NL House of Assembly - Hansard Speaker Index, 50th General Assembly, 2nd Session, 2022

Budget 2024

Motion to approve budgetary policy

Estimates

Supply Committee

Executive Council

Indigenous Affairs and Reconciliation, 4237(39), 4237(40)

Burials and funerals

After seven years and disgraceful treatment of human remains, why has nothing been done, 3641
Can Minister provide an update on how many unclaimed bodies are currently in cold storage units, 4840
Did Minister of Children, Seniors and Social Development make Minister of Health and Community Services aware of the situation when he found out, 3662–3663
Did officials know what was going on and neglect to tell you, 3641
Given the scathing report from the Chief Medical Examiner that identified space and infrastructure deficiencies, would the Minister like to correct his answer, 3641
Has Minister not asked about the capacity of the morgue, 3664–3665
How can we trust government to fix the problem causing accumulation of bodies if we can't trust them to deliver on promise to deal with the dumpster issue, 4783
How many unclaimed bodies are actually inside the morgue at the Health Sciences Centre, 3663
How many unclaimed bodies are there across the province, 3726
Is it accurate to say that the outside containers are solely for unclaimed bodies, 3664
Is Minister concerned about the situation, or is he going to pass it off to officials, 3663–3664
Is the hospital morgue at capacity today, 3663
What is Minister going to do with these unclaimed bodies, 4842
What is Minister's plan for the bodies, 3727
When do operational issues become Minister's issues, 3731
Who is overseeing our health care system, the Minister's department or the media, 3640
Who is responsible for the bodies, 3726
Why did Minister become aware of containers full of bodies piling up in the parking lot of the Health Sciences Centre by a CBC report, if department officials were already aware, 3662
Why didn't Minister take action if he knew that the situation was evolving at the Health Sciences Centre, 3666
Why does the problem appear to be getting worse, and why is department failing to address the problem with funeral homes, 4784
Why is government nickel and diming families when they are at their most vulnerable, instead of making changes to help them, 3607–3608

Cost of living

Urging government to order a complete review of all taxes and fees, cutting or adjusting those that are hurting people; lead the charge to end the carbon tax for good; eliminate the sugar tax; continue the provincial gas tax relief, order a complete review of the Income Support Program and an evaluation of all programs and services intended to support vulnerable populations to ensure they deliver; index the Seniors' Benefit programs to inflation; and deliver a new poverty reduction strategy

Debate, 3353–3355

What is Premier's response to person asking why government is giving cheques to higher-income individuals instead of putting money towards our public system, 99

Digital Government and Service NL

Cyberattack

How much of NL Health Service's debt is related to the cyberattack, 4106
How much was the final cost of the cyberattack, 4106
What was the final cost of the cyberattack, 4106

Education

Assessments

What human resources will Minister put in place to ensure that the pediatric unit can clear up the backlog in a timely manner and get our children the help they need, 3918

Child care

Did Premier get a commitment from the Prime Minister to increase the number of staffed child care spaces in this province, 1190
Does Minister agree with colleague from Mount Scio that it is almost impossible to find child care, 1191–1192
Does Minister feel that rollout of the new wage grid plan is going very well, 1191
What has government done to address the unique challenge of shift workers who often work 12-hour days, 2289
What's the hang-up, if government has had the wage grid report since October, 1190
Why is colleague continuing to blame operators for his failures, 1191
Why is this Minister and government in denial about the child care crisis, 1192
Will Minister admit to the House and the province that we have a child care crisis in the province, 1193
Will Premier and government admit that today's announcement with the Prime Minister was smoke and mirrors and without a single child care space created, 1193

Memorial University

Faculty of Medicine—2024 recipient of the Society of Rural Physicians of Canada Rural Medical Education Award, 4529
If Premier and Minister are so concerned about the plight of our students, why couldn't they attend the Memorial University Student Union's meeting, 1736
Is government going to turn away before they admit their mistake in cuts to funding, 1737–1738
Is Minister worried that international students who can't find housing or a family doctor will turn away from Memorial University, 1738
Would Minister admit that the Liberal government made a mistake with the $68 million cut, 1737

Teachers

Will Minister admit there is a problem and address the teaching staffing shortages in Labrador West, 1741

Finance

Sugar tax

Why does a mother have to pay almost $11 in sugar tax on a $4 purchase of fruit punch powder for their children, 2822

Financial Administration Act

Sec. 26(5)(a)

Orders in Council relating to funding pre-commitment for fiscal years 2023-24 to 2027-28—Tabled, 3404

Health care

Acute care

Will Minister have matter of prioritizing exercise rehabilitation in the new sport and well-being dome reviewed, 4698

Ambulance

Assertive Community Treatment Team

Why has there been no value-for-money assessment of the health authority's program, 4846

Autism

How is it acceptable that families seeking care for their children face an exorbitant wait time or an exorbitant fee, 4692
How many clinicians in the public system are doing adult diagnosis, 4693

Babies switched at birth

Why does government continue to ignore families of babies switched at birth, 365
Will Minister apologize to families on behalf of the provincial government and review this, 364
Will Premier apologize to Craig Avery and Clarence Hynes for the negligence they've endured under a government-run health care facility, 4484

Budget

Will Minister commit to bringing Mr. Diamond in to answer questions on operational issues for Estimates, 4053

Cancellation lists

Why is process for cancellation lists not in place, so that people won't be told to call back in a couple of months, 2153

Cancer

Considering the long waiting lists for cervical cancer screening, why has government allowed women's health to suffer so badly in Central Newfoundland, 4365
Daffodil Month—Acknowledgement of, 4046
Did Minister speak with one of the doctors in the letter, 3516
How many more hundreds of cancer patients are going to have to leave the province before government fixes the retention problem, 3033
Is anyone paying attention to monitoring women's continuity of care, 4365–4366
Is Premier worried that the delays in screening results are jeopardizing the health of women in Central Newfoundland and Labrador, 4366
On what date will implementation plan be announced, and what date will the cut-off be actually lowered for breast cancer screening, 4781
What does Minister say to a senior citizen frightened for her life because she cannot access timely cancer care, 4537–4538
What effect is backlog for radiation treatment having on the patients that need it, 899
What is the plan to ensure sufficient new, up-to-date equipment will be in place for proper testing once another 34,000 people become eligible for testing, 4782
What is the plan to ensure sufficient personnel are in place to handle expanded workload from potentially 34,000 more clients or will more clients simply mean longer waits, 4781–4782
When is the Liberal government going to start providing cancer care at home, 3033
When will cancer patients be able to receive radiation treatment here at home, 1459
When will patients not receiving care within the 28 day national standard stop, 3033–3034
Why are radiation therapists leaving in droves, 1459
Why did decline in accessing timely radiation therapy happen, 4536–4537
Will Minister confirm that new cancer clinic in Corner Book will not open in June, 3642
Will Premier accept the Canadian Cancer Society's recommendation by implementing a lung cancer screening program for high-risk populations, 4363–4364
Will Premier commit to supports for cancer care clinic in Central Newfoundland, 3515
Will Premier let people know that he's not going to ignore Central Newfoundland any longer, 3516
With such a high level of cancer in our province, how is it acceptable that only 57 per cent of patients received treatment in the recommended timeline, 4536

Cataract surgery

Can Minister confirm that 700 additional surgeries are on an ongoing basis to give seniors a good quality of life, 3790
How can Minister not follow signed agreement with the Newfoundland and Labrador Medical Association which would have given 800 people their eyesight, their dignity and eliminate the wait-list for cataract surgery on the West Coast, 1344
When Minister provided the additional 3,300 cataract surgeries, did he negotiate the increase with the Newfoundland and Labrador Medical Association as per the contract and as the former Minister stated he must do, 1344
Will Premier live up to his commitment and call specialists to get matters resolved, 196–197
Will Premier please meet with officials to get the matter resolved, 197

Centres of Excellence in Aging

Why has Minister forgotten about the seniors of Central Newfoundland, with his announcement, 3400

Child psychologist

Why is government failing families and their children who need these services, 581

Collaborative care clinics

Can Premier assure residents that they can move with their family doctors to teams, 1343
Has the amount of unattached patients been decreased or are we just shifting resources for shiny new clinics, 2756
What is the net gain of patients as a result of the collaborative care clinics, 2755–2756
What steps is Minister taking to prevent doctors being taken from rural care centres, 1245
What will the dollar cost be per patient at a collaborative care clinic, 2756
Where is the plan for collaborative care clinics in Labrador, 1103
Why has government failed to open up enough of the promised clinics that would give patients who need it access to nurse practitioners without our existing public health care system, 4645

