Federal-Provincial/Territorial agreements

Agreements between federal and provincial/territorial governments help Canadians across the country access essential public services.

Working together, governments are addressing priorities that matter most to Canadians, such as health, housing, infrastructure, education, and workforce development. Listed below are all the agreements announced in these areas over the past ten years.

Please note that this is not a complete list of all federal and provincial/territorial agreements and more will be added in the coming months. 


Alberta

Health agreements

2017:

  • Home and Community Care, and Mental Health and Addictions Services: In March 2017, the Governments of Canada and Alberta agreed in principle to use federal funding of $1.3 billion over 10 years, confirmed in Budget 2017, for investments in home care and mental health care, including:
    • $703.2 million for better home care including addressing critical home care infrastructure requirements; and
    • $586 million in support of mental health initiatives.

2018:

2019:

  • Emergency Treatment Fund: In March 2019, the Government of Canada and Alberta signed a bilateral agreement providing $24.25 million over five years (beginning in 2018-19) to Alberta to improve access to treatment services for substance use disorders, including opioids. As part of the agreement, Alberta contributed $24 million in matched funding. This agreement was amended in 2020 to include access to psychosocial supports in opioid dependency treatment clinics and enhancing access to treatment and addiction services in emergency departments.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, assist with the procurement of personal protective equipment among other things. The agreement with Alberta included over $1.6 million under a number of priority areas.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2020, the Public Health Agency of Canada (PHAC) entered into an agreement with Alberta Health for $600,000 until March 31, 2026, for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings.

2021:

  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million in 2020-21 to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches ($150 million was provided to provinces and territories through bilateral agreements, and $50 million was allocated to Canada Health Infoway to further support provincial and territorial efforts to rapidly implement new initiatives). Following this announcement, in April 2021, the Governments of Canada and Alberta announced a bilateral agreement to provide nearly $16 million in 2020-21 to expand virtual health care services.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP supports surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2021, the Public Health Agency of Canada (PHAC) entered into an agreement with Alberta Health Services for $840,000 until March 31, 2026 for the Cells Tissue and Organ Surveillance System, a PHAC surveillance initiative which began as a pilot project to capture transplantation adverse events. 

2022:

  • Safe Long-Term Care: In August 2022, the Governments of Canada and Alberta announced an amendment to the 2018 bilateral agreement for home community care and mental health and addictions services to provide more than $115 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to 3 additional years, beginning in April 2022. Alberta received over $29.7 million.

2023:

  • Home and Community Care, and Mental Health and Addictions Services : To continue delivering on the 2017 federal commitment, in 2023, the Governments of Canada and Alberta signed a one-year agreement featuring a federal investment of approximately $140 million in 2022-23.
  • Working Together to Improve Health Care in Canada for Canadians Plan: In February 2023, the Governments of Canada and Alberta announced an agreement in principle for a shared plan featuring a federal investment of $24 billion over 10 years, as confirmed in Budget 2023. This included: $233 million through the immediate, one-time Canada Health Transfer top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $2.92 billion focusing on shared health priorities, in addition to the remaining $564 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $350 million for long-term care (Budget 2021).
    • Working Together Agreement: Further to the February 2023 agreement in principle, in December 2023, the Governments of Canada and Alberta announced a bilateral agreement featuring a federal investment of $1.06 billion over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Alberta outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the province. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, English calls and texts from Alberta area codes are routed to 9-8-8 network partners in the province (2 service providers, CMHA Alberta and Distress Centre Calgary) while French calls and texts are answered by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with service providers. The MOU between PHAC and Alberta was signed in November 2023 and will expire March 2026.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan:
    • Aging with Dignity Agreement: Further to the February 2023 agreement in principle, in May 2024, the Governments of Canada and Alberta announced a bilateral agreement featuring a federal investment of $627 million over 5 years to help Albertans age with dignity, closer to home. This included remaining funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Alberta signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.
  • Drugs for Rare Diseases: In December 2024, Canada announced a bilateral agreement with Alberta to invest over $162 million of federal funding over 3 years to improve access to selected new drugs for rare diseases, and support enhanced access to existing drugs, early diagnosis and screening.
Infrastructure

2014:

  • Gas Tax Fund Agreement: In 2014, Canada announced a bilateral agreement with Alberta,  that provided $2.825 billion in funding under the Administrative Agreement on the Federal Gas Tax Fund. This was put in place to help communities build and revitalize their public infrastructure that supports national objectives of productivity and economic growth, a clean environment and strong cities and communities. The federal government renewed this agreement in 2024 for another ten years, under the newly named Canada Community-Building Fund.

2016:

2018:

  • Investing in Canada Infrastructure Program: In April 2018, Canada and Alberta signed a bilateral agreement for over $3.3 billion in funding over 10 years for long-term infrastructure projects. Canada committed over $2 billion towards public transit, $1.1 billion towards green infrastructure, over $140 million towards community, culture and recreation infrastructure, and almost $160 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2021:

  • COVID-19 Resilience Infrastructure: In June 2021 the Governments of Canada and Alberta announced more than $31.9 million in funding through the COVID-19 Resilience Infrastructure Stream of the Investing in Canada Infrastructure Program. This funding was provided for 362 infrastructure projects that will repair and upgrade housing for seniors and families with low income in 95 communities across the province.

2024:

  • Canada Community-Building Fund (CCBF): In July 2024, Canada announced a renewed agreement with Alberta under the CCBF, in place until March 31, 2034. Over the first five years, the CCBF will invest over $1.3 billion in the province. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.

2025:

  • Unsheltered Homelessness and Encampment Initiative (UHEI): In March 2025, Canada announced an agreement with Alberta under UHEI.  This funding will support the implementation of Community Encampment Response Plans in Calgary, Edmonton, Lethbridge and Red Deer. It will support investments in shelter safety, accessibility and capacity, as well as transitional housing and supports for people experiencing unsheltered homelessness. Funding will also be used to increase access to navigation/hub services, provide transportation support and pet care for those exiting encampments, and support initiatives tailored and dedicated to populations with specific needs, such as youth, Indigenous peoples, and families. The federal government contributes almost $35 million over two years. The Government of Alberta is cost-matching this funding.
Employment and social development

2017:

  • Early Learning and Child Care: In December 2017, the Governments of Alberta and Canada signed the Canada - Alberta Early Learning and Child Care Agreement - 2017-2020, which provided the Province of Alberta with approximately $136.8 million over three years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2020.

2018:

2020:

2021:

  • Early Learning and Child Care: In July 2021, the Governments of Alberta and Canada signed the Canada - Alberta Early Learning and Child Care Agreement 2021-2025, which provides the Province of Alberta with approximately $235 million over four years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2024.
  • Early Childhood Workforce Funding: In July 2021, the Governments of Alberta and Canada amended the Canada - Alberta Early Learning and Child Care Agreement 2021-2025, to provide one-time funding of approximately $56 million in federal funding to support the recruitment and retention in the early childhood workforce.
  • Canada-Wide Early Learning and Child Care: In November 2021, the Governments of Canada and Alberta signed the Canada – Alberta Canada-Wide Early Learning and Child Care Agreement - 2021 to 2026, which provides further federal funding towards building a Canada-wide system where all families can access high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. Canada and Alberta commit to the following objectives of fee reduction, creating more high-quality, affordable licensed childcare spaces, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and providing them with training and development opportunities. The agreement provides approximately $3.8 billion over 5 years (2021-22 to 2025-26) for Alberta.

2024:

2025:

  • National School Food Program: In March 2025, the Governments of Canada and Alberta announced an agreement under the federal government’s National School Food Program that will enhance and/or expand Alberta’s school food programming through an initial federal investment of $42.2 million over three years.

British Columbia

Health agreements

2016:

  • Blood Safety Contribution Program (BSCP):  First initiated in 2005, the BSCP supports surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2012, the Public Health Agency of Canada (PHAC) entered into an agreement with British Columbia for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings, and the Transfusion Error Surveillance System, initiated to monitor errors occurring at any point in the transfusion chain. Since 2016, British Columbia has received $2.9 million and the agreement will end on March 31, 2026.

2017:

  • Home and Community Care, and Mental Health and Addictions Services: In February 2017, the Governments of Canada and British Columbia agreed in principle to use federal funding of $1.4 billion over 10 years, confirmed in Budget 2017, for investments in home care and mental health care, including:
    • $785.7 million for better home care including addressing critical home care infrastructure requirements; and
    • $654.7 million in support of mental health initiatives.

2018:

  • Home and Community Care, and Mental Health and Addictions Services: To deliver on the 2017 federal commitment to support improvements in home care and mental health care, in September 2018, the Governments of Canada and British Columbia announced a bilateral agreement featuring a federal investment of approximately $656 million over 5 years ($394 million for home and community care and $262 million for mental health and addictions).
  • Emergency Treatment Fund: In September 2018, the Government of Canada announced $33.98 million in federal funding for British Columbia, to target treatment services for problematic substance use, including opioids. This funding will support single or multi-year projects that will build on and enhance existing provincial initiatives, capacity, and priorities. With this agreement, the governments of Canada and British Columbia are working to increase treatment services for people who are seeking help for substance use disorders.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, assist with the procurement of personal protective equipment among other things. The agreement with British Columbia included covered a number of priority areas.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.

2021:

  • Safe Long-Term Care: In August 2021, the Governments of Canada and British Columbia announced an amendment to the 2018 bilateral agreement for home and community care and mental health and addictions services to provide close to $134 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 milion in 2020-21 to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches ($150 million was provided to provinces and territories through bilateral agreements, and $50 million was allocated to Canada Health Infoway to further support provincial and territorial efforts to rapidly implement new initiatives). Following this announcement, in February 2021, the Governments of Canada and British Columbia announced a bilateral agreement to provide close to $18 million in 2020-21 to expand virtual health care services.
  • Safe Voluntary Isolation Sites Program (SVISP): SVISP was a rapid response program designed to reduce the community transmission of COVID-19 by supporting at-risk populations who could not safely isolate at home. Over $181 million was available for SVISP throughout three fiscal years and the Government of British Columbia was allocated over $111,000 from April 2021 to March 2023.

2022:

  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to 3 additional years, beginning in April 2022. British Columbia received close to $33.2 million.

2023:

  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment, in April 2023, the Governments of Canada and British Columbia announced a one-year agreement featuring a federal investment of close to $164 million in 2022-23.
  • Working Together to Improve Health Care in Canada for Canadians Plan: In March 2023, the Governments of Canada and British Columbia announced an agreement in principle for a shared plan featuring a federal investment of $27.47 billion over 10 years, as confirmed in Budget 2023. This included: $273 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $3.32 billion focusing on shared health priorities, in addition to the remaining $668 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $413 million for long-term care (Budget 2021).
  • Working Together Agreement: Further to the March 2023 agreement in principle, in October 2023, the Governments of Canada and British Columbia announced a bilateral agreement featuring a federal investment of more than $1.2 billion over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with British Columbia outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the province. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, English calls and texts from British Columbia area codes are routed to 9-8-8 network partners in the province (7 service providers) while French calls and texts are answered by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with service providers. The MOU between PHAC and British Columbia was signed in November 2023 and will expire March 2026.

2024:

2025:

  • Pharmacare: In March 2025, Canada announced the signing of a pharmacare agreement to invest more than $670 million over four years to provide universal access to contraceptive and diabetes medications, devices and supplies for residents of British Columbia. British Columbia residents will receive public coverage for a range of contraceptives and diabetes medications at little to no cost. The funding from this agreement will also improve access to diabetes devices and supplies. The province will also enhance pharmacare coverage for its residents by providing free public coverage of hormone replacement therapy to treat menopausal symptoms for all residents.
Infrastructure agreements

2014:

  • Gas Tax Fund Agreement: In 2014, Canada announced a bilateral agreement with British Columbia, that provided $3.332 billion in funding under the Administrative Agreement on the Federal Gas Tax Fund. This was put in place to help communities build and revitalize their public infrastructure that supports national objectives of productivity and economic growth, a clean environment and strong cities and communities. The federal government renewed this agreement in 2024 for another ten years, under the newly named Canada Community-Building Fund.

2016:

  • Clean Water and Wastewater Fund: In September 2016, the governments of Canada and British Columbia announced a bilateral agreement for more than $450.1 million under the Clean Water and Wastewater Fund. The federal government is providing up to 50% of this funding, amounting to more than $225 million for projects while the provincial government will invest more than $148.5 million, allowing local governments to contribute only 17% instead of the typical 33%.
  • Public Transit Infrastructure Fund: In June 2016, the governments of Canada and British Columbia announced an agreement for more than $900 million for public transit projects across the country. This includes $460 million in federal funding, and $308 million from the province.

2018:

  • Investing in Canada Infrastructure Program: In April 2018, Canada and British Columbia signed a bilateral agreement for over $4.1 billion in funding over 10 years for long-term infrastructure projects. Canada committed over $2.6 billion towards public transit, $1.1 billion towards green infrastructure, over $157 million towards community, culture and recreation infrastructure, and almost $167 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2022

  • COVID-19 Resilience Infrastructure: In August 2022 the Governments of Canada and British-Columbia announced more than $29.5 million in funding through the COVID-19 Resilience Infrastructure Stream of the Investing in Canada Infrastructure Program. This funding was provided for 11 infrastructure projects that will help make British Columbia communities more resilient to natural disasters. These projects are in addition to 18 other disaster mitigation-related projects that were announced in 2021.

