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HUMAN TISSUE AND ORGAN DONATION ACT

HUMAN TISSUE AND ORGAN
DONATION ACT

Chapter H‑14.5

Table of Contents


                1      Definitions

                2      Scope of Act

                3      Transplantation, medical education, etc.

                4      Deceased donor

             4.1      Online registry

             4.2      Consent to donation

             4.3      Collection of information by additional registries

                5      Living donor

                6      Determination of death

                7      Mandatory consideration for donation

                8      Effect of donation

                9      Requirement of written consent

              10      Fatality Inquiries Act

              11      Liability

              12      Confidentiality of information

           12.1      Alberta Organ and Tissue Donation Agency

           12.2      Staff

              13      Offences

              14      Regulations

           14.1      Lieutenant Governor in Council regulations

              15      Consequential amendments

              16      Repeals

              17      Coming into force

HER MAJESTY, by and with the advice and consent of the Legislative Assembly of Alberta, enacts as follows:

Definitions

1   In this Act,

                           (a)    “Agency” means the Alberta Organ and Tissue Donation Agency established under section 12.1;

                        (a.1)    “body” means a human body;

                           (b)    “by‑product” means tissue or an organ that is a waste product of a medical procedure;

                           (c)    “consent” means a consent given for a donation that meets the requirements of section 9;

                           (d)    “consenter” means a person who gives a consent;

                           (e)    “donation” means a donation of tissue, an organ or a body under section 4 or 5;

                            (f)    “donation organization” means an organization designated in the regulations that co-ordinates and supports donations for transplantation;

                           (g)    “donor” means a person whose tissue, organs or body is being considered for donation or in respect of whom a consent has been given;

                           (h)    “estranged” means living separate and apart for a year or more;

                            (i)    “immediate family” means the spouse or adult interdependent partner, parent, sibling and child of a person;

                            (j)    “independent assessment committee” means an independent assessment committee established in accordance with the regulations;

                           (k)    “Minister” means the Minister determined under section 16 of the Government Organization Act as the Minister responsible for this Act;

                        (k.1)    “online registry” means the online registry established under section 4.1;

                            (l)    “organ” means a human organ whether whole or in sections, lobes or parts;

                         (l.1)    “Registrar of Motor Vehicle Services” means Registrar as defined in the Traffic Safety Act;

                          (m)    “tissue” means human tissue excluding organs;

                           (n)    “transplantation” means the operation of transferring tissue or an organ from a human donor to a human recipient.

2006 cH‑14.5 s1;2013 c12 s2

Scope of Act

2   This Act does not apply to the following:

                           (a)    by‑products that are used for a purpose other than transplantation;

                           (b)    blood or blood constituents;

                           (c)    zygotes, oocytes, embryos, sperm, semen and ova.

 

Transplantation, medical education, etc.

3(1)  A person’s tissue, organs or body may be donated for transplantation, medical education or scientific research only in accordance with this Act.

(2)  No person shall offer, give or receive any reward or benefit for any tissue, organ or body for use in transplantation, medical education or scientific research.

(3)  No person shall use any tissue, organ or body donated under this Act except for the purpose for which it was donated.

(4)  Only a university with a medical, dental or related health program may use a body donated under this Act for medical education or scientific research.

(5)  No person shall use, procure, transfer or process any tissue, organ or body for transplantation except in accordance with the regulations.

(6)  Repealed 2013 cS‑19.3 s3.

2006 cH‑14.5 s3;2013 cS‑19.5 s3

Deceased donor

4(1)  A person’s tissue, organs or body may be donated for transplantation, medical education or scientific research from his or her deceased body if a consent is given

                           (a)    where that person is an adult, by the adult, or

                           (b)    by a person in accordance with subsection (2).

(2)  When a person dies or his or her death is imminent, if the person is an adult who has not given a consent and, in the opinion of a medical practitioner, the person is incapable of doing so by reason of injury or disease, or if the person is a minor, a person in one of the following classes and in the following order of priority may give a consent:

                           (a)    the spouse or adult interdependent partner of the person if they are not estranged;

                           (b)    an adult child of the person;

                           (c)    a parent or guardian of the person;

                           (d)    an adult sibling of the person;

                           (e)    any other adult next of kin of the person.

