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An Act respecting certain measures relating to the security of Canada's borders and the integrity of the Canadian immigration system and respecting other related security measures
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{"id":"RP-2627-005-C","is_published":"2026-05-26T12:57:11.000000Z","release_date":"2026-05-26T13:00:00.000000Z","last_revised_date":null,"title_en":"Reviewing the Administrative and Fiscal Impacts of the Interim Federal Health Program","title_fr":"Examen des r\u00e9percussions administratives et financi\u00e8res du Programme f\u00e9d\u00e9ral de sant\u00e9 int\u00e9rimaire","internal_id":"RP-2627-005-C","metadata":{"abstract_en":"At the request of the House of Commons Standing Committee on Health, this report provides an expanded analysis of the federal Interim Federal Health Program (IFHP), addressing elements outlined in the Committee\u2019s motion adopted February 24, 2026. This report builds on prior work by the Parliamentary Budget Office and reflects updated analysis regarding program design, claimant volumes and administrative factors, factoring in the Budget 2025 changes which introduce co-payments for supplemental health products and services.","abstract_fr":"\u00c0 la demande du Comit\u00e9 permanent de la sant\u00e9 de la Chambre des communes, le pr\u00e9sent rapport se veut une analyse approfondie du Programme f\u00e9d\u00e9ral de sant\u00e9 int\u00e9rimaire (PFSI), abordant les \u00e9l\u00e9ments \u00e9nonc\u00e9s dans la motion du Comit\u00e9 adopt\u00e9e le 24 f\u00e9vrier 2026. Ce rapport s\u2019appuie sur des travaux ant\u00e9rieurs du Bureau de la directrice parlementaire du budget et refl\u00e8te une analyse mise \u00e0 jour concernant la conception du programme, le nombre de b\u00e9n\u00e9ficiaires et les facteurs administratifs, en en tenant compte des modifications apport\u00e9es dans le budget de 2025 qui instaurent des copaiements pour les produits et services de sant\u00e9 suppl\u00e9mentaires.","highlights":[{"content":{"en":"Total program costs of the Interim Federal Health Program (IFHP) continue to increase over the projection period due to elevated intake levels, persistent backlogs and rising health-care costs. As of December 2025, more than 300,000 asylum claimants remain in the inventory of cases pending adjudication, five times the 2021 level, with approximately 65 per cent of these claims in the system for over a year since referred to the Immigration Refugee Board of Canada.","fr":"Les co\u00fbts totaux du Programme f\u00e9d\u00e9ral de sant\u00e9 int\u00e9rimaire (PFSI) continuent d\u2019augmenter au cours de la p\u00e9riode de pr\u00e9vision en raison du niveau d\u2019admission \u00e9lev\u00e9, des arri\u00e9r\u00e9s persistants et des co\u00fbts grandissants des soins de sant\u00e9. En d\u00e9cembre 2025, plus de 300 000 demandeurs d\u2019asile figuraient toujours dans le registre des cas en attente d\u2019une d\u00e9cision, soit cinq fois plus qu\u2019en 2021; environ 65 pour cent de ces demandes \u00e9taient dans le syst\u00e8me depuis plus d\u2019un an apr\u00e8s leur renvoi \u00e0 la Commission de l\u2019immigration et du statut de r\u00e9fugi\u00e9 du Canada."}},{"content":{"en":"Supplemental benefits account for the majority of IFHP spending making up roughly 54 per cent of total program spending in 2024-25. Urgent dental care represented the largest share of spending, followed by prescription medication, with urgent dental expenditures increasing from $30 million to $257 million, over five years.","fr":"Les prestations suppl\u00e9mentaires repr\u00e9sentent la majeure partie des d\u00e9penses au titre du PFSI, soit environ 54 pour cent des d\u00e9penses totales du programme en 2024-2025. Les soins dentaires urgents ont repr\u00e9sent\u00e9 la plus grande part des d\u00e9penses, suivis des m\u00e9dicaments sur ordonnance; les d\u00e9penses li\u00e9es aux soins dentaires urgents sont de 30 millions de dollars \u00e0 257 millions de dollars en cinq ans."