Supplementary Order Paper No 164

No 164

House of Representatives

Supplementary Order Paper

Tuesday, 31 May 2022

Pae Ora (Healthy Futures) Bill

Proposed amendments

Dr Elizabeth Kerekere, in Committee, to move the following amendments:

Clause 7(1)

In clause 7(1)(b), replace “engage” (page 11, line 6) with “partner” and replace “engaging” (page 11, lines 8 and 9) with “partnering”.

In clause 7(1)(c), replace “decision-making authority” (page 11, line 12) with “tino rangatiratanga and self-determination”.

Clause 14(1)

In clause 14(1)(fb), after “health workforce” (page 14, line 23), insert “, including in the areas of te Tiriti o Waitangi (the Treaty of Waitangi), tikanga, and leadership”.

In clause 14(1)(j), after paragraphs (c) to (i) (page 14, line 33), insert “, and (m) to (na).

Clause 19(1)

After clause 19(1)(f) (page 16, after line 36), insert:

(fa)

develop a Māori commissioning framework for use in performing its functions under paragraph (f); and

In clause 19(1)(i), after section 14(1)(c) to (i) (page 17, line 9), insert “, and (m) to (na).

Clause 43C(1)

In clause 43C(1)(c), replace “improving health outcomes” (page 30, lines 9 and 10) with “achieving equitable health outcomes”.

Clause 48

In clause 48(1), after “the Māori Health Authority” (page 33, lines 12 and 13), insert “and relevant iwi-Māori partnership boards”.

In clause 48(1A), delete “and iwi-Māori partnership boards” (page 33, lines 16 and 17).

Explanatory note

This Supplementary Order Paper amends the Pae Ora (Healthy Futures) Bill to strengthen the bill’s adherence to te Tiriti o Waitangi and to ensure equity for Māori can be achieved more effectively. Doing this will give greater effect to the bill’s purpose, which is to protect, promote, and improve the health of all New Zealanders, by providing for Māori in accordance with te Tiriti o Waitangi.

In more detail, the proposed changes would—

  • amend the health sector principles for greater alignment with te Tiriti o Waitangi and UNDRIP:

  • ensure that health sector leadership and workforce development is te Tiriti-based:

  • provide for the development of a Māori commissioning framework for use in the Māori Health Authority’s functions to commission kaupapa Māori and other services:

  • require the Māori Health Authority and Health New Zealand to work together in relation to more of Health New Zealand’s functions:

  • require Health New Zealand and the Māori Health Authority to determine localities with the agreement of relevant iwi-Māori partnership boards, rather than requiring only consultation with those boards.