Budget, Oral Questions, Medical Profession Act, Liquor Act — 31 May 2022 (19th Assembly, 2nd Session, pp. 4369–4400)
2022-05-31, 19th Assembly 2nd Session, pp. 4369–4400
Northwest Territories — Debates (Hansard)
Debates of May 31st, 2022
This is page numbers 4369 - 4400 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 know .
Topics
Oral Questions
Members Present
Prayer
Workers' Safety and Compensation Commission Youth Safety Leadership Program
2022 Wildfire Season
Maximizing the NWT's Environmental, Social and Governance and Environmental, Social, and Governance - Indigenous Advantage
Supports for Businesses Affected by Flooding in Hay River
Sexual Violence Awareness Month and Supreme Court of Canada Ruling
Improved Accountability for the RCMP in the Northwest Territories
Support for Member for Tu Nedhe-Wiilideh
Follow-Up from Auditor General's Report on Education from Jr. Kindergarten to Grade 12
Barriers to Accessing Government Services
Implementation of the United Nations Declaration on Rights of Indigenous Peoples
Implementation of Canada-Northwest Territories Child Care Agreement
Eulogy for Adrian Lizotte
Recognition Of Visitors In The Gallery
Committee Report 31-19(2): Report on Bill 40:
An Act to Amend the Medical Profession Act
Flooding
United Nations Declaration on the Rights of Indigenous Peoples
Royal Canadian Mounted Police in Fort Smith
Sexual Violence
Education, Culture and Employment Support for Education Outcomes in Small Communities
Implementation of Canada-northwest Territories Child Care Agreement
Flooding
Builders Lien Act
Flooding
Funding for Small Communities
Tabled Document 660-19(2): Plain Language
Summary of Bill 52: Elevators and Lifts Act
Tabled Document 661-19(2): Plain Language
Summary of Bill 53:
An Act to Amend the Liquor Act
Tabled Document 662-19(2): Northwest Territories Surface Rights Board 2022/23 Budget 2022/2024 Strategic Plan and Business Plan
Tabled Document 663-19(2): Report of the Auditor General of Canada to the Northwest Territories Legislative Assembly: Addictions Prevention and Recovery Services in the NorthWest Territories, Independent Auditor Report 2022
Reappointment of Human Rights Commission Member
Housing NWT Transfers to Long-Term Tenants
Bill 52: Elevators and Lifts Act
Bill 53:
An Act to Amend the Liquor Act
Consideration In Committee Of The Whole Of Bills And Other Matters
Committee Report 29-19(2): Standing Committee on Government Operations Report on the Review of the Languages Commissioner for the Northwest Territories Annual Report 2020-2021
Committee Report 29-19(2): Standing Committee on Government Operations Report on the Review of the Languages Commissioner for the Northwest Territories Annual Report 2020-2021 - Clarification of Languages Commissioner's Role
Committee Report 29-19(2): Standing Committee on Government Operations Report on the Review of the Languages Commissioner for the Northwest Territories Annual Report 2020-2021 - Requests for Information from Public Bodies
Committee Report 29-19(2): Standing Committee on Government Operations Report on the Review of the Languages Commissioner for the Northwest Territories Annual Report 2020-2021 - Public Bodies' Response to Recommendations
Committee Report 29-19(2): Standing Committee on Government Operations Report on the Review of the Languages Commissioner for the Northwest Territories Annual Report 2020-2021 - Government Response to Recommendations
Report Of Committee Of The Whole
Bill 46:
An Act to Amend the Motor Vehicles Act
Recorded Vote
Bill 47:
An Act to Amend the Employment Standards Act, No. 2
Recorded Vote
Orders Of The Day
Members Present
Hon. Diane Archie , Hon. Frederick Blake Jr., Mr. Bonnetrouge , Hon. Paulie Chinna , Ms. Cleveland , Hon. C. Cochrane, Mr. Edjericon , Hon. Julie Green , Mr. Johnson , Ms. Martselos , Ms. Nokleby , Mr. O'Reilly , Ms. Semmler , Hon. R.J. Simpson , Mr. Rocky Simpson , Hon. Shane Thompson , Hon. Caroline Wawzonek , Ms. Weyallon-Armstrong.
The House met at 1:30 p.m.
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---Prayer
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Prayer
Prayer
Page 4369
The Speaker
Frederick Blake Jr.
Yesterday, the honourable Minister of Health and Social Services rose on a Point of Order in response to a statement by the Member for Tu Nedhe-Wiilideh . The Minister believes the Member for Tu Nedhe-Wiilideh was out of order. She said he made allegations against her and imputed false motives. The Minister relied on Rule 3.2(3) sub-sections (
h) and (i).
When deciding whether language used in this Chamber is unparliamentary, Speaker Lafferty, on June 23rd, 2017 said that the Speaker must take "...into account the tone, manner and intention of the Member speaking; the person to whom the words at issue were directed, the degree of provocation; and, most importantly, whether or not the remarks created disorder in the Chamber."
I note that I have no jurisdiction over comments made outside this House or in the media.
I reviewed the unedited transcripts from Hansard from May 30, 2022. The Member for Tu Nedhe-Wiilideh used language that was strong, even inflammatory. Previous Speakers have decided that such language is not always a violation of the Rules of this Assembly.
however, the Member for Tu Nedhe-Wiilideh did more than use strong and inflammatory language.
On page 9 of unedited Hansard, the Member said "it is not appropriate to attempt to silence, validate criticism of their portfolio by threatening the integrity of the healthcare services in the community that I represent." The Member went on to say that the Minister was "even trying to gaslight patients who received unacceptable care into believing that it was their own fault for failing to advocate for their own medical conditions."
These two comments went beyond what is appropriate debate. The Minister has a valid Point of Order.
Rule 3.2(3)(
h) makes it clear that it is out of order to make an allegation against another Member. In this case, the Member for Tu Nedhe-Wiilideh made two allegations against the Minister. Also, the Member's language was unparliamentary.
The Member accused the Minister of gaslighting patients. Gaslighting is a practice of psychological manipulation which is meant to make a person question their own version of events.
I note that on July 7, 2020 the Speaker of the Legislative Assembly of Prince Edward Island found that an allegation of "gaslighting" was unparliamentary and out of order. I agree.
I expect Members of this House to conduct themselves appropriately. The language you use in the House should reflect this. While it is appropriate to share what constituents are saying to you, you must share those concerns in a manner that is consistent with the rules.
As I have found the Member out of order, I will now ask the Member for Tu Nedhe-Wiilideh to apologize to the House and withdraw the specific remarks found out of order.
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Prayer
Prayer
Page 4369
Richard Edjericon
Tu Nedhe-Wiilideh
Thank you, Mr. Speaker. And thank you for your comments and your ruling. At this point, Mr. Speaker, I represent my community, and I've listened to a lot of people speak and the issue that's in front of us that we're talking about is near and dear to a lot of people in my constituency and at this point, Mr. Speaker -- I could talk a little bit more about the issue but at this point I am not able to apologize. Thank you.
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Page 4369
The Speaker
Frederick Blake Jr.
Thank you, Member for Tu Nedhe-Wiilideh . I found your remarks out of order and will ask you again to apologize and withdraw your remarks. If you do not do this, I will be required to name you and ask you to remove yourself from the Chamber for the rest of the day. Thank you. Member for Tu Nedhe-Wiilideh .
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Page 4370
Richard Edjericon
Tu Nedhe-Wiilideh
Thank you, Mr. Speaker. You know, again, I'm just representing my constituents, bringing their issues forward, and I will stand by my remarks. Thank you, I will not apologize.
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Page 4370
The Speaker
Frederick Blake Jr.
Thank you. Mr. Edjericon , pursuant to Rule 3.4, it is my duty as Speaker to name you. Please remove yourself from today's proceedings for the remainder of this sitting day. Thank you.
Ministers' statements. Minister responsible for Workers' Safety and Compensation Commission
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Minister's Statement 249-19(2): Workers' Safety and Compensation Commission Youth Safety Leadership Program
Ministers' Statements
Page 4370
Paulie Chinna
Sahtu
Mr. Speaker, whether a business is small or large, having a safe and healthy workplace is crucial for success. I am pleased to inform the House today that the Workers' Safety and Compensation Commission is now accepting applications for a new Youth Safety Leadership Program.
This is an opportunity for young workers between ages of 14 and 24 in the Northwest Territories to develop as safe leaders within their communities and build skills that could lead towards rewarding career in the workplace health and safety.
The program includes online learning modules that focus on safety training, collaboration and leadership skills. In addition, the program includes volunteer projects within each participant's home community, and the opportunity to work with safety leaders and mentors from local businesses.
Mr. Speaker, I encourage Members to share this opportunity with their constituents. It is an excellent first step for anyone interested in exploring a career in safety or for those simply working to ensure a safer future for themselves in any industry.
Applications for the program are now open for youth in all communities ages 14 to 24 on the Workers' Safety and Compensation Commission's website.
I would also like to thank the staff of Workers' Safety and Compensation Commission for developing this training opportunity for our young people and our future employment across the Northwest Territories. Mahsi, Mr. Speaker.
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Minister's Statement 249-19(2): Workers' Safety and Compensation Commission Youth Safety Leadership Program
Ministers' Statements
Page 4370
The Speaker
Frederick Blake Jr.
Thank you, Minister. Ministers' statements. Minister responsible for Environment and Natural Resources .
