This is page numbers 891 - 942 of the Hansard for the 14th Assembly, 3rd Session. The original version can be accessed on the Legislative Assembly's website or by contacting the Legislative Assembly Library. The word of the day was chairman.

Topics

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Handley. Mr. Ootes.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Jake Ootes

Jake Ootes Yellowknife Centre

Thank you, Mr. Chairman. Perhaps I can provide some clarity to this. Since 1996, the two departments have been sharing on an ad hoc basis the cost of maintaining indigent seniors and persons with disabilities in long-term care and extended care facilities. This typically meant that under the Income Assistance Program, ECE provided the basic food and extend benefits and Health and Social Services provided funding for room and board allowances. What is happening is we are transferring the room and board allowances to ECE under the Income Support Program.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Ootes. Mr. Miltenberger.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

November 15th, 2000

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. My only comment would be another question. There is a significant lack of information here I guess. I know that this is a money bill but there is some service changes that have implications, that if you do not know this information it causes concern. I thank the Minister for that information and I will hold any questions that I have for in the budget process or business plans. Thank you.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 925

The Chair

The Chair Paul Delorey

Thank you, Mr. Miltenberger. Mr. Nitah.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Steven Nitah Tu Nedhe

Thank you, Mr. Chairman. The area I would like to cover is the $3.7 million from the Department of Health and Social Services to provide funding for a one-time start-up cost.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

We are dealing with Health and Social Services programs, the $3.490 million. Are we concluded on this one? Are there no further questions on that line item health and social insurance programs, $3.49 million? Mr. Nitah.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Steven Nitah Tu Nedhe

Thank you, Mr. Chairman. The question deals with the $3.7 million that the Department of Health and Social Services are providing for a one-time start up cost and prorated annual operating cost, which I understand is to be $2.9 million per year for moving to a primary care health service delivery model in Yellowknife. This includes assuming the leases for four medical clinics, purchase of the assets of these clinics, implementing new physicians' contracts, and funding for additional support administrative staff at the Yellowknife Health and Social Services Board and the four clinics.

I would like to congratulate the government on negotiating the $4 million from the federal government as part of the Canada Health and Social Transfer Agreement.

My question is, I understand that some of these physicians will be going to the communities to provide health care to members of those communities outside of Yellowknife. My question is, I sure would like to know which community the government is going to start negotiating on behalf with the federal government to provide health, and a list of those communities in order of when they will start negotiating. Thank you, Mr. Chairman.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Nitah. I will let Mr. Handley answer that, although there is no reference in here about outside communities. Mr. Handley.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Joe Handley

Joe Handley Weledeh

Mr. Chairman, the $4 million that was negotiated and received from the government is a generic sum of money. It was not earmarked for individual communities. There will not be any need to negotiate the expenditure of that $4 million with specific communities. It is money that is meant for the North and when there was a need for the $3.7 million that money was there as a trust fund and it was used for this purpose.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 925

The Chair

The Chair Paul Delorey

Thank you, Mr. Handley. Mr. Nitah.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Steven Nitah Tu Nedhe

Thank you, Mr. Chairman. It is confusing to me as the Minister referred in his opening remarks on the Canada Health and Social Transfer Agreement and the formula that was associated with that agreement, to this $3.7 million expenditure in Yellowknife. Maybe it is a problem with the wording, I am not sure, but my understanding was that it has always been that if we agree with any financial agreements with the federal government to transfer money to the Northwest Territories Government, it falls under general revenues and from those general revenues, it gets disbursed. However, in his opening comments, he referred to a $3.7 million for the Yellowknife Health and Social Services Board and that $3.7 million is coming from that recent agreement with the federal government with the Canada Health and Social Transfer Agreement.

On top of that, it is a $2.9 million incremental cost to this government to operate those clinics, while we have health boards and social services boards at the regional and community level throughout the Northwest Territories. I do not think they receive those kinds of funding or special agreements with the federal government to provide community health boards. I am just wondering is that a typo? Is it a mistake in the wording, or is that the future direction of this government? Thank you, Mr. Chairman.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Nitah. Mr. Handley.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Joe Handley

Joe Handley Weledeh

Mr. Chairman, the total budget for the Department of Health and Social Services is $175 million, roughly. The department faces forced growth of somewhere between $10 and $15 million a year. This amount of money was money that was received from the federal government to be spent on health. It is money that was sitting there. It is not earmarked for anything specific. It is a generic pot of money.

When there was a need to spend $3.7 million to provide better health services through this regional hospital, that money was tapped into; but it is not as if that is the only pot of money or that Yellowknife is the only community that is going to benefit from the Health and Social Services spending, everybody does. The amount that we spend increases each year by an amount that is much greater than the $3.7 million we are dedicating this purpose or the $4 million that is in the trust fund. The amount we are spending in the communities is far greater than this $4 million pot.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 925

The Chair

The Chair Paul Delorey

Thank you, Mr. Handley. Mr. Nitah.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Steven Nitah Tu Nedhe

Thank you, Mr. Chairman. I guess you can understand my concern when I am reading the Minister's opening statement and he is referring to a $3.7 million donation or money that the Yellowknife Health and Social Services Board needs and the Government of the Northwest Territories provides $3.7 million to that said board, and at the same time refer to the recent agreement of $4 million transferred from the federal government. It is just too close to accept that. If it was coming from the general revenue fund then that is not a problem. Yellowknife does need its services and the leasing of old buildings and what not, those are other areas of questions.

As long as it is not coming directly from this agreement, I do not have problem with it; but the way it is worded, Mr. Chairman, I have a problem with that.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Nitah. Mr. Handley.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Joe Handley

Joe Handley Weledeh

The only thing that I can say, Mr. Chairman, is that the $3.7 million is the amount that was needed in order to move to this primary care health service model, and included all the pieces that Mr. Nitah referred to. It has no relationship to the amount of money in the trust fund. We did not look at the trust fund and decide we were going to draw it all out there or anything, or only take a portion of it; but it is the amount of money, the $3.7 million which reflects the amount of money that was necessary for the one-time costs, plus the prorated part of the ongoing cost for this fiscal year.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 926

The Chair

The Chair Paul Delorey

Thank you, Mr. Handley. Mr. Nitah.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Steven Nitah Tu Nedhe

Thank you, Mr. Chairman. The prorated ongoing cost of this agreement, is that covered under the $3.7 million or is that outside of the $3.7 million? Thank you.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Nitah. Mr. Handley.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Joe Handley

Joe Handley Weledeh

Mr. Chairman, it is about $1.9 million out of the $3.7 million.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Handley. Mr. Nitah.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Steven Nitah Tu Nedhe

$1.9 million per year, Mr. Chairman, or that total cost of this agreement?

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Paul Delorey

Thank you, Mr. Nitah. Mr. Handley.