On July 26, 2026, paramedics in Quebec announced a tentative collective bargaining agreement with the provincial government and the health authority Urgences‑santé, ending a period in which they had worked without a formal contract.
The agreement follows several years of operating without a signed contract, a situation that prompted sustained negotiations between the workforce and the government. During that time, paramedics continued to provide emergency services across the province despite the lack of a formalized employment framework.
Approximately 1,000 paramedics based in the Montreal and Laval regions are covered by the new deal. The parties involved include the Government of Quebec, representing the employer side, and Urgences‑santé, the organization that coordinates emergency medical response in the province. The tentative pact is expected to set out wages, working conditions and other employment terms that have been absent from the paramedics’ official paperwork.
Because the agreement is still tentative, it must be reviewed and ratified by the relevant unions and the government before it becomes binding. The next steps involve a formal vote by the paramedic members and a final sign‑off from the provincial authorities. Until that process is completed, the current terms remain provisional.
If ratified, the contract will provide a stable framework for the province’s emergency medical responders and could influence future negotiations for other public‑sector workers in Quebec. The resolution also removes a long‑standing source of uncertainty for the roughly 1,000 paramedics who serve the Montreal and Laval communities, allowing them to focus on patient care under a defined set of employment conditions.