Alberta
Alberta to focus on seniors residences, Increase support for caregivers – COVID update
From the Province of Alberta
Update 32: COVID-19 pandemic in Alberta (April 14 at 5:30 p.m.)
There are now 914 confirmed recovered cases of COVID-19 in the province.
With 138 new cases reported, the total number of cases in Alberta is 1,870.
Two Albertans have died since the last report, bringing the total deaths in the province to 48.
Latest updates
- Increased funding is being provided for Alberta caregivers to expand supports and resources.
- Military families needing child care will now be able to access reopened child care centres.
- Cases have been identified in all zones across the province:
- 1,242 cases in the Calgary zone
- 402 cases in the Edmonton zone
- 107 cases in the North zone
- 74 cases in the Central zone
- 36 cases in the South zone
- Nine cases in zones yet to be confirmed
- Of these cases, there are currently 44 people in hospital, 14 of whom have been admitted to intensive care units (ICU).
- 276 cases are suspected of being community acquired.
- A total of 33 people have died in the Calgary zone, eight people have died in the Edmonton zone, six people have died in the North zone, and one person has died in the Central zone.
- One of the recent deaths was at McKenzie Towne Continuing Care Centre in Calgary and the other was at Shepherd’s Care Kensington in Edmonton.
- Stronger outbreak measures have been put in place at continuing care facilities. To date, 214 cases have been confirmed at these facilities, with a total of 30 deaths.
- There have been 79,695 people tested for COVID-19 and a total of 82,649 tests performed by the lab. There were 2,868 tests completed in the last 24 hours.
- Any individual exhibiting symptoms of COVID-19 including cough, fever, runny nose, sore throat or shortness of breath, is now eligible for testing. People can access testing by completing the COVID-19 self-assessment online. A separate self-assessment tool is available for health-care and shelter workers, enforcement and first responders.
- Effective April 15, continuing care workers will be required to wear masks at all times when providing direct patient care or working in patient care areas.
- Starting April 16, workers in long-term care and designated supportive living sites will only be allowed to work at one location. This requirement must be fully implemented no later than April 23.
Continuous masking in health-care settings
More than 1.5 million masks have been shipped to 941 long-term care facilities, designated supportive living facilities, and addiction and mental health facilities across the province to support Alberta Health Services’ (AHS) Guidelines for Continuous Masking in Healthcare settings. AHS has also shipped and increased stock of four million masks to all AHS, Covenant Health, and subsidiary facilities. This week, 1,470 pharmacies will receive a total of 147,000 masks and 2.4 million gloves.
Increased supports for Alberta caregivers
The Alberta government is providing $3 million to Caregivers Alberta, a non-profit organization, to expand supports and resources for caregivers during the COVID-19 pandemic and into the future.
Psychosocial, along with other peer and community supports, are currently available through the toll-free caregiver advisor line at 1-877-453-5088 and online at caregiversalberta.ca for all caregivers, including those caring for someone with COVID-19 or in self-isolation.
Access to justice
The Provincial Court of Alberta has clarified its process regarding the criminal fine payment extension. For more information: https://albertacourts.ca/pc/resources/announcements.
Child care for military families
Military families needing child care will now be able to access reopened child care centres. Military personnel were originally not included in the list of provincial workers who can access child care, as they are overseen by the federal government.
The Alberta government is ensuring child care is not a barrier for military families so they can continue their essential work supporting, protecting and keeping Albertans safe.
Reducing spring wildfires and protecting municipalities
Alberta Wildfire is hiring 200 additional firefighters, invoking a fire ban in in the Forest Protection Area, implementing off-highway vehicle (OHV) restrictions on Crown land in the Forest Protection Area, increasing fine violations and funding $20 million more in community FireSmart initiatives to prepare for the upcoming wildfire season during COVID-19.
Alberta Parks is also implementing a fire ban in parks and protected areas. These early preparedness measures will ensure the province can effectively focus resources where they are needed most in the event of multiple emergencies happening at the same time.
