The Criminal Code

Bill S-228, An Act to amend the Criminal Code (sterilization procedures) · Third reading · now law Where it stands

What the law does

The law amends the Criminal Code to clarify that a sterilization procedure is considered an act that wounds or maims a person under the aggravated assault offence. The published material gives no further detail.

Official text (opens in a new tab)

4 statements

Ziad Aboultaif, Edmonton Manning

Conservative
“I want the House to pass this bill. It makes forced sterilization a serious crime under the Criminal Code. This practice has harmed Indigenous and minority women in our history and is still happening today.”
Official Hansard

Madam Speaker, I would like to apologize from the outset. This is not a speech that will soar to oratorical heights, castigating the government for its many failures and its apparent inability to understand the needs of the country. There is a time for that, but it is not now because this is not a partisan issue. It is not a matter of left or right, but we could say it is a matter of right and wrong, or at least to ensure that a historical wrong is never repeated. Four years ago, the Senate human rights committee issued its report on forced or coerced sterilization of persons in Canada. For many people, it was eye‑opening. Canadians are vaguely aware of the history of forced sterilization in this country. Our history at times is nothing to be proud of. In the early part of the 20th century, a movement arose that had a flawed concept of human dignity and what it meant to be authentically human. The idea was that we should strive to create perfect people, which meant those who were considered to be imperfect should not be allowed to have children. The state would force those deemed unfit to be sterilized so they could not reproduce. This was, and is, a reprehensible view. Sadly, it was my home province of Alberta that led the way in this sad chapter of our history. The provincial Sexual Sterilization Act was passed in 1928, and more than 2,800 women were sterilized before the act was repealed in 1972. These women were denied the privilege of having children because society felt there was something wrong with them. What is more, they had no say in the matter. Many were sterilized at a young age. They were not even aware of what was being done to them, hardly the actions of a society and a government that was supposed to protect its citizens. While Alberta may have led the way, it was not the only province to carry out these shameful acts. What is even more reprehensible is who the state deemed to be unworthy of having children. Young people and minorities from indigenous backgrounds were targeted. Furthermore, many of those were declared to be mentally deficient. Because of that classification, their rights were denied, and they were sterilized without their consent. Canadians understand now that these actions were wrong; the product of another time and a warped view of the humanity of some individuals. We know that such things should not be allowed to happen again, but there is nothing in our laws to ensure that. Bill S-228 would fix that. It proposes to clarify one section of the Criminal Code to bring an end to a legacy of systemic discrimination, colonization and racism that disproportionately, but not exclusively, affects indigenous and racialized persons. It will end the sterilization of persons without their consent. Section 268 of the Criminal Code deals with the crime of aggravated assault. I think we can all agree that sterilizing someone without their consent is indeed a form of assault. Bill S-228 would add a subsection, 268.1, to the Criminal Code of Canada, clarifying what a sterilization procedure is and ensuring it is understood that a sterilization procedure is an act that falls under this section. It is a simple change, but an important one if we want to make sure that the mistakes of the past are not repeated. We want to make sure that there are no misunderstandings. I should point out that, at the Senate committee, concerns were raised by witnesses and senators that the original drafting of Bill S‑228 was over-complicated and that it might have unintended consequences, especially in cases of emergency surgeries or medical procedures resulting in sterilization. That has been rectified. After consultation with the Minister of Justice and legal advisers, the bill was simplified while maintaining its core goal of making it explicitly clear in the Criminal Code that forced sterilization meets the requirements of an aggravated assault. It would be against the law and would be prosecuted. Some hon. members might be wondering about the issue of consent. What about those situations where an individual, for medical or other reasons, desires to be sterilized? Would this still constitute an assault? After all, in the Criminal Code, consent is not a defence against a charge of aggravated assault. The case law on that is very clear. However, there is jurisprudence concerning when the patient or substitute decision-maker is unable to consent and there is demonstrable severe suffering or an imminent threat to the life or health of the patient. In that case, a doctor has the duty to do what is immediately necessary, without consent. Additionally, section 45 of the Criminal Code of Canada protects individuals from criminal responsibility for performing a surgical operation if it “is performed with reasonable care and skill” and is reasonable based on the person’s state of health and other circumstances. If this is a situation from the past, why do we need to address it today? Why is the bill necessary? As the Senate report noted after hearing from witnesses, this is not just a historical issue. The conclusion was that involuntary sterilization continues in Canada, under-reported and underestimated, and it needs to stop. As in the past, the targets are marginalized people, including racialized women, women with disabilities, institutionalized persons and indigenous women. Justice demands that we in the House deal with this situation. Forced sterilization is a clear human rights issue. Non-consenting sterilization is aggravated assault and should be prosecuted under the Criminal Code. It is as simple as that. Legislation, of course, is not enough. The bill cannot fix the past trauma and harms suffered by victims, but it would go a long way to preventing future violations and to providing survivors some measure of justice. It is a cliché to say that people who do not learn from the mistakes of history are doomed to repeat them, but those words have become a cliché because there is a lot of truth in them. With Bill S-228, we in the House have an opportunity to show that we have indeed learned from our past and that we are concerned about our present and, of course, our future. We want to put an end to the practice of forced sterilization in this country once and for all. We have the opportunity to do something meaningful. I encourage hon. members to do the right thing and support the legislation.

