One year before the end of the MAiD exclusion for mental illness in Canada

Two concrete ways to block this controversial expansion

Screenshot from the website of the Canadian Department of Justice.

Montreal, March 16, 2026 – If nothing is done before March 17th, 2027, that date will mark the moment when persons whose mental illness is their sole underlying medical condition will be able to access Medical Assistance in Dying (MAiD) in Canada. These individuals would still have to meet the other legal criteria, but no additional safeguards are currently planned. The Living with Dignity citizen network hopes that federal parliamentarians will join the clear consensus established in Quebec, which maintains the exclusion of mental disorders in its law (Article 26).

Two concrete avenues are emerging to block this expansion:

Bill C-218

This private member’s bill (introduced on a non-partisan basis by Conservative MP Tamara Jansen) seeks to amend the Criminal Code to specify that “a mental disorder is not a grievous and irremediable medical condition for which a person could receive medical assistance in dying.”

During the last similar attempt (Bill C-314) in 2023, the vote was close: 150 to 167. All members of the Conservative Party, the New Democratic Party, and the Green Party supported it, along with eight Liberal MPs. Surprisingly, the Bloc Québécois opposed it, positioning itself against the Quebec consensus and the Act Respecting End-of-Life Care.

Bill C-218 is currently making its way through the House of Commons and remains the most reliable way to block the end of the exclusion for mental illness.

Special Joint Committee on Medical Assistance in Dying (AMAD)

This committee, composed of 10 Members of Parliament and five senators, has been formed for a third time. After its first meeting last Tuesday, it must now review eligibility and assess the country’s readiness for access to MAiD when a person’s sole underlying medical condition is a mental illness.

In 2024, it was this committee that recommended postponing the removal of the MAiD exclusion for mental illness.

The reasons cited at the time were numerous, including:

  • The issue of irremediability: “…difficult, if not impossible, to
    accurately predict the long-term prognosis of a person with
    a mental disorder”.
  • The difficulty of distinguishing such MAiD requests from suicidality.
  • The lack of professional consensus.
  • The impact on protecting vulnerable persons.

Since these reasons remain just as relevant in 2026 and in the years to come, the Living with Dignity citizen network hopes that Bill C-218 and the work of the AMAD committee will lead to the permanent rejection of this highly controversial expansion of MAiD access in Canada.

Such a decision would also follow an important recommendation from the latest report on Canada prepared by the United Nations Committee on the Rights of Persons with Disabilities, which calls on Canada to “repeal Track 2 Medical Assistance in Dying (MAiD), including the 2027 commencement of Track 2 MAiD for persons whose “sole underlying medical condition is a mental illness”.

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For interviews or further information:

Jasmin Lemieux-Lefebvre
Coordinator
Living with Dignity citizen network
info@vivredignite.org

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