Oral Questions, Health and Social Services — 11 March 2021 (19th Assembly, 2nd Session, pp. 2493–2524)

2021-03-11, 19th Assembly 2nd Session, pp. 2493–2524

Northwest Territories — Debates (Hansard)

Oral Questions, Health and Social Services — 11 March 2021 (19th Assembly, 2nd Session, pp. 2493–2524)

2021-03-11, 19th Assembly 2nd Session, pp. 2493–2524

Northwest Territories — Debates (Hansard)

Debates of March 11th, 2021

This is page numbers 2493 - 2524 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 care .

Topics

Oral Questions

Members Present

Prayer

COVID-19 Community Planning

Long-Term Care Bed Projections

Minimum Wage Increase

Elders' Facilities in Nunakput Communities

Thaidene Nene Spring Culture Camp

The Fourth Trimester

Northwest Territories Midwifery Services

Caribou Emergency

Devolving Powers to Municipal Governments

Provision of Emergency Health Care Services in Communities

Northwest Territories Curriculum Development

Caribou Emergency

Provision of Emergency Health Care Services in Communities

Elders' Facilities in Nunakput Communities

Devolving Powers to Municipal Governments

Northwest Territories Midwifery Services

The Fourth Trimester

Minimum Wage Committee

Tabled Document 353-19(2): Projected Demand for Long-Term Care Beds in the Northwest Territories, Northwest Territories Bureau of Statistics, August 2020 Tabled Document 354-19(2): Department of Health and Social Services Response to Long-Term Care Bed Projections

Extended Adjournment of the House to March 29, 2021

Bill 24-19(2):

An Act to Amend the Revolving Funds Act

Bill 25-19(2):

An Act to Amend the Education Act

Bill 23-19(2):

An Act to Amend the Public Utilities Act

Consideration In Committee Of The Whole Of Bills And Other Matters

Report Of Committee Of The Whole

Orders Of The Day

Members Present

Hon. Diane Archie , Hon. Frederick Blake Jr., Mr. Bonnetrouge , Hon. Paulie Chinna , Ms. Cleveland , Hon. Caroline Cochrane , Hon. Julie Green , Mr. Jacobson , Mr. Johnson , Ms. Martselos , Ms. Nokleby , Mr. Norn , Mr. O'Reilly , Ms. Semmler , Hon. R.J. Simpson , Mr. Rocky Simpson , Hon. Shane Thompson , Hon. Caroline Wawzonek

The House met at 1:31 p.m.

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---Prayer

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Prayer

Prayer

Page 2493

The Speaker

Frederick Blake Jr.

Today, we lower our flags in honour of those we have lost and the sacrifices we have all made in our common fight against COVID-19. I ask Members to join me in a moment of silence to mark those who have lost their lives to COVID-19. Thank you.

---Moment of silence

Thank you, Members. Members, it was on this day in 1975 that the Northwest Territories Legislative Assembly became the first in Canada to have a majority of First Nations representatives selected. Mahsi.

Item 2, Ministers' statements. Minister of Municipal and Community Affairs .

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Minister's Statement 138-19(2): COVID-19 Community Planning

Ministers' Statements

Page 2493

Paulie Chinna

Sahtu

Mr. Speaker, Northwest Territories residents are no strangers to emergency events. Every year, we are faced with threats such as forest fires and floods, to name a couple. Over the past 10 years alone, we have seen 21 emergency events that have resulted in the activation of community and territorial emergency plans, and in some cases, those events led to community evacuations. These events have included wildfires, floods, severe weather, prolonged power outages, and fuel shortages.

The approach to emergency management in the NWT relies on participation from everyone: individuals, families and to all levels of government. We are all in this together. Individuals and families have a responsibility to plan and prepare for the risks most relevant to them, to ensure their safety and the protection of their property. Communities are responsible for the development and implementation of emergency plans to reasonably protect the general public and minimize property damage and loss during emergencies.

The Government of the Northwest Territories is responsible for planning and responding to territorial emergencies and supporting communities when their capacity is exceeded during emergencies.

Since March 2020, Northwest Territories residents have been faced with a new threat unlike any we have experienced before: the COVID-19 pandemic. The pandemic response is being led by Health and Social Services and is supported by the COVID secretariat as well as Municipal and Community Affairs. MACA's primary focus during this event has included supporting the GNWT's pandemic response; working with communities to ensure planning and preparedness at the community level; and monitoring for any other emergency events. MACA works with all departments through the emergency management organization and to provide needed support to communities.

Mr. Speaker, one of the key success factors in past emergencies has been the ability of our communities to plan and prepare and, when required, respond to protect and care for our residents. As we found ourselves in the COVID-19 pandemic, very few community plans included guidelines on how to respond to a threat. As a result, since early in the pandemic, MACA has been working with the communities to ensure that there is a good understanding of the potential threats and their requirements to sustain essential services. Communities have been working very hard to ensure that they have plans in place, that they have identified potential gaps in services, and that preparations were being made.

Mr. Speaker, the true value of planning and preparedness is not realized until an emergency happens. The community of Fort Liard is an excellent example and the first real test of a community emergency plan to the direct impacts of a pandemic. On January 16, 2021, when the first case of COVID was confirmed in Fort Liard, these emergency plans were implemented, which meant activating local officials.

The Dehcho Regional Emergency Management Organization was also activated and deployed an on-site coordinator to Fort Liard daily to support the community government who advised as to their limitations in capacity in some areas. Staff also provided support for daily meetings with community leadership and ensured integration of EMO efforts with various people and groups. While community resources and capacity were impacted by the incident, the community was able, with support from the Emergency Management Organization, to respond and ensure all essential services continued.

These efforts also meant that those required to self-isolate had to receive groceries and other essential items. We want to commend the community for pulling together to ensure that all residents had their basic needs supported during the response.

Mr. Speaker, planning for and responding to emergency events is an ongoing process, and the COVID-19 pandemic is unprecedented. MACA will continue to work with communities to ensure plans are adapted and adjusted as more is learned about COVID-19, as the risk environment and assessment evolves, as vaccine programs take effect and as we learn from experiences like the response in Fort Liard.

Mr. Speaker, COVID-19 has been a long and difficult road for everyone. The rollout of the vaccine in the Northwest Territories is being well-received. It is important to note that the situation in the rest of Canada shows that we need to remain vigilant. I would like to remind everyone that it is critical that we all remain focused on protecting one another, and on behalf of Cabinet, I would like to thank all residents who continue to follow the advice and direction given by the Chief Public Health Officer and to ensure their own personal preparedness.

Develop personal emergency plans, have emergency supplies on hand, and connect with friends, family, and neighbours to support each other. A simple phone call or offer to drop off groceries at the doorstep can make a huge difference for anyone who is feeling alone while they are self-isolating.

In conclusion Mr. Speaker, once again, I would just like to thank the people of the Northwest Territories and the response in working with the Government of the Northwest Territories. Mahsi, Mr. Speaker.

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Minister's Statement 138-19(2): COVID-19 Community Planning

Ministers' Statements

Page 2493

The Speaker

Frederick Blake Jr.

Thank you, Minister. Ministers' statements. Minister of Health and Social Services .

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Minister's Statement 139-19(2): Long-Term Care Bed Projections

Ministers' Statements

Page 2493

Julie Green

Yellowknife Centre

Thank you, Mr. Speaker. The Government of the Northwest Territories knows how important it is to enable seniors to age in place with dignity as loved and valued members of our communities. That is why the 19 th Legislative Assembly has identified this as one of the 22 priorities in the Mandate of the Government of the Northwest Territories. We are taking a whole-of-government approach to create the conditions in which seniors will be able to stay at home as they age.

Mr. Speaker, one way that the Department of Health and Social Services is working to achieve this mandate priority is by implementing recommendations from the Home and Community Care Review. We want to support seniors to remain living independently, with services such as nursing care; personal care, like bathing and dressing; and home support for meals and laundry. While we focus on improving home and community care services, we know that not everyone's care needs can be met in the community, particularly those with complex conditions and those who need care throughout the day and night.

For this reason, the department is also providing equitable access to high quality long-term care services to support seniors.

