If your question is what challenges do these communities face, I would say, as they have already said, that it is twice as difficult for them to get services in their mother tongue as it is for the majority. It is difficult for people to seek treatment when they do not have a command of the official language that is being used by the health care provider.
In addition, it should be remembered that the primary focus of the Official Languages Act is not actually health care, it is how to ensure the development of official language minority communities. I am talking about French speakers, perhaps because I myself am a French speaker. The bottom line is that if there are less and less services available in French, and if people cannot study in French, they will end up working in English either for the English language community or for French speakers who have been assimilated. It is something of a vicious circle and one which will quickly undermine French language communities.
The communities have been using their funding to try to increase the number of professionals who receive their training in French. It has been shown that those who study in French are more likely to work in French. They have also developed vibrant community networks in an attempt to facilitate working relations with the province.
Four years on, it is, in my opinion, difficult to get an exact measure of the results. At a recent advisory committee meeting, we heard that the French language communities were more satisfied with the services than they had been previously. That being said, we all acknowledged that it is very difficult to prove this assertion as it is primarily based on anecdotal evidence.