Alberta gov’t initiates bill to make sex-ed optional, stop schools from hiding pronoun changes

The Education Amendment Act requires parents to opt in rather than opt out of sex education and mandates that schools seek parental permission to use a different pronoun for their child.

Alberta’s United Conservative Party (UCP) government officially introduced a bill that will change the law so that parents must “opt in rather than opt out” their children into sexual education lessons and also mandate that parental permission is obtained before a student uses a different pronoun.

Late last week, Alberta Premier Danielle Smith announced Bill 27, or the Education Amendment Act, that focuses on teaching and instructional material “that deal primarily and explicitly with gender identity, sexual orientation or human sexuality.”

The new bill means sexual education classes will not be included in a child’s education, and teachers or school staff will no longer be allowed to conceal whether a student begins to use different pronouns or names.

Once Bill 27 becomes law, schools must notify parents of what is being taught at least “30 days in advance and be given the opportunity to opt in rather than opt out of this instruction,” the government said regarding the bill in a press release.

“This new model would ensure parents are notified in advance and have the information needed to make an informed decision on whether specific topics are appropriate and fit the needs of their child and family,” the government said.

Smith’s government said the change aims to create “transparency in what is being taught in the classroom to ensure parents have the opportunity to identify if there is a particular subject matter they wish to supplement in conversations with their child outside of the classroom.”

Alberta Minister of Education Demetrios Nicolaides had earlier stated that such a bill would be forthcoming, noting the changes the government is proposing will “keep families informed while navigating complex conversations as well as public health and states of emergency.”

Bill 27 also will empower the education minister to in effect stop the spread of extreme forms of pro-LGBT ideology or anything else to be allowed to be taught in schools via third parties.

The government says the new law will allow the minister to “approve learning and teaching resources and external presenters for topics dealing primarily and explicitly with gender identity, sexual orientation or human sexuality.”

“This would create greater transparency on what resources are being used to teach sensitive topics, which third-parties are presenting to students, and provide greater assurance that learning and teaching resources are appropriate and relevant to the curriculum,” the government says.

The new law will also mandate that schools notify parents and seek “their consent for a student 15 years old and under if they request that school staff refer to them by a new gender-related preferred name or pronouns at school.”

It would also mandate that schools notify parents of a “16 or 17-year-old student’s request for school staff to refer to them by a new gender-related preferred name or pronouns at school.”

Smith’s announcement regarding pronouns and sex-ed classes comes at the same time she brought forth a law that will ban biological men from competing in women’s sports. It also comes after she introduced a much-anticipated bill banning so-called “top and bottom” surgeries for minors as well as other extreme forms of transgender ideology.

Last weekend, thousands of UCP members gathered for the party’s annual general meeting, where Smith won a 91.5 percent approval rating, indicating there is strong support for her pro-family policies.

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Alberta

Alberta takes big step towards shorter wait times and higher quality health care

Published on April 9, 2025

Todayville Content Team

From the Fraser Institute

By Nadeem Esmail

On Monday, the Smith government announced that beginning next year it will change the way it funds surgeries in Alberta. This is a big step towards unlocking the ability of Alberta’s health-care system to provide more, better and faster services for the same or possibly fewer dollars.

To understand the significance of this change, you must understand the consequences of the current (and outdated) approach.

Currently, the Alberta government pays a lump sum of money to hospitals each year. Consequently, hospitals perceive patients as a drain on their budgets. From the hospital’s perspective, there’s little financial incentive to serve more patients, operate more efficiently and provide superior quality services.

Consider what would happen if your local grocery store received a giant bag of money each year to feed people. The number of items would quickly decline to whatever was most convenient for the store to provide. (Have a favourite cereal? Too bad.) Store hours would become less convenient for customers, alongside a general decline in overall service. This type of grocery store, like an Alberta hospital, is actually financially better off (that is, it saves money) if you go elsewhere.

The Smith government plans to flip this entire system on its head, to the benefit of patients and taxpayers. Instead of handing out bags of money each year to providers, the new system—known as “activity-based funding”—will pay health-care providers for each patient they treat, based on the patient’s particular condition and important factors that may add complexity or cost to their care.

This turns patients from a drain on budgets into a source of additional revenue. The result, as has been demonstrated in other universal health-care systems worldwide, is more services delivered using existing health-care infrastructure, lower wait times, improved quality of care, improved access to medical technologies, and less waste.

In other words, Albertans will receive far better value from their health-care system, which is currently among the most expensive in the world. And relief can’t come soon enough—for example, last year in Alberta the median wait time for orthopedic surgeries including hip and knee replacements was 66.8 weeks.

The naysayers argue this approach will undermine the province’s universal system and hurt patients. But by allowing a spectrum of providers to compete for the delivery of quality care, Alberta will follow the lead of other more successful universal health-care systems in countries such as Australia, Germany, the Netherlands and Switzerland and create greater accountability for hospitals and other health-care providers. Taxpayers will get a much better picture of what they’re paying for and how much they pay.

Again, Alberta is not exploring an untested policy. Almost every other developed country with universal health care uses some form of “activity-based funding” for hospital and surgical care. And remember, we already spend more on health care than our counterparts in nearly all of these countries yet endure longer wait times and poorer access to services generally, in part because of how we pay for surgical care.

While the devil is always in the details, and while it’s still possible for the Alberta government to get this wrong, Monday’s announcement is a big step in the right direction. A funding model that puts patients first will get Albertans more of the high-quality health care they already pay for in a timelier fashion. And provide to other provinces an example of bold health-care reform.

Nadeem Esmail

Senior Fellow, Fraser Institute

Alberta

Alberta’s embrace of activity-based funding is great news for patients

Published on April 9, 2025

Todayville

From the Montreal Economic Institute

Alberta’s move to fund acute care services through activity-based funding follows best practices internationally, points out an MEI researcher following an announcement made by Premier Danielle Smith earlier today.

“For too long, the way hospitals were funded in Alberta incentivized treating fewer patients, contributing to our long wait times,” explains Krystle Wittevrongel, director of research at the MEI. “International experience has shown that, with the proper funding models in place, health systems become more efficient to the benefit of patients.”

Currently, Alberta’s hospitals are financed under a system called “global budgeting.” This involves allocating a pre-set amount of funding to pay for a specific number of services based on previous years’ budgets.

Under the government’s newly proposed funding system, hospitals receive a fixed payment for each treatment delivered.

An Economic Note published by the MEI last year showed that Quebec’s gradual adoption of activity-based funding led to higher productivity and lower costs in the province’s health system.

Notably, the province observed that the per-procedure cost of MRIs fell by four per cent as the number of procedures performed increased by 22 per cent.

In the radiology and oncology sector, it observed productivity increases of 26 per cent while procedure costs decreased by seven per cent.

“Being able to perform more surgeries, at lower costs, and within shorter timelines is exactly what Alberta’s patients need, and Premier Smith understands that,” continued Mrs. Wittevrongel. “Today’s announcement is a good first step, and we look forward to seeing a successful roll-out once appropriate funding levels per procedure are set.”

The governments expects to roll-out this new funding model for select procedures starting in 2026.

* * *

The MEI is an independent public policy think tank with offices in Montreal, Ottawa, and Calgary. Through its publications, media appearances, and advisory services to policymakers, the MEI stimulates public policy debate and reforms based on sound economics and entrepreneurship.