Plan C: Prescription Drug Coverage for the Vulnerable

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On April 4, 2024, the Government of British Columbia issued B.C. Reg. 77/2024, which amends the existing Drug Plans Regulation, B.C. Reg. 73/2015, under the Pharmaceutical Services Act. This amendment introduces a new division, Division 1.1, which establishes Plan C specifically targeting individuals receiving income assistance and family services.

Plan C (Income Assistance and Family Services) aims to provide prescription drug coverage for vulnerable populations, specifically those who qualify under various assistance programs. The regulation details the eligibility criteria for enrollment in Plan C, categorized into four specific sections, each addressing different beneficiary groups.

The first section, Plan C (Employment and Assistance), includes individuals who receive income assistance, disability assistance, or hardship assistance under the Employment and Assistance Act or the Employment and Assistance for Persons with Disabilities Act. Additionally, family members of these individuals may also be eligible, provided they meet certain criteria regarding health supplements. Enrollment in this plan begins upon the Minister’s receipt of eligibility notifications from the relevant assistance ministry.

The second section, Plan C (Child, Family and Community Services), expands eligibility to include children in care, youth under specific agreements, and individuals under temporary custody orders. This section addresses individuals who are not living with their parents but are under the supervision of designated authorities. Enrollment is effective from the date the Minister is notified of an individual’s eligibility by a director overseeing the case.

The third section, Plan C (Indigenous Child and Family Services), is dedicated to Indigenous children who are either currently receiving or have received services from Indigenous authorities. The services must be equivalent to those provided under the Child, Family and Community Service Act (CFCS Act). The Minister is required to consult with Indigenous authorities to ensure the adequacy of services provided. Enrollment in this plan begins upon receiving proper notification from the Indigenous authority.

The final section, Plan C (Other Assistance), provides coverage for medicare beneficiaries who are considered residents of British Columbia under specific emergency travel provisions. This includes individuals admitted under the Canada-Ukraine authorization for emergency travel and their dependent children. Enrollment follows similar protocols, starting upon notification of eligibility and lasting one year from the date of enrollment.

B.C. Reg. 77/2024 represents a regulatory change in British Columbia’s approach to pharmaceutical services, particularly for those reliant on income assistance and community services. By instituting Plan C, the government aims to improve healthcare access for its most vulnerable residents.

British Columbia (77/2024) April 9, 2024