Alberta
Alberta budget announces record high health spending including money for new and redeveloped hospitals

Alberta’s government is providing another year of record-high investment, with $24.5 billion in the Ministry of Health’s operating expense this year, an increase of 4.1 per cent from last year. This new funding will focus on addressing areas of priority in the Healthcare Action Plan to improve the health-care services Albertans expect and deserve. In addition, Alberta’s primary health-care system is being strengthened and modernized with a record investment of $243 million over three years.
Budget 2023 provides $3.1 billion in capital funding over three years to further build up Alberta’s valuable health-care infrastructure, an additional $529 million in capital maintenance and renewal for health facilities and a further $732 million in self-financed funding. The $3.1 billion includes funding for the redevelopment and expansion of the Red Deer Regional Hospital, increasing critical services and capacity in one of Alberta’s largest hospitals.
Additionally, $18 million over three years is for further planning for proposed health capital projects across the province, including the stand-alone Stollery Children’s Hospital in Edmonton, a north Calgary/Airdrie regional health centre, expansion of the Strathcona Community Hospital, and new or upgraded facilities in Bassano, Cardston and Whitecourt.
A total of $237 million over three years will go towards the Alberta Surgical Initiative Capital Program, with $120 million in new funding to expand and modernize operating rooms in 15 communities across the province and reduce wait times for surgeries.
The new Health Workforce Strategy will help get Albertans the care they need, when and where they need it. Budget 2023 includes $158 million in 2023-24 to retain and support, attract, grow, strengthen and evolve the health-care workforce, including physicians and nurses.
“Building a resilient and responsive health-care system that meets the needs of Albertans is essential to keeping our province healthy. This is why Budget 2023 includes another record-high health-care investment, so we can put the right health-care professionals, resources and services where they are needed most.”
Budget 2023 invests in emergency medical services (EMS) to improve ambulance response times. An increase of $196 million over three years will help hire more staff and implement recommendations from the Alberta EMS Provincial Advisory Committee. A new capital program will provide $15 million over three years to put more ambulances on the road.
As part of the initiative to improve primary health care, Alberta’s government is investing more than $2 billion in 2023-24. This includes $243 million over three years to strengthen the province’s primary care system, including implementing the recommendations from the three advisory panels of Modernizing Alberta’s Primary Health Care System (MAPS) established in fall 2022. These recommendations will inform the government’s immediate next steps and a path forward over the next five to 10 years.
“Investing in health care is not just a cost, it’s an investment in our future. By increasing critical health-care capacity, we can ensure that our health-care system is equipped to meet the needs of our citizens and provide the highest quality of care possible.”
“Over the next three years, Alberta’s government is investing $23 billion into public infrastructure through the 2023 Capital Plan. By building and revitalizing hospitals, schools, courthouses and other public facilities, we are investing in the critical infrastructure projects that Albertans need and help keep people working.”
Budget 2023 includes nearly $4.3 billion in combined operating support for community care, continuing care and home care programs, an increase of more than 15 per cent, or $570 million from the 2022-23 forecast. An investment of $1 billion over three years will support continuing care transformation that will shift care to the community, enhance workforce capacity, increase choice and innovation, and improve the quality of care within the sector. In addition, there is $310 million over three years for the Continuing Care Capital Program, which supports modernizing continuing care facilities, developing innovative small care homes, providing culturally appropriate care for Indigenous Peoples and building new spaces in priority communities having the greatest need.
Budget 2023 includes operating expense of $148 million in 2023-24 for the Ministry of Mental Health and Addiction. In addition, it supports Alberta Health Services with additional funding to reduce wait times for mental health and addiction services and address gaps in the system. Alberta spends more than $1 billion per year on mental health and addiction programs and services, excluding physician billings. Over the next three years, Alberta’s government will also invest $155 million in capital funding to continue building holistic, long-term recovery communities where Albertans will be able to access detox services, treatment medications, peer support, and help with skills and training.
“Alberta has emerged as a national leader in building out recovery-oriented systems of care for addiction and mental health. The historic investments included in Budget 2023 will help us further expand treatment and recovery services, enabling us to support more Albertans in their pursuit of recovery.”
Budget 2023 highlights
- $6.2 billion budgeted in 2023-24, increasing to more than $6.4 billion by 2025-26 for physician compensation and development programs.
- More than $250 million over four years (beginning in 2022-23) for recruitment and retention programs under the agreement with the Alberta Medical Association so more Albertans can access family doctors, and to provide more support to help physicians keep their clinics open and running.
- More than $2 billion per year for Drugs and Supplemental Health benefit programs. The Seniors Drug program budget is the largest component of this suite of programs, with $693 million budgeted in 2023-24, supporting more than 700,000 seniors.
- More than $2 billion in 2023-24 to support primary care in Alberta, including payments to family doctors.
- $125 million over three years as an initial investment, providing funding for early opportunities to improve primary care identified through the Modernizing Alberta’s Primary Health Care Systems (MAPS) initiative.
Budget 2023 secures Alberta’s bright future by transforming the health-care system to meet people’s needs, supporting Albertans with the high cost of living, keeping our communities safe and driving the economy with more jobs, quality education and continued diversification.
Alberta
Diploma Exams Affected: No school Monday as ATA rejects offer of enhanced mediation

