In accordance with the Ontario Insurance Act, the Lieutenant Governor in Council has the legal authority to recover certain health care costs incurred by the Ministry of Health and Long-Term Care (MOHLTC) in treating individuals injured in automobile accidents that occurred in Ontario. The Commission has collected about $142.3 million annually from automobile insurance companies since 2006 and about $80 million per year from 1996 to 2005, both estimated without evidence on the full costs of automobile accidents to the Ontario public health care system. To validate the adequacy of the current assessment amount, the MOHLTC sought to determine the cost of public health care services provided to Ontario residents injured as a result of a motor vehicle accident (MVA).