Third Session, 42nd Parliament (2022)
OFFICIAL REPORT
OF DEBATES
(HANSARD)
Tuesday, May 10, 2022
Afternoon Sitting
Issue No. 203
ISSN 1499-2175
The HTML transcript is provided for informational purposes only.
The PDF transcript remains the official digital version.
CONTENTS
Routine Business | |
Orders of the Day | |
Proceedings in the Douglas Fir Room | |
Proceedings in the Birch Room | |
TUESDAY, MAY 10, 2022
The House met at 1:33 p.m.
[Mr. Speaker in the chair.]
Routine Business
Statements
JURY DUTY
Hon. D. Eby: I rise to recognize Canadian Jury Duty Appreciation Week. Members in this place will know the important role that juries play in many aspects of our justice system, the coroner’s inquest process as well as criminal trials and civil trials. This is the week where we recognize that work that people do. They come in, and they hear about important issues between individuals — sometimes quite serious issues — that need to be resolved.
First of all, I rise to express my appreciation to those who serve on jury duty. They get that notice in the mail, they respond, and they provide that essential duty as citizens. The second is to underline government’s commitment to support people who serve on juries.
Now, some of the work done by people on juries includes quite traumatic information involving a criminal trial, for example. So government has ensured that jurors have access to supports, both during and after trial, to discuss anything troubling that they may have seen during their time serving on duty. We also have two additional pilot programs that we’re launching to better support jurors that will be coming out and that we’re working in partnership with the federal government on.
I wanted to rise and express my appreciation to all British Columbians who serve on juries, to thank them for doing their civic duty, to let them know that government supports them in that work and to express gratitude for ensuring that our justice system works as it should.
Orders of the Day
Hon. M. Farnworth: In this chamber, I call second reading of Bill 15, Low Carbon Fuels Act.
In the Douglas Fir Room, I call committee stage, Bill 10, Labour Relations Code Amendment Act.
In the Birch Room, I call debate on the Ministry of Health estimates.
[S. Chandra Herbert in the chair.]
Second Reading of Bills
BILL 15 — LOW CARBON FUELS ACT
Hon. B. Ralston: I move that Bill 15 be read a second time now.
I’m pleased to present Bill 15, the Low Carbon Fuels Act. Bill 15 will replace the Greenhouse Gas Reduction (Renewable and Low Carbon Fuel Requirements) Act. The current energy crisis underlines just how important it is for us to reduce our dependence on fossil fuels and to transition to made-in-B.C., low-carbon options, such as biofuels, hydrogen and electricity.
The Greenhouse Gas Reduction (Renewable and Low Carbon Fuel Requirements) Act was first introduced by the previous government in 2008. That act established the low-carbon fuel standard, the LCFS, the regulatory framework which aimed to reduce the carbon intensity of fuels by, firstly, requiring fuel suppliers to supply a prescribed percentage of renewable fuels and, secondly, empowering the province to set regulations for specific carbon intensity targets to reduce the amount of carbon emitted per unit of energy in fuel.
The low-carbon fuel standard is now the single largest contributor to meeting our CleanBC targets, expected to account for 31 percent, or approximately one-third, of all reductions in the CleanBC Roadmap to 2030. To date, the low-carbon fuel standard has reduced more than 12 million tonnes of global greenhouse gas emissions.
Over the years, the department has worked closely with the state of California on the low-carbon fuel standard. Our Pacific Coast Collaborative partners, Oregon and Washington, have recently adopted similar measures. To maximize our production of low-carbon energy and to support the clean transformation of manufacturing and fuel production in British Columbia, we’re building on approaches that we know well, and we’re creating incentives for innovation.
The new Low Carbon Fuels Act incorporates the learnings of the past 14 years to create a clearer and more robust structure that ensures the low-carbon fuel standard will be easier to administer and to enforce. The new act does not substantially change the existing policy, but it does strengthen and modernize the structure of the act itself. With this legislation, we’re modernizing and expanding the low-carbon fuel standard to incorporate new fuel classes and to encourage broader participation, investment and innovation in the production and use of low-carbon fuels.
Stimulating the production and use of made-in-B.C., renewable and low-carbon fuels will generate jobs and economic opportunities for First Nations, businesses, innovators and communities around the province, all while reducing greenhouse gas emissions.
The proposed act will deliver on CleanBC’s Roadmap to 2030 cleaner fuel commitments by expanding the scope to include more base fuels such as fossil-based aviation and marine fuels; enabling compliance units to be issued to persons who permanently sequester greenhouse gases captured directly from the air; allowing registered persons to trade credits, whether or not they are a fuel supplier; requiring prescribed utilities that earn credits from the supply of electricity to invest a portion of the revenue from the sale of the credits into projects that increase the use of electricity in transportation; and finally, by supporting the development of production capacity for 1.3 billion litres of made-in-B.C. renewable fuels per year by 2030.
This legislation is just one of a range of actions we’re taking through our CleanBC Roadmap to reduce greenhouse gas emissions; build a cleaner, stronger future; and prepare for the impacts of climate change.
T. Shypitka: Thank you to the minister for the statements.
It gives me great pride to be the designated speaker for Bill 15, Low Carbon Fuel Act. As critic for Energy and Mines and Low Carbon Innovation, along with my colleague from Skeena, who will be joining us fairly shortly, it is my responsibility to hold government to account in accordance with what the minister has been mandated by the Premier but also to industry, communities and people in British Columbia.
This province — actually this world, in fact — has seen some of history’s largest environmental, technological and social transformations, arguably, over the last 20 years or so. There’s been a strong signal that collectively, as humans, we need to be more responsible in how we live.
As we all know, greenhouse gas emissions are altering our climate system in many ways, causing frequent weather events, such as heat waves, fires and flooding. We don’t have to go too far back to see some of the climate disasters that we’ve seen in the last couple years — extreme flooding, fire. We’ve got to do everything we can, as human beings, to reduce our impact here on the planet.
We have an ever-advancing technology sector that is brining us alternate ways to keep us warm and to keep us cool with less assistance of carbon-intensive fuels, less carbon-intensive ways to transfer ourselves and our supplies. This certainly has been a work in progress.
Additionally, the cost for these alternative energy sources is becoming more and more affordable, and that is where the balance is. After all the good heads come together, after industry develops better delivery models, the last question is always: what is practical to use so that it’s sustainable and what is cost-prohibitive and unsustainable to use? This is the real equation for the everyday businesses and people of British Columbia.
At a time when this province is seeing the highest gas prices, housing prices and most people $200 away from making their next mortgage payment, good timing is critical when implementing strategies to what is outlined in Bill 15.
B.C. continues to experience a deepening affordability crisis, and young people in our province are enduring some of the worst consequences. We have the highest gas prices in North America. This is well before the invasion of the Ukraine, although that definitely has been adding to the pain at the pump that we’re seeing right now. The last tally I’ve seen was $2.23 a litre here in the Lower Mainland or on the Island, and no relief in sight.
We’ve got some of the highest rents in our country, and the housing prices are the highest we’ve ever seen. The younger people in our province are struggling to afford to buy a house and, instead, face incredibly high rental rates. Groceries are getting dramatically more expensive. Everybody can see that every day, when they buy their goods at the local grocery store.
People need to see the government taking real action on B.C.’s affordability crisis, and this is the balance I’m trying to draw between Bill 15 and the real crisis, the other crisis that we have right here. We’ve got a climate emergency, as some refer to it, and we also have an affordability crisis here in British Columbia. So when we introduce bills such as this, we have to take a look at the broad, holistic view of it and what that is going to actually mean to everyday British Columbians.
The bill was tabled yesterday by the Energy Minister, and its purpose was described as to modernize the low-carbon fuel standard to support CleanBC’s fuel carbon intensity targets, expand the act to include new categories of fuels, such as aviation fuels, as the minister just stated, and enable utilities to reinvest credit revenues into projects supporting electricity and transformation. Fair enough.
However, just prior to the tabling of the bill, the minister stated, in referring to the B.C. Liberal’s Greenhouse Gas Reduction Act — I’m assuming that’s what he was getting at — during an introduction: “Since being introduced over ten years ago with little precedent to draw upon, B.C.’s low-carbon fuel standard has been the single largest contributor to meeting our CleanBC targets.”
So the question automatically jumps out at me that if the former act, the Greenhouse Gas Reduction Act of 2008, and B.C.’s low-carbon fuel standards have been such a large contributor to meeting our CleanBC targets, why do we need to replace the entire bill and not just simply amend the current bill to modernize it?
When the Greenhouse Gas Reduction Act was implemented in 2008, it came along with another act entitled the Carbon Tax Act, in 2008. Not in tandem, but they were done the same year. This was the B.C. Liberal’s forward-thinking on how we could be more responsible on reducing our impact here in British Columbia.
The Carbon Tax Act incorporated a pretty nifty way of dealing with the tax. That was to make the tax revenue neutral, which was another way of saying that every penny collected from the tax was going to be kicked back and spread across all taxpayers of B.C. in the form of lowering personal and corporate income tax. At that time, I believe we had the lowest tax rate provincially in Canada for those making less than $120,000 a year.
This forward-thinking was heralded across the globe, and it helped people afford the things they needed. In 2012, the carbon tax was halted at $30 a tonne.
When the NDP came into power, however, they immediately removed the revenue neutrality of the carbon tax and took all that money that was going to B.C. taxpayers and put it in their own pocket as general revenue in order to spend the money as they saw fit. With Bill 15, I hope we’re not seeing a somewhat close cousin to that type of move and what happened with the carbon tax.
There were incentives created with carbon credits, and these incentives are based on the creation of an initiative fund that’s going to be set up. That would be funded by selling compliance credits, which we will require clarification on — why that fund was created and what that money is expected to be spent on. I’m hoping it’s not just merely going to be transferred into general revenue.
I know there will be a utilities…. B.C. Hydro will be taking charge of that initiative fund in some way, shape or form. We’re just wondering. Those are some of the questions we’ll be asking in committee stage, on better clarification of how that initiative fund will be set up and all the moving parts and pieces that will go along with it.
The recently introduced Bill 15 repeals and replaces the previous legislation, as I said, and adjusts the formulas for compliance credits to potentially increase the carbon intensity — in turn, making it perhaps more difficult to receive compliance credits. It’s a fairly complex formula that has been set up.
There’s been a new piece — I think it’s the UIC component of the formula — that has been brought in. It’s on page 10. It’s section 13 of the bill. It identifies several components of the formula that’s used. That’s the TCI, the EER, the RCI, the UCI and the EC. The UCI, I believe, is a brand-new component. That will be under discretion, in accordance with the regulations of the minister. There are actually several pieces of that formula that will be subjected to regulation.
We’re wondering how that regulation is going to impact the availability or the way that companies or suppliers can address receiving credits. Will it make it more hard? Will it make it easier? What impact will that have on the cost of the fuel that we’ll be receiving at the retail level? Will that make it go up?
I think the minister has made statements that it will. I believe the statement yesterday was a cent. We’ll be asking more questions on how he’d arrived at that calculation, because I think it’s fair for British Columbians to understand what we’re getting into when we adopt these.
We’re not saying that these are bad initiatives or that these are bad things we don’t want in the province. Of course we want to take a leading role, and British Columbia has been doing that for quite some time. As I mentioned earlier, the carbon tax was one of those forward-thinking initiatives that the B.C. Liberals brought into play. The government now has supported and has increased that tax. We need to be responsible, but we need to do it in a sustainable way. These are the questions we’ll be asking in committee stage for sure.
The bill gives the ministry the power in determining additional carbon intensity through regulation, but this does also require definition of what is considered additional carbon intensity and how it is measured. Getting back to the formula, how is that going to be measured, and what is considered additional carbon intensity?
Replacing the Greenhouse Gas Reduction Act, the new legislation will have an updated scheme for incentivizing the supply of renewable and low-carbon fuels in British Columbia. Further, as the goal of this legislation is to reduce the greenhouse gases emitted, we would hope to be provided with material that will identify if the carbon intensity of base fuels will be changed dramatically.
In all these formulas, there is a base fuel and there is an alternate fuel. We want to know the base fuel, the fossil fuel…. How will that be identified? How will that intensity of that base fuel be changed through this bill?
Additionally, as the process of lowering the carbon emissions is so expensive due to the cost of the refining process, how will this impact the already high cost of gas for transportation? Some of these renewable fuels and some of these low-intensity carbon fuels have a high refining process, and it costs, perhaps, in some cases, three to four times more than what fossil fuels would have.
We’re wondering how that’s going to parlay itself to the taxpayer British Columbian and what people see at the pump. I dare say we can’t stand to see much more increase at the gas stations than we already have. These will be some of the questions we will have during committee stage.
Should we expect the cost to rise further as more money is being spent on building the facilities to create more planet-friendly fuel sources? Yesterday it was announced that Parkland refinery has a project to expand their facilities to incorporate low-carbon fuels, at a cost of about $600 million. I believe the B.C. part of it is about 40 percent of that, so about a quarter-billion dollars will be somehow funded through the provincial government, through tax credits. I think the building of this refinery will garner Parkland about a million credits.
How that all works, as far as the funding that the B.C. government will be doing to assist in this project…. Now, in some measures, it’s great to have that self-reliance of fuel here in British Columbia, not relying on Louisiana or Singapore or all these other places that supply renewables, but it comes at a cost, once again. We are wondering how all that kind of stuff is going to work for British Columbians.
Additionally, as the process of lowering the carbon emissions is so expensive due to the cost of the refining process, as I said, how will this impact the already high cost of gasoline? Should we expect the cost to rise further as more money is being spent on building the ability to create more planet-friendly fuel sources? I said that already, but it’s an important thing to note, because once again, $2.22 at the gas pump is a little high.
As costs continue to soar for so many British Columbians, is this going to cause greater stress? That’s another thing to consider. During committee stage, we’ll probably be asking the obvious questions. What type of outreach did the government do to bring this bill forward? Were all these extra pieces considered when we talk about not only moving forward with low-carbon fuel emissions but also the impact it has on everyday B.C.’ers?
As you can see, it raises many questions. There are many clauses in the act. It’s a pretty technical bill, so there will be a lot of dry conversations, I’m sure, during committee stage. But it’s really important to wade through this technical piece of legislation to finally come out with an outcome that people can understand.
Let’s see if I can bring up some other stuff that was of concern here. I think one of the things that needs to be mentioned is the fact that when we get lots of people in a room together — we get a lot of good people thinking, whether it’s industry, whether it’s government, stakeholders, the whole crew — we can have the greatest programs in the world come out of that. But at the end of the day, it really does depend on if it’s sustainable or not.
This is critical to this bill. We’re going to be asking many questions on that, and I’m hoping that we’ll get the answers that will make it clear for British Columbians.
Clause 1, going through this bill now…. Some of the things that we’ll be asking for clarification on are some of the definitions in the bill. The categorization of fuel types and alternatives to base fuels will be something we’ll be asking. Subject to the regulations, a fuel is part of a base fuel if it is to be used as a component of a base fuel. There’s some clarification needed in some of the wording, for sure.
Additional carbon intensity — definitions on what additional carbon intensity means. This is not in the original formula, in the 2008 gas reduction act, so why are we adding this now? I think that’s what I was talking about earlier — was in that formula. Why is that being added? Some clarification around that. How does this being added to the formula affect how credits are acquired by fuel marketers? That would be another question.
Sequestration of greenhouse gases is in here. You can get credits for sequestering of greenhouse gases, whether it’s carbon dioxide, carbon monoxide. Can the minister outline what forms of greenhouse gas sequestration could be covered by this section? There’s biological and geographical sequestration, so which ones are applicable to this bill? If both are, that’s fine.
As the minister knows, there is some good work being done up in the northeastern part of British Columbia with carbon capture and storage. We’re wondering how that will play into it. Of course, we’ll need some more mapping and details on, maybe, how B.C. could probably be a destination for carbon storage, when we’re looking at some of our partners in Alberta and Washington and some other close jurisdictions where we could actually sequester carbon into storage, into our deep wells and deep gas reservoirs that are available, that are perfect for sequestering carbon.
Why does exporting fuel result in an individual receiving compliance units? So another question would be just in regards to: how will this affect our export trade-exposed industries when we’re delivering these fuels outside of British Columbia? How does that play into our competitiveness outside the jurisdiction? We’re already behind the eight ball, so to speak, on our competitiveness right now in British Columbia — I feel, anyways. The minister may differ. But every dollar counts and every cost counts when it comes to competing globally throughout the world.
Does the minister expect the carbon intensity of base fuels to change dramatically? I mentioned that a little bit earlier. Why is an initiative fund being created? Of the moneys received from selling compliance credits, what percentage must be put into an initiative fund? Is there a certain amount? Does the government have a minimum that goes into these initiative funds? That’s an important thing to know.
What could be done with those funds once they are inside the initiative fund? Can government dole them out as they see fit? Can they transfer them? What happens to the whole trading of compliance units with industry? With B.C. Hydro being, so to speak, the gatekeeper of the initiative fund, how will they adopt the ways of the trading system? Are they compliance sellers, or are they compliance buyers, or are they one or the other? How does that play out in the whole trading system with compliance credits?
Why is the government authorizing that they can take moneys from the initiative fund? Would this not count as a tax on funds earned off of the sale of compliance credits? On what category would the minister expect to approve funds being removed from the initiative fund? These are some of the questions we’ll have here in committee stage.
Clause 53 is: “Regulations in relation to responsibility and fuel requirements.” Has the minister written, seen any drafts or reviewed any ideas on what these regulations that…? Sorry, that’s 57: “Regulations of minister.” Has the minister written, seen any drafts or reviewed any ideas on what these regulations in section 57 would authorize?
Clause 54 is: “Regulations in relation to public and local utilities.” Has the minister written, seen any drafts or reviewed any ideas on what these regulations section 57 would authorize? Clause 55 has something similar and a similar question. Clause 56 is the same thing. There are a lot of questions that will have to be answered here in committee stage, and we’ll look forward to doing that.
When we look at the breakdown of fuel costs across the province, we see that we’re one of the highest-taxed jurisdictions in North America, resulting in the highest gas prices in North America. On the average litre of gas, I believe TransLink has a levy of about 18½ cents per litre. Carbon tax is about 11 or 12 cents, I believe, on that. Federal excise tax is about ten cents. GST — I guess it depends on how much the gas goes up, but it’s about ten cents right now. Provincial excise is about nine cents. That’s about 57, 58 cents a litre right there, and then the fuel standard regulation is about 17 cents per litre.
That was what I was getting at a little bit earlier. When the minister was asked yesterday how this will affect the fuel standard regulation on the tax on a litre of gas, I believe the minister said it was going to be about one cent. It was going to go up. But I find that hard to believe, so we’ll have to get some better clarification on that tomorrow.
Overall, once again, this is a pretty complex and technical bill. It’s going to take a lot of time to wade through all of this. But I think, as I said earlier, in the grand scheme of things, it’s okay. It’s good. Good forward-thinking never hurts.
I believe the B.C. Liberals were somewhat roughed up a little bit when they brought in the carbon tax back in 2008. It was a bold move, but it was ahead of the curve at the time. We got ahead of the federal government, and we took matters into our own hands. And we were able to pour that money back into British Columbians in a form of revenue neutrality. It was a bold one. I think there was some kind of world conference somewhere that heralded — B.C. got some kind of award for that carbon tax and the way they drew it up.
Once again, that was squashed pretty quickly when the NDP came in. We’re hoping that with Bill 15, we don’t see money and credits getting transferred across into government coffers to be spent on how they see fit. I hate to see history replay itself once again. But I commend the work of Parkland in what they’re doing.
I’m not too sure if my colleague from Skeena is going to be joining me here soon or if we have another speaker coming up. But I would just like to say that we’re just super interested in what the minister has to say about some of the stuff that this bill represents.
Reporting is another major issue that we’re going to be seeing with this bill. There’s a long supply chain when fuel is processed, refined, delivered — once not twice but three times — to different suppliers. For example, we could get a supply of renewable fuels from Louisiana. They get trucked up on a train. They cross. They come into Alberta. Maybe they get further processed there. From there, it comes across the line through into B.C. to different suppliers. They pass that gas off to other truckers or other supply outlets, finally getting to the retail.
What has to happen is that the reporting of these fuels has to be of a certain carbon intensity to get credits, so the person that’s responsible for that fuel is the person that basically takes that fuel off the last supplier’s hands. You have to hope that the reporting from the source is accurate.
When we have fuel sources coming in from not only out of province but out of country, not only out of North America but out of other countries such as Singapore, you can see how the dependence on proper reporting from the source is critical, because if the reporting comes back fraudulent or not accurate, whoever picks up that fuel is going to have to pay either a debit or a credit on compliance units.
Now, if you get a false report from Singapore or from Louisiana or from some other jurisdiction saying the fuel meets this criteria, and you take that responsibility as the purchaser, you are now responsible for that fuel. And if it’s deemed that it’s anything else other than what was originally reported, then you have to pay the default, which is the raw cost of the base fuel, which is a high cost.
When, in briefing, we talked about this…. You know, it’s kind of buyer beware — caveat emptor, whatever the Latin phrase is — for the buyer to make sure that those records are accurate, because if not, then they will be paying the default price for that fuel. This would obviously increase the cost dramatically across the board.
When asked how we control that — How do we control this reporting from outside our own jurisdiction? We obviously don’t have jurisdictional powers in Louisiana or Singapore or anything like that — the answer was, “Well, you know, fool me once, shame on me; fool me twice, shame on you,” or whatever that is. It’s something like that, isn’t it?
Interjection.
T. Shypitka: Fool me once, shame on you. Fool me twice, shame on me. That’s what it is. There we go. Yeah.
But that’s basically how it will have to work. So if this fuel comes in that is not accurate in its description, then we just…. Well, we’ll just not buy from them anymore. But that doesn’t help the suppliers that get caught with this fraudulent reporting.
I think that’s probably it. I guess another one was in clause 26 that was kind of interesting. The moneys received from selling compliance credits — what percentage must be put into an initiative fund? Is it a set percentage? Is it required at all times? Is it 20 percent? Is it a certain amount? Those are questions we’ll have to be asking as well.
If government is able to access these funds like it appears that they will, what does that constitute as far as…? Is it a tax then? Does this relate to just another tax? If government’s using it as they see fit and it’s a charge to the industry, not, maybe, necessarily going right back into clean initiatives, then I would argue that it would be a tax.
With that, Mr. Speaker, I think I’m pretty much done. I’m not too sure if there are any other speakers to the bill. Give it to the Greens.
S. Furstenau: I’m rising to speak on Bill 15, the Low Carbon Fuels Act.
Interesting listening to the critic for the official opposition. As he’s working his way through, it’s important to note, I think, that this bill was introduced yesterday. It’s a 43-page bill. It’s pretty technical. There’s a lot in this bill. I know that the official opposition and our caucus each got a briefing. Ours was 30 minutes this morning. So listening to the questions being raised, we are right there with him. There is a lot going on here.
A clean fuel standard is an important component in the fight against climate change. As I said to my staff earlier today, it would have been fantastic around 1996, still important today. It works by requiring a certain calibre of fuels in the province to ensure that we aren’t burning the worst of the worst fossil fuels, although we are doing a good job of increasing the extraction of some of the worst of the worst fossil fuels with fracking expansion in this province. It also incentivizes corporations to further develop low-carbon fuels through the credit program.
That’s one of the interesting things about this — that we are relying very much on the notion that the conditions that got us here, brought us here, are somehow going to be the same conditions and same tools that address this crisis that we’re in, this climate emergency, that we are going to somehow be led out of it by the actions of fossil fuel companies improving their actions without recognizing that those companies, of course, have a pretty significant motivation around profit.
Just last year the big oil and gas companies brought in nearly $174 billion in profit. It looks like this year is going to be even better. So what’s fascinating is that we keep finding ways, in this province, to enable them to be a little bit better in their actions by giving them public funds — subsidizing, ultimately — and what we don’t seem to be doing with anywhere near as much consistency and urgency is recognizing that we need to transition, very quickly, our economy, how we move around.
Imagine $500 million into improving our public transportation network in this province, particularly for underserved rural areas where people have little to no choice about how they’re going to get around because there is such a limited access to affordable, reliable and accessible transportation.
If we were doing that in combination with looking at clean fuel standards, if we were ensuring that our housing and our building codes were really operating in a way that significantly and very quickly reduced the amount of energy that has to be used in our buildings, if we were treating this emergency like an actual emergency, then this wouldn’t be the first real piece of legislation that we’ve seen from this majority government since 2020 on climate action.
This legislation in front of us updates the 2008 iteration of this act, making allowances for different types of fuels, such as biofuels, to be developed and brought under the program. It’s not a bad thing. It’s another tool in the toolbox. But as you can probably detect, I’m exhausted by the very small tools that seem to be going into the toolbox at a time when we need every tool, and they need to be the biggest tools.
I point to, right now, what is unfolding in India, which just had the hottest April in 122 years, since records have been kept. Temperatures in the 40s, regularly over 45, and now May temperatures into the 50s. The cost of that in human suffering, the cost of that in agriculture and food production, the cost of that in every way that we can imagine is unimaginable, yet that’s what people are living through right now.
The NOAA just detected a massive increase in methane emissions, perhaps from melting permafrost, perhaps from release from oceans. They aren’t quite sure yet. But we know that those increases in methane, which is a much stronger driver of climate change, moves us forward to more and more tipping points.
That’s the world we’re in right now. We’re in the world of tipping points, not in the world of “Let’s do a little bit better and start slowly turning the ship.” Tipping points. Yet we keep relying on market solutions when the climate crisis is exacerbating as quickly as it is. We’re incentivizing oil and gas companies with carrots when they’re reporting hundreds of billions in profits, and we’re spending public money to help them emit less without harming their profits.
Meanwhile, British Columbians are suffering. They’re suffering the direct impacts of the climate crisis, and they’re suffering the exorbitant costs of the products that these companies sell.
Sadly, my trust in this government on the climate file is waning. They’re currently in court, fighting not to be held accountable for their Climate Change Accountability Act. They have committed to spending over $6 billion subsidizing LNG Canada, which is literally a carbon bomb and fundamentally opposed to any meaningful efforts to combat climate change.
The first phase of the project alone will emit 4 megatonnes of carbon annually, and the government, by its own words, very recently in this chamber, has indicated that it is in no way ruling out a second phase of this project. At a time when the IPCC says that we cannot be building more fossil fuel infrastructure.
Meanwhile, communities are suffering effects. This morning, it was reported that residents of Rolla are being warned that they may have to “shelter in place” in response to a leak of hydrocarbons. When I saw that, I thought: “Orwell would be proud.” A leak of hydrocarbons — sounds so benign, really. I’m not sure which hydrocarbons exactly, but people have to shelter in place because of the leak of them. Just two weeks ago residents of Rolla were interviewed about the industrial landscape their community has become and reported that they can see LNG flares from their homes.
This government has laid the conditions to ramp up fracking through their record-setting investments in fossil fuels. It’s interesting that reports and studies are indicating that children born near fracking sites are 25 percent more likely to be born at low birth rates or less than 5.5 pounds. It’s interesting that these reports indicate that there is an increased risk of childhood mortality and poor educational outcomes and that these factors disproportionately impact Indigenous people.
While we’re talking about clean energy fuel standards, researchers at the University of Toronto are undertaking further study on the direct impacts of fracking on fetal health. More research is needed, but instead of contributing to that research, the B.C. Oil and Gas Commission has just criticized the existing study. It seems there is very little concern about the fact that this study of pregnant people found higher contaminant levels in homes near fracking sites and that the highest levels of exposure were found among the Indigenous pregnant people who participated. Indigenous participants’ homes showed notably higher concentrations of chloroform, acetone and decanal.
A lead author from the Nobel Prize–winning group Physicians for Social Responsibility has called fracking “the worst thing I’ve ever seen.” It’s interesting. I was at the Local Government Leadership Academy last week and heard from participants that there had been…. The theme was “Resilience and strong communities,” and there was a presentation from a panel of experts on emergency preparedness. And one of the things the panelist told this group of locally elected leaders was that the impacts that we will see from climate change are worse than we can possibly imagine.
This is what elected officials are being told at conferences right here in B.C. — that the impacts from climate change are going to be worse than we can possibly imagine and that we are going to see those impacts, as we did last year — the heat dome, the heatwaves, the flooding, the forest fires.
I shared a story when I spoke to LGLA about my own experience of coming home, down Highway 97, in 2018. A forest fire was moving northward, and we got turned around on the highway. We were trying to go through Kamloops to come home to the Island. We got turned around and had to go north, and we had to go north quickly because that fire was moving. At one point, the windshield wipers couldn’t get the ash off the windshield, and the sky around us was black and red. Everybody in the car got really quiet.
That was worse than I could have imagined, and I know people in British Columbia have been through a lot worse than that. My colleague got a call last year from somebody he knew in Lytton, and they said: “We’re getting out now.” Within a few hours of that call, that town was gone.
I don’t know how it is that those of us in these rooms cannot seem to understand the time that we’re in. I can’t understand how we think that incrementalism is going to be sufficient at this point — because it’s not. It’s going to be worse than we can imagine. It’s not alarmism; it’s the reality that we are in right now. As elected representatives, what responsibility do we have to respond to that? A sigh. It’s so hard to bear that responsibility. It is ours. We have asked to be here, we have chosen to be here, and we will be judged for what we didn’t do.
This legislation, as is becoming increasingly the norm, leaves a lot to regulation, which means government can make changes without public oversight. There’s no clarity about exactly what are going to be the implications of this legislation. They indicated that this is to promote efficiency and to reduce red tape, but actions speak louder than words, and actions show that while we can update the regulations and expectations around somewhat lower-carbon fossil fuels, we have not really yet come to terms with the reality that we’re in.
It’s not terribly surprising that this is what happens. We have the lobbyists registry now, and we can see how much time lobbyists are spending with members of government, members of staff. It looks like in the month of April, oil and gas lobbyists had 76 different meetings with members of this government. In one month — 76.
We have before us a policy tool, a policy tool that needs to be updated. Of course, we need lower-carbon fuel standards as an interim measure, but we need to move so much more urgently beyond interim measures and incrementalism. We have to show that we actually understand the severity of the moment we’re in. I look forward, hopefully, to seeing some sense of that urgency from this government, but thus far, it has been absent.
E. Ross: We’re talking about Bill 15, 2022, the Low Carbon Fuels Act. Its predecessor was actually introduced in 2008 under the B.C. Liberals. It highlights the two different parallel tracks that the government has actually developed, both at the same time, on how to deal with environmental standards in B.C., mainly through the Environmental Assessment Act and regulations but also trying to formalize a deeper relationship with First Nations.
When you deal with First Nations, especially when you deal with projects that impact the land, there is no separating the environmental impact from Aboriginal rights and title. They’re both one and the same. So it made sense back then to combine the two, whether they’re incorporated into one process or in parallel processes, whether you’re talking about the B.C. Environmental Assessment Act, for example, or the Canadian Environmental Assessment Act.
Either way, in terms of a project — like LNG Canada, Chevron, some of the forestry agreements that were signed by First Nations back in 2006, or some of the many mining agreements that were signed starting in 2004 — it was all part of the same discussion. How do we address rights and title? How do we address the economic component of rights and title? At the same time, one of the main interests of First Nations was: how do we reduce the existing impact of environmental issues on our lands? As well, how do we reduce the impact of proposed projects on our lands?
That process started back in 2004. Back then, you know, it was mostly done in relation to the Haida court case that had come, on the government’s duty to consult and accommodate. Back in 2004, when the court case came out, nobody really knew or understood how to implement the principles of the Haida court case.
At times, when we were trying to co-develop it between government, First Nations and industry, it was quite painful, because there were so many interests at play. There was the interest of the First Nation that wanted to engage and be involved in the economy but also didn’t want to water down any environmental standards. The Crown was just trying to do its duty in looking after the provincial interests as well as the natural resources.
It was quite a remarkable time in B.C.’s history, quite the transition. Over the years, in all of my participation in permitting processes and environmental assessment processes, I saw the push to always do better. Always try to find the gaps in the regulations or some the environmental issues that might not get covered under the B.C. environmental assessment process or the Canadian environmental process.
Deputy Speaker: Sorry, Member, could the member help the Chair understand the connection to Bill 15, the Low Carbon Fuels Act?
E. Ross: Yes, Chair. Where I’m getting at is that First Nations are actually the ones leading the environmental charge in a new day and age, especially when we’re talking about Bill 15, the Low Carbon Fuels Act. It has been an evolving process, and it’s hard to describe.
As First Nations became more aware of the issues of economics and of emissions, of environmental assessments, of permitting, they understood that they had to evolve as well. They had to develop the capacity. They had to develop the expertise. At the end of the day, no matter who you talk to in B.C., no matter who you talk to in this House, we’re all looking to lessen the environmental impact.
In this case, we’re talking about emissions — low carbon in our fuels, to be exact — because this has a history. The Low Carbon Fuels Act has a history dating back to 2008, when we saw the first version of this come out. It’s going to be amended before this session ends, I believe. It’s quite the act; it’s 42 pages long.
Really, we’re talking about renewable fuels. That’s what we’re talking about. We’re not really talking about diesel or gasoline in its current form that we see today at the pumps. We’re talking about renewable fuels. This is my understanding, coming out of the briefing that we had today at 10:30 this morning.
But in relation to this, this is a really complicated topic to understand. The roots of this go way back. It goes back way before 2008. But in today’s context, we do have innovation in B.C. We’re always trying to do better. Usually it’s industry and the private sector that are leading that charge in terms of innovation.
I’ll give you an example, one that plays directly into Bill 15, where we’re talking about a company called Nation Clean Energy, in partnership with Rocky Mountain GTL Inc. What they proposed is basically renewable fuel for today’s private sector, whether we’re talking about airports, whether we’re talking about the marine industry, for example — really large emitters of pollution and carbon. They’ve come up with this concept that has actually been built in Alberta already.
Now, apart from the political branding I’ve been given on social media in terms of a skeptic…. I’m a skeptic of everything. I make sure I question everything. I like to think of it as critical thinking. It doesn’t matter if you’re talking about LNG, oil or clean energy. I want to know everything about it and whether or not it can be produced in a realistic and practical form, especially when we’re talking about affordability, especially when we’re talking about energy security, energy dependence.
I’ve gone through this business proposal by these First Nation companies, Nation Clean Energy and Rocky Mountain GTL Inc., and I really can’t find anything that doesn’t…. It not only complies with Bill 15; it surpasses it. In fact, if anything, I think this path and the clean energy plant that’s being proposed right now actually shows some flaws in Bill 15, in the Low Carbon Fuels Act, because we’re really talking about a synthetic fuel.
I’ve tried to question how valid this is in terms of what we’re talking about in terms of a lower-carbon future. But what their project is proposing and what they’re actually doing right now is capturing carbon and producing hydrogen without carbon emissions. It produces low- to zero-carbon biodegradable, synthetic and renewable fuels with a zero-emissions plant.
Now, I know that sometimes, when we talk about zero emissions, we’re talking about technicalities, and we’re talking about formulas, and maybe we’re talking about some trading of carbon credits. In this case here, that’s not what they’re talking about. In fact, if anything, they’ve actually partnered up with the Musqueam. The director of business development, Jay Mearns, was in this Legislature today talking with members of government, from what I understand.
I know the counterpart up in Prince Rupert. His name is Chris Sankey. He used to be a councillor for Lax Kw’alaams and went into the private sector. He’s all over the place in terms of the energy sector. They’re typical of what First Nations are starting to evolve into. They’re looking for clean energy solutions, in response not only to what B.C. is considering but also what Canada is considering, as well as the world.
When we’re talking about how this concept could show flaws in Bill 15, they’re really talking about their form of clean fuel, which is a synthetic fuel, versus conventional diesel, for example. Their clean form of fuel, which will not harm the environment, will not harm living beings, will actually get excluded from Bill 15. Yet it displaces so many of the issues that we’re actually talking about here today, when we’re talking about emissions and pollution and carbon.
This is brand-new in Alberta, so I can see how Bill 15 could exclude this new opportunity. It’s too new. But people like Jay Mearns from Musqueam, the director of business development and Chris Sankey, who owns Blackfish inc., have actually been promoting this all across B.C. and Canada. They are getting good feedback, but unfortunately, they’re not getting that extra push over the finish line that they need to incorporate this into today’s economy.
In terms of what the Musqueam are thinking, they’re pretty disappointed that an example of what can be done in terms of what Bill 15 is proposing, the Low Carbon Fuels Act, in terms of the agreement with Parkland…. Musqueam’s pretty disappointed they weren’t included. Talking with Jay Mearns from Musqueam, I hadn’t realized this myself, even though I’ve actually experienced this in Kitamaat Village myself.
The way he explained it to me was that it was an insult, because ever since they got displaced off the lands that now became YVR airport, they’ve been breathing in the diesel exhaust fumes and all of the other fuels that get burned at YVR airport. It has affected their health, it has affected their land, and it has affected the Fraser River.
Nothing’s been done not only to remediate that impact on the land and the air and the water, but also nothing’s been done to include the Musqueam in what’s happening in their territory around them, including YVR as well as the Parkland refinery agreement that was just announced a couple of days ago.
So they are disappointed. But they’re not discouraged. They still want to see a solution, even in light of the Low Carbon Fuels Act omitting their project proposal in terms of producing a clean fuel. It’s proven technology. It’s not theory. It should fit perfectly within Bill 15.
They’ve done all the heavy lifting on their own, even trying to acquire a portion of private land at their own expense, because they want to be close to the emission source, which in this case is YVR airport. If they can do this, they can actually translate this into going after the marine industry, which they believe is also polluting their territories.
Everything I’ve seen so far is pretty technical, so I’m going to try, for my own purposes, to explain what this process is. It is in relation…. If we can fit it into Bill 15, and I’ve actually…. If we can amend this — we have time to amend it — so that this proposal, coming from the Musqueam First Nation and its energy partners…. If we could amend it in time, we should be able to celebrate this innovation being brought to B.C. and cleaning up a lot of the emissions coming from these big polluters like the YVR airport.
But the person that explained this to me…. There are two people, technical side…. Dale Tsuruda, the founder of Nation Group of Companies, and Dennis Wilson, the executive director of Nation Group of Companies, explained it in political terms to me, which means simplified.
They said that, basically, you can take a fuel product — whether you’re talking about a biofuel, whether you’re talking about natural gas, or you’re talking about a fossil fuel — and you can put it through this plant, through their process, and out the other side comes hydrogen.
Now, everybody knows that hydrogen is a preferable form of energy, and actually, hydrogen is starting to get traction in terms of the marine industry for smaller craft being built and being powered by hydrogen. And if this market takes off, we’re going to have to develop different infrastructure so that these boats that are powered by hydrogen have places to fuel up on the water. So there are going to be some changes needed to fully realize the future of hydrogen.
But that is not what they do. The end goal is not to produce hydrogen as a fuel source. What they basically do is take the hydrogen and use it to hydrotreat the bio feedstock like canola. That’s what they do. And really, when we’re talking about it, they understand carbon intensity and the drive to reduce carbon intensity in all of our fuels.
They need the government’s support — provincially, specifically. They saw the incentive that was provided to Parkland refinery, and they’re questioning why they do not get the same type of agreement. Apart from them being excluded, even though their fuel source is actually a lot cleaner than what’s being proposed in different sectors, they still want to be a part of this. They can have dramatic impact, and it could be a flagship in terms of a First Nation–led initiative that could really highlight the purpose of Bill 15, the Low Carbon Fuels Act.
I understand the intention of Bill 15 in terms of carbon intensity and renewable fuels. I understand that. But we can address a number of different things at the same time, if we consider the clean energy plan proposed by the Musqueam and their energy partners. We can address a long history of exclusion of the Musqueam people in their own territory, and while cleaning up the emissions from YVR airport, we can address economic reconciliation for the Musqueam people themselves.
There’s really not much I can…. I tried to go through this proposal and figure out things that are wrong with it — places where there were deficiencies. In my mind, when I look at this, and knowing that there’s a working model in Alberta, I can’t find any deficiencies.
