Great news from BC and congratulations to BC First Nations!
It appears BC First Nations are now in a position to attain a greater measure of self-determination over the delivery of health services to their citizens. I guess a resolution has been passed to approve a ‘Tripartite Framework Agreement on First Nation Health Governance’.
Here’s the news story:
Here’s hoping they have a clause on dispute resolution, and that they’ve given careful
consideration to “contract support costs”. In the United States, tribes that have assumed
responsibility for the delivery of health services (and have attained control), have encountered problems with the level of “contract support costs”. This has resulted in
litigation which reached the Supreme Court of the US several years ago, and I believe
there is continuing litigation on the subject.
But what I find more interesting about the US system is the existence of administrative tribunals to deal with some (probably fairly limited) aspects of self-determination contracts. Here’s a link to a general page on the IBIA:
Something like this would be extremely helpful to First Nations, and I imagine BC First Nations have considered it, because it provides a process for determining compliance with legislation and policy — a process that exists outside the mainstream policy and program processes of the Department.
In any event, its great to see BC First Nations moving forward with this. Congratulations to the federal and provincial governments for negotiating a space that will allow greater First Nations control over health services delivery!