This is page numbers 1323 – 1354 of the Hansard for the 18th Assembly, 2nd 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 program.

Topics

Question 437-18(2): Increases To Sole-Source Contract Thresholds
Oral Questions

Julie Green

Julie Green Yellowknife Centre

Thank you very much, Mr. Speaker. That's a logical solution to that issue. Given that contracting services are mainly provided through the shared services model, over which individual departments have very little authority, can the Minister please explain our current system for monitoring and evaluation to ensure that contracts meet departments' needs and the public gets the best value for money? Mahsi.

Question 437-18(2): Increases To Sole-Source Contract Thresholds
Oral Questions

Robert C. McLeod

Robert C. McLeod Inuvik Twin Lakes

Thank you, Mr. Speaker. Procurement Shared Services was established in part to ensure that our government gets value for money, and departments continue to be involved with all aspects of the contracting, including reviewing tenders and the RFP processes. Thank you, Mr. Speaker.

Question 437-18(2): Increases To Sole-Source Contract Thresholds
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Oral questions. Member for Frame Lake.

Question 438-18(2): Empowering Local Governments
Oral Questions

Kevin O'Reilly

Kevin O'Reilly Frame Lake

Merci, Monsieur le President. My questions are for the Premier in relation to our mandate commitments to empower local governments. Earlier today I raised the City of Yellowknife letter that requested a number of territorial government acts be changed. The city has been after our government here for almost a decade to make changes to these pieces of legislation. How will our government respond to the city's request for changes to territorial legislation on making what amounts to housekeeping changes that the city urgently requires to better meet the needs of its citizens? Mahsi, Mr. Speaker.

Question 438-18(2): Empowering Local Governments
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Honourable Premier.

Question 438-18(2): Empowering Local Governments
Oral Questions

Bob McLeod

Bob McLeod Yellowknife South

Thank you, Mr. Speaker. We received the letter yesterday from the mayor of the City of Yellowknife, and also the Member has been a city councillor for nine years, so he doesn't seem to appreciate the good working relationship that this government and the Department of Municipal and Community Affairs has with the NWT Association of Communities. However, having said that, we will take the letter; we will break it out into different pieces; even though we are working on many, many legislative priorities, we will work with the city to make sure that these proposals are dealt with in a timely fashion. Thank you, Mr. Speaker.

Question 438-18(2): Empowering Local Governments
Oral Questions

Kevin O'Reilly

Kevin O'Reilly Frame Lake

I'm disappointed that the Premier is going to talk about my track record here in working as a city councillor. I know that when I was on the city council, we always worked well with the Yellowknife MLAs, so I'll try to keep this as a fair set of questions here. But why I raise these questions to the Premier is he is responsible for intergovernmental relations. He's also responsible for mandate commitments, and so I'm just going to ask the Premier for firm commitments when it comes to changing the Cities, Towns and Villages Act to allow for local improvement charges in relation to energy retrofits and the visitor levy. Is that something that we're prepared to do in the lifetime of this Assembly?

Question 438-18(2): Empowering Local Governments
Oral Questions

Bob McLeod

Bob McLeod Yellowknife South

We have been doing some research on a number of these initiatives. I was around when the hotel tax was proposed and was introduced, and so we have the research completed on the hotel levy. We are very close to finalizing research on energy retrofits, and we will be moving forward with consultations with other communities. As a matter of fact, MACA officials met with the city on September 29th and they agreed on a work plan. We expect that, in early 2017, we will able to move forward. We also need to work with other departments, Ministers, MACA, Justice and Finance, because some of the proposals, we've heard for the first time.

Question 438-18(2): Empowering Local Governments
Oral Questions

Kevin O'Reilly

Kevin O'Reilly Frame Lake

I'd like to reassure the Premier, though, that this is not the first time these changes have been requested. Some of them date back to when I was on city council in 2007. So I'm pleased to hear that we're going to have some more research done; research is great, but I'm looking for action. Changes have been requested to the Property Assessment and Taxation Act. Is that something that's going to happen within the lifetime of this Assembly?

Question 438-18(2): Empowering Local Governments
Oral Questions

Bob McLeod

Bob McLeod Yellowknife South

I believe I mentioned that we are looking to be able to move forward in early 2017 with some parts of the requests in the letter.

