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Bill 102, Bishop Brigante Colon Cancer Prevention Act, 2026

Chamber

ontario

Stage

Introduced

This Ontario bill requires all public health boards to provide colon cancer screening to anyone aged 45 and older.

Key Changes

  • Amends the Health Protection and Promotion Act by adding section 5.1
  • Lowers the mandatory colon cancer screening age from 50 to 45 years old
  • Requires all Ontario boards of health to ensure colonoscopies and other colon cancer screening are available to those 45 and older
  • Takes effect three months after receiving Royal Assent

Gotchas

  • The bill places a mandatory obligation on boards of health but does not specify funding mechanisms to support the expanded screening, which could strain existing healthcare resources.
  • Expanding screening to a younger age group could increase demand for colonoscopies, potentially affecting wait times for all age groups.
  • The bill does not define what other forms of colon cancer screening (beyond colonoscopies) must be included, which may lead to variation in how boards of health implement the requirement.
  • The three-month implementation window may be tight for health boards to prepare staffing, equipment, and referral pathways.

Who's Affected

  • Ontarians aged 45 to 49 who were previously not covered by mandatory screening requirements
  • Local public health boards of health across Ontario
  • Healthcare providers performing colonoscopies and colon cancer screenings
  • Ontario's healthcare system and related budgets

Summary

Bill 102, named the Bishop Brigante Colon Cancer Prevention Act, 2026, amends Ontario's Health Protection and Promotion Act to lower the age at which colon cancer screening must be made available. Under this bill, every local board of health in Ontario would be required to ensure that colon cancer screening — including colonoscopies — is accessible to all individuals who are 45 years of age or older. Currently, colon cancer screening in Ontario is generally recommended starting at age 50. This bill would lower that threshold by five years, meaning more Ontarians in their mid-to-late 40s would have access to publicly available screening. The bill was introduced by MPP France Gélinas and is named in honour of individuals affected by colon cancer, suggesting it was motivated by personal stories or advocacy efforts. The bill affects how local public health units deliver cancer prevention services. It places a legal obligation on boards of health to make this screening available, rather than leaving it as an optional or discretionary service for younger age groups.

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