(3)  A person shall not seek or give a consent under subsection (2) if he or she has personal knowledge of the following:

                           (a)    a person in a higher priority class is readily available to provide a consent;

                           (b)    a person in the same class would refuse to give a consent;

                           (c)    the donor would have refused to give a consent.

 

Online registry

4.1   The Minister shall establish an online registry to facilitate registration of the consent of adults to the donation of their tissue, organs or body in accordance with section 4(1)(a).

2013 c12 s3

Consent to donation

4.2(1)  When an adult applies

                           (a)    to the Registrar of Motor Vehicle Services for the issuance or renewal of an operator’s licence under the Traffic Safety Act, or

                           (b)    to the Minister responsible for section 17 of Schedule 12 to the Government Organization Act for an identification card,

that adult shall be asked whether he or she consents to the donation of his or her tissue, organs or body in accordance with section 4(1)(a).

(2)  If an adult gives his or her consent under subsection (1), the Registrar of Motor Vehicle Services or the Minister responsible for section 17 of Schedule 12 to the Government Organization Act, as the case may be, shall

                           (a)    transmit that information to the online registry, and

                           (b)    print a code or symbol on the operator’s licence or identification card indicating the consent of the adult has been given.

2013 c12 s3

Collection of information by additional registries

4.3   The Lieutenant Governor in Council may, in accordance with the regulations, require a registry operated or maintained by the Government to collect and transmit information respecting an adult’s consent under section 4(1)(a) to the online registry.

2013 c12 s3

Living donor

5(1)  An adult’s by-products, tissue or organs from the adult’s living body may be donated for transplantation

                           (a)    if the adult gives a consent, or

                           (b)    where the adult lacks capacity to give a consent, if

                                  (i)    an agent designated in a personal directive under the Personal Directives Act gives a consent and the personal directive under which the agent is authorized to act states that such a consent may be given, or

                                (ii)    a guardian appointed under the Adult Guardianship and Trusteeship Act gives a consent and the court order under which the guardian is authorized to act states that such a consent may be given.

(2)  Subject to subsection (3), a minor’s tissues or organs may be donated from the minor’s living body for transplantation if the donation is approved by an independent assessment committee and a guardian gives a consent.

(3)  A guardian shall not give a consent under subsection (2) if the guardian

                           (a)    has personal knowledge that another guardian would refuse to give a consent, or

                           (b)    lacks the authority to make medical decisions in respect of the minor.

(4)  A minor’s by-products may be donated from his or her living body for transplantation if a consent is given by the minor, if the minor is 16 years of age or over or lives independently of a guardian, or by a guardian.

(5)  Before approving a donation under this section, the independent assessment committee must ensure that

                           (a)    the minor, to the extent possible considering his or her age, agrees to the donation without coercion or inducement and understands the nature and consequences of the donation,

                           (b)    if the minor is under 16 years of age, only regenerative tissue or organs are to be donated,

                           (c)    the donation poses minimal risk to the minor, and

                           (d)    all adult members of the immediate family of the recipient have been eliminated, for medical or other reasons, as donors.

(6)  An independent assessment committee shall not approve a donation if all the members of the committee are not in agreement.

(7)  The independent assessment committee shall provide to the minor and the guardian who gave a consent for the donation written notice, with reasons, of a decision to approve or disapprove a donation.

2006 cH‑14.5 s5;2008 cA‑4.2 s134

Determination of death

6(1)  A physician shall not participate in the determination of a donor’s death for the purposes of a donation under section 4 for transplantation if the physician

                           (a)    has had any association with the proposed recipient that might influence his or her judgment, or

                           (b)    will remove the tissue or organ or perform the transplantation.

(2)  Subsection (1) does not apply to a physician who will remove a donor’s eyes for corneal transplantation.

 

Mandatory consideration for donation

7(1)  When a person dies, the medical practitioner who makes the determination of death must consider and document in the patient record the medical suitability of the deceased person’s tissue or organs for transplantation.

