
BC Gov News
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Backgrounders
The Province is undergoing work to ensure that professionals are able to practise to the full scope of their skills and education.
The following changes, organized by regulated health profession and scope of practice change(s) in the health professions and occupations act profession regulation, take effect as of Wednesday, April 1, 2026:
Hearing-instrument practitioners
- Raises the patient age requirement to 19 for a hearing-instrument practitioner to prescribe, fit and dispense a wearable hearing instrument (to align with entry-to-practice training). A certified hearing-instrument practitioner may prescribe, fit or dispense a wearable hearing instrument for patients under 19.
Midwives
- Removes the three-month restriction for the provision of postpartum contraception services.
- Includes the application of ultrasound for the purpose of determining fetal position and presentation.
- For certified midwives, includes the insertion of “devices” beyond the labia majora for the purposes of inducing labour (e.g., balloon catheters) and administering contraception (i.e., copper IUDs and hormonal IUDs).
Naturopathic physicians
- Removes the ability to administer a substance by using a hyperbaric chamber (in alignment with the regulatory college’s position).
Physical therapists
- Includes the following restricted activities that are within entry-to-practice education:
- administer oxygen by inhalation
- diagnose a disease, disorder or condition of the cardiorespiratory or neuromusculoskeletal system that they are capable of treating, managing or preventing by physical and mechanical means
- insert an instrument beyond the nasal passages, beyond the pharynx, or into an artificial opening in the body for the purpose of airway suctioning
- move a joint of the spine beyond limits body can voluntarily achieve using a high-velocity, low-amplitude thrust
- For certified physical therapists, includes the following restricted activities that require additional education:
- put an instrument, device, hand or finger beyond the labia majora or beyond the anal verge for the purpose of assessing and treating the pelvic floor
- perform a procedure on tissue below the dermis by inserting solid filament needles for the purpose of reducing inflammation or managing pain
- reduce a dislocation of a joint
Speech-language pathologists
- Includes the ability to provide broader treatment for feeding and swallowing disorders (compared to previous treatment for vocal tract dysfunction only)
- For certified speech-language pathologists, includes the ability to put an instrument, device or finger beyond the pharynx to assess and manage swallowing disorders
- For certified speech-language pathologists, includes the ability to put an instrument or device into an artificial opening in the body to assess and manage swallowing disorders
Traditional Chinese medicine practitioners
- Removes several limits and conditions on practice, to align with other health professions’ regulations (e.g., removes the requirement for consultation or oversight by another type of practitioner)
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