Evidence of meeting #26 for Indigenous and Northern Affairs in the 45th Parliament, 1st session. (The original version is on Parliament’s site, as are the minutes.) The winning word was survivors.

A video is available from Parliament.

On the agenda

Members speaking

Before the committee

Yvonne Boyer  Senator, Ontario, ISG
Margot Burnell  President, Canadian Medical Association
Jennifer Leason  Associate Professor, University of Calgary, Native Women's Association of Canada
Étienne  President, Quebec Native Women Inc.
Don Wilson  Obstetrician–Gynecologist, Survivors Circle for Reproductive Justice
Redsky  Executive Director, Survivors Circle for Reproductive Justice
Mckay  Survivor Support Worker, Survivors Circle for Reproductive Justice
Ponace  Survivor Support Worker, Survivors Circle for Reproductive Justice

11 a.m.

Liberal

The Chair Liberal Terry Sheehan

I call this meeting to order.

Welcome to meeting number 26 of the House of Commons Standing Committee on Indigenous and Northern Affairs.

We recognize that we meet on the unceded territory of the Algonquin Anishinabe people.

Pursuant to the order of the House, the committee is beginning its study of Bill S-228, an act to amend the Criminal Code regarding sterilization procedures.

Before we begin, a budget for the study has been circulated. Is it the pleasure of the committee to adopt the budget?

Some hon. members

Agreed.

11 a.m.

Liberal

The Chair Liberal Terry Sheehan

That's good.

I would like to welcome our witnesses on the first panel, but before I do, I just wanted to add that for anyone watching our proceedings, there is a helpline, the Hope for Wellness Helpline, which is available 24-7 to all indigenous people across Canada at 1-855-242-3310. If anyone is experiencing distress during our proceedings, I encourage them to call that number.

We have the sponsor of Bill S-228, and that is the Honourable Yvonne Boyer, a senator from Ontario.

Welcome, Senator. You have five minutes to describe your important work. Thank you.

Yvonne Boyer Senator, Ontario, ISG

Thank you.

Good morning, Mr. Chair and members of the committee. Thank you for the invitation to appear here today.

I'd like to begin by acknowledging that we are gathered on the unceded and unsurrendered territory of the Algonquin Anishinabe nation, whose relationship with these lands, waterways and forests has existed since time immemorial.

Today we are taking action on an issue that has disproportionately harmed indigenous women and girls. That reflects a broader history of colonial policies that have controlled indigenous bodies, making this work essential to meaningful reconciliation.

I'd like to take a moment to thank members of Parliament for the strong support this legislation has already received in the House of Commons. Bill S-228 passed unanimously at second reading, with members from all parties speaking in favour. It was expedited for committee consideration. I and the survivors want to sincerely thank you for this collaboration and leadership.

I'm here today as the sponsor of Bill S-228, an act to amend the Criminal Code respecting sterilization procedures. The purpose of this bill is simple: It makes it explicit in the Criminal Code that performing a sterilization procedure without a person's valid consent constitutes aggravated assault. For years, survivors of forced and coerced sterilization have come forward and shared their experiences. Many describe being pressured into sterilization while they were in labour, medicated, exhausted or facing pressure from authority figures within systems they felt powerless to challenge.

This legislation exists because survivors have asked Parliament to act. For survivors, their families and their communities, this is not a medical policy debate. It is a permanent and life-altering violation of bodily autonomy, dignity and human rights. This practice has disproportionately affected indigenous women, as well as people with disabilities, racialized people and others who were treated as though their reproductive choices did not matter.

Many Canadians believe forced sterilization ended decades ago with the repeal of eugenics legislation in the 1970s. Unfortunately, the evidence tells us otherwise. Survivors continue to come forward with cases from modern hospitals, including incidents reported as recently as 2025.

Parliament has studied this issue extensively. The Senate human rights committee completed two studies and heard directly from survivors and experts. The committee's first recommendation was that Canada amend the Criminal Code to specifically prohibit forced and coerced sterilization. Bill S-228 is the legislative response to this.

Members may recall that the predecessor to this bill, Bill S-250, which was carefully refined after extensive study and consultation with the Department of Justice, was passed unanimously in the Senate in the previous Parliament, before dying on the Order Paper when the election was called. Bill S-228 is exactly the same text as Bill S-250, and it was adopted unanimously by the Senate again in October 2025.

