02/04/2026
Alliance members are leading partners in the Ontario government’s focus on expanding and transforming primary care and the steps being taken to grow team-based models across the province.
For Ontario's Budget 2026, we want to highlight two practical, high-impact approaches that community clinicians are using successfully to increase attachment and improve efficiency: the Neighbourhood Health Home and Link Workers. To support the work underpinning these approaches and the goal of 100% primary care attachment by 2029, the Alliance asked the Government of Ontario to consider the following priorities for Budget 2026:
-- Support the growth of the Neighbourhood Health Home approach through the IPCT expansion (no further investment required) and expand Link Worker roles across primary care teams, including embedding link workers as a mandatory part of IPCT expansion to increase capacity and attachment.
-- Expedite recruitment and retention funding by unlocking Years 2 and 3 immediately so teams can stabilize staffing and close long-standing wage gaps; this includes $430.9 million over five years for the primary care sector, with $164.5 million needed for Alliance members.
-- Invest in digital tools that improve attachment and efficiency, including interoperable systems, online appointment booking, and innovations such as AI-enabled scribing.
-- Modernize and accelerate the capital approval process for community-based primary care organizations to help expand local capacity and improve access.
-- Continue stabilization and operational funding, including a 5% base budget increase ($33.7 million) for community-governed primary health care organizations.
-- Investments in supportive housing ($60 million over two years) to create 5,000 new supportive housing units, as part of the continuum of care for mental health and addictions to support the work of HART Hubs and to help address homelessness and the toxic drug supply across Ontario.
Read the Alliance's full submission to Ontario Finance Minister Hon. Peter Bethlenfalvy here: https://www.allianceon.org/news/Alliances-2026-Pre-Budget-Recommendations-Strengthening-Primary-Health-Care-and-Expanding