Mr. Speaker, back in 2015, the GNWT provided an estimate of how many long-term care beds we would need in future years. At that time, we had only five years of long-term care data, and we used a ratio-based model of people in need to population. Last summer, the department decided to update these numbers. Staff worked with the NWT Bureau of Statistics to redo the estimate of long-term care beds required over the next 14 years. Later today, I will be tabling the result, a report titled "Projected Demand for Long-Term Care Beds in the NWT" and another called the department's "Response to Long-Term Care Bed Projections." The

summary of the report tells us we will not require as many new beds as we thought in 2015.

The NWT Bureau of Statistics used the most current and best practices to establish the demand for care. The bureau used 10 years of NWT long-term care data for its modelling and provided the department with projections for three scenarios based on age and care needs. The projections for all three indicate the same thing: the number of beds needed has decreased.

The Department of Health and Social Services has accepted one of these scenarios. We are confident that these projections are based on the best evidence available. These projections align with key findings about long-term care use in the NWT, such as our average age of admission into long-term care and the care levels individuals require upon admission. To make a long story short, we will need an additional 169 long-term care beds by 2034. This is a reduction from the 2015 bed projections that identify we would need 435 additional beds in that same time frame.

These updated projections are based on a model that is aligned with best practices used by other jurisdictions. The NWT Bureau of Statistics used 10 years of the department's long-term care data and regional and territorial population projections to provide the new long term care bed projections up to 2035. Our projections now tell us the NWT's long-term care bed use is 72 per 1,000 population age 70 and older as compared to the 115 per 1,000 population age 70 and older used for the earlier projections. This is one of the biggest contributors to the adjustment in the 2020 bed projections.

We have also added long-term care beds in Norman Wells and Behchoko since the projections were done in 2015.

The revised bed projections will not result in a reduction of services for seniors. We will use our home and community care resources more effectively. This means that seniors will receive the support they need in their home communities for as long as possible without going into long-term care. Long-term care is meant for seniors who require high levels of care and who can no longer be supported in their homes. Examples include medically complex diagnoses, a person who requires 24/7 care, and a person who is at high risk of injury to self or others. Seniors will be supported by the whole of government, which includes targeted investment in other areas, including additional seniors housing.

Mr. Speaker, this is a dramatic change and these new long-term care bed projections will require a shift in the department's current plans for capital spending in several NWT communities. The department plans to discuss these changes with stakeholders. We want to determine the best approach to provide an evidence-based continuum of services to meet the care needs of seniors, including homecare, long-term care, and other innovative approaches like the paid family caregiver pilot.

Through initial engagement with Indigenous governments and Health and Social Services system leaders, we have confirmed the desire to have elders and their caregivers supported to remain living in their homes. The department will continue to work collaboratively to respond.

Mr. Speaker, the Department of Health and Social Services is committed to enhancing home and community care services to more fully meet the care needs of seniors and elders so they can remain independent for as long as possible and to ensuring long-term care services are in place when their needs can no longer be met in their communities. Thank you, Mr. Speaker.

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Minister's Statement 139-19(2): Long-Term Care Bed Projections

Ministers' Statements

Page 2494

The Speaker

Frederick Blake Jr.

Thank you, Minister. Ministers' statements. Minister of Education, Culture and Employment .

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Minister's Statement 140-19(2): Minimum Wage Increase

Ministers' Statements

Page 2494

R.J. Simpson

Hay River North

Thank you, Mr. Speaker. On September 1, 2021, the minimum wage in the Northwest Territories will increase from $13.46 per hour to $15.20 per hour, making it the second highest minimum wage in Canada behind Nunavut. Since the last increase in 2018, the cost of living and the average hourly wage in the NWT have risen. This increase ensures that the minimum wage does not fall behind, brings our minimum- to average-wage ratio more in line with the rest of Canada, and makes us more competitive with our neighbouring jurisdictions.

Mr. Speaker, the Government of the Northwest Territories is very aware of the ongoing impacts that the COVID-19 pandemic has had on employees and businesses.

That is why this government has provided a number of supports since the onset of the pandemic, including the NWT Wage Top-Up program, which has been extended until August 31, 2021; the extension of the Business Development and Investment Corporation working capital loans and deferred loan payments; financial supports for the arts and agriculture sectors; and the Support for Entrepreneurs and Economic Development program, which was adapted to the realities of the pandemic.

We also understand the importance of providing employers with sufficient time to plan for and implement a new minimum wage, which is why we are making this announcement now and will continue to advertise this change until it comes into effect on September 1 st .

The Department of Education, Culture and Employment also recently announced new Labour Market Recovery Program funding, which will provide critical support to businesses looking to re-hire workers, prevent further job losses, return to or transition operations, or develop training and capacity. This recovery funding is available to employers, organizations, and community partners by contacting regional education, culture and employment service centres.

The decision to increase the minimum wage to $15.20 per hour was informed by the recommendations of the Minimum Wage Committee. To ensure that the views of employees and employers are reflected in decisions about the minimum wage, a Minimum Wage Committee is struck every two years and includes representatives from industry, labour, and non-governmental organizations. Committee members work collaboratively to identify options for minimum wage rates that are considered fair for both employees and employers.

In developing their recommendations, the committee undertook extensive research on the social and economic conditions of the Northwest Territories, minimum and average hourly wages in other provinces and territories, and the findings of national and international reports and studies. Mr. Speaker, I want to thank the committee members for their time, energy, and thoughtful consideration and analysis they put into developing the report and recommendations. Thank you, Mr. Speaker.

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Minister's Statement 140-19(2): Minimum Wage Increase

Ministers' Statements

Page 2494

The Speaker

Frederick Blake Jr.

Thank you, Minister. Ministers' statements. Item 3, Members' statements. Member for Nunakput .

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Elders' Facilities in Nunakput Communities

Members' Statements

Page 2494

Jackie Jacobson

Nunakput

Thank you, Mr. Speaker. Today, I am glad that Minister Green brought this up, with elders aging in care in their home communities. Elders' facilities in Paulatuk and Ulukhaktok and keeping our elders home, Mr. Speaker: our elders have these facilities in Ulukhaktok and Paulatuk. These are small communities that would not take much to care for elders, but here in our six-bed long-term care facility, we would not have to send them to Inuvik to be away from the family, which is so tough on our elders right now. Our elders in our communities are very active. Our elders work to keep our culture and history alive.

They are busy teaching our youth, working with traditional knowledge projects. Thanks to our elders for traditional activities in our communities to make them thrive.

Mr. Speaker, it seems that we are not so thankful after all sometimes. Our elders need help. We don't seem to have a place for them to go other than sending them out to Inuvik, and the cost of seeing our elders go to Inuvik, like I said before, it's over $1,000 a plane ticket from Sachs Harbour to Ulukhaktok or Paulatuk. It's unacceptable, Mr. Speaker. I want to work with our government to keep our elders home, to take care of them by ourselves as a community, as a family. We owe this to our elders. They deserve to stay home and to keep our knowledge for our home communities.

They shared with us, with the territories, with Canada, and the world. These are our elders, Mr. Speaker. I wonder what prevents us from giving back. I'll ask the Minister for elders' facilities in Ulukhaktok and Paulatuk to work with the community corporation on a go-forward basis. Thank you, Mr. Speaker.

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Elders' Facilities in Nunakput Communities

Members' Statements

Page 2494

The Speaker

Frederick Blake Jr.

Thank you, Member for Nunakput . Members' statements. Member for Tu Nedhe-Wiilideh .

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Thaidene Nene Spring Culture Camp

Members' Statements

Page 2494

Steve Norn

Tu Nedhe-Wiilideh

Marsi cho, Mr. Speaker. Today, I would like to discuss the Thaidene Nene culture camp and spring hunt taking place in Lutselk'e, beginning today until March 21 st . This camp will be conducted in partnership with the Ni Hat'ni Dene guardians and the Ni Hadi Xa traditional knowledge monitors. The camp is being co-sponsored by several organizations, including the Lutselk'e Dene School, the LKDFN Wellness Department, the Department of Lands, ENR, ITI, Parks Canada, and others. If I missed anybody, forgive me; the full list of contributors can be found on the Land of the Ancestors website.

