Convention indicates that it “includes hospital treatment, emergency relief, relief for the blind
and also the unemployed, where social security benefits are not applicable.”331 This report
focuses on the legal framework relating to public healthcare, welfare and disability benefits.
II.
Canadian Legal Framework
a. Federal Legal Framework
Interim Federal Health Program
The provincial governments have legislative authority in the area of public healthcare, welfare
and disability benefits.332 However, by maintaining jurisdiction over naturalization and aliens, the
federal government provides limited, temporary, taxpayer-funded coverage of healthcare benefits
to protected persons, resettled refugees, refugee claimants, and certain “other groups” who do not
qualify for tax-payer funded provincial health insurance.333 This federal program is known as the
Interim Federal Health Program (IFHP). The IFHP does not provide healthcare coverage to
individuals who are eligible for provincial healthcare insurance plans.
The IFHP is currently the subject of litigation. The litigation is based on arguments that recent
reforms to the IFHP violate the constitutional rights of IFHP applicants. In July 2014, the Federal
Court of Canada agreed and ruled that the reforms made to the IFHP violate the rights of the
applicants not to be subjected to cruel and unusual treatment or punishment, as well as violate
their equality rights under the Charter.334 The Government of Canada is appealing this ruling.
While the IFHP decision is under appeal, the Government of Canada has established “temporary
measures” to the IFHP.335 Although the temporary measures for the IFHP focus on the healthcare
coverage available to refugees, refugee claimants and protected persons, they also affect the
coverage available to “other groups” who may be eligible to receive healthcare benefits under the
IFHP. The eligibility requirements and coverage available to “other groups” of persons is
relevant for understanding the healthcare context for stateless persons in Canada.
1951 Convention travaux préparatoires, supra 61 at 125.
Constitution Act, 1867, supra 51 at s. 92(7), 92(13) & 92(16). This is not to be confused with social security
programs, such as unemployment insurance, pensions and old age disability pensions, which are generally within the
authority of the federal government under s. 94A of the Constitution Act, 1867, and will be discussed below for
Article 24 of the 1954 Convention.
333
Citizenship and Immigration Canada, “Determine your eligibility and coverage type – Interim Federal Health
Program”, available at: available at: http://tinyurl.com/o97cwoz [IFHP eligibility and coverage type]. Also, the
federal government has the constitutional authority to legislate with respect to naturalization and aliens under s.
91(25) of the Constitution Act, 1867.
334
Canadian Doctors for Refugee Care v. Canada (Attorney General), 2014 FC 651, at paras. 689-691 & 871,
available at: http://canlii.ca/t/g81sg. Under the section 15(1) equality rights, the Federal Court found the reforms
discriminated on the grounds that the IFHP provided a lesser level of healthcare coverage to refugee claimants from
certain countries. The decision in this case rejected the argument that the IFHP reforms discriminated against
applicants on the basis of “immigrant status”. This followed a precedent set by the Federal Court of Appeal in
Toussaint, infra 336, which ruled “immigrant status” is not analogous ground of discrimination under section 15 of
the Charter.
335
Citizenship and Immigration Canada, “Interim Federal Health Program: Summary of Benefits” (3 February
2015), available at: http://tinyurl.com/7xwktnf [Temporary IFHP Benefits Summary]
331
332
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