This is page numbers 1609 – 1654 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 going.

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 R.J. Simpson

Thank you, committee. We will continue on to supplementary health programs, pages 181 to 183. Do we have comments on questions on supplementary health programs? Mr. Thompson.

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

Shane Thompson

Shane Thompson Nahendeh

Thank you, Mr. Chair. On page 182, extended health care, there's a reduction of $350,000. Could the Minister explain the rationale for the reduction in this area? 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 R.J. Simpson

Thank you, Mr. Thompson. 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'll go to the deputy for the detail on the changes to the Metis health benefits.

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

February 14th, 2017

The Chair

The Chair R.J. Simpson

Thank you, Minister. Ms. DeLancey.

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

Delancey

Thank you, Mr. Chair. The change in Metis health benefits is not an actual reduction. What's happened is that there is a greater demand on the program than the budgeted amount, so we did get supplementary funding in 2015-16, but that was not ongoing forced growth. 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 R.J. Simpson

Thank you, Ms. DeLancey. Mr. Thompson.

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

Shane Thompson

Shane Thompson Nahendeh

Thank you, Mr. Chair. I think it's my fault, I sent us on the wrong rabbit hole here. It was the extended health benefits, and that's the $350,000 reduction. 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 Frederick Blake Jr.

Thank you, Mr. Thompson. Ms. DeLancey.

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

Delancey

Thank you, Mr. Chair. Or perhaps I misheard. So the $350,000 reduction is associated with savings that we plan to find associated with pharmaceutical costs. We are going to negotiate a new agreement with the NWT Pharmacists Association and we are hoping to find some efficiencies through those negotiations. We know that we have the opportunity to save some costs by moving to 90-day dispensing, which will reduce some of the charges associated with dispensing drugs, and we are looking at changes to over-the-counter drugs in the NIHB formulary, and if we can't get those changes made through the formulary we are considering switching to the Alberta formulary so that we can reduce some of our drug costs through that means as well. 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 Frederick Blake Jr.

Thank you. Ms. DeLancey. Mr. Thompson.

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

Shane Thompson

Shane Thompson Nahendeh

Thank you, Mr. Chair, and I thank the deputy minister for her answer. It wasn't your hearing; it was me on a different track there, so I apologize for that.

So my next question is medical travel. I notice it's an increase of $379,000. Is this a forced growth or is this what we're expecting, unexpected costs coming up that we're not aware of? 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 Frederick Blake Jr.

Thank you, Mr. Thompson. Minister Abernethy.

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. It's forced growth, but for any more detail I will go to the deputy.

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 Frederick Blake Jr.

Thank you, Mr. Abernethy. Deputy Minister DeLancey.

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

Delancey

Thank you, Mr. Chair. It is forced growth. We have in the past received some one-time forced growth or supplementary funding for medical travel to address some of the increased costs associated with the air ambulance contract and just the increasing pressures, and so we now have got forced growth funding which is stabilizing our budget, we hope, and is now in as a base adjustment in our budget. 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 Frederick Blake Jr.

Thank you, Ms. DeLancey. Mr. Thompson.

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

Shane Thompson

Shane Thompson Nahendeh

Thank you, Mr. Chair, and I thank Ms. DeLancey for her answer. I have no further questions on this page. 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 Frederick Blake Jr.

Thank you, Mr. Thompson. Next we have Mr. Simpson.

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

R.J. Simpson

R.J. Simpson Hay River North

Thank you, Mr. Chair. Looking at page 182, extended health benefits, these are benefits for people over the age of 60. The NWT basically provides them with healthcare. There are people who don't have government healthcare plans, you know, people who worked in private industry who had private healthcare plans, who paid their $75-$100 a month and had healthcare. When you turn 60 in the territory, though, there's not much of an incentive to keep paying that $100 a month. It seems like if we could somehow encourage those people to hold on to that through a tax break or something the GNWT might save quite a bit of money on health insurance. Has this been a topic of discussion for the department at all? 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 Frederick Blake Jr.

Thank you, Mr. Simpson. Minister Abernethy.

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. It's a good point and it's certainly something we should be exploring. We don't require that they keep it, but we require them to utilize it first if they have it. So if they have insurance, they utilize it first before they access extended health benefits.

I remember a number of years ago there was some work around this that didn't make it too far, but I take the Member's point that we need to do something to encourage people to keep their insurances for as long as possible, if not forever, to help us offset some of these incredibly high costs of this benefit that is provided in the territories and virtually nowhere else in this country. 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 Frederick Blake Jr.

Thank you, Minister Abernethy. Mr. Simpson.

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

R.J. Simpson

R.J. Simpson Hay River North

Thank you, Mr. Chair. It's good to hear that the Minister thinks that they should be doing that. Will the department do that? Will the department look into that? Has there been any analysis of any potential cost savings? 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 Frederick Blake Jr.

Thank you, Mr. Simpson. Minister Abernethy.