Mr. Speaker, this camp will be providing youth from Lutselk'e Dene School with opportunities for hands-on learning with traditional hunting practices. This camp will be taking place at Hedacho Kue, also known as Artillery Lake, and it will include a spring hunt, among other things, as I mentioned earlier. I have been invited to this, and

schedule permitting, I will be able to join in with these guys at some point during the event.

I'd like to thank the community and commend them and all the coordinators and elders who helped plan this event, and I note JC Catholique, who is the primary camp coordinator. I would like to thank all the co-sponsors, as well, for contributing to this event, and I know this camp will provide a great opportunity for our youth to interact with and learn from our traditional knowledge holders. I encourage as many youth to participate in this event as possible in the community, and I hope to see more events and camps like these in the future, in our riding of Tu Nedhe-Wiilideh. Marsi cho, Mr. Speaker.

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Thaidene Nene Spring Culture Camp

Members' Statements

Page 2494

The Speaker

Frederick Blake Jr.

Thank you, Member for Tu Nedhe-Wiilideh . Members' statements. Member for Kam Lake .

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The Fourth Trimester

Members' Statements

Page 2495

Caitlin Cleveland

Kam Lake

Mr. Speaker, it's time for a little real talk. Pregnancy and childbirth has been a thing for a long time. Pregnancy is painted as a beautiful time where people glow and blossom. Well, the glow is sweat, Mr. Speaker, and the blossom is your cankles trying to fit into your flip-flops because your boots don't fit. Fast-forward past the undeniable beauty of weight gain, 10 months of morning sickness, and half a year of cute toes playing xylophone on your ribcage, and you arrive at the big day. With the luxury of a nurse in the family, I laboured at home until the 11 th hour, and then I hurried to Stanton.

I waddled up to the desk, my husband rushing me, then 40 hours later, I got to push. I spent three-and-a-half hours trying to evict a child that held firmly to my insides and, on 6/6/06, at six minutes to the hour, I became a mother for the first time.

Welcome, Mr. Speaker, to the fourth trimester. We spend months planning for a baby, but those plans rarely include the mother's health, safety, and recovery. The what-to-buy list includes an exhaustive amount of baby stuff, but nowhere does it say to put a friend in charge of daily check-ins, buy granny panties, and buy fibre pills. For the love of God, buy the fibre pills.

Don't get me wrong. I would do it again. We can finally laugh at the chaos and high-five that we survived, but it doesn't mean we can't evolve how we support and care for new mothers. This is real life, and real is compassionate, honest, and kind. To the new moms, it will get easier. You will be able to sit again, and you will bond, but as you tumble dry through the fourth trimester, be kind to yourself. Eat, sleep, feed the baby, and be kind to yourself. Thank you, Mr. Speaker.

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The Fourth Trimester

Members' Statements

Page 2495

The Speaker

Frederick Blake Jr.

Thank you, Member for Kam Lake . Members' statements. Member for Thebacha .

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Northwest Territories Midwifery Services

Members' Statements

Page 2495

Frieda Martselos

Thebacha

Thank you, Mr. Speaker. The midwifery programs in Fort Smith and Hay River have been providing excellent care since their inception. Data from the University of British Columbia demonstrates that health outcomes for patients using midwifery services are equal to or better than the rest of the territory and even the country. NWT communities with midwifery services have lower pre-term birth rates than those without, and even clients who choose to leave their home communities for birth have lower C-section rates and long breastfeeding duration rates.

These excellent health outcomes are directly tied to the culturally safe and relationship-based care of midwifery. Imagine the improvements our people and communities could see if we invested more in midwifery. We could bring down our high infant mortality rate. Half of the NWT's population is Indigenous, and as our own programs have demonstrated, midwifery clearly helps in addressing the large maternal and infant health disparities of Indigenous people.

Demand for midwifery services is high. Folks pay for their own travel to communities, especially throughout the Deh Cho. Even people from Yellowknife are seeking care from midwives in Hay River and Fort Smith. Midwifery investments will make access to these services, along with the better health outcomes they provide, more equitable for all people across the NWT. Our government has taken note of these facts and has committed to expand midwifery services. We spent a lot of time and money studying how to successfully expand midwifery services, both in 2012 and 2017.

Based on these studies, along with strong public support, a plan was made and, in 2019, funds were provided for phase one of three for midwifery service expansion. After just one year of capacity-building, the funds to move to phase 2 were not delivered as planned. Our government is now stalling, saying we need to revisit the plan and business case.

Our midwifery program has demonstrated excellent outcomes despite being under-resourced, since they lack both adequate support from management and appropriate funding levels for staff. The midwifery services in Rankin Inlet recently closed because of these similar problems. Mr. Speaker, I seek unanimous consent to conclude my statement.

---Unanimous consent granted

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Northwest Territories Midwifery Services

Members' Statements

Page 2495

Frieda Martselos

Thebacha

In closing, Mr. Speaker, now is not the time to falter. Our midwifery services are fragile and require financial investment to continue. Lots of time, money, and energy has been invested in consulting the public and planning. If we fail to invest in our midwifery programs now, we risk losing the ground we've worked so hard to gain over the years. I will have questions for the Minister of health later today. Thank you, Mr. Speaker.

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Northwest Territories Midwifery Services

Members' Statements

Page 2495

The Speaker

Frederick Blake Jr.

Thank you, Member for Thebacha . Members' statements. Member for Frame Lake .

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Caribou Emergency

Members' Statements

Page 2495

Kevin O'Reilly

Frame Lake

Merci, Monsieur le President. I want to say it's a pretty hard act to follow the last couple of statements there. In August 2019, Cabinet finally approved the long-awaited Bathurst Caribou Range Plan. That plan calls for a variety of actions, including a cumulative land disturbance framework, community guardianship, habitat conservation, mobile caribou conservation measures, road planning and management, offsetting compensatory mechanisms, wildfire and fuels management, and online map staking.

It appears much of GNWT's efforts at trying to assist with the recovery of the Bathurst caribou herd have been focused on harvest management and predator control. Harvest management has been in place for years. I want to acknowledge and appreciate the Minister's and Indigenous leaders' recent work on the illegal harvesting. I can't say much about wolf control as it is still before the Wek'eezhii Renewable Resources Board, but the ground and aerial shooting program did not yield the expected results. I continue to ask about our efforts at habitat protection and get vague answers on future actions.

We should not plan or build roads into the range of the Bathurst caribou herd unless there are some clear signs of recovery and action on habitat protection.

The year 2020 was a wash for the Bathurst caribou herd as the calving ground surveys were not carried out, predator control appears to have failed, and very little seems to have been accomplished with regard to habitat protection. I'll have questions for the Minister of Environment and Natural Resources about whether this government is serious about recovery of the Bathurst caribou herd. Mahsi, Mr. Speaker.

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Caribou Emergency

Members' Statements

Page 2495

The Speaker

Frederick Blake Jr.

Members' statements. Member for Yellowknife North .

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Devolving Powers to Municipal Governments

Members' Statements

Page 2495

Rylund Johnson

Yellowknife North

Mr. Speaker, to be quite honest, I have more faith in our community governments than our own. I believe the structure of community governments allows them to be more nimble. I believe the services they provide their people every day on the ground are more important than much of the work we do in this House. Yet, Mr. Speaker, the GNWT continues to have a paternalistic relationship with its communities. This is no more apparent than with the relationship with our capital city.

Inevitably, Mr. Speaker, in every Yellowknife election, some city councillor decides to talk about a land value tax, a tax that would allow land to be assessed differently in incentivized development, or a vacancy tax to tax some of the long vacant lots in Yellowknife. Then, this conversation is quickly stifled because someone has to remind them that they don't have that power. The GNWT has not given it to them and likely will never will because I cannot get MACA to bring forward any legislation, Mr. Speaker.

Mr. Speaker, the city of Yellowknife has half the population. It has the capacity to take on many of these issues, and I believe they should. I would like the Department of Municipal and Community Affairs to engage discussions on a city charter with them. I would like to have conversations about devolving powers. I can't foresee a Legislative Assembly where there will ever be agreement on liquor, Mr. Speaker, yet I believe there is a path forward where we give communities control over what they want their liquor regulations to look forward. I believe we can devolve powers to solve some of the debates in this House we likely will never solve.