2024:

  • Canada Community-Building Fund (CCBF): In July 2024, Canada announced a renewed agreement with British Columbia under the CCBF, in place until March 31, 2034. Over the first five years, the CCBF will invest over $1.6 billion in the province. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.

2025:

  • Unsheltered Homelessness and Encampment Initiative (UHEI): In March 2025, Canada announced an agreement with British Columbia under UHEI. This funding will support the implementation of British Columbia’s Community Encampment Response Plan. Through this funding, the province will continue to provide ongoing response and outreach to people experiencing homelessness and encampments through its Homeless Encampment Action Response Team and Homeless Encampment Action Response Temporary Housing programs. Additionally, client support services will help improve integration and connectedness to essential services such as food programs, emergency shelters, transportation, healthcare, and disability support. It will also assist with economic, social, and cultural integration to help individuals access and retain stable housing. Other services and initiatives include coordinating resources and enhancing data collection and quality to improve service delivery. The federal government will contribute up to $39.9 million over two years. The Government of British Columbia is cost-matching this funding.
Employment and social development agreements

2018:

  • Workforce Development Agreements (WDA): In March 2018, the bilateral Canada – British Columbia WDA was signed to provide employment and training programs for all individuals, particularly from underrepresented groups, regardless of their Employment Insurance (EI) or employment status. The agreement also supports employers, organizations and sectors looking to provide upskilling, reskilling and continuous learning for workers. In 2024-2025, over $99 million was provided to help British Columbians get training, develop their skills and gain work experience.
  • Early Learning and Childcare: In February 2018, the Government of British Columbia and the Government of Canada signed the Canada-BC Early Learning and Child Care Agreement 2017-2020, which provides the province with approximately $153 million over three years for the purpose of enhancing its early care and learning system. This agreement was renewed in 2020.

2020:

2021:

  • Canada-Wide Early Learning and Child Care: In July 2021, the Governments of British Columbia and Canada signed the Canada-British Columbia Canada-Wide Early Learning and Child Care Agreement – 2021 to 2026, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. Canada and British Columbia commit to the following objectives of fee reduction, creating more high-quality, affordable regulated childcare spaces primarily through not-for-profit and public childcare providers, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and their work and providing them with training and development opportunities. The agreement provides approximately $3.2 billion over 5 years (2021-22 to 2025-26) for British Columbia. The agreement was renewed in 2025.
  • Early Learning and Childcare: In August 2021, the Governments of British Columbia and Canada signed the Canada-BC Early Learning and Child Care (ELCC) Agreement 2021-2025, which provides the province with approximately $272.3 million over four years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2023.
  • Early childhood workforce funding: In August 2021, the Governments of British Columbia and Canada amended the Canada-BC Early Learning and Child Care (ELCC) Agreement 2021-2025, to provide approximately $48.8 million in federal funding to support the recruitment and retention in the early childhood workforce.

2023:

  • Early Learning and Childcare: In June 2023, the Governments of British Columbia and Canada amended the Canada-BC Early Learning and Child Care (ELCC) Agreement 2021-2025, to include additional funding of $78.8 million in 2025-2026 for the purpose of enhancing its early care and learning system. The agreement was renewed in 2025.

2024:

2025:

  • National School Food Program: In March 2025, the Governments of Canada and British Columbia announced an agreement under the federal government’s National School Food Program that will enhance and/or expand British Columbia’s school food programming through an initial federal investment of $39.4 million over three years.
  • Early Learning and Child Care Extensions: On March 5, 2025, the Governments of British Columbia and Canada signed a bilateral agreement to extend the Canada-wide and Early Learning and Child Care bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $5.4 billion from 2025-26 to 2030-31 to support ongoing access, affordability, quality and inclusion efforts in British Columbia.

Manitoba

Health agreements

2017:

  • Home and Community Care, and Mental Health and Addictions Services: In August 2017, the federal government and the Government of Manitoba agreed in principle to use Budget 2017 funding of $399.6 million over 10 years for investments in home care and mental health care, including:
    • $218.0 million for better home and community care; and
    • $181.6 million in support of initiatives to address mental health and addictions.
  • The Government of Canada also provided an additional $5 million to combat kidney disease, as Manitoba has one of the highest rates of kidney failure in the country.

2018:

  • Emergency Treatment Fund: In December 2018, the Government of Canada and the Government of Manitoba announced a five-year bilateral agreement, providing nearly $4.2 million in federal funding to Manitoba to increase access to treatment for substance use disorder. This funding, matched by the Government of Manitoba’s previous investments, supported Manitoba’s Withdrawal Management Services in both Winnipeg and Brandon.

2019:

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, assist with the procurement of personal protective equipment among other things. The agreement with Manitoba included $105.6 million under a number of priority areas.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.

2021:

  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches, to ensure Canadians continue to safely access the services they need. In August 2021, the Government of Canada announced a bilateral agreement with Manitoba, for over $7 million in 2021-22 to further expand their virtual health care services.
  • Safe Voluntary Isolation Sites Program (SVISP): SVISP was a rapid response program designed to reduce the community transmission of COVID-19 by supporting at-risk populations who could not safely isolate at home. Over $181 million was available for SVISP throughout three years and the Government of Manitoba was allocated over $12.7 million from July 2021 to June 2022.

2022:

  • Safe Long-Term Care: In August 2022, the Governments of Canada and Manitoba announced an amendment to the 2019 bilateral agreement for home and community care and mental health and addictions services, to provide more than $37 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • Home and Community Care, Mental Health and Addictions Services: In April 2022, Canada and Manitoba signed a renewed agreement to continue to improve access to home and community care, and mental health and addictions services. Through this agreement, Manitoba is receiving over $21 million in 2022-23 from the $11 billion, 10-year investment outlined in Budget 2017.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2022, the Public Health Agency of Canada (PHAC) entered into an agreement with Manitoba for $502,000 until March 31, 2026 for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC in 2001 to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings.
  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to 3 additional years, beginning in April 2022. Manitoba received over $16.1 million.

2023:

  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment, in 2023, the Governments of Canada and Manitoba signed a one-year agreement featuring a federal investment of more than $43 million in 2022-23.
  • Working Together to Improve Health Care in Canada for Canadians Plan: In February 2023, the Governments of Canada and Manitoba announced an agreement in principle for a shared plan featuring a federal investment of $6.74 billion over 10 years, as confirmed in Budget 2023. This included: $72 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $1.22 focusing on shared health priorities, in addition to the remaining $172 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $110 million for long-term care (Budget 2021).
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Manitoba outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the province. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, English calls from Manitoba area codes are routed to a 9-8-8 network partner in the province (1 service provider, Klinic) while all texts and French calls are answered by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with the service provider. The MOU between PHAC and Manitoba was signed in November 2023 and will expire March 2026.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: Further to the February 2023 agreement in principle, in February 2024, the Governments of Canada and Manitoba announced two bilateral agreements:
    • Working Together Agreement: Featuring a federal investment of close to $434 million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
    • Aging with Dignity Agreement: Featuring a federal investment of approximately $199 million over 5 years to help Manitobans age with dignity, closer to home. This included remaining funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Manitoba signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.

2025:

  • Pharmacare: In February 2025, the Government of Canada announced a $267 million federal investment as part of two bilateral agreements to improve access to affordable medications for Manitobans. Through this first-ever national pharmacare agreement, the Government of Canada will provide more than $219 million over four years for universal coverage to a range of contraceptives and diabetes medications for Manitobans. Through this agreement, Manitoba residents will receive this coverage at little to no direct cost to them. The funding from this agreement will also improve access to diabetes devices and supplies.
  • Drugs for Rare Diseases: In February 2025, Canada announced a bilateral agreement with Manitoba to invest over $48 million of federal funding over 3 years to improve access to selected new drugs for rare diseases, and support enhanced access to existing drugs, early diagnosis and screening.
Infrastructure agreements

2014:

2016:

2018:

  • Investing in Canada Infrastructure Program: In June 2018, Canada and Manitoba signed a bilateral agreement for over $1.17 billion in funding over ten years for long-term infrastructure projects. Canada committed over $546 million in public transit, over $451 million in green infrastructure, over $61 million in community, culture and recreation infrastructure, and almost $113 million in rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2022:

2023:

2024:

  • Canada Community-Building Fund (CCBF): In August 2024, Canada announced a renewed agreement with Manitoba under the CCBF, in place until March 31, 2034. Over the first five years, CCBF will invest more than $415 million in the province. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.

2025:

  • Unsheltered Homelessness and Encampment Initiative (UHEI): In March 2025, Canada announced an agreement with Manitoba under UHEI. This funding will support the implementation of Manitoba’s Community Encampment Response Plan. Funding will aim to address homelessness and encampments, primarily in Winnipeg, by establishing a 20 to 30 bed supportive housing facility. Additionally, funding will help expand winter services at nine drop-in spaces, providing essential resources like shelter, meals, laundry facilities, and connections to housing services. Flexible funding will help organizations cover non-recurring expenses, such as rent arrears and temporary lodging, to support individuals transitioning out of encampments. The federal government will contribute nearly $7.5 million over two years. The Government of Manitoba is cost-matching this funding.
  • Canada’s Housing Infrastructure Fund: In February 2025, the Governments of Canada and Manitoba signed an agreement that will build or improve the critical infrastructure related to drinking water, wastewater, stormwater, and solid waste – that will in turn help them build more homes. The funding will allocate approximately $209 million to Manitoba over the next ten years.
Employment and social development agreements

2017:

2018:

  • Workforce Development Agreements (WDA): The WDAs provide $722 million nationally through bilateral agreements with each of the provinces and territories, to support their employment and training programs for all individuals regardless of their EI or employment status. The agreements also support employers, organizations and sectors looking to provide upskilling, reskilling and continuous learning for workers. Each year, over 440,000 Canadians receive supports through PT employment networks that are funded by the WDAs. A bilateral agreement was put in place with Manitoba in March 2018, and to date has provided almost $297 million in federal funding to the province.

2019:

  • Labour Market Development Agreement (LMDA): Each year, the Government of Canada invests over $2 billion through the LMDAs with provinces and territories so they can support Canadians with Employment Insurance (EI)-funded skills training and employment assistance. This agreement has been in place since 2008, with Budget 2017 committing an additional investment of $1.8 billion over 6 years, which began in 2017 to 2018. While Canada provides funding under the LMDAs, provincial and territorial governments have the flexibility to design and deliver employment programs and services best suited to the needs of their local labour markets. The latest bilateral agreement with Manitoba was signed in November 2019 and has no end date. Since 2016, the government of Canada has provided over $521 million to Manitoba under the LMDA.

2020:

2021:

  • Canada-Wide Early Learning and Child Care: In August 2021, the Governments of Manitoba and Canada signed the Canada ‒ Manitoba Canada-Wide Early Learning and Child Care Agreement - 2021 to 2026, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. Canada and Manitoba aspire to the following objectives of fee reduction, creating more high-quality, affordable regulated childcare spaces primarily through not-for-profit and public childcare and home-based childcare providers, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and providing them with training and development opportunities. The agreement provides approximately $1.2 billion over 5 years (2021 to 2026) for Manitoba. The agreement was renewed in 2025.

2022:

  • Labour Program – Occupational Health and Safety Compliance: In March 2022, the Governments of Canada and Manitoba renewed and signed a bilateral memorandum of understanding agreement on Respecting the Hudson Bay Mining and Smelting Co., Limited. This agreement, covers up to $300,000 a year for four years, provides the province with the capacity to effectively administer occupational safety and health laws with respect to this employer.
  • Early Learning and Childcare: In February 2022, the Governments of Manitoba and Canada signed the Canada-Manitoba Early Learning and Child Care (ELCC) Agreement 2021-2025, which provides Manitoba with approximately $78.8 million over four years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2024.
  • Early childhood workforce funding: In February 2022, the Governments of Manitoba and Canada amended the Canada-Manitoba Early Learning and Child Care (ELCC) Agreement 2021-2025, to provide approximately $19.2 million in federal funding to support the recruitment and retention in the early childhood workforce.

2024:

2025:

  • Early Learning and Child Care Extensions: On February 21, 2025, the Governments of Manitoba and Canada signed a bilateral agreement to extend the Canada-wide and Early Learning and Child Care bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $1.9 billion from 2025-26 to 2030-31 to support ongoing access, affordability, quality and inclusion efforts in Manitoba.

New Brunswick

Health agreements

2016:

  • Home and Community Care, and Mental Health and Addictions Services: In December 2016, the Governments of Canada and New Brunswick agreed in principle to use federal funding of $229.4 million over 10 years, confirmed in Budget 2017, for investments in home care and mental health care, including:
    • $125.1 million for better home and community care; and
    • $104.3 million in support of mental health initiatives.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2015, the Public Health Agency of Canada (PHAC) entered into an agreement with the New Brunswick Ministry of Health for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings, and the Transfusion Error Surveillance System, initiated to monitor errors occurring at any point in the transfusion chain. Since 2016, New Brunswick has received $496,000 and the agreement will end on March 31, 2026.

