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In 2007, the House of Commons unanimously passed a motion calling for the federal government to adopt Jordan’s Principle. This child-first principle was intended to address jurisdictional disputes over the provision of services for First Nations children. The motion itself was vaguely worded—requiring no funding increases or new services for First Nations children—and allowed the federal government to implement a very narrow interpretation of Jordan’s Principle. This narrowed scope applied only to on-reserve First Nations children with complex health issues and who were caught in a jurisdictional dispute. First Nations advocates then engaged in several legal challenges in order to strengthen and broaden the implementation of Jordan’s Principle. In 2016 the Canadian Human Rights Tribunal (CHRT) ordered the federal government to immediately end discrimination against First Nations children and implement Jordan’s Principle in full. Through subsequent compliance orders the CHRT increased the scope of Jordan’s Principle to include all First Nations children living on or off a reserve—regardless of the presence of medical conditions or a jurisdictional dispute. Jordan’s Principle now has the opportunity to address critical service gaps and increase the well-being of First Nations children throughout Canada. However, it remains to be seen if Canada will fully comply with the CHRT's order, and how the federal government will work with the provinces to implement Jordan’s Principle. En 2007, la Chambre des Communes a voté à l'unanimité une motion demandant au gouvernement fédéral d'adopter le Principe de Jordan. Ce principe entend résoudre les conflits de juridictions sur la fourniture des services offerts aux enfants des Premières- Nations. La motion elle-même était rédigée de manière vague—n'imposant aucun coût supplémentaire ni nouveaux services pour les enfants des Premières-Nations—permettant au gouvernement de mettre en œuvre une interprétation restrictive du principe de Jordan. Dans cette interprétation limitée, le principe ne s'applique qu'aux enfants des Premières-Nations vivant dans une réserve, ayant des problèmes de santé complexes problèmes et objets d'un conflit de juridictions. Les défenseurs des Premières-Nations ont alors attaqué en justice afin de renforcer et élargir la portée de la mise en œuvre du Principe de Jordan. En 2016, le Tribunal Canadien des Droits de la Personne (TCDP) a requis que le gouvernement fédéral mette fin à la discrimination contre les enfants des Premières-Nations et mette pleinement en oeuvre le Principe de Jordan. Utilisant des ordonnances de conformité, le TCDP a élargi la portée du Principe de Jordan à tout enfant des Premières-Nations, qu'ils vivent dans une réserve ou non, et indépendamment de leur problème de santé et qu'ils soient pris ou non dans un conflit juridictionnel. Le Principe de Jordan peut désormais combler les lacunes graves dans les services offerts aux enfants des Premières-Nations et ainsi améliorer leur bien-être. Il reste à voir cependant si le Canada se conformera pleinement aux directives du TCDP et comment le gouvernement fédéral travaillera avec les provinces pour mettre en œuvre pleinement le Principe de Jordan.

In 2007, the House of Commons unanimously passed a motion calling for the federal government to adopt Jordan’s Principle. This child-first principle was intended to address jurisdictional disputes over the provision of services for First Nations children. The motion itself was vaguely worded—requiring no funding increases or new services for First Nations children—and allowed the federal government to implement a very narrow interpretation of Jordan’s Principle. This narrowed scope applied only to on-reserve First Nations children with complex health issues and who were caught in a jurisdictional dispute. First Nations advocates then engaged in several legal challenges in order to strengthen and broaden the implementation of Jordan’s Principle. In 2016 the Canadian Human Rights Tribunal (CHRT) ordered the federal government to immediately end discrimination against First Nations children and implement Jordan’s Principle in full. Through subsequent compliance orders the CHRT increased the scope of Jordan’s Principle to include all First Nations children living on or off a reserve—regardless of the presence of medical conditions or a jurisdictional dispute. Jordan’s Principle now has the opportunity to address critical service gaps and increase the well-being of First Nations children throughout Canada. However, it remains to be seen if Canada will fully comply with the CHRT's order, and how the federal government will work with the provinces to implement Jordan’s Principle.

In 2011 a tripartite agreement between the province of British Columbia (BC), Health Canada, and First Nations leaders created the First Nations Health Authority (FNHA): a unique approach to First Nations health governance. The creation of the FNHA came after almost ten years of discussion and agreements between the three parties. The goal of the FNHA is to address health disparities between First Nations and other residents of BC, as well as increase the voice of First Nations people in the health system. The issues that led to the creation of the FNHA came onto the government's agenda due to an increased knowledge of the health crises facing BC First Nations, and a growing interest throughout Canada in increasing First Nations autonomy and input. In 2013 Health Canada transferred authority over all First Nations health programming to the FNHA, with the hope that an independent, First Nations run organization would better address the health-related needs of First Nations people. While evaluation of the FNHA is limited presently, since it only released its first five-year plan just over a year ago, a 2015 report by the Auditor General gives some insight into how the FNHA is functioning. If the FNHA can overcome a few weaknesses and threats to its stability, it has the potential to guide First Nations self-determination with respect to health care in Canada. En 2011, une entente tripartite entre le gouvernement provincial de la Colombie-Britannique (C.-B.), Santé Canada, et les leaders des Premières Nations de la C.-B. a créé la First Nations Health Authority (FNHA) : une approche unique pour la gestion de la santé les Premières Nations. La FNHA a été créée après presque dix ans de discussion et accords entre les trois groupes. L'objectif de la FNHA est d'éliminer les disparités en matière de santé entre des Premières Nations et les autres résidents de la C.-B., et aussi d'augmenter la voix des Premières Nations dans le système de santé. Les questions qui ont mené à la création de la FNHA sont apparues sur l'agenda du gouvernement en raison d'une conscience accrue des crises sanitaires auxquelles sont confrontées les Premières Nations de la C.-B. et un intérêt croissant pour l'autonomie et l'apport des Premières Nations. En 2013, Santé Canada a transféré l'autorité sur l'ensemble des programmes de santé des Premières Nations dans l'espoir qu'une organisation indépendante dirigée par les Premières Nations réponde mieux aux besoins des membres des Premières Nations. Alors que l'évaluation de la FNHA est limitée en ce moment, puisqu'elle a récemment publié son premier plan quinquennal, un rapport du vérificateur général de 2015 a donné un aperçu de la façon dont fonctionne la FNHA. Si la FNHA peut surmonter quelques faiblesses et doutes à sa stabilité, elle peut guider l'autodétermination des Premières Nations en matière de soins de santé au Canada.

In 2011 a tripartite agreement between the province of British Columbia (BC), Health Canada, and First Nations leaders created the First Nations Health Authority (FNHA): a unique approach to First Nations health governance. The creation of the FNHA came after almost ten years of discussion and agreements between the three parties. The goal of the FNHA is to address health disparities between First Nations and other residents of BC, as well as increase the voice of First Nations people in the health system. The issues that led to the creation of the FNHA came onto the government's agenda due to an increased knowledge of the health crises facing BC First Nations, and a growing interest throughout Canada in increasing First Nations autonomy and input. In 2013 Health Canada transferred authority over all First Nations health programming to the FNHA, with the hope that an independent, First Nations run organization would better address the health-related needs of First Nations people. While evaluation of the FNHA is limited presently, since it only released its first five-year plan just over a year ago, a 2015 report by the Auditor General gives some insight into how the FNHA is functioning. If the FNHA can overcome a few weaknesses and threats to its stability, it has the potential to guide First Nations self-determination with respect to health care in Canada.