Crisis, Health Care System

Are lengthy, late night, ambulance rides for cardiac patients the new normal in our health care system, 2753
Are nurses working 24 hours around the clock in private rooms, while patients needing health care cannot get admittance into the hospital how government is transforming our health care system, 4640–4641
Can Premier instill confidence in the health care system that his public relations stunts aren't just adding more stress to the public health care system, 846–847
Can we get a timeline on when consultations for human resource plan will happen and when will plan be delivered for workers, 847
Does Minister agree with Nurses' Union that health care has gotten worse over the last two years, 467
Does Minister agree with president of Nurses' Union comment stating health care is in a dire situation, 468
Does Premier endorse Prince Edward Island recruitment event, 3397
How can Minister justify the reduction in health services on the Southern Shore, 4368
How can patients expect quality care if Liberals continue to allow an exodus of health care workers, 648
How can people in this province have faith in our health care system, 3639
How does Liberal government expect to attract and retain health care professionals if our incentives aren't good enough, 1335
How does Minister find it acceptable that people are lined up outdoors to get their name on a list to get to see a doctor, 39
How is virtually everything getting worse under Premier's leadership, 467
Is a 300 kilometre, 3½-hour journey at midnight from one hospital to another a good example of health care on Minister's watch, 2753
What are people in rural Newfoundland supposed to do when emergency departments on are on diversion or closed, 4568
What does Minister say to 84-year-old senior who had to wait 12 hours in an ambulance outside the hospital to access care, 846
What does Premier have to say to the workers and patients who have suffered the last eight years due to Liberal government inaction, 474
What is the accelerated approach for our human resource plan for health care or should we expect self-checkout terminals with WebMD prompts for triage, 589
What is the rate of patient harm in our health care system due to chronic understaffing, 469
What is the retention plan for rural and Labrador health care delivery, 953
When is Minister going to understand that recruitment starts with retention, 4537
Where is the comprehensive human resource plan for health care workers, 847
Where is the plan to address the issues that have been brought forward by health care workers in Labrador, 44–45
Where is the plan to address work-life balance, given that health care professionals are quitting in droves, 656
Where is the plan to deal with the systemic issues driving away staff from our system and putting more pressure on our rural and Labrador health care delivery, 952
Why did the former Minister of Health tell the people of the province that there was a Health Human Resources Plan when the Liberal government knew that was not correct, 2821
Why does Premier continue to ignore the health crisis facing Newfoundlanders and Labradorians, 580
Why is Minister continuing to abandon health care on the southern shore, 4369
Why is Premier focussed on infrastructure when he hasn't even started the retention and recruitment plan for health care professionals in this province, 649–650
Why is Premier hiding the numbers that tell the real story of the health care workers crisis, 1553–1554
Why is the wait so long for a dye test, 845
With so many doctors packing up and leaving Central Newfoundland, is virtual care the future in Central, 3517

Dental care

Can Minister explain why cases like Golda's are being denied, 1604
Does the Minister have any suggestions for Golda, a 72-year-old woman living with excruciating dental pain, 1603–1604
Why do we live in a province where a person can be in agonizing pain for months and it takes intervention from a Minister to get some relief, 1604
Will government agree to immediately increase the budget allowance for its adult dental program and extend it to cover low-income seniors until federal coverage kicks in, 1603
Will government take immediate action to improve access to dental care and remove barriers now, 1405

Diabetes

How can constituent receive proper diabetic care in our province, 38
Why didn't Minister take the advice of Diabetes Canada, 2440
Why does government continue to ignore the Health Accord recommendation for people with diabetes to have continuous glucose monitors, 900
Will government provide Newfoundlanders and Labradorians with the proper supports to manage diabetes, 900

Doctors

Does Minister believe that recruiting just one physician is a success story, 3782
How does Minister plan to support the existing family practices in Newfoundland and Labrador in providing essential health services to the people of our province, 1244–1245
How many calls has Premier taken from out-of-province doctors, and how many have a job offer, 39
How many doctors are now working at the Whitbourne clinic, 1095
How many doctors have signed a contract and will be practicing in the next year, 1044
How many physicians were recruited on the trip to Ireland, 3782
How much longer will people be forced to drive hours to see a doctor, 841
How much longer will people of Arnold's Cove area have to worry about not having a family doctor available, 845
Urging government to direct Memorial University to provide Practice-Ready Assessment seats as needed to help license doctors so desperately needed, 3410–3411
What are people without a family doctor supposed to do, 1243
When will Fogo Island get a full-time family doctor, 786
When will government do the right thing and ensure a family doctor is available for the people of the District of Ferryland, 2293
Where does Minister suggest that desperate senior look to obtain health care for the next 12 months, 843
Why are doctors continuing to leave under this Liberal government's watch, 305
Why are Liberals penalizing seniors without a family doctor, 4006
Why couldn't doctor practice in our province, despite approval from the college, 785
Will Premier act to fill the deficiency of internal medicine doctors in the Carbonear hospital, 3400

Dose splitting

Are split medication doses being used in this province for certain eye diseases, 2342
Is department aware of any adverse patient effects due to the use of dose splitting, 2342
Is Minister aware that there are dose splits being used in the province, 2342
What steps has department taken to investigate this matter and to ensure that there are no risks to patients, 2343

Electroencephalogram (EEG)

Does Minister think it acceptable to put an 85-year-old woman on the road at 3:30 in the morning to reach Grand Falls-Windsor in time for an 8:15 a.m. appointment, 4839
Is Minister aware that people in Western Newfoundland and Labrador have to travel to Grand Falls-Windsor for this appointment, 4839
Would people on the West Coast not be better served by having one technician from Grand Falls-Windsor come to Corner Brook a couple of days per week, rather than have people on the road for hours a time for a 45-minute test, 4839

Emergency rooms

Can doors be opened so that the medical staff can triage those emergent victims who show up at the door, 2292
Can Minister update the House about keeping the doors of Bonavista hospital open, 2341
Can people in the gallery, their families and loved ones be confident that emergency room care will be available to them in their time of need, 1189
Can the people of Connaigre Peninsula expect the same downgrade of service as Whitbourne, 1098
Does 500 days of emergency room closures sound like progress, 2488
Has Burin hospital become the hub for cardiac patients from both Carbonear and Clarenville hospitals, 2754
Have additional staff been added to Grand Falls-Windsor to meet the surge in demand, 2292
Have we made progress in unlocking the doors in order for residents to be triaged before being transported to Clarenville emergency, 2291
How are diversions from other communities affecting the emergency room in Grand Falls-Windsor, 2292
How can it be allowed that a pregnant woman is forced to sleep on the floor of an emergency room, 3396–3397
How does Minister justify forcing people to drive longer distances for emergency care, 1098
Is a 300-kilometre diversion for emergency care acceptable under the Liberal government, 3399
Was there any adverse health event this past weekend in relation to the provision of emergency ambulance services, 946
What assurances can Minister give that the new service model will not cause more chaos and erosion of services, 3517
What assurances can Minister provide to ensure situations such as an 83-year-old senior waiting for hours in hallway for CT scan no longer happen, 900
What does Minister say to family who had to wait 91 minutes for an ambulance to arrive to provide medical care and transport their loved one, 4055
What does Premier say about his handling of health care when his own Minister has to join a protest, 2076–2077
What happens if someone shows up at the Whitbourne clinic with symptoms of a heart attack or stroke, 1094
What is Minister doing to ensure a fully staffed ambulance is available in the District of Ferryland, 1041
What part of today's legislation will improve access for the people of the Trepassey, 947
When can people of Central Newfoundland expect to see emergency room diversions stop, 3516–3517
When can Trepassey expect both ambulances to be fully staffed, 1561
When did Minister first know about several doctors who were willing to work at the ER at the Bonavista Peninsula health care clinic and why didn't he accept their offer, 1189
When will emergency care be available 24 hours per day every day in Whitbourne, 1093–1094
When will emergency room closures finally end, 94
When will failures of the Liberal government to staff emergency rooms finally stop, 1869–1870
When will government bring all health care professions to the table and start working collaboratively to bring our system out of crisis, 950
When will government finally do the right thing and ensure that the people of Trepassey have timely and accessible ambulance service, 948
When will government finally put an end to emergency room closures, 2077
When will people of the St. Lawrence area not have to worry about their emergency room being closed, 1869
When will people of Trepassey have their fully staffed second ambulance reinstated, 2293
When will Premier end emergency department closures in our province to ensure people have access to emergency health care, 893
Why are instances of someone having to wait one hour and 31 minutes for an ambulance continuing to happen, 4054
Why did Minister let the situation get to this point, 949
Why is government allowing private ambulance workers to be underpaid relative to their public sector counterparts, when obviously their work is similar and equally essential, 946
Why not allow the new service provider to review services as opposed to predetermining where the locations are, 4479–4480
Why wasn't the Prime Minister brought to Bonavista to show the importance of the emergency room, 1186
Will Baie Verte Peninsula lose their emergency services the same way the people of Whitbourne have, 1098
Will Burin's emergency services be downgraded to urgent care, like Whitbourne, 1097
Will government act in investing in airstrip paving and other required upgrades so that people in District of Torngat Mountains can avail of the larger and faster provincial aircraft services that the rest of the province enjoys, 952
Will Minister act before the luck runs out for emergency room closures, 94–95
Will Minister ensure that the ambulance in Cape Broyle is staffed so it can respond to emergencies, 1040
Will Minister guarantee that the emergency room in Bonavista be open 24 hours per day, seven days per week, 365 days per year, 1188
Will Premier acknowledge government's failure to ensure emergency services to all of the residents of the province, 944
Will the Burin Peninsula lose their emergency service as has Whitbourne, 1097
Will the mobile unit be there 24-7, 1040
With overflowing and long wait-lists in emergency rooms on the Avalon, why is Minister okay with removing emergency services in Whitbourne, 1099

Family care teams

Can Minister advise when the Family Care Team will be fully implemented and operational in Grand Falls-Windsor, 2723
Does Minister call the Clarenville team a success, given that it has no doctors, no applications for doctors, and is not open, 2724
Highlighting successes throughout Newfoundland and Labrador, 2668
How many doctors applied for positions in Clarenville, 2724
How many doctors are employed at the collaborative care clinic in Clarenville, 2723–2724
How many patients does the collaborative care clinic in Clarenville have, 2723
Was Minister misinformed, or misinforming the people, about the teams in Grand Falls-Windsor and Clarenville, 2722–2723

