In 1996 the Council of Australian Governments proposed transferring aged ca
re community and residential programs to the States. This transfer of respo
nsibility would have involved a reduced role for the Commonwealth Governmen
t. The Canadian Federal Government recently made unprecedented changes to t
he nature of intergovernmental arrangements with Provinces and Territories
in respect to the policy domains of health, welfare and post-secondary educ
ation. This study examines recent intergovernmental reforms in Canada and h
ighlights trends and concerns which may be of relevance to the provision of
aged care policies and programs in Australia.