Cathay Wagantall, Yorkton—Melville

Conservative
“I support this bill. It makes forced sterilization a crime of aggravated assault. People must give real consent before any surgery stops them from having children.”
Official Hansard

Madam Speaker, I rise today in support of Bill S-228, an act to amend the Criminal Code regarding sterilization procedures. This legislation addresses a practice that should not even exist. Every Canadian has the right to make medical decisions for themselves, free from coercion, intimidation or force. When that right is violated, the consequences can be lifelong. Bill S-228 would explicitly recognize forced or coerced sterilization as aggravated assault under the Criminal Code. The Criminal Code states that, “Every one commits an aggravated assault who wounds, maims, disfigures or endangers the life of the complainant.” Bill S-228 would add clarity by making it explicit that a sterilization procedure counts as wounding or maiming. It would also reinforce the principle that sterilization must never occur without free, prior and informed consent. The Criminal Code has a needed exemption for medical professionals, but there is a gap when it comes to coerced or forced sterilization. Even though it happens by a licensed professional in a medical facility, it is still an invasive assault with permanent consequences. This conversation is not just about legal definitions, though. This is about women in vulnerable situations being coerced into a decision that will stay with them for the rest of their lives. It is about the dignity of the individual and the responsibility we share to protect those who may be vulnerable to abuse or exploitation. It would be easy to dismiss forced sterilization as a historical issue, but, quite shockingly, we have allegations and documented cases of coercion from less than 20 years ago. The practice of forced sterilization is disturbing, but its origin in eugenics is especially troubling. The history of eugenics influenced laws and public policy in Canada, especially in the early 20th century. Some of those laws remained in place until the 1980s. In that history, individuals were judged on the basis of disability, race, poverty, social status and other characteristics, and were labelled as unfit to reproduce. These harmful ideas led to sterilization laws in some provinces and influenced policies that disproportionately affected indigenous people, persons with disabilities and other vulnerable groups. Thousands of individuals were subjected to sterilization procedures, often without meaningful consent. While those laws were eventually repealed, the attitudes that allowed them to exist did not disappear. The Standing Senate Committee on Human Rights found evidence that forced and coerced sterilization continued long after formal eugenics legislation ended, and that reports of such practices have continued into recent decades. The lessons of the 20th century are clear. Whenever a society begins to judge the value of a human life based on ethnicity, disability, social standing or any other characteristic, fundamental rights are put at risk. When individuals are treated as problems to be managed rather than people deserving dignity and respect, abuse follows. Now we have an opportunity to further reject that ideology. Bill S-228 affirms that every Canadian possesses equal worth, equal dignity and equal protection under the law. Indigenous women, women with disabilities and others have been disproportionately affected. Many have described coercion that occurred in moments of extreme vulnerability, such as while recovering from childbirth, under the effects of medication or facing significant pressures from authoritative figures. These accounts demand our attention. Coming forward to share deeply personal experiences requires extraordinary courage. Many have spoken publicly, not only to seek recognition for what happened to them, but also to ensure that future generations are protected from similar harm. One of those survivors is Katy Bear, a Cree woman from my home province of Saskatchewan, where, regretfully, this took place all too often. She testified that she was pressured into sterilization shortly after giving birth at the age of 21. I will read some of that testimony, taken from a CBC News article. It reads: Bear says she had never considered a tubal ligation before she underwent the procedure at Saskatoon’s Royal University Hospital in 2005. At the time, she was still in the hospital recovering from the birth of her fourth child. “They [health staff] told