(2)  If a medical practitioner determines under subsection (1) that a person’s tissue or organs may be suitable for transplantation, the medical practitioner must notify a donation organization, if any, in a manner satisfactory to the donation organization.

(3)  A donation organization notified under subsection (2) must, unless it determines that the donor is medically unsuitable, seek a consent for a donation for transplantation under section 4(2) and document its efforts.

(4)  Notwithstanding subsection (3), a donation organization shall not seek a consent for donation under section 4(2)

                           (a)    if the medical practitioner referred to in subsection (1) advises that he or she

                                  (i)    has personal knowledge that the deceased donor would have refused to give a consent, or

                                (ii)    has already sought a consent under section 4,

                               or

                           (b)    if a consent under section 4 has already been given.

2006 cH‑14.5 s7;2013 c12 s4

Effect of donation

8(1)  Subject to section 10, a consent given in accordance with this Act is binding and authorizes

                           (a)    any medical practitioner to make any examination necessary to assure medical acceptability of the donation, and

                           (b)    the use of the body or the removal and use of the specified tissue or organ for the specified purpose.

(2)  If a person has custody or control of a consent given under section 4(1)(a) that has not been revoked pursuant to section 9(5), that person must provide that consent for the purposes of subsection (1).

(3)  Notwithstanding subsection (1), a person shall not act on a consent if the person

                           (a)    has personal knowledge that the donor objected to the donation proceeding, or

                           (b)    has personal knowledge, where a consent was given under section 4(1)(b), that a person in the same class or a higher priority class as the consenter objected to the donation proceeding.

(4)  If for any reason a donation cannot be used in the circumstances to which the consent relates, the consent is void and, if necessary, the donated tissue, organ or body must be dealt with and disposed of as if the donation had not been made.

 

Requirement of written consent

9(1)  A consent required by this Act must be

                           (a)    in writing,

                           (b)    dated, and

                           (c)    signed

                                  (i)    by the consenter and a witness, or

                                (ii)    if a consenter cannot sign for any reason, by 2 persons who witnessed the agreement to the donation by the consenter.

(2)  A consent signed under subsection (1)(c)(ii) must

                           (a)    indicate that each witness received instructions from the consenter to document the consent,

                           (b)    identify the manner in which the consenter’s agreement to the donation was obtained, and

                           (c)    if consent was given under section 4(1)(b), indicate that one witness was knowledgeable in the donation process and that the witness advised the consenter of the nature and consequences of the donation.

(3)  A consent on the form provided on a certificate of registration issued under the Health Insurance Premiums Act is valid notwithstanding that it is not dated.

(3.1)  A consent provided through the online registry is valid notwithstanding that it is not signed by a witness.

(4)  The following persons shall not witness a consent:

                           (a)    the physician who will remove the tissue or organ or perform the transplantation;

                           (b)    the recipient of the transplant and his or her immediate family;

                           (c)    a person who is required to give a consent in respect of the same donation.

(5)  If a consenter revokes a consent, that consenter must provide a revocation that meets the requirements of subsection (1) to any person the consenter knows has a copy of that consent as soon as practicable.

2006 cH‑14.5 s9;2013 c12 s5

Fatality Inquiries Act

10(1)  A medical examiner appointed under the Fatality Inquiries Act may, notwithstanding that death has not occurred, give any directions the medical examiner thinks proper respecting the removal of tissue or organs donated for transplantation under section 4 if the donor’s death is imminent and the attending physician has reason to believe that section 10, 11, 12 or 13 of the Fatality Inquiries Act may apply when death occurs.

(2)  A direction made under subsection (1) has the same force and effect as if it had been made after death.

(3)  Except as provided in this section, nothing in this Act affects the operation of the Fatality Inquiries Act.

 

Liability

11   No action lies against any person in respect of anything done or omitted to be done in good faith pursuant to this Act.

