Agenda · Board Of Health — 2025-09-15

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Agenda · Board Of Health — 2025-09-15 | CivicBeam

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Board of Health · 2025-09-15

8 structured lines in this file · ward references on 1 line.

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Scheduled disposition tags on file: Approved: 4 · Amended: 2 · Other: 2
1 distinct ward reference value on scheduled lines.

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Toronto Public Health 2026 Operating Budget Submission — amended
AmendedHigh impact
Proposed 2026 Schedule of Board of Health Meetings — amended
Amended
Preliminary Toronto Public Health 2026 Operating Budget and 2026-… — updated
High impact
Preliminary Toronto Public Health 2026 Operating Budget and 2026-… — updated
High impact
Toronto Public Health 2026-2035 Capital Budget and Plan Request — approved

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#	Item	Type	Wards
2025.HL27.1	Toronto Public Health 2026 Operating Budget Submission	ACTION	All
2025.HL27.1a	Preliminary Toronto Public Health 2026 Operating Budget and 2026-2035 Capital Budget and Plan	ACTION	All
2025.HL27.2	Toronto Public Health 2026-2035 Capital Budget and Plan Request	ACTION	All
2025.HL27.2a	Preliminary Toronto Public Health 2026 Operating Budget and 2026-2035 Capital Budget and Plan	ACTION	All
2025.HL27.3	Toronto Public Health Operating Variance for the Six Months Ended June 30, 2025	ACTION	All
2025.HL27.4	Toronto Public Health Capital Variance for the Six Months Ended June 30, 2025	ACTION	All
2025.HL27.5	Current and Emerging Uses of Artificial Intelligence by Toronto Public Health	ACTION	All
2025.HL27.6	Proposed 2026 Schedule of Board of Health Meetings	ACTION	All

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Legdoc Url: https://www.toronto.ca/legdocs
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Agenda Items

Agenda Item Id	Communication Type Cd	Urgent	In Camera	Publish Type Cd	Consideration	Status	Statutory	Title	Reference	Publish Decision Ind	Publish Motion Ind	Publish Vote Ind	Publish Ruling Ind	Recommendation Wep	Financial Impact Wep	Agenda Item Summary	Ai Meeting Number	Ai Order Number	Db Publish Label Cd	Agenda Cd	Wards	Pre Meeting Event Ind	Staff Report	Communication Type Desc	Consider Type Desc	Item Status Desc	Publish Type Desc	Decision Body Publish Label	Speaker Interested Persons	Committee Communications	Council Communications	Committee Attachments	Council Attachments	Committee Motions	Council Motions	Committee Rulings	Council Rulings	Committee Declared Interests	Council Declared Interests	Decision Type Desc	Has Decison Information	Consent Item Status Desc	Pre Meeting Speakers List	Pre Meeting Interested Persons	Post Meeting Speakers List	Post Meeting Interested Persons	Ai Sub Order Letter	Council Consider Date
142722	REPORT	N	N	MAIN	ACTION	AMENDED	N	Toronto Public Health 2026 Operating Budget Submission	2025.HL27.1	Y	Y	Y	Y	<p>The Acting Medical Officer of Health recommends that:  </p> <p> </p> <p>1. The Board of Health request the Mayor to propose a 2026 Operating Budget for Toronto Public Health of $316,267.7 thousand gross, $112,527.5 thousand net, and 1,847.5 positions, as summarized in Table 1, Overview of the TPH 2026 Operating Budget Submission, which includes the following incremental changes from the TPH 2025 Operating Budget:</p> <p> </p> <p>    a. an increase of $6,439.2 thousand gross and $6,439.2 thousand net for inflationary costs and salaries and benefits</p> <p> </p> <p>    b. a decrease of $885.2 thousand gross and an increase of $701.4 thousand net, and 1 position for 2026 administrative and technical adjustments</p> <p> </p> <p>    c. an estimated increase of $1,538.4 thousand gross, $0 net for operating costs related to Downtown Homeless Addiction Recovery Treatment (HART) Hub</p> <p> </p> <p>    d. an increase in revenue of $1,535.5 thousand to accept additional funds from the provincial government to support the delivery of Ontario Public Health Standards programs and services</p> <p> </p> <p>    e. a decrease of $6,274.8 thousand gross, $1,000.0 thousand net resulting from the removal of prior year one-time expenses and related funding</p> <p> </p> <p>    f. a decrease of $1,061.0 thousand gross, $1,061.0 thousand net, along with 6.0 positions to meet efficiency targets</p> <p> </p> <p>   g. an increase of $15,019.7 thousand gross, $15,019.7 thousand net, and 3 positions for Phase 3 and Phase 4 expansion of the Student Nutrition Program, projected growth in student participation, and enhancements to the Food Safety program to support the expansion.</p> <p> </p> <p>2. The Board of Health directs that this report be forwarded to the City of Toronto Budget Committee for consideration during the 2026 Budget process.</p>

