Registration Fee FAQs

New registration fees were approved in June, 2019. The new fee amounts, and the dates they take effect, are listed here

The CLPNM understands that registrants may have questions about the new registration fees. 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.

Practice Guidance
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.

Increased Requirements
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.

National Harmonization
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.

 

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.

Couldn't the CLPNM just operate with the revenue it had, prior to the increase?

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.

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?

The following chart shows how the CLPNM’s budget is allocated, by function. The chart shows that, even with the increase in 2020, the CLPNM will still maintain its basic cost structure. The organization is increasing its resources to manage the growing workload and rising costs in all areas.

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. (e.g. LPNs’ recent authorization to view the body, for the purpose of completing death report forms). 

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