Fertility treatments

Outside of a small travel subsidy, what has government done for IVF in this province, 363–364
Were these just more empty promises, 740
When will IVF services be available in this province, 364
Will Liberal government live up to their promise to create an IVF clinic in this province, 2440

Fonomed

Is Fonomed directing people to call Patient Connect NL if they do not have a family doctor, and if not, will Minister be directing them to do so, 1244

Health Accord

Can Minister table the strategic recruitment plan which was asked for, 1741
Did Premier get commitment from the Prime Minister to fully fund the Health Accord in Newfoundland and Labrador, 1188
When can seniors and their families expect action to provide quality and accessible care and protection of older persons in Newfoundland and Labrador, 1041
Why is Premier allowing Health Accord to fail, 1035–1036
Will Minister provide an update and timeline on Provincial Frail and Elderly Program to address the critical need of our population, 1740
Will Minister provide update and timeline for legislation to provide appropriate, quality, and accessible care and protection for older persons in Newfoundland and Labrador, 1740
Will Minister table the long-term evaluation plan related to the implementation of the Accord, 1739–1740

Health Care Action

Is website meant to connect people to health care, or is it simply blatant self-promotion and self-praise of government, 1561

Health transfer payments

Are we still lobbying federal government for an increase to health transfer payments, 902
Why did Minister choose not to attend the federal meeting to advocate for better payments, 902

Heart transplant

When will government fully staff a transplant coordination program, 1739
Why is government forcing family to fundraise to access a lifesaving procedure, 1738

Hip replacement

How much longer will people have to wait for their hip and knee replacements, 845

Home care

How can government sit idly by without ensuring that our seniors are receiving the home support services that they need and rightfully deserve, 1966
When can seniors and their families expect this government to take their issues seriously, 1967
When will government take the safety and well-being of seniors and other vulnerable populations seriously and implement a fair remuneration system for our home care workers, 1195
Why is the care for our seniors not a priority for this government, 1966

Hospitals

Are fourteen rodent traps and rotting food in a hospital room acceptable to the Minister or will he deflect this as an operational issue, 4052
Are unclean conditions a more wide-spread problem than was originally thought, 4204
Can Minister confirm that the radiation unit will be fully staffed and operational when the Western Memorial Regional Hospital is open, 3608
Can Minister provide the House with the status of the laundry services and the 75 positions that were committed to stay in the new acute-care hospital and the status of these services, 1562–1563
Can Minister provide update on the recruitment of professionals needed to operate the new radiation unit and expected date that this service will be offered to the residents of Western Newfoundland and Labrador, 3333
Can Minister update the House on the status of the radiation unit for the new acute care hospital in Corner Brook, 2444
Does Minister think that photos provided by recent surgery patient reflect an appropriate level of cleanliness in the province's biggest hospital, 4051
Do patients and families need to go public in order to shame the government into taking action in our health care system, 4205
How can Premier commit to building a new hospital if he can't staff the current ones, 733
How many radiation therapists has government recruited for Corner Brook, 3642
Is the new cancer clinic in Western Memorial Hospital ever going to open, 4107
Rather than build a new St. Clare's, why doesn't the Minister invest in cleanup and repair of the Health Sciences Centre, 4052
Should government come up with a redevelopment plan for the Health Sciences Centre, 4206
Should residents of Whitbourne assume that their clinic is closed for good, 842
St. Clare's—Can Premier tell us which page of the Health Accord recommends replacing St. Clare's, 733
St. Clare's—How does the announcement of a new St. Clare's hospital help countless people off the Avalon who need less expensive resources near their communities, 846
What does new cancer care clinic look like, 4108
What is the cost to build the new hospital, from which government friends stand to profit, 588
What is the status of the construction of the new acute-care hospital in Corner Brook, and the progress of the new radiation unit, 1562
When is government going to begin a redevelopment of the patient areas in the Health Sciences Centre, 4205–4206
When is government going to stop putting band-aids on the Health Sciences Centre, 4052
When will shovels be in the ground for the much-needed expansion to the Fogo Island Health Centre, 4538
Why is government not adequately maintaining infrastructure at the Health Sciences Centre to an acceptable standard, 4205
Why is government not interested in improving the social determinants of health for people confined to hospitals, 901–902
Will Minister confirm that new cancer clinic in Corner Book will not open in June, 3642
Will Minister ensure that radiation unit in Corner Brook will be operational without any delays to ensure that Western Newfoundland will receive this treatment due to the lateness of recruitment, 2445
Will Minister provide timeline for new facility in Corner Brook for accepting new patients, 3333
Will the delayed opening of the cancer clinic impact the long-promised PET scanner in Corner Brook, 3642

Labrador Affairs

What is being done to ensure that patients in District of Torngat Mountains have access to quality health care or will they continue to be excluded from the social determinants of health, 2346
What is Minister going to do to help patients who are bumped off flights and are being treated like second-class citizens, 2489–2490
Why does this Minister, like the one before him, continue to discriminate against Labradorians, 314
Will Minister commit resources so people can access timely medical care, something other districts take for granted, 1466
Will Minister create a new plan to get health care workers to come to Labrador, 2725
Will the Minister commit adequate resources to ensure patients have proper access to medical care in district, 2240–2241

Long-term care

Can Minister commit to properly resourcing long-term care and enshrine the appropriate standards in legislation, 1196
Does Minister feel that an 85-year-old senior waiting for admission to long-term care for 148 days is appropriate, 4640
Has Minister succeeded in ensuring all of these seniors and their families have not been negatively impacted, 2755
Has Premier commenced an investigation into Baie Verte situation under the Adult Protection Act, 240
How can families be left with nowhere to turn for help with their loved ones in their greatest time of need, 4640
How can government justify harsh decision not to move all long-term care patients to the new hospital, 4847
How can government justify separating seniors from their loved ones at a time of desperation, 4848
How many beds are actually open in the new long-term care home in Grand Falls-Windsor, 647
How many long-term care beds are closed in this province, 647
If facility in Grand Falls-Windsor was fully staffed last year, what has happened since then, 734–735
What additional safeguards have been implemented in long-term care facilities since recent revelations, 580–581
What additional staffing resources will be provided to the long-term care facility in Botwood, 1043
What measures will be implemented before seniors face more violence, 1042
What specific measures are being taken to ensure the safety of all residents of the dementia ward in Carbonear, 1043
What specific steps are being taken to ensure the safety of seniors in the Botwood long-term care unit, 1042
When is Minister going to provide proactive disclosure about how widespread the abuse is in our long-term care system, 358
When will government finally ensure that our seniors are safe, 1041–1042
When will review of long-term care facilities and personal care homes be completed, 581
Why are only half of the beds in the long-term care home in Grand Falls-Windsor being used, 648
Why did it take so long to help 82-year-old woman in another horrible incident at a long-term care centre, 1244
Why is Minister failing in his duty to disclose serious events, 580
Why is Minister refusing to direct an investigation under the Adult Protection Act, 357–358
Will government commit to building a publicly-funded personal care home at Level 1 and Level 2 in Central Labrador, 1968
Will Minister commit to hiring additional health care staff for the Carbonear long-term care home, 1043
Will Minister commit to the development of legislation around long-term care as envisioned under Lillian's Law, 475
With clock ticking for seniors, what action has Minister taken to remedy the financial hardship for seniors in personal care homes, 2754

Mammography

With the anxiety created by the recent mammography issue, what is government doing to address the wait-lists, 307
With the mammography review now complete, what concrete steps is government taking to ensure this never happens again, 306

Medevac services

Given that mother in Happy Valley-Goose Bay has been stuck on waiting list for treatment, where is Heart Force One, 1187
Is it acceptable that woman in Happy Valley-Goose Bay needs answers and it could be months before she knows her condition, 1187
Will province commit to minimum standards of the universal key performance indicators, 1045–1046

Medical Transportation Assistance Program (MTAP)

Have any Labradorians been consulted for their review of the program, 1045
When will Minister adjust the Medical Transportation Assistance Program so people in this province can afford to see a doctor, 842
Will Minister commit to adding more medical flights for Torngat Mountains, 3668
Will Minister go to Labrador and meet with Labradorians on the reform of medical travel, 1045

