Alberta Regulation 209/2025

Financial Consumers Act

FINANCIAL CONSUMERS (EXPIRY DATE

EXTENSION) AMENDMENT REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 289/2025)

on September 17, 2025 pursuant to sections 4 and 49 of the Financial Consumers Act.

1 The Financial Consumers Regulation (AR 165/2002) is

amended by this Regulation.

Section 5 is amended by striking out "January 31, 2026"

and substituting "January 31, 2031".

--------------------------------

Alberta Regulation 210/2025

Hospitals Act

HOSPITALIZATION BENEFITS

AMENDMENT REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 290/2025)

on September 17, 2025 pursuant to

section 43 of the Hospitals Act as amended by

section 30(9) of the Health Statutes Amendment Act, 2025.

1 The Hospitalization Benefits Regulation (AR 244/90) is

amended by this Regulation.

Section 1 is amended

(

a) in subsection (1)

(

i) in clause (

c) by striking out "hospital" and

substituting "health services sector in an approved

hospital";

(ii) by repealing clause (e);

(iii) by repealing clause (

f) and substituting the

following:

(f) "approved program" means a program approved

by the Minister that is delivered in a health

services sector in an approved hospital, but does

not include a specific program;

(f.1) "approved program operating deficit" means the

excess of approved program operating

expenditures over operating revenue in a fiscal

year;

(f.2) "approved program operating expenditures" means

operating expenditures as determined under

section 16.2;

(f.3) "approved program operating surplus" means the

excess of operating revenue over approved

program operating expenditures in a fiscal year;

(iv) in clause (

k) by adding "of Alberta" after

"resident";

(

v) by repealing clauses (

h) and (i);

(vi) by repealing clause (

m) and substituting the

following:

(m) "discretionary revenue" means discretionary

revenue as determined under

section 16.1(1);

(vii) in clause (

o) by striking out "or

Part 2 of the

Provincial General Hospitals Act";

(viii) by repealing clauses (

p) and (q);

(ix) by repealing clause (

r) and substituting the

following:

(r) "newborn" means

(

i) an infant newly born in a health services

sector in an approved hospital, or

(ii) an infant newly born outside an approved

hospital and admitted to a health services

sector in the approved hospital with the

infant's mother when the infant's mother is

admitted for maternity service, and who

remained in the health services sector in the

approved hospital as an in-patient,

but does not include a stillborn infant;

(

x) by repealing clause (

s) and substituting the

following:

(s) "offset revenue" means offset revenue as

determined under

section 16.1(3);

(xi) in clause (

t) by striking out "approved hospital

operating expenditures" and substituting "approved

program operating expenditures";

(xii) by adding the following after clause (v):

(v.1) "physician" means

(

i) with reference to medical services provided

in Alberta, a person registered as a regulated

member of the College of Physicians and

Surgeons of Alberta under the Health

Professions Act authorized to use the title

"physician" who holds a practice permit

issued under that Act, and

(ii) with reference to medical services provided

in a place outside Alberta, a person lawfully

entitled to practise medicine or osteopathy in

that place;

(xiii) in clause (

w) by striking out "general hospital"

and substituting "health services sector in an

approved hospital";

(xiv) by adding the following after clause (y):

(y.1) "provincial health agency" means a provincial

health agency under the Provincial Health

Agencies Act;

(xv) by repealing clause (bb);

(xvi) in clause (dd) by striking out "approved hospital

program" and substituting "approved program";

(

b) in subsection (2) by striking out "cease to be a

resident" and substituting "cease to be a resident of

Alberta";

(

c) in subsections (3) and (6)(

b) by adding "of Alberta"

after "resident".

Section 1.1 is repealed and the following is substituted:

Review by provincial health agency

1.1(1) Subject to subsection (2), if a provision of this Regulation

requires a hospital operator to obtain the Minister's approval of an

activity proposed by the hospital operator, the Minister may, before

giving approval, require that the proposed activity be reviewed and

approved by the provincial health agency established for the health

services sector of the hospital operator.

(2) Subsection (1) does not apply with respect to an activity

proposed by a hospital operator that is a provincial health agency.

Section 2 is amended

(

a) by repealing subsection (1) and substituting the

following:

Registration under Health Insurance Premiums Act

2(1) In this

section and

section 3, "Minister" means the Minister

responsible for the Health Insurance Premiums Act.

(1.1) If a resident of Alberta or the resident's dependant is not

registered with the Minister under the Health Insurance

Premiums Act and receives an insured service, the hospital

operator of the health services sector in the approved hospital in

which the insured service was provided shall, in the prescribed

form, furnish the Minister with any information regarding the

resident of Alberta and the resident's dependants required by the

Minister to enable the Minister to register the resident of Alberta

and the resident's dependants.

(

b) in subsection (2) by striking out "hospital" wherever

it occurs and substituting "hospital operator";

(

c) in subsection (3) by striking out "hospital" and

substituting "health services sector in an approved

hospital";

(

d) in subsection (4)

(

i) by adding "of Alberta" after "resident";

(ii) by striking out "hospital board" and substituting

"hospital operator".

Section 3 is amended

(

a) by adding "under the Health Insurance Premiums Act"

after "the Minister";

(

b) by striking out "hospital" and substituting "health

services sector in the approved hospital in which the insured

service was provided".

Section 4 is amended

(

a) in subsection (1)

(

i) in clause (a)

(

A) in subclause (ii) by striking out "hospital's

by-laws" and substituting "general bylaws of

the hospital operator under the Provincial Health

Agencies Act";

(

B) in subclause (iii) by striking out "a hospital"

and substituting "an approved hospital";

(

C) in subclause (vi) by striking out "approved

hospital program" and substituting "approved

program";

(ii) in clause (

b) by striking out "an approved hospital

or facility" and substituting "a health services sector

in an approved hospital or an approved facility";

(

b) in subsection (2)

(

i) in clauses (

b) and (

c) by adding "of Alberta" after

"resident";

(ii) in clause (

d) by striking out "pursuant to

section 31

of the Act" and substituting "under

section

1.976993(1)(

a) of the Provincial Health Agencies Act";

(iii) in clause (d.1) by striking out "board" and

substituting "hospital operator";

(iv) in clause (f)

(

A) in subclause (

i) by striking out "any hospital"

and substituting "an approved hospital in

respect of the approved hospital";

(

B) in subclause (ii)

(

I) by striking out "any hospital having a rated

capacity" and substituting "an approved

hospital with an official rated capacity, as

established under the Operation of Approved

Hospitals Regulation,";

(II) by repealing paragraph (

B) and

substituting the following:

(B) 180 beds or more if, in the opinion of

the committee, this view represents the

majority of

(

I) the pharmacy-therapeutic

committees of all of the approved

hospitals in Alberta, or

(II) the practising physicians in the

geographic area of Alberta in

which the approved hospital is

located;

(

v) in clause (

g) by striking out "hospitals" and

substituting "approved hospitals";

(

c) in subsection (3) by striking out "hospitals" and

substituting "approved hospitals".

Section 5 is amended

(

a) in subsection (1)

(

i) by adding "a health services sector in" before "an

approved hospital";

(ii) in clause (a)

(

A) by striking out "hospital care" and

substituting "hospital services";

(

B) by striking out "in a hospital" and

substituting "in a health services sector in an

approved hospital";

(iii) by repealing clause (

b) and substituting the

following:

(

b) in the case of a patient declared to be no longer in

need of the hospital services provided by the

hospital operator and deemed to be a trespasser

under

section 1.976995 of the Provincial Health

Agencies Act, the non-entitled rate for the health

services sector in the approved hospital as

established by the Minister;

(iv) in clause (

c) by striking out "in a general

hospital,";

(

b) by repealing subsection (2) and substituting the

following:

(2) Subject to

section 5.01, the provincial health agency

established for a health services sector shall determine the

authorized charges for preferred accommodation in the health

services sector in an approved hospital.

Section 5.01 is amended

(

a) in subsection (2) by striking out "In a general hospital"

and substituting "In a health services sector in an

approved hospital";

(

b) in subsection (3)

(

i) by striking out "set by the Minister under

section 9(4)

of the Act" and substituting "set under

section 9(4)

of the Continuing Care Act";

(ii) by adding "(AR 44/2024)" after "Continuing Care

(Ministerial) Regulation".

Section 5.1(1) is amended

(

a) by adding "a health services sector in" before "an

approved hospital";

(

b) by striking out "the board of that hospital" and

substituting "the hospital operator";

(

c) by striking out "provided by the board" and

substituting "provided by the hospital operator".

Section 5.2 is amended

(

a) by repealing subsections (1) and (2) and

substituting the following:

Charges for enhanced goods and services

5.2(1) In this section, "good or service" does not include

accommodation.

(2) A provincial health agency may determine, with respect to

the health sector for which it was established,

(

a) whether hospital operators may charge a person who

requests and receives an enhanced good or service in the

health services sector in the approved hospital for the

cost of the enhanced good or service, and

(

b) the amount that hospital operators may charge for an

enhanced good or service received in the health services

sector in the approved hospital, but the charge shall not

exceed the actual cost of the good or service plus a

reasonable administrative allowance.

(

b) by adding the following after subsection (2):

(2.1) For greater certainty, a provincial health agency that is a

hospital operator may determine the matters referred to in

subsection (2) with respect to itself as a hospital operator.

Section 6 is amended

(

a) in subsection (1) by adding "(AR 21/2024)" after

"Continuing Care Regulation";

(

b) in subsection (2)

(

i) in clause (

a) by striking out "from a general

hospital to another general hospital" and substituting

"from a health services sector in an approved hospital to

a health services sector in another approved hospital";

(ii) in clause (

b) by striking out "general hospital" and

substituting "health services sector in an approved

hospital";

(iii) by striking out "general hospital or type A continuing

care home from which the patient is transferred" and

substituting "hospital operator or continuing care

home operator transferring the patient";

(

c) in subsection (3)

(

i) in clauses (

a) and (

b) by striking out "general

hospital" wherever it occurs and substituting

"health services sector in an approved hospital";

(ii) by striking out "general hospital or the type A

continuing care home" and substituting "hospital

operator or continuing care home operator".

Section 9 is amended

(

a) in subsection (1)

(

i) by striking out "the Lloydminster General Hospital"

and substituting "the Lloydminster Hospital";

(ii) by striking out "an approved hospital" and

substituting "a health services sector in an approved

hospital";

(iii) in clause (

a) by striking out "hospital" and

substituting "health services sector in the approved

hospital";

(

b) in subsection (2) by striking out "an approved hospital"

and substituting "a health services sector in an approved

hospital";

(

c) in subsection (5)

(

i) by striking out "retained in hospital" and

substituting "retained in a health services sector in an

approved hospital";

(ii) by striking out "that hospital" and substituting

"the health services sector in the approved hospital".

Section 12 is amended

(

a) in subsection (1) by adding "health services sectors in"

after "operation of";

(

b) in subsection (3) by striking out "hospital" and

substituting "hospital operator".

14 Sections 13 and 14 are repealed and the following is

substituted:

Payments to operators of federal hospitals

13 The Minister shall pay operators of federal hospitals for the

costs of insured services furnished to residents of Alberta and their

dependants at the rates established for each federal hospital, in

accordance with agreements between the Minister and the operators

of the federal hospitals.

Payments to operators of contract hospitals

14 The Minister may make contracts with operators of hospitals,

other than approved hospitals, that are situated in Alberta to provide

insured services to residents of Alberta and their dependants and

shall pay the operators of the hospitals at rates specified in the

contracts.

Section 16 is amended

(

a) in subsection (1)

(

i) by striking out "section 14" and substituting

"section 8";

(ii) in clause (

a) by striking out "Lloydminster General

Hospital" and substituting "Lloydminster Hospital";

(iii) in clause (b)

(

A) by striking out "a hospital" and substituting

"the operator of a hospital";

(

B) by striking out "in which it is located" and

substituting "in which the hospital is located";

(

C) by striking out "the hospital" and

substituting "the operator of the hospital";

(

b) in subsection (5)

(

i) by adding "of Alberta" after "a resident";

(ii) by adding "of Alberta" after "the resident";

(

c) in subsections (6) and (7) by adding "of Alberta"

after "a resident";

(

d) in subsections (8) and (10)

(

i) by adding "of Alberta" after "a resident";

(ii) by adding "of Alberta" after "the resident".

