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National Fetal Alcohol Spectrum Framework

Full Title: An Act respecting a national framework for fetal alcohol spectrum disorder

Summary#

This bill orders the federal Minister of Health to create a national framework on fetal alcohol spectrum disorder (FASD) and report it to Parliament. It sets content requirements for the framework, requires broad consultations, and mandates public reporting within one year and an evaluation report within five years (National framework, subs. (1)-(3); Reports to Parliament, subs. (1)-(2); Five‑year report). The bill does not create programs or funding; it sets planning and reporting duties.

  • Creates a national plan for prevention, diagnosis, and supports related to FASD (National framework, subs. (2)).
  • Requires training measures for health and other professionals (subs. (2)(a)).
  • Calls for national standards on prevention, diagnosis, and supports (subs. (2)(c)).
  • Orders an awareness strategy on alcohol use in pregnancy, including possible changes to laws and marketing rules (subs. (2)(d)).
  • Requires consultations with provinces, territories, Indigenous communities, experts, and affected people (subs. (3)).
  • Mandates a public report within one year and a five‑year implementation and effectiveness report (Reports to Parliament, subs. (1)-(2); Five‑year report).

What it means for you#

  • Households and caregivers
    • May see more consistent information on the risks of alcohol use in pregnancy, once the awareness strategy is released (National framework, subs. (2)(d)).
    • Could see clearer pathways to diagnosis and supports if national standards are adopted by jurisdictions (subs. (2)(c)). Timing depends on the framework and later uptake by provinces and territories.
  • People with FASD and their families
    • The framework must identify support measures and how to improve outcomes (subs. (2)(a)-(c), (e)). Changes will depend on what the framework proposes and how governments act on it.
    • A five‑year report must evaluate which measures were implemented and how effective they were (Five‑year report).
  • Health and social service professionals
    • Expect guidance and training materials on prevention, diagnosis, and supports (subs. (2)(a)). Details will come in the framework within one year of the Act coming into force.
  • Provinces, territories, and Indigenous communities
    • Will be consulted in developing the framework (subs. (3)(b), (d)). Any adoption of national standards into local practice remains a provincial/territorial decision.
  • Researchers and data agencies
    • The framework must promote research and information‑sharing across governments (subs. (2)(b)).
  • Alcohol industry and advertisers
    • The awareness strategy may recommend changes to laws and policies on alcohol consumption and marketing (subs. (2)(d)). Any actual changes would require separate legislative or regulatory action.
  • General public
    • Health Canada must table the framework in Parliament within one year and publish it online within 10 days of tabling (Reports to Parliament, subs. (1)-(2)).

Expenses#

Estimated net cost: Data unavailable.

  • No direct appropriations or new taxes/fees are in the bill. It imposes duties on Health Canada to develop, table, and publish reports (National framework, subs. (1); Reports to Parliament, subs. (1)-(2); Five‑year report).
  • Administrative costs to draft the framework, run consultations, and report to Parliament are not stated. Data unavailable.
  • Potential downstream costs or savings from any future standards, training, or awareness actions are not in this bill. They would depend on separate decisions by governments and organizations. Data unavailable.
  • No official fiscal note identified. Data unavailable.

Proponents' View#

  • A national framework can reduce gaps and inconsistencies by setting common standards for prevention, diagnosis, and supports across Canada (National framework, subs. (2)(c)).
  • Training and guidance for health and other professionals can improve prevention messages, diagnostic accuracy, and service navigation (subs. (2)(a)).
  • Coordinated research and information‑sharing can align policies and improve program design over time (subs. (2)(b)).
  • A national awareness strategy, including recommendations on alcohol policy and marketing, can reduce alcohol‑exposed pregnancies and the incidence of FASD (subs. (2)(d); Preamble).
  • Timelines and public reporting increase accountability: publish within one year and evaluate within five years, including reasons for non‑implementation (Reports to Parliament, subs. (1)-(2); Five‑year report).
  • The preamble cites an estimated 4% prevalence, suggesting a broad public health impact that merits a coordinated response (Preamble).

Opponents' View#

  • The bill sets duties but no funding, risking an unfunded plan that is hard to implement at the provincial/territorial level where health services are delivered (National framework, subs. (2); Reports to Parliament, subs. (1)-(2)).
  • National standards may conflict with provincial jurisdiction over health and education, creating duplication or slow uptake (subs. (2)(c)).
  • Broad consultations and intergovernmental information‑sharing can be resource‑intensive and raise data‑governance and privacy challenges if not carefully scoped (subs. (2)(b), (3)).
  • The one‑year deadline may compress consultations and limit the depth of the initial framework (Reports to Parliament, subs. (1)).
  • Recommendations to change alcohol marketing or policy could have economic and regulatory impacts on producers, retailers, and advertisers; the bill does not assess these impacts (subs. (2)(d)).

Timeline

Oct 19, 2022 • Senate

First reading

Jun 1, 2023 • Senate

Second reading

Nov 28, 2024 • Senate

Consideration in committee

Healthcare
Social Welfare