}},{"content":{"en":"Cost and utilization of the IFHP are geographically concentrated, reflecting differences in refugee settlement patterns. Ontario and Quebec accounted for 88 per cent of the total IFHP spending in 2024-25.","fr":"Les co\u00fbts et l\u2019utilisation du PFSI sont concentr\u00e9s g\u00e9ographiquement, refl\u00e9tant les diff\u00e9rences dans les tendances d\u2019\u00e9tablissement des r\u00e9fugi\u00e9s. L\u2019Ontario et le Qu\u00e9bec ont repr\u00e9sent\u00e9 88 pour cent des d\u00e9penses totales du PFSI en 2024-2025."}},{"content":{"en":"PBO estimates that the introduction of the co-payment framework will reduce federal IFHP costs by $217 million annually by 2029-30.","fr":"La DPB estime que l\u2019instauration du cadre de copaiements fera en sorte de r\u00e9duire les co\u00fbts du PFSI de 217 millions de dollars par ann\u00e9e d\u2019ici 2029-2030."}},{"content":{"en":"PBO estimates that a one-month increase in processing times for asylum claimants could increase annual federal program costs by up to $72 million in 2026-27, given the current volume of claims in the system.","fr":"La DPB estime que le fait d\u2019allonger d\u2019un mois les d\u00e9lais de traitement des demandes d\u2019asile pourrait faire augmenter les co\u00fbts annuels du programme f\u00e9d\u00e9ral de jusqu\u2019\u00e0 72 millions de dollars en 2026-2027, compte tenu du volume actuel de demandes qui se trouvent dans le syst\u00e8me."}},{"content":{"en":"Policy changes, such as Bill C-12, which affects elements of the asylum and refugee eligibility process, may influence participation in the IFHP. Under an illustrative scenario in which 26 per cent of new asylum claimants are assumed ineligible for coverage, PBO estimates that federal costs could decline by $220 million annually by 2029-30.","fr":"Des changements de politique, tels que le projet de loi C-12, qui touche des \u00e9l\u00e9ments du processus d\u2019admissibilit\u00e9 des demandeurs d\u2019asile et au statut de r\u00e9fugi\u00e9, peuvent influencer la participation au PFSI. Dans un sc\u00e9nario indicatif o\u00f9 l\u2019on suppose que 26 pour cent des nouveaux demandeurs d\u2019asile ne sont pas admissibles \u00e0 la couverture, la DPB estime que les co\u00fbts f\u00e9d\u00e9raux pourraient diminuer de 220 millions de dollars par ann\u00e9e d\u2019ici 2029-2030."}}]},"updated_at":"2026-05-26T12:57:11.000000Z","type":"RP","slug":"RP-2627-005-C--reviewing-administrative-fiscal-impacts-interim-federal-health-program--examen-repercussions-administratives-financieres-programme-federal-sante-interimaire","permalinks":{"en":{"website":"https:\/\/www.pbo-dpb.ca\/en\/publications\/RP-2627-005-C--reviewing-administrative-fiscal-impacts-interim-federal-health-program--examen-repercussions-administratives-financieres-programme-federal-sante-interimaire","preview":"https:\/\/www.pbo-dpb.ca\/en\/publications\/RP-2627-005-C--reviewing-administrative-fiscal-impacts-interim-federal-health-program--examen-repercussions-administratives-financieres-programme-federal-sante-interimaire"},"fr":{"website":"https:\/\/www.pbo-dpb.ca\/fr\/publications\/RP-2627-005-C--reviewing-administrative-fiscal-impacts-interim-federal-health-program--examen-repercussions-administratives-financieres-programme-federal-sante-interimaire","preview":"https:\/\/www.pbo-dpb.ca\/fr\/publications\/RP-2627-005-C--reviewing-administrative-fiscal-impacts-interim-federal-health-program--examen-repercussions-administratives-financieres-programme-federal-sante-interimaire"}},"artifacts":{"main":{"en":{"public":"https:\/\/distribution-a617274656661637473.pbo-dpb.ca\/ef52b7ecb0066940dd464a9650c5eab3789febdba236cd8970d8ca84819203ef"},"fr":{"public":"https:\/\/distribution-a617274656661637473.pbo-dpb.ca\/2ed8aa638de3a13f7204a2546c3ba80df8addaba4aee2a8f0b8f90b9254a6fe1"}}},"coverpages":{"distribution":{"fr":{"small":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/f27e7b8fdbb2275363ede38d1c16298ad19e3d5ae9b135b234a5a910d2af4d1a","large":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/2b7f1fd8a2d88348b2b28e91414f07a475070bcfe0ec175d0a201ed5d2556e2a","h150_png_optimized":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/7e2efd5ff9f84f27987ff9e6ecb470339e76a6793c94f5159b8c62844ec51175","h150_webp":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/ca9ab0d73528dfaf216ae52a8b0a3ed43cccb02c285f3cffce8292ca7b6af0af","h300_png_optimized":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/6612dd92b73b640aa78b0b9db7c780ed0cec2231e14c8bea125567b14a62655a","h300_webp":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/a99b280a5e81cf8fa6b7e06ba2331cb17c100e14b5143f7ad6de9cafc527cb11","h600_png_optimized":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/6860bb7c3631dcb39a5a026a77e795245f807ceafedfa4f8abc6be93b7a2eeb5","h600_webp":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/ec97ce5ec88fbeaf1496bf13571dcf16b094ae398aaacb2a552259aafd8f738a"},"en":{"small":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/31540a041c70eb00756feaf7475fd821c2b9c5ba37a8c6db6bb1b8711850d6d5","large":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/2aa41405c21eb0a9fbdc2b60a46d5f16be3173d879d21aa98b37deee43029752","h150_png_optimized":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/9af1572596e8275e5cb332961002aa542a500c37a061662936cd1c1e1588c563","h150_webp":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/ed47a14ee97d63f82378c7988f0bb1c5afa0b4d2b4afa291526eae726f6e24cd","h300_png_optimized":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/bf07170c0a3952a7b8c82f6b9b8a77fb0b9e6dd4a5c647d9d891f77274eeeff5","h300_webp":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/221a0817ae49900a1b100912ab1d3c7929033be0452b65d42be4d77196d82320","h600_png_optimized":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/105b77b7eac4de10c58cdcef8638a3fed564905a6e83c76f99eb32b8e9bcf406","h600_webp":"https:\/\/distribution-i696d61676573.pbo-dpb.ca\/a9c6099d97bc0adafb49ff83f815e0da545baf896498c35af036ab1727ad1378"}}},"bills":[{"id":713,"created_at":"2025-10-09T06:00:09-04:00","updated_at":"2026-05-26T08:57:22-04:00","legisid":"45_1_C-12","parliament":45,"session":1,"prefix":"C","number":12,"title_en":"An Act respecting certain measures relating to the security of Canada\u0027s borders and the integrity of the Canadian immigration system and respecting other related security measures","title_fr":"Loi concernant certaines mesures li\u00e9es \u00e0 la s\u00e9curit\u00e9 de la fronti\u00e8re canadienne et \u00e0 l\u0027int\u00e9grit\u00e9 du syst\u00e8me d\u0027immigration canadien et d\u0027autres mesures connexes li\u00e9es \u00e0 la s\u00e9curit\u00e9","bill_num":"C-12","permalinks":{"en":{"website":"https:\/\/www.pbo-dpb.ca\/en\/bills--projets-de-loi\/45-1\/C-12","legisinfo":"https:\/\/www.parl.ca\/legisinfo\/en\/bill\/45-1\/c-12"},"fr":{"website":"https:\/\/www.pbo-dpb.ca\/fr\/bills--projets-de-loi\/45-1\/C-12","legisinfo":"https:\/\/www.parl.ca\/LegisInfo\/fr\/projet-de-loi\/45-1\/c-12"}},"pivot":{"publication_id":904,"bill_id":713}}],"labels":[],"bibtex":{"en":"@techreport{PBO-RP2627005C,\n author={Nahornick, Nora and Bagnoli, Philip and Kho, Albert},\n title={Reviewing the Administrative and Fiscal Impacts of the Interim Federal Health Program},\n institution={The Office of the Parliamentary Budget Officer},\n year=2026,\n \n address = \u0022Ottawa, ON\u0022\n}","fr":"@techreport{DPB-RP2627005C,\n author={Nahornick, Nora and Bagnoli, Philip and Kho, Albert},\n title={Examen des r\\\u0027{e}percussions administratives et financi\\`{e}res du Programme f\\\u0027{e}d\\\u0027{e}ral de sant\\\u0027{e} int\\\u0027{e}rimaire},\n institution={Bureau de la directrice parlementaire du budget},\n year=2026,\n \n address = \u0022Ottawa, ON\u0022\n}"}}
