Medical Assistance in Dying

This is where you will find important updates, information and resources that impact nurses in Ontario.

UPDATE: On Mar. 17, 2021, the federal government passed Bill C-7 to amend the Criminal Code to expand eligibility for Medical Assistance in Dying (MAID). For more information, read the Department of Justice’s news release 

Timeline of Medical Assistance in Dying law

Date

Legislative change

June 17, 2016

Bill C-14 received royal assent, making it possible for eligible people to receive medical assistance in dying in Canada.

May 9, 2017

Ontario government passed legislation related to medical assistance in dying. The legislation provides more protection for clients, their families, health care providers and health care institutions. It also clarifies when Nurse Practitioners and physicians can complete the medical certificate of death.

Nov. 1, 2018

The Government of Canada’s new Monitoring of Medical Assistance in Dying regulations came into effect. The new regulations outline what information needs to be reported after a Nurse Practitioner receives a written request for medical assistance in dying. 

Sept. 11, 2019

The Superior Court of Québec, in its Truchon v Canada (AG) decision, declared that it is unconstitutional for the federal Medical Assistance in Dying legislation to require that natural death must be reasonably foreseeable to be eligible for Medical Assistance in Dying.

Mar. 17, 2021

 

In response to the Truchon decision, Bill C-7 took effect, making a few amendments to the Criminal Code to expand the eligibility for Medical Assistance in Dying.

The Guidance on Nurses’ Roles in Medical Assistance in Dying will be later updated in April 2021 to reflect these changes.

CNO will continue to monitor any changes that impact this guidance and modify this information as required. 

Documentation Tools for NPs

NPs are accountable to meet the expectations for documentation outlined in the Documentation and Nurse Practitioner practice standards. The Ministry of Health and Long-Term Care (MOHLTC) has developed clinician aids to support the provision of medical assistance in dying. These clinician aids include forms that can be used by NPs to document that the legal requirements for medical assistance in dying have been met. You can access these forms through the following links:

Clinician Aid A - Patient Request for Medical Assistance in Dying

Clinician Aid B - (Primary) “Medical Practitioner” or “Nurse Practitioner” Medical Assistance in Dying Aid Clinician Aid B (Form to assist the NP or physician providing medical assistance in dying- the Primary Clinician)

Clinician Aid C - (Secondary) "Medical Practitioner" or "Nurse Practitioner" Medical Assistance in Dying Aid Clinician Aid C (Form to assist the NP or physician providing a second opinion confirming that the client meets the eligibility criteria for medical assistance in dying- Secondary Clinician)

Additional Resources
Page last reviewed April 06, 2021