An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying)

This bill was last introduced in the 42nd Parliament, 1st Session, which ended in September 2019.

Sponsor

Status

This bill has received Royal Assent and is now law.

Summary

This is from the published bill.

This enactment amends the Criminal Code to, among other things,
(a) create exemptions from the offences of culpable homicide, of aiding suicide and of administering a noxious thing, in order to permit medical practitioners and nurse practitioners to provide medical assistance in dying and to permit pharmacists and other persons to assist in the process;
(b) specify the eligibility criteria and the safeguards that must be respected before medical assistance in dying may be provided to a person;
(c) require that medical practitioners and nurse practitioners who receive requests for, and pharmacists who dispense substances in connection with the provision of, medical assist­ance in dying provide information for the purpose of permitting the monitoring of medical assistance in dying, and authorize the Minister of Health to make regulations respecting that information; and
(d) create new offences for failing to comply with the safeguards, for forging or destroying documents related to medical assistance in dying, for failing to provide the required information and for contravening the regulations.
This enactment also makes related amendments to other Acts to ensure that recourse to medical assistance in dying does not result in the loss of a pension under the Pension Act or benefits under the Canadian Forces Members and Veterans Re-establishment and Compensation Act. It amends the Corrections and Conditional Release Act to ensure that no investigation need be conducted under section 19 of that Act in the case of an inmate who receives medical assistance in dying.
This enactment provides for one or more independent reviews relating to requests by mature minors for medical assistance in dying, to advance requests and to requests where mental illness is the sole underlying medical condition.
Lastly, this enactment provides for a parliamentary review of its provisions and of the state of palliative care in Canada to commence at the start of the fifth year following the day on which it receives royal assent.

Elsewhere

All sorts of information on this bill is available at LEGISinfo, an excellent resource from the Library of Parliament. You can also read the full text of the bill.

Votes

June 16, 2016 Passed That a Message be sent to the Senate to acquaint their Honours that this House: agrees with the amendments numbered 1, 2(d), 2(e), 4, and 5 made by the Senate to Bill C-14, An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying); proposes that amendment 2(c)(i) be amended by replacing the text of the amendment with the following text “sistance in dying after having been informed of the means that are available to relieve their suffering, including palliative care.”; proposes that amendment 3 be amended in paragraph (b) by adding after the words “make regulations” the words “that he or she considers necessary”; respectfully disagrees with amendment 2(a) because requiring that a person who assists to be free from any material benefit arising from the patient's death would eliminate from participation the family members or friends most likely to be present at the patient's express wish, and this would violate patient autonomy in a fundamental and inacceptable manner; and respectfully disagrees with amendments 2(b), 2(c)(ii), and 2(c)(iii) because they would undermine objectives in Bill C-14 to recognize the significant and continuing public health issue of suicide, to guard against death being seen as a solution to all forms of suffering, and to counter negative perceptions about the quality of life of persons who are elderly, ill or disabled, and because the House is of the view that C-14 strikes the right balance for Canadians between protection of vulnerable individuals and choice for those whose medical circumstances cause enduring and intolerable suffering as they approach death.
June 16, 2016 Failed That the motion be amended by: ( a) deleting the paragraph commencing with the words “respectfully disagrees with amendments numbered 2(b), 2(c)(ii), and 2(c)(iii)”; and ( b) replacing the words “agrees with amendments numbered 1, 2(d), 2(e), 4, and 5” with the words “agrees with amendments numbered 1, 2(b), 2(c)(ii), 2(c)(iii), 2(d), 2(e), 4, and 5”.
May 31, 2016 Passed That the Bill be now read a third time and do pass.
May 31, 2016 Failed That the motion be amended by deleting all the words after the word “That” and substituting the following: “Bill C-14, An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying), be not now read a third time but be referred back to the Standing Committee on Justice and Human Rights for the purpose of reconsidering Clause 3 with a view to ensuring that the eligibility criteria contained therein are consistent with the constitutional parameters set out by the Supreme Court in its Carter v. Canada decision.”.
May 30, 2016 Passed That Bill C-14, An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying), {as amended}, be concurred in at report stage [with a further amendment/with further amendments] .
May 30, 2016 Failed “Health, no later than 45 days after the day”
May 30, 2016 Failed “(7.1) It is recognized that the medical practitioner, nurse practitioner, pharmacist or other health care institution care provider, or any such institution, is free to refuse to provide direct or indirect medical assistance in dying. (7.2) No medical practitioner, nurse practitioner, pharmacist or other healthcare institution care provider, or any such institution, shall be deprived of any benefit, or be subject to any obligation or sanction, under any law of the Parliament of Canada solely by reason of their exercise, in respect of medical assistance in dying, of the freedom of conscience and religion guaranteed under the Canadian Charter of Rights and Freedoms or the expression of their beliefs in respect of medical assistance in dying based on that guaranteed freedom.”
May 30, 2016 Failed “(3.1) The medical practitioner or nurse practitioner shall not provide a person with assistance in dying if the criteria in subsection (1) and the safeguards in subsection (3) have not been reviewed and verified in advance (a) by a competent legal authority designated by the province for that purpose; or (b) if no designation is made under paragraph (a), by a legal authority designated by the Minister of Health in conjunction with the Minister of Justice for that purpose. (3.2) The designation referred to in paragraph (3.1)(b) ceases to have effect if the province notifies the Minister of Justice that a designation has been made under paragraph (3.1)(a).”
May 30, 2016 Failed “(3.1) As it relates to medical assistance in dying, no medical practitioner or nurse practitioner may administer a substance to a person if they and the medical practitioner or nurse practitioner referred to in paragraph (3)(e) concur that the person is capable of self-administering the substance.”
May 30, 2016 Failed “(d) their imminent natural death has become foreseeable, taking into account all of their medical circumstances.”
May 30, 2016 Failed
May 30, 2016 Failed “(f) they have, if they suffer from an underlying mental health condition, undergone a psychiatric examination performed by a certified psychiatrist to confirm their capacity to give informed consent to receive medical assistance in dying.”
May 30, 2016 Failed “(f) prior to making the request, they consulted a medical practitioner regarding palliative care options and were informed of the full range of options.”
May 30, 2016 Failed
May 18, 2016 Passed That, in relation to Bill C-14, An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying), not more than one further sitting day shall be allotted to the consideration at report stage of the Bill and one sitting day shall be allotted to the consideration at third reading stage of the said Bill; and That, 15 minutes before the expiry of the time provided for Government Orders on the day allotted to the consideration at report stage and on the day allotted to the consideration at third reading stage of the said Bill, any proceedings before the House shall be interrupted, if required for the purpose of this Order, and in turn every question necessary for the disposal of the stage of the Bill then under consideration shall be put forthwith and successively without further debate or amendment.
May 4, 2016 Passed That the Bill be now read a second time and referred to the Standing Committee on Justice and Human Rights.
May 4, 2016 Passed That the question be now put.
May 4, 2016 Passed That, in relation to Bill C-14, An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying), not more than one further sitting day shall be allotted to the consideration at second reading stage of the Bill; and That, 15 minutes before the expiry of the time provided for Government Orders on the day allotted to the consideration at second reading stage of the said Bill, any proceedings before the House shall be interrupted, if required for the purpose of this Order, and, in turn, every question necessary for the disposal of the said stage of the Bill shall be put forthwith and successively, without further debate or amendment.

