Championing physicians’ interests under the HPOA
Explore and stay informed about Doctors of BC’s advocacy efforts related to the Health Professions and Occupations Act, which comes into effect on April 1, 2026.
Have Your Say
Share your input on the impact of the new legislation. Your feedback will inform our ongoing advocacy to ensure that physicians are supported in transitioning to the new legislative environment. Learn more.
Webinar recap: Changes to complaints and disciplinary processes
On March 3, 2026, Doctors of BC brought together representatives from the College of Physicians and Surgeons of BC (the College) and the newly established Health Professions Discipline Tribunal (HPDT) to speak to members on upcoming changes to complaints, investigations, and disciplinary processes that will take effect on April 1, 2026, under the Health Professions and Occupations Act (HPOA).
Highlights
Speakers
- Doctors of BC’s CEO Anthony Knight moderated the webinar which began with a brief introduction from Doctors of BC’s President, Dr. Adam Thompson
- Dr Inderveer Mahal, Chair of the Council on Health Economics and Policy provided an update on Doctors of BC’s longstanding advocacy, highlighting key concerns we have continually raised with government regarding the HPOA.
- Dr Patrick Rowe, CEO and Registrar and Graeme Keirstead, General Counsel from the College and Benson Cowan, HPDT Director of Discipline then provided insight on their respective roles in complaints and investigations and how these will function moving forward.
Role of the College in Complaints and Investigations
Representatives from the College were invited to describe their role in complaints and investigations under the HPOA.
As under the Health Professions Act, the College will continue to receive and investigate complaints. However, if the College determines the complaint is serious and should be considered for discipline, they will request that the Director of Discipline issue a citation. At this point, the complaint moves to the HPDT to determine appropriate disciplinary action.
The College also explained how the HPOA provides additional pre-investigative powers to more promptly address frivolous, vexatious, and trivial complaints.
Role of the Health Professions Discipline Tribunal (HPDT)
The HPDT is an independent body that will oversee the discipline process for regulated health professions under the HPOA. Doctors of BC invited the HPDT’s Director of Discipline to speak to the structure of the Discipline Tribunal and how it will work with regulatory colleges in the discipline process.
The Discipline Tribunal’s role is to:
- Review requests for citations from regulatory colleges,
- Support consent resolutions between parties,
- Establish an impartial discipline panel comprised of a Vice Chair, Professional Member, and Public Member,
- Determine disciplinary action, and
- Hear appeals from disciplinary hearings.
The Director of Discipline emphasized a desire to resolve cases without a hearing, when appropriate, to avoid lengthy and challenging hearings. The HPDT is actively recruiting professional members to sit on discipline panels and continues to seek physicians’ interested in participating as panel members.
Physician Q&A: Key areas of interest
The webinar culminated with a Q&A session where physicians submitted questions to the College and HPDT.
Key areas of interest included:
- The handling of frivolous, vexatious, and trivial complaints
- Whether registrants have recourse following decisions made at the HPDT
- Information on the publication of and anonymity of certain complaints
- The expectations of physicians navigating the complaints investigations
- Physician obligations related to the duty to report colleagues
- The composition and selection process for discipline panels
- Definitions for key terms used to describe investigation and discipline processes
- How complaints currently in progress will be handled after April 1
The answers given by the College and HPDT to these questions can be found in the recording of the webinar.
Background
On November 24, 2022, the BC government passed the Health Professions and Occupations Act (HPOA), previously known as Bill 36. The government has stated that the aim of this new legislation is to create a modernized regulatory framework for health colleges to better serve the public interest. The HPOA comes into force on April 1, 2026, and will replace the current Health Professions Act (HPA).
Doctors of BC and others have criticized the lack of meaningful engagement and consultation with physicians and other health care providers during this legislative process. While we support the HPOA's intentions to modernize the legislation and enhance cultural safety, we are concerned about several aspects of the legislative framework, such as government-appointed boards, changes to disciplinary processes, disclosure of minor disciplinary actions, and the removal of appeal rights.
To support your understanding of the HPOA and its implications, please see:
- A one-page summary highlighting the areas where we see value and those of concern.
- A more in-depth analysis of key components of the HPOA and their anticipated impact.
We will continue to keep you informed about our ongoing advocacy and update you on any new developments.
College Bylaws
To comply with its regulatory requirements, the College of Physicians and Surgeons of BC has revised its bylaws to reflect the provisions of the HPOA. Following its consultation with the public and health care partners, the College published its finalized bylaws and information on educational webinars regarding the upcoming changes under the HPOA on October 31, 2025. Stay informed on updates from the College.
To reduce the burden and help you better understand what the draft bylaws mean for doctors, Doctors of BC reviewed and analyzed four successive batches of College bylaws released during their consultation period (March to August 2025), highlighting key changes and potential areas of concern. We also conducted comprehensive member engagement, seeking your input to inform our collective response to the College on behalf of physicians.
- Read more about our engagement and our HPOA and College Bylaws What We Heard Report.
- Read Doctors of BC’s Submission to the College of Physicians and Surgeons of BC on their draft HPOA-related bylaws.
