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QuebecBill 194Second Reading

Bill 194: An Act to establish a presumption of consent to organ or tissue donation after death

Sponsor: André FortinIntroduced April 26, 2023Checked September 4, 2026
Read the official text on assnat.qc.caOfficial version — National Assembly of Quebec

What this bill does

This Quebec bill shifts organ and tissue donation from an opt-in to an opt-out system, meaning all adults are automatically presumed to have consented to donating their organs and tissues after death unless they have explicitly refused. It updates related registries and administrative processes to reflect this presumption of consent.

Plain-language summary by Legisail — not legal advice.

Business impact

Compliance
This bill primarily affects healthcare providers, hospitals, and organ and tissue coordination organizations operating in Quebec rather than typical commercial businesses. Medical professionals and transplant coordinators will need to update their intake and verification procedures to check that a deceased person had not registered a refusal before proceeding — except in urgent life-saving situations. Notaries in Quebec will see changes to how they register and disclose donor consent and refusal records, adding a new category of refusal documentation to their existing registry functions. The Régie de l'assurance maladie du Québec and bodies that coordinate organ donations will need to update their forms, notices, and information-sharing processes to reflect the new presumed-consent framework.

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Where this bill is

First ReadingApril 26, 2023
Second ReadingJune 9, 2023
Next: Committee review

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At a glance

Bill number
QC-194
Type
Private Member's
Jurisdiction
Quebec
Session
43-3
Official record