Alberta has joined COPR (Canadian Organization Of Paramedics Regulators), so I'm assuming they'll be switching over to the new national exam in the near future. I know in SK the first national exam is going to be at the end of June but I don't have any information on when Alberta is switching...
I know in Saskatchewan (and possibly Alberta?) there has at least been discussion (not sure if they've moved the idea forward any further) of changing the system from EMS to MHS (Mobile Health Services), which will include a "treat and refer" policy.