Alberta’s Bill 11 could pave the way for a two-tier health-care system that mimics the one found in the U.S., say the authors of a new report that was jointly produced by the Canadian Centre for Policy Alternatives and the Parkland Institute.

The Health Statutes Amendment Act, 2025 (No. 2), also known as Bill 11, came into force on Dec 18.

The provincial government has said the legislation looks to make way for a “dual practice” model in Alberta, allowing doctors to work in both the public and private system.