The Quebec government has enacted a special law to address ongoing tensions with medical professionals by imposing penalties on doctors who reduce their practice hours through concerted actions. The law, passed under a legislative 'gag' procedure, aims to end pressure tactics by linking 15% of doctors' salaries to performance indicators, with a gradual decrease of this portion from 25% to 10%. The legislation also freezes doctors' remuneration until 2028 and grants the government authority to modify existing agreements via regulation, bypassing negotiations. Sanctions include fines ranging from $4,000 to $20,000 per day, and potential reduction of practice seniority, with additional penalties for medical associations and group leaders. The law prohibits collective actions that could negatively impact healthcare access or training, with penalties extending to physicians participating in such actions, including possible practice disqualification and financial sanctions. The government justifies these measures as necessary to prevent physician exodus to private practice, especially amid ongoing strikes and protests by medical federations, notably the Federation of Medical Specialists of Quebec (FMSQ), which announced legal challenges against the legislation. Critics, including opposition parties and medical associations, argue the law undermines healthcare quality and autonomy, with some officials describing it as autocratic. The legislation also includes provisions to control private healthcare fees, restrict pharmacies from independent staffing, and monitor the health network's performance through a new public dashboard. The government’s approach has faced strong opposition, with accusations of authoritarianism and concerns over the impact on healthcare access and quality.