Registration Fee FAQs
We understand you may have questions about the registration fee proposal. Select the plus (+) sign next to any question below to see the answer.
When were registration fees last increased?
The last time an increase to the LPN registration fee was approved was in 2013. The increase took effect for the 2014 registration year. By 2020, it will be 6 years since the last increase.
Why is a fee increase required?
Many costs to the CLPNM go up over time, as a result of inflation. In addition, demands on the CLPNM are changing and broadening. These increased demands have a direct impact on LPN practice, and the opportunities and resources available to CLPNM registrants. Examples include:
Education on LPN Scope
With health system transformation underway, the CLPNM is working hard to make sure that health system leaders and decision-makers have the information they need to understand current LPN education, competencies and scope of practice, and the role that LPNs are able to play within the system.
The CLPNM requires the capacity to provide guidance for registrants and employers on emerging trends in technology, legislation and health care affecting practice and professionalism. A few recent examples include: the administration of controlled substances outside of hospitals, medical assistance in dying, legalized and medically authorized cannabis, and viewing the body.
Many of the CLPNM’s core functions have become increasingly complex, such as education program evaluation, managing complaints, assessing registration eligibility. This complexity has increased the need for capacity and expertise within the CLPNM. In addition, the CLPNM has learned that The Regulated Health Professions Act will require greater resources than originally anticipated, both to bring the profession under the legislation and to meet the broader mandate and requirements of a regulator, once the profession is under the legislation. The CLPNM also has obligations under the Labour Mobility Chapter of the Canadian Free Trade Agreement, and the Fair Registration Practices Act of Manitoba, all of which have implications to CLPNM resources.
Aging Registration System and Database
The CLPNM has no choice but to upgrade its registration system and database, which will not be supported after 2019. Many LPNs experienced glitches when renewing their registration online this year. This is a reflection of the aging system and the need to replace it with a more recent version. The upgrade to the new system, as with any technology conversion, requires significant upfront investment and greater ongoing costs.
Collaboration with Regulators and System Leaders
Greater collaboration between the CLPNM and other practical nursing regulators nationally, other health regulators provincially, and health system leaders throughout Manitoba means that there is increasing awareness of, and respect for, the breadth and depth of the scope of LPNs in Manitoba. These collaborations are important, but also require time and resources from CLPNM staff.
New national entry level competencies for the practical nursing profession are being developed, and a new national registration examination is planned for 2022. As the representatives from the province that has the broadest scope of practice for LPNs in North America, the CLPNM has an opportunity and obligation to play a leadership role in this national work, which will help to determine the future direction of the LPN profession across Canada. The CLPNM can only engage in that work effectively if it has enough expert staff to do so.
It is not feasible for all of these strategically important activities to take place without increased resources within the CLPNM.
What are the proposed fees?
|Proposed Fees||To Take Effect|
|Licensed Practical Nurse||$470 per year||2020 Registration Renewal|
|Student Practical Nurse||$75 per year||June, 2019|
|Graduate Practical Nurse||$125 for a four-month registration||June, 2019|
How does the proposed fee compare to fees paid by other regulated health professionals?
Even with the increase, the LPN registration fee will continue to be one of the lowest registration fees for a regulated health profession in Manitoba. It is also important to consider that the LPN registration fee includes the cost of errors and omissions liability insurance. This is not the case for many professions.
If the fee increase is not ratified, what will happen?
I’ve heard that regulators will not require approval from their registrants to raise fees, once they come under The Regulated Health Professions Act (RHPA). Is that true?
- We believe this approach is more fair and transparent than simply waiting until a vote is no longer required.
- We believe this approach will allow the CLPNM to avoid a deficit, which LPNs would have to pay for in the long run anyway.
- We expect that LPNs will understand the risks — both to Manitobans and to their profession – if the CLPNM does not have the capacity needed to engage in work that supports safe, competent and ethical practice, and which contributes to the profession’s ability to work to its full scope.
Could the CLPNM get money from somewhere else instead?
The province has granted practical nurses the privilege to self-regulate. Along with this privilege comes the responsibility to cover the costs associated with regulating the profession. The CLPNM receives no funding from government, and as a non-profit organization, it cannot engage in other profitable activities to offset registration fees. The CLPNM’s only sources of funding are the fees paid by applicants and registrants.