16 The following is added after

section 16:

Discretionary and offset revenue

16.1(1) The discretionary revenue of a hospital operator with

respect to a health services sector in an approved hospital consists of

revenue received by the hospital operator from the following

sources:

(

a) preferred accommodation charges in excess of the aggregate

amount collected from that source during the 1982/83 fiscal

year, up to the aggregate amount collected from that source

at rates not exceeding $8 per day for semi-private room

accommodation or $16 per day for private room

accommodation;

(b) 50% of any amount collected in daily authorized charges for

accommodation in semi-private and private rooms in excess

of $8 or $16, as the case may be;

(

c) the amount from each daily authorized charge collected

under

section 5.01 that is in excess of the amount chargeable

under

section 5.01(2) in respect of standard ward

accommodation in the health services sector in the approved

hospital;

(

d) donations that are not subject to prior trust conditions;

(

e) foundations;

(

f) user charges;

(

g) net income from ancillary operations;

(

h) subject to

section 21(4), interest earned on investments.

(2) Notwithstanding subsection (1), the discretionary revenue of a

hospital operator of a health services sector in the Lloydminster

Hospital does not include revenue from the following sources:

(

a) authorized admission charges;

(

b) preferred accommodation charges.

(3) The offset revenue of a hospital operator with respect to a health

services sector in an approved hospital consists of revenue received

by the hospital operator from the following sources:

(

a) preferred accommodation charges up to the aggregate

amount collected from that source during the 1982/83 fiscal

year;

(b) 50% of any amount collected in excess of $8 or $16, as the

case may be, in daily authorized charges for accommodation

in semi-private and private rooms;

(

c) the amount from each daily authorized charge collected

under

section 5.01(2) that is equivalent to the amount

chargeable under

section 5.01 in respect of standard ward

accommodation;

(

d) charges for goods and services provided by the hospital

operator in connection with non-insured health services

referred to in

section 5.1;

(

e) charges in excess of the cost of providing enhanced goods

and services referred to in

section 5.2(1);

(

f) charges under

section 9 to non-entitled persons or cost

recoveries with respect to non-entitled persons;

(

g) charges for equipment or space rentals;

(

h) charges for goods and services provided to other institutions

or organizations;

(

i) other sources identified by the Minister as being offset

revenue.

Approved program operating expenditures

16.2(1) Subject to subsection (2), the approved program operating

expenditures of a hospital operator with respect to a health services

sector in an approved hospital consist of the operating expenditures

incurred by a hospital operator in delivering approved programs in a

health services sector in an approved hospital during a fiscal year.

(2) The approved program operating expenditures of a hospital

operator do not include the following expenditures:

(

a) an interest expense;

(

b) depreciation;

(

c) a debt incurred with respect to the health services sector in an

approved hospital that the hospital operator considers to be

uncollectable;

(

d) a capital expenditure, except where it is amortized over

several years and where the capital expenditure and the

amortization period have been approved by the Minister as

an approved program operating expenditure;

(

e) an expenditure with respect to a specific program;

(

f) other expenditures identified by the Minister as not being

approved program operating expenditures.

Section 17 is amended

(

a) by repealing subsection (1) and substituting the

following:

Approved program operating surpluses

and discretionary revenue

17(1) Approved program operating surpluses and discretionary

revenue remaining after a hospital operator complies with

subsections (2) and (3) may be used

(

a) for any purpose within the authority of the hospital

operator that will benefit the health services sector in

the approved hospital, and

(

b) if the approved hospital has a foundation, for transfers

to the foundation.

(

b) in subsection (2) by striking out "Hospital operating

surpluses" and substituting "Approved program operating

surpluses";

(

c) by repealing subsection (3) and substituting the

following:

(3) Discretionary revenue and approved program operating

surpluses, other than those that must be returned to the Minister

under subsection (2), may be retained by the hospital operator

and must be used to offset approved program operating deficits

and deficits for programs other than approved programs.

(

d) in subsection (4)

(

i) by striking out "The board of an approved hospital"

and substituting "A hospital operator";

(ii) by striking out "hospital operating surpluses" and

substituting "approved program operating surpluses".

Section 18 is repealed and the following is substituted:

Approved program operating deficits

18 If an approved program operating deficit incurred during a

fiscal year cannot be absorbed through the use of accumulated

approved program operating surpluses or discretionary revenue, the

hospital operator shall, within 4 months after the beginning of the

following fiscal year, submit a plan to the Minister outlining how the

approved program operating deficit will be absorbed during the next

2 fiscal years following the fiscal year in which the deficit was

incurred.

Section 20 is amended

(

a) by repealing subsection (1)(a)(

i) and substituting

the following:

(

i) the approved cost of construction, alteration, renovation

or upgrading of the facilities in a health services sector

in an approved hospital,

(

b) in subsections (2), (3), (4), (5), (8) and (12) by

striking out "board" wherever it occurs and

substituting "hospital operator".

Section 21(1) and (3) are amended by striking out

"board" wherever it occurs and substituting "hospital operator".

Section 23 is repealed.

22(1) Sections 2(a)(

i) to (iii), (v), (vi), (viii) to (xiv) and (xvi),

3, 4(a), (b), (

c) and (d)(ii), 5, 6(a), (b)(ii) to (

v) and (c), 7, 8(a),

9, 10, 11(

b) and (c), 12(a)(ii) and (iii), (

b) and (c), 13, 14,

15(a)(iii) and 16 to 21 come into force on the coming into

force of

section 30(9)(

a) of the Health Statutes Amendment

Act, 2025.

(2) Sections 2(a)(iv) and (xv), (

b) and (c), 4(d)(i), 6(b)(

i) and

15(b), (

c) and (

d) come into force on the coming into force

section 30(4)(

c) of the Health Statutes Amendment Act,

Alberta Regulation 211/2025

Provincial Health Agencies Act

OPERATION OF APPROVED HOSPITALS REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 291/2025)

on September 17, 2025 pursuant to

section 1.97699993 of the Provincial Health

Agencies Act.

Table of Contents

Definitions

2 Review by provincial health agency

Designation and Governance of Approved Hospitals

3 Designation of approved hospitals

4 Meetings of members of hospital operators

5 Meeting minutes

6 Contents of general bylaws, rules and service contracts

Approved Hospital Facilities

7 Approval of acquisition or disposal of land, facilities or equipment

8 Approval of construction, alteration or renovation

9 Approval of upgrading

10 Approval of plans, etc.

11 Approval of changes

12 Compliance with legislation, codes and standards

Operation of Approved Hospitals

13 Capacity of approved hospitals with

one health services sector

14 Capacity of approved hospitals with

multiple health services sectors

15 Changes in capacity

16 Approval to introduce, change or terminate services

17 Approval to introduce, change or terminate

education and training programs

18 Accreditation of hospital operators

Hospital Staff

19 Procedures in medical staff bylaws

20 Appointment of medical staff

21 Hospital privileges

22 Fluoroscopy privileges

23 Meetings of medical and professional staff

24 Health examinations and vaccinations

25 Notice to regulatory body

26 Expenses incurred in transfers

Admissions

27 Compliance with admissions provisions

28 Admission of patients

29 Persons not requiring hospital services

Standards of Hospital Services

30 Clinical policies and procedures

31 Nursing coverage

32 Operating room management

33 Assistance at major surgery

34 Records relating to surgery

35 Anaesthetic services

36 Surgical anaesthetics

37 Deferral or relocation of surgery

38 Precautions re foreign bodies

39 Examination of removed tissues

40 Taking blood for transfusion and crossmatching

41 Syphilis testing of newborns

42 Salmonella reports

43 Disposal of needles and syringes

44 Autopsies

45 Removal of bodies

Information and Records Management

46 Hospital service records

47 Verification of orders for treatment

48 Retention of hospital service records

49 Retention of Health Facilities Act records, etc.

50 Storage of records, etc.

Offences

51 Offences

Expiry and Coming into Force

52 Expiry

53 Coming into force

Definitions

1 In this Regulation,

(a) "attending member" means an attending physician of a

patient or an attending member of the professional staff of a

patient;

(b) "hospital service records" means the records referred to in

section 1.9769992 of the Act;

(c) "in-patient" means a patient referred to in

section

1.9761(k)(

i) of the Act;

(d) "out-patient" means a patient referred to in

section

1.9761(k)(ii) of the Act;

(e) "upgrading" means work carried out for the purposes of

ensuring compliance with the requirements in the applicable

Acts, regulations, codes and standards that must be met for a

health services sector in an approved hospital to operate.

Review by provincial health agency

2(1) Subject to subsection (2), if a provision of this Regulation

requires a hospital operator to obtain the sector Minister's approval of

an activity proposed by the hospital operator, the sector Minister may,

before giving approval, require that the proposed activity be reviewed

and approved by the provincial health agency.

(2) Subsection (1) does not apply with respect to an activity proposed

by a hospital operator that is a provincial health agency.

Designation and Governance of

Approved Hospitals

Designation of approved hospitals

3 For the purposes of

section 1.9763 of the Act, the oversight

Minister may designate a hospital as an approved hospital if the

oversight Minister is satisfied that the hospital delivers or will deliver

hospital services of a sufficient standard to qualify it as an approved

hospital.

Meetings of members of hospital operators

4 A hospital operator other than a provincial health agency or

provincial health corporation may, by resolution, establish

(

a) requirements relating to attendance by members of the

hospital operator at meetings of the hospital operator,

(

b) the amount payable to members of the hospital operator for

attendance at meetings of the hospital operator that the

hospital operator considers necessary for the management

and operation of the health services sector in the approved

hospital or for the discharge of the hospital operator's

responsibilities, and

(

c) the amount payable to members of the hospital operator for

necessary travel and subsistence expenses incurred in the

management and operation of the health services sector in the

approved hospital.

Meeting minutes

5 A hospital operator other than a provincial health agency or a

provincial health corporation must provide a copy of the minutes of

each meeting of the hospital operator to the sector Minister within 3

weeks after the meeting at which the minutes were adopted.

Contents of general bylaws, rules and service contracts

6 A hospital operator must ensure that the general bylaws, the rules

made under the general bylaws or any service contracts address the

following matters with respect to the health services sector in the

approved hospital:

(

a) the establishment of a system to clearly identify various

classifications of the medical staff and professional staff;

(

b) the regular attendance to patients by an attending member

and procedures respecting the naming of an alternate member

of the medical staff or professional staff who may be called

when the attending member is not available;

(

c) emergency call rosters of the medical staff and professional

staff;

(

d) the management of the timing and rate of admission of

patients, other than emergency admissions;

(

e) routine stop orders on antibiotics, narcotics, anticoagulants,

sedatives and other potentially dangerous drugs;

(

f) the posting of no smoking signs in rooms where oxygen is

used;

(

g) pre-natal antibody screening and blood grouping;

(

h) the screening of newborns for treatable conditions;

(

i) procedures respecting the notification of the medical officer

of health of all cases of notifiable diseases set out in the

Communicable Diseases Regulation (AR 238/85);

(

j) procedures respecting the handling of infections and methods

of isolation;

(

k) the establishment of an infection control committee and its

powers, duties, responsibilities and functions;

(

l) post-mortem care;

(

m) requirements respecting the completion of hospital service

records within a minimum period after a patient's transfer or

discharge from the health services sector in the approved

hospital and the specific actions to be taken if the

requirements are not met;

(

n) any other matters the hospital operator considers necessary.

Approved Hospital Facilities

Approval of acquisition or disposal

of land, facilities or equipment

7(1) A hospital operator other than a provincial health agency or

provincial health corporation must not

(

a) purchase or otherwise acquire land for purposes related to the

health services sector in the approved hospital without the

sector Minister's approval of the general location and the

specific site, or

(

b) sell, lease or otherwise dispose of land or facilities in the

health services sector in the approved hospital without the

sector Minister's approval.

(2) A hospital operator that is a provincial health agency or provincial

health corporation must not dispose of by lease any land or facilities in

the health services sector in the approved hospital without the sector

Minister's approval.

(3) A hospital operator must not dispose of equipment of the health

services sector in the approved hospital except in accordance with the

policy established by the sector Minister.

(4) For greater certainty, the Real Property Governance Act applies to

a hospital operator that is a provincial health agency or provincial

health corporation.