Mr. Speaker, recently, the City of Yellowknife passed a motion in support of granting permanent residents the right to vote. They don't have the power to do that. This House does. Another debate which I don't see a path forward to us actually giving the community what they want.

Mr. Speaker, city charters exist for capital cities all across the country. They create a sustainable financial arrangement, and often, it forces large cities to take the good times with the bad. If the GNWT revenues go down, city revenues go down. If the GNWT revenues go up, city revenues go up. We need to have a conversation about where the GNWT's mandate ends and where our communities' start because we have continually off-loaded powers without funding them, and I believe there are significant gaps that were brought forward during this pandemic.

I will have questions for the Minister of Municipal and Community Affairs about whether we can figure out where our mandates ends and our communities' begins. Thank you, Mr. Speaker.

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Devolving Powers to Municipal Governments

Members' Statements

Page 2495

The Speaker

Frederick Blake Jr.

Thank you, Member for Yellowknife North . Members' statements. Member for Great Slave .

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Provision of Emergency Health Care Services in Communities

Members' Statements

Page 2496

Katrina Nokleby

Great Slave

Thank you, Mr. Speaker. Over the course of this Assembly, we have heard a lot of conversation around the provision of healthcare services in our communities. There have been requests for community nurses to make house calls and for them to leave the health centres in emergency situations. The majority of Canadians have access to emergency medical services in their home, if needed. Why do our residents not deserve the same? Why is this critical component of safe emergency care missing in our communities?

We have heard several Ministers of Health and Social Services, time and time again, redirect questions of ambulance services to the Department of MACA. One department blaming the other, and the typical silo'd government approach continues on hampering progress. Meanwhile, years pass with no new services coming into existence, and people in communities die. Having a safety background and having been lucky and never injured in a community I was working in, I have a lot of questions about what happens during an emergency.

Once a patient is at the health centre and needs to be medevaced out of the community, how does the patient travel from the health centre to the aircraft? How do critically ill patients get to a medevac flight? Is it in the back of a pick-up? On a four-wheeler? Or in a Ski-Doo? Isn't it our responsibility to get a patient safely from one centre to another for care?

All levels of paramedics are licensed in the rest of Canada, so why aren't paramedics professionally licensed in the NWT? It's my understanding that the Department of Health and Social Services has been working on legislation to regulate paramedic services in the NWT, going as far as the public consultation phase, but then cave to the pressure of a few local providers who didn't want to have to provide the same level of care as down south.

This leads to inconsistent delivery of service across the territory as there are no standardized protocols or procedures for recordkeeping, drug administration, or risk management. This severely compromises patient safety and is not acceptable. How can we say we are protecting and serving people when we don't even have a definition of how we are going to do it or track any of the results? Why does the Department of HSS not go forward with a community-based paramedicine program we've seen in the Inuvik region, a model for a health-authority-based ambulance system that can actually make money rather than lose it?

Why are we not looking to replicate this in other northern communities?

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Provision of Emergency Health Care Services in Communities

Members' Statements

Page 2496

The Speaker

Frederick Blake Jr.

Thank you, Member for Great Slave . Members' statements. Item 4, returns to oral questions. Item 5, recognition of visitors in the gallery. Item 6, acknowledgments. Item 7, oral questions. Member for Hay River South .

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

Rocky Simpson

Hay River South

Thank you, Mr. Speaker. The questions are for the Minister responsible for ECE . Mr. Speaker, with all the recent attention of potential changes to the NWT school curriculum in the media and news articles suggesting the NWT is dropping the Alberta curriculum, can the Minister please clarify if a decision has been made to move away from Alberta? Thank you, Mr. Speaker.

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

The Speaker

Frederick Blake Jr.

Thank you, Member for Hay River South . Minister of Education, Culture and Employment .

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

R.J. Simpson

Hay River North

Thank you, Mr. Speaker, and I thank the Member for asking me this and giving me a chance to clarify. There has been a lot of chatter about this lately. For those of you who pay attention to what is said in this House, it's been almost one year to the day that I've been talking about renewing the curriculum in the Northwest Territories. This discussion has been ongoing.

After our report from the Office of the Auditor General of Canada saying that we need to do something with our education system, we started looking at every single aspect of what we do, and renewing our curriculum was one of those things that we wanted to look at. However, we have not made a decision. We are nowhere near making a decision. We are in the very early stages of seeing what is out there. Alberta is renewing its curriculum now. B.C. has a modern curriculum. The Yukon uses that curriculum.

There are other curriculum developments across Canada, and it's incumbent upon us to ensure that whatever curriculum we use is right for the people of the Northwest Territories. As I said, Alberta is renewing their curriculum, so one way or another, we're getting a new curriculum. We need to do our due diligence, but we are a ways away from making any sort of decision. Thank you, Mr. Speaker.

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

Rocky Simpson

Hay River South

I hope that comment about paying attention wasn't directed at me.

---Laughter

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

Rocky Simpson

Hay River South

Mr. Speaker, I'll ask the Minister: why is ECE changing the NWT curriculum, and how are those changes made? Will there be opportunity for input from the public or the partners?

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

R.J. Simpson

Hay River North

As I stated, we are always looking at our curriculum, always looking at what is new. There're people in the department who, this is their job. They focus on curriculum. As I said, given the Office of the Auditor General results as well as our own results as well as the fact that we know we need to do better, we wanted to look and see if, perhaps, adjusting our curriculum is a way to do that. There're a lot of options. Looking forward, we could stay with Alberta's new curriculum. We could create a partnership with another jurisdiction.

We could, perhaps, use K to eight of one jurisdiction and then use nine to twelve with Alberta. There're a lot of opportunities here. We just want to make sure that we are doing what's right for the students of the Northwest Territories. Ideally, we would be able to develop our own curriculum, but the fact is, it's too costly. It would be well beyond the reach of this territory. In other jurisdictions, their curriculum development shops are huge, and we just don't have that.

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

Rocky Simpson

Hay River South

My third question, I guess he answered part of it: why can't the NWT just develop our own curriculum, but it sounds like it's too expensive. Why do we have to partner with another province besides the fact that we're talking about money?

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

R.J. Simpson

Hay River North

We have to partner with another jurisdiction just for that fact that it is too expensive. That is not to say that we do not have a lot of our own curriculum. We have a junior kindergarten curriculum that is really world class, and other jurisdictions in Canada have approached us about it. We have specific courses developed in the Northwest Territories, things like Northern Studies 10. We are working on Northern Studies 20. We have science courses developed in the territory, the Our Languages curriculum. We do do a lot.

However, to develop an entire curriculum, the assessments that go along with the curriculum, for example, the diploma examinations that we have now, it's just well beyond our reach, and financially, it's just not doable.

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

The Speaker

Frederick Blake Jr.

Final supplementary. Member for Hay River South .

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

Rocky Simpson

Hay River South

Thank you, Mr. Speaker. I will ask the Minister: when will a final decision be made, and then, when can we expect the new curriculum to roll out to schools? Thank you, Mr. Speaker.

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

R.J. Simpson

Hay River North

We cannot do this alone. We are so early on in this, we have not reached out to the education bodies yet, to the Indigenous bodies, anything like that, so we are starting that process now. We have done a lot of the leg work, but there is still much more to do. The decision would come in the summer at the earliest, and if we were to adopt a new curriculum, it would not be rolling out until 2022. Thank you.

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Question 660-19(2): Northwest Territories Curriculum Development

Oral Questions

Page 2496

The Speaker

Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Frame Lake .

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2496

Kevin O'Reilly

Frame Lake

Merci, Monsieur le President. Earlier today, I discussed how predator-control measures for the Bathurst caribou herd were ineffective and the lack of progress on habitat protection while the Slave Geological Province road continues to steamroll right along. Can the Minister of Environment and Natural Resources tell us what specific actions have been undertaken in the last year to protect key habitat for the Bathurst caribou herd? Mahsi, Mr. Speaker.

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2496

The Speaker

Frederick Blake Jr.

Thank you, Member for Frame Lake . Minister of Environment and Natural Resources .

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2496

Shane Thompson

Nahendeh

Thank you, Mr. Speaker. I thank the Member for giving me these questions ahead of time because it's going to be pretty detailed on this one here. The range plan made nine recommendations to manage total disturbance on the range of the Bathurst caribou herd and to reduce and manage impact on the caribou and the caribou habitat. We are working on all nine recommendations and have begun. Habitat conservation is recommended in the Bathurst range plan, specifically in areas of importance to the caribou to maintain migration routes, such as key water crossings and land quarters.

