Federal money is on the table. Why not provide free birth control for Nova Scotians?

SUSAN LEBLANC « » : Manitoba has made history as the first province to sign the federal pharmacare agreement. Manitoba will now get $219 million over the next four years to cover medications like birth control. Providing free birth control would save Nova Scotians money. It would help address the gender-based violence epidemic. We have reminded this government about this opportunity countless times but we have yet to see any action. Why is Nova Scotia dragging its feet on signing this deal and giving Nova Scotians access to the medications they need?

HON. MICHELLE THOMPSON « » : Again, I'll answer the question that we are in active negotiations with the federal government regarding the deal. We need to make sure that this is a financially sustainable approach. We appreciate the opportunity that is before us, but we also have economic realities here that we need to ensure that if that money sunsets - and we expect that after three to five years it will - that we are going to have the capacity to continue to provide the same amount of coverage. In order to do that, we need to look at how we look at the natural resources in this province, how we generate economic development, how we do all of these things; but the Opposition have had nothing good to say about it since we started. I am very committed to looking at this deal and negotiating, but we need to look at the economic opportunities in this province.

SUSAN LEBLANC « » : I know the minister knows this, but reproductive health is an economic opportunity for Nova Scotians. It's all connected. Manitoba didn't wait for the federal money to come in. The province started covering birth control in the Fall because it knew it was the right thing to do, and it was economically sound. We are telling the government that there is money for them on the table right now and every day they delay, Nova Scotians are forced to spend more of their own money to cover this medication. My question is: Will the government ensure that Nova Scotians will have access to the medications they need?

MICHELLE THOMPSON « » : Again, there are a number of ways that people can access birth control through this province. We've talked about them before. Certainly if there is a financial barrier, through the Department of Opportunities and Social Development people have access to birth control. We have the Nova Scotia Family Pharmacare Program. Some people have private insurance - all these different ways to support people who require birth control. We are actively negotiating with the federal government. We cannot rush this negotiation. We cannot get a bad deal for Nova Scotians. We've seen that in the past with other deals when they've been rushed. We need to take our time. We need to ensure that we're doing the right things, that there is economic stability moving forward when and if that money sunsets, which we expect it will.

Free access to birth control would reduce reproductive coercion

SUSAN LEBLANC « » : The Transition House Association of Nova Scotia recently released a research brief, Reproductive Coercion and Intimate Partner Violence, and I'll table it. This is a form of gender-based violence that involves controlling another person's reproductive rights. The document recommends implementing access to universal, no-cost coverage of prescription contraception. Knowing that having free access to birth control can reduce reproductive coercion in this province, why does this government refuse to provide free birth control to its citizens?

HON. MICHELLE THOMPSON « » : We currently have programs that are available to people who are seeking birth control. We have our Family Pharmacare Program, people who also have private insurance. There are also some individuals who require additional support and through the Department of Opportunities and Social Development there are opportunities for people to access birth control. We know it's an important issue. We'll continue to work throughout government to best understand how to serve Nova Scotians.

SUSAN LEBLANC « » : All of those things are true but there are lots of people who are still falling through the cracks. That is why there is a massive call across the province and across the country for barrier-free, complete access to free birth control, so that the people who don't have those opportunities are able to access birth control. There's federal funding on the table right now to provide free birth control for all Nova Scotians. This is an important and simple step for us to take to help reduce the impacts of reproductive coercion in this country. We have yet to hear a good reason as to why the government has not taken this step. I'll ask again: Why won't this government work with the feds to provide Nova Scotians with free birth control to help address the epidemic of gender-based violence?

MICHELLE THOMPSON « » : We really are currently in negotiations with the federal government. The two departments are speaking about how best to serve Nova Scotians, what the negotiations may look like. It's not a straightforward negotiation. We have to make sure that it is a program that is sustainable when the money sunsets. It's great to get the money upfront, but eventually that money will go away. We need to make sure that we make the appropriate choices. We need to make sure that it's financially sustainable moving forward when the money sunsets. We continue to be in active negotiations. I'm very hopeful that we'll have more information soon.

