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Program directory · Department of Indigenous Services

Supplementary Health Benefits

Program code
BXL01 (INDSC)
Core responsibility
Services and Benefits to Individuals
In Departmental Plans
2019-20 – 2022-23 · Appeared and later dropped

What it does

The Supplementary Health Benefits Program is a national program that provides registered First Nations and recognized Inuit, regardless of their place of residence in Canada or level of income, with coverage for a range of medically necessary health related goods and services which are not otherwise available to them through other private plans or provincial/territorial health or social programs. Improving the health of First Nations and Inuit is a shared undertaking between federal, provincial, and territorial governments, and First Nations and Inuit partners. The Program benefits include prescription and over-the-counter medications, dental and vision care, medical supplies and equipment, mental health counselling, and transportation to access medically required health services that are not available on reserve or in the community of residence.

Source: the department's Program Inventory, via GC InfoBase.

History and lineage

First appears in GC InfoBase's actual spending by program in 2019-20. The data does not record when a program was created; it may be older than its first appearance here, which is limited by the sources (program spending starts in 2010-11, Departmental Plans in 2018-19).

2018-192019-202020-212021-222022-232023-242024-252025-262026-272027-282028-29Supplementary Health Benefits 2018-19: $1.44BSupplementary Health Benefits 2019-20: $1.42BSupplementary Health Benefits 2020-21: $1.48BSupplementary Health Benefits 2019-20: $1.57BSupplementary Health Benefits 2020-21: $1.55BSupplementary Health Benefits 2021-22: $1.76BSupplementary Health Benefits 2022-23: $1.95BSupplementary Health Benefits 2023-24: $1.91BSupplementary Health Benefits 2024-25: $1.94BSupplementary Health Benefits 2023-24: $2.17BSupplementary Health Benefits 2024-25: $2.41BSupplementary Health Benefits 2025-26: $2.71BSupplementary Health Benefits 2026-27: $2.17BSupplementary Health Benefits 2027-28: $2.3BSupplementary Health Benefits 2028-29: $2.44BSupplementary Health BenefitsSupplementary Health BenefitsSupplementary Health Benefits
Bars: spending by fiscal year (dark: actual; light: actual restated on the 2017-18 program structure; outlined: the latest plan's forecast; grey: related programs). Bands: each program in the lineage over the years it has data.
ProgramRelationYears with dataActual spending over those years
Supplementary Health BenefitsEarlier program (name match, high confidence)2018-19 – 2020-21$1.44B
Supplementary Health BenefitsThis program2019-20 – 2024-25$6.83B
Supplementary Health BenefitsLater program (name match, high confidence)2023-24 – 2028-29$4.58B

Significant changes in scope and budget

Detected from the data: renames between plans, programs it appears to replace, merge with or split into (matched by name), year-over-year changes in spending of at least 25% and $5M, or in employees of at least 20% and 25 FTEs, linked budget measures, and results indicators added or dropped.

YearWhat changedSource
2019-20Appears to replace Supplementary Health BenefitsCanada Spends name match across plans (an inference)
2020-21Employees (FTEs) 594, against 481 in 2019-20 (+23%).FTEs (GC InfoBase)
2023-24Planned employees (FTEs) 469, against 632 in 2022-23 (−26%).FTEs (GC InfoBase)
2023-24Appears to be replaced by Supplementary Health BenefitsCanada Spends name match across plans (an inference)

Success criteria

The program's indicators from its department's Departmental Results Framework: the target set in each year's plan, and the result reported the following year. Source: GC InfoBase.

Historical: targets against results

Percentage of eligible First Nations and Inuit population who received at least one non-insured health benefit in a year
Expected result: First Nations and Inuit have improved access to non-insured health benefits
71.2%2021-22✗ not met74%2022-23✓ met

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2021-22≥ 74%202271.2%
In previous years, the rate was calculated based on the percentage of eligible First Nation and Inuit who received at least one Pharmacy, Dental and/or Medical Supplies and Equipment benefit in a given year. As of the 2021-22 fiscal year, it became possible to also include First Nation and Inuit who accessed NIHB Mental Health Care and Vision Care benefits in the calculation. The increase in this…
Not met
2022-23≥ 74%202374%
The result includes distinct claimant counts across five Non-Insured Health Benefits: Pharmacy, Medical Supplies & Equipment, Dental Care, Vision Care, and Mental Health. Due to system and data limitations, claimants of the Medical Transportation benefit have not been included in this analysis.
Met

Current: the 2026-27 plan's targets

No indicators in the 2026-27 plan.

Future goals: targets due after 2026-27

No targets with a later due date.

Spending and employees: planned against actual

Spending

2019-20: $1.71B2019-20: $1.57B2019-202020-21: $1.53B2020-21: $1.55B2020-212021-22: $1.59B2021-22: $1.76B2021-222022-23: $2.12B2022-23: $1.95B2022-232023-24: $1.91B2023-242024-25: $1.94B2024-25
Outlined bar: planned in that year's Departmental Plan (dashed: the latest plan, for years not yet reported). Filled bar: actual.
Show the numbers
Fiscal yearPlannedActual
2019-20$1.71B$1.57B
2020-21$1.53B$1.55B
2021-22$1.59B$1.76B
2022-23$2.12B$1.95B
2023-24$1.91B*—
2024-25$1.94B*—

Employees (FTEs)

2019-20: 4752019-20: 4812019-202020-21: 4752020-21: 5942020-212021-22: 4692021-22: 6202021-222022-23: 4692022-23: 6322022-232023-24: 4692023-242024-25: 4692024-25
Outlined bar: planned in that year's Departmental Plan (dashed: the latest plan, for years not yet reported). Filled bar: actual.
Show the numbers
Fiscal yearPlannedActual
2019-20475481
2020-21475594
2021-22469620
2022-23469632
2023-24469*—
2024-25469*—

Planned spending, plan by plan

Each row is one year's Departmental Plan and its forecast for the next three fiscal years; read a column down to see how the forecast for one year changed. The last row is what was actually spent. Click an amount for its source. Biggest changes in federal spending plans

Actual spending is from Departmental Results Reports and the Public Accounts, as published in GC InfoBase. FTEs are full-time equivalents.