Meeting

Meeting Id

25808

Decision Body Id

2564

boh@toronto.ca

Special Meeting Cd

Meeting Number

Mtg Status Cd

COMPLETE

Official Chair Member Id

3822

Official Chair Salutation Cd

COUNCILR

Current Process Id

Minutes Confirm Date

1761537600000

Publish Vice Chair Ind

Display Minutes Confirm Ind

Mtg Status Desc

Complete

Term Year

2025

Official Chair First Name

Chris

Official Chair Last Name

Moise

Official Chair Salutation Desc

Councillor

Tier

Agenda Published

false

Decision Published

false

Minutes Published

false

Show Map

false

Show Bill

false

Agenda

Agenda Id: 44930
Show Status Cd: ON
Agenda Instructions Wep: <table style="width: 100.0%; border-collapse: collapse; border: none;" width="100%"> <tbody> <tr style="height: 13.5pt;"> <td style="width: 100.0%; border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 13.5pt;" colspan="2" width="100%"> Board of Health </td> </tr> <tr style="height: 55.15pt;"> <td style="width: 50.0%; border: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; height: 55.15pt;" width="50%"> Councillor Chris Moise, Chair Councillor Alejandra Bravo, Vice Chair Abinaya Chandrabalan Councillor Lily Cheng Lindsay Kretschmer Trustee Ida Li Preti </td> <td style="width: 50.0%; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 55.15pt;" width="50%"> Charles Ozzoude Councillor Anthony Perruzza Suman Roy Ramanjeet Singh Councillor Michael Thompson Stephanie Zhou </td> </tr> </tbody> </table>   This meeting of the Board of Health will be conducted with members participating in person and remotely.   Directors of the Board and participating City Officials will be provided with the video conference details closer to the meeting date.   To provide comments or make a presentation to the Board of Health:   The public may submit written comments or register to speak to the Board on any item on the agenda.   Written comments may be submitted by writing to <a href="mailto:boh@toronto.ca">boh@toronto.ca</a>.   To speak to the Board, please register by e-mail to <a href="mailto:boh@toronto.ca">boh@toronto.ca</a> or by phone at 416-397-4592. Registered speakers will be provided with instructions on how to participate in the meeting.   Special Assistance for Members of the Public: City staff can arrange for special assistance with some advance notice. If you need special assistance, please call 416-397-4592, TTY 416-338-0889 or e-mail <a href="mailto:boh@toronto.ca">boh@toronto.ca</a>.   Closed Meeting Requirements: If the Board of Health wants to meet in closed session (privately), a director of the Board must make a motion to do so and give the reason why the Board has to meet privately (City of Toronto Act, 2006).   Notice to People Writing or Making Presentations to the Board of Health: The City of Toronto Act, 2006 and the City of Toronto Municipal Code authorize the City of Toronto to collect any personal information in your communication or presentation to City Council or its Committees and Boards. The City collects this information to enable it to make informed decisions on the relevant issue(s). If you are submitting letters, faxes, e-mails, presentations or other communications to the City, you should be aware that your name and the fact that you communicated with the City will become part of the public record and will appear on the City's website. The City will also make your communication and any personal information in it - such as your postal address, telephone number or e-mail address - available to the public, unless you expressly request the City to remove it.   Many Committee, Board, and Advisory Body meetings are broadcast live over the internet for the public to view. If you speak at the meeting you will appear in the video broadcast. Video broadcasts are archived and continue to be publicly available.   If you want to learn more about why and how the City collects your information, write to the City Clerk's Office, City Hall, 100 Queen Street West, Toronto ON M5H 2N2 or call 416-397-4592.    <a href="http://app.toronto.ca/tmmis/index.do">toronto.ca/council</a>   This agenda and any supplementary materials submitted to the City Clerk can be found online at <a href="http://app.toronto.ca/tmmis/index.do">toronto.ca/council</a>. Visit the website for access to all agendas, reports, decisions, and minutes of City Council and its Committees and Boards.   Declarations of Interest under the Municipal Conflict of Interest Act   Confirmation of Minutes - July 7, 2025 <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">  <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Speakers/Presentations - The speakers list will be posted online at 8:30 a.m. on September 15, 2025 <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">  <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Communications/Reports

