LeBlanc didn't say if clawbacks are an option, but he did suggest premiers will have to answer to voters if they don't see improvements in provincial health-care systems. Ottawa's proposal includes a top-up to the Canada Health Transfer (CHT) and new money directed at four priority areas: family health services, health workers and backlogs, mental health and substance use and a "modernized health system." Manitoba Premier Heather Stefanson — currently the head of the Council of the Federation, the group that represents the premiers — said premiers were "disappointed" by the size of Trudeau's proposal. "This was probably in the neighbourhood of 50 per cent of my worst-case scenario," Eric Girard told Barton. Higgs also said he supports making public the metrics showing how the health system is performing.