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May 24, 2018 Human Services Committee 765 STANDING COMMITTEE ON HUMAN SERVICES Hansard Verbatim Report No. 44 – May 24, 2018 Legislative Assembly of Saskatchewan Twenty-Eighth Legislature STANDING COMMITTEE ON HUMAN SERVICES Mr. Dan D’Autremont, Chair Cannington Ms. Danielle Chartier, Deputy Chair Saskatoon Riversdale Mr. Larry Doke Cut Knife-Turtleford Mr. Muhammad Fiaz Regina Pasqua Mr. Todd Goudy Melfort Mr. Warren Steinley Regina Walsh Acres Hon. Nadine Wilson Saskatchewan Rivers Published under the authority of The Hon. Mark Docherty, Speaker STANDING COMMITTEE ON HUMAN SERVICES 763 May 24, 2018 [The committee met at 14:59.] Ms. Chartier: — Okay, so you’ll table it with the committee. How long has this agreement been in place? The Chair: — Well welcome everyone to the Human Services Committee meeting for May 24th, 2018. I’m Dan D’Autremont, Mr. Hendricks: — So the agreement dates back into the early the Chair of the committee, MLA [Member of the Legislative 1960s, so several decades. It was originally with Manitoba Assembly] for Cannington. With us this afternoon, we have Health and then it was with I believe the Nor-Man health MLA Larry Doke, MLA Muhammad Fiaz, MLA Todd Goudy. authority, and I’m told now it’s with the Flin Flon General Substituting for MLA Warren Steinley is MLA Colleen Young. Hospital. Substituting for the Hon. Nadine Wilson is MLA Glen Hart. And for the opposition, we have MLA Danielle Chartier. Ms. Chartier: — Okay. Again just reflecting that we’re hearing from people some concerns about access to services. So I’m General Revenue Fund wondering what the ministry is doing and the minister is doing Health to ensure . and what steps he and the ministry is taking to Vote 32 ensure that people living in this area have access to the care they need. Subvote (HE01) Hon. Mr. Ottenbreit: — Well we had heard concerns in the The Chair: — We will start today with continuations of past between the ministry and the facility there. I guess consideration of estimates and supplementary estimates — no. 2 negotiations or discussions would take place when it comes to for the Ministry of Health: vote 32, Health, central management services to the Creighton people. Over the last few years we’ve and services, subvote (HE01). had little, if any, complaints. Mr. Minister, welcome. Mr. Ottenbreit, welcome. And welcome Ms. Chartier: — There was just a meeting — unfortunately I to your officials. If you have any introductions to make you wasn’t able to make it —with the MLA who represents that area may proceed, Mr. Minister. and the MLA on the Manitoba side of the border, just a month ago on a Friday during session. And there were a list, a long list Hon. Mr. Reiter: — As this is round three, Mr. Chair, we again of complaints. So you’re saying that you haven’t heard any at the front have the Hon. Greg Ottenbreit; our deputy minister, concerns in the last two years? Max Hendricks; a number of other officials that may introduce themselves when we join in, and we’d be prepared to just Hon. Mr. Ottenbreit: — In the last few years we’ve heard very continue with questions. little complaints, officially, from the area. The Chair: — As in Olympic boxing, there are only three Ms. Chartier: — Officially? So officially, where would those rounds. We will have the vote for vote 32, Health, central be coming from when you do hear them? management and services, subvote (HE01). Are there any questions? Ms. Chartier. Hon. Mr. Ottenbreit: — Well they’d be coming from likely the leadership of Creighton itself, the mayor and . Ms. Chartier: — There are a few questions. Thank you so much again for your time here today. We ended the day on Ms. Chartier: — Okay. What were you hearing prior to the . eHealth yesterday and I will get back to that, but I do have a So you said in the last two years you haven’t heard, you’ve had few things that I’d like to talk about first. few if any complaints. What were you hearing prior to that time? So we’ve heard some concerns from folks in the Creighton-Flin Flon area about accessing health care, high doctor turnover, and Hon. Mr. Ottenbreit: — Prior to that we’d hear the odd the overall quality of care that they receive. I’m wondering if occurrence of maybe priorities of the Saskatchewan residents there’s a contract between Manitoba and Saskatchewan for when it comes to ER [emergency room] services or long-term health service provision in the Flin Flon-Creighton area. care. But again accessing long-term care but up to, again the last couple years, haven’t heard really any official complaints. Hon. Mr. Ottenbreit: — Yes, Ms. Chartier, we do have an agreement