This is page numbers 525-570 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 health.

Topics

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Ms. Green. Mr. Minister.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. Mr. Chair, if the Member can maybe help me understand the question a little bit. What does she mean by, you know, default or encouraged, by us or by their own providers or by their own government?

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Mr. Minister. Ms. Green, extra clarification?

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Julie Green

Julie Green Yellowknife Centre

Thank you, Mr. Chair. What I'm getting at is whether the Western Arctic residents come here because it's cheaper to come here than to go to Edmonton or whether the services here are advertised to them as superior than to other services and therefore they come here? Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Ms. Green. Mr. Minister.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. Mr. Chair, we do have a historical relationship pre-division where the residents of the Kitikmeot did come to Yellowknife for services, they were providing things like CT scans and some of the specialty clinics. That relationship has carried on. We have a relationship with Alberta, for services that aren't provided in the Northwest Territories, we go to Alberta. For Nunavut, for services that aren't provided in Nunavut, they come to us, and if we don't provide them they also go to Edmonton or Alberta.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Mr. Minister. Ms. Green.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Julie Green

Julie Green Yellowknife Centre

That's everything. Thank you, Mr. Chair.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Ms. Green. Mr. Testart.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Kieron Testart

Kieron Testart Kam Lake

Thank you, Mr. Chair. I wanted to follow-up with some questions about the Metis health benefits. I think my colleague covered the funding aspects and the legal requirement to move on it quite well. I've heard there's a concern from some people that the quality of prospective benefits that the federal government's now obliged to offer won't be of the same quality that we currently provide.

So I guess my question is, will we be using any incoming funding to -- will we lapse our program and just take the new federal program or will we find some way to maintain the benefits? Can we give people certainty that we'll maintain benefits at their current level or improve them with federal money and not diminish anything that Northerners are currently receiving? Thank you, Mr. Chair.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Mr. Testart. Mr. Minister.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. Mr. Chair, I believe there's a mistaken belief out there that we provide Métis health benefits that are different than the NIHB, the Non-Insured Health Benefits. In fact, the Métis health benefits we provide here in the Northwest Territories are an exact mirror of NIHB in every way, it just happens to be funded by us rather than funded by the federal government.

Moving forward, we anticipate, given the Daniels ruling, that the federal government will simply include Métis people under NIHB. So the benefits that they receive should be identical, unless there is a decision by the federal government to amend or change NIHB, and we have no indication that that is the case. So the individuals should receive exactly the same benefits that they are receiving today. The funding agent will be different, and that builds upon Mr. O'Reilly's point, that the federal government needs to come to the table. We agree wholeheartedly.

The federal government lost the Daniels case and they have been told that they need to provide services to Métis. We aren't sure what they intend to do, but are hopeful that they will meet that.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Mr. Minister. Mr. Testart.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Kieron Testart

Kieron Testart Kam Lake

Thank you, Mr. Chair. So I understand that there is no difference today regarding other funding, but if we wanted to make a policy change to Metis benefits now, could we do that theoretically on our own, or is it rigidly mirrored, or could we make those minor corrections? Say if a Metis client in the Northwest Territories had some trouble. Could the Minister, our Minister of Health make a policy change to that program, or does that not happen currently, if there was a gap in coverage? Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Mr. Testart. Mr. Minister.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. Mr. Chair, we do have the ability to have during negotiations discussions with the federal government on NIHB and its coverage, and we are planning, we are going to be going into negotiations soon where we will certainly make some points about some specific things that are covered that confuse us a little, and we will certainly raise those issues.

We don't just mirror NIHB for Metis health benefits. We also mirror NIHB for extended health benefits. It we get into a position where we start changing the benefits that we provide to some people in the Northwest Territories like seniors or Metis, we would be in a situation where we are providing different benefits to different people. The baseline is NIHB based on the services that they provide, and we stick tightly to that.

There are opportunities for exception requests. We have supported some of our residents in those exception requests. Sometimes they win. Sometimes they don't. I think there is value in being consistent within NHIB rather than creating a two-tiered health system here in the Northwest Territories for Aboriginal and non-Aboriginal residents, Metis and non-Metis residents.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Mr. Minister. Mr. Testart.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Kieron Testart

Kieron Testart Kam Lake

Nothing further, Mr. Chair.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Mr. Testart. Any further questions? Seeing none. Moving on to detail, page 173, Health and Social Services, active position summary, information item. Any questions. Mr. O'Reilly.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Kevin O'Reilly

Kevin O'Reilly Frame Lake

Thanks, Mr. Chair. There are a number of reductions here, and I'm just wondering if the Minister and his staff can describe what these positions are and whether they're vacant or not. Thanks, Mr. Chair.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thanks, Mr. O'Reilly. Mr. Minister.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. Mr. Chair, there are a number of changes. We have two positions that were sunsetted. That's an environmental health officer in Norman Wells as well as a midwife consultant in Yellowknife. We've got some initiatives where we have added some positions: two full-time, one part-time, for a total of three as a result of the increased funding and changes to the Mental Health Act. We have some internal re-allocations, one full-time, one part-time within the Beaufort Delta, Midwife positions, and we have some reductions as a result of our reductions exercise, strategic human resources positions, as well as a senior project management. Of these changes, one position was filled, so we have one affected employee. Thank you, Mr. Chair.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Thank you, Mr. Minister. Mr. O'Reilly.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Kevin O'Reilly

Kevin O'Reilly Frame Lake

Thanks, Mr. Chair.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daniel McNeely

Any questions. Mr. Thompson.