Regulation - Minister

Proposed Amendments to Regulations Regarding Nurse Practitioners

Ministry: Ministry of Health and Long-Term Care
Regulation Number(s): R.R.O. 1990, Regulation 682, Laboratory and Specimen Collection Centre Licensing Act
R.R.O. 1990, Regulation 965, Public Hospitals Act
R.R.O. 1990, Regulation 552, Health Insurance Act
Bill or Act: Acts
Summary of Decision: The above mentioned regulations were filed on June 3, 2011. These regulations were filed as O. Reg. 215/11, O. Reg. 216/11 and O. Reg. 217/11. These regulations were all published on e-laws on June 7, 2011 and published in the Gazette on June 18, 2011.

Further Information: Click to open O. Reg 215/11
Click to open O. Reg 216/11
Click to open O. Reg 217/11
Click to open Public Hospitals Act
Click to open Laboratory and Specimen Collection Centre Licensing Act
Click to open Health Insurance Act
Proposal Number: 11-HLTC015
Posting Date: March 2, 2011
Summary of Proposal: Laboratory and Specimen Collection Centre Licensing Act
The Ministry of Health and Long-Term Care is proposing to amend Regulation 682 made under the Laboratory and Specimen Collection Centre Licensing Act to remove restrictions on the laboratory tests nurse practitioners may order for patients by eliminating the requirement for a list specifying which laboratory tests they may order.

Removing restrictions on the laboratory tests nurse practitioners may order for their patients would increase access to care in the province and support the delivery of more efficient and effective patient-centred care for Ontarians.

Public Hospitals Act
The Ministry of Health and Long-Term Care is proposing to amend Regulation 965 made under the Public Hospitals Act to enable nurse practitioners to:

- order treatment and diagnostic procedures for hospital patients; and
- complete Medical Certificates of Death in hospitals in accordance with the Vital Statistics Act and its regulations.

Enabling nurse practitioners to provide more services in hospitals would better utilize the competencies of these highly educated heath professionals and support the delivery of more efficient and effective patient-centred care in Ontario hospitals.

Health Insurance Act
The Ministry of Health and Long-Term Care is proposing to amend Regulation 552 made under the Health Insurance Act to align the regulation with:

- proposed amendments to regulations made under the Laboratory and Specimen Collection Centre Licensing Act that would remove restrictions on which laboratory tests nurse practitioners may order for patients; and
- proposed amendments to Regulation 965 made under the Public Hospitals Act related to the services nurse practitioners may order in hospitals.

These amendments would ensure that laboratory tests ordered by nurse practitioners in independent health facilities and health services ordered by nurse practitioners in hospitals are insured services for patients.
Contact Address: Ministry of Health and Long-Term Care
Health Human Resources Strategy Division
56 Wellesley Street West, 12th Floor
Toronto ON M5S 2S3
Effective Date: June 3, 2011
Decision: Approved