permanent bed stock.
Long-term care in a community bed was also the preferred option of many veterans, because it allowed them to stay closer to family. Additionally, provision of financial support for care in a community bed is a more cost-effective option for the federal government than provision of long-term care in a contract bed, as the national average cost of care in 2010–11 in a contract bed was approximately $63,700 per year as opposed to approximately $13,100 per year for an OSV in a community facility under the WLMI. The cost of a contract bed is higher than a community bed primarily as a result of operating costs and enhanced funding. More specifically, in facilities with a large number of contract beds, VAC may pay the full operating costs of the facility and/or provide enhanced funding for programs and services. This program has continued as a pilot since 2000 and, as of March 2011, there were 1 577 OSVs receiving long-term care in community beds under this initiative.
The regulatory amendments to Part Ⅲ of the Veterans Health Care Regulations allow OSVs the choice of care in a community bed if they have been found eligible for long-term care in a contract or departmental bed but are not admitted because there is no vacancy within a reasonable distance of the community in which they normally reside.
Health-related travel costs
This initiative concerns the reimbursement of health-related travel costs incurred by veterans eligible for treatment benefits from VAC for non-pensioned/awarded conditions who are not eligible for these treatment benefits under the Regulations where the benefit is a provincially insured service.
The rationale for VAC reimbursing travel costs for this group of veterans for provincially insured treatment benefits is that the veteran would be eligible for the treatment benefit from VAC if it were not an insured service. This approach provides national consistency for veterans, as coverage varies across different provincial and territorial jurisdictions.
This practice has been quite beneficial to certain veterans in that it eases the financial burden created by sometimes frequent visits to health professionals. Indeed, in 2010–11, 18 361 veterans received health-related travel coverage. Of these, approximately 24% were low income (pursuant to the criteria under the War Veterans Allowance Act). At a time when many aging war service veterans need more — not less — support as they enter their final years, and many Canadian Forces (CF) veterans are experiencing more complex care needs, ensuring travel cost is not a financial barrier to seeking needed medical care is paramount to assisting in the promotion of positive health outcomes for our veterans.
Therefore, VAC is amending the Regulations to provide authority to continue reimbursing health-related travel costs incurred by these veterans who are not eligible for treatment benefits under the Regulations where the benefit is a provincially insured service.
Regulatory and non-regulatory options considered
As veterans’ health care programs, including both the provision of long-term care benefits and the reimbursement of health-related travel, are governed under a regulatory framework, there are no non-regulatory options to address these two issues. Amendments to the Veterans Health Care Regulations are required for the implementation of changes to these benefits. No instrument other than regulations satisfies these requirements as it is strictly through regulation that these benefits can be formally provided.
Moreover, internal audits identified that these two benefits were being provided without the required regulatory authority and that this authority would be needed if VAC were to continue to provide these two benefits.
Benefits and costs
In order to develop the financial model, the following high level assumptions were made:
- Timeframe: February 20, 2012, to March 31, 2021; and
- Discount rate: 8%.
Long-term care benefits — Overseas service veterans in community beds
The baseline scenario for long-term care benefits for overseas service veterans in community beds would be no regulatory authority to provide financial support for care of overseas service veterans in community beds. This could result in
- a longer wait time for overseas service veterans to receive long-term care, resulting in veterans not getting the long-term care they require in a timely manner;
- increased uptake of the Veterans Independence Program (VIP);
- overseas service veterans entering community beds without any financial support from Veterans Affairs Canada; and/or
- overseas service veterans accepting a departmental facility or contract bed far from their home community.
Without the amendments, Veterans Affairs Canada would need to cease providing long-term care in community beds to overseas service veterans who were not admitted to a departmental facility or contract bed due to lack of availability. This would also result in the overseas service veterans not having access to treatment benefits unless they were eligible for the VIP, which provides home care benefits.
Without the amendment there would be, on average, approximately 2 200 OSVs (March 31, 2011, VAC data) who applied for care in a departmental facility or a contract bed but were not admitted because there was no vacancy within a reasonable distance of the community in which they normally reside.
Where no regulatory authority would exist to provide OSVs financial support for care in community beds, it is estimated that 77% (March 31, 2011, VAC data) of those OSVs who were not admitted to a departmental facility or contract bed would receive services under the VIP. The average cost per veteran for this program is $7,800 (March 31, 2011, VAC data) for a total cost per annum of approximately $13.2 million.
