House of Commons Hansard #108 of the 45th Parliament, 1st session. (The original version is on Parliament's site.) The word of the day was treaty.

Topics

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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.

Statements by Members

Question Period

The Conservatives dispute claims that affordability has improved, highlighting G7-leading food inflation and doubled rent costs. They denounce security screening failures and judicial discounts granted to non-citizens within a two-tier justice system. Finally, they urge the government to negotiate trade wins with the United States.
The Liberals highlight affordability measures like the groceries and essentials benefit, fuel tax reductions, and the national school food program. They promote their strategy to protect nature and reinvesting in the military. Finally, they defend their record on security screenings and sentencing for violent crimes while advancing measures to combat extortion.
The Bloc criticizes the government’s obsession with pipelines and fossil fuel subsidies despite missed climate targets. They also condemn excluding Quebec’s cultural sector from the advisory committee for U.S. trade negotiations.
The NDP denounces the government’s failure to expedite entry for graduate students fleeing the destruction in Gaza.

National Strategy for Soil Health Act First reading of Bill S-230. The bill proposes creating a national strategy for soil health preservation, aiming to treat soil as a strategic asset by coordinating research, farming practices, industry, and government efforts across Canada. 200 words.

Petitions

Red River Métis Self-Government Recognition and Implementation Treaty Act Second reading of Bill C-21. The bill, Bill C-21, seeks to正式 Recognize/debates/2026/4/22/rebecca-alty-1/] the Red River Métis self-government treaty, establishing a government-to-government relationship with the Manitoba Métis Federation. Supporters position it as a [historic milestone in reconciliation, formalizing Métis jurisdiction over internal affairs. Conversely, some opposition members express concerns about the lack of meaningful consultation with other Indigenous groups and warn that the treaty’s legal ambiguity may create jurisdictional conflicts or negatively impact the rights of other affected parties. 17000 words, 2 hours.

Living Donor Recognition Medal Act Report stage of Bill C-234. The bill establishes the Living Donor Recognition Medal to honour those who donate organs. Widely supported by all members, the legislation intends to increase awareness of life-saving transplants needed across Canada. During final consideration, MPs highlighted the profound personal impact of these contributions, after which the House unanimously passed the measure at third reading. 6500 words, 45 minutes.

Adjournment Debates

Drug consumption site policy Dan Mazier argues that drug consumption sites fail to mitigate the addictions crisis and demands a greater focus on treatment. Annie Koutrakis defends the Liberal government's comprehensive, evidence-based approach, which balances harm reduction, prevention, and treatment, arguing that local communities are best positioned to manage specific service delivery.
Economic stability and trade Helena Konanz argues that Canada faces an entrepreneurial drought and brain drain, with founders moving to the U.S. due to poor economic conditions. Annie Koutrakis defends the government's record, citing child benefits and affordability programs. Konanz presses further on trade reliance, while Koutrakis promises solutions for small businesses.
Accountability for housing affordability Jacob Mantle criticizes the government for housing unaffordability and demands clear accountability measures and key performance indicators to track progress. Wade Grant defends the government's comprehensive strategy, including the creation of Build Canada Homes and various tax incentives, emphasizing investments aimed at increasing supply and lowering costs over time.
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Bill C-21 Red River Métis Self-Government Recognition and Implementation Treaty ActGovernment Orders

6 p.m.

Conservative

David McKenzie Conservative Calgary Signal Hill, AB

Mr. Speaker, it is always a privilege to rise in the House and speak on behalf of the citizens and residents of Calgary Signal Hill.

I rise today to speak to Bill C-21, legislation that seeks to give effect to the Red River Métis Self-Government Recognition and Implementation Treaty.

Let me be clear at the outset. Conservatives support reconciliation. We support the inherent rights of indigenous peoples, including Métis, first nations and Inuit communities, to self-government. We support the recognition of those rights in a manner that is respectful, inclusive and grounded in law. However, supporting reconciliation does not mean abandoning responsibility. It does not mean rushing forward with flawed legislation. It certainly does not mean ignoring the voices of those indigenous communities that are raising serious and legitimate concerns.

