Citizenship and Immigration committee  It wouldn't be considered in relation to the wait time.

Citizenship and Immigration committee  In terms of the cost, if it's a mental health issue that causes someone to be violent, for example, then that would come into the public danger angle.

Citizenship and Immigration committee  That would be part of the mitigation plan that the family would put forward. They would say, “We won't access these services, because we will do X, Y, or Z instead.” Our medical officers will look at that and evaluate whether it is a practical plan. If, for example, they said, “We won't access special education services because we won't send our child to school at all”, we would say that is not a plan, in terms of overall Canadian morals, that we would find acceptable.

Citizenship and Immigration committee  Yes.

Citizenship and Immigration committee  For government-sponsored refugees who come into Canada, such as the Syrians, for example, they are landed as permanent residents—

Citizenship and Immigration committee  For privacy reasons, we don't tend to have conversations about individual cases with the provinces. I raised the example of provincial nominees because clearly those are cases the province knows about and to whom they've provided a nomination certificate, but then they become aware that there is an excessive demand angle to the file and they reach out to us.

Citizenship and Immigration committee  That's correct.

Citizenship and Immigration committee  —so they have an automatic qualification for provincial health services, but then our interim federal health program tops up health care services that they are not covered for under, say, OHIP.

Citizenship and Immigration committee  It's for a period of a year—

Citizenship and Immigration committee  —while we're giving them the income support.

Citizenship and Immigration committee  I'll start, and then Michael can jump in.

Citizenship and Immigration committee  We really don't have a great line of sight on what Syrian refugees may use after our interim federal health top-up stops.

Citizenship and Immigration committee  We are working on information-sharing agreements with the provinces to try to get information about social service usage, health services, educational services, employment stuff writ large, but that has nothing to do with medical inadmissibility.

Citizenship and Immigration committee  Yes.

Citizenship and Immigration committee  Not to my knowledge. They wouldn't have gone through an immigration medical exam. If they came off the plane and clearly had something that would be of concern from a public health perspective, there are quarantine provisions that would apply. I don't think that's what you're talking about.