Alberta
Sun setting on AHS as first of four provincial health agencies, Primary Care Alberta set to launch

Primary Care Alberta, the new provincial health agency overseeing and coordinating the delivery of primary health care services, will become operational later this fall.
Alberta’s government is taking action to refocus the health care system so that every Albertan has access to a primary health care provider and timely, high-quality primary health care, no matter where they live.
Alberta’s new primary care provincial health agency, Primary Care Alberta, will create a modern, more responsive and unified health care system that prioritizes patients, empowers front-line health care professionals and helps reduce pressures on the entire health system.
The immediate priority of Primary Care Alberta is to ensure every Albertan has access to high-quality primary care services in all areas of the province, so all Albertans and their families are supported in their day-to-day health needs through every stage of life. The new primary care agency will focus on supporting integrated teams of family physicians, nurse practitioners and pharmacists to provide patients with the best care possible.
“Standing up Primary Care Alberta is an important milestone in refocusing the health care system to put patients first and give our front-line experts the support they need to ensure Albertans are receiving the care they deserve.”
Kim Simmonds, the current assistant deputy minister of strategic planning and performance at Alberta Health, will be appointed as chief executive officer of Primary Care Alberta. Simmonds brings a wealth of public and private sector experience to the role and has extensive experience working with stakeholders across the health care system. She has experience working with clinicians and understands the need for data and evidence-based decision-making when it comes to delivering primary care services to Albertans, no matter where they live.
“If primary care is to be the foundation on which the entire health system stands, every Albertan must have an ongoing connection and trusting relationship with a family doctor or health care team. They must belong to a health home where they are known and where they don’t have to tell their health story over and over again. There is much work to do in Alberta to achieve these goals, and I’m eager to get going to help make it happen.”
Modernizing Alberta’s Primary Care System (MAPS)
In 2022, the Modernizing Alberta’s Primary Care System (MAPS) initiative was launched to recommend ways to strengthen Alberta’s primary health care system. Alberta’s government undertook extensive engagement with its primary care providers and stakeholders to develop a guide to strengthen primary health care in Alberta. The MAPS final report recommended creating a single governance structure that supports an integrated team of health care professionals with data sharing within and across sectors.
Improving the coordination and delivery of primary care was also something Alberta’s government heard during provincewide engagement sessions held earlier this year as part of efforts to engage with Albertans and health care professionals on how to refocus the health care system. This made-in-Alberta solution is the first of its kind to be established in a provincial health care system. The agency is a dedicated organization to support governance, oversight, delivery, operation and coordination, a significant step being taken to improve the quality of health care delivery in the province.
Quick facts
- The Provincial Health Agencies Act enables the transition from one regional health authority, Alberta Health Services (AHS), to an integrated system of four sector-based provincial health agencies: primary care, acute care, continuing care, and mental health and addiction.
- The agencies will be responsible for delivering integrated health services, ensuring Albertans receive timely access to care regardless of where they live.
- Some of Primary Care Alberta’s longer-term priorities include:
- Engaging physicians and providing leadership opportunities to lead their peers through the change process.
- Incentivizing care models that improve health outcomes and patient experience.
- Providing tools to primary care providers, such as enhancing the current Find a Doctor website and e-Referral, that benefit both providers and patients.
- Setting standards for primary care so Albertans have consistent services.
- Funding primary care networks that bring practitioners together to implement provincial initiatives and address regional needs.
- Developing chronic disease care models to reduce the burden of chronic disease on patients and the health care system.
- More than 30,000 Albertans have had the opportunity to share their thoughts and ideas directly on the refocusing through in-person engagement sessions, online feedback forms and telephone townhalls.
- In addition to public engagement sessions, dedicated engagements were held with Indigenous communities, the francophone community and other key health partners.
Related information
Alberta
Low oil prices could have big consequences for Alberta’s finances