2017:

2018:

  • Emergency Treatment Fund: In August 2018, the Government of Canada announced $2.8 million in federal funding for New Brunswick, to enhance access to evidence-based substance use treatment services. Matched by the province, this funding supported increasing physician hours in order to enhance access to quality care within a withdrawal management facility, increasing access to community-based treatment for individuals, providing access to an innovative Intensive Day Treatment program, and closing gaps in Opioid Replacement Therapy coverage in the northern part of the province.
  • From 2018-2025, the Healthy Seniors Pilot Project provided $75 million to the Government of New Brunswick. The project was designed to foster healthy aging, increase independence and quality of life, ensure older adults are enabled to live safely and securely in their homes with appropriate supports and care, and to disseminate best practices to support healthy aging. Through this pilot project, governments gained knowledge to better understand the impacts of aging on the population; the different challenges that women and men face; and how to support individuals to maintain independence and heathy lifestyles.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, assist with the procurement of personal protective equipment among other things. The agreement with New Brunswick included over $218 million under a number of priority areas.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.

2021:

2022:

  • Safe Long-Term Care: In April 2022, the Governments of Canada and New Brunswick announced an amendment to the 2017 bilateral agreement for home and community care and mental health and addictions services, to provide more than $22 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to 3 additional years, beginning in April 2022. New Brunswick received over $13.5 million.

2023:

  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment to support improvements in home and community care and mental health care, in 2023, the Governments of Canada and New Brunswick signed an agreement featuring a federal investment of close to $25 million in 2022-23.
  • Working Together to Improve Health Care in Canada for Canadians Plan: In February 2023, the Government of Canada and the Government of New Brunswick announced an agreement in principle for a shared plan featuring a federal investment of $3.64 billion over 10 years, as confirmed in Budget 2023. This included: $42 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $900 million focusing on shared health priorities, in addition to the remaining $98 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $65 million for long-term care (Budget 2021).
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with New Brunswick outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the province. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, English and French calls from New Brunswick area codes are routed to a 9-8-8 network partner in the province (1 service provider, the provincial Mental Health and Addictions Helpline) while English and French texts are first routed to New Brunswick’s Chimo Helpline with back-up support provided by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with the service provider. The MOU between PHAC and New Brunswick was signed in March 2024 and will expire March 2026.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: Further to the February 2023 agreement in principle, in March 2024, the Governments of Canada and New Brunswick announced two bilateral agreements:
    • Working Together Agreement: Featuring a federal investment of more than $313 million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
    • Aging with Dignity Agreement: Featuring a federal investment of close to $117 million over 5 years to help New Brunswickers age with dignity, closer to home. This included remaining funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. New Brunswick signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.
  • The Enhanced Sexually Transmitted and Blood Borne Infections (STBBI) Surveillance System is a biobehavioral public health surveillance system that monitors rates of STBBI and associated factors in key populations disproportionately impacted by these infections. Bio-behavioral enhanced surveillance is a crucial component of the activities, programs and interventions aimed at preventing and controlling STBBI, as it provides data to guide action. Since 1999, Tracks surveys have been an invaluable data source for numerous ongoing Public Health Agency of Canada activities, including measuring STBBI targets and indicators for national and international reporting (Global AIDS Monitoring). It also allows for the development of estimates of HIV and hepatitis C incidence and prevalence, HIV care continuum targets, and population size estimates. In 2023, Tracks entered in a Memorandum of agreement of $52,250 with New Brunswick to collect data on STBBI in people who inject drugs. 

2025:

Infrastructure agreements

2014:

2016:

2018:

  • Investing in Canada Infrastructure Program: In March 2018, Canada and New Brunswick signed a bilateral agreement for over $673 million in funding over ten years for long-term infrastructure projects. Canada committed over $165 million towards public transit, $347 million towards green infrastructure, over $46 million towards community, culture and recreation infrastructure, and almost $115 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2020:

2021:

2023:

2024:

  • Canada Community-Building Fund (CCBF): In June 2024, Canada announced a renewed agreement with New Brunswick under the CCBF, in place until March 31, 2024. For the first five years, the CCBF will invest over $254 million in the province. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.
  • Canada’s Housing Infrastructure Fund: In December 2024, the Governments of Canada and New Brunswick signed an agreement that will build or improve the critical infrastructure related to drinking water, wastewater, stormwater, and solid waste – that will in turn help them build more homes. The funding will allocate approximately $150 million to New Brunswick over the next ten years.

2025:

  • Unsheltered Homelessness and Encampment Initiative (UHEI): In February 2025, Canada announced a joint agreement with the province of New Brunswick under UHEI. This funding will support the implementation of New Brunswick’s Community Encampment Response Plan. Activities include the development of emergency shelters that immediately respond to concerns expressed by the unsheltered population, establishment of an emergency support and response plan and creating coordination and governance processes and policies across government and service providers to ensure individuals have access to essential services. The plan is tailored to the specific needs of Saint John. The federal government will contribute more than $3.5 million over two years. The Government of New Brunswick is cost-matching this funding.
Employment and social development agreements

2017:

2018:

  • Workforce Development Agreements (WDA): In March 2018, the bilateral Canada – New Brunswick WDA was signed to provide employment and training programs for all individuals, particularly from underrepresented groups, regardless of their Employment Insurance (EI) or employment status. The agreement also supports employers, organizations and sectors looking to provide upskilling, reskilling and continuous learning for workers. In 2024-2025, close to $15 million was provided to help New Brunswickers get training, develop their skills and gain work experience. 

2019:

2020:

2021:

  • Early Learning and Childcare: In August 2021, the Governments of New Brunswick and Canada signed the Canada-New Brunswick Early Learning and Child Care (ELCC) Agreement 2021-2025, which provides the province of New Brunswick with approximately $48.1 million over four years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2024.
  • Early childhood workforce funding: In August 2021, the Governments of New Brunswick and Canada amended the Canada-New Brunswick Early Learning and Child Care (ELCC) Agreement 2021-2025, to provide approximately $9.3 million in federal funding to support the recruitment and retention in the early childhood workforce.
  • Canada-Wide Early Learning and Child Care: In December 2021, the Governments of New Brunswick and Canada signed the Canada – New Brunswick Canada-Wide Early Learning and Child Care Agreement – 2021 to 2026, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. Through the bilateral agreement, Canada and New Brunswick aspire to the following objectives of fee reduction, creating more high-quality, affordable regulated childcare spaces predominantly through not-for-profit and family childcare homes, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and providing them with training and development opportunities needed to support their professional growth. The agreement provides over $491.9 million over 5 years (2021 to 2026) for New Brunswick. The agreement was renewed in 2025.

2024:

2025:

  • National School Food Program: In February 2025, the Governments of Canada and New Brunswick announced an agreement under the federal government’s National School Food Program that will enhance and/or expand New Brunswick's school food programming through an initial $11.2 million over three years.
  • Early Learning and Child Care Extensions: On February 21, 2025, the Governments of Canada and New Brunswick signed a bilateral agreement to extend the Canada-wide and Early Learning and Child Care bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $871 million from 2025-26 to 2030-31 to support ongoing access, affordability, quality and inclusion efforts in New Brunswick.

Newfoundland and Labrador

Health agreements

2016:

  • Home and Community Care, and Mental Health and Addictions Services: In December 2016, the Governments of Canada and Newfoundland and Labrador agreed in principle to use federal funding of $160.7 million over 10 years, confirmed in Budget 2017, for investments in home care and mental health care, including:
    • $87.7 million for better home and community care; and
    • $73 million in support of mental health initiatives.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2014, the Public Health Agency of Canada (PHAC) entered into an agreement with Newfoundland and Labrador for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings. Since 2016, Newfoundland and Labrador has received $600,000 and the agreement will end on March 31, 2026.

2018:

  • Home and Community Care, and Mental Health and Addictions Services: To deliver on the 2017 federal commitment to support improvements in home care and mental health care, in January 2018, the Governments of Canada and Newfoundland and Labrador announced a bilateral agreement featuring a federal investment of approximately $72 million over 5 years ($43.2 million for home and community care and $28.8 million for mental health and addictions).
  • Emergency Treatment Fund (ETF): In June 2018, the Government of Canada announced $1.6 million in federal funding over five years for Newfoundland and Labrador, to enhance access to evidence-based substance use treatment services. Matched by the province, federal funds under the ETF have supported the implementation of Newfoundland and Labrador’s provincial Opioid Dependence Treatment Model.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, assist with the procurement of personal protective equipment among other things. The agreement with Newfoundland and Labrador included approximately $134 million under a number of priority areas.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.

2021:

  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches, to ensure Canadians continue to safely access the services they need. In August 2021, the Government of Canada announced a bilateral agreement with Newfoundland and Labrador, for over $4.5 million in 2021-22 to further expand their virtual health care services.
  • Safe Long-term Care: In August 2021, the Governments of Canada and Newfoundland and Labrador announced an amendment to the 2018 bilateral agreement for home and community care and mental health and addictions services, to provide $15 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.

2022:

2023:

  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment, in 2023, the Governments of Canada Newfoundland and Labrador signed a one-year agreement featuring a federal investment of more than $16 million in 2022-23.
  • Working Together to Improve Health Care in Canada for Canadians Plan: In February 2023, the Government of Canada and the Government of Newfoundland and Labrador announced an agreement in principle for a shared plan featuring a federal investment of $2.18 billion over 10 years, as confirmed in Budget 2023. This included: $27 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $749 million focusing on shared health priorities, in addition to the remaining $62 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $43 million for long-term care (Budget 2021).
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Newfoundland and Labrador outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the province. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, English calls from Newfoundland and Labrador area codes are routed to the province’s 8-1-1 Healthline (the 9-8-8 network provider for the province*), while French calls and all texts from Newfoundland and Labrador have been answered by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with the service provider. The MOU between PHAC and Newfoundland and Labrador was signed in December 2023 and will expire March 31, 2026.

    *The 9-8-8 service within Newfoundland and Labrador is currently offline due to a technical issue.  As such, all Newfoundland and Labrador calls are being routed to network partners that offer national capacity.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: Further to the February 2023 agreement in principle, in 2024, the Governments of Canada and Newfoundland and Labrador signed two bilateral agreements:
    • Working Together Agreement: Featuring a March 2024 announcement of a federal investment of close to $256 million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
    • Aging with Dignity Agreement: Featuring a May 2024 announcement of a federal investment of $78 million over 5 years to help residents of Newfoundland and Labrador age with dignity, closer to home. This included remaining funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
    • Personal Support Workers: In November 2024, the Governments of Canada and Newfoundland and Labrador announced an amendment to the Aging with Dignity bilateral agreement to include an additional federal investment of more than $25 million over 5 years to help Newfoundland and Labrador support compensation for Personal Support Workers and related professions.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Newfoundland and Labrador signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.
  • Drugs for Rare Diseases: In November 2024, Canada announced a bilateral agreement with Newfoundland and Labrador to invest over $22 million of federal funding over 3 years to improve access to selected new drugs for rare diseases, and support enhanced access to existing drugs, early diagnosis and screening.
Infrastructure agreements

2014:

2016:

2018:

  • Investing in Canada Infrastructure Program: In October 2018, Canada and Newfoundland and Labrador signed a bilateral agreement for over $555 million over ten years for long-term infrastructure projects. Canada committed over $109.1 million towards public transit, $302.4 million towards green infrastructure, over $39.8 million towards community, culture and recreation infrastructure, and almost $105 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2021:

2023

2024:

  • Canada Community-Building Fund (CCBF): In September 2024, Canada announced a renewed agreement with Newfoundland and Labrador under the CCBF, in place until March 31, 2034. For the first five years, CCBF will invest over $168.7 million in the province. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.

2025:

  • Unsheltered Homelessness and Encampment Initiative (UHEI): In February 2025, Canada announced a joint agreement with the province of Newfoundland and Labrador under UHEI. This funding will support the implementation of Newfoundland and Labrador’s Community Encampment Response Plan. Activities will include the construction of 13 new units (a combination of modular micro units and traditional construction), continued investments in the emergency shelter program and a transitional housing initiative, and funding to support the operations of End Homelessness St. John’s, including its Community Outreach Team and its Supported Referrals Program. The plan is tailored to the specific needs of St. John’s. The federal government will contribute more than $2 million over two years. The Government of Newfoundland and Labrador is cost-matching this funding.
Employment and social development agreements

2017:

2018:

  • Workforce Development Agreements (WDA): In March 2018, the bilateral Canada – Newfoundland and Labrador WDA was signed to provide employment and training programs for all individuals, particularly from underrepresented groups, regardless of their Employment Insurance (EI) or employment status. The agreement also supports employers, organizations and sectors looking to provide upskilling, reskilling and continuous learning for workers. In 2024-2025, over $9 million was provided to help Newfoundlanders and Labradorians get training, develop their skills and gain work experience. 

