Debates of Aug. 21st, 2019
This is page numbers 6289 - 6352 of the Hansard for the 18th Assembly, 3rd 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 assembly.
Topics
- Oral Questions
- Members Present
- Prayer
- Assent to Bills
- Minister's Statement 237-18(3): Minister Late
- Minister's Statement 238-18(3): Seniors Report
- Minister's Statement 239-18(3): Housing for Vulnerable Populations
- Minister's Statement 240-18(3): Post-Secondary Education Update
- Recognition of "Buffalo" Joe McBryan
- National Pharmacare
- Land Administration and Management
- Land Rights Agreements
- Eligibility for Home Improvement Funding
- Child and Family Services Quality Improvement Plan
- Recognition of Gabe Hardisty
- Waste Resource Management and Single-Use Plastics Ban
- Arctic Sovereignty
- Recognition Of Visitors In The Gallery
- Question 839-18(3): Access to Health Services in Fort Nelson, BC
- Question 840-18(3): Single-Use Plastics Ban
- Question 841-18(3): Child and Family Services Quality Improvement Plan
- Question 842-18(3): Eligibility for Home Improvement Funding
- Question 843-18(3): National Pharmacare and the NWT
- Question 844-18(3): Fort McPherson Housing Units
- Committee Report 35-18(3): "Lessons Learned" Report of the Special Committee on Transition Matters
- Tabled Document 509-18(3): Draft Code of Conduct and Guide for Members of the Legislative Assembly
- Tabled Document 510-18(3): Draft Rules of the Legislative Assembly of the Northwest Territories, August 2019
- Tabled Document 511-18(3): Capital Estimates 2020-2021 Tabled Document 512-18(3): Government of the Northwest Territories Response to Committee Report 19-18(3): Report on the Review of the 2017-2018 Public Accounts
- Tabled Document 513-18(3): 2018 Annual Report - Office of the Fire Marshal
- Tabled Document 514-18(3): Report on Seniors Access to Government of the Northwest Territories Programs and Services Tabled Document 515-18(3): What We Heard Report - Continuing Care Facilities Legislation for the Northwest Territories
- Tabled Document 516-18(3): Northwest Territories Post-Secondary Education Strategic Framework 2019-2029 Tabled Document 517-18(3): Operating Plans for Northwest Territories Education Bodies for the 2019-2020 School Year Ending June 30, 2020
- Motion 41-18(3): Adoption of Code of Conduct for Members of the Legislative Assembly
- Motion 42-18(3): Repeal and Replace Rules of the Legislative Assembly of the Northwest Territories
- Motion 43-18(3): Extended Adjournment of the House to October 24, 2019
- Motion 44-18(3): Dissolution of the 18th Legislative Assembly
- Consideration In Committee Of The Whole Of Bills And Other Matters
- Committee Motion 237-18(3): Standing Committee on Social Development Report on the Review of Bill 45: Corrections Act - Private Interviews between Inmates and Indigenous Elders or Spiritual Advisors, Carried
- Committee Motion 238-18(3): Standing Committee on Social Development Report on the Review of Bill 45: Corrections Act - Needs-based Assessments for Inmates, Carried
- Committee Motion 239-18(3): Standing Committee on Social Development Report on the Review of Bill 45: Corrections Act - Prioritization of Work Programs, Carried
- Committee Motion 240-18(3): Standing Committee on Social Development Report on the Review of Bill 45: Corrections Act - Security Assessment Tools, Carried
- Committee Motion 241-18(3): Standing Committee on Social Development Report on the Review of Bill 45: Corrections Act - Victim Services, Carried
- Committee Motion 242-18(3): Standing Committee on Social Development Report on the Review of Bill 45: Corrections Act - Government Response to Recommendations, Carried
- Committee Motion 243-18(3): Bill 45: Corrections Act - Amend Clause 40.1(5), Carried
- Committee Motion 244-18(3): Standing Committee on Economic Development and Environment Report on the Perceptions Held by Northern Businesses Toward the Government of the Northwest Territories' Procurement Processes - Procurement Advisory Panel, carried
- Committee Motion 245-18(3): Standing Committee on Economic Development and Environment Report on the Perceptions Held by Northern Businesses Toward the Government of the Northwest Territories' Procurement Processes - Comprehensive Public Review of Procurement Related Policies, carried
- Committee Motion 246-18(3): Standing Committee on Economic Development and Environment Report on the Perceptions Held by Northern Businesses Toward the Government of the Northwest Territories' Procurement Processes - Government Response to Recommendations, carried
- Committee Motion 247-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Protocols for Engagement in Development of Legislation, Carried
- Committee Motion 248-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Process and Criteria for Technical Working Groups, Carried
- Committee Motion 249-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Technical Working Group Recommendations, Carried
- Committee Motion 250-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Complex Bills of Significant Public Interest, Carried
- Committee Motion 251-18(3) Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Plain Language Materials, Carried
- Committee Motion 252-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Comprehensive Briefing on Legislative Process for Technical Working Group, Carried
- Committee Motion 253-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Process for Development of Regulations, Carried
- Committee Motion 254-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Collaborative Lessons-Learned Exercise, Carried
- Committee Motion 255-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Public and Stakeholder Engagement, Carried
- Committee Motion 256-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Exclusion of Bill from Technical Working Group Process, Carried
- Committee Motion 257-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Information for Standing Committee on Technical Working Group Progress, Carried
- Committee Motion 258-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Federal Concurrence, Carried
- Committee Motion 259-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Consistent Terms and Definitions, Carried
- Committee Motion 260-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Consistency in Public Information, Carried
- Committee Motion 261-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Preamble or Purpose Statement, Carried
- Committee Motion 262-18(3): Standing Committee on Economic Development and Environment Report on the Process Used for Devolution Legislative Initiatives - Government Response to Recommendations, Carried
- Report Of Committee Of The Whole
- Bill 34: Mineral Resources Act
- Recorded Vote
- Orders Of The Day
Question 842-18(3): Eligibility for Home Improvement Funding
Oral Questions
Page 6303

