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Alberta Tables Bill to Roll Back MAID Access, Ending Track 2 and Barring Sole‑Mental‑Illness Cases

The move sets up a jurisdictional test with Ottawa over who defines eligibility for assisted dying.

Overview

  • Bill 18 would restrict eligibility to patients whose natural death is reasonably foreseeable within 12 months, effectively ending Track 2 in the province.
  • The legislation would prohibit MAID when mental illness is the sole condition and maintain existing bans for minors and those lacking decision-making capacity.
  • Providers would be barred from referring patients for MAID outside Alberta, could not initiate MAID discussions, and facilities could refuse assessments or provision.
  • Mandatory training and new sanctions would apply to assessors and providers who violate the provincial rules.
  • Premier Danielle Smith cites protection of vulnerable residents and a 136% rise in Alberta’s Track 2 deaths since 2021, as Ottawa delays any mental‑illness‑only expansion to March 2027 and Alberta prepares to defend the bill in court.