An Act to amend the Criminal Code (medical assistance in dying)

Sponsor

Tamara Jansen  Conservative

Introduced as a private member’s bill. (These don’t often become law.)

Status

Defeated, as of Oct. 7, 2026

Subscribe to a feed (what's a feed?) of speeches and votes in the House related to Bill C-218.

Summary

This is from the published bill.

This enactment amends the Criminal Code to provide that a mental disorder is not a grievous and irremediable medical condition for which a person could receive medical assistance in dying.

Similar bills

C-314 (44th Parliament, 1st session) An Act to amend the Criminal Code (medical assistance in dying)

Elsewhere

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

Bill numbers are reused for different bills each new session. Perhaps you were looking for one of these other C-218s:

C-218 (2021) An Act to amend the Excise Tax Act (psychotherapy services)
C-218 (2021) Law Safe and Regulated Sports Betting Act
C-218 (2020) Safe and Regulated Sports Betting Act
C-218 (2016) Railway Noise and Vibration Control Act

Votes

Oct. 7, 2026 Failed 2nd reading of Bill C-218, An Act to amend the Criminal Code (medical assistance in dying)

Debate Summary

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This is a computer-generated summary of the speeches below. Usually it’s accurate, but every now and then it’ll contain inaccuracies or total fabrications.

Bill C-218 seeks to amend the Criminal Code to indefinitely exclude individuals whose sole underlying medical condition is a mental disorder from eligibility for medical assistance in dying, aiming to prioritize mental health treatment, suicide prevention, and long-term recovery over assisted death for these patients.

Conservative

  • Support for Bill C-218: The Conservatives support the bill to stop the expansion of medical assistance in dying to individuals whose sole underlying condition is mental illness, prioritizing recovery and treatment over state-sanctioned death.
  • Unpredictability of mental illness: Members argue that since psychiatrists cannot reliably predict when a mental illness is irremediable, offering MAID is reckless because many patients can and do recover with proper support and time.
  • Undermining suicide prevention: The party contends that expanding MAID creates a contradiction with suicide prevention efforts, as the symptoms of mental illness—like hopelessness—are treated as cries for help in one context but justification for death in another.
  • Failure of existing safeguards: Speakers highlight that current MAID safeguards are already failing to protect vulnerable Canadians, noting cases where patients were pressured or assessed without proper capacity, making expansion to mental illness even more dangerous.

Bloc

  • Opposes the bill and its exclusions: The Bloc Québécois rejects Bill C-218, arguing that a blanket exclusion of mental disorders from medical assistance in dying is discriminatory, unconstitutional, and undermines the right to self-determination for patients with decision-making capacity.
  • Reliance on clinical and scientific consensus: The party emphasizes that the implementation of MAID for mental health should depend on clinical consensus and expert recommendations rather than political decisions, supporting a thorough review by a joint committee scheduled for 2027.
  • Request for Supreme Court clarification: Instead of a permanent exclusion, the Bloc suggests referring the issue to the Supreme Court to determine if the exclusion is discriminatory, while maintaining existing safeguards and monitoring for the assessment process.
  • Increased health transfers for provinces: Members argue that the federal government should prioritize providing provinces with the necessary financial resources to improve mental health services and support structural vulnerabilities rather than imposing restrictive legislative barriers.

Liberal

  • Concerns over broader terminology: Members argue that replacing "mental illness" with "mental disorder" could unintentionally exclude patients with neurocognitive conditions, like Parkinson’s disease, who are currently eligible for medical assistance in dying.
  • Preference for existing review process: The party highlights that Parliament already extended the mental illness exclusion to 2027 to allow for provincial readiness and a scheduled 2026 parliamentary review, rather than implementing the permanent exclusion proposed by the bill.
  • Balancing autonomy and vulnerability: Liberals stress the importance of balancing respect for personal autonomy and dignity with the responsibility to protect vulnerable individuals, ensuring that clinicians have the necessary tools and standards to provide care safely.
  • Questioning redefined medical conditions: Members question the bill's proposal to state that mental disorders are not "grievous and irremediable," suggesting this change could be perceived as denying that mental illness results in enduring suffering.
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Criminal CodePrivate Members' Business

September 23rd, 2026 / 6:30 p.m.

Conservative

Tamara Jansen Conservative Cloverdale—Langley City, BC

Madam Speaker, I will begin by grounding the end of this debate in remembering young Kiano Vafaeian who lost his life to MAID. He was 26 years old, and he had lived with type 1 diabetes since he was four. After a serious car accident as a teenager, he also struggled with his mental health, and later he lost vision in one eye.

