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National Sickle Cell Care Plan

Full Title: An Act respecting a national framework on sickle cell disease

Summary#

This bill tells the federal Minister of Health to create a national plan for sickle cell disease. The plan must cover training for health workers, national standards of care, better screening access, research and data, public awareness, and a study of a tax credit for people with the disease and their caregivers (Content (2)). The Minister must consult provinces, territories, and stakeholders, table the plan in Parliament within one year, publish it, and report back within three years on what was done and how it worked (Consultations (3); Tabling of national framework (1); Publication (2); Report).

  • Sets evidence-based national standards for diagnosis and treatment (Content (2)(c)).
  • Creates a national research network and registry (Content (2)(b)).
  • Plans measures to ensure equitable access to newborn screening and diagnosis (Content (2)(d)).
  • Provides training and tools for health professionals (Content (2)(a)).
  • Supports public awareness campaigns; notes June 19 as National Sickle Cell Awareness Day (Content (2)(e); Preamble).
  • Studies a possible tax credit for affected people and caregivers (Content (2)(f)).

What it means for you#

  • Households

    • If you or your child has sickle cell disease: care may become more consistent across Canada once national standards are set. The timing depends on the framework and later implementation (Content (2)(c); Report).
    • New and expectant parents: provinces may expand or align newborn screening so more babies are tested, and results are delivered more consistently. Timing depends on provincial adoption (Content (2)(d)).
    • People with sickle cell disease and caregivers: the government will study a tax credit. This bill does not create a tax credit now (Content (2)(f)).
  • Caregivers

    • You may see clearer guidance on pain crises and home care once standards and training materials are issued (Content (2)(a), (2)(c)).
    • You may be consulted during framework development (Consultations (3)(c)).
  • Health care professionals

    • Expect new training, education materials, and diagnostic/treatment tools focused on sickle cell disease (Content (2)(a)).
    • National standards may change clinical pathways, triage, and follow-up (Content (2)(c)).
    • Reporting and data practices may change to support the registry (Content (2)(b)).
  • Researchers

    • A national research network and registry will support studies and data sharing across sites (Content (2)(b)).
  • Provinces and territories

    • You will be consulted. You may be asked to align screening programs, share data for the registry, and consider the national standards in your systems (Consultations (3)(b); Content (2)(b)–(d)).
  • Timing

    • Framework tabled within one year after the Act comes into force; published within 10 days after tabling (Tabling of national framework (1); Publication (2)).
    • Progress report due within three years after the framework is tabled (Report).

Expenses#

Estimated net cost: Data unavailable.

  • The Act sets tasks (plan, standards, consultations, reports) but includes no funding amounts or appropriations (National framework (1); Content (2); Reports to Parliament).
  • Administrative costs to Health Canada to consult, draft, and report are likely, but no figures are provided. Data unavailable.
  • Future costs to build and operate a research network and national registry, deliver training, run awareness campaigns, or support expanded screening would require separate funding decisions. Data unavailable (Content (2)(a)–(e)).
  • Any fiscal impact of a new tax credit is unknown; the bill only requires an analysis, not implementation (Content (2)(f)).

Proponents' View#

  • National standards can reduce uneven care so patients receive similar diagnosis and treatment across Canada (Content (2)(c)).
  • A registry and research network can improve data quality and speed research, which supports better clinical practice (Content (2)(b)).
  • Training and tools for health workers can cut misdiagnosis and improve pain management in emergency and primary care settings (Content (2)(a)).
  • Public awareness campaigns can help families recognize symptoms earlier and seek timely care, aligned with National Sickle Cell Awareness Day on June 19 (Content (2)(e); Preamble).
  • Equity focus on neonatal screening aims to ensure more newborns are tested and families receive results consistently (Content (2)(d)).
  • Reporting deadlines create accountability by requiring the Minister to table the framework within one year and to report on implementation and effectiveness within three years (Tabling of national framework (1); Report).

Opponents' View#

  • The Act does not provide funding. Without budget commitments, the framework may not change services on the ground, or may take years to implement (Content (2); Report).
  • National standards are not binding on provinces. Provinces may adopt them unevenly, which could keep care inconsistent (Content (2)(c)).
  • A national registry raises privacy, data-sharing, and IT cost concerns that the bill does not address, leaving implementation risks to later decisions (Content (2)(b)).
  • Calls for equitable newborn screening could shift costs and workload to provinces and labs, with risk of uneven rollout if resources differ (Content (2)(d)).
  • The one-year deadline for broad consultations may compress stakeholder input and yield a high-level plan with limited detail (Consultations (3); Tabling of national framework (1)).
  • Studying a tax credit without clear criteria could delay more direct supports and might add fiscal costs if later adopted (Content (2)(f)).

Timeline

Nov 7, 2023 • Senate

First reading

Jun 4, 2024 • Senate

Second reading

Healthcare
Social Welfare