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New Monitoring Regulations for Medical Assistance in Dying

The Government of Canada’s new Monitoring of Medical Assistance in Dying (MAID) regulations are in effect. The new regulations outline what information needs to be reported after a Nurse Practitioner (NP) receives a written request for MAID.  

In cases where a medically assisted death has occurred (clinician and self-administered cases), the reporting requirements remain the same. NPs are required to report to the Office of the Chief Coroner for Ontario (OCC)  immediately after confirming or becoming aware that the patient has died. 

As the organization responsible for the monitoring and oversight of MAID deaths in Ontario, the OCC reviews each MAID death to make sure it complies with the law. The OCC will follow up with NPs if the information provided in the report is unclear or incomplete, or to find out why a report has not been made. NPs who knowingly fail to comply with these requirements could be charged under the Criminal Code. The OCC has published a communication informing practitioners of the updated approach to their oversight of MAID. 

For all other cases where a medically assisted death has not occurred, NPs are required to report to Health Canada using the MAID Data Collection Portal within 30 days of becoming aware of the situation. Cases to report include:

  • referrals or transfers of patients to other practitioners or care coordination service
  • when patients are ineligible for MAID
  • when the NP becomes aware of the patient withdrawing their request
  • if the patient dies from another cause. 

For detailed information about the reporting requirements for MAID, NPs can refer to Health Canada’s Guidance for reporting on medical assistance in dying summaryFAQs and the Ministry of Health and Long-Term Care MAID . For questions about Ontario's reporting approach, contact endoflifedecisions@ontario.ca.

Page last reviewed November 12, 2018