That sounds like an interesting initiative. A final concern I have which the Minister has touched on is about the systemic changes needed to prevent children from going into care because of issues such as a lack of food and inadequate housing. The anti-poverty commitments, which the Minister has also represented, include a continuum of service and maybe should include a continuum of support. Can the Minister say what kind of prevention is taking place around this issue of neglect driving children into care?

The premise of Building Stronger Families is finding ways to support families so that children do not have to be apprehended. This could be as simple as providing diapers or food to an individual family who might be in crisis at a particular point. We have done a pilot in Behchoko where we actually covered individuals' rent for a couple of weeks when they were in crisis, because we believe that, if those individuals had been taken out of their homes, it would have also resulted in a direct apprehension. We are looking at spreading these concepts and these ideas out across the Northwest Territories to help families. We have also been able to send families' parents out for treatment and to provide short-term placement for kids with family so that they maintain that family relationship.

There are many more things we could do. Many of them will be one-offs because every situation is different, and we need to be flexible enough to do that. Our social workers are receiving more and more voluntary applications, more people coming in on a voluntary basis. I think this is a good thing because, when they come in on a voluntary basis, we can develop a case plan that works for them and is individualized to their needs and allows those children to stay in those families and in those homes. Our caseload is up, Mr. Speaker, but the number of people going into permanent care is down, and I think that is indicative that the concepts work. We failed at reporting. We failed at some of the things that we were trying to do. We have taken from this committee, from this Auditor General, the lessons that we needed, and we are making improvements today.

Masi. Oral questions. Member for Yellowknife Centre.

Thank you, Mr. Speaker, and I thank the Minister for the passion that he brings to this issue. Lastly, I want to follow up the statement that I made in the winter about the need for a child and youth advocate. The Minister indicated that his staff could update research on the idea, and I am wondering what progress he can report on this commitment.

As the Member for Yellowknife Centre has already pointed out, we do have a significantly large action plan with 70 items, and our staff have been quite busy. As a result, we have not done that additional research on a child advocate at this point. However, I would like to note that I was a member of the committee that did a review of the implementation of child and family services in the 16^th Assembly, and, at that time, I and my colleagues had an opportunity to go and meet with child advocates from other jurisdictions and learn about the roles that they provide. A child advocate tends to be an officer of the Legislature in most of the other jurisdictions. That is not unlike an ombud that we have recently created here in the Northwest Territories. They are usually not singularly focused on child and family services, but instead focus on children's issues that may be through education or justice or other government functions, questions pertaining to the machinery of government offices such as an ombud or Legislature.

If a child advocate were to be created, it would likely be an office of the Legislature. We are all part of that, but it just is not a Health and Social Services pursuit. I would also note that the mandate of child advocates, if you look at what's happening in other jurisdictions and granted this information might be a little dated because it's based on the review we did in the 16^th Assembly, but a lot of those services are done by positions we have already created here in the Northwest Territories, like a children's lawyer, the territorial director, the ombud that we have recently created, so some of these positions can do some that work. However, I am also optimistic that, as we get more involved in Building Stronger Families and with a better focus on prevention, some of the reasons that people want a child advocate ombud today might not be as strong if we are more successful with the work that we intend to do. We already know that an ombud is very expensive, and I think that money may be better spent on front-line delivery of services to families. Thank you, Mr. Speaker.

Oral questions. Member for Deh Cho.

Mahsi, Mr. Speaker. As I stated in my Member's statement, some residents of the K'atlodeeche First Nation want to repair their homes but do not have home insurance and so were denied assistance. My question is to the Minister responsible for the Northwest Territories Housing Corporation. What kind of education or information does the NWT Housing Corporation offer for home-ownership clients, to encourage the need for home insurance? Mahsi.

Masi. Minister responsible for the Northwest Territories Housing Corporation.

Thank you, Mr. Speaker. As part of our education courses for home-ownership clients, we do provide information on the importance and need for home insurance. As all Members know and residents know, that is a big investment for any family, and we want to make sure that they are provided the services and are able to have that insurance should something happen to them. We are working with our financial partners, though, Mr. Speaker, to look at areas such as financial literacy and also increasing the accessibility on insurance coverage for our residents and exploring options around discounts on the cost of insurance plans. I would also want to let the Member know that this past weekend we did sit down with the district office managers and board chairs and members to address this issue, and they brought it up, and I did let the board chairs know that all MLAs within this government have been bringing up housing issues, and this is one of them that we are looking at addressing.

The second question is: does the Northwest Territories Housing Corporation deny public housing applicants who do not qualify for tenants' insurance?

Before anything, we always try to provide the best services for our residents and tenants that reply for housing throughout the Northwest Territories. We give all of our residents every opportunity to stay in their homes. We do not deny public housing applications to those who can't afford insurance. We strongly recommend that public housing tenants do get insurance, though, and we work with our partners to try to address that.

It is also mentioned in the lease agreements that tenants are advised to obtain some type of insurance moving forward, not only for the housing complex, but for their own assets that they have. We continue to work with our tenants to provide the education that is needed moving forward.

Has the Northwest Territories Housing Corporation done any analysis to determine what its annual losses might be if it provided these programs to low-income clients without the need for homeowners' insurance? In other words, is the valley of investment so high that it is worth denying low-income clients who need home ownership assistance just because they don't have insurance?

The majority of our programming for homeowners do not require home ownership insurance. Also, many of our low-income homeowners will not be denied our programming if they do not have insurance. As I said earlier, we want to make sure that our residents and people of the Northwest Territories have an opportunity to have a roof over their heads. However, we really do want to see homeowners having up-to-date insurance on their homes, as many of us do.

We do have two programs, CARE Major and CARE Mobility, where we do require homeowners insurance, and it goes back to the Member's question earlier. We need to get that education out, and we need to make sure that our managers and our board members give that information to residents of the Northwest Territories. This is due to the fact that these programs provide a considerable amount of financial assistance, up to $100,000.

I will make a commitment here, that we will start working on getting that information out. As I said, last weekend was the first time that we did meet with the board chairs, the first time ever, and also with our district managers. It is ground-breaking. I mentioned, and our staff mentioned, that we do need to get that information out to our residents, so that they know what kind of programs they can access.

Masi. Member for Deh Cho.

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 19^th 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 19^th, I think, should continue to have these types of questions moving forward for our residents across the territory. Thank you, Mr. Speaker.

Masi. Oral questions. Member for 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.

Masi. Minister of Health and Social Services.

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.

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?

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.

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?

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.