Thank you for the question.
Just to back up to what is changing, there is a requirement in the act that therapy be undertaken at least three times a week, and there's a further requirement that it be undertaken for, on average, 14 hours a week. The reason for these minimal thresholds, in terms of the degree to which the individual is pursuing the therapy, is really about fairness for other individuals who apply and have to be assessed under other criteria.
For others who are qualifying because they have a severe limitation in one of the basic activities of daily living, and these are things like walking, feeding oneself or dressing, the requirement is that they have to face these limitations all or substantially all of the time. That means 100% of the time or upwards of 90% of the time in terms of the CRA's interpretation, for example, someone would need to face a limitation in walking in order to qualify.
If there weren't similarly lower bounds in terms of the impact of a therapy an individual is pursuing on their daily living, you would end up with situations in which individuals who have very minimal impacts in terms of a therapy—one could picture someone taking a drug regime—would actually qualify for the credit. That, clearly, would create an inequity and a lack of parity with the requirements that are faced by others with other types of disabilities.
For that reason, the government has decided to maintain the 14-hour threshold in this legislation to ensure that fairness in parity, but it is proposing to reduce the frequency from three times to two times. That will better bring into line the legislation for the federal measure with that in the Quebec system, which requires that therapies be performed only two times a week. That should alleviate some of the burden on individuals in terms of that discrepancy for those who live in Quebec.
One thing I will say is that the other modifications that are being proposed, in terms of what can be counted towards that 14 hours, do take into account substantial feedback from individuals with type 1 diabetes and the organization that represents them, in terms of taking a fair account of what activities and what time should be counted towards those 14 hours. You see some substantial improvements there in terms of recognizing those activities in a fairer way. That should lead to having the time individuals take when, for example, they have to take account of their dietary intake or exercise in order to determine their dosage of insulin, as proposed, now be allowed to count towards the 14 hours. These proposals do respond to people and should help them better meet that 14-hour requirement in a fairer way.