Canada’s national pharmacare program is facing uncertainty as discussions with remaining provinces and territories have stalled, according to the federal health minister. Despite the passage of the Canada Pharmacare Act by the Trudeau government over a year ago, which aimed to provide coverage for contraceptive and diabetes medications and devices, no new agreements have been reached beyond the initial four provinces and territories that signed deals before the federal election.
Health Minister Marjorie Michel stated that while conversations with provinces and territories are ongoing, there are no active discussions to finalize additional agreements at this time. Some provinces like B.C., Manitoba, P.E.I., and Yukon have already signed on, but others are still evaluating the terms. Ontario did not provide a response, while Saskatchewan and New Brunswick expressed readiness to engage with Ottawa. Quebec and Alberta are awaiting further details from the federal government, with Alberta expressing concerns about the program’s long-term sustainability and its desire to have control over covered medications.
The lack of new funding in the recent budget has raised concerns among pharmacare advocates, who point out that only 17% of Canadians are currently covered under the existing agreements. The federal government’s messaging on pharmacare has been mixed, with Prime Minister Mark Carney previously committing to signing remaining agreements but not allocating additional funds in the latest budget. This has led to criticism from advocacy groups and opposition parties, who argue that the government needs to demonstrate a stronger commitment to expanding pharmacare access nationwide.
The ongoing delays and lack of clarity surrounding the national pharmacare program have left many Canadians worried about the future of affordable medication access. Concerns about equitable access to essential drugs and the financial burden on individuals without coverage continue to be key issues in the ongoing discussions between the federal government and the provinces and territories.

