Pharmacare Act

An Act respecting pharmacare

Sponsor

Mark Holland  Liberal

Status

This bill has received Royal Assent and is, or will soon become, law.

Summary

This is from the published bill. The Library of Parliament has also written a full legislative summary of the bill.

This enactment sets out the principles that the Minister of Health is to consider when working towards the implementation of national universal pharmacare and obliges the Minister to make payments, in certain circumstances, in relation to the coverage of certain prescription drugs and related products. It also sets out certain powers and obligations of the Minister — including in relation to the preparation of a list to inform the development of a national formulary and in relation to the development of a national bulk purchasing strategy — and requires the Minister to publish a pan-Canadian strategy regarding the appropriate use of prescription drugs and related products. Finally, it provides for the establishment of a committee of experts to make certain recommendations.

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 3, 2024 Passed 3rd reading and adoption of Bill C-64, An Act respecting pharmacare
May 30, 2024 Passed Concurrence at report stage of Bill C-64, An Act respecting pharmacare
May 30, 2024 Failed Bill C-64, An Act respecting pharmacare (report stage amendment)
May 7, 2024 Passed 2nd reading of Bill C-64, An Act respecting pharmacare
May 7, 2024 Failed 2nd reading of Bill C-64, An Act respecting pharmacare (reasoned amendment)
May 6, 2024 Passed Time allocation for Bill C-64, An Act respecting pharmacare

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:15 p.m.


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The Assistant Deputy Speaker (Mrs. Alexandra Mendès) Alexandra Mendes

That would be more in the nature of a member's statement than a point of order.

The hon. member for Renfrew—Nipissing—Pembroke has the floor.

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:15 p.m.


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Conservative

Cheryl Gallant Conservative Renfrew—Nipissing—Pembroke, ON

Madam Speaker, a national drug program or pharmacare program would be a great idea if we were not a trillion dollars in the hole. As a consequence of being so in debt, taxes are going up and driving our doctors out of the country. How is a pharmacare program going to help people who do not even have a doctor to provide a prescription and have no way of getting a prescription? How is the government going to decide who gets the medicine when there is a drug shortage, as we have seen recently with diabetes? How are they going to decide who lives and dies?

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:15 p.m.


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Liberal

Adam van Koeverden Liberal Milton, ON

Madam Speaker, it is beyond the pale that Conservatives continue to refer to a national pharmacare plan as an expenditure that we just cannot afford. It is so unfortunate.

This is an affordability measure. It is a way to support Canadians who are vulnerable. It is a proven method to ensure that vulnerable, lower-income and disproportionately impacted Canadians will receive the financial support they need. There are Canadians living in period poverty, who cannot access contraception and who just simply do not have regular access to diabetes medications.

A government is required to be able to do many complicated things simultaneously. We need to address the doctor shortage. We need to meet Canadians where they are and ensure they have the medications that they deserve and that they need in order to live full and fulfilled lives.

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:20 p.m.


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Bloc

Yves Perron Bloc Berthier—Maskinongé, QC

Madam Speaker, I thank my colleague for his speech. He just responded to the Conservatives by saying that this money needs to be spent to provide a service. I agree with him. However, we have to be efficient. To be efficient, we should entrust this money to the people who are competent.

A system already exists in Quebec. My colleague is well aware of it. I am going to give him a mission to fulfill within his party, his government. He needs to convince his caucus and the people who run it to transfer the money to Quebec, unconditionally.

I can assure the House that the Quebec government will get the job done on health care because that falls within its jurisdiction.

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:20 p.m.


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Liberal

Adam van Koeverden Liberal Milton, ON

Madam Speaker, I thank my colleague for his question, but it is always the same story with the Bloc Québécois. The Bloc members always say that in Canada, the provincial government, in this case Quebec, is wholly responsible for the health care system. In actual fact, that is the case until the bill arrives and it is time to pay for the health care system.

Canada's health care system is a shared responsibility between the federal and provincial governments. We need only think of the health care provided at the regional level in my riding. It is so important that we find solutions together.

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:20 p.m.


