Debates of May 29, 2024 (day 18)

Date
May
29
2024
Session
20th Assembly, 1st Session
Day
18
Speaker
Members Present
Hon. Caitlin Cleveland, Mr. Edjericon, Mr. Hawkins, Hon. Lucy Kuptana, Hon. Jay Macdonald, Hon. Vince McKay, Mr. McNeely, Ms. Morgan, Mr. Morse, Mr. Nerysoo, Ms. Reid, Mr. Rodgers, Hon. Lesa Semmler, Hon. R.J. Simpson, Mr. Testart, Mr. Thompson, Mrs. Weyallon Armstrong, Hon. Caroline Wawzonek, Mrs. Yakeleya
Topics
Statements

Minister’s Statement 38-20(1): Non-Insured Health Benefits Agreement with Canada

Mr. Speaker, I want to provide the House with an update on the negotiations and discussions with the Government of Canada on the delivery of the federal NonInsured Health Benefits Program. This is a national program available to eligible First Nations and Inuit residents.

In the NWT, portions of the program are administered by the GNWT on behalf of Indigenous Services Canada, through a contribution agreement. Through this agreement, the Department of Health and Social Services is responsible for coordination of medical travel, arranging access to dental care and vision care services, and assisting with access to medical supplies and equipment for clients of the program.

Mr. Speaker, the Department of Health and Social Services entered into a new agreement with Indigenous Services Canada at the end of last fiscal year. This twoyear agreement provides annual funding of $47.1 million for last year and this year. Of this amount, $22.9 million is allocated for NonInsured Health Benefits Program delivery, while $24.2 million is intended to offset additional medical travel costs for eligible First Nations and Inuit residents in the Northwest Territories. While this new agreement provides a substantial increase in funding, there remains a significant shortfall to meet the full costs of the NonInsured Health Benefits Program delivery. The terms of the agreement still do not hold Indigenous Services Canada responsible for the full cost of providing NonInsured Health Benefits to eligible Northwest Territories residents.

The GNWT has reiterated to the federal government that its role is solely in administering Indigenous Services Canada's NonInsured Health Benefits Program in the Northwest Territories. This should not affect the federal government's responsibility for NonInsured Health Benefits for Indigenous residents, nor should it be seen as the GNWT assuming responsibility for costs associated with the program. Fully funding the NonInsured Health Benefits Program in the Northwest Territories NWT would also potentially remove barriers to Indigenous governments wishing to pursue the administration of NonInsured Health Benefits for their own beneficiaries and citizens in the future.

Historic and current arrangements between the federal government and the GNWT around the provision of medical travel and the administration of the noninsured health benefits have resulted in policy and funding gaps that are complicated to resolve. Resolving these foundational issues is an essential first step in making improvements to the delivery of medical travel in the Northwest Territories and addressing concerns with other noninsured health benefits areas such as dental services.

Mr. Speaker, over the last year and a half, issues related to NonInsured Health Benefits Program have been regularly discussed with the Northwest Territories Council of Leaders. Council members have taken a united position in advocating for Indigenous Services Canada to accept its responsibility for the full cost of this program and to ensure that noninsured health benefiteligible residents receive the full benefits afforded to them through this program. Their support has been instrumental in moving this issue forward with Canada, and I am committed to continuing to collaborate with Indigenous leadership on this important work.

To initiate the next round of negotiations I, along with the Tlicho Grand Chief and the President of the Northwest Territories Metis Nation, met with both Minister Holland and then met with Minister of Indigenous Services Canada Hajdu to discuss our concerns with the current noninsured health benefits agreement. We have agreed to work toward a draft agreement that closes the funding gap and addresses outstanding issues by the fall of 2024.

Mr. Speaker, I am committed to pursuing a new approach to engaging with the Government of Canada, working with Indigenous government leadership, to ensure the federal government upholds its responsibilities to noninsured health benefiteligible residents, and to working towards a streamlined coordination of services that benefit all the Northwest Territories residents. Thank you. Koana. Thank you, Mr. Speaker.

Speaker: MR. SPEAKER

Very good Minister's statement. Speaker happy.