HCoM is an agreement signed between First Nations in Alberta and the Government of Canada on November 18, 1996. The agreement would ensure that funding would remain in Alberta and that First Nations would be able to make decisions on how to allocate it.
The Health Co-Management Committee is comprised of two Chiefs from Treaty 6, 7, and 8, as well as two representatives from First Nations and Inuit Health Branch (FNIHB). The Treaty areas and FNIHB each have one vote. There is one FNIHB co-chair and one First Nations co-chair. Health Co-Management is accountable to the Assembly of Treaty Chiefs, i.e. the signatories of the agreement.
The Co-Management Committee oversees six subcommittees: Children and Youth, Health Protection, Mental Health and Addictions, Non-Insured Health Benefits, Ops and Support, and Prevention Programs. Modelled after the Co-Management Committee’s structure, each subcommittee also has eight representatives and has one FNIHB co-chair and one First Nations co-chair, who is appointed by the representatives. The voting structure is the same as HCoM.
The Co-chairs of the committees also meet as a group to discuss duplication of services, gaps, and ways in which they can better align work to address priorities.
The HCoM Secretariat acts as an administrative body to prepare for meetings, compile relevant materials, train new First Nations representatives, and act as a community outreach.
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