Alberta
Province freezes funds for doctors and launches process to work out a new funding formula

New physician funding framework announce
Alberta will maintain physician funding at $5.4 billion, the highest level ever, and implement its final offer to the Alberta Medical Association (AMA) to avoid $2 billion in cost overruns.
Existing terms will remain in place until March 31, 2020. A new funding framework will then be introduced, in a multi-year process that will require consultation with the AMA at all stages. The new framework will make changes proposed during negotiations to prevent cost overruns, align benefit programs and administrative fees with those of comparable provinces, and improve services for patients.
The eleven consultation proposals will also be implemented on March 31. This includes phasing in changes to complex modifiers, reducing the rate physicians can charge for this billing code to $9 from $18, for a period of one year before the code is removed in 2021-22. In summer 2020, at the direction of the Minister of Health, the Government of Alberta will also introduce a new alternative relationship plan (ARP) with built-in transition benefits to encourage physicians to move from fee-for-service to a three-year contract.
“Our province is facing cost overruns of $2 billion in the next three years due solely to physician compensation. If left unaddressed, these costs would impede efforts to reduce surgical wait times, improve mental health and addiction services, and expand the number of continuing care beds. Despite repeated efforts, the AMA failed to put forward alternatives that would hold the line on physician compensation. The new framework announced today will prevent cost overruns, allow our province to improve services for patients, and still ensure that Alberta’s doctors are amongst the highest paid physicians in all of Canada.”
Background
- The new funding framework will maintain government’s current level of spending on physicians at $5.4 billion.
- The new funding framework avoids anticipated cost overruns of $2 billion over the next three years.
- Alberta has been spending more on physician salaries than other provinces, yet most of its health outcomes are below national averages.
- A doctor in Alberta earns approximately $90,000 more than a doctor in Ontario and physicians’ fees have almost tripled since 2002.
Elements of the new funding framework
- Changes to Alberta’s complex modifier billing system. The rate physicians are able to charge for complex modifiers will be reduced to $9 from $18 for a period of one year before this billing code is removed in 2021-22. Once the new framework is fully phased in, physicians will be able to bill an additional fee after spending 25 minutes with a complex patient case. Alberta remains the only province in Canada that allows for a top-up payment for complex visits.
- Removal of the comprehensive annual care plan from the list of insured services. Currently, physicians can also bill for a similar consultation called a comprehensive annual visit. No other province in Canada compensates physicians twice for annual care consultation.
- Implementation of a new daily cap, modelled after a cap in place in British Columbia, of 65 patients per day. Large patient loads can contribute to physician burnout and may compromise patient safety and quality of care.
- Removing physician overhead subsidies from all hospital-based services. Physicians who work in AHS facilities should not be billing for overhead costs that their community physician colleagues face, such as leases, hiring staff and purchasing equipment.
- Ending of clinical payments, or stipends, by AHS to physicians. This change ends duplication of payments to contracted physicians.
Timeline
- In September 2019, government provided notice to the AMA that it intended to begin negotiations on the AMA Agreement. The notification provided time for the AMA to prepare its proposals.
- In November 2019, negotiations began with the AMA to reach a new agreement; government began consultations on 11 proposed changes to the schedule of medical benefits (SOMB, or “insured services”).
- In January 2020, negotiations and consultations proceeded with no agreement reached. Mediation, on both the negotiation and consultation proposals, began January 31 and continued into February.
- The parties were not able to reach an agreement during mediation.
- Government will implement its final offer from the negotiating table, including the 11 consultation proposals, on March 31.
Alberta
‘Flared back up’: Alberta town of 8,400 evacuated for second time due to fire