ENR is supporting Indigenous governments and organizations to document these key habitat features and to provide them for consideration.

As I said previously in this House, Mr. Speaker, we will continue to work collaboratively to identify appropriate legislative tools to advance the establishment of conservation areas, and we have established a new fire crew in Wekweeti to allow faster response to fire on barren-ground caribou winter habitat. We have established a caribou guardians program as also recommended in the range plan. Significant work has continued to develop a network of community-based programs that will monitor and report on caribou habitat. Mr. Speaker, it's all part of the picture. It's our wildlife.

It's the conservation of our management of legal hunting, respectful hunting, the wolf program, and our habitat. Thank you, Mr. Speaker.

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2497

Kevin O'Reilly

Frame Lake

I want to thank the Minister for his Minister's statement there. No. Look, I do appreciate the work that he and his staff are doing on this. I just wish it was a little bit faster. I described some of the actions and tools that are supposed to be taking place as part of the implementation of the Bathurst caribou range plan, and the Minister himself mentioned the cumulative land disturbance framework. Can the Minister tell us whether this framework has been applied against the proposed Slave Geological Province road, and if so, can he share that analysis with MLAs and the public?

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2497

Shane Thompson

Nahendeh

I will try to keep my Minister's statement short on this answer here, but we want to make sure we get that detail and that information out there. The framework was applied against the proposed Slave Geological Province road. A technical package was supported with the Bathurst caribou range plan, and yes, we will be able to provide is to SCEDE.

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2497

Kevin O'Reilly

Frame Lake

I appreciate the Minister's short answer yes there. That was great. The Minister obviously knows exploration and development in the range of the Bathurst caribou herd is probably at an all-time low since the 1980s as a result of the pandemic. Now would seem to be a great time to finally develop and implement mobile caribou conservation measures that would provide temporary habitat protection, so can the Minister tell us about the status of the promised mobile caribou conservation measures and when we can expect to see them finally implemented?

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2497

Shane Thompson

Nahendeh

ENR will finalize the framework by this summer. A draft framework has provided guidance to a pilot project that was done in collaboration with our industry partner, Aurora Geosciences. Because of COVID, we had to do a desktop exercise. The outcome of the project was the need for an operational guidance document, and we are working on developing that with Aurora Geosciences. We plan to test this operational document this summer.

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2497

The Speaker

Frederick Blake Jr.

Thank you, Minister. Final supplementary. Member for Frame Lake .

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2497

Kevin O'Reilly

Frame Lake

Merci, Monsieur le President. I want to thank the Minister for that. I look forward to seeing the results of that. Of course, what elders and biologists alike say is that we need to permanently protect key habitat for barren-ground and boreal caribou as part of a balanced program. With low levels of activity and interest, we have got things like land use planning, but we also need other forms of permanent land withdrawals or protection. Can the Minister tell us what our government is doing with regard to permanent protection of key habitat for the Bathurst caribou herd? Mahsi, Mr. Speaker.

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2497

Shane Thompson

Nahendeh

Key habitat is identified through a collaborative process with our Indigenous governments and organizations, and it helps us identify key areas that could be considered for habitat protection under the wildlife act. ENR has a series of workshops with partners to identify and prioritize areas of protection, and we are completing input from our partners and will collaboratively work on the plan to clarify key areas to be considered for habitat protection. Thank you, Mr. Speaker.

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Question 661-19(2): Caribou Emergency

Oral Questions

Page 2497

The Speaker

Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Great Slave .

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

Katrina Nokleby

Great Slave

Thank you, Mr. Speaker. My questions are for the Minister of Health and Social Services . Can the Minister tell me how patients get from the health centre to the medevac flight in communities with no ambulance service? Thank you, Mr. Speaker.

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

The Speaker

Frederick Blake Jr.

Thank you, Member for Great Slave . Minister of Health and Social Services .

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

Julie Green

Yellowknife Centre

Yes. Thank you, Mr. Speaker. As I am sure the Member can appreciate, with 33 different communities, there are a number of different ways of getting there. One possibility is local emergency service providers, such as the fire department or the RCMP. In some places, there are ground transportation contracts that are available through a competitive bid. In some cases, community governments provide that service, and in some cases, in fact, people do it themselves with whatever equipment they have available. Thank you.

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

Katrina Nokleby

Great Slave

It would be great if the Minister could send me the breakdown of the different communities and their response plans for ground transportation. For question number two: when will paramedics be licensed in the Northwest Territories, and when will adjustments be made to the act in order to enable this service?

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

Julie Green

Yellowknife Centre

I welcome the opportunity to clarify the fact that paramedics are licensed in the NWT, and no changes are required to the act.

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

Katrina Nokleby

Great Slave

That is great to hear. Thank you. My next question may be redundant, but: community-based paramedics programs have clinical evidence of their success in Northern Ontario, British Columbia, and Alberta. Why was the community-based paramedicine program discontinued here in the Northwest Territories, considering that the Canadian Armed Forces was willing to partner with the Northwest Territories?

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

Julie Green

Yellowknife Centre

I appreciate the opportunity to clarify here, as well. In fact, what took place in Tsiigehtchic was a pilot program to train local community members as first responders beginning in 2019. The good news about this pilot program is that 16 community members did receive emergency response training. That work, however, has not progressed from that stage. It is in the health Department's work plan to engage with MACA to discuss next steps on how we can build on this pilot, and the next steps are due by September of this year.

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

The Speaker

Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Great Slave .

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

Katrina Nokleby

Great Slave

Thank you, Mr. Speaker. I guess I have my facts wrong, but I will check back with my research and take a look at that. My last question is: would the Minister tell us her position on whether or not she finds the discrepancies in our healthcare system due to systemic racism? Thank you.

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

Julie Green

Yellowknife Centre

I am not going to offer an opinion. Thank you.

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Question 662-19(2): Provision of Emergency Health Care Services in Communities

Oral Questions

Page 2497

The Speaker

Frederick Blake Jr.

Thank you. Oral questions. Member for Nunakput .

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2497

Jackie Jacobson

Nunakput

Thank you, Mr. Speaker. Today, I brought up my Member's statement in regard to elders staying home. You know as well as I do: we take care of our own, and we take care of our elders. I want to know: what care facilities are currently available in our communities of Paulatuk and Ulukhaktok right now? Thank you, Mr. Speaker.

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2497

The Speaker

Frederick Blake Jr.

Thank you, Member for Nunakput . Minister of Health and Social Services .

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2497

Julie Green

Yellowknife Centre

Thank you, Mr. Speaker. If the Member is talking about long-term care facilities, there are none in his riding. If he is talking about homecare support so that people receive services while in their own homes, every community in the Beaufort-Delta and in his riding has homecare services available. They are usually provided by the healthcare centre, and they work with elders and their families to deliver the services that are identified as required under a nursing assessment. That could be a full range of things from help with bathing and mobility, light housekeeping, meal preparation, and so on.

Tuktoyaktuk, as well, is one of the sites of the paid family caregiver program where this pilot project is providing up to four hours a week of additional supports to five elders in the community. We are very interested to see the outcome of this, whether it's a way forward to provide more community support. There is quite a bit of homecare, but long-term care is only available closest to him in Inuvik. Thank you.

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2497

Jackie Jacobson

Nunakput

The next steps are working with our housing Minister and Health Minister in regard to getting elders facilities in both Paulatuk and Ulukhaktok, which we need. Like I said before, flying to Inuvik is over $1,000 to go see one of your loved ones. The only time you'll get to go there is if you are going there for medical. It really hurts and impacts families deeply when they are sending an elder to Inuvik for long-term care. We need to fix this problem.

We could find money for anything when it comes to bigger projects and stuff like that, but something like this, working with the Inuvialuit Development Corporation, the community corporation, and our government: are they willing to work together to take those next steps in regard to providing elders facilities in those two communities?

