Regarding Section 6, it is also important to note that the AHCIP insurance plan already pays differential fees and provides surcharges for services provided after hours and this section should have specific wording to recognize that it is acceptable to bill those fees and surcharges. Finally, it is also important to recognize that there may be MDs who practice in other jurisdictions who also hold Alberta licenses. In the jurisdictions in which they practice, they may be able to bill different fees for their services, depending on the time of day and all of that care would be outside of the AHCIP. In that case, I would not consider that practice a violation of ethics although under this code, it would be as written.