From the Fraser Institute
By Tegan Hill
Amid the tariff war, the price of West Texas Intermediate oil—a common benchmark—recently dropped below US$60 per barrel. Given every $1 drop in oil prices is an estimated $750 million hit to provincial revenues, if oil prices remain low for long, there could be big implications for Alberta’s budget.
The Smith government already projects a $5.2 billion budget deficit in 2025/26 with continued deficits over the following two years. This year’s deficit is based on oil prices averaging US$68.00 per barrel. While the budget does include a $4 billion “contingency” for unforeseen events, given the economic and fiscal impact of Trump’s tariffs, it could quickly be eaten up.
Budget deficits come with costs for Albertans, who will already pay a projected $600 each in provincial government debt interest in 2025/26. That’s money that could have gone towards health care and education, or even tax relief.
Unfortunately, this is all part of the resource revenue rollercoaster that’s are all too familiar to Albertans.
Resource revenue (including oil and gas royalties) is inherently volatile. In the last 10 years alone, it has been as high as $25.2 billion in 2022/23 and as low as $2.8 billion in 2015/16. The provincial government typically enjoys budget surpluses—and increases government spending—when oil prices and resource revenue is relatively high, but is thrown into deficits when resource revenues inevitably fall.
Fortunately, the Smith government can mitigate this volatility.
The key is limiting the level of resource revenue included in the budget to a set stable amount. Any resource revenue above that stable amount is automatically saved in a rainy-day fund to be withdrawn to maintain that stable amount in the budget during years of relatively low resource revenue. The logic is simple: save during the good times so you can weather the storm during bad times.
Indeed, if the Smith government had created a rainy-day account in 2023, for example, it could have already built up a sizeable fund to help stabilize the budget when resource revenue declines. While the Smith government has deposited some money in the Heritage Fund in recent years, it has not created a dedicated rainy-day account or introduced a similar mechanism to help stabilize provincial finances.
Limiting the amount of resource revenue in the budget, particularly during times of relatively high resource revenue, also tempers demand for higher spending, which is only fiscally sustainable with permanently high resource revenues. In other words, if the government creates a rainy-day account, spending would become more closely align with stable ongoing levels of revenue.
And it’s not too late. To end the boom-bust cycle and finally help stabilize provincial finances, the Smith government should create a rainy-day account.
Alberta
Governments in Alberta should spur homebuilding amid population explosion

From the Fraser Institute
By Tegan Hill and Austin Thompson
In 2024, construction started on 47,827 housing units—the most since 48,336 units in 2007 when population growth was less than half of what it was in 2024.
Alberta has long been viewed as an oasis in Canada’s overheated housing market—a refuge for Canadians priced out of high-cost centres such as Vancouver and Toronto. But the oasis is starting to dry up. House prices and rents in the province have spiked by about one-third since the start of the pandemic. According to a recent Maru poll, more than 70 per cent of Calgarians and Edmontonians doubt they will ever be able to afford a home in their city. Which raises the question: how much longer can this go on?
Alberta’s housing affordability problem reflects a simple reality—not enough homes have been built to accommodate the province’s growing population. The result? More Albertans competing for the same homes and rental units, pushing prices higher.
Population growth has always been volatile in Alberta, but the recent surge, fuelled by record levels of immigration, is unprecedented. Alberta has set new population growth records every year since 2022, culminating in the largest-ever increase of 186,704 new residents in 2024—nearly 70 per cent more than the largest pre-pandemic increase in 2013.
Homebuilding has increased, but not enough to keep pace with the rise in population. In 2024, construction started on 47,827 housing units—the most since 48,336 units in 2007 when population growth was less than half of what it was in 2024.
Moreover, from 1972 to 2019, Alberta added 2.1 new residents (on average) for every housing unit started compared to 3.9 new residents for every housing unit started in 2024. Put differently, today nearly twice as many new residents are potentially competing for each new home compared to historical norms.
While Alberta attracts more Canadians from other provinces than any other province, federal immigration and residency policies drive Alberta’s population growth. So while the provincial government has little control over its population growth, provincial and municipal governments can affect the pace of homebuilding.
For example, recent provincial amendments to the city charters in Calgary and Edmonton have helped standardize building codes, which should minimize cost and complexity for builders who operate across different jurisdictions. Municipal zoning reforms in Calgary, Edmonton and Red Deer have made it easier to build higher-density housing, and Lethbridge and Medicine Hat may soon follow suit. These changes should make it easier and faster to build homes, helping Alberta maintain some of the least restrictive building rules and quickest approval timelines in Canada.
There is, however, room for improvement. Policymakers at both the provincial and municipal level should streamline rules for building, reduce regulatory uncertainty and development costs, and shorten timelines for permit approvals. Calgary, for instance, imposes fees on developers to fund a wide array of public infrastructure—including roads, sewers, libraries, even buses—while Edmonton currently only imposes fees to fund the construction of new firehalls.
It’s difficult to say how long Alberta’s housing affordability woes will endure, but the situation is unlikely to improve unless homebuilding increases, spurred by government policies that facilitate more development.
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