Approval of construction, alteration or renovation

8(1) Subject to subsection (2), a hospital operator must not undertake

or authorize any construction, alteration or renovation of the facilities

in the health services sector in the approved hospital without the sector

Minister's approval.

(2) Subsection (1) does not apply with respect to normal or emergency

repair work.

Approval of upgrading

9(1) A hospital operator must not undertake or authorize any

upgrading of the facilities in the health services sector in the approved

hospital without the sector Minister's approval.

(2) The sector Minister must consider the following factors when

determining whether to approve the upgrading of the facilities in a

health services sector in an approved hospital:

(

a) the utilization of the hospital services delivered in the health

services sector in the approved hospital;

(

b) the condition of the facilities;

(

c) the need for hospital services in the health services sector in

the approved hospital, as determined by the oversight

Minister and sector Minister.

Approval of plans, etc.

10(1) A hospital operator must, in accordance with the procedures

established by the sector Minister, submit to the sector Minister for

approval all plans for the proposed construction, alteration, renovation

or upgrading of the facilities in the health services sector in the

approved hospital.

(2) A hospital operator must not enter into an agreement for the

construction, alteration, renovation or upgrading of the facilities in the

health services sector in the approved hospital before the sector

Minister approves the final plans, specifications and contract

documents, including tenders, for the construction, alteration,

renovation or upgrading.

(3) Subsection (2) does not apply with respect to the construction,

alteration, renovation or upgrading of the facilities in the health

services sector in an approved hospital if

(

a) the hospital operator and the sector Minister enter into an

agreement setting out the responsibilities of each party with

respect to the construction, alteration, renovation or

upgrading of the facilities, and

(

b) the sector Minister approves the hospital operator's use of a

contract management system in respect of the construction,

alteration, renovation or upgrading of the facilities.

Approval of changes

11 A hospital operator must not, without the sector Minister's

approval, make changes to

(

a) a construction, alteration, renovation or upgrading approved

by the sector Minister, or

(

b) the final plans, specifications or contract documents,

including tenders, approved by the sector Minister.

Compliance with legislation, codes and standards

12(1) A hospital operator must ensure that the construction, alteration,

renovation or upgrading of the facilities in the health services sector in

the approved hospital is carried out in compliance with

(

a) applicable building codes and standards and related Acts or

regulations,

(

b) the minimum standards of basic construction for approved

hospitals as determined by the Minister responsible for the

Real Property Governance Act, and

(

c) the planning requirements approved by the oversight

Minister.

(2) A hospital operator must ensure that the facilities in the health

services sector in the approved hospital comply with the applicable

Acts, regulations, codes and standards during and after construction,

alteration, renovation or upgrading.

Operation of Approved Hospitals

Capacity of approved hospitals with

one health services sector

13(1) In an approved hospital with one health services sector,

(

a) the oversight Minister must establish the official rated

capacity of the approved hospital, and

(

b) the sector Minister must establish the rated bed capacity of

the health services sector in the approved hospital.

(2) The rated bed capacity of the health services sector in the approved

hospital must not exceed the official rated capacity of the approved

hospital.

Capacity of approved hospitals with

multiple health services sectors

14(1) In an approved hospital with more than one health services

sector,

(

a) the oversight Minister must, after consulting with the sector

Minister for each health services sector in the approved

hospital, establish the official rated capacity of the approved

hospital, and

(

b) the sector Minister for each health services sector in the

approved hospital must, after consulting with the oversight

Minister, establish the rated bed capacity of the health

services sector for which the sector Minister is responsible.

(2) The rated bed capacity of a health services sector in the approved

hospital, when combined with the rated bed capacity of the other

health services sectors in the approved hospital, must not exceed the

official rated capacity of the approved hospital.

Changes in capacity

15(1) A hospital operator must not, without the sector Minister's

approval, change the rated bed capacity of the health services sector in

the approved hospital if the change in the rated bed capacity is

intended to continue for more than 60 days.

(2) The sector Minister must not approve a proposed change under

subsection (1) with respect to

(

a) an approved hospital with one health services sector if that

change would cause the number of beds in the health services

sector in the approved hospital to exceed the official rated

capacity of the approved hospital established by the oversight

Minister under

section 13(1)(a), and

(

b) an approved hospital with more than one health services

sector if that change would, when combined with the rated

bed capacity of the other health services sectors in the

approved hospital, exceed the official rated capacity of the

approved hospital established by the oversight Minister under

section 14(1)(a).

Approval to introduce, change or terminate services

16 A hospital operator must not, without the sector Minister's

approval,

(

a) introduce

(

i) a new hospital service, or

(ii) a new service related to the management and operation

of the health services sector in the approved hospital,

(

b) make a major change to or terminate

(

i) an existing hospital service, or

(ii) an existing service related to the management and

operation of the health services sector in the approved

hospital.

Approval to introduce, change or terminate

education and training programs

17(1) In this section,

(a) "education and training program" means a program operated

or provided by a hospital operator in the health services

sector in the approved hospital for the education and training

of hospital staff or students associated with the health

services sector in the approved hospital but does not include

on-the-job training for hospital staff;

(b) "relevant Minister" means

(

i) the sector Minister, with respect to an education and

training program not directly associated with a

hospital-based nursing education program, and

(ii) the Minister responsible for the Post-secondary

Learning Act, with respect to an education and training

program directly associated with a hospital-based

nursing education program.

(2) A hospital operator must not, without the approval of the relevant

Minister,

(

a) introduce a new education and training program, or

(

b) make a major change to or terminate an existing education

and training program.

Accreditation of hospital operators

18 A hospital operator must not operate a health services sector in an

approved hospital or deliver hospital services in a health services

sector in an approved hospital unless it holds a valid certificate of

accreditation from an accrediting body, as determined by the oversight

Minister, with respect to the health services sector in the approved

hospital.

Hospital Staff

Procedures in medical staff bylaws

19 A hospital operator and the medical staff must carry out the

provisions of sections 20 to 22 in accordance with the procedures set

out in or established under the medical staff bylaws.

Appointment of medical staff

20(1) A hospital operator may appoint or reappoint a member of the

medical staff on a permanent basis or for a specified term.

(2) A hospital operator may review, suspend or terminate the

appointment of a member of the medical staff.

(3) The medical staff must be involved in the procedures for the

establishment of medical staff bylaws and appointments to medical

staff.

Hospital privileges

21(1) A hospital operator must delineate the hospital privileges

granted to each member of the medical staff, taking into consideration

(

a) the member's training and ability,

(

b) the circumstances, environment and context in which the

member practices,

(

c) the training, level of experience and availability of other

hospital staff,

(

d) the hospital services delivered in the health services sector in

the approved hospital,

(

e) the need for the types of hospital services delivered in the

health services sector in the approved hospital and for the

medical staff who deliver those types of hospital services,

(

f) the capacity of the hospital staff and facilities, equipment and

resources of the health services sector in the approved

hospital, and

(

g) the location of the approved hospital.

(2) A hospital operator may vary, suspend or terminate the hospital

privileges granted to a member of the medical staff.

(3) Only a member of the medical staff may be granted hospital

privileges.

(4) A physician has no hospital privileges in a health services sector in

an approved hospital unless appointed to the medical staff.

Fluoroscopy privileges

22(1) In an emergency situation where no specialist radiologist is

available within a reasonable time, a member of the medical staff or

professional staff may request that a member of the medical staff who

is not a specialist radiologist carry out a fluoroscopy procedure.

(2) A hospital operator must not grant hospital privileges to carry out

fluoroscopy in the situation described in subsection (1) to a member of

the medical staff who is not a specialist radiologist unless that member

is approved by the College of Physicians and Surgeons of Alberta to

carry out fluoroscopy.

(3) The member of the medical staff or professional staff who makes a

request under subsection (1) must accept full professional

responsibility for the procedure.

Meetings of medical and professional staff

23(1) A hospital operator must ensure that the medical staff and

professional staff meet regularly for the purposes of reviewing and

evaluating the delivery of hospital services in the health services sector

in the approved hospital.

(2) The hospital operator must determine the composition and

frequency of the meetings.

(3) The medical staff or professional staff, as applicable, must provide

the administrator with a copy of the minutes of a meeting within 7 days

after the meeting at which the minutes were adopted.

(4) The administrator must retain the minutes of meetings in the

records of the health services sector in the approved hospital.

Health examinations and vaccinations

24(1) A hospital operator must establish and maintain a program of

health examinations for hospital staff based on the minimum

requirements the medical staff consider necessary for the protection of

hospital staff and patients.

(2) Notwithstanding subsection (1), the hospital operator, medical

staff and professional staff must comply with the provincial smallpox

and mpox vaccine policy for at-risk medical staff and professional

staff.

Notice to regulatory body

25(1) In this section, "regulatory body", with respect to a member of

the medical staff or professional staff, means the college under the

Health Professions Act that regulates the health profession of the

member.

(2) A hospital operator must advise the regulatory body of a member

of the medical staff or professional staff if any of the following occur:

(

a) the member's appointment as a member of the medical staff

or professional staff is suspended or terminated;

(

b) the member's hospital privileges are significantly varied,

suspended or terminated due to the member's incompetence,

negligence or misconduct;

(

c) the member resigns while the member's competence,

negligence or conduct is under investigation by the hospital

operator, the member's regulatory body or another body.

Expenses incurred in transfers

26(1) In this section,

(a) "transfer" means,

(

i) with respect to a patient, a transfer under

section

1.976993(2)(a)(iii) of the Act, or

(ii) with respect to an unadmitted person, a transfer to

another location that the sector Minister, provincial

health agency, hospital operator or administrator

considers appropriate;

(b) "unadmitted person" means a person who receives health

services in the health services sector in the approved hospital

but who is not admitted as a patient.

(2) If the attending member of a patient or of an unadmitted person

recommends that a member of the hospital staff accompany the patient

or unadmitted person during a transfer, the hospital operator must

reimburse the member of the hospital staff who accompanies the

patient or unadmitted person for any necessary expenses incurred with

respect to the transfer.

Admissions

Compliance with admissions provisions

27 A hospital operator is responsible for ensuring compliance with

sections 28 and 29.

Admission of patients

28(1) Only members of the medical staff and professional staff may

admit patients to a health services sector in an approved hospital.

(2) A member of the medical staff or professional staff who admits a

patient must record the following:

(

a) a medical history of the patient;

(

b) other relevant history;

(

c) a description of pertinent physical findings;

(

d) a description of pertinent findings respecting the mental

health of the patient;

(

e) a statement of the provisional diagnosis and treatment;

(

f) the results of pertinent investigations previously carried out,

if possible;

(

g) reports resulting from the diagnostic procedures prescribed

under the rules made under the medical staff bylaws as the

minimum required for a class of patient or medical

procedure.

(3) Subject to subsections (4) and (5), a member of the medical staff

or professional staff who admits a patient in an emergency situation

must record the information referred to in subsection (2) as soon as

possible and no later than 24 hours after the patient's admission.

(4) A resident or medical student who is appointed or employed in the

health services sector in the approved hospital and who is under the

direction of a member of the medical staff or professional staff may

record the information referred to in subsection (2)(

a) or (

b) for an

emergency or non-emergency admission.

(5) A resident or medical student who records information in

accordance with subsection (4) must do so no later than 48 hours after

the patient's admission.

Persons not requiring hospital services

29(1) In this section, "person not requiring hospital services" means a

person who accompanies a patient admitted to a health services sector

in an approved hospital but does not include a patient who has been

declared eligible for transfer or discharge under

section 1.976993(1) of

the Act.

(2) The hospital operator is responsible for the management of the

admissions and stays in the health services sector in the approved

hospital of persons not requiring hospital services.

(3) An attending member of a patient must assess whether it is

clinically necessary for a person not requiring hospital services to be

admitted to the health services sector in the approved hospital for the

purpose of accompanying the patient during the patient's stay in the

health services sector in the approved hospital.

(4) The hospital operator must ensure that the attending member's

assessment is considered by

(

a) the members of the medical staff or professional staff

designated by the hospital operator for that purpose,

(

b) a hospital utilization committee, if one has been established

for the health services sector in the approved hospital, or

(

c) another body designated by the hospital operator for that

purpose.

(5) If the member, committee or body considering the attending

member's assessment determines that it is not clinically necessary to

admit the person not requiring hospital services, the person is

(

a) deemed not to be in need of hospitalization,

(

b) ineligible for insured services under

Part 3 of the Hospitals

Act, and

(

c) required to pay the non-entitled rate established by the

regulations made under that Part.