It is estimated that 23% of those OSVs who applied for care in a departmental facility or contract bed but were not admitted because there was no vacancy within a reasonable distance of the community in which they normally reside would not find VIP a sufficient alternative. A departmental facility or contract bed would have to be found for these OSVs if they could not afford to enter a community bed at their own cost. The average cost to VAC of a bed in a contract bed is approximately $63,700 (March 31, 2011, VAC data). The cost of OSVs in a departmental facility or contract bed would be $32.2 million per annum. The total cost of the baseline scenario would be $46.4 million per annum. It is important to note that, although not monetized, the baseline scenario would also have a cost to those overseas service veterans who choose to enter a community bed at their own cost.
The best available information to use for the overseas service veterans Wait List Management Initiative amendment component of this cost-benefit analysis was internal data as compiled by Veterans Affairs Canada’s Statistics Directorate. This information included the Veterans Affairs Canada Client and Expenditure Forecast that is based on the 2011–12 Veterans Affairs Canada Forecast Cycle, dated August 2010, which was referenced extensively in the preparation of the data for the cost-benefit analysis document. Information on the departmental facility and contract beds was also provided by the Long-Term Care Directorate.
Health-related travel reimbursement for a target group of veterans
The baseline scenario for health-related travel reimbursement for the target group of veterans would be no regulatory authority to provide supplementary benefits to veterans eligible for treatment benefits from VAC for non-pensioned/awarded conditions who are not eligible for treatment benefits under the Veterans Health Care Regulations when the benefit is a provincially insured service. This could result in
- veterans foregoing medical treatments due to the cost of associated travel if it becomes an out-of-pocket expense; and/or
- veterans pressuring provincial and territorial health authorities to provide coverage of health-related travel.
Without the amendment there would be a reduction in benefits that are currently being provided to approximately 7 400 veterans (2010–11), which may act as a barrier to some veterans with regard to receiving the medical treatment that they require. The cost of the baseline scenario would be $0 as without regulatory authority, these supplementary benefits would not be reimbursed. It is important to note that, although not monetized, the baseline scenario would also have a cost to the target group of veterans who incur health-related travel at their own cost.
The cost-benefit analysis also makes assumptions in order to project the analysis over a period of nine years and one and a half months for health-related travel reimbursement for a target group of veterans. The best available information to use for the health-related travel amendment component of this cost-benefit analysis was internal data as compiled by Veterans Affairs Canada’s Statistics Directorate. The Veterans Affairs Canada Client and Expenditure Forecast that is based on the 2011–12 Veterans Affairs Canada Forecast Cycle, dated August 2010, was referenced extensively in the preparation of the data for the cost-benefit analysis.
Cost-benefit summary statement — Long-term care benefits — Overseas service veterans in community beds
Costs, benefits and distribution |
Base Year (2012) |
Final Year (2021) |
Total |
Annual Average |
|
|---|---|---|---|---|---|
A. QUANTIFIED IMPACTS IN $ |
|||||
Benefits |
Overseas service veterans |
$1,011,800 |
$2,328,000 |
$33,538,100 |
$5,317,800 |
Veterans Affairs Canada |
$4,285,100 |
$9,859,000 |
$142,033,100 |
$22,520,800 |
|
Total |
$5,296,900 |
$12,187,000 |
$175,571,200 |
$27,838,600 |
|
Costs |
Veterans Affairs Canada |
$2,613,500 |
$6,012,900 |
$86,624,500 |
$13,735,200 |
Net benefits |
$2,683,400 |
$6,174,100 |
$88,946,700 |
$14,103,400 |
|
B. QUANTIFIED IMPACTS IN NON-$ — RISK ASSESSMENT, e.g. mortality, morbidity |
|||||
| Improved health outcomes for overseas service veterans | Overseas service veterans | 1 600 OSVs | 500 OSVs | N/A |
1 100 OSVs |
| C. QUALITATIVE IMPACTS | |||||
| Short list of qualitative impacts (positive and negative) by stakeholders | |||||
| Overseas service veterans |
|
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| Canadians |
|
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| Community care facilities |
|
||||
| Contract bed facilities |
|
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| Community care provider |
|
||||
| Families |
|
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| Veterans Affairs Canada |
|
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| Veterans ombudsman |
|
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Veterans’ organizations |
|
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Health-related travel reimbursement for a target group of veterans
Costs, benefits and distribution |
Base Year (2012) |
