The lawsuits targeted a number of corporations who ran private long-term care in the province, including Revera Retirement Living, Sienna Senior Living, Chartwell, and Responsive Group Inc.[1] A number of city councils in Ontario had announced plans to introduce ranked ballots as their voting system for future municipal elections.

Without it, many insurance companies will cease coverage, as they have already begun to do, putting homes across the province at risk and jeopardizing their expansion and renewal.

"[5] The bill attracted heavy criticism, with relatives of victims of the pandemic arguing that it would make it impossible to hold the long-term care providers where many Ontarians died of COVID-19 accountable for those deaths.

The Ontario Health Coalition announced that it would file a formal complaint to the province's integrity commissioner over the bill, calling for an investigation into donations made by the industry to the Progressive Conservative Party.

"[9] The day after the government introduced the bill to the Legislative Assembly, a report from the Centre for Urban Policy and Local Governance at Western University was released finding that there had been a high level of public interest in the voting system in the 2018 London elections and that "London shows us that ranked balloting can be administered well, but that it takes extra effort and organization, at least the first time around.

[12][13] Electoral reform advocacy group Fair Vote Canada released a statement saying that "too often, politicians will push for whatever system is in the best interest of their party, or to protect their own jobs.