Mental health

Debate, 4708–4710
Amendment

Moved, 4709–4710

Urging government to provide access to long-term mental health care that ensures continuity of care beginning with psychiatric and neuropsychological assessments being more accessible to the public so they can access proper mental health treatments on a regular and continuous basis, 1564
Urging government to remove privacy laws and incorporate mental health addictions into the mental health act, 3407
What does Minister say to a mother who desperately wants to find help for her teenage son battling with addictions and mental health struggles, 4296
What does Minister say to family of the 23-year-old man who tried to get the necessary mental health interventions but was recently arrested, 4294–4295
What is Minister's plan for wraparound supports for those with addictions and mental health challenges, 4295–4296
What recommendations and assistance can Minister provide to the family of the child who attempted suicide, 4481
What urgency is being placed on providing immediate life-saving care to those in need, 2827–2828
When can people of Labrador expect government to take their mental health seriously, 93–94
When can residents of Rabbittown and the province expect to see solutions, 583
When can the people of the Burin Peninsula be offered wraparound supports so they don't end up in tents, 4369–4370
When can we expect a recruitment and retention plan that specifically addresses mental health care professionals, 1805
When is Minister going to address the problems that are outstanding, 4292
When mental health care facility opens, will there be enough staff to operate it, 35–36
When will department invite individuals to present to the All-Party Committee, 4291
When will Liberal government heed the words of those with lived experience and address this mental health care crisis, 2827
When will long-term mental health care get the attention it deserves, or will Kristi have to protest another 100 weeks, 582
When will Premier make mental health a priority, because mental health affects everyone, 2828
When will the obvious backlog in access to mental health services finally be addressed, 1804
Where are residents of rural Newfoundland and Labrador expected to turn without mental health supports in their community, 1805
Where are the wrap-around services referred to in the All-Party Committee, 4116
Why are stories of gaps in our mental health care system so common, 4482
Why does access to long-term mental health care continue to get worse on Minister's watch, 1242
Why does government continue to fail the people of the Labrador in providing long-term mental health care, 93
Why does Minister not act right away to ensure people with mental health and addictions have somewhere to immediately turn, 4734–4735
Why has government ignored those seeking answers regarding addiction treatment options for their children, 4288
Why was reference to including lived experience and people with specific expertise removed from the Private Member's Resolution on mental health and addictions, 4734
Why were words "expedite," "include," and "right away" deleted from the Private Member's Resolution on mental health and addictions, 4733–4734
Will communities have crisis teams in place before the end of the year, 4289
Will government treat the underlying addictions crisis as a health crisis and not leave it to our police to pick up the pieces for this government's failure to act, 4293
Will Minister admit that government is not taking concrete action to help those needing critical mental health care, 4252
Will Minister admit that online and phone supports are not adequate to address critical mental health issues for Labrador, 4252
Will Minister commit to a treatment centre in Labrador for Labradorians, 4254
Will Minister commit to bringing addiction rehab treatment to Labrador and lowering the wait times to improve access to treatments, 3732
Will Minister commit to ensure that psychiatrists and psychologists are available to people in the District of Torngat Mountains, 4296
Will Minister commit to putting a Mobile Crisis Response Team in place in the Conception Bay North Area, 3451
Will Minister immediately commit to implementing a mobile crisis response team in the Conception Bay North area, 1804
Will Minister pledge to make mental health supports in our province more readily available to those that need them, 2153
Will Minister reply to the people's emails regarding specific situations, 4483
Will Ministers speak up to voice support for the immediate implementation of a mental health crisis unit for the constituents that they represent, 3452
Will Premier blame COVID for the inaction on increasing access to long-term mental health care, 36

MRI (Magnetic Resonance Imaging)

Can Minister confirm that an MRI machine would be ready for use when the Western Memorial Regional Hospital is open, 3608–3609
Can Minister say when the recommendations of the task force regarding MRIs will be implemented, 3603
Does Minister agree with Premier that the wait time for an MRI has gone off the rails, 3513
How could a two-year wait for an MRI resulting in an enlarged tumour happen on the Minister's watch, 3514
How did it get so bad that people have to resort to using GoFundMe to cover costly expenses and the two-year wait times for a simple MRI in our province, 3514
What does Minister say to the mother who is awaiting an MRI, 3513
Why can't general practitioners order MRIs in our province, 3603–3604

Newfoundland and Labrador Health Services (NLHS)

Did Minister of Finance know that Minister of Health signed off and approved the increased lines of credit, 3639
How can Minister reassure people outside the Avalon Peninsula that their access to adequate and timely health care will not be further eroded, 1406
Recognizing the amalgamation of the four former regional health authorities, 1393

Nurse practitioners

Can Minister confirm that no matter what the service or clinic, people can send the invoice back to government and get reimbursed, 4248–4249
How many nurse practitioners are currently working at that site, 3032
How many nurse practitioners did government recruit, 3783
How many nurse practitioners have been recruited through the Come Home Incentive launched in October 2022, 3782
Is Minister confirming that anyone who goes to see a nurse practitioner and has to pay an invoice just has to send it to government and they will be reimbursed, 4247
Is Minister saying it's fine to pay out of pocket to see a nurse practitioner, 4570
What is the status of discussions with the nurse practitioners, 1969
Why are seniors and others being forced to pay up to $65 to see a nurse practitioner because they cannot see any other family care provider, 2821
Why can 811, a private entity, bill government for their services, but not nurse practitioners, 4638
Why can other provinces figure out how to pay nurse practitioners, yet we cannot, 4568–4569
Why can't a nurse practitioner bill the government as doctors do, 4569
Why can't Minister approve nurse practitioners being in the family care model, 4638
Why doesn't Minister look after the local Newfoundland and Labrador practitioners, 4248
Why is government not allowing practitioners to bill government, instead of passing on the cost directly to patients, 4691–4692
Why is government refusing to allow nurse practitioners to bill government for patient visits, 4569
Why is it acceptable to government that the simple need for stitches may result in hours of driving when a nurse practitioner in the community could address the issue, 4567–4568
Why is recruitment and retention so ineffective with such a large amount of taxpayers' dollars being spent, 3783
Why the double standard with paying for US-based virtual care, 4637
Will Minister implement the recommendation that the cost of medicals be eliminated and covered by Medical Care Plan (MCP), 840
Would Minister immediately allow nurse practitioners to directly bill MCP to take the stress off the residents who don't have a family doctor until the collaborative teams are set up, 1970

Nurses

Are increasing nurse vacancies a sign of government's success in recruitment, 2237
Based on revelations, does Minister believe there was fraud or criminal misappropriation of funds, 4110
Can Minister provide detailed breakdown of how the $40 million was spent, 4003
Can Minister table the basis of the finding forwarded by the Comptroller General, 4110
Can Premier confirm that Canadian Health Labs actually received the full amount in excess of $100 million, 3907
Can Premier provide the House with the Comptroller General's report on investigation into the travel nurses scandal, 3908
Can Premier tell the House which companies were paid an additional $40 million for travel nurses, 3907
Can Premier tell the House which company was hired to do the vaccination clinics for the Confederation Building, 3907–3908
Can the Comptroller General's investigation be provided to the House now, 3908
Did current or former Minister of Health meet with Liberal lobbyist Jordan O'Brien and/or the Chief Executive Officer of Canadian Health Labs, 3601–3602
Did Minister sign off on this contract for travel nurses, 3448
Did Premier's staff tell him they were communicating with Canadian Health Labs for over two years, 3601
Did the Comptroller General's office do a report, or not, 3911
Did they meet with the head of Canadian Health Labs, 3602
Does it make sense that government will pay someone half as much as a registered nurse while expecting her to do the same duties, and then replacing her with a travel nurse making nine times that amount, 4368
Does Minister acknowledge that paying one nurse six times the rate of others is bad for recruitment and retention, 3857
Do Springdale nurse's description of stress, forced overtime and poor quality of life sound familiar to the Minister, 4366
Given the Premier's nurse recruitment in Dubai, does the Premier have little confidence in his Health Minister and the head of the health authority, 4636
Has Minister directed NL Health Services to take immediate action to recover the $1.7 million that was inappropriately paid out for meals, 4002
Has Premier directed Minister to write Canadian Health Labs and ask for the $1.6 million back that was paid out for services that were never provided, 3661
Have these nursing students been offered full-time jobs, 3998–3999
How can government announce regulatory changes without first informing the Nurses' Union on how these changes will work, 1458
How can Minister approve a contract to be signed if he doesn't know what's in it, 3640
How can Minister continue to abandon nurses in Newfoundland and Labrador, 1401
How can Minister or Premier pay lucrative private agencies but not nurses working here in the system, 3856
How can people trust Minister to fix the nursing problem if he doesn't know how big it is, 2238
How could it happen that government mismanaged the contracts, 3600
How does Minister justify not offering permanent jobs to newly graduating nurses, 3449
How does Premier expect to keep overworked nurses in Newfoundland and Labrador when we're only promising $3,000, 1342–1343
How many nurses have we lost each year since this administration has taken over and how many does this province have to hire to go back to a full contingency of nurses in all health care facilities in this province, 1562
How many of these registered nurses are employed full-time by the Provincial Health Authority, how many are private travel nurses and how many are refusing to work in our public health care system, 1562
How much of the additional $40 million that was paid to private travel nurse agencies was for meals, 4002–4003
Is blaming others government's new strategy to deflect from failure to address problems before they become crises, 4373–4374
Is Premier aware of an instance where a travel nurse's family was flown into the province for Christmas and provided with a rental vehicle, 3661
Is Premier hiding something regarding the lucrative contract for travel nurses, 3602
Is the legal advice sought by the health authority the result of the findings of the Comptroller General, 4109–4110
Minister celebrates expansion of the Faculty of Nursing, 3028
Point of clarification on travel costs for nursing students, 4008–4009
Premier of Nova Scotia can attest to 167 new nurses being recruited, 2077–2078
Was Liberal lobbyist paid any fees or royalties on these lucrative contracts, 3910
Was Minister aware of the $40 million overspending or do we have to wait for another ATIPP to expose what the government is doing, 3856
Was Premier aware that his senior staff was communicating with Canadian Health Labs, 3600–3601
Was Premier aware that his senior staff were communicating directly with Canadian Health Labs, 3660
What does Minister say to nurses from our province who work alongside travel nurses while being paid substantially less, 2081
When are solutions coming, 3857, 3858
When can we expect to see a plan tabled in the House to reach a target of 60 travel nurses in two years, 4574
When was Premier aware of the $1.6 million being paid out to Canadian Health Labs which was never given to the travel nurses themselves, 3512
When was Premier aware that his senior staff were communicating directly with Canadian Health Labs, 3511
When was Premier made aware that the $1.6 million was never paid out to the nurses that we had under contract, 3662
When will we see the concerns of nurses in our province addressed, 2081
Who authorized the travel nurse contract, 3447
Why can't government show licensed practical nurses respect, yet can pay travel nurses $300 per hour, 4367
Why didn't government listen to nurses who expressed concern about travel nurse costs, terms and effect of morale on the public sector nurses, 3450
Why did Premier use a private company to do the vaccination clinics for the Confederation Building, 3908
Why does government continue to shortchange nurses, 2080–2081
Why doesn't Minister get the Auditor General report done faster than 18 months, 4111
Why doesn't the Premier bring in the Auditor General, in regards to travel nurses, 3638
Why do Liberals refuse to address the retention issues in the health system, 3857
Why do nurses continue to flee the system under this Liberal government's watch, 1400–1401
Why do nurses in our province continue to feel so disrespected and undervalued by government, 1400
Why is Liberal government ignoring nurse shortage and the critical role that they play in the health care system, 1334
Why is Minister adding another layer to the system without engaging pharmacists and nurses on solutions staring him in the face, 518
Why is Minister covering up concerning the travel nurses, and why not call in the Royal Canadian Mounted Police and the Auditor General to ensure we get to the bottom of this, 3512
Why is Minister leaving the people of Ferryland and Trepassey regions with just one nurse practitioner in their clinic, 4368
Why is Minister looking to introduce a new health care provider when he is not fully utilizing those in the system, 517
Why is Premier ignoring nursing students by searching for nurses in other countries, 3449
Why is there a decision note signed by the Minister authorizing Western Health to extend arrangement with Canadian Health Labs, 3511
Why was the Auditor General called in, 4111
Why were contracts negotiated through the Chief Executive Officer's personal email, 3910
Why won't Minister provide information to the House today, 3911
Why won't Premier apologize for fiasco with travel nurses, 3450–3451
Will government direct NL Health Services to create a detailed plan outlining how they will retain nurses and reduce the reliance on travel nurses to 60 without further burdening the health care workers, 4573
Will government step up its game to ensure there are enough nurses to staff the health care system and the new teams that have been announced, 1335
Will Minister call in the Auditor General over the travel nurse meal allowances, 3448
Will Minister commit to directing the Auditor General to prioritize the report, 4002
Will Minister commit to making the Auditor General complete the report now, 4003
Will Minister fully implement the nurses' plan for better health care in this province, 649
Will Minister instruct the Health Authority to ask nurses why they are leaving or switching to casual, make the responses anonymous, and publish the results, 2238
Will Minister recognize that recruitment is not good without retention, 4367
Will Minister table a plan for an orderly phase-out of private agency nurses and a reinvestment of funds back into the public health care system, 3453–3454
Will nurses be given paid leave and time off to complete the training required to prescribe medications, 1458

