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Canada to Craft National Autism Framework

Full Title: An Act respecting a federal framework on autism spectrum disorder

Summary#

This bill requires the federal Minister of Health to create a national plan (a “framework”) for autism spectrum disorder. The framework must cover access to diagnosis, financial and caregiver supports, research, public education, evidence-based resources, and accountability. The Minister must consult other ministers, provinces, Indigenous and community stakeholders, and hold a conference before finalizing the framework. The Minister must table the framework in Parliament and report back in five years on what was done and how well it worked.

  • Sets a process and deadlines to design a federal framework, not new programs by itself (s.2, s.3).
  • Requires a conference within 12 months of Royal Assent and a tabled framework within 18 months (s.2(4), s.3(1)).
  • Lists measures the framework must address, including possible tax benefits and caregiver supports (s.2(2)(a)-(g)).
  • Mandates broad consultations, including provinces and Indigenous-focused organizations (s.2(3)).
  • Requires public posting of the framework and a five-year follow-up report on implementation and effectiveness (s.3(2), five-year report clause).

What it means for you#

  • Households

    • No immediate new benefits or services. The bill sets a plan process and timelines, not direct entitlements (entire bill).
    • Future changes may include improved access to autism screening and diagnosis nationwide, if adopted in the framework (s.2(2)(a)).
    • Financial support could include new or expanded tax benefits, but amounts and eligibility are not defined here (s.2(2)(b)).
    • Expect national public education campaigns and evidence-based resources online and elsewhere (s.2(2)(e)-(f)).
  • Caregivers

    • The framework must identify supports for caregivers. Details, eligibility, and timing will be set later, if funded (s.2(2)(c)).
  • Autistic adults

    • The framework aims to address service gaps after age 18 noted in the preamble. Specific programs are not created by this bill (preamble; s.2(2)).
  • Indigenous communities

    • The Minister must consult organizations focused on autism in Indigenous communities (s.2(3)(c)).
    • Resources are to be “culturally relevant,” if adopted in the framework (s.2(2)(f)).
  • Service providers and researchers

    • A national research network is to be identified to improve research and data collection (s.2(2)(d)).
    • Possible new reporting/accountability requirements tied to federal funds (s.2(2)(g)).
  • Provinces and territories

    • Will be consulted in designing the framework (s.2(3)(b)).
    • May face new accountability conditions if receiving federal funds for autism-related supports (s.2(2)(g)).
  • Timeline and participation

    • At least one conference must occur within 12 months of Royal Assent (s.2(4)).
    • The framework must be tabled in Parliament within 18 months and posted online within 10 days (s.3(1)-(2)).
    • A five-year report must show what was implemented, results, and timelines for any unfinished items (five-year report clause).

Expenses#

Estimated net cost: Data unavailable.

  • The Act sets duties and deadlines but includes no direct appropriations or dollar amounts (entire bill).
  • Administrative costs for consultations, a conference, and reporting are not quantified. Data unavailable (s.2(4), s.3).
  • Any financial support, tax benefit changes, campaigns, research network, or resource portals would require later funding decisions. No amounts or revenue impacts are defined here (s.2(2)(a)-(g)).
  • If tax benefits are established or expanded, federal tax revenue could decrease. The Act provides no estimate (s.2(2)(b)). Data unavailable.

Proponents' View#

  • Creates national coordination to reduce uneven access to screening and diagnosis by requiring measures for “timely and equitable access” (s.2(2)(a)).
  • Opens the door to tangible financial help, including possible new or expanded tax benefits and caregiver supports (s.2(2)(b)-(c)).
  • Builds an evidence base through a national research network and better data collection, which can improve service planning (s.2(2)(d)).
  • Promotes understanding and acceptance via national campaigns and clear, evidence-based resources, including guidance on ineffective or harmful treatments (s.2(2)(e)-(f)).
  • Embeds accountability through public tabling of the framework, online publication, and a required five-year effectiveness report with reasons and timelines for any gaps (s.3(1)-(2), five-year report clause).
  • Ensures diverse voices are included, including self-advocates and Indigenous-focused organizations, and accounts for intersectionality (how overlapping identities shape experiences) (s.2(3), s.2(2)(e)).

Opponents' View#

  • Creates no immediate services or funding; outcomes depend on future budgets and agreements. Risk of a plan without follow-through (entire bill).
  • Health care delivery is provincial. Federal involvement may add complexity or misalignment, slowing action (s.2(3)(b)).
  • Includes deadlines but no penalties for missing them, which could weaken compliance (s.2(4), s.3).
  • Accountability rules tied to federal funds could add administrative burden for provinces and service providers (s.2(2)(g)).
  • Potential costs of tax benefits, campaigns, and a research network are unspecified; fiscal impacts are unknown (s.2(2)(b)-(d)).

Timeline

Oct 17, 2022 • House

First reading

Dec 1, 2022 • House

Second reading

Mar 22, 2023 • House

Consideration in committee

Mar 28, 2023 • House

Report stage - Third reading

Mar 30, 2023 • undefined

Royal assent

Healthcare
Social Welfare