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Government Report
Paul Jenkins
Chairman, Lobbying &
Advocacy Committee
As you have read read from Ellen White's president's report, she and our executive director have just returned from a political tour of our provinces and territories, meeting with government representatives, cabinet ministers and premiers. We are very pleased with the outcome of our initiative and are quite certain that changes in our provinces' residency requirements are on the horizon as a result of our talks.

We garnered some valuable information from our discussions - including the fact that there is a national residency agreement (the Eligibility and Portability Agreement) across all jurisdictions (except Quebec), and that this is to protect the various provinces' health-care programs from misuse. It stems from people who live in one province, but want to seek perhaps better medical coverage in another. The criteria established and followed by all is that if someone is residing outside a particular territory/province (i.e. buys a house) not a day longer than six months, they become automatic residents of that new province. Thus, our problems with residency.

The following is a synopsis of our meetings to date. We will be travelling to New Brunswick in mid-September:



Ontario: I joined Ellen White for the meetings at Queen's Park in Ontario. Although it was during the SARS crisis, Health Minister Tony Clement took time out of a very hectic schedule to discuss our issues of concern. The minister shared the information that the government was launching a comprehensive program for evaluating and reviewing all health-related programs. He requested CSA's participation in the form of a brief that would be considered in their discussions.    
Paul Jenkins, Tony Clement (Ontario Minister of Health & Long-term Care), Ellen White
Minister Clement also promised to address our concerns about prescription medication, regarding matching dates for time out of country (212 days rather than 200) and reimbursing for emergency out-of-country medication.

We also spent some time with Ontario's Minister Responsible for Seniors, the Honourable Carl DeFaria. Minister DeFaria expressed concern about Ontario's grades in the report card and offered advice on how to proceed with our initiatives. He has also expressed an interest in working with the CSA towards resolving the residency issue.

Prior to my arrival in Toronto, Ellen had the opportunity to speak with official Opposition Liberal leader Dalton McGuinty; deputy leader Sandra Pupatello; Liberal health critic Mike Brown; and policy analyst Karli Farrow. At this meeting, Mr. McGuinty not only gave his word, but also put into writing, his commitment to the principle of portability that Canadians should have health coverage outside of Canada, as well as when at home. They were also very interested in, and would like to follow up on the CSA's other report card recommendations.



Nova Scotia: Second vice-president, Jack Kiuru joined us for our Nova Scotia department of health meeting. We met with associate deputy minister Cheryl Doiron; chief financial officer Byron Rafuse, and Harold McCarthy, director of revenue recovery. They were very interested in our stand that Canadians who travel out of the country during the winter months actually end up saving the provinces money by living a healthy, illness-preventive lifestyle, as well as by not using many of the amenities their taxes fund.    
Byron Rafuse (Chief Financial Officer), Cheryl Doiron (Associate Deputy Minister), Ellen White, Harold McCarthy (Director of Revenue Recovery) & Jack Kiuru

Discussion took place about allowing absences of up to 30 days for Canadian travel, once the allotted time out of country has been reached. We were advised that the Nova Scotia ruling of "12 months out of Nova Scotia, only once in a lifetime" is being reviewed and that a change to once every five years is being considered.

Table of Contents Issue 48
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