They’re basically producing biodegradable and non-toxic fuels. They’re actually developing drop-in synthetic and renewable fuels that are compatible with diesel and jet engines. So in reality, we’re also talking about jet fuel. We’re talking about enhanced blue hydrogen production. And captures carbon — there are no carbon emissions coming from this plant. It captures carbon in the production of hydrogen, and hydrogen is used as is or is used to hydrotreat bio feedstock, creating ultra-low to zero-carbon, renewable fuel.
In reading Bill 15, 2022, I thought, overall, that’s what the purpose is. I know that we’re talking specifically about renewable fuels. But I think that ultimately the goal, when we’re developing legislation to reduce emissions, we’re actually talking about these kinds of projects that are being promoted by the Musqueam First Nation.
They actually produce ultra-low to zero-carbon fuels. They produce zero sulfur and are clean-burning. They will improve airsheds with zero- to ultra-low SOx and NOx. We did a lot of this conversation in Kitimat — SOx and NOx. You can get buried in those conversations. But at the end of the day, we’re really talking about emissions. That’s what we’re talking about.
There are commercial advantages to this fuel as well. It increases lubricity — I didn’t even know that was a word — increased lubricants for reduced engine wear. So when we’re talking about that in terms of the marine industry or the aeronautical industry or any industry that uses mechanical equipment, we all know what lubricants mean and how important they are. It’s even important in our cars and our trucks and our personal vehicles.
What’s amazing about this…. The production cost is efficient and competitive, mainly because it’s a path in the process. It’s a privately owned Canadian company.
Now, I understand Bill 15, 2022, is proposing to have at-home production of fuels, as opposed to, say, shipping in something from the east coast of the United States — or Thailand, for that matter. Any savings in terms of emissions actually gets offset by the cost, and we don’t really know the carbon footprint of the production of these lower-emission fuels when we’re talking about a fuel source coming from halfway around the world.
In this case here, from what I understand, Bill 15 is proposing domestic fuels, biofuels, with lower emissions, lower carbon intensity. Well, that’s exactly what this proposal is talking about, in terms of what the Musqueam Nation is trying to promote here in B.C.
In talking with Jay Mearns, we talked about how difficult it is for First Nations to engage in the economy, to engage in technical processes. I mean, really, we’re still young. We’re still learning this process, if you consider that our first formal steps into this world actually started in 2004. That’s not too long ago, when you consider how old Canada is or how old B.C. is.
The advancement and catching up to what the world thinks about in terms of emissions is remarkable. I read about this stuff back in 2004, 2006, but it was all theory. Nobody could make a commercial reason for this. It wasn’t practical. They’ve now proved it.
In terms of Bill 15, 2022…. I know we’re going to go through this in committee stage. I know that. We’ll go through it word by word. But I will be looking for the clause, looking for some kind of amendment that allows nation clean energy’s proposal, in partnership with Rocky Mountain GTL, and more importantly, including Musqueam in future agreements between the private sector and the provincial government to ensure that we capture the full potential of what we’re trying to achieve in Bill 15, the Low Carbon Fuels Act.
Thank you. I’ll take my seat and listen to the rest of the speeches.
A. Olsen: Thank you for the opportunity to speak to Bill 15, the Low Carbon Fuels Act, in recognition that this is a continuing project in the province to lower the number of emissions that British Columbians are emitting — largely, in this case, through transportation fuels.
Before I get too far into my comments, I wanted to acknowledge that the project has now been undertaken by both of the establishment parties that have been in this building for decades. It started with the Liberals in 2008, with the greenhouse gas…. I had it written down here. It’s not near me. But they started the project in 2008, with the carbon tax and with the greenhouse gas act, and now it is being continued.
I think, as my colleague spoke to earlier, we can argue or quibble or discuss, debate, the pace of change and the need, I think, in our society, to recognize that the incrementalism of the past has gotten us to where we’re at today, which is in a very dire situation that is materializing in extreme weather events around the world and impacting human health and the health and well-being of the planet.
I think that it’s an important role that we play in the Legislature to ensure that there is significant tension around this topic, that we are doing absolutely everything we can do to mitigate the impacts of greenhouse gas emissions on the climate and on the ecosystems that sustain life on this beautiful planet.
This bill is, as has been mentioned, more than 40 pages, and it’s very technical. It’s important that the Members of the Legislative Assembly have the ability to understand and to ask questions and to get to the bottom of what a bill is proposing to be done. We, like our colleagues in the B.C. Liberals, had our brief this morning — 30 minutes to ask questions that we were able to glean in the few hours that we had with the bill. And now here we are this afternoon in debate on the bill.
I can see colleagues around me madly working their way through the bill, trying to understand it and to get to the bottom of it. I think that it’s important to just acknowledge that the quality of the debate and the quality of scrutiny that this bill will have largely determines on our ability to understand it, to get to the bottom of it and to be able to ask good questions. This has been a challenging process. I think it needs to be on the record.
Thirty-seven percent of British Columbians’ emissions come from the transportation sector. This bill is around low-carbon fuels and creating a pathway for less carbon-intensive fuels to be created in this province, to be manufactured, produced in this province for British Columbians. We’ve heard a lot, over the last number of weeks and the last number of months, about the impact of importing fossil fuels for the transportation sector — the cost that’s having on British Columbians.
It is a good idea, as we are working to minimize the number of emissions that we’re putting into the atmosphere, that in that process, we’re also reducing the carbon content of the fuels that are in the transportation network.
I agree with my colleague that we could be investing much more in public transportation and other forms of transportation, but I also agree that it is an important step for us to be creating strict standards to innovate the fossil fuels that British Columbians are currently burning in their vehicles, whether it be for their personal vehicles or their boats, the marine vehicles, or what the airlines are using for aviation fuel.
While I believe that we need to be putting a lot more focus on the pace of our response to the climate emergency that we’re facing, this is an important step. It builds on the 2008 iteration of this act, allowing, as I said, different fuels such as biofuels to be developed and brought into this policy, the low-carbon fuel standard in this policy, which is a tool in the toolbox.
I think that it’s also important that we recognize the fact that we do, in this province, invest pretty heavily, either through credits or through support for the fossil fuel companies.
I think that there is a credible argument to be made that they could be doing a lot more of this as well, without public money being infused into it, when they are taking record profits, largely from British Columbians, from the money that British Columbians are paying at the pump.
While there is this debate that’s going on in this Legislature about what government is going to do about fuel prices for British Columbians, what tangible steps government is going to take — the official opposition tabled three ideas in this — the reality of it is that the oil and gas companies….
Not only are they spending an awful lot of time wandering the halls — their lobbyists wandering the halls, making sure that they talk to all of the staff of the various ministries, the ministers, members of the government — they’re raking in record profits.
They’re still making the argument to governments, and governments are still falling for the argument, that “Don’t look at the profits we’re making. In order for to us do this good deed, lower the carbon intensity of the fuels that we’re making. We’re going to need you, government entity” — whichever one it is; in this case, the province of B.C. — “to invest public money to ensure that happens.”
I think what we need and what makes this bill more than just an act of greenwashing is that on the other side of the equation is a government that is enforcing and ensuring. It’s the carrot and stick. You have the carrot. There also needs to be the stick. We also need the enforcement. We need to ensure that we are holding those companies accountable for the impact that they’re having and the commitments that they’re making.
[J. Tegart in the chair.]
As my colleague mentioned earlier, talking about the impact the oil and gas companies are having in our communities, talking about the impact of oil and gas through fracking, the reality that children born near fracking sites are 25 percent more likely, one in four, to be born at low birth weights, under 5½ pounds. These are studies that are coming out talking about the impacts of fracking. Increased childhood mortality. Poorer educational outcomes.
I asked this question in question period last week, talking about the disproportionate impact this is having on Indigenous people. The response was that the Blueberry River court case found in favour of the Blueberry River Nation, so now the provincial government is seized with taking action on it. I would just say that my hope is that it doesn’t take court cases for there to be concern about the impacts that fracking is having on people in our communities, that it doesn’t take government to be embarrassed in the courts for this to be a concern.
While we are really stretching CleanBC, which the low carbon fuel standard is an important part of achieving the targets within CleanBC, we see Woodfibre now going to be adding to their emissions and the LNG Canada partnership openly talking about bringing on trains 3 and 4, which are completely not accounted for within CleanBC.
When we asked members of the government about that, they said: “Ah, it’s not likely to happen. Don’t worry about it.” It’s always been on the plan. Just brushed aside. “Don’t worry about it.” All too happy to be seen getting the final investment decision. Bending over backwards. Going kilometres further down the road than the B.C. Liberals were prepared to in securing a final investment decision on LNG. We heard that debate in Bill 10.
The reality of it is that while British Columbians are working to try to lower their carbon emissions, the government, on the other side, is also increasing those emissions.
I recognize that we don’t stop doing one because the other is happening. We do have to continue to fight climate change on all fronts. We do have to be making decisions and be creating policy that is working towards that end. It is our role to continue to hold government accountable for the decisions that they’re making, for the outcomes of the policy decisions that are being made.
We’ve spent the last few months in this spring session talking about the stressed, challenged, overworked, overburdened, exhausted public health care system.
The Minister of Health raised today in question period the challenging reality of public health care workers in Kamloops, talking about British Columbians who are having to pack up anything that they can get their hands on as the fires near their homes. If it’s not fires, it’s the floodwaters rising around their homes — literally an entire town displaced for months and months and months on end. Talking about the impact that that has had on the public health workers at the hospital in Kamloops.
The reality is that if we are not taking our responsibilities to climate action seriously, if we’re not doing everything we can to limit emissions and to be honest about the impact of the policy decisions that are being made, we are going to see more and more negative impacts on our public health care system — one that the minister himself has repeatedly admitted is vulnerable and is at a state of fragility that generations of British Columbians have never witnessed. We’ve never seen it like this.
If we’re going to continue to not take the impacts of this climate emergency seriously, we’re going to see that health care system, that public health care system, which has been really put on the brink, be put in an exceptionally challenged situation.
With that, Madam Speaker, I look forward to listening to the debate and the questions of the minister through the committee stage of this bill. There are others that wish to speak to it.
So with that, I’ll take my seat and thank you for this opportunity.
HÍSW̱ḴE.
Hon. B. Ma: I’m pleased to rise today in support of Bill 15, Low Carbon Fuels Act.
Let me begin by sharing with the House an article that I saw come up on my feed today. It was an article from The Guardian. I actually saw a few articles on this. It was an article from The Guardian. The title was “Climate Limit of 1.5 Celsius Close to Being Broken, Scientists Warn.” I think it’s called the lede, underneath the title, says: “The probability of one of the next five years surpassing the limit is now 50 percent, up from 20 percent in 2020.” This was written by an environmental writer, Damian Carrington.
In the article, it provides a quote from Prof. Petteri Taalas. He’s the head of the World Meteorological Organization, which published a new report about this. I’m going to quote the professor.
“The 1.5 Celsius figure is not some random statistic. It is, rather, an indicator of the point at which climate impacts will become increasingly harmful for people and, indeed, the entire planet. For as long as we continue to emit greenhouse gases, temperatures will continue to rise. Alongside that, our oceans will continue to become warmer and more acidic, sea ice and glaciers will continue to melt, sea level will continue to rise, and our weather will become more extreme.”
I think that it’s probably an understatement to say…. Young people these days do experience quite a lot of eco-anxiety, and that anxiety is very real. I remember speaking with a high school student who held an internship posting at my office. He was asked to do a presentation or to create a report on CleanBC, B.C.’s climate action strategy. He did a wonderful presentation. It was really quite…. I was impressed. I have to say. This young man was in grade 12, and what he presented on was what CleanBC means for young people who know about it.
One of the things that he ran me through, as well, was the psychology of young people. He was very candid in his presentation. I’m not going to repeat some of the things that he said, but it was very eye-opening as well. One of the things that he expressed is that eco-anxiety is very, very real amongst young people.
I’ll share a few things. He said that eco-anxiety is very real in young people. He expressed that he didn’t feel there was enough climate change education in the schools, which actually surprised me because young people tend to be very up to speed about climate change and the climate emergency and the urgency around it. He expressed that, in schools, it was not necessarily enough of a formal part of the curriculum. He felt that a lot of young people felt extremely hopeless about the emergency before them.
In the process of learning about CleanBC…. One of the things he expressed was how surprised he was that this plan existed and had so many components to it, how hopeful it was and how we might be able to actually help resolve a lot of the climate anxiety that young people feel if we were able to communicate better to them that government and the Legislature do, in fact, debate these issues. It is, in fact, an extremely important part of our work, and there’s a plan in place. Now, we have to execute that plan, of course. We’ve got to hit those targets.
The fact that a plan is even in place brought hope to this young man. That was, I thought, really valuable to me to hear.
Here in British Columbia, we know…. The impacts of the climate emergency are extraordinarily real to us. Our citizens, our residents, our province have suffered extraordinarily over the last couple of years. We’re talking floods. We’re talking wildfires, heatwaves. People’s lives have been lost. Property has been lost. People’s livelihoods and the impact to our economies…. We’re seeing all of that. The urgency of addressing that climate emergency really cannot be overstated. It is so urgent. I couldn’t possibly express the level of urgency that I feel around it here.
I have to acknowledge, too…. The reality of the climate emergency is that at some point, if we actually want to reverse the damage that has been caused as a result of an excess of carbon emissions in the atmosphere, if we actually want to address that and start reversing what we’re seeing in terms of extreme climate events…. We actually have to start producing or emitting a carbon net negative in order to do that.
Right now what’s…. I mean, I remember having debates in this House and hearing some members. One member, rightly so, brought up the fact that carbon is natural. It’s in everything. It’s very organic. That’s what…. Organic things are made of carbon. That is true. The problem with the carbon emissions that we’re experiencing right now in the world…. The reason why the temperature is rising is as a result of the excess carbon.
I mean, in a normal environmental cycle, you have carbon dioxide in the air. You have a plant, and through photosynthesis, the plant draws carbon dioxide out of the air, separates it into oxygen and carbon, retains the carbon and then releases oxygen out into the atmosphere, at which point we as humans and other animals will breathe it in. It contributes to the oxygen, contributes to our generation of energy. We grow with it, and so forth. Then, eventually, comes a time when our lives end. We decompose, and we actually release a lot of that back into the atmosphere, and so forth. It’s supposed to be this everlasting cycle.
The problem that we’ve come up against is…. Somewhere along the way humans have discovered that fossil fuels that were buried deep in the ground could be burned, and energy could be created from it. We’ve actually taken carbon that was outside of the cycle, deep inside the ground, and we’ve brought it up to the surface, burned it, added it into the atmosphere. It’s actually adding excess emissions.
Now carbon, on its own, is not a dirty substance. It’s not negative. Like carbon dioxide — we all breathe it out. But any substance can become a poison in excess amounts, if you have too much of it. That’s what we’ve been doing. We’ve been poisoning our planet with too much carbon dioxide.
That leads me to the importance of this low-carbon fuel standard. Now, again, I believe strongly that at some point the goal, where we really need to go, is not even carbon-neutral; it’s actually negative. We’ve got to start putting carbon back in the ground. But we can’t get there if we don’t start reducing, actually driving down the extra emissions that we’re adding into the system every single day.
Even if the whole world continuously emitted the same amount of carbon dioxide into the planet as we are today, the situation would get worse. It won’t stop getting worse until we’re actually not emitting at all, but we’ve got to start somewhere. The low-carbon fuel standard is such an important part of that process. We have to reduce the carbon intensity of our fuel. How do we do that?
Now, I have to say that people know…. I mean, with the B.C. NDP, the B.C. government, we’ve been critical on a lot of the work of previous governments, and so forth. But I do have to acknowledge that despite a lot of the disagreements I might have with some of the work that the previous B.C. Liberal governments have done, I do have to appreciate the courage that it took for previous B.C. Liberal Premier Gordon Campbell to bring in measures like the carbon tax, like the low-carbon fuel standards. Those are not easy policies to bring in. It is my hope that, as a Legislature, all sides of the House continue to support those kinds of policies.
We also have to acknowledge that those policies are meant to work by gradually increasing the intensity of that effort. Carbon taxes work to help drive down emissions if they are continuously expanded over time and the price raised over time in order to continuously help with some of the decision-making that all of us make around the kinds of energy that we use.
Low-carbon fuel standard as well. When it was brought in, an important standard, but it can’t be left to stagnate. It has to continuously be expanded. It has to go into other aspects of our economy, other types of fuel. It needs to, the standard…. If you set, like, this is the carbon intensity of your usual fossil fuel and your low-carbon fuel standard, and you want to drive down the intensity by whatever percent…. It has to continuously….
Sorry, I’m not being very articulate right now. You have to continuously be using the low-carbon fuel standard to further reduce carbon intensity over time, because the idea is that eventually we’re able to collapse, drive down, the carbon intensity of fuel. Then, hopefully, we’ll start to be headed in the right direction.
It is an important measure in the near term to reduce the intensity of carbon-based fuels, the kinds of fuels that vehicles and the marine industry and aviation still use. They’re still burning carbon-based fuel. But if we can replace more of that carbon-based fuel with sources from renewable sources, synthetic sources, as opposed to fossil fuels, if we can leave more of that fossil fuel where it is, the better off we will be.
Things like biofuels, which are fuels that are able to be produced, if I’m not mistaken…. You’re able to produce them to directly add into other forms of your gasoline and diesel, and so forth. The biofuel is generated and created — it’s refined — from biological materials, so it is renewable. It’s that plant that sucked in some CO2 and then made themselves bigger.
Yeah, I’m extra, extra not articulate today. The point is we can reduce the intensity of the kinds of fuels that people need on a day-to-day basis by mixing them with more renewable fuels or other synthetic fuels.
I know not everybody can drop everything and replace their gasoline-fuelled vehicle with an electric vehicle. It might not be accessible to everybody because of price. I know there is lots of demand for electric vehicles. Maybe it’s not immediately available.
I also know that it’s not practical for every single person out there to replace their family vehicle with a bicycle. For lots of people, that will be possible, but it’s not going to be possible for everyone. By reducing the carbon intensity of the fuel that they use, we can actually help reduce the net gain of carbon emissions without demanding that people immediately change everything about their lives and get rid of their cars, and so forth.
This is one tool in the toolbox. It’s not the only solution. We have to do all of the other things. From a transportation perspective, we’ve still got to encourage people to shift modes. We’ve still got to encourage people to switch energy, if they can go to an electric vehicle, if that’s a solution for them.
We’ve still got to improve insulation and construction in our buildings so that we’re using less heat to heat our buildings in the winter and less energy to cool our buildings in the summer. We still need to be working to repair our land base. We need to be recovering our watersheds. We need to be working to protect and save and revitalize our coasts, and our forests need to be protected as well. All of that has to be done.
This low-carbon fuel standard is an important part of all of that. My understanding is that the low-carbon fuel standard is actually expected to be the single largest contributor to meeting our CleanBC targets, accounting for 31 percent of all of our reductions to the CleanBC Roadmap to 2030. I mean, it is one piece, but it is a pretty big piece.
I’m happy to support this work. I’m grateful to the Minister of Energy, Mines and Low Carbon Innovation for bringing this work forward, and I look forward to supporting this and many other forward-thinking, bold measures being brought forward by our government.
M. Lee: I wanted to speak to this bill, as well, on short notice. I have had an opportunity to have some discussion about the impact of the bill with the member for Kootenay East as well as the member for Skeena, who have both spoken to this bill.
The member for Skeena talked about an example of a clean energy plant that First Nations are working with industry to build here in this province — over $1 billion of expenditure, capital investment opportunity, for a clean energy plant technology that is already in place in Alberta, Denmark and other parts of the world. It will enable the capture of carbon and production of hydrogen without carbon emissions. It would produce low- to zero-carbon biodegradable synthetic renewable fuels. It’s a zero-emissions plan — zero water needed; zero electricity needed.
This legislation that has come forward by this government was based on a discussion paper provided on January 13, entitled the B.C. Low Carbon Fuel Standard: Amendments Discussion Paper. I have a copy here. As I understand it, the deadline for response was 4 p.m. on February 15. What is that? Thirty-three days.
So 33 days to review a highly complex, technical piece of legislation — as I understand it, in speaking to the proponent group, which includes representatives of the Musqueam First Nation, whose territory my riding of Vancouver-Langara is situated on.
The member for Skeena also talked about the nature of this project. It will involve First Nations in the Prince Rupert area, Prince George and other parts of the province in the first initial stages. As I understand it, on their quick review of the act, it will effectively gut their ability to move forward with phase 1, because of the technical changes in this act.
Certainly, as the member for North Vancouver–Lonsdale acknowledged, the previous B.C. Liberal government, under Gordon Campbell, brought forward the first carbon tax in North America and showed the kind of clean energy leadership that I know our leader, Kevin Falcon, fully supports and advocates. We’ll hear more from him in this House next week as the member for Vancouver-Quilchena.
With this technical bill, my concern first and foremost, at this juncture, on second reading, is the fact that this discussion paper was specifically circulated to Indigenous communities and First Nations. That was the purpose of the discussion paper. Paragraph 3 of this discussion paper reads: “The Declaration on the Rights of Indigenous Peoples Act commits the province to engage with Indigenous peoples when proposed initiatives may impact or be of interest to them.”
I believe — and I’m sure we’ll have the opportunity to discuss with the Minister of Energy, Mines and Low Carbon Innovation at committee stage — that when they refer to that, they are, as government, referring to article 19 of UNDRIP. Article 19 of UNDRIP says: “States shall consult and cooperate in good faith with the Indigenous peoples concerned through their own representative institutions in order to obtain their free, prior and informed consent before adopting and implementing legislative or administrative measures that may affect them.”
As I have just been through estimates process with the Minister of Indigenous Relations and Reconciliation, I did refer to this article in the context of Bill 24, I think it was, the anti-racism data legislation bill. I know the member for Saanich North and the Islands asked a question or raised a question at committee stage or second reading, about the bill itself and whether it met article 19. I was able to confirm with the Minister of Indigenous Relations and Reconciliation that the government’s view is that of course they met the requirement of article 19.
Well, my concern here is this. As much as this government talks about the importance of the clean energy future in partnership with First Nations, here is yet another example of this government’s failure to consult, to partner with First Nations. How is it possible that they could present, on the floor of this Legislative Assembly, a bill that will effectively limit the ability of this project to proceed? How is that possible? Well, it’s possible because they weren’t aware of it.
How is that possible? Well, they circulated a discussion paper, and it only enabled just over 30 days to respond. In the case of the Musqueam First Nation, even though this discussion paper was to circulate until January 13, they weren’t aware of it until, I understand, a week or ten days before the deadline, maybe at best. I’m going to confirm that at committee stage. We will confirm at committee stage to which First Nations this discussion paper was circulated, how many First Nations responded, and how many First Nations were given the opportunity to comment on this bill that’s in front of us.
Some other comments that I would like to relay to the House are these. As I understand it, in looking at this discussion paper in brief, it doesn’t get into the detail of the act. It talks about the impact on clean energy standards, clean fuel standards, low-carbon fuel standards for gas stations. It talks about, of course, remote community electricity generation for Indigenous communities.
That, for decades, has been a focus, understandably, but the government has had five years now to continue to look at what that clean energy future looks like, to build off of what the efforts of the previous government have been. I would have thought that in the context of UNDRIP — adopted, now, back in October 2019, almost three years ago — there would be a better understanding as to how to go forward on bills.
I know this was the concern just before the snap election, on the eve of the second wave of the pandemic, for the lack of consultation around mental health, changes to the Mental Health Act, Bill 22. Here we are, yet again, with this government failing to consult with First Nations, on such an important piece of legislation that is there and available to move forward in partnership.
We talk a lot about reconciliation in this House. I know I had the opportunity to talk to the Minister of Energy, Mines and Low Carbon Innovation as I joined the critic, the member for Kootenay East, in estimates. I had the opportunity to talk to the minister, with my colleague, about the importance…. As demonstrated and telegraphed to this House by the member from Boundary-Similkameen, that member told this House that the future of First Nations’ economic partnership is clean energy.
When I asked the Minister of Energy, Mines and Low Carbon Innovation as to what that meant in the area of clean energy, run-of-river projects and electricity purchase agreements that were entered into close to 20 years ago, most of which are with First Nations–led initiatives, the minister did not demonstrate any plan to go forward, any plan to meet the commitment that is set out under DRIPA, the DRIPA action plan.
Item 4.43 says: “Co-develop recommendations on strategic policies and initiatives for clean and sustainable energy. This includes identifying and supporting First Nations–led clean energy opportunities related to CleanBC.” It goes on to talk about a comprehensive review of B.C. Hydro and the BCUC inquiry on the regulation of Indigenous utilities.
For the purpose of this bill discussion, the first words are “identifying and supporting First Nations–led clean energy opportunities related to CleanBC.” I know that members of this government will speak to the importance of this bill to meeting their objectives and their plan, the CleanBC plan. So you would’ve thought that the government would be fully aware of the opportunities that are available. As I understand it, this group has had discussions — some lengthy discussions — with industry, including YVR, Air Canada, Fortis and even B.C. Hydro.
As the member for Skeena described, the output is the opportunity to provide clean, low-carbon to zero-carbon, biodegradable, synthetic renewable fuels for the marine industry — hence, the importance of co-location, co-ownership with First Nations in the Prince Rupert area; YVR, the Vancouver airport; co-location, co-ownership — hence, the proximity to our gateway to North America, by way of air. There are opportunities here that this government has not addressed, and the technical nature of this bill will not enable this project to be financially sustainable in the first phase.
This is a multiphase project. It will deal with other forms of fuels in a clean-emission way, but as a starting point, phase 1 is what is jeopardized by the technical requirements of this bill. This is something that we will explore more at committee stage. As I understand it, the effective-date nature of the changes under this Bill 15 that start on January 1, 2023, is what the concern is.
There’s been a lack of consultation. Here, clearly. I’m giving a clear example to members of this House — members of this House that all supported the adoption of UNDRIP. We are accountable for that. That is the responsibility of this government but also members of this House. So having heard the concerns from this First Nations–led project group, it does concern me as to how this government is proceeding with a bill that will forestall and not enable this project to get off the ground.
I certainly would urge the government to consider pausing the process that it’s involved with to fully understand what is the nature of the changes they’re bringing forward as it affects Indigenous communities and First Nations. Clearly, First Nations and Indigenous communities who are involved in clean energy projects which involve low-carbon fuel standards have not been given an appropriate opportunity to give their free, prior and informed consent.
Now, I know that when we talk about free, prior and informed consent, we’ve talked about early consultation. It’s more than just notification, and I wonder whether the government took that approach.
The government’s assessment as to its obligation under DRIPA took the approach that they provided notice — short notice, with very little opportunity to respond — and a survey, which I had a copy of, which was fairly basic. When I took a look at that survey, it was just asking basic questions, not technical points. Here it is: “The B.C. low-carbon fuel standard amendments response form.” A basic, open-ended questionnaire to help, presumably, guide the reader through the discussion paper.
But I know, in talking to the Musqueam First Nation and the representatives I’ve been meeting with, alongside the member for Kootenay East and the member for Skeena, that they had challenge with this response form because it’s so basic and rudimentary in nature. It doesn’t get to the level of detail that they need to consider. They were not aware of this bill, as it was just introduced in the House yesterday, until today. They’ve not had the opportunity to review the details of the bill, but what they know of it and what they see of it is not reflected in the discussion paper, is not reflected in this rudimentary response form.
I know that under section 3 of DRIPA, government fully understands and appreciates the obligation that it needs to use, which is taking “all measures necessary to ensure the laws of British Columbia are consistent with the Declaration.” That article 19 of the declaration is a fundamental article that this government needs to meet. And it has not met that, based on what I’ve heard relating to this bill.
I think there are some serious concerns about how this bill is coming forward and the way that it will affect First Nations in this area. Recognizing that this government says, on one hand, that it sees the future of economic partnership with First Nations in the clean energy space, yet on the other hand, it’s jeopardizing those projects which First Nations have been involved with for close to 20 years in this province — run-of-the-river projects, clean energy projects, electricity purchase agreements that they’re changing the market pricing terms on based on mid-C U.S. pricing.
Here is yet another example where the government has failed to give the ability to First Nations to move down that road of economic reconciliation and partnership, in an area and a space that this government sees for First Nations.
We talk a lot about rhetoric in this House. It’s a word that we hear more and more. But they don’t connect. They don’t connect with the conduct of this government. That’s a real concern, because we don’t have more time to waste. The urgency of the opportunities that are available to First Nations for economic renewal and reconciliation with our province are here. We cannot waste those opportunities, as we are, potentially, with those clean energy projects, those run-of-river projects. We cannot waste the opportunity for even enabling a project like this to get off the ground because there is a disconnect.
Now, I know that legislation…. We talk all the time at committee stage, and maybe at second bill readings, about consultation and the importance of it. In the area of consulting with First Nations and Indigenous communities, we are obligated under the DRIPA. This is what this government, by putting forward Bill 41, in the way that they framed the bill, has ensured that we must do. I see example after example where that is not occurring.
I will certainly take the opportunity to join the member for Kootenay East and the member for Skeena, I’m sure, and other members to further consider this bill and consider with the Minister of Energy, Mines and Low Carbon Innovation the concerns that I am raising here relating to their lack of consultation with First Nations through that discussion paper and the impact that this will have on those economic possibilities for clean energy projects, like the ones that the member for Skeena and I have been describing.
Hon. G. Heyman: I’m pleased to take my place in this debate on Bill 15, the Low Carbon Fuels Act, for a couple of reasons. This bill and everything it represents is a very important part of B.C.’s climate plan — our CleanBC plan as well as our Roadmap to 2030 — to meet our legislated target. It is a very significant piece of that, and I will speak more to that in a few moments.
It also gives me pleasure because it’s demonstrative of our focus on reducing emissions to meet our legislated targets, our focus on a climate plan that meets the climate crisis that we see, that meets what British Columbians expect of all of us, not just our government, but all legislators, in terms of responding to climate change.
It demonstrates an all-of-government approach. It demonstrates how we, in my ministry, develop overarching climate policy to both reduce emissions and stimulate an innovative, diversified economy. Then other ministries throughout government — in this case, the Ministry of Energy, Mines and Low Carbon Innovation — bring forward and develop the various pieces that contribute to this strategy.
It is important. It’s a demonstration to British Columbians, as well as Canadians, that we’re serious at every level, that we’re not isolating climate in one ministry, that we are taking the climate challenge and the climate mandate, and we are making it central to our government’s initiatives. Whether they are economic, whether they are social, we are embedding it in our approach to how British Columbians will move forward together to build a healthy, diversified low-carbon economy, reduce our emissions, keep our commitment and our obligation to British Columbians as well as to all global citizens.
We know there are many, many measures that need to work together — whether it is energy efficiency in buildings; whether it is low-carbon building products; whether it’s a commitment to public transit, to mode shifting, to encouraging active transportation like biking, walking and rolling; whether it is shifting the energy use in our traditional resource industries as well as other industries in British Columbia to continually look for ways to be more energy efficient, to drive down emissions through processes as well as the forms of energy that power these industries; whether it is in personal or commercial transportation.
We know transportation isn’t just about personal vehicles. It isn’t just about commercial and heavy-duty vehicles, and it’s not just about vehicles at all. It’s about how we build communities and enable people to get to their recreational activities and their workplaces conveniently through public transit, conveniently through walking, conveniently through biking, where possible, because we’re focusing on building diverse and compact communities. That is a process that will unfold over decades, just as the expansion of public transit will be revealed and developed and unfold over decades.
It’s critically important that we have a plan, and this bill before us is a critical part of the plan. We know we want to mode shift transportation. We also know that people need personal vehicles for certain activities, and they can’t be replaced. We also know that tradespeople, commercial operations, delivery services and heavy-duty trucking all rely on vehicles for transportation, both personal and for work.
We are not going to make the shift — notwithstanding the strides that we’ve taken through our focus on clean energy vehicles — to fully electrified or fully hydrogen-powered vehicles immediately. That can’t happen. One of the issues, of course, is supply. The other issue is people making the transition over time.
It is true that a very high percentage — I think it is about 70 to 75 percent — of British Columbians say that they think the current vehicle they are driving that is powered by gasoline or some other fossil fuel will be their last one powered that way, that they would like to own an electric vehicle.
I’m also going to take this opportunity to state that when asked about it recently, many people on Vancouver Island, in a poll, thought that it was simply too expensive for them to purchase an electric vehicle. I certainly sympathize with people making the day-to-day expenditure decisions for their households in terms of what they can afford.
It is also true that studies have shown that over an eight-year period, a new electric, zero-emission vehicle will actually cost $20,000 to $30,000 less when you roll in fuel costs, when you roll in maintenance costs and when you roll in other factors that go to the life-cycle cost of a vehicle. However, having said that, we know that that transition will take place over time. We look forward to it. I know members on all sides of this House support that.
In the meantime, we have people using fossil fuels, and one of the key things that we can do as part of our climate plan is to ensure that we reduce the amount of carbon in those fossil fuels. That’s exactly what the Low Carbon Fuels Act is about. It’s what it was about when it was introduced in 2008, and it’s what it’s about in this iteration of the Low Carbon Fuels Act.
When we expand the ambition, we move in tandem with other jurisdictions in North America, like California, to ensure that we’re driving down the emissions associated with per-kilometre travel by a vehicle using a fossil fuel.
It’s critically important, and that’s exactly why the independent Climate Solutions Council — which has representatives of industry, representatives of the fossil fuel industry, representatives from academia, representatives from environmental groups, representatives from labour, representatives from Indigenous nations — made advancing the ambition of the low-carbon fuel standard a central piece of their recommendations to this government about our roadmap to 2030.
They were clear. They were unequivocal. This was a central piece. The reason for that is that this low-carbon fuel standard will be the single largest contributor to meeting our CleanBC 2030 targets. It will account for almost a third, 31 percent, of all reductions that we have plotted out in the CleanBC Roadmap to 2030.
That’s why it is so critically important, and that’s why it was so critically important for my colleague the Minister of Energy, Mines and Low Carbon Innovation to introduce this bill in the House this week. That’s why it will be so important, notwithstanding the questions that members have, that we send a signal to British Columbians, and, I hope, pass this bill unanimously, because of its centrality to moving forward in addressing the climate challenge.
It’s not just the aspects of meeting the climate crisis that is important about this bill. It’s not just reducing our dependence on high-carbon fossil fuels as we transition, ultimately, toward zero-carbon and zero-emission fuels; it is a slope. Adding biofuels, hydrogen and electricity are all part of the plan. In this case, this plan will not only reduce emissions from driving vehicles through lower-carbon fuels; it also has a huge measure of economic opportunity.
This bill will power a $600 million expansion at the Parkland refinery, creating 1,000 new jobs, along with reducing greenhouse gas emissions. That is why we continually say that our climate plan isn’t a choice between reducing our carbon emissions and building a strong economy. The two are completely intertwined because of the opportunities that are available in a clean energy future as well as various measures that can reduce emissions in a number of ways through new technologies and new processes.
That’s why the CEO of Parkland says: “We are grateful for the British Columbia government’s vision, leadership and partnership in this area. The expansion of the scope of the low-carbon fuel standard is just the type of thoughtful policy that can help unlock innovation and investment in areas that matter to both the environment and the economy. We look forward to delivering these benefits to British Columbia.”
There are many, many pieces that have already been introduced, that will be refined, that will be expanded. Where we see opportunities to enhance our ambition in any one area, part of our CleanBC roadmap is that it be an iterative process and that we take those opportunities. This Low Carbon Fuels Act is a very, very important piece of that activity, not the only piece but a critical and important one.
As we go forward over the next years on our march toward meeting that emission reduction target for 2030, because we’ve heard from members on all sides of this House about how important it is for us to take climate change and the climate crisis seriously….
We’ve heard from young people, from students, their concern about their future; their desperation, in some instances; their need to see leadership and action. We have to demonstrate that. We have to show that we’re responsive. We have to show that we’re creative. We have to show that we are supporting B.C.’s communities, B.C. workers and B.C. families in the measures we take.
So we enhance not just our progress toward our climate targets. We enhance affordability, we enhance job opportunities. We enhance economic development opportunities, and we look for ways to take what would otherwise be waste and convert it into low-carbon energy.
That’s what this bill is about. That’s why it’s so important. That’s why I’m so grateful to be part of a government where now virtually every ministry includes in its planning, whether it’s an economic ministry or a ministry planning infrastructure or a capital expenditure or a ministry that is planning social initiatives: how do we reduce emissions? How do we support clean growth in our economy? How do we support the development of diversified opportunities throughout British Columbia, throughout the entire province of British Columbia?
How do we engage with Indigenous people in a way that provides economic opportunity as well as reconciliation? How do we assist people with limited means to reduce their carbon footprint without spending money they don’t have and, in fact, give them the opportunity to save money on energy, whether it is for home heating and cooling or for transportation? All of us, in this government, work together to build a strong, diversified, low-carbon economy and meet our carbon targets.
I’ll close by simply quoting the president of Advanced Biofuels Canada, Ian Thomson: “The low-carbon fuel standard is B.C.’s single most impactful climate change policy, giving British Columbians an affordable and effective way to fight climate change every day. In the years ahead, more made-in-B.C. clean fuels will reduce B.C.’s exposure to volatile global energy markets and create a more diversified, resilient economy while reducing greenhouse gases from fossil-fuel use.”
I look forward to continued debate on this bill, but I sincerely hope every member of this House recognizes the responsibility we have to all British Columbians, as well as to our children and our grandchildren, to support measures that have been demonstrated to be tremendously effective in reducing carbon dioxide emissions into our atmosphere — the emissions that are at the root of climate change.
There is no magic switch we can flick from carbon-intensive energy use and development to, all of a sudden, carbon-free energy and a carbon-free economy and communities. It is a slope, and we are turning the corner. We are beginning that trajectory toward our targets. This piece is an important part of the transition. Other elements that are important to the transition are being brought forward virtually every week.
We need to work hard. We need to ensure that we have the level of ambition that this emergency calls for. We have to ensure that we are consistently responsive to new technologies, to new opportunities, that we address the challenges and roadblocks and that we learn as we go.
I want to thank my colleague for bringing forward this bill, and it’s been my honour to speak to it.
Deputy Speaker: Seeing no further speakers, does the minister wish to close debate?
Hon. B. Ralston: I wish to thank all members who participated in the debate for their thoughtful and insightful comments. I have noticed where members have signalled their intention to ask questions at the next stage of debate, and I will endeavour to prepare myself to meet those concerns.
With that, I move second reading of Bill 15.
Motion approved.
Hon. B. Ralston: I move that the bill be referred to a Committee of the Whole House to be considered at the next sitting of the House after today.
Bill 15, Low Carbon Fuels Act, read a second time and referred to a Committee of the Whole House for consideration at the next sitting of the House after today.
Hon. L. Beare: I request a five-minute recess.
Deputy Speaker: We will recess for five minutes.
The House recessed from 3:55 p.m. to 4:01 p.m.
[Mr. Speaker in the chair.]
Committee of the Whole (Section A), having reported progress, was granted leave to sit again.
Mr. Speaker: When shall the committee sit again, Government House Leader?
Hon. L. Beare: I call it now, in this chamber.
Committee of the Whole House
BILL 10 — LABOUR RELATIONS CODE
AMENDMENT ACT, 2022
(continued)
The House in Committee of the Whole (Section B) on Bill 10; S. Chandra Herbert in the chair.
The committee met at 4:02 p.m.
On clause 4 (continued).
G. Kyllo: It’s good to be in the main chamber. Just before we relocated in here, I was asking a series of questions just to have a better understanding around any limitations on what might, I guess, maybe seen as influencing the request of a worker to sign a membership card. I raised a couple of examples and just wanted to put those on the record just one more time.
Are there any restrictions or limitations anywhere, either in the legislation or in the regulation, that in any way limit or restrict the ability of a union organizer or a third party that may be presenting a union membership card before a worker with respect to taking the worker out for lunch or dinner or golfing or in any form? I think members and the general public might perceive this to be potentially influencing and encouraging that member to sign a membership card.
Is there any restriction or limitation whatsoever, set forth either in the legislation or the regulation, around what would be deemed to be reasonable or just or what might be deemed to be unreasonable and may even, rather than just encouraging, be potentially considered as coercion?