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NDP

Laurel Collins NDP Victoria, BC

Madam Speaker, we hear from the Conservative caucus about the costs of pharmacare. The member spoke about how this is needed for an affordability measure, but we have not heard about how national single-payer pharmacare saves money. The Parliamentary Budget Officer tabled a report saying that $1.4 billion would be saved because national single-payer pharmacare gives governments the negotiating and bargaining power to drive down drug costs. Therefore, it is not surprising to see Conservatives oppose it when their friends, the lobbyists, the CEOs and big pharma keep saying the same things that they do.

Can the member speak to how Conservatives are constantly looking out for the corporations at the very top instead of everyday Canadians who are struggling to pay for essential medications?

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:20 p.m.


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Liberal

Adam van Koeverden Liberal Milton, ON

Madam Speaker, my colleague is absolutely correct. This is not only a cost-savings measure for the government, the health care system or people who live with diabetes or require contraception, but it is also a way to save money within the system. When Canadians stick to their regimen and take their diabetes medication, they will visit the hospital less often. We want to make sure not only that they live healthy and fulfilled lives but also that we save money in the health care system. However, it is the case again that Conservatives are really only here for the lobbyists and never for everyday people—

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:20 p.m.


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The Assistant Deputy Speaker (Mrs. Alexandra Mendès) Alexandra Mendes

Resuming debate, the hon. member for Northumberland—Peterborough South.

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:20 p.m.


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Conservative

Philip Lawrence Conservative Northumberland—Peterborough South, ON

Madam Speaker, I am aware that there will be about three minutes for my speech. I am not sure if the time carries forward or whether we are done debate, but if it does I will be splitting my time with the member for Fort McMurray—Cold Lake.

It is my pleasure to rise in this House. I want to put a little context around the pharmacare situation and, really, the economy in general. The future Liberal leader Mark Carney said that it is impossible to redistribute what one does not have. That is the very scenario that we find ourselves in.

Over the last nine years, we have experienced incredible fiscal and monetary, I might add, mismanagement of our economy. When the Liberals took the reins of power nine years ago, we had a balanced budget and we had a low GDP-to-debt ratio. Now, some nine years later, we have one of the worst debt-to-GDP ratios. We are looking at about 43%, in terms of debt-to-GDP ratio, which is shocking because the finance minister clearly said in 2022 that the government has a “fiscal anchor”, a line it shall not cross, and that the debt-to-GDP ratio would not increase.

Then what did it do? It went up. According to the PBO, who we heard from today, it is actually going to go up the next two years. Speaking of the PBO, I am not sure if anyone caught this because it was only audio, unfortunately, but members will not believe what the Parliamentary Budget Officer said. He was getting challenged by Liberals for the error he made with respect to the calculation of the carbon tax, and what he said is that he actually knows his numbers are right because he has the numbers in front of him, the same numbers that the Liberals would not release to the public.

It is incredible. The PBO came out and said that he has their analysis, but he just cannot share it because the Liberals will not share it. They have a carbon tax analysis that shows six out of 10 Canadians pay more in carbon tax than they get back in rebate.

That being said, I will just sum up my three minutes with this comment from the great Margaret Thatcher. She said, “The problem with socialism is that eventually you run out of other people's money.” We have hit that point. We are now paying more in interest than we are in health care transfers. Let us have a little common sense, the government cannot redistribute what it does not have. An obsession with redistribution to the extent that it is no longer focusing on growth will hurt everyone, most notably the most vulnerable.

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:25 p.m.


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The Assistant Deputy Speaker (Mrs. Alexandra Mendès) Alexandra Mendes

It being 6:27 p.m., pursuant to order made Wednesday, May 22, it is my duty to interrupt the proceedings and put forthwith every question necessary to dispose of the third reading stage of the bill now before the House.

The question is on the motion.

If a member participating in person wishes that the motion be carried or carried on division, or if a member of a recognized party participating in person wishes to request a recorded division, I would invite them to rise and indicate it to the Chair.

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:25 p.m.


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Conservative

Laila Goodridge Conservative Fort McMurray—Cold Lake, AB

Madam Speaker, we would request a recorded division.

Pharmacare ActGovernment Orders

June 3rd, 2024 / 6:25 p.m.


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(The House divided on the motion, which was agreed to on the following division:)

Vote #794

Pharmacare ActGovernment Orders

June 3rd, 2024 / 7:10 p.m.


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The Assistant Deputy Speaker (Mrs. Alexandra Mendès) Alexandra Mendes

I declare the motion carried.