(6) The hospital operator must ensure that the attending member's

assessment and the determination of the member, committee or body

that considers the assessment are included in the patient's hospital

service records.

Standards of Hospital Services

Clinical policies and procedures

30(1) A hospital operator must establish and maintain written clinical

policies and procedures with respect to the delivery of hospital services

by members of the medical staff and professional staff in the health

services sector in the approved hospital.

(2) A hospital operator must ensure that

(

a) the policies and procedures referred to in subsection (1) are

reviewed at least annually, and

(

b) the up-to-date versions of the policies and procedures are

readily available to all members of the medical staff and

professional staff.

Nursing coverage

31 A hospital operator must ensure that adequate nursing coverage is

provided at all times in the health services sector in the approved

hospital.

Operating room management

32 The person in charge of an operating room must be a member of

the medical staff or professional staff with training in operating room

management or with equivalent experience.

Assistance at major surgery

33(1) In a health services sector in an approved hospital with a

clinical department, the primary physician performing an operation

must determine whether the assistance of a second physician is

required for the operation, taking into consideration

(

a) the type of surgery,

(

b) the circumstances of the operation, and

(

c) the knowledge and experience of the primary physician.

(2) In a health services sector in an approved hospital without a

clinical department, the assistance of a second physician is required

when performing the following operations:

(

a) an operation within or on the contents of the following

cavities:

(

i) the cranium;

(ii) the thorax;

(iii) the abdomen;

(iv) the pelvis;

(

b) an operation that, because of the type of surgery or the

circumstances of the operation, may constitute a distinct

hazard to life or health, including the following:

(

i) amputation of limbs;

(ii) anterior or posterior colporrhaphy;

(iii) axis ligation, deep ligation and stripping of varicose

veins;

(iv) caesarian section;

(

v) deep biopsy of lymph nodes;

(vi) deep removal of foreign body;

(vii) elective tracheostomy;

(viii) excision of branchial cleft cyst or sinus;

(ix) excision of thyroglossal duct cyst or sinus;

(

x) open reduction of fracture of long bones;

(xi) operative reduction of compound fracture, excluding

digits;

(xii) operative treatment of acute osteomyelitis or acute

suppurative arthritis;

(xiii) operative treatment of internal derangement of the knee

or other joints;

(xiv) operative treatment of severe hand injuries;

(xv) plastic repair of vaginal atresia;

(xvi) radical mastoidectomy;

(xvii) repair of complicated fistula in ano;

(xviii) repair of inguinal, double inguinal, femoral, umbilical

or strangulated hernia;

(xix) simple, total or radical mastectomy;

(xx) thyroidectomy;

(xxi) total or subtotal excision of parotid gland;

(xxii) vaginal operation combined with laparotomy.

(3) The provincial health agency established for the acute care health

services sector must consult the Alberta Medical Association with

respect to any proposed amendments to subsection (2)(b).

Records relating to surgery

34(1) Subject to subsection (2), the following information must be

completed with respect to a patient on whom an operation is to be

performed and made accessible to the surgical team before the

operation is performed:

(

a) a medical history;

(

b) other relevant history;

(

c) a description of pertinent physical findings;

(

d) a description of pertinent findings respecting the mental

health of the patient;

(

e) a statement of the provisional diagnosis and treatment;

(

f) the results of pertinent investigations previously carried out,

if possible;

(

g) reports resulting from the diagnostic procedures prescribed

under the rules made under the medical staff bylaws as the

minimum required for a class of patient or medical

procedure.

(2) In an emergency situation in which a delay in performing an

operation could have serious consequences for a patient,

(a) subsection (1) does not apply, and

(

b) the information referred to in subsection (1) must be

completed and made accessible to the medical staff and

professional staff as soon as possible after the operation is

performed.

Anaesthetic services

35(1) Where reasonably possible and subject to

section 36(1), a

member of the medical staff who provides anaesthetic services in a

health services sector in an approved hospital must have a minimum of

6 months' training in an anaesthetic training program approved by the

College of Physicians and Surgeons of Alberta.

(2) A member of the medical staff or professional staff administering

a surgical anaesthetic must not commence administration of the

anaesthetic before the surgical team is available in the health services

sector in the approved hospital and prepared to begin the operation.

Surgical anaesthetics

36(1) In an emergency situation where no member of the medical

staff having the training referred to in

section 35(1) is available within

a reasonable time, the primary physician performing an operation or

the physician assisting with the operation may request that a member

of the medical staff or professional staff administer a surgical

anaesthetic.

(2) A hospital operator must not

(

a) grant hospital privileges to administer a surgical anaesthetic

in the situation described in subsection (1) to a member of

the medical staff who does not have the training referred to in

section 35(1) unless the member of the medical staff is

approved by the College of Physicians and Surgeons of

Alberta to administer surgical anaesthetics, or

(

b) allow a member of the professional staff to administer a

surgical anaesthetic unless the situation described in

subsection (1) exists.

(3) The physician who makes a request under subsection (1) must

accept full professional responsibility for the administration of the

surgical anaesthetic.

Deferral or relocation of surgery

37(1) Before an operation is performed on a patient, an attending

member must critically review, with respect to the patient's need for

mechanical ventilator support in the immediate post-operative period,

(

a) the state of the patient, and

(

b) the anaesthetic techniques to be used during the operation.

(2) If the attending member determines under subsection (1) that

mechanical ventilator support may be required but the equipment or

the medical staff or professional staff trained in its use will not be

available for the patient, the attending member must defer the

operation or arrange for the operation to be performed in a health

services sector in an approved hospital where adequate post-operative

care is available.

(3) In a health services sector in an approved hospital where adequate

post-operative care for a high-risk patient requiring major elective or

emergency surgery may not be available, the attending member must

consider arranging for the operation to be performed in a health

services sector in an approved hospital where adequate post-operative

care is available.

Precautions re foreign bodies

38(1) A hospital operator must ensure that the medical staff and

professional staff take adequate precautions to prevent the retention of

an undesirable foreign body in a patient's

(

a) peritoneum in abdominal surgery,

(

b) pleura in chest surgery, or

(

c) subcutaneous tissue in other surgery.

(2) An attending member must record the precautions taken on the

patient's hospital service record.

Examination of removed tissues

39(1) Subject to subsection (5), a hospital operator must ensure that

tissues removed during an operation are preserved and delivered for

examination to a pathologist registered in that specialty in Alberta and

appointed to the medical staff.

(2) Notwithstanding subsection (1), if a hospital operator has not

appointed a pathologist to the medical staff, the hospital operator must

ensure the tissues are delivered to a pathologist employed by a

provincial public health laboratory and may use the staff and facilities

of the provincial public health laboratory for the purposes of this

section.

(3) All tissues must be accompanied by a report that includes the

patient's name, sex, age, brief medical history and the circumstances

under which the tissue was removed.

(4) Pathology reports on tissues examined under this

section must be

provided to

(

a) the hospital operator or the administrator for inclusion in the

patient's hospital service records, and

(

b) the primary physician who performed the operation in which

the tissues were removed.

(5) This

section does not apply with respect to the following tissues:

(

a) blood clots;

(

b) bone fragments and ligaments;

(

c) bony ossicles (ears);

(

d) cartilage, external ear (plastic);

(

e) fingers;

(

f) foreign bodies (including bone plates, nails and screws);

(

g) hernial sac;

(

h) hydrocele sac;

(

i) intervertebral discs;

(

j) meningocele sac;

(

k) nasal septa when removed for obstruction only;

(

l) optic lens;

(

m) prepuces;

(

n) ribs removed incidental to chest surgery;

(

o) scar tissue;

(

p) secondary amputation stumps;

(

q) semilunar cartilages;

(

r) teeth;

(

s) tendon segments removed incidental to orthopaedic

procedures;

(

t) toes;

(

u) toenails and fingernails;

(

v) tonsils and adenoids (patients under 40);

(

w) vaginal wall fragments (plastic repair);

(

x) varicocele;

(

y) vein strippings.

Taking blood for transfusion and crossmatching

40 For the purposes of blood transfusion and crossmatching, only a

member of the medical staff or a qualified member of the professional

staff may take blood in the health services sector in the approved

hospital.

Syphilis testing of newborns

41 The hospital operator must ensure that

(

a) a blood sample is taken from each newborn born in the health

services sector in the approved hospital immediately after

delivery, and

(

b) the blood sample is provided to a provincial public health

laboratory for a serological test for syphilis.

Salmonella reports

42(1) If a hospital operator receives positive salmonella reports from

a provincial public health laboratory within a one-week period with

respect to 3 or more patients admitted to the health services sector in

the approved hospital, the administrator must notify the sector Minister

of the scope of infection and the factors that caused or contributed to

its spread.

(2) Subsection (1) does not absolve a hospital operator from notifying

the medical officer of health of all cases of notifiable diseases set out

in the Communicable Diseases Regulation (AR 238/85).

Disposal of needles and syringes

43 A hospital operator must ensure that disposable needles and

syringes used in the health services sector in the approved hospital are

(

a) rendered useless prior to their disposal, and

(

b) disposed of in such a manner that a person handling the

disposed needles and syringes will not be injured.

Autopsies

44(1) A hospital operator must ensure that an autopsy is performed,

whenever possible and provided facilities are available, in the

following cases:

(

a) deaths with respect to which the cause of death is in doubt;

(

b) deaths that occur during an operation or within 10 days after

an operation is performed.

(2) A medical examiner may request an autopsy.

(3) The medical staff must consider performing an autopsy if the

autopsy may add to the medical knowledge of the medical staff.

(4) An autopsy must not be performed under subsection (3) unless

permission for the autopsy has been received from the next of kin of

the deceased or the personal representative of the deceased as defined

in the Estate Administration Act.

Removal of bodies

45(1) A body must not be removed from a health services sector in an

approved hospital until

(

a) a member of the medical staff

(

i) examines the body,

(ii) records the time of death, and

(iii) signs the applicable certificate required under the Vital

Statistics Act,

(

b) the administrator authorizes the removal of the body, and

(

c) if an autopsy was performed, the person who performed the

autopsy or a representative of the hospital operator on behalf

of the person who performed the autopsy

(

i) records that

(

A) the next of kin of the deceased has been informed

that an autopsy was performed, or

(

B) if the next of kin of the deceased is unavailable,

the appropriate person, as determined in

accordance with

section 36 of the Funeral Services

General Regulation (AR 226/98), has been

informed that an autopsy was performed,

and

(ii) signs the record.

(2) If death was caused by a communicable disease as defined in the

Public Health Act, the hospital operator must notify the relevant

funeral home of the cause of death when the body is removed from the

health services sector in the approved hospital.

Information and Records Management

Hospital service records

46(1) The hospital service records of an in-patient must contain

sufficient information to justify the diagnosis and the hospital services

delivered to the in-patient, including

(

a) the information required under

section 28(2),

(

b) provisional and final diagnoses,

(

c) reports of diagnostic and treatment procedures,

(

d) reports of consultations,

(

e) surgical and anaesthetic records,

(

f) progress notes,

(

g) orders for treatment, and

(

h) a discharge

summary, as applicable.

(2) The records referred to in subsection (1) must be signed by an

attending member.

(3) In addition to the records referred to in subsection (1), the hospital

service records of an in-patient must contain any records provided to

the hospital operator by the following persons if they are sufficiently

recent to be relevant to the in-patient's current status:

(

a) the hospital operator of another health services sector in the

approved hospital;

(

b) the hospital operator of a health services sector in another

approved hospital;

(

c) the medical director of an accredited medical facility as

defined in

Schedule 21 of the Health Professions Act;

(

d) a continuing care home operator as defined in the Continuing

Care Act;

(

e) the operator of a location to which the in-patient had

previously been transferred or discharged under

section

1.976993(2)(a)(iii) or (b)(iii) of the Act;

(

f) any health services provider or the operator of any other

hospital or facility in which health services are delivered in

Alberta or outside Alberta.

(4) An attending member of an out-patient must complete the medical

record portion of the hospital service records in the prescribed form

within 24 hours after the hospital services have been delivered to the

out-patient.