For more information on wildfires, download the Alberta Wildfire app. Up-to-date information on fire restrictions, fire bans, OHV restrictions and general wildfire information is available at albertafirebans.ca or by calling 1-866-FYI-FIRE (1-866-394-3473). To report a wildfire, call 310-FIRE (310-3473) toll-free, from anywhere in Alberta.
Road tests
Alberta is extending the suspension of road tests until the public health emergency ends and while procedures are developed to conduct road tests that prevent against the spread of COVID-19.
Road tests will resume when it is safe to do so. Albertans who have a road test cancelled as a result of this suspension of service will be able to rebook online once the public health emergency ends or later, at no additional charge.
Mental health supports
Confidential supports are available to help with mental health concerns. The Mental Health Help Line at 1-877-303-2642 and the Addiction Help Line at 1-866-332-2322 are available between 7 a.m. and 11 p.m., seven days a week. Online resources provide advice on handling stressful situations or ways to talk with children.
Family violence prevention
A 24-hour Family Violence Information Line is available at 310-1818 to get anonymous help.
Alberta’s One Line for Sexual Violence is available at 1-866-402-8000, from 9 a.m. to 9 p.m., in more than 170 languages.
Information sheets and other resources on family violence prevention are available at alberta.ca/COVID19.
Quick facts
- The most important measures that Albertans can take to prevent respiratory illnesses, including COVID-19, is to practise good hygiene.
- This includes cleaning your hands regularly for at least 20 seconds, avoiding touching your face, coughing or sneezing into your elbow or sleeve, and disposing of tissues appropriately.
- Anyone who has health concerns or is experiencing symptoms of COVID-19 should complete an online COVID-19 self-assessment.
- For recommendations on protecting yourself and your community, visit alberta.ca/COVID19.
Increased supports for Alberta caregivers
Government is providing $3 million to Caregivers Alberta to expand supports for caregivers during the COVID-19 pandemic and into the future.
Funding to the non-profit organization will help expand support programs and resources for the almost one million Albertans who are caregivers for family and friends, and ensure the many dedicated Albertans caring for their loved ones at home or in the community have access to the supports they need to maintain their well-being.
“Caregivers are essential to the well-being and quality of life of over one million Albertans. This is particularly true as we deal with the COVID-19 pandemic. Funding to increase supports for caregivers is part of our government’s commitment to ensure that all Albertans are taken care of – during the COVID-19 pandemic and beyond.”
Caregivers Alberta is the only community organization in Alberta dedicated to the diverse needs of all Alberta caregivers. Funding will help Caregivers Alberta expand supports and increase the reach of these supports so more Albertans can benefit. Supports include:
- Developing a public awareness campaign to highlight the importance of caregivers and their work.
- Compiling an inventory of caregiver supports across the province.
- Expanding the hours of the Caregiver Advisor phone line.
- Establishing a referral system to link caregivers and Caregivers Alberta through health-care providers.
- Updating and expanding support programs.
- Providing employers with resources to support caregivers in the workplace.
- Developing a coaching program for caregivers.
“Developing effective caregiver supports so Albertans can age well in their homes and communities is a priority for our government. This funding will make a big difference in the lives of many Albertans and I look forward to seeing the positive impact these additional supports will have on the lives of caregivers and those of their loved ones.”
“Without family and friend caregivers, our health-care system would simply collapse – especially during the COVID-19 pandemic. This funding will help support the almost one million caregivers across the province with caregiver-focused programs and services.”
Psychosocial, along with other peer and community supports, are currently available through the toll-free caregiver advisor line at 1-877-453-5088 and online at caregiversalberta.ca for all caregivers, including those caring for someone with COVID-19 or in self-isolation. Medical concerns or questions about COVID-19 or how best to care for someone with COVID-19, are best directed to Alberta Health Services’ Health Link at 811. For up-to-date information on COVID-19 and tips on how to reduce your risk, visit Help prevent the spread.