Nutrition Month

Recogntion of, 3777

Paramedics

Can Minister provide specific details and a firm timeline on when rapid response unit with advanced care paramedic will be implemented on the Southern Shore, 1560
What faith do we have that new recruits will get their signing bonuses, 251
What is being done to ensure that we retain our valuable first responders and allow them to work towards a well-earned retirement, 96
When will a backup plan for every paramedic service in this province be publicly released, 1335–1336
Why are paramedics continuing to leave under this government, 306
Why does Minister insist on picking up where his predecessor left off and allow failures like the undelivered signing bonuses to continue, 251
Why has Liberal government chosen to ignore our paramedics, 1336
Will Minister take action to stabilize paramdedicine in our province, 1336

Patient Connect NL

Can Premier advise what action his government plans to take to promote Patient Connect to ensure that its data is reliable, that people of the province have confidence in government's decision and that those without a doctor know exactly who to call, 1103

Pharmacy Appreciation Month

Recogntion of, 3596

Prescription Drug Program

Expanded access to anti-coagulants, 1232–1233

Privatization

Urging government to say no to any further privatization of our health care system, roll back current privatization, and invest in a publicly funded, publicly administered, public health care system

Debate, 1574–1576

Provincial Health Authority Act (Bill 20)

Does Premier agree with Minister that government is riddled with mistakes, 782
Does Premier agree with the Privacy Commissioner that rushing this bill risks undue harm to the public, 781
How will Premier assure the people of Newfoundland and Labrador that he won't make any more mistakes, 782
If Premier can't get the details right, how can people of the province trust him to get health care right, 781
Was Premier a part of the discussions about the bill, 790
Which of Premier's friends at Sequence Bio will profit from government's willful refusal to seek input from the Privacy Commissioner on the drafting of the bill, 790
Why did government rush this bill without input from health care workers, who will face the greatest impacts, 790–791
Will Minister remove bill from the Chamber floor and direct it to be rewritten and remove the risk of political interference over people's health records, 789
Will Premier stand and apologize to the Privacy Commissioner for not consulting his office on this bill, 780–781

Sexual Assault Nurse Examiner Program

Can Premier clarify what is happening to this critical program, 2085
How high is the priority of victims of sexual assault to this government, 2010
What was the $225,000 allocated for the program spent on, 2085–2086
Why hasn't provincial coordinator position been filled, 2010
Why is government keeping women advocates in the dark on this important issue, 2086

Social determinants of health

When will government focus on what needs to be done and prioritize treating the causes of poor health instead of the symptoms, 1405

Surgery

What action is being taken to help this woman and so many others who are suffering while waiting for the call to have surgery, 586–587
When can people of the province expect single-day outpatient procedures for hip replacement surgeries, 586

Teladoc Health

Can Minister confirm that tracking pixels were never placed on Teladoc Health websites in Canada, and will government commit to introducing data sovereignty legislation and the personal health information of Newfoundlanders and Labradorians from ever being sold in the first place, 3668

Urgent Care Centres

Minister recognizes health transformation through urgent care centres, 4241–4242

Virtual care

How could it happen that the Medical Association has been left in the dark when it comes to the new virtual contract awarded to an American company, 3245
What's being done to ensure that physicians won't leave their practices because of all of the paperwork that they have to do, 3246
Who will do the follow-up with patients for things like cancerous tumours, 3246
Why are Liberals forking over tens of millions of dollars for an American-based virtual physician while local nurse practitioners have to turn away patients, 4247–4248
Why would government allow the set up of another two-tiered system, 3245
Will doctors providing virtual care under the new contract be paid the same rates as other doctors in our public system, 3032

World Family Doctor Day

Recognition of, 2334–2335, 4728

Health Research Ethics Act (Bill 64)

Notice of motion, 3335

House of Assembly

Office of the Seniors' Advocate

Will government commit to implementing recommendation for Seniors' Advocate to receive investigative powers, 3327–3328
Will Minister ask the Seniors' Advocate to review the culture of long-term care homes to ensure this issue is not widespread, 358
Will Premier commit to implementing the 12 recommendations made by the Seniors' Advocate, 3394

Housing

Can government confirm whether we are actually building 850 new affordable homes or 850 new housing options, 3247
How many persons with disabilities are on the wait-list for accessible housing, 3331
What actual supports are put in place to support those with complex needs who may be difficult to house, 4847
Will government form an All-Party Committee of this House to tackle the housing crisis and find a solution, 2830

Indigenous Affairs and Reconciliation

Suicide

What real action will Minister take to end socio-economic marginalization of our Indigenous communities in Northern Labrador, 195–196

Industry, Energy and Technology

Come By Chance Refinery

Why must families and victims have to wait two years for answers, 469

Medical Act, 2011 (Amdt.) and Psychologists Act, 2005 (Amdt.) (Bill 80)

Notice of motion, 4785

Medical Act, 2011 (Amdt.) (Bill 1)

Second reading, 256–258, 279
Committee, 280–282, 283–286, 287–290, 291–293, 294–295

Members' Statements

Awards, miscellaneous

Lionel Aldridge Champions Award and recognizing outstanding mental health advocacy work—Roil, Glenn, 776

Sports/recreation

Newfoundland and Labrador Sports Hall of Fame

Inductee in Veteran/Athlete category for softball, rowing and soccer—Oakley, Mary, 2668

Softball

O'Keefe, Kearney—First female umpire in province and awarded Level V designation—Waterford Valley (District), 3243

Ministerial Statements

Education

Memorial University

Faculty of Medicine—2024 recipient of the Society of Rural Physicians of Canada Rural Medical Education Award, 4529

Nursing

Minister celebrates expansion of the Faculty of Nursing, 3028

Health care

Cancer

Daffodil Month—Acknowledgement of, 4046

Family Care Teams

Highlighting successes throughout Newfoundland and Labrador, 2668

Newfoundland and Labrador Health Service

Recognizing the amalgamation of the four former regional health authorities, 1393

Nutrition Month

Recogntion of, 3777

Pharmacy Appreciation Month

Recogntion of, 3596

Prescription Drug Program

Expanded access to anti-coagulants, 1232–1233

Urgent Care Centres

Minister recognizes health transformation through urgent care centres, 4241–4242

World Family Doctor Day

Recognition of, 2334–2335, 4728

Oral Questions

Burials and funerals

Cost of living

What is Premier's response to person asking why government is giving cheques to higher-income individuals instead of putting money towards our public system, 99

Digital Government and Service NL

Cyberattack

How much of NL Health Service's debt is related to the cyberattack, 4106
How much was the final cost of the cyberattack, 4106
What was the final cost of the cyberattack, 4106

Education

Assessments

What human resources will the Minister put in place to ensure that the pediatric unit can clear up the backlog in a timely manner and get our children the help they need, 3918