Bill S-228 adds a greater certainty clause clarifying that a sterilization procedure carried out without consent constitutes wounding or maiming for the purposes of aggravated assault. This bill does not create a new consent framework. Existing Criminal Code rules continue to apply, including the principle that consent is not valid if obtained through force, threats, fraud, duress or the abuse of authority. It also does not criminalize emergency medical care. Physicians acting to preserve a patient's life or health remain protected under section 45 of the Criminal Code. It does not interfere with voluntary sterilization or gender-affirming care. The bill applies only where a person is intentionally sterilized without their free and informed consent.

The bill ties forced or coerced sterilization to aggravated assault, so the existing consent framework in subsection 265(3) applies. Consent is not valid if obtained through threat, fraud, duress or abuse of authority. Bill S-228 doesn't alter those rules. It simply ensures that they apply to sterilization without consent.

There has been a thoughtful discussion about whether criminal law is the right tool to address this issue. It's important to recognize that legislation alone will not resolve every aspect of the problem. Ending forced and coerced sterilization also requires stronger consent practices, education in medical training, and continued collaboration with survivors, indigenous organizations, doctors and health systems across the country. However, clarity in the Criminal Code does matter. Although existing assault provisions theoretically apply, they have never been used to prosecute forced sterilization in Canada.

Survivors have told Parliament clearly that the absence of an explicit prohibition has contributed to silence and impunity. This bill provides clarity and reinforces that sterilizing someone without consent is not a misunderstanding or a lapse in professional judgment. It is a serious violation of human rights.

Members of the committee, survivors have come before Parliament courageously and repeatedly to ask for this protection. By advancing Bill S-228, this committee has the opportunity to ensure that Canada's criminal law clearly protects the fundamental right of every person to decide whether and when to have children. Survivors have waited long enough.

Thank you. Meegwetch.

The Chair Liberal Terry Sheehan

Thank you very much.

We'll go right into the question-and-comment period.

We have MP Morin for six minutes, please.

11:05 a.m.

Conservative

Billy Morin Conservative Edmonton Northwest, AB

Thank you, Chair.

Thank you, Senator Boyer, for your leadership on this.

I acknowledge my colleague, as well, for his leadership.

Thanks to all parties for their expediency in getting this done in this Parliament and for getting us to this point. I hope we can keep that momentum going for all the right reasons.

I had the opportunity to sit with the Survivors Circle for Reproductive Justice. What we often say in indigenous communities is that six degrees of separation is probably one or two or three degrees. Through this bill, I got to meet extended family, and that was a really cool personal touch.

We know this affects indigenous communities disproportionately—we're at INAN—but can you expand on the numbers aspect of how many people this has affected in the communities? It's surprising...or maybe it's not. I don't know if “surprising” is the right word, but it is so wrong that it was still happening in 2025. People think it was 50 or 100 years ago or a couple of generations ago, but it was still happening in 2025.

Can you expand on the numbers and how doing the right thing would positively affect the protection of human rights?

11:05 a.m.

Senator, Ontario, ISG

Yvonne Boyer

Thank you very much for the question.

I know that it happens disproportionately in indigenous communities. When I go to speak in different communities, there's always a lineup of people to talk to me afterwards and say that it happened to them, to their mom or to their aunt. It goes down the generations sometimes. One of the survivors talked about how she was sterilized, how her mother was sterilized and how her auntie was sterilized. They come from the Blood Tribe, and they are worried about not having a generation of people to take care of the elders.

It happens disproportionately to indigenous people, to people with disabilities and to intersex people. We have found that through our studies. The number that my office has counted is 12,000. The Survivors Circle for Reproductive Justice has counted up to 15,000 people, and counting.

People say they're surprised when they hear that it's still happening, but it is happening. It's happening probably as we speak today.

11:10 a.m.

Conservative

Billy Morin Conservative Edmonton Northwest, AB

Thank you.

My connection is to the Blood Tribe, too.

Thank you for acknowledging the people you spoke to. Fifteen thousand people is too many. One is too many.

Maybe I'm getting ahead of myself, but I do see cross-partisan support for this. Hopefully that momentum is carried on.

Can you talk about the implementation you'd like to see, after the bill is passed, to emphasize the real change we're trying to accomplish here in Parliament? What tangible things can you see in the health care system to emphasize this bill, going through the education and showing health care professionals that this is a serious thing to take into consideration?

11:10 a.m.

Senator, Ontario, ISG

Yvonne Boyer

Some of that work has already begun on the ground. The Survivors Circle for Reproductive Justice, I believe, is working on a template to be able to work with medical associations in an educational way for women so that people would not be sterilized in the first place. It would be about their own rights and about educating the doctors.

