Salesa Jenny; Watts SimonPart 4 General CHAIRPERSON (Hon Jenny Salesa): Members we come now to Part 4. Part 4 is the debate on clauses 90 to 99 the general provisions as well as Schedule 2 Consequential amendments to enactments" Schedule 5 "Provisions relating to imposition and payment of Ministry levies" and Schedule 6 "Classes of alcohol and rates of each class". The question is that Part 4 stand part. SIMON WATTS (National—North Shore): Thank you Madam Chair—sorry Mr Reti I didn't see you coming. Dr Shane Reti: You're good. SIMON WATTS: Well let's get started on Part 4 and I do just want to refer to clause 95 actually in regards to the Minister's approval being required for health entities dealing with land. I'm specifically interested around clause 95(2). As we all know—well most will know—the reality of health assets and particularly buildings that DHBs currently lease is that these are long-term assets. One of the challenges in the current system is the bureaucracy of having to seek ministerial approval to get decisions made for what is routinely operational-type aspects and I note in this clause that it remains the case that a health entity must not grant a lease or a licence over land for a term of no more than five years without the Minister's prior written approval. I guess my question for the Minister in regards to that is what assessment has been done in terms of acknowledging these entities. There's going to be a huge number of leases—I mean I can think of within one DHB that I have a reasonable familiarity with there are hundreds of leases within that one entity alone and we talked about the Auckland Regional Dental Service which has dental clinics and other aspects. You know this is a significant area so my question to the Minister is what consideration was put around where these thresholds were set and the cost benefit I guess quite simply in terms of bureaucratic burden placed over the fact that ministerial approval was still going to be required for what here in this case seems to be a relatively routine decision.The other aspect is in regards to clause 95(1) in regards to the phrase "sell exchange mortgage or charge of land". I guess in this regard this is also relevant because a number of health boards across the country own assets and land and buildings that are no longer required for the provision of health services and a lot of that has a historical legacy aspect. But again I can only assume that the role of the Minister of Health is a busy one and the fact that again ministerial approval in writing is going to be required every time that these type of transactions are required again just simply looks to me like a bureaucratic burden which could have been avoided with at least I guess a little bit of devolved consideration around that. So those are the questions I've got in regards to clause 95.Dr SHANE RETI (National): Thank you Madam Chair. In Part 4 I have just one small question around clause 97(1)(h) around entitlement cards. As I think about it the only entitlement cards I can think of are primarily pharmaceutical entitlement cards: the prescription card—up to 20 items—the community services card maybe and possibly the super card. So my question is quite short: are there any other entitlement cards that this legislation or that the Minister envisages? Thank you."