The representatives of the two levels of government have to talk.
It is not currently a huge issue for many provinces. Access to health is considered a public good, people request it. What I said in my presentation, and I want to clarify this point, was that the federal government can't necessarily tell the provinces what to do. It is a provincial jurisdiction, as you stated. However, the government, because of its spending power, can add a condition such as linguistic duality. People can do that.
The federal government cannot say to a certain group that home care must be provided in a certain way, or that mental health problems must be addressed in a certain way. However, the federal government can say that access federal funds is subject to certain conditions. The federal government has the spending power and if the provinces want to access funds, they should put in place measures to support official language minority communities.