Bilateral Health Agreements Between the Federal and Provincial/Territorial Governments in Canada

In addition to the ongoing funding provided to provinces and territories through the Canada Health Transfer, the federal government has indicated that it will provide an additional $3 billion over four years for specific needs such as homecare and mental health. The new funding will be governed by agreements it intends to negotiate with each provincial and territorial government. Drawing on his forthcoming IRPP Insight, Gregory Marchildon will discuss the advantages and disadvantages of such bilateral agreements, as well as their fiscal and political feasibility.
Gregory P. Marchildon is Ontario Research Chair in Health Policy and System Design at the Institute of Health Policy, Management and Evaluation at the University of Toronto. He is a fellow of the Canadian Academy of Health Sciences and member of the editorial board of the European Observatory on Health Systems and Policies. He taught for five years at Johns Hopkins University’s School of Advanced International Studies. He then served as deputy minister to the premier and cabinet secretary in Saskatchewan and as executive director of the Royal Commission on the Future of Health Care in Canada. 
Leslie Seidle is research director of the research program Canada’s Changing Federal Community at the IRPP and a public policy consultant. He has edited/co-edited 13 books, including Immigrant Integration in Federal Countries (2012), and he has published numerous articles on constitutional reform, electoral processes, immigration, public management and political finance.
For more information, please contact Suzanne Lambert at (514) 787-0746 or
An initiative of the IRPP research program