Alberta
Alberta budget announces record high health spending including money for new and redeveloped hospitals
Alberta’s government is providing another year of record-high investment, with $24.5 billion in the Ministry of Health’s operating expense this year, an increase of 4.1 per cent from last year. This new funding will focus on addressing areas of priority in the Healthcare Action Plan to improve the health-care services Albertans expect and deserve. In addition, Alberta’s primary health-care system is being strengthened and modernized with a record investment of $243 million over three years.
Budget 2023 provides $3.1 billion in capital funding over three years to further build up Alberta’s valuable health-care infrastructure, an additional $529 million in capital maintenance and renewal for health facilities and a further $732 million in self-financed funding. The $3.1 billion includes funding for the redevelopment and expansion of the Red Deer Regional Hospital, increasing critical services and capacity in one of Alberta’s largest hospitals.
Additionally, $18 million over three years is for further planning for proposed health capital projects across the province, including the stand-alone Stollery Children’s Hospital in Edmonton, a north Calgary/Airdrie regional health centre, expansion of the Strathcona Community Hospital, and new or upgraded facilities in Bassano, Cardston and Whitecourt.
A total of $237 million over three years will go towards the Alberta Surgical Initiative Capital Program, with $120 million in new funding to expand and modernize operating rooms in 15 communities across the province and reduce wait times for surgeries.
The new Health Workforce Strategy will help get Albertans the care they need, when and where they need it. Budget 2023 includes $158 million in 2023-24 to retain and support, attract, grow, strengthen and evolve the health-care workforce, including physicians and nurses.
“Building a resilient and responsive health-care system that meets the needs of Albertans is essential to keeping our province healthy. This is why Budget 2023 includes another record-high health-care investment, so we can put the right health-care professionals, resources and services where they are needed most.”
Budget 2023 invests in emergency medical services (EMS) to improve ambulance response times. An increase of $196 million over three years will help hire more staff and implement recommendations from the Alberta EMS Provincial Advisory Committee. A new capital program will provide $15 million over three years to put more ambulances on the road.
As part of the initiative to improve primary health care, Alberta’s government is investing more than $2 billion in 2023-24. This includes $243 million over three years to strengthen the province’s primary care system, including implementing the recommendations from the three advisory panels of Modernizing Alberta’s Primary Health Care System (MAPS) established in fall 2022. These recommendations will inform the government’s immediate next steps and a path forward over the next five to 10 years.
“Investing in health care is not just a cost, it’s an investment in our future. By increasing critical health-care capacity, we can ensure that our health-care system is equipped to meet the needs of our citizens and provide the highest quality of care possible.”
“Over the next three years, Alberta’s government is investing $23 billion into public infrastructure through the 2023 Capital Plan. By building and revitalizing hospitals, schools, courthouses and other public facilities, we are investing in the critical infrastructure projects that Albertans need and help keep people working.”
Budget 2023 includes nearly $4.3 billion in combined operating support for community care, continuing care and home care programs, an increase of more than 15 per cent, or $570 million from the 2022-23 forecast. An investment of $1 billion over three years will support continuing care transformation that will shift care to the community, enhance workforce capacity, increase choice and innovation, and improve the quality of care within the sector. In addition, there is $310 million over three years for the Continuing Care Capital Program, which supports modernizing continuing care facilities, developing innovative small care homes, providing culturally appropriate care for Indigenous Peoples and building new spaces in priority communities having the greatest need.
Budget 2023 includes operating expense of $148 million in 2023-24 for the Ministry of Mental Health and Addiction. In addition, it supports Alberta Health Services with additional funding to reduce wait times for mental health and addiction services and address gaps in the system. Alberta spends more than $1 billion per year on mental health and addiction programs and services, excluding physician billings. Over the next three years, Alberta’s government will also invest $155 million in capital funding to continue building holistic, long-term recovery communities where Albertans will be able to access detox services, treatment medications, peer support, and help with skills and training.
“Alberta has emerged as a national leader in building out recovery-oriented systems of care for addiction and mental health. The historic investments included in Budget 2023 will help us further expand treatment and recovery services, enabling us to support more Albertans in their pursuit of recovery.”
Budget 2023 highlights
- $6.2 billion budgeted in 2023-24, increasing to more than $6.4 billion by 2025-26 for physician compensation and development programs.
- More than $250 million over four years (beginning in 2022-23) for recruitment and retention programs under the agreement with the Alberta Medical Association so more Albertans can access family doctors, and to provide more support to help physicians keep their clinics open and running.