Alberta has a comprehensive response to COVID-19 including measures to enhance social distancing, screening and testing. Financial supports are helping Alberta families and businesses.
From the Fraser Institute
By Nadeem Esmail, Mackenzie Moir and Lauren Asaad
In October, Alberta’s provincial government announced forthcoming legislative changes that will allow patients to pay out-of-pocket for any diagnostic test they want, and without a physician referral. The policy, according to the Smith government, is designed to help improve the availability of preventative care and increase testing capacity by attracting additional private sector investment in diagnostic technology and facilities.
Unsurprisingly, the policy has attracted Ottawa’s attention, with discussions now taking place around the details of the proposed changes and whether this proposal is deemed to be in line with the Canada Health Act (CHA) and the federal government’s interpretations. A determination that it is not, will have both political consequences by being labeled “non-compliant” and financial consequences for the province through reductions to its Canada Health Transfer (CHT) in coming years.
This raises an interesting question: While the ultimate decision rests with Ottawa, does the Smith government’s new policy comply with the literal text of the CHA and the revised rules released in written federal interpretations?
According to the CHA, when a patient pays out of pocket for a medically necessary and insured physician or hospital (including diagnostic procedures) service, the federal health minister shall reduce the CHT on a dollar-for-dollar basis matching the amount charged to patients. In 2018, Ottawa introduced the Diagnostic Services Policy (DSP), which clarified that the insured status of a diagnostic service does not change when it’s offered inside a private clinic as opposed to a hospital. As a result, any levying of patient charges for medically necessary diagnostic tests are considered a violation of the CHA.
Ottawa has been no slouch in wielding this new policy, deducting some $76.5 million from transfers to seven provinces in 2023 and another $72.4 million in 2024. Deductions for Alberta, based on Health Canada’s estimates of patient charges, totaled some $34 million over those two years.
Alberta has been paid back some of those dollars under the new Reimbursement Program introduced in 2018, which created a pathway for provinces to be paid back some or all of the transfers previously withheld on a dollar-for-dollar basis by Ottawa for CHA infractions. The Reimbursement Program requires provinces to resolve the circumstances which led to patient charges for medically necessary services, including filing a Reimbursement Action Plan for doing so developed in concert with Health Canada. In total, Alberta was reimbursed $20.5 million after Health Canada determined the provincial government had “successfully” implemented elements of its approved plan.
Perhaps in response to the risk of further deductions, or taking a lesson from the Reimbursement Action Plan accepted by Health Canada, the province has gone out of its way to make clear that these new privately funded scans will be self-referred, that any patient paying for tests privately will be reimbursed if that test reveals a serious or life-threatening condition, and that physician referred tests will continue to be provided within the public system and be given priority in both public and private facilities.
Indeed, the provincial government has stated they do not expect to lose additional federal health care transfers under this new policy, based on their success in arguing back previous deductions.
This is where language matters: Health Canada in their latest CHA annual report specifically states the “medical necessity” of any diagnostic test is “determined when a patient receives a referral or requisition from a medical practitioner.” According to the logic of Ottawa’s own stated policy, an unreferred test should, in theory, be no longer considered one that is medically necessary or needs to be insured and thus could be paid for privately.
It would appear then that allowing private purchase of services not referred by physicians does pass the written standard for CHA compliance, including compliance with the latest federal interpretation for diagnostic services.
But of course, there is no actual certainty here. The federal government of the day maintains sole and final authority for interpretation of the CHA and is free to revise and adjust interpretations at any time it sees fit in response to provincial health policy innovations. So while the letter of the CHA appears to have been met, there is still a very real possibility that Alberta will be found to have violated the Act and its interpretations regardless.