Alleged Premature Disclosure of Contents of Bill C-14PrivilegeGovernment Orders

April 14th, 2016 / 12:15 p.m.


See context

Liberal

Andrew Leslie Liberal Orléans, ON

Mr. Speaker, I listened to the intervention of my hon. colleague from the Conservative Party concerning the troubling suggestion that someone from the government prematurely disclosed the contents of Bill C-14, the bill concerning medical assistance in dying, which was introduced earlier today.

I am not aware of the details surrounding the media report referred to by the member, but I want to assure the House that our government takes any breach of the privilege of members and of the House very seriously.

I can tell the House that at no point was anyone authorized to publicly discuss the specific details of the bill prior to introduction.

On behalf of the government, I unreservedly apologize to the House and to members. Our government will work to ensure that this does not happen again.

Alleged Premature Disclosure of Contents of Bill C-14PrivilegeGovernment Orders

April 14th, 2016 / 12:10 p.m.


See context

Conservative

Andrew Scheer Conservative Regina—Qu'Appelle, SK

Mr. Speaker, I rise on a question of privilege regarding the premature disclosure of the contents of Bill C-14, an act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying) introduced earlier today.

On the same day the bill was put on notice, details of the bill were reported in The Globe and Mail. The article begins:

The Liberal government is set to introduce its much-anticipated physician-assisted-dying law on Thursday, a bill that will exclude those who only experience mental suffering, such as people with psychiatric conditions, according to a source familiar with the legislation.

This is not a case of journalistic speculation. The reporter identified someone in the know who provided to her specifics of the bill. The journalist continues to refer to this source later in the article:

The bill also won’t allow for advance consent, a request to end one’s life in the future, for those suffering with debilitating conditions such as dementia. In addition, there will be no exceptions for “mature minors” who have not yet reached 18 but wish to end their own lives.

Those three issues, however, will be alluded to in the legislation for further study, according to the source, who is not authorized to speak publicly about the bill.