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Minister's Statement 250-19(2): 2022 Wildfire Season
Ministers' Statements
Page 4370
Shane Thompson
Nahendeh
Thank you, Mr. Speaker. Mr. Speaker, wildfires are an important part of the boreal forest, and naturally occurring fires are essential to ensuring forests remain healthy and sustainable. Allowing forest fires to burn where possible allows forests to regenerate and help to avoid larger and more dangerous fires later. All wildfires in the NWT are monitored and managed to ensure they do not pose a risk or threat to people, communities, infrastructure, or other assets.
Mr. Speaker, wildfire management starts before there is even a spark.
The Government of the Northwest Territories works with our partners throughout the year to promote FireSmart principles within our forested communities. FireSmart means working together, from individual residents to neighbours to communities and all levels of government, to keep residents safe, to be prepared, and to be more resilient when wildfires strike.
The Department of Environment and Natural Resources encourages NWT residents to take steps around their homes, businesses, camps, and cabins to reduce the risk of wildfires, wildfire damage.
We have developed new resources for kids, adults, and businesses to provide information and tools. Our FireSmart presence online has been overhauled and we have invested in a targeted marketing campaign to build FireSmart awareness. We are working with communities on training, community protection plans, and preparedness, so we are ready for wildfires before they even begin.
This year, four communities took the initiative to plan wildfire community protection days. Activities took place in Fort Smith, Kakisa, Tulita, and Yellowknife, including along the Ingraham Trail at Tibbitt Lake. This is the most community engagement we have seen in the territory in any single year.
We encourage residents to take FireSmart steps at home, steps like keeping the area within a metre-and-a-half of their home or cabin free of material that can burn, as well as cleaning brush and branches from their yard.
Mr. Speaker, NWT fire crews, and a team of technical and operational staff, have supported them and have been busy preparing for this year's fire season. Well-trained firefighters are ready to go across the NWT, including many who are members of contracted crews managed by local Indigenous governments and businesses. Air tankers and other key wildfire management equipment are also at the ready.
We have 36 four-man crews to attack fires, and five air tanker groups ready to support fire operations wherever they are needed throughout the fire season.
Mr. Speaker, protecting NWT residents and communities is a top priority as we deliver these essential services. For the past two seasons, our wildfire teams were required to adhere to strict COVID-19 protocols, and this summer we will continue to make adjustments so that we have healthy crews to respond to fires when needed.
We have hired additional staff in smaller communities to reduce the need to bring in firefighters from other regions, or outside the territory, and we will have access to additional air tankers to respond to fires when they are small. While we are ready to respond to wildfires when we need to, it is important that we continue to take steps this summer to prevent them before they start.
Mr. Speaker, it is very important that we all take steps to prevent human-caused wildfires. Experience tells us that wildfires caused by humans tend to happen closer to towns and often threaten homes and cabins. I encourage all residents to be safe this summer when you go out on the land, enjoying the natural beauty of the NWT. Make sure to properly manage campfires and burn piles and be careful with cigarettes. Let us do our part to prevent forest fires. That includes understanding the environmental conditions and the fire danger level before you go out. It also means avoiding campfires when the fire danger is high or extreme, unless a fire is necessary for cooking or warmth.
In closing, I would like to recognize the firefighters and wildfire management teams across the NWT for all that you do to keep NWT residents and families safe. Thank you, Mr. Speaker.
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Minister's Statement 250-19(2): 2022 Wildfire Season
Ministers' Statements
Page 4371
The Speaker
Frederick Blake Jr.
Thank you, Minister. Ministers' statements. Minister responsible for Industry, Tourism and Investment .
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Minister's Statement 251-19(2): Maximizing the NWT's Environmental, Social and Governance and Environmental, Social, and Governance - Indigenous Advantage
Ministers' Statements
Page 4371
Caroline Wawzonek
Yellowknife South
Mr. Speaker, Environmental, Social, and Governance, or ESG principles, have become more prevalent over the past few years in the mineral resources industry, with investors, demographic groups, and the general public, demanding stronger ESG investments from business and industry.
A global movement towards ESG investment and social consciousness is good news for the Northwest Territories because we are leaders in ESG measures and performance. We are, in fact, already moving toward advocating for the next generation of ESG through an Indigenous lens, or ESG-I, an approach that breaks down barriers and ensures Indigenous people are at the decision-making table from the start.
Mr. Speaker, the Northwest Territories began its mineral resource industry with gold, then transitioned into the diamond capital of North America, positioning itself as an ethical stable democracy and a dedicated steward of the land enabling responsible resource development. While companies like Arctic Star and Mountain Province Diamond are currently finding kimberlites, we also have well-established critical minerals projects with NICO, Pine Point, and Prairie Creek that are nearing mine construction decisions. And with the Nechalacho Rare Earth Elements Project, the Northwest Territories has the first rare earths mine in Canada, with the potential for many years of production.
In the coming months, as we advance work on the NWT Critical Minerals Action Plan, ESG-I standards and associated initiatives, we will engage with stakeholders and partners to ensure the Northwest Territories' collaborative spirit guides our work as we renew our focus on sustaining our mineral resource sector.
Mr. Speaker, next month I will be attending the Prospectors and Developers Association of Canada in Toronto, one of the world's premier mineral resource sector conferences. Before I share our message on that stage, I wanted to first remind colleagues, residents, and businesses about our leadership potential in this global movement. I want to especially highlight our ESG-I strengths in our governing relationships and our regulatory approach.
The 2014 Northwest Territories Devolution Agreement established the Intergovernmental Council to allow the public and Indigenous governments to collaborate on matters related to lands and resource management while respecting the autonomy and authority of each government. This council is an important central figure as the Northwest Territories shifts progressively to an ESG-I model.
Mr. Speaker, in early May, the Gahcho Kue mine received the prestigious Towards Sustainable Mining Excellence Award from the Mining Association of Canada.
Gahcho Kue's commitment and focus on community engagement and environmental stewardship is a reflection of the relationships and respect that exist between Northwest Territories' mining industry and Indigenous governments and organizations. This award, to an NWT-based project, highlights to investors the ESG and ESG-I practices that set the Northwest Territories apart from other jurisdictions.
Founded in a first-class regulatory regime under the Mackenzie Valley Resource Management Act 25 years ago, our regulatory framework places environmental protection, traditional knowledge, and Indigenous rights at the centre of decision-making. It has flourished thanks to partnerships amongst the Northwest Territories' diamond industry, northern and Indigenous governments, and communities.
Mr. Speaker, our regulatory system is comprehensive and recognizes many of the issues that are important not only to our citizens, including environmental protection and Indigenous rights, but form cornerstones of ESG. That said, there is an opportunity for improvement in the timeliness, clarity, and certainty of our regulatory framework.
We are in a transition period. We are putting new, first-of-its-kind, modern mineral resource legislation and companion regulations in place, with features like formalized benefit agreements and online map staking. We continue to dialogue with partners to identify and advance operational improvements in regulatory processes for exploration projects. We have a well-established approach to sharing the social and economic benefits of mineral development with Indigenous governments. And we have begun the conversation to move our territory's land and water boards, the final piece of our regulatory process, into the hands of responsible northern governments.
Mr. Speaker, today's Northwest Territories mineral resource industry is innovative, collaborative, and focused on environmental stewardship and Northern benefits. It is guided, in part, by the pioneering and resourceful geoscientists who apply science and knowledge from the search for natural resources to mitigating and adapting to the impacts of climate change. It coordinates with the GNWT and Indigenous governments to enhance resources for capacity building and support resource revenue sharing across different levels of government.
The global industry is catching up to the Northwest Territories and our practices that we have honed over nearly three decades.
In the coming years of work on our regulatory processes, with our collaborative best practices and potential resources still untapped, we can set our jurisdiction apart as one that has great potential and investor confidence in our leading-edge environmental, social, and governance principles.
Thank you, Mr. Speaker.
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Minister's Statement 251-19(2): Maximizing the NWT's Environmental, Social and Governance and Environmental, Social, and Governance - Indigenous Advantage
Ministers' Statements
Page 4372
The Speaker
Frederick Blake Jr.
Thank you, Minister. Ministers' statements. Members' statements. Member for Hay River South .
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Member's Statement 1111-19(2): Supports for Businesses Affected by Flooding in Hay River
Members' Statements
Page 4372
Rocky Simpson
Hay River South
Mr. Speaker, the flooding in Hay River, West Point, and K'atlodeeche has impacted businesses in the fishing, agricultural and tourism sectors. Mr. Speaker, these business sectors are not only important to those that participate in them, but also to those persons and businesses that purchase the products from those sectors.
The agricultural sector, which has several producers located at Paradise Valley, was significantly impacted by this year's flood and may not be prepared, or be fully prepared, for this production season.
The fishing sector businesses, which are primarily located in the West Channel, West Point, and Old Town, had much of their equipment compromised which will now require not only cleanup but purchasing new equipment to replace what was lost or damaged. This may translate into a late start.
We have two tourism operators located on the shore of the Great Slave Lake, with one suffering severe damage to buildings and equipment for the second year in a row and will require major repairs.
The Wharf Pavilion, in the Old Town, allows vendors to cater to residents, visitors, and tourists, suffered flood damage and will require cleanup and repairs. This is expected to delay its opening this season.
