College of Midwives of Ontario

Regulation Number(s):
O. Reg. 335/12
Instrument Type:
Bill or Act:
Midwifery Act, 1991
Summary of Decision:
Made: November 2, 2020
Approved: November 26, 2020
Filed: November 27, 2020
Published on e-Laws: November 27, 2020
Printed in The Ontario Gazette: December 12, 2020
Analysis of Regulatory Impact:
No new administrative cost for business.
Further Information:
Proposal Number:
Posting Date:
December 30, 2016
Summary of Proposal:
College Introduction

In Ontario, the regulation of health professions is based on a self-governance model. There are 26 health regulatory colleges governing 28 health professions under the Regulated Health Professions Act, 1991 (RHPA) and their respective health profession Acts. Health regulatory colleges operate at arm's length from the provincial government and independently administer their own internal processes.

Under the RHPA and the Midwifery Act, 1991, the College of Midwives of Ontario (CMO) is responsible for governing the self-regulating profession of midwifery in Ontario. Under these Acts, the CMO has the authority to make regulations on a variety of subject matters, including quality assurance (QA), subject to the prior review by the Minister of Health and Long-Term Care and the approval of the Lieutenant Governor in Council.

Summary of Proposal

The CMO's General Regulation houses three parts: Quality Assurance; Notice of Open Meetings and Hearings; and, the Intubation of a Newborn. The CMO proposes to rescind the General Regulation, O. Reg. 335/12 and replace it with a Quality Assurance Regulation:

• Provision requiring all members, regardless of registration class, to participate in the Quality Assurance Program (QAP) to continue to enhance their professionalism, knowledge, skills and judgment as they represent and contribute to the profession throughout their careers;

• Remove the specifics of the QAP from the regulation (examples: peer case reviews, quality of care evaluations and self-assessment activities) to provide more flexibility to the CMO to make changes to the QA program as needed to reflect current evidence and best practices in QA and quality improvement for midwives and other primary health care professionals; and,

• Rescind the General Regulation, O. Reg. 335/12 in its entirety and not propose to replace Part II Notice of Open Meetings and Hearings or Part III Intubation of a Newborn.

The proposed regulation was originally circulated to members and stakeholders for feedback on December 16, 2016.

To view and respond to the proposed amendments, please use the following link to the CMO's website:

Alternatively, the CMO may be contacted with the following information listed below:
Contact Address:
Contact: Marina Solakhyan, Regulatory Policy and Governance Manager
Mailing Address: 21 St. Clair Avenue East, Suite 303, Toronto, ON M4T 1L9
Telephone: (416) 640-2252 extension 231
Royal Assent Date:
November 27, 2020