This is page numbers 3911 - 3944 of the Hansard for the 16th Assembly, 4th 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 health.

Topics

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, committee. Page 8-20 and 8-21, activity summary, health

services programs, operations expenditure summary, $179.791 million.Ms. Bisaro.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Wendy Bisaro

Wendy Bisaro Frame Lake

Thank you, Mr. Chair. I just have a question relative to the numbers on page 8-21. From 2009-10 revised estimates we’ve got $185 million give or take and in 2010-11 we go to about $180 million. So that’s a fairly large reduction. If I look on the next page it looks as though the reductions are basically to authorities for the provision of their various services and I just wondered what kind of an impact these reductions are going to have on the ability of the authorities to provide their services and, secondly, is this reduction related to the lack of renewal of THAF funding, which isn’t shown in the budget. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Ms. Bisaro. Minister Lee.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Chairman. The Member is right; this section has a sunset of THAF of $3.1 million, but it also has investments of $10.82 million that goes to various areas that constitutes the biggest amount of the plus and minus of that item. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Minister Lee. Committee, page 8-21, activity summary, health services programs, operations expenditure summary, $179.791 million. Agreed?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Mr. Krutko, is that page 8-21?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

David Krutko

David Krutko Mackenzie Delta

Yes.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Go ahead.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

David Krutko

David Krutko Mackenzie Delta

Thank you, Mr. Chair. In regard to services, you talk about different services, some out-of-territory services and also in-territorial. What about those people that come from the South, use our medical services and then leave back to southern Canada. How is that calculated in regard to expenditures? I mean, it’s an unforeseen cost, but there is a lot of transition and migration from workers at the mines, oil and gas, whatever, but there is a cost associated with those people. So in expenditures, is that part of these expenditures that you’ve put forward, or is there an allocation of a certain amount of money that’s allocated for that type of expense where we do have a lot of transient people coming and going at any one time? Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Krutko. Minister Lee.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Chairman. The Member is right; we do get people dropping in our health centres and hospitals. Anyone who doesn’t have an NWT health card, they would be billed to their host provinces and territories and the billings are determined by national agreements that we

talked about earlier. There’s a very set number of dollars that we are allowed to bill each other. So the money is recouped. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

David Krutko

David Krutko Mackenzie Delta

Just on that, I know we have had some challenges in collecting from different organizations, territories, in regard to Nunavut, we’ve had challenges collecting from the federal government. So how successful are we in collecting from those jurisdictions when we submit an invoice in regard to those individuals who come here from other jurisdictions? Have we been paid or are there any outstanding amounts that are out there that we should know of? Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

As the deputy minister stated, we have a portability provision. All the provinces and territories know that our people travel to each other’s jurisdictions and they have a pretty clear guideline on paying for that. So as long as we bill other jurisdictions, those are paid. Now, obviously we want to make sure we bill for every service we render to anybody who is not from here. Every health centre has that function incorporated into their finance office. That is a course of business. In Inuvik the hospital does that, Stanton does that, and any of the clinics, and the headquarters, through the DM’s office, monitors reciprocal billing and collection. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Minister Lee. Anything further, Mr. Krutko?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

David Krutko

David Krutko Mackenzie Delta

That’s okay. Thanks.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, committee. We’re on page 8-21, activity summary, health services programs, operations expenditure summary, $179.791 million. Agreed?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Page 8-22, activity summary, health services programs, grants and contributions, grants, $40 million; contributions, $134.771 million. Excuse me, committee. Grants, $40,000; contributions, $134.771 million; total grants and contributions, $134.811 million. Committee agreed?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you. Moving on. Page 8-25, activity summary. Ms. Bisaro.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Wendy Bisaro

Wendy Bisaro Frame Lake

Thank you, Mr. Chair. I mentioned in my general comments this area was an extremely highly volatile issue about a year ago and I wanted to know in terms of proposed... Okay, I’ll start again. The changes are proposed to be put in place on September 1, 2010, and the Minister has advised, I think, that there is some work going on at this point. I wondered if I could get a bit more information in detail about just exactly what is happening at the moment. There are no consultations certainly that the public can take part in at this point, so I would like some information as

to what work is going on, when consultation with the public will start, et cetera, et cetera. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Ms. Bisaro. Ms. Lee.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Chairman. On this issue, I, as Minister, committed to the Standing Committee on Social Programs to seek input from the public, obviously. I have just had a substantive update on that. I am going to be seeking to go to Cabinet for Cabinet input. I will also be seeking to go to the Standing Committee on Social Programs as soon as we can organize that. We are ready to do that now and also we need to have consult with the public working group on that. So we are in the process of communicating that to the standing committee, so we can give the committee members an update and seek their input on where we are because there has been some substantive work on that and will be interested in sharing that with the Member. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Wendy Bisaro

Wendy Bisaro Frame Lake

Thanks to the Minister for that information. I look forward to our briefing. I guess I just would like a bit of confirmation in terms of timing. I get the impression...(inaudible)...