Federal-Provincial-Territorial (FPT) meetings are gatherings where federal government representatives meet with their provincial and territorial counterparts to discuss shared concerns, negotiate agreements, and coordinate policy. These occur at various levels: First Ministers' Meetings bring together the Prime Minister and Premiers, while ministerial meetings address specific policy areas (finance, health, environment, housing). FPT processes shape major policies affecting municipalities—health care funding, infrastructure programs, housing strategies—yet municipalities are typically not included in these discussions despite being responsible for delivering many services. Municipal organizations advocate for inclusion or at least meaningful consultation before FPT decisions affecting local government. The Federation of Canadian Municipalities works to ensure municipal perspectives reach FPT discussions, though constitutional constraints limit direct municipal participation in what remains primarily a federal-provincial relationship.