Mr. Speaker, the effect of this flood goes beyond damage to property. It affects the seasonal livelihood of many business owners, their employees and customers. Some of the flood damage in these sector businesses may be covered by the Disaster Assistance Policy. The question is, does the Disaster Assistance Policy compensate for loss of revenue and wages - a question asked by business owners.
Without revenue and wages, these business owners, operators and workers, may step back and look for alternate employment that will provide immediate income to put food on the table while they rebuild. That, along with waiting on funds to repair damage, or replace damaged equipment, may result in a lost season for some business owners and operators.
Mr. Speaker, this government has made major investments in each of the fishing, agricultural, and tourism sectors in Hay River. We have a $15 million fish plant being constructed in the hope of revitalizing a commercial fishing industry, which industry has now been delivered another blow by flooding. We have seen contributions and supports provided to the agricultural sector to build infrastructure which is now compromised and damaged. Tourism operators and facilities are situated in flood-prone areas and continue to be impacted year after year with no resolve.
Before we lose these sectors, we must provide those business owners and operators with some immediate financial supports to supplement the Disaster Assistance Policy funding. Thank you, Mr. Speaker.
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Member's Statement 1111-19(2): Supports for Businesses Affected by Flooding in Hay River
Members' Statements
Page 4373
The Speaker
Frederick Blake Jr.
Thank you, member for Hay River South. Members' statements. Member for Inuvik Twin Lakes .
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Member's Statement 1112-19(2): Sexual Violence Awareness Month and Supreme Court of Canada Ruling
Members' Statements
Page 4373
Lesa Semmler
Inuvik Twin Lakes
Thank you, Mr. Speaker. Mr. Speaker, today is the last day of the Sexual Violence Awareness Month in Canada, and I recognize and pay tribute to all the victims of sexual violence. We must raise awareness of the devastating impacts sexual violence has on a person, their family, and their community.
Mr. Speaker, every day in the territory someone is the victim of sexual violence. Sexual violence is verbal harassment, sexual exploitation, sexual assault, and rape. The Northwest Territories has the second highest rate of sexual assault in Canada. This is 7.3 times higher than the national rate, Mr. Speaker. These are shocking numbers and are affecting all of our residents.
Mr. Speaker, in the Northwest Territories, women are three times more likely than men to be victims of sexual assault. In other words, women are being victimized at a much higher rates than men. This is gender-based violence happening here in our territory.
Mr. Speaker, earlier this month, the Supreme Court of Canada ruled that extreme intoxication could be used as a defence in criminal cases of assault, including sexual assault, Mr. Speaker. This is appalling. It erodes the rights of victims of sexual violence; in particular, women, who are victimized at a much higher rate than men.
Mr. Speaker, many victims of sexual violence are already reluctant to come forward and report what happened. Many people have mistrust of the RCMP, legal systems, and legacy of colonization and residential schools where abuse was rampant. This affects Indigenous women, children, and those who identify with the LGBTQ2S+ community especially. The recent ruling makes it even more difficult to report with confidence that they will be taken serious or get any justice.
Mr. Speaker, the justice system was set up to hold people responsible for their actions. I stand with the survivors of sexual violence. I encourage all of my colleagues and residents of the Northwest Territories to support and advocate for survivors of sexual violence and to address gender-based violence as unacceptable. The safety, health, and well-being for all women, children, and those in the LGBTQ2S+ community, and all members of our communities, depends on it.
Mr. Speaker, I will have questions for the Minister of Justice . Thank you.
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Member's Statement 1112-19(2): Sexual Violence Awareness Month and Supreme Court of Canada Ruling
Members' Statements
Page 4373
The Speaker
Frederick Blake Jr.
Thank you, Member for Inuvik Twin Lakes . Members' statements. Member for Thebacha .
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Member's Statement 1113-19(2): Improved Accountability for the RCMP in the Northwest Territories
Members' Statements
Page 4373
Frieda Martselos
Thebacha
Thank you, Mr. Speaker. Mr. Speaker, throughout this Assembly, I have done several Member statements about the RCMP and the need for improved and more accountable policing within the constituency of Thebacha, and across the NWT. Today I want to continue highlighting some of the concerns I have seen and heard about the RCMP as of late.
Mr. Speaker, because of the effects of the pandemic on mental health and the serious incident in Fort Smith in March, I am concerned that the RCMP does not offer casual replacements to ensure the community is fully served by eight members. For safety reasons and for all the reasons regarding enforcement, drug-related problems, mental health issues, and a sense of peace in the community after such a turbulent year, from what I see the RCMP have an empire here in Yellowknife and I think it's time the commander steps up, shows leadership, and shows respect to the community of Fort Smith and ensures that the manpower is shared with the staff out of Yellowknife if needed.
There's a lot of RCMP staff here in Yellowknife but I must ensure that Fort Smith is looked after in a safe and proper way so community members can feel at peace in their community at this time. There are only four RCMP members there right now and one that is a temporary officer from another jurisdiction. They are trying very hard to serve Fort Smith, but how can only four RCMP members serve a community of 2500 day and night?
This is a very stressful time for the RCMP right now as I'm sure their workload is very high. I appreciate all the work the four RCMP members in the community are faced with, and I want to thank them wholeheartedly for their efforts to keep the community safe and hopefully we can address the staff shortage issue until the permanent staff arrives.
Mr. Speaker, I attended a leadership meeting in Fort Smith two weeks ago where the issue of RCMP staffing levels was talked about. In that meeting, I discovered that Fort Smith is experiencing a shortage of RCMP staff right now. Fort Smith is supposed to have eight RCMP officers; however, there are currently only four officers stationed there. This is very concerning from a safety and readiness standpoint in case of emergencies and for general response time by RCMP as well.
Given this information, I am questioning if the level of public safety for community members in Fort Smith is adequate in addressing all the law enforcement issues in my community. Mr. Speaker, I seek unanimous consent to conclude my statement.
---Unanimous consent granted
Mr. Speaker, it is not okay and it is unsafe that my community is facing a shortage of law enforcement personnel to protect and serve the people of Fort Smith. It is not fair that the capital has all or most of their RCMP positions filled all the time when the small communities and regional centres are left with a shortage of RCMP staff. As MLA for Thebacha, I am looking to ensure my community is properly looked after and is up to par with the capital in terms of public safety.
I will have questions for the Minister of Justice later today. Thank you, Mr. Speaker.
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Member's Statement 1113-19(2): Improved Accountability for the RCMP in the Northwest Territories
Members' Statements
Page 4374
The Speaker
Frederick Blake Jr.
Thank you, Member for Thebacha . Members' statements. Member for Great Slave .
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Member's Statement 1114-19(2): Support for Member for Tu Nedhe-Wiilideh
Members' Statements
Page 4374
Katrina Nokleby
Great Slave
Thank you, Mr. Speaker. Oh, not one of those days. Thank you, Mr. Speaker.
Mr. Speaker, my prepared statement today is about the recent announcement regarding the proposed development on Tin Can Hill. Since the information became public, I've had nonstop communications from my constituents who are as surprised as I was to find out the city and ECE have been discussing this option for a while now with no input from residents. However, Mr. Speaker, I think it's important that instead I stand up today and speak in support of my colleague from Tu Nedhe-Wiilideh as I too know what it is like to deal with the ramifications in this House of trying to speak up for what you believe is right.
Mr. Speaker, I'm proud of MLA Edjericon. For someone who didn't start this year as an MLA, he has quickly caught up with the rest of us and has become a strong, badly-needed voice for his constituents. His long history of being involved with his people in his communities shows that while he may be new to this building, he is far from inexperienced when it comes to leadership and politics. In fact, I'd argue he has more qualifications than many of the people in this building, including myself. And I respect him for the efforts I've seen since he first set foot in this building to elevate the concerns of his people and be heard.
Sometimes, Mr. Speaker, when you stand up for what is right, you find yourself standing alone. And I want MLA Edjericon to know that is not the case in this instance. Thank you
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Member's Statement 1114-19(2): Support for Member for Tu Nedhe-Wiilideh
Members' Statements
Page 4374
The Speaker
Frederick Blake Jr.
Thank you, Member for Great Slave . Just so -- I know there's a lot of new Members here, but you can't question rulings made in the House. But for the future, just so Members are aware. Thank you.
Members' statements. Member for Monfwi .
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Member's Statement 1115-19(2): Follow-Up from Auditor General's Report on Education from Jr. Kindergarten to Grade 12
Members' Statements
Page 4374
Jane Weyallon Armstrong
Monfwi
Thank you, Mr. Speaker. Mr. Speaker, today the Office of the Auditor General is in the Legislative Assembly to deliver a report on how the Government of the Northwest Territories is providing mental health and addiction services to residents. Mr. Speaker, these reports are excellent opportunity to follow up on progress made by our government.
Two years ago, the auditor general found deeply concerning flaws in the NWT education system. The auditor found huge gaps in the educational results between small and larger communities. The OAG report says this is a huge issue. Graduation rates in small communities are much lower than in Yellowknife and regional centres.
Mr. Speaker, not only are students in small communities less likely to graduate from high school, they also learn under more difficult conditions than their peers in regional centres. Students in small communities face numerous challenges that depend on the size of classes, teacher/student ratio, and overall living conditions. The situations may be different in each small community.
The auditor general recommended that the Department of Education, Culture and Employment "should identify what is required to provide equitable access to quality education for all students and take actions."
