Cuts to the Interim Federal Health Program beginning May 1, 2026

April 14, 2026

Effective May 1, 2026, the federal government is planning to cut 15% of the Interim Federal Health Program (IFHP) for eligible beneficiaries, introducing co-payments for health-care essentials like medication, mental health support and vision care. While doctor visits and hospital care will remain fully covered under the IFHP with no co-payments required, the potential impact of harm as a result of other increased costs can still be significant. The IFHP provides health-care coverage for victims of human trafficking and family violence, protected persons under Canadian law, resettled refugees and refugee claimants, including many who are receiving care from midwives. 

It is widely known that stress can increase risk of perinatal depression and preterm birth. For birthing clients and their babies, delays in care and financial burdens can increase stress with detrimental effects on their pregnancy, birthing experiences and health outcomes. Imposing financial barriers to “supplemental” care does not reduce costs—it simply shifts the burden elsewhere. Medication, mental health support and vision care are not elective or ancillary; they are essential forms of care. They support early intervention, manage chronic illness and pain, help prevent disability and provide treatment for trauma. While not all IFHP beneficiaries need or seek these services, for those who do, they can be a lifeline. Even a small co-payment, however, can become a significant barrier to accessing that care. 

Timely, accessible care supports people to contribute to the workforce, care for their families and participate in Canadian society. Introducing co-payments creates financial barriers that disrupt this stability, delay care and force vulnerable people to rely on emergency services—ultimately increasing pressure on already strained hospital systems. To protect the integrity of the Canadian health-care system and uphold our human rights obligations, we must recognize that an investment in the health of IFHP beneficiaries is an investment in both human rights and a stronger, more equitable system for everyone. 

Ways to help: 

  1. Sign the Migrant Rights Network petition. 

  1. Inform your clients: If you have clients accessing IFHP, ensure they are aware of the May 1 deadline and encourage them to fill necessary prescriptions before the co-pays begin. 

  1. Contact HEQHR with issues: The HEQHR team is available to support members with guidance and advocacy. Contact heqhr@aom.on.ca. 

  1. Note that midwifery services and related costs continue to be funded, including through the Uninsured Midwifery Funding Program. Learn more about what's covered. 

For questions about the uninsured midwifery funding or uninsured midwifery clients, contact Mahdia Abidi, Policy Analyst, Health-Care Equity, Quality and Human Rights.