The Health Accord expires. Without it, federal funds are given to the provinces and the territories with no strings attached. This means provinces and territories can spend the money however they like, often resulting is some provinces having less public coverage of services than others. The federal government has linked health transfers to economic growth and has cut health care spending. A research has estimated the provinces and territories will have faced a cumulative shortfall of $43.5 billion in 2024-2025.