me it was contraception,” recalled Bear. “I was told because I was 21 and had four kids, that I probably shouldn’t have any more, that my kids would be taken away by Child and Family Services.” “I thought, it’s a threat.” Both she and her partner at the time were employed and owned their own home, she said. “I never had anybody say I was under the watchful eye of the ministry, of being a bad mom,” said Bear. “They rolled me in, gave me a consent form and they said, ‘just sign this, that’s all you need to do.’” Sadly, hers is not the only story by far. Nicole Rabbit, a member of the Survivors Circle for Reproductive Justice, appeared before the Senate committee studying Bill S-250, the predecessor to this legislation. In her testimony, she spoke about her own experience and about the impact forced sterilization had on her family across generations. She shared that in her family alone, she, her mother and her niece had all been sterilized against their will. It went across generations. Reflecting on the harm caused by these practices, Ms. Rabbit told the committee, “It’s like you wiped out a generation.” Those words should weigh heavily on every member of the House. Every human life has inherent value. No government, institution or authority figure should ever have the power to decide that someone is less worthy of having a family because of their ethnicity, disability, economic circumstances or background. The experiences shared by survivors remind us of the consequences of that principle being forgotten or not being enforced. Forced sterilization is not simply a medical procedure performed without consent. It is a violation that affects families, communities and future generations. The harm extends far beyond a single moment in a hospital room. It leaves lasting impacts that survivors carry for years and, often, for decades. Other indigenous women have recounted similar experiences before parliamentary committees and in media reports. Some have described lasting feelings of grief and loss. Others have spoken about the erosion of trust in medical institutions and the difficulty of discussing what happened, even with close family members. The impact of forced or coerced sterilization extends far beyond the procedure itself. For many survivors, it affects family relationships, emotional well-being and future life plans. It can also create lasting feelings of institutional betrayal and broken trust in the institutions that are expected to provide care and protection. I will remind this place that institutions are made up of people, and Parliament has a responsibility to respond. Bill S-228 represents an important step in that process and that response. Clearly identifying forced or coerced sterilization as an aggravated assault would strengthen protections within the Criminal Code and affirm the importance of informed consent, which is something that should be spread across absolutely every procedure by medical professionals. It would also provide greater certainty for victims and survivors. Criminal law should clearly reflect the seriousness of conduct that permanently alters a person’s reproductive capacity without their genuine agreement. At its foundation, informed consent requires more than a signature on a form. It requires that a person understands the nature of the procedure, the consequences involved and the alternatives that are available. It must be given voluntarily and without pressure. Consent obtained through intimidation, manipulation or coercion is not consent. That principle should be beyond dispute. The legislation gives Parliament an opportunity to reaffirm that principle in a meaningful way. I want to especially celebrate the people who have made this happen. Senator Yvonne Boyer is an amazing leader who has done an amazing thing in advocating for survivors and ensuring that their experiences cannot be ignored. Her work alongside indigenous organizations, legal advocates and community leaders has contributed significantly to the growing awareness of this issue across Canada. Most importantly, I want to recognize the survivors. To the survivors who have courageously shared their experiences, I want to express my incredible thankfulness. Their willingness to speak has brought attention to an issue that, unfortunately, many Canadians knew little about. Their advocacy has helped create the opportunity for meaningful change. While legislation alone cannot undo the pain that many have experienced, it can help ensure stronger protection for the future and provide a clear framework for accountability.

