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Bill Expands Mental Health Care Coverage Nationwide

An Act to amend the Canada Health Act (mental, addictions and substance use health services)

Summary

  • Expands the Canada Health Act's definition of "insured health services" to explicitly include mental health, addictions, and substance use services.
  • Updates the "comprehensiveness" criterion so provincial plans must cover these services when delivered by hospitals, medical practitioners, dentists, and—where permitted by provincial law—other health practitioners, including in community settings.
  • Effectively requires provinces to insure a broader set of mental health and addiction services to remain compliant for federal health transfers.
  • Does not specify funding levels or delivery models; it primarily sets coverage requirements and allows flexibility for non-physician/community-based providers.

Builder Assessment

Vote Yes

Overall, the bill likely advances productivity by reducing the economic burden of untreated mental illness and addiction, and it opens space for innovative, community-based care models. While it expands public coverage, it does not introduce clear conflicts with growth-oriented tenets and offers potential long-run efficiency gains.

  • Aligns: Productivity (reduced absenteeism/disability), innovation in delivery (community and non-physician providers).
  • Neutral: Economic freedom (no deregulatory elements), exports, taxes, large-scale prosperity framing.
  • Unclear costs: Add performance-based funding, benchmarks, and outcome reporting to ensure value-for-money.
  • Suggestions to strengthen alignment:
    • Tie federal transfers to measurable outcomes (wait times, return-to-work rates, relapse reduction) and unit-cost benchmarks.
    • Enable alternative delivery models (including accredited private/non-profit providers) with patient choice and transparent pricing.
    • Support digital mental health/telehealth and stepped-care pathways to scale access efficiently.
    • Integrate workforce strategy (training, licensing mobility) to expand provider supply without cost inflation.

Question Period Cards

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Principles Analysis

Canada should aim to be the world's most prosperous country.

Could raise long-run labour force participation and productivity via better mental health, but fiscal and growth impacts are indirect and unspecified.

Promote economic freedom, ambition, and breaking from bureaucratic inertia (reduce red tape).

Expands public insurance mandates (not deregulatory), but enables coverage for services delivered in community settings by varied practitioners, which can reduce system rigidity.

Drive national productivity and global competitiveness.

Improved access to mental and addiction care can reduce absenteeism, disability, and overdose impacts, enhancing workforce productivity and competitiveness.

Grow exports of Canadian products and resources.

No direct connection to trade or export capacity.

Encourage investment, innovation, and resource development.

By insuring community-based and non-physician services, it can catalyze investment and innovation in mental health delivery (e.g., digital care, interdisciplinary teams).

Deliver better public services at lower cost (government efficiency).

Expands the insured basket (likely higher near-term costs) but may yield downstream savings (ER, justice system); no explicit efficiency or cost-control mechanisms.

Reform taxes to incentivize work, risk-taking, and innovation.

No tax provisions.

Focus on large-scale prosperity, not incrementalism.

A substantial health coverage change, but not a direct prosperity or growth agenda.

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Email [email protected]

PartyNDP
StatusOutside the Order of Precedence
Last updatedMay 29, 2025
TopicsHealthcare
Parliament45