Note: This public consultation is now closed.
The College of Midwives of Ontario’s Council has proposed changing the Fees and Remuneration By-law to raise membership fees from $2193 to $2550 for all classes of registration other than Inactive. This represents a $357 increase effective October 2019 registration renewal. The Inactive class of registration will not be affected by these changes, and will increase at 2%, as per the existing by-law.
The College’s Council has approved a deficit budget for 2019-2020 and projects two additional deficit budget years before our revenue equals our expenses. A combination of increased membership fees, operational expense cuts, and the use of the College’s existing net assets will allow us to achieve financial sustainability. The College will continue to ensure that midwifery care in Ontario is provided safely, by skilled and qualified midwives.
We invite midwives, stakeholders, and members of the public to comment on the proposed changes to the Fees and Remuneration By-law below. Council will consider your feedback and make a final decision at its June 26, 2019 meeting.
Our consultation is open until Thursday, May 30, 2019 and all members of the public, stakeholders, and midwives are invited to share their thoughts below.
Questions and answers:
The College of Midwives is the regulator of midwives in the province of Ontario. We regulate midwives practising in Ontario by ensuring that midwives meet high standards and acting when risks are identified. All midwives follow the same professional principles and standards of practice. We provide guidance to help them do so. Our purpose is to serve the public and the public interest.
No. Changes to our operational funding from the Ministry will not impact the public. The College will continue to regulate midwifery in the public interest and ensure that midwives in Ontario are qualified, skilled, and competent to practise. Ontarians can be confident that the College makes decisions in their best interest.
The College has no role in increasing numbers of midwives in the province. The Ministry of Health and Long-term Care sets the number of midwives able to practise in Ontario each year, and the number of baccalaureate midwifery education program positions are determined by the Ministry of Training, Colleges, and Universities.
No. Despite our small numbers, the College has been working steadily toward financial independence. The College submitted two different plans to the Ministry which detailed possible paths to financial independence – one in 2014 and one in 2016. While these plans were not implemented by the Ministry, the College has continued to work toward financial independence.
The College is financially independent as of April 1, 2019. The College projects deficit budgets for three years and will use net assets to cover the projected deficits. The College anticipates revenue will equal expenses in the fiscal year 2022-2023.
Historically, fees for members who were registered in the Inactive class were set at 50% of the General membership fee. The College’s Council considered previous member feedback that raising Inactive class fees would disproportionality affect non-practising members as they were not earning a midwifery income. Council proposed maintaining the Inactive fees with a 2% increase annually, as outlined in the current By-laws. This makes the fee for Inactive members for October 2019 $1097.
Most midwifery regulatory authorities and Colleges throughout Canada continue to receive funding from their provincial Ministries, so their membership fees are subsidized. The fees in other financially independent Colleges are comparable to ours: Practising midwives in British Columbia paid $2340 in 2018; and practising midwives in Alberta paid $2750 in 2018.
How do Ontario midwives’ fees compare to other regulated health professions in Ontario?
The College does not have the option to reduce costs by eliminating programs because all College programs are mandated by governing legislation.
The College made every effort to reduce costs in all spending areas. Some examples are listed below.
- Cuts to Council expenses:
- The president stipend has been eliminated, and the president will be paid on a per diem basis only
- Committees and panels will meet electronically whenever possible, resulting in reduced travel and accommodation costs
- One Council training day was eliminated, resulting in reduced travel and accommodation costs
- Cuts to operational expenses:
- There will be no merit increases for staff for the next two years
- There will be cuts to the staff benefits package for the next two years
- There will be an indefinite hiring freeze and only existing positions will be replaced
No. Council has proposed a plan that places the College in a stable and sustainable position and expects to hold fees to what is proposed in the By-laws.
Yes. Members continue to have the option to pay annual registration fees by cheque in two instalments. Initial registration fees continue to be pro-rated based on the months of practice before registration renewal in October. Members who have extenuating circumstances can continue to apply to the Registrar for consideration of alternate payment plans or reduced fees.