Hon. H. Bains: I will not answer that question again, because I’ve already answered that question.
I will say there are people in the gallery, and they are wondering what is going on here. We have what we call one of the legislation that is being debated. It’s at committee stage, and the opposition is going through clause by clause to answer questions about what they actually mean and how they will be applied.
I would welcome you all into the House and hope you will enjoy this. It’s not the most exciting debate you will hear here, but nonetheless, it’s important debate that we engage in. It is a part of the process of passing the bill.
Mr. Speaker, I’ve already answered that question.
G. Kyllo: Well, as a matter of fact, the minister actually did not answer the question previously. So from the non-answer from the minister, I can only assume that there is no restriction or limitation either in legislation or regulation that in any way limits or puts caps on the amount of money or influence that a union organizer could utilize in order to encourage a worker to sign a membership card. That is unfortunate.
When we talk about the rigour which the minister indicated is around this card-check system, this current system where workers are presented with a membership application form and encouraged to sign a specific union, is, at the very least…? Is it a legislative or regulatory requirement that the member, in signing and making that determination to move forward and join that union through signing a membership card or a card check…? Is there, at the very least, a requirement that a copy — a carbon copy or a photocopy — be provided to the member?
Hon. H. Bains: All of that is in part of the regulations that we have debated over and over — what the requirement of the union organizers is and what it must contain on the application form. Then the board has…. I read on the record what the board must follow: a process to determine the appropriateness of the unit and whether there is sufficient support in that unit. That’s the process that the board goes through. So we have canvassed this, and I think it has nothing to do with section 4 anyway.
That part of the process isn’t being changed. It is still the decision made by the board, and they are the ones who follow their regulations and their procedures as they have established. They’re an independent body. We are debating section 4, which has nothing to do with the question that is being asked.
A. Olsen: I don’t know that you can separate what is required…. We’re talking about changing the certification process, correct? New certification. We’re talking about how a union will certify.
Currently, there is a two-step process. We’re moving to a one-step process — the union certification. I’m not sure how that process isn’t applicable now that we’re debating the change of that process.
I’ve been following the debate, and the minister has continued to say that it’s not applicable to the debate. But in reality, the rigour around how you achieve a signature, how that is accomplished — the process, the forms, the recordkeeping, all of the review…. The minister’s response has been consistently that it’s up to the Labour Relations Board to determine whether that’s all in place. I think, in my belief, it is applicable, when the minister is asking the change to be made in this House, to outline what that process is and what’s required around it.
Maybe I’m missing something, because what the minister read into the record in the other room doesn’t actually respond to the questions — some of them, at least; maybe some of them it does — that have been put on the table.
The member asked the question about whether or not there is a carbon copy that is kept. What is the recordkeeping process of a card certification process, signing that card? What is that requirement in the regulation?
Hon. H. Bains: I thank the member for the question.
I think we have debated this issue right from the beginning. Yes, the bill is…. Through the bill, Bill 10, we’re changing from two steps to a single step. But how members sign that membership card…. That requirement is still the same. The board still has to satisfy, whether it’s two steps or a single step, whether the cards were signed within the rules of the labour code and the regulations that they have.
The only difference is, in the two step, they still have to determine the percentage of membership signed. That requires the board to go through and follow the process that they have established to make sure that those cards were signed within the rules. They must be satisfied before they will order a vote.
Now, there are challenges to membership. Then the board may call hearings to determine whether that particular member’s card should be considered legal or not. That process doesn’t change. That rigour is there now. That rigour was there before. It will continue on. How the unions approach a member or the members approach unions…. That part hasn’t changed.
I have read into the record what the board will do. I can do that one more time. Before we left the other House, I read it. No coercion, no intimidation, no enticement. All of that is prohibited under the code. The board must satisfy itself that none of that happened, that everything was done according to the code and the regulations. Once they determine that, then they will make the next move.
Under the new rules, if they determine that 55 percent of a unit has signed a membership card, then the certification will be granted. Under the old rule, they would go for a vote then, after that. The process of determining the legitimacy and the unfair labour and interference…. Those procedures are still there.
A. Olsen: I appreciate the clarification from the minister.
What I would say…. I think the job I have, as a member of the opposition, is to understand. When you’re removing a step in the process that currently exists…. You have all of the framework in place that currently exists, and you have a second step where the actual members who are being recruited into a union will go and vote. When you remove that second step, it’s the job of us in the opposition to ensure that all of the steps leading up to the certification have a robust enough framework to protect those workers.
Many of the questions I’ve heard, which I’ve felt haven’t necessarily had the level of response that they could have, frankly, are…. Just the basic accountability and transparency of the process, the ability to follow up and go and make sure that the person whose name is on the certification card is the person, all of that. It feels like there may not be the level of rigour around that certification process. The job for us, on this side, is to test that and to ensure.
If the government, which the government is doing in this case, is saying we’re going to remove a step of the certification process, I think it’s completely within the realm of the work of the opposition to ensure that the new process is robust enough to protect all of the concerns that someone might have around accountability, transparency, to make sure that there’s enough paperwork, enough of a paper trail to be able to hold the organizers accountable for things that may be there and to satisfy, if the Labour Relations Board needs to get involved in something, that you can actually track who the recruiter was, the day that the recruitment happened, the witnesses that were there and the process that unfolded.
I don’t think that the questions around how rigorous that process is are unfair. If what we’re doing is taking a step out, it would be totally reasonable to say that maybe that card-signing process needs to be more rigorous than exists today. I think that’s the spirit of some of the questions that have been asked. At least that’s what I’ve been hearing in some of the questions that have been asked around this, to say: “What is that system currently? How does it exist? Is it strong enough?”
Members of the opposition could propose to amend that to strengthen it. Without clarity on what that is and without clarity on how that process and accountability are achieved, it makes it very difficult. I think that’s my main concern on this.
Does the minister feel — obviously, I guess he does — that the process to get the card signed is rigorous enough and that there is a strong enough and robust enough paper trail behind that for the Labour Relations Board to actually do the work in holding those people who are organizing accountable, as well as — as the minister has said repeatedly — holding the businesses accountable for not inserting themselves into this process? We need to make sure that the organizers are doing this in a way that can be accountable to the worker as well.
Hon. H. Bains: When the member signs to join a union, a worker signs a membership card to join a union, they have every right to withdraw or revoke that application. It has happened, and no one will even know about it.
If the worker feels that they were not given proper information or they were given wrong information or they have a second thought, “The union isn’t for me,” they can withdraw that application. So that protection is there for the member.
What kind of accountability and who is held accountable is the union that is applying for certification.
The board will make a decision based on the application that is being made. They have a number of checks to go through, whether the appropriate and the right members of that particular union are the ones who signed this card. It’s their responsibility to ensure that.
Members don’t have to justify why they are withdrawing an application. It was asked earlier: if they don’t know who signed them, how can they make a case against them? All they have to do is say, “Look, I am not satisfied with the way someone approached me. I’m not satisfied with the information given to me,” and they can withdraw that application.
The board will know that. Then the board will determine the remaining applicants. If they meet the threshold, the board will make that decision, but the employer on the other side has every opportunity. Once the union makes the application, the board will inform the employer — almost the same time, same day. Then the employer has rights to challenge whether the membership signatures were collected correctly or not, if they have any information.
They will also be approached by the labour board officer to go over their payroll, to match the names. They determine whether all of those signed cards should be part of the unit or not. Should any one of them be excluded?
The employer will also say, and this is normal: “In our payroll, I have X number of employees.” The union may only have so many members signed, and then the decision is made whether those employees that the employer is presenting to the officer should be counted or not — all of them or not. If someone came there and worked six months ago and never showed up and the employer put that name on, that argument will be made to the board. So all those checks and balances are there under the current rules.
I’m not worried about the questions being raised here. There’s no boogeyman here. The process is the same in signing the membership cards, the board going through the process and determining the legitimacy of the application, the appropriateness of the unit.
The question was whether the employer’s name would be on it. Of course, it is on it. I mean, these are the questions that anybody can pick up a phone, phone the information office at the labour board, and they’ll give it to you. They have, on a website, all of that information available: how to certify, what is an appropriate unit, bargaining unit. The information is there. They change and update those bulletins from time to time, but you can also talk to somebody.
What I’m saying is that all of the process is not being changed here. I don’t see any need to change it. What we are talking about is moving from two steps to one step. Of course, if somebody argued more rigour is needed because…. No one has made a case yet. No one is saying that there should be.
I think changes get made when the presentations come from stakeholders to the labour board. The labour board may decide certain changes are needed. Then the government and the cabinet can, through OIC, change the regulations. But this is the legislation.
So two big parts on this. One we already dealt with — changing unions. But this one here is acquiring a bargaining unit and how you do that. Instead of two steps, we’re proposing one step. If a clear majority is there, and the board is satisfied that membership cards were signed within the rules and the regulations, and they are satisfied that 55 percent–plus membership is there, then they will grant certification.
A. Olsen: Sorry, one more question, just in a follow-up. I appreciate the clarification, Minister. Thank you for that.
The minister, in his response, suggested that a member who’s being approached for certification can remove their name. They’ve signed the card; they can remove and revoke that certification.
For just the simple purposes of small numbers, there are six members in a bargaining unit, and they have four signatures. The union goes to the Labour Relations Board and demonstrates the 55 percent that’s in this. The Labour Relations Board goes to the employer and asks the employer for a list of the employees. They determine that all of the members are legitimate that have signed the card. At what point in that…? I’m assuming that at any point in that process, a member who has signed the card can revoke their card. Are the members who have signed their cards notified at any point in time that certification has been…?
I guess it could be argued that there was a period of time in which it was made clear to an employee that you have this amount of time until there is going to be a secret ballot vote. In a single-step certification process, there isn’t necessarily a period of time. The only period of time would be the number of days that that card is valid for, I guess.
Is there any point in time where the members are told that they’ve achieved that 55 percent, in order for someone to realize that, actually, that process wasn’t quite what…? To revoke it — I’m just talking about a member who might want to revoke that card. How are they to know that a certification is about to happen, based on the fact that there isn’t that vote at the end of it?
Hon. H. Bains: I think there could be any different scenarios, Member. When a worker signs a membership to join a union, they are advised — and they can ask questions — on when the application will be made. Typically, the union will say: “Once we have sufficient support.”
The expectation of the member is that once the union has sufficient support, they will make the application. There could be occasions where they will know when they make the application, but once the application is made, the employer is notified.
Yes, in some cases, an employee may not have an opportunity to withdraw. There may be a case. You could come up with different scenarios. That is for smaller operations, but I can tell that you that it takes days, if not months, to sign up sufficient members. People take time; it is a big decision. I’ve seen revocations, and I’ve seen more members voting than the application showed as how many actually had signed for the union. It works both ways.
These are all adults. They’re making a decision for themselves. I said the other day, just like when going to the bank and you’re signing for a loan, your signatures are good enough. You sign because you’re responsible. You know what the consequences are. The bank many times will tell you and make sure you qualify, that you are able to pay the payments, based on your income and everything. All the checks and balances are made.
I think that the board does many things to make sure that the union follows the rules. As I read out a part of the board policy, the board may reject a membership. Then if the rejected membership means that now they’re lower than the threshold, then the application may be dismissed. I think there’s that. That’s the process. I think there are strong checks and balances in place.
G. Kyllo: I had asked the question of the minister — I did not receive an answer — with respect to when a worker is presented with a membership application form, which has terms and conditions by which the worker is acknowledging giving up or placing their rights for wage negotiation and turning that over into the hands of the union organization. The question was: at the very minimum, is there a requirement, legislative or regulatory, that requires a copy of that membership certificate to be provided to the worker?
Hon. H. Bains: I’m advised that under the regulation there’s no requirement to have a carbon copy. I don’t even know whether carbon copies exist these days. Now they’re signing electronically as well. So people will have a copy of what they signed online. I do know that the union is required to keep a record, and the board is given copies of the application forms. If copies are given to the board, the union is required to keep the originals. So the board could come and examine the original copies.
It’s the board’s decision to ensure that the appropriate members in that appropriate bargaining unit have signed. They will match that with the employer’s payroll record that would be provided to them. That’s what the requirement is. The board must satisfy themselves. I have all confidence — I haven’t heard anything different — that they will make sure that the rules, the labour code and the regulations are all followed before they will make a decision to certify or dismiss the application.
G. Kyllo: Thank you to the minister for the answer. So there’s no legislative or regulatory requirement to, at the very minimum, even give that worker a copy of the membership application form which they’ve signed. That’s troubling. However, the minister referenced the fact that workers have the right to rescind their membership application and that a membership application that is signed is valid for a period of 180 days. It used to be 90 days. The minister, through Bill 30 in 2019, increased that to six months, to 180 days.
A question that I have…. For an employee who signs a membership card, that membership card would sit and reside with the union organization. Obviously, if a member who has signed this membership card wants to retract that membership, that is not secret. They have to contact the union which is holding onto that membership certificate. So there’s nothing secret about the revocation of that membership application while that card sits with the union organization.
I just want to confirm. Is it correct that the membership card that is submitted and in the hands of the union organization…? If a member who signed that application chooses to withdraw that application, they have to actually contact the union organization. Therefore, that revocation would not be secret. It would be immediately known by the union organization.
Hon. H. Bains: Okay, so let’s make this on the record. Revocation of membership cards — it’s in the regulations. “A membership card may be revoked by delivering a written statement signed by the member to the trade union and the Labour Relations Board on or before the date of application for certification.” Those are the rules.
G. Kyllo: Thank you to the minister for that clarification. For a member who has signed a membership card with a union prior to the union actually making the application to the labour board for certification and who wishes to withdraw their membership, that is not made in secret. That request for withdrawing the membership application is actually made with the union. So there’s nothing that’s secret about the withdrawal of the support for the union at that particular time.
As the minister has indicated that these membership cards are collected, it might take…. It’s not a matter of days; it’s a matter of months. It takes a while for the union organizers to collect all of these cards. All these membership cards are accumulating and only residing and sitting in the union office. Copies are not made available. There’s certainly not the requirement for copies of those membership applications to be even provided to the workers that join and sign membership cards.
The union collects these cards, and when they feel that they have the adequate number, at some point in time they contact the labour board and actually present those union cards and make the request of the labour board for union certification.
Is there a requirement that the union organization let all of those members know when they specifically are moving forward, when they’ve obtained the signatures required — when they are actually moving forward and actually presenting the member’s union application, the card? Is there a requirement for the union to provide notification of these employees when they actually move forward and submit those membership application forms for the labour board’s consideration?
Hon. H. Bains: There is no such requirement.
G. Kyllo: Okay, so the union organization collects all these membership cards. They keep them, they maintain them, and when they feel there’s a sufficient number, they make the application. But there’s no requirement to go back to the membership, to those members, and actually let them know when they’re moving forward.
That’s surprising. I would think that would be something, just sheerly out of courtesy, that they would let the members know: “Hey, we’ve been successful, guys, or gals. We’ve achieved the requisite number that we were shooting for, and we’re going to actually move forward.”
So the member has no knowledge, no knowledge whatsoever, when their membership is actually put before the labour board for consideration of membership certification. I just wanted to clarify that that is the case.
Hon. H. Bains: We are moving a lot of debate on the inner working of the labour board, how they follow the labour code and the regulations. I will read that one more time — membership evidence, how the board determines that.
The criteria for membership. “For the purpose of establishing membership in good standing in a trade union where that trade union is making an application for certification, the following minimum criteria apply: (a) a membership card must be signed and dated at the time of signature; (b) a membership card signed on or after January 18, 1993, must contain the following statement….”
This is important. This is what the member is asking. It says here: “A membership card signed on or after…1993 must contain the following statement.” It must contain this statement, and I will read that: “In applying for a membership I understand that the union intends to apply to be certified as my exclusive bargaining agent and to represent me in collective bargaining.” That statement is signed by the member.
That member knows that once they sign that membership card, it’s the union’s intent to apply for certification. It could be any day. It could be the same day that the member signed. It could be the next day. But they are made aware when they sign this that the union’s intent is to apply to represent him and certify it as “my exclusive bargaining agent” for the unit being applied.
G. Kyllo: Thank you to the minister for that additional information.
The dating of the card is incredibly important. Bill 30, which extended the duration or the validation period by which that card is eligible for submission to the labour board…. It was increased from the 90 to 180 days.
Is there any requirement, either in regulation or in the legislation, and are there any penalties associated with cards that are signed or signatures that might be collected of members where those cards are not dated?
Hon. H. Bains: If a card goes incomplete, which means it does not have a signature or date, the board will not accept it.
G. Kyllo: From the minister’s response, I can only assume that it is possible that a membership card could be presented to a worker to obtain their name and their signature with that card not being dated at that specific time. It would be, potentially, available to the union organizer to enter a date onto that card at a later date. Does that situation potentially exist today?
Hon. H. Bains: I think that it’s quite a pattern. I have read it on the record, and the member is not paying attention. I will read it one more time: “A membership card must be signed and dated at the time of signature.” That’s the requirement.
G. Kyllo: Of course, a worker that signs a membership card but is not provided a copy of that membership certificate — how would they ever be able to make the claim or the assertion or raise the concern that the date does not match with their recollection of when they actually signed the card?
It appears that the onus of responsibility is being moved and shifted from the union organization that is seeking that membership. It is not required or legislated through regulation or otherwise to provide a copy to that member.
How would a worker ever dispute the validity of the date on that particular membership card if they’re not provided a copy of it, and (2) they’re not informed on the date that their card is actually presented to the labour board for consideration for certification?
Hon. H. Bains: Those checks and balances already exist. It’s the board’s duty, and they make sure that the cards are signed according to the law and the regulations. That’s their duty. If they are satisfied, then they will count that card in. If they feel there is an issue, then they will do further investigation.
Even after the certification is granted and then it’s brought to their attention that through fraudulent means or misrepresentation the application was made, that certification can again be dismissed. So the board has all that.
We are getting into the weeds of the working of the labour board. None of that operational stuff has changed. All the requirements were there, whether there are two steps or one single step. The only difference is that between the application and the certification, there are five days, and there’s all kinds of stuff that happens during those five days.
Before that if the a worker felt, “I don’t believe what I was told or the way I was signed up,” they can withdraw the membership card.
G. Kyllo: The challenge being that the worker who has signed a membership card has no knowledge of when their membership card is actually presented to the labour board for consideration.
The minister referenced five days. Now, that five-day period is where there is actually a vote that’s going to be undertaken. That would be a two-step process. However, it’s clear to my understanding that the union that holds these membership cards, when they feel that they have the satisfactory number, will present them to the labour board. The labour board will contact the company to request an employment list.
We went through this, and the minister actually confirmed this on the record yesterday. The company will provide a list of employees. They’ll identify which are the management ones that are not eligible for part of the bargaining unit and identify the workers that the employer believes would be eligible. The board has a look at that list. If the 55 percent threshold is met, certification is granted. Then the employees are informed that they are unionized.
There’s no opportunity for any scrutiny or any further questioning by the worker who has signed that membership card. There’s a real lack, a void, with respect to any rigour going into the information provided to the worker at the time they sign the card. They’re not provided a copy of it, which I think really inhibits their ability to even raise any questions or concerns after the fact.
As we look to the rigour behind the work of the labour board in determining those membership cards that they’re counting…. They’re looking for their completeness. Does it include the date, which is within that 180-day validation period; the name of the worker; and the signature?
As they look at that card — I think this is really important, because the determination of whether certification goes through or not is relied exclusively on those cards as presented to the labour board — does the board contact all of those members that the membership cards have been submitted on their behalf? Does the labour board contact those members to verify and confirm — in writing, verbally, over the phone or otherwise — that they had actually signed and completed a membership form?
Hon. H. Bains: I will read the process relating to application, which is part of the bill.
“22 (1) The board must, in respect of an application for certification under this Part, (a) make or cause to be made the examination of records and other inquiries, including the holding of hearings if it considers necessary to determine the merits of the application for certification, and (b) specify the nature of the evidence the applicant must furnish in support of the application and the manner of application.
“(2) In deciding whether a person is a member in good standing of a trade union, the board (a) must decide the question on the basis of membership requirements prescribed in the regulations….”
Those are the board’s requirements. How they do it is left up to the board.
G. Kyllo: So the board receives these membership applications. They review an employee list. They make the determination, I guess — the examination.
Can the minister confirm if, at the very least, the board would make some form of effort to verify that the membership application form, which includes a date, the name of the employee and the signature…. Is there any work undertaken by the labour board in any way, shape or form to verify that the signature on those forms, indeed, is actually the signature of the member whose name appears on that form?
Hon. H. Bains: I already answered the question. I read on the record what the board can and must do.
G. Kyllo: I am aware of labour boards in other parts of Canada that actually go through that process to actually verify that the membership application that is presented before them…. That the signature on those forms actually matches up and is verified as being the signature of that actual member.
From the minister’s non-answer, and failure to respond, I can only surmise, with all due respect to the labour board, that there is currently no requirement that the labour board verify that the membership certificates that are presented to them by the union…. There’s no requirement for the labour board to take any steps to verify that those membership application forms that are presented by the union actually contain the correct and accurate signature of the member.
Hon. H. Bains: I answered that question. There is a process relating to application, but the board…. How they do it is left up to the board. I have answered the question, probably more than once.
The Chair: Member.
G. Kyllo: Thank you, hon. Chair, and I appreciate your latitude in allowing me to make these further inquiries.
This is front and foremost in part of Bill 10, moving away from the secret ballot, the secondary step of gaining an employee’s true and accurate belief and feelings with respect to union certification, with that being removed and taken away and stripped from workers, the importance and the rigour — to use the minister’s reference — around this process of collecting and gaining membership application forms takes on a whole new level of importance.
When a membership certificate is presented to the labour board, I’m just assuming that the labour board takes that on good faith, that on that membership certificate put in front of them, the date corresponds with the actual date that the member signed the card and that the signature is actually directly associated with the member.
It’s apparent from the minister’s non-answer that there’s no effort undertaken by the labour board to reach out and speak to those members just to confirm that: “Hey, we’re in receipt of a membership card signed by you on April 28. Your name is Henry Ford, and this membership form in front of me actually is something that you have signed and presented to the union for submission for union certification.”
That contact with the member is not undertaken by the board. There is also no requirement for the labour board to verify that the signature on that form is actually the signature on that form is actually the signature of the employee.
[J. Tegart in the chair.]
I referenced other jurisdictions that do have a signature verification process. Quite often they’ll contact the employer and ask the employer to provide a list of signatures for employees. Most companies obtain a signature acknowledging the workers when they actually start working at the organization. They quite often would…. There’s a requirement that those signatures be sent in, and the labour board would actually review those signatures in order to verify that the signatures are, indeed, accurate.
Without the rigour of a secondary call by the labour board to the member to confirm that they indeed did sign up and want and wish and desire be a member of that collective bargaining unit, without any level of scrutiny or verification that the signature actually matches that employee, does the minister feel that there is the potential opportunity for a card to be filled out and signed by somebody other than whose name actually appears on that card?
Hon. H. Bains: Again, I think we are asking the same question over and over. But I will give….
I have offered, Member, to look at the labour board website. All that information is there. We’re not changing any of that.
I will read one more thing for the member’s benefit. “The board reviews the membership card to make sure they meet the requirement in the labour relations regulation. Part 2, membership evidence. A membership card needs to have the minimum wording set out in the regulation, be signed and dated at the same time by the individual named on the membership card, be signed within six months of the application date.”
Then they go on to recommend: “Important things to remember: another person can’t sign the card for you. Write the date so that the board can clearly tell….”
The Chair: Excuse me, Minister. It’s my understanding that the use of electronic devices in the House is not allowed.
Hon. H. Bains: Thank you, hon. Chair.
That information has been passed to the member already. More information is available on the board website. If the member chooses to get that information, it’s available on the website.
We’re not changing any of that, and we have no intention of changing the procedures of what the board does in order to verify the legitimacy of the board. They’re doing a very good job. I have all the faith. Obviously the member doesn’t. But the board does a very good job in making sure that the union and the members have followed the rules that are set out for them.
G. Kyllo: Well, it’s apparent that there’s limited rigour in the system. The labour board would review that there’s a date, there’s a name and there’s a signature and that the name on that membership application actually exists on an employment list for the corporation. That’s it.
I have not heard any effort undertaken by the labour board to confirm or otherwise verify with the member that they actually, indeed, filled out and completed that membership application form and that that signature is actually, indeed, their signature.
Again, does the minister believe that there exists the opportunity for a membership card to be submitted on behalf of an employee without their knowledge?
Does the opportunity exist for the board to actually consider and include that membership application for certification, even though there’s no undertaking in any way, shape or form to verify the member actually verified completing the form or that the signature on that form is even associated or in any way matches the name on that application form?
Hon. H. Bains: If someone doesn’t follow the rules or regulations or the labour code, there are checks and balances. There are procedures available to the union and the management and the employees themselves.
I’m satisfied the system already has all the precautions, and they have the very rigorous process to determine the legitimacy of the membership and the legitimacy of the application.
G. Kyllo: I appreciate the response from the minister. However, as we are moving away from that two-step certification process, that opportunity for workers to have that sobering second thought, to give further consideration to whether they choose to move forward with certification or not….
With that being stripped away and taken away from workers, the rigour upon which these cards are collected; the information shared with workers and encouraging and enticing these workers to sign the membership card; the manner in which those cards are collected and maintained by the union; how those cards are submitted then to the labour board for consideration; the rigour, or lack thereof, that the labour board undertakes in order to verify that these membership certificates were completed and signed without any influence or coercion….
There are no calls or other contact made with these members, in writing or verbally. The labour board also does not in any way, shape or form undertake the work to verify that the signature on that card is even the signature of the employee’s name that exists on that card.
It is not that these potential concerns that I raised don’t exist. There was a case of R.C. Purdy Chocolates Ltd., a decision dated January 24, 2002, case Nos. 46439, 46450 and 46456, in which case the concern that I have raised actually occurred in B.C.
Again, the decision date was January 24, 2002. The decision of the board, in the introduction, it indicates: “This is an unusual case, to say the least. Indeed, it may be unique in the annals of B.C. labour law. There is no real dispute as to the law. It essentially turns upon its own particular facts. The union initially applied for certification on February 27, 1997. On the basis of union cards signed, it was certified without a vote for a unit of employees of the employer.”
So in the 1990s, there was a one-step process, the process that the minister is now reverting to. That opportunity for the secret ballot did not exist in the 1990s. That was one area where the previous NDP government took that right away from workers. That right for the second-step process or the two-step process with a secret ballot was implemented back in 2001-2002, I believe. Now government and this NDP Labour Minister are taking away that secret ballot vote and relying singularly on this one-step process.
It goes on to say: “On August 1, 1998, the parties entered into a collective agreement that included a union security clause requiring all new hires to become and remain members in good standing with the union. Existing employees were given all options of joining the union, thus preserving the right of those who were not already members not to join.”
It goes on to say: “The essential point is that membership in the union was made compulsory, save for those who opted out at the time the agreement was ratified. The union had sought, but failed to win, a provision that would have rendered membership compulsory for all.”
Under section C, titled “The Closed Shop Issue and the Forged Cards,” it goes on to say: “A total of eight employees continued to cross picket lines at this time…. They informed the employees concerned that by crossing the picket line, the union had established, pursuant to a properly approved strike, they were committing an offence under the union’s constitution and bylaws and, thus, exposing themselves to discipline.”
In cross-examination before the Mullaly panel, Mike Bocking and the union’s president conceded that such warning letters had been sent to employees whom it knew were not members of the union as well as to those whose status was an issue. This, he had claimed, was simply a mistake. Subsequently, three of those who claimed their signatures to have been forged approached the employer, claiming that they were not union members.
On this particular point…. The union presented signed union cards to the labour board for consideration. Those cards were counted, and the union was certified. But the employees weren’t made aware…. None of the employees were made aware that their membership application had been presented to the board, because they had never signed a union card in the first place.
The point…. That the union can collect cards and has no requirement to advise an employee that they are submitting those cards to the labour board is a concern. That is an issue. In this case, these individuals never signed union cards. But somehow cards existed. Somebody must have completed those cards. Whether the union was aware or not, I have no idea.
The cards were completed and presented to the union, and the union submitted those to the labour board for consideration. Based on the signature and the date on those cards and the name, the labour board counted those membership cards towards certification. Certification was granted. It was only years later that these workers found out that there were cards presented to the labour board on their behalf that they had no knowledge of. This is where the lack of rigour is very concerning.
It goes on to say, under section 10:
“In August 2001, the right of the union to discipline four employees who claimed never to have joined it became an issue between the employer and the union. The union offered to provide proof of their membership and faxed copies of the cards allegedly signed by the individuals to the employer. The employees claimed that the signatures were forged, and this, in turn, led to applications by the employer on August 24, 2001, and by certain employees on August 31, seeking, inter alia, reconsideration of the board’s original decision to decertify the union.
“Appended to the employer’s application were statutory declarations from the four employees to that effect that they had never signed applications for membership in the union and a report from a forensic document examiner that cast serious doubt on the authenticity of the four signatures on the applications submitted by the union in support of the original application for certification.”
There is zero, no rigour whatsoever around the process, this single-step process that the minister is trying to move forward in Bill 10. No rigour. The union submits membership cards, and the board, in good faith, just accepts that those cards are completed by employees and that the signatures actually relate directly to that employee.
The current legislation and regulation do not require the labour board to contact those employees to verify that they actually completed a membership card. The regulations do not require the labour board in any way, shape or form to verify that the signatures are correct and accurate.
The minister referenced the rigour around this one-step, single-step process. There is no rigour. There is no way that British Columbians are buying it. It is extremely unfortunate. I’m not making this up. This is a documented case, with a ruling from the labour board, with clear evidence where forged membership application forms were utilized in order to certify a union. The members were not even notified that applications under their name were even submitted to the labour board for consideration. That’s a significant problem.
Now, I appreciate that in 2001, 2002, the second-step process was re-established, providing that opportunity for workers to give a sobering second thought. The reason why, I think, we have seen a failure of certification when it comes to the secret ballot is for that very reason. The opportunity exists for membership applications to be submitted to the board without the knowledge of the employees whose names actually exist on that application form.
This is the bottom-line decision. “On October 15, the Mullaly panel brought down its bottom-line decision, cancelling the certification, declaring continuation of the strike to be unlawful.”
This is important stuff. The minister, through his own acknowledgment, has indicated that the ability of a worker to make that choice to sign up for a union or to associate with a union is incredibly important. There are many benefits that can flow from it. The minister also indicated that the worker needs to be at the centre of that.
There are unions on one side. There are companies on the other side. In many instances, the companies and the unions are together but not always. It comes down to the worker’s right, the worker’s right to choose to associate or the worker’s right to choose not to associate.
By removal of the secret ballot, it is incredibly important that the rigour by which those cards are presented to workers to obtain their membership approval, the manner in which those cards are then maintained and submitted to the labour board for consideration and the rigour by which the labour board undertakes any form of additional verification process to confirm that those cards were signed by the members’ names appearing on those cards…. That does not exist today.
I certainly look forward to any commentary or any additional information that the minister might be able to provide that would give British Columbians any semblance of confidence with respect to the process that the minister is looking at us moving towards today.
Hon. H. Bains: That was all commentary, nothing to do with the bill before us or the content of the bill. The member picked up a number of cases, going back to 2001, 2002. The results being that the system worked. If there was inappropriateness, it was brought to the board’s attention. They made their decision.
In one case — I can’t comment on individual cases — as I understand, the board ruled that, one, there was no improper motive on the union side. Second, in order to make sure that the true wishes of the employees were known, they ordered another vote. So all that system is still in place, and that system is not being changed.
There are certain requirements. I can tell you, again, that if the board is satisfied on the date that the board receives an application for certification of the part that at least 55 percent of the employees in the union are members in good standing of the trade union, the unit is appropriate for collective bargaining. The board must certify the trade union.
Now again, we will deal with it, you know, in clause 5. The board can still call for or require a representation vote for the purpose of determining whether the employees in an appropriate bargaining unit wish to have a particular trade union represent them as their bargaining agent. The board may order that a representation vote be taken, in accordance with the regulations among the employees in the unit.
The point I’m making here is that we’ve been canvassing, for the last couple of days now, that the board is already set up to have all of the checks and balances to ensure that the union and the employer follow the code and the regulations — that the cards were collected through legal means and they are the true reflection of the wish of those employees. So all those things are done.
How they do it is left up to the board. I have no intention of changing any of that process. All we are doing right now is bringing the legislation to make these changes that are before us. How the board operates in order to implement these changes is left up to them then. There are regulations already in place about how they satisfy themselves on the legitimacy of the application, including the legitimacy of the members and how the membership cards were collected.
All of that is left up to the board. I have full confidence in the board that they will continue to do a good job. I have a good faith in them.
G. Kyllo: I do not share the member’s confidence. There are no checks and balances. I, in no way, mean to impugn the work of union organizers. I’ve got friends, actually, that undertake that work. I certainly appreciate the professionalism that they have in their given trade and the role that they do.
As the minister has confirmed and admitted to this House, membership cards can be signed up by anyone. An individual working in a company could obtain copies of membership certificates. I have heard, and this is certainly a truism, that oftentimes, there’s a stipend associated with membership cards.
It’s not unreasonable to think that an employee or an individual could go and collect a name and a signature, forged or otherwise, and submit that membership form to a union organizer, saying: “Jeez, thanks, Bob. I just got three of the guys on the plant floor to sign up.” “Fantastic, great. I’ll submit those into head office.”
There’s no rigour that the union undertake, no requirement for them to reach out and speak to those employees individually to verify that: “Hey, Ted Williams. Is that actually your signature?”
None of that occurs. It’s not even a requirement for the union to do that. I would assume that a union organizer would be quite happy. “I need 55 membership cards signed up. Hey, can you guys help me get three or four signed up each — ten guys? Perfect, that’s half of my workload done.”
But there’s no requirement for anybody to actually go back to those employees and verify. There’s no training required. So the union organizer, although he or she may not have necessarily obtained those cards inappropriately…. The fact is that when they are in receipt of those cards — those membership applications — they’d be quite happy to have them in their possession. Why would they question the validity of that card? It helps to further the efforts that they’re undertaking in order to obtain that 55 percent of membership cards in order to obtain certification.
Those cards are presented to the labour board, and the labour board just takes it on good faith that the date is correct. They can confirm that the member’s name on the card matches up with an employment record provided by the company. But other than that, the date is a bit ambiguous, and the signature is a bit ambiguous, because there are no checks or balances. There’s no additional verification or validation that is undertaken to confirm that the date and the signature on that card actually matches with the true wishes and desire of that worker.
The challenge — why I believe that there may not have been more cases of these coming forward — is that in this case, the workers were never made aware that a membership application in their name was submitted to the labour board. There’s no requirement. The only reason that they were made aware of a membership application was during a strike when these workers crossed a picket line. It was then that they were informed: “Oh well. There was membership certificate that was completed on your behalf.” These workers at that point in time came forward and said: “Hold on. I never signed a membership application.”
Had it not been for that strike in the case of Purdy’s Chocolates, these workers would have never known that a membership had been submitted in their name. That is where there are inappropriate or inadequate checks or balances.
That is the crux of the issue — moving away from a two-step process to a single-step process, with no requirement for any training, no requirement for any registration of those that might be even be eligible or able or adequately knowledgeable enough to even answer any questions that might be posed by the workers. No documentation of any information provided to those workers, with respect to what rights they’re gaining and what rights they may be giving up in signing that membership application form.
I really fail to understand how British Columbians or members of this House can have any confidence in this lack of process. The members aren’t even provided with a copy of the form they are proposed to have signed. Their ability to even raise any questions or concerns with respect to the date of that membership application…. How can they raise that concern after the fact, when they aren’t provided with a copy of the original that they are requested to sign in gaining that membership?
I certainly hope that the minister may reconsider. The minister indicated that he has no intention of changing the process. Well, the process is grossly inadequate.
I truly do hope, with keeping the workers and respecting the rights of workers and ensuring that their decisions accurately reflect their choice and their decisions — that the labour board takes that additional step, that verification process, to reach out to the members, to confirm and verify that, yes, they indeed did complete an application form, that yes, that is indeed their signature and that they truly do wish to move forward.
Without that extra verification or validation, I certainly fail to understand how the minister feels that there would be any confidence in this House with respect to stripping workers of the right for that sobering second thought and making their final determination and decision through a secret ballot process.
The Chair: Shall clause 4 pass?
Member.
G. Kyllo: It is unfortunate, that the minister is unable — I wouldn’t say unwilling; I believe that the minister is unable — to provide that confidence, to this House, that the current process around verification of that single-step card-check union certification process accurately reflects the desire of workers.
We talk about workers’ rights and workers’ wishes. It’s my understanding that in not all cases are there concerns expressed by workers within a specific employment agreement with a corporation. Workers might be happy. There are always going to be quibbles with employment on any given day over the course of the year. I’m sure there are occasions where nobody really likes their boss too much.
Maybe the minister may not be totally enamoured with his boss on every given day of the year. That doesn’t necessarily mean that the minister is going to sign up a membership card with a different political party. What I think is concerning — this is an issue that has been brought to my attention — is that it’s common practice for some trade unions to actually encourage a union member to go and seek employment within a private sector company, with the sole purpose of influencing and encouraging workers to sign up and to join them.
I’m just wondering. Is there any regulation or legislation that requires the disclosure of any workers that are dispatched by a union to go and work in another company? It’s also my understanding that oftentimes the union will pay these workers an additional fee: “Ted, you’re a good union soldier. We’re going to give you an extra $500 a week pay to go and seek employment in company X. Try and gain employment, and your sole purpose when you get in there is to try and encourage and sign up union memberships.”
Is the minister aware of this practice? Does he feel that that is something that British Columbians and British Columbian businesses should expect?
Hon. H. Bains: It has nothing — not, even with any stretch of the imagination, anything — to do with Bill 10. What unions do by dispatching their members to a non-union operation — to somehow, hopefully, organize them into the union — has nothing to do with the bill that is before us. If there are concerns, the member should raise them with the labour board.
G. Kyllo: The minister has many times referenced the 2018 report entitled Recommendations for Amendment to the Labour Relations Code recommending that the secret ballot vote be retained, providing there are sufficient measures to ensure the exercise of employee choice is fully protected and fully remediated in the event of unlawful interference.
The minister has referenced instances of unlawful behaviour of companies. Can the minister share, with this House: where there have been decisions or determinations by the labour board that corporations, companies or owners of those companies have acted unlawfully, what is the ultimate outcome with respect to a union certification?
Hon. H. Bains: This is the requirement — what the code and the regulations require. There is some explanation to that. Employers, unions and individuals can be guilty of coercive and intimidating conduct. If they’re guilty, it is an unfair labour practice. Coercion and intimidation include things like force or threats.
The board will look at all the circumstances surrounding the conduct to decide whether it was likely to have unlawfully influenced an employee’s right to choose whether to become or to stay a union member. Then they have at their discretion to provide a remedy. One of them may be remedial certification. They have, under the code, a number of discretionary powers. Or in going through the hearings, evidence is presented. If they are satisfied one way or the other, then the decision is made by the board at the end of the day.
G. Kyllo: I appreciate the response from the minister: the coercion is more where there’s force or threats. What the minister didn’t indicate…. Maybe there’s additional information in the regulation that might state otherwise, but with respect to inducements, enticements or promises that might be made…
As we know, there’s no requirement for any training, any code of conduct, any code of ethics or otherwise that have to be signed or attained by any individual that presents a worker with an opportunity, an encouragement to sign a membership application form. An individual could tell Bob: “Hey, sign this card. Join us. We’re going to work hard. We’re going to get you a $7-an-hour increase in pay. We’re going to do everything we can to get you on an apprenticeship training program. We’re going to work hard on your behalf to try and obtain an extra four or five weeks of holiday pay.”
There’s no shortage of the number of claims that an individual…. That is in no way shape or form regulated, monitored or otherwise in this province — making a whole barrage of promises and commitments to employees.
Does the minister believe that that would be fair and reasonable behaviour, and is there anything in the legislation or the regulation that would dissuade or discourage or in some manner penalize an individual from behaving in that manner?
Hon. H. Bains: It is a different time but the same question. The question was asked, and it was answered, more than once.