That is precisely what is happening with Bill C-21. This bill asks Parliament to ratify a treaty of enormous consequence, one that establishes for the first time a Métis self-government agreement of this scale. It recognizes the Manitoba Métis Federation as the exclusive representative of the Red River Métis and grants it law-making authority over matters such as citizenship, governance and internal administration. On its face, that may sound like progress, but when we examine the details, serious problems emerge, problems that cannot and must not be ignored.

First and foremost, there has been a clear and undeniable failure to consult. This treaty does not exist in a vacuum. It has implications far beyond Manitoba. The language contained within it, particularly in the preamble and key provisions, extends its potential reach across western Canada and even beyond. We see this in provisions that explicitly state that the geographic scope of the Red River Métis is not defined. We see it in language that acknowledges that Red River Métis citizens may be “located within what is now Manitoba as well as elsewhere inside and outside of Canada.” We see it in provisions that prevent any other indigenous organization from representing individuals who may be considered Red River Métis. Taken together, these clauses create ambiguity, ambiguity that has real-world consequences.

What has been the response from other Métis governments? They are sounding the alarm.

The Métis Nation of Ontario has warned that this treaty uses deliberate ambiguities to justify intervention in matters far outside Manitoba. It points to instances where the Manitoba Métis Federation has already sought consultation on projects in British Columbia, thousands of kilometres from the Red River.

The Métis Nation Saskatchewan has expressed concern that the treaty could allow the Manitoba Métis Federation to supersede its authority within Saskatchewan.

The Métis Nation of Alberta has gone even further, alleging that the agreement could enable the Manitoba federation to actively recruit members within Alberta, undermining existing Métis governance structures.

These are not minor disagreements. These are fundamental disputes over identity, jurisdiction and rights, yet the government is asking us to proceed as though these concerns do not exist. Reconciliation cannot be built on division. If multiple Métis governments across this country are telling us that they were not properly consulted, that their rights may be impacted and that this treaty risks overriding their authority, then we have a duty to listen.

We also have a legal duty. Section 35 of the Constitution Act, 1982, recognizes and affirms the rights of indigenous peoples. The Supreme Court of Canada has made it clear that these rights are held by distinct communities, not by a single, centralized entity claiming to speak for all. In the Powley decision of that court, the court emphasized that Métis communities are diverse, with distinct histories and traditions across different regions. That principle is essential, yet this treaty risks collapsing that diversity into a single narrative, one that elevates the Red River Métis as the defining authority, potentially at the expense of other legitimate Métis communities. That is not reconciliation. That is exclusion.

The concerns are not limited to Métis groups alone. First nations have also raised serious objections. The Dakota Tipi First Nation and the Canupawakpa Dakota Nation have gone to court, arguing that they were not consulted and that the treaty infringes upon their rights. They have made it clear that they never ceded their ancestral lands and that any agreement affecting those lands must involve them. The Treaty 5 nations have expressed “serious concerns” about the inclusion of the Manitoba Métis Federation in decision-making processes within their territory, calling it a direct affront to their sovereignty.

These are not abstract concerns. These are constitutional issues, issues that go to the heart of the Crown's duty to consult and to accommodate, and if those duties have not been met, this treaty is vulnerable to legal challenge. In fact, it is not a question of whether there will be litigation; it is a question of how much. We have already seen similar agreements challenged in court. The Federal Court's decision in Metis Settlements General Council v. Canada raised concerns about overly expansive recognition that limits the Crown's ability to negotiate with other indigenous groups.

Bill C-21 appears to repeat those same mistakes. By granting exclusive recognition to the Manitoba Métis Federation and embedding that recognition within a constitutionally protected treaty, the government would effectively lock in a framework that may disadvantage other Métis communities and do so in a way that cannot easily be undone or even corrected. Once ratified, this treaty will have constitutional status under sections 25 and 35. That means it could not be unilaterally amended or revoked. Any flaws, any oversights and any failures in consultation would be frozen in place. That is not careful governance. That is recklessness.

There are also serious concerns about the scope of authority that would be granted under this treaty. The Manitoba Métis Federation would be empowered to create laws, establish institutions and even impose sanctions, including fines and imprisonment, for violations of those laws. While there are provisions that attempt to reconcile conflicts with federal law, the reality is that this would create a complex and potentially conflicting legal landscape.

