Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698847845311.pdf (New Zealand)
No 167 House of Representatives Supplementary Order Paper Tuesday, 31 May 2022 Pae Ora (Healthy Futures) Bill Proposed amendments Debbie Ngarewa-Packer, in Committee, to move the following amendments: Clause 4 In clause 4, after the definition of locality (page 7, after line 18), insert: Māori Director-General means appointed under section 27D(1) the Māori Director-General New subpart 3B of Part 2 After clause 27C (page 22, after line 36), insert: Subpart 3B—Director-General and Māori Director-General 27D Māori Director-General (1) The Minister must appoint a Māori Director-General within the Ministry of Health.
(2) The role of the Māori Director-General is to— (a) ensure that the work of the Ministry of Health responds to the aspirations and needs of whānau, hapū, iwi, and Māori in general; and (b) work with the Director-General to lead the operational man‐ agement of the Ministry of Health.
1 SOP No 167 Pae Ora (Healthy Futures) Bill Proposed amendments to 27E Joint decisions to be made by Director-General and Māori Director-General (1) (2) The Director-General and the Māori Director-General must jointly agree to take any action or make any decision required under this Act.

If the Director-General and the Māori Director-General disagree on taking any action or making any decision, the Director-General or the Māori Director-General may refer the dispute to the Minister for determination.
(3) Once a dispute has been referred to the Minister under subsection (2), the Minister— (a) may request and receive any information required to reach a determination on the matter; and (b) must determine which action should be taken or decision should be made.

(4) Once the Minister has made a determination under subsection (3)(b), the Director-General and the Māori Director-General must take the action or make the decision consistent with the Minister’s determination.
Clause 64 In clause 64(2), after “the Director-General” (page 42, line 16), insert “and the Māori Director-General”.

Clause 93 In the heading to clause 93, after “Director-General” (page 56, line 24), insert “and Māori Director-General”.

In clause 93(1), after “the Director-General” (page 56, line 26), insert “and the Māori Director-General”.

In clause 93(3), after “the Director-General” (page 56, line 32), insert “and the Māori Director-General”.
Clause 95A In clause 95A(1), after “the Director-General” (page 57, line 21), insert “and the Māori Director-General”.

In clause 95A(3), after “the Director-General” (page 57, line 25), insert “and the Māori Director-General”.

Clause 97 In clause 97(1)(b), after “the Director-General” (page 58, line 13), insert “and the Māori Director-General”.
2 Proposed amendments to Pae Ora (Healthy Futures) Bill SOP No 167 Schedule 1 In Schedule 1, clause 18A(1)(b), after “the Director-General” (page 70, line 25), insert “and the Māori Director-General”.

Schedule 2 In Schedule 2, amendments to the Health Act 1956 (1956 No 65), section 3E, new subsection (3)(b), after “the Director-General” (page 85, line 17), insert “and the Māori Director-General”.
In Schedule 2, amendments to the Health Act 1956 (1956 No 65), section 7A, new subsection (9), after “the Director-General” (page 85, line 26), insert “and the Māori Director-General”.

In Schedule 2, amendments to the Health Act 1956 (1956 No 65), section 7A, new subsection (10), after “The Director-General” (page 85, line 28), insert “and the Māori Director-General”.

Explanatory note This Supplementary Order Paper amends the Pae Ora (Healthy Futures) Bill.
Its pur‐ pose is to establish a Māori Director-General of Health to lead the operational man‐ agement of the Ministry of Health alongside the Director-General of Health.

The two roles will have the same powers, duties, and functions.

All key decisions, previously made solely by the Director-General, will be made by both positions.

If they cannot reach agreement on a given decision, the decision will be referred to the Minister of Health for resolution.
Institutional racism and systemic barriers for Māori have too long been a factor in our health system, leading to persistent inequities and poor outcomes for tangata whenua.

This amendment will ensure the legislation better reflects its commitment to te Tiriti o Waitangi and to lifting the health outcomes of tangata whenua in Aotearoa.

Wellington, New Zealand: Published under the authority of the House of Representatives—2022 3