The appellant sought to amend his appeal to the Divisional Court to include a section 7 Charter challenge against OHIP's refusal to fund his out-of-country liver transplant.
The Charter issue was not raised before the Health Services Appeal and Review Board.
Applying the prerequisites from R. v. Brown, the court allowed the amendment, finding a sufficient evidentiary record, no tactical delay, and that refusing the amendment could result in a miscarriage of justice, particularly given recent Supreme Court jurisprudence in Chaoulli and legislative changes preventing the Board from hearing constitutional issues.