Even more concerning is the implication that these laws could apply beyond Manitoba, given the treaty's refusal to define geographic boundaries and its recognition of citizens located across Canada. This raises fundamental questions about jurisdiction, enforcement and the rule of law. Could a government created under this treaty exercise authority over individuals in another province? How would conflicts between provincial laws and Métis laws be resolved? What mechanisms would ensure accountability and consistency? These questions remain unanswered.

There are also fiscal implications that deserve scrutiny. The treaty would commit Canada to ensuring that the Manitoba Métis Federation has the financial capacity to meet its expenditure needs. It contemplates ongoing transfer payments and future agreements on taxation, yet we have little clarity on the long-term costs, the accountability mechanisms or the impact on other indigenous communities seeking similar arrangements. At a time when Canadians are already facing economic uncertainty and headwinds, Parliament has a responsibility to ensure that any new fiscal commitments are transparent, sustainable and fair. That has not been demonstrated here.

Finally, I want to address a broader concern, one that goes to the legitimacy of this agreement. The Manitoba Métis Federation is incorporated as a legal entity, MMF Inc. While that may be appropriate for administrative purposes, it raises important questions about the nature of this treaty. A treaty in the constitutional sense is meant to be a nation-to-nation agreement. It reflects a relationship between distinct peoples, not between the Crown and a corporate body. By structuring this agreement through an incorporated entity, the government risks blurring that distinction and undermining the very principles it claims to uphold.

None of this is to deny the importance of recognizing Métis self-government, a goal we all share in the House, but recognition must be implemented effectively. It must be inclusive, be legally sound and reflect the rights and voices of all affected communities. Bill C-21 as currently drafted would fail on all three counts. It would exclude key stakeholders, introduce legal ambiguity, and risk deepening divisions within and between indigenous communities. That is why Conservatives cannot support the bill in its current form.

We are calling on the government to do the responsible thing: to pause, listen and engage in meaningful consultation with all affected parties. Let us bring this bill to committee; hear from Métis governments across the country, first nation leaders, legal experts and those whose rights may be impacted; and do the hard work of getting this right, because reconciliation is not achieved through shortcuts. It is built through trust, dialogue and respect. Canadians expect us to uphold these principles. Indigenous communities deserve nothing less.

For those reasons, I urge all members of the House to oppose Bill C-21 in its current form.

Bill C-21 Red River Métis Self-Government Recognition and Implementation Treaty ActGovernment Orders

6:10 p.m.

Winnipeg North Manitoba

Liberal

Kevin Lamoureux LiberalParliamentary Secretary to the Leader of the Government in the House of Commons

Mr. Speaker, the member said to let us get it to committee. That is one encouraging remark I heard in his comments.

The issue of membership comes up. I think of someone who is very proud of his or her Red River Métis nation heritage and, in fact, of their core identity. In order to identify themselves as Red River Métis, a proud man or woman, they do not have to live in the city of Winnipeg or in rural Manitoba. There are individuals who live outside those areas but want citizenship in the MMF.

The reason I say this is that if members have issues surrounding things of that nature, the best place for us to be able to deal with them is at committee, and the member said he would be open to the bill's going to committee. That is why I say that aspect is encouraging. We are not saying that it has to pass second reading unanimously. We are suggesting that we allow it to get to committee so we can hear feedback and get answers

I wonder if the member could provide his thoughts on the advantages of getting the bill to a standing committee sooner rather than later.

Bill C-21 Red River Métis Self-Government Recognition and Implementation Treaty ActGovernment Orders

6:10 p.m.

Conservative

David McKenzie Conservative Calgary Signal Hill, AB

Mr. Speaker, fundamentally, of course, our committee process in the House is for doing that, to take the opportunity to hear from individuals who can provide experience, expertise and knowledge. The process is intended to refine and improve legislation. Certainly I think that is a requirement in this case.

I express only my disappointment that the initial bill as presented to the House has not incorporated more of that consideration, more of those voices. When we in the opposition can locate those parties that say they have expressed these things to the government yet they are not reflected in legislation, it moves the starting point that much farther back. Can this be improved in committee as we support the general goal? Yes, there is a lot of work to be done there, and I look forward to the House's accomplishing its objectives.

Bill C-21 Red River Métis Self-Government Recognition and Implementation Treaty ActGovernment Orders

6:15 p.m.