2020:

2021:

  • Early Learning and Childcare: In January 2021, the Governments of Newfoundland and Labrador and Canada signed the Canada-Newfoundland and Labrador Early Learning and Child Care (ELCC) Agreement 2020-2021, which provides the province of Newfoundland and Labrador with approximately $7.2 million over one year for the purpose of enhancing its early care and learning system. The agreement was renewed in 2021.
  • Early Learning and Childcare: In July 2021, the Governments of Newfoundland and Labrador and Canada signed the Canada-Newfoundland and Labrador Early Learning and Child Care (ELCC) Agreement 2021-2025, which provides the province of Newfoundland and Labrador with approximately $34.8 million over four years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2024.
  • Early childhood workforce funding: In July 2021, the Governments of Newfoundland and Labrador and Canada amended the Canada-Newfoundland and Labrador Early Learning and Child Care (ELCC) Agreement 2021-2025, to provide approximately $6.5 million in federal funding to support the recruitment and retention in the early childhood workforce.
  • Canada-Wide Early Learning and Child Care: In July 2021, the Governments of Newfoundland and Labrador and Canada signed the Canada-Newfoundland and Labrador Canada-Wide Early Learning and Child Care Agreement – 2021 to 2026, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live.  Through the agreement, Canada and Newfoundland and Labrador aspire to the following objectives of fee reduction, creating more high-quality, affordable regulated childcare spaces, primarily through not-for-profit and public childcare providers, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and providing them with training and development opportunities. The agreement provides approximately $306 million over 5 years (2021 to 2026) for Newfoundland and Labrador. The agreement was renewed in 2025.

2024:

2025:

  • Early Learning and Child Care Extensions: On February 28, 2025, the Governments of Newfoundland and Labrador and Canada signed a bilateral agreement to extend the Canada-wide and Early Learning and Child Care bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $500 million from 2025-26 to 2030-31 to support ongoing access, affordability, quality and inclusion efforts in Newfoundland and Labrador.

Northwest Territories

Health agreements

2016:

  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system.  In April 2014, the Public Health Agency of Canada (PHAC) entered into an agreement with the Northwest Territories for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings. Since 2016, the Northwest Territories has received $100,000 and the agreement will end on March 31, 2026.

2017:

  • Home and Community Care, and Mental Health and Addictions Services: In January 2017, the Government of Canada and the Government of the Northwest Territories agreed in principle to use federal funding of $13.5 million over 10 years, confirmed in Budget 2017, for investments in home care and mental health care, including:
    • $7.4 million for better home and community care; and
    • $6.1 million in support of mental health initiatives.

2018:

  • Home and Community Care, and Mental Health and Addictions Services: To deliver on the 2017 federal commitment to support improvements in home care and mental health care, in February 2018, the Governments of Canada and the Northwest Territories announced a bilateral agreement featuring a federal investment of approximately $6.07 million over 5 years ($3.6 million for home and community care and $2.4 million for mental health and addictions).
  • Territorial Health Investment Fund (THIF): Budget 2017 invested $108 million over 4 years, starting in 2017-18, to renew and expand the THIF, with $25.6 million allocated to Yukon, $28.4 million to the Northwest Territories and $54 million to Nunavut.

2019:

  • Emergency Treatment Fund: In January 2019, the Government of Canada announced $500,000 in federal funding over 5 years for the Northwest Territories to enhance access to evidence-based substance use treatment services. Matched by the territory, funding supported the Opioid Enhancement Project. This project aims to provide at-risk residents of the Northwest Territories with access to an effective, efficient, integrated, and culturally safe Opioid Maintenance Therapy Program.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, assist with the procurement of personal protective equipment among other things. The agreement with the Northwest Territories included over $14,500 under a number of priority areas.
  • Top-Up - Safe Restart Agreement (SRA): With the Safe Restart Agreement, federal, provincial and territorial governments recognize that smaller jurisdictions face distinct challenges and circumstances. A supplemental funding of over $12.2 million was provided by the Federal Government to the Northwest Territories. The Federal Government also invested up to $17.1 million for air carriers in the territory. Support for enhanced air service will ensure that food, equipment and medicine reach people living in remote communities in a reliable and timely manner.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.

 2021:

  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches, to ensure Canadians continue to safely access the services they need. In May 2021, the Government of Canada announced a bilateral agreement with the Northwest Territories, for nearly $3.1 million between 2020-21 and 2021-22 to further expand their virtual health care services.
  • Safe Long-term Care: In August 2021, the Governments of Canada and the Northwest Territories announced an amendment to the 2018 bilateral agreement for home community care and mental health and addictions services, to provide close to $3.1 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • Territorial Health Investment Fund (THIF): Budget 2021 confirmed the extension of THIF by 2 years, with an investment of $54 million, starting in 2021-22. Of this amount, $27 million was allocated to Nunavut, $14.2 million to the Northwest Territories and $12.8 million to Yukon. 
  • Safe Voluntary Isolation Sites Program (SVISP): SVISP was a rapid response program designed to reduce the community transmission of COVID-19 by supporting at-risk populations who could not safely isolate at home. Over $181 million was available for SVISP throughout three years and the Government of the Northwest Territories was allocated over $258,000 from November 2021 to March 2022.

2022:

  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment, in 2022, the Governments of Canada and the Northwest Territories signed a one-year agreement featuring a federal investment of approximately $1.3 million in 2022-23.
  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to three additional years, beginning in April 2022. The Northwest Territories received over $10.2 million.
  • The Healthy Canadians and Communities Fund provides funding to the Government of the Northwest Territories via a Memorandum of Understanding with Indigenous Services Canada, to support the Northern Wellness Agreement (NWA) in the territory. Almost $1.8 million is being provided from April 2022 to March 2027 to support the NWA. Under the NWA, programs are clustered into three thematic areas: Healthy Child and Youth Development; Healthy Living and Disease Prevention; and Mental Wellness and Addictions. These clusters support the healthy development of children and families, improve mental wellness outcomes and prevent and reduce the impact of disease and addictions.
  • The Intersectoral Action Fund is also providing funding to the Government of the Northwest Territories via a Memorandum of Understanding with Indigenous Services Canada, to support the Northern Wellness Agreement (NWA) in the territory. $150,000 is being provided in 2024-25 and 2025-26 to support the NWA.

2023:

  • Working Together to Improve Health Care in Canada for Canadians Plan: In July 2023, the Government of Canada and the Government of Northwest Territories announced an agreement in principle for a shared plan featuring a federal investment of $361 million over 10 years, as confirmed in Budget 2023. This included: $2 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $73 million focusing on shared health priorities, in addition to the remaining $6 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $9 million for long-term care (Budget 2021).
  • Territorial Health Investment Fund (THIF): Budget 2023 announced $350 million over ten years to renew the THIF, beginning in 2023-24, to help support medical travel and the higher cost of delivering health care in the territories, with $150 million allocated to Nunavut, $100 million to the Northwest Territories, and $100 million to Yukon.
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Northwest Territories outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the territory. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, all calls and texts in the Northwest Territories are routed to 9-8-8 partners that offer national capacity for 9-8-8 in English and French. This is an interim measure until the Northwest Territories identifies a service provider. The MOU does not include funding arrangements. The MOU between PHAC and the territory was signed in November 2023 and will expire March 2026.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: Further to the July 2023 agreement in principle, in February 2024, the Governments of Canada and the Northwest Territories announced two bilateral agreements:
    • Working Together Agreement: Featuring a federal investment of more than $24 million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
    • Aging with Dignity Agreement: Featuring a federal investment of more than $12 million over 5 years to help residents of the Northwest Territories age with dignity, closer to home. This included funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. The Northwest Territories signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.

2025:

Infrastructure agreements

2014:

2016:

2018:

  • Investing in Canada Infrastructure Program: In March 2018, Canada and the Northwest Territories signed a bilateral agreement for over $570 million in funding over 10 years for long-term infrastructure projects. Canada committed over $8.3 million towards public transit, $208 million towards green infrastructure, over $26 million towards community, culture and recreation infrastructure, and almost $328 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2022:

  • COVID-19 Resilience Infrastructure: In December 2022, the governments of Canada and Northwest Territories announced an investment of over $4.1 million in federal funding to improve ventilation in four public buildings in the Northwest Territories. The Government of Canada’s investment comes from the COVID-19 Resilience Infrastructure Stream of the Investing in Canada Infrastructure Program.

2024:

  • Canada Community-Building Fund: In September 2024, the governments of Canada and the Northwest Territories signed a renewed ten-year agreement for the Canada Community-Building Fund (CCBF). Under this agreement, the Northwest Territories will receive $94.5 million in funding through the CCBF over the first five years to provide predictable, long-term and stable funding to communities across the territory.  The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.
  • Unsheltered Homelessness and Encampment Initiative (UHEI): In December 2024, Canada announced a joint agreement with the Northwest Territories under UHEI. This funding will support the implementation of Yellowknife’s Community Encampments Response Plan. In the short term, the Northwest Territories will provide additional shelter spaces to ensure that those in need have a safe and warm space during the winter months. In the medium to long-term, they will work on increasing transitional and supportive housing options for individuals at risk of homelessness and/or exiting homelessness across the territory. Key activities include increasing shelter space at the Salvation Army by approximately 8 beds, establishing a 10 week on-the-land camp outside of the City for up to 30 people, establishing a 25-30-person modular transitional housing unit within City limits and increasing the availability of transitional and supportive housing options long-term. The federal government will contribute $1 million over two years. The Government of the Northwest Territories is cost-matching this funding.
Employment and social development agreements

2018:

2020:

2021:

2024:

2025:

  • National School Food Program: In March 2025, the Governments of Canada and Northwest Territories announced an agreement under the federal government’s National School Food Program that will enhance and/or expand the Northwest Territories’ school food programming through an initial federal investment of $7.4 million over three years.
  • Early Learning and Child Care: In February 2025, the Governments of the Northwest Territories and Canada amended the Canada – Northwest Territories Early Learning and Child Care Agreement 2021-2025, to include additional funding of $2.6 million in 2025-2026 for the purpose of enhancing its early care and learning system. The agreement was renewed in 2025.

Nova Scotia

Health agreements

2016:

  • Home and Community Care, and Mental Health and Addictions Services: In December 2016, the Federal Government and the Government of Nova Scotia agreed in principle to use federal funding of $287.8 million over 10 years, confirmed in Budget 2017, for investments in home care and mental health care, including:
    • $157 million for better home and community care; and
    • $130.8 million in support of mental health initiatives.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2012, the Public Health Agency of Canada (PHAC) entered into an agreement with Nova Scotia for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings, and the Transfusion Error Surveillance System, initiated to monitor errors occurring at any point in the transfusion chain. Since 2016, Nova Scotia has received $2.5 million and the agreement will end on March 31, 2026.

2018:

2019:

  • Emergency Treatment Fund: In March 2019, the Government of Canada announced $3.16 million in federal funding for Nova Scotia, to enhance access to evidence-based substance use treatment services. Matched by the province, this funding was used to enhance access to opioid use disorder (OUD) treatment through Nova Scotia’s Health Mental Health and Addictions Program as well as the Halifax-based low threshold OUD treatment program. The province has also worked towards building primary care capacity to support greater access to ongoing OUD treatment and facilitated the transfer of stabilized patients from specialized OUD treatment programs to primary care.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, assist with the procurement of personal protective equipment among other things. The agreement with Nova Scotia included over $289 million under a number of priority areas.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.

2021:

  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches, to ensure Canadians continue to safely access the services they need. In March 2021, the Government of Canada announced a bilateral agreement with Nova Scotia, for nearly $5.9 million in 2020-21 to further expand their virtual health care services.
  • Safe Voluntary Isolation Sites Program (SVISP): SVISP was a rapid response program designed to reduce the community transmission of COVID-19 by supporting at-risk populations who could not safely isolate at home. Over $181 million was available for SVISP over three years and the Government of Nova Scotia was allocated over $3.8 million from April 2021 to March 2023.

2022:

  • Safe Long-term Care: In February 2022, the Governments of Canada and Nova Scotia announced an amendment to the 2018 bilateral agreement for home and community care and mental health and addictions services, to provide more than $27 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to three additional years, beginning in April 2022. Nova Scotia received over $14.4 million.
  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment, in 2022, the Governments of Canada and Nova Scotia signed a one-year agreement featuring a federal investment of more than $16 million in 2022-23.  

2023:

  • Working Together to Improve Health Care in Canada for Canadians Plan: In February 2023, the Government of Canada and the Government of Nova Scotia announced an agreement in principle for a shared plan featuring a federal investment of $4.81 billion over 10 years, as confirmed in Budget 2023. This included: $52 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $1.01 billion focusing on shared health priorities, in addition to the remaining $124 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $81 million for long-term care (Budget 2021).
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Nova Scotia outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the province. English calls from Nova Scotia area codes are routed to Nova Scotia Health Authority’s Provincial Mental Health and Addictions Crisis Line (the 9-8-8 network provider for the province*), while French calls and all texts from Nova Scotia have been answered by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with the service provider. The MOU between PHAC and Nova Scotia was signed in August 2024 and will expire March 31, 2025.

    *The 9-8-8 service within NS is currently offline due to a technical issue.  As such, all Nova Scotia calls are being routed to network partners that offer national capacity.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: Further to the February 2023 agreement in principle, in 2024, the Governments of Canada and Nova Scotia signed two bilateral agreements:
    • Working Together Agreement: Featuring a January 2024 announcement of a federal investment of over $355 million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
    • Aging with Dignity Agreement: Featuring a federal investment of almost $145 million over 5 years to help residents of Nova Scotia age with dignity, closer to home. This included funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Nova Scotia signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.

2025:

Infrastructure agreements

2014:

2016:

  • Clean Water and Wastewater Fund and the Public Transit Infrastructure Fund: In August 2016, Canada announced an agreement with Nova Scotia for more than $115 million for 96 community infrastructure projects under two new federal programs: the Public Transit Infrastructure Fund and the Clean Water and Wastewater Fund. Under the agreement, the federal government is providing up to 50 per cent of funding for projects supported through these programs and the provincial government and municipalities will provide the balance of funding. This agreement was in place for four years, ending March 31, 2020.

