Overview of Bill 46 changes
This webpage, curated by the CCOA, lists which documents have been affected by Bill 46 legislation. This webpage describes where regulated member requirements
were housed and where they
will be going forward, in the new legislation or in CCOA governance documents.
All of the documents noted below can be found in the Protecting the Public section, with the exception of the Continuing Competence Program Manual which is found in the
Competence section. When Bill 46 is proclaimed, updated links will be added. Please take the time to review this page to be aware of the changes that have occurred.
Bill 46
Government Organization Act changes
- Removal of Schedule 7.1 – Health Services Restricted Activities
Health Professions Act (HPA) changes
- Reinstatement of Practice Permit After Suspension
Health Professions Restricted Activity Regulation (New)
Chiropractors Profession Regulation changes
- Removal of Restricted Activities (Transition to Standards of Practice)
- Removal of Continuing Competence (Transition to Standards of Practice and Continuing Competence Program Manual)
- Removal of Alternative Complaints Resolution
- Removal of Reinstatement of Registration and Practice Permits (Transition to HPA and Bylaws)
- College information management (Transition to Bylaws)
- New - Standards of Practice Changes
- Performance, Authorization, Competence and Supervision of Restricted Activities
- Continuing Competence Program Requirements
- Amend – Standards of Practice
Description of changes
SP 1.3 Use of Protected Title
This standard ensures that regulated members use the appropriate title when referring to themselves. This includes the use of the word specialist. Only chiropractors with a current registration with the specialty colleges may refer to themselves and the care they provide as specialists or specializing.
SP 4.1 Scope of Practice for Chiropractors
To accommodate the development of proposed Standard of Practice 4.9 Performance, Authorization, Competence and Supervision of Restricted Activities, Standard of Practice 4.1 was modified to remove restricted activities.
SP 4.9 Performance, Authorization, Competency and Supervision of Restricted Activities
This standard describes activity under restricted activities as defined in legislation.
SP 8.4 CCOA Radiation Health and Safety Program
This standard of practice was updated to reflect the change in the governing legislation.
SP 10.0 Continuing Competence Program
This Standard establishes regulated member requirements for continuing competence.
SP 11.0 Concluding a Patient Relationship
This standard clarifies when it is appropriate to conclude a patient relationship. Clarity is provided as to the requirements that apply.
- Changes clarify that the CCOA is not an advocacy organization.
Description of changes
Code of Ethics Purpose, Authority, Accountability
This is an update to clarify that the CCOA is not an advocacy organization.
Code of Ethics Article D1 - Recognition of Responsibilities to Society
This is an update to clarify that the CCOA is not an advocacy organization.
- Amend - Applications for Registration on the General Register
- Amend - Applications for Registration on the Specialty or Acupuncture Register
- New - Consideration of Applications to College Registers
- Remove – Use of Title Specialist (Transition to Standards of Practice)
- Publishing of the College Registers
- Continuing Competence Program Requirements
- Competence Committee
Description of changes
Bylaw 6.1 Applications for Registration on the General Register
This new bylaw is due to the change of Section 28 of the HPA; the registration requirements in an application for registration under that section are now set out in a College’s Bylaws instead of regulations.
Bylaw 6.3 Applications for Registration on the Specialty or Acupuncture Register
This new bylaw is for the provision of the requirements for regulated and courtesy members to be on The Specialty Register and The Acupuncture Register. The power of Council to make Bylaws concerning the use of the term “specialist” has been removed by deleting section 128(11). This term is now defined in the Standards of Practice.
Bylaw 6.6 Considerations of Application to College Registers
This new bylaw ensures that the registrar, registration committee or competence committee are designated to consider applications for practice permits and to impose conditions as per the HPA.
Bylaw 6.7 Use of the Title Specialist - Strike
The power of Council to make Bylaws concerning the user of the term “specialist” has been removed by deleting section 128(11)(see page 89 of Bill 46). This term is now defined in the Standards of Practice.
Bylaw 6.8 Publishing of the College Registers
This is a numbering and naming change, to move the current Bylaw 6.1 Applications on the General Register to Bylaw 6.8 Publishing of the College Registers. The publishing requirements are removed from the regulations.
Bylaw 8.2 Continuing Competence Program Requirements
This new bylaw represents the transition of the CC program from the Regulations to Bylaws/Standards of Practice as required by Bill 46.
Bylaw 8.3 Competence Committee
This new bylaw is due to Bill 46 transitioning the Continuing Competence Program requirements to the Standards of Practice. Part of that introduction is the Council provided Continuing Competence Program Manual. A Bylaw to authorize the Competence Committee to conduct these activities is recommended to ensure that the authorization is established.
- Amend – Initial Applications for Member Registration
- Amend – Change of Registration Status
- Strike – Reinstatement of CCOA Member Registration
- Strike – Applications for Practice Permit Renewal
- Strike – Reinstatement of Suspended Practice Permit
- Strike – Professional Corporations
- Strike – Practice Visits
- Strike – Quality Assurance Program Reviews
- Strike – Continuing Competence Credits
- Strike – Seminar Application and Approval Process for CC Credits
- Amend – Recognized Acupuncture Programs
- Amend – Notification Following Death of a Member
Description of changes
Administrative Policy 1.1 Initial Application for Member Registration
Removal of some items due to redundancies. These items are mentioned in Bylaws 6.1, 6.2, and 6.6.
Administrative Policy 1.3 Change of Registration Status
Removal of fees, which will be mentioned in the fee schedule.
Administrative Policy 1.4 Reinstatement of CCOA Member Registration
Struck due to redundancies. This content is mentioned in Bylaw 6.6 and AP 1.3.
Administrative Policy 1.5 Applications for Practice Permit Renewal
Struck due to redundancies.
Administrative Policy 1.6 Reinstatement of Suspended Practice Permit
Struck due to redundancies. This content is located in Bylaw 6.6 and the Health Professions Act.
Administrative Policy 1.7 Professional Corporations
Item to be struck due to redundancies. Content is mentioned in Bylaws 7.1 and 7.2.
Administrative Policy 2.3 Practice Visit
To be struck due to redundancies as content is in the Continuing Competency Program Manual.
Administrative Policy 2.4 X-ray Quality Assurance Program Reviews
To be struck due to redundancies as content is in the Continuing Competency Program Manual.
Administrative Policy 2.5 Continuing Competence Credits
To be struck due to redundancies as content is in the Continuing Competency Program Manual.
Administrative Policy 3.1 Seminar Application and Approval Process for CC Credits
To be struck due to redundancies as content is in the Continuing Competence Program Manual.
Administrative Policy 3.6 Recognized Acupuncture Programs
Removal of list of acupuncture programs due to redundancies. Programs are listed on the CCOA website.
Administrative Policy 3.7 Notification Following the Death of a Member
Removal of organizations no longer notified.
Continuing Competence Program Manual (New)
New - Continuing Competence Program Manual
Description of changes
There is no change to the continuing competence program; however, all associated information has been compiled into the manual for use by regulated members.
Contents include:
- Continuing Competence Program Rules
- Self-Directed Professional Development
- Continuing Competence Credits
- Seminar Application and Approval Process for CC Credits
- Mandatory Requirements Established By Council
- Practice Visits and the Assessment of a Regulated Member’s Competence
- X-ray Practitioner Quality Assurance Program
- Quality Assurance Program Reviews