(5) If a patient dies during an operation or within 10 days after an

operation is performed, the primary physician who performed the

operation and the member of the medical staff or professional staff

who administered the surgical anaesthetic must prepare reports of the

surgical and anaesthetic events, respectively, preceding the patient's

death in addition to the routine surgical and anaesthetic records that

must be kept with respect to surgical patients.

(6) The hospital operator must ensure that hospital service records are

legible, accurate and complete.

Verification of orders for treatment

47(1) An order for treatment issued by a member of the medical staff

or professional staff must be

(

a) in writing, and

(

b) signed and dated by the member or by a resident or medical

student who is appointed or employed in the health services

sector in the approved hospital and who is under the direction

of the member of the medical staff or professional staff.

(2) An order for treatment is considered to be in writing if

(

a) the member of the medical staff or professional staff issuing

the order dictates it to another member of the medical staff or

professional staff,

(

b) the member to whom the order is dictated dates the order,

writes their name on it and signs it on behalf of the member

issuing the order, and

(

c) the member issuing the order dates the order and

countersigns it within 24 hours after dictating it.

Retention of hospital service records

48(1) Subject to subsection (2), a hospital operator must retain a

patient's hospital service records for a period of 10 years after the date

on which the patient is transferred or discharged from the health

services sector of the approved hospital in which the hospital services

were delivered.

(2) If the patient was a minor at the time the hospital services were

delivered, the hospital operator must retain the patient's hospital

service records for the longer of

(a) 10 years after the date on which

(

i) the in-patient is transferred or discharged from the

health services sector in the approved hospital, or

(ii) the out-patient last received hospital services in the

health services sector in the approved hospital,

(b) 2 years after the date of the patient's 18th birthday.

(3) A hospital operator may retain hospital service records for any

additional period that the hospital operator considers necessary.

(4) Notwithstanding subsections (1) and (2),

(

a) if a patient's hospital service records are microfilmed after

the patient has been transferred or discharged from the health

services sector in the approved hospital, the original records

may be destroyed one year after the date on which the patient

was transferred or discharged, and

(

b) a patient's x-ray films may be destroyed 5 years after the date

on which the patient is transferred or discharged from the

health services sector in the approved hospital.

Retention of Health Facilities Act records, etc.

49(1) Subject to subsection (2), a hospital operator must retain a

statement referred to in

section 5(3)(

b) of the Health Facilities Act for

a period of at least 10 years after the date on which the patient was

transferred or discharged from the health services sector in the

approved hospital in which the insured surgical service was provided.

(2) If the patient was a minor at the time the insured surgical service

was provided, the hospital operator must retain the statement for the

longer of

(a) 10 years after the date on which the patient is transferred or

discharged from the health services sector in the approved

hospital, or

(b) 2 years after the date of the patient's 18th birthday.

(3) A hospital operator must retain all records and documents

necessary to determine whether the Health Facilities Act and the

regulations under that Act have been complied with respecting the

provision of enhanced medical goods or services and non-medical

goods or services in the health services sector in the approved hospital

that

(

a) relate to the provision of insured surgical services in the

health services sector in the approved hospital, or

(

b) arise out of an admission to the health services sector in the

approved hospital.

(4) The hospital operator must retain the records and documents

referred to in subsection (3) for a period of 6 years after they are

created.

Storage of records, etc.

50 A hospital operator may store hospital service records and the

statements, records and documents referred to in

section 49 in a format

that will provide a copy of the hospital service records or the

statements, records or documents in a legible written form within a

reasonable time.

Offences

Offences

51 A person who contravenes

section 7(1), (2) or (4), 8(1) or 16 is

guilty of an offence and liable to a fine of not more than $2000 in the

case of a first offence and $5000 in the case of a subsequent offence.

Expiry and Coming into Force

Expiry

52 For the purpose of ensuring that this Regulation is reviewed for

ongoing relevancy and necessity, with the option that it may be

repassed in its present or an amended form following a review, this

Regulation expires on July 30, 2035.

Coming into force

53 This Regulation comes into force on the coming into force of

section 45(15) of the Health Statutes Amendment Act, 2025.

--------------------------------

Alberta Regulation 212/2025

Provincial Health Agencies Act

PROVINCIAL HEALTH AGENCIES ACT

TRANSITIONAL REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 292/2025)

on September 17, 2025 pursuant to

section 1.97699994 of the Provincial Health

Agencies Act.

Table of Contents

Definitions

Hospitals Act Transitional Provisions

2 General bylaws

3 Medical staff bylaws

4 Access to hospital facilities

5 Discharge, transfer and removal of patients

6 Appeals

7 Investigation or mediation committee

8 Committee of inquiry

9 Ministerial orders

Operation of Approved Hospitals Regulation

Transitional Provisions

10 Review of proposed activities

11 Ministerial approval of activities

12 Board resolutions

13 Policies re disposal of equipment

14 Exception to requirement for approval of final plans

15 Standards and planning requirements

16 Capacity

17 Medical staff appointments, reviews and suspensions

18 Medical staff privileges

Coming into Force

19 Coming into force

Definitions

1 In this Regulation,

(a) "board" means the board, as defined in

section 9 of the

former Act, of a former hospital;

(b) "former Act" means the Hospitals Act as it read immediately

before the coming into force of

section 30(3) of the Health

Statutes Amendment Act, 2025;

(c) "former hospital" means an approved hospital under the

former Act;

(d) "former regulation" means the Operation of Approved

Hospitals Regulation (AR 247/90) as it read immediately

before the coming into force of

section 30(3) of the Health

Statutes Amendment Act, 2025;

(e) "Health Minister" means the Minister determined under

section 16 of the Government Organization Act as the

Minister responsible for the former Act;

(f) "new Act" means the Provincial Health Agencies Act as it

reads on the coming into force of

section 45(15) of the

Health Statutes Amendment Act, 2025;

(g) "new regulation" means the Operation of Approved

Hospitals Regulation made under the new Act;

(h) "relevant health services sector" means, with respect to a

former hospital, the health services sector in a successor

hospital where the same or similar hospital services were

delivered in the former hospital;

(i) "successor hospital" means an approved hospital that was,

before being designated under

section 1.9763 of the new Act,

a former hospital.

Hospitals Act Transitional Provisions

General bylaws

2(1) The general bylaws enacted by a board under

section 11(1) or

22(3)(

a) of the former Act with respect to a former hospital are deemed

(

a) to be the general bylaws of a hospital operator in the

successor hospital, and

(

b) to have been approved by the sector Minister in accordance

with

section 1.9769 or 1.97694 of the new Act, as applicable.

(2) If the general bylaws referred to in subsection (1) were enacted

under

section 22(3)(

a) of the former Act,

section 1.97694(3) to (5) of

the new Act apply to the deemed general bylaws of the hospital

operator as if the sector Minister had directed the hospital operator to

make the general bylaws under

section 1.97694(2)(

a) of the new Act.

(3) The rules adopted by a board under

section 11(3) of the former Act

with respect to a former hospital are deemed to be the rules made

under the general bylaws of a hospital operator in the successor

hospital.

Medical staff bylaws

3(1) The medical staff bylaws adopted by the medical staff of a

former hospital under

section 17 or 22(3)(

a) of the former Act are

deemed

(

a) to be the medical staff bylaws of the medical staff of a

hospital operator in the successor hospital, and

(

b) to have been approved,

(

i) with respect to medical staff bylaws adopted under

section 17 of the former Act, by the hospital operator

and sector Minister in accordance with

section 1.97692

of the new Act, or

(ii) with respect to medical staff bylaws adopted under

section 22(3)(

a) of the former Act, by the sector

Minister in accordance with

section 1.97694 of the new

Act.

(2) If the medical staff bylaws referred to in subsection (1) were

adopted under

section 22(3)(

a) of the former Act,

section 1.97694(3) to

(5) of the new Act apply to the deemed medical staff bylaws as if the

sector Minister had directed the medical staff of the hospital operator

to make the medical staff bylaws under

section 1.97694(2)(

b) of the

new Act.

(3) The rules adopted by the medical staff of a former hospital under

section 17(6)(

a) of the former Act are deemed to be the rules made

under the deemed medical staff bylaws of the medical staff of a

hospital operator in the successor hospital.

Access to hospital facilities

4 The access to hospital facilities granted by a board to a physician or

health care practitioner under

section 13 of the former Act is deemed

to be granted by the hospital operator, on the same terms and

conditions, to the physician or health care practitioner under

section

1.976991(1) of the new Act with respect to the facilities in the health

services sector in the successor hospital in which the physician or

health care practitioner is appointed, employed or engaged for services

by the hospital operator.

Discharge, transfer and removal of patients

5(1) If a declaration is made by the Health Minister, board or

administrator of a former hospital under

section 31(1)(

a) of the former

Act,

(

a) the declaration is deemed to be a declaration made by the

sector Minister or provincial health agency of the relevant

health services sector, the hospital operator or the

administrator, as applicable, in accordance with

section

1.976993(1) of the new Act, and

(

b) the patient who is the subject of the declaration made under

the former Act is deemed to be a patient under the new Act.

(2) A notice given by a board or representative of a board under

section 32(2) of the former Act is deemed to be a notice given by the

hospital operator of the relevant health services sector or the

administrator under

section 1.976994(2) of the new Act.

Appeals

6(1) The rules made by the Appeal Board under

section 19(1) of the

former Act are deemed to be the rules of the Appeal Board made under

section 1.976998(1) of the new Act.

(2) If a decision was appealed under

section 21(1) of the former Act

and the appeal was not decided before the coming into force of this

section, the appeal is continued and must be decided in accordance with

the former Act as if

Part 2 of the former Act had not been repealed.

Investigation or mediation committee

7 If the Health Minister authorized an investigation or mediation

under

section 27(1) of the former Act but the investigation or

mediation was not concluded before the coming into force of this

section,

(

a) the investigation or mediation is continued and must be

concluded in accordance with

section 27 of the former Act as

if that

section had not been repealed,

(

b) a person or entity designated to conduct or participate in the

investigation or mediation under

section 27(2) of the former

Act

(

i) continues to be designated as if

section 27 of the former

Act had not been repealed, and

(ii) has the powers, duties, privileges and functions of a

designated person or entity under

section 27 of the

former Act as if that

section had not been repealed,

and

(

c) the committee, members and chair referred to in

section

27(3) and (4) of the former Act

(

i) continue as the committee, members and chair as if

section 27 of the former Act had not been repealed, and

(ii) have the powers, duties, privileges and functions of the

committee, members and chair under

section 27 of the

former Act as if that

section had not been repealed.

Committee of inquiry

8 If the Health Minister appointed a committee of inquiry under

section 29(1) of the former Act and referred a question to the

committee or a member or members of the committee for the purpose

of making an inquiry but the inquiry was not concluded before the

coming into force of this section,

(

a) the inquiry is continued and must be concluded in accordance

with

section 29 of the former Act as if that

section had not

been repealed, and

(

b) the committee and members

(

i) continue as the committee and members as if

section 29

of the former Act had not been repealed, and

(ii) have the powers, duties, privileges and functions of the

committee and members under

section 29 of the former

Act as if that

section had not been repealed.

Ministerial orders

9 Notwithstanding the repeal of

section 28(2)(

b) of the former Act, an

order made under that

section continues to have effect in relation to

matters under the new Act until the order is rescinded by the Health

Minister.

Operation of Approved Hospitals Regulation

Transitional Provisions

Review of proposed activities

10 If the Health Minister required that a board's proposed activity be

reviewed and approved by a regional health authority under

section 2.1

of the former regulation,

(

a) if the regional health authority reviewed and approved the

proposed activity, that approval is deemed to be the approval

by the provincial health agency established for the relevant

health services sector as required under

section 2(1) of the

new regulation for the hospital operator of the relevant health

services sector to carry out the activity, and

(

b) if the regional health authority did not complete its review of

the proposed activity before the coming into force of this

section, the review is continued and must be completed by

the provincial health agency established for the relevant

health services sector with respect to the hospital operator of

the relevant health services sector.