Child care

Memorial University

If Premier and Minister are so concerned about the plight of our students, why couldn't they attend the Memorial University Student Union's meeting, 1736
Is government going to turn away before they admit their mistake in cuts to funding, 1737–1738
Is Minister worried that international students who can't find housing or a family doctor will turn away from Memorial University, 1738
Would Minister admit that the Liberal government made a mistake with the $68 million cut, 1737

Teachers

Will Minister admit there is a problem and address the teaching staffing shortages in Labrador West, 1741

Finance

Sugar tax

Why does a mother have to pay almost $11 in sugar tax on a $4 purchase of fruit punch powder for their children, 2822

Health care

Acute care

Will Minister have matter of prioritizing exercise rehabilitation in the new sport and well-being dome reviewed, 4698

Ambulance

Are we seeing an increase in ambulance trips due to a lack of access to basic health care, 2439
Can Minister elaborate on the seriousness of the weekend incident and how it came to be resolved, 947
Does Minister agree with Mayor of Gander's comments that anything worth doing in our province should be done in St. John's, 4480
Does Minister agree with the stakeholders who have called for the cancellation of the integrated ambulance services Request for Proposals due to concerns with the delivery of services, 4479
How can first responders continue to work with such ridiculous amounts of overtime, 247–248
How can government expect residents of the province to believe improvements to ambulance service are coming when the entirety of health care has broken under the Liberals' watch, 3518
How could Premier say he thought he had more time, 943
How many red alerts have there been this year and will Minister table the numbers in the House, 247
How will legislation today address situation like waiting 2½ hours to get to hospital from Town of English Harbour East, 948
How will this legislation ensure an adequate response time, 948–949
Is the Liberal answer to the crisis in ambulatory services to download onto volunteer fire departments, 4055
Is there a more compassionate and humane system to keep patients comfortable and informed while waiting to be seen in our emergency rooms, 2828
Was there any adverse health event this past weekend in relation to the provision of emergency ambulance services, 946
What assurances can Minister give that the new service model will not cause more chaos and erosion of services, 3517
What does Minister say to family who had to wait 91 minutes for an ambulance to arrive to provide medical care and transport their loved one, 4055
What is Minister doing to ensure a fully staffed ambulance is available in the District of Ferryland, 1041
What part of today's legislation will improve access for the people of the Trepassey, 947
When can Trepassey expect both ambulances to be fully staffed, 1561
When will government bring all health care professions to the table and start working collaboratively to bring our system out of crisis, 950
When will government finally do the right thing and ensure that the people of Trepassey have timely and accessible ambulance service, 948
When will people of Trepassey have their fully staffed second ambulance reinstated, 2293
Why are instances of someone having to wait one hour and 31 minutes for an ambulance continuing to happen, 4054
Why did Minister let the situation get to this point, 949
Why is government allowing private ambulance workers to be underpaid relative to their public sector counterparts, when obviously their work is similar and equally essential, 946
Why not allow the new service provider to review services as opposed to predetermining where the locations are, 4479–4480
Why wasn't the Prime Minister brought to Bonavista to show the importance of the emergency room, 1186
Will government act in investing in airstrip paving and other required upgrades so that people in District of Torngat Mountains can avail of the larger and faster provincial aircraft services that the rest of the province enjoys, 952
Will Minister ensure that the ambulance in Cape Broyle is staffed so it can respond to emergencies, 1040
Will Premier acknowledge government's failure to ensure emergency services to all of the residents of the province, 944
Will the mobile unit be there 24-7, 1040
With a larger region and lack of staff, does the Minister believe Eastern Health paramedics will be stretched too thin to provide proper coverage to residents of the area, 1099

Assertive Community Treatment Team

Why has there been no value-for-money assessment of the health authority's program, 4846

Autism

How is it acceptable that families seeking care for their children face an exorbitant wait time or an exorbitant fee, 4692
How many clinicians in the public system are doing adult diagnosis, 4693

Babies switched at birth

Budget

Will Minister commit to bringing Mr. Diamond in to answer questions on operational issues for Estimates, 4053

Cancellation lists

Why is process for cancellation lists not in place, so that people won't be told to call back in a couple of months, 2153

Cancer

Considering the long waiting lists for cervical cancer screening, why has government allowed women's health to suffer so badly in Central Newfoundland, 4365
Did Minister speak with one of the doctors in the letter, 3516
How many more hundreds of cancer patients are going to have to leave the province before government fixes the retention problem, 3033
Is anyone paying attention to monitoring women's continuity of care, 4365–4366
Is Premier worried that the delays in screening results are jeopardizing the health of women in Central Newfoundland and Labrador, 4366
On what date will implementation plan be announced, and what date will the cut-off be actually lowered for breast cancer screening, 4781
What does Minister say to a senior citizen frightened for her life because she cannot access timely cancer care, 4537–4538
What effect is backlog for radiation treatment having on the patients that need it, 899
What is the plan to ensure sufficient new, up-to-date equipment will be in place for proper testing once another 34,000 people become eligible for testing, 4782
What is the plan to ensure sufficient personnel are in place to handle expanded workload from potentially 34,000 more clients or will more clients simply mean longer waits, 4781–4782
When is the Liberal government going to start providing cancer care at home, 3033
When will cancer patients be able to receive radiation treatment here at home, 1459
When will patients not receiving care within the 28 day national standard stop, 3033–3034
Why are radiation therapists leaving in droves, 1459
Why did decline in accessing timely radiation therapy happen, 4536–4537
Will Minister confirm that new cancer clinic in Corner Book will not open in June, 3642
Will Premier accept the Canadian Cancer Society's recommendation by implementing a lung cancer screening program for high-risk populations, 4363–4364
Will Premier commit to supports for cancer care clinic in Central Newfoundland, 3515
Will Premier let people know that he's not going to ignore Central Newfoundland any longer, 3516
With such a high level of cancer in our province, how is it acceptable that only 57 per cent of patients received treatment in the recommended timeline, 4536

Cataract surgery

Centres of Excellence in Aging

Why has Minister forgotten about the seniors of Central Newfoundland, with his announcement, 3400

Child psychologist

Why is government failing families and their children who need these services, 581

Collaborative care clinics

Crisis, Health Care System

Dental care

Diabetes

Doctors

Does Minister believe that recruiting just one physician is a success story, 3782
How does Minister plan to support the existing family practices in Newfoundland and Labrador in providing essential health services to the people of our province, 1244–1245
How many calls has Premier taken from out-of-province doctors, and how many have a job offer, 39
How many doctors are now working at the Whitbourne clinic, 1095
How many doctors have signed a contract and will be practicing in the next year, 1044
How many physicians were recruited on the trip to Ireland, 3782
How much longer will people be forced to drive hours to see a doctor, 841
How much longer will people of Arnold's Cove area have to worry about not having a family doctor available, 845
What are people without a family doctor supposed to do, 1243
When will Fogo Island get a full-time family doctor, 786
When will government do the right thing and ensure a family doctor is available for the people of the District of Ferryland, 2293
Where does Minister suggest that desperate senior look to obtain health care for the next 12 months, 843
Why are doctors continuing to leave under this Liberal government's watch, 305
Why couldn't doctor practice in our province, despite approval from the college, 785
Will Premier act to fill the deficiency of internal medicine doctors in the Carbonear hospital, 3400

Dose splitting

Electroencephalogram (EEG)

Emergency rooms

Family care teams

Can Minister advise when the Family Care Team will be fully implemented and operational in Grand Falls-Windsor, 2723
Does Minister call the Clarenville team a success, given that it has no doctors, no applications for doctors, and is not open, 2724
How many doctors applied for positions in Clarenville, 2724
How many doctors are employed at the collaborative care clinic in Clarenville, 2723–2724
How many patients does the collaborative care clinic in Clarenville have, 2723
Was Minister misinformed, or misinforming the people, about the teams in Grand Falls-Windsor and Clarenville, 2722–2723

Fertility treatments

Fonomed

Is Fonomed directing people to call Patient Connect NL if they do not have a family doctor, and if not, will Minister be directing them to do so, 1244

Health Accord

Health Care Action

Is website meant to connect people to health care, or is it simply blatant self-promotion and self-praise of government, 1561

Health transfer payments

Are we still lobbying federal government for an increase to health transfer payments, 902
Why did Minister choose not to attend the federal meeting to advocate for better payments, 902

Heart transplant

When will government fully staff a transplant coordination program, 1739
Why is government forcing family to fundraise to access a lifesaving procedure, 1738

Hip replacement

How much longer will people have to wait for their hip and knee replacements, 845

Home care

Hospitals

How many red alerts has the new larger Eastern Health ambulance region experienced over the last year, 1099
Labrador Affairs