Michael Nadli Deh Cho
Thank you, Mr. Speaker. Has the Northwest Territories Housing Corporation considered any alternatives, like allowing applicants to use some of the funds they receive to purchase homeowners insurance, or what about organizing group insurance for low-income clients through the district office; perhaps the idea of a credit union? Mahsi.
Question 842-18(3): Eligibility for Home Improvement Funding
Oral Questions
Page 6303

Alfred Moses Inuvik Boot Lake
Really quickly, we are working with our partners to see what options are out there that allow our clients to face fewer barriers around insurance. I think that education is going to be a part of that. We need to work with our financial partners to address this. I think that, moving into the 19th Assembly, because we are right on the tail end of this session, that is something that we need to look at addressing. Members coming into the 19th, I think, should continue to have these types of questions moving forward for our residents across the territory. Thank you, Mr. Speaker.
Question 842-18(3): Eligibility for Home Improvement Funding
Oral Questions
Page 6303
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
August 21st, 2019
Page 6303

Kevin O'Reilly Frame Lake
Merci, Monsieur le President. My questions are for the Minister of Health and Social Services regarding the development of a national pharmacare program. First, could the Minister explain what our role was in relation to the national Advisory Council on the Implementation of National Pharmacare, and what our role will be going forward, especially with regard to prescription drug costs and improved health outcomes? Mahsi, Mr. Speaker.
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6303
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6303

Glen Abernethy Great Slave
Thank you, Mr. Speaker. With respect to the national Advisory Council on the Implementation of National Pharmacare, we did have an opportunity to make presentation to the council, and we outlined the challenges of providing healthcare in the Northwest Territories. We outlined the different public benefit plans that we administer here in the Government of the Northwest Territories, our Extended Health Benefits. We talked about the trends over the last ten years so that they could see where some of the usage is or uptake in some of the prescription drugs that are being utilized here in the Northwest Territories. We also had an opportunity to share some observations of what we would like to see in a pharmacare plan for Canada.
We also had an opportunity, through the federal-provincial-territorial Ministers of Health meetings, to identify an FTP working group of staff that also had an opportunity to compile more information and make sure that the NWT perspective was included and share that with the advisory council through that means, as well.
I imagine that pharmacare is going to become an election issue at a federal level in this upcoming election. There is no pharmacare plan in place today. The federal government did get the report. We are watching very closely to see how they proceed with that. Regardless, Mr. Speaker, at the same time, the GNWT does actually participate in the Pan-Canadian Pharmaceutical Alliance, which basically conducts joint provincial, territorial, and federal negotiations for brand name and generic drugs in Canada to achieve greater value. We are trying to do things to help control and reduce costs of drugs.
I look forward, personally, to seeing a pharmacare plan in Canada. We are the only first-world country with a medicare plan that doesn't have pharmacare, and I think that it is time that the federal government in this country stood up and moved forward with pharmacare. Thank you, Mr. Speaker.
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6303

