To the best of my knowledge, that hasn't occurred. However, every hospital facility in the province I come from, Ontario, has signed an accountability agreement with government and is in a situation in which they must abide by their funding envelope. My financial people have not told me that I cannot spend the additional money to maintain my service levels. In fact, they've told me the exact opposite, to please go ahead.
I think the question that will come about is how the organization is going to fund that increase in cost. I would hope there would be some assistance forthcoming.