Final Year (2021) |
Total |
Annual Average |
|
|---|---|---|---|---|---|
A. QUANTIFIED IMPACTS IN $ |
|||||
Benefits |
Veterans |
$693,500 |
$3,793,600 |
$28,189,400 |
$4,469,700 |
Total |
$693,500 |
$3,793,600 |
$28,189,400 |
$4,469,700 |
|
Costs |
Veterans Affairs Canada |
$693,500 |
$3,793,600 |
$28,189,400 |
$4,469,700 |
Veterans Affairs Canada |
$57,500 |
$384,600 |
$2,609,300 |
$413,700 |
|
Veterans |
$11,100 |
$60,700 |
$451,200 |
$71,500 |
|
Total |
$762,100 |
$4,238,900 |
$31,249,900 |
$4,954,900 |
|
Net benefits |
$(68,600) |
$(445,300) |
$(3,060,500) |
$(485,200) |
|
B. QUANTIFIED IMPACTS IN NON-$ — RISK ASSESSMENT, e.g. mortality, morbidity |
|||||
Positive impacts |
None identified |
||||
Negative impacts |
None identified |
||||
C. QUALITATIVE IMPACTS |
|||||
Short list of qualitative impacts (positive and negative) by stakeholders |
|||||
Veterans |
|
||||
Canadians |
|
||||
Province |
|
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Veterans Affairs Canada |
|
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Families |
|
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Veterans’ organizations |
|
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Business and consumer impacts
Under the regulatory amendment for long-term care for overseas service veterans in community beds, as compared to the baseline scenario of the benefit not existing, there could be impacts on community bed facilities and contract bed facilities in regard to the number of potential clients who might enter their facilities, thus resulting in an impact on their revenue. That said, given that the regulatory changes allow for the continuation of existing practices, it is anticipated that there will be no noticeable impacts as current practice will simply continue.
Under the regulatory amendment for health-related travel reimbursement to a target group of veterans, as compared to the baseline scenario of the benefit not existing, there may be impacts on health claims processing providers as without the regulatory authority the number of claims and/or transactions would decrease. However, it is important to note once again that the aspects for which regulatory authority are being sought have been current practice.
The regulatory amendments are not expected to have any significant impacts on domestic and international trade. There may be an improvement in Canada’s international reputation as a result of the continuation of these benefits for our overseas service veterans and Canadian Forces veterans.
Distributional impacts
The stakeholders impacted the most by the regulatory amendment for long-term care of overseas service veterans in community beds are Veterans Affairs Canada, with a net benefit of $55.4 million (discounted at 8% over 9.125 years), followed by overseas service veterans, with a net benefit of $33.5 million (discounted at 8% over 9.125 years).
The stakeholders impacted the most by the regulatory amendment for reimbursement of health-related travel costs for a target group of veterans who are not eligible for treatment benefits under current regulation where the benefit is a provincially insured service are Veterans Affairs Canada, with a net cost of $30.8 million (discounted at 8% over 9.125 years), and veterans, with a net benefit of $27.7 million (discounted at 8% over 9.125 years).
For a copy of the full cost-benefit analysis, please contact VAC using the contact information provided at the bottom of this submission.
Small business lens
There are no compliance or administrative costs for small businesses as a result of this regulatory amendment.
Consultation
The purpose of this submission is to rectify gaps in VAC’s regulatory authority, and it does not involve any changes to current benefits and services. Rather, it ensures that benefits and services continue to be provided as they are today; thus stakeholders will see no disruption to benefits and services provided to veterans and their families.
Stakeholders have indicated satisfaction with these services over the years. Following the implementation of the Wait List Management Initiative, veterans who were initially on a particular contract bed facility wait list were requesting that they be permitted to remain in their community placements rather than move to the contract bed. The frequency of these requests continued to increase. Therefore, as part of the pilot process, the decision was made to allow veterans to remain in their preferred as well as cost-effective community bed.
As part of the Veterans Affairs Canada 2010 National Client Survey, veterans in receipt of health care benefits were surveyed with respect to their ability to provide for transportation. Each of these respondents would be eligible for health-related travel coverage from VAC. Overall, 75% of respondents indicated that their ability to provide for transportation was “good,” “very good” or “excellent.” The program theory behind providing health-related travel benefits is that doing so contributes to the ability of veterans to fund travel. The survey findings provide evidence to suggest the effectiveness of this benefit.
