Local Health System Integration Act

The purpose of this Act is to provide for an integrated health system to improve the health of Ontarians through better access to high quality health services, co-ordinated health care in local health systems and across the province and effective and efficient management of the health system at the local level by local health integration networks. 2006, c. 4, s. 1.

Local Health System Integration Act, 2006

Local Health System Integration Act (LHSIA) Review - 2014

LHINs welcome the current review of the Local Health System Integration Act (LHSIA), 2006, as an important opportunity to benefit Ontarians by accelerating health care transformation and enabling a system that is better for patients while ensuring the best value for every dollar spent. LHSIA sets the architecture for a more integrated person-centred health care system. But in order to truly deliver transformation, changes to the legislation are needed to broaden the scope of LHIN responsibilities; to reinforce health service provider accountabilities to the system, and to give LHINs greater flexibility and control in our integration and operational activities.


While the current review of LHSIA is focused on ways to enhance the legislation, it is also an important opportunity to have a dialogue with our partners and communities about how the health care system can be improved – what is working in the LHIN model today and where we need to go in the future.

Submission to the Standing Committee on Social Policy On Behalf of the 14 LHINs Regarding the Review of the Local Health System Integration Act, 2006

The document above is a summary of the LHINs collective perspective on these questions. It includes:

  • a brief overview of the LHINs today
  • highlights strengths of the current model, and
  • what we have accomplished to date. 

LHINs also recognize that there are many opportunities for improvement – some that we are already working on and others that will be elevated through the recent hearings held by the Standing Committee on Social Policy.

The LHINs’ recommendations to the Committee, provided here, focus on specific opportunities to enhance the legislation in order to help LHINs carry out our mandate.