Address the root causes of gender-based violence

SUSAN LEBLANC: New Leaf is a program that addresses the root causes of gender-based violence. It provides group counselling and support for abusive men who want to stop hurting their loved ones. When we talk about gender-based violence prevention, these are the programs we need, but New Leaf is struggling to keep up with demand, and they need more funding to provide this vital service - and I can table an article about that. When will this government commit to providing stable core funding for groups like New Leaf to prevent gender-based violence?

HON. SCOTT ARMSTRONG: We know that any incident of intimate partner violence is one too many, and across government we are investing and making great strides in supporting groups across this province to intervene before incidents happen. New Leaf is a great example of that. Our department supports New Leaf. Over several years, our funding has been increased. They have a proposal in. We're reviewing that proposal, and there will be more to say on this later.

SUSAN LEBLANC: I am glad to hear that a proposal is under way, but what is needed is what was recommended by the Mass Casualty Commission - stable core funding for organizations that address and prevent gender-based violence. This type of funding would mean that groups like New Leaf don't have to keep putting proposals in. They don't have to keep wondering if they will be able to continue next year or the year after. Supporting groups like New Leaf - which focus on interventions for men - will help address the root causes of gender-based violence. My question is: Why won't this government commit to a funding model that will ensure important programs like New Leaf can continue year after year after year?

THE SPEAKER: The honourable Minister of Justice.

HON. BECKY DRUHAN: My colleagues and I are eagerly wanting to answer this question because we are working cross-department. I do want to say that we recognize the need for core funding, and we have, in fact, started increasing core funding. That took place last year with respect to the transition houses - the largest increase in core funding in decades - and that was a significant investment. We're continuing to assess that. I wanted to draw the member's attention to the work that we are doing around supporting men, because this is an incredibly important issue, and we heard from Tod Augusta Scott - who is a leader in this field - in an article from the Halifax Examiner, and he said: ". . . while more money is always welcome for programs, including those for men, Nova Scotia is a leader nationally on this issue."

Why didn’t the Premier attend anti-gender based violence rally?

On February 21 ,2025 in the Nova Scotia Legislature I asked the government why the Premier, or any member of his 43 person Caucus, didn’t attend the rally to end gender-based violence, despite being invited.

Why is there no funding for birth control in the budget?

Yesterday I asked the Minister of Health why this year‘s budget didn’t include funding for free birth control. Below is our exchange:

SUSAN LEBLANC : Speaker, programs that offer free birth control have been shown to be revenue-positive, even in provinces that are funding these medications independently. The cost of providing free birth control is considerably lower than the costs associated with unintended pregnancy, and I can table that. Reproductive rights include access to birth control, and at a time when Nova Scotians are struggling financially, eliminating barriers to birth control is key to ensuring equal access and choice.

My question is for the Minister of Health and Wellness: Why is there no funding for birth control in the budget tabled yesterday?

HON. MICHELLE THOMPSON : Certainly, we currently have a number of programs in Nova Scotia. We offer support through the Family Pharmacare Program. Also, for those who have financial challenges, through the Department of Opportunities and Social Development, there is opportunity to cover birth control, as well as a variety of other ways. We appreciate the question. There has been a lot of advocacy done in regard to birth control. We continue to look at the program available through the federal government and negotiate our deals. Perhaps, there will be more to say in the future.

SUSAN LEBLANC: We need barrier-free access to birth control now. Another initiative that is good for women's health and good for our health care system is take-home HPV test kits. But again, there was no money in the budget for this. This is despite the fact that Nova Scotia Health Authority has said, "We are actively planning the introduction of HPV cell screening, but I understand that this program has not been funded yet by the government." I'll table that. My question for the minister is: Where is the funding for the take-home HPV test kits?

MICHELLE THOMPSON : Again, we are looking at a program for take-home HPV kits. We're working with clinicians to understand how best to roll out that program. There's nothing being held back. That program is not fully realized yet. We are working with the clinicians, who will look at that program and understand how it's best suited to the Nova Scotian environment.

Declaring Intimate Partner Violence an Epidemic

Koren Beaman (UNIFOR), MLA Susan Leblanc, Jennifer Murray (UNIFOR), and MLA Claudia Chender after the passage of the NDP bill to declare Intimate Partner Violence an epidemic.

