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Proposed changes to fees

The College is proposing changes to the fees that applicants and current members of the College pay, so we can meet our mandate of public protection. See details about, and reasons for, the proposed changes below.

If you would like to submit feedback about any of the proposed changes, please comment using the specific feedback box at the bottom of this page. The deadline to comment is Friday, June 1, 2018. 

Council will review your feedback before it makes a final decision about the proposed changes in June 2018. 

FEE FOR MEMBERS

Annual membership fee

By-Law Article 5.04 

Council is proposing to increase the annual membership fee to $270. The new fee would come into effect for 2019 Annual Membership Renewal, which begins later this year. 

In 2016, Council approved an incremental increase to the College’s annual membership fees. However, Council approved this increase based on projections. This meant that if there were significant changes to the College’s role, volumes or expectations, Council would reconsider the approved fees. Despite an aggressive approach to controlling costs, the currently approved fees for 2019 and beyond are not sufficient for us to meet our mandate of public protection. 

Council is committed to controlling costs and makes every effort to keep fees as low as possible. The College’s fees, even after this proposed increase, are among the lowest for Canadian nurse regulators and any Ontario health regulator. To see a comparison of these fees, you can read these graphs, or view the charts below.

Annual membership fees* for Canadian nurse regulators

* The fees of other regulators have been collected using the best information available. Liability insurance, professional association fees and taxes (where applied) have been removed to make a direct comparison to annual membership fees in Ontario.
Province/Territory LPN/RPN NP RN
Alberta 333.33 485.22 485.22
BC 350.00 551.15 350.40
Manitoba 370.00 357.47 357.47
New Brunswick 282.61 375.00 375.00
Newfoundland & Labrador 330.75 358.66 358.66
Northwest Territories & Nunavut 47.62 839.80 789.80
Nova Scotia 325.00 468.05 468.05
Ontario - Current 200.00 200.00 200.00
Ontario – Proposed 2019  270.00 270.00 270.00
Prince Edward Island 304.35 406.80 358.30
Quebec 195.00 362.25 362.25
Saskatchewan 380.95 438.30 438.30
Yukon 190.48 899.55 815.81

Annual membership fees for registered health professions in Ontario 

* The fees of other registered health professions have been collected using the best information available. Liability insurance, professional association fees and taxes (where applied) have been removed (unless where noted) to make a direct comparison to annual membership fees in Ontario.
Profession Fee
Nurses - Current 200.00
Nurses - Proposed 2019 270.00
Aud. & Sp.-Lang. Path. 750.00
Chiropodists 1,700.00
Chiropractors 1,050.00
Dental Hygienists 400.00
Dentists (w. insc.) 2,160.00
Dental Technologists 1,556.00
Denturists 350.0
Dieticians 620.00
Homeopaths 850.00
Kinesiologists 650.00
Massage Therapists 598.00
Medical Lab. Tech. 340.00
Medical Rad. Tech. 470.00
Midwives 2,000.00
Naturopaths 1,495.00
Occ. Therapists 657.55
Opticians 921.00
Optometrists 945.00
Pharmacists - Community 940.00
Pharmacy Technicians 400.00
Pharmacists - Hospital 3,500.00
Physicians 1,725.00
Physiotherapists 595.00
Psychol. & Psychol. Assoc. 795.00
Reg. Psychotherapists 572.00
Respiratory Therapists 560.00
Trad. Chinese Med. Prac. & Acu. 1,141.00
 

Meeting the public’s expectations

The public expects more from health care providers and regulators than ever before. This has resulted in more complaints and reports for many regulators, including the College. To see how the number of complaints and reports has changed over the years, you can read this graph, or view the chart below. We need more staff and other resources to focus on these increasing demands, as well as to address backlogs in investigating complaints and reports, and respond to queries from members and applicants.  

Year Complaints Reports Total investigations
2013 45 56 101
2014 37 80 117
2015 24 114 138
2016 52 153 205
2017 106 161 267

Changes in legislation also mean changes in our work. We have embarked on many new initiatives such as RN prescribing and NPs prescribing controlled substances

In addition, the College must keep pace with changes in regulatory best practices. One example of this is the new Nurses’ Health Program, coming in 2018. It will support treatment options for nurses with mental health or substance use disorders. 

We also need to update our systems infrastructure. For one, our telephone system is not able to handle the high volume of calls we receive each day. We are also in the process of a much-needed upgrade of our internal information system. It will allow us to be more effective in all of our work, and increase efficiency and convenience for members and applicants by providing them with self-service options. 

FEES FOR APPLICANTS

Applicants are individuals who are seeking to become nurses in Ontario. Because they are not yet members of the College (and are not guaranteed to become members of the College), Council believes that it is not appropriate for current members to cover or subsidize their application fees. Instead, they should only be paid by the person applying. 

Below are three proposed changes to the application fee, the PN exam fee and the cancellation fee for the PN exam. 

Application fee

By-Law Article 2.02 

The current application fee does not cover the cost of assessing and processing that application. Council proposes an increase of $150 to cover this cost, bringing the total cost of an application to $300.   

PN exam fee

By-Law Article 8.02 

To become an RPN in Ontario, an individual must pass the national registration exam, called the Canadian Practical Nurse Registration Examination (CPNRE). The CPNRE is provided by an external vendor, who is increasing their fees by $5 in June 2019, and again in June 2020.  

When an applicant registers to write the CPNRE, the fee they pay to the College includes the vendor's fee and our administrative costs. Council is proposing to increase our PN exam fee to cover the vendor’s increase. This would bring the total proposed fee to $225 in June 2019, and then to $230 in June 2020.  

Cancellation fee for the PN exam

By-Law Article 8.03 

The provider of the PN exam charges the College $50 every time an applicant registers for the exam and then cancels after a specific timeframe or does not show up. In 2017, PN exam cancellations cost the College $21,050. Historically, the College has not recovered these costs from applicants. This is not in line with Council’s principle that applicants pay the cost of their own application. Additionally, the number of applicants who cancel their exam is increasing. 

Therefore, Council is proposing that if an applicant does not attend or cancels their exam, and the vendor charges a fee, the applicant must cover that cost. The proposed cancellation fee is $65. This includes the vendor’s fee of $50, plus $15 to cover the College’s administrative costs.

Feedback 

Send us your comments about the proposed changes to fees below. Fill out the section that corresponds to the by-law you are commenting on. The deadline to send us your feedback is Friday, June 1, 2018. 

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Page last reviewed April 09, 2018