2018:

  • Investing in Canada Infrastructure Program: In April 2018, Canada and Nova Scotia signed a bilateral agreement for over $828 million in funding over 10 years for long-term infrastructure projects. Canada committed over $289 million towards public transit, $381 million towards green infrastructure, over $51 million towards community, culture and recreation infrastructure, and almost $105 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2021:

2024:

  • Canada Community-Building Fund (CCBF): In August 2024, Canada announced a renewed agreement with Nova Scotia under the CCBF, in place until March 31, 2034. For the first five years, CCBF will invest over $318.8 million in the province. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.

2025:

  • Unsheltered Homelessness and Encampment Initiative (UHEI): In February 2025, Canada announced a joint agreement with the province of Nova Scotia under UHEI. This funding will support the implementation of Nova Scotia’s Community Encampment Response Plan. Activities include expanding outreach services, expanding and stabilizing shelter capacity, and strengthening collaboration with partners. The plan is tailored to the specific needs of Halifax Regional Municipality. The federal government will contribute more than $5.3 million over two years. The Government of Nova Scotia is cost-matching this funding.
Employment and social development agreements

2018:

  • Workforce Development Agreements (WDA): In March 2018, the bilateral Canada – Nova Scotia WDA was signed to provide employment and training programs for all individuals, particularly from underrepresented groups, regardless of their Employment Insurance (EI) or employment status. The agreement also supports employers, organizations and sectors looking to provide upskilling, reskilling and continuous learning for workers. In 2024-2025, close to $19 million was provided to help Nova Scotians get training, develop their skills and gain work experience. 
  • Early Learning and Childcare: In January 2018, the Government of Nova Scotia and the Government of Canada signed the Canada – Nova Scotia Early Learning and Child Care Agreement - 2017-2020, which provides Nova Scotia with approximately $35.4 million over three years for the purpose of enhancing its early care and learning system. This agreement was renewed in 2020.

2019:

2020:

2021:

  • Early Learning and Childcare: In July 2021, the Governments of Nova Scotia Canada signed the Canada – Nova Scotia Early Learning and Child Care Agreement 2021-2025, which provides Nova Scotia with approximately $58.3 million over four years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2025.
  • Early childhood workforce funding: In July 2021, the Governments of Nova Scotia Canada amended the Canada – Nova Scotia Early Learning and Child Care Agreement 2021-2025, to provide approximately $10.9 million in federal funding to support the recruitment and retention in the early childhood workforce.
  • Canada-Wide Early Learning and Child Care: In July 2021, the Governments of Nova Scotia Canada signed the Canada – Nova Scotia Canada-Wide Early Learning and Child Care Agreement – 2021 to 2026, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. Through the bilateral agreement, Canada and Nova Scotia aspire to the following objectives of fee reduction, creating more high-quality, affordable regulated childcare spaces predominantly through not-for-profit and family childcare homes, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and providing them with training and development opportunities needed to support their professional growth. The agreement provides approximately $604.9 million over 5 years (2021 to 2026) for Nova Scotia. The agreement was renewed in 2025.

2024:

2025:

  • National School Food Program: In February 2025, the Governments of Canada and Nova Scotia announced an agreement under the federal government’s National School Food Program that will enhance and/or expand Nova Scotia’s school food programming through an initial federal investment of $12.4 million over three years.
  • Early Learning and Child Care: In January 2025 the Governments of Nova Scotia Canada amended the Canada – Nova Scotia Early Learning and Child Care Agreement 2021-2025, to include additional funding of $16.4 million in 2025-2026 for the purpose of enhancing its early care and learning system. The agreement was renewed in February 2025.
  • Early Learning and Child Care Extensions: On February 28, 2025, the Governments of Nova Scotia Canada signed a bilateral agreement to extend the Canada-wide and Early Learning and Child Care bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $1.1 billion from 2025-26 to 2030-31 to support ongoing access, affordability, quality and inclusion efforts in Nova Scotia.

Nunavut

Health agreements

2017:

  • Home and Community Care, and Mental Health and Addictions Services: In January 2017, the Government of Canada and the Government of Nunavut agreed in principle to use federal funding of $11.2 million over 10 years, confirmed in Budget 2017, for investments in home care and mental health care, including:
    • $6.1 million for better home and community care; and
    • $5.1 million in support of initiatives to address mental health and addictions.

    This agreement came into effect in 2019-2020, to permit Nunavut to put in place its programs and initiatives for home and community care and mental health and addictions.

2018:

  • Emergency Treatment Fund: In August 2018, the Government of Canada announced $500,000 in federal funding over 5 years for Nunavut, to enhance access to substance use treatment services. Matched by the territory, funding supported community-based systems offering On-the-Land healing camps and other in-community supports. The program helps people struggling with unresolved trauma and substance use to heal, develop healthy coping mechanisms, and build skills to reduce or avoid self-medication using substances.
  • Territorial Health Investment Fund (THIF): Budget 2017 invested $108 million over 4 years, starting in 2017-18, to renew and expand the THIF, with $25.6 million allocated to Yukon, $28.4 million to the Northwest Territories and $54 million to Nunavut.

2019:

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, and assist with the procurement of personal protective equipment among other things. The agreement with Nunavut included over $12.9 million under a number of priority areas.
  • Top-Up - Safe Restart Agreement (SRA): With the SRA, federal, provincial and territorial governments recognize that smaller jurisdictions face distinct challenges and circumstances. A supplemental funding of over $12.5 million was provided by the federal government to Nunavut. The federal government also invested up to $17.1 million for air carriers in the territory. Support for enhanced air service will ensure that food, equipment and medicine reach people living in remote communities in a reliable and timely manner.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.

2021:

  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches, to ensure Canadians continue to safely access the services they need. In July 2021, the Government of Canada announced a bilateral agreement with Nunavut, for over $3.1 million in 2021-22 to further expand their virtual health care services.
  • Territorial Health Investment Fund (THIF): Budget 2021 confirmed the extension of the THIF by 2 years, with an investment of $54 million, starting in 2021-22. Of this amount, $27 million was allocated to Nunavut, $14.2 million to the Northwest Territories and $12.8 million to Yukon. 

2022:

  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to three additional years, beginning in April 2022. Nunavut received close to $10.2 million.
  • Safe Long-Term Care: In June 2002, the Governments of Canada and Nunavut announced an amendment to the 2019 bilateral agreement for home and community care, and mental health and addictions services, to provide more than $3 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • The Healthy Canadians and Communities Fund provides funding to the Nunavut Government via a Memorandum of Understanding with Indigenous Services Canada, to support the Northern Wellness Agreement (NWA) in the territory. Almost 1.8 million is being provided from April 2022 to March 2027 to support the NWA. Under the NWA, programs are clustered into three thematic areas: Healthy Child and Youth Development; Healthy Living and Disease Prevention; and Mental Wellness and Addictions. These clusters support the healthy development of children and families, improve mental wellness outcomes and prevent and reduce the impact of disease and addictions.
  • The Intersectoral Action Fund is also providing funding to the Government of the Nunavut via a Memorandum of Understanding with Indigenous Services Canada, to support the Northern Wellness Agreement (NWA) in the territory. $150,000 is being provided in 2024-25 and 2025-26 to support the NWA.

2023:

  • Working Together to Improve Health Care in Canada for Canadians Plan: In July 2023, the Governments of Canada and Nunavut announced an agreement in principle for a shared plan featuring a federal investment of $381 million over 10 years, as confirmed in Budget 2023. This included: $2 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $70 million focusing on shared health priorities, in addition to the remaining $4 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $9 million for long-term care (Budget 2021).
  • Territorial Health Investment Fund (THIF): Budget 2023 announced $350 million over ten years to renew the THIF, beginning in 2023-24, to help support medical travel and the higher cost of delivering health care in the territories, with $150 million allocated to Nunavut, $100 million to the Northwest Territories, and $100 million to Yukon.
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Nunavut outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the territory. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, English calls from Nunavut area codes are routed to a 9-8-8 network partner in the territory (1 service provider, Nunavut Kamatsiaqtut Help Line) while all texts and French calls are answered by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with the service provider. The MOU between PHAC and Nunavut was signed in November 2023 and will expire March 2026.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: Further to the July 2023 agreement in principle, in March 2024, the Governments of Canada and Nunavut announced two bilateral agreements:
    • Working Together Agreement: Featuring a federal investment of more than $23.6 million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
    • Aging with Dignity Agreement: Featuring a federal investment more than $12 million over 5 years to help residents of Nunavut age with dignity, closer to home. This included funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Nunavut signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.

2025:

Infrastructure agreements

2014:

2016:

  • Clean Water and Wastewater Fund: In March 2016, Canada announced a bilateral agreement with Nunavut for more than $51 million for the Clean Water and Wastewater Fund. Under the agreement, the federal government is providing up to 50 per cent of funding for projects supported through this program and the provincial government and municipalities will provide the balance of funding. This agreement was in place for four years, ending March 31, 2020.

2018:

  • Investing in Canada Infrastructure Program: In March 2018, Canada and Nunavut signed a bilateral agreement for almost $567 million in funding over ten years for long-term infrastructure projects. Canada committed $6 million towards public transit, $207 million towards green infrastructure, $26 million towards community, culture and recreation infrastructure, and $328 million towards rural and norther communities’ infrastructure, including the Arctic Energy Fund. This agreement has been reviewed and updated every year and is in place until 2028.

2022:

  • Clean Water and Wastewater Fund: In July 2022, Canada announced a bilateral agreement with Nunavut for more than $3.6 million for supporting the planning of improved water and wastewater treatment in six Nunavut communities. Under the agreement, the federal government is investing more than $2.7 million and the government of Nunavut is providing $925,000.

2024:

  • Infrastructure and transit projects: In January 2024, Canada and Nunavut invested more than $194 million in critical infrastructure and transit projects across the territory. These investments will help build stronger, more inclusive communities and ensure northerners and their families have access to modern, reliable infrastructure that meets their unique needs.
  • Canada Community-Building Fund (CCBF): In August 2024, Canada announced a renewed agreement with Nunavut under the CCBF, in place until March 31, 2034. Over the first five years, the CCBF will invest over $94.5 million in the territory. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.
Employment and social development agreements

2017:

2018:

  • Workforce Development Agreements (WDA): In July 2018, the bilateral Canada – Nunavut WDA was signed to provide employment and training programs for all individuals, particularly from underrepresented groups, regardless of their Employment Insurance (EI) or employment status. The agreement also supports employers, organizations and sectors looking to provide upskilling, reskilling and continuous learning for workers. In 2024-2025, over $2 million was provided to help Nunavummiut get training, develop their skills and gain work experience. 
  • Nunavut Inuit Labour Force Analysis Agreement: In August 2018, the Government of Nunavut and the Government of Canada signed the Nunavut Inuit Labour Force Analysis Agreement. This agreement focuses on analyzing and improving the participation of Inuit in government employment, ensuring that Inuit representation in the workforce is reflective of the population.

2019:

2020:

  • Early Learning and Childcare: In June 2020, the Government of Nunavut and the Government of Canada signed the Canada-Nunavut Early Learning and Child Care (ELCC) Agreement 2020-2021, which provided Nunavut with approximately $2.4 million over one year to support building the early learning and childcare system. These investments will support early learning and childcare programs consistent with the Multilateral Early Learning and Child Care Framework. The agreement was renewed in 2021.

2021:

  • Early Learning and Childcare: In August 2021, the Governments of Nunavut and Canada signed the Canada-Nunavut Early Learning and Child Care (ELCC) Agreement 2021-2025, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. Canada and Nunavut aspire to the following objectives of fee reduction, creating more high-quality, affordable regulated childcare spaces primarily through not-for-profit and public childcare providers, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and their work and providing them with training and development opportunities. The agreement provides Nunavut with approximately $10 million over four years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2025.
  • Early childhood workforce funding: In August 2021, the Governments of Nunavut and Canada amended the Canada-Nunavut Early Learning and Child Care (ELCC) Agreement 2021-2025, to include additional funding of $2.8 million to support the recruitment and retention in the early childhood workforce.

2022:

  • Canada-Wide Early Learning and Child Care: In January 2022, the Governments of Nunavut and Canada signed the Canada-Nunavut Canada-wide Early Learning and Child Care Agreement – 2021 to 2026, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. The agreement provides approximately $66.1 million over five years (2021 to 2026) to Nunavut. The agreement was renewed in 2025.

2024:

2025:

  • National School Food Program: in February 2025, the Governments of Canada and Nunavut announced an agreement under the federal government’s National School Food Program that will enhance and/or expand Nunavut’s school food programming through an initial federal investment of $7.6 million over three years.
  • Early Learning and Child Care: In January 2025 the Governments of Nunavut and Canada amended the Canada-Nunavut Early Learning and Child Care (ELCC) Agreement 2021-2025, to include additional funding of $2.6 million in 2025-2026 for the purpose of enhancing its early care and learning system. The agreement was renewed in February 2025.
  • Early Learning and Child Care Extensions: On February 24, 2025, the Governments of Nunavut and Canada signed a bilateral agreement to extend the Canada-wide and Early Learning and Child Care bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $107 million from 2025-26 to 2030-31 to support ongoing access, affordability, quality and inclusion efforts in Nunavut.

