House of Commons Hansard #163 of the 45th Parliament, 1st session. (The original version is on Parliament's site.) The word of the day was s-5.

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

Connected Care for Canadians Act Second reading of Bill S-5. The bill requires health information technology vendors to adopt common standards and prohibits data blocking, aiming to let patients and authorized providers securely share medical records, improve care coordination and support research. Members broadly endorse interoperability but raise questions about privacy, cybersecurity, implementation costs, vendor oversight, innovation and provincial jurisdiction, particularly Quebec’s. Conservatives support the goal while calling for scrutiny of implementation and accountability; the Bloc opposes the bill without stronger protections for provincial authority. 36300 words, 4 hours in 2 segments: 1 2.

Statements by Members

Question Period

The Conservatives criticize the government’s taxes and spending, warning of food affordability problems and rising debt. They challenge immigration levels and accounting, and repeatedly question the Prime Minister over a Telesat contract and potential conflicts of interest. They also raise concerns about government transparency, public safety and bail reform.
The Liberals promote Budget 2026 as a plan for affordability and investment, fiscal strength, housing and support for families. They defend immigration reforms, highlight clean-energy projects and Canadian sovereignty, and back major-project development, jobs and business productivity. They also defend the Prime Minister’s ethics and deny his involvement in Telesat decisions.
The Bloc opposes Bill C-39 over Indigenous rights, environmental protections and limits on striking. It also condemns oil companies’ record profits and government support for the fossil fuel industry, including a proposed pipeline and oil-and-gas tax deductions. (/debates/2026/11/5/mario-simard-10/)
The NDP call for affordability measures, including non-market housing, affordable groceries and better health care, and warn that AI data centres could raise electricity costs for families.

Financial Statement of Minister of Finance Members debate Budget 2026, which the Liberal government presents as a plan for economic growth, affordability, housing, sovereignty and cultural investment. Conservatives criticize its deficits, borrowing and accounting framework, while the Bloc raises concerns about Quebec’s health transfers, asylum costs and jurisdiction. The NDP questions spending priorities, and the Green Party and Bloc criticize climate measures. 13200 words, 2 hours.

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JusticeOral Questions

3:05 p.m.

Brampton North—Caledon Ontario

Liberal

Ruby Sahota LiberalSecretary of State (Combatting Crime)

Mr. Speaker, crime is down across the country, and the crime severity index is lower year by year. Extortions are down. We have not had an instance of extortion like we have seen in previous years. That is because our government has made the changes that are necessary and has also removed people who were not supposed to be in the country, and that is why we are seeing the good results we are seeing when it comes to extortion.

FinanceOral Questions

3:05 p.m.

NDP

Don Davies NDP Vancouver Kingsway, BC

Mr. Speaker, people across Canada are struggling with the high cost of living. Food is expensive, housing is out of reach, and gas prices are out of control. Families are having to choose between paying rent and filling their prescriptions, but instead of providing real relief to Canadians, Liberals are wasting hundreds of billions of dollars on corporate handouts, excessive military spending and oil pipelines the private sector will not touch.

Will the government change course and deliver meaningful investments in non-market housing, affordable groceries and better health care in today's budget?

FinanceOral Questions

3:05 p.m.

Whitby Ontario

Liberal

Ryan Turnbull LiberalParliamentary Secretary to the Minister of Finance and National Revenue and to the Secretary of State (Canada Revenue Agency and Financial Institutions)

Mr. Speaker, in just over an hour, the finance minister will deliver budget 2026 in the House. I know we are all very excited, including the member opposite, who I know cares about a number of issues that are affecting Canadians.

We too, on this side, care about Canadians. We are stepping up to support them with affordability measures. We have cut taxes on income, housing, fuel and new business investment. We have stepped up with the groceries and essentials benefit. We have made the national food program permanent, saving families hundreds of dollars per month all across the country. I know the member opposite supports that program, and it is great to see him so excited to—

FinanceOral Questions

3:05 p.m.

The Speaker Francis Scarpaleggia

The hon. member for Edmonton Strathcona.

Artificial IntelligenceOral Questions

3:05 p.m.

NDP

Heather McPherson NDP Edmonton Strathcona, AB

Mr. Speaker, the Prime Minister is pushing a massive expansion of AI, but data centres powering it come at a cost to our environment, our communities and our electrical grid. Americans overwhelmingly voted to put a pause on these projects, demanding protections for their communities. American tech giants are coming to Canada. They are looking for cheap water, power and public subsidies.

Will the Prime Minister guarantee that Canadian families will not see their electricity bills increase to subsidize big tech?

Artificial IntelligenceOral Questions

3:10 p.m.

