Alberta
Province adding 22 ambulance crews including 1 in Red Deer
Adding new EMS supports to improve response times
Record investments will build a stronger, more flexible and innovative system for emergency medical services (EMS) with better access to care and shorter wait times.
Alberta’s government promised that help is on the way for Albertans and the province’s health system. By hiring more staff, putting more ambulances on the road and strengthening mental health supports for front-line workers, Alberta’s government is delivering on that promise.
“We are adding new ambulances and front-line staff and investing in solutions now and into the future to make sure ambulances arrive as fast as possible when Albertans call 911 for a medical emergency.”
The funding boost also supports implementing Health Care Action Plan priorities and recommendations made by the Alberta EMS Provincial Advisory Committee to improve EMS response and the work culture for EMS staff.
Alberta has the best front-line health care workers in the world, and Budget 2023 will put the right supports in place to ensure Albertans get the care they need, when and where they need it.
“Budget 2023 delivers the needed support to the front line and adds more resources to implement the Alberta EMS Provincial Advisory Committee recommendations. The additional funding will help ease worker fatigue and provide more mental health supports to improve the work environment for all EMS staff.”
Adding EMS staff and more ambulances
To improve EMS response time, Budget 2023 invests in adding staff and boosting the number of ambulances on the road. The funding increase will add EMS crews to staff 10 more ambulances in Edmonton, 10 in Calgary, one in Lethbridge and one in Red Deer during peak hours this year.
As part of the ongoing work to improve the central dispatch system and implement the EMS advisory committee’s recommendations, Alberta’s government will provide more than $1.5 million to hire and train additional staff and conduct a review of EMS available resources and how they are used in communities.
Supporting EMS workforce
Front-line staff and community partners asked for more supports to create better work environments, as reflected in the provincial advisory committee’s recommendations. Budget 2023 delivers funding to improve scheduling practices to allow for more breaks, more flexibility in the length of shifts and opportunities to take time off, in addition to providing for more training and development opportunities.
Nearly $1 million will go towards boosting mental health supports for EMS staff across the province. A $3-million investment will address paramedic fatigue in rural communities by adjusting work hours and shift schedules as part of the AHS EMS hours of work initiative.
“This funding increase enables aggressive action on our priority of improving emergency response times. We will hire more staff, increase hours of ambulance capacity, expand partnerships with other community supports and deliver innovative projects. This is about getting Albertans the care they need, where and when they need it.”
EMS-811 shared response, inter-facility transfers and treat and refer
Alberta’s Health Care Action Plan is helping to speed up EMS response times and free up highly trained paramedics from non-emergency calls and transfers. Additional funding will go towards the EMS-811 Shared Response program that transfers calls from Albertans with non-urgent conditions to registered nurses with Health Link.
All these actions will reduce EMS response time by empowering paramedics to focus efforts on urgent calls and diverting them away from situations when their level of care is not medically required.
Medical first response supports in rural communities
Medical first responders provide life-saving care in rural and remote communities until an ambulance arrives. Budget 2023 invests in supporting medical first response and implementing the EMS provincial advisory committee’s recommendations to add capacity and provide additional training and equipment.
Budget 2023 secures Alberta’s future by transforming the health care system to meet people’s needs, supporting Albertans with the high cost of living, keeping our communities safe and driving the economy with more jobs, quality education and continued diversification.
Quick facts
In 2023-24, Alberta’s government is providing $723 million in operating funds for EMS, an increase of $138 million to support EMS priority actions, including:
- $47 million for additional EMS capacity to put more ambulances on the road, hire additional paramedics and emergency communications officers, and create dedicated inter-facility transfer capacity in Edmonton, Calgary and Red Deer.
- $24 million for recruitment and workforce initiatives and supports, including training programs and mental health supports for front-line staff.
- $24 million to continue initiatives that were implemented last year such as the 19 additional ambulances in Calgary and Edmonton, and enhanced scheduling changes made in high-priority stations around the province to reduce paramedic fatigue.
- $21 million for ground ambulance contract changes, increased mileage and fuel, including for air ambulance/air ambulance supports and other operational pressures from the increase in the number of events.
- $7 million to support strategies to enhance the EMS system, such as enhancements to the medical first response program, public education and response, and a review of the ground ambulance resource allocation policies and capacity.
- Almost $7 million to support other initiatives such as clinical improvement initiatives like expanding the vital health response program to the south zone, which will make it possible for paramedics to provide life-saving heart medication in the event of a heart attack, and expanding the mobile integrated heart program to support community paramedics across the province.
- $3 million for the EMS-811 Shared Response program.
- $3 million for other initiatives related to implementing recommendations.
- $2 million for a project related to air ambulances.
- Budget 2023 provides $196 million in new EMS funding over three years to hire more staff, put more ambulances on the road and implement recommendations made by the EMS advisory committee and the EMS Dispatch Review Report.
- In addition, $15 million over three years will fund a new capital program to purchase more ambulances and related equipment.
Alberta
Alberta’s fiscal update projects budget surplus, but fiscal fortunes could quickly turn
From the Fraser Institute
By Tegan Hill
According to the recent mid-year update tabled Thursday, the Smith government projects a $4.6 billion surplus in 2024/25, up from the $2.9 billion surplus projected just a few months ago. Despite the good news, Premier Smith must reduce spending to avoid budget deficits.