with Flin Flon, the facility itself in Manitoba, for Ms. Chartier: — Okay. So I just want to quantify that. So services for the Creighton residents. you’ve had no complaints or a few complaints? Like zero complaints officially? Ms. Chartier: — Would it be possible to provide that to the committee? Hon. Mr. Ottenbreit: — Yes, again we don’t have any record of logged complaints, but not to say that there hasn’t been Hon. Mr. Ottenbreit: — Exactly what are you asking for? something that we’re maybe not aware of in committee today, but we’ll look through our correspondence, see if we can find Ms. Chartier: — The agreement. A copy of the agreement. anything, but if you do have any record of complaints, we’d be happy to take those and look into them. Hon. Mr. Ottenbreit: — We don’t have it with us here today, but we could provide it. Ms. Chartier: — Okay. Just letting you know, as I said, there was a full meeting of folks from the community. I wasn’t able 764 Human Services Committee May 24, 2018 to attend it, but there were many complaints expressed at that Act insured expense. point in time. And one of the things that residents are expressing concern about is the disparity between access for Ms. Chartier: — Forgive my ignorance or my memory here Manitoba residents and Saskatchewan residents. So I’m more than anything, the northern travel, there is a program in wondering what differences you’re aware of and again, what are place for northern medical travel, and tell me who that supports you doing to make sure that people have timely access to care? then? With respect to what happens on the Manitoba-Saskatchewan side, do you know what the differences are? Hon. Mr. Ottenbreit: — So for any emergent situation in the North, medical travel is covered one way for everybody. If it is Hon. Mr. Ottenbreit: — Yes, again looking back in the past, for, say, low-income people from the North, supplementary we were made aware of some issues that would have health benefits will cover them both ways. preferential treatment maybe when it comes to allocating long-term care spaces for residents of Creighton in Flin Flon. Ms. Chartier: — So I guess the question then, if someone has Our information says that those have been rectified, but if you to get sent to Winnipeg, that trip, I’m assuming that that trip have cases like that or others that it’s not happening, then we’d would be covered. And then if they’re on social assistance or be happy to have the ministry talk to the facility again to make one of the programs, supplementary health benefits should be sure that it is rectified. covering that, no? Ms. Chartier: — Okay. So just to be clear then, the expectation Hon. Mr. Ottenbreit: — Just to clarify, Ms. Chartier, are you is there would be no difference in service between Creighton talking about all residents, or those covered under FNIHB [First and Flin Flon? Does the agreement state that — and obviously Nations and Inuit Health Branch]? not having the agreement in front of us — but is that the expectation then that services in Creighton and Flin Flon are Ms. Chartier: — Well all residents, so it would be a equal? combination of both individuals living in Creighton, so those not covered under FNIHB. They are covered under the [15:15] provincial system and on supplementary health benefits if they’re on social assistance. Hon. Mr. Ottenbreit: —I think we’ve just found a copy of the agreement. It’s actually not a contract. It’s a letter of So what I hear is that with emergency travel in Saskatchewan, understanding from 1964 that pertains solely to insured they get the one trip to the acute facility and then there’s services, so under the Canada Health Act. supplementary health benefits, the program to get them home. So if you’re in the same boat and you get flown to Winnipeg for Ms. Chartier: — Okay. So again, the question was about the whatever reason, will supplementary health benefits cover the equity of services then, the expectation. The question was, is trip home? there an expectation of the same services on both sides of the border? Hon. Mr. Ottenbreit: — Yes, so the details of the program as I’ve described it is to the best of my knowledge. But just to Hon. Mr. Ottenbreit: — When it comes to Canada Health Act walk us through the actual details of how certain situations specified services, yes. might transpire, we’re going to get an official to answer. Ms. Chartier: — Okay. If Saskatchewan residents are sent to Mr. Morhart: — Hi. Dave Morhart from the drug plan and Winnipeg for treatment, is there any assistance to them to get extended benefits branch, acting executive director.
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