- More than $2 billion per year for Drugs and Supplemental Health benefit programs. The Seniors Drug program budget is the largest component of this suite of programs, with $693 million budgeted in 2023-24, supporting more than 700,000 seniors.
- More than $2 billion in 2023-24 to support primary care in Alberta, including payments to family doctors.
- $125 million over three years as an initial investment, providing funding for early opportunities to improve primary care identified through the Modernizing Alberta’s Primary Health Care Systems (MAPS) initiative.
Budget 2023 secures Alberta’s bright 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.
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
Alberta
Alberta fiscal update: second quarter is outstanding, challenges ahead
Alberta maintains a balanced budget while ensuring pressures from population growth are being addressed.
Alberta faces rising risks, including ongoing resource volatility, geopolitical instability and rising pressures at home. With more than 450,000 people moving to Alberta in the last three years, the province has allocated hundreds of millions of dollars to address these pressures and ensure Albertans continue to be supported. Alberta’s government is determined to make every dollar go further with targeted and responsible spending on the priorities of Albertans.
The province is forecasting a $4.6 billion surplus at the end of 2024-25, up from the $2.9 billion first quarter forecast and $355 million from budget, due mainly to higher revenue from personal income taxes and non-renewable resources.
Given the current significant uncertainty in global geopolitics and energy markets, Alberta’s government must continue to make prudent choices to meet its responsibilities, including ongoing bargaining for thousands of public sector workers, fast-tracking school construction, cutting personal income taxes and ensuring Alberta’s surging population has access to high-quality health care, education and other public services.
“These are challenging times, but I believe Alberta is up to the challenge. By being intentional with every dollar, we can boost our prosperity and quality of life now and in the future.”
Midway through 2024-25, the province has stepped up to boost support to Albertans this fiscal year through key investments, including:
- $716 million to Health for physician compensation incentives and to help Alberta Health Services provide services to a growing and aging population.
- $125 million to address enrollment growth pressures in Alberta schools.
- $847 million for disaster and emergency assistance, including:
- $647 million to fight the Jasper wildfires
- $163 million for the Wildfire Disaster Recovery Program
- $5 million to support the municipality of Jasper (half to help with tourism recovery)
- $12 million to match donations to the Canadian Red Cross
- $20 million for emergency evacuation payments to evacuees in communities impacted by wildfires
- $240 million more for Seniors, Community and Social Services to support social support programs.
Looking forward, the province has adjusted its forecast for the price of oil to US$74 per barrel of West Texas Intermediate. It expects to earn more for its crude oil, with a narrowing of the light-heavy differential around US$14 per barrel, higher demand for heavier crude grades and a growing export capacity through the Trans Mountain pipeline. Despite these changes, Alberta still risks running a deficit in the coming fiscal year should oil prices continue to drop below $70 per barrel.
After a 4.4 per cent surge in the 2024 census year, Alberta’s population growth is expected to slow to 2.5 per cent in 2025, lower than the first quarter forecast of 3.2 per cent growth because of reduced immigration and non-permanent residents targets by the federal government.
Revenue
Revenue for 2024-25 is forecast at $77.9 billion, an increase of $4.4 billion from Budget 2024, including:
- $16.6 billion forecast from personal income taxes, up from $15.6 billion at budget.
- $20.3 billion forecast from non-renewable resource revenue, up from $17.3 billion at budget.
Expense
Expense for 2024-25 is forecast at $73.3 billion, an increase of $143 million from Budget 2024.
Surplus cash
After calculations and adjustments, $2.9 billion in surplus cash is forecast.
- $1.4 billion or half will pay debt coming due.
- The other half, or $1.4 billion, will be put into the Alberta Fund, which can be spent on further debt repayment, deposited into the Alberta Heritage Savings Trust Fund and/or spent on one-time initiatives.
Contingency
Of the $2 billion contingency included in Budget 2024, a preliminary allocation of $1.7 billion is forecast.
Alberta Heritage Savings Trust Fund
The Alberta Heritage Savings Trust Fund grew in the second quarter to a market value of $24.3 billion as of Sept. 30, 2024, up from $23.4 billion at the end of the first quarter.
- The fund earned a 3.7 per cent return from July to September with a net investment income of $616 million, up from the 2.1 per cent return during the first quarter.
Debt
Taxpayer-supported debt is forecast at $84 billion as of March 31, 2025, $3.8 billion less than estimated in the budget because the higher surplus has lowered borrowing requirements.
- Debt servicing costs are forecast at $3.2 billion, down $216 million from budget.
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