Bill 11 and Dual Practice in Alberta
Bill 11, the Health Statutes Amendment Act, 2025 (No. 2), amended several pieces of Alberta health legislation and established the legislative framework for dual practice.
Bill 11 received Royal Assent on December 11, 2025.
The dual practice provisions create three physician participation categories:
- Participating physicians: Physicians who are participating in the AHCIP.
- Non-participating physicians: Physicians who are not participating in the Alberta Health Care Insurance Plan (AHCIP).
- Flexibly participating (dual practice) physicians: Physicians who are flexibly participating in the AHCIP (e.g., may choose whether to participate or not participate in the AHCIP on a case-by-case basis).
A non-plan service is a service provided by a flexibly participating or non-participating physician that would otherwise be insured under the AHCIP.
What does Bill 11 establish for dual practice?
Bill 11 amended the Alberta Health Care Insurance Act to support a model in which approved physicians may be permitted to provide both insured services paid for through the Alberta Health Care Insurance Plan and privately paid services, subject to applicable requirements.
The legislation provides authority for requirements related to:
- physician participation and approval;
- the provision of insured and privately paid services;
- public-service commitments;
- billing and fee disclosure;
- records and reporting;
- compliance and enforcement; and
- the provision of surgical services outside the publicly funded stream.
The legislation also establishes requirements related to billing, records, disclosure and the separation of public and private services. Much of the practical operation of the model depends on regulations, agreements and implementation requirements developed under the legislation.
Bill 11 establishes the legislative foundation for the model. Additional requirements are set through regulations, policies and implementation guidance.
What else is included in Bill 11?
Bill 11 also amended legislation related to:
- Health information sharing and governance;
- health card administration and personal health numbers;
- drug coverage and coordination with private insurance;
- billing oversight and enforcement; and
- health system administration.
These provisions are separate from the amendments that establish Alberta’s dual practice framework.