Thank you. Minister of Health and Social Services.

Thank you, Mr. Speaker. Recognizing the time, I will try my best to do this quickly. Dental services are not provided by the Government of the Northwest Territories. They are provided by private clinics and private practitioners. That is for all residents of the Northwest Territories. Dental services are not an insured health service.

However, the department does administer portions of the Non-Insured Health Benefits Program (NIHB) on behalf of the federal government, who do have some responsibility for ensuring that dental services are provided to those who are eligible for NIHB. The health authorities have and do enter into contracts on behalf of NIHB with dental providers, private businesses, to travel to the regions and communities that do not have local or resident dentists.

The actual dental services, as I have indicated, are provided by these private providers, and they will actually invoice the federal government directly for the cost of those services. Dental services are based on self-referral. Every resident can call a dental office or other to book their own appointments. They would do that directly with the dentist, not through the Health and Social Services system.

If dental services are not available in a home community, like Providence as an example of residents, those who are eligible for NIHB can make arrangements to travel to access dental services and have some of those costs covered through NIHB. In larger centres that have private dentist offices, individuals who are eligible for NIHB also book their own appointments directly with the dentist, and the dentist will invoice the federal government for coverage under NIHB program.

If services required are not covered by NIHB, which is the case for some procedures, or they exceed the benefit levels that are covered, then the cost is the responsibility of the individual. That is similar to individuals who are covered by employee dental insurance programs and other things, like our GNWT employees, who have some of the best benefits in the country. Thank you, Mr. Speaker.

I think the Minister covered a lot of information. I wanted to talk about the location of the services whenever it arrives in Fort Providence and perhaps at least acknowledging that communication has been problematic. Talking specifics about Fort Providence, residents have asked me why the dental team is using the old dental room at the Snowshoe Inn Centre when there are facilities and a new health centre. Can the Minister explain?

I have asked the department to provide me with some clarity on the use of the Snowshoe Inn Centre. It is my understanding that the dental providers out of Hay River actually weren't under contract with NIHB to come. They had actually made those arrangements themselves and made their arrangements in the community.

Having said that, we did construct the new health centre in Fort Providence, which we opened in 2015. Subsequently, a dental room was requested to be added to the new centre. The dental room has been completed, and the required dental equipment has been installed and commissioned in that health centre. Although the authority is currently exploring options for a dentist to be available to residents of Fort Providence who are eligible through NIHB coverage, we are talking to the federal government right now about doing an RFP or some other mechanism to find a dentist who will come in on a regular basis into that community to use those facilities.

The department is doing some very important work on oral health for infants, children, and youth. I don't want to take away from that, but I am also mindful of adults in need. How is the department taking action to improve adults' oral health in the NWT?

We did release the oral health strategy here in the Northwest Territories, and the focus is on prevention rather than the actual provision of services, because the provision of services is the responsibility of private dentists and others. We do accept and we do agree with everything the Member said about the value of oral health and healthy gums, a healthy mouth leading to overall health. We do have the oral health strategy. There is a lot of focus on youth, as the Member has said.

However, with regard to oral health initiatives for the adult population, there are a number of action items within the oral health action plan that will benefit adults as the action plan is implemented over the next three years. Some of those notable examples include the provision of oral health toolkits for all residents of long-term care facilities in the Northwest Territories; large-scale oral health promotion programs into the general population; the expansion of community water fluoridation in the territory; upgrading and replacement of dental equipment in dental rooms across the Northwest Territories, like we did in Providence; and augmenting oral health services for expectant mothers through prenatal oral health programs. There are a number of things that we are doing that are focusing on supporting adults as well as youth and children.

Oral questions. Member for Deh Cho.

As I indicated, we have been in touch with the federal government about possibly issuing an RFP to find a provider to provide those services in Fort Providence. That is going to take a while. We are looking to see if there are any providers locally who might be able to do something immediately, but in the meantime, we are also trying to get some more communications information from the NIHB that we could share with community members, showing them how they can get some financial compensation to go to appointments, so that their ability to maintain their health or deal with emergencies isn't limited by financial situation.

A number of things are happening. I don't have those answers for the Member today, but we are looking into it, and I will get back to the Member as soon as I have more information. Thank you, Mr. Speaker.

Oral questions. Member for Tu Nedhe-Wiilideh.