Tamara Kronis, Nanaimo—Ladysmith

Conservative
“I support this bill. It makes it a serious crime to permanently stop someone from having children without their real consent. This has happened to too many vulnerable people in Canada, especially Indigenous women, and our laws need to make it clear that it is illegal.”
Official Hansard

Madam Speaker, I rise today to speak in support of Bill S-228, an act to amend the Criminal Code with respect to forced sterilization procedures. This is a short bill, but it deals with a grave wrong. It speaks to bodily autonomy, consent, human dignity, the equal worth of every person and the duty of the state to protect those who have been harmed by the systems that should have protected them. Bill S-228 would amend the Criminal Code to make it crystal clear that a sterilization procedure performed without consent is an act that “wounds or maims a person” for the purpose of an aggravated assault. It would also define what is meant by a “sterilization procedure”, including any procedure that permanently prevents reproduction. At first glance, some may ask why this change is needed. We already have laws against assault. We already have rules around consent in health care. We already have medical standards and professional oversight. However, the painful truth is that those protections have not always protected people equally. They have not always been clear enough. They have not always been enforced. For too many women, especially indigenous women, racialized women, women with disabilities and others in vulnerable situations, the promise of protection and the promise of consent have been broken in this country. A forced or coerced sterilization is not a minor medical error. It is not a paperwork problem. It is a profound violation of the person. It takes away from someone the ability to make one of the most personal decisions they will ever make in their life. It will affect their body, their mind, their family, their culture and their future. It is a harm that can last for generations. There is a saying in my own culture that when a person saves a life, it is as if they have saved the entire world. The corollary to that is that a person who prevents someone from making a life is preventing them from creating an entire world. No one should be pressured into giving up the ability to have children. No one should be asked for consent while they are in pain, in fear, under the effects medication, in labour or under the control of a person in authority. No one should be treated as though their poverty, identity, disability, race, age, family situation or social standing makes them less worthy of respect. Consent that is forced is not consent, no matter the situation. Consent that is coerced is not consent. Consent given without proper information is not consent. If someone has to ask why we need a bill like this in 2026, they are lucky. They are lucky to not know someone who has been in this situation. They are lucky not to have experienced this in their community. This bill is about drawing a clear line in federal criminal law. It would tell survivors that Parliament sees them. It would tell the health care system that vague language is not enough. It would tell prosecutors, the police, professional bodies and institutions that this is not a grey area and this is not a decision to be made on the fly. This is not something that someone can do because they think it is best in the circumstances. It is violence and it is a violation, and we will have a law in this country that makes it clear that it is to be treated as such. I want to recognize Senator Yvonne Boyer and everyone who has made it possible for all of us who have spoken this morning to stand in this House today to make it clear that this is not just something that Canada recognizes, but something that we will take concrete steps to prevent in the future. Everyone in this House believes in the dignity of the person. We believe in personal freedom, but freedom is not real when a person’s body can be controlled by someone else. We believe in accountability, but accountability is not real when the people who commit or enable serious harm to another human being in this country face no clear consequences. We believe in equal justice under the law, but justice is not equal when vulnerable people are less likely to be heard, believed or protected. We have an opportunity in the House today to do the right thing, not just for past generations, but for future generations and for those who are still suffering today with the burden of having had those experiences. The history behind this bill is hard to face. Canada has had a long record of forced and coerced sterilization, often tied to racism, eugenics, colonization and the idea that some lives are less vulnerable than others. Those ideas were not harmless theories. They shaped policies, institutions and medical practices. They harmed first nations, Métis, Inuit and other indigenous peoples in this country. They harmed Black and racialized women. They harmed people with disabilities, people living in poverty and people who were placed in institutions and stripped of control in their own lives. By acknowledging these wrongs in the House, by putting them into the record of this place to be read and seen by future generations, we do not make Canada weaker; we make Canada stronger. We must also be honest about the fact that this is not only history. Survivors have come forward in recent years. They have spoken about being pressured in their most vulnerable moments. They have spoken of procedures that they did not understand, did not freely choose and did not consent to. They have also spoken of the shame, grief, fear, distrust and deep injury that has come with that. That is a second, additional injury that we have done to those people in this country, on top of the forced sterilization they had to endure without their consent. Many have had to carry that pain in silence, so all who speak to this bill in the House this morning lend our voices to them. We want to make sure they know that they do not have to suffer in silence, but even when they have to suffer in silence, we in this place will suffer with them. When survivors share these stories, our first duty is to listen, but our second duty is to act. Bill S-228 would not fix every harm in this country, but it is a start. Criminal law is a tool. Health care is, of course, largely within provincial and territorial jurisdiction. Professional regulation belongs to colleges and licensing bodies. Hospitals, health authorities, medical schools and governments all have work to do. There must be better training on informed consent. There must be cultural safety. There must be clear reporting pathways. What we have done this morning in the House, and what my colleagues have done with Bill S-228, is a start. We have made a powerful pronouncement about what is to be tolerated in this country. Hopefully, in doing that, we will not only make sure that these atrocities do not happen to future generations but bring comfort to the people who have come to this place to advocate for the bill, letting them know that their advocacy, their actions, the things they have done and the messages they have brought to this place have been heard, that their sacrifices and the things they have done matter and that they have been a part of the solution for future generations. I urge every member of the House to stand with survivors and with those who were never able to be born, today and always, through this bill.