Premier Danielle Smith, Minister of Finance Nate Horner, and Minister of Education Demetrios Nicolaides issued the following statement.
“Yesterday, the Provincial Bargaining and Compensation Office wrote to the Alberta Teachers’ Association (ATA) and formally requested an agreement to enter an enhanced mediation process.
“This process would have ensured that students returned to the classrooms on Monday, and that teachers returned to work.
“Negotiating would have continued with the ATA, Teachers’ Employer Bargaining Association (TEBA) and a third-party mediator to propose a recommended agreement.
“We are very disappointed that the Alberta Teachers’ Association refused this offer. Teachers and students should also be disappointed.
“PBCO made this offer to the ATA because the union has not made a reasonable offer and this strike is impacting students. Alberta’s government is trying to put kids first and bring an end to this strike.
“The offer of enhanced mediation provided a clear path to ending it.
“We want the same things as the ATA: More teachers. More pay for teachers. More educational assistants. And more classrooms.
“This strike has gone on too long and we are extremely concerned about the impact it is having on students.
“We are willing to consider further options to ensure that our next generation gets the world-class education they deserve. After about three weeks, a strike of this nature would reach the threshold of causing irreparable harm to our students’ education.
“The ATA needs to do what is right for its members, and for all Alberta students.
“If it refuses to do so, we will consider further options to bring this strike to an end.”
Diploma exam update
November diploma exams will be optional for students.
With instructional time in schools disrupted due to the teacher strike, the November 2025 diploma exams will now be optional for students. Students who wish to write a diploma exam may request to do so, and their school boards will accommodate the request.
The optional diploma exams apply to all schools provincewide. These exams will still take place on the currently scheduled dates.
Students who choose not to write the November diploma exams can still complete their courses and graduate on time. Their final grade will be based entirely on the school-awarded mark provided by their teacher.
Choosing not to write the November diploma exams will not affect a student’s ability to apply to, be accepted by, or attend post-secondary institutions after graduation.
No changes have been made to the January and June diplomas and provincial achievement tests.
Quick facts
- Students are automatically exempted from writing the November diploma exams but can request to write them.
- School boards must allow the student to write the diploma exam if requested.
Alberta
Alberta taxpayers should know how much their municipal governments spend

From the Fraser Institute
By Tegan Hill and Austin Thompson
Next week, voters across Alberta will go to the polls to elect their local governments. Of course, while the issues vary depending on the city, town or district, all municipal governments spend taxpayer money.
And according to a recent study, Grande Prairie County and Red Deer County were among Alberta’s highest-spending municipalities (on a per-person basis) in 2023 (the latest year of comparable data). Kara Westerlund, president of the Rural Municipalities of Alberta, said that’s no surprise—arguing that it’s expensive to serve a small number of residents spread over large areas.
That challenge is real. In rural areas, fewer people share the cost of roads, parks and emergency services. But high spending isn’t inevitable. Some rural municipalities managed to spend far less, demonstrating that local choices about what services to provide, and how to deliver them, matter.
Consider the contrast in spending levels among rural counties. In 2023, Grande Prairie County and Red Deer County spent $5,413 and $4,619 per person, respectively. Foothills County, by comparison, spent just $2,570 per person. All three counties have relatively low population densities (fewer than seven residents per square kilometre) yet their per-person spending varies widely. (In case you’re wondering, Calgary spent $3,144 and Edmonton spent $3,241.)
Some of that variation reflects differences in the cost of similar services. For example, all three counties provide fire protection but in 2023 this service cost $56.95 per person in Grande Prairie County, $38.51 in Red Deer County and $10.32 in Foothills County. Other spending differences reflect not just how much is spent, but whether a service is offered at all. For instance, in 2023 Grande Prairie County recorded $46,283 in daycare spending, while Red Deer County and Foothills County had none.
Put simply, population density alone simply doesn’t explain why some municipalities spend more than others. Much depends on the choices municipal governments make and how efficiently they deliver services.
Westerlund also dismissed comparisons showing that some counties spend more per person than nearby towns and cities, calling them “apples to oranges.” It’s true that rural municipalities and cities differ—but that doesn’t make comparisons meaningless. After all, whether apples are a good deal depends on the price of other fruit, and a savvy shopper might switch to oranges if they offer better value. In the same way, comparing municipal spending—across all types of communities—helps Albertans judge whether they get good value for their tax dollars.
Every municipality offers a different mix of services and those choices come with different price tags. Consider three nearby municipalities: in 2023, Rockyview County spent $3,419 per person, Calgary spent $3,144 and Airdrie spent $2,187. These differences reflect real trade-offs in the scope, quality and cost of local services. Albertans should decide for themselves which mix of local services best suits their needs—but they can’t do that without clear data on what those services actually cost.
A big municipal tax bill isn’t an inevitable consequence of rural living. How much gets spent in each Alberta municipality depends greatly on the choices made by the mayors, reeves and councillors Albertans will elect next week. And for Albertans to determine whether or not they get good value for their local tax dollars, they must know how much their municipality is spending.
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