Being present to pass a bill declaring intimate partner violence an epidemic in Nova Scotia was one of the proudest moments I have experienced as an MLA. IPV is everywhere: in our neighbourhoods, workplaces, friend groups and families. People often suffer in shame, in silence and in fear. This bill declares this, affirms survivors, and will be a step in providing the essential supports necessary so survivors can thrive and the violence can end. I was especially moved by the work Koren Beaman has done to support people experiencing intimate partner violence and in getting this bill to the floor of the legislature and passed in one day. Koren is a courageous force.

For more information about the bill and how it came to pass, read this article.

Recognizing Koren Beaman

The Nova Scotia Government would not have recognized Intimate Partner Violence as an epidemic without resident Koren Beaman and her Unifor Canada colleagues. This is what I said about Koren in the Nova Scotia Legislature:

I rise today to recognize a truly inspiring member of the Dartmouth North community: Koren Beaman. Over several years, I have watched Koren lead in the essential work of advocating for and winning paid leave for people facing intimate partner violence and have been constantly impressed by her steadfast commitment to supports for women. As a Unifor women’s advocate, she connects women in her workplace with community resources and mental health support and provides an open door for anyone facing harassment or violence at work or at home. As such, she is known to her colleagues at the Irving Shipyard as the shipyard mom because of how she takes care of everyone there. I’m very grateful for the work Koren does for women facing intimate partner violence. I ask the House to join me in thanking her for her dedication and tenacity.

Misogyny is everywhere, and it's in the budget

Below is part of my speech about misogyny in politics, the legislature, and in the budget:

I want to be clear about what we’re talking about when we talk about misogyny. [3:30 p.m.] Misogyny, in and of itself, the word, Speaker, is not unparliamentary. It is a word. It is a thing. It’s defined as this: It is a form of sexism that can keep women at a lower social status than men, thus maintaining the social roles of patriarchy. Misogyny has been widely practised for thousands of years. It is reflected in art, literature, human societal structure, historical events, mythology, philosophy, and religion worldwide. I didn’t just make it up. I didn’t just pretend that I knew way more than everyone else in this Chamber and decide to slap a word onto what I experienced yesterday in the Chamber. It’s a real thing. Misogyny and sexism are sometimes hard to see because they’re insidious. They’re omnipresent. It’s everywhere. We’re so used to it that we don’t even notice when it’s happening. That’s because of misogyny. It’s because of patriarchy, and because of all the reasons. It’s colonization. It’s the things that have created our society and the way it is, and this budget suffers from it. There is not a woman on this planet who hasn’t in some way experienced it -even women who have great partners. Even women who have had great lives, who are powerful women, and who have never experienced overt sexism have experienced misogyny or internalized misogyny. It’s hard to see sometimes, but there’s no denying the effects. It’s why women earn less than men. It’s why women are judged on their clothing. It’s why women are judged for their career choices or for even choosing to have a career, and not stay home and take care of the kids, or to stay home and take care of the kids and not have a career. Basically, women can’t get any of that right, ever, according to someone. It’s why women are disproportionately the victims of assault and harassment. It’s why I could not leave the hospital when I had my baby -because I had to call my ex-husband and get him to tell me the date of our divorce so I could prove that I was divorced from him before I left the hospital with my baby. Come on. It’s why we constantly second guess our instincts and ask, “Was that okay?” after I speak or say something that I really believe in. “Do I look okay?” “Was that okay?” “I feel a little fat today.” It’s why we’re told to smile more. It’s why when we question the merits of a powerful man’s policy decision, that powerful man will call us negative and question our reputations rather than engage in the merits of the arguments. We see this all over in politics. Women and particularly women leaders -leaders of parties, leaders of countries, leaders of provinces -are characterized as negative, and that characterization is misogyny. When I attend these Commonwealth Women Parliamentarians meetings -I would love to be able to go to Australia next year, although I don’t know that my leader is going to let me go on that trip, but that’s another story -I would love to be able to say that Nova Scotia is all set for women to join this Legislature, all set for women to open businesses, all set for women to do everything they can to live their best lives. But I can’t do that. I would love to be able to say that whether you’re in the government or in the Opposition, or whether you hold important, powerful positions in non-partisan offices like the Auditor General, being at the helm of Elections Nova Scotia, or being the Information and Privacy Commissioner -no matter what part of politics you want to engage in -I would love to be able to say that your voice will be valued and that you can count on the fact that Nova Scotia makes policies and laws that are created using a gender-sensitive lens. Unfortunately, when I go to those meetings -when I represent our Province and our country on the international stage -I will not be able to say that. I would love for this government -whether it be the Minister of Finance and Treasury Board or someone else in the government -to table the documents and the lens throughwhich this budget has been examined according to gender. Show us the metrics. Show us the documents. If ministers are asked in Estimates, “Has your budget gone through a gender-sensitive lens?” and they say “Yes,” then show us where. Show us how. Show us the questions. Show us how we examined every line of this budget to make sure that it honours, protects, and uplifts women. There should be nothing less in this Chamber, and we should stop being misogynists.