In 2022, when he was just 23 years old, Kiano sought MAID in Ontario. His mother, Margaret, fought desperately to keep her son alive, and she succeeded for a time, but Kiano had become obsessed with getting MAID. He continued to request it from Ontario Health until they told him straight out that he would never qualify in Ontario, but shockingly, they suggested other jurisdictions he could contact in his quest to end his life. Sadly, he found a willing doctor in B.C., where he received MAID on December 30, 2025, from the now infamous Dr. Ellen Wiebe. He was 26 years old.

When I heard Kiano's story, I could not stop thinking about my own little brother Johan. In 2023, he was diagnosed with terminal brain cancer. He knew he was dying, but he wanted to live. However, the medical staff at the Abbotsford hospital seemed to want to end his life. While lying on a bed in the hallway on the oncology ward, he was asked not once, not twice, not three, four or five times but six separate times if he wanted MAID. They were relentless. They pressed him, saying that they did not think they would be able to control his pain, scaring him out of his wits, but he still had a will to live.

I am very proud of my little brother for standing up for his life, for having the courage and the commitment to make a statement that his life was still worth living, even if it was for only another eight or ten months. He had time to mend fences, make friends with the people at the hospice and say goodbye to his family.

This is why Bill C-218 is necessary, because not everyone will have the will and the ability to fight the way my brother fought. Not everyone will have the strength to say no six times. When someone is sick, frightened, depressed or unable to see any hope for tomorrow, surely the responsibility of our medical system is not to reinforce the despair but to protect them while they are vulnerable and help them find their way back to hope.

This is particularly true when we are talking about mental illness. For years, Conservatives have warned that expanding MAID to people suffering solely from mental illness crosses a line we should not cross. We were told that the safeguards would be enough. We were told that the system could be made ready. However, the implementation has been delayed again and again, while the fundamental question remains unanswered: How can we declare that a person's mental illness is irremediable when we cannot reliably know that they will never recover? However, we do know one thing with absolute certainty: Once that life is ended, there is no tomorrow.

When we first debated the bill, members told us to wait for the special joint committee to do its work. Well, it has. The committee heard the evidence and recommended that people whose sole underlying condition is mental illness be indefinitely excluded from MAID eligibility. Parliament asked for that review. We now have its answer.

If the concern with Bill C-218 is the wording and the use of the term “mental disorder” instead of “mental illness”, then let us fix the wording at committee. We are prepared to work with the government at committee to make the technical changes. A bill should not be defeated at second reading over one word when there is agreement on the principle. Time is of the essence. The scheduled expansion is coming in March. Let us work together and send the bill to committee.

The measure of a compassionate society is not how efficiently it helps people die. It is whether in the moment when someone can no longer see the value of their own life, the rest of us are prepared to see it for them. Our answer to suffering should be care. Our answer to despair should be hope. When someone believes there is no possibility of recovery, Canada should never be the one to agree with them. That is why I am asking my colleagues to vote for Bill C-218. Give Canadians the time, the care and the hope that they need. Give them the right to recover.

Criminal CodePrivate Members' Business

September 23rd, 2026 / 6:35 p.m.

The Assistant Deputy Speaker (Alexandra Mendès) Alexandra Mendes

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.

Criminal CodePrivate Members' Business

September 23rd, 2026 / 6:35 p.m.

Liberal

Kevin Lamoureux Liberal Winnipeg North, MB

Madam Speaker, we request a recorded vote, please.

Criminal CodePrivate Members' Business

September 23rd, 2026 / 6:35 p.m.

The Assistant Deputy Speaker (Alexandra Mendès) Alexandra Mendes

Pursuant to Standing Order 93, the division stands deferred until Wednesday, October 7, at the expiry of the time provided for Oral Questions.

The House resumed from September 23 consideration of the motion that Bill C-218, An Act to amend the Criminal Code (medical assistance in dying), be read the second time and referred to a committee.

Criminal CodePrivate Members' Business

October 7th, 2026 / 3:45 p.m.

The Speaker Francis Scarpaleggia

The House will now proceed to the taking of the deferred recorded division on the motion at second reading stage of Bill C-218 under Private Members' Business.

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

Vote #177

Criminal CodePrivate Members' Business

October 7th, 2026 / 4 p.m.

The Speaker Francis Scarpaleggia

I declare the motion defeated.

I wish to inform the House that, because of the deferred recorded divisions, Government Orders will be extended by 43 minutes.