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House Hansard - 333

44th Parl. 1st Sess.
June 17, 2024 11:00AM
  • Jun/17/24 11:13:39 a.m.
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Mr. Speaker, I understand that I was not entitled to display the logo. I apologize. I was saying that this bill helps highligth the importance of our social services and mental health services. The need for these services can arise at a very young age. In fact, it is not just individual adults who may need such services. Children, youth, parents and families may need them too. I think that COVID-19 exacerbated the tensions that may have already existed in this regard. The bill's merit lies in the fact that it exempts professional mental health services from the goods and services tax. In other words, patients obtaining these services in the private sector will no longer have to pay the tax, which will make these services more accessible. I do, however, have doubts as to whether exempting a private sector professional from the tax will make these services more accessible. We all know that the cost of these services in the private sector are onerous and that few people have access to them. That is why it is important to work toward making access to these services virtually universal in the public sector. In Quebec, work is under way to do precisely that. There is also the matter of the definitions. What is psychotherapy? If we define it in simple terms, it is the psychological treatment of a person. What is mental health counselling? That is less clear, in our eyes. For example, psychological treatment services for individuals in Quebec are regulated by professional associations. We call these services “reserved”. There is a reserved title for those practising such professions. Things are less clear with mental health counselling, however. What type of profession are we talking about here? The Ordre des psychologues du Québec cautioned us about mental health counselling, because that can be pretty much anything. There is little in the way of training, and it is not regulated. If mental health counselling is not better defined, we are not certain that this legislation will strengthen what we are trying to strengthen, which is why we were so interested in studying this bill in committee. As it turned out, though, it was not possible to study it in committee. This bill should have been studied in the Standing Committee on Finance, but because of economic omnibus bills, such as Bill C-59 or the current Bill C-69, which deals with the budget, the usual 60-day deadline for committee study, after referral of a private member's bill, was not met. Despite a request for an extension, this bill could not be studied. That is quite troubling. It makes us think about the process of studying bills. We should ensure that a bill passed at second reading in the House also passes at the committee stage. Had that happened, we would have heard from experts and witnesses who could have better defined what the bill seeks to do, especially in terms of psychotherapy and mental health counselling services. That would have been important. Aside from Quebec, I do not know how mental health services are regulated in the Canadian provinces. What are the definitions for the provinces? Are these regulated professions, or do those professionals have the authority to provide psychotherapy services? In any case, the committee process would have been very important. Since we were not able to study it in committee, we are now here in the House to pass this bill. The Bloc Québécois nevertheless supports it. We know there is currently a certain inequity in terms of the excise tax exemption. We know it applies to doctors and psychologists. It should apply just as much to these mental health professionals─ and I say “professionals” because, for us, that is important─at least when we see the growing number of services in this sector. I have to say that when it comes to mental health, Quebec was a pioneer in terms of psychotherapy legislation. This also inspired several provinces. We recently saw that the Quebec plan d’action interministériel en santé mentale 2022‑2026 outlined a framework for mental health by focusing on seven specific areas, namely, the promotion of mental health and prevention of mental health problems, services to prevent and respond to crisis situations and actions aimed at youth, their families and their loved ones, in particular. I do not have the time to list them all, but want to say that mental health is a priority for our social services, which, as we know, have a very strong role and presence in our society. That is also why, with the modernization of legislation on professions, the Ordre des psychologues du Québec has been entrusted to deliver licences to practise to other professionals such as school counsellors and psychoeducators, as well as nurses. If we had had time to study Bill C‑323 at committee, we would have been able to add other types of professionals to the list. That was not possible, so we have to leave it at that. I would remind the House that the definition of “mental health counselling” really needs to be clarified to ensure that we have regulated services by professionals, which is the case in Quebec. As I said at the beginning, I will close by saying that it is all well and good to address inequity when it comes to the GST, but that is not going to guarantee universal access, which is what people really want when it comes to the services provided by mental health workers and professionals. That will take a major investment in our public services, because Quebec's education sector, its health and social services sector and its community organizations do require significant funding. The problem is, the federal government is going to fix things by removing a tax while it continues to chronically underfund our health and social services. If the private sector is given a bigger role in our system, which I find unacceptable, I think we really need to ask ourselves how much the federal government needs to invest in health and social services to enable Quebec and the provinces to strengthen their public systems.
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  • Jun/17/24 7:01:01 p.m.
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Mr. Speaker, we noticed that the budget contains a helpful measure for microbreweries that make craft beer. My question for the parliamentary secretary, who, if I remember correctly, serves on the Standing Committee on Finance, has to do with excise duty on small artisanal producers. It is a lot for them. It makes a big difference in the cost per bottle, whereas exempting them from excise duty will not have much impact on the government's coffers. I would like to ask the parliamentary secretary to use his influence to convince the Minister of Finance to exempt berry wine producers from excise duty at the next opportunity. It is too late to do so in Bill C-69.
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