Dense breast screening

On March 6, 2024 I spoke in the Nova Scotia Legislature about the need for follow up screening for people with dense breasts. Here’s what I said:

Mme Speaker, I rise today to call on the government to change the policy regarding follow up breast screening for people with dense breasts. Currently in Nova Scotia, people with breast density category C or D (that is, the densest breasts), are made aware of their breast density rating. That means, that when they get a regular mammogram, any signs of cancer or other issues could be obscured by the dense breast tissue. The problem is that in NS, if someone has dense breasts, they don’t have access to screening that could detect cancers accurately and prevent spread of the disease. I represent a women, and probably many women, in this situation. Women whose cancer was undetected because they couldn’t get access to follow up breast screening, and was in stage 4 before they were diagnosed. Cancer, if detected early, has a much better chance of being defeated. A person’s quality of life is generally going to be better with less treatment. Cancer is cheaper to treat if detected early. It only makes sense that we offer followup screening to all people with breast density C and D. I urge the government to change this policy as soon as possible.

IWK's Endometriosis and Chronic Pelvic Pain Clinic

SUSAN LEBLANC: I want to introduce a few people from the Endometriosis and Chronic Pelvic Pain Clinic at the IWK Health Centre who have joined us today. They’re over in the gallery opposite, and as I say their names, I’ll ask them to rise. Dr. Allanna Munro is an anaesthesiologist who specializes in chronic pelvic pain. Leah Pink is a nurse practitioner who works in the clinic. Linda MacEachern is a social worker who provides pain education and counselling at the clinic. Kathryn Hawkins is a pelvic floor physiotherapist who provides pain education and treatment in the clinic. Also working in the clinic but not present today are two gynecologists who specialize in endometriosis and chronic pelvic pain: Dr. Elizabeth Randle and Dr. Brigid Nee. Also, we would like to welcome today Maggie Archibald and Faith Lamoureux, who have shared their stories of accessing care for endometriosis in Nova Scotia. Of course, all of this is in light of the fact that today, March 1st, marks the beginning of the very first Endometriosis Awareness Month in Nova Scotia. I would like everyone to welcome our guests.

THE SPEAKER: Welcome, and thank you for being here and for all that you do. The honourable member for Dartmouth North. IWK CHRONIC PAIN CLINIC: IMPORTANT WORK -THANKS

SUSAN LEBLANC: Speaker, I rise today to recognize the work of the IWK Health Centre’s Endometriosis and Chronic Pelvic Pain Clinic. In 2021 the clinic opened, the first of its kind in Atlantic Canada, thanks to the hard work and advocacy of clinicians and the public. When it opened, nurse Leah Pink said: “Drawing on the expertise of multiple health care professionals and by using innovative strategies to provide care we will better meet the needs of this underserviced patient population.” This interdisciplinary care model is the gold standard. Endometriosis costs our medical system in ER visits and many often-unnecessary tests, due to a lack of understanding and the long delays people face in getting diagnosis and treatment. It also costs those who suffer from endometriosis in wages lost while unable to work, and time away from family and friends, and pain and money for physiotherapy, and other out-ofpocket expenses to manage chronic pain. Thanks to this clinic, more Nova Scotians have access to the treatment and support they need as well as qualified support. I ask the House to join me in thanking Dr. Allana Munro, Leah Pink, Linda MacEachern, Kathryn Hawkins, and their colleagues for their work in expanding badly needed endometriosis care in our province.