G. Kyllo: Unfortunately, the minister did not answer. The minister did share and was quick and responsive to provide the determination where the board feels that coercion has been applied — forces or threats. The minister has referenced, I believe yesterday, an instance where an employer would threaten employees by saying: “Look it. If you guys unionize, I’m shutting this place down.” In that instance, certification is automatic. The labour board would make the determination that coercion was applied by the employer, and certification would be automatic and immediate. That’s the stick.
On the other side of the equation, there seem to be no limitations around the carrot or the promises that might be made to workers. There is no code of conduct, no code of ethics, no training required. Any individual in British Columbia can approach a worker and say: “Hey, Bob, join me. Sign this membership card. We’re all going to do well. You sign this card and stick with me. And if we get enough of these cards signed, I’m getting an extra $7 an hour, a wage increase.” There’s nothing in the regulation or in the legislation that limits that behaviour.
If I’m incorrect, I certainly hope that the minister will correct me and provide some confidence to this House that inducements or enticements or promises that are made are, in any way, shape or form, not permissible under either the current legislation or regulation.
Hon. H. Bains: I have answered that question more than once.
G. Kyllo: Well, again the non-answer from the minister is definitely concerning. I would surmise that there is no regulation or legislation that inhibits the ability of any individual to make outlandish promises in order to get an 18-year-old, young worker that may not have any knowledge of the labour code or even the Employment Standards Act and encourage that individual to actually sign a membership card. That is unfortunate.
Now, there was an open letter that was signed by representatives from 23 different business organizations across the province describing the lack of consultation on this particular bill, indicating it was extremely concerning.
Can the minister advise this House what consultation was undertaken with respect to the current decision to remove the secret ballot from union certification?
Hon. H. Bains: That was within the first ten minutes of when we started Bill 10. That question was asked, and that question was answered.
G. Kyllo: Thank you to the minister for reminding me that that’s right — that there was no consultation undertaken. None. So for the open and transparent government that talked about a new way of doing business and broad consultation with industry and stakeholders, none was undertaken. That is deeply troubling.
We did canvass the question around the COVID-19 pandemic and the impact that that has had on workplaces. We do know that there’s a real shortage of workers around the province right now. Many businesses have many help-wanted signs.
I’m wondering. With many businesses struggling and starting to return to normal operations…. As we look to that letter that was signed by 23 different business organizations representing roughly half the workers in the province, I’m just wondering: will any measures be put in place to ensure that the changes proposed in Bill 10 in no way, shape or form further destabilize businesses in B.C.?
Hon. H. Bains: Again, I answered the question. Let me go back to the real reason behind Bill 10.
I understand. I get letters from employers, their representatives, their associations. They are advising me to do certain things or not do certain things. Then I have meetings and letters from the other side, the workers and their representatives, advising me to do certain things and not to do certain things. As a government, we make a decision that we believe is balanced.
Coming back to Bill 10, it is not about employers. Member, I have repeated my line time and again. It’s not about employers. It’s not about unions. It is about workers, British Columbians having to have the right to exercise their right to association that is enshrined in the Canadian constitution, Charter of Rights and Freedoms. They should be able to exercise their right without any roadblocks or interference by anybody. That’s what this bill is all about.
Of course, employers are concerned when their employees decide to unionize. But on the other hand, the employees of that particular employer also have certain rights and desires — their desire to bargain collectively, having the right to have a collective voice about their health and safety, having the ability to bargain for good wages and benefits and working conditions. Those are the interests.
In coming to a decision as a government, it always goes back to the rights of the individual, right to association. That’s what Bill 10 is all about. It’s not easier under Bill 10 to form a union. I’ve explained that to the member before. It is about workers exercising their right without any intimidation, interference and any roadblocks. That’s what this is all about.
The Chair: Member.
G. Kyllo: Sorry, Madam Chair. I can’t help myself.
The piece that…. I certainly appreciate, and I think all members appreciate, the right for workers to choose to associate. Workers also, though, have the right to choose not to associate, and workers are also entitled to ensure that if somebody, a union or otherwise, is utilizing their name on an application to be submitted to the labour board for union certification…. That individual has the right to be provided a copy of that membership application, has a right to be forewarned and told, at the time, that their membership application is submitted to the labour board for consideration.
That worker also has the right and, I think, expects — the obligation of this government — the labour board to further verify and reach out and contact that worker to confirm and validate and ensure that the application before the labour board, which they’re utilizing to determine certification, was actually completed by that employee.
Bill 10 does not do that. The current regulation does not do that. Workers, I feel, are absolutely being stripped and denied their opportunity, with respect to exerting their choice of whether to associate or not, because the rigour which the minister has referenced, over and over again, does not exist. There are no checks and balances. I am extremely troubled, and I hope that members that may be watching from home are also troubled and concerned.
I’ve got to admit that I had never looked at all of the details around the lack of process, the lack of policy undertaken by the labour board in determining union certification. I’m absolutely surprised. I’ve got to admit that the level of effort that’s even undertaken to provide some basic level of training to a server that might want to be selling a beer to somebody of legal age is a higher level of interest on governments than it is for a member to be approaching and enticing and inducing and encouraging a worker to sign a membership card.
There is zero level of interest by this government. There is zero level of regulation or commitment by this government to provide even the most basic level of training and confidence so that a worker who is approached by an individual and encouraged and enticed and induced into signing a certification form is actually told the truth and all of the facts associated with the rights that they may gain and the rights they are also going to lose. For that, I’m deeply troubled.
The Chair: Shall clause 4 pass?
Division has been called.
Clause 4 approved on the following division:
YEAS — 51 | ||
Alexis | Anderson | Babchuk |
Bailey | Bains | Beare |
Begg | Brar | Chant |
Chen | Chow | Conroy |
Coulter | Cullen | D’Eith |
Dix | Donnelly | Dykeman |
Eby | Elmore | Farnworth |
Fleming | Furstenau | Glumac |
Greene | Heyman | Horgan |
Kang | Leonard | Lore |
Ma | Mark | Mercier |
Olsen | Osborne | Paddon |
Ralston | Rankin | Rice |
Robinson | Routley | Russell |
Sandhu | Sharma | Simons |
Sims | A. Singh | R. Singh |
Starchuk | Walker | Yao |
NAYS — 22 | ||
Ashton | Banman | Bond |
Clovechok | de Jong | Doerkson |
Halford | Kyllo | Lee |
Letnick | Merrifield | Milobar |
Morris | Oakes | Paton |
Ross | Rustad | Shypitka |
Stewart | Stone | Sturdy |
| Wat |
|
The Chair: Members, we’ll be carrying on with Bill 10. You’re welcome to stay, but we’d appreciate it if you could vacate in an orderly way.
On clause 5.
G. Kyllo: Under clause 5, the language of this new section, (0.1), of section 24 of the bill, has language of…? It’s in brackets: “The board may order that a representation vote be taken.” Is there a reason why the language is not “must”?
Sorry. I don’t think that the minister quite heard me. To repeat, the change to the language states: “The board may order that a representation vote be taken.” Just wondering if there is a reason that language is not “must” take a vote.
Hon. H. Bains: I think we have canvassed that in clause 4 — that if the board is satisfied that the 55 percent of the employees have signed a membership card, then the certification is awarded. What this section talks about is the Labour Relations Board. It will provide the Labour Relations Board with the authority to order a representation vote on its own motion and in the absence of a request by the union.
For example, if the threshold for a single-step certification or representation vote is in doubt due to a dispute regarding membership evidence, the board may use this authority to order a vote to clarify the wishes of employees regarding union representation. So there could be questions, and if the board is in doubt that the 55 percent may not exist, then they have the authority under this section to call for the representation vote and to canvass the true wishes of the employees.
G. Kyllo: Thank you to the minister for the response. Can the minister share with this House an example of a situation that might exist, a complaint or concern coming forward, that might provide the board with that concern and give them the latitude to choose to move forward with a vote?
Hon. H. Bains: Again, I read this, and maybe I’ll do it again. For example — I’ll use this as an example — if the threshold for a single-step certification or representation vote is in doubt due to disputes regarding membership evidence.
The union may think they have 65 percent signed up, but the employer on the other side…. On the examination by the board, there are challenges and there are doubts whether certain members should be part of that union or not. If the board decides that it is a question of whether they have a 55 percent or not, then they have the authority to call a representation vote.
G. Kyllo: I appreciate that additional clarification from the minister. As we canvassed many questions during clause 4, one of the concerns that I raised was the potential for a membership application card to be in question.
If there was a concern raised by an employee of a corporation, and they raised that concern with the labour board…. Of course, this employee would have no knowledge that a membership application form would even have been submitted on their behalf.
If an employee or a number of employees in a company submitted a request to the labour board expressing concern and wanting to have confirmation if their name existed on any of the membership application forms put before the board, would that also provide, I guess, enough concern or doubt in the minds of the labour board to also give consideration under that situation to move forward with a vote?
I appreciate the minister can’t speak on behalf of the board. They will make their own independent decision, but it would certainly be my belief or understanding that if there was a number of employees that expressed concern, that that unto itself may pose a significant enough concern of the board, in which case they, in that instance, would also look to potentially moving forward with a vote. Just wondering if the minister could provide any additional commentary around that.
Hon. H. Bains: I think the language that I relayed to the member is very clear. If there is a dispute regarding membership evidence, the board will make that decision. Some of them could be what the member is talking about. The board will make that decision.
If they believe the membership evidence is in doubt, then they have the authority under this section to call a membership vote. That will determine the true wishes of the employees.
G. Kyllo: I appreciate that additional clarification. In the instance of membership applications being presented to the board for their consideration, there is no requirement for either the union organization or the labour board to reach out and notify all those members of which applications are before them.
My belief or my understanding is that at this point the only notification — the only time that an employee would even know that there was a potential vote being undertaken and a card in their name being considered for consideration — would be when the labour board reaches out to the corporation or the company and seeks a list of employees.
Can the minister just confirm that the labour board’s single, sole and only requirement to notify, I guess, the organization that the union certification consideration is under way would be when the labour board reaches out to the corporation asking for and seeking a copy of their employment list?
Hon. H. Bains: We canvassed this question as well. The question was asked. The question was answered.
When the application for certification by a union is made at the labour board, the labour board then advises the employer.
G. Kyllo: The concern, I think, that I have is that there is no obligation or requirement for the labour board to notify workers that they are in consideration of a certification count, I guess, initially. Yet to be determined whether it would go to a vote or not, but the employees working for a corporation would have no knowledge that the union has submitted membership cards for consideration of the labour board.
The company may have no knowledge that this union drive is even underway, and certainly would not, I’m sure, be told by the union organization that cards are being submitted on August 5 for the consideration of the board. So neither the workers know nor does the corporation know.
What I’m trying to have a better understanding of is: what is the requirement of the labour board to notify the corporation that a certification card check consideration is underway? Is that a phone call? Is that an email? Is it by registered mail?
I’m just trying to clearly understand, because it is important that for workers in a corporation…. If there’s any concern with respect to memberships that might be presented for labour board consideration, it’s really important that the members or workers in that corporation know what’s happening. As the minister has already confirmed, there’s no requirement or obligation of either the union or the labour board to notify all of those workers that may be impacted by this certification consideration that’s underway. I’m trying to better understand: what is the notification requirement?
The minister has referenced in previous answers that the labour board would reach out to the company in order to obtain an employment list. I’m just wondering if the minister can share, with more specificity, what that request looks like. Is it a phone call? Maybe a list is faxed in. Is it a contact directly, maybe, with the legal firm that’s representing the company? Is it a letter? Is it a certified letter? I’m just trying to better understand how the corporation is notified that the labour board is currently in the process of consideration of a certification application.
Hon. H. Bains: You know, as the technology changes, the methods of communication are changing as well. It used to be a fax sent to the employer. Now my understanding is that they do it electronically. They’re advised that such-and-such a union has applied to represent your employees.
G. Kyllo: So the notification to the corporation could come in various forms: could be a fax, might be an email. I guess, as further confirmation of that, is that the only obligation of the labour board — just to send out that fax or that email transmission to notify the company? Or is there a requirement for a signing officer of that corporation to acknowledge receipt of that notification and provide that employment list with full knowledge of the signing officers of the company?
The reason I’m asking for this clarification is that I could certainly see the instance where the labour board sends a fax or an email off to a company notifying them of the existence of this potential union certification consideration, and it might end up on the desk of, maybe, not an actual owner of the company or a signing officer of the company. It could end up on an HR desk, and an HR clerk might quite dutifully provide an employment list and send that off to the labour board. That could potentially occur without the full knowledge of the actual ownership or signing officers of the company.
I’m wondering what rigour is actually undertaken in that process. Is there a requirement by the labour board that an officer duly assigned and charged by the corporation has to sign and acknowledge and accept the fact that, yes, they were duly notified of this certification consideration that’s been undertaken?
Hon. H. Bains: These are internal operations of the board. They have a responsibility to ensure that the responsible person on the employer side knows, because then they have to make arrangements to get the employee’s record. So that conversation and the communication between the board and the appropriate company officials take place, but I’m not privy to how they do it.
It’s the board’s responsibility to ensure that the employer knows and then also to complete their task of ensuring the appropriateness of the unit. They need to make arrangements to look at the payroll record. It could be done electronically.
I don’t know. I’m not doing their operations — those things. They do it among themselves. So that’s how they operate. I’ll leave it up to the board. I don’t have all the small details of how the board operates in carrying out their duties under the labour code.
Noting the hour, I move that the committee rise, report progress and ask leave to sit again.
Motion approved.
The committee rose at 6:26 p.m.
The House resumed; Mr. Speaker in the chair.
Committee of the Whole (Section B), having reported progress, was granted leave to sit again.
Committee of Supply (Section C), having reported progress, was granted leave to sit again.
Hon. J. Osborne moved adjournment of debate.
Motion approved.
Mr. Speaker: This House stands adjourned until 1:30 p.m. tomorrow.
The House adjourned at 6:27 p.m.
PROCEEDINGS IN THE
DOUGLAS FIR ROOM
Committee of the Whole House
BILL 10 — LABOUR RELATIONS CODE
AMENDMENT ACT, 2022
(continued)
The House in Committee of the Whole (Section A) on Bill 10; D. Coulter in the chair.
The committee met at 1:35 p.m.
On clause 3 (continued).
G. Kyllo: Before the break, we were carrying on with some further enquiry with respect to clause 3 in section 22, specifically with respect to, I guess, the opportunity of the labour board to give consideration to membership of members. We keep talking about a card check, removal of the secret ballot. There’s been a lot of conversation, a lot of commentary, even by the minister, with respect to card check, where workers may choose to sign an application for membership card and those cards being then presented to the labour board for consideration of, actually, union certification.
There was some further conversation around membership. The enquiries that I was making of the minister were: would a worker’s membership with a union organization associated with a different construction site…? Could that be utilized as partial consideration for membership certification with another entity?
The minister had read from the regulation the requirement that if a worker was a member of a union — the sheer fact that they were a member of a union — whether that application or that membership could, in some way, inform the labour board with respect to the agreement of a member with a further certification of a separate entity.
The minister indicated that there was not the opportunity, and the member certainly can correct me if I misunderstood. But when he read from the regulations, certainly it was my understanding from the information the minister provided that the sheer existence of a membership with a worker and a previous entity could not be used or considered by the board with respect to a member’s desire to move forward with supporting union certification for another entity.
The minister read from the regulation that there would be a requirement for an additional authorization form to be completed that would include the name of the worker, the date and the name of the union.
The question that I asked of the minister is if the rate requirement on that authorization form — if there is a requirement for an actual signature of the member. In addition to that, if there’s a requirement for the notation, to which company would that membership be utilized in order to give support notionally for certification?
Could the minister just clarify specifically what information is required to be documented on an authorization form that the labour board would give consideration to with respect to the authorization or the agreement of that particular member with a further certification application.
Hon. H. Bains: To be, I think, understanding and accommodating, this question has been asked for almost an hour now and answered for almost an hour, the same question. But I will, one more time, read the whole regulations. By the way, those regulations are not before this House right now. They are established for a long time. The labour board follows them, and they are not being changed.
I will read one more time. When it comes to membership evidence, here are parts 2 and 3. The criteria for membership:
“For the purpose of establishing membership in good standing in a trade union where that trade union is making an application for certification, the following minimum criteria apply: (a) a membership card must be signed and dated at the time of signature; (b) a membership card signed on or after January 18, 1993, must contain the following statement: ‘In applying for a membership, I understand that the union intends to apply to be certified as my exclusive bargaining agent and to represent me in collective bargaining’; (c) within six months of the application for certification, (i) the membership card must have been signed, or (ii) active membership must have been maintained by dues payments.”
Now, it goes on to say, in 3.1, “Additional requirement for construction….” That’s where the member was asking questions. So in addition, it says, “additional requirement,” which is in addition to what I’ve already read. “In addition to the requirements of section 3, a trade union making an application for certification in the construction industry on the basis of active membership referred to in section 3 (c) (ii) must attach an expression of support from those members in the following form: ‘I support the application by’” — which is a blank; there will be a name of the union — “‘for the certification applied for.’”
We talked about what is required when you’re applying for certification for an operation. Then the name of the employee and the date.
So, Mr. Speaker, we have canvassed this for a long time, and I’ve answered this every which way the question was asked. Also, the regulations are not for debate here.
G. Kyllo: I appreciate the response from the minister. As I have shared to this House and to those that are watching from home, it’s the fact that moving away from the secret ballot, which provides that opportunity for that sobering second thought…. That opportunity for workers to make their decision in secret without any pressure, without any influence is being taken away from workers.
Government is moving towards the sole requirement for card check, and we canvassed this quite extensively yesterday and earlier today with respect to the requirement under the card-check system. The minister has shared that the card-check system is a very robust process.
Where I was alerted yesterday was when the minister indicated that membership also could potentially be utilized or considered by the board as a worker’s acceptance of a union certification drive.
As we look to this specific part of the regulation, the minister indicated there needs to be the name of the individual, the date and the union. No provision for a signature, no requirement for the worker to actually sign on the dotted line verifying that they indeed were the ones that completed that form, that they indeed were the one that actually was in support of the utilization of that authorization form as a method or means for identifying their support.
In addition, it does not appear that the current regulation requires even the name of the company for which it would be utilized. I think we can all appreciate that there are some great employers out there. There may be some maybe-not-so-great employers, but I think the crux of the matter is that it’s really important that a worker’s choice is ultimately respected.
I could certainly conceive of the situation where a worker may be working for a corporation or an entity where they maybe don’t have a great relationship. There may be the opportunity for moving forward with the certification for a specific employer. But as these membership application cards and membership authorization forms do not even identify which employer that application would be made with, the concern is that it could be signed with one employer and then the union could arbitrarily utilize that same card with another employer.
It would certainly seem the fair and reasonable thing to do, as we’re moving away from that opportunity for any worker to make that final determination in secret and provide direct communication to the labour board, whether they choose to support certification or not. Because that is being removed from them, it puts an extra onus or responsibility, I believe, on the minister, on this government and on the labour board to ensure that that worker’s request in support for union certification is very specific to a specific employer.
It appears that a worker may sign and acknowledge the support of a particular union as it may relate to certifying a union drive for a specific employer. I don’t believe that it’s fair, just or right, or truly representing the rights of the worker, to be able to use that application form, because once it’s in the union’s hands, they can choose to use it however they choose.
As we move away from that secret ballot vote, I think it has an additional burden of responsibility on the minister and on this government to provide some clarity or assurance to this House — and the minister can certainly confirm that. Not everything in the legislation, by word, necessarily, is the sole and only part of this discussion and debate that can be relied upon by the labour board. The minister certainly could agree here, during this debate.
It is only fair and just, absolutely, that for a member or a worker who chooses to support a union certification for one employer, it should be very specific and only to that specific employment relationship. If that worker, three months down the road, chooses to go and work for a separate company, that authorization, that support, would have to be required to be signed and authorized by that worker subsequently.
If the minister is unable to give clarity with respect to what he’s able to decipher from reading the regulation, maybe the minister is able, at the very least, to give workers that confidence today that their right and their choice would be clearly identified and communicated to them as it may relate to different certification applications.
Hon. H. Bains: I have already answered that question.
G. Kyllo: That’s disappointing — that the minister is not able to provide that clarity to workers across B.C. Early on in the debate, the minister talked about the unions and the companies. Then at the centre, at the heart, is the worker. The minister acknowledged and supported the notion that at the end of the day, it’s the worker’s choice that needs to be absolutely upheld.
So I must say I’m disappointed. When it comes to the opportunity for the minister to provide that clarity, that assurance, that a worker’s support or authorization for union certification, for a specific employment situation, would not be used without their knowledge, consent and authorization towards the certification drive for a secondary corporation…. We certainly have spent a great deal of time on this particular issue. I know that the minister is relying quite heavily on the regulation.
Yesterday, through some of our canvassing of enquiry, the minister indicated that the board chair of the labour board ultimately has a lot of say with respect to the regulation that they utilized in making such determinations of the requirements for when a membership would be actually utilized, under what conditions, and what would be required to be provided.
Could the minister advise this House what the opportunities would be for further changes in regulation, and how much public scrutiny? Would there be a requirement for any further changes with respect to the regulation to come before this House — in which case members of the official opposition would have further opportunities for enquiry — or is it in the ability of the minister and cabinet and executive council to simply give direction to the board chair to make further changes to the employment regulation without the scrutiny of this House?
Hon. H. Bains: I would say this: the board currently has broad authority to interpret the labour code, and they have regulations to guide them. I will read 22 again to the member, “Process relating to application”:
“22 (1) The board must, in respect of an application for certification under this Part, (a) make or cause to be made the examination of records and other inquiries, including the holding of hearings it considers necessary to determine the merits of the application for certification” — they are guided by these rules — “and (b) specify the nature of the evidence the applicant must furnish in support of the application and the manner of application.”
Then again, it goes on to say:
“(2) In deciding whether a person is a member in good standing of a trade union, the board (a) must decide the question on the basis of membership requirements prescribed in the regulations.”
So there is sufficient authority that exists. I have not heard any cases that the member is kind of hypothetically bringing — unless the member has a case. Then it could be brought to the board’s attention that maybe there are some flaws in the system that they need to look at. But to me, I believe that the regulations and the labour code, when you put them together, give the board the authority to make sure that the membership evidence meets the requirement of the code. That’s the board’s responsibility. They have sufficient leeway, authority and discretion to decide all that.
G. Kyllo: Can the minister share with this House who ultimately has the ability to change or modify the regulation which gives that guidance to the labour board? Is it indeed the executive council? Is it indeed the minister, the executive council and the Premier of this province that can actually set, through regulation, and give direction to the labour board, the terms by which they, the board, would then make their own determination on who’s a member and who’s not and all of the different terms that the minister is relying on in sharing and answering the questions here today?
I appreciate that he can only answer the questions based on the regulation that’s before us, but I think it’s also important for British Columbians to know that the legislation before us is not the only document which has an impact on how, and under what terms and conditions and situations, membership might be determined to be valid.
The sheer fact that through this bill, Bill 10, workers are being stripped from their right to make an independent decision, without influence, with respect to how they choose…. Whether they choose to associate or not to associate, that is being taken away. So it puts a huge amount of additional burden and responsibility on government. Part of this debate will be part of the determination. I’m sure that even the labour board may find reason or opportunity to try and fully understand the full implication of Bill 10 — to go back and even review the debate in this House.
As the minister is relying on, largely, the regulation, I think it’s also inherently important that the general public, workers and businesses across B.C. also understand that the regulation by which the minister is providing answers today can be changed. It could be changed next week or next month. It is indeed the minister and this government which ultimately have the pen and the ability to modify these regulations and to change the manner in which the board may give consideration to who’s a member and who’s not.
The sheer fact that the card check system, which requires the name of the employer, the name of the worker, the date and their signature, does not stipulate which corporation that union drive or certification vote is applying to — not that I have seen…. The membership authorization form, which the minister has referred to with respect to the regulation, also does not stipulate or indicate which corporation that union drive certification vote is associated with. With respect to the authorization, from what the minister has indicated, it doesn’t even require the employee to sign on.
Theoretically, we could see an employee working for company X and having a terrible relationship with that employment arrangement and sign a membership card with a specific union for a union certification vote for a specific employer, but there’s no specific employer that’s even identified on that card check, on that membership application form.
But once it’s signed, that worker has given away his right, and if that worker chooses to no longer work for that company and go and work for another company over here, the union can use that membership card that was signed specifically for a specific certification vote without the worker’s knowledge. Without a further confirmation, the union organizers could use that membership card and arbitrarily apply it to this other employer.
Well, the employee might be very happy with his contractual arrangements with this secondary employer, but the worker no longer has that right to maybe decide: “No, I’m happy with this employment arrangement with this employer. I’m not in any way interested in supporting a certification vote for membership application with this company.” But the worker has already given up his right, so unless the minister is able to share something different than he’s shared with us to date, that is a very true and real example of where a member that signs a membership application form is largely giving up their right.
I know it was a bit lengthy, but if the minister can just confirm, just verify for this House who, ultimately, has the ability of making further changes and revisions to the regulations that are a guiding principle by which the labour board makes decisions….
And then, also, the example that I have shared — if the minister can share whether that is a real example of a condition that currently exists. I would hope that the minister, in supporting workers’ rights, would agree that maybe some further amendments or changes need to be undertaken so that a union certification drive or a membership that was applied for, for a specific union certification with a specific employer — that that membership card would only be eligible and available for that specific employer.
It would be unfair — I think grossly unfair and certainly not in support of workers’ rights — to not provide that worker with that opportunity to make a subsequent decision.
Hon. H. Bains: One question that the member keeps coming back to — I have already answered that, so I will not touch on that again.
The other — he made a number of assertions and comments. I want to say that he is wrong in most of those, but he did have a question. The question was: who has the right to change the legislation or the regulations? The member should know; he’s been around for a long time. The legislations are brought before the House, debated, passed, royal assent. They become the law.
Also in the legislation, there are enabling languages allowing cabinet to create regulations, so through OIC, those regulations are crafted. That’s how the process works, and the member would know that.
The member also talked about how, somehow, once you sign your membership, you’ve given away your right forever. That’s totally false, because, one, the membership in a union for certification purposes is only good for 180 days. Two, if they feel that their name is being used wrongfully, they have the right to revoke their membership. They can do that, and no one will even know about that. This is how their identity is protected. That happens; that is the case.
Then another point the member made is that somehow the workers’ rights are being stripped away. How ironic that this member, who belongs to the B.C. Liberal Party, would talk about workers and their rights, knowing their history. He may not have been there at that particular time, but there are enough members — the current House Leader, the member for Abbotsford West and a number of others — who were the key architects of stripping workers, in early 2000, of their rights.
Legally negotiated collective agreements were ripped up — throwing 8,000 to 9,000 workers onto the street — so that their friends, international contractors, could come and make profits on the backs of those workers, on the backs of health care. It didn’t even stop there. Injured workers’ benefits were eliminated, reduced. Now the member stands up and talks about workers’ rights. It’s disingenuous, to say the least. If they ideologically oppose this bill, I would respect that, and he should stand up and say that. But that somehow the member opposite is protecting workers’ rights? Again, no one believes them. No one believes them.
Workers are relieved when they see that they are sitting on that side of the chamber, that they never have an opportunity to strip them of the rights that they have, that they had and that they enjoy today under this government. If there are going to be any changes, believe me, it will be to support the workers and to value the work that they do. That’s what this government is committed to; that’s what I’m committed to. So please don’t come across as if somehow you’re protecting the right of the workers. You’re not.
The Chair: Okay. Member, just to ask that we don’t let debate on clause 3 get too repetitive.
G. Kyllo: Absolutely. Thank you very much for that reminder, hon. Chair.
It’s interesting that the minister attempted to provide a bit of a history lesson on the previous administration. What I recall of the 1990s was B.C.’s economy going to number 10 in Canada, tens of thousands of workers out of work because of this mismanagement of the previous NDP governments.
Interjections.
The Chair: Sorry, Member.
If the members could let the member here have his time. Thank you.
G. Kyllo: But hey, that’s maybe an ideological difference that we may have.
When it comes to workers’ rights, 79 percent of British Columbians — 79 percent — all support the right of workers to have a secret ballot when it comes to identifying their choice of whether they choose to support a unionization certification drive or not.
I fail to see…. I don’t know any British Columbian…. Does any British Columbian who might be watching feel threatened when they have to go into a voting station and actually mark a ballot? There’s no pressure. There’s no influence. There’s no coercion that goes on. It is the one time when British Columbia residents actually have a right to make their decision — which they keep secret with themselves — and to make that decision known. Stripping that right away from workers is barbaric.
Interjection.
G. Kyllo: Yes, there are many, many more questions coming. I’ve got many questions, to the member.
The minister indicated and basically agreed and it should be no great secret that the minister and his cabinet and executive council have their hand on the regulations. They can choose to pull parts of the regulation. They can add additional requirements to the regulation. But those decisions will be made around a cabinet table without the scrutiny of this House, without the opportunity or requirement, hopefully, for the minister to provide answers or reasons or justification on why further subsequent changes may be occurring.
But one question or thought that I certainly have: has the minister, either in writing or verbally, had any conversations with either any trade or union organization with respect to the potential of further amendments or changes to the current labour regulation?
Hon. H. Bains: Regulations, I’m advised, haven’t been changed since 1999, except last time when we changed the code, the duration of the membership from 90 days to 180 days — which was recommended, by the way, by the expert panel. So that’s one area that got changed. But we have no intention right now to change any regulations. I think the regulations are working. No one has put in any submission to change them.
As I read them, the board has a very robust process in determining to make sure that the membership brought to them by a particular union is legit, and they have ways and means to determine that. I think that those are sufficient, and we’re going to stay with them.
G. Kyllo: Thank you to the minister for the response. I appreciate the minister indicated that there’s certainly no intention — or he’s indicated there’s no intention at this point in time — to make any further changes to the regulation.
But my question was: has the minister been in receipt of any request, either written or verbal, from any trade or union organization, with respect to suggested further changes or revisions to the labour code or the regulations? Has there been any advice provided to the minister with respect to any further, subsequent changes to the labour code regulations?
Hon. H. Bains: I’ve already answered that question. We have received no suggestions or invite to make changes to the regulations.
The Chair: Okay. I’d just, once again, like debate not to get too stale on clause 3, if possible.
G. Kyllo: Thank you for your advice, hon. Chair. I do appreciate it.
Will any changes be potentially made or considered with respect to membership requirements?
Hon. H. Bains: I said no requests for changes came. You know, going forward, who knows? Times change. If we hear from the stakeholders that sudden changes need to be made, either…. Through the initiative of the labour board, they may suggest that certain things do not work and that they need to make some recommendations and some recommended changes. It happens, but I don’t anticipate any changes coming.
If the stakeholders, month to month or year to year, down the road…. I can’t predict what those recommendations would be. You make those decisions based on the submissions that come your way.
G. Kyllo: Great. I appreciate the response.
I take it from that response that there also has not been any discussion or consultation, verbal or written, with the labour board with respect to any further or additional changes that may be suggested with respect to the labour code regulation.
Hon. H. Bains: The answer is no.
Clause 3 approved.
On clause 4.
G. Kyllo: Clause 3 — we’re done with 3 now. Perfect. Thank you very much, hon. Chair, for your willingness to allow me to have some further scrutiny of the minister.
Clause 4 largely has to do with card check, and the minister has shared with this House the rigour by which the labour board scrutinizes the card check process. Card check, as we’ve spoken about, clearly is the worker’s opportunity to give clear direction with the date, their name and, obviously, their signature. As was canvassed during clause 3, it’s unfortunate that that membership application does not specify a specific company.
But having said that, as we look to move away to the sole reliance on card check for union certification…. Now, I should clarify that. The minister has shared, and the legislation sets out, that if card membership applications are signed by between 45 and less than 55 percent of workers, there still would be a secret ballot vote.
However, should union organizers present membership application cards to the labour board that have 55 percent or greater cards — as far as a representation of the eligible employees that would be part of that bargaining unit — union certification would be immediate and automatic. It is with that where I’d like to go into some fairly in-depth questions with respect to the rigour that the minister has spoken about with respect to those cards.
What is shared with employees at the time that they are encouraged — I think “encouraged” would be a fair word — in order to sign and support a union membership? Can the minister advise who is able to collect signatures on union registration cards on behalf of the union?
Hon. H. Bains: The certification section 23, clause 4, is very clear: “If the board is satisfied that (a) on the date the board receives an application for certification under this Part at least 55% of the employees in the unit are members in good standing of the trade union, and (b) the unit is appropriate for collective bargaining, the board must certify the trade union as the bargaining agent for the employees and the unit.”
I think that is the critical part of the certification process. Once they’re approached by a member in that particular unit, the union authorizes their representative to sign. I don’t know the inner workings of the unions. Different unions do differently, and some unions have official organizers. The organizer’s job is to accommodate requests that come from non-union operations, and they will provide the information. If the member wishes to sign a membership, then they would give them the union membership card — and whatever the requirement of the board is that they must fulfil in filling that membership card.
It goes to the board then. When the board is satisfied that at least 55 percent of the employees of the unit…. The member is going to come back that somehow there’s no name attached of the employer. I have offered to give the member a briefing from qualified people to make him understand what the process is of certification and what the board will do after the application is received and what follows after that and how the membership cards are signed and how they are submitted and then what the board will do.
They are required, under the code and the regulations, to follow through with that application. They must be satisfied, if this bill is passed, that 55 percent from that unit are members in good standing of the trade union and also that the unit is appropriate for collective bargaining. Then the board will certify that trade union to represent, as a bargaining agent, the employees in that unit.
That’s the process. If the member wishes to get an additional briefing about the process…. It’s not something new we are creating. It’s always there. The only difference is that there won’t be two steps to determine the support in the unit. It’ll be a single step, and that is to uphold the rights of the worker. That is enshrined in the Canadian constitution, the Charter of Rights and Freedoms, the right of association.
No one should interfere in that process when they’re exercising their right. That’s what happens. That’s what the board’s responsibility is. They’re an independent statutory body. They make those decisions based on the code and the regulations that they have.
G. Kyllo: The minister is quite right. This bill takes away that second step, that second opportunity for workers to make their final decision in secret. That is being removed.
There’s an increased reliance on card check. The minister would have to agree to that, the fact that the scrutiny and rigour around the process by which the labour board would receive, authenticate and verify those cards that are submitted has increased importance. If you get it wrong on the card check, the employer doesn’t have that choice to make a second affirmation or potentially even vote against a union certification drive.
My question was not so much from the union side. I appreciate unions may have their own rules and regulations. Is there any requirement of the labour board or any limitation on who can collect these signatures on these union membership cards?
Hon. H. Bains: I think I answered that question. Who collects these signatures? The union authorizes their agent to collect the signatures in most cases. I don’t know what other processes some unions may use, but that’s the process that I’m familiar with. But the board will ensure that the cards that are brought to them to be part of that bargaining unit are signed appropriately and that they are legit employees of that unit and that they are to be the appropriate unit for the bargaining. They make all those decisions.
I think that for a member to say that, somehow, the right is being stripped away…. Let me use this example. It’s actually not making it easier for a union to certify members in a unit. I used this example before. I think the member may have chosen to ignore it. But I will repeat that again here. I will use an example of a unit with 100 employees. If 55 of those 100 members sign to join a union, the union will go to the board. If the board is satisfied that there’s an appropriate bargaining unit and that sufficient members — 55 percent — have signed, they will certify that unit.
Now, think about going to a second step, if there were a second step. Now you’re going for a vote. I’m not seeing any election where 100 percent of people vote. But, largely, most of the time, it’s less than the total population who vote. So in that particular unit, say if only 80 show up to vote, now, under that system, 41 will decide that there should be a union or not. If 41 voted in favour, the union is certified — compared to, under a single step, 55 of them having to sign. So it’s not that easy. It is easier now, under single step. But it is a fair system.
Under the two step, the panel was very clear that in the time between the application being made and the vote taking place, illegal activities take place. Illegal, unlawful interference takes place. These are not anecdotal statements. These are facts.
Recognizing that, they said that “we recommend a couple of changes to prevent illegal interference. Shorten the period between the application and the certification vote. Give employers less time to interfere. But also give the board a right for remedial certification — that if they are caught, then the board will determine that they were involved in unlawful activities and interference, and therefore, it is justified that we will certify that operation.”
Then they went on to say that if those two changes do not prevent interference by employers, then there’s a compelling case for card check. I have said this before: the interference continued on since we made those changes. There are real cases. I read some of the examples from individual workers who were involved in organizing, the other day. So that’s why we’re doing this.
For the member to ask about somehow the verification of membership under single step needing to be very stringent or more stringent…. Okay, fine. I think the board is already very stringent. But the same system applies if there were a second step reconfirmation again.
The board goes through the same process of determining whether the cards were signed legitimately — whether there were any illegal activities that took place. It’s their responsibility, and they do a very good job in determining whether the cards are legit or not. In either case, the board’s responsibility doesn’t change. They will still do the same thing as they have done before. Even if it was a two-step, they still do it.
I think I have all the confidence in the board that they’ve been applying the law and the regulations. I have not heard any complaints or submissions that somehow some regulations need to be changed in order to make it more stringent because there is some evidence that some unlawful activities take place in somehow signing those memberships. There are tools available to the board to deal with them now, and they are sufficient in my view.
G. Kyllo: Well, the question was pretty straightforward. Does the labour board have any requirements with respect to who is able to actually present a union membership card before a worker? The minister has spent close to six minutes answering or, I guess, pontificating on a whole bunch of things, but he didn’t answer the question.
Is there anything in the regulation that in any way stipulates who in British Columbia is able to actually present a membership card for a worker to sign up to become a member of that union?
Hon. H. Bains: The union’s agent.
G. Kyllo: From the minister’s response, is the minister able to just confirm that the only individuals that are able and authorized under the current labour code to present that membership application to a worker for signing up and joining a union is an agent employed directly by the union?
Hon. H. Bains: That part is not up for debate here. That part is not being changed. It’s not part of the bill that is before us.
Clause 4 talks about, for the member’s benefit: “If the board is satisfied that (a) on the date the board receives an application for certification under this Part at least 55% of employees in the unit are members in good standing of the trade union, and (b) the unit is appropriate for collective bargaining, the board must certify the trade union as the bargaining agent for the employee in the unit.”
The board decides whether those cards that are brought to them are legitimately signed and by the authorized people.
G. Kyllo: This section does specifically deal with the cards that are presented to the labour board for evaluation, and I’m just trying to have a better understanding and clarity around who is able to present that card to an employee. The minister indicated that it was an agent of the union. I’m just looking for some further clarification. Is it only agents actively employed by a union organization that are able to present a card before an employee or a worker in order to sign up and join that specific union?
Hon. H. Bains: That is not up for debate here. That part is not being changed. That practice was there yesterday, the day before, last year. The same practice is today, and tomorrow will be the same.
G. Kyllo: I would assume by the minister’s non-answer that it is not exclusively only agents of a union that are able to actually collect union cards. I stand to be corrected if the minister wants to share any differently.
My question is: does the labour code specifically indicate who or any limitations around who is able to actually present a union membership card before a worker in the province? This is incredibly important. Because workers are being stripped of their right to make their decision in secret, the sole reliance now is on card check. I think it’s incredibly important that members and the general public have a clear understanding of the rigour….
It’s not my word. The minister has indicated that there’s a lot of rigour around this card check process. I’m just trying to understand, and it’s not a trick question, who is able to actually present that membership card before a worker in encouraging them.
I think “encouraging” is probably a fair word. I’m sure they’re not going to put a membership card in front of a worker and say: “Please don’t sign it.” They’re going to encourage them to sign it. I’m just trying to get a better understanding of who in British Columbia is able to present that member card to a worker in encouraging them to join their union.
Hon. H. Bains: The code doesn’t specify who can and who cannot sign members. The board has, as I said, responsibility, and they take the responsibility very seriously to ensure that the law, the labour code, was upheld when the membership cards were signed and in how they were signed. Once they’re satisfied that they were signed legally, that the unit is appropriate, that at least 55 percent of that unit signed the card, that everything was done legally, then the union presents that application to the board.
