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Medical Expense Tax Credit amendments explained

April 24, 2025

Explanatory Notes relating to amendments of the Income Tax Act, the Excise Act, the Excise Act, 2001, the Customs Tariff, the Excise Tax Act and other Acts - Published by The Honourable James M. Flaherty, Minister of Finance, April 2008.

Read the full document on the Finance Canada site:
http://www.fin.gc.ca/drleg/biaapr08e.html

Attention is drawn to Clause 16:

Medical Expense Tax Credit

ITA 118.2(2) Section 118.2 of the Act provides rules for determining the amount which may be claimed as a tax credit in respect of an individual’s medical expenses. Subsection 118.2(2) contains a list of expenditures which qualify as medical expenses for this purpose . Paragraph (2)(l) allows the cost of acquiring a dog to assist a blind person, a person who is profoundly deaf or has a severe and prolonged impairment that markedly restricts the use of the person’s arms or legs (as well as the costs for the care and maintenance of the dog) to qualify as a medial expense. The scope of this provision is extended, for the 2008 and subsequent taxation years, so that it applies as well to individuals who are suffering from severe autism or severe epilepsy.

Paragraph (2)(n) is also amended. This paragraph provides that the costs of drugs, medicaments or other preparations or substances purchased for use by a patient as prescribed by a medical practitioner or dentist and as recorded by a pharmacist are eligible for the purposes of the medical expense tax credit The paragraph is amended, for expenses incurred after February 26, 2008, to clarify that generally, drugs, medications and other substances and preparations that can lawfully be purchased without a prescription are not eligible for the medical expense tax credit. The amendment also contemplates that some drugs, etc., such as insulin, should continue to qualify notwithstanding that a medical prescription is in some cases not required, and allows for such drugs, etc. to be prescribed by regulation.

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