This form seeks to gather your input on the proposed changes Health Canada is considering making.  For in-depth details, please open to this PDF summary provided by  Health Canada.

Feedback on the Proposed Federal Health Reporting Revisions

Name (optional)
Please tell us what your professional role in MAiD services?(Required)
What is your designation?(Required)
What province/territory do you work in?(Required)
I have administrative support for my MAiD work that will help off set any additional work required for increased monitoring.

Rationale for changes

There are multiple rationale from the Government for these amendments (capture broader information, allow for the collection of data on all assessments following a request – verbal and written, allow for the collection of information on procedural safeguards for those when a natural death is not reasonably foreseeable, refection other legislatives changes – such as when a waiver of final consent is used for those who have a RNFD, and allow for the collection of data that can be used to help determine the presence of any systemic inequality or disadvantage based on gender, identify, race, Indigenous identify disability or other characteristics in MAiD).
Do you agree with the rationale?

Key Changes

There are five particular changes that are proposed. They are: (1) replace the term “patient” with “person”, (2) required reporting would no longer be triggered by a ‘written request” for MAiD, but rather by “a” request (verbal or written) that is followed by an assessment, (3) new requirements for other health professionals to file reports (both preliminary assessors who have the responsibility do do preliminary assessments) when the applicant is deemed ineligible and is not forwarded for further assessment and pharmacy technicians, in lieu of a pharmacist, when they are responsible to verify and sign off on a substance for the purpose of MAiD once it is prepared), (4) reducing the requirement from two independent witnesses to one for the person’s request for MAiD and (5) reporting compliance with procedural safeguards into separate Schedules (Schedule 4 for those who are RFND / Track 1 and Schedule 4.1 for those who are non-RFND / Track 2).
Do you agree with all these changes?

Areas of new and/or additional information

There are 10 areas where there are changes to what is proposed to be collected. Let us know which of these are true for you. (Multiple options allowed).
Procedural safeguards for persons whose natural death is not reasonably foreseeable
The application of the waiver of final consent for persons whose natural death is reasonably foreseeable (embedded in Schedule 4)
The application of advance consent for practitioner-administered MAiD in the event of complications with self-administration (available both in cases where natural death is reasonably foreseeable and where it is not) (embedded in Schedule 6)
Additional information on disability support services and palliative care services received by persons seeking MAiD
Race, Indigenous identity and presence of disability of persons requesting MAiD (where the person consents to providing this information)
Gender, in addition to data already collected on sex at birth, to reflect current data collection standards and a more inclusive approach to reporting on gender
The means used to ensure that the person seeking MAiD understood the information that was provided to them and communicated their decision
A person’s previous request for MAiD, if applicable
The length of the MAiD assessment process
Cases where the person was found eligible to receive MAiD, but the practitioner was unable to administer MAiD due to procedural safeguard(s) not being met

Repealed or Discontinued Reporting Requirements

There are four items that have been repealed in the amendments. These include: (1) information related to a referral or transfer of care (ie. when a practitioner receives a request for MAiD and refers the person to another for care), (2) information related to the 10 day reflection period when RNFD (which was repealed by the Act), (3) date on while the person signed the request for MAiD, and (4) date on which the practitioner signed the written opinion.
Do you agree that these should all be removed?


Some reporting timelines that have been lengthened to reflect the often longer and more complex assessment processes for people who are non-RFND.
Do you have any concerns about these new timelines?

Implementation Considerations

Health Canada proposes that these changes will come into effect in January 2023, once the time for input has passed (June 21 2022). As part of the process, Health Canada undertook a Regulatory Impact Analysis aimed at examining potential impacts of the regulatory proposal and estimating costs and benefits to stakeholders. Results of this analysis, including a comprehensive overview and contextual information related to the regulatory proposal, are included in the Regulatory Impact Analysis Statement (RIAS). The RIAS and the proposed regulatory amendments have been published in the Canada Gazette Part I for a 30-day public comment period, with comments being accepted until June 21, 2022.
How will your practice in MAiD change as a result of these new reporting requirements?
Which statement best describes how you want to be involved in the understanding and development of Reporting Requirements

Thank you for providing your feedback.

If you would like to provide additional feedback on the proposed amendments, please review the regulatory proposal and send your feedback via email to [email protected] by June 21, 2022. We encourage you to CC CAMAP ([email protected]) when submitting.