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The parts that prohibited medical assistance in dying would no longer be valid. The Supreme Court gave the government until June 6,to create a new law. In Junethe Parliament of Canada passed federal legislation that allows eligible Canadian adults to request medical assistance in dying. On March 17,Parliament passed revised legislation that makes important changes to who may be eligible to obtain medical assistance in dying and the process of assessment. These changes take effect immediately. The government is working with provinces and territories and with health care professionals to ensure eligible Canadians will be able to request MAID according to the new law, and that the appropriate protections are in place.

These people can assist in the process without being charged under criminal law. However, physicians, nurse practitioners and other people who are directly involved must follow:. Not all health care providers are comfortable with medical assistance in dying.

Participating in MAID may not be consistent with a provider's beliefs and values. The federal legislation does not force any person to provide or help to provide medical assistance in dying. Provincial and territorial governments have the responsibility for determining how and where health care services are provided.

They may also make policies around where MAID can take place, however, they cannot permit actions that are prohibited under the Criminal Code. We understand that these provider rights could create challenges for patients who want to access medical assistance in dying. Patients are encouraged to contact their physician or nurse practitioner if applicable for questions about access. Patients may also wish to contact the resources set up within their province or territory to get information on MAID and other care options.

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See: Supporting access to a range of care and support options. Physicians and nurse practitioners are encouraged to contact their provincial or territorial professional regulatory body for information about specific practice guidelines and about their reporting obligations. There are 2 types of medical assistance in dying available to Canadians. They each include a physician or nurse practitioner who:.

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Which drugs to use are outlined in clinical guidelines and practices established by provinces and territories, or organizations that regulate the practice of medicine. Many of the drugs commonly used for this procedure are already marketed in Canada and are prescribed at lower dosages for common purposes, such as:. As the regulator of drug products, Health Canada will work with partners, as needed, to help support access to drugs for medical assistance in dying. New changes to the legislation have allowed a broader group of people to be eligible to request and receive MAID.

These changes came into effect on March 17, In order to be eligible for medical assistance in dying, you must meet all of the following criteria. You must:. To be considered as having a grievous and irremediable medical condition, you must meet all of the following criteria.

You do not need to have a fatal or terminal condition to be eligible for medical assistance in dying. Canadians whose only medical condition is a mental illness, and who otherwise meet all eligibility criteria, will not be eligible for MAID until March 17, see About mental illness and MAID.

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To be eligible, you must provide informed consent to your practitioner. This means you have consented given permission to MAID after you have received all of the information you need to make your decision, including:. Under the new changes made to the law, the exclusion will remain in effect until March 17, This temporary exclusion provides the Government of Canada and health professional bodies more time to consider how MAID can be provided safely to those whose only medical condition is a mental illness.

To support this work, the government will initiate an expert review to consider protocols, guidance and safeguards for those with a mental illness seeking MAID, and will make recommendations within a year by March 17, After March 17,people with a mental illness as their sole underlying medical condition will have access to MAID if they meet all of the eligibility requirements and the practitioners fulfill the safeguards that are put in place for this group of people.

If you have a mental illness along with other medical conditions, you may be eligible to seek MAID. Eligibility is always assessed on an individual basis, taking into all of the relevant circumstances. However, you must meet all the criteria to be eligible for medical assistance in dying.

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If you are experiencing a lot of pain and suffering due to your medical situation, talk to your physician or nurse practitioner about options in relation to your medical condition or circumstances and your possible interest in MAID. If you do not have a regular practitioner, your province or territory may have a central MAID coordination service that can help you with the process. There may be additional requirements that you have to complete. Your health care provider can provide you with more information.

On March 17,changes to the legislation on MAID took effect that change existing safeguards for eligible people whose natural death is considered reasonably foreseeable. The revised law also contains new safeguards for eligible people who are requesting MAID and whose death is not considered reasonably foreseeable. Safeguards guide health care providers to carry out this service appropriately and in a way that protects people from abuse or misuse.

Your physician or nurse practitioner must make sure that you are eligible to receive medical assistance in dying according to all of the listed criteria. A second physician or nurse practitioner must also provide a written opinion confirming that you are eligible. The physician or nurse practitioner providing the original assessment and the one giving the second opinion must be independent. For any person, whether your natural death is considered reasonably foreseeable, or not, you must a written request that says you want to have a medically assisted death.

Some provinces and territories may require that you complete a specific request form. These forms may be provided by your health care provider or available on a provincial or territorial website. The role of the independent witness is to confirm to the ing and dating of the request by the person requesting MAID and that they understand what they are ing. An independent witness must be at least 18 years of age and understand what it means to request MAID. You must also be informed of your right to withdraw your request for MAID at any time and in any manner. Immediately before MAID is provided to you, you must be given the opportunity to withdraw consent, and you must affirm that you consent to receive MAID.