Could the CLPNM just operate with the revenue it has, or find other ways to keep fees stable?
The CLPNM already keeps its expenditures low, so there is little room to cut. The option of just keeping expenses stable, in order to keep fees stable, isn’t realistic in the long term. With inflation, the CLPNM continues to lose purchasing power each year.
As well, the CLPNM cannot cut back on certain core functions, which are set out in legislation. For example, it cannot stop assessing, processing and approving registration applications; managing and investigating complaints; or evaluating and approving practical nursing education programs. These activities are mandated in The Licensed Practical Nurses Act and its supporting regulation.
If the CLPNM had to cut some of its activities, it would have to cut back on its outreach work which helps LPNs, their employers and health system leaders understand the scope and education of LPNs. With changes in legislation and the health system upon us, it is vitally important that all stakeholders have a very clear understanding of the education and scope of the Manitoba LPN. The outreach work that the CLPNM has carried out, and has planned for the coming years, benefits Manitobans by helping the health system to use the profession more effectively. This work also supports the profession’s ability to work to its full scope.
How will the increased revenue be allocated across the CLPNM’s various functions?
The increase will be distributed across all CLPNM functions, to varying degrees.
The largest proportion of the increase (36%) will contribute to added capacity, within the CLPNM, to provide practice support, prepare for the RHPA, develop practice resources, and provide information and education on LPN scope and competencies. The second largest proportion of the increase (29%) will be allocated to IT, which reflects the CLPNM’s need to replace and improve the functionality of its registration system and database. The third largest proportion of the increase (18%) will contributed to added capacity for education evaluation and registration processing.
How is the CLPNM's overall budget allocated?
How much of the CLPNM budget goes to human resources?
About 60% of the CLPNM’s operating budget is allocated to human resources. This is because:
- the CLPNM is a knowledge based organization and requires expert human resources to conduct its business, and
- the CLPNM keeps other operating expenses low..
The CLPNM owns its own building, so it does not pay rent or a mortgage as many similar organizations do.
Because the CLPNM keeps other operating expenses low, the proportion of the budget that is allocated to human resources shows up as a larger share.
What does the CLPNM do for me? What do I get in exchange for my fees?
What LPNs receive, in exchange for their registration fees, is the privilege and authorization to practise as a regulated health professional. The CLPNM is not a professional association, and as such, its core mandate is not to advance the profession or serve the interests of LPNs. The CLPNM’s core mandate is to regulate practical nurses in a manner that serves and protects the public interest.
With that said, the CLPNM also recognizes that the interests of Manitobans and the interests of LPNs are sometimes one and the same. When that is the case, the work that the CLPNM carries out has benefits for practical nurses, as well as the public. For example:
- The CLPNM makes resources available to LPNs and their employer to explain the scope and competencies of the profession.
- The CLPNM provides access to practice consultants who are available to answer questions about LPN practice, and the profession’s standards, which in turn helps to support safe, competent and ethical care.
- The CLPNM regularly collaborates with the regulatory bodies of other health professions when developing practice guidance for LPNs. Consistent information, for all health care providers, supports effective collaboration in practice. This work also helps other professions develop a better understanding of the scope and competencies of LPNs.
- The CLPNM purchases errors and omissions liability insurance on behalf of its registrants. The cost of this insurance is included in registration fees.
- The CLPNM provides outreach to share information with employers and health system leaders about current LPN education, competencies and scope of practice. This contributes to more effective use of the profession, which in turn contributes to opportunities for LPNs to work to their full scope.
As an example, recognizing that LPNs’ lack of authority to “view the body” was acting a barrier and was limiting facilities’ ability to integrate more LPN staff, the CLPNM worked with the Office of the Chief Medical Examiner to have that barrier lifted. LPNs are now formally authorized to view the body.
As well, over the last several years, many areas of the province have been integrating LPNs into practice areas where few LPNs previously practised, despite the competencies being within the profession’s scope. The resources and outreach provided by the CLPNM assist employers in recognizing the role that LPNs can play in these areas.