The auditor also noted that this action should include providing additional support to principals of small schools and teachers in multi-grade classrooms.
Mr. Speaker, the department committed to large initiatives and investments in small communities in its response to the auditor general. Last year after reviewing the auditor's report, the Standing Committee on Government Operations recommended that ECE bring forward a plan to better support schools in small communities.
ECE's response does not do much to fix the problems that the auditor general identified. ECE "committed to working with education bodies" and is scanning the country for more evidence-based practice. This response is just a plan to make a plan. ECE does not need another work plan. It needs to take action.
Mr. Speaker, the problems with our education system cannot be fixed with legislative change alone. Many people have told ECE that already, including the Tlicho region. Mr. Speaker, can I have unanimous consent to conclude my statement.
---Unanimous consent granted
ECE should stop working on making plans to make plans and focus on what action they can take today. GNWT needs to stop trying to fix the symptoms of the problem and address the real issues in communities. The biggest problems facing small communities are social and economic ones like housing, mental health and addictions, and lower average income levels.
Mr. Speaker, this is very simple. Communities with poor housing, high rates of addictions and low average income, have lower educational achievement. GNWT needs to get serious about fixing social and economic conditions in small communities.
Mr. Speaker, I am very disappointed in ECE's response to the OAG recommendations. ECE needs to spend a lot less time planning and a lot more time taking action. Small communities need more support and resources.
Having worked in education for over 20 years, I can say frontline staff feel like ECE is taking more and more control over operations. ECE needs to listen more to the real experts in communities. ECE needs to start listening to the people who work every day educating children. ECE needs to take a different approach to problem solving. GNWT cannot continue focusing on NWT-wide standardization at the cost of creating disadvantage for small communities.
Every one of our 33 communities is special and unique. Our communities come in all different sizes, and each has its own culture and belief.
Mr. Speaker, I will have questions for the Minister of Education at the appropriate time. Thank you.
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Member's Statement 1115-19(2): Follow-Up from Auditor General's Report on Education from Jr. Kindergarten to Grade 12
Members' Statements
Page 4375
The Speaker
Frederick Blake Jr.
Thank you, Member for Monfwi . Just a reminder to Members when you seek unanimous consent to conclude your statement, it's to conclude it. That was like two statements there, but in the future keep that in mind. Be mindful of your colleagues that still need to go as well.
Members' statements. Member for Kam Lake .
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Member's Statement 1116-19(2): Barriers to Accessing Government Services
Members' Statements
Page 4375
Caitlin Cleveland
Kam Lake
Mr. Speaker, in February 2020 I told this House a brief story. It was a week-long conversation about one Northerner's challenge to access support services. Today, over two years later, Avery would still find the same barriers. Mr. Speaker, too many Northerners are falling through the cracks with the government's siloed approach to service delivery at the cost of residents' mental health, ability to thrive, and the government's bottom line.
We hear over and over again that the answer is integrated service delivery. But we also hear from the GNWT that we are years away from actually implementing integrated service delivery.
Take the example of integrated service delivery for child and family services. In 2019, this Assembly made it a mandate goal to develop an integrated service delivery approach by fall of 2021, but the business plans are only aiming to establish integrated service delivery demonstration sites in at least four communities by the end of this Assembly. And presumably other communities will have to wait even longer for an integrated child and family services.
But one of the most significant integrations, Mr. Speaker, is the siloed approach to income support and public housing.
The pace to actually implement integrated service delivery is deeply frustrating, and it causes huge challenges for effective program delivery and difficulty accessing supports. The GNWT currently spends over $700 million annually on social programs through Justice, Health, Housing, and Education, Culture and Employment. Each of these departments addresses a different aspect of a person's challenges but the siloed service delivery causes program duplication and the frequency and duration that the individual cycles through public systems of care.
It means residents are not receiving person-centered care and the government is spending more down the road through cyclical and costly use of resources, and this decreases the window of opportunity an individual will permanently or successfully exit the system of crisis services.
I want to urge the government to prioritize and accelerate work to implement integrated service delivery. We need to at least connect Housing and ECE supports in the life of this Assembly to create more stability for Northerners struggling with access to basic human rights. Integrated service delivery meets northerners where they're at and brings together the social program departments and their frontline staff to coordinate plans of care and support residents with their actual needs. Thank you, Mr. Speaker.
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Member's Statement 1116-19(2): Barriers to Accessing Government Services
Members' Statements
Page 4376
The Speaker
Frederick Blake Jr.
Thank you, Member for Kam Lake . Members' statements. Member for Yellowknife North .
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Member's Statement 1117-19(2): Implementation of the United Nations Declaration on Rights of Indigenous Peoples
Members' Statements
Page 4376
Rylund Johnson
Yellowknife North
Thank you, Mr. Speaker. When this House first made it a priority to implement the UN Declaration on the Rights of Indigenous Peoples, I think there was varied understandings of what that meant. And how could there not be, Mr. Speaker? It is a very aspirational document with many sections and many different areas to cover.
However, Mr. Speaker, I think all of us meant it would be doing something in this House. And to date, we have not seen any work to actively implement the UN declaration. Some of us thought perhaps we would just pass legislation similar to BC or the federal government which requires an action plan. Perhaps some of us thought we would see an action plan and it would tweak some programs and services and some internal functions of the GNWT.
Perhaps some of us thought it would transform the nature of consultation to truly be pre, prior, and informed consent so that the NWT can be the first jurisdiction to take a step beyond endless, sometimes hollow, consultation and require true consent from Indigenous governments.
I think many of us thought it meant we would settle numerous self-government agreements and truly devolve powers like was the promise of devolution. However, Mr. Speaker, more specifically back in the spring, I was informed in this House during Committee of the Whole that there was an internal inventory being created to assess where all GNWT programs aligned or misaligned with the principles of UNDRIP. This inventory was then going to be used to help discussion with the Council of Leaders and eventually lead to an action plan.
Mr. Speaker, I have asked for this action plan or inventory on multiple occasions now, and still have not seen nothing.
Mr. Speaker, when I raise this, it is said that the work is currently being done at the Council of Leaders. The Premier speaks proudly of the work being done at the Council of Leaders yet, Mr. Speaker, if we don't see any of that work and it doesn't result in any meaningful change, it is not something to be proud of.
We presently have 14 negotiating tables, Mr. Speaker, with no real progress. I'm not sure that adding one more to this Assembly is what we meant when we said implementing UNDRIP.
Now, Mr. Speaker, I recognize that we have to work with the Council of Leaders and we have work with Indigenous governments to get something -- to implement UNDRIP. It would defeat the purpose to do it unilaterally; I recognize that. But if we don't get anything done in the life of this Assembly, what is the point of making it a priority for this assembly.
I will have questions for the Premier about realistically what is actually going to be done to implement UNDRIP in the lifetime of this Assembly. Thank you, Mr. Speaker.
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Member's Statement 1117-19(2): Implementation of the United Nations Declaration on Rights of Indigenous Peoples
Members' Statements
Page 4376
The Speaker
Frederick Blake Jr.
Thank you, Member for Yellowknife North . Members' statements. Member for Frame Lake .
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Member's Statement 1118-19(2): Implementation of Canada-Northwest Territories Child Care Agreement
Members' Statements
Page 4377
Kevin O'Reilly
Frame Lake
Merci, Monsieur le President. It's been almost six months since the signing of the federal territorial agreement promising $10 a day child care for parents across the Northwest Territories. In reviewing the issues of implementation and delivery of benefits, I regret to say that a lot of progress still needs to be made.
The biggest issues remain putting money in the hands of parents who continue to pay for child care after the deal was signed and creating enough spaces to meet demand. The rebate money has to flow through the child care providers to the parents, and that can only happen when providers opt in to the conditions of the program. The deadline for that opting in was April 15, and according to media reports and communication from parents and providers, there are still a lot of questions and uncertainties.
I will be asking the Minister for the status of service providers opting in and how he plans to deal with providers who have not.
A big decision point in whether or not providers opt in is the cap on increasing fees in the future to deal with increased costs. The Minister has confirmed there is a 2.3 percent ceiling or cap on cost increases providers can charge if they opt in, unless special approval is given for a higher increase. Even at the time of signing, we knew Canada was in for a period of inflation, and it's now running at 6.7 per cent nationally, and 7.1 percent in Yellowknife. This agreement handcuffs our operators to increases 4 points below inflation, and I wonder why Cabinet agreed to such a cap.
Then there's the question of creating additional spaces and the allowable use of the agreement funds. For operators, questions remain unanswered on whether funds can be applied to training and staff development, or to wage subsidies for marginally-paid workers. Crucially, can the funds be used to meet the costs of infrastructure that must be built if we are to expand capacity and access? $10 a day child care is meaningless if there are no spots available for care in all our communities. There are at least 10 communities that lack any child care at all, a huge handicap to the development of local economies as well.
I will have questions for the ECE minister on the status of this agreement and its implementation that lie ahead. Mahsi, Mr. Speaker.
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Member's Statement 1118-19(2): Implementation of Canada-Northwest Territories Child Care Agreement
Members' Statements
Page 4377
The Speaker
Frederick Blake Jr.
Thank you, Member for Frame Lake . Members' statements. Member for Nahendeh .
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Member's Statement 1119-19(2): Eulogy for Adrian Lizotte
Members' Statements
Page 4377
Shane Thompson
Nahendeh
Thank you, Mr. Speaker. Mr. Speaker, in April, we lost an outstanding son, husband, father, officer, manager, mentor, and friend much too soon.
