 The CHT, which is set to top $36-billion in 2016-17, is now divided among the provinces on a purely per-capita basis.The Canada Health Transfer was created by the 2003 First Ministers Health Accord signed by the provincial premiers and Jean Chrétien, prime minister of Canada at the time.The accord, signed on , is a compromise between the two levels of governments, as the provincial premiers did not obtain a federal contribution as large as suggested in the Romanow Report.