An exception to this requirement is possible in the case of people whose deaths are reasonably foreseeable see Waiver of Final Consent. On March 17,changes to the legislation on medical assistance in dying allow you to waive the requirement for giving final consent just before MAID is provided, only if :. Any arrangement for the waiver of final consent will be considered invalid if, at the time that MAID is to be provided, you no longer have capacity and you demonstrate refusal or resistance to the administration of MAID by words, sounds or gestures.

For further clarity, reflexes and other types of involuntary movements, such as response to touch or the insertion of a needle, would not constitute refusal or resistance. If you are eligible for MAID and you choose to self-administer prescribed medications for MAID, you may make an arrangement in writing with your practitioner so that they can administer MAID to you in a specific situation. This specific arrangement allows for practitioner-administered MAID in the event of complications with self-administration that cause your loss of decision-making capacity but not your death.

This means that your practitioner must be present at the time that you self-administer the medications. If the practitioners assessing your request for MAID determine that your death is not reasonably foreseeablethere are added safeguards that must be met to be eligible to receive MAID:. The federal legislation on medical assistance in dying is part of the Criminal Code. It states that a person is not guilty of a criminal offence if they provide or assist in providing MAID according to the conditions and safeguards in the law.

Provinces and territories may create additional health-related laws or rules; however, they cannot permit actions that are prohibited under the Criminal Code. If these rules are within provincial power, they may address health and other aspects of MAID, such as:.

If you have questions about the law and policies in your specific location, contact your province or territory.

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Policies and procedures for medical assistance in dying may vary among provinces and territories. Monitoring and reporting are critical components in building transparency and public trust in the law. They also help to reflect the seriousness of medical assistance in dying as an exception to the criminal laws that prohibit ending a human life. Public reports can give a clear picture of how the legislation is working and help us to understand the impact of the legislation. On August 8,the Government of Canada published regulations to create a federal, pan-Canadian monitoring system on medical assistance in dying.

On March 17,the Government announced changes to the law which came into effect immediately. Updating the Regulations will require extensive consultation and is expected to take up to 2 years to come into force. Until that time, health care providers should consult with their professional regulatory bodies to learn about any changes to their reporting obligations for MAID.

Regulations require that the Minister of Health publish a report at least once a year using the information collected under the federal MAID monitoring system. For more information about these reports, contact: Hc. Sc canada. Federal, provincial and territorial governments recognized the importance of the timely release of accurate information and collaborated to produce a series of interim reports about medical assistance in dying until the regulations were established in The first interim report was released on April 26, and covered the first 6 months that MAID was available in Canada June 17, to December 31, Three additional interim reports were produced, with the fourth being the final report under this interim reporting protocol.

As mandated in the revised MAID legislation, passed in Marcha Special t Committee on Medical Assistance in Dying has been appointed to undertake a review the provisions of the Criminal Code relating to MAID and their application, including but not limited to issues relating to mature minors, advance requests, mental illness, the state of palliative care in Canada and the protection of Canadians with disabilities. The Committee is expected to conclude its review within a year and present its report to Parliament. This work will help ensure that practitioners are equipped to assess these requests in a safe and compassionate way based on rigorous clinical standards and legally mandated safeguards that are applied consistently across Canada.

The findings will assist Parliamentarians in considering whether additional safeguards should be legislated. On December 13,the Government engaged the Council of Canadian Academies CCA to conduct independent reviews related to specific types of requests for medical assistance in dying - requests by mature minors, advance requests, and requests where a mental disorder is the sole underlying medical condition. These issues were the subject of debate when Bill C, the Government's legislation on medical assistance in dying, was being considered by Parliament.

The Act required the Ministers of Health and Justice to initiate independent reviews on the three issues and table reports in Parliament within 2 years of initiation. The final reports on these reviews have been tabled in Parliament and are available to the public on the CCA website. The purpose of the reviews was to gather and analyze relevant information and evidence on the diverse perspectives and issues surrounding requests for medical assistance in dying in the three areas, in order to facilitate an informed, evidence-based, dialogue among Canadians and decision-makers.

The CCA reviews were led by a multidisciplinary panel of 43 experts who reviewed an extensive body of evidence including Canadian and international academic and policy research, written submissions from organizations affected by, or involved in, assisted dying, and conversations with Indigenous Elders.

The reviews do not include recommendations, as is the practice with every CCA report, but synthesize the body of evidence. To better meet the palliative and end-of-life care needs of Canadians, we are committed to :. To better meet the needs of disability communities in Canada, we are committed to:. You will not receive a reply. For enquiries. Information on this web will continue to be updated as needed. For more information. Report a problem or mistake on this. Please select all that apply: A link, button or video is not working.

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Medical assistance in dying