Adrian Lizotte was born in Fort McMurray on June 20th, 1979. He came to the NWT in 1990, late 1990s, and his appreciation for the beauty of the growth, northern growth. He loved to get out on the land, participate in traditional activities, and spent much of his time hunting, fishing, and camping with friends and family.
Adrian carried that love for the land with him into his work as well. He started his career with the GNWT as a corrections officer and then joined ENR as a fire tech summer student in 2008.
As life took him down the ENR path, he became a renewable officer, finally to manage our wildlife and environment in the North Slave region. He committed 23 years of his life to the GNWT and the people of the Northwest Territories.
Mr. Speaker, Adrian had a pivotal role in the wildfire management programs. I can say he was a natural leader, colleague, mentor, supervisor, and friend to many people who have worked with him. He was well-respected in the community and took pride in work with people sharing his passion for wildlife and keeping people safe.
Adrian received the Premier 's award as part of the team that responded to the largest outbreak of anthrax in wood bison in 2012 and was recognized as the ENR Manager of the Year in 2017.
Mr. Speaker, Adrian, just as Adrian served the public at work, he also was a very active member in the community in the evenings and on weekends. Everyone who spent time at the rink in Yellowknife in the last ten years would have been hard pressed to miss Adrian. If he wasn't coaching young hockey or watching his kids play, Boomer was on the ice as an accomplished well-liked and respected player. He was an avid sports fan, and he was always a team player.
As proud as Adrian was of being an officer and a manager at ENR, Mr. Speaker, his real pride and joy was his family. He and his wife Amy met through a friend who introduced them in Yellowknife and quickly fell in love. Together, they had three children - Wesley, Cole, and Sophia, and the centre of their lives. Adrian was a very proud father who would do anything for his kids to be happy and successful, succeed in life.
He instilled in them the same love of the land, tradition, and community that were so important to him. Among of the many contributions Adrian made in his 42 years, there's no doubt he holds raising his children above all.
After his passing, there was a flood of memories and tributes for Adrian from friends, colleagues, and acquaintances from across the NWT and beyond. To paraphrase one of those tributes, may Adrian's kind spirit travel across the land, among the animals he protected over the years.
I'd like to extend my deepest condolences to Amy, their children, and extended family, friends and colleagues, and the countless others he touched over the life. Adrian's passing is a monumental loss for us all. He is and will be missed, Mr. Speaker, and he will always be remembered. Thank you, Mr. Speaker.
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Member's Statement 1119-19(2): Eulogy for Adrian Lizotte
Members' Statements
Page 4378
The Speaker
Frederick Blake Jr.
Thank you, Member for Nahendeh . Our thoughts and prayers are with the family and his fellow colleagues. I know he will be deeply missed, mahsi.
Members' statements. Recognition of visitors in the gallery. Member for Nahendeh .
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Recognition Of Visitors In The Gallery
Recognition Of Visitors In The Gallery
Page 4378
Shane Thompson
Nahendeh
Thank you, Mr. Speaker. Mr. Speaker, there are three officers here that were colleagues of Adrian here. So I'd like to recognize Lee Mandeville, Lorne Hudson, and Daniel Bouvier Junior. Thank you very much for being here today. Thank you.
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Recognition Of Visitors In The Gallery
Recognition Of Visitors In The Gallery
Page 4378
The Speaker
Frederick Blake Jr.
Thank you, Member for Nahendeh . Recognition of visitors in the gallery. Honourable Premier .
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Recognition Of Visitors In The Gallery
Recognition Of Visitors In The Gallery
Page 4378
Caroline Cochrane
Range Lake
Thank you, Mr. Speaker. I'd like to also recognize the officers that are here in respect, but I also want to recognize Lorne Hudson who I believe is a constituent of Range Lake, so. Thank you, Mr. Speaker.
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Recognition Of Visitors In The Gallery
Recognition Of Visitors In The Gallery
Page 4378
The Speaker
Frederick Blake Jr.
Thank you, Member for Range Lake . Recognition of visitors in the gallery. Member for Yellowknife North .
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Recognition Of Visitors In The Gallery
Recognition Of Visitors In The Gallery
Page 4378
Rylund Johnson
Yellowknife North
Well, if the Premier 's going to do it, I'll do it too. Mr. Speaker, I'd like to recognize a Yellowknife North constituent Lee Mandeville, a friend and colleague of Adrian Lizotte, and one heck of a fiddle player as well, Mr. Speaker.
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Recognition Of Visitors In The Gallery
Recognition Of Visitors In The Gallery
Page 4378
The Speaker
Frederick Blake Jr.
Recognition of visitors in the gallery.
I too would like to welcome Mr. Lee Mandeville, famous throughout the Northwest Territories for his fiddle playing. I was just thinking oh, it would have been nice to have a good square dance in here one day, but. Welcome to the Chamber. It's always good to have an audience. And also if there's anybody else that we missed, welcome to the gallery. I hope you enjoy our proceedings today. Mahsi.
Recognition of visitors in the gallery. Reports of committees on the review of bills. Reports of standing and special committees. Member for Kam Lake .
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Committee Report 31-19(2): Report on Bill 40:
An Act to Amend the Medical Profession Act
Reports Of Standing And Special Committees
Page 4378
Caitlin Cleveland
Kam Lake
Mr. Speaker, Your Standing Committee on Social Development is pleased to provide its Report on Bill 40,
An Act to Amend the Medical Profession Act , and commend it to the House.
Introduction
Bill 40,
An Act to Amend the Medical Profession Act , was first introduced by the Department of Health and Social Services on November 25, 2021, and then referred to the Standing Committee on Social Development for review. A plain language
summary for Bill 40 was tabled on November 26, 2021.
Bill 40 proposes changes to the Medical Profession Act to:
• Exempt physicians in other provinces and territories providing virtual care to NWT residents from needing an NWT licence when there is a referral from an NWT doctor or nurse practitioner;
• Clarifies a regulation-making power to adapt and adopt standards of practice for the practice of medicine;
• Allows the Minister of Health and Social Services to enter into agreements with other governments or organizations about physician licensing;
• Creates a new category of registration and licensing for physicians practicing virtual care without a referral; and
• Allows registers of physicians to be posted online.
The main changes made in committee include:
1. Removal of the virtual care register; and
2. Requiring the Minister to consult with the Northwest Territories Medical Association before recommending regulations on standards for the practice of medicine.
The committee thanks everyone who took the time to participate in the review and provided us with comments and concerns on Bill 40 .
This bill provides a permanent arrangement for virtual healthcare services based on NWT referrals. During the COVID-19 public health emergency, the state of emergency, the Minister of Health and Social Services authorized virtual care through a ministerial directive. In accordance with
section 3.3 of the Hospital Insurance and Health and Social Services Administration Act, the Department of Health and Social Services made a temporary agreement with the College of Physicians and Surgeons of Alberta to exempt its members from having to licence in the NWT and to continue to provide services needed in the NWT.
The agreement was renewed by one year and will expire by the end of 2022. This bill provides a more permanent arrangement.
Mr. Speaker, I would like to pass to my colleague for Great Slave further reading of this document. Thank you.
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Committee Report 31-19(2): Report on Bill 40:
An Act to Amend the Medical Profession Act
Reports Of Standing And Special Committees
Page 4379
The Speaker
Frederick Blake Jr.
Thank you, Member for Kam Lake . Member for Great Slave .
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Committee Report 31-19(2): Report on Bill 40:
An Act to Amend the Medical Profession Act
Reports Of Standing And Special Committees
Page 4379
Katrina Nokleby
Great Slave
Thank you, Mr. Speaker. Mr. Speaker,
What We Heard
The committee held a public engagement period from December 22, 2021 to April 31, 2022 and a public hearing on May 16, 2022. Near the end of the committee's review period, the Government of the Northwest Territories Department of Health and Social Services identified issues with Bill 40 that could require substantial amendments. These issues addressed some of the points of contention identified by stakeholders.
At the suggestion of the Minister, the committee sought and received an extension of the review period on March 28, 2022. The committee indicated its willingness to work collaboratively with the Minister of Health and Social Services to improve Bill 40 .
When a bill is before a standing committee, it is unusual for the Government of the Northwest Territories to be involved in consultation with stakeholders. However, in this instance, committee took the unusual step of requesting that the Minister of Health and Social Services again consult with key stakeholders on the bill during this extension.
The committee received written submissions from the College of Family Physicians of Canada, the Northwest Territories Medical Association, the Royal College of Physicians and Surgeons of Canada, and the Registered Nurses Association of the NWT and Nunavut, and also heard from the Northwest Territories Medical Association in a public presentation on May 16, 2022.
Submitters expressed two key concerns: The lack of integration of care providers into the NWT medical system if virtual care is permitted without a referral and the role of the government in establishing professional standards of practice.
The committee received additional recommendations on future virtual care access and standards of practice considerations beyond Bill 40 .
Virtual Care and Exemption to be Licensed
All submissions welcomed Bill 40 for continuing access to virtual care beyond the COVID-19 pandemic emergency measures. As part of clause 9, this change would add subsection 31.6 and create an exemption to the NWT registration and permit requirements for medical practitioners registered in another jurisdiction and referred to by an NWT medical practitioner or nurse practitioner. The proposed addition of subsection 31.6 was not contentious.