Long-term care

Can Minister commit to properly resourcing long-term care and enshrine the appropriate standards in legislation, 1196
Does Minister feel that an 85-year-old senior waiting for admission to long-term care for 148 days is appropriate, 4640
Has Minister succeeded in ensuring all of these seniors and their families have not been negatively impacted, 2755
Has Premier commenced an investigation into Baie Verte situation under the Adult Protection Act, 240
How can families be left with nowhere to turn for help with their loved ones in their greatest time of need, 4640
How many beds are actually open in the new long-term care home in Grand Falls-Windsor, 647
How many long-term care beds are closed in this province, 647
If facility in Grand Falls-Windsor was fully staffed last year, what has happened since then, 734–735
What additional safeguards have been implemented in long-term care facilities since recent revelations, 580–581
What additional staffing resources will be provided to the long-term care facility in Botwood, 1043
What measures will be implemented before seniors face more violence, 1042
What specific measures are being taken to ensure the safety of all residents of the dementia ward in Carbonear, 1043
What specific steps are being taken to ensure the safety of seniors in the Botwood long-term care unit, 1042
When is Minister going to provide proactive disclosure about how widespread the abuse is in our long-term care system, 358
When will government finally ensure that our seniors are safe, 1041–1042
When will review of long-term care facilities and personal care homes be completed, 581
Why are only half of the beds in the long-term care home in Grand Falls-Windsor being used, 648
Why did it take so long to help 82-year-old woman in another horrible incident at a long-term care centre, 1244
Why is Minister failing in his duty to disclose serious events, 580
Why is Minister refusing to direct an investigation under the Adult Protection Act, 357–358
Will government commit to building a publicly-funded personal care home at Level 1 and Level 2 in Central Labrador, 1968
Will Minister commit to hiring additional health care staff for the Carbonear long-term care home, 1043
Will Minister commit to the development of legislation around long-term care as envisioned under Lillian's Law, 475
With clock ticking for seniors, what action has Minister taken to remedy the financial hardship for seniors in personal care homes, 2754

Mammography

Medevac services

Medical Transportation Assistance Program (MTAP)

Mental health

Can Minister commit to at least the most serious cases being able to access the appropriate level of care, 4296
Can those who rely on mental health and addiction services expect to see locked emergency rooms this Christmas season, 3393
Does it take someone actually dying in District of Torngat Mountains before people can access mental health care, 4007
Does Minister think that a two-year wait in Labrador West for a first call with a psychiatrist or psychologist is okay, 588–589
Given that the recommendations from the first All-Party Committee on Mental Health and Addictions have not been fully implemented, how can those struggling to access services have any faith that Premier's Liberal government is listening, 4735
Given that timely treatment is critical, why is system failing people, 4483
Have positions for the Mobile Crisis Response Teams been advertised and do we have start dates for these additional staff, 4290
How can mental health and addictions supports be offered to the community without full staffing, 1803–1804
How can we ensure that the people of our province get the mental health care they need with a 50 per cent vacancy rate for psychologists, 1242
How does Minister expect to provide long-term mental health care supports in new facility when he can't even staff the current facilities, 582
How is it acceptable that child who had attempted suicide was sent home and told to see their general practitioner, 4481
How is it fair that person who sought help at the Waterford was sent home in a taxi several times, and is now in the justice system, 4295
How many must die before people can access adequate mental health care in District of Torngat Mountains, 4115–4116
How many of the twelve actions in Our Path of Resilience: An Action Plan to Promote Life and Prevent Suicide in Newfoundland and Labrador have been implemented, 93
How many staff have been recruited for the Mobile Crisis Response Teams and when might they actually be up and running, 4289
How much of the $15 million allocated in the budget is being spent in Labrador, 4288–4289
If his colleague won't, will Minister of Children, Seniors and Social Development put his words concerning more community resources into practice, 583
Is department truly committed to working with the All-Party Committee to address the growing crisis, 4291–4292
Is government admitting that they have failed patients that require long-term continuity of care, 1243
Is mental health unit in Labrador currently up and running and accepting patients right now, 4288
What does Minister say to a mother who desperately wants to find help for her teenage son battling with addictions and mental health struggles, 4296
What does Minister say to family of 23-year-old who tried to get the necessary mental health interventions but was recently arrested, 4294–4295
What is Minister's plan for wraparound supports for those with addictions and mental health challenges, 4295–4296
What recommendations and assistance can Minister provide to the family of the child who attempted suicide, 4481
What urgency is being placed on providing immediate life-saving care to those in need, 2827–2828
When can people of Labrador expect government to take their mental health seriously, 93–94
When can residents of Rabbittown and the province expect to see solutions, 583
When can the people of the Burin Peninsula be offered wraparound supports so they don't end up in tents, 4369–4370
When can we expect a recruitment and retention plan that specifically addresses mental health care professionals, 1805
When is Minister going to address the problems that are outstanding, 4292
When mental health care facility opens, will there be enough staff to operate it, 35–36
When will department invite individuals to present to the All-Party Committee, 4291
When will Liberal government heed the words of those with lived experience and address this mental health care crisis, 2827
When will long-term mental health care get the attention it deserves, or will Kristi have to protest another 100 weeks, 582
When will Premier make mental health a priority, because mental health affects everyone, 2828
When will the obvious backlog in access to mental health services finally be addressed, 1804
Where are residents of rural Newfoundland and Labrador expected to turn without mental health supports in their community, 1805
Where are the wrap-around services referred to in the All-Party Committee, 4116
Why are stories of gaps in our mental health care system so common, 4482
Why does access to long-term mental health care continue to get worse on Minister's watch, 1242
Why does government continue to fail the people of the Labrador in providing long-term mental health care, 93
Why does Minister not act right away to ensure people with mental health and addictions have somewhere to immediately turn, 4734–4735
Why has government ignored those seeking answers regarding addiction treatment options for their children, 4288
Why was reference to including lived experience and people with specific expertise removed from the Private Member's Resolution on mental health and addictions, 4734
Why were words "expedite," "include," and "right away" deleted from the Private Member's Resolution on mental health and addictions, 4733–4734
Will communities have crisis teams in place before the end of the year, 4289
Will government treat the underlying addictions crisis as a health crisis and not leave it to our police to pick up the pieces for this government's failure to act, 4293
Will Minister admit that government is not taking concrete action to help those needing critical mental health care, 4252
Will Minister admit that online and phone supports are not adequate to address critical mental health issues for Labrador, 4252
Will Minister commit to a treatment centre in Labrador for Labradorians, 4254
Will Minister commit to bringing addiction rehab treatment to Labrador and lowering the wait times to improve access to treatments, 3732
Will Minister commit to ensure that psychiatrists and psychologists are available to people in the District of Torngat Mountains, 4296
Will Minister commit to putting a Mobile Crisis Response Team in place in the Conception Bay North Area, 3451
Will Minister immediately commit to implementing a mobile crisis response team in the Conception Bay North area, 1804
Will Minister pledge to make mental health supports in our province more readily available to those that need them, 2153
Will Minister reply to the people's emails regarding specific situations, 4483
Will Ministers speak up to voice support for the immediate implementation of a mental health crisis unit for the constituents that they represent, 3452
Will Premier blame COVID for the inaction on increasing access to long-term mental health care, 36

MRI (Magnetic Resonance Imaging)

Newfoundland and Labrador Health Services (NLHS)

Did Minister of Finance know that Minister of Health signed off and approved the increased lines of credit, 3639
How can Minister reassure people outside the Avalon Peninsula that their access to adequate and timely health care will not be further eroded, 1406
Will Premier commit to having the Chief Executive Officer of the Health Services board attend the Estimates Committee Friday morning, 3909