The board will go through all the checklist. And if they’re satisfied that the law was followed and at least 55 percent of the employees in the unit are members in good standing, they will declare certification.
G. Kyllo: Thank you to the minister for that. So because the labour code does not specifically speak to who, I’m assuming that anybody in British Columbia — anyone — regardless of their level of education, their level of training is able to present a card before a worker in order to collect that signature. Can the minister confirm that that’s correct?
Hon. H. Bains: The cards are signed by anyone authorized by the union, and the board’s responsibility then follows after the application is made by that union — to follow through what I’ve already said of the process that the board must go through.
That’s the process, and I think I’ve answered this question a number of times now.
G. Kyllo: I appreciate the minister’s further clarity on this answer. It appears that anyone in British Columbia — regardless of your educational level; regardless of any training, if any — is able to present a card in front of a worker in order to encourage them to sign and join their union.
It’s interesting. If you want to sell real estate, there are requirements for the level of training that a real estate agent must have, and they must hold a licence. I would also suggest that the employee who may choose to join a specific union, in signing the card…. The minister has read into the record a couple of different times…. Basically, the worker is giving up their right to continue to have a direct relationship with their employer, to speak directly to their employer with respect to hours of work, remuneration, holiday pay.
All those rights are given up when an employee or a worker sign a union membership card. It’s a very important transaction. Maybe not quite as important as putting your signature on a marriage licence, but it’s very important. It’s a very important decision that a worker makes.
It’s a bit surprising that there apparently appears to be no requirement for any training or knowledge of the labour code or the labour standards when an individual approaches that employee and encourages them to sign the membership card. You can’t even serve a beer to somebody in a bar without at least having the smallest level of the Serving It Right course.
Things like that are inherently important, and government, over the years, has made a determination that it’s important that there be at least a base level of training and knowledge of that individual.
I would say, and I think most British Columbians would agree, that giving up your right to have that direct communication relationship with your employer is incredibly important and could have a significant impact, obviously, on your ability to negotiate your wage rates, vacation time, hours of work and working conditions directly with your employer. Yet anybody — regardless of any training, any knowledge, any educational level — can present a membership card in front of a worker in order to obtain their signature or their support.
Can the minister share with this House how many individuals could potentially be involved in encouraging workers to sign a membership card at any given time? As an example, let’s just say that there’s a company with 100 employees. Is there any limitation or restriction with respect to how many union organizers or other individuals could be employed or encouraged to participate in speaking to those workers in trying to encourage them to sign a union card? Any limitation whatsoever?
Hon. H. Bains: The rules that apply, going forward — on how the memberships are signed, what process the union uses and how many authorized people have to sign — are the same as they were in 2005 and 2010, under the previous government. That part was not changed. There’s a prohibition, under the code, of undue pressure by anyone. Also, members have the right to revoke their membership, and no one will know anything about it. So there are checks and balances.
It is interesting, coming from this member, to be somehow questioning the skills and abilities of union organizers and union officials. I would ask him to stand up and maybe make similar comments about the management side, whether they must have certain degrees in order to be a supervisor.
I’d like to hear that, because it is the union’s internal matter, and they decide who is the best person to represent the members of theirs. They decide who is the best person to deal with the health and safety issues of the members, and they decide who’s the best to engage in collective bargaining on their members’ behalf.
They have specialized people to deal with WCB issues. They have specialized people to deal with organizing and negotiating a first collective agreement. There is a ton of training that goes behind it. For the member to question somehow that the union officials are not fully trained or don’t know what they’re doing is reprehensible.
I’m not surprised it’s coming from a member from the B.C. Liberal Party, because they never stood on the side of the workers. They hate unions. Every opportunity they get, they berate them and insult them all the time — every opportunity they get. The only time they talk about workers is when they are trampling on their rights. The history is clear.
A Voice: Absolutely wrong.
Hon. H. Bains: This is the member, for his education, of the party that believed that 12-year-olds could work in sawmills, in dangerous jobs, and they were cited by international labour organizations, United Nations, for not acting on that. That is a fact.
How they rip up collective agreements is a fact. And the member talking about wrong, that is a fact. So anyway, I have answered the question.
Interjections.
The Chair: Hold on a sec. As much as I like it getting spicy in here, I do have to advise people, or advise both the minister and members, that we should keep debate relevant to clause 4.
G. Kyllo: Thank you, hon. Chair. I will say that the minister’s response was a gross misconception of what I said. My questions and query had nothing to do with the education or skill set of union organizers or agents.
My question was very general. Are there any requirements for any individual in B.C. to present a membership card before a worker? The answer is no. There’s nothing set out in the current labour code that provides even the most basic level of requirement. Anybody can present a union card in front of a member for signature. It is not solely an agent.
I think if it was only solely an agent of a union, then that would be a much easier conversation. But the labour code does not provide any requirement for any education level. A 12-year-old could present a membership card in front of a worker. Anybody. There’s no requirement — a worker, a fellow worker, a worker from another organization. Any individual can present a membership card and try and encourage a worker to sign. That was the context of my question.
I did not say anything negative towards any union organization or any workers or management within those organizations, so I take great offence at the minister grandstanding and trying to disparage my character and my comments, because I said nothing of it. I encourage the minister to go back and read my comments in Hansard. I said nothing in any way, shape or form that disparages union organizers.
In second reading debate, I shared with this minister that my dad, who’s been gone now 25 years, was a member of the carpenters union. Worked on the Revelstoke dam. It was a great project. It put food on our table. Moved us from Taylor, B.C. all the way down to Sicamous in 1978.
This is not about union versus non-union. This is about the rights of workers. As workers….
The minister referenced 2005 and 2010. What’s different between 2005 and 2010 is that workers were provided that secondary opportunity for that sobering second thought to make their final choice in secret. That is being taken away from this legislation, which puts a whole new level of burden and responsibility on this minister to ensure that the card check process has some rigour behind it. That is the reason with which I’m asking these questions of the minister today, to have an understanding.
What does card check look like? Who can present these cards? Nobody presents a card in front of a worker to discourage them from signing it. Anybody that approaches a worker is encouraging them to sign. “Hey, Ted, you’re a great guy. You should join the cause. Sign this card.”
What I’m trying to understand is what level of education, what level of knowledge, what burden of responsibility has the labour board, in any way, set out for those individuals? We’ve talked about how if you want to sell a beer to a customer in a bar, you have to at least take a Serving It Right course. There has to be a minimum level of educational awareness. So on the potential impacts, pros or cons, let’s just go to a bar, because of the positive effects. But there are also some negatives. I’m just trying to have an understanding of what level of training or educational requirement is on anybody that presents that union card.
I agree. There are probably lots of benefits that could come from signing a union card. But there are also many rights of the worker that are diminished. And we can parlay back and forth on ideological views on which is more advantageous to the worker, or not, but it is a change. In signing a union membership card, a worker no longer has the right to go and talk to the boss or the upper management of a company asking for extra time off or an increase in pay or a change in hours to maybe better accommodate their real-world experience with child care and whatever it may be. And that’s important.
I think it’s also important for that individual who presents that membership card in front of the worker that they at least have an understanding of the labour code, labour laws, and are able to provide both sides of the equation. But that does not exist.
Previously, when there was that opportunity for a worker to make that decision in secret, that final decision…. Fair enough, there maybe wasn’t the same requirement for that rigour around the signing of a membership card. But with that democratic right being stripped away, it puts a whole new impetus of responsibility on government and the labour board to ensure that when those membership cards are put forward before a worker, that individual presenting that information is well informed, is going to be honest and truthful in providing both sides of the equation, both the pros and the cons.
It’s apparent that this government does not feel that there’s any requirement. So my comment, which the minister confirmed, is that any individual can present a union card before a worker and encourage them to sign. There are no limitations on how many.
Now, the minister did indicate that every individual in B.C. should not be put under undue pressure. Or maybe “influence” was the comment from the minister. But there’s no limitation. So when the minister talks about the rigour around membership sign-up and the reliance on card check, there is no rigour. There’s no rigour around the training of the individual presenting that membership card. There’s no rigour around how many.
Any individual could probably carry around ten or 15 membership cards in their pocket, present them. Maybe that brings another question to the minister. Is there any oversight of the labour board in determining how many membership cards are created for presentation to workers with respect to a specific union certification drive?
Hon. H. Bains: We’re talking about clause 4, and there’s nothing in here that the member is relating his questions to. The system of signing membership cards by unions, presenting them to the board, the board’s responsibility to ensure that everything was done within the law and the code is not being changed. We’re not talking about that part. It was there before. It is here today. It will continue on. We have no intention of changing that.
G. Kyllo: I’ll take it from the minister’s non-answer that there’s no registration or, I guess, documentation of how many membership cards might be out there at any given time being presented to workers. I would also surmise, and certainly the minister can correct me if I’m wrong, there’s likely also no registry. The labour board does not maintain any register of those individuals that are actually authorized or in any way have sufficient educational training to properly educate members in presenting them with a membership certificate.
There’s nothing that the labour board currently does to in any way monitor those that might be presenting membership cards before workers or in any way track or monitor how many membership certificates may be given out. It’s left fully open to the union organization. Again, the minister can correct me if I’m wrong, but a membership could print out 1,000 application forms. There’s no requirement for any educational awareness. It could be done by workers or agents of the union. Could be anybody — no restrictions, no requirement whatsoever.
Hon. H. Bains: The board is an independent statutory body. They apply the law — the labour code and the regulations. They work within those. They make sure that the employer and the workers follow those laws. We’re not changing any of that. That process was there under the previous government. That process is still there, and it will continue on. That part is not here for debate. We’re not changing any of that. We’re talking about section 4, so I’m requesting that we get back to section 4.
The Chair: I’m just going to, once again, caution all members and the minister not to let section 4 debate here get too stale and to avoid repetition.
G. Kyllo: Absolutely, and thank you for your sage advice, hon. Chair.
You know, I’ve said before that moving away from the two-step process to the single-step process puts an additional impetus and requirement and responsibility with respect to, I think. British Columbians fully understanding the rigour…. That’s not my term, but that’s the term that the minister shared — that there’s a lot of rigour behind the process for the card check system. I’m just trying to flush and better understand what rigour the minister may have been referring to.
When it comes to the educational training or awareness of those who might present membership certificates, there’s zero rigour. With respect to determining who is actually eligible or able to present, there’s no rigour. I appreciate your enabling me to ask these questions, as I have some further inquiry around the rigour that the minister had referred to, because so far, I’m seeing none.
Can the minister share with this House what level of work the labour board has undertaken as far as increasing the educational awareness of either employees, employers or union organizations around best practices on the best manner with which to properly inform workers of their rights in obtaining or encouraging members to sign a membership application?
[R. Leonard in the chair.]
Hon. H. Bains: All of the information that the member is asking for is on the board’s website, I’m advised. They do issue guidelines and informational bulletins. So if members choose to go on the website and look, that information is available.
Again, like I said, these would be appropriate questions for the board if the member wished to take the opportunity to have a briefing on that. They’re not part of the bill that we are debating. None of that is being changed. They update those guidelines and informational bulletins from time to time. So all that information is there. But we are debating section 4. The questions the member’s asking are not part of the bill.
G. Kyllo: I disagree with the minister’s comments that the rigour, which the minister referred to, around this whole card check process has great importance with respect to the removal of that second step, the secret ballot, as that is being stripped from workers. We’re now relying specifically and solely on this card check system. It’s, I think, really important for British Columbians, workers and employers to have a really good understanding of the rigour which goes around the process of obtaining membership cards from workers.
The minister has referenced that there apparently are some guiding documents or, I guess, informational pamphlets that are put out by the labour board. I haven’t seen them, but I’m assuming that those information circulars provide very important information, both for workers’ rights with respect to what their rights are around seeking membership and also likely some information around what would be a fair practice of employers and what would be unfair practice, as the minister certainly referenced many instances — he’s indicated — where there may be unlawful interactions or actions of employers.
As we look to having this dialogue in conversation around the rigour by which a worker is presented with a union card for membership application, is there any additional information that is required? Has the labour board set out even a minimum standard for an individual presenting a membership card to a worker? At the very minimum, not just collecting their name, date and signature, but there’s a requirement to, at the very least, provide any semblance of information with respect to the workers’ rights.
Hon. H. Bains: I answered this question. This is not up for debate here. The bill does not talk about changing the process of what the labour board does in satisfying themselves on how the membership cards were signed, whether there is sufficient membership in that unit and having support for the union. So all that is not being changed. Those are the practices that the board has adopted over a number of years. They continue to work within the labour code and the regulations.
I have answered this question numerous times now.
The Chair: On clause 4, if you can ask a different question.
G. Kyllo: Thank you, hon. Chair. I always appreciate your sage advice.
Again, I differ with the minister. Moving away from the secret ballot to solely relying upon the card check puts an additional level of scrutiny responsibility on government to ensure that that process has the rigour which the minister referenced.
I’d again suggest — and certainly be happy to be corrected by the minister if he believes otherwise — that from his non-answer, the labour board has not indicated any requirement to provide any information to a member, in being encouraged to sign a membership application form.
Does the minister feel that workers that are being encouraged to join a union, to sign a membership card, should, at the very least, be provided with the most basic information with respect to the rights that they have, the additional rights that they will gain, as well as some of the rights and opportunities that they will be giving away to the union organization that they are seeking to have represent them?
Hon. H. Bains: Chair, I have answered this question before, but let me say this. I respect the workers’ intelligence level and workers’ wisdom when they are making those decisions. They are fully capable of making those decisions. They are much more intelligent than the member would like to give them credit for. They make those decisions themselves. They ask those questions.
I will not second-guess a worker’s right to exercise their right to association. They ask all those appropriate questions, and if they’re not satisfied with the answers, they will choose not to sign that membership card. Once they are satisfied, they will sign that card, and then, if the union has sufficient numbers to support that unit, then they will make that application to the board. It is the workers’ right. They are fully capable of making those intelligent decisions on what is good for them, what is not good for them. They know full well.
I have answered this question a number of times, and it has nothing to do with the clause before us. That process continues to be how the memberships were signed — whether it’s a two-step or a single step. That process continues on. It is not being changed.
G. Kyllo: Thank you to the minister for his response.
The minister referenced the intelligence level of a worker, and I have no reason to doubt the intelligence level of workers. But the minister indicated and shared with this House that if the worker asks questions of the individual presenting them with that membership application form, I think it’s important that at least somebody has the understanding that the individual that is presenting and encouraging the signature or sign-up for that membership form has some level of training or knowledge and in any way, shape, or form has the ability to even answer those questions.
That requirement doesn’t exist, because anyone can present a membership card, put it before a member and encourage them to sign.
The worker could ask a whole barrage of questions, and I’m sure that the individual presenting that membership card before them and encouraging them to sign likely has all kinds of answers. The validity, truthfulness or accuracy of those answers — who knows? The labour board and this minister have not undertaken the smallest effort to ensure that an individual presenting a membership card before a worker has any level of training whatsoever. That’s troubling.
Is there any requirement, for an individual that’s seeking to encourage members to sign a membership form, to make their efforts known to the employer?
Hon. H. Bains: No. Once the union has decided if the threshold is met, they’d make an application to the board. Then the board would advise the employer. There are certain requirements of the employer to do certain things after the board receives the application for certification. Then the board will ensure that both parties follow through those rules.
G. Kyllo: I appreciate the answer from the minister. Has the labour board or the ministry either already created or contemplated any rules, guidelines or best practices that would be presented or made available to union organizers or individuals that may be presenting, seeking and encouraging workers to sign memberships with a specific union?
Hon. H. Bains: Again, that is not part of the bill, on the question that is being asked.
But there are guidelines that the board follows. For example, the board may reject membership cards if it decides that the card doesn’t reflect the true wishes of the employee — for example, if there were fraudulent or illegal organizing tactics, if the card were signed due to coercion or intimidation, or if misrepresentations were made which rendered the card conditional or equivocal.
Those are decisions that are made by the board, and those parts are not being changed. That information is available from the board. If anyone would like to take it upon themselves to reach out to the board, there’s an informational officer, I’m advised, at the board. They can provide all that information. I’d encourage the member, rather than taking up so much time of this House, to perhaps pick up a phone and talk to the informational officer, and they will give you all that information. It’s available.
G. Kyllo: Can the minister share with this House…? Is there any regulation or requirement that an individual presenting a union card and encouraging a worker to sign a union card show any form of identification, clearly identifying what their name is, who they represent, who they’re employed by or otherwise?
Hon. H. Bains: I read some of the guidelines that the board follows when it comes to certifying whether the membership cards were signed under the law and under the regulations. That’s as far as I know. Again, we are venturing into an area that is not up for debate here. It’s not part of the bill.
Those are the practices of the board. Those are their operational issues under the code and the regulations, and what we are talking about is changing two-step certification to single-step certification, under clause 4.
G. Kyllo: Again, by the minister’s non-answer, I’m assuming that there is no requirement. So for an individual presenting and encouraging a worker to sign a union card, not only is there no educational requirement or training required, no registration with the labour board; they don’t even have to show their identification. They don’t even have to divulge who they are or who they’re employed by or what their remuneration is.
That doesn’t sound like a lot of rigour behind the system or the process. As I think about the apparent lack of any rigour whatsoever associated with the labour board’s overview — or initiative or desire in any way, shape or form to manage or even understand who is presenting these membership cards to workers and encouraging them to sign up — it absolutely is dumbfounding to me that this would exist.
I guess when workers, at the end of the day, were provided with that sobering second thought, that opportunity to have their ultimate decision made in secret…. Maybe when that was there, that provided enough comfort that maybe — hey, lookit — if there are things that are said or things that are presented to workers that may not be entirely accurate, at the end of the day, the employer is going to have an opportunity to speak to those employees, and the employees are going to be able to sit down and make their final decision.
With that right being taken away, I certainly would believe that most British Columbians and even workers in the province would think: “Jeez, if I’m losing that ability to make that decision in secret and relying solely on the information that’s presented to me by individuals that have no training, are not registered with the labour board, with no tracking of what was said or not said, that’s surprising.” And they don’t even have to disclose who they are — no requirement — or even show any ID in any way, shape or form identifying who that individual is.
So the rigour by which the minister alluded to yesterday and again earlier today does not exist, or I’m certainly not seeing any evidence of it in existence.
If you even sign up for a credit card, there’s a requirement that they can’t just collect your signature. They have to give you all the rules and regulations. You rent a car, and you even have to sign off on each line: do you clearly understand all the different rules and regulations?
But to not even have the labour board feel that “Hmm…” In encouraging that member to sign a union card — at the very least, some general information to be provided to that worker that clearly articulates the regulation, gives direction to a website where they could find further information to better educate themselves around what it truly means. But none of that exists.
Is the minister able to share with this House if there are any repercussions, should it be determined that a union organizer or an individual that may not even be a member of the union, may not work for the union, but any individual that presents a union card for signature in front of a member…? If there is any information that’s communicated verbally with that individual and if that information is incorrect, are there any repercussions with respect to that?
How would, I guess, the labour board know or make any determination with respect to who provided the information, accurate or inaccurate?
Maybe, actually, a better question might be: is there, at the very least, a requirement that the individual presenting the membership form to the employee also has to write down their name and sign the card so at least in the future, if the labour board wanted to maybe have an inquiry with respect to what was said to the member at the time the card was presented…? Is there even a requirement for that individual to put their name, address, signature or otherwise on that membership application form?
Hon. H. Bains: I will read the board process one more time, and then we could hopefully get back to clause 4, what the board does. The board may reject membership cards if it decides the card doesn’t reflect the true wishes of the employee. For example, if there were fraudulent or illegal organizing tactics, the card was signed due to coercion or intimidation, or misrepresentations were made which renders the card conditional or equivocal. If the rejected membership card means a threshold is not met, the board may dismiss the application.
The rigour and the process to determine the legitimacy and whether the laws were followed rests within the board. They do this on an ongoing basis. That part is not being changed. That is not up for debate here.
We are debating section 4, which says if “the board receives an application for certification under this Part at least 55% of the employees in the unit are members in good standing of the trade union….” Then it goes on to say the other requirement, that if “the unit is appropriate for the collective bargaining, the board must certify the trade union as the bargaining agent for the employees in the unit.”
The Chair: Okay. I’m just going to suggest that we try to refrain from repetition so that we can move on with the business at hand.
G. Kyllo: Thank you, Madam Chair. I certainly appreciate your guidance.
One more time, the question I posed was: is there a requirement for the union organizer or any individual in presenting and encouraging a worker to sign a membership application form…?
Is there a requirement currently for that individual, who is presenting and encouraging the signing of this membership form to a worker, to put their name, address, phone number, signature or otherwise? Is there any requirement for that individual that is making that case and presenting that argument to the worker…? Is there any requirement for that individual’s name to be captured, recorded, either on the actual membership application form or otherwise? Is there a legislative requirement or a regulatory requirement for that individual to at least put down their truthful and actual name on that application form?
The importance of this question is that it appears that the onus of responsibility would fall back to the employee. If the employee feels that he was somehow…. If information presented to him was inaccurate, I think it’d be pretty important for that employee to be able to go back to the card and say: “Okay, well, yeah. It was Ted Smith. That was the individual that made these comments to me” on such-and-such date.
I’m hoping that the minister would be able to clarify, at the very least, at the very minimum, that the name of the individual presenting that membership card and encouraging that member to sign and join the union is a requirement — for that name and the address of the individual to be captured on that card.
Hon. H. Bains: I’ve already answered that question.
G. Kyllo: Well, yet another non-answer from the minister, so I’m assuming that there is not a requirement. So no level of training, no restriction on how many people are out there running around with membership cards trying to encourage members to sign, no requirement to disclose your name, no requirement to disclose who you’re working for, no requirement to disclose if you’re being paid a bonus or a signing bonus or any form of remuneration for encouraging this individual to sign the card, no requirement to actually state and identify the name of the individual, their address, phone number.
It’s interesting that the minister indicates that the board has the opportunity, and the member, to potentially bring forward the concern that “Hey, I maybe wasn’t told all of the goods.” Or who knows what this individual, this union organizer or otherwise, might have said? How is the worker, two or three months down the road, enabled in any way, shape or form to even be able to make the case when there’s no record of who even presented that membership certificate before them?
It’s an impossibility. The onus or responsibility is taken away from the union organizer and fully placed entirely, 100 percent, on the back of the worker. That’s unfair. That’s unjust. Under no other instance in society would government deem that that was acceptable.
Again, it’s disappointing to see this lack of rigour that goes into the system. There’s no requirement for identifying who they are. There’s no requirement for identifying either on the union card or even for the union to be able to identify and track.
I’m assuming that a membership card arrives at the union office. The union organizers will assemble all of those cards for submission to the labour board. Is there at least, at a minimum, maybe the requirement that the union submitting those cards for determination by the labour board to meet the requirement for this card check, this single-step process? Is there a requirement, under either the legislation or the regulation, that the union presenting those cards identify who was responsible for presenting each of those individual membership cards before the worker in order to encourage them to join a union?
Hon. H. Bains: I’ve already answered that question. I have repeatedly brought to the House’s attention the process that the board goes through. None of that is being changed, and I have no intention of changing that. Bill 10 doesn’t talk about changing that process.
The Chair: On clause 4, if there’s a new line of questioning, I think that this House would really appreciate it.
G. Kyllo: Absolutely, hon. Chair, and thank you for your guidance.
I’ve got a lengthy list of additional questions that I’m hoping the minister can answer, in his defense of the rigour that is currently behind this process of card check, of union membership sign-up. I’m hoping there may be some, but again, with all due respect to the minister, from his non-answer, I can only guess that there is no requirement for a union in submitting these certification or membership cards to the labour board for consideration…. There’s no requirement for the union, in any way, shape or form, to identify who specifically presented that membership card before the worker, encouraging them to sign up.
I think that those that might be listening from home would start to surmise that it’d be almost impossible, almost virtually impossible, for a worker who has signed a membership form to in any way, shape or form after the fact raise any concerns with respect to what was said, because they don’t even know who sent it.
There’s no requirement. No requirement, either, for the individual to present themselves to say, “Lookit, I’m Ted Smith. I live at such-and-such address. I’m employed by X union. I’m getting paid X number of dollars, in order to encourage you to sign a membership card.” Who knows? I’m assuming that there are probably no restrictions around the remuneration paid to that worker or representative of the union, or otherwise, that might want to present that union card before a worker for sign-up.
I think as we talk about the rigour around this card-check system, which the minister referenced, it’s important for British Columbians to have a better understanding of what that actually looks like. Are there any limitations whatsoever either in the legislation or the labour code that in any way restricts the amount of money that could be paid by a union to a union organizer or a third party in order to encourage a membership card to be signed?
The Chair: Member, if you could make sure that your questions and comments relate to clause 4, please.
G. Kyllo: Thank you, hon. Chair. They most definitely do pertain to clause 4, which is all about card check. It’s the rigour around card check.
Because the legislation before us is taking away the right of workers to make that final, sobering second thought, that secret ballot decision with respect to union certification. There’s no opportunity, with a single-step process, for that worker. Once they’ve signed the card, it’s in. And it won’t be until after potential certification that a worker would be in any position to start asking additional questions, because they’re losing that right.
They’re being stripped of that right to make a subsequent decision in secret — that sobering second thought, so to speak. The rigour under which these cards or these membership certificates are presented to the workers has huge, increasing amounts of responsibility.
Again, it was the minister that spoke about this high level of rigour around the card-check process. I am, sadly, yet to see any of that being evidenced through my inquiry of the minister.
Are there any restrictions whatsoever with respect to how much money a union could pay a worker in the presentation…?
The Chair: Member, on clause 4, please.
G. Kyllo: Absolutely. Thank you, hon. Chair. I appreciate that.
Is there any restriction with respect to the amount of money that could be paid to a union organizer in encouraging that member to actually sign a membership card?
The Chair: Member, next question.
G. Kyllo: Thank you, hon. Chair. Again, hearing no response from the minister, I can only assume that there are no restrictions.
Unions are big business. I know they are there largely to represent workers’ rights, but it’s big business. Business development is about encouraging and building the unions — more workers, more money paid in dues and more money to help support pension plans.
That’s a very, very important endeavour. I don’t, in any way, shape or form, deny it, but I think it’s also important for British Columbians to have an understanding about the rigour by which the minister, the government and the labour board regulate or manage or monitor how those memberships are obtained — the amount of money that might be paid to an individual for obtaining that signature on a membership card — but apparently there is none.
Government certainly spoke a lot about taking big money out of politics, and there was lots of conversation about that in 2017, yet here, apparently, there’s no limitation whatsoever around the remuneration paid to union workers or third-party contractors in order to encourage and entice workers to join and sign membership cards.
Is the minister able to share what a membership card might look like and the amount of information that’s required? The minister had read into the record earlier that apparently since 1993, there’s a requirement for an actual disclaimer or disclosure with respect to identifying, when the worker signs that membership application form, what that signature actually entitles the union organization to undertake on their behalf. I’ve been provided with copies of a few different membership certificates. Unfortunately, I don’t know the dates, so I’m not sure how valid or current any of these are.
Can the minister share with us, and maybe even just kind of explain, what the membership card might look like? What information at an absolute must be included on that card?
Hon. H. Bains: Madam Chair, I have answered that question. I have read into the record what is required of the member when they are signing their membership and what information is needed on that card.
The Chair: All right, Member, just noting that we seem to be entering a repetitious state here, it would be helpful if you could move on to a new line of questioning so that we could move forward on this bill…
G. Kyllo: Thank you very much, hon. Chair.
The Chair: …and I’m hoping that you’re listening to what I said.
G. Kyllo: Absolutely. I think I have just asked, yet again, a different question. The question was, specifically: what information is required on that card?
The minister has shared that at the bare minimum, I think, the requirement is for a date; for the name of the employee or the worker; and the name of the union. We’ve been able to identify that for the individual, the representative of the union or the third party that’s presenting and making that encouraging case to the member in order to obtain a signature, there’s no requirement for that information to be obtained or collected either on the card or even disclosed to the labour board.
With respect to the specific membership application, I know that previously under section 3 we had some fairly lengthy back-and-forth in dialogue around the union and the bargaining unit. The minister had indicated that there’s not a requirement to identify the name of the company by which the membership is being obtained or that the membership application form is only specific to the union by which they are seeking membership, and that it would not contain the name of the facility or company that an employee is currently employed at.
I just want to make sure that I’m correct in that understanding that the name of the company that the worker might work at is not captured on that membership application form.
Hon. H. Bains: We canvassed this particular question under section 3 numerous times. I read, for the record, the information required on the application card and what the bare minimum is. That’s the requirement under regulation. I read it many times. The member is continuing to repeat the same question over and over again, and the answer is already there. All you have to do is to read Hansard.
G. Kyllo: Thank you to the minister. I do appreciate your patience as we work through this lengthy list, but these are important questions. I think it’s important that we get these questions and the minister’s answers — or non-answers — on the public record.
I asked a question with respect to remuneration or payment that might be made to union representatives or third parties that might encourage workers to sign cards. Are there any restrictions, guidelines or regulations around what union organizers can do? What activities could they undertake in order to encourage a member to sign a membership application form?
I’m just thinking: is there the ability for them to take a worker out for lunch, take them out for drinks or take them golfing? Are there any restrictions around those activities that might be perceived as encouragement, enticement or maybe even coercion around signing a membership application form?
Hon. H. Bains: I hope that the Chair is monitoring the line of questioning and the repetition of the questions. For the benefit of the many people who have joined us or who are watching now: one more time, I will again read, into the record, the requirement of the board. When they are examining the application for certification, this is what the board policy is.
The board may also reject membership cards if it decides the card doesn’t reflect the true wishes of the employee — for example, if there were fraudulent or illegal organizing tactics, if the card was signed due to coercion or intimidation, or if misrepresentations were made which render the card conditional or equivocal. If the rejected membership card means that the threshold is not met, the board may dismiss the application.
I don’t know how many more times I have to read this into the record again. Obviously, either the member is not paying attention or he has already made up his mind for the next question — which is the same, over and over again. We have canvassed this particular question so many times.
I request the Chair to draw the member to clause 4.
The Chair: Members, I think that everyone could use a little bit of a break at this point, so I’m going to call a recess for 7½ minutes.
The committee recessed from 3:46 p.m. to 3:55 p.m.
[R. Leonard in the chair.]
The Chair: I call the committee on Bill 10 back to order, and I will ask the minister to move the motion.
Hon. H. Bains: I move that the committee rise, report progress and ask leave to sit again.
Motion approved.
The committee rose at 3:56 p.m.
PROCEEDINGS IN THE
BIRCH ROOM
Committee of Supply
ESTIMATES: MINISTRY OF HEALTH
(continued)
The House in Committee of Supply (Section C); B. Bailey in the chair.
The committee met at 1:37 p.m.
On Vote 32: ministry operations, $25,308,645,000 (continued).
S. Bond: Good afternoon to the Chair and also to the minister and his staff.
We’re going to pick up where we left off earlier this morning. In thinking through the discussion we had about the health human resources strategy, I guess the question I have is…. We talked about who’d been consulted and what lenses had been applied. We’re now told that we still have to wait until September for the release of the report.
My question is: why is that, when, in fact, there are growing and increasing concerns about the health care system and an erosion of confidence? Why wouldn’t the government want to release the health human resources strategy as quickly as possible to try to mitigate some of those concerns?
Hon. A. Dix: I think, as we discussed before lunch, what’s required is the strategy, of course, but also the actions. I listed off, before lunch, a little bit, some of those actions, 25 of those actions that we’ve already put in place up to this point.
Those include, most recently, the expansion of nursing spaces to 602 new nursing spaces, a change in internationally educated nurses coming up soon, spaces — this is the training component of it — around the health sciences profession, the massive increase in training for health care assistants and of health care workers and all of the other actions that have been taken that take part in this plan.
We saw the need for that, and we’re taking immediate action. Even though they’re part of a strategy we’re laying out later, we’re not waiting for the strategy to take the action.
In addition to that, due to the COVID-19 pandemic, which has been transformative for health and health human resources, we’ve had to stand up measures that ordinarily you wouldn’t have expected to do during that period: the first and then the second number of contact tracers, which was about 1,500 across the system; the significant challenge to health care capacity, which was the vaccination campaign that’s now come to include, of course, pharmacists across British Columbia; and all of the other steps that have been taken, particularly in long-term care and in building out health professions.
These have been massive, unprecedented steps to improve the quality of the work for health care workers, the repatriation in some sectors, the levelling-up of wages across the long-term-care sector that affected both public and contacted providers — all of those steps have been taken. We have not been waiting. Quite the contrary. These are significant steps that have been taken and will continue to be taken. The strategy, when it’s laid out, will include those steps and others that will be taken after that point.
In terms of what we’re going to do and how we’re going to implement it, we’ll obviously have a coordination centre. The member has made a strong case, which I agree with, for a regular metric so we can judge progress as we go forward. The reason why we’re going forward in this way is because of the COVID-19 pandemic, I think, which delayed us; the significant efforts that were made in that pandemic; the immediate health human resources urgency of taking action. I think we all saw that action occurring. That didn’t stop all of the measures we’re taking and will continue to take that are necessary.
As I noted earlier, in order to do surgical renewal, it wasn’t a matter of just providing the money. We had to train up and increase our capacity of anesthesiologists, our capacity of medical instrument technicians, our capacity of surgical nurses. We saw those in the past year. A net increase of 299 surgical nurses involves a lot of training, a lot of effort and a lot of work by everyone in order to meet the goals with that surgical renewal plan.
That’s what we’ve been doing. It’s about taking action. Taking action has not been delayed by the delay in introducing the overall strategy. That’s going to be, we would expect, September. I think that will be very helpful. But that’s not going to stop us from — in May, June, July and August — taking actions that are necessary. There is urgency to this, and urgency not just in the immediate — what’s facing us in acute care, for example, right now. But immediate in terms of…. You can’t afford, when you’re training people who take a long time to train, to delay further.
That’s the reason we’ve taken those immediate actions. That’s why the plan, which I had said straightforwardly — I think we had this discussion before lunch — would be available in the fall of 2021 will be available around September 2022.
S. Bond: Thank you to the minister for that response.
I guess I simply want an answer on the record that says that basically, while the health human resources plan will include all of the things the minister has listed that are in place currently or have been announced, there is a forward-looking plan. If there is not, there is a sense of desperation in the system today. Simply saying, “We’ve announced it. We’ve done it. We’re going to include it. We’re going to roll it up, and we’re going to roll it out,” is not enough.
The minister has, in a different venue, said clearly that we need to do more. I just want the minister to confirm that there will be more to deal with the emerging crisis we have in the health care system.
Hon. A. Dix: More in two ways. When announcing the 602 spaces, it doesn’t have immediate impact in and of itself. Those 602 spaces filled with future nursing professionals — that has an impact. Depending on the length of that training — it’s different for LPNs and RNs and nurse practitioners, and so on — it will be immediate over the next couple of years.
You’ve got to do it now. The impact of that on the health care system will be some time from now. That’s continuing, just as increasing the number of residency positions has a more immediate impact than new, say, medical school positions. Of course, you’re already at a point, when you’re getting to a residency position…. That will have an impact too.
The sooner you begin, the sooner you see the impact. Then you have to sustain that over time. It’s one thing to say you’re having those spaces. When we announced the HCAP program, which is really significant in long-term care and had an enormous effect in the last year…. Announcing that, saying we could do the numbers, doesn’t get you the numbers. You have to have the bursaries in place, and they have been. You have to have the relationships with the providers. You have to get it done.
In other words, the announcement of the plan…. The member, the former minister, knows this, having announced plans — that implementation, obviously, is a huge challenge, always. So the plan will include those elements that are forward-looking and include other elements, of course.
Also, when you’re making these decisions…. I think the decision around the repatriation of contracts, for example, is an important health human resources question, because if we were going to treat people with substandard wages in a whole sector of people, are you going to recruit more people to clean our hospitals and provide food in our hospitals at a high-quality rate? You’re not going to be able to do that. So the impact of that would be felt, especially, over time.
There will be benefits to existing workers in terms of their retention and being in those positions, but over time, your ability to recruit to all those necessary positions…. That’s why you have a plan, which is to do that and then to build on it. It may be necessary to have more than 602 spaces — right? — but those are the ones that we’ve created that can be staffed and filled and go forward with now. That’s the nature of the plan.
The reason we’ve proceeded with HCAP and repatriation and levelling up, which was COVID-related, and the nurses’ announcement and the IEN announcement, is to have an impact. Some of them — it’s immediate. But most of the impact will be felt a year, two years, three years from now. But if we don’t do it now, then we’re going to be worse off a year, two years or three years from now.
S. Bond: I’ve decided to take a bit more time on the health human resources strategy, despite the pages of questions I have, because it is critical to the entire system and to making sure that British Columbians have high-quality health care whenever and wherever they need it. So I appreciate that.
As I understand it, then, it will be more than a compilation of what has been announced, although some of those initiatives are longer term in the making — that there will be a forward-looking strategy that says: “We have a problem, and we need to think about it not just now but in the future.”
I want to focus in for a minute or two on recruitment and retention. The minister and I walked through what was, arguably, an agreement in terms of the kinds of components that need to be in the strategy, and he and I pretty much aligned on what we thought should be in it. But I wanted to reflect on a couple of things that the minister said earlier. One of those things is that it’s a big province, and it’s not one-size-fits-all. There are very different circumstances. It would be very unfortunate if there was a one-size-fits-all solution to what people are facing.
I’m wondering. Will the plan lay out specific targets, recruitment strategies, retention plans based on geography, based on some of the other demographics that exist? Some communities have a higher First Nations population — those kinds of things. How specific and targeted will the plan be, and will it reflect the diversity of our province?
Hon. A. Dix: Yeah, I think any such plan would need to do that. In fact, the measures that we have in place do that now. There are specific needs in the North — we may have an opportunity to talk about those — that are specific, and it’s felt differently. I mean, it’s one thing to say Surrey lost a family doctor and Vanderhoof lost a family doctor. The impact on Vanderhoof, where there are fewer family doctors — the loss of a single family doctor is more significant. So the individual impact of those changes is very different.
That’s true of health sciences professionals or even health care workers. We see that. So those, I think, require differing measures in different places. The previous government had some of this, and we’ve had this.
Let me give you a very practical example — you’ll see — that we have to look at: practice-ready assessments of doctors who come here with return of service. Of 32 positions now, 16 are basically rural remote, and 16 are sort of in the new area, really, of…. You could describe it as suburban. They met specific needs.
We don’t use that program with return of service to address Vancouver and Surrey, or even downtown Victoria. We use that to address the health care needs — we hope in the long term, because we hope people will stay, but in the immediate — of smaller communities.
The question in looking at that program: if you wanted to expand it, and in theory you would, then where and what focus would that program have? It started off primarily as a rural and remote program, and now we see demands for doctors in different places where it might suit other areas as well. That’s an example of a particular program we need to see that in.
Secondly, I just think, generally, that we continue to have to decentralize, if we want to do what I want to do, which is decentralize some of the care that we provide in our province, particularly around things such as cancer. Then we have to add to our ability to train people in Nanaimo, in Kamloops, in Fort St. John and in Prince George, serving smaller communities — and in Terrace, and so on. We need to do that.
I think what you’re seeing, in terms of population, in terms of patterns, for example, of internationally educated health professionals, there is still a movement — which benefits B.C. on the whole, as compared to, say, Saskatchewan or Manitoba — of people going to major urban centres. We need doctors, nurses and health care workers in major urban centres, without any question.
I think, increasingly, we’re going to need to have specific plans for different areas of the province. Even within health authorities…. I know the member knows this, but in most parts of the north, Prince George is viewed as the centralizing force in lots of parts of the north. It’s the big city, and they have the programs and the major hospitals and the university, and so on.
We have to have a program, therefore, that’s flexible and that meets those needs. We also see it…. We talked about the demographic analysis. We’ve seen, in a lot of communities in B.C., relative decline of the adult-age population, which is the population of caregivers, and a relative aging of the population.
So we have to take steps, including what I talked about before lunch, which is the recruitment of many, many more Indigenous health care workers, both as workers and as leaders in the system, to make that happen as well.
That’s a long way of saying yes.