Bloc

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

Mr. Speaker, I congratulate my colleague on his speech.

From what I understood from his speech, there was not enough consultation to really ensure that the agreement does not take rights away from other Métis communities or other first nations.

Does my colleague not think that the bill could be amended to leave room for future agreements in order to respect the rights of all Métis communities?

Bill C-21 Red River Métis Self-Government Recognition and Implementation Treaty ActGovernment Orders

6:15 p.m.

Conservative

David McKenzie Conservative Calgary Signal Hill, AB

Mr. Speaker, it certainly does appear that there are voices that have stated that they have not been consulted, so whatever exact process was undertaken, it appears to have come up short at this point in time.

To the extent that additional voices need to be heard, it is up to the proponents of the bill to determine the best way to do that, to bring information to the House and to satisfy the House that those parties have been duly and appropriately consulted, not just out of legal and moral obligations but also out of the obligation of sound judgment that the House must use to bring legislation to our country as a whole.

When a group such the Manitoba Métis Federation is to enter into a historic agreement with the Government of Canada with far-reaching, important implications, we have to get it right.

Bill C-21 Red River Métis Self-Government Recognition and Implementation Treaty ActGovernment Orders

6:15 p.m.

Conservative

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

Mr. Speaker, it is very concerning when a bill such as this one comes forward and there is so much dissent against it, yet government representatives, MPs, are wondering why we are bringing forward concerns. That is definitely why we are here.

Again, there have been first nations and Métis governments raising concerns, including the Dakota nation, arguing that a failure to consult violates constitutional duties. Treaty 5 nations object, and some first nations say that the MMF participation in government oversteps jurisdiction.

I could keep reading the list, but basically I want to ask this of my fellow MP: What needs to change? It seems as though a lot needs to change. What should we be worrying about when there is so much dissent against the bill?

Bill C-21 Red River Métis Self-Government Recognition and Implementation Treaty ActGovernment Orders

April 22nd, 2026 / 6:15 p.m.

Conservative

David McKenzie Conservative Calgary Signal Hill, AB

Mr. Speaker, undoubtedly, the issue of consultation is extremely important. Again, the greater the magnitude is of the legislation, its impacts and the changes it would effect, the greater the necessity for broad consultation is. I think this would be obvious to anyone giving it some consideration. Clearly, consultation cannot be selective. It is not a process of calling the people who may support one's position, those with whom one is friendly, and seeking only that input. Consultation needs to be broad, and it needs to consider the various parties that would be affected by the legislation that is proposed.

As I said earlier, when we in the opposition have been able to identify groups that have spoken out in opposition to this legislation on the basis of a failure to effectively consult, it is difficult for us to understand how the government could be satisfied with the work it has done to bring the legislation forward. It seems obvious to me that when groups speak out to say they have not been consulted on this, the obvious answer would be to consult with them, to hear what their perspectives are, to understand why they feel they would be impacted, and then to undertake the duty to consult.

Bill C-21 Red River Métis Self-Government Recognition and Implementation Treaty ActGovernment Orders

6:15 p.m.

Bloc

Gabriel Ste-Marie Bloc Joliette—Manawan, QC

Mr. Speaker, a friend pointed out to me that there is no provision in Bill C-21 to safeguard the constitutional rights of other peoples that may be compromised. What are my hon. colleague's thoughts on this?

Bill C-21 Red River Métis Self-Government Recognition and Implementation Treaty ActGovernment Orders

6:15 p.m.

Conservative

David McKenzie Conservative Calgary Signal Hill, AB

Mr. Speaker, that is definitely a question of concern. It is one of the problems with the legislation in its current form: simply that the extent of the impacts the legislation would have are not completely understood. As I mentioned, once this were enshrined as a Government of Canada treaty, any kind of changes or adjustments would be extremely difficult, if not impossible, to make, so we need to understand.

It is not always easy to look into the future. If anybody in the House today has a good crystal ball, I would be happy to borrow it from time to time, but legal scholars, people in government and people with expertise in certain areas are entrusted with that task all the time. It would be the purpose of committee to get information from people who can project what the impact of the legislation would be, based on their own experiences and on their knowledge. We need to draw on that.

