Despite the implementation of universal hepatitis B virus (HBV) vaccination in Canada more than 25 years ago, there remain disparities in vaccination schedules across the country. The World Health Organization recommends universal birth dose vaccination for HBV within 24 hours of birth, and has set a 2030 target that 90% of infants worldwide receive 3 doses of vaccine. Canada is not on track to achieve this goal. A 2017 study found that by age 7, only 74.5% children in Canada had received 3 doses of HBV vaccine. However, regions implementing birth dose vaccination, such as Nunavut, have shown success in reducing HBV prevalence to below endemic levels (as in the rest of Canada). Implementing a national standardized schedule would continue these successes and allow for harmonized monitoring of pediatric HBV infection.