S. Bond: I would certainly agree, although I would probably say that losing a family doctor anywhere today is an incredibly difficult situation, and it’s happening more frequently. We’re going to talk about doctors later.
I do want to talk about, though…. I’m appreciative of the fact that the minister…. I know he knows the province well and knows that the situation is different in different parts of the province. So I will look forward to seeing a plan that looks and respects geography and diversity and very different demographics. That’s going to be critical to the future planning process.
I want to just make sure that when we look at the plan that’s going to be presented, and look at recruitment and retention — recruitment, in particular — has the ministry and all of its partners done modelling to be able to understand what our needs are in five years, in ten years? Has that modelling been done? We had a conversation this morning about, “Well, there are factors we don’t know,” and one of the biggest factors is how many health care professionals are going to leave the profession before then. There is probably going to be a significant number of them, unless we sort out the retention issues at the moment.
Has there been five- and ten-year modelling done so that the plan looks out that far?
Hon. A. Dix: In a general sense, just to give a sense of what it is when you say 14 percent…. What does 14 percent mean in the public system — 222,000. We’ve gone from 184,000 to 222,000 in the last three years. We’re at 222,000 now.
The expectation that governs this — it’s a way of saying yes — is a further increase of 14 percent by 2030, if you look at the plan, basically in the next eight years. That is, 14 percent of 200,000 is 28,000 to 30,000 workers, in the rough sense, what we’re talking about.
It is, again, different in different areas, right? I think that what we’re seeing is a very significant increase in our population over 65, but more significantly, over 75 and over 85.
Those are the years when we consume — to use a terrible expression, I guess — or when we receive health care the most and we need health care the most. So those are the kinds of factors that are considered. So that’s net. That’s not 30,000 workers. That 30,000 net is what we’d expect to meet the goals of the system. We had the net number in the last four years, but remember that 2030 is only eight years away. So those are significant increases across classes of health care workers.
You’ll see this, and we’ll no doubt have a discussion of this, perhaps Wednesday or Thursday, about the broad issue of cancer. There is a tendency, I think, to think of these things as problems. We have much higher survival rates for many cancers, and we have an aging population, so there’s going to be more age-related cancer. So if reasonably, by the mid-2030’s, we’re going to have 54 percent more people living with cancer, that would mean all the elements of cancer care are going to be adjusted for that.
So the answer is yes. We do those detailed analyses. They’re at the basis of them. We do them in with consultation with other key ministries — in particular, Advanced Education — to lay out what we need in this area.
I think as a society…. I’m not going to put a time frame on this. I mean all governments, over 25 years, have not met this test of training for health care, just in a general sense, and we’ve got to meet that. That’s why these increases are so important now, and to build consensus and public support for them, because the public, of course, will have to pay for them, but the public also will need and people will need the care provided. I think we need to do that. We need to do that in different regions.
So yes, it’s based on that kind of work that’s not done by us alone but by us and other ministries, and on the training side in particular, the Ministry of Health, in coordination with the Ministry of Advanced Education.
S. Bond: Thanks to the minister for that answer. I want to just explore recruitment for a moment from a different perspective, because it speaks to the need for the minister or the government to work together on recruitment of health care professionals.
Part of the challenge — the minister himself referenced it this morning — is housing. It is child care. It’s the whole issue of: is it affordable to live in British Columbia? For example, recently, the CEO of the health care foundation at Royal Inland Hospital said that they were reaching out to agencies across Canada to try to bring nurses to British Columbia.
Nurses sign up with agencies, saying that they’re willing to go to someplace in Canada — Kamloops, for example. Part of the problem is that there is no housing. They are having the most difficult time trying to find housing. So I’m wondering what strategies are in place with the Ministry of Health to actually find a way to work with municipalities, with other ministries…. If we’re going to recruit people, and nurses in particular, to British Columbia, they need a place to live. They need to make sure their children can be taken care of.
What kind of cross-ministry work is being done? What kind of work is being done with municipalities to deal with those issues?
Hon. A. Dix: I think these issues — child care and housing — are obviously central preoccupations of the government. There’s no need — I know the member is not asking me to do this — to sort of have the broader discussion of child care and the broader discussion of housing, but these are significant issues, and ones which the government is obviously making very significant investments on.
With respect to child care, just note that we recently announced major, significant child care spaces associated with a series of major projects that we’re doing across B.C. Those are child care spaces that have now become a significant part of all capital announcements. We just made an announcement around the children’s health centre, which is at Slocan Street in Vancouver. Associated with that announcement was a major expansion of child care spaces, both for the people working there and for the surrounding neighbourhood.
One of the challenges that health care workers have in particular is the affordability and availability challenges that the member has described but also the often-different shifts. A lot of child care is set up to support workers who work eight to four. We know in health care, any care home has three shifts of eight hours each, going around the clock. The child care requirements in health care are different.
Yes, this is a very significant part of what we do. The Northern Health Authority, in particular, has been given supports, as the member will know, for child care and housing, in part of the plan we put in place to assist in recruitment challenges in those communities. We are very much connected with support for the very dramatic expansion of child care that’s occurring in the province and the expansion of affordable housing in the province, which are key priorities not just for the government but for people in B.C.
Yes, there’s no question that the cost of things affects that. What is also affected, I would say to the member, in this past year, is there tends to be…. There’s a lot of interprovincial mobility towards British Columbia, relative to other jurisdictions, in the last year — but less than we’ve seen, because of COVID 19. People didn’t move as much.
This really affected less so the Northern Health Authority than the other health authorities. It really affected the Interior Health Authority, which generally gets many more new employees from other parts of Canada. That definitely affected it.
The child care question is one of the reasons why the minister responsible for child care is implementing a broad child care plan for all people in B.C., because it’s important, not just for health care workers but for everyone. There are some specific parts of health care that we support and include and present and are different for health care workers than for others.
On housing, the same thing. The issue of affordable housing is critical in recruiting people. You see that here in Victoria, for example. We’ve talked a lot about family practice doctors and those challenges.
In addition, I would say, in those parts of the health care system that are publicly funded but privately run, there are issues around commercial space, and the cost of commercial space, that are having a big impact as well, as the member will know. But we’ll have our discussion of primary care in a little bit.
S. Bond: I certainly wasn’t intending to have a discussion about government’s overarching housing strategy, but it is a recruitment tool. If we cannot find places for people to come and live and be cared for, they are simply not going to come.
There does need to be a targeted approach to it as well. I understand the need for British Columbians. We hear about it every day. What I am as equally concerned about is our ability to — for example, in Kamloops — bring nurses from, in fact, across the country. They can’t come because they can’t find any place to stay. That is a problem.
I want to recognize the great work that many municipalities do, in terms of stepping up to offer to partner. I can give you an example of one, and that would be the village council of Valemount. For example, they are prepared to invest in housing, because health care matters so much to the development and care of their community.
My point was: those are all tools that need to be linked together if we’re going to have any hope of making progress here.
I want to just spend a minute or two on…. Well, I want to demonstrate the respect that is necessary for nurses today. The minister would well know that hundreds of them gathered on the front lawn of the Legislature just a few minutes ago.
One of the significant concerns that they have is that up to one-third of nurses in British Columbia are considering leaving the profession. Up to 50 percent of ICU nurses are considering leaving the profession. While we’re busy creating a health human resources strategy to recruit and train and all of those things that are necessary, we are on the brink of losing trained, dedicated professionals because they simply can’t do this anymore.
Those stories are stories we’ve heard, we share. I’ll start with this question. What specifically is being done today…? I understand that we’re adding training spaces. We have health care professionals who need support in terms of their mental wellness. There are safety issues. There are staffing shortages. There is a deluge of overtime being used to try to keep our institutions up and running. What specifically can the minister say to nurses today that is being done to care for them?
From their perspective, it starts with respect. They feel disrespected. Now, I know that’s not the minister personally, because I’ve known him for years. But the reaction, the approach, leaves an impression that they can tell their worst nightmares, and they don’t register. That’s not acceptable.
We have a problem now. So I’d like to know what, specifically, is being done to deal with the major concerns about retention — mental wellness, physical wellness of nurses who are saying: “We’re done.”
Secondly, I’d like to know what happens when…. How does the minister and the ministry monitor what happens in the emergency rooms and hospitals across British Columbia? When nurses raise stories that say, “Last night our shift was less than 50 percent of the nursing complement that should be there,” is the minister made aware of it? What does the health authority do?
I don’t for a moment believe that nurses are going to exaggerate or create stories about the fact that there may be one nurse for nine patients. What is going on, on a daily basis, in terms of monitoring what’s happening in our hospitals, translating that into some sort of specific, definitive action?
The minister knows. Nurses are at the breaking point, along with other health care professionals. So maybe he can just walk me through it. What kind of monitoring goes on? What happens at the ministry level when they get the panic-stricken phone call from Royal Inland saying: “We’ve only got 50 percent of the nurses we need”?
That’s a here-and-now issue, so maybe the minister could speak to those issues.
Hon. A. Dix: First of all, I think I had the opportunity to express this a little bit in question period — to talk about Royal Inland. But this is true in Royal Inland; it’s true in Quesnel; it’s true in Fort St. James; it’s true in Vancouver. This has been an extraordinary time. This past week…. The most recent week we have data on health care absences is April 25 to May 2: 17,966.
What is that number? That’s the number of health care workers across the system who were away for at least one day in that week, principally to illness. This is massively affected by COVID-19. It’s about 11 percent. There are a lot of health care workers, to put that in context.\
In a given time or in a given place, that’s not equally spread out in every facility across the province. The COVID-19 pandemic at times has been very difficult in Fraser Health, at times on Vancouver Island and at times in the North. Those times are not all the same, and it’s not all the same everywhere.
So what we’re facing right now — that level of absence — is something that health care managers and health care workers are adjusting to every single day. Every single day I get reports on the number of visits to emergency rooms, the number of ambulance paramedic calls — the impact that has.
That’s the reason we’ve taken some of the actions we’ve taken. The decision to delay non-urgent scheduled surgeries was related specifically to that. We didn’t do it because we couldn’t do the surgeries. We did it because we wanted to initially, in March and April, decamp the hospitals to a degree so that there would be fewer people in the hospital, because we didn’t know what was coming. In times such as January in the whole health system, in September and October and November in the Northern Health Authority and the Interior Health Authority, we wanted to reduce the pressure.
if you’re running at Royal Inland — as we did, I think, checking this morning — at 281 on a base-bed capacity of 258 and 20 surge beds…. They seem like numbers, but that’s one thing. When you’re running, as we have at Royal Inland, at 294, 295, 296 when we had COVID-19, wildfires and/or floods; when, in effect, we were transferring health care from Merritt, in some cases, from 100 Mile, from communities around to Kamloops….
For someone such as me, in any event, who looks at the numbers, I see…. I think everyone has to understand that we see the people in those numbers and respond to it.
We’ve got health care managers everywhere responding every day to those circumstances, and they have been unusual circumstances. Usually these things can be predicted over the course of the year. Yes, there are more absences in respiratory illness season — November, December, January. In general, it’s been…. In those years, those things are predictable. It’s not now.
We are — the member is right — increasing the number of health care workers by 30,000 but also facing these circumstances which can affect a particular care home or a particular hospital very significantly at a given time.
We discussed last year in this room, in these estimates, what had occurred at the Little Mountain care home, which is now being directly run by Vancouver Coastal Health. It was a non-profit at the time. And 91 Vancouver Coastal Health workers were moved there to support care in that care home, including a vice-president, and a very significant number of those got sick. They didn’t go in to do…. They weren’t directing; they were providing care and supports.
Those are the things the system does every day. So when you ask, “Do I hear it when people are raising their voice….?” It’s important that they raise their voice, and I hear them. I was moved, as I know the member was, to be part of the vigil last night. In my personal meetings with nurses and nurses in my community, as she meets with them, all those things are true.
We see this every day, constantly. It’s one of the things the member will remember from her time as Minister of Health — and I certainly do, in this time, in this exceptional period, in particular, at particular moments — in small hospitals and bigger hospitals how difficult it is. I see that and how that’s evoked in the stats.
The number of hours to go from the emergency room to the ward, which is an effect of other factors. These kinds of measures tell us that the overall arrival in the emergency room, which has been relatively stable, has in fact increased in recent times, as people have returned or felt more likely or willing to go to the emergency room. The number of calls and different kinds of calls, in terms of the Ambulance Service….
These are all things we judge, but these things are looked at on a daily basis. I look at the stats of capacity in every hospital in B.C. on a daily basis. While they’re just numbers on a page, I hear the voices behind them, as I know the member does.
S. Bond: In the essence of time, I’m going to move on. I’ll come back to nurses later, when it comes to things like safety.
I do know this. If we do not provide resources, support, care and respect for health care professionals today, it is going to increase the gap between the number we have and the number we need. It will make the challenge even greater for us to deal with the system. Not only that, we have said continuously and repeatedly that all of us appreciate the work they’ve done, but I think there are times we underestimate the personal toll that has been taken on people.
I know I saw that when I lost my husband during the COVID period of time. I will, every day of my life, be grateful for the health care workers who were with him when I could not be. As I’ve said to many of them who reach out to me, there are thousands of us, and families, who were impacted in that way. It is our responsibility to make sure they are cared for and shown the respect they deserve.
I’m going to move on to foreign credential recognition. Both the minister and I agree that that is part of the strategy. Before I do, though, I just want to make sure that in-migration is being considered when we look at the numbers and the projections and the modelling that has been done when it comes to health human resources.
Hon. A. Dix: Yes. We’ve been through…. We’re in a period now…. I won’t take too much time, because I know the member is looking for a yes-or-no answer.
I think, when you’re tracking, over ten years…. You have to look at ten years. We’ve had a very high period of in-migration in the last short while. We’ve had periods where there’s been a net loss of population, but in general, people are coming here, and often they are coming here in their retirement years.
One of the reasons why Premier Horgan and, before him, Premier Clark were so concerned with federal changes to the Canada health transfer is the failure to recognize there are demographic factors. People work their lives in Alberta; they come to here to retire. They pay tax in Alberta. They contribute greatly in B.C., and we want people to come here, and we want seniors to come here. But in terms of the health care services, that’s a demand.
Absolutely, and it’s why I’d say to the member that you see a trajectory in most provinces that sees the senior population peaking, related to the baby boom, in about 2032, 2033, and then it starts to decline, which has an impact on how they visualize health human resources. Because of in-migration, because seniors are coming here and because this is B.C. — this is a place people want to come and live — we don’t see that.
We’re going to see maybe a slowing of the increase of the seniors population, but it is not going to get easier for us 20, 25, 30 years from now, and that’s a good thing. But we’ve got to be a better province and a great province for seniors to live. That means a whole bunch of things, which we’ll talk about on Monday, I think.
S. Bond: I just think it’s a critical piece of the puzzle. We saw, I think the number was, 100,000 people come to British Columbia. You know, the comment made at the time was: “Well, they didn’t bring a doctor with them.” Well, no they didn’t, and we are going to be faced with net in-migration, in addition to the complexity of the health care needs, as we have an aging population.
The Doctors of B.C. president, Dr. Dosanjh — I know the minister knows Dr. Dosanjh — is calling for a “more streamlined process for allowing the foreign medical doctors to become fully qualified in B.C.”
Aside from nurses, what work has been done to look at physicians and other health care professionals who want to work in B.C.? Will the strategy look at reducing the barriers to make sure that we have a more streamlined process for licensure? We know we need them.
I understand the issue related to, when we talk about doctors, when it comes to residency and all of those things, but what about other health care professionals? How are we removing the barriers while not reducing, of course, or minimizing the need to meet standards in British Columbia?
Hon. A. Dix: This is something that I would invite the member to be part of. I think we have to be good advocates with the federal government, first of all. And it’s not just the federal government. I’m not laying this off on them, I’d say to the member, but I’d say that’s part of it.
We also have to be advocates, in this country, for immigration to this country. Those of us who are getting older — I’m 58 — will have need for new generations of health care workers, and some of them are going to be people who currently don’t live in Canada now. We have to facilitate them coming here and be advocates for that everywhere in the province.
Sometimes in the political debate, you see that as we get older, we’re less open to immigration. As we get older, we should be more open to it, because we are the people who will benefit most from that immigration.
It’s true; a lot of people have come here. Some of the people I’ve listed in the increase in health care workers, of course, have come from elsewhere in Canada and around the world as well. So part 1, we have to advocate with Ottawa and break down barriers there.
On the nursing question, and I’m going to get to the doctor question in a moment, there are two assessment processes. There’s a national one and a provincial one. We dramatically, by bursary and by the triple-track system, are having an impact on the provincial one.
I am looking. I’m chairing the Health Ministers, as to whether or not those two tracks can become one more easily. I think whatever…. And all of these things were developed for patient safety and for important professional practice. But I think we have to look at all of the things that we’ve put in place, and there can’t be any sacred organizations. We have to look at it to speed efficiency. That’s true at the national and at the provincial level, in terms of how we deal with that.
With respect to doctors, international medical graduates, I think absolutely Dr. Dosanjh is correct that there are measures we can take to reduce….
And remember, the College of Physicians and Surgeons is not an abstraction. It’s made up of doctors, and it’s made up of public representatives on its board. The system has been developed, because doctors want to maintain those high standards. Sometimes the college gets criticism, but in fact, the college is, in many respects, the profession and works very closely with the profession, as we do, in managing the health care system.
I think that firstly, we clearly need to look at more spaces, right? That’s an important thing in terms of both practice-ready assessment and, potentially, for international medical graduates, principally those Canadians who have gone abroad to get their medical degrees. We have 56 positions now in our residency programs, which the member will be familiar with. The practice-ready assessment program seems to make sense and will particularly assist us, I think, in different parts of the province where there is significant need.
I agree with the member that there is need everywhere, but there are qualitative differences between the needs in a rural area and the pressure when you have someone on a return-of-service for three years and it’s starting to get closer to three years in that community. It’s significant. The member represents some of those communities, and she knows that better than I do.
We’ve also created a category of physicians called associate physicians. It’s a class representative of people who are not now eligible for full or provisional licensure. That idea was developed in the first year of the pandemic, and we’ve worked closely with the Health Employers Association, with Health Match B.C. and with the college, of course, to address that question.
There are four service areas that have been identified in that area of associate physician for initial placement: internal medicine, particularly in the Northern Health Authority; cardiology, principally in the Fraser Health Authority; the NICU at B.C. Children’s Hospital; and the PICU at B.C. Children’s Hospital.
I would also say that health authorities need to be able to respond with the placement of those physicians. We’re now at the point where we’re going to be able to take those into the system. That will allow a whole bunch of people, who are not yet qualified to be physicians but who have received substantial training as physicians, to be able to contribute in the system. It will be a class of registration for international medical graduates.
That’s one thing, specifically, we’re doing for that group. A lot of the rest has to do with creating either residency spaces or increased spaces. We’re looking at those things as well, to work with those classes of international medical graduates. I would say that sometimes the college gets criticized for what it would view as maintaining professional standards, but they’ve been very much involved in these very significant reforms, which I think are going to help improve care everywhere.
S. Bond: The minister anticipated my next question. It was about associate physicians. One of the things I’m interested in knowing…. To the best of my understanding, I don’t think anyone has been given the title of associate physician at this point. Can the minister confirm whether or not we actually have any? Also, how many would he anticipate will be able to be integrated into the system — for example, in the next year?
Hon. A. Dix: Soon. We’ve been working in partnership with the college and with Health Match B.C. and the health authorities to develop, as you’d expect, all the policies that need to be in place when you’re creating a new class of registration for health professionals.
As I say, as of April 25, those initial areas of priority have been identified. The initial recruitment will be in the summer of 2022, in advance of the plan. That will be part of the plan. We’re expecting that initial recruitment to be in the neighbourhood of 50. It should be said that if you look at all those who, broadly, would probably be eligible — not just wanting to do it but eligible — it’s around 300 people in B.C.
S. Bond: Maybe just one follow-up question to that. We have an initial potential intake of 50, looking at the summer of 2022. Is that when they’d physically be available, have the title of associate physician and be able to actually be utilized in the system?
Hon. A. Dix: They will be associate physicians. The remaining issues and why it’s the summer are issues between the health authority and the college around supervision. If you’re creating a category of associate physician, it’s for an associate to, obviously, a physician who oversees this. It’s making sure that all of those things are in place. That’s what we’re looking at in the initial intake of people.
Some say: “Well, why not do a whole bunch more?” Well, you want to get it right. That’s a big number of people, actually. It’s a significant number of people to integrate doing the same medical care but a new class of people in medical care. Even though it feels like it has taken a while for it to develop, this is actually very significant. It has been a fast process that has involved all of those groups.
That’s the rough time frame. We know where we need them. There are a few more issues to work out. Yes, when they start to work, when they’re working as associate physicians, they’d have to be licensed as associate physicians.
S. Bond: Maybe just on the theme of recruitment and strategies and initiatives to try to help, Northern Health had a recruitment and retention strategy. It was announced in 2021. I think there were additional dollars added — $6.38 million, including $3 million in a comprehensive health care worker rural retention program for targeted communities and occupations.
Can the minister provide me with an update on whether that has been a success? We’re certainly hearing concerns about staffing shortages across Northern Health. Could the minister just give us a brief update on that strategy?
Hon. A. Dix: The part of it that is…. There’s a broader strategy than this, and it included some other aspects — travel resources, housing, child care. We’ve already discussed some of those. I’d be happy to go back over them again or, maybe, just as happy to share the briefing note with the member. She might be just as happy to do that as well.
With respect to the provincial rural retention incentive through Northern Health, the incentive was implemented in January 2022, retroactive to October 2021. The following numbers of employees have received the incentive. From October to December 2021, that was 785 employees. From January to March 2022, that was 803 employees. There were a total of 61 new external regular hires to these communities in professions since October 2021, which is not insignificant.
In these areas, vacancy rates have remained consistent or increased due to increased demand. However, unfilled shifts have decreased, resulting in positive clinical outcomes. One can imagine that it sounds like numbers, but when we say that unfilled shifts decreased, that is good news, of course. Relief not found, which is a category, as a percentage of productive hours, has decreased from 10 percent in October 2021 to 7 percent in March of 2022. Obviously, as a prototype program, we’re looking at this in other places.
Those are some of the details. I can give longer details of the communities involved and so on, but perhaps that would be sufficient, and I’d be happy to share the information with the member. I think it would be of particular interest to her and her colleagues who represent the north.
S. Bond: Thank you to the minister. I’d appreciate the briefing note. We might as well just…. If he’s happy to share that, that would be very helpful for me.
I know that there will be threads around health human resources throughout the course of our discussions over the next few days, because it actually is the critical piece that drives the health care system in British Columbia. It’s people. We can have all of the buildings and beds we want, but if we don’t have the people to be there, it really doesn’t matter that much. Buildings matter too, and I’m sure the minister knows that I’ll be talking to him about UHNBC at some point during this process, but I want to just emphasize the importance of when the plan is delivered to British Columbians.
The minister made it clear that this is later than was expected — a lot later. I understand the imperative around COVID and all of those things, but at some point, we actually have to start. Not that we can put COVID in our rearview mirror completely, but we also have to deal with the reality of where we’re at today.
So what we will be looking for is a detailed plan that has metrics, that has measurements, that has regular public reporting out. It covers the four areas that we think — and certainly, the minister agreed, he thinks — are important. If we ever hope to continue to restore confidence, particularly amongst health care workers themselves, they have to see the path forward. Without specific details that talk about not just what has been announced in the last month or two months or six months, what are we going to do about the gaps that exist today? They do exist, and people are feeling burned out and extremely concerned about their own futures.
Let’s move on. I’d like to talk a little bit about primary care and patient attachment. The minister knows that that’s something important not only to me but to British Columbians. I’ve noticed, in terms of the minister’s response to when we talk about patient attachment, for example, the frequent use of the words “transforming the system.” It’s great that we’re going to transform the system, but we also need to have a conversation about what that looks like.
I know that…. Once again, I reference Dr. Dosanjh and her work with Doctors of B.C. She has spoken clearly about the need to address many issues. Maybe the word to capture that is “transformation.” I’m not sure. But we also need to have timelines. We can’t simply imply that we’re going to transform the system and everything’s going to be okay. People deserve to have the details, the timelines, the metrics, the measurements. You can’t declare success if you can’t measure something.
I want to start with a bit of a sense of…. When the minister talks about transformation, what exactly does that mean? Is there a timeline? What should we be looking for? What are the metrics? When will we know that progress has been made? Is the minister going to assign those targets, timelines, metrics? Are we going to know it’s a success in two years or five years?
There is such a need in the system for a sense that there is an underlying understanding of the issues that exist, whether it’s with health care workers, whether it’s with infrastructure. Not that I want the minister to tell me all of his life’s dreams about health care. What I want to better understand is….
Interjection.
S. Bond: That’s right.
What I want to better understand is: what does transformation look like? Are we going to be able to measure it? Could the minister just give us some sense of that?
Hon. A. Dix: I think one of the challenges on the primary care side, which doesn’t exist in some of the areas, is what the member’s talked about: really a lack, over decades, of effective metrics. I mean, over time, for a lot of people, the system kind of worked, but it was highly diffuse and decentralized. A lot of small businesses around the province were doctor’s offices, providing care in different places.
I’ve said this before. When I came with my family to B.C. in 1969, we got a family practice doctor, Dr. John Robinson. I think he worked as a family practice doctor into his 80s, and he was our family practice doctor for 30 years. He was the only doctor in his practice. There were a couple more after a while. He occasionally had locums when he was away. That’s how it worked for us.
That system, that idea — which was foundational in the public health care system and the delivery of primary care — isn’t with us any more. So over a period of years, we have seen an increase in what’s called unattachment, but it’s not well measured in our system. This was true of the previous government. It was true of the government before that. It’s true of this government.
When we talk about attachment — we’ve talked about it in the House, we’ve talked about other things — we’re generally talking about something called the Canadian community health survey, which is done nationally every year and lays out levels of attachment. So when we talk about those numbers, that’s what we’re talking about.
While that survey is valuable and I’m going to go over what those numbers are, it isn’t sufficient to what we need in health care at this moment in the 21st century. A survey doesn’t give us enough sensitivity. It doesn’t describe how you’re feeling at 73, which might be different than if you’re a healthy 26-year-old without children. Your need for a family practice doctor is different and your response to that survey is different.
If you look at the period of the Canadian community health survey, dating back to 2003, you see that in 2003, 10.6 percent of B.C. residents were without a family practice doctor. That was 437,000, according to the survey. By 2009, that was 13.2 and 582,000. By 2013, that was 15.5 or 718,000, and by 2017, it was 18.2 or 897,000.
In fact, other than 2018 and 2019, that percentage basically went up every year over that period. That tells us a little bit about the challenge — that there’s a momentum to this challenge over time, this challenge of unattachment. That’s the first set of things we look at.
The second thing that makes the B.C. health care system unique, and I think what’s changed now significantly, is the appreciation of that system by doctors — leaders such as Dr. Dosanjh and others. We’ve tended to have a fee-for-service system. People are often down on fee-for-service. You hear them critical of fee-for-service, but it has had its usefulness as well.
I’ve been a critic of fee-for-service, as an opposition critic and as someone who thought of the system, but we shouldn’t underestimate the work done by fee-for-service doctors and what happens when one of them retires. It’s a significant thing in every community.
In B.C., about 80 percent of primary care billings and about 66 percent of primary care doctors are 90 percent or more fee-for-service. About 80 percent of their billings are fee-for-service. About 20 percent are alternate payment in primary care. This is different than in other kinds of care, surgical and specialty, where we’ve made real strides in the last two or three years in moving people to what are called alternate payments, which is often salary or a form of salary. We have that system in place.
In Ontario, it’s about 46 percent. Note that it’s not zero. They haven’t got rid of fee-for-service in Ontario, but 46 percent is different, qualitatively, than 82 percent.
Fee-for-service does two things that are challenging in these times. It has many benefits, and it has many benefits. Doctors have liked it, because in a sense, it preserves their independence. They make more decisions. They don’t see themselves as salaried employees, with detailed contracts about metrics. They make their health decisions, and that’s broadly seen, in the view of their profession, as a good thing.
But fee-for-service doesn’t measure what we’re seeing in communities all over B.C. — I would include in that, because we have this, communities such as Terrace, which we’ve been looking at recently, and communities such as Williams Lake — where the nature of the visits has changed. If you’ve got a nice aging population and if you have an increase in chronic disease, then what we might describe as the easy visit — the short visit, the one you bill for — is less and less prevalent. There’s an increasing complexity of care.
The fee-for-service system which we’ve got — I remind everybody, from all parties, including my own — has been in place for a long time here and hasn’t been transformed by previous governments very significantly until now. That system is not well attuned to that increasing complexity of care.
In addition to that, we now have other options for doctors. Young doctors…. Again, this has just changed. When I became Minister of Health, there was survey of the resident doctors of B.C., and 85 percent of them said they didn’t like fee-for-service. Eighty percent of the billings are fee-for-service. They didn’t like fee-for-service, and they had other options — to be hospitalists, to have other jobs in medicine that are salaried positions.
You’ll all recall this. We all know people who are doctors who bought their practices. Now the practices have no market. We’ve seen similar phenomena in other professions. This is very frustrating, as you can imagine — especially if you’ve paid $1 million for a practice, and you’re not able to sell it for anything in your retirement. That’s frustrating in itself, but that’s not the major problem. That reflects the fact that younger doctors don’t want to come in and manage the business. So that has to change.
We have to find ways. This is really important. You think: okay, we don’t have a lot of single practitioners. We have a lot of primary care providers who, say, have eight doctors — or in a smaller community, four doctors. They’re sharing the cost. They’re sharing the medical office assistant, and so on. They’re doing all this stuff. Well, if two leave, it goes from eight sharing to six sharing. That’s a reduction in quality.
We have to assess those things. The market has changed. The value of the practices has changed. External costs have increased. We talked about commercial costs. I bet they’re higher in Whistler than they were 20 years ago, I’m guessing — above the rate of inflation. I would think so. All of those are affecting that group of people in the system. That’s one set of transformational changes.
The other is that we need to bring team-based care to primary care. That’s also something, fortunately, that many medical providers…. There’s been a fight over this, but I think, overall, the acceptance in the medical community and beyond it of nurse practitioners is very high now. When it started under Minister George Abbott — less high. So we’ve seen that evolve. But we need team-based care in communities.
When we started the primary care network in Penticton, a doctor said to me…. I forget what he said about being a dietitian. I have dietitians on my mind today, because they were the most vaccinated health professional. We announced that today, so I have dietitians on my mind. He said, “In all my work in medical school, I did this much work on the work of dietitians. What we need in our primary care network is a dietitian that the doctors in Penticton can refer people to, to assist them in that” — people like me, who have type 1 diabetes and for whom diet is really important, and others.
So we need to build out team-based care. It’s the second thing. That’s what progressive health care is doing everywhere. Some of this work began under the previous government, and we’ve really worked at it hard since 2018. We need new corporate structures that fit the new reality. We need to build in team-based care, so that’s important. We need to address a change in the nature of patients and what they need.
The final thing, and the final extraordinary challenge, was COVID-19. We, in the pandemic…. Our primary care doctors deserve a lot of credit for this, and our nurse practitioners deserve a lot of credit for this. We did, in 2018-19, about 17,900,000 paid fee-for-service visits. These things are carefully tracked over time. Those were in-person visits. That year we did 647,000 virtual visits.
In April 2020, everything changed in a way that is the most radical change we’ve ever seen in the health care system — in any part of the health care system, I’d argue — in the history of Canada. We essentially had to go virtual through our entire primary care system, such that in the first year of the 2020-21 fiscal year, we dropped to about 5½ million in-person visits, and we added, from 647,000 to between 13 million and 14 million, virtual visits. It had a profound change that I don’t think we still yet understand.
In ’21-22, there were more in-person visits, but it was only still 7.5 million — only half. So a lot of people…. We talked about people without a family practice doctor, and the Leader of the Opposition talked about this in question period. People have talked to me about it, not being able to find an in-person appointment and the pressure on urgent and primary care centres, the pressure on walk-in clinics, etc. But this reflects the fact that there are many people who have a family practice doctor who have not seen them in person in two years.
What everyone says…. I am not an opponent of virtual care. I’m not stuck in the 19th century. But we know, as people, that if I’m talking to the member on the phone, it’s a different discussion than when we’re in the same room together and we can see each other and see how we’re doing in terms of assessing where we are. That’s true of doctors as well.
Now, virtual appointments have a lot of benefit as well. You can do an appointment, if you just need a consultation or a prescription or it’s just very specific and you understand your issues. That appointment can be, really, a benefit to happen over the phone or over the Internet, where you don’t have to take the morning off to go to an appointment, line up, wait for them to call you in, have the appointment, and so on. Something else comes up; you’re delayed. That can be a morning. So there are benefits to virtual, but it’s a change in the quality of care.
That happened overnight with the creation of new billing codes in April 2020. The person who directed it is the person beside me, Steve Brown. We’re still going through the impact of that.
So those are all the elements that we’re talking about.
What do we need to do? I think we need to continue to do what we have been doing with respect to team-based care, which is primary care networks that are developed in consultation with local family practice doctors that are approved primary care — not just on the issue of attachment but the quality of care.
In Prince George, for example, the primary care network has added counsellors and other mental health positions, and so on, that support family…. They allow family doctors to take more patients, because they can provide them with the care and not spend 100 hours trying to find them a place to go. That’s important.
Build out team-based care. We have to continue to do that. Add new health care resources, and we have to work through. Some of this will be in the bargaining process, of course, with doctors, we know. But some of it is…. There are issues with doctor supply. We talked about that when we talked about the health human resources plan.
We’ve got to transform the system with doctors and nurse practitioners and other health professionals while we’re still, of course, delivering care in that system. We can’t shut it down and start anew. We’ve got to continue to function while we’re bringing that change. That’s a summary of the issues, and I’ll leave it to the hon. member.
S. Bond: Thank you to the minister for that answer. What I want to do is sort of look at some of the specifics related to what might be necessary in the system. I think the minister would agree with me. I don’t think anyone is opposed to team-based care. But when we’re continually talking about transforming the system, what people want to know is that at the same time, they’re still going to get the quality of service they need and deserve in the meantime.
We need to work through the issues that are emerging on a daily basis. I’m sure the minister would agree that longitudinal care matters a lot. As he pointed out, rightly so, when we have family physicians that are attached to patients for decades, they can better understand, from a prevention perspective, all of those things.
Does the minister agree? The numbers that I’m aware of in talking to Doctors of B.C. and others is that we have…. When I talk about a doctor shortage, they will often remind me that it’s actually the choices that physicians are making. In other words, there are 6,000 physicians, and 3,000 of them, so half of them, are trained in family practice. But they’re not choosing to be involved in family practice.
Would the minister agree that longitudinal care matters and that there are barriers, which he’s noted, that exist, especially for young med grads? They are coming out, and they are not choosing family practice — even though they may well be able to have a family practice — because of the overhead costs, running a small business, the hours of work, all of the things that are expected.
Would the minister agree that longitudinal care matters and that we need to actually work to reducing those barriers that make that choice of family practice far more unattractive for medical grads that we see today?
Hon. A. Dix: Longitudinal care is critical, in my view. It’s critical not just because of the care provided. It’s the purpose of the health care system to help us stay healthy and to live a high quality of life. The importance of primary care in addressing the situation that occurs in hospital or allowing seniors to stay at home and not go into long term care…. Longitudinal care is critical for that.
Of course, at different times in our lives, we may have different need for such care. That’s true. We need more care after the age of 60 than we do before the age of 60. If you have a chronic disease, you need more care than if you don’t have a chronic disease. But longitudinal care is critical because, and we know this, in every area — whether it’s nurse practitioners, whether it’s doctors or whether it’s other health care workers — if you know the person, then you can provide better care, better diagnosis, better treatment over time. Longitudinal care is essential to what we want to do.
On the numbers, we are seeing, and we have seen, an increase in family practice doctors in B.C. of about 600 in the years I’ve been Minister of Health. Sometimes we attach things to a partisan lens. We shouldn’t attach this to a partisan lens. It takes a long time to train to be a doctor. Some of that is the increase in residency programs that we’ve put in place. We’ve made a 20-percent-plus increase in the number of people in residency programs, and that helps.
Of course, a lot of people who trained to become a doctor started in the times of the previous government. I’m not sure they should necessarily see that as a negative for them or a partisan part of the debate. It just is.
The member is right that you have to ensure…. You’ve got to get the balance right. I’ll just give one small example. Prior to my time as Minister of Health, a particular health authority decided to hire hospitalists, and they ended up hiring all the primary care doctors, virtually, in the community. It caused a primary care crisis in that community. It wasn’t the previous government’s fault, but it happened, and it happened with the best of intentions. We need to have hospitalists in our hospitals, but it emptied the primary care system.
If the incentives aren’t right on the salary side, then the financial incentives to go into primary care are less. It’s just natural in life. I don’t know. Wayne Gretzky gets paid more than Dave Semenko. Some people might think he’s more valuable than Dave Semenko to that hockey team. I think that’s probably true, right? Although Mr. Semenko had his value. Although they weren’t in health care, I don’t think.
I think how we measure that out is one of the key questions. It’s a complicated question, because, as the member will know, it’s a co-managed system. There are many different groups of doctors, and so on.
One of the issues in moving away from fee-for-service in lots of areas of health care, including anaesthesiology, that has proven effective and has allowed us to achieve some of our goals in terms of surgery is a change in the way we saw those practices. If it’s the case that the incentives are wrong, the work is wrong and the quality of work isn’t as good, then we’re not going to recruit people. We’ve got to address that.
That means a lot of work together, and some of that work will be, inevitably, consultative and then directive of government. But a lot of that work is the work that we have to do together with doctors themselves. That work is ongoing and continuing, because you’ve got to get the balance right.
It’s not just what the situation is now but what the situation will be in three, four, five, six years from now, when we’re going to need more family practice doctors practising in community and having a plan to get there. That’s what we need to do.
Issues around the style of compensation, the amount of compensation are clearly involved in that. Also, how we’re going to put into place new systems of compensation is important, because we obviously need outcomes in the system. We need outcomes in the system. You can’t move from one system to another and have a doctor have significantly less patients they are treating in that system. You won’t be making progress. You might be adding doctors, but you won’t be making progress. So we have to do both.
Those are, at least, some of the considerations that we have to look at in terms of primary care reform.
In terms of team-based care, we do measure it. We have primary care workforce reports through communities of our primary care networks. We need to build up primary care networks, because we don’t have them everywhere. We have them in many communities now. Those networks are developed on the basis of work of local divisions of family practice and local communities. So they didn’t come from me; they came from them. Then there are approved plans, and then they go forward.
They have made and they continue to make a significant difference. They’re a part of it. The urgent and primary care centres are a part of it. I’m sure we’ll discuss those. I’ll leave that to the member to ask a question in a little bit.
Community health centres, which are an old new form of delivering health care, are part of it. We have to build out Indigenous primary care centres, and I think we’re going to talk about that on Thursday a little bit more. But it’s part of the primary care plan.
What we’re doing, for example, with the Sts’ailes, is building out a primary care centre that will serve the Sts’ailes and serve the surrounding community — a primary care centre that will be run by Indigenous people but serve the whole community. That’s the kind of reversal of power in health care that would be helpful in many communities, and we’re going to see it in many communities — including, I hope, in Williams Lake.
S. Bond: Thank you to the minister. I think the most encouraging part of that answer was the fact that doctors need to be at the table. There needs to be a conversation with the people who provide the services — that the people who are making the choices about what they’re going to do in the profession are included.
I want to ask some very specific questions. People want and deserve to have a family doctor, if that is the choice that they make. There is a growing concern across the province.
One of the issues, as we understand it, is there are patients being kept on the roster of a specialist because they don’t have a family doctor to be attached to. They’re not referred back to a primary care provider because they don’t have one. We’re seeing there are people that are attached to the roster of a specialist. You can imagine the implications of that.
How does that affect the specialist’s ability to deal with the patients they need to see if they’re carrying a large number of patients who don’t have a primary care provider to be referred back to? Can the minister tell me whether the ministry tracks the number of patients that remain with a specialist because they have no referral back to a primary care provider?