I've been working with the First Nations Health Authority on revising their consent procedures within their hospitals. A group of people have been working with hospitals to help them develop a culturally appropriate, trauma-informed consent that would be applicable and useful in obtaining proper indigenous consent.

There are people working on it. Once this bill is passed, I think it's going to provide a wonderful opportunity. Hopefully it will never have to be used, and the doctors and the institutions will be educated well enough that they will understand that it's not appropriate to not obtain proper consent before a tubal ligation or any type of sterilization.

11:10 a.m.

Conservative

Billy Morin Conservative Edmonton Northwest, AB

Thank you.

You mentioned the survivors circle and all the work they're doing and the education pieces going on. Is there more to be said about their role going forward? Obviously, they'll still want to educate and do those types of things, but would they maybe be more involved with implementation in different provincial jurisdictions, such as in educating the AHS in Alberta or other provincial health authorities?

11:10 a.m.

Senator, Ontario, ISG

Yvonne Boyer

Yes, I think it's really important that we get good support for the survivors group, because they are the experts. They are the people who.... You can't go forward without asking the people who have been affected what's going to work. It's absolutely critical that the survivors be involved in every way possible. They have the ability. I'm hoping they will have the resources to get a team together to go into the provincial organizations and be able to assist them in revising their consent policies, their hospital policies and all of their care policies. This would stop sterilization without consent, once the proper education is done.

The Chair Liberal Terry Sheehan

Thank you very much.

We now go to the Liberals for six minutes.

Jaime, go ahead, please.

Jaime Battiste Liberal Cape Breton—Canso—Antigonish, NS

Thank you, Mr. Chair.

Thank you, Senator, for all the work you've done on this legislation and getting it to where it is today. I think you probably saw from first reading that you have support from all parties for this.

One thing many folks asked me in the weeks leading up to first reading was what our government's position was and whether we were going to support this. I was really pleased to be able, on behalf of our government, to say we're supporting this legislation.

After giving the speech, you put it online and I was amazed by all the folks who reached out to me afterwards and said, “This is something that happened to me and something I had to go through.” I had other people say, “I think this happened to me as well, because I felt coerced. I felt like I didn't have all of the decision-making that I needed before I made this decision.” Many of them asked me, “What can I do to seek out and see if what happened to me qualifies in this situation? How can I get some kind of justice for what happened to me and the whole idea of coercion to get this?”

I wonder if you can talk about what this legislation is aiming to protect. How can those people who think this might have happened to them because of coercion...? Can you talk a little bit about the parameters around what we consider coercion in terms of forced sterilization?

11:15 a.m.

Senator, Ontario, ISG

Yvonne Boyer

I can give you some examples that have been told to me.

One of the survivors said she was told she needed to get a tubal ligation after giving birth by Caesarean section, and if she didn't agree to it, her baby would be taken by social services. That's a fairly common one.

Another common thing that happens is that women are sometimes threatened with.... For instance, it happened that another woman was ready to give birth via Caesarean section, and the doctor told her that if she did not sign the consent form—she already had one child with cerebral palsy—this one may have cerebral palsy too. That's a very direct threat that maybe something will happen to this baby too and it will have cerebral palsy.

There are birth alerts, too. When women go to the hospital, if they've had anything to do with social services at any time, there's a little red flag that pops up on their file that says the mother may not be a fit mother. Quite often, the baby is removed before there's any investigation. Social services would take the baby just because this woman is indigenous.

I could go on and on, and you will probably hear that from survivors today.

Just to talk about what you mentioned, in that short period of time, you had people talking to you. Every time we talk about it, we plant seeds, and it becomes safer for somebody else to come forward. My office has become a safe haven. I've been a senator for eight years, as of March. My office has become a safe haven for those people to call me and say, “I've been trying to get pregnant for four years. I kind of remember signing some kind of a record in the hospital, but I know I wasn't.... I couldn't have been.” I say, “Why don't we get your medical records and have a look?” I would help them get their medical records and we'd see if there was any sign of a tubal ligation on there.

There are others. When I was doing my third reading speech in the Senate, Senator Amina Gerba gave a speech in which she talked about having endometriosis. She went in for what she thought was an ablation on her uterus, and the doctor took her uterus out without consent. She's Black.

