A budget shortfall loomed large as Toronto city council met Wednesday for the first time since former mayor John Tory resigned last month.

The utility announced on March 27 that it has launched the community-engagement process to build the 22-kilometre line in Clarington.

The province has added $25 million in funding over three years for the expansion of its Ontario Immigrant Nominee Program.

Karen Hogan warns in a report released Monday that if decision-making remains fragmented, it could lead to construction delays — and more costs for taxpayers.

The groups say a new building is a key piece of a broader proposal to modernize and expand infrastructure and services to support a growing number of patients.