+ RMA Rural Municipalities
of Alberta

Resolution ER2-20S

New Physician Funding Framework

Date:
April 24, 2020
Expiry Date:
April 1, 2023
Active Status:
Active
Sponsors:
Lac La Biche County
Year:
2020
Convention:
Spring
Category:
Health
Status:
Accepted in Principle
Vote Results:
Carried
Preamble:

WHEREAS on February 20, 2020 the Government of Alberta ended negotiations with the Alberta Medical Association and terminated the master agreement with Alberta physicians; and

WHEREAS the master agreement ended on March 31, 2020, when a new physician funding framework was implemented; and

WHEREAS the new funding framework changes how Alberta physicians are compensated; and

WHEREAS physicians have expressed serious concerns about the viability of their practices under the new framework, especially in rural Alberta; and

WHEREAS rural and small municipalities have historically struggled to attract physicians under the now-terminated master agreement, making the prospect of doctors leaving under the new framework very likely;

Operative Clause:

THEREFORE, BE IT RESOLVED that the Rural Municipalities of Alberta urge the Government of Alberta to reengage in negotiations with the Alberta Medical Association to mutually arrive at a new master agreement that ensures continued timely access to healthcare for all rural Albertans.  

Member Background:

Rural municipalities across Alberta have been expressing grave concerns with the new physician funding framework.

On February 20, 2020, the Government of Alberta ended negotiations with the Alberta Medical Association and unexpectedly terminated their master agreement with Alberta’s doctors. The master agreement expired on March 31, 2020, with a new, much more restrictive funding framework taking its place. While enactment of the complex modifier and clinical stipend recommendations have been suspended, the nine other funding framework recommendations are currently in effect.

Doctors in Lac La Biche County, rural Alberta, and the entire province have serious doubts about the viability of their practices under the new framework. Even under the now-expired framework, it has been especially difficult to attract and retain doctors to rural Alberta.

With the new model in place, rural clinics could close as physicians move elsewhere. Without local practices, patients will travel long distances to other communities for routine medical check-ups, or take up valuable time in emergency rooms. Moreover, with fewer doctors in communities, local hospitals may have to reduce hours and services or shut down entirely. In emergency situations, where minutes or even seconds can make a difference, many Albertans will lack medical care when they need it most.

Lac La Biche County believes that the Alberta Medical Association and Government of Alberta must renegotiate and come to an agreement that ensures equitable access to medical services for everyone in this province, regardless of where they live. It is imperative that doctors are fairly compensated for the outsized role that they play in keeping our communities healthy and safe. This is especially critical in the midst of a global pandemic, when we need our medical community focused on their jobs rather than their compensation.

RMA Background:

RMA has no active resolutions directly related to this issue.

Government Response:

RMA has not received a response from Alberta Health (AH) to this resolution. Both AH and the Alberta Medical Association (AMA) have made proposals regarding a new master agreement, however, there is currently not a new master agreement in place.

Development:

RMA remains engaged in issues regarding access to healthcare for rural Albertans, and is closely following the relationship between Alberta Health and the Alberta Medical Association. The Alberta Medical Association and Alberta Health did return to negotiations. However, Alberta Medical Association members voted to reject the newly proposed master agreement. RMA understands that negotiations are expected to continue in the future. As a result of renewed negotiations, but lacking a new master agreement, RMA assigns this resolution a status of Accepted in Principle.

Provincial Ministries:
Health
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