The exemption from licensing based on a referral from NWT practitioners has enabled physicians to practice virtual care during the COVID-19 pandemic. All submitters made it clear that this was a welcomed practice that should continue.
The Canadian Medical Association and the NWT Medical Association supported the proposed exemption to allow physicians licensed elsewhere to provide virtual consultation to NWT residents beyond the current public health emergency given the care originates in a request from an NWT care provider with a referral. The NWT Medical Association pointed out that the referral allows for integrated and coordinated service delivery.
Medical practitioners providing virtual care based on a referral are integrated because they can work within an NWT-wide electronic medical record system. The fact that NWT-wide territorial staff are all employees of the NTHSSA allows coordination of virtual care within and outside of NWT.
The NWT Medical Association considered those aspects of the act that would enable referrals to physicians outside of the NWT an essential element of NWT healthcare and wants to continue this.
The Registered Nurses Association of the NWT and Nunavut, and the Royal College of Physicians and Surgeons of Canada, welcomed the exemption. Both submitters explain that the exemption would remove barriers to accessing safe and quality care for the NWT residents and leveraging virtual care as a complement to accessing in-person healthcare and services.
Virtual Care Register
Most respondents expressed strong concerns about the proposed creation of a virtual care register. Bill 40 proposed creating a new 12-month registration and licensing requirement for physicians practicing in other jurisdictions and in good standing with the Canadian Medical Protective Association to provide virtual care in the NWT (section 31, 81).
The registry would allow out of territory health practitioners to practice virtual care to NWT residents without a referral from an NWT health practitioner. This scenario raised several concerns in the medical profession.
Submitters were concerned that allowing practitioners to see patients without a referral may create a parallel system and leave doctors unable to integrate into the NWT medical system by not having access to NWT pharmacies. The NWT Medical Association expressed that the register would not be necessary and potentially harmful to patient care quality and cultural safety in the NWT.
The Canadian Medical Association saw concerns with continuity of care due to the fragmentation between in-person and virtual patient and physician relationships. Challenges with tests and diagnostics would potentially increase demand in hospital emergency departments. Equity concerns would arise, considering potential private pay options in virtual care services.
To address the lack of integration with NWT systems, the College of Family Physicians of Canada asked to include in the virtual register requirements for physicians. Physicians would need to have the ability to ensure informational continuity so that medical records are available and complete, have established connections with an in-person point of care in the NWT, not be affiliated with for-profit paid-access solutions, and have experience and appreciation for the uniqueness of the NWT's regions.
Concerned with continuity of care, the Registered Nurses Association for the NWT and Nunavut advocated for physicians practicing virtual care to understand the role nurses have in communities and healthcare in the North. This would recognize that the proposed amendments would affect the practice of registered nurses and nurse practitioners who work closely with the residents in the NWT.
Mr. Speaker, I'd like to now pass this over to the Member for the Deh Cho . Thank you.
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The Speaker
Frederick Blake Jr.
Thank you, Member for Great Slave . Member for Deh Cho .
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Page 4380
Ronald Bonnetrouge
Deh Cho
Mahsi, Mr. Speaker.
Standards of Practice
Bill 40 proposes adapting standards for the practice of medicine by adding a code of ethics and competency programming. The new paragraph would allow the Minister to recommend regulations on code of ethics, continuing competency programs and the nature of those programs, and scope of practice frameworks and guidelines. The medical community responded with concerns that in most provinces, licensing colleges set and enforce standards of practice within the framework of self-regulation of the medical profession physicians.
The NWT Medical Association pointed out that the profession's priorities may not always align with the priorities of the government. The College of Family Physicians of Canada recommended aligning the application of standards with comparable structures in neighbouring provinces and suggested Alberta is the best fit due to proximity and existing integration.
The College recommended considering an affiliation with an existing licensing College for ease of operation. The Royal College of Physicians and Surgeons of Canada encouraged the NWT government to collaborate with the Federation of Medical Regulatory Authorities of Canada and its regional authorities to ensure pan-Canadian alignment in professional standards of practice.
The Registered Nurses Association of NWT and Nunavut welcomed the new paragraph as it would lead to "increased patient safety and satisfaction by ensuring that virtual practice physicians clearly understand the context of virtual practice in the North."
Gaps to be Addressed in Legislation
The College of Family Physicians of Canada noted that the amendments proposed in Bill 40 do not address issues the Physician Executive sees with the current MPA. These include the reliance on outdated certification requirements, the differential and discriminatory treatment of family physicians compared to other specialists, the inability to administer conditional licenses, etc.
The College recommended consultation with the local physician leadership from the Territorial Physician Executive to understand these requirements.
Future Collaboration Toward Virtual Care Access The Royal College of Physicians and Surgeons of Canada encouraged the NWT government to ensure pan-Canadian alignment in professional standards of practice in Canada. It recommended actions toward virtual care access and standards of practice beyond Bill 40 :
1. Leverage virtual care models in an ecosystem that promotes continuity of care (ensure availability of information in the NWT Electronic Medical Record);
2. Provide virtual care within NWT's publicly insured system, which meets the principles of the Canada Health Act;
3. Provide all people living in NWT, including those in rural and remote communities, access to reliable high-speed internet to ensure they reap the full benefits of virtual care;.
4. Design virtual care services in genuine partnership with Indigenous communities of the NWT to ensure care is delivered in a culturally safe manner;
5. Collaborate with people with lived experience (including patients and care partners) to ensure that the virtual care model meets the needs of the people relying on it;
6. Pursue ongoing quality improvement to assure NWT's successful deployment of virtual care;.
7. Integrate virtual care services with in-person care. Consider physician workforce, medical facilities, specialized equipment, clinical teams and other necessary resources, to ensure a proper balance of in-person and virtual specialty care within the territory.
Mr. Speaker, I now turn it over to Member from Inuvik Twin Lakes . Mahsi.
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The Speaker
Frederick Blake Jr.
Thank you, Member for Deh Cho . Member for Inuvik Twin Lakes .
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Lesa Semmler
Inuvik Twin Lakes
Thank you, Mr. Speaker.
Committee Considerations
The committee considered several motions that would improve Bill 40 , including removing the virtual care register, and adding a requirement to consult with the medical professional community before proposing regulations concerning standards of practice.
Virtual Care and Exemption to be Licensed in the NWT
Committee members noted the strong endorsement of an exception to registration to continue virtual care with referral and to allow the Minister to enter into agreements that would exempt care practitioners from licensing in the NWT and permit them to provide virtual care services to NWT residents. To this effect, subsections 31.6 and 31.7 of clause 9 were maintained.
Virtual Care Register
The committee took into consideration the risks and concerns expressed in the submission. It was noted that the proposed virtual care register would not apply to every situation to prevent unlicensed physicians from practicing in the NWT, not ensure continuity of care or connection in the NWT system, not entirely remove the administrative burden; and, may create a sense of oversight not truly reflective of the situation.
Committee put forward Motions 2, 3, 4, 9, 12 to 19, and 23 to remove the virtual care register from Bill 40 .
Standards of Practice and Professional Self-Regulation
Bill 40 proposed establishing or adopting standards of practice, codes of ethics, continuing competency programs, and the nature of those programs, and scope of practice frameworks and guidelines.
The committee observed that the Health and Social Services Professions Act uses the exact wording to give Cabinet the power to make regulations to establish standards of practice, codes of ethics, and competency programs and guidelines.
After hearing from various medical organizations about the potential for the Minister to infringe on the independence of the medical profession through this clause, the committee deliberated whether the concern was the regulation-making power or the standards themselves.
The committee recognizes the position of the professions that creating regulations on standards of practice may infringe on the independence of the medical profession. In connection with those concerns, committee members heard that the concern is not at the level of the standards themselves but that should the Minister choose the standards, it could mean competing interests because the Minister's interest may not be in line with patients' interests.
In conversations with the committee, the Department of Health and Social Services expressed the commitment to consult the medical profession on standards of practice adapted from the College of Physicians and Surgeons of Alberta to bring standards into force in late 2022. The Department plans to include consultations on adopting the Canadian Medical Association's Code of Ethics and Professionalism.
The current legislation allows the Minister to develop regulations respecting standards for the practice of medicine. Therefore, Bill 40 does not contemplate removing or adding the power that the Minister already has. Therefore, removing this power would not be within the scope of Bill 40 . The committee considered all comments on self-regulation out of scope but looked to other ways to ensure collaboration as noted in the next section.
The Requirement to Consult before Proposing Regulations
The committee proposed that the Minister should consult with the NWT Medical Association before recommending making regulations regarding establishing or adopting standards of practice, codes of ethics, continuing competency programs and the nature of those programs, and scope of practice frameworks and guidelines under clause 24 para 94.
Committee pursued an amendment with Motion No. 10 allowing the Commissioner to make the stipulated regulations only after consultation with the Northwest Territories Medical Association.
Mr. Speaker, I will now ask to pass it on to my colleague, Member for Monfwi . Thank you.
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Page 4382
The Speaker
Frederick Blake Jr.
Thank you, Member for Inuvik Twin Lakes . Member for Monfwi .
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Page 4382
Jane Weyallon Armstrong
Monfwi
Thank you.
Several concerns from witnesses were about aspects of virtual care or professional regulations that the committee did not consider in scope with Bill 40 . However, the committee found the recommendations relevant to creating a supportive environment for the legislative changes to be successful.