 

Confidentiality of information

12(1)  Subject to subsection (2), a person may collect, use or disclose the information necessary

                           (a)    to assess a donor’s suitability to donate under section 4,

                           (b)    to use or obtain a donation under section 4 or 5, or

                           (c)    to assess medical suitability under section 7.

(2)  Subject to subsection (3), no person shall disclose any information from which the identity of a person

                           (a)    who has given or refused to give a consent,

                           (b)    with respect to whom a consent has been given, or

                           (c)    into whose body any tissue or an organ has been, is being or may be transplanted,

could become known publicly.

(3)  Subsection (2) does not apply if the disclosure

                           (a)    is permitted or required by an enactment or by an order of the court, or

                           (b)    has been agreed to in writing

                                  (i)    by the person whose identity could become publicly known or that person’s guardian, or

                                (ii)    where the identity of a person in respect of whom a consent was given under section 4(1)(b) could become publicly known, by the consenter.

 

Alberta Organ and Tissue Donation Agency

12.1(1)  The Alberta Organ and Tissue Donation Agency is established.

(2)  The purposes of the Agency are to

                           (a)    co-ordinate and support the work of donation organizations in managing the system of donation in Alberta,

                           (b)    educate the public and health care community and work with health professionals and their respective organizations to increase awareness about human tissue and organ donation in Alberta,

                           (c)    support, encourage and oversee the use of the online registry,

                           (d)    monitor and measure the system of donation in Alberta, and

                           (e)    perform any other function prescribed in the regulations.

(3)  The Agency reports to the Minister through the chair of the Agency and is responsible for submitting to the Minister an annual report of its activities in a form acceptable to the Minister containing the information required by the Minister.

(4)  On receipt of a report under subsection (3), the Minister shall lay a copy of it before the Legislative Assembly if it is then sitting or, if it is not then sitting, within 15 days after the commencement of the next sitting.

(5)  The Agency may make bylaws governing the calling of its meetings and the conduct of its business at meetings.

2013 c12 s6

Staff

12.2   In accordance with the Public Service Act, there may be appointed the employees required to conduct the business of the Agency.

2013 c12 s6

Offences

13(1)  Subject to subsections (2) and (3), a person who knowingly contravenes this Act is guilty of an offence and liable to a fine of not more than $10 000.

(2)  A person who contravenes section 12(2) is guilty of an offence and liable to a fine of not more than $50 000.

(3)  A person who contravenes section 3(2) is guilty of an offence and liable to a fine of not more than $100 000 or to imprisonment for a term of not more than 6 months or to both.

Regulations

14   The Minister may make regulations

                           (a)    designating donation organizations for the purposes of this Act;

                           (b)    respecting the use, procurement, transfer or processing of tissue, organs or bodies for transplantation;

                           (c)    respecting registrations for the purposes of section 3(6);

                           (d)    respecting the establishment of independent assessment committees;

                           (e)    respecting any other matter that the Minister considers necessary to carry out the intent of this Act.

2006 cH‑14.5 s14;2013 c12 s7

Lieutenant Governor in Council regulations

14.1   The Lieutenant Governor in Council may make regulations

                           (a)    respecting the establishing and operation of the online registry;

                           (b)    respecting the information that may be included in the online registry;

                           (c)    respecting the collection, use and disclosure of information in the online registry;

                           (d)    respecting a request regarding consent to donation under section 4.2 and the collection, use and disclosure of information obtained under that section;

                           (e)    prescribing a form for the purposes of section 4.2(2)(b);

                            (f)    prescribing registries under section 4.3 and respecting the collection, use and disclosure of information by those registries;

                           (g)    respecting the membership and functions of the Agency;

                           (h)    prescribing the remuneration and expenses payable to  members of the Agency.

2013 c12 s8

15   (This section amends other Acts; the amendments have been incorporated into those Acts.)

Repeals

16   The Human Tissue Donation Procedures Statutes Amendment Act, RSA 2000 c15(Supp), and the Human Tissue Gift Act, RSA 2000 cH‑15, are repealed.

Coming into force

17   This Act comes into force on Proclamation.

(NOTE:   Proclaimed in force, except section 3(6), August 1, 2009.)