Quebec the last holdout on Ottawa health deal as Nunavut, Yukon and N.W.T. sign on

Northwest Territories, Yukon and Nunavut all signed on to Prime Minister Justin Trudeau's health funding offer Thursday, leaving Quebec the only outlier on the new accords.

Trudeau presented his offer to provincial and territorial premiers in February as local politicians, doctors, nurses and health advocates warned of a national health-care crisis.

The agreement would see the federal government shift $196 billion to the provinces and territories over the next 10 years in exchange for commitments to massively upgrade health-care data collection and digital medical records.

The offer includes $17 billion in new spending over and above existing federal health transfers and $25 billion for agreements tailored to the specific needs of individual provinces.

Territorial leaders suggested they were disappointed with the offer and called on the federal government to put more money toward the Territorial Health Investment Fund, which helps pay for medical travel and other costs of delivering health care in the North.

Health Minister Jean-Yves Duclos said there was a breakthrough in negotiations with the territories after the federal government agreed to put $350 million toward that fund over the next 10 years.

"The health-care needs in the territories are significant," Duclos told an online press conference Thursday. "The cost of serving these needs is also very significant for all sorts of obvious reasons."

The cost of hiring workers in the North can be higher and many communities in the region are remote, he said. There are also many First Nations and Indigenous communities that have been underserved by public health care over the years.

The latest agreements leave Quebec the last province pushing back against the new conditions the federal government has put on the cash.

Each province that signs on to the deal has been tasked with coming up with an "action plan" that includes measurable targets and timelines to improve health care in their respective jurisdictions.

Quebec Premier Francois Legault was one of the provincial leaders most vocal about the need for a deal with Ottawa — but he bristled at being held accountable to Ottawa for those targets.

Duclos said his office is still negotiating with Quebec.

"There have been back and forths," Duclos said of the talks. "We know how important it is for Quebecers to benefit from the additional federal investment in supporting patients and workers in the province."

Ottawa has yet to receive any targets or timelines from the provinces, and the additional funding will not flow before that happens.

The federal government has said it hopes to have the plans in hand before the end of the fiscal year in March, so that money put aside in the 2023 budget can be doled out quickly.

In the meantime, the federal government divided $2 billion between the provinces, including Quebec, to address urgent needs.