Ministry of Health Releases Updated Regulations for Health Professions

Can I still refer to myself as a doctor, if I am a naturopathic physician, chiropractor, or doctor of traditional Chinese medicine, once the HPOA and HPOA regulations come into force? 

Yes, but there are new restrictions under the regulations.  

Specifically, if you use “doctor” as a title, you will have to add mention of your profession or designation. Health professionals that are authorized to use the title “doctor” must now make it clear that they are not a medical doctor by using it with a qualifier so that it is clear to the public.  

If any of the following circumstances apply, a registrant (licensee) who is authorized to use the title “doctor” must, in using the title, indicate clearly that the licensee is not authorized to practice medicine as a licensee of the College of Physicians and Surgeons when: 

• the licensee is engaged in the practice of the designated health profession; 

• the licensee is interacting with a person in carrying out business, professional, or other activities related to the practice of a designated health profession; 

• the licensee is providing information to the public with respect to the practice of a designated health profession, or a matter in relation to health. 

In circumstances outside the list above, health professions that are authorized to use the title “doctor” may still use the title as a prefix to identify themselves. 

Examples: 

• Chiropractic doctors can refer to themselves in their practice and related marketing as a “chiropractic doctor” or “doctor of chiropractic.” They can also refer to themselves as “Dr. Smith, DC.”  

• Naturopathic physicians can refer to themselves in their practice and related marketing as a “naturopathic doctor” or “naturopathic physician.” They can also refer to themselves as “Dr. Smith, ND.”  

• Doctors of traditional Chinese medicine can refer to themselves in their practice and related marketing as a “doctor of traditional Chinese medicine.” They can also refer to themselves as “Dr. Smith, Dr. TCM.”  

These licensees will need to make sure all of their marketing (e.g. websites, social media, business cards, signage) is compliant, as of April 1, 2026.  

Administering naloxone or oxygen to someone who may be suffering an overdose will no longer be a restricted activity. Can I do this even if it’s not normally within my scope of practice? 

Yes. Amendments have been made to updated professional regulations under the HPOA to authorize all health professionals to administer emergency use naloxone or oxygen (outside of a hospital setting), even if doing so is not within their scope of practice. 

This means if a registrant (licensee) suspects a person is suffering from an opioid overdose, they may assess and treat the person and administer emergency use naloxone by intramuscular injection or intranasally.  

Licensees are not obligated to administer naloxone to someone suffering from an overdose; however, if they choose to do so, the Good Samaritan Act will protect them from liability for damages for injury to or death of that person unless grossly negligent. 

Licensees may wish to review these resources: 

• Training, Naloxone, Narcan, overdose, drug poisoning | Toward the Heart 

• Naloxone | College of Pharmacists of British Columbia 

Administering (semi-) automatic defibrillation for resuscitation purposes will no longer be a restricted activity. Can I do this even if it’s not normally within my scope of practice? 

Yes. Like the amendments which authorize the use of naloxone in the case of emergency, the use of a (semi-) automatic defibrillation for resuscitation purposes is authorized for all registrants (licensees), even if using the device is not within their scope of practice.  

A defibrillator is a device that gives a jolt of energy to the heart. It helps get the heart beating again when someone is in cardiac arrest and their heart has stopped.  You might also hear it being called a defib, a PAD (public access defibrillator) or an AED (automated external defibrillator). 

Licensees are not obligated to administer (semi-) automatic defibrillation; however, if they choose to do so, the Good Samaritan Act will protect them from liability for damages for injury to or death of that person unless grossly negligent. 

CCHPBC Bylaws require all licensees to maintain First Aid/ CPR certification. For more specific information on this requirement for each profession, visit: For Professionals – CCHPBC.  

Transcutaneous Electrical Nerve Stimulation (TENS) will no longer be a restricted activity. Can I use this in my practice? 

Using TENS is currently within the scope of practice for the chiropractic and naturopathic medicine professions, and for acupuncturists, traditional Chinese medicine practitioners, and doctors of traditional Chinese medicine.

Prescribing of herbal formulae will be removed as a restricted activity. Can I use this in my practice? 

Prescribing of herbal formulae is currently in scope of practice for naturopathic physicians, traditional Chinese medicine practitioners, traditional Chinese medicine herbalists, and doctors of traditional Chinese medicine.  

This is not within scope of practice for chiropractors, massage therapists, and acupuncturists. This means that even though it will no longer be a restricted activity, these licensees cannot use it in their practice. 

Allergy testing (all kinds of allergy challenge testing and desensitization treatment) will become restricted activities. Is there any change to my practice? 

No. Naturopathic physicians will continue to be able to conduct allergy testing. This is not within the scope of practice for any other professions regulated by CCHPBC. 

Is there any change to the scope of practice for chiropractors once the HPOA and HPOA regulations come into force? 

No. While the regulation may use different wording in some areas, there will be no change to day-to-day clinical practice for chiropractors.  

Is there any change to the use of titles for chiropractors? 

See question and answer under the heading “All professions.” 

Is there any change to the scope of practice for massage therapists once the HPOA and HPOA regulations come into force? 

No. While the regulation may use different wording in some areas, there will be no change to day-to-day clinical practice for massage therapists.  

Is there a change in the titles for massage therapy registrants? 

Yes. The regulation under the HPOA authorizes registrants in this profession to use the titles “massage therapist” and “massage practitioner.” 

A (registrant) licensee may still choose to refer to themself as “registered massage therapist” or another title that includes “massage therapist/practitioner.”  

If you prefer to use the title “registered massage therapist/practitioner” in marketing your practice (website, social media, business cards, signage, and any and all marketing collateral), or in other areas of business, you may continue to do so. There is no need to adjust your marketing if it uses the title “registered massage therapist,” or otherwise includes “massage therapist” or “massage practitioner.” 

Is there any change to the scope of practice for naturopathic physicians once the HPOA and HPOA regulations come into force? 

No. While the regulation may use different wording in some areas, there will be no change to day-to-day clinical practice for naturopathic physicians.  

While the restricted activity of administering treatment using and within hyperbaric chambers has been removed, this is not actually a change. The college had previously restricted this activity in practice standards.   

Is there any change to the use of titles for naturopathic physicians? 

See question and answer under the heading “All professions.” 

Is there any change to the scope of practice for traditional Chinese medicine and acupuncture once the HPOA and HPOA regulations come into force? 

No. While the regulation may use different wording in some areas, there will be no change to day-to-day clinical practice for registrants who practice traditional Chinese medicine and acupuncture.  

For those registrants (licensees) authorized to practice acupuncture, you may notice that electrical stimulation is no longer specifically named in the definition of acupuncture, but acupuncture remains the same in clinical practice. Electrical stimulation may still be used. 

Is there any change to the use of titles for doctors of traditional Chinese medicine? 

See question and answer under the heading “All professions.” 

Is there any change to the use of titles for acupuncturists, traditional Chinese medicine practitioners, and traditional Chinese medicine herbalists? 

No, there is no change to these titles under the regulations.  

Prescribing herbal formulae will be removed as a restricted activity. Does this mean unregulated persons can prescribe herbal formulae? 

Yes, though the regulatory regime through Health Canada would still apply.  

However, only licensees of the College can use reserved titles such as “Doctor of traditional Chinese medicine,” “traditional Chinese medicine practitioner,” and “traditional Chinese medicine herbalist.” These “reserved titles” (titles prescribed as being for the exclusive use of licensees of regulatory colleges) are a central and critical public protection element of professional regulation in BC.