Government Must Fund More Midwives in Nova Scotia

SUSAN LEBLANC: Speaker, midwifery-led births account for only 5 per cent of total births in Nova Scotia, far below the national average of 14 per cent, and I can table that. This is a disservice for expectant mothers in Nova Scotia, given many positive health outcomes associated. Midwifery support leads to more natural births, a decrease in C-sections and surgical interventions, easier breastfeeding initiation, and it decreases the chance of having a pre-term birth. Not only does it take the stress off new moms, but it also takes stress off our hospitals. Does the Minister of Health and Wellness recognize the importance of midwifery care in our health care system?

HON. MICHELLE THOMPSON: I spoke about this yesterday in the Chamber. Certainly, midwives have a role to play in prenatal, obstetrical, and gynecological care. In fact, there are things that they can do around supporting women’s wellness. We have a couple of areas outside of the city. IWK has some midwives, and we do have some areas. It certainly is not easy to maintain the staffing complement in those areas. We’re also making sure that midwives are part of a team. We need to ensure that they have nurses who are around them. We need to make sure they have primary care physicians who do obstetrics. We need to make sure they have specialty services to support them. Yes, many deliveries are usual and regular, but we need to make sure that they have the infrastructure around them. We do continue to look at women’s health issues, and we’ll continue to assess the situation as we move forward.

SUSAN LEBLANC: As the minister’s response shows, it’s hard to ignore the benefits of midwives that they add to our health care system. Investment in midwives is simply a smart policy, yet there are only 16 funded positions and 3 practices in the province. Many communities across Nova Scotia, as the minister said, lack essential midwifery care. The budget yesterday was a missed opportunity for this government to address the critical shortage. Why is this government not investing in midwives? MICHELLE THOMPSON: Nova Scotians are not missing out on good, quality, excellent obstetrical and gynecological care in this province, and midwives are a part of that team, but they are not the only members on that team. We know that midwives play a role. We have 16 positions. To date, they have been very difficult to date to fill. We continue to work with Nova Scotia Health and IWK to better understand how to support them.

THE SPEAKER: Order. The time allotted for Oral Questions Put by Members to Ministers has expired.

Susan Leblanc pushes government to commit to free birth control for all in N.S.

SUSAN LEBLANC: My question is for the Minister of Health and Wellness. For many Nova Scotians, the cost of birth control prevents them from accessing this basic form of health care. It’s estimated that one in three Nova Scotian workers do not have health benefits, and not all benefit plans offer equal coverage of the care. Insufficient access to birth control leads to worsened health, well-being, and socio-economic outcomes for patients, families, and communities. The minister has worked extensively as a health care provider. Does she find it acceptable that so many Nova Scotians can’t access this important medication?

HON. MICHELLE THOMPSON: Certainly, we’re looking at universal birth control over the last number of months. We know that there are a number of people, through Family Pharmacare, who can access birth control, providing that there is a medication component. I certainly know in the instance of IUDs, in order for those to be covered under Family Pharmacare, there does need to be a medicinal and hormonal component to that. We continue to look at ways to support Nova Scotians. We also know that through the Department of Community Services, as well, there’s free birth control available to those who meet the criteria. We are working all the time to cover things that are important to Nova Scotians, and we’ll continue to do that review.

SUSAN LEBLANC: The minister will know that there are gaps in providing contraception. Earlier this year, British Columbia became the first province to provide access to free prescription contraception.Nova Scotia needs to follow suit. It’s estimated that for every dollar spent on contraception access, there’s up to $90 in public savings. The Access Now Nova Scotia Coalition has called on government to urgently address this issue, supported by organizations like the Pharmacy Association of Nova Scotia, the Nova Scotia College of Family Physicians, the Dalhousie Department of Pediatrics, the Dalhousie Department of Obstetrics and Gynaecology, the North End Community Health Centre, and many others. I will table that list. Will the minister commit to ensuring that every Nova Scotian has access to no-cost contraception?

MICHELLE THOMPSON: Our Pharmacare Program is under incredible pressure, as we all know. Not only do we have advancing technologies and therapies, but we also know the costs of drugs are going up. As a department, we continue to look at what we’re best able to supply to Nova Scotians. We want to make sure we have things that are accessible to them and that are needed. There are always competing priorities, and we will continue to balance and look at those over the coming months. We will do what we can to support Nova Scotians.