Phone

Phone Id: 24882
Area Code: 416
Phone Number: 397-4592

Mmis User

User List Id: 2061
User First Name: Kate
User Last Name: Carrillo
User Email: kate.carrillo@toronto.ca
Enabled: false
User Full Name: Kate Carrillo
Account Non Expired: false
Account Non Locked: false
Credentials Non Expired: false

Decision Body

Decision Body Id

2564

Decision Body Name

Board of Health

Decision Body Publish Label Cd

BOARD

Committee Code

Committee Code Id: 16
Committee Code: HL

Decision Body Type

Tier: 2

Term

Term Id: 8
Term Type: 2022-2026
Trm Start Date: 1668488400000
Trm End Date: 1794632400000

Meetings

No entries

Location Dates

Meeting Location Date Id	Meeting Date	Start Time	Monitor Display Ind	Location
27203	1757908800000	1757943000000	Y	…

Speaker List Published

false

Meeting Reference

2025.HL27

Grouped Meeting Dates

September 15, 2025

Earliest Meeting Location Date

Meeting Location Date Id

27203

Meeting Date

1757908800000

Start Time

1757943000000

Monitor Display Ind

Location

Location Id: 601
Location Name: Committee Room 1, City Hall/Video Conference

Latest Meeting Location Date

Meeting Location Date Id

27203

Meeting Date

1757908800000

Start Time

1757943000000

Monitor Display Ind

Location

Location Id: 601
Location Name: Committee Room 1, City Hall/Video Conference

Grouped Council Consider Dates

142723

REPORT

MAIN

ACTION

ADOPTED

Toronto Public Health 2026-2035 Capital Budget and Plan Request

2025.HL27.2

The Acting Medical Officer of Health recommends that:     1. The Board of Health request the Mayor to propose a 2026 Capital Budget to City Council for Toronto Public Health with total cash flows and future year commitments of $16.084 million, including a 2026 cash flow of $12.650 million, 2027 commitment of $2.122 million and 2028 commitment of $1.312 million.   2. The Board of Heath request the Mayor to propose a 2027-2035 Capital Plan to City Council for Toronto Public Health with total project estimates of $16.854 million, comprised of $2.796 million in 2027, $4.122 million in 2028, $4.805 million in 2029, $3.139 million in 2030, $0.984 million in 2031 and $1.008 million in 2032.   3. The Board of Health direct that this report be forwarded to the Budget Committee for consideration during the 2026 Budget process.

Toronto Public Health is recommending a 2026 Capital Budget of $16.084 million with 2026 Budget of $12.650 million and future year commitments of $3.434 million, and a 2027-2035 Capital Plan of $16.854 million for future year estimates. These capital projects are detailed in Appendix 1 of this report.   The Chief Financial Officer and Treasurer has been advised of the financial impacts associated with the recommended 2026-2035 Capital Budget and Plan of Toronto Public Health to be considered along with other priorities as part of the annual Budget process.

This report provides an overview of Toronto Public Health's 2026 Capital Budget and 2027-2035 Plan Request.   Toronto Public Health is recommending a 2026 Capital Budget of $16.084 million, including 2026 Budget of $12.650 million and future year commitments of $3.434 million. Toronto Public Health is also recommending a 2027-2035 Capital Plan of $16.854 million for future year estimates. The proposed 2026-2035 Capital Budget and Plan will provide funding for nine (9) projects:   1) Electronic Medical Record 2) Inspection Management Implementation 3) Mobile Dental Van 4) Downtown Homelessness, Addiction Recovery and Treatment (HART) Hub 5) Student Nutrition Program-- Universal Morning Meal Program 6) Socio-Demographic Data Collection and Reporting 7) e-Consent Portal 8) Inspection Management Program 9) Workload Management and Scheduling

BOARD

All

…

Report

ACTION

Adopted

Main

Board

…

Decision information not found

false

Adopted

…

—

142724

REPORT

MAIN

ACTION

ADOPTED

Toronto Public Health Operating Variance for the Six Months Ended June 30, 2025

2025.HL27.3

The Acting Medical Officer of Health recommends that:     1. The Board of Health receive this report for information.