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2497

Julie Green

Yellowknife Centre

The issue here with long-term care is economies of scale. There are 12 elders in Sachs Harbour who are 60-plus, 43 in Ulukhaktok, 31 in Paulatuk, and 139 in Tuktoyaktuk. That's a very small population from which to build a long-term care centre that benefits from the economies of scales. I think the minimum size is 16 beds. I don't think that it's feasible to do long-term care in those facilities because of the size of them. However, we have heard from Mr. Colin Okheena from Ulukhaktok, and he has requested that we meet with him and his community corporation to talk about elders facilities in his communities.

We have agreed to that. We wrote to him at the end of February and suggested that he call the office and set up a meeting.

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2498

Jackie Jacobson

Nunakput

I thank the Minister for that, for reaching out to Mr. Okheena. I really think the demographic size of a community or distance from Inuvik to Ulukhaktok or Ulukhaktok to Sachs Harbour or to Paulatuk or Tuktoyaktuk, it shouldn't matter. It shouldn't matter for the money that we are spending. These elders were here first, born and raised. We have to take care of our elders. Money shouldn't be the main issue. I know we are stretched like a rubber band, but the thing is: my elders deserve this. My elders need to stay home.

Our families need to be kept together because you know it as well as I do: as soon as they go to Inuvik, they don't last long. I don't mean to say that, and I'm not trying to hurt anybody's feelings or nothing. At the end of the day, our elders were born and raised in the Northwest Territories, and we demand service.

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2498

Julie Green

Yellowknife Centre

I appreciate the Member's passion on this topic and the desire to keep people at home. It is our mandate to help seniors age in place with dignity, and of course, that's every senior in the NWT. The way that long-term care works is that people don't go in to long-term care unless they have 24/7 nursing needs or chronic conditions, complex conditions, that need full-time nursing care. Unfortunately, the reason that people don't last a long time after they go into long-term care is because they are already pretty ill. The average stay in long-term care is around two-and-a-half years.

I appreciate that that is not an outcome that anyone wants. The outcome that people want is for elders to stay in their community.

As I have said previously, there is a combination here of homecare support, which is provided by the Department of Health and Social Services, and a facility in which the elders can live, which is within the NWT Housing Corporation. I have committed, and the Housing Corporation Minister has agreed, that we will work together to sort out how we can make this aging-in-place pledge a reality.

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2498

The Speaker

Frederick Blake Jr.

Thank you, Minister. Final supplementary. Member for Nunakput .

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2498

Jackie Jacobson

Nunakput

Thank you, Mr. Speaker. Just for the record, will the Minister and her colleague in housing commit to working with myself, the community of Paulatuk and Ulukhaktok in my Nunakput riding, to work together to try to see if we could get long-term facilities? Would she commit to that? Thank you, Mr. Speaker.

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2498

Julie Green

Yellowknife Centre

I have articulated my commitment, and that is my commitment. Thank you.

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Question 663-19(2): Elders' Facilities in Nunakput Communities

Oral Questions

Page 2498

The Speaker

Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Yellowknife North .

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

Rylund Johnson

Yellowknife North

Mr. Speaker, the starting point in any conversation about our municipal powers is that they are presently a mess. Twenty-four of our communities either fall under the Cities, Towns and Villages Act, the Hamlets Act, the Charter Communities Act, or the Tlicho Government act. The remaining nine communities are designated authorities and fall under the Indian Act. I am surprised the NWTAC can find agreement on anything. As such, whenever a problem falls that only applies to one of those specific pieces of legislation, there is no support for the other communities.

Six of our communities administer their own taxes; 18, MACA does it; and a remaining nine pay no tax at all. My main concern is getting the Department of MACA to bring forward some legislation that sorts out these various pieces and the powers. My first question is: will the department bring forward the Cities, Towns and Villages Act and some of the other corresponding legislation during the life of this Assembly?

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

The Speaker

Frederick Blake Jr.

Thank you, Member for Yellowknife North . Minister of Municipal and Community Affairs .

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

Paulie Chinna

Sahtu

Thank you, Mr. Speaker. I, first of all, want to comment on the history of the Northwest Territories, and the way that we operate is in a very unique, dynamic way of administrating throughout the territory. We do have designated communities. We do have communities that are acquiring self-government. We do have settled land claim areas, as well, and we have such a strong, rich history here in the territory. Looking at the Cities, Towns and Villages Act and when it was established to create the municipalities of the Northwest Territories, we have kind of evolved with the legislation but also knowing that the Indigenous groups have come forward to create their own set of governing aspects.

With that, this is a very unique approach that does not exist in the northern part of the territory and the northern part of Canada. We don't have a charter that is currently established, but the City of Yellowknife has not designated this as a priority. We are looking at the taxation, and we are looking at the Fire Prevention Act right now. The conversation continues, but just to answer the Member's question: no, this will not be brought forward in the lifetime of this government. Thank you, Mr. Speaker.

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

Rylund Johnson

Yellowknife North

I appreciate the complexity here. My concern is I want to find some work to progress the work on the Cities, Towns and Villages Act and surrounding it. I note the department started work on the Fire Prevention Act back in 2008, and hopefully, we see that in the life of this Assembly. I recognize that there were years of work to actually get this done, and it gets to the heart of the NWT: are we going to have public governments in the future, or are we going to have more private governments?

Presently, we have legislated that there are public governments across the Northwest Territories, and I would like to see that debate happen. To do that, I need the department to begin some of the work on these various pieces of legislation. Is the department ready to begin that work, and maybe the next Assembly can see some legislation?

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

Paulie Chinna

Sahtu

With the legislation brought forward and with the support of NWTAC and the City of Yellowknife, we are concentrating on the property taxation, as I've stated, and also the fire prevention. They have listed these as two priorities. With that, I am confident that my department will bring those two forward and we will see those changes. Also, looking at the involvement of the Northwest Territories, as well, and looking at the municipal governments, I honestly want to say that conversations do happen with the Indigenous governments, as well.

Whether we're going to see self-government during the lifetime of this Assembly, whether we're going to see agreements going forward, it really changes the direction of Municipal and Community Affairs and how we are going to be working with the smaller communities.

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

Rylund Johnson

Yellowknife North

One of the reasons the City of Yellowknife wants to see a city charter, and I want to see it, is it's a fiscal arrangement. The City of Yellowknife is the only jurisdiction where a percentage of their taxes have to fund the education system. It's the only city that has a property tax base that could actually fund municipal services. There's a reason we have tax-paying communities and non-tax-paying communities. Whenever the City of Yellowknife asks for a change to how they can administer taxes, they are told no because the conversation is only relevant to the City of Yellowknife.

In part of the Property Assessment and Taxation Act conversation, which we will see, is it possible to have a separate fiscal arrangement and some different tax powers for the City of Yellowknife?

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

Paulie Chinna

Sahtu

To have a submission brought forward that is going to separate, and looking at the Indigenous groups within the City of Yellowknife, as well, this is a really sensitive topic, and I would have to bring this back to my department in order to make sure that we are productively moving along. Also clarifying, is this a priority for the City of Yellowknife and the Indigenous groups within the city, as well? Then it would change the approach of MACA and our involvement, as well, to better support what are the priorities for the city.

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

The Speaker

Frederick Blake Jr.

Thank you, Minister. Final supplementary. Member for Yellowknife North .

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

Rylund Johnson

Yellowknife North

Thank you, Mr. Speaker. A head's up: during the Property Assessment and Taxation Act, I am going to be requesting the ability for municipalities to implement vacancy taxes, to have land value taxes, to have different tax tools that the department won't let them. Can I get the Minister to commit that they can go away and educate themselves on what city charters and these fiscal arrangements look like in other jurisdictions, in preparation for further questions? Thank you, Mr. Speaker.

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

Paulie Chinna

Sahtu

I hear the Member's passion, as well. This is not the first time he has brought this up with the charter for the City of Yellowknife and reflecting and elaborating on the taxation, as well. I want to really emphasize that this is a very sensitive issue, and it involves more parties than just the City of Yellowknife. I will provide the Member with a current update and the current status of the ongoing conversation with the Department of MACA and the City of Yellowknife. Thank you, Mr. Speaker.

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Question 664-19(2): Devolving Powers to Municipal Governments

Oral Questions

Page 2498

The Speaker

Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Thebacha .