Ontario

Health agreements

2017:

2019:

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, and assist with the procurement of personal protective equipment among other things. The agreement with Ontario included $7 billion under a number of priority areas.
  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches, to ensure Canadians continue to safely access the services they need. In April 2021, the Government of Canada announced a bilateral agreement with Ontario for $46 million to further expand their virtual health care services.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.   

2021:

  • Safe Voluntary Isolation Sites Program (SVISP): SVISP was a rapid response program designed to reduce the community transmission of COVID-19 by supporting at-risk populations who could not safely isolate at home. Over $181 million was made available for SVISP over three years and Ontario was allocated over $23.6 million from January to June 2021.

2022:

  • Safe Long-term Care: In April 2022, the Governments of Canada and Ontario announced an amendment to the 2019 bilateral agreement for home and community care and mental health and addictions services, to provide more than $379 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to three additional years, beginning in April 2022. Ontario received close to $76.0 million.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2022, the Public Health Agency of Canada (PHAC) renewed an agreement with Ontario for $1.1 million until March 31, 2026 for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC in 2001 to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings, the Transfusion Error Surveillance System, initiated to monitor errors occurring at any point in the transfusion chain, and the Cells Tissue and Organ Surveillance System, an initiative to capture transplantation adverse events.

2023:

  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment, in April 2023, the Governments of Canada and Ontario signed a one-year agreement featuring a federal investment of more than $465 million in 2022-23.  
  • Working Together to Improve Health Care in Canada for Canadians Plan: In February 2023, the Government of Canada and the Government of Ontario announced an agreement in principle for a shared plan that will invest $74 billion in federal funding over 10 years, as confirmed in Budget 2023. This included: $776 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $8.4 billion focusing on shared health priorities, in addition to the remaining $1.88 billion to support access to home and community care, and mental health and addictions services (Budget 2017), and $1.149 billion for long-term care (Budget 2021). 
  • 9-8-8 Suicide Crisis Helpline: The Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Ontario outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the province. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, 9-8-8 network partners in Ontario (14 service providers) are providing support to 9-8-8 callers in English, with a subset of partners also providing service for 9-8-8 French calls and texts. The MOU does not include funding arrangements with service providers. The MOU between PHAC and the province was signed in November 2023 and will expire March 2026.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: Further to the February 2023 agreement in principle, in 2024, the Governments of Canada and Ontario signed two bilateral agreements:
    • Working Together Agreement: Featuring a February 2024 announcement of a federal investment of $3.1 billion million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services. 
    • Aging with Dignity Agreement: Featuring a federal investment of more than $2 billion over 5 years to help Ontarians age with dignity, closer to home. This included funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care. 
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Ontario signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.

2025:

Infrastructure agreements

2014:

2016:

  • Public Transit Infrastructure Fund: In March 2016, Canada announced a bilateral agreement with Ontario for almost $1.49 billion for the Public Transit Infrastructure Fund. Under the agreement, the federal government is providing up to 50 per cent of funding for projects supported through this program and the provincial government and municipalities will provide the balance of funding. This agreement was in place for four years, ending March 31, 2020.
  • Clean Water and Wastewater Fund: In March 2016, Canada announced a bilateral agreement with Ontario for more than $569.6 million for the Clean Water and Wastewater Fund. Under the agreement, the federal government is providing up to 50 per cent of funding for projects supported through this program and the provincial government and municipalities will provide the balance of funding. This agreement was in place for four years, ending March 31, 2020.

2020:

  • Investing in Canada Infrastructure Program: In November 2018, Canada and Ontario signed a bilateral agreement for over $11.8 billion in funding over ten years for long-term infrastructure projects. Canada committed almost $7.5 billion towards public transit, over $2.2 billion towards green infrastructure, over $407.1 towards community, culture and recreation infrastructure, and $250 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.
  • COVID-19 Resilience Infrastructure: In October 2020 the governments of Canada and Ontario announced more than $1.05 billion in funding through the COVID-19 Resilience Infrastructure Stream of the Investing in Canada Infrastructure Program.

2024:

  • Canada Community-Building Fund (CCBF): In August 2024, Canada announced a renewed agreement with Ontario under the CCBF, in place until March 31, 2024. For the first five years, CCBF will invest over $4.7 billion in the province. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.

2025:

  • Unsheltered Homelessness and Encampment Initiative (UHEI): In January 2025, Canada announced a joint agreement with several municipalities in Ontario and Saskatchewan  under UHEI. Funding will support the implementation of cities’ Community Encampment Response Plans and immediately provide additional support to people living without homes. Each plan is tailored to the specific needs of a community. A broad range of activities will be supported across these agreements, including creating new shelter spaces, increasing transitional housing options, and providing case management services to help people find and keep permanent housing. In total, the federal government is delivering over $88 million to 10 municipalities in Ontario and approximately $8 million to two cities in Saskatchewan.
Employment and social development agreements

2017:

2018:

  • Workforce Development Agreements (WDA): In March 2018, the bilateral Canada – Ontario WDA was signed to provide employment and training programs for all individuals, particularly from underrepresented groups, regardless of their Employment Insurance (EI) or employment status. The agreement also supports employers, organizations and sectors looking to provide upskilling, reskilling and continuous learning for workers. In 2024-2025, over $280 million was provided to help Ontarians get training, develop their skills and gain work experience. 

2020:

2021:

  • Early Learning and Childcare: In August 2021, the Governments of Ontario and Canada signed the Canada - Ontario Early Learning and Child Care Agreement 2021-2025, which provides Ontario with approximately $764.5 million over four years to support building the early learning and childcare system. These investments will support early learning and childcare programs consistent with the Multilateral Early Learning and Child Care Framework. The agreement was renewed in 2025.
  • Early childhood workforce funding: In August 2021, the Governments of Ontario and Canada signed the Canada-Ontario Early Childhood Workforce Funding Agreement 2021-2022 which provides approximately $149.9 million in federal funding to support the recruitment and retention in the early childhood workforce.

2022:

  • Canada-Wide Early Learning and Child Care: In March 2022, the Governments of Ontario and Canada signed the Canada – Ontario Canada-wide Early Learning and Child Care Agreement - 2021 to 2026, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. Through the bilateral agreement, Canada and Ontario aspire to the following objectives of fee reduction, creating more high-quality, affordable regulated childcare spaces predominantly through not-for-profit and family childcare homes, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and providing them with training and development opportunities needed to support their professional growth. This agreement provides approximately $10.2 billion over 5 years (2021 to 2026) for Ontario.

2024:

2025:

  • Early Learning and Child Care: In February 2025, the Governments of Ontario and Canada amended the Canada - Ontario Early Learning and Child Care Agreement 2021-2025, to include additional funding of $214.3 million in 2025-2026 for the purpose of enhancing its early care and learning system. The agreement was renewed in principle in March 2025.
  • Early Learning and Child Care Extensions: In March 2025 the Governments of Ontario and Canada reached an agreement in principle to extend the Canada-wide ELCC and Early Learning and Child Care bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $16.8 billion from 2025-26 to 2030-31 to support ongoing access, affordability, quality and inclusion efforts in Ontario.

Prince Edward Island

Health agreements

2017:

  • Home and Community Care, and Mental Health and Addictions Services: In January 2017, the Government of Canada and the Government of Prince Edward Island agreed in principle to use federal funding of $45.1 million over 10 years, confirmed in Budget 2017, for investments in home care and mental health care, including:
    • $24.6 million for better home and community care, including addressing critical home care infrastructure requirements; and
    • $20.5 million in support of mental health initiatives.

2018

2019:

  • Emergency Treatment Fund: In February 2019, the Government of Canada announced $518,506 in federal funding over five years for PEI to enhance access to evidence-based substance use treatment services. Matched by the province, this funding expanded upon existing initiatives aimed at reducing gaps in access to services and built upon existing treatment capacities. Key initiatives included establishing videoconference/telehealth IT infrastructure and establishing a peer support training and development model.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, assist with the procurement of personal protective equipment among other things. The agreement with Prince Edward Island included over $46.1 million under a number of priority areas.
  • Top-Up - Safe Restart Agreement (SRA): With the Safe Restart Agreement, federal, provincial and territorial governments recognize that smaller jurisdictions face distinct challenges and circumstances. A supplemental funding of over $6.4 million was provided by the Federal Government to Prince Edward Island.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved. 

2021:

  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches, to ensure Canadians continue to safely access the services they need. In February 2021, the Government of Canada announced a bilateral agreement with Prince Edward Island, for close to $3.5 million in 2020-21 to further expand their virtual health care services.
  • Safe Long-term Care: In August 2021, the Governments of Canada and Prince Edward Island announced an amendment to the 2018 bilateral agreement for home and community care and mental health and addictions services, to provide more than $6 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • Improving Affordable Access to Prescription Drugs: In August 2021, the Government of Canada and the Government of Prince Edward Island announced a bilateral agreement to inform the advancement of national universal pharmacare. The agreement includes $35 million in federal funding from 2021-22 to 2025-26 to improve the province’s public drug plans through targeted investments.

2022:

  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to three additional years, beginning in April 2022. Prince Edward Island received over $10.7 million.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2022, the Public Health Agency of Canada (PHAC) entered into an agreement with Prince Edward Island for almost $40,000 ending on March 31, 2026 for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC in 2001 to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings. 

2023:

  • Working Together to Improve Health Care in Canada for Canadians Plan: In February 2023the Government of Canada and the Government of Prince Edward Island announced an agreement in principle for a shared plan featuring a federal investment of $996 million over 10 years, as confirmed in Budget 2023. This included: $9 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $288 million focusing on shared health priorities, in addition to the remaining $22 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $19 million for long-term care (Budget 2021).
    • Working Together Agreement: Further to the February 2023 agreement in principle, in December 2023, the Governments of Canada and Prince Edward Island announced a bilateral agreement featuring a federal investment of more than $94 million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment to support improvements in home care and mental health, in July 2023, the Government of Canada and the Government of Prince Edward Island announced a bilateral agreement featuring a federal investment of over $5 million in 2022-23.
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Prince Edward Island outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the province. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, English calls from Prince Edward Island area codes are routed to a 9-8-8 network partner in the province (1 service provider, Medavie) while all texts and French calls are answered by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with the service provider. The MOU between PHAC and Prince Edward Island was signed in November 2023 and will expire March 2026.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan:
    • Aging with Dignity: Further to the March 2023 agreement in principle, in March 2024, the Governments of Canada and Prince Edward Island announced a bilateral agreement featuring a federal investment of $29 million over 5 years to help residents of Prince Edward Island age with dignity, closer to home. This included funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Prince Edward Island signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.

2025:

  • Pharmacare: In March 2025, Canada announced a $40 million federal investment as part of two bilateral agreements to improve access to medications for Islanders. Through the national pharmacare agreement, the Government of Canada will provide more than $30 million over 4 years for universal coverage for contraceptives and diabetes medications for Prince Edward Island residents at little to no direct cost to them. The funding from this agreement will also improve access to diabetes devices and supplies.
  • Drugs for Rare Diseases: In March 2025, Canada announced a bilateral agreement with Prince Edward Island to invest over $10 million of federal funding over 3 years to improve access to selected new drugs for rare diseases, and support enhanced access to existing drugs, early diagnosis and screening.
Infrastructure agreements

2014:

2018:

  • Investing in Canada Infrastructure Program: In 2018, Canada and Prince Edward Island signed a bilateral agreement for over $366 million in funding for infrastructure projects. Canada committed over $27 million towards public transit, $228 million towards green infrastructure, over $29 million towards community, culture and recreation infrastructure, and almost $82 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2020:

2021:

2024:

  • Canada Community-Building Fund (CCBF): In August 2024, Canada announced a renewed agreement with Prince Edward Island under the CCBF, in place until March 31, 2034. For the first five years, the CCBF will invest over $94.5 million in the province to support community growth by providing funding to infrastructure projects that can contribute to the increase of housing supply and affordability. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.

2025:

  • Canada’s Housing Infrastructure Fund: In January 2025, the Governments of Canada and Prince Edward Island signed an agreement that will build or improve the critical infrastructure related to drinking water, wastewater, stormwater, and solid waste – that will in turn help them build more homes. The funding will allocate approximately $86 million to the Province of Prince Edward Island over the next ten years.
  • Unsheltered Homelessness and Encampment Initiative (UHEI): In March 2025, Canada announced a joint agreement with province of Prince Edward Island under UHEI. This funding will support the implementation of Prince Edward Island’s Community Encampment Response Plan. Activities include the construction of 13 new provincially owned supportive housing units in Charlottetown. These units are being built on provincial land through traditional construction and will support individuals who are experiencing homelessness or who are unsheltered. The plan is tailored to the specific needs of Charlottetown. The federal government will contribute $1 million over two years. The Government of Prince Edward Island is cost-matching this funding.
Employment and social development agreements

2017:

2018:

  • Workforce Development Agreements (WDA): In March 2018, the bilateral Canada – Prince Edward Island WDA was signed to provide employment and training programs for all individuals, particularly from underrepresented groups, regardless of their Employment Insurance (EI) or employment status. The agreement also supports employers, organizations and sectors looking to provide upskilling, reskilling and continuous learning for workers. In 2024-2025, over $3 million was provided to help Islanders get training, develop their skills and gain work experience. 