It is our view, as the Conservative Party, that the task was not undertaken fully and completely. Instead, we have been left with a bill that is not fully ready for passage before the House. To return to some of those processes to improve the legislation is our goal.

The House proceeded to the consideration of Bill C-234, An Act respecting the establishment and award of a Living Donor Recognition Medal, as reported (with amendments) from the committee.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:20 p.m.

The Deputy Speaker Tom Kmiec

There being no motions at report stage, the House will now proceed, without debate, to the putting of the question on the motion to concur in the bill at report stage.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:20 p.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

moved that the bill, as amended, be concurred in.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:20 p.m.

The Deputy Speaker Tom Kmiec

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.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:20 p.m.

Liberal

Kevin Lamoureux Liberal Winnipeg North, MB

Mr. Speaker, I ask that it pass on division.

(Motion agreed to)

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:20 p.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

moved that the bill be read the third time and passed.

Mr. Speaker, it is my pleasure to rise today for the final time in support of my private member's bill, Bill C-234. When passed, this bill will pave the way for the creation of the living donor recognition medal within the Canadian honours system. This bill has been supported by all parties, and I am extremely grateful for the unanimous and strong support. I know there is significant interest in getting this initiative under way. The sooner we can get this bill to the Senate, the better. The good news is what we have heard tonight. I thank members for all the support on all the sides, especially the government side.

I am extremely grateful to the following members of Parliament who graciously traded their coveted spots in the lineup so that I could move this debate up six weeks to this day. I thank the member for Cariboo—Prince George, the member for Lanark—Frontenac and the member for Newmarket—Aurora for making these critical trades with me. We now have the opportunity to get this bill to the Senate before the summer. Like donors, they received nothing in return for their gift except the knowledge that they did the right thing. They took action that will save a life and send a strong signal to those around them that organ and tissue donation is a significant and altruistic gift. I cannot thank them enough.

This bill is jointly seconded by members from all provinces across Canada and demonstrates the need for life-saving transplants in all corners of this great nation. I have spoken about the importance of living donors many times, and I know others have too, but I want to make some remarks about how these life-saving transplants impact those around the recipients.

When we waited for nine years for my son Tyler to get his transplant, it transformed our lives and his, and I know it was especially difficult for his brother. I know it is the same for thousands of other families awaiting that special phone call to say they have an organ to transplant. To ensure patients are available for a transplant, they must remain within an hour of the hospital at all times. This is much harder than it sounds. It is almost like house arrest. Families cannot take vacations together. Families cannot travel to other cities over the holidays to see relatives. Kids cannot join sports teams that play outside the city. In our case, Tyler could not visit his grandparents overseas for a decade, and we had to forget about overnight camps, out-of-town school trips or even sleepovers. There was constant fear that the call would come and we could not get there in time.

In this situation, every night, parents go to bed making sure the phone is ready. Every morning, they wake up making sure that they did not miss a call. The accumulative stress is unimaginable. It determines where one works or if one accepts a job because travel may be involved. Parents must forget about a few glasses of wine at dinner because they may have to drive to the hospital. It has an impact on every part of the life of the parents and their families.

All parents strive to treat their kids equally and give them all the same opportunities, but when someone in the family needs a transplant, it makes it so difficult. The days and weeks parents spend at the hospital with one child means they are not always there for the others. It is tough on everyone, but it has to be done. When the transplant comes, it is a new lease on life for the recipient and the family as a whole. Everyone gets to start living again.

We need to bring that relief and joy to more families more often. This is why the living donor recognition medal is so important. It is to raise awareness and education, in the hopes that more people get those transplants sooner.

The bill has returned from committee stage when it received a number of friendly amendments. The amendments proposed by the government enhance the bill, strengthen its objective and make the intentions of Parliament clear. I thank the President of the King’s Privy Council for Canada for his efforts to make this bill a reality. I also want to thank Terence Scheltema for his professional approach and hard work with great communication skills in working across party lines to get this bill to this stage. Terence showed unique skills in handling this private member's bill from the beginning, when this was an idea, to become a reality now.

This is National Organ and Tissue Donation Awareness Week across Canada. This designation made by Parliament was the result of the efforts of Liberal member of Parliament Dan McTeague in 1997, 29 years ago. Can members imagine if we could get this medal ready for presentation on the 30th anniversary next year?

