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Bill 73, An Act to Amend the Legislative Assembly and Executive Council Act, No. 4

Government Bill

19th Assembly, 2nd Session

Introduced on March 6, 2023

Events

Timeline of key legislative events

  • First Reading
    Completed March 6, 2023 (Debate | Vote)
  • Second Reading
    Completed March 7, 2023 (Debate | Vote)
  • Third Reading
    Completed March 29, 2023 (Debate | Vote)
  • Commissioner's Assent
    Completed March 30, 2023 (Debate)
  • Status

    Bill Text



    Related Votes

    March 29, 2023 Passed Third Reading of Bill 73: An Act to Amend the Legislative Assembly and Executive Council Act, No. 4, Carried
    March 7, 2023 Passed Second Reading of Bill 73: An Act to Amend the Legislative Assembly and Executive Council Act, No. 4, Carried
    March 6, 2023 Passed First Reading of Bill 73: An Act to Amend the Legislative Assembly and Executive Council Act, No. 4

    Discussion & Mentions

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    Julie Green

    Julie Green Yellowknife Centre

    Yes, thank you, Madam Chair. Madam Chair, what we've been -- what we did was create the health system sustainability office and the plan that goes with it, and their task is to find ways in which we can contain or reduce costs for the services that we provide to the population. And that has produced some initial results. We are not looking at how we can pay this deficit back. That is not part of this budget, and it's hard to imagine when it will be. What we're trying to do is to ensure that the deficit slows in its growth so that the overall deficit doesn't get any worse. Thank you.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    The Chair

    The Chair Lesa Semmler

    Thank you. Minister of Health and Social Services.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    Richard Edjericon

    Richard Edjericon Tu Nedhe-Wiilideh

    Thank you, Madam Chair. I just want to come back to the deficit that was mentioned by my colleagues earlier. Going forward, though, this next fiscal year we're going to be -- you said the 189. But overall, I just want to know, like how do we -- what are your management plans to deal with this deficit, I guess, going forward? Thank you.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    The Chair

    The Chair Lesa Semmler

    Thank you. Health and Social Services, administrative and support services. Member for Tu Nedhe-Wiilideh.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    Kevin O'Reilly

    Kevin O'Reilly Frame Lake

    Okay. Well, look, I don't want to prolong this. Thanks, Madam Chair. I think there's actually a good number of people in the public that want to know how we can find efficiencies and ways of improving our expenditures and tracking and so on of health care costs. So I'll just leave that with the Minister and the department. I think they need to find a way to explain some of the good work that they are doing. Thanks, Madam Chair.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    The Chair

    The Chair Lesa Semmler

    Thank you, Minister. Member for Frame Lake.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    Julie Green

    Julie Green Yellowknife Centre

    Thank you, Madam Chair. Madam Chair, I don't think the department has contemplated that. I haven't ever heard a request for that before now. People do realize that the system is running a deficit, but I don't think they relate that to the services that are delivered. And so it seems to be not as interesting to the public as it is to us sitting in the House.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

    Page 5653


    See context
    The Chair

    The Chair Lesa Semmler

    Thank you. Minister of Health and Social Services.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    Kevin O'Reilly

    Kevin O'Reilly Frame Lake

    Yeah. No, thanks, Madam Chair. The reports to FMB, and, you know, probably end up being on a confidential briefing to Regular MLAs are okay. But I guess I'm trying to find a way for the good work that these folks are doing to be explained publicly. Is that something that the department will look at? Thanks, Madam Chair.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

    Page 5653


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    The Chair

    The Chair Lesa Semmler

    Thank you. Member for Frame Lake.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    Julie Green

    Julie Green Yellowknife Centre

    We provide the financial management board with semi-annual reports about the work of the sustainability office, and we are available to come and brief committee confidentially on that work on request.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

    Page 5653


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    The Chair

    The Chair Lesa Semmler

    Thank you. Minister of Health and Social Services.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

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    Kevin O'Reilly

    Kevin O'Reilly Frame Lake

    Yeah. No, thanks, Madam Chair. And thanks for that explanation. Yeah, and I don't doubt that these people are not at -- I think they're very hard at work; that's great. But is there anywhere their work is kind of summarized or reported on, even at a high level, perhaps once a year? Thanks, Madam Chair.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

    Page 5653


    See context
    The Chair

    The Chair Lesa Semmler

    Thank you. Member for Frame Lake.

    Consideration In Committee Of The Whole Of Bills And Other Matters
    Consideration In Committee Of The Whole Of Bills And Other Matters

    March 6th, 2023

    Page 5653


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    Julie Green

    Julie Green Yellowknife Centre

    Yes, thank you, Madam Chair. Madam Chair, the office, I believe, is fully staffed or almost fully staffed at this point. And they have -- they have been looking, as I think I mentioned earlier, at cost containment. And so one thing that they've looked at as an example of that is reciprocal billing. It turns out that we were not issuing all the invoices that we could to other jurisdictions for caring for their residents and so that's something that we have paid more attention to in order to ensure that we're getting all the revenue that is properly owed to us.

    Another example is going into product listing agreements with pharmaceutical companies to take advantage of discounts they provide on bulk orders. And that has saved us quite a good sum of money, in the millions.

    We've also introduced a biosimilar initiative where we fund preferentially biosimilar or generic drugs rather than brand name drugs if the formulation is exactly the same.

    So those are some of the things that we've tried to do the cost containment piece of this work. But this is long-term work. We won't be on top of all the ways that we can save money even in the next fiscal year. And this is going to blend together with the government renewal initiative which, you know, we've now done an inventory of all of our programs for. And so I can see that in the next year we're going to be paying more attention to that and what value for money we get for our different programs. So there are initiatives underway that acknowledge the situation that we're in and remedies to it. Thank you.