Toronto Public Health will request a budget adjustment to increase its 2025 Operating budget by $8.3 million gross and net to reflect the transfer of 2025 cost-of-living allowance that is allocated to Toronto Public Health from Non-Program through City of Toronto's Q2 variance report process. When adjusted for the 2025 cost-of-living allowance budget, Toronto Public Health's net year-to-date variance was favorable by $5.7 million or 19.2 percent. Net year-end variance is projected to be favorable by $14.5 million or 15.5 percent. These variances are mainly due to underspending in mandatory cost-shared programs from reinitiation of paused programs, primarily within Community Health and Wellbeing (CHW) including Chronic Disease and Injury Prevention. There are no financial impacts associated with adoption of this report. The Chief Financial Officer and Treasurer has reviewed this report and agrees with the information as presented in the Financial Impact Section.

This report provides an update to the Board of Health on the Toronto Public Health (TPH) Operating Variance for the six months ended on June 30, 2025.   As of June 30, 2025, Toronto Public Health's gross expenditure was underspent by $19.3 million and revenue was underachieved by $13.6 million, resulting in a favourable net variance of $5.7 million.   At year end, Toronto Public Health's gross expenditure is projected to be underspent by $28.3 million, while revenue is expected to be underachieved by $13.7 million. As a result, net expenditure will be under budget by $14.5 million.

BOARD

All

…

Report

ACTION

Adopted

Main

Board

…

Decision information not found

false

Adopted

…

—

142728

REPORT

MAIN

ACTION

ADOPTED

Current and Emerging Uses of Artificial Intelligence by Toronto Public Health

2025.HL27.5

The Acting Medical Officer of Health recommends that:     1. The Board of Health request the Medical Officer of Health to explore options for uses of artificial intelligence tools at Toronto Public Health, that is in accordance with City policies, legislative requirements and industry best practices, and report back to the Board of Health in the first quarter of 2027 with an update on this work.

There are no financial impacts associated with the adoption of the recommendation in this report.

In July 2025, the City of Toronto took its first steps to embrace and adopt artificial intelligence (AI) by releasing the Guidance for the Responsible Use of Generative Artificial Intelligence (Generative AI Guidance) to City staff. In response to the Board of Health's June 2025 request to review the guidelines, TPH has reviewed and confirmed that the Generative Artificial Intelligence Guidance is aligned with best practices from the Association of Local Public Health Agencies (alPHa), Province of Ontario, and the Government of Canada. The City has adopted and enabled Microsoft (MS) Chat, the first generative artificial intelligence tool officially endorsed for City-wide use.  Toronto Public Health staff are engaged in training on City policies, legislative requirements (e.g. PHIPA) and industry best practices including specific privacy and personal health information policies and legislation.   This report also explores the broader opportunities for the use of artificial intelligence at Toronto Public Health while maintaining high standards of privacy, security, and ethics. With proper risk mitigation, artificial intelligence tools could help Toronto Public Health optimize resources and better meet its mandate. In addition to issuing the Generative Artificial Intelligence Guidance, the City of Toronto has a governance framework in place that considers privacy, security, and ethics. The framework guides adoption of artificial intelligence tools in accordance with City policies, legislative requirements and industry best practices.   Toronto Public Health is investigating three pilot projects that use artificial intelligence tools, outside of Microsoft Chat, that could support the work of Toronto Public Health. Toronto Public Health will form an internal artificial intelligence working group in fall 2025 and work closely with Technology Services Division (TSD) and the Chief Information Security Officer (CISO) to continue to address risk while advancing innovative opportunities for service delivery. Technology Services Division and Chief Information Security Officer were consulted in the preparation of this report.

BOARD

All

…

Report

ACTION

Adopted

Main

Board

…

Decision information not found

false

Adopted

…

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