Ministerial approval of activities

11(1) If the Health Minister gave approval for a board or former

hospital to carry out an activity referred to in

(

a) section 3 or 28 of the former regulation, that approval is

deemed to be the sector Minister's approval as required

under

section 16 of the new regulation,

(b)

section 4(1), (2), (4) or (6) of the former regulation, that

approval is deemed to be the sector Minister's approval as

required under

section 8(1), 9(1), 10(2) or 11 of the new

regulation, respectively,

(

c) section 5(

a) of the former regulation, that approval is deemed

to be the sector Minister's approval as required under 7(1)(

a) of the new regulation,

(

d) section 5(

b) of the former regulation, that approval is deemed

to be the sector Minister's approval as required under

(i)

section 7(1)(

b) of the new regulation with respect to a

hospital operator other than a provincial health agency

or provincial health corporation, and

(ii)

section 7(2) of the new regulation with respect to a

hospital operator that is a provincial health agency or

provincial health corporation,

(

e) section 5(

c) of the former regulation, that approval is deemed

to be the sector Minister's approval as required under

section

7(3) of the new regulation, and

(f)

section 29(1)(

a) of the former regulation, that approval is

deemed to be the sector Minister's approval as required

under

section 17(2) of the new regulation with respect to an

education and training program described in

section

17(1)(b)(

i) of the new regulation.

(2) If the Minister of Advanced Education gave approval for a former

hospital to carry out an activity referred to in

section 29(1)(

b) of the

former regulation, that approval is deemed to be the approval of the

Minister responsible for the Post-secondary Learning Act as required

under

section 17(2) of the new regulation with respect to an education

and training program described in

section 17(1)(b)(ii) of the new

regulation.

(3) A deemed approval under subsection (1) or (2) is approval for the

hospital operator of the relevant health services sector to carry out the

activity approved under the former regulation.

(4) A deemed approval under subsection (1)(

a) continues to be subject

to any recommendations made by the district or regional planning

council under

section 3 of the former regulation.

Board resolutions

12 A resolution of the board under

section 30(1) of the former

regulation is deemed to be a resolution of a hospital operator in a

successor hospital under

section 4 of the new regulation only if the

hospital operator is not a provincial health agency or provincial health

corporation.

Policies re disposal of equipment

13 The policies established by the Health Minister under

section 5(

c) of the former regulation are deemed to have been established by the

sector Minister under

section 7(3) of the new regulation with respect to

the hospital operators in the health services sector of the sector

Minister.

Exception to requirement for approval of final plans

14 If the requirements set out in

section 4(5)(

a) and (

b) of the former

regulation were met with respect to a construction or renovation

project,

(

a) the rights, benefits, obligations and responsibilities of the

Health Minister and the board under the agreement referred

to in

section 4(5)(

a) of the former regulation are assigned or

transferred to the sector Minister and the hospital operator of

the relevant health services sector, and

(

b) the Health Minister's approval under

section 4(5)(

b) of the

former regulation is deemed to be the sector Minister's

approval under

section 10(3)(

b) of the new regulation.

Standards and planning requirements

15(1) The minimum standards of basic construction adopted by the

Health Minister under

section 6 of the former regulation are deemed to

be the minimum standards of basic construction as determined by the

Minister responsible for the Real Property Governance Act as required

under

section 12(1)(

b) of the new regulation.

(2) The planning requirements adopted by the Health Minister under

section 6 of the former regulation are deemed be the planning

requirements approved by the oversight Minister as required under

section 12(1)(

c) of the new regulation.

Capacity

16(1) The official rated capacity of a former hospital under

section

4(8) of the former regulation is deemed

(

a) to be the official rated capacity of the successor hospital, and

(

b) to have been established by the oversight Minister in

accordance with

section 13(1)(

a) or 14(1)(a), as applicable,

based on the number of health services sectors in the

successor hospital.

(2) If the Health Minister approved a change to the rated bed capacity

of a former hospital under

section 8(1) of the former regulation, that

approval is deemed to be the approval by the sector Minister of the

relevant health services sector of the same change in the rated bed

capacity of the relevant health services sector in the successor hospital

under

section 15 of the new regulation.

Medical staff appointments, reviews and suspensions

17(1) A physician appointed by a board to the medical staff of a

former hospital under

section 32(1) of the former regulation is deemed

operator to the medical staff of the relevant health services sector of

the successor hospital under

section 20(1) of the new regulation.

(2) If a board commenced a review of the appointment of a member of

the medical staff of the former hospital under

section 32(3) of the

former regulation but the review was not concluded before the coming

into force of this section,

(

a) the review is continued and must be concluded in accordance

with

section 32(3) of the former regulation as if that

section

had not been repealed, and

(

b) the hospital operator of the relevant health services sector has

the powers, duties, privileges and functions of the board

under

section 32(3) as if that

section had not been repealed.

(3) If a board suspended the appointment of a member of the medical

staff of the former hospital under

section 32(3) of the former

regulation,

(

a) the suspension continues on and after the coming into force

section 32(3) of the former regulation as if that

section had

not been repealed, and

(

b) the hospital operator of the relevant health services sector has

the powers, duties, privileges and functions of the board

under

section 32(3) of the former regulation with respect to

the suspension as if that

section had not been repealed.

Medical staff privileges

18 A member of the medical staff of a former hospital granted

privileges under

section 33 of the former regulation is deemed to have

been granted the same hospital privileges, on the same terms and

conditions, by the hospital operator of the relevant health services

sector of the successor hospital under

section 21 of the new regulation.

Coming into Force

Coming into force

19 This Regulation comes into force on the coming into force of

section 30(3) of the Health Statutes Amendment Act, 2025.

Alberta Regulation 213/2025

Provincial Health Agencies Act

PROVINCIAL HEALTH AGENCIES ACT (CONSEQUENTIAL

AMENDMENTS) REGULATION, 2025 (NO. 2)

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 293/2025)

on September 17, 2025 pursuant to

section 24.01 of the Provincial Health Agencies

Act.

1(1) The Condominium Property Regulation (AR 168/2000)

is amended by this section.

(2) Schedule 2 is amended in

section 2(

c) by striking out

", an approved hospital under the Hospitals Act or a provincial health

agency, regional health authority or provincial health corporation"

and substituting "or a provincial health agency, regional health

authority, provincial health corporation or hospital operator".

2(1) The General Regulation (AR 249/98) is amended by this

section.

(2) Schedule 2 is amended in

section 3(

c) by striking out

", an approved hospital under the Hospitals Act or a provincial health

agency, regional health authority or provincial health corporation"

and substituting "or a provincial health agency, regional health

authority, provincial health corporation or hospital operator".

3(1) The General Regulation (AR 226/98) is amended by this

section.

(2) Schedule 3 is amended in

section 3(

c) by striking out

", an approved hospital under the Hospitals Act or a provincial health

agency, regional health authority or provincial health corporation"

and substituting "or a provincial health agency, regional health

authority, provincial health corporation or hospital operator".

4(1) The Management Body Operation and Administration

Regulation (AR 243/94) is amended by this section.

(2) Section 26(2)(

b) is amended by striking out "an approved

hospital under the Hospitals Act, a provincial health agency, regional

health authority or provincial health corporation" and substituting

"a provincial health agency, regional health authority, provincial health

corporation or hospital operator".

5(1) The Provincial Health Agencies (Ministerial) Regulation

(AR 17/95) is amended by this section.

(2) Section 1 is amended

(

a) by repealing subsection (1) and substituting the

following:

Reports and returns

1(1) A provincial health agency, by notice in writing, may

require a hospital operator or a community health council

delivering health services in the health services sector to provide

the provincial health agency with a report or return relating to the

operations of the hospital operator or community health council

or its delivery of health services in the health services sector.

(

b) in subsection (3) by striking out "An existing health

authority" and substituting "A hospital operator".

6(1) The Vital Statistics Information Regulation (AR

108/2018) is amended by this section.

(2) Section 41(1)(

c) is repealed and the following is

substituted:

(

c) a representative of a provincial health agency, regional health

authority, provincial health corporation or hospital operator

under the Provincial Health Agencies Act;

7 This Regulation comes into force on the coming into

force of

section 45(15) of the Health Statutes Amendment

Act, 2025.

--------------------------------

Alberta Regulation 214/2025

Provincial Health Agencies Act

PROVINCIAL HEALTH AGENCIES ACT (CONSEQUENTIAL

AMENDMENTS) REGULATION, 2025 (NO. 3)

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 294/2025)

on September 17, 2025 pursuant to

section 24.01 of the Provincial Health Agencies

Act.

1(1) The Alberta Public Agencies Governance Exemption

Regulation (AR 170/2020) is amended by this section.

(2) Section 2 is amended by striking out "or regional health

authority".

2(1) The Artificial Tanning Regulation (AR 233/2017) is

amended by this section.

(2) Section 5 is repealed and the following is substituted:

Enforcement officers

5 Individuals designated as executive officers under

section 16 of

the Public Health Act are designated as enforcement officers for the

purposes of the Act.

3(1) The Assured Income for the Severely Handicapped

General Regulation (AR 91/2007) is amended by this

section.

(2) Schedule 3 is amended in sections 2(1)(

c) and 7 by

striking out "or a regional health authority".

4 The Community Health Councils (Ministerial) Regulation

(AR 193/97) is repealed.

5 The Community Health Councils Regulation (AR 202/97)

is repealed.

6(1) The Community Treatment Order Regulation

(AR 337/2009) is amended by this section.

(2) Section 1(

g) is repealed.

(3) Section 4 is amended by striking out ", regional health

authority" wherever it occurs.

(4) Section 7(2)(

c) is amended by striking out ", if that person is

not the regional health authority".

7(1) The Condominium Property Regulation (AR 168/2000)

is amended by this section.

(2) Schedule 2 is amended in

section 2(

c) by striking out

"regional health authority,".

8(1) The Conflicts of Interest Act

Part 4.3 Designation Order

(AR 42/2018) is amended by this section.

(2) The

Schedule is amended in Table 1 by striking out

PRIMARY AND PREVENTATIVE HEALTH SERVICES

Alberta Precision Laboratories Ltd.

CEO

CEO

Provincial health agency for the primary

care health services sector

CEO

Regional Health Authority

CEO

and substituting

PRIMARY AND PREVENTATIVE HEALTH SERVICES

Alberta Precision Laboratories Ltd.

CEO

CEO

Provincial health agency for the primary

care health services sector

CEO

9(1) The Conflicts of Interest

Part 4.3 Inclusion Order

(AR 41/2018) is amended by this section.

(2) Section 2(

a) is amended by striking out ", regional health

authority".

10(1) The Continuing Care (Ministerial) Regulation

(AR 44/2024) is amended by this section.

(2) Section 14 is amended

(

a) by repealing subsection (1)(c);

(

b) in subsection (2) by striking out ", regional health

authority" wherever it occurs.

11(1) The Continuing Care Regulation (AR 21/2024) is

amended by this section.

(2) Section 1 is amended

(

a) by repealing clause (k);

(

b) in clauses (r), (

v) and (

z) by striking out ", regional

health authority".

(3) Sections 12(b), 13(b), 16(2), 19(2)(b), 21(2), 24 and 25(

a) are amended by striking out ", regional health authority"

wherever it occurs.

(4) Section 61 is amended

(

a) by repealing clause (b);

(

b) in clause (

d) by striking out ", regional health authority".

(5) Section 79(1)(c)(

i) is amended by striking out ", regional

health authority".

12(1) The Corrections Regulation (AR 205/2001) is amended

by this section.

(2) Section 1(2) is amended by striking out ", regional health

authority".

13(1) The Credit Union (Principal) Regulation (AR 249/89) is

amended by this section.

(2) Section 54(5)(b.1) is amended by striking out ", regional

health authority".

14(1) The Fatality Inquiries Regulation (AR 65/2000) is

amended by this section.

(2) Section 7.1(2)(

d) is repealed.

15(1) The Fuel Tax Regulation (AR 62/2007) is amended by

this section.

(2) Section 1(1)(w)(

v) is amended by striking out ", regional

health authority".

16(1) The General Regulation (AR 249/98) is amended by

this section.

(2) Schedule 2 is amended in

section 3(

c) by striking out

", regional health authority".

17(1) The General Regulation (AR 226/98) is amended by

this section.

(2) Schedule 3 is amended in

section 3(

c) by striking out

", regional health authority".

18(1) The Ground Ambulance Regulation (AR 110/2020) is

amended by this section.

(2) Sections 6(1) to (3), 7(c), 8(a)(i), (b)(ii), (c)(ii), 11(2),

18(2)(b), 21, 22(1) and 34 are amended by striking out

", regional health authority".