[M. Dykeman in the chair.]
The Chair: Minister.
Hon. A. Dix: Thank you, hon. Chair. We have a new hon. Chair. Welcome. It’s very good to see you.
With respect to specialist care, I would say, just in general to the hon. member, that the reverse problem is much more significant. It’s not a problem, the one she’s identified, that we’ve heard significantly from them. We meet with doctors all the time. They co-manage the primary care system. That doesn’t mean it doesn’t exist; it just doesn’t mean it’s the most significant problem. For example, the big challenge is access to specialty care if you don’t have a primary care doctor. That’s the challenge.
I was going to say to the member that I’m in the category she describes. I actually have a long-standing relationship with an endocrinologist, but I don’t have a primary care provider at the moment. My doctor retired some years ago. I have not got a family practice doctor, but I do have an ongoing relationship, because of diabetes, with a specialist.
I think the challenge, from a family medicine perspective, with specialists and with hospitalists is one that we described earlier. It’s one of competitiveness and the attraction of the latter. The problem is one of referral, I think. The critical role and gateway of a family practice doctor or a family practice nurse practitioner in assisting people to navigate their way to specialist care is really important.
The group of people that might have a specialist at a given time but not a family practice doctor, people such as myself…. Well, that’s one set of problems. In general, specialists…. The problem for those people is that specialists are not going to be acting as their family practice doctor in a general sense at all. That person, if you are looking at attachment, would be seen as unattached to a family practice doctor, even though they may have regular appointments, because they have any number of chronic diseases with a specialist. They may well be getting excellent medical care.
That’s why I think it’s useful to have a more individual registry and not be relying on surveys. That allows us….
We have lots of data on how we’re hiring in primary care networks, lots of data on the number of doctors, lots of data on the number of appointments per day — lots of that kind of data. But our attachment data has never been very good. Given its central importance to the health care system, it’s something we have to move toward.
We’ll have an opportunity, I’m sure, to talk about the health connect registry and the work that we need to do on there, but that work is really important to identify the problem but also to help people navigate their way to finding a family practice doctor in the system.
S. Bond: Yes, we will move on to health connect in just a couple of minutes. I would just like for the minister, then, to clearly articulate the type of data that’s available when it comes to who has a family doctor in British Columbia. Does the ministry have disaggregated data that shows who doesn’t have a family doctor?
What really matters…. Obviously, everyone wants to have a family doctor, but I’m concerned about the fact that there may be groups of people that may be disproportionately impacted by not having a family physician. You don’t know that if you don’t have the data.
Is there any data that exists to who is attached and who is unattached to a family physician? Is it disaggregated?
Hon. A. Dix: Well, it’s a good chance to make the transition to the health connect registry, because the short answer to that question is really no. We have a lot of data, because we pay for the billings, and those billings are associated with health numbers. So we have data, and we have algorithms that track these things over time.
The main data that’s used, over decades in B.C., has been the community health survey. I’ve laid out what the results of that survey are, and we discussed it in the House. They may be helpful, because it’s a pretty detailed survey, in describing who the people are without access to a family practice doctor. It’s no surprise. Housing instability and other things are problems for people who don’t have access to a family practice doctor — economic issues and others. That’s what the survey tells us.
When we launched the primary care initiative, around primary care networks, in 2018 or when the previous government announced the GP for Me or whatever, we were using, as a proxy for attachment, that survey — the Canadian community health survey — which has been used for, basically, 20 years as that proxy.
While it’s good data, it’s a survey, as far as it goes. It tells us a certain amount of information. It tells us that we’ve seen this continual move to unattachment across the health care system. It doesn’t help us with individual data, and there’s no place to connect. So we need better tools to identify and track real people in our communities who are seeking care.
That’s why we’re, through the PCN process, going to be launching the health connect registry across the province. HealthLinkBC is a trusted source of information, and that system will enable patients to register themselves, or on behalf of a family member or a person in care. Once registered, they can work with a local PCN attachment, as capacity is available in their communities. That staged rollout through PCN communities will be very helpful, and it’s unprecedented.
I do think it’s fair to say, if you look at it: what are you doing relying on federal survey data in 2022 as the health system over time? Why haven’t we done this before? Well, the fact is that we haven’t. That was the NDP government in the 1990s and the Liberal government for 16 years. It’s this current NDP government. And we’ve got to change that, because that allows you to have baseline and metrics but also helps you to help people individually and have an individual sense of community that you can never get through survey data, no matter how detailed.
S. Bond: I knew we’d get to a reference to 16 years not too far down the road.
Hon. A. Dix: Right after NDP government in the ’90s.
S. Bond: That’s right.
Health connect registry. Let’s talk about that for a moment, because when the ministry launched the health connect registry, it didn’t include…. The minister has just referenced the fact that it may be broadened to include the whole province.
Could he describe what that is going to look like? During the launch, there were specific communities. You had to have a primary care network been launched. Could he just walk through what those changes might be?
Hon. A. Dix: Again, we’re noting down which ones there are. There’s an update on the health connect registry, which I’ll just share with the hon. member, so we’re not going through all the details. It’ll list off the communities where we soft-launch and everything else. We haven’t made a formal announcement, but we will soon. But the registry process has been soft-launched in a number of communities, and those include communities all over B.C., from Ridge Meadows to Saanich to Richmond to Prince George to North Peace to Quesnel in April 2022, which is the most recent one.
There are 15 PCN communities that are actively using the health connect registry. The idea, in addition to information and tracking, is to actually do it where you have an active primary care network in place, so people aren’t just calling and engaging and registering with you, but actually getting assistance and access to services. That’s why, when you have a robust detachment process in place, as you do in many divisions of family practice and in many primary care networks, you can do that.
So it’s been soft-launched. They’re obviously working through that process now. I think that…. It’s my expectation that as we build out the registry through communities across B.C., we’ll see that the results will give people chance to access, to provide us with information, to say we need a family doctor and then have a system in place that responds to them. They’re not just phoning us up and saying “we need a family doctor” and never hearing from us again, which I think would be a discouraging process.
The health connect registry…. There are currently, as of February 28, about 70,922 registrants. It’s been soft-launched. In addition to that, another 10,000 in Kamloops, because the original prototype comes from Kamloops. That will be expanded out to new communities — Victoria, East Kootenay, Mission, Central Okanagan — over the next few months, and other communities, such as Campbell River.
I’ll lay out…. It just shows how we’re going to do it, what the plan is, that communities are being onboarded now, and doing it through a primary care network makes sense in terms of being able to respond to people’s real need for primary care. That’s what the health connect registry will do, and it will give us comparisons at a granular level and at a community level of where we are and how we’re responding to people in need of primary care.
S. Bond: Is it the ministry’s intent, then, to make sure that wherever you live in British Columbia, you’ll be able to use health connect? The timeline for that — perhaps the minister could outline that for me. The most critical question, of course, is: have any patients been attached after, as the minister himself would describe it, the soft launch, because that’s the whole point of the process?
So how long to see the expansion across the province, and have there been patients attached as a result of the program?
Hon. A. Dix: Attachments through HealthLink are about 15,000. Attachments through primary care networks are somewhere between 130,000 and 150,000. Obviously, those are significant numbers. HealthLink is a portion, and it has been soft-launched in these communities. It’s our expectation, and we’ve laid it out — you’ll see it in our service plan — the building out of primary care networks so that everyone has a primary care network.
There are some important communities, including most of Surrey, that don’t have their primary care networks launched. That’s a big community in B.C., as you’d expect. So we’re working our way through communities. We’re building out a full network of primary care networks, community by community, because that’s the way they’re put in place. The health connect registry will become part of all of those primary care networks.
Yes, we want to build it out to the entire province. To be part of the process, you need to be part of a primary care network, and we’re building those up rapidly. We’re up to, I think, 54 now, and there are about 30 to go. It’s 85 in total. So 54 out of 85 have primary care networks. We have targets for this year and then next year, and then everyone will have a primary care network. Health connect will increasingly become part of the life of all of those primary care networks.
S. Bond: In areas where there is a registry service at the moment, are there any that are shut down, that are at capacity? There are no more new applicants being able to register.
Hon. A. Dix: There are no constraints on registration. When I said it was a soft launch, we haven’t been…. As you can tell by those numbers, which are good and excellent for those people that have got care, if you’re in the category of 15,000, the category of 130,000 or 140,000…. We don’t have….
In some cases, I think the local primary care networks have been modest in terms of advertising. So there have been some limits to that. There’s inevitably a limit on attachment. You only have so many spaces to attach to.
There aren’t any limits on registration per se, but that doesn’t mean you’d automatically be attached, although it’s a…. What we need is for it to be a pathway to attachment. A lot of people who are unattached to a family practice doctor or nurse practitioner don’t know some of the options that exist to them. So this is a pathway through to that — to get attached.
I don’t think there are limits on the number of people who registered, but inevitably, there would be a limit on the number of people you could attach at any given time. We’re going to build that out, and we’re building that out through the primary care networks across B.C. You’ll see that continue as we build out primary care networks.
We’re probably going to do a more substantial announcement around the question, although I guess we’re on TV now, so that’s kind of an announcement. The ratings could be higher. That’s what I hear. I mean, the member for West Vancouver–Sea to Sky’s family is watching us, but other than that, I’m not convinced the ratings are high. And that’s only when he’s on.
I would say…. We’re going to build out the launch. Health connect is going to be a critical part of that launch as we address attachment questions in B.C. through primary care networks. I think it’s an important initiative. Once we set it in place, and once it’s in place, in the years to come, I think people are going to ask themselves: “How did things work before that?” It’s going to be a significant and positive thing in our primary care system.
To really make it go, of course, you’ve got to have doctors and nurse practitioners and allied health workers and everyone else in place that are providing the care as well. It’s not just a system solution, but it will help.
S. Bond: Obviously, this…. I know this was canvassed last year. There was a recognition that baseline data is what’s important when it comes to this particular system. We need to understand exactly who doesn’t have attachment to a family physician. We’ll look forward to more information on progress and, obviously, stay tuned for more details about the announcement that we got the sneak peak on today.
Could the minister just confirm for me that the numbers he related regarding PCN attachments were net new?
Hon. A. Dix: Yes, they are. But remember, there are, because of the nature of the system…. I mean, we just listed off the Canadian community health survey data. They’re net new within that, in the sense that they’re not coming from somewhere else. They’re net new for the primary care networks. But there are other people who are now unattached to a family practice doctor and new people who aren’t attached.
The numbers, basically in every year since 2003 — except for 2018 and 2019 and 2008, I think — have gotten worse every year. Over time, it’s gotten worse. There’s survey data. Over time, it’s gotten worse. Twice as much in 2017 and in 2003 and higher now. That’s the Canadian health survey data.
The purpose of the health registry is to provide baseline data, yes, but also provide a pathway to attachment for people, which is more important. It affects the data, but it’s also a reason why people would want to become involved in such a registry.
S. Bond: I certainly don’t need to remind the minister that there are particular areas where this is a specific, deep concern for people — if you look at areas like Victoria and Surrey, if you look at my colleague’s area, in Squamish, and across the rest of the province. I think that when we look at patient attachment….
British Columbians may understand the concept of team-based care, but they want to be attached to a family physician. First of all, it’s been the historic pattern of how we’ve been cared for. So we need to make sure that we acknowledge the fact…. I think the minister today at least gave me some hope that when we talk about what the barriers are…. We’re going to talk about the payment model in just a couple of minutes here.
Physicians need to be at the table. We need to have the kinds of conversations that will look at how we increase that pathway to attachment. It’s not just through a registry. The whole point is that there needs to be someone to attach to. That has been the biggest challenge.
I want to just ask the minister if he is aware of a pilot project request from the Canadian Association of Physician Assistants. It was submitted in December. I’m wondering if there has been any analysis about how physician assistants could potentially relieve some of the burden on primary care providers.
Hon. A. Dix: I really emphasize family doctors and nurse practitioners. I think nurse practitioners…. I’m not saying they can provide better primary care, but for many people, they do. Their attachment or attachment requirements are slightly less because nurse practitioners tend to take more time with patients. We’ve seen this in our analysis of our nurse practitioner–only clinic. They take patients with a severity of need that is higher, right now, in those clinics. Whether that will be borne out across the system is interesting to say.
The member will know that the first nurse practitioner–only clinic — she will be shocked to learn this — was in Kamloops North in 2016. I pass no further comment than that. That’s just for the benefit of my colleague from Prince George. It reflected, I think, what all Health Ministers have viewed as the important role that nurse practitioners will play in this system — the number of people that will be attached to nurse practitioners and the quality of care they get in Kamloops and around B.C.
We have three nurse practitioner–only clinics. We’ve added 176 nurse practitioners to primary care networks. They play an absolutely critical role. If you look at what family doctors say they need in communities and the development of primary care networks, frequently what they’ve sought in their primary care network proposals is not more family doctors but people who will help them care for more people but provide appropriate levels of care.
In the Fraser northwest and Burnaby primary care networks, you see a significant amount of people providing mental health supports. Those are decisions made by those local divisions of family practice in consultation with us.
All of those efforts in the building out of the capacity of local divisions of family practice…. This is a shared area. It’s a shared area in terms of the management of the MSP system, which is formally shared, by statute, in legislation, in our health care system. So when we talk about working with doctors, this is our system. But also, they have an institutional role as well as an advocacy role, which is different than a lot of groups that may come and advocate for issues in the system.
With respect to physician assistants, over the years, a number of proposals have been made — I think in ’08; I think in ’11 — and not been accepted by past governments. They have been in touch with us, as well, over time. I think they had, back in the days when we had events here…. I think maybe in 2018 or 2019, if my memory serves, they had an event for, I’m sure, the opposition and for us, and they’ve been in touch with us. I think the former Leader of the Opposition, Mr. Wilkinson, included this issue in his health care platform, or the opposition did.
The challenge with physician assistants…. We’ve focused on the new category of associate physicians — that’s going to be a significant launch shortly — and on making the commitment to nurse practitioners, which was central to primary care in B.C., more significant. We’ve doubled the number of practising nurse practitioners since 2017, which is a real achievement and builds on the work that had been done by previous governments in that area.
With respect to physician assistants…. We do not train physician assistants in B.C., although there are a number who’ve particularly trained through work in the military, where they’re more significantly used, and who live here. But we don’t have a training base for physician assistants, so in general, this government and previous governments haven’t adopted physician assistants.
I don’t reject their proposals out of hand. It’s just that the direction of health care management…. Having a relatively small group of people in a part of health care wasn’t seen as the best approach either back when they made proposals to the previous government or now. I don’t reject it out of hand. There may be a role to play. I always want to keep an open mind on these things.
What would be required in all of that is, again, would be the same kind of creation of a class of health professionals. Probably you’d need to put in place a training program and establish the system over time. Whether that’s the right way to go…. We haven’t decided on it yet. That doesn’t mean we’ve said no, but with the very significant priorities we have in primary care and in other forms of care where physician assistants work, we haven’t made it a priority.
Yes, I’m aware, met with, heard about and given some thought to the area.
S. Bond: I think it’s important that the minister has said that he doesn’t reject it out of hand. We’re basically at all hands on deck here. As we look at, in the minister’s own words, transforming the system, there are creative ways of looking at how to fill the gaps — relieving the pressure on physicians, for example, and including other health care workers.
I’m assuming that that proposal will be analyzed and taken seriously. I understand it was submitted in December.
I also want to ask…. We know that working to scope of practice is increasingly more important. The minister has spent some length of time talking about nurse practitioners and the important role they play. Is the minister considering any sort of expansion or extension of scope of practice in the case of pharmacists? I think they have suggested, perhaps, they can treat minor ailments, those kinds of things.
Again, the minister speaks frequently about transformation. We have a broad spectrum of health care professionals. Is there any consideration for expanded scope of practice for pharmacists?
Hon. A. Dix: Yes, and we’ve seen that, really, in the pandemic. It’s hard to imagine that now, because I think, again, it will be one of those things that has changed and then will not change back for a long time, but on vaccination, which was not something that had been done not so long ago.
It changed, actually, under the previous government. When you look at the influenza vaccination, I think we went from about 700,000 by pharmacists to almost all of the influenza vaccinations in the past year being done by pharmacists. It used to be a public health clinic thing. Now it’s very much a pharmacy thing. We went from about less than half of influenza vaccination done by pharmacists to, I think, in the past year, close to 80 percent done by pharmacists, as an example.
COVID-19 vaccination. We had this discussion in the House. Her predecessor as Health critic was an advocate for using pharmacists more. There are some challenges with that, because when you distribute vaccine more widely, there’s more wastage, sometimes, in the vaccine, and we hear some public discussion of that. But it has absolutely been worth it.
Now we are offering the COVID-19 vaccine, in a time when we’re going to do it over a significant period of time — for dose four, dose three, dose two, dose one — for adults in pharmacy. That’s a significant evolution in the role of pharmacy. We did it because of great work by the Ministry of Health and the provincial health office and by Dr. Ballem, who led our efforts in that regard, but also by extraordinary work by the B.C. Pharmacy Association.
I think the broad issue in health care is this, and we have to think about this as we reflect on the step forward. We train our nurse practitioners and our doctors in an extraordinary way, and we have to allow them to use that training. Part of that training, of course, is connection with people — you know something about people — and having great information in front of them, so that when someone comes into your office, even if you haven’t seen them before, even if you’re filling in for the doctor, you have their record and you have their medical records.
You know, if they have diabetes, the type of insulin they use or, if they have type 2 diabetes, the type of medication they use or whatever their circumstances are. So we need all those things. But some of what we ask our doctors to do under fee-for-service — and this is why we need to reflect on these things — is considerably under the training they receive. That training is so valuable and so remarkable that we need to do that and use that more.
That’s why team-based care…. I just want to say this. Pharmacists are a big part of this. They were incorporated into our team-based care initiatives everywhere. I want to note in Prince George these was a decision by doctors. This was their recommendation, what they’ve done with their primary care network.
So nurse practitioner, social worker, administrative support, life skills worker, mental health and substance use clinician, registered nurse, another life skills worker at Parkwood Place, occupational therapist, registered nurse, lab assistant, another nurse practitioner, another life skills worker, another OT, another social worker, registered nurse.
What they viewed is that we’ve got this group of doctors here to provide care. How we can expand access is by expanding other professionals, using their skills to build out the skills we have for all the patients in Prince George. Those are their decisions. They didn’t immediately say: “We’ve got to hire five more doctors.” In many cases, they understood that they needed to do all of these different things.
With respect to pharmacists, therefore, yes, that’s absolutely something other jurisdictions have done. B.C., I would say, in a general sense, has used pharmacists less over time than some other jurisdictions, and it’s something we have to look at as we review primary care. But it is these things, all the decisions you make in primary care, I think, to use the description of hiring all the primary care doctors and them ending up in the hospital….
You do have to be careful, and if we’re going to be making these adjustments, we’ve got to ensure that there aren’t unintended consequences. But I think pharmacists should play a higher role. I think it’s for so much time that they have played a higher role, in terms of the COVID-19 pandemic, and I don’t think there’s any looking back from that.
S. Bond: It’s probably a good segue to…. I want to move on and talk more specifically about family medicine. While I think all of us want a team-based care approach to work, we also have to recognize that family practice still remains the core of how we care for people in British Columbia today.
In light of the fact that the minister has talked about team-based care as the best practice of primary care today, I’m very interested in how the minister views the future of family practice in British Columbia. You don’t have to walk a block from this Legislature to see signs on people’s front lawns: “Every British Columbian deserves a family doctor.”
I’m interested in the context of the minister’s thinking related to family practice in this province, because when one in five people in our province do not have a family physician, I think most people would think that’s not acceptable. Perhaps just a few comments on how he views the future of family practice in our province.
Hon. A. Dix: Just to be clear, team-based care is being proposed, supported and recommended by family practice doctors in B.C. It’s divisions of family practice that have made the recommendations around primary care networks. This builds out on what they’re doing.
Family practice doctors and nurse practitioners are foundational, and the purpose of team-based care is to build out care — first of all, a higher quality of care — around them. The role of the family practice doctor, the role of the nurse practitioner, will continue to be central in that. There are critical roles, and you see, in primary care networks, many clinicians being added to the foundational work of family practice doctors. That’s what they see on the ground as what they need to do to do their job effectively.
If you’re a family practice doctor and someone presents, as is not infrequently the case, with a mental health issue, perhaps in addition to a physical health issue, having a place for that person to get support and care is important. A family practice doctor will tell you that. I see family practice as foundational to the system, and team-based care is the necessary addition to that to make it more effective in these times. That’s what we are trying to do.
There is, of course, the need. Hospitals provide episodic care when there is a need, and there have been, for a long time, walk-in clinics, in particular, for serving people in other hours. There is a role connected to those primary care networks, for urgent and primary care centres to do that.
Family practice, whether it’s practised by doctors or nurse practitioners or others working with them, such as nurses, physiotherapists and others, that core family practice will continue to be at the centre of primary care. It’s the largest group. It’s the most important group. It’s at the centre of care in the province.
That’s not going to change, but the people who have instigated the change in the system — in addition, of course, to people working on primary care, and people at the ministry level and others — are doctors themselves, who strongly support it.
S. Bond: Does the ministry track the number of family medicine–trained graduates that choose careers in a health authority setting, as opposed to private family practice or another primary care setting?
Hon. A. Dix: We’ve identified what we’re looking for. We identify who we hire, obviously, and where we hire them for. We have recently done a survey of the interests of resident doctors. I think it’s fair to say that people who are family practice doctors have different things that they want to do.
What I’ll do is share that information and some information on hiring with the hon. member. Maybe we can come back with that on the detail, but I’ll just share with her. I won’t share it with her at the end of estimates. I’ll share it with her so that she’ll be able to come back to it.
I do think that it is a challenge. The challenge is as I described it: with family practice graduates — we have the largest program in Canada — only a minority of them want to go into fee-for-service family practice, and the majority of our family practice right now is fee-for-service. That disconnect is one of the issues that we have to deal with.
One of the differences there is the disconnect between the desire of people, in the most recent survey we did of residents in family practice, to not work in fee-for-service family practice, in their majority, and the fact that most family practice is in fee-for-service. It is a significant disconnect that we are going to have to work together to resolve. It’s why, for example, in Victoria, when we proposed some solutions, it was access to other kinds of contracts that we were offering — to walk-in clinics, in those cases.
On the survey front, though, let me give you a sense — this will be interesting to the hon. member, the Leader of the Opposition — of which clinical setting they were hoping to practice in after five years. These are 78 respondents, but remember, that’s a large group of respondents in a group of graduating family practice residents. The emphasis remained largely on hospitals, locum and walk-in clinics, with PCN and CHC, community health clinics, work being the highest-rated longitudinal mode of practice.
When we asked that group, 26 percent said hospital; 14 percent said locum; 13 percent said community health centre — there are more now, but there aren’t a lot of those in B.C., as the member knows; 12 percent, walk-in clinic; 19 percent in the PCN and UPCC category; 9 percent, solo practice; 2 percent, First Nations primary care; 7 percent, other.
In terms of their preferred payment mode, most residents expressed an interest in an alternate payment modality, such as salary, capitation, sessional or blended. There, as I say, it’s a minority, but it’s still a significant number, who say fee-for-service, 36 percent. That’s 36 percent of family practice residents. Another 25 percent said salary, and 5 percent said capitation — we can get into the details of that, but I think the member knows what I’m talking about; 6 percent, sessional; 6 percent, hourly, which is effectively a salary; 14 percent for the blended payment model; and 5 percent, other.
The family practice workforce in B.C. This was, I think, the number the member was talking about when she was referring to it earlier: the 5,907 family practice doctors in B.C. This is 2020-21, so it’s not up to date, but it’s in the range. It’s close. It’s 4,247, community longitudinal practice; 63, community episodic practice; 1,336, hospital work; 65, virtual practice; 196, other.
I think that answers the two sets of questions the member had.
S. Bond: Can the minister tell me, if he knows, how many clinics — family practice clinics, walk-in clinics or combinations — have closed in the past four years?
Hon. A. Dix: The answer is no. The most frequent thing that happens, of course, is a merging of clinics, which means you go from two clinics to one.
In terms of the overall numbers of family practice doctors, the same phenomenon that we’ve talked about here exists in other parts of Canada. We have, in terms of family practice doctors per thousand population…. In 2020, we were in third place in Canada, behind Nova Scotia and New Brunswick. The average in Canada is 1.23 per thousand population. In B.C., it’s 1.34.
I think I made the point earlier to the member…. I don’t think that people who need a family practice doctor are that concerned about whether we’re more ahead or behind Saskatchewan. I don’t think they’re concerned with that. But what it reflects is that there is a need for more family practice doctors working in community and providing longitudinal family practice. The situation we see in B.C. is reflected in other jurisdictions.
Those are the numbers. We don’t have the number of those closing. We probably wouldn’t have such a number.
What I would say is…. If the member’s interested in this, I’ll talk to it in a further answer. We had an increase, up to 2016, for about 12 years, in the average age of family practice doctors. It has come down slightly in the last four years, but we do have a very significant number of family practice doctors — more than 400 — who are over 70 and in ordinary terms, in many professions, would be looking at retirement.
If you think of a patient panel for a family practice doctor…. Not all of them will have full patient panels, and some of them will be working on salary and everything else. But if you think of a patient panel of 1,500, that’s a lot of people who have family practice doctors who are set to retire at some point in the next ten years.
S. Bond: On April 21, when asked by the media about the family doctor crisis, the Premier responded in this way: “I’m confident that the minister and his team have a plan, but the plan will take resources. I’m working with other Premiers and the federal government to get those dollars in place so we can build back the system we are so proud of here in Canada.”
I don’t want this to turn into a debate about whether or not the province should be asking the federal government for more money. I think we all know the answer to that. It doesn’t matter what government you’re a part of. That’s part of the advocacy work you do.
However, what I do want to understand is…. Is the minister’s plan…? Does it require additional funding? Is it contingent on additional federal dollars in order to start to actually look at how we’re going to address the shortage of family physicians?
Hon. A. Dix: First of all, the member’s right. I won’t give her a speech on the Canada health transfer, because she specifically asked me not to do it, except to say that it’s important.
The federal government’s contributions aid in the stability of the health care system. The agreement that was made under the Harper government and renewed under the Trudeau government to essentially go to 3 percent as opposed to 6 percent took away options from the province. It does.
It’s not a question of contingent. The money that was in place from the federal government between ’03 and ’13 was important, at 6 percent a year, and it met the demand of health care inflation. The Premier is leading a national effort to get more resources and money and support for these efforts, as he should, as we’d all expect him to, as previous Premiers have and as the member has said she supports.
That’s a critical question. When the federal government contributes money, we do more. I’m looking forward to talking about surgeries. While there are some areas where we can do better, I think we’ve made some real progress, compared to other jurisdictions, in surgeries. The federal government has offered up, as you know, some one-time money for surgeries.
I want to assure the hon. member that I am not saying no to that money. We’re going to put it to good use. Even though we’ve gone to No. 1 on orthopedic surgeries, that’s not the standard. The standard is to provide better access to orthopedic surgeries so people can get well and get back to their lives. That’s what we’re doing.
Yes, if the federal government contributes, we can do more and better. We expect them to, and we need them to do that. The ongoing cost to treasuries, federal but principally provincial, of health care doesn’t just have the effect of limiting health care. It has the effect of limiting all of the other initiatives that members on all sides of the House want to see us pursue. That’s really important.
In terms of primary care, we put in place changes in 2018. We brought in, as I’ve described, the radical changes that occurred in 2020 to the primary care system as a direct result of COVID-19. We’re still pursuing all those.
On the primary care side, we jointly manage the system. This was very significant money overall. If you look at it at all, it’s about $371 million in base funding to build out primary care networks and other proposals of government that have expanded the number of people working in primary care by 965. We’ll double that in the next short period. That’s all part of that plan. Then we have to do more, it seems to me, in this immediate period, to bring changes to the system.
My job as Minister of Health is to get it done and, I think, when people need care, to see that they get it. We’re going to go through Treasury Board processes and federal-provincial discussions, and then our job is to deliver a strong plan.
Alberta, by the way, which spends $1,000 more per person on health care and has for the last 20 years, delivers worse outcomes than B.C. It shows that it’s not just about money.
We have to, together, make changes to the system that will continue to offer…. We’ll build out team-based primary care. We’ll continue to offer longitudinal primary care to people.
I’m not doing anything else but working it through — just as we did with COVID, just as we do with seniors care, just as we do with surgeries — and trying to drive improvements and change. I know how dependent on them people are, and we’re going to continue to do that.
Do I hope the Premier’s successful in renegotiating the Canada health transfer? Yes, I do. Will it make a big difference? Yes, it will. Let that message ring out to Ottawa and Fredericton and everywhere else in Canada.
S. Bond: I guess the point of my question is that we don’t have time to wait for the federal government. We will all be cheering loudly if they decide to do the right thing and provide appropriate levels of funding. In the meantime….
I do appreciate the minister’s conversation about primary care and team-based care. The doctor situation in British Columbia is being described by doctors, by patients, by families as a crisis. Transformation is important, but we actually need to manage the system we have now so people can get the care they need. Part of the core of that issue is that they cannot get a family doctor.
One of the challenges…. The minister referenced it himself. When medical graduates are coming out of medical school, they don’t want to be, necessarily, small business owners. We are facing additional retirements, people who have no ability to replace themselves in the family practices that they have. I dread the day my family doctor is going to pack it up, because she’s incredible. I know the struggle that we have, for example, in Prince George even getting a locum filled at times.
We need to recognize the urgency of the situation. Obviously, we need the federal government to take on their responsibility. In the meantime, family medicine clinics right now are facing unbelievable increases in costs.
What exactly is being considered by the ministry or by the government to deal with those increased costs?
Hon. A. Dix: First of all, I think it’s important to understand the work that we do collaboratively together with the Doctors of B.C. This is work that’s funded work, so it’s not just proposals or consultation. It’s funded work. It’s done through the General Practices Services Committee, which is chaired partly by the Doctors of B.C. and partly by Ted Patterson, who is sitting over my right shoulder, for the Ministry of Health.
They are the strategy partnership table for primary care. They provide annual funding to family practices for the purposes of operating divisions of family practice, which were created approximately ten years ago under the previous government, and have been greatly added to since I’ve been Minister of Health.
They provide a whole bunch of business and practice supports through the practice support program. So they have an active source coming out of the physician master agreement. Incentive payments, such as the community longitudinal family physician program. Team-based care payments — support better coordination of care. Grants, such as tenant improvement and practice consolidation grants, which support family practice doctors with funding to make minor renovations to their clinics. They were provided money for things such as PPE during the pandemic. And many other examples.
In addition, coming through a similar process, the business cost premium was put in place in the 2019 physician master agreement negotiations. The total expenditure for those: $35.7 million. Total expenditure for the GPSC is $157 million.
Those are substantial sums of money, and 65 percent of that 35 amount went to doctors. It goes by cost of area. So 5 percent in the city of Vancouver; 4 percent in greater Victoria and greater Vancouver; 3 percent, to a daily maximum of $36, in the rest of B.C. to defray business costs. These are significant supports for family practice doctors.
Just to put it in context, the community longitudinal family physician payment, which was another process led through GPSC, is provided to doctors. The recipients of those, as of March 18, 2022, were 3,174 family practice doctors, in ’21-22. So there are significant opportunities.
And that, the GPSC, is where the significant funding to support family practice doctors is. It’s collaboratively run between the Doctors of B.C. and the Ministry of Health. The latter program, the community longitudinal family physician payment program, went to 3,174 doctors. The average payment was $7,684.
This is the work we do all the time that is, in many respects, led by doctors, dealing with their issues and responding to their concerns. That’s the work we continue to have to do. In addition to that, there’s all of the investment that I’ve described in primary care across the system.
Those are some of the key ways that we do it. Of course, we’re working with them now, and we continue to do so, on more ways to ensure both the stability of existing family practices and the entry of new family practice doctors to community practice.
S. Bond: First of all, we have to recognize…. When we look at the changes that have been made, what we see and what the minister and I would agree on is the fact that family medicine clinics are pretty critical to the way we do business in British Columbia — how we care for people.
But what’s happened is that the infrastructure needs have become more costly and more complex. What hasn’t happened is…. We haven’t kept up with those kinds of costs. It is one of the things driving people out of family medicine clinics.
For example, if we talk about…. The average British Columbian may not understand or may not be aware — it doesn’t matter to them; they just want to have a family doctor and go and visit with one — that the costs for that family medicine clinic come from the fees paid to family doctors.
When we listen to the challenges with affordability across British Columbia…. Think about the impacts of those cost increases: clinic operations, staff salaries, lease costs, equipment and supplies. All of those things, when you think about the cost of inflation…. All of the issues that other organizations and families are facing…. Family medicine clinics are facing them too. We need to make sure that we are looking at ways to incent people to stay in family practice and encourage others to consider family practice.
So for example, is there consideration being given to creating some centralized supports for infrastructure requirements? I know this is a specific request that has been made. For example, giving family physician clinics access to health authority supply chains — think about the kinds of savings that might provide for that family medicine clinic. Those kinds of things.
Are we looking at how we make it easier to stay in a family medicine clinic when we see inflation doing what it is doing? All British Columbians are facing those challenges. Imagine what it’s like operating a small business and trying to manage those things while managing a complex family medicine clinic.
Could the minister talk specifically about whether or not there has been consideration of looking at some more centralization and allowing family medicine clinics to partner with health authorities?
Hon. A. Dix: We are in active discussion all the time. First of all, structurally, we’re in active discussion through the GPSC and the way in which we manage primary care and MSP in our province. These are jointly managed. They’re co-managed systems between the government of B.C. and the Doctors of B.C.
On the issue of supply chain, I appreciate the suggestion from the Leader of the Opposition. This is something that we did in significant ways during the pandemic. We did it, of course, as sometimes happens, by reason of necessity. Traditional supply chains for doctors who are small businesses, often, although in some cases, larger ones…. Access to things such as PPE and rapid antigen tests and others was done centrally, and the supply chain had broken down, so we picked up supply chain.
These are issues that we’re in discussion on now, because, having broken down some of those barriers, those are issues that we continue to pursue. There is, of course, continuing discussion under the physician master agreement, which is up for negotiation, so there are issues related to that. There are issues with how we manage the system now. So in terms of access to supply chain, in significant ways, that happened during the pandemic. That’s shown us, I think, how it can work and how it can be supportive.
On the issue of technology, the electronic medical records system developed in an unusual way in B.C. I may give, at some point, an oral history of that development, because I consider myself a student of it. But I’m going to spare the Leader of the Opposition and my friend from Williams Lake of that today, and just say that I think it went forward in a way that disaggregated EMR, and it should have gone forward in a different way.
Sometimes, when you choose a lot of smaller providers, it works. It drives competition. And sometimes, when you go with people who actually do this work and know what they’re doing, it’s helpful. That hasn’t happened over time, so you can think of all the money that was spent on electronic medical records since the Romanow report. Mr. Romanow suggested that electronic health records were the key to dealing with health care in the 21st century. All of the money that has been spent on that….
I don’t think, either between the health authorities or in the system, we’re where we need to be. But that’s the path, so we have to work together to do that. So I think the short answer is…. On supply chain, we’ve taken that up during the pandemic. That showed a model about how things can happen. We’re in regular discussions on these very questions with doctors in B.C. through their representatives, the Doctors of B.C.
S. Bond: We certainly do not want to walk down the path of having a history lesson on electronic medical records. But I’ll tell you….
I will just say this to the minister, that one thing I know patients appreciate is that if you’re in one city or another, or one doctor’s clinic or somewhere else, you actually want them to have access to that information. We’ve managed to put people on the moon, but somehow, depending upon where you are, people don’t know your medical history. For heaven’s sakes, we should be able to know how to do that.
I do want to pursue this just a moment longer, and then I’m going to move to another issue related to how we incent people to either choose to have a family medicine clinic or to stay in their family medicine clinic. I want to be sure to give credit, because I had a fantastic conversation with B.C. Family Doctors. They provided those kinds of suggestions that said: “We need some creative thinking about how we reduce overhead costs.” One of the ways would be supply chain access. I’m sure that if you haven’t heard that already, or your staff hasn’t, you will be hearing about that.
But another important issue that matters when it comes to making decisions about family practice is: what happens to medical records after a practice closes? There needs to be some consideration to where those medical records are stored or where they go, because that’s another whole issue. Can you imagine having a history of your medical life and somehow, the record is in limbo somewhere?
So those kinds of things. The other suggestion, which was well-taken on my part, was help desk or IT support. The whole point is — and the minister’s referenced it himself — that we want to make it attractive for people to make the choice to have a family medicine clinic. So if there are these kinds of things, which don’t seem earth-shattering to me…. Those are the kinds of things that I think we need to be considering.
Has there been any discussion about the storage of medical records when a general practitioner closes their practice?
Hon. A. Dix: I feel we’re building momentum today — building momentum. We’ve still got a ways to go, though. We’re still pushing the rock up the hill. After day 2, we push the rock down the hill. That’s how it works in Health estimates.
With respect to the storage of records, those standards are set by the College of Physicians and Surgeons now, but they end up being the responsibility of individual retiring doctors. Sometimes that means — as the member may know, because she, like me, has done casework on this issue — that you see records stored, for example, outside of the jurisdiction, and so on. This is one of the issues that we’re working together on.
The broader issue of patient access to those records is an issue…. There needs to be reform, an overall reform of health information and technology, and it has a whole series of both access questions and privacy questions for health records.
Right now, health records in B.C. are governed under 11 or 12 different statutes. I think most people would argue that that’s not the right approach, and that has just built up over time, for all kinds of good reasons — in every single case, because of good reasons. But depending on whether you’re working in a primary care network or in a hospital or in a practice, you might be under different legislative regimes with respect to health records.
That’s why we need to reform the legislation. I’m optimistic that that process is underway and that we’ll consult widely with the public on the issue of medical records. We’re consulting widely with the Doctors of B.C. So on supply chain, we made the change because we had to, and we provided access to the supply chain because we had to after COVID-19. Pursuing that is important, and the same with this.
I think on the broader issues around the treatment of health information, we need to both simplify and enable our health information in our system to be used effectively, on an anonymized basis, by researchers, to have access to patients — the health information, after all, belongs to them, not to anybody else — and to make the system work better so that you can share and that information is easily shared and provided.
Some of that requires legislative change. I’m hopeful that in this parliament…. It’s a major piece of legislative change. Our next one, which we’ll be doing — the first — this fall with the health colleges…. I’m hoping that that’s a piece of legislation that we will do in this parliament and, I would guess, the fall of ’23, spring of ’24. I look forward to talking to members of the opposition about that.
S. Bond: Thank you for that answer. I think that those are the kinds of things that…. If looking at where they’re going to get the kind of support they need for supply chain or for IT help or those kinds of things, and then being concerned about what’s going to happen to the records of their hundreds of patients…. Those are the kinds of practical steps that we can take to actually let family docs know that we understand their issues.
I guess I just want to summarize that particular set of questions by…. Costs are going up, overhead is challenging, and there’s certainly a view that in order to deal with that, we need to increase supports to those who are considering family medicine clinics.
I want to move on to compensation models. If I’ve heard anything over the last number of months in particular, and prior to that…. What family docs or young medical grads are concerned about is the model of payment. When you stop and think about it, we have to think about what the barriers are and what we need to do to change the challenges.
I just want the minister…. He has already referenced that he is looking at compensation. Can he just confirm for us that looking at modernizing the fee-for-service payment model is being considered?
Hon. A. Dix: In part, I answered this question maybe pre-emptively before. The whole discussion of it….
The short answer is yes, and that we have but that we need to continue to make progress. Really, you have, in our system, the fee-for-service model and a number of service contracts that are broadly called alternate payment. They’re core salary, as we understand it.
In the last three years, we’ve been increasing the number of APP payments by about 15 percent a year, such that we’ve gone from about $550 million in APP to more than three-quarters of a billion dollars in APP in that time. The primary transformation of that has not been in fee-for-service family practice. It’s been in other things. For example, anaesthesiologists is another. It’s proven to be relatively successful but not without challenges. These are important issues for family practice doctors.