2020:

2021:

2024:

2025:

  • Early Learning and Child Care Extensions: On February 25, 2025, the Governments of Prince Edward Island and Canada signed a bilateral agreement to extend the Canada-wide and Early Learning and Child Care bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $196.4 million from 2025-26 to 2030-31 to support ongoing access, affordability, quality and inclusion efforts in Prince Edward Island.
 

Quebec

Health agreements

2017:

2018:

  • Home and Community Care, and Mental Health and Addictions Services: To deliver on the 2017 federal commitment to support improvements in home care and mental health care, in 2018, the Governments of Canada and Quebec signed an agreement featuring a federal investment of approximately $1.1 billion over 5 years ($686 million for home and community care and $457 million for mental health and addictions).
  • Emergency Treatment Fund: In 2018, the Government of Canada announced almost $22 million in federal funding for Quebec, to enhance access to evidence-based substance use treatment services. This funding supported access to both methadone and buprenorphine/naloxone, improved access to wrap around services for people seeking treatment for opioid use disorder, and enhanced access to training for physicians, pharmacists, nurses and psychosocial professionals.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, and assist with the procurement of personal protective equipment among other things. The agreement with Quebec included over $19 billion under a number of priority areas.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2020, the Public Health Agency of Canada (PHAC) renewed two agreements with the Government of Quebec for $1.7 million  and $1.2 million until March 31, 2026. This funding was used for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC in 2001 to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings, and the Transfusion Error Surveillance System, initiated to monitor errors occurring at any point in the transfusion chain, and the Cells Tissue and Organ Surveillance System, an initiative to capture transplantation adverse events.

2021:

2022:

  • Safe Long-Term Care: In June 2022, the Governments of Canada and Quebec announced an amendment to the 2018 agreement on home and community care, and mental health and addictions services, to provide more than $221 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment, in November 2022, the Government of Canada signed a one-year agreement featuring a federal investment of more than $270 million in 2022-23.
  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to three additional years, beginning in April 2022. Quebec received close to $48.3 million.
  • Vaccine Injury Support Program: In March 2022, the Public Health Agency of Canada (PHAC) finalized a 5-year contribution agreement with Quebec for the continued delivery of their longstanding Vaccine Injury Compensation (VIC) program using federal funding (from PHAC) parallel to the pan-Canadian Vaccine Injury Support Program. The contribution agreement is for up to $7.75 million over 5 years. The VIC program provides financial support to individuals who experience a serious and permanent injury as a result of receiving a vaccine included under the Quebec Immunization Program. The Institut national de santé publique du Québec undertakes the VIC's administrative and organizational management, while the Minister of Health and Social Services is responsible for the program.

2023:

  • 9-8-8 Suicide Crisis Helpline: Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, 9-8-8 in Quebec is routed to Quebec’s existing Suicide Prevention Services, with English and French voice service provided by 1-866-APPELLE, and English and French text service provided through the Association Québécoise de la prevention du suicide.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: In March 2024, the Government of Canada announced two agreements with the Government of Quebec, as part of the commitment to invest $6.7 billion in federal funding over 10 years.
    • Agreement on Support for Health Priorities: Featuring a federal investment of $2.5 billion over 4 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to improve access to mental health and addictions services.
    • Agreement on Support Home and Community Care as well as Long-Term Care: Featuring a federal investment of close to $1.2 billion over 5 years to help residents of Quebec age with dignity, closer to home. This included funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Quebec signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.

2025:

Infrastructure agreements

2014:

2016:

2018:

  • Investing in Canada Infrastructure Program: In December 2018, Canada and Quebec signed a bilateral agreement for over $7.5 billion over ten years for long-term infrastructure projects. Canada committed over $5.2 billion towards public transit, $1.81 billion towards green infrastructure, $257 million towards community, culture and recreation infrastructure, and $288.4 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2021:

  • COVID-19 Resilience Infrastructure: In July 2021, the Governments of Canada and Quebec announced over $188 million in funding through the COVID-19 Resilience Infrastructure Stream of the Investing in Canada Infrastructure Program. The federal government will invest in 209 infrastructure projects to modernize, redevelop, and upgrade health and social services institutions in Quebec, including hospitals, residential and long-term care centers, local community service centers, and rehabilitation centers. 

2024:

  • Canada Community-Building Fund (CCBF): In June 2024, Canada announced a renewed agreement with Quebec under the CCBF, in place until March 31, 2024. For the first five years, the CCBF will invest over $2.8 billion in the province. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.
  • Unsheltered Homelessness and Encampment Initiative (UHEI): In December 2024, Canada announced a joint agreement with the province of Quebec under UHEI. This funding will support the implementation of Quebec’s Community Encampment Response Plan. This funding will enable communities in Quebec to provide additional shelter spaces, especially during the winter months. It will also help expand 24/7 services, including warming centers, and enhance support aimed at promoting housing stability and street outreach efforts to address the needs of individuals at imminent risk of unsheltered homelessness or transitioning out of homelessness. The federal government will contribute almost $50 million over two years. The Government of Quebec is cost-matching this funding.
Employment and social development agreements

2018:

2019:

2020:

2021:

2022:

  • Early Learning and Childcare: In September 2022 the Governments of Quebec and Canada signed the Implementation agreement 2021 to 2025 of the March 10, 2017, Asymmetrical Agreement, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. The agreement provides almost $448.3 million over four years (2021 to 2025) for Quebec. The agreement was renewed in 2024.

2024:

2025:

  • National School Food Program: In March 2025, the Governments of Canada and Quebec announced an agreement under the federal government’s National School Food Program that will support Quebec’s school food programming through an initial federal investment of $65.2 million over three years.
  • Early Learning and Child Care Extensions: On February 21, 2025, the Governments of Quebec and Canada signed a bilateral agreement to extend the Canada-wide and Early Learning and Child Care asymmetrical bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $9.8 billion from 2025-26 to 2030-31 in support of Quebec’s childcare system.

Saskatchewan

Health agreements

2017:

2018:

  • Home and Community Care, and Mental Health and Addictions Services: To deliver on the 2017 federal commitment to support improvements in home care and mental health care, in May 2018, the Governments of Canada and Saskatchewan announced a bilateral agreement featuring a federal investment of close to $158 million over 5 years ($95 million for home and community care and $62 million for mental health and addictions).  
  • Emergency Treatment Fund: In November 2018, the Government of Canada announced $5 million in federal funding for Saskatchewan for over 5 years to increase access to quality treatment services for substance use disorders, including opioids. As part of the Agreement, Saskatchewan allocated more than $7.4 million over three years (2016‑17 to 2018‑19) to address the overdose crisis, directed towards recruitment, training and mentoring of Opioid Substitution Therapy prescribers, methadone and Suboxone drug costs, and managed care fees.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, and assist with the procurement of personal protective equipment among other things. The agreement with Saskatchewan included over $70.32 million under a number of priority areas.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.

2021:

  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches, to ensure Canadians continue to safely access the services they need. In April 2021, the Government of Canada announced a bilateral agreement with Saskatchewan, for nearly $6.5 million to further expand their virtual health care services.
  • Safe Voluntary Isolation Sites Program (SVISP): SVISP was a rapid response program designed to reduce the community transmission of COVID-19 by supporting at-risk populations who could not safely isolate at home. Over $181 million was available for SVISP throughout three years and the Saskatchewan Public Safety Organization was allocated over $13.6 million from January 2021 to August 2022.
  • Blood Safety Contribution Program (BSCP): First initiated in 2005, the BSCP has supported surveillance activities for blood, tissue, and organ related adverse events in an effort to maintain the safety of our health system. In April 2021, the Public Health Agency of Canada (PHAC) renewed an agreement with Saskatchewan for $450,000 until March 31, 2026 for the Transfusion Transmitted Injuries Surveillance System, a voluntary nationwide ongoing surveillance system established by PHAC in 2001 to monitor serious, moderate, and selected minor transfusion-related adverse events occurring in Canadian healthcare settings.

2022:

  • Safe Long-Term Care: In May 2022, the Governments of Canada and Saskatchewan announced an amendment to the 2018 bilateral agreement for home and community care, and mental health and addictions services, to provide more than $32 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to three additional years, beginning in April 2022. Saskatchewan received over $15.2 million.

2023:

  • Home and Community Care, and Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment, in 2023, the Governments of Canada and Saskatchewan signed a one-year agreement featuring a federal investment of more than $37 million in 2022-23.
  • Working Together to Improve Health Care in Canada for Canadians Plan: In March 2024the Government of Canada and the Government of Saskatchewan announced an agreement in principle for a shared plan featuring a federal investment of $5.94 billion over 10 years, as confirmed in Budget 2023. This included: $61 million through the immediate, one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $1.11 billion focusing on shared health priorities, in addition to the remaining $146 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $95 million for long-term care (Budget 2021).
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Saskatchewan outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the province. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, English calls and texts from Saskatchewan area codes are routed to 9-8-8 network partners in the province (3 service providers) while French calls and texts are answered by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with service providers. The MOU between PHAC and Saskatchewan was signed in September 2023 and will expire March 2026.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: Further to the March 2023 agreement in principle, in March 2024, the Governments of Canada and Saskatchewan announced two bilateral agreements:
    • Working Together Agreement: Featuring a federal investment of close to $391 million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to support improvements in mental health and addictions services.
    • Aging with Dignity Agreement: Featuring a federal investment of approximately $169.3 million over 5 years to help residents of Saskatchewan age with dignity, closer to home. This included funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Saskatchewan signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.

2025:

Infrastructure agreements

2014:

2016:

  • Clean Water and Wastewater Fund and Public Transit Infrastructure Fund: In September 2016, the Government of Canada announced a bilateral agreement with Saskatchewan for more than $118 million for two new programs: the Public Transit Infrastructure Fund and the Clean Water and Wastewater Fund. Under the agreement, the federal government is providing up to 50 per cent of funding for projects supported through these programs and the provincial government and municipalities will provide the balance of funding. This agreement was in place for four years, ending March 31, 2020.

2018:

  • Investing in Canada Infrastructure Program: In October 2018, Canada and Saskatchewan signed a bilateral agreement for more than $896 million over ten years for long-term infrastructure projects. Canada committed $308 million towards public transit, $416.3 million towards green infrastructure $56.2 million towards community, culture and recreation infrastructure, and $116 million towards rural and northern communities’ infrastructure. This agreement has been reviewed and updated every year and is in place until 2028.

2020:

2021:

2024:

  • Canada Community-Building Fund (CCBF): In August 2024, Canada announced a renewed agreement with Saskatchewan under the CCBF, in place until March 31, 2034. For the first five years, the CCBF will invest over $350 million in the province. The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.

2025:

  • Unsheltered Homelessness and Encampment Initiative (UHEI): In January 2025, Canada announced a joint agreement with several municipalities in Ontario and Saskatchewan under UHEI. Funding will support the implementation of cities’ Community Encampment Response Plans and immediately provide additional support to people living without homes. Each plan is tailored to the specific needs of a community. A broad range of activities will be supported across these agreements, including creating new shelter spaces, increasing transitional housing options, and providing case management services to help people find and keep permanent housing. In total, the federal government is delivering over $88 million to 10 municipalities in Ontario and approximately $8 million to two cities in Saskatchewan.
  • Canada’s Housing Infrastructure Fund: In February 2025, the Governments of Canada and Saskatchewan signed an agreement that will build or improve the critical infrastructure related to drinking water, wastewater, stormwater, and solid waste – that will in turn help them build more homes. The funding will allocate approximately $187.9 million to Saskatchewan over the next ten years.
Employment and social development agreements

2017:

2018:

  • Workforce Development Agreements (WDA): In March 2018, the bilateral Canada – Saskatchewan WDA was signed to provide employment and training programs for all individuals, particularly from underrepresented groups, regardless of their Employment Insurance (EI) or employment status. The agreement also supports employers, organizations and sectors looking to provide upskilling, reskilling and continuous learning for workers. In 2024-2025, over $21.5 million was provided to help Saskatchewanians get training, develop their skills and gain work experience. 

2019:

  • Labour Market Development Agreement (LMDA): Each year, the Government of Canada invests over $2 billion through the LMDAs with provinces and territories so they can support Canadians with Employment Insurance (EI)-funded skills training and employment assistance. This agreement has been in place since 2008, with Budget 2017 committing an additional investment of $1.8 billion over 6 years, which began in 2017 to 2018. While Canada provides funding under the LMDAs, provincial and territorial governments have the flexibility to design and deliver employment programs and services best suited to the needs of their local labour markets. The latest bilateral agreement with Saskatchewan was signed in September 2019, for over $44 million in funding for 2024-2025. Since 2016, the government of Canada has provided over $454 million to Saskatchewan under the LMDA.