Next week, the deadline for taxes comes for Canadians across Canada. For that first time, in Alberta and British Columbia, tax filers will be able to indicate that they want to become an organ and tissue donor through their tax forms. This was made possible because of my former Conservative colleague Len Webber's efforts in 2021. When Ontario added the question to its tax forms in 2022, it resulted in 2.45 million people saying they wanted to be a donor. I expect a couple of million more Canadians will add their names in Alberta and British Columbia this year.

We can all make a difference in the lives of others. We can all leave this place better than we found it, and we can all help our fellow Canadians. It is in this spirit that I put this bill forward, and I am grateful for the opportunity.

As this is the last time I get to rise on my bill, I want to thank everyone again for their incredible support and encouragement. It truly means a lot to me and those awaiting a life-saving transplant.

I know there have been discussions about this bill in the past. I am thankful for the support. I welcome continuing working on these efforts in the Senate to make this a reality.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:25 p.m.

Winnipeg North Manitoba

Liberal

Kevin Lamoureux LiberalParliamentary Secretary to the Leader of the Government in the House of Commons

Mr. Speaker, I want to commend the member for the manner in which he has identified an issue, he has stuck with the issue and he has garnered the support of virtually every member of the House of Commons.

I know, no matter what region of the nation we are in, people are genuinely concerned about organ donation. It is more of a comment than a question. I want to thank all those who were involved in making this particular legislation possible.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:25 p.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Mr. Speaker, I also thank the hon. member for his help and co-operation. The minister and the minister's team were so helpful in getting this common-sense bill through. It is about Canadians. It is about helping every Canadian. My family had to live through this for 20 years, and we know how much of a difference that makes. The bottom line here is that when we work together, we can make the impossible possible. This why we are here tonight.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:30 p.m.

Bloc

Andréanne Larouche Bloc Shefford, QC

Mr. Speaker, I would like to thank my colleague for his work on this matter. I had the opportunity to speak at an earlier stage of his bill and took the chance to highlight Quebec's pioneering role in organ donation. More specifically, I outlined the history of Transplant Québec.

How does my colleague view this alignment and the fact that people outside Quebec will finally be able to share in Quebec's experience, enabling them to benefit from the improvements in these life-saving transplants?

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:30 p.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Mr. Speaker, I would like to thank my hon. colleague for her speech at the second reading stage, as well as for reminding me about Quebec. As a family, we benefited in 2003 when we got a last-minute organ transplant from Quebec. I say that with a lot of pride, and I say that because I am very thankful for that opportunity. Quebec showed us the right example at the right time and will continue to do so.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:30 p.m.

Conservative

Dan Mazier Conservative Riding Mountain, MB

Mr. Speaker, I would like to thank my colleague for introducing this bill. I had the pleasure of speaking to the bill through its stages and supporting it. I looked forward to seeing it come through the committee stage. What really took me aback during this whole process was how many people reached out to me to say that this was so long overdue.

I really do want to thank the member for introducing this bill, for sticking with it and carrying this through. It is encouraging to hear that, from across the aisle, there is overall support in the House. It is kind of a good day in this Parliament.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:30 p.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Mr. Speaker, I would also like to take this opportunity to thank my hon. colleague. He is the shadow minister for health on the Conservative side. His guidance, his help, his wisdom and his direction helped me a lot to navigate this bill through. I am thankful for both his effort and his team's effort.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:30 p.m.

Liberal

Sonia Sidhu Liberal Brampton South, ON

Mr. Speaker, I really want to say that I commend the member's approach. I know how passionate he is. I worked through it the last time with a previous Liberal member who was working very hard on this bill. It has come a long way and I am happy to see this.

I want to ask the member a question. This is also an awareness point of view, that all Canadians can now contribute to saving lives. Can you elaborate on that a bit?

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:30 p.m.

The Deputy Speaker Tom Kmiec

I cannot elaborate on it, but I will let the member for Edmonton Manning elaborate on it.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:30 p.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Mr. Speaker, I enjoy working with the hon. member. We travelled together on an international development mission to Nicaragua.