In the end, no one really knows with any certainty if a policy change will be deemed by Ottawa to run afoul of the CHA. On the one hand, the provincial government seems to have set the rules around private purchase deliberately and narrowly to avoid a clear violation of federal requirements as they are currently written. On the other hand, Health Canada’s attention has been aroused and they are now “engaging” with officials from Alberta to “better understand” the new policy, leaving open the possibility that the rules of the game may change once again. And even then, a decision that the policy is permissible today is not permanent and can be reversed by the federal government tomorrow if its interpretive whims shift again.
The sad reality of the provincial-federal health-care relationship in Canada is that it has no fixed rules. Indeed, it may be pointless to ask whether a policy will be CHA compliant before Ottawa decides whether or not it is. But it can be said, at least for now, that the Smith government’s new privately paid diagnostic testing policy appears to have met the currently written standard for CHA compliance.
Nadeem Esmail
Mackenzie Moir
Lauren Asaad
Policy Analyst, Fraser Institute
From the Fraser Institute
By Tegan Hill and Austin Thompson
In cities across the country, modest homes have become unaffordable for typical families. Calgary and Edmonton have not been immune to this trend, but they’ve weathered it better than most—largely by making it easier to build homes.
Specifically, faster permit approvals, lower municipal fees and fewer restrictions on homebuilders have helped both cities maintain an affordability edge in an era of runaway prices. To preserve that edge, they must stick with—and strengthen—their pro-growth approach.
First, the bad news. Buying a home remains a formidable challenge for many families in Calgary and Edmonton.
For example, in 2023 (the latest year of available data), a typical family earning the local median after-tax income—$73,420 in Calgary and $70,650 in Edmonton—had to save the equivalent of 17.5 months of income in Calgary ($107,300) or 12.5 months in Edmonton ($73,820) for a 20 per cent down payment on a typical home (single-detached house, semi-detached unit or condominium).
Even after managing such a substantial down payment, the financial strain would continue. Mortgage payments on the remaining 80 per cent of the home’s price would have required a large—and financially risky—share of the family’s after-tax income: 45.1 per cent in Calgary (about $2,757 per month) and 32.2 per cent in Edmonton (about $1,897 per month).
Clearly, unless the typical family already owns property or receives help from family, buying a typical home is extremely challenging. And yet, housing in Calgary and Edmonton remains far more affordable than in most other Canadian cities.
In 2023, out of 36 major Canadian cities, Edmonton and Calgary ranked 8th and 14th, respectively, for housing affordability (relative to the median after-tax family income). That’s a marked improvement from a decade earlier in 2014 when Edmonton ranked 20th and Calgary ranked 30th. And from 2014 to 2023, Edmonton was one of only four Canadian cities where median after-tax family income grew faster than the price of a typical home (in Calgary, home prices rose faster than incomes but by much less than in most Canadian cities). As a result, in 2023 typical homes in Edmonton cost about half as much (again, relative to the local median after-tax family income) as in mid-sized cities such as Windsor and Kelowna—and roughly one-third as much as in Toronto and Vancouver.
To be clear, much of Calgary and Edmonton’s improved rank in affordability is due to other cities becoming less and less affordable. Indeed, mortgage payments (as a share of local after-tax median income) also increased since 2014 in both Calgary and Edmonton.
But the relative success of Alberta’s two largest cities shows what’s possible when you prioritize homebuilding. Their approach—lower municipal fees, faster permit approvals and fewer building restrictions—has made it easier to build homes and helped contain costs for homebuyers. In fact, homebuilding has been accelerating in Calgary and Edmonton, in contrast to a sharp contraction in Vancouver and Toronto. That’s a boon to Albertans who’ve been spared the worst excesses of the national housing crisis. It’s also a demographic and economic boost for the province as residents from across Canada move to Alberta to take advantage of the housing market—in stark contrast to the experience of British Columbia and Ontario, which are hemorrhaging residents.
Alberta’s big cities have shown that when governments let homebuilders build, families benefit. To keep that advantage, policymakers in Calgary and Edmonton must stay the course.
Tegan Hill
Director, Alberta Policy, Fraser Institute
Austin Thompson
Senior Policy Analyst, Fraser Institute
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