Nurse practitioners

Nurses

Are increasing nurse vacancies a sign of government's success in recruitment, 2237
Based on revelations, does Minister believe there was fraud or criminal misappropriation of funds, 4110
Can Minister table the basis of the finding forwarded by the Comptroller General, 4110
Can Premier confirm that Canadian Health Labs actually received the full amount in excess of $100 million, 3907
Can Premier provide the House with the Comptroller General's report on investigation into the travel nurses scandal, 3908
Can Premier tell the House which companies were paid an additional $40 million for travel nurses, 3907
Can Premier tell the House which company was hired to do the vaccination clinics for the Confederation Building, 3907–3908
Can the Comptroller General's investigation be provided to the House now, 3908
Did Minister sign off on this contract for travel nurses, 3448
Did the Comptroller General's office do a report, or not, 3911
Does it make sense that government will pay someone half as much as a registered nurse while expecting her to do the same duties, and then replacing her with a travel nurse making nine times that amount, 4368
Does Minister acknowledge that paying one nurse six times the rate of others is bad for recruitment and retention, 3857
Do Springdale nurse's description of stress, forced overtime and poor quality of life sound familiar to the Minister, 4366
Given the Premier's nurse recruitment in Dubai, does the Premier have little confidence in his Health Minister and the head of the health authority, 4636
Has Premier directed Minister to write Canadian Health Labs and ask for the $1.6 million back that was paid out for services that were never provided, 3661
Has Premier ever met with the Chief Executive Officer of Canadian Health Labs, 3909
Have these nursing students been offered full-time jobs, 3998–3999
How can government announce regulatory changes without first informing the Nurses' Union on how these changes will work, 1458
How can Minister continue to abandon nurses in Newfoundland and Labrador, 1401
How can Minister or Premier pay lucrative private agencies but not nurses working here in the system, 3856
How can people trust Minister to fix the nursing problem if he doesn't know how big it is, 2238
How does Minister justify not offering permanent jobs to newly graduating nurses, 3449
How does Premier expect to keep overworked nurses in Newfoundland and Labrador when we're only promising $3,000, 1342–1343
How many nurses have we lost each year since this administration has taken over and how many does this province have to hire to go back to a full contingency of nurses in all health care facilities in this province, 1562
How many of these registered nurses are employed full-time by the Provincial Health Authority, how many are private travel nurses and how many are refusing to work in our public health care system, 1562
Is blaming others government's new strategy to deflect from failure to address problems before they become crises, 4373–4374
Is Premier aware of an instance where a travel nurse's family was flown into the province for Christmas and provided with a rental vehicle, 3661
Is the legal advice sought by the health authority the result of the findings of the Comptroller General, 4109–4110
Premier of Nova Scotia can attest to 167 new nurses being recruited, 2077–2078
Was Liberal lobbyist paid any fees or royalties on these lucrative contracts, 3910
Was Minister aware of the $40 million overspending or do we have to wait for another ATIPP to expose what the government is doing, 3856
Was Premier aware that his senior staff were communicating directly with Canadian Health Labs, 3660
What does Minister say to nurses from our province who work alongside travel nurses while being paid substantially less, 2081
When are solutions coming, 3857, 3858
When can we expect to see a plan tabled in the House to reach a target of 60 travel nurses in two years, 4574
When was Premier aware of the $1.6 million being paid out to Canadian Health Labs which was never given to the travel nurses themselves, 3512
When was Premier aware that his senior staff were communicating directly with Canadian Health Labs, 3511
When was Premier made aware that the $1.6 million was never paid out to the nurses that we had under contract, 3662
When will we see the concerns of nurses in our province addressed, 2081
Who authorized the travel nurse contract, 3447
Why can't government show licensed practical nurses respect, yet can pay travel nurses $300 per hour, 4367
Why didn't government listen to nurses who expressed concern about travel nurse costs, terms and effect of morale on the public sector nurses, 3450
Why did Premier use a private company to do the vaccination clinics for the Confederation Building, 3908
Why does government continue to shortchange nurses, 2080–2081
Why doesn't Minister get the Auditor General report done faster than 18 months, 4111
Why doesn't the Premier bring in the Auditor General, in regards to travel nurses, 3638
Why do Liberals refuse to address the retention issues in the health system, 3857
Why do nurses continue to flee the system under this Liberal government's watch, 1400–1401
Why do nurses in our province continue to feel so disrespected and undervalued by government, 1400
Why is Liberal government ignoring nurse shortage and the critical role that they play in the health care system, 1334
Why is Minister adding another layer to the system without engaging pharmacists and nurses on solutions staring him in the face, 518
Why is Minister covering up concerning the travel nurses, and why not call in the Royal Canadian Mounted Police and the Auditor General to ensure we get to the bottom of this, 3512
Why is Minister leaving the people of Ferryland and Trepassey regions with just one nurse practitioner in their clinic, 4368
Why is Minister looking to introduce a new health care provider when he is not fully utilizing those in the system, 517
Why is Premier ignoring nursing students by searching for nurses in other countries, 3449
Why is there a decision note signed by the Minister authorizing Western Health to extend arrangement with Canadian Health Labs, 3511
Why was the Auditor General called in, 4111
Why were contracts negotiated through the Chief Executive Officer's personal email, 3910
Why won't Minister provide information to the House today, 3911
Why won't Premier apologize for fiasco with travel nurses, 3450–3451
Will government direct NL Health Services to create a detailed plan outlining how they will retain nurses and reduce the reliance on travel nurses to 60 without further burdening the health care workers, 4573
Will government step up its game to ensure there are enough nurses to staff the health care system and the new teams that have been announced, 1335
Will Minister call in the Auditor General over the travel nurse meal allowances, 3448
Will Minister fully implement the nurses' plan for better health care in this province, 649
Will Minister instruct the Health Authority to ask nurses why they are leaving or switching to casual, make the responses anonymous, and publish the results, 2238
Will Minister recognize that recruitment is not good without retention, 4367
Will Minister table a plan for an orderly phase-out of private agency nurses and a reinvestment of funds back into the public health care system, 3453–3454
Will nurses be given paid leave and time off to complete the training required to prescribe medications, 1458

Paramedics

Patient Connect NL

Provincial Health Authority Act (Bill 20)

Sexual Assault Nurse Examiner Program

Social determinants of health

When will government focus on what needs to be done and prioritize treating the causes of poor health instead of the symptoms, 1405

Surgeries

Teladoc Health

Virtual care

How could it happen that the Medical Association has been left in the dark when it comes to the new virtual contract awarded to an American company, 3245
What's being done to ensure that physicians won't leave their practices because of all of the paperwork that they have to do, 3246
Who will do the follow-up with patients for things like cancerous tumours, 3246
Why would government allow the set up of another two-tiered system, 3245
Will doctors providing virtual care under the new contract be paid the same rates as other doctors in our public system, 3032

House of Assembly

Office of the Seniors' Advocate

Housing

Industry, Energy and Technology

Come By Chance Refinery

Why must families and victims have to wait two years for answers, 469

Persons with disabilities

How many interpreters are available in our health care system for those with deafness, 4690–4691
How many persons with disabilities are on the wait-list for accessible housing, 3331
When will we see action on recommendation to help struggling families, 4692
Why are there no broad consultations with advocates for persons living with disabilities, 3331–3332
Why are we so far behind our Atlantic counterparts with regard to the number of interpreters for health care, 4691

Seniors

Does Premier consider helping seniors by indexing their benefits to be redundant and unnecessary, 3394
How can Minister allow our province's seniors to be in danger in hospitals, 3604
How could Minister allow senior to be unsafe in hospital, 3605
In the spirit of Seniors' Month, will government finally deliver for seniors and announce the specific details of the $10 million earmarked for seniors' poverty reduction, 4784–4785
What are seniors without a family doctor supposed to do to get a drivers' medical, 4053
What concrete plans does Minister have in place to address seniors having to access food banks for the first time, 4844
When is Minister going to clean up the mess of seniors who registered two years ago with the Health Hub but still haven't gotten a call back, 4053–4054
Why are Liberals discriminating against seniors, 4054
Why does a senior on a fixed income have to pay to access health care, 4247
Why doesn't government make it easier for seniors, instead of harder, 4249
Why does the Liberal government continue to take money out of seniors' pockets, 3327
Why has government refused help from seniors on any new seniors' poverty reduction program, 3395
Why is government accepting that seniors cannot afford food or other basic necessities, 3108
Why must seniors pay more out of their own pockets for home care services, 3326

Suicide

Does Minister agree that the lack of action on social determinants of health in this province is impacting the rates of suicide on the North Coast of Labrador, 2990
Given that financial pressures influence the number, does Minister agree that government has not done enough in addressing the inequities facing the people of the District of Torngat Mountains, such as not being included in the oil to electric rebate, and not finding solutions for the high cost of food and heating, 2991
How many of the twelve actions in Our Path of Resilience: An Action Plan to Promote Life and Prevent Suicide in Newfoundland and Labrador have been implemented, 93
Starting with social equity, where is Minister's action plan, 847–848
What does Minister suggest to family who reached out for help but feel disrespected and dismissed, 517
What real action will Minister take to end socio-economic marginalization of our Indigenous communities in Northern Labrador, 195–196
Why was family turned away from Waterford Hospital in their darkest hour, 516
Will Minister admit to the impacts to Indigenous mental health and outline real action to help heal communities, 100

Patient Safety Act (Amdt.) (Bill 31)

Notice of motion, 1047
Second reading, 2195–2196, 2199
Committee, 2200–2201

Persons with disabilities

Petitions

Health care

Doctors

Urging government to direct Memorial University to provide Practice-Ready Assessment seats as needed to help license doctors so desperately needed

response, 3410–3411

Mental health

Urging government to create a new addictions treatment facility in Labrador

response, 3408

Urging government to remove privacy laws and incorporate mental health addictions into the mental health act

response, 3407

Pharmaceutical Services Act (Amdt.) (Bill 32)

Notice of motion, 1047
Second reading, 2167–2168, 2173
Committee, 2175–2176, 2177–2178, 2179, 2180, 2181

Pharmacy Act, 2024 (Bill 66)

Notice of motion, 3404
Second reading, 4600–4603, 4608
Committee, 4609, 4610, 4611, 4612–4613, 4614, 4615, 4617, 4618, 4619–4621, 4622, 4623, 4624, 4625, 4626

Point of Privilege

Not allowing Members to have advance copies of legislation is an obstruction of Members' duties on behalf of constituents, 4853

Provincial Health Authority Act (Bill 20)

Notice of motion, 476
Second reading, 703–707, 887(10)
Committee, 887(27), 887(32)–877(33), 887(35)–887(37), 887(44)–887(46), 887(49)–887(50), 887(53)–887(54), 887(59)–887(61), 887(63)–887(64), 887(66)–887(67), 938(5), 938(6), 938(7), 938(8), 938(9), 938(10), 938(11), 938(12), 938(13)–938(14), 938(15)–938(16), 938(17)–938(18), 938(20)

List of government amendments

Tabled, 938(3)

Amendment—Clause 2(j)

Moved, 938(3)

Amendment—Clause 2(s)

Moved, 938(4)

Amendment—Clause 19(2)(l)

Moved, 938(14)

Amendment—Clause 19(2)(m)

Moved, 938(14)

Resolution, Private Member's

Cost of living

Taxes and fees

Debate, 3353–3355

Health care

Mental health

Urging government to expedite the work of the All-Party Committee on Mental Health, Substance Abuse and Addictions and fully include people with lived experience, relevant government departments, professionals in health care, policing, justice, education and social work, community groups, Indigenous communities, faith groups and others who can provide insight to help address the wide array of challenges more effectively so everyone in need has somewhere to turn right away

Debate, 4708–4710
Amendment

Moved, 4709–4710

Privatization

Urging government to say no to any further privatization of our health care system, roll back current privatization, and invest in a publicly funded, publicly administered, public health care system

Debate, 1574–1576

Seniors

Suicide

Tabled Documents

Financial Administration Act

Sec. 26(5)(a)

Orders in Council relating to funding pre-commitment for fiscal years 2023-24 to 2027-28, 3404

Waterford Valley (District)

Sports/recreation

Softball

O'Keefe, Kearney—First female umpire in province and awarded Level V designation, 3243