Jamie Schmale, Haliburton—Kawartha Lakes

Conservative
“I want the House to pass this bill. It makes it a crime to sterilize someone without their consent. I am thanking the survivors who pushed for this law.”
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Official Hansard

Madam Speaker, I thank all my colleagues on all sides of the aisle for speaking so positively about this important piece of legislation. I know it has been said a few times already, but I would like to quickly reflect on why we are here today. It was reiterated a few times today, in fact. The bill, as we all know, did not originate in a government department, and it did not begin in a textbook. It actually began with survivors doing the hard work, right at the beginning, and advocating to politicians for change. It began with those courageous individuals who came forward to share some deeply personal experiences of forced and coerced sterilization. Many did so at great emotional cost. They relived trauma so that others would not have to endure it. They spoke not only for themselves but for future generations. Today Parliament prepares to make a decision, and I want those survivors to know that they have all been heard. For too long, many felt ignored, dismissed or even not believed at all. For too long, they carried those experiences alone, but they persisted. They organized and advocated. They educated parliamentarians and Canadians alike, and because of their determination, we are now here today considering legislation that would make it unmistakably clear that sterilization without informed consent is a serious criminal offence. I would like to recognize and thank those whose work brought us to this exact moment. Now, I want to name people who may or may not be in the city today, and I know we cannot say who is in the gallery with us. There is a danger of actually missing some people, and if I do, I deeply apologize. I would very much like to thank Susan Anderson, Katy Bear, Kahsenniyo Kick, Silvia Mckay, Morningstar Mercredi, survivor and board member Nicole Rabbit and Kitigan Zibi elder Shirley Tolley. I would like to recognize the many other survivors, family members, advocates and community leaders who, unfortunately, may not be named here, and I do apologize if I did not, but their work and contribution is just as important. As well, I offer sincere gratitude to Harmony Redsky, executive director; Claudette Dumont Smith, board co-chair; and staff members Jessica Danforth and Alisa Lombard of the Survivors Circle for Reproductive Justice. Through their tireless work, education and support of survivors right across the country, they ensured that this issue could no longer be ignored. Their work helped to transform individual stories into a national call for justice. I would also like to recognize Senator Yvonne Boyer, who for years has been a tireless champion for survivors. Long before this issue received widespread public attention, she was listening to those affected and working to ensure their experiences would be reflected in Canadian law. I would also like to mention two of my colleagues, who actually traded their spots in this rotation to ensure that this piece of legislation moved up very quickly and without whose support it would not be being dealt with right this second, the member for Cloverdale—Langley City and my colleague, and seatmate, the member for Cariboo—Prince George. Their efforts allowed this to be escalated. I thank all sides of the House for their contributions, as well as the members of my team here who have spoken so passionately about the issue. I really appreciate the support of caucus colleagues on all sides of the aisle. As was said, and I know I am running short on time, this builds on a lot of work, years of work. Previous legislation died on the Order Paper last Parliament, but it was those survivors and the great work of Senator Boyer that kept pushing this through. I know there were times we might not have agreed on everything in this piece of legislation. Some raised concerns about implementation, and others discussed the interaction between criminal law and medical practice. However, those are good conversations to have. They are important and worthwhile. We worked through them and came to an agreement on all sides of the aisle that we can be comfortable with here as federal lawmakers. Today we have an opportunity to respond. As we wrap up the Parliament for this sitting before the summer break, this is one of these moments here. The outcome of this vote will be very important, but more important is the message it will send. A strong vote in favour of Bill S-228 would send the message to survivors that Parliament believes them. It would send the message that Parliament recognizes the harm that was done and that Parliament stands firmly on the side of informed consent. No one should lose their reproductive future because of coercion, pressure, misinformation or abuse of authority.

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