Toronto Centre Ontario

Liberal

Evan Solomon LiberalMinister of Artificial Intelligence and Digital Innovation and Minister responsible for the Federal Economic Development Agency for Southern Ontario

Mr. Speaker, as my colleague knows, permitting for data centres is the purview of the provinces. However, the federal government has come forward with key principles of responsible data centre construction, which include making sure ratepayers never get impacted from a data centre, the responsible use of water and energy, investment in local communities, and transparent ways to monitor these things.

We are going to build the economy of the future the right way: responsibly and with communities involved.

Business of the HouseOral Questions

3:10 p.m.

Conservative

Luc Berthold Conservative Mégantic—L’Érable—Lotbinière, QC

Mr. Speaker, I know this is an eagerly awaited moment for the people watching us on CPAC. I realize that it is a little less so for our colleagues who were invited to leave the chamber before I asked the Thursday question, but that is okay because what I am about to say is still very important. We have one more day to go tomorrow. Moments from now, we will hear about a budget that I hope will save Canadians money. We sent the government our proposals this week, and I hope those ideas will be reflected in the budget.

One very important thing is that we will be going home to our families next week to take some time for ourselves and to talk to people in our ridings. I think that matters a lot. Most importantly, there will be a lot of ceremonies to honour veterans. Remembrance Day is coming up on November 11. I think that each one of my colleagues will have the opportunity to pay tribute to our veterans and to all those who have served our country.

Since next week is a break week, can the Leader of the Government in the House of Commons tell us what is on the agenda for tomorrow? Will he also be attending Remembrance Day ceremonies next week? What will be on the agenda when we return?

Business of the HouseOral Questions

3:10 p.m.

Gatineau Québec

Liberal

Steven MacKinnon LiberalMinister of Transport and Leader of the Government in the House of Commons

Mr. Speaker, of course, we are all very proud to wear a poppy, while remembering those who served our country during times of war and those who continue to serve. I would like to acknowledge the people of Gatineau, many of whom work for the Department of National Defence or serve in the Canadian Armed Forces with pride and distinction. I will definitely be attending the Remembrance Day ceremonies in my riding of Gatineau on Sunday. The Norris and Pointe-Gatineau branches of the Royal Canadian Legion will both be holding dignified ceremonies, as they do every year, and I will be proud to attend.

This afternoon we will continue with second reading debate of Bill S-5, the connected care for Canadians act, and as all hon. members know, at 4 p.m., which is very soon, the Minister of Finance and National Revenue will deliver the budget speech. Tomorrow we will resume debate on the budget.

On the Monday following the constituency week, we will resume consideration at second reading of Bill C-41, the medical assistance in dying safeguards act. Tuesday, Wednesday and Thursday of that week will be spent examining the budget.

The House resumed consideration of the motion that Bill S-5, An Act respecting the interoperability of health information technology and to prohibit data blocking by health information technology vendors, be read the second time and referred to a committee.

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:15 p.m.

Conservative

Kelly DeRidder Conservative Kitchener Centre, ON

Mr. Speaker, I would like to reiterate that there is tremendous opportunity behind this bill to ensure that we would have data transfer of our health information, but at the same time, we have quite a few questions we need answered to ensure that we would remain sovereign, would be protecting our innovation and that it would still be within the jurisdiction of our provinces. We need to make sure these details are right, because Canadians need actual improvements. They do not need announcements or grand gestures. They need real improvement to a system in which our data is not being transferred between jurisdictions.

Provinces and territories are responsible for making their own health care systems. As a federal government, we need to respect the role of the provinces in this discussion. We should be working with them to make sure their health information can be shared across other provinces but that we would not be creating more red tape in doing so and that provinces would actually have their say on how this needs to operate.

We need to understand how the bill would work with the systems that are already in place and to make sure provinces would still have a say in how these changes would be implemented. If one province is using one system and another province is using another system, we have to ensure that there would be compatibility between the two and that they have a say, instead of arbitrarily saying that there is another provider to use and everybody has to make the adjustment to a new system This would cost the taxpayer entirely too much money as we try to implement this across Canada.

The other thing we need to talk about is making sure we would not make it harder for small businesses and start-ups to compete in this industry. We do not want so many rules and regulations, so much red tape, that the biggest companies would be the only ones able to develop the softwares that would be used for the data collection and transfer as we move forward. Our innovators and entrepreneurs have great ideas and amazing solutions, but they need a fair chance to compete. We should be encouraging more competition and innovation, not creating barriers that protect the biggest players and keep the little guys out.