Standards of Practice
The NWT Medical Association requested the NWT government consider the alternate process by contracting organizations such as College of Physicians to develop the standards of practice for physicians. The committee recognizes the position of the professions and accordingly makes the following recommendation.
Recommendation 1: The Standing Committee on Social Development recommends that the Minister engage the services of an independent body, such as other Colleges of Physicians, to develop standards of practice for physicians practicing in the NWT
Ensuring Meaningful Participation
The committee noted that while meaningful participation by physicians in discussions of standards for physicians is desirable and necessary, the NWT reality is that physicians are often working at maximum levels of their capacities with little time left for extensive consultation. Accordingly, the committee makes the following recommendation.
Recommendation 2: The Standing Committee on Social Development recommends that the GNWT work with the NWT Medical Association to ensure they have the ability to meaningfully participate when they are consulted on any proposed standards for physicians in the NWT.
Understanding Certification Requirements .
The committee considered further comments by the College of Family Physicians of Canada on the Medical Professions Act. The College notes problems with the current legislation, the reliance on outdated certification requirements, differential and discriminatory treatment of family physicians compared to other specialists, and the inability to administer conditional licenses as current gaps not addressed by legislative improvements. The College states that "consultation with the local physician leadership from the Territorial Physician Executive would be beneficial in gaining further understanding" of these requirements. Further, committee makes the following recommendation.
Recommendation 3: The Standing Committee on Social Development recommends the Department of Health and Social Services consult with the local physician leadership from the Territorial Physician Executive to understand certification requirements, differential treatment of family physicians compared to other specialists, and the administration of conditional licenses.
Recommendation 4: The Standing Committee on Social Development recommends that the GNWT provide a response to the recommendations contained in this report within 120 days.
I'll now pass it on to MLA Caitlin Cleveland , MLA from Kam Lake. Thank you.
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The Speaker
Frederick Blake Jr.
Thank you, Member for Monfwi . Member for Kam Lake .
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Caitlin Cleveland
Kam Lake
Thank you, Mr. Speaker. I respond to all of the above.
Clause-by-Clause Review .
The clause-by-clause review of Bill 40 was held on March 19, 2022. At this review, committee moved ten motions. The Minister concurred with all ten motions.
Conclusion
This concludes the Standing Committee on Social Development's review of Bill 40 . The committee thanks the medical profession and the public for their participation in the review process, the Department of Health and Social Services for the collaborative effort to improve the proposed changes, and everyone involved in reviewing this bill for their assistance and input.
Following the clause-by-clause review, a motion was carried to report Bill 40 :
An Act to Amend the Medical Profession Act, as amended and reprinted, as ready for consideration in the Committee of the Whole. This concludes the Standing Committee's review. Thank you, Mr. Speaker.
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The Speaker
Frederick Blake Jr.
Thank you, Member for Kam Lake . Reports of standing and special committees. Member for Kam Lake .
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Caitlin Cleveland
Kam Lake
Thank you, Mr. Speaker. Mr. Speaker, I move, seconded by the Member for Great Slave , that Committee Report 31-19 (2), Standing Committee on Social Development Report on Bill 40 ,
An Act to Amend the Medical Professions Act, be received by the Assembly and referred to Committee of the Whole. Thank you, Mr. Speaker.
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The Speaker
Frederick Blake Jr.
Thank you, Member for Kam Lake . Motion is in order. To the motion?
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Some Hon. Members
Question.
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The Speaker
Frederick Blake Jr.
Question has been called. All those in favour? All those opposed? Any abstentions. The motion is carried. Report of Bill 40 ,
An Act to Amend the Medical Professions Act, will be moved into Committee of the Whole later today. Thank you.
Reports of standing and special committees.
Colleagues, we will take a short recess. Thank you.
---SHORT RECESS
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The Speaker
Frederick Blake Jr.
Welcome back, colleagues. Returns to Oral Questions. Acknowledgements. Oral Questions. Member for Hay River South .
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Oral Question 1111-19(2): Flooding
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Rocky Simpson
Hay River South
Thank you, Mr. Speaker. Mr. Speaker, these questions are for the Minister of MACA .
Mr. Speaker, we have flood victims sleeping in tents, staying at the shelters, some with friends, and some with no place to stay. Can the Minister tell me when and how we will house those that have been displaced from their homes as residents need immediate accommodation? Thank you, Mr. Speaker.
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The Speaker
Frederick Blake Jr.
Thank you, Member for Hay River South . Minister responsible for Municipal and Community Affairs .
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Shane Thompson
Nahendeh
Thank you, Mr. Speaker. Mr. Speaker, I understand this is a very challenging time for residents, as I've experienced that in the Nahendeh riding last year as well as residents from Fort Good Hope and as well as Little Buffalo. Disaster events are stressful and disruptive. And I understand that people just want to get things back to normal so that they can have a place where they can put their head. The reality is that things are not normal and that people have been displaced from their homes for anywhere from a week to several months, depending on what damages have been done to their homes.
I know that every day is a very long time when you are out of your homes but we are working as quickly as we can to put -- but we will -- it'll take some time to get people into all the accommodations needed, long-term accommodations. Evacuees who cannot return home to do the flood damages are encouraged to contact our pathfinders who will talk them through about what's their available requirements are and to make sure that they're register reflects their full housing situation. So we will work with them.
We encourage you to reach out to the pathfinders and we will work as fast as we can to get people into accommodations, medium to long-term accommodations. Thank you, Mr. Speaker.
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Rocky Simpson
Hay River South
Thank you, Mr. Speaker. Mr. Speaker, can the Minister confirm the process for approving accommodation requests for those who are displaced and are without accommodation; which department or departments have that responsibility? Thank you.
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Shane Thompson
Nahendeh
Thank you, Mr. Speaker. Mr. Speaker, the Department of Municipal and Community Affairs, the health system which was the Hay River Health and Social Services Authority, and the local housing authority are working together to ensure those who cannot return to their homes will be provided with long-term accommodations. So we do have a system in place that will triage them, I guess is the best way to describe it, and then we will see what their needs are and we have a system in place for how we do it. Damage assessments will help determine who requires accommodations and for how long.
Pathfinders will follow up with anybody who is registered to better understand who needs accommodations and help support individual specific accommodations are required. So, again, reach out to our pathfinders. We have two in there right now, and we have in the process of hiring additional pathfinders and they're going to be located in the ECE building which is by the courthouse there. So we will have people there as well. Thank you, Mr. Speaker.
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Rocky Simpson
Hay River South
Thank you, Mr. Speaker. Mr. Speaker, many residents welcomed those displaced by flooding into their homes when accommodations were needed. Will the Minister confirm if there will been an opportunity to compensate those who opened their homes when accommodations were needed? Thank you, Mr. Speaker.
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Shane Thompson
Nahendeh
Thank you, Mr. Speaker. Unfortunately, Mr. Speaker, no. There's no provision within the Disaster Assistance Policy to provide funding to those households who have taken in evacuees. Mr. Speaker, though, the outpour of support for evacuees has been amazing to see. And I know the residents of Hay River and K'atlodeeche First Nation will continue to support their neighbours, family and friends, during this very difficult time. And unfortunately this is the process, and we need to follow it. Thank you, Mr. Speaker.
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The Speaker
Frederick Blake Jr.
Thank you, Minister. Final supplementary, Member for Hay River South .
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Rocky Simpson
Hay River South
Thank you, Mr. Speaker. Mr. Speaker, accommodations is very important to many people, and I know that right now there are some that are staying in motels and hotels, and you know, they get news that they might get kicked out one day or the next day and they're not sure what's going on. So can the Minister confirm how long will accommodations be covered for those displaced by flooding? Thank you.
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Shane Thompson
Nahendeh
Thank you, Mr. Speaker. And I thank the Member for that question. And it is a very important question moving forward.
The duration of long-term accommodations will depend on the level of damage to the residence and their homes and a reasonable duration for the repairs to be completed. So that people understand, from the 2021 flood people put up in the accommodations to meet their needs while their homes are being repaired, some of these people are still in accommodations and -- so that there is we're not going to kick people out. We are going to put people in accommodations until such time as they can get back into their homes. Thank you, Mr. Speaker.
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The Speaker
Frederick Blake Jr.
Thank you, Minister. Oral questions. Member for Yellowknife North .
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Rylund Johnson
Yellowknife North
Thank you, Mr. Speaker. My questions are for the Premier on the work we're doing to implement the United Nations Declaration of the Rights of Indigenous Peoples.
My understanding is that the Premier had kind of -- at step zero asked the GNWT to take each of the articles of UNDRIP and then do an internal inventory of current programs and services or current policies to kind of show where we already would align or perhaps didn't align, you know. Perhaps there's some areas, some articles which we are considering we are already complying with. So this would kind of just be something the Premier was going to take to the Council of Leaders so we're all on the same page of where we're starting from.
My question is, has this work been completed and, if so, is it something that could be shared? Thank you, Mr. Speaker.
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The Speaker
Frederick Blake Jr.
Thank you, Member for Yellowknife North . Honourable Premier .
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Caroline Cochrane
Range Lake
Thank you, Mr. Speaker. Actually the request to look at the programs across to see if our programs and services align with the United Nations declaration was done by all of the departments across the GNWT. However, it was also -- that information was also provided to our special committee on reconciliation. I want to make sure I got the -- Reconciliation and Indigenous Affairs as a part of the research that was compiled to be able to provide the interim report.