19(1) The Health Advocate Regulation (AR 49/2014) is

amended by this section.

(2) Section 7(1) and (2) are amended by striking out

", regional health authority".

20(1) The Health Information Regulation (AR 70/2001) is

amended by this section.

(2) Section 2(1)(

g) is amended by striking out ", regional

health authority".

(3) Section 3(b)(ii) is repealed.

21(1) The Management Body Operation and Administration

Regulation (AR 243/94) is amended by this section.

(2) Section 26(2)(

b) is amended by striking out ", regional

health authority".

22(1) The Mental Health Act Forms and Designation

Regulation (AR 136/2004) is amended by this section.

(2) Section 1(1)(

e) is repealed.

(3) The

Schedule is amended in Forms 6 and 19 to 21 by

striking out ", regional health authority" wherever it occurs.

23(1) The Mental Health Patient Advocate Regulation

(AR 173/2020) is amended by this section.

(2) Section 1(

h) is repealed.

(3) Sections 4(2)(

c) and 5(4) are amended by striking out

", regional health authority" wherever it occurs.

(4) Section 8 is amended

(

a) in subsection (1)(

a) by striking out ", regional health

authority";

(

b) in subsection (3)

(

i) by striking out ", regional health authority"

wherever it occurs;

(ii) by striking out ", regional health authority's".

(5) Section 11(1) and (2) are amended by striking out

", regional health authority" wherever it occurs.

24(1) The Mental Health Services Protection Regulation

(AR 114/2021) is amended by this section.

(2) Sections 1(

j) and 4(b)(i.1) are repealed.

(3) Section 15(2) is amended by striking out ", regional health

authority".

25(1) The Minor Injury Regulation (AR 123/2004) is

amended by this section.

(2) Section 10(2)(

a) is amended by striking out ", regional

health authority".

26(1) The Municipal Investment Regulation (AR 149/2022) is

amended by this section.

(2) Sections 4(b)(iv), 5(b)(iv) and 6(c)(iv) are repealed.

27(1) The Podiatric Surgery Benefits Regulation

(AR 137/2006) is amended by this section.

(2) Section 1(b)(ii) and (d)(ii) are amended

(

a) by striking out "or regional health authority";

(

b) in paragraph (

B) by striking out "or the regional health

authority".

28(1) The Potable Water Regulation (AR 277/2003) is

amended by this section.

(2) Section 11(1)(

b) and (2)(

b) are amended by striking out

", regional health authority".

29(1) The Protection for Persons in Care Regulation

(AR 97/2010) is amended by this section.

(2) Section 3(

c) is amended by striking out ", regional health

authority".

30(1) The Provincial Health Agencies Act (Consequential

Amendments) Regulation (No. 3) (AR 216/2024) is amended

by this section.

(2) Section 1(2) is repealed.

31(1) The Provincial Health Agencies (Ministerial)

Regulation (AR 17/95) is amended by this section.

(2) Section 1 is amended

(

a) in subsection (1)

(

i) by striking out "or a community health council";

(ii) by striking out "or community health council";

(

b) by repealing subsection (1.1);

(

c) in subsection (2) by striking out ", (1.01) or (1.1)" and

substituting "or (1.01)";

(

d) in subsection (3)

(

i) by striking out ", community health council";

(ii) by striking out ", (1.01) or (1.1)" and substituting

"or (1.01)".

(3) Sections 2, 2.1, 3(2), (3), (5) and (7), 4 and 5 are amended

by striking out "or regional health authority" wherever it occurs.

(4) Section 6 is repealed.

32(1) The Provincial Priorities Regulation (AR 21/2025) is

amended by this section.

(2) Section 2(2)(c)(i.1) is repealed.

33(1) The Public Interest Disclosure (Whistleblower

Protection) Regulation (AR 71/2013) is amended by this

section.

(2) Schedules 1 and 2 are amended in

section 2(

a) by

striking out ", regional health authority".

34(1) The Public Sector Compensation Transparency

General Regulation (AR 52/2016) is amended by this

section.

(2) Section 2.1(1) is amended by striking out ", regional health

authority".

35(1) The Restricted Activity Authorization Regulation

(AR 5/2004) is amended by this section.

(2) Section 1 is amended

(

a) by repealing clause (b.1);

(

b) in clause (

c) by striking out ", regional health authority"

wherever it occurs.

36(1) The Temporary Employment and Job Creation

Programs Regulation (AR 33/2010) is amended by this

section.

(2) Section 2(

j) is amended by striking out ", regional health

authority".

37(1) The Vital Statistics Information Regulation

(AR 108/2018) is amended by this section.

(2) Section 41(1)(

c) is amended by striking out ", regional health

authority".

38(1) The Workers' Compensation Regulation

(AR 325/2002) is amended by this section.

(2) Schedule A is amended

(

a) by striking out ", regional health authority";

(

b) by striking out ", regional health authorities".

39(1) The Youth Justice Designation Regulation

(AR 322/2009) is amended by this section.

(2) Section 3(

d) is amended by striking out ", regional health

authority".

40(1) Sections 1, 3, 6 to 29, 31(1), (2)(b), (

c) and (d)(ii), (3)

and (4) and 32 to 39 come into force on the coming into

force of

section 45(17) of the Health Statutes Amendment

Act, 2025.

(2) Section 2 comes into force on the coming into force of

section 47(5) of the Health Statutes Amendment Act, 2025.

(3) Sections 4, 5 and 31(2)(

a) and (d)(

i) come into force on

the coming into force of

section 45(42)(a)(iii) of the Health

Statutes Amendment Act, 2025.

--------------------------------

Alberta Regulation 215/2025

Child, Youth and Family Enhancement Act

RESOURCE REBATE AMENDMENT REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 297/2025)

on September 17, 2025 pursuant to

section 128.1 of the Child, Youth and Family

Enhancement Act.

1 The Resource Rebate Regulation (AR 47/2006) is

amended by this Regulation.

Section 5 is repealed.

Alberta Regulation 216/2025

Child, Youth and Family Enhancement Act

COURT RULES AND FORMS

AMENDMENT REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 298/2025)

on September 17, 2025 pursuant to

section 131(1) of the Child, Youth and Family

Enhancement Act.

1 The Court Rules and Forms Regulation (AR 39/2002) is

amended by this Regulation.

Section 10 is repealed.

--------------------------------

Alberta Regulation 217/2025

Children First Act

DISCLOSURE OF INFORMATION (EXPIRY

DATE EXTENSION) AMENDMENT REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 299/2025)

on September 17, 2025 pursuant to

section 6 of the Children First Act.

1 The Disclosure of Information Regulation (AR 231/2013)

is amended by this Regulation.

Section 3 is amended by striking out "January 30, 2026"

and substituting "January 30, 2031".

Alberta Regulation 218/2025

Protection of Sexually Exploited Children Act

COURT FORMS AND PROCEDURES (EXPIRY

DATE EXTENSION) AMENDMENT REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 300/2025)

on September 17, 2025 pursuant to

section 8(1) of the Protection of Sexually

Exploited Children Act.

1 The Court Forms and Procedures Regulation (AR 7/99) is

amended by this Regulation.

Section 6 is amended by striking out "November 30, 2025"

and substituting "November 30, 2030".

--------------------------------

Alberta Regulation 219/2025

Safety Codes Act

MOTOR VEHICLE GAS CONVERSION (EXPIRY DATE

EXTENSION) AMENDMENT REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 301/2025)

on September 17, 2025 pursuant to

section 65 of the Safety Codes Act.

1 The Motor Vehicle Gas Conversion Regulation

(AR 210/2001) is amended by this Regulation.

Section 12 is amended by striking out "November 30, 2025"

and substituting "November 30, 2030".

Alberta Regulation 220/2025

Health Information Act

ALBERTA ELECTRONIC HEALTH RECORD

AMENDMENT REGULATION

Filed: September 17, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 302/2025)

on September 17, 2025 pursuant to

section 56.8 of the Health Information Act.

1 The Alberta Electronic Health Record Regulation

(AR 118/2010) is amended by this Regulation.

Section 1 is repealed and the following is substituted:

Definitions

1 In this Regulation,

(a) "Act" means the Health Information Act;

(b) "code of ethics" means code of ethics as defined in the

Health Professions Act;

(c) "standards of practice" means standards of practice as

defined in the Health Professions Act.

Section 2 is repealed.

Section 3 is repealed and the following is substituted:

Eligibility requirements to become

authorized custodian

3(1) Subject to subsection (2), the Department may designate a

custodian as an authorized custodian for the purposes of

section

56.1(b)(ii) of the Act if the Department is satisfied that the custodian

meets the following eligibility requirements:

(

a) the custodian has adopted or established policies, procedures,

systems and practices sufficient to maintain administrative,

technical and physical safeguards that will protect the

confidentiality and security of health information accessible

via the Alberta EHR and the privacy of the individuals who

are the subjects of that information;

(

b) the custodian has prepared and submitted to the

Commissioner a privacy impact assessment concerning the

custodian becoming an authorized custodian and obtaining

access to the Alberta EHR in accordance with

section 64 of

the Act;

(

c) the custodian has met the Department's technical and

security requirements;

(

d) in the case of a custodian who is a regulated health

professional, the health professional body of which the

custodian is a member has adopted or established standards

of practice or provisions in a code of ethics for its members

respecting

(

i) the management of electronic records, including,

without limitation, standards or provisions respecting

the protection, privacy and security of electronic

records, and

(ii) within 12 months after the coming into force of this

clause, the management of information in records,

including, without limitation, standards or provisions

respecting the appropriate use of health information.

(2) Notwithstanding that the custodian meets or may meet the

eligibility criteria, the Department may choose not to designate the

custodian as an authorized custodian if the Department is of the

opinion that doing so would present a risk to the privacy, safety and

confidentiality of the health information accessible via the Alberta

EHR, or it would otherwise not be in the public interest to do so.

Access to Alberta EHR

3.1(1) Subject to sections 7.7 and 7.8, an authorized custodian may

only access the Alberta EHR in accordance with

(

a) the policies, procedures, systems and practices referred to in

section 3(1)(a),

(

b) the technical and security requirements referred to in

section

3(1)(c),

(

c) the standards of practice or code of ethics referred to in

section 3(1)(d), if applicable, and

(

d) any other applicable provisions of the Act, the regulations or

a code, standard, guideline,

schedule or body of rules

incorporated, adopted or declared in force by this Regulation,

including a code, standard, guideline,

schedule or body of

rules developed by the Minister.

(2) Subject to sections 7.7 and 7.8, for the purposes of

section

56.5(1) of the Act, an authorized custodian, other than a custodian

described in

section 1(1)(f)(xii), (xii.1), (xiii) or (xiii.1) of the Act,

may only access health information of an individual via the Alberta

EHR if the authorized custodian provides or has provided a health

service to that individual.

Access to Alberta EHR by Office of the

Chief Medical Examiner

3.2(1) Subject to subsection (2), the Department may grant access

to the Alberta EHR to a medical examiner with the Office of the

Chief Medical Examiner or staff working under the direction of a

medical examiner with the Office of the Chief Medical Examiner for

the purposes of conducting or assisting with investigations under the

Fatality Inquiries Act if the Department is satisfied that all of the

following requirements and obligations are met:

(

a) the Office of the Chief Medical Examiner

(

i) has established or adopted policies, procedures and

practices sufficient to maintain administrative, technical

and physical safeguards that will protect the

confidentiality and security of health information

accessible via the Alberta EHR and the privacy of the

individuals who are the subjects of that information,

(ii) has met the Department's technical and security

requirements,

(iii) has a privacy training program for all medical

examiners and staff for whom it will be requesting

access to the Alberta EHR,

(iv) has confirmed the medical examiner or staff has

determined health information accessible via the

Alberta EHR is essential for the purpose of conducting

or assisting with investigations under the Fatality

Inquiries Act, and

(

v) has prepared and submitted to the Commissioner a

privacy impact assessment concerning the Office of the

Chief Medical Examiner obtaining access to the Alberta

EHR that describes how proposed administrative

practices and information systems relating to the use of

health information accessible via the Alberta EHR may

affect the privacy of the individual who is the subject of

the information;

(

b) the medical examiner or staff has completed the Office of the

Chief Medical Examiner's privacy training program referred

to in clause (a)(iii).

