Allowing NPs and RNs to bill directly for medically necessary services

RNAO to urge federal, provincial, and territorial governments to allow NPs and RNs to provide and adequately bill medically necessary primary care under the Universal Canada Health Act without additional user fees

THEREFORE BE IT RESOLVED that the Registered Nurses’ Association of Ontario (RNAO) members to personally contact their federal member of Parliament to inform their MP of the urgent need to amend the Canada Health Act permitting nurse practitioners (NP) and RNs with extended scope of practice to adequately bill a patient's provincial or territorial health-care plan for services considered medically necessary.

BE IT FURTHER RESOLVED that RNAO members urge the Ontario government to honour the five principles of the Canada Health Act (portability, accessibility, universality, comprehensiveness and publicly administered) and to recognize the services of NPs and RNs in addressing the lack of access to primary health-care providers in northern, rural and remote areas in Ontario.

Author:
Adrienne Kappes RN, Algoma Chapter, and Dot Klein RN, BScN FCNIG PPAN ENO
Conflict of interest:

No known conflict of interest

Year carried:
2025
Last updated:
June 18, 2025