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2498

Frieda Martselos

Thebacha

Thank you, Mr. Speaker. The 2017 NWT Midwifery Stakeholder Engagement Report was 75 pages long. Can the Minister tell us if her department is ready to implement all 10 recommendations to ensure that all communities have access to births in their home communities within the life of the 19 th Assembly? Thank you, Mr. Speaker.

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2498

The Speaker

Frederick Blake Jr.

Thank you, Member for Thebacha . Minister of Health and Social Services .

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2498

Julie Green

Yellowknife Centre

Thank you, Mr. Speaker. Thank you for the question. As I said in February, we, the Department of Health and Social Services, have been successful in completing five out of 10 recommendations. The department continues towards moving to the completion of the remaining five recommendations, and we previously committed and continue to commit to coming up with a preliminary plan on how to implement these recommendations in June of 2021. The next phase of this plan is phase 2. If it has funding, it would provide four midwives in Yellowknife, one in Hay River, and one in Fort Smith.

It would not provide a way for women who live in small communities with health cabins to have their children in their own communities. Birthing is really a centralized process. Thank you.

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2498

Frieda Martselos

Thebacha

Can the Minister tell us how her department will implement all 10 recommendations of the 2017 midwifery report?

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2499

Julie Green

Yellowknife Centre

The plan is now four years old. We have committed to reviewing it. We have committed to costing out the remainder of the five recommendations, and we have said that we will provide that information by June of 2021.

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2499

Frieda Martselos

Thebacha

Can the Minister provide a timeline for when her department expects more communities to have midwifery services in the NWT?

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2499

Julie Green

Yellowknife Centre

Hay River and Fort Smith have midwifery services at this point, and the idea of hiring one additional midwife for each of these locations is to stabilize the program. The next community on the list for midwives is Yellowknife, and as I already said, that would require the hiring of four midwives. There are some conversations going on about how the program could be expanded beyond that.

Today, this very day, there is consultation going on with Fort Resolution community members and healthcare workers to find out whether they are interested in having midwives, whether they would prefer to have a doula program or an Indigenous caregiver program. Those are the kinds of things that we would like to hear, not only in Fort Resolution, but in the Deh Cho and in Behchoko, as well.

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2499

The Speaker

Frederick Blake Jr.

Thank you, Minister. Final supplementary. Member for Thebacha .

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2499

Frieda Martselos

Thebacha

Thank you, Mr. Speaker. Can the Minister tell us when her department expects to enter into phase 2 of the midwifery service expansion? Thank you, Mr. Speaker.

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2499

Julie Green

Yellowknife Centre

As I've said previously in this House, phase 2 of the midwifery program does not have funding in the current budget. Thank you.

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Question 665-19(2): Northwest Territories Midwifery Services

Oral Questions

Page 2499

The Speaker

Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Kam Lake .

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

Caitlin Cleveland

Kam Lake

Thank you very much, Mr. Speaker. My questions today are also for the Minister of Health and Social Services . Mr. Speaker, over the last year, the fourth trimester has drastically changed for new mothers. We spent decades telling new moms to get out and stay active only to now tell them to stay home and stay alone. How have the supports for new moms changed or evolved over the last year in the Northwest Territories? Thank you.

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

The Speaker

Frederick Blake Jr.

Thank you, Member for Kam Lake . Minister of Health and Social Services .

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

Julie Green

Yellowknife Centre

Thank you, Mr. Speaker. I would like to thank the Member for introducing a new term for me, the fourth trimester. For a moment there I thought that pregnancy might have been extended for an entire year, but I understand now that this is the first three months of baby's life. Of course, as the Member said in her statement, it's common for new parents, especially first-time parents, to be anxious about how to care for their baby, their family, and themselves, and certainly, it is not a time where we want people to feel alone and unsupported. We realize that COVID-19 has, in fact, had that kind of an effect.

However, having said that, the health system continues to deliver health programs, so clients can access different kinds of programs and services for post-partum care.

There is post-natal care at six weeks with their primary care practitioner, where an additional post-partum and mental health screening is provided to catch any issues that are prevalent at that point. There is also comprehensive care available at that same six-week mark if the person is within the midwifery program. There are also virtual post-partum classes that are delivered by Yellowknife Public Health to those who need to stay at home. We are willing to provide the services. We are hoping that parents will articulate what they need, and we will be able to respond to that with the specific services they need. Thank you.

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

Caitlin Cleveland

Kam Lake

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

Julie Green

Yellowknife Centre

The department is always working with new parents to understand what they need and how we could better support them. That is a core part of our mandate. We do not need to be directed to find out how they are feeling. This is the ongoing work of the department.

We, of course, could always offer more services and deliver them in different ways, and so we are interested in looking at our prenatal and post-natal education programming and delivery and making sure that it is as effective as can be, that not only is it effective but that it is grounded in traditional knowledge and presents a culturally safe option for Indigenous moms.

The department has, as I mentioned, conducted extensive engagement with parents and families through the midwifery review that was referenced earlier this afternoon, and all of this information will be included in our continuous evaluation of what we are doing.

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

Caitlin Cleveland

Kam Lake

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

Julie Green

Yellowknife Centre

Midwives, in particular, have always engaged their clients using a variety of methods, and in the current communications environment, that includes phone, text, FaceTime, and video conferencing. This particular engagement is being considered in the expansion of midwifery services in the Yellowknife area, which I referenced earlier, and so how to meet current needs is certainly on our radar. We do not expect everybody to pack up the baby and come into the office.

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

The Speaker

Frederick Blake Jr.

Thank you, Minister. Final supplementary. Member for Kam Lake .

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

Caitlin Cleveland

Kam Lake

Thank you very much, Mr. Speaker. I am definitely excited for the changes that the midwifery program will present to the Northwest Territories, but the fact of the matter is that not everybody has access to a midwife or uses one. I am wondering if this is a change that can be made at the public health level because every new mom is connected to public health. I am wondering if public health can take on the responsibility or the option of passing along a phone number to new moms so that they are able to text somebody when they need it.

Many people who work for public health are already on call; they probably already carry a cellphone. I am wondering if this cellphone number can be provided to new moms to use within the first three months, if and when they need it, because being a new parent can be very scary. Thank you.

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

Julie Green

Yellowknife Centre

I am not sure what is possible in terms of having public health on call to a greater extent than they are now, but that is certainly something I can enquire about and get back to the Member with. Thank you.

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Question 666-19(2): The Fourth Trimester

Oral Questions

Page 2499

The Speaker

Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Frame Lake .

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2499

Kevin O'Reilly

Frame Lake

Merci, Monsieur le President. I want to assure the Minister of Education, Culture and Employment that I was not dozing off, and he did have my attention when he announced the minimum-wage increase today. However, I want to ask him: I raised this issue about the Minimum Wage Committee in a previous Member's statement. I think he received some kind of report. Is he willing to make that report public? Mahsi, Mr. Speaker.

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2499

The Speaker

Frederick Blake Jr.

Thank you, Member for Frame Lake . Minister of Education, Culture and Employment .

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2499

R.J. Simpson

Hay River North

Thank you, Mr. Speaker. I will have to give the same answer I gave last time with this question, that this report was prepared as advice for Cabinet, and it was prepared by people who were assured that it would be kept confidential. I am not prepared to go back on that. Thank you, Mr. Speaker.

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2499

Kevin O'Reilly

Frame Lake

I want to thank the Minister for that response, but all we have is the Minister's statement and news release about on what basis the Minister made this very important decision. Can the Minister not at least talk about what the recommendations were from the committee and share those recommendations with the public?

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2499

R.J. Simpson

Hay River North

The committee made three recommendations, as was asked for. One of the recommendations is always the status quo; one of the recommendations was also increasing it to $15.20.

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2499

Kevin O'Reilly

Frame Lake

I guess I have to guess what the third recommendation was, but I am not going to try to do any math on my feet here. Actually, I will. We have the Wage Top-Up program ending on August 31 st , as I understand it, so $18 an hour. The very next day, people are going to see their hourly wages drop to $15.20. It just does not seem to make any sense, so can the Minister explain to the public, the people, the 9 percent of our workforce that is now accessing the Wage Top-Up program, why he chose $15.20, and can he explain why their wages are going to drop from $18 an hour one day to $15.20 the next?