Airtankers work on a wildfire near Edson, Alta., in a Friday, June 9, 2023, handout photo. The town was evacuated Friday night due to an out-of-control wildfire. THE CANADIAN PRESS/HO-Government of Alberta Fire Service
Edson
A town in western Alberta was under an evacuation order late Friday due to an out-of-control wildfire — its second such order this spring.
Local officials issued the evacuation for Edson and parts of Yellowhead County.
“We’re still evacuating the community and evacuating the hospital,” said Edson mayor Kevin Zahara.
“All things considered, so far so good — but the next 72 hours are going to be critical for us. We have a lot of warm temperatures in the forecast and it’s windy here right now.
“It’s going to be dependent on those winds and the weather on how this fire behaves.”
Alberta government officials said the fire burning near the community of about 8,400 jumped fire guards and moved closer to populated areas, including the town. They warned that there could be impacts to roads and highways if the fire crossed the guards and blocks evacuation routes.
“Because that fire is so out of control, some of the forestry crews have had to back off,” said Luc Mercier, chief administrative officer for Yellowhead County, in a video statement on one of the town’s Facebook pages. “They can’t fight that fire.”
Mercier said the fire could threaten Highway 16, the main east-west route in the area.
“We have significant concerns with egress along Highway 16 in the coming days,” he said. “The next 36 hours will be paramount with the winds coming forward.”
An update issued at 11 p.m. said live embers and flames were seen in Willmore Park, meaning the fire had crossed the river. The notice said if people had not left the area yet, “now is the time.” Officials said emergency crews were busy with fire operations and would not be able to respond if people needed help.
The Edson area, about 190 kilometres west of Edmonton, saw four new fire starts on Friday, said Mercier.
An unprecedented start to the wildfire season led Alberta to bring in a provincewide state of emergency on May 6. At one point, about 29,000 people were out of their homes in various communities.
The state of emergency was lifted last week.
On Friday afternoon, before the evacuation order was issued for Edson and the surrounding area, about 3,500 Albertans remained out of their homes.
Evacuation buses were leaving from three points in Yellowhead County and five in Edson. An evacuation centre was being set up in Edmonton’s Expo Centre.
Zahara said there had been little threat in the area as recently as four days ago. Hot weather and high winds put a stop to that.
“This fire has flared back up,” Zahara said.
“It’s really important people adhere to the evacuation order.”
He said no services, including fire and medical, would be available in Edson until further notice.
Edson was evacuated for three days in early May by another wildfire.
Zahara said at the time that he thought there was a good chance the town would be lost to the flames.
That evacuation took a heavy financial toll on townspeople through loss of income and unexpected expenses such as hotel rooms, he said.
— By Bob Weber in Edmonton
This report by The Canadian Press was first published June 9, 2023.
Alberta
A look at Alberta Premier Danielle Smith’s new cabinet

Premier Danielle Smith introduced her cabinet Friday, the second one since taking over as United Conservative Party leader in October. Here are the changes at a glance:
Second in command: Mike Ellis retains his Public Safety and Emergency Services portfolio but is also now deputy premier.
Big promotions: Mickey Amery moves from Children’s Services to Justice; Nate Horner moves from Agriculture and Irrigation to Finance; Adriana LaGrange already had a heavyweight title in Education but now takes on enormous responsibilities in Health.
New faces: RJ Sigurdson joins cabinet for the first time in Agriculture and Irrigation; Searle Turton is new in Children and Family Services; Dan Williams gets his first cabinet seat in Mental Health and Addiction.
Returning vets: Jason Nixon, the environment minister and government house leader under former premier Jason Kenney, is back in cabinet handling the Seniors, Community and Social Services post. Ric McIver, dropped from Smith’s first cabinet, returns in his old job of Municipal Affairs. Muhammad Yaseen, a former associate minister of immigration, now has full cabinet rank as minister of Immigration and Multiculturalism; Tanya Fir, former economic development minster under Kenney, is back in Arts, Culture and Status of Women portfolio.
Same faces, new jobs: Rebecca Schulz (Environment and Protected Areas), Brian Jean (Energy and Minerals), Nathan Neudorf (Affordability and Utilities), Joseph Schow (Tourism and Sport), Demetrios Nicolaides (Education), Rajan Sawhney (Advanced Education), Matt Jones (Jobs, Economy and Trade), Peter Guthrie (Infrastructure).
Same faces, same jobs: Nate Glubish (Technology and Innovation), Dale Nally (Service Alberta and Red Tape Reduction), Devin Dreeshen (Transportation and Economic Corridors), Todd Loewen (Forestry and Parks).
This report by The Canadian Press was first published June 9, 2023.
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