Bylaw analysis
- Group 1, CPSBC Board, Committees, CPSBC Records and Information, Permits, Professional Responsibilities: Summary | In-depth analysis
- Group 2, Blood-Borne Communicable Diseases, Health Monitoring, Licensure, Quality Assurance: Summary | In-depth analysis
- Group 3, Accreditation, College Administration, General, Interpretation, Public Protection: Summary | In-depth analysis
- Group 4, Delegation, Support Programs: Summary | In-depth analysis
Keeping you informed
President’s Letters
- President's Letter, March 13: HPOA Webinar Summary and Recording—Changes to Complaints and Discipline Processes
- President's Letter, February 3: Understanding the HPOA: Changes to complaints and disciplinary processes webinar
- President's Letter, August 13: Doctors of BC submission on HPOA-related bylaws
- President's Letter, July 31: Health Professions and Occupations Act (HPOA) to come into force April 1, 2026
- President's Letter, July 4: HPOA Update on Doctors of BC’s strategic response
- President's Letter, May 15: HPOA Update: Resources for member input
- President's Letter, April 11: Share your input: Health Professions and Occupations Act bylaw consultation
- President’s Letter, February 28: Health Professions and Occupations Act (HPOA) Bylaw Consultations
Advocating for you
We were first informed of possible changes to the Health Professions Act in 2018, with the release of the Cayton Report. Since then, Doctors of BC has advocated on your behalf with the Ministry of Health, the College of Physicians and Surgeons of BC, and other health colleges, while also working to keep you updated on the impending changes.
2025
- In a letter to the Minister of Health, we outlined our key concerns with the HPOA and called for an immediate pause on further implementation of the new legislation.
- We reiterated our concerns in meetings with Ministry of Health representatives and continue to raise them.
- Between April and August 2025, we engaged members, seeking your input to guide our HPOA advocacy and our collective response to the College on its draft bylaws that outline the provisions of the new legislation.
2022–2024
- To support your understanding of the changes and the impact on physicians, we held a town hall webinar in which government staff outlined the reasons for the HPOA and explained what it means for doctors; this was followed by a discussion with Doctors of BC leaders on the next steps to effectively advocate on behalf of the profession. View the Health Professions and Occupations Act webinar summary.
- We actively voiced our concerns about the process and lack of physician engagement and input in the media, stating the “process matters as much as the outcome, and many physicians have been blindsided by a process they weren’t fully informed about."
- We shared our concerns and our position on the Act with members via a President’s Letter.
- We engaged with other professional associations; this work continues.
2020
- We provided further input during government’s second round of engagement and consultation prior to the introduction of the HPOA: Submission to the Steering Committee–January 24, 2020.
2019
- We provided input during the first round of engagement and consultation prior to the introduction of the HPOA: Submission–June 14, 2019.
External resources
If you have any questions, please contact policystrategyandlegal@doctorsofbc.ca.
Information from the Ministry of Health
- Health Professions and Occupations Act webpage (updated Mar 2026)
- Health Professions and Occupations Act Q&A (Jan 2026)
- Key Responsibilities Infographic
- Health Professions and Occupations Regulatory Oversight Office
- Health Professions Discipline Tribunal
- Regulatory Modernization Update Newsletter #2 (June 2024)
- Regulatory Modernization Update Newsletter #1 (Dec 2023)
Information from the College of Physicians and Surgeons of BC
- HPOA general information and FAQs
- HPOA bylaws
- Webinars on upcoming changes under the HPOA
- Registrar’s message (Jan/Feb 2025)
- Registrar’s Message (Jul/Aug 2024)
Information from BC Health Regulators
- Current and past BCHR Bulletins
- HPOA Project webpage
- FAQs
Legislative history
July 2025
In addition to confirming that the HPOA will take effect on April 1, 2026, the Ministry of Health also:
- Announced amendments to the scope of practice of other health professions, limits or conditions of practice, and reserved titles.
- Added other professions (clinical perfusionists, respiratory therapists, radiation therapists, and medical laboratory technologists) to those regulated by the BC College of Physicians and Surgeons (effective November 29, 2027).
- Indicated that Physician Assistants will also become licensees of the BC College of Physicians and Surgeons.
Doctors of BC is working to understand the specifics and significance of these new changes introduced through the regulations and their impact on physicians.
June 2024
The amalgamation of 11 health-professional colleges into two: The College of Health and Care Professionals of BC and the College of Complementary Health Professionals of BC.
October 2023
Parts of the Act necessary to establish the Superintendent’s Office and amalgamate some health regulatory colleges come into force.
November 2022
Bill 36 receives third reading and Royal Assent. The Health Professions and Occupations Act is enacted but not in force.
October 2022
Bill 36 is introduced for first reading in the Legislature.
August 2020
The Province releases its What We Heard consultation summary and its Steering Committee Recommendations report.
November 2019
The Province releases a formal Consultation Paper on modernizing health profession regulation.
May 2019
The Province undertakes direct engagement and releases an Engagement Summary.
December 2018
The Cayton Report is publicly released. The Report was an inquiry into performance of the College of Dental Surgeons, with Part 2 being recommendations on broader health profession regulation modernization.