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Canada’s health ministers are urging Ottawa to renew dedicated agreements for mental health, addictions and home care, warning that a failure to do so in this year’s budget could bring “profound and negative” consequences for patients and health-care jobs.
Their concern centres on the expected loss of $1.2 billion in dedicated federal funding next March. Ministers say the expiry would create a fiscal cliff, disrupting services Canadians rely on and putting health-sector jobs at risk.
Ministers seek certainty from Ottawa
Health ministers met earlier this week with their finance counterparts to discuss the approaching end of the funding agreements. In a joint statement, they called on the federal government to return to the table as a committed funding partner and provide certainty that Canadians will retain access to needed care and services.
Manitoba Health Minister Uzoma Asagwara described the situation as a “looming fiscal cliff” with “devastating consequences” for health systems.
“We cannot see what would be the largest cut to health care in a generation take place,” Asagwara said. “Not during a time where we know that mental health needs are increasing, and Canadians care deeply about having access to the health care they need.”
Asagwara said health ministers across the country were united in the call for stable funding.
Targeted dollars support local services
For mental-health advocates, the issue is not simply the size of the federal contribution, but whether dollars remain specifically earmarked for community care.
Marion Cooper, president and lead executive officer of the Canadian Mental Health Association, said dedicated mental health and addictions funding over the past decade has supported programs across Canada, including youth initiatives, early intervention and caregiver support.
“To see any reduction in targeted funding would be problematic and concerning when we know there’s still significant need in our community, even with the current level of funding,” Cooper said.
She said there is a “fairly strong consensus” among governments and advocacy organizations that dedicated funding matters. If those funds were instead folded into the broader Canada Health Transfer, Cooper said, there is concern that resources would not necessarily reach mental health or community-based services.
Expiry dates approach for agreements
The federal government’s 2023 health-care budget pledged $200 billion in additional funding over 10 years. That included $4.8 billion over four years for home care, community care, and mental health and addictions services, funding set to end in March 2027.
The same package included $3 billion for long-term care safety, set to sunset in 2026, and $1.7 billion for personal support worker wages, to be paid out by 2028.
The ministers’ warning is therefore tied to more than one approaching deadline. They say the end of dedicated funds could translate into real consequences for patients and the workers providing care.
Transfer growth remains a priority
Provinces and territories are also pressing for the Canada Health Transfer’s five per cent annual growth floor to continue beyond March 2028.
The future of the transfer has become part of the wider request for predictable health funding. Ministers are seeking assurances not only that expiring agreements will be renewed, but that the broader federal contribution will remain sufficient in the years ahead.
Federal Health Minister Marjorie Michel and Finance Minister François-Philippe Champagne declined to take part in this week’s meeting, according to the ministers. Michel is scheduled to meet provincial and territorial counterparts later this month in Winnipeg.
Her spokesperson, Alexandre Bergeron, said time-limited programs allow governments to review and evaluate their effectiveness before deciding whether to renew or change them. For provincial and territorial ministers, however, the immediate demand is certainty before the dedicated funding runs out.
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