Yes, she is right. Awareness is the whole spirit of this bill. If we keep this in front of Canadians every day, that opportunity is going to encourage Canadians and educate them more on it. Not every family has to live through this to be able to learn how important it is to have a transplant and to have the organ at the right time. We are doing everything in our capacity to make this a reality, to bring that in front of Canadians, not just once every year or two, but sometimes on a daily basis. This bill will probably bring those opportunities in front of every Canadian to make sure we learn and we know about organ donation every day.

Bill C-234 Living Donor Recognition Medal ActPrivate Members' Business

6:30 p.m.

Liberal

Kristina Tesser Derksen Liberal Milton East—Halton Hills South, ON

Mr. Speaker, I rise today in support of Bill C-234, the living donor recognition medal act, and I am so honoured to do so at its third reading here in the chamber before it moves to the Senate and, hopefully, soon becomes law in this land. It is with great honour that I stand here today to speak to an issue that continues to impact Canadians from coast to coast to coast. Across boundaries, cities, provinces and parties, Canadians know the importance of helping each other.

I want to begin by acknowledging the member for Edmonton Manning. This bill is not a political exercise for my colleague; it is personal. It is the legislative expression of a father's love, a family's faith and many years of walking hospital hallways and learning first-hand what it means to wait for the call that may or may not come. I thank my colleague for his advocacy of this bill.

In 2003, the member for Edmonton Manning entered an operating room and gave part of his own liver so that his son could live. It is not a small thing. It is an act of extraordinary courage, of a father who looked at the risk of his own life and decided without hesitation that his son's life would come first. Thanks to that gift, in part, and subsequent transplants, his son is alive today. That is what living donation looks like. That is who this medal would be for.

I want to speak today not only in support of the bill in abstract but also on behalf of a constituent in my riding whose story reminds me every day why legislation like this matters. My constituent's name is Jason. Jason is 54 years old and lives in Georgetown with his loving wife Angela and their three rambunctious dogs. He is a pipe welder. He loves hockey and pickleball, but he has not been able to play for a while.

Despite no known health issues and living a healthy lifestyle, Jason was first diagnosed with a fatty liver about 10 years ago. It progressively worsened year after year. When he developed cirrhosis of the liver some four years ago, it was verified from blood work that he had PSC, primary sclerosing cholangitis. PSC is an infection that attacks the inner and outer liver bile ducts, causing a blockage of bile to form inside the liver. With each occurrence, this weakens the liver, leading to severe liver damage.

When Jason told me about his PSC, I was struck by a rare coincidence, as my good friend and colleague, and long-time lawyer in my hometown of Milton, Ontario, Lorne Greenwood, also suffered from this rare condition. Lorne was fortunate to receive a full liver transplant from a deceased donor over 20 years ago. Lorne is a proud advocate of organ donation, since the gift of his donor saved his life and kept him here and healthy to raise his two daughters, as well as continue to serve his community through his professional work and volunteerism. In short, the donor gave not only to Lorne but also to our entire community. I told Lorne about my constituent Jason. It brought Lorne back to that time of uncertainty that, thanks to his donor, became a time of indescribable gratitude.

Just last October, Jason was placed on the liver transplant list. He is searching for a living donor who can give him the gift of time, of more mornings, of more seasons and of more years with the people he loves. I have spoken with Jason. I have sat with his family. Through them, I have learned that the question of whether Canada should do more to honour living donors is not an abstract policy question. It is a moral one. This bill answers that question with a clear and resolute response.

Let us look at what the data tell us. According to the Canadian Institute for Health Information, as of December 31, 2024, there were 4,044 Canadians on transplant wait-lists. Of the 691 Canadians removed from the transplant wait-list in 2024, nearly one-third had died while waiting.

Just a few weeks ago, on April 7, we observed Green Shirt Day in honour of Logan Boulet, the Humboldt Bronco who tragically lost his life in that terrible bus crash in 2018, but his parents donated his organs so that six lives could live on. They did so because Logan told them that he was registering as an organ donor and that he was inspired by his coach and mentor, Ric Suggitt, who had died the previous year and was also an organ donor, saving six lives.

We are currently in the midst of National Organ and Tissue Donation Awareness Week, which honours Canadians who have chosen to donate life-saving organs and tissue and recognizes transplant recipients embracing their second chance at life. By observing Organ Donation Awareness Month in April, communities nationwide come together to celebrate the generosity of donors and encourage more people to make the life-saving decision to register.