Additionally, meetings were held between VAC and the following eight veterans’ organizations to discuss the upcoming changes to the Regulations: the Royal Canadian Legion; Army, Navy and Air Force Veterans in Canada; National Council of Veteran Associations in Canada; Canadian Peacekeeping Veterans Association; NATO Veterans Organization of Canada; VeteransofCanada.ca; Canadian Veterans Advocacy; and Veterans UN-NATO Canada.
The regulatory amendments were pre-published in the Canada Gazette, Part Ⅰ, on December 24, 2011, for a 30-day comment period. No comments were received.
Rationale
The regulatory amendments will ensure that the Department is able to maintain consistent services for veterans who, based on long-standing policy and practice, have come to rely on government support and assistance. Without these amendments, VAC would need to cease providing these services.
The amendments will ensure that overseas service veterans will continue to receive a VAC contribution towards their cost of extended care in community beds, often located closer to friends, family and personal support networks. They will also continue to receive treatment benefits and supplementary benefits, the same as they would if they were in a contract or departmental bed. A 2010 audit of residential care at Camp Hill Hospital in the Atlantic region further observed that eligible veterans were provided with a broader selection of care options at a lower cost to VAC. Indeed, as previously mentioned, in 2010–11, the national average cost of care in a contract bed was approximately $63,700 per year, and care in a community facility for overseas service veterans under the WLMI was approximately $13,100 per year.
The regulatory change also ensures that the cost of travel is not a barrier to veterans’ accessing needed treatment benefits, thus contributing to positive health outcomes. This will also ensure national consistency in coverage for veterans, regardless of what treatment benefits may or may not be covered in their respective province or territory.
Ensuring that the Department is operating within its proper regulatory authority also responds to the audits and evaluations which identified the gaps.
An evaluation of the Residential Care Program, completed in July 2006, first observed the need to obtain authority for residential care program benefits being provided to overseas service veterans. The 2007 follow-up evaluation noted that the regulatory authority for this program was still outstanding. This change addresses commitments made by the Department to address this issue.
A 2010 health-related travel audit found that there was a need for the Department to clarify the eligibility of clients to receive reimbursement for travel to medical appointments related to provincially insured services and communicate the results to those responsible for processing and approving health-related travel. This recommendation was in response to audit observations of the inconsistent application of benefit provision and ambiguity in the related business processes and guidelines. This change responds to this recommendation.
Implementation, enforcement and service standards
It is expected that over the first five years, approximately 2 400 veterans will benefit from this funding for long-term care in community beds and approximately 11 900 veterans will benefit from this proposal regarding health-related travel.
Given these regulatory amendments ensure that benefits and services continue to be provided as they were previously, implementation will simply continue as it has done in the past and those affected will see no disruption or changes to benefits and services provided. No additional resources will be required as a result of implementation, nor will there be a change in budget due to implementation. There will be no changes to VAC’s guidelines, business practices, IT systems, forms, human resource requirements, or service delivery. Monitoring of performance for these regulatory initiatives will continue to be conducted in accordance with the established performance measurement plans.
Veterans Affairs Canada has also published service standards. These are available on the Department’s Web site at www.veterans.gc.ca/eng/department/service.
Performance measurement and evaluation
A Performance Measurement and Evaluation Plan (PMEP) has been developed to track the impact of these regulatory amendments. For a copy please see the contact information at the end of this document.
The outcomes which will be measured as part of this initiative include
- reduced financial burden for overseas service veterans receiving long-term care services and treatment benefits while in a community bed;
- veterans who are eligible to receive treatment benefits from VAC (to the extent that the treatment benefits are not available to them as insured services under a provincial health care system) receive reimbursement for health-related travel costs they incur to access provincially insured health services; and
- compensation for travel expenses (where the veteran is not eligible for treatment benefits as the benefit is a provincially insured service) is provided consistently to eligible veterans across the country.
In addition, performance measurement strategies exist for the long-term care and health care benefits programs overall. The outcomes specific to these regulatory changes will be integrated in their respective frameworks and reported on an annual basis as part of either the Long Term Care Program or Health Care Benefits Program.
Contact
Janice Burke
Senior Director
Strategic Policy Integration
Veterans Affairs Canada
161 Grafton Street
P.O. Box 7700
Charlottetown, Prince Edward Island
C1A 8M
Telephone: 902-566-8160
Email: janice.burke@vac-acc.gc.ca
Footnote a
R.S. 2005, c. 21, s. 100
Footnote b
R.S., c. V-1, s. 1; 2000, c. 34, s. 95(F)
Footnote 1
SOR/90–594