The third thing we need to talk about is privacy and security. Canadians share some of their most personal information with the health care system, and they need to know that this information is protected. Imagine someone with a communicable disease who does not want everyone to know about it. Some hacker gets in, and then all of a sudden everyone knows about something the person has held very private, kept to themselves. We need to ensure that this information would not get out to the general public. We need to make it easier for doctors and hospitals to share important records and information, but at the same time ensure that they would be the only ones that could access them. They have to be protected, sovereign and secure.

Better information sharing is important, absolutely, but it would not fix every problem in our health care system. It would not put more family doctors in communities that desperately need them. It would not shorten the wait times for hip replacements or get someone into the emergency room faster. These challenges still need to be addressed, but this does matter. We need to make sure that the changes would lead to actual results for Canadians. This is one of the things on which we would hold the government to account should the legislation go through the steps and pass: that the government implement something and truly make a change for Canadians, not just another grand gesture with Liberals' saying they did something, but then nothing ever came of it.

Another important discussion we need to have is about data sovereignty. As we connect more of our health care systems, we need to think about who controls Canadians' data and health information. Where would the information be stored, who would have access to that information and which country's laws would apply to our Canadian health care data? This is extremely important. We cannot be dependent on foreign companies to operate the technology that our health care systems rely on, because then we could need to answer to the U.S. CLOUD Act or other provisions that would allow the U.S. to take control of our Canadian citizens' health care data.

We have to ensure that we remain sovereign, take a very sovereign approach to our Canadian data and protect the most vulnerable information of our citizens. There is absolutely nothing wrong with embracing new technology or working with companies that have offered the technology and can share that information, but we cannot put ourselves in a position where we would lose control over these systems or no longer be able to protect that information at the same time.

Canada needs to build its own expertise, strengthen our digital infrastructure and make sure we have the ability to protect our information under Canadian laws. This is the key part. Our data has to be protected under Canadian laws, especially when it comes to our health care data. Being sovereign in today's world means more than just where a company is operated or being on Canadian soil. It also matters where the data is being stored and what server is being used. Is it the cloud? Is it on the premises? How is this information being stored to protect Canadian data?

We should be embracing innovation and should be looking for ways to make our health care system more efficient and better connected, absolutely, but we must do this by having control over our own data, not by compromising Canadians' health data. Privacy, security and control matter in this conversation, and we have to make sure we discuss it.

Bill S-5 is an opportunity to make progress on an issue that is holding our health care system back. That does not mean we open our data to non-protections to move forward with data transfers. It does not mean that we will not have questions to bring forth as this policy moves forward.

When it comes down to it, Canadians are not worried, really, about which software their hospital uses or how systems communicate. What they want to know is that when they need medical care, their doctor has the information they need, they can get their services fast and their personal information will be protected. That is what Canadians care about. That is what this bill should be about, not just better information sharing, but better care, better access and better outcomes for Canadians.

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:20 p.m.

Conservative

Grant Jackson Conservative Brandon—Souris, MB

Mr. Speaker, I want to commend my colleague from Kitchener on her great speech. I wonder if there is anything specific she hears from her constituents, with some examples perhaps, about frustrations with accessing their health care data. Is there something that she really feels could be added to this bill to improve their daily lives?

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:20 p.m.

Conservative

Kelly DeRidder Conservative Kitchener Centre, ON

Mr. Speaker, we get emails all the time about how people go to one practitioner and then have to go to the hospital and re-explain their entire medical history. Then they go back to their practitioner to get a referral and go to the specialist with the referral, and they end up on the operating table if need be. They have to share their information across all those different avenues. That is happening all the time. I get emails all the time from constituents who ask why they cannot do it once to make sure they mark the right leg and move forward.

Yes, I think this is going to help in specific situations like that.

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:20 p.m.

NDP

Jenny Kwan NDP Vancouver East, BC

Mr. Speaker, the bill would give the government the power to establish administrative monetary penalties for health IT vendors that do not comply. I wonder what would stop these penalties from simply being another cost of doing business. How can we ensure that the penalties are strong enough to actually deter data blocking?

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:20 p.m.

Conservative

Kelly DeRidder Conservative Kitchener Centre, ON

Mr. Speaker, these are the questions we will have to bring up at committee, absolutely. How are we going to prevent data blocking? What regulations are going to be put in place? How would we ensure that it would not just be the conglomerates that are able to play in this game anymore? We have to make sure the start-ups, the innovation and the free market can still compete in this area at the same time as we hold regulators accountable to make sure they are sharing that information.

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:20 p.m.

Conservative

Anna Roberts Conservative King—Vaughan, ON

Mr. Speaker, as we can see, my hon. colleague is an expert in the field, being an engineer.