2020:

2021:

  • Early Learning and Childcare: In August 2021, the Governments of Saskatchewan and Canada signed the Canada-Saskatchewan Early Learning and Child Care (ELCC) Agreement 2021-2025, which provides Saskatchewan with approximately $68.5 million over four years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2024.
  • Early childhood workforce funding: In August 2021, the Governments of Saskatchewan and Canada amended the Canada-Saskatchewan Early Learning and Child Care (ELCC) Agreement 2021-2025, to provide approximately $17.2 million in federal funding to support the recruitment and retention in the early childhood workforce.
  • Canada-Wide Early Learning and Child Care: In August 2021, the Governments of Saskatchewan and Canada signed the Canada – Saskatchewan Canada-Wide Early Learning and Child Care Agreement - 2021 to 2026, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. Through the bilateral agreement, Canada and Saskatchewan aspire to the following objectives of fee reduction, creating more high-quality, affordable regulated childcare spaces predominantly through not-for-profit and family childcare homes, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and providing them with training and development opportunities needed to support their professional growth. The agreement provides approximately $1.1 billion over five years (2021 to 2026) for Saskatchewan.
  • Labour Program – Occupational Health and Safety Compliance: In March 2021, the Government of Canada and the Province of Saskatchewan renewed and signed a bilateral memorandum of understanding agreement on Respecting Uranium Mines and Mills in Saskatchewan. This agreement, with up to approximately $350 thousand a year for three years, provides the province with the capacity to effectively administer occupational safety and health laws with respect to uranium mining.

2024:

2025:

  • National School Food Program: In March 2025, the Governments of Canada and Saskatchewan announced an agreement under the federal government’s National School Food Program that will enhance and/or expand Saskatchewan's school food programming through an initial investment of $15.8 million over three years.

Yukon

Health agreements

2017:

2018:

  • Home and Community Care, and Mental Health and Addictions Services: To deliver on the 2017 federal commitment to support improvements in home care and mental health care, in July 2018, the Governments of Canada and Yukon announced a bilateral agreement featuring a federal investment of approximately $5.2 million over 5 years ($3.1 million for home and community care and $2.1 million for mental health and addictions).
  • Territorial Health Investment Fund: In July 2018, the federal and Yukon governments announced an investment of $25.6 million over four years to support health system innovation in Yukon. The Territorial Health Investment Fund is designed to support efforts by the territories to innovate and transform health care systems, and to ensure that Yukoners have access to the care they need.
  • Emergency Treatment Fund: In December 2018, the federal government announced $500,000 in federal funding for Yukon over five years, to enhance access to evidence-based substance use treatment services. Matched by the territory, funding was used to staff a Mental Health Nurse for Yukon’s Opioid Treatment Services (OTS). The OTS program provides medical services with wraparound outreach, social supports, nursing services, and addictions management advice to primary care practitioners.

2020:

  • Safe Restart Agreement (SRA): The Government of Canada set up the SRA in 2020. This program was a federal investment of more than $19 billion to help provinces and territories safely restart their economies and make our country more resilient to possible future surges in cases of COVID-19. The program was put in place to support measures to increase testing and contact tracing of the virus to protect Canadians from a future outbreak, support the capacity of our health care systems, and assist with the procurement of personal protective equipment among other things. The agreement with Yukon included over $13.5 million under a number of priority areas.
  • Top-Up - Safe Restart Agreement (SRA): With the Safe Restart Agreement, federal, provincial and territorial governments recognize that smaller jurisdictions face distinct challenges and circumstances. A supplemental funding of over $12.4 million was provided by the federal government to Yukon. The federal government also invested up to $7 million for air carriers in the territory. Support for enhanced air service will ensure that food, equipment and medicine reach people living in remote communities in a reliable and timely manner.
  • Other COVID-19 Programs: The Government of Canada set up a number of funding and service programs for the provinces and territories as the pandemic evolved.

2021:

  • Pan-Canadian virtual care priorities in response to COVID-19: In May 2020, Canada announced $200 million to help provinces and territories accelerate their efforts to meet health care needs through virtual tools and approaches, to ensure Canadians continue to safely access the services they need. In January 2021, the Government of Canada announced a bilateral agreement with Yukon, for more than $3 million in 2020-21 to further expand their virtual health care services.
  • Safe Long-term Care: In August 2021, the Governments of Canada and Yukon announced an amendment to the 2018 bilateral agreement for home and community care, and mental health and addictions services, to provide over $3 million in 2021-22 from the 2020 Fall Economic Statement investment of $1 billion through the Safe Long-Term Care Fund to help protect those living and working in long-term care settings, and improve infection prevention and control measures.
  • Territorial Health Investment Fund (THIF): Budget 2021 confirmed the extension of the THIF by 2 years, with an investment of $54 million, starting in 2021-22. Of this amount, $27 million was allocated to Nunavut, $14.2 million to the Northwest Territories and $12.8 million to Yukon. 
  • Safe Voluntary Isolation Sites Program (SVISP): SVISP was a rapid response program designed to reduce the community transmission of COVID-19 by supporting at-risk populations who could not safely isolate at home. Over $181 million was available for SVISP throughout three years and the Yukon Government was allocated over $5.1 million from April 2021 to March 2023.
  • The Healthy Canadians and Communities Fund is providing $6 million (April 2021 to March 2028) to the Government of the Yukon under the Northern Wellness Agreement. This initiative encourages the adoption of healthy lifestyles by supporting community-driven, active recreation programs and walking initiatives, promoting healthy eating and reducing sedentary behaviours and tobacco use.

2022:

  • COVID-19 Proof of Vaccination Fund: The federal government has committed to supporting provinces and territories through a $300 million COVID-19 Proof of Vaccination Fund, to help with the financial and operational costs to develop and maintain a proof of vaccination program. The one-time payment provides support for up to three additional years, beginning in April 2022. Yukon received close to $10.2 million.
  • Home and Community Care, Mental Health and Addictions Services: To continue delivering on the 2017 federal commitment to support improvements in home care and mental health care, in 2022, the Governments of Canada and Yukon signed a one-year agreement featuring a federal investment of approximately $1.34 million in 2022-23.

2023:

  • Working Together to Improve Health Care in Canada for Canadians Plan: In July 2023, the Governments of Canada and Yukon announced an agreement in principle for a shared plan featuring a federal investment of $380 million over 10 years, as confirmed in Budget 2023. This included: $2 million through an immediate one-time CHT top-up to address urgent needs, especially in pediatric hospitals and emergency rooms, and long wait times for surgeries; and new bilateral agreement funding of $73 million focusing on shared health priorities, in addition to the remaining $6 million to support access to home and community care, and mental health and addictions services (Budget 2017), and $9 million for long-term care (Budget 2021).
  • Territorial Health Investment Fund (THIF): Budget 2023 announced $350 million over 10 years to renew the THIF, beginning in 2023-24, to help support medical travel and the higher cost of delivering health care in the territories, with $150 million allocated to Nunavut, $100 million to the Northwest Territories, and $100 million to Yukon.
  • 9-8-8 Suicide Crisis Helpline: In 2023, the Public Health Agency of Canada (PHAC) entered into a Memorandum of Understanding (MOU) with Yukon outlining 9-8-8 roles and responsibilities, including how 9-8-8 implementation is operationalized in the territory. Since the launch of the 9-8-8 Suicide Crisis Helpline in November 2023, English calls from Yukon area codes are routed to a 9-8-8 network partner in the territory (1 service provider, CMHA Yukon) while all texts and French calls are answered by other 9-8-8 network partners offering national capacity. The MOU does not include funding arrangements with the service provider. The MOU between PHAC and Yukon was signed in November 2023 and will expire March 2026.

2024:

  • Working Together to Improve Health Care in Canada for Canadians Plan: Further to the July 2023 agreement in principle, in March 2024, the Governments of Canada and Yukon announced two bilateral agreements:
    • Working Together Agreement: Featuring a federal investment of more than $23.8 million over 3 years. This included new Budget 2023 funding for shared health priorities, and funding to continue delivering on the 2017 federal commitment to support improvements in mental health and addictions services.
    • Aging with Dignity Agreement: Featuring a federal investment of close to $12 million over the 5 years to help Yukoners age with dignity, closer to home. This included funding to continue delivering on the 2017 federal commitment to improve access to home and community care, and Budget 2021 funding for long-term care.
  • Territorial Health Investment Fund (THIF): In March 2024, Canada announced a renewed agreement with Yukon, to provide $50 million over five years under the THIF. The THIF supports the territories, which face higher costs compared to the provinces in delivering health care, by providing funding for crucial health care system improvements, innovative health care projects and ensuring stable funding for necessary costs, including medical travel.
  • The Multilateral Information Sharing Agreement (MLISA), which has been in place since 2014, was officially extended until a new agreement is developed and in effect. Yukon signed onto the extension ahead of the October 4, 2024 expiry. MLISA is a framework for sharing public health data across Canadian jurisdictions to support coordinated health surveillance and response. In January 2025, health ministers agreed on a common approach to modernizing public health information sharing. The modernized public health information sharing agreement is being co-developed in collaboration with all jurisdictions and is expected before the end of 2025.

2025:

  • Drugs for Rare Diseases: In March 2025, Canada announced a bilateral agreement with Yukon to invest over $8.5 million of federal funding over 3 years to improve access to selected new drugs for rare diseases, and support enhanced access to existing drugs, early diagnosis and screening.
  • Pharmacare: In March 2025, Canada announced the signing of a pharmacare agreement to invest up to $9.5 million over 4 years to provide universal access to contraceptive and diabetes medications for residents of the Yukon. Through this agreement, Yukon residents will receive public coverage for a range of contraceptive and diabetes medications at little to no cost. The funding from this agreement will also improve access to diabetes devices and supplies.
Infrastructure agreements

2014:

2016:

2018:

  • Investing in Canada Infrastructure Program: In May 2018, Canada and Yukon signed a bilateral agreement for over $445 million over ten years for long-term infrastructure projects. Canada committed $10 million towards public transit, $207 million towards green infrastructure, over $26 million towards community, culture and recreation infrastructure, and $203 million towards rural and northern communities’ infrastructure including the Arctic Energy Fund. This agreement has been reviewed and updated every year and is in place until 2028.

2021:

  • Transportation Infrastructure: The Government of Canada invested more than $247 million in funding to improve the transportation infrastructure in Yukon and promote economic growth. The investment will fund the Yukon Resource Gateway Project providing much needed upgrades to existing transportation infrastructure in two key areas of high mineral potential and active mining.

2023:

2024:

  • Canada Community-Building Fund (CCBF): In September 2024, Canada announced a renewed agreement with Yukon under the CCBF, in place until March 31, 2034. For the first five years, the CCBF will invest over $94.5 million in the territory.  The CCBF is a stable, predictable, and indexed source of funding provided up front to provinces and territories who, in turn, flow this funding to their communities. The funding allows local communities to make strategic investments in essential infrastructure, such as roads and bridges, public transit, drinking water and wastewater infrastructure, and recreational facilities. The CCBF delivers over $2.4 billion every year to over 3,700 communities across the country.

2025:

  • Unsheltered Homelessness and Encampment Initiative (UHEI): In February 2025, Canada announced a joint agreement with the Territory of Yukon under UHEI. This funding will support the implementation of the Yukon’s Community Encampment Response Plan and Downtown Whitehorse Safety Response Action Plan. Activities include supporting a new 17-unit supportive housing program, which will enhance security and safety for downtown neighbourhoods while providing support, guest management services, and stable housing. The Downtown Whitehorse Safety Response Action Plan will also focus on partnering with local organizations to expand services, further improving safety in the downtown core, making food services available, and working with the City of Whitehorse to develop a community safety and well-being plan. The federal government will contribute $1 million over two years. The Government of the Yukon is cost-matching this funding.
  • Canada’s Housing Infrastructure Fund: In March 2025, the Governments of Canada and Yukon signed an agreement that will build or improve the critical infrastructure related to drinking water, wastewater, stormwater, and solid waste – that will in turn help them build more homes. The funding will allocate approximately $74.2 million to the Territory of Yukon over the next ten years.
Employment and social development agreements

2018:

2020:

2021:

  • Canada-Wide Early Learning and Child Care: In July 2021, the Governments of Yukon and Canada signed the Canada – Yukon Canada-Wide Early Learning and Child Care Agreement - 2021 to 2026, which provides further federal funding towards supporting all families in Canada gain access to high-quality, affordable, flexible and inclusive early learning and childcare no matter where they live. Through the bilateral agreement, Canada and Yukon aspire to the following objectives of fee reduction, creating more high-quality, affordable regulated childcare spaces predominantly through not-for-profit and family childcare homes, addressing barriers to provide inclusive and flexible childcare, and valuing the early childhood workforce and providing them with training and development opportunities needed to support their professional growth. This agreement provides almost $41.7 million over 5 years (2021 to 2026) for Yukon. This agreement was renewed in 2025.
  • Early childhood workforce funding: In August 2021, the Governments of Yukon and Canada signed the Agreement to amend the Canada – Yukon Early Learning and Child Care Agreement - 2021 to 2025, which provides almost $2.5 million in federal funding to support the recruitment and retention in the early childhood workforce.
  • Early Learning and Childcare: In August 2021, the Governments of Yukon and Canada signed the Canada - Yukon Early Learning and Child Care Agreement 2021-2025, which provides Yukon with approximately $10.2 million over four years for the purpose of enhancing its early care and learning system. The agreement was renewed in 2024.

2024:

2025:

  • National School Food Program: In March 2025, the Governments of Canada and Yukon announced an agreement under the federal government’s National School Food Program that will enhance and/or expand Yukon’s school food programming through an initial federal investment of $7.4 million over three years.
  • Early Learning and Child Care Extensions: On February 26, 2025, the Governments of Yukon and Canada signed a bilateral agreement to extend the Canada-wide and Early Learning and Child Care bilateral agreements. Over the course of the 5-year extensions, the federal government will transfer approximately $71.6 million from 2025-26 to 2030-31 to support ongoing access, affordability, quality and inclusion efforts in Yukon.

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2025-04-28