The fiscal update projects resource revenue of $20.3 billion in 2024/25. Today’s relatively high—but very volatile—resource revenue (including oil and gas royalties) is helping finance today’s spending and maintain a balanced budget. But it will not last forever.
For perspective, in just the last decade the Alberta government’s annual resource revenue has been as low as $2.8 billion (2015/16) and as high as $25.2 billion (2022/23).
And while the resource revenue rollercoaster is currently in Alberta’s favor, Finance Minister Nate Horner acknowledges that “risks are on the rise” as oil prices have dropped considerably and forecasters are projecting downward pressure on prices—all of which impacts resource revenue.
In fact, the government’s own estimates show a $1 change in oil prices results in an estimated $630 million revenue swing. So while the Smith government plans to maintain a surplus in 2024/25, a small change in oil prices could quickly plunge Alberta back into deficit. Premier Smith has warned that her government may fall into a budget deficit this fiscal year.
This should come as no surprise. Alberta’s been on the resource revenue rollercoaster for decades. Successive governments have increased spending during the good times of high resource revenue, but failed to rein in spending when resource revenues fell.
Previous research has shown that, in Alberta, a $1 increase in resource revenue is associated with an estimated 56-cent increase in program spending the following fiscal year (on a per-person, inflation-adjusted basis). However, a decline in resource revenue is not similarly associated with a reduction in program spending. This pattern has led to historically high levels of government spending—and budget deficits—even in more recent years.
Consider this: If this fiscal year the Smith government received an average level of resource revenue (based on levels over the last 10 years), it would receive approximately $13,000 per Albertan. Yet the government plans to spend nearly $15,000 per Albertan this fiscal year (after adjusting for inflation). That’s a huge gap of roughly $2,000—and it means the government is continuing to take big risks with the provincial budget.
Of course, if the government falls back into deficit there are implications for everyday Albertans.
When the government runs a deficit, it accumulates debt, which Albertans must pay to service. In 2024/25, the government’s debt interest payments will cost each Albertan nearly $650. That’s largely because, despite running surpluses over the last few years, Albertans are still paying for debt accumulated during the most recent string of deficits from 2008/09 to 2020/21 (excluding 2014/15), which only ended when the government enjoyed an unexpected windfall in resource revenue in 2021/22.
According to Thursday’s mid-year fiscal update, Alberta’s finances continue to be at risk. To avoid deficits, the Smith government should meaningfully reduce spending so that it’s aligned with more reliable, stable levels of revenue.
Author:
Alberta
Premier Smith says Auto Insurance reforms may still result in a publicly owned system
Better, faster, more affordable auto insurance
Alberta’s government is introducing a new auto insurance system that will provide better and faster services to Albertans while reducing auto insurance premiums.
After hearing from more than 16,000 Albertans through an online survey about their priorities for auto insurance policies, Alberta’s government is introducing a new privately delivered, care-focused auto insurance system.
Right now, insurance in the province is not affordable or care focused. Despite high premiums, Albertans injured in collisions do not get the timely medical care and income support they need in a system that is complex to navigate. When fully implemented, Alberta’s new auto insurance system will deliver better and faster care for those involved in collisions, and Albertans will see cost savings up to $400 per year.
“Albertans have been clear they need an auto insurance system that provides better, faster care and is more affordable. When it’s implemented, our new privately delivered, care-centred insurance system will put the focus on Albertans’ recovery, providing more effective support and will deliver lower rates.”
“High auto insurance rates put strain on Albertans. By shifting to a system that offers improved benefits and support, we are providing better and faster care to Albertans, with lower costs.”
Albertans who suffer injuries due to a collision currently wait months for a simple claim to be resolved and can wait years for claims related to more serious and life-changing injuries to addressed. Additionally, the medical and financial benefits they receive often expire before they’re fully recovered.
Under the new system, Albertans who suffer catastrophic injuries will receive treatment and care for the rest of their lives. Those who sustain serious injuries will receive treatment until they are fully recovered. These changes mirror and build upon the Saskatchewan insurance model, where at-fault drivers can be sued for pain and suffering damages if they are convicted of a criminal offence, such as impaired driving or dangerous driving, or conviction of certain offenses under the Traffic Safety Act.
Work on this new auto insurance system will require legislation in the spring of 2025. In order to reconfigure auto insurance policies for 3.4 million Albertans, auto insurance companies need time to create and implement the new system. Alberta’s government expects the new system to be fully implemented by January 2027.
In the interim, starting in January 2025, the good driver rate cap will be adjusted to a 7.5% increase due to high legal costs, increasing vehicle damage repair costs and natural disaster costs. This protects good drivers from significant rate increases while ensuring that auto insurance providers remain financially viable in Alberta.
Albertans have been clear that they still want premiums to be based on risk. Bad drivers will continue to pay higher premiums than good drivers.
By providing significantly enhanced medical, rehabilitation and income support benefits, this system supports Albertans injured in collisions while reducing the impact of litigation costs on the amount that Albertans pay for their insurance.
“Keeping more money in Albertans’ pockets is one of the best ways to address the rising cost of living. This shift to a care-first automobile insurance system will do just that by helping lower premiums for people across the province.”
Quick facts
- Alberta’s government commissioned two auto insurance reports, which showed that legal fees and litigation costs tied to the province’s current system significantly increase premiums.
- A 2023 report by MNP shows
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