My concern is this: How do we protect victims of violence to ensure that their perpetrators do not have access to this information? What controls do we have to ensure that this information is kept secret?

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:25 p.m.

Conservative

Kelly DeRidder Conservative Kitchener Centre, ON

Mr. Speaker, this is one of the sensitive topics that we absolutely need to address when this bill moves forward, because there are going to be perpetrators out there who want to access personal health information, as in the trafficking world. We have to make sure that we are able to protect that data, that the data remains sovereign and that it is up to an individual to share that data. How is the government going to make sure that all those things are in place as it moves this bill forward?

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:25 p.m.

Bloc

Andréanne Larouche Bloc Shefford, QC

Mr. Speaker, I will be brief.

Health is a jurisdiction that belongs to Quebec and the provinces. We fail to see how this bill can truly establish data interoperability while also respecting Quebec's jurisdictions. The Bloc Québécois is issuing this fairly serious warning given that we have not yet received sufficient guarantees.

Has my colleague also noted the risks involved in failing to properly connect the pieces across the provinces, Quebec and the federal government?

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:25 p.m.

Conservative

Kelly DeRidder Conservative Kitchener Centre, ON

Mr. Speaker, it was the member opposite who mentioned that if we look at this through the lens of the client, the patient, we will be able to come to a consensus on how it needs to work.

Absolutely, this falls under provincial jurisdiction, and we have to make sure that we are maintaining that jurisdiction as we move forward. However, the conversation would become easier between the provinces if we looked at it through the mindset of the patient. That is where we really need to focus in this legislation.

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:25 p.m.

Conservative

Helena Konanz Conservative Similkameen—South Okanagan—West Kootenay, BC

Mr. Speaker, I appreciate my colleague's explanation. She is an expert in this field.

What would the member say is the most important thing here? If and when this bill goes to committee, what would be the most important thing that would need to be addressed or changed in this bill?

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:25 p.m.

Conservative

Kelly DeRidder Conservative Kitchener Centre, ON

Mr. Speaker, I want to thank my colleague for the gravitas for my expertise.

There are some key elements here that we need to discuss. Number one, would we stifle innovation and free market through it? Number two, would the data be protected? Number three, would it be up to the individual to even share their data in the first place? These are three questions that I have, and as we move forward, I will be continually asking them.

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:25 p.m.

NDP

Jenny Kwan NDP Vancouver East, BC

Mr. Speaker, I wonder if the member could comment on how we can ensure that interoperability will not come at the expense of privacy and that the government commits to involving the Privacy Commissioner in developing the regulations and security standards under this legislation.

Bill S-5 Connected Care for Canadians ActGovernment Orders

November 5th, 2026 / 3:25 p.m.

Conservative

Kelly DeRidder Conservative Kitchener Centre, ON

Mr. Speaker, it is extremely important that we protect data as we move forward with this legislation. It is going to be up to the government to answer the question of how data would be protected and what regulations it would put in place. It is the number one thing we need to focus on to make sure that our data is secure so that someone cannot just hack in and get access to our most critical information, our personal critical information, and so that our data remains sovereign and falls under Canadian law, not under a foreign jurisdiction or a foreign country's law.

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:25 p.m.

Conservative

Helena Konanz Conservative Similkameen—South Okanagan—West Kootenay, BC

Mr. Speaker, I thank my colleague for her in-depth explanations.

Has data sovereignty been an issue in other countries? I am sure we are following and are quite a bit behind some other countries on this issue. Does my colleague know of any other countries that had problems with their data being hacked or their health system being hacked when they were proceeding with interoperability?

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:30 p.m.

Conservative

Kelly DeRidder Conservative Kitchener Centre, ON

Mr. Speaker, I am not 100% sure of other countries that have had their data hacked, but we do hear in the news all the time about different companies that have been hacked. Even AI has been, so there is a real risk there and an opportunity for this information to be hacked. As my other colleague brought up earlier, it could even be a perpetrator who wants information from someone, so they hack into the system and specifically target one individual.

There are lots of scenarios we can talk about. We have to really make sure that our data is secure as we move forward with this bill. At the same time, we need to move forward with this legislation. We need to have conversations surrounding it, and we have to make sure we get it right for the interests of Canadians and health care across Canada.

Bill S-5 Connected Care for Canadians ActGovernment Orders

3:30 p.m.

Bloc

Mario Beaulieu Bloc La Pointe-de-l'Île, QC

Mr. Speaker, as drafted, clause 7 of the bill puts Quebec and the provinces under federal control, although such responsibility is by no means within the federal government's purview. Health is the exclusive jurisdiction of Quebec and the provinces.

Does my colleague support amending clause 7 to recognize Quebec's jurisdictions?