I do know that the Member is part of that committee and had access to that information. But right at this moment that information is not public. We are also working with the working group of the Council of Leaders to -- to also identify what programs align and what don't align and then develop an action plan from that work. Thank you, Mr. Speaker.
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Rylund Johnson
Yellowknife North
Thank you, Mr. Speaker. I guess I'm curious about any internal work that's kind of occurring. I recognize that there are larger questions that the declaration raises, you know, how we are going to operationalize free prior informed consent is obviously a very large question we have to work with the Council of Leaders. But to me, there's a number of smaller internal changes to GNWT internal policies, perhaps our consultation policies, perhaps how we structure the government to empower regions differently. I think there's probably a lot of work that we just need to do internally.
So my question for the Premier , has any of that work started; have we made any internal changes to how the GNWT operates in the hopes of implementing the declaration? Thank you.
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Caroline Cochrane
Range Lake
Thank you, Mr. Speaker. We're always trying to improve our services, programs and services. I'm just thinking a couple of them that stick off my head right now are the Indigenous Government Procurement Policy. That has never been attempted in any government that I know of before this so that's work that we're starting now. And then of course the government already has their mandatory Living Well Together, which is an Indigenous cultural awareness and sensitivity training that we're asking every employee and every MLA to actually review. So that services people.
All staff are more cognitive of the issues Indigenous people have faced and hopefully will reflect on the services that they provide.
And like the Member said, there's lots of small things but those are the two bigger ones that stick in my head right now. Thank you, Mr. Speaker.
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Oral Question 1112-19(2): United Nations Declaration on the Rights of Indigenous Peoples
Oral Questions
Page 4385
Rylund Johnson
Yellowknife North
Thank you, Mr. Speaker. I heard the Premier state that the plan is, you know, we're doing this inventory exercise and then hopefully there will be an action plan. I'm just wondering whether we have a timeline on when that action plan will be public? Thank you.
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Oral Question 1112-19(2): United Nations Declaration on the Rights of Indigenous Peoples
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Page 4385
Caroline Cochrane
Range Lake
Thank you, Mr. Speaker. I do appreciate the Member always looking at this. It's really important work, the United Nations Declaration of Indigenous Peoples. However, I keep having to remind Members that this work is done by Indigenous people in partnership with us. They're taking the lead on this. And so as when that work plan will be done, there is a working group of which the GNWT has one Member and all the Indigenous governments have membership on that. So I can't say at this point when that work will be done. It's contingent on when the Indigenous governments have said "we're done." Thank you, Mr. Speaker.
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Oral Question 1112-19(2): United Nations Declaration on the Rights of Indigenous Peoples
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Page 4385
The Speaker
Frederick Blake Jr.
Thank you, Honourable Premier . Final supplementary, Member for Yellowknife North .
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Oral Question 1112-19(2): United Nations Declaration on the Rights of Indigenous Peoples
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Page 4385
Rylund Johnson
Yellowknife North
Yes, thank you, Mr. Speaker. Well, it's my hope that since this was a priority of this Assembly that we would see something in this Assembly. And if we have to live with an action plan that, you know, we get on the last day and we actually don't do any of the work in it in the life of this Assembly, well, that's better than nothing. And I guess the other debate here is that BC and the federal government have introduced actual legislation which create a legal obligation for the government to do this work and for departments to do this work. Are we going to see legislation to implement the declaration in the life of this Assembly, Mr. Speaker?
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Oral Question 1112-19(2): United Nations Declaration on the Rights of Indigenous Peoples
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Page 4385
Caroline Cochrane
Range Lake
Thank you, Mr. Speaker. I also want to acknowledge, again, and thank the Member for when he did his opening comments today in talking about the issue, talking about we can't do this unilaterally, I agree 100 percent. Nothing about us without us is a comment to be -- pointed with me.
We did bring the concerns to the Council of Leaders table and stated when legislation that we're getting -- I'm getting pushed in the House to get legislation across by MLAs and then gave them a timeline of when we could expect what work had to be done before legislation could be done to get into this term of this government. I've had mixed reviews. Some Indigenous governments are saying, yes, let's get on it now and other ones have said, I don't care what MLAs say. I care about this and this has to be done on our time.
So we did hire a facilitator to help with that process. They are aware. The Indigenous governments are aware of the timelines and the work that has to be done before. So I'm hopeful, Mr. Speaker, that we will have some legislation during the term of this government. But I'm also respectful that if they decide that it's not to be, then the next government gets the glory for that as well. Thank you, Mr. Speaker.
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Oral Question 1112-19(2): United Nations Declaration on the Rights of Indigenous Peoples
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Page 4385
The Speaker
Frederick Blake Jr.
Thank you, Honourable Premier . Oral questions. Member for Thebacha .
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
Oral Questions
Page 4385
Frieda Martselos
Thebacha
Thank you, Mr. Speaker. Mr. Speaker, in my Member's statement, I spoke about a shortage of RCMP staff in the community of Fort Smith. I would like to ask the Minister of Justice if he believes that a lack of RCMP staff would translate to a lack of overall public safety for the people of Fort Smith? Thank you, Mr. Speaker.
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
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Page 4385
The Speaker
Frederick Blake Jr.
Thank you, Member for Thebacha . Minister responsible for Justice .
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
Oral Questions
Page 4386
R.J. Simpson
Hay River North
Thank you, Mr. Speaker. If the Member's asking me for my opinion, I don't want to give my opinion about situations like this. I'm not a police officer. I don't know the ins and outs of the situation in Fort Smith. But the RCMP are aware of their staffing numbers. This is not the first time that they haven't had a full complement of officers in a community. And as the Member stated, they have sent someone in to that community. They have the ability to send in additional officers to that community if they feel that they need to. So I would say that the RCMP has this situation in hand, and if there's a need for additional officers temporarily, they have the ability to do that. Thank you.
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
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Page 4386
Frieda Martselos
Thebacha
Mr. Speaker, can the Minister tell us what the Department of Justice is doing to address the RCMP staff shortage that is currently affecting Fort Smith and other NWT communities. Thank you, Mr. Speaker.
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
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Page 4386
R.J. Simpson
Hay River North
Thank you, Mr. Speaker. And this is a national issue. This isn't just one community in the Northwest Territories. During the pandemic, the depot where RCMP officers are trained in Regina was shut down and it was not accepting new recruits and was not graduating new recruits. So we are now in a time where there's a shortage across Canada of RCMP officers because they weren't training. So this is an issue that everyone is feeling. However, this is part of the daily operation of the RCMP. If there's staffing shortages, they deal with them. And the department works with them to deal with them.
We do have a contract with them. And we work through the mechanisms in that contract to ensure that they are providing the services that we are paying for. Thank you.
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
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Page 4386
Frieda Martselos
Thebacha
Mr. Speaker, can the Minister provide a timeline or any further details for which he anticipates that all or most of the vacant RCMP staff positions will be filled in Fort Smith? Thank you, Mr. Speaker.
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
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Page 4386
R.J. Simpson
Hay River North
Thank you, Mr. Speaker. I don't have that level of detail. But I can get back to the Member. Thank you.
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
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Page 4386
The Speaker
Frederick Blake Jr.
Thank you, Minister. Final supplementary, Member for Thebacha .
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
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Page 4386
Frieda Martselos
Thebacha
Mr. Speaker, can the Minister assure me that the RCMP vacancies can be filled with casual members from other jurisdictions until the permanent staff are all in place? Thank you, Mr. Speaker.
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
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Page 4386
R.J. Simpson
Hay River North
Thank you, Mr. Speaker. I don't have control of the operations of the RCMP so I can't make that assurance personally. But the RCMP is aware of the situation and they do have the ability to bring in other officers, as I've stated. Thank you.
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Oral Question 1113-19(2): Royal Canadian Mounted Police in Fort Smith
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Page 4386
The Speaker
Frederick Blake Jr.
Thank you, Minister. Oral questions. Member for Inuvik Twin Lakes .
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Oral Question 1114-19(2): Sexual Violence
Oral Questions
Page 4386
Lesa Semmler
Inuvik Twin Lakes
Thank you, Mr. Speaker. My questions are for the Minister of Justice .
In regards to my Member's statement, has the Minister of Justice considered ways in which women, children, and those in the LGBTQ2S+ communities will be impacted by this recent supreme ruling allowing for the self-induced extreme intoxication defence? Thank you, Mr. Speaker.
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Oral Question 1114-19(2): Sexual Violence
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Page 4386
The Speaker
Frederick Blake Jr.
Thank you, Member for Inuvik Twin Lakes . Minister responsible for Justice .
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Oral Question 1114-19(2): Sexual Violence
Oral Questions
Page 4386
R.J. Simpson
Hay River North
Thank you, Mr. Speaker. What the Member is talking about is a Supreme Court case. There's a recent ruling that changed the rules on defence and the types of defence that can be put forward. That doesn't really change the situation in the Northwest Territories however. The issues that we're facing are the issues that we're facing. This is a defence that would, you know, rarely be used. I don't know if it's ever been used in the Northwest Territories. But it doesn't change the fact that we face the levels of sexual violence that the Member has already stated.
So the work that the department does is focused on those issues already. So this, you know, has the potential perhaps to exacerbate the issue but nonetheless that work is the focus of the department at all times. Thank you.
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