- Assesses provincial compliance with financial and outcome reporting conditions in 2017 bilateral agreements for targeted mental health and addiction funding.
- Financial reporting requirements largely fulfilled; performance and outcome reporting only partially fulfilled.
- Recommends clearer accountability mechanisms, stronger outcome measurement, and explicit reporting requirements in future federal-provincial agreements.
Healthc Policy. 2026 Aug;21(4):82-94. doi: 10.12927/hcpol.2026.27898.
ABSTRACT
In 2017, the Canadian federal government and the provincial/territorial governments signed bilateral agreements that provided targeted federal funding. Our study focuses on the funding for mental health and addiction services and investigates whether the provinces are complying with the two conditions: financial reporting and outcome reporting. We construct report cards and find that while financial accountability is being fulfilled, performance accountability is only partially fulfilled. We make suggestions on how governments can improve the accountability associated with federal healthcare funding in the drafting of future agreements.
PMID:42723588 | DOI:10.12927/hcpol.2026.27898
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