This is page numbers 2121 - 2162 of the Hansard for the 19th 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

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Rylund Johnson

Rylund Johnson Yellowknife North

Thank you, Mr. Chair. Yes. I just want to start with a general comment of: I recognize main estimates are largely set by the Department of Finance and how they are set out, but this is $337 million on three pages, which makes it larger than any department. Maybe just ECE total department budget is there. I know that the reason for that is not really intentional; it's a Finance thing and how the department is organized. I think probably a look needs to be done and, when we table the budget, some more information on how we are spending $337 million be provided both to MLAs and the public because it can be very difficult to understand. Starting with the big picture, can I have an update of what the projected deficit for the NTHSSA will be this year, this fiscal? Thank you, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
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The Chair

The Chair Rocky Simpson

Thank you, Member. Minister.

Consideration In Committee Of The Whole Of Bills And Other Matters
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Julie Green

Julie Green Yellowknife Centre

Thank you, Mr. Chair. I am not sure that I have a projected deficit yet. I do not know that they have done their budget. I think they are waiting for us to finish our budget. The last figure I have for the deficit was $120,700,000. Thank you.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Member.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Rylund Johnson

Rylund Johnson Yellowknife North

Thank you, Mr. Chair. I understand there are some plans to run a deficit-reduction plan. Are we expecting that this main estimates that we are looking it for 2021-2022 will actually add to the deficit, or are we now budgeting enough that the deficit will essentially stop? I am not expecting us to pay off the $120 million, but is it going to get bigger this fiscal, as well? Thank you.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Minister.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Julie Green

Julie Green Yellowknife Centre

Yes. Thank you. Based on the budget for this fiscal year, which had a deficit budget, the NTHSSA had a deficit projected for this fiscal year, then I am going to say that we are going to continue to grow the deficit for the time being. What we are trying to do is to reduce the size of that deficit to zero through the health system sustainability plan, which we have spoken about here, so what we are trying to do is understand the drivers that are adding to the deficit and address those and reduce them, obviously, so we get to a point where we are not budgeting with deficits for the health authorities. Thank you.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Member.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Rylund Johnson

Rylund Johnson Yellowknife North

Thank you, Mr. Chair. Admittedly, my understanding of why the health authority is able to run a deficit in the first place is not fully understood. Are there any plans to simply not allow them to run a deficit and then, if they needed to, come back through a supplementary appropriation process so that there is a little bit more ongoing tracking to this House? When they wrack up debt, it's not like it's a different debt; it's still the GNWT being held, and I think, at one point, we are probably going to have a conversation about whether that $120 million of debt is written off and brought into the GNWT. I do not really see the point in making them pay it off. I would like them to get to zero and adding to it. Is it possible, or is there a reason that health authorities have to be able to run deficits and we cannot simply let them rely on the supplementary appropriation process like every other department? 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

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The Chair

The Chair Rocky Simpson

Thank you. Minister.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Julie Green

Julie Green Yellowknife Centre

Yes. Thank you. I will start this, and then I will turn it over to Ms. Mathison. We have a very generous set of core services that are offered by our health authorities, and we need to ensure that we can continue those services now that we have them offered to our residents. We cannot say to people, "You could be out of work in March because we think that we will be out of money by then." The real question facing the health authorities is: what is the scope of our core services and what are the extras? Are we going to continue to fund all of the extras and continue adding to our deficit, or are we going to limit services? Are we going to ask people to pay for services? How are we going to manage the drivers on our health spending, which are substantial for us and all across Canada, which is why you hear news stories all the time about the Premier is negotiating with the federal government for an increased Canada Health Transfer. I, personally, am not a budget person. I do not see a way of reducing the deficit to zero and then working with supplementary appropriations when these are now all core services that we are funding. However, that is an amateur view, and Jeannie Mathison is a professional, so we should hear from her.

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The Chair

The Chair Rocky Simpson

Ms. Mathison.

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Mathison

Thank you. No pressure. To the Member's question around whether or not it would be appropriate to address the shortfalls through supplementary appropriation, I would suggest that the answer would be: supplementary appropriations are meant for unknown, uncertain, like in a given year, and authorities have been experiencing these deficits for some time now and that is the reason why they are budgeting for them. We do come forward on behalf of the authority in instances where they have budgeted, and we can very clearly articulate where they have overspent their budget. For example, medical travel, we typically come forward for that because we can very clearly lay out what they had budgeted and what was to be spent and then forecast; similarly, with adult southern placements, for example. In those cases, yes, the department does support the authority in going for supplementary funding, but generally, we are at the state of still not understanding all of the drivers of the deficit. Until we are at that point, we cannot address those funding shortfalls. 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

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The Chair

The Chair Rocky Simpson

Thank you. Member.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

February 25th, 2021

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Rylund Johnson

Rylund Johnson Yellowknife North

Thank, Mr. Chair. Yes. I guess that makes sense to me. We are not going to cut off core services anytime, but we have a yearly fund of fires to supplementary appropriation, which can range from $4- to $50 million and have large fluctuations. I think probably there is some room to have that conversation later. However, I wanted to switch to, I believe this is the funding for the Office of the Public Guardian. Can I get a clarification of whether there has been an increase to the Office of the Public Guardian? I note the department has a goal of decreasing the wait list for the number of people for guardianship. There is also some talk of reforming the act. Some people with disabilities do not presently qualify for guardianship, and they probably should. I think there is quite a bit of work and that this backlog has been a long time coming. Have we increased the budget for the Office of the Public Guardian somewhere in this $337 million? 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

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The Chair

The Chair Rocky Simpson

Thank you, Member. Minister.

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Julie Green

Julie Green Yellowknife Centre

Yes, thank you. The Office of the Public Guardian is actually in adult support services, and the staff there is the public guardian and an assistant. I don't think there is a budget increase, other than through the collective agreement, for this office in this fiscal year, but I will just turn to Ms. Mathison for additional information. Thank you.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Ms. Mathison.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Mathison

Thank you, Mr. Chair. No, there is no increase for the Office of the Public Guardian in this budget. Thank you.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Member.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Rylund Johnson

Rylund Johnson Yellowknife North

Thank you, Mr. Chair. I would like to see an increase for the Office the Public Guardian, but I guess I am even more concerned in looking at the business plan. We have asked them to do quite a bit of work, and they are already backlogged in getting people into guardianship. Is the department, somewhere else in this budget, providing policy support to that office so that they are not tasked with decreasing their wait list and completely reforming public guardianship? Are we providing policy support? 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

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The Chair

The Chair Rocky Simpson

Thank you. Minister.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Julie Green

Julie Green Yellowknife Centre

Thank you. I think that they were doing intake through contract services. I don't know if that's still the case, because that detail isn't on this page, but let me ask Ms. Mathison if that is the case. The Deputy Minister... [Microphone turned off]

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Deputy Minister.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Cooper

Thank you, Mr. Chair. We have been, for the last number of years, providing some in-kind support through staff and actually assigned staff, a couple of years ago, to participate in helping the office find some process improvements to streamline processes. We continue to have staff members who are supporting the office with their time. That's how we have been dealing with some of the workload issues. Thank you, Mr. Chair.