The contribution payable by NURSING homes will be revised

La contribution à payer en CHSLD sera révisée

After years of iniquities denounced repeatedly, the government of Québec will revise finally, the exemptions used to calculate the rent to pay for a place in a CHSLD, which were the same since 1983.

Not later than in June of last year, the québec ombudsman showed “serious inequities” in the calculation of the financial contribution of adults accommodated in a CHSLD.

With the current exemptions, which have not been reviewed for almost 40 years, some spouses find themselves to pay a contribution three times higher than if they were married.

Some preferred to marry in order to avoid having to absorb the cost of accommodation can sometimes be higher than their ability to pay.

“The situation is unacceptable,” lamented the Protector of the citizen, in his opinion at the end of an investigation conducted prior to the pandemic.

Quebec is aware of the situation for several years. In 2013, the ministry of Health informed the ombudsman of its intention to review the exemptions, and eventually never do.

Major revision

This will be a thing of the past as of January 1, 2021. Our parliamentary Bureau has learned that the minister responsible for Seniors, Marguerite Blais, will confirm shortly that the Council of ministers has recently endorsed a readjustment major exemptions that allow the calculation of the contribution of adults housed in CHSLDS.

Thanks to these exemptions, more than 30 % of people end up with lower rent to pay.

The exemption is determined as a function of the value of the house, the car and of the liquid assets of the user.

The exemption on the value of a residence that, since 1983, is set at $ 40,000 will increase to 226 195 $. The car will grow from 4000 $ to 10 000 $, while the amount for the liquid assets of a family will be doubled to reach $ 5,000. Ditto for the value of the property.

$ 16 million less

Once the new calculation method came into effect, the Régie de l’assurance maladie du Québec (RAMQ) shall cease also to consider, in the liquid of residents, certain amounts received as compensation government, the same as RRSPS before the age of 65 years.

As a result, more people more financially vulnerable will see their contribution decrease for a place in a CHSLD.

A deduction for the actual cost of the lease will also apply as of the first day of accommodation, and this for two months, in order to reduce the financial pressure linked to the move.

According to this it has been possible to learn, these regulatory amendments are expected to result in a shortfall of $ 16 million into the coffers of the State.

Impact on the monthly contribution of a person housed in CHSLDS

In both cases, the people occupying a single room, whose contribution amounted to 1946,70 $, in 2020.


Person aged 65 years or older, a widow, with total income monthly of $ 1600, and possessing a residence with a net value of $250,000.

  • Monthly Contribution current : 1947 $
  • Monthly Contribution future : 1424 $

► Monthly balance : – 523 $

► Annual difference : – 6276 $


Couple aged 65 years or over, with income, monthly totals of 2700 $ and possessing a residence with a net value of $250,000.

  • Monthly Contribution current : 887 $
  • Monthly Contribution future : 422 $

► Monthly balance : – 465 $

► Annual difference : – 5580 $

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