Question 438-18(2): Empowering Local Governments
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Oral questions. Member for Frame Lake.

Question 438-18(2): Empowering Local Governments
Oral Questions

Kevin O'Reilly

Kevin O'Reilly Frame Lake

Mahsi, Mr. Speaker. I appreciate the response and thank the Premier for that. But I'm still a little bit concerned here, more than a little bit concerned, that we're not going to make progress on these legislative changes within the lifetime of the Assembly. So is the Premier prepared to work with Regular MLAs who might bring forward a private Member's Bill to make these legislative changes, which are essentially housekeeping matters, if the other side can't do it in a reasonable period of time? Mahsi, Mr. Speaker.

Question 438-18(2): Empowering Local Governments
Oral Questions

Bob McLeod

Bob McLeod Yellowknife South

Thank you, Mr. Speaker. We are always open to any methods that will move legislation faster. If the Member has some ideas, we would certainly be prepared to entertain them. We would also like to work with all of the Members to help us identify what should be the priorities.

Some of the legislative priorities we're working on, the Department of MACA is working on, is to update the civil emergency procedures, the territorial emergency procedures, the fire prevention and community fire prevention plans, the Western Canada Lotteries legislation, legislation for 911, access to information for communities, energy efficiency. So we have all of these other priorities, and I'd be very pleased to work with the Members on the other side to help tell us which ones should be advanced the fastest.

Question 438-18(2): Empowering Local Governments
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Oral questions. Member for Nahendeh.

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

Shane Thompson

Shane Thompson Nahendeh

Thank you, Mr. Speaker. Mr. Speaker, today I spoke about medical travel and some of the issues I had to deal with this past week with medical travel and the policy. First of all, I would like to thank the staff. The patients were able to work with the staff given the numbers and they worked really well together, so I thank them for that. However, Mr. Speaker, this question is for the Minister of Health and Social Services. Can the Minister please advise this House if his department is looking at the Medical Travel Policy as it pertains to ensuring that anyone over the age of 65 has a non-medical escort made available for them on all medical travel flights? Thank you, Mr. Speaker.

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Minister of Health and Social Services.

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Speaker. The Department of Health and Social Services is doing a review of the Medical Travel Policy. We've already made a number of changes and improvements, including putting in an appeal mechanism. With respect to whether or not we intend to modify the Medical Travel Policy specifically for an age requirement, that is not something that we're doing right now, Mr. Speaker. I've had an opportunity to travel around the Northwest Territories and meet lots of different individuals, including seniors, and I've had many seniors tell me, just because I'm 65 doesn't mean that I need or should get a non-medical escort.

We have some tight criteria for when an escort is supported, a non-medical escort is supported. In fact, it also has to be based on a clinical referral from a practitioner. Non-medical escorts will be supported when a patient is under the age of 19 and requires an escort, when a patient is breastfeeding an infant and requires an escort, when a patient has a mental or physical disability of a nature that he or she is not able to travel unassisted, and when the patient requires an escort for interpretation during their travel.

In many situations, if a senior has got some mobility issues they will likely get a non-medical escort; if they have communication issues, they will likely get an escort, but it does have to be referred to a physician, and I'm hearing people across the Northwest Territories, as I said, say just because I'm 65 doesn't mean that I'm physically unable to attend meetings on my own.

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

Shane Thompson

Shane Thompson Nahendeh

I appreciate the Minister for his answer. I guess we're talking to two different people or different people out there because the people that are coming to me with issues are over the age of 65 and say they want to have a medical escort, and some of the challenges that I understand with the Minister saying, however we need to work with our seniors and our elders because when they come to us they should be treated with respect. However, I'm going to go onto my next question 'cause instead of arguing we could spend days on this issue together.

Mr. Speaker, last sitting I spoke about patience from the smaller communities and asked the Minister if they were working on setting up a place for these people to stay. So can the Minister please advise me if this is happening? What work is being done? I've been hearing this for non-elders and elders that say, you know, we come here in the morning, we go back at night and we don’t have a place to stay. So can the Minister please advise the House what the department is doing in this regard?