That’s a process that has been underway. There has been a slight reduction in the number of family practice fee-for-service, I would say. There’s been an increase because, in general, nurse practitioners are paid on salary, so that group of it is not counted in this.
I would say fee-for-service against alternate payment has gone, in my time as Minister of Health, from about 82½ percent to about 79 percent over that period on the fee-for-service side. Increased dramatically APP in other sides, and that was necessary.
We have physician service contracts that are in place to support doctors who want to transition away from the fee-for-service model. One of them is a new-to-practice contract, and the other is a group practice contract. These contracts are in addition to the existing service contract arrangements through the APP plan. So we’ve added these, which have been in place for several decades. Often, the member will know, this is used in rural settings with relatively low service volumes where it’s effectively necessary.
We have these models. It’s my general view that these models need to be simplified, and we have to do that working with family practice doctors. We don’t do that in the absence of that work in consultation, as I’ve described, in a lot of areas through the GPSC, through our ongoing work with Doctors of B.C. and through our co-management of the Medical Services Plan. We need to do this work all the time.
I think the answer is yes, that we need to make adjustments; that ten years from now, there are going to be more family practice doctors getting paid through APP; that we are going to be closer to Ontario’s 46 percent than our current 79 percent; and that that is, in general, a good thing. That’s because, in some ways, it’s a market test — young doctors want to go this route — and a necessity in terms of care.
There are lots of complexities in getting there. I think there have been, historically, some advantages with a fee-for-service system that have led governments — and, in particular, doctors — to prefer it in this co-managed system. But I think those advantages are less apparent.
The one issue I’ve described…. The member talked about costs. The one issue I would think is as or more important than cost is increasing patient complexity. When you have a fee-for-service system that depends on volume, and you have increased patient complexity, then you have a challenge.
It is impossible, with increasing patient complexity, to get the levels of volume that you historically had. That’s why you have team-based care, and that’s why you have all these other things that you need to do to improve the quality of care.
That is another long answer to say yes to the member’s question.
S. Bond: Thank you to the minister for that. I’m hoping he’s going to be able to just say yes to some of them, because my heart rate is going up here when I think about the number of questions I have for him over the next number of days.
The main message here is that there is not…. Certainly, in talking to physicians, and particularly family practice physicians, there is inequity in the system. There is the concern of overhead, overwork and the ability to make that choice to do comprehensive patient care. There are concerns, in fact, that there is a gender pay gap that results in female physicians potentially being paid less. There are a number of serious issues related to compensation.
I won’t pursue that any longer. I simply want to say that I think there does need to be more flexibility. There needs to be more options. And the most important message I would leave with the minister is that doctors need to be at the table. Their voices need to be heard in terms of what it takes to incent people to make a choice to practise family medicine in our province.
I’m continually reminded…. When I talk about a physician shortage, for example, I’m reminded frequently that it is the choices that physicians are making when it comes to the kind of practice they’re engaged in. So we need to obviously deal with the concerns around the model and the equity in terms of how physicians are paid in the province.
I also want to ask very quickly about locum coverage and parental leave — very important. I know. I’ve just had an experience with a physician in Prince George who made a decision not to do something particular with her family because she cannot get locum coverage. We need to make sure there has to be the ability to replace a physician in the event that they are sick or…. They need that support.
We also need to look at family doctors who require parental leave having access to coverage so that their practices can continue to run at full capacity. These are real situations which add additional stress and concern to physicians worried that they can’t be sick, that they can’t care for their own families. And what are they going to do if they require parental leave?
So perhaps the minister could briefly identify for us what exactly is being done to deal with the issues of locum coverage and parental leave.
Hon. A. Dix: The member knows that if there are any other questions that we don’t get to for whatever reason, then we’ll absolutely be prepared to answer those questions or deal with those questions in writing in an expeditious way. That’s not to say that we don’t have lots of time for questions and answers or that I couldn’t be shorter in my answers.
With respect to locum coverage, as the member will know, we have a couple of programs. Those locum programs have been targeted in rural areas in the past — the rural general practitioner locum program and the rural specialist locum program, which both exist.
The member will also know that as we’ve worked through issues around the south Island walk-in clinic issue, one of the issues that we’re engaging on with doctors…. I can’t emphasize enough that every one of these issues is co-partnered with doctors — that affect doctors’ lives. That’s the way we run our primary care system in B.C. It’s jointly run between the Ministry of Health and doctors.
That’s a challenge sometimes. There’s not always a consensus on the doctors’ side as to what to do, and they’re not any different than any other group. There’s not always a consensus on everyone else’s side. But what we’re seeing, I think, that is a prerequisite for change is a desire for doctors — who generally, institutionally, have supported fee-for-service in the past — to look at other options. I think that’s a good thing.
What we’re looking at and what we have looked at — and we’ve made public reference to it, so I’m free to talk about it here without the deputy getting unhappy with me — is a new-to-practice locum program. When I described the survey results to the member earlier, a lot of new-to-practice doctors wanted to do locums, but it’s often on an ad hoc basis now. We’d like to connect them through to primary care networks and provide that support.
Obviously, parental leave may be one of the issues that that would involve. There are some small parental leave programs, but they’re not significant. I’ll be happy, in the interests of keeping my answers shorter, to share that information with the hon. member.
The Chair: Members, we’re just going to take a short, ten-minute recess, and we’ll be right back.
The committee recessed from 4:22 p.m. to 4:32 p.m.
[M. Dykeman in the chair.]
S. Bond: I want to spend some time on the primary care strategy, and I have some very specific questions. I will give them to the minister, and then if he needs to provide the information at a later time, that’s fine. I just want to make sure I get them on the record.
Can the minister tell me what the attachment goal for the average primary care network is, and if that information is not available, what attachment assumptions were made per practitioner?
The Chair: Minister.
Hon. A. Dix: Thank you very much, hon. Chair. It’s good to see you back. We actually came close to ten minutes there, which is pretty good for a legislative break, so I appreciate that.
In general, the expected attachment size for a new general practitioner would be about 1,250. The attachment size for a nurse practitioner would be between 800 and 1,000. Both of those can sometimes be moved down based on the complexity of the care being provided.
For example, if care was being provided in a particular setting — an Indigenous setting, a rural setting; conceivably, in a downtown setting — with a patient population with very significant needs, then that might be measured down. For a registered nurse that would be added to a practice, there’s a view that that would add an additional net 500 to that practice.
Over the course of the next three years, the attachment goal for all of the primary care networks is in the neighbourhood of 680,000. We’re just starting and we’re building that out so we’re on the road to there, and I think right now, we’re at about 141,000, but we’re really just getting started. None of the primary care networks, not one of them, has been fully built out, and a number haven’t started yet, but that’s our attachment goal: 687. We’re at 141 — which is what it is; that’s just what the number is — and making progress.
But when you look at adding health professionals, that’s what you’re looking to do in terms of attachment. About 1,250, more or less. A lot of existing family practice doctors are higher than that, but that’s our attachment goal for an incremental GP, nurse practitioner, registered nurse.
S. Bond: The minister may have answered my next question. He just referenced general physicians, nurse practitioners and registered nurses, so can he just confirm that those numbers…? That the number is the same? And then I’ll just give him the additional question. How many net new attachments — people who were previously unattached — have been completed through PCNs to date?
Hon. A. Dix: The numbers I provided — that’s 1,250 for a GP; that’s 1,000 for a nurse practitioner. You’re assuming nurse practitioners tend to take more time for patients and they’ve had a higher acuity of patient. Five hundred for a registered nurse. So you add a registered nurse to, say, a group of five GPs. You’d expect that to have the incremental effect of 500, say, on that.
We do allow flexibility there, so if you were setting up practice in an area that was underserved or had high complexity of patients, whether it’s in Prince George or in Vancouver or whatever, you might ask less of those doctors or nurse practitioners. They’re not doing any less work, but their patients have more complex needs. So there is some flexibility on that, but that’s the guidepost for those three categories — 1,250, 1,000 and 500.
The actual attachments which are new attachments — it’s 141,525. But it’s a dynamic situation, as I said, and conceivably, some of those attachments might be people whose family doctors have retired, but we wouldn’t distinguish or wouldn’t say that doesn’t count as an attachment, because if we hadn’t attached them, then they’d be unattached.
That’s where we are now. The goal is to get, with the primary care network plan — which is a very extensive plan, as the member knows — to 670. This is real progress, and the people who deserve credit for that, to a great degree, are the people participating in it — the family practice doctors, the nurse practitioners, the Allied Health professionals and others.
S. Bond: Can the minister tell me how many net new health care professionals, specifically physicians and nurses, have been recruited as part of implementing primary care networks. I’m going to give him the subset of questions as well, so that he can perhaps answer them all at once.
Is the minister able to identify how many of those professionals, so the subset, were part of a previous medical practice? How many FTEs have been hired — general practitioners, nurse practitioners, registered nurses and allied health providers?
Hon. A. Dix: Here are the recruitments to date for primary care networks: 125 FTE family physicians, 172 FTE nurse practitioners — understanding that an FTE may be a family physician who’s doing half-time somewhere else, so they would count as 0.5 in a primary care network; 296 FTE registered nurses; 239 allied health workers — I can provide, if the member would like, more detail on that, probably, on how many are counsellors, how many are different health professionals; 26 FTE pharmacists; 20 FTE Indigenous health providers; and 82 FTE administrative supports.
A lot of that is supporting the backbone of the divisions of family practice networks, but those are important, of course, to making it possible to do a lot of this work.
Those are the actuals through March 3, 2022. We update that, obviously, on a regular basis, but that’s where those numbers come from — March 3, 2022.
S. Bond: That’s very helpful. Of the 59 primary care networks that are listed under the 2021-22 forecast, in 2021-22, in the current service plan, how many are operating versus implementation? I would really like the minister to be specific, because we need to know. I would like to know how many are actually operating.
Hon. A. Dix: They’re all operating, those 59. There are others to come that aren’t operating, but those are operating. I’ll give you…. We have four-year service plans for all of them. So you’re in either year 1, year 2, year 3 or year 4, even when they’re announced. At the moment, 18 PCNs are starting in year 4 — obviously, they’re more advanced; 21 in year 3; 14 in year 2; and right now, six in year 1, although there will be more announced. Those are the numbers.
S. Bond: Last year the service plan targeted 65 PCNs. Are there six that are delayed?
Hon. A. Dix: The goal was that. Obviously, we’ve been focused on urgent COVID response, but 59 is strong progress. I think that as early as Friday, we’ll be announcing the next one, and we’ll be continuing to meet that task. As you say, you don’t get to year 4 by being in year 1, and we need to get these primary care networks going, across B.C. So 59, with the outcomes we have, are strong outcomes, and we’re going to continue to pursue to get that number up to the full number of 85.
That’s our target number — 85 by the end of 2022-23. That means we have a little bit more work to do this year.
S. Bond: I want to circle back, just for a moment, as I’m thinking about the FTE numbers. Can the minister tell me…? Can he confirm that the number of FTEs are new to family practice?
Hon. A. Dix: Let’s be clear. They’re net new positions. They’re all net new positions in primary care networks across B.C. Those positions might be taken up — for example, the registered nursing positions in a number of places; this is part of the challenge of the health care system, I’d say — in a primary care network by someone who’s working as a registered nurse.
Not all these people are new to practice. They’re coming from somewhere — another province, another jurisdiction, around the world, another part of health care — or they’re new to practice. A very significant number of them are new to practice, because this is a very desirable place to work. But these are new, funded FTEs. In that sense, they’re all new, but the origins of the individuals taking on those jobs — that I can’t say in the same sort of detailed way.
S. Bond: Obviously, the minister can understand why I would ask that question. Yes, I understand that these are net new funded positions, but where they come from actually matters. As we see primary care networks growing, we have to remember that there is a gap, potentially, somewhere else as a result of that. I won’t belabour that point, but that is exactly the reason for the clarification.
Can the minister tell me how many PCNs are currently at the expression-of-interest stage? How many concept plans for primary networks have been submitted to the Ministry of Health?
Hon. A. Dix: Interesting. Seventeen PCNs are in active planning. It’s not a concept plan so much as they’re in what we call active planning, and we’re working on the details.
Those include two in Langley, two in the Shuswap–North Okanagan, one in Revelstoke, one in the Thompson region, two in Bulkley Valley–Witset and Smithers, one in Prince Rupert, four in Coast Mountains, one in Powell River, one on the Sunshine Coast, one in Campbell River, one in Port Alberni. Those are the 17 that are currently in the planning stages.
The ones not yet in planning…. These would be the final ones. In Interior, it’s what’s called Interior, rural and remote. In Island, it’s Saltspring–Gulf Islands, west coast, Vancouver Island west, north Island. In Fraser, it’s Abbotsford and Delta. In the North, it’s Hazelton, Kitimat, Fort Nelson, South Peace and Haida Gwaii. And in Coastal, it’s Squamish, Whistler, Central Coast and Pemberton. Those are the ones that we’re at.
In terms of where we’re going, the next 17 are the next ones on the list, and they are in the communities I’ve described. That’s where we are right now across them. The most recently approved ones are the ones in Surrey and North Delta.
S. Bond: I wanted to sort of walk through where any potential PCNs are, in terms of the process. We’ve talked about active review. Perhaps the minister can clarify whether that includes a business-and-operating-plan stage.
Are those included in the number that he just provided? How many have signed letters of intent? Most importantly, how many does the ministry anticipate will proceed to an approved business and operating plan, with a funding letter for year 1, by the end of this fiscal year?
Hon. A. Dix: The goal is 85 in this fiscal. We’re at 59 now; the goal is 85.
The active-planning ones include both those that have put forward, essentially, their four-year service plans and some that are still working on them but are in active planning. In other words, they’re preparing them as we speak. Then the process goes back and forth a bit. They approve their active service plan; they submit it to the ministry. We go over it; we approve it, in terms of the overall goals. Then the PCN is announced.
The next 17, taking us from 59 to 76, are the ones I’ve described. Where we want to make progress in this year is on the final ones, which I described at the end. The minimum expectation is 76, but the goal for this year is 85. I never like to let go of a goal, particularly in a fiscal year where we’re in May.
S. Bond: Can the minister tell me how many communities have submitted adjusted growth plans? How has resource funding for primary care networks adjusted as a result of that?
Hon. A. Dix: I think that our expectation — it’s a four-year plan — is that PCNs will build out their plans over those four years.
There are, in three cases…. Three of our most successful primary care networks are the South Okanagan Similkameen, Kootenay Boundary and the first one we announced, which was Fraser northwest. It was, roughly speaking, New West out to the border of Port Coquitlam to Maple Ridge. At least two of those, I think, Kootenay Boundary and South Okanagan, have been so successful they have put forward growth proposals.
Right now most of them are still in the midst of their original four-year plan and meeting those targets. Those ones, in particular, have had, I think, a great deal of success with providers. It’s a real tribute to both the ministry’s team, led by Mr. Patterson, and the divisions of family practice. They’re, of course, putting them into play.
S. Bond: To the minister, those communities that have…. He noted that three had submitted plans for expansion. Is additional funding provided to facilitate that?
Hon. A. Dix: Not yet. I think that’s the short answer. They’re well on their way to meeting their four-year objectives. Those three primary care networks, for example, are looking at other things they can do, and that will be considered. I think there has been a formal submission from Kootenay-Boundary to do that.
Our goal with these, having announced four-year plans, is to meet the targets of the four-year plans — and of course those following behind that will be in the first year of the plan. We don’t have money set aside for that, although we do have money, obviously, as we develop primary care networks. Those would be considered, but we’re also, of course, approving new primary care networks, and that’s the priority.
S. Bond: As of 2019, communities were not required to submit growth plans in the annual reporting process. Has that changed?
Hon. A. Dix: No it hasn’t. But I think it’s fair to say that a couple have volunteered them because of the success of the program.
S. Bond: Can the minister tell me what the targeted time period is for full implementation of a primary care network, from initial planning to full operation?
Hon. A. Dix: I was being assured by some of the people around me that I had misunderstood the question. But I’m going to give the answer for the question that I had thought I understood, and then the member can ask a new question if she wishes.
The typical period is nine to 12 months. Part of the variables depends on whether there is a collaborative group that has been working on these issues in a community or not, prior to that. For example, many of the divisions and others have not consulted previously with First Nations or Indigenous groups. So that has an impact on the length of time it takes to develop the plan.
It’s serious community planning, engaging with the whole community. The division of family practice is central to it. There’s an expectation of Indigenous consultation. Some of the outcomes in that regard have been simply outstanding, as led by the primary care networks, and also transformative for the community of people involved.
Typically, from when you start the planning process to when we arrive at the announcement for year 1, it’s nine to 12 months.
S. Bond: Obviously, with a shift in how we provide care in the province, ongoing reporting and performance review is important. If you can’t measure it, you can’t actually tell if we’re making progress.
What type of ongoing reporting and performance review has the ministry undertaken, of primary care networks currently in operation?
Hon. A. Dix: I think a couple sets of things. One, obviously we report regularly on the issues of attachment, which I’ve described, and the issues of hiring, which we report in detail. You see those both by the categories I described and, even more, the very significant differences in professionals that are included under Allied Health, which includes, in our primary care networks, many of our mental health professionals as well.
We’re also working to provide a more qualitative assessment of the achievements of primary care networks. We’re doing a more qualitative analysis and asking UBC’s innovation support unit to work together to develop a qualitative discussion of those as well. I think it’s fair to say that some of the success of primary care networks — and their ultimate success — will be in the provision of care, broadly, to the community.
How you assess the role, for example, of counsellors in the Burnaby primary care network or the role of counsellors in the Fraser northwest primary care network if the sole goal is attachment is difficult to do. But you want to do it and also have an assessment on a project-by-project basis. So we’ve asked the people who are in the UBC innovation support unit to work with the GPSC, which is our work with the Doctors of B.C. As you know, it’s co-chaired by the ministry, Mr. Patterson and the Doctors of B.C.
The Doctors of B.C. are working with UBC on a broader PCN evaluation process that will not be just how many people you attach and how many people you’ve hired but a broader assessment of its success against the goals that it set out. These PCNs are not identical in different places. They reflect local demands. That requires, in addition to the basic evaluation assessment, a broader evaluation to assess them against what they’ve promised.
That’s more challenging. It would be easier if they were cookie-cutter. But if they were cookie-cutter, we’d assume that Coquitlam is the same as Cranbrook or that Cranbrook is the same as Fernie, and surely, that’s not the case.
S. Bond: I think that “surely” was s-u-r-e-l-y.
Can the minister describe the payment model for physicians within primary care networks?
Hon. A. Dix: There are really three options. There’s the new-to-practice contract, there are group contracts, and then there’s fee-for-service as well. All of those are available within primary care networks.
S. Bond: Thank you to the minister for that answer.
Do the compensation contracts and overhead provisions take into account inflationary pressure?
Hon. A. Dix: The agreements for these, which were negotiated in 2020, were put in place at that time. There are increases. I hesitate to call them inflationary, as the member will know, because inflation, everywhere in the world and here in B.C., is higher at the moment than expected. There’s also, in the broader discussion with physicians, of course…. The increase is contained in the provincial master agreement.
S. Bond: The past half an hour of discussion reflects the importance of having the data that is publicly available and transparent. If you’re going to introduce a new model of care, people need to have an understanding of how that’s working and what the metrics are in terms of review — all of those things.
It was our understanding that there was going to be a web portal to support primary care data that was going to be released regularly. My question to the minister is: has the web portal been completed? What is it called? How many reports have been produced to date?
Last year, during the estimates process, the minister stated that there would be quarterly implementation progress reports released publicly, beginning in September of 2021. Can the minister also provide me with an update as to where those have been released?
Hon. A. Dix: We do have a web portal where we receive information. The plan will be, in this fiscal year, to produce quarterly reports, starting June 30 and then every three months after that.
The quarterly reports, in that sense, aren’t that challenging. The information is available on the primary care networks. It’s the information I’m providing the member today. We do that on a regular basis, as we have with surgeries. In the case of surgeries, we do monthly reports.
It may become desirable to do those reports more frequently, but I would expect a quarterly report on June 30. The source of our information is the web portal, but I think just putting out the information in whatever form on that date would be useful for people so that they can get into the rhythm of receiving those reports and seeing the progress that is being made by different primary care networks in different periods of B.C. — the key information, of course, that’s at the core of those primary care networks.
There may be some description as to those issues of hiring: when they’ve hired, who’s been hired, what groups of workers have been hired in general, I would say, and against their expectations — what groups of workers have been hired against the expectation for that group of workers? I think we’ve been more successful — I think it’s clear from those numbers — in hiring allied health professionals. That’s been a priority. It was a priority of doctors to do that, I would say, and the local divisions of family practice — to add those supports to the network.
Such a report would allow us to compare against our aspirations of what the hiring is in different professional areas, not just overall or the overall numbers — as I say, 965. Then we let them down by those broader categories — what you’d hope is a more granular view — by health authority, by primary care network. That information is available now. We’ll work through it and send it over to the hon. member as well, because that information is available.
S. Bond: I appreciate that. I think that the more information we have and British Columbians have in terms of assessing the success of the shift is really important.
I’m going to move on to urgent primary care centres, but before I do, can the minister confirm whether he has received annual reports for primary care networks that have opened since June of 2019?
Hon. A. Dix: We do more than that. Essentially, they provide 13 reports a year. So 52 divided by four is 13 reports. So we have 13 health periods that we measure things: surgery, diagnostic and this. Primary care networks provide those reports on a…. It’s not quarterly. It’s not an eighth. It’s a thirteenth. You know, it’s very challenging when you’re working with prime numbers. We’ll get on that. But that’s 52 divided by four; that’s 13. That’s when we get the reports. We’re getting them on that basis, so just slightly more than monthly — every 28 days.
S. Bond: I also want to encourage the minister, because one of the issues…. When we have gaps in the health care system and we create a model — primary care networks — and we have people being hired in those primary care networks, one of the things that’s important is where they are coming from. If we are, in essence — because of the perhaps more desirable circumstances of working there — pulling those health care workers from somewhere else, that doesn’t solve the problem.
So I think that when we’re looking at data, it’s important to know whether we are creating additional capacity issues elsewhere. I would urge the minister to think about that and to recognize that it’s not enough to move health care workers from one place to another. We have to add capacity and make sure we’re finding ways to get rid of the disincentives to make sure that British Columbians can have a family doctor.
With that, I want to move on with talking about urgent primary care centres. They certainly have been the topic of a lot of discussion recently. I’m wondering if the minister can tell me how many patients a practitioner sees in a day at a UPCC.
Hon. A. Dix: Obviously, urgent and primary care centres are based on a team-based care model. But if you look at clinic averages, it’s about 26, which is more than the average in the period of a family practice clinic. Per, the number is 26.
S. Bond: Can the minister tell me what the average cost per visit of a patient at an urgent primary care centre is? For example, what is the average cost of a patient visit at Westshore urgent primary care clinic and the Vancouver City Centre UPCC?
Hon. A. Dix: Essentially, in terms of what we pay people, it’s comparable, similar, on whether APP or fee for service. It’s comparable wherever you are because it’s governed by the collective agreement. Those are the same.
Urgent and primary care centres offer a variety of team-based care in addition to that. They also provide, obviously, different care than a doctor’s office or a community health centre or other things that go on. But in terms of the pay, it’s pretty comparable across the board.
S. Bond: All right. I will press on. That answer was not quite where I wanted it to be, but we’ll move on, because I have a lot of other topics I want to explore.
If we exclude patients who transfer to a clinic because their primary care provider made that choice and moved there — that’s a very likely possibility, considering the working circumstances and the fact that we’ve established that many new graduates do not choose a family medicine clinic — how many net new patients have been attached to a primary care provider at a UPCC? Specifically, how many to a general physician, and how many to a nurse practitioner?
Hon. A. Dix: UPCCs provide, as I noted, different kinds of care to people. A number of people who use UPCCs because they’re open in the evenings and on weekends, and so on, have family practice doctors but are going there for care.
As I have noted to the member — I think I’ve shared this information with her — we’ve had 1.084 million patient visits. This is data up to March 3, and obviously, it would be more now. I can provide that information probably more simply to her, directly to her, as well, without having to break it down by patient visits. Some of them are more recent than others and have just started.
As you know, we have different kinds of UPCCs. The one at Vancouver City Centre is done in consultation with the Seymour Health group, which the member will know has been prominently involved in health care in Vancouver. The one in Nanaimo is similarly involved with an existing and significant local practice in Nanaimo. Others are health authority–owned and –operated.
So 1.084 million visits, and at the UPCCs alone, which is part of their task and will be a growing part of their task, about 20,000 people have been attached. In addition, when you go to a UPCC, you’re generally referred through to the primary care network, as well, to seek attachment elsewhere. I don’t have those numbers here, but those are the basic numbers — 1.084 million. And obviously, the numbers are different for different UPCCs.
The member asked about a number of them. I’ll share all the information. I know that I think she asked about Westshore, and she asked about Vancouver City Centre. The latter has had 110,673 visits — Vancouver City Centre has.
I’m just looking for Island Health here. I’m sure I’ll find it in one moment, but Island Health has had a similar number. The one in Langford is one of the newer ones, and you see attachment data as well, which is different for different UPCCs. In the case of the Vancouver City Centre UPCC, I believe I saw the attachment data, and that attachment data is 3,000 at that UPCC.
So they’re getting 100,000 care visits, and they’ve attached, directly at the UPCC, which is not their sole role, obviously, 3,000.
S. Bond: Just a couple of follow-ups, then. I would appreciate the breakdown of the more than one million visits. I do want to recognize that my colleague, the leader of the Green Party, has asked a similar question about with the one million visits, how many were for non-urgent primary care, and how many were unattached patients. I don’t expect the minister to give me that now, but I think it would be important to share that. So non-urgent primary care visits and how many were unattached patients.
The minister anticipated my next question, which was how many net new attachments have been facilitated to another practice through a UPCC. He noted that number. Can the minister briefly outline the difference in the compensation model for physicians at a UPCC as opposed to a private family practice clinic?
Hon. A. Dix: As was described, doctors at UPCCs are paid in similar ways under the collective agreement that we have with doctors, either on an APP contract arrangement, which exists in what we broadly called private practice — public system private practice — and also part fee-for-service, part contract and, in some cases, salary. All of those exist within the UPCC. All those models exist within the UPCC, which are the models that exist in general.
[B. Bailey in the chair.]
If you look at…. You know, there are a couple of thousand practices in the province. We have 27 UPCCs. That’s the context for it. In that context, in this period, of course, they’ve provided some essential care, because they’ve been open. One or two have had challenges, but they’ve been open in that time and provided a lot of care for people. But the contracts are essentially…. The contract models are the same as in the private sector.
S. Bond: While I appreciate that answer…. I mean, we’ve spent a lot of time today talking about the reasons that people are not choosing family practice. So while compensation models might be similar, the expectations, the overhead, all of the disincentives that we’ve talked about continue to be a significant challenge in the system. At some point, that’s the point of all of these questions. While we have a new model being provided in British Columbia, there is also a challenge with how we’re attracting people. What is the impact on family medicine clinics, for example?
Some specific questions about UPCC staffing. Can the minister confirm whether or not all UPCCs are fully staffed? If not, which ones have vacancies?
The Chair: Minister.
Hon. A. Dix: Thank you, hon. Chair. Good to see you back. We open and close today. It’s all good.
In terms of FTE hiring…. Again, this is from the report. I want to make sure…. It’s dated March 3, and obviously, it changes and adapts every month.
We have 308 FTE hirings at UPCCs. We have head-count hirings, meaning that often people in health care are working somewhere else — 556 for the 308 full-time-equivalents. Amongst those hirings are 62 physicians, 39 nurse practitioners, 137 in nursing, 61 in adult allied health, five in pharmacist and four in administration. Those are the raw numbers. As the member knows, there’s a vacancy right throughout health care. That’s also the case with the UPCCs.
If she’d like, I can give her some examples. In Surrey North, there are 17 approved FTEs, and as of March 3, 15.3 hired. In Ridge Meadows, 32.2 approved FTEs. They’re at 26.4 hired, and so on and so forth. I certainly can provide that information.
In Vernon, it’s 17 on 21 as of March 3, and of course, this changes, as you’d expect, on a regular basis. The Prince George UPCC, which had, since it started, 84,333 patient visits, has a different hiring pattern because of the way it’s developed. The member will be aware of that, but 6.9 positions, six hired. The REACH UPCC, part of our partnership with the REACH Community Health Centre, is 15.9 funded positions. They have 12.5 hired.
North Vancouver is unusual because they have more people hired than funded positions. It’s a very busy UPCC. Others are just getting started — for example, Richmond, which has 23 positions. As of this point, 5.5 were hired, but they hadn’t opened their full UPCC complement yet.
In a general sense, that’s the direction, like all health facilities. The full complement are not hired in many of these. But that’s also true…. We’ve discussed the vacancy rate, and no doubt, we may again. I had all this material prepared for vacancy rates. What I’ll do is probably just share that with the hon. member, because that’s a key question around health human resources for where we are. In a lot of these cases, it’s not dissimilar to what we see in the health system as a whole, where there are vacancies in positions.
I was looking across the list and hoping to find Cranbrook because I look across and see my colleague there. There you go: 12.5 positions and 10.5 hired in Cranbrook, just to give you a sense of what that is. Obviously, they’re moving to fill that out. When people leave, obviously that has an effect. Then they’re hired. This is a moving document, but these are the numbers as of March 31.
S. Bond: We’ll certainly take the minister up on his offer. What I would appreciate is having that information provided. If he could also add to that…. I’m sure it would be on his charts, because he suggested he’s ready for the vacancy numbers.
Can the minister, in that information, provide for me…. Are they permanent staff, temporary staff or a mix? I’m certain there would be, probably, some differentiation there.
I’m wondering if the minister can tell me: of the physicians that have been recruited to UPCCs…. Do they have a breakdown of how many have been recruited from walk-in clinics or from family practice?
Hon. A. Dix: As the member knows, the UPCCs are a partnership and part of primary care networks. Part of what they do is pick up support and backup for existing practices as well. There are UPCCs where you have full-time staff. There are full-time staff, effectively, and often with the Allied Health staff or nurse practitioners or others.
In terms of doctor coverage, there are some, yes, where there are full-time doctors hired who are there permanently at the UPCC. But at others, such as Burnaby, for example, essentially people are picking up shifts in the community of family practice and supporting the UPCC as the UPCC is supporting the community of family practices.
In that case, it’s not a health authority–owned and –operated UPCC in Burnaby. Nor is it in Nanaimo. Nor is it in Vancouver city centre. They’re developed in these ways, and in similar and interesting ways have been put together in places such as Prince George. It’s not a taking away of family practice, in a general sense. There are full-time employees.
There is an argument to go to that model. The UPCCs in communities are intended to be integrated with all of the care provided in communities, and that means working with the local PCN and the local family practice doctors.
The issue that some family practice doctors have…. The concern they’re expressing is the compensation value at UPCCs as opposed to them. As you can see, the nature of peoples’ work at UPCCs differs. We’ve worked with family practice doctors to do different models and in different places. The significant….
When people say, “Well, there’s competition for new doctors with family practice,” principally, that competition comes from the hospital, not 27 UPCCs competing with 2,000 family practices. On the contrary, there are other options in health care, and that is a challenge. So the question is how to address the family practice question in such a way that we’re building out team-based care in all models of family practice.
With respect to the UPCCs, the answer is that it depends. Different UPCCs operate with different models of practice, whether it’s under the auspices of the Seymour medical clinic in Vancouver city centre or whether it’s a health authority–owned and –operated UPCC such as the one in the mall at Maple Ridge.
S. Bond: Thank you for the answer.
The struggle here is that we don’t have enough health care professionals to begin with. The statistics are showing us that new medical grads, for example, are making decisions about how they practise in British Columbia, and they are not choosing family medicine clinics. That is a concern for British Columbians. We are hearing it every single day.
I appreciate the minister’s answer. We do need to look at the metrics so we understand how the clinics are being staffed. Where are they coming from? What number of applications have come from outside the province, from other circumstances that don’t create additional capacity challenges in our health care system across the province?
I appreciate that answer. We’ll continue to explore that, I’m sure, in the weeks and months ahead.
Critical to all of our discussions today have been performance outcomes. What matters are outcomes. Are patients being served well? Are they having the opportunity to have the quality care, the longitudinal care that they deserve? What performance metrics does the ministry collect regarding UPCCs specifically, and how are they evaluated on an ongoing basis?
Hon. A. Dix: A couple of things. First of all, I would say…. I’ve said this before, and I’ll just say it now, about UPCCs.
In the last two years, which have been more than half the time that UPCCs have been around in B.C., we went overall, in the health care system, in fee-for-service paid visits from about 17.9 million visits to 19.5 million visits. It’s a net increase, year to year, during the pandemic. The latter is the most recent year, ’21-22. We haven’t fully closed the year yet. That’s the fee-for-service visits.
In addition to that, we’ve added APP visits. The challenge has been, and the reason why UPCCs have been invaluable in this context, is we went, as I say, from 17.9 million in-person visits to 5.5 million in-person visits. At that time, we added UPCCs, which have had 1.084 million visits in that context, which is really significant. We have the same reporting circumstances for them, meaning 13 reports on an every-28-day basis that are focused on some of the same things as primary care networks, which are number of visits, staffing levels, and so on.
I say this with some delicacy, because we had a discussion about this in question period. We are in the midst of developing and putting out a dashboard and seeking information about what should be in that dashboard so that people would have a dashboard where this would be easily available to members of the public, including the hon. member. The document that she showed last week was part of the development of this dashboard and the discussion with providers as to what should be on it.
UPCCs, while they’re seen as health authority–owned and –operated entities, and some of them are…. They are a variety of entities. We’re working both with health authorities and with the providers — in the case of Medical Arts in Nanaimo, Seymour in Vancouver, or others — and local divisions of family practice, with respect to their success. It’s my expectation that we’ll post a dashboard soon. That will be a ready place for these 13 reports that come out annually to be seen — one every four weeks — as we report out with the primary care networks as well.
S. Bond: Thank you very much to the minister. We will look forward to seeing the dashboard develop, because as he and I would both know, those numbers probably don’t reflect what’s going on in UPCCs. On the other hand, if the data is flawed, it needs to be fixed, because it calls into question the efficacy and success of UPCCs. Believe you me, I know some of the incredible people that work in the Prince George UPCC, for example. I know what a great job many of those health care professionals are doing. We need to get the data sorted out so that what British Columbians hear is actually accurate.
I want to just ask the minister: on average, does the ministry track how many people are turned away from a UPCC, and how quickly they might reach capacity on any given day? We have seen, for example, that recently, a UPCC posted a sign that said: “We are full today. We are full tomorrow. Call us back when there might be some availability.” That’s not helpful.
Can someone speak to the frequency and timing of a UPCC reaching full capacity?
Hon. A. Dix: As I’ve noted, it’s a very dynamic time, in primary care, for in-person care. I’m repeating this, but this is the context in which UPCCs are operating — 17.9 million in-person visits to ’20-21; 5½ million to ’21-22; up to March 31 this past year, about 7½ million.
It means that there are a lot of people that haven’t had in-person visits. The role of UPCCs is important in both meeting that demand — which is the demand, really, of people who have existing health care providers and the additional demand of being open many hours.
There is an argument that there should be more UPCCs, based on that. That’s why I was responding to the member in the House, and we’ve provided the data today on that question. The data is available. We’ve provided data before, and we’ll keep providing it, in terms of visits to UPCCs, but I think they play a critical role.
Whether there should be more of them…. We will be developing more of them. But whether there should be more of them, based on demand…. I expect the nature of demand in health care to change in primary care somewhat again in the next six months. I don’t expect us to return to 17.9 million in-person visits, but we’re going to continue to increase paid visits.
In the pandemic, we increased paid visits in two years by 1.5 million visits, which is a lot of visits, even on an 18-million-visit base. That was done through virtual care, and that was done through in-person care.
I would expect the in-person care to return, not to historic levels but…. I wouldn’t want to speculate, but I would be expecting it to return to 12 million, 13 million, 14 million visits this year, which will change and again reinstitute the in-person visit as the majority of visits in a full-service family practice.
We’ll see. Certainly, we’re still facing a pandemic. And in many cases, in the case of family practices my family is involved in, it’s still largely virtual care. So if we were in a situation where we were permanently reducing in-person visits and moving to virtual visits as a basic fact, there might be even more need and demand for UPCCs.
I don’t think one can make all of the decisions about the future of health care based on the last year and most recent years, when we’ve been in a pandemic, nor, though, on the basis of ’18-19, when we weren’t. We’re in a new reality, and we have to adjust to that.
No, we don’t track the number of people who are turned away. It would be very difficult to track that, in fact, as the member would know. But we do have UPCCs, based on the patient visits, that are extremely successful and extremely popular, so we have to reflect on whether we have sufficient capacity in that system and whether we need more. That would argue for additional UPCC investment. But I think we need to continue to do that in collaboration with divisions of family practice, and that’s what we’ll do.
S. Bond: Thank you to the minister. I would also like to remind him of the other issue we need to be grappling with. And we can contemplate adding additional UPCCs. We need to incent physicians to consider family practice in British Columbia. That remains a core and essential part of the system. It’s not either-or, from my perspective.
British Columbians expect us to be looking at what the disincentives are. Why are 3,000 out of 6,000 physicians making choices about where they practise and how they practise? Overhead, additional costs — all of those things make an enormous difference. I will continue to make that argument and that observation.
My last question for now on UPCCs is: are the clinic spaces owned or leased — presumably by health authorities? But if leased, what are the typical terms for leases?
Hon. A. Dix: In some cases, they’re in health authority–owned and –operated buildings. I believe the Westshore is an example of that.
In general, though, they’re in leased properties, based on market arrangements, either by the health authorities, in the case of health authority–owned and –operated UPCCs, or by whoever is operating, whether it’s Medical Arts in Nanaimo or whether it’s Seymour medical group in downtown Vancouver.
In the case of Seymour medical group, for example, they lease multiple floors of the building. It seems to me a couple of those floors are for, broadly speaking, their existing primary care practice that they moved into, and the bottom floor is the UPCC.
They’re principally leased market arrangements, and it depends on the urgent and primary care centre involved. I don’t have the length of time of those leases, but these are market leases. Health authorities, in those cases, sought out the right locations. Or if they had physical space, they would do that.
We’ve had UPCCs, on a temporary basis, on the site of hospitals. But I think, in a general sense, you want them to be not that far away but not on the site of hospitals, so we haven’t put them there. If someone is going to go to the emergency room, then the distinction isn’t as great. These are different locations in different communities. Those are the arrangements that are made by health authorities to develop UPCCs.
S. Bond: Thank you for that information.
There will be many more discussions about UPCCs in the province, in the context of…. We do need to see all parts of the system working. But what I continue to be concerned about is the imbalance in the system that looks at what is driving physicians to choose how they practise.
Salary is one of them. While the minister has described what a physician in a UPCC might earn, there is a lot of evidence that that is not the case for family physicians in family practice, and those are the kinds of things that are shaping the decisions that people are making.
British Columbians want a family physician who they can be attached to, to look at longitudinal care. We know that outcomes…. When you have a family physician that you are attached to, you have the ability to look at prevention, all of those things. I know that the minister knows that. So we will certainly give some more thought to the responses that have been provided related to why and what the differences are and the inequity that many physicians are expressing concerns about.
I want to spend a very brief period of time…. I will give the minister notice that I intend to spend a lot of time talking about nurses. I had hoped to get there today. We may not get to that.
I want to talk about caring for the whole person. There is a lot of concern about people’s mental health and wellness — how that impacts their physical wellness. We know that the B.C. psychologists association has a proposal that looks at integrating psychologists into primary care networks. The proposal has been made, and I would just describe it to you with a quote: “Hire, train and embed 20 full-time equivalent psychologist positions” into primary care networks and as part of an integrated care team.
I’m wondering if the minister has reviewed that process and if there is any funding available in the budget to make that happen within the current fiscal year.
The Chair: I will ask the minister to move the motion, please.
Hon. A. Dix: I move that the committee rise, report progress and ask leave to sit again.
Motion approved.
The committee rose at 5:55 p.m.