In Canada, almost 90% of Canadians say they support organ donation, but only 32% have actually registered the intent to donate. Living donation, where an individual can donate a kidney, part of a liver or part of a lung while they are still very much alive, has the potential to close the gap significantly. The ability of a healthy body to regenerate its liver, function fully with a single kidney or short a portion of a lung is nothing short of miraculous. However, to think that so few people seriously consider giving this life-giving gift is tragic. In the case of a liver donor, after they donate a portion of their liver, the remaining liver regenerates, grows back to nearly its original size and performs its usual functions.

There may be those of us who would contemplate becoming a living donor, recognizing that undertaking this act of altruism reduces the wait time for patients in need of a life-saving organ, like a kidney, partial liver or partial lung, but we may be apprehensive about the process, the financial burden through time off work or very practical things. For example, by agreeing to become a living organ donor, donors travel to and from a transplant hospital for a variety of tests and surgery, which may result in financial loss. However, some provinces offer a living organ donor expense reimbursement program, which reimburses some out-of-pocket expenses and makes it possible to be a living donor even when living far away from the recipient. The program is designed to remove financial barriers and increase the number of potential donors.

While Canada's provinces run our organ donation system, there is a role for federal government as well. From 2018 to 2024, Health Canada and its partners led and successfully completed the Organ Donation and Transplantation Collaborative, with implementation of the pan-Canadian governance body for organ donation and transplantation. This initiative continues to make improvements to system performance for better patient outcomes.

The member for Edmonton Manning said it plainly in his sponsor speech: Most of the people on wait-lists today could be saved by a living donor. That is a profound statement. It means that the answer is not only in our hospitals; it is in our communities, our neighbourhoods, our families and our co-workers. It is in the decision that an ordinary Canadian makes, after learning about living donation, to ask, “Could I be someone's second chance? Maybe I am someone's only chance.” That is exactly why recognition matters. It is why this medal matters.

Canada has a long and proud tradition of using national honours to signal to citizens what we value as a society. We give medals for bravery. We give medals for service. We give medals for artistic achievement and athletic excellence, but until now, we have had no formal recognition for someone who undergoes surgery voluntarily, at personal risk, with no expectation of compensation, to give another human being the organ they need to survive.

Bill C-234 would change that. The living donor recognition medal would be a national honour awarded to Canadians who donate an organ to a fellow Canadian while still living. If the bill passes, Canada would become only the second country in the world to formally include living donors in its national honours system. That is something to be proud of. That is a nation-building issue in the truest sense.

A medal tells a story. It changes a culture. It makes living donation visible in a way that has not yet been seen. It says to every Canadian, “This is something extraordinary people do. This is something you can do. You can be extraordinary through selflessly sharing a vital part of yourself with someone who needs it direly.” The bill generates conversation simply by existing.

I also want to commend the member for Edmonton Manning for the way he has pursued this work. He has done so with patience, with persistence and with a generosity of spirit that is characteristic of his approach to public life. He has noted on the record that he believes in working across party lines whenever possible and that when we work together, we get more done for Canadians. This bill is a testament to that belief. It has received support from multiple parties in this chamber, because the cause of saving lives does not belong to any one political tradition.

I think about my colleague across the aisle, who walked into that hospital in 2003 and gave a part of himself so his son could grow up. I think about the unnamed donors who followed, strangers who could not have known about the member's son but whose families made the decision in a time of grief to give part of their loved one so that others may go on. I think about the hundreds of living donors who make the same choice every single year in every province, town and riding, with no fanfare, no recognition and no medal, but we can help. A medal is a small gesture in one sense, but what it represents, the gratitude of a nation and the recognition of something rare and precious in the human spirit, is not small at all.

Jason tells me that once his health improves, after the donor and transplant that he prays for make him healthy again, he hopes to return to the hockey rink, to the pickleball court and to walking those dogs with his wife, and to get back to his work. The person who can make that happen for Jason is out there. That person could be watching this speech. That person could be the first recipient of the living donor medal that my colleague has conceptualized and now presents to this House. For Jason, and for every Canadian sitting by the phone tonight waiting for a call, every day that we delay is a day that matters.

I urge all members to vote in favour of this bill, which truly emanates the Canadian spirit of selflessness.