Alberta Premier Danielle Smith’s United Conservative Party government introduced a bill Wednesday to restrict medical assistance in dying (MAID) to patients whose natural death is reasonably foreseeable within one year.
The bill would prohibit MAID for mental illness as a sole condition, ban referrals to providers in other provinces, and bar medical professionals from initiating MAID discussions with patients. It also bans MAID-related signage in hospitals, clinics, and care homes.
Alberta Justice Minister Mickey Amery said the province will defend the law in court if challenged, noting Quebec’s 2021 constitutional ruling on foreseeability is not binding on Alberta.
The bill retains federal safeguards - including prohibitions on MAID for minors and incapable individuals - and mandates new training for all MAID providers. It also reinforces conscience-based refusals by clinicians.
Smith stated MAID “should not become a permanent response to a moment of crisis or despair,” citing alternative care options for non-terminal conditions. Alberta reported 1,242 MAID deaths last year; provincial data shows a 136% increase in MAID use between 2021 and 2025 under federal eligibility rules.