What gives here? This goes on. It happens to people and they don't want to say anything because of the shame and because they're scared, but in a one-on-one with you, they can say, “I think it happened to me.” Then we can send them to the Survivors Circle for Reproductive Justice, which is absolutely critical for providing support and for counselling. These are the people who can help hug people back together. There's so much going on.

Thank you for asking that question, because what you said is vital.

Jaime Battiste Liberal Cape Breton—Canso—Antigonish, NS

Senator, in the last minute that I have, for those people who reach out to me now and ask, “Who do I reach out to to see if this is applicable to me and if there's someone I can talk to?”, you would recommend going to the survivors circle. Can you tell me how we can direct people to that organization? What's the best way for us to help those people who feel victimized by what this bill helps to address?

Senator Yvonne Boyer

You're going to meet Harmony Redsky, the executive director, this afternoon. If you google “Survivors Circle for Reproductive Justice”, they have a beautiful website and they have people at hand to speak to people who are in crisis or have any questions. They will be able to help in any way.

Jaime Battiste Liberal Cape Breton—Canso—Antigonish, NS

Thank you very much.

The Chair Liberal Terry Sheehan

Mrs. Gill, you have the floor for six minutes.

Marilène Gill Bloc Côte-Nord—Kawawachikamach—Nitassinan, QC

Thank you, Mr. Chair.

Senator Boyer, thank you for being here and, of course, for all the work you've done to give a voice to these individuals who, at times, don't have one or are hesitant to speak out because they need to do it in a safe place where they will be believed. People need to be believed first before they can do all this work. Obviously, I'm thinking of all these women, those who remain silent and those in my riding. There are also Innu survivors and survivors in the Naskapi community in my area on the North Shore. So thank you.

I'm going to add a few more points and ask you a question that, in a way, goes in the other direction.

How was the bill drafted? For example, how was the definition of “maim” developed?

What arguments, if any, will people raise against the passage of Bill S‑228?

What responses, if any, would you give to people who fear that such a bill might be passed by both chambers?

11:20 a.m.

Senator, Ontario, ISG

Yvonne Boyer

Thank you very much.

The bill was conceived very early in the process. I had been working.... In 2017, I co-authored the external review of the women in Saskatoon who had been sterilized without consent at the Saskatoon hospital. That was made public in 2017. At that time, I had been asked by the survivors to criminalize this act. Because of the historical context with indigenous people, I was reluctant. I did not want to use the Criminal Code, because somehow it's always going to get turned against the indigenous people.

It wasn't until we had completed the second study at the Senate human rights committee, called “The Scars that We Carry”. The first recommendation was to create legislation that would criminalize the forced and coerced sterilization of people. I was instrumental in bringing survivors to speak at that time. We needed to hear their voices. It's critical. We have to hear their voices. When we heard their voices, and I had direction from the human rights committee, I said, I have to do this. The women have asked for it. They've begged me for it, and I will not turn my back on them. It was at that time that the drafting began, and Bill S-250 was introduced in June 2022. That was the beginning of it.

The last part of your question is about who would not support this bill. I think when people really understand the bill, they'll see that it's a positive thing rather than a negative thing. Bill S-228 has been carefully targeted to address non-consensual sterilization, and it does not criminalize lawful, medically necessary or consent-based care. Nothing changes there. All it does is that it specifically targets when there is no consent for sterilization. Physician requirements to adhere to professional standards, regulatory guidelines and ethical obligations remain the same. They remain intact. Bill S-228 does not alter these duties at all. It reinforces them, but it provides greater legal clarity. You cannot sterilize people without consent. It's simple.

Marilène Gill Bloc Côte-Nord—Kawawachikamach—Nitassinan, QC

Actually, there was a third part to my question.

You said that the bill was created to respond to these women's requests and give them a voice, so there was collaboration in drafting the bill.

I understand that, right now, no one is opposed to the passage of the bill.

I was also referring to the definition. I know it's part of the bill, but it often comes up in the clauses or in certain discussions or debates in the House. Can you remind us how the definition was formulated? That was the end of my question.

11:25 a.m.

Senator, Ontario, ISG

Yvonne Boyer

Do you mean the definition of sterilization?

Marilène Gill Bloc Côte-Nord—Kawawachikamach—Nitassinan, QC

Yes. I'm referring to the amendment to the act with respect to the term “maim”.

11:25 a.m.

Senator, Ontario, ISG

Yvonne Boyer

Okay, what it does is....

Marilène Gill Bloc Côte-Nord—Kawawachikamach—Nitassinan, QC

Actually, yes, we're talking about the definition of sterilization, which is considered a form of maiming.