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====Opt-out donation in Canada==== [[Nova Scotia]], Canada, is the first jurisdiction in North America to introduce an automatic organ donation program unless residents opt out; what the province refers to as [[Informed consent|deemed consent]].<ref>{{Cite web|url=https://www.cbc.ca/news/canada/nova-scotia/presumed-automatic-consent-organ-donation-1.5081272|title=Nova Scotia to become 1st in North America with presumed consent for organ donation|last=Gorman|first=Michael|date=April 2, 2019|website=CBC News|access-date=November 26, 2019}}</ref> The Human Organ and Tissue Act was introduced on April 2, 2019.<ref>{{Cite web|url = https://novascotia.ca/news/release/?id=20190402003|title = Government Introduces Legislation to Increase Organ and Tissue Donation| date = April 2, 2019|access-date = November 26, 2019|website = Province of Nova Scotia}}</ref> With the legislation, all people who have been Nova Scotia residents for a minimum of 12 consecutive months, with appropriate decision-making capacity and are over 18 years of age are considered potential donors and will be automatically referred to donation programs if they are determined to be good candidates. In the case of persons under 18 years of age and people without appropriate decision-making capacity, they will only be considered as organ donors if their parent, guardian or decision-maker opts them into the program. The legislation took effect on January 18, 2021.<ref>{{cite web |title=Changes to organ and tissue donation |date=June 30, 2020 |url=https://novascotia.ca/organ-and-tissue-donation-changes/ |publisher=Nova Scotia Health |access-date=29 November 2024}}</ref>
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