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Alberta

Alberta passes bill banning sex ‘reassignment’ surgeries on minors

Published

4 months ago

6 minute read

From LifeSiteNews

By Anthony Murdoch

Tuesday, MLAs in the Alberta legislature voted 47 to 33 to pass the Health Statutes Amendment Act (HSAA), with all New Democratic Party MLAs voting against the measure.

The United Conservative Party (UCP) government of Alberta under its Premier Danielle Smith has officially passed a law banning so-called “top and bottom” surgeries for minors. 

On Tuesday, MLAs in the Alberta legislature voted 47 to 33 to pass the Health Statutes Amendment Act (HSAA) into law. All far-left New Democratic Party MLAs voted against the bill, which now awaits Royal Assent which is expected in the next few days.

The new law, called Bill 26, reflects “the government’s commitment to build a health care system that responds to the changing needs of Albertans,” it said.

The bill will amend the Health Act to “prohibit regulated health professionals from performing sex reassignment surgeries on minors.” 

It will also ban the “use of puberty blockers and hormone therapies for the treatment of gender dysphoria or gender incongruence” to kids 15 and under “except for those who have already commenced treatment and would allow for minors aged 16 and 17 to choose to commence puberty blockers and hormone therapies for gender reassignment and affirmation purposes with parental, physician and psychologist approval.” 

Speaking of the passage of the new law, Smith said she is not concerned she may have to use additional powers, such as the province’s notwithstanding clause, to make sure the bill stays in place, given the fact that left-wing LGBT activists have promised to challenge the bill in court. 

“I think that both the Charter as well as our Bill of Rights has the ability to make decisions and make policy that is convenient, that is reasonable, that is evidence-based,” said Smith in speaking to the passage of the bill.  

“And I think the decisions we made are all of those things.”  

Smith had earlier said about the bill that it is “important that all youth can enter adulthood equipped to make adult decisions. In order to do that, we need to preserve their ability to make those decisions, and that’s what we’re doing.”  

The passage of Bill 26 came after Alberta’s pro-life Health Minister Adriana LaGrange moved the third reading of it. She praised its passage, saying further details about how it will be enforced will be coming soon.  

“Finally, amendments to the Health Professions Act would prohibit regulated health professionals from performing sex reassignment surgeries on minors and would also prohibit regulated health professionals from prescribing hormone replacement therapies, including puberty blockers, to minors for the treatment of gender dysphoria or gender incongruence,” said LaGrange.  

“Through a ministerial order, we will outline exceptions for when a minor can be prescribed these medications for the treatment of gender dysphoria or gender incongruence.”  

Earlier this year, the UCP government under Smith announced she would introduce strong pro-family legislation that strengthens parental rights, protects kids from life-altering surgeries as well as other extreme forms of transgender ideology. 

While Smith has done well on some points, she has still been relatively soft on social issues of importance to conservatives such as abortion, and has publicly expressed pro-LGBT views, telling Jordan Peterson earlier this year that conservatives must embrace homosexual “couples” as “nuclear families.” 

Alberta law banning sex reassignment surgeries has support of ‘detransitioners’ 

Smith’s bill banning the sexual mutilation of minors, as reported by LifeSiteNews, has found the  support of an alliance for detransitioners. 

There has been overwhelming evidence showing that people who undergo so-called “gender transitioning” are more likely to commit suicide than those who are not given irreversible surgery. 

In addition to catering to a false reality that one’s sex can be changed, transgender surgeries and drugs have been linked to permanent physical and psychological damage, including cardiovascular diseases, loss of bone density, cancer, strokes and blood clots, and infertility. 

Meanwhile, a recent study on the side effects of transgender “sex change” surgeries discovered that 81 percent of those who had undergone “sex change” surgeries in the past five years reported experiencing pain simply from normal movement in the weeks and months that followed — and that many other side effects manifest as well. 

Smith’s government also passed a law banning schools from hiding a child’s pronoun changes at school that will help protect kids from the extreme aspects of the LGBT agenda.

While social conservatives have cause to celebrate in Alberta, other provinces, such as New Brunswick, are heading in the opposite direction when it comes to parental rights and gender ideology more broadly.

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Alberta

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

Published on April 9, 2025

By

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
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Alberta

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

Published on April 9, 2025

By

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.

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