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2500

R.J. Simpson

Hay River North

Their wages will drop because currently there is a Wage Top-Up program in place, and that runs until August 31 st . The next day, the Wage Top-Up program will no longer be operational, and people who are making minimum wage will start receiving $15.20 an hour from their employer without that additional top-up. I just want to point out that the minimum wage is just that. It's a minimum wage. I think less than a thousand people in the territory make minimum wage. Most of them are between 15 and 24. Most of them are living at home, and perhaps a higher wage will help them get out of that house sooner.

The fact is: this is not a demographic of people who are counting on a minimum wage to raise a family for the most part. A lot of those positions, as well, come with gratuities, so a number of those people making minimum wage also make tips on top of it.

I appreciate what the Member is saying. I was very happy to see that the wage top-up was extended because I do want to make sure that we are providing for our residents. However, we can't expect our businesses to absorb such a great increase in cost over the course of one summer from the $13.46 to something like $18 an hour. It's just not feasible. It's not the way businesses are structured right now. However, that being said, we have the second highest minimum wage in Canada. We will on September 1 st . I think that's something to be celebrated. I don't think we've ever been in that position before.

The only one with the higher minimum wage is Nunavut where the cost of living is much higher, as well, so it's appropriate for what we have in the territory.

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2500

The Speaker

Frederick Blake Jr.

Thank you, Minister. Final supplementary. Member for Frame Lake .

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2500

Kevin O'Reilly

Frame Lake

Merci, Monsieur le President. I want to thank the Minister for that. I'm looking actually at the Department of Finance website. The number of individuals that have accessed the Wage Top-Up program as of March 10 th is 2,360, not the 1,000 that the Minister just kind of mentioned, 96 participating businesses. Look, this is a very significant portion of our workforce.

They're going to see their wages drop in one day. It's just not fair, Mr. Speaker. I've tried a number of different avenues here to try to get the Minister to recognize this is a real problem and issue. What other solutions does the Minister have? He doesn't seem to agree with the idea of a guaranteed basic income. What are the Minister's solutions to trying to help people make ends meet, the 2,360 people who are already accessing the Wage Top-Up program? Mahsi, Mr. Speaker.

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2500

R.J. Simpson

Hay River North

There may be 2,360 people accessing the Wage Top-Up program. That doesn't mean there're 2,360 people making minimum wage once that program goes away.

Those are two different numbers. One is $18, and one is right now $13.46; there's a difference there. What do we have in place, Mr. Speaker? That's why I work so hard on education. That's why we're working hard on making investments in early childhood. That's why we're trying to expand the number of early childhood spaces there are for children so that they can get in there and get an enriched environment starting at the beginning of their life.

That's why we're reviewing the curriculum, Mr. Speaker, to make sure it's a curriculum the kids want so that they want to go to school and so that it helps them grow and it helps them learn. It could help them get to that next level and get those jobs. That's why we're looking at our SFA program. That's why we have the best SFA program in Canada, Mr. Speaker. We have the most generous Student Financial Assistance program in Canada to help students get that post-secondary education. That is the biggest contributor to improving your wages, getting a post-secondary education.

That's where we need to focus our efforts, Mr. Speaker, not putting this on the backs of businesses. This is on us, and this is what we are doing. Thank you, Mr. Speaker.

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Question 667-19(2): Minimum Wage Committee

Oral Questions

Page 2500

The Speaker

Frederick Blake Jr.

Thank you, Minister. Oral questions. Item 8, written questions. Item 9, returns to written questions. Item 10, replies to Commissioner's address. Item 11, petitions. Item 12, reports of committees on the review of bills. Item 13, reports of standing and special committees. Item 14, tabling of documents. Minister of Health and Social Services .

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Tabled Document 353-19(2): Projected Demand for Long-Term Care Beds in the Northwest Territories, Northwest Territories Bureau of Statistics, August 2020 Tabled Document 354-19(2): Department of Health and Social Services Response to Long-Term Care Bed Projections

Tabling Of Documents

Page 2500

Julie Green

Yellowknife Centre

Thank you, Mr. Speaker. I wish to table the following two documents: "Projected Demand for Long-Term Care Beds in the NWT, NWT Bureau of Statistics, August 2020;" and "Department of Health and Social Services Response to Long-Term Care Bed Projections." Thank you, Mr. Speaker.

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Tabled Document 353-19(2): Projected Demand for Long-Term Care Beds in the Northwest Territories, Northwest Territories Bureau of Statistics, August 2020 Tabled Document 354-19(2): Department of Health and Social Services Response to Long-Term Care Bed Projections

Tabling Of Documents

Page 2500

The Speaker

Frederick Blake Jr.

Thank you, Minister. Tabling of documents. Item 15, notices of motion. Item 16, motions. Member for Yellowknife North .

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Motion 31-19(2): Extended Adjournment of the House to March 29, 2021, Carried

Motions

Page 2500

Rylund Johnson

Yellowknife North

I MOVE, seconded by the honourable Member for Hay River North , that, notwithstanding Rule 4, when this House adjourns on Friday, March 12, 2021, it shall be adjourned until Monday, March 29, 2021;

AND FURTHER, that, any time prior to March 29, 2021, if the Speaker is satisfied, after consultation with the Executive Council and Members of the Legislative Assembly, that the public interest requires that the House should meet at an earlier time during the adjournment, or at a time later than the scheduled resumption of the House, the Speaker may give notice and thereupon the House shall meet at the time stated in such notice and shall transact its business as if it had been duly adjourned to that time. Thank you, Mr. Speaker.

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Motion 31-19(2): Extended Adjournment of the House to March 29, 2021, Carried

Motions

Page 2500

The Speaker

Frederick Blake Jr.

Thank you, Member for Yellowknife North . Motion is in order. To the motion?

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Motion 31-19(2): Extended Adjournment of the House to March 29, 2021, Carried

Motions

Page 2500

Some Hon. Members

Question.

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Motion 31-19(2): Extended Adjournment of the House to March 29, 2021, Carried

Motions

Page 2500

The Speaker

Frederick Blake Jr.

Question has been called. All those in favour? All those opposed? Any abstentions? The motion is carried.

---Carried

Motions. Item 17, notices of motion for the first reading of bills. Minister of Infrastructure .

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Bill 24-19(2):

An Act to Amend the Revolving Funds Act

Notices Of Motion For The First Reading Of Bills

Page 2500

Diane Archie

Inuvik Boot Lake

Thank you, Mr. Speaker. I give notice that on Monday, March 29, 2021, I will move that Bill 24,

An Act to Amend the Revolving Fund Act be read for the first time. Thank you, Mr. Speaker.

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Bill 24-19(2):

An Act to Amend the Revolving Funds Act

Notices Of Motion For The First Reading Of Bills

Page 2500

The Speaker

Frederick Blake Jr.

Thank you, Minister. Notices of motion for the first reading of bills. Minister of Education, Culture and Employment .

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Bill 25-19(2):

An Act to Amend the Education Act

Notices Of Motion For The First Reading Of Bills

Page 2500

R.J. Simpson

Hay River North

Mr. Speaker, I give notice that on Monday, March 29, 2021, I will move that Bill 25,

An Act to Amend the Education Act be read for the first time. Thank you, Mr. Speaker.

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Bill 25-19(2):

An Act to Amend the Education Act

Notices Of Motion For The First Reading Of Bills

Page 2500

The Speaker

Frederick Blake Jr.

Notices of motion for the first reading of bills. Item 18, first reading of bills. Item 19, second reading of bills. Member for Nunakput .

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Bill 23-19(2):

An Act to Amend the Public Utilities Act

Second Reading Of Bills

Page 2500

Jackie Jacobson

Nunakput

Thank you, Mr. Speaker. I move, seconded by the honourable Member for Thebacha , that Bill 23,

An Act to Amend the Public Utilities Act , be read for the second time.

Mr. Speaker, this bill amends the Public Utilities Act to:

prohibit a

Document details

CollectionNorthwest Territories — Debates (Hansard)
Citation2021-03-11, 19th Assembly 2nd Session, pp. 2493–2524
Typehansard
Volume / chapter11
Languageen
Formathtml
SourceTERRITORIAL
Identifier6af004e9486b6bd803c1aa69a5d01c3ecb25099e

Source file is stored in the law ingest library (html).