College of Midwives of Ontario
Regulation - LGIC
Bill or Act:
Summary of Decision:
The regulation was filed with the Registrar of Regulations on January 22, 2010 as O. Reg. 13/10, and was published in the Ontario Gazette on February 6, 2010.
March 1, 2010
Summary of Proposal:
In Ontario, the regulation of health professions is based on a self-governance model. There are 21 health regulatory colleges governing 23 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 designating the drugs that may be prescribed and substances that may be administered by injection and inhalation by midwives, subject to the prior review by the Minister of Health and Long-Term Care and the approval of the Lieutenant Governor in Council.
In accordance with this authority, the CMO made amendments to O. Reg. 884/93 (Designated Drugs) under the Midwifery Act, 1991 to expand the list of drugs that may be prescribed and substances that may be administered by midwives. The amendments are intended to enhance public safety by ensuring that midwives have access to the appropriate medications and options available to them at all times, while also ensuring midwives’ use of those drugs is appropriate based on the midwife’s knowledge, skill, judgment and scope of practice.
The regulation includes their provisions that identify substances that members of the CMO may administer by injection on their own authority, substances members may administer by inhalation on their own authority, drugs a member may prescribe on their own authority, and the drugs and substances used and administered in the course of engaging in the practice of midwifery on the order of a member of the College of Physicians and Surgeons of Ontario. An additional provision authorizes a member to administer, prescribe or order any drug or substance that may lawfully be purchased or acquired without a prescription.
The above mentioned regulation was filed with the Registrar of Regulations on January 22, 2010 as O. Reg. 13/10, and was published in the Ontario Gazette on February 6, 2010.
Contact: Robin Kilpatrick, Deputy Registrar
Phone: 416- 327-5758
Address: 55 St. Clair Avenue West, Suite 812 Box 27, Toronto ON M4V 2Y7
January 22, 2010