Kevin O'Reilly Frame Lake
I want to thank the Minister for that and his personal interest and commitment on moving this forward. Our Extended Health Benefits plan is based upon a list of medicines that are approved. The national proposal has developed an initial formula of essential drugs by 2022 and a full list by 2027. Can the Minister explain how this list will apply to the NWT, and whether we will need to maintain a regional supplementary formulary to address any of our special needs?
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6303

Glen Abernethy Great Slave
The national Advisory Council on the Implementation of National Pharmacare Report actually did include some recommendations as to what measures that the federal government should take with respect to a formulary. This advice, obviously, is going to be considered by the Government of Canada on how best to implement national pharmacare. If it does move ahead, and if there is a national formulary list, the NWT will have an option to maintain a regional supplementary formulary to address any of the specific needs that exist.
However, it is my understanding that, if we do have a secondary supplementary list, the costs associated with that secondary supplementary list would be the responsibility of the provincial or territorial government that has that list and not the federal government, because they will be moving forward with their list.
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6304

Kevin O'Reilly Frame Lake
Thanks to the Minister for that. Obviously, we will want to make sure that many of our special needs are recognized and incorporated into the national list.
The national advisory council report also contained a recommendation on a way to deal with the supply of medications for rare conditions, which are often some of the most expensive prescriptions. Can the Minister explain how this element of the proposal should work in the Northwest Territories?
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6304

Glen Abernethy Great Slave
It is kind of difficult to answer that question because we aren't actually sure what the federal government is going to do in this particular area. The question may, unfortunately, be a little premature, but what I can say is that we are watching this very closely. Regardless of which government makes up the federal government in the next term, I am hopeful and optimistic that they will continue to work on pharmacare, and we as a government should and must continue to make sure that our voice is heard during those discussions, but frankly I think it's a little early to speculate on what it might look like. It might be a hypothetical response, and I'm not prepared to do that at this point.
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6304
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6304

Kevin O'Reilly Frame Lake
Merci, Monsieur le President. Thanks to the Minister for that, and I was careful with my question; I said how should it work in our jurisdiction, not how could it work or how will it work. That's okay.
In a related development, the federal government recently announced they are going to revise the rules and tools for the Patented Medicine Prices Review Board. In no way could that ever constitute a national pharmacare program, but the changes could result in the savings of billions of dollars on prescription medicine. Can the Minister tell us if his department knows about these developments with the Patented Medicine Prices Review Board and what we're doing to look at the impacts of these changes on our healthcare system? Mahsi, Mr. Speaker.
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6304

Glen Abernethy Great Slave
Canadian patent medicine prices are among the highest in the world, here in Canada. In fact, I think we're the third highest, behind Switzerland and the United States. That's not something I think Canadians should be super proud of. On August 9th, Health Canada did announce, as the Member said, amendments to the Patented Medicine Regulations. The Patented Medicine Prices Review Board is reviewing and examining the newly released amendments to the Patented Medicine Regulations and will identify any changes that may warrant an adjustment to its proposed guidelines framework and further considers.
Currently, it is difficult to speculate how the regulatory tools available to the Patented Medicine Prices Review Board may be changed; however, the NWT is supportive of reducing the cost of patented medicines for its residents and all Canadians, and we will continue to work at the Federal-Provincial-Territorial table to ensure that the voices of the Northwest Territories, the provinces, and Canadians are heard. Thank you, Mr. Speaker.
Question 843-18(3): National Pharmacare and the NWT
Oral Questions
Page 6304
Question 844-18(3): Fort McPherson Housing Units
Oral Questions
Page 6304

Frederick Blake Jr. Mackenzie Delta
Thank you, Mr. Speaker. I have a few questions for the Minister responsible for the NWT Housing Corporation. In Fort McPherson, we have a number of new units that were just waiting patiently for people to move into. We have two duplexes and the elders' facility that the Minister mentioned earlier today. I'd like to ask the Minister: when will these units be ready to move into? Thank you, Mr. Speaker.
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