(2) Notwithstanding that the Department is satisfied that the Office

of the Chief Medical Examiner, a medical examiner or staff meet all

the applicable requirements and obligations referred to in subsection

(1), the Department may choose not to grant access to the Alberta

EHR to a medical examiner or staff if the Department is of the

opinion that doing so would present a risk to the privacy, safety and

confidentiality of the health information accessible via the Alberta

EHR, or it would otherwise not be in the public interest to do so.

(3) Subject to sections 7.7 and 7.8, the medical examiners and staff

granted access to the Alberta EHR may only access the Alberta EHR

in accordance with

(

a) the policies, procedures and practices referred to in

subsection (1)(a)(i),

(

b) the technical and security requirements referred to in

subsection (1)(a)(ii), and

(

c) any other applicable provisions in the Act, the regulations or

a code, standard, guideline,

schedule or body of rules

incorporated, adopted or declared in force by this Regulation,

including a code, standard, guideline,

schedule or body of

rules developed by the Minister.

Access to Alberta EHR by health services

provider outside Alberta

3.3(1) In this section,

(a) "eligible community" means a community referred to in the

Schedule of Communities Outside of Alberta Eligible for

Alberta Electronic Health Record Access developed by the

Minister and as amended from time to time and declared in

force by this Regulation;

(b) "health services provider outside of Alberta" means a health

services provider who

(

i) is a registered, regulated or licensed member of a health

professional body in a province other than Alberta, and

(ii) has the same National Occupational Classification as a

health services provider eligible to become an

authorized custodian under

section 3;

(c) "National Occupational Classification" means the National

Occupational Classification developed and published by the

time.

(2) The

Schedule of Communities Outside of Alberta Eligible for

Alberta Electronic Health Record Access developed by the Minister

and published by the Department, as amended from time to time, is

hereby declared in force and forms part of this Regulation.

(3) Subject to subsection (4), the Department may enter into an

agreement with a health services provider outside of Alberta to grant

access to the Alberta EHR to the health services provider outside of

Alberta for the purpose of the health services provider outside of

Alberta providing continuing treatment and care outside of Alberta

to an individual who is a resident of Alberta if the Department is

satisfied that the following criteria are met:

(

a) the health services provider outside of Alberta must practise

in an eligible community;

(

b) the health professional body referred to in subsection

(1)(b)(

i) must have in place

(

i) provisions in a code of ethics equivalent to a code of

ethics referred to in

section 1(

b) or standards of practice

equivalent to the standards of practice referred to in

section 1(

c) respecting

(

A) the management of electronic records, including,

without limitation, standards related to the

protection, privacy and security of electronic

records, and

(

B) the management of information in records,

including, without limitation, standards respecting

the appropriate use of health information,

and

(ii) a disciplinary process for members who breach such a

code of ethics or standards of practice;

(

c) the health services provider outside of Alberta must have

established or adopted policies, procedures and practices

sufficient to maintain administrative, technical and physical

safeguards that will protect the confidentiality and security of

health information accessible via the Alberta EHR and the

privacy of the individuals who are the subjects of that

information;

(

d) the health services provider outside of Alberta must meet the

Department's technical and security requirements.

(4) An agreement referred to in subsection (3) must contain

provisions

(

a) requiring the health services provider outside of Alberta to

(

i) implement and maintain the policies, procedures and

practices referred to in subsection (3)(c),

(ii) meet the technical and security requirements referred to

in subsection (3)(d),

(iii) only access the Alberta EHR for the purpose of

providing continuing treatment and care in an eligible

community to an individual who is a resident of

Alberta,

(iv) comply with any code, standard, guideline,

schedule or

body of rules incorporated, adopted or declared in force

by this Regulation and as amended from time to time,

including a code, standard, guideline,

schedule or body

of rules developed by the Minister,

(

v) only access the Alberta EHR in compliance with

(

A) any code, standard, guideline,

schedule or body of

rules referred to in subclause (iv),

(

B) the policies, procedures and practices referred to in

subsection (3)(c), and

(

C) the technical and security requirements referred to

in subsection (3)(d),

(vi) comply with the governing legislation in its jurisdiction

in respect of any health information accessed via the

Alberta EHR,

(vii) cooperate with any activities undertaken by the

Department under clause (b),

(viii) as soon as practicable, notify the Department of

(

A) any loss of individually identifying health

information that was accessed via the Alberta

EHR, or

(

B) any unauthorized access to, use or disclosure of

individually identifying health information that

was accessed via the Alberta EHR,

(

b) authorizing the Department to monitor and audit compliance

(

c) prohibiting the health services provider outside of Alberta

from authorizing any other person, including staff, agents,

employees or contractors, to access the Alberta EHR for any

purpose, and

(

d) authorizing the Department to limit the health services

provider outside of Alberta's access to the Alberta EHR or

terminate the agreement if the health services provider

outside of Alberta fails to comply with the agreement.

(5) Notwithstanding that the health services provider outside of

Alberta meets or may meet the criteria referred to in subsection

(3)(

a) to (d), the Department may choose not to enter into an

agreement to grant access to the Alberta EHR if the Department is of

the opinion that doing so would present a risk to the privacy, safety

and confidentiality of the health information accessible via the

Alberta EHR, or it would otherwise not be in the public interest to do

so.

Section 4 is amended

(

a) by striking out "section 56.1(

c) of the Act, prescribed

health information in respect of an individual includes" and

substituting "section 56.2(2) of the Act, the classes or

types of health information accessible via the Alberta EHR

include";

(

b) by striking out "and" at the end of clause (

l) and by

adding the following after clause (l):

(l.1) health care-related records of the individual other than

the medical reports referred to in clause (m), and

Section 5 is amended

(

a) by adding "or (2)" after "56.3(1)";

(

b) by striking out "prescribed" before "health information".

7 The following is added after

section 5:

Time limit for making information accessible

5.1 For the purpose of

section 56.3(6) of the Act, an authorized

custodian, other than a regulated health professional, after receiving

a written request from the Minister or the Minister of Mental Health

and Addiction, must make the health information referred to in the

applicable Minister's request accessible via the Alberta EHR within

30 calendar days.

8 Sections 6 and 7 are repealed and the following is

substituted:

Logs to comply with Standard

6 An authorized custodian must ensure the system the authorized

custodian uses to access the Alberta EHR creates and maintains logs

in accordance with the Provincial Logging and Auditing Standard v.

2.0 developed by the Minister and published by the Department, as

amended from time to time.

Provincial Logging and Auditing Standard

6.1 The Provincial Logging and Auditing Standard v. 2.0

developed by the Minister and published by the Department is

declared in force as amended from time to time and forms part of

this Regulation.

Audit of access to Alberta EHR

7(1) The Department

(

a) shall conduct an audit of access to the Alberta EHR at least

once each month, and

(

b) may conduct an audit referred to in clause (

a) at any

reasonable time.

(2) An audit under subsection (1)(

a) shall be conducted through a

review of the electronic logs referred to in

section 56.6(1) of the Act.

Designation of director

7.1(1) The Department may designate a director for the purposes of

this

section and sections 7.2 to 7.8.

(2) The director designated under subsection (1) may, in writing,

delegate to any person any of the duties imposed or powers

conferred on the director under this

section and sections 7.2 to 7.8,

including the power to commence an investigation under

section 7.3

and make a decision under

section 7.7.

(3) The director has all the powers of an investigator under

section

7.5.

Investigators

7.2 The director may designate one or more individuals as

investigators for the purposes of conducting investigations under

section 7.3.

Investigations

7.3 The director may commence an investigation related to the

Alberta EHR if the director has reasonable grounds to suspect that a

person, including the Department or an affiliate of the Department,

has

(

a) failed to comply with

section 3.1, 3.2 or 3.3, whichever is

applicable,

(

b) used or disclosed health information accessed via the Alberta

EHR for a purpose contrary to the Act,

(

c) made false or incorrect health information accessible via the

Alberta EHR,

(

d) accessed the Alberta EHR for a purpose not authorized by the

Act,

(

e) used Alberta EHR login credentials for a purpose other than

facilitating the person's own authorized access to the Alberta

EHR,

(

f) facilitated access to the Alberta EHR by a person not

authorized to access the Alberta EHR,

(

g) compromised or disabled Alberta EHR safeguards or

facilitated the compromising or disabling of Alberta EHR

safeguards by any other person, or

(

h) failed to cooperate with an investigation referred to in this

section.

Notice of investigation

7.4 Before an investigation is conducted under

section 7.3, the

director must provide notice of the investigation in writing to the

persons being investigated, subject to the following:

(

a) if the person is an affiliate of a custodian, by also sending a

copy of the notice to the custodian or custodians of the

affiliate;

(

b) if the person is authorized to access the Alberta EHR under

section 3.2, by also sending a copy of the notice to the Office

of the Chief Medical Examiner.

Powers during investigation

7.5(1) During an investigation, an investigator, in respect of a

person who received notice under

section 7.4, at any reasonable

time, may

(

a) require the production of any records relevant to the

investigation within a period of time specified by the

investigator and examine them, make copies of them or

remove them temporarily for the purpose of making copies,

(

b) require any person to answer any questions with respect to

matters relevant to the investigation and direct the person to

answer the questions under oath,

(

c) enter any clinic, facility or other location relevant to the

investigation, other than a private dwelling, to conduct an

investigation,

(

d) enter a private dwelling relevant to the investigation to

conduct an investigation only with a court order obtained

under subsection (6) unless the owner or occupant of the

private dwelling consents, and

(

e) access the electronic data processing equipment at the clinic,

facility, private dwelling or other location, and any person

who has custody or control of the equipment shall assist the

investigator with the use of the equipment.

(2) On entering any clinic, facility, private dwelling or other

location relevant to the investigation to conduct an investigation, an

investigator must carry identification in the form established by the

Minister and present it on request to the owner or occupant of the

premises and to any person who received notice under

section 7.4.

(3) No person shall

(

a) hinder, obstruct or interfere with or attempt to hinder,

obstruct or interfere with an investigator conducting an

investigation under

section 7.3, or

(

b) provide an investigator with false information on matters

relevant to an investigation under

section 7.3.

(4) If any person prevents an investigator from exercising powers

under this

section or hinders, interferes with or obstructs the

investigator in the exercise of those powers, a judge of the Court of

King's Bench may, on the application of the investigator, make any

order that the judge considers necessary to permit the investigator to

conduct an investigation or exercise those powers.

(5) An application under subsection (4) may be made without notice

if the judge considers it appropriate in the circumstances.

(6) If the owner or occupant of a private dwelling refuses consent

for an investigator to enter a private dwelling, the investigator may

apply on notice to a judge of the Court of King's Bench for an order

allowing an investigator to enter a private dwelling for the purposes

of the investigation.

Action after investigation

7.6(1) Following the conclusion of the investigation and prior to

preparing an investigation report, the investigator must

(

a) give any person who received notice under

section 7.4 an

opportunity to make submissions within 30 calendar days of

receipt of the notice respecting the matter being investigated,

and

(

b) consider the submissions received in accordance with clause

(a), including answers to any follow-up questions in respect

of the submissions and any other information gathered in the

investigation.

(2) The director may decide whether the submissions referred to in

subsection (1)(

a) are to be made orally or in writing, which may

include electronic means.

(3) After an investigator concludes an investigation, the investigator

must make an investigation report within a reasonable time and, if

the investigator is not the director, submit the report to the director.

Limiting, revoking and prohibiting

access to Alberta EHR

7.7(1) Subject to

section 7.8, if, on reviewing a report made under

section 7.6(3), the director determines that one or more of

section

7.3(

a) to (

h) apply in respect of a person, the director may, for a

period of time set by the director or indefinitely, decide to limit,

revoke or prohibit access to the Alberta EHR or the use of health

information accessed via the Alberta EHR, or both, by

(

a) the person, and

(

b) where the person referred to in clause (

a) is an affiliate of a

custodian, the custodian.

(2) The limitation, revocation or prohibition referred to in

subsection (1) may include

(

a) rescinding the designation of a custodian as an authorized

custodian made under

section 3, and

(

b) where the person referred to in subsection (1)(

a) is authorized

to access the Alberta EHR under

section 3.2, limiting,

revoking or prohibiting the access to the Alberta EHR

granted under

section 3.2 to all medical examiners with the

Office of the Chief Medical Examiner or staff working under

the direction of the medical examiners.

(3) The director shall