These are very specific elements of the legislation. The CBC The National gave similar details last night, and it too referenced sources.

Now that Bill C-14 has been introduced and we now know the details, we also know that those details were reported in The Globe and Mail and elsewhere in the media prior to its introduction.

On March 19, 2001, the Speaker ruled on a question of privilege regarding an incident whereby the media was briefed on a justice bill, Bill C-15, before members of Parliament. The Speaker indicated that there were two important issues in that case: the matter of the embargoed briefing to the media and the issue of members' access to information required to fulfill their duties.

In his ruling, the Speaker said:

In preparing legislation, the government may wish to hold extensive consultations and such consultations may be held entirely at the government’s discretion. However, with respect to material to be placed before parliament, the House must take precedence....The convention of the confidentiality of bills on notice is necessary, not only so that members themselves may be well informed, but also because of the pre-eminent rule which the House plays and must play in the legislative affairs of the nation. To deny...information concerning business that is about to come before the House, while at the same time providing such information to media that will likely be questioning members about that business, is a situation that the Chair cannot condone.

That matter was referred to the Standing Committee on Procedure and House Affairs. The committee concluded:

...the protocol of the Department of Justice whereby no briefings or briefing materials should be provided with respect to a bill on notice until its introduction in the House of Commons should be adopted as a standard policy by all government departments. We believe that such a policy is respectful of the House of Commons and its Members. It recognizes the legislative role of Parliament, and is consistent with parliamentary privilege and the conventions of Parliament.

The committee went on to say:

This incident highlights a concern shared by all members of the Committee: apparent departmental ignorance of or disrespect for the role of House of Commons and its Members. Even if the result is unintended, the House should not tolerate such ignorance within the government administration to undermine the perception of Parliament’s constitutional role in legislating. The rights of the House and its Members in this role are central to our constitutional and democratic government.

On October 15, 2001, the content of another justice bill, Bill C-36 was leaked to the media. The Liberal government House leader at the time, Don Boudria, rose in his place and did, in my opinion, the right thing. He stated:

Last Friday afternoon I received a copy of Bill C-36. As is my role as Leader of the Government in the House of Commons, I do what is known as a review of the bill. I took precautions then and earlier with the minister and all of her staff to ensure that the bill was not in any way given to the media or otherwise. I was given that assurance by everyone I spoke to.

On Saturday I saw extracts from the bill in the media. They were not all factually correct but enough of them were that it caused me to be as concerned as the hon. member when raising this question in the House.

I cannot say much more other than to apologize on behalf of whoever is guilty of this. I use the word guilty because that is what comes to mind, given the respect that I have for this institution. Anyone who breaches that respect is guilty of an offence in my book. The problem is that we do not know who it is.

The situation here before us is identical. We do not know who leaked the contents of the bill. The article refers to "a source familiar with the legislation”.

On the same day that the question of privilege was raised, the Speaker ruled and said:

I have to say at once this appears to be similar to the issue raised earlier before me with respect to Bill C-15. In my opinion it appears that there has been again a breach of the privileges of the House in relation to this piece of legislation.

The hon. member for Winnipeg—Transcona in his remarks tried to assist the Chair by suggesting that it was for the Chair to investigate the matter and come up with the name of the culprit and so on. I respect his opinion of course in all matters, but in this matter I think his view is perhaps wrong. There is a body that is well equipped to commit acts of inquisition, and that is the Standing Committee on Procedure and House Affairs....

Accordingly, in my view this is a matter which ought to be sent to the committee.

In my opinion, we clearly have a breach of privilege. The contents of Bill C-14 were leaked to The Globe and Mail and perhaps others, and we do not know who the culprit is.

We in the opposition are very concerned about this dismissive view of the role of the House. I trust that members of the government are equally concerned and would want to get to the bottom of it, as Mr. Boudria did in 2001.

I have no doubt, Mr. Speaker, that you too would be concerned, and that is why I ask that you do as your predecessors have done and refer this matter to the Standing Committee on Procedure and House Affairs.

In conclusion, if you would permit me to speculate here for a moment, Mr. Speaker, I suspect that Mr. Boudria had the usual struggles that House leaders and their staff have with ministers' communication directors who like to preposition the government's message on a bill. However, they did not understand the role that the House played then, and perhaps they do not now, but members of Parliament certainly do. I do not think any member, regardless of what side of the House he or she sits on, wants to have their independence taken over by staff in ministers' or departmental offices.

Criminal CodeRoutine Proceedings

April 14th, 2016 / 10:05 a.m.


See context

Vancouver Granville B.C.

Liberal

Jody Wilson-Raybould LiberalMinister of Justice and Attorney General of Canada

moved for leave to introduce Bill C-14, An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying).

(Motions deemed adopted, bill read the first time and printed)