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Mr. Speaker, the Member is right. We could probably debate this for an extended period of time, but at the end of the day we do respect our seniors. We are putting programs and services in place in support of seniors. We have a healthy relationship with the NWT Seniors Society. In fact, one of the members of the NWT Seniors Society said just because I happen to be 65 doesn't mean I'm infirm or unable to do these things.

When an individual is challenged, they have some limitations. Of course, Mr. Speaker, we are going to provide non-medical escorts. With respect to the situation that the Member is describing where an individual comes to a community is left for hours or their appointment is hours away from when they land or when they take off. If you're in Yellowknife or Inuvik or I think it's Hay River, we actually have facilities where an individual can go and spend some time, whether it's the hospital or Vital Abel House or one of our other facilities. It's helpful if the Member, the individual who's travelling gives us some head's up that they need some place to go because we can help coordinate that.

The other communities we haven’t been able to resolve those issues at this point. We are coming out with a medical travel book or a passport, if you will, a handout that will go to residents as they're going to be travelling on medical travel that outline all the different numbers by communities, where they can go, where there might be places where they can spend some time so that they have options available to them, but we haven't finalized all those details. We're continuing to work on it.

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

Shane Thompson

Shane Thompson Nahendeh

I thank the Member for that answer. Maybe we can get together so I can get that information and we can share it with people. It's just not people that need it or want it, you should be able to provide that quick knowledge beforehand.

Mr. Speaker, in my previous statements I talked about Fort Nelson Hospital as a first place for residents of the Hamlet of Fort Liard to go and set up residence going to Fort Simpson then to Yellowknife. I realize it's only a three or four-hour trip to Fort Simpson depending on the ferry and only a two-hour drive, but however it's only a two-hour drive to Fort Nelson.

I know it doesn't sound like a big difference of time, but it's huge for our elders and the people from the community of Fort Liard. Mr. Speaker, can the Minister advise this House if the department is working with the BC government to arrange referrals to Fort Nelson for residents of Fort Liard instead of Yellowknife?

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Mr. Speaker, I had an opportunity to meet with residents of the community of Fort Liard, as well as the Nahanni Butte prior to the election last government where this issue was raised. At that time, I made a commitment that we would follow up with BC once we concluded our negotiations with Alberta. Alberta is our go-to province when we have individuals who need to go out for services that aren't available here in the Northwest Territories. We have agreements and other procedures or protocols in place to have our residents go to Alberta and receive services there.

Once we're done negotiating our new agreement with them, I made a commitment that I would follow up with BC. We haven't finished that agreement; I haven't followed up with BC.

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Oral questions. Member for Nahendeh.

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

Shane Thompson

Shane Thompson Nahendeh

Thank you, Mr. Speaker and

I thank the Minister for that answer. It's great to hear. So we're waiting for negotiations in Alberta, but it still doesn't help the residents of Fort Liard. So will the Minister give us a timeline when he expects to talk to the BC government, so that the residents of Fort Liard can be prepared to get service in BC? Closer service, I should say, because it's great service in Simpson and Yellowknife; it's just the distance. Thank you.

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Mr. Speaker, just to be clear, residents of the Northwest Territories when they travel to other jurisdictions like BC and they go to a hospital or health centre for medically necessary care through reciprocal billing agreements and whatnot, those services are provided to those residents and there's no cost obviously to our residents for doing that.

Where we have a challenge with BC is where a health practitioner in the Northwest Territories makes a referral on behalf of one of our residents to something like an MRI or a specialty clinic that's available in Edmonton or Calgary or in Alberta for specialty services that are not provided in the Northwest Territories.

In those situations, we have to have solid agreements with those jurisdictions. It's not a matter of just showing up and just saying, hey, I want an MRI. You actually have to have a referral; it has to go through a proper protocol. We are finalizing and updating our agreement with Alberta. We hope to be done this year. Once that's done, I will certainly raise the issue with BC and follow up accordingly.

Question 439-18(2): Medical Travel Policy And Non-Medical Escorts
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. We've gone through three Members' oral questions and it's been 20 minutes already, so I'd like to remind Members and also Ministers to keep your questions and answers short and concise so we can get through all the oral questions today. Masi. Oral questions. Member for Tu Nedhe-Wiilideh.