June 28 is quickly approaching! On that day, the new College of Complementary Health Professionals of BC (CCHPBC) will officially be in effect. In preparation for this amalgamated, multi-profession college (including TCM and Acupuncture, Chiropractors, Naturopathic Doctors and Registered Massage Therapists) a new set of bylaws was drafted, with the latest update on May 31, 2024. The bylaws are based on the bylaws of the existing four regulatory colleges that will amalgamate.

 

 

To update you on what the ATCMA has been doing, in addition to pushing for changes to our TCM Regulations document, we’ve been sorting through the very long and detailed new proposed bylaws document.

 

 

The CCHPBC bylaws are open for public consultation until June 14th, 2024.

 

The ATCMA has identified issues unique to our profession that we’re going to flag to the CCHPBC, including:

Section 7.4 and 7.4 (a) of the CCHPBC bylaws lacks clarity around the reserved titles that TCM and Acupuncture class registrants may use. In particular, it does not define the differences between Acupuncturist (R.Ac.), TCM Herbalist (R.TCM.H.), TCM Practitioner (R.TCM.P.), and Dr.TCM, including who can use the term “doctor.” Because inappropriate use of titles may result in confusion and potentially result in the public being misled and bring bad optics to our profession, we suggest that the CCHPBC use the terminology of the current CTCMA bylaws. (see below for details, if interested).
Section 3.9 states: “The Board must establish contingency reserve funds and limits and conditions for disbursements from such funds.” We would like to understand whether these contingency reserve funds will be levied from Registrants, and if so, what parameters or conditions will be in place to ensure that the value of levies is fair and reasonable. We also request clarity on the parameters that will be put in place to ensure that professions with lower costs are not subsidizing those with higher costs due to staffing or other resource requirements, volume of disciplinary actions, etc.
According to Schedule 1: Fees, “ All pre-amalgamation Fees from the Former Colleges will be ported to a combined fee schedule for the new College.” While we understand that the newly formed CCHPBC will need time to assess its financial position, all Registrants from every Designated Health Profession are concerned that their fees will be raised. The precedent from the amalgamation of the nursing and midwives profession has demonstrated that amalgamation is a costly exercise, and did not in fact result in reduced fees due to economies of scale achieved by the merger. Current CTCMA fees are in the mid-range of those levied by the current four regulatory colleges that will amalgamate into CCHPBC. As you are no doubt aware, cost pressure is extremely high for health care professionals who do not receive any public subsidies, and an increase in fees could reduce access to British Columbians’ care by forcing practitioners to pass on the increases to patients, or even having to cease practice. We hope that any future fees will also be proportionate to a) the scope of practice that must be regulated, b) the number of practitioners in a Designated Health Profession, and c) the costs incurred by a particular Designated Health Profession. This will help ensure equity and minimize the financial burden on Registrants.

Extra information regarding point 1, above:

 

Section 7.4 of the CCHPBC bylaws reads:

 

7.4 Registrants in the Designated Health Profession of Traditional Chinese Medicine and Acupuncture may use the title or titles corresponding to their Registrant class below:

 

(a) Traditional Chinese Medicine and Acupuncture: Full Registrants may use “doctor”, “doctor of traditional Chinese medicine”, “traditional Chinese medicine herbalist”, “traditional Chinese medicine practitioner” and “acupuncturist”, alone or in conjunction with the term “registered”, and the abbreviations “R.Ac.”, “R.TCM.H.”, “R.TCM.P.”, and “Dr. TCM”; and

 

 

In contrast, the current CTCMA bylaws that correspond to this topic are as follows:

 

 

47. The following abbreviations may be used for reserved titles:

 

(1) “R.Ac.” for Registered Acupuncturists,

(2) “R.TCM.H” for Registered Traditional Chinese Medicine Herbalist,

(3) “R.TCM.P” for Registered Traditional Chinese Medicine Practitioner, and

(4) “Dr. TCM.” for Doctor of Traditional Chinese Medicine.

 

If you would like to submit feedback on the new bylaws, please email or post a letter to the addresses provided here: https://c4amalgamation.com/bylaws/

 

This link also directs you to the new C4 College website. Full text of the new draft bylaws can be accessed there.

 

6 月 28 日即将到来!即那天起,新的卑诗省補充专业管理局 (CCHPBC) 将正式生效。为了准备这个合并的多专业管理局(包括中医和针灸、脊椎矫正师、自然疗法从业者和注册按摩师),新的章程已起草好,并最新更新于 2024 年 5 月 31 日。这些章程以将合并的现有四个监管局的章程为基础。

 

为了让您了解 ATCMA 的最新动态,除了推动修改我们的中医法规文件外,我们还整理了非常冗长且详细的新拟议章程文件。

 

CCHPBC 章程现已开放公众咨询,截止日期为 2024 年 6 月 14 日。

 

 

ATCMA 找到了我们行业特有的问题,而且我们将向 CCHPBC 提出这些问题,包括:

 

 

CCHPBC 章程中的第 7.4 节和 7.4 (a) 没有明确说明中医和针灸类注册者可以使用的保留头衔。特别是,它没有定义针灸师 (R.Ac.)、中药师 (R.TCM.H.)、中医师 (R.TCM.P.) 和 高级中医师(Dr.TCM) 之间的区别,包括谁可以使用“doctor”一词。由于头衔使用不当可能会导致混淆,并可能导致公众被误导,给我们的行业带来不良印象,我们建议 CCHPBC 使用当前 CTCMA 章程的术语。(如果感兴趣,请参阅下文了解详情)。

第 3.9 节规定:“理事会必须设立应急储备基金,并规定此类基金支出的限制和条件。”我们想了解这些应急储备金是否会向注册人征收,如果是,将制定哪些参数或条件来确保征收金额公平合理。我们还要求明确将制定哪些参数来确保成本较低的职业不会因人员配备或其他资源需求、纪律处分数量等而补贴成本较高的职业。

根据附表 1:费用,“所有合并前来自于前管理局的费用将被转移到新管理局的综合费用表中 “虽然我们理解新成立的 CCHPBC 需要时间来评估其财务状况,但每个指定健康职业的所有注册人都担心他们的费用会上涨。护理和助产士职业合并的先例表明,合并是一项成本高昂的活动,而且由于合并实现了规模经济,实际上并没有导致费用降低。
目前,CTCMA 的费用处于目前四所监管局(将合并为 CCHPBC)所收取费用的中间水平。您肯定清楚,对于没有获得任何公共补贴的医疗保健专业人员来说,其成本压力是非常大的,费用上涨可能会减少卑诗省居民获得医疗服务的机会,因为执业人员必须将增加的费用转移给患者,甚至不得不停止执业。我们希望未来的任何费用也与以下因素成正比:a) 必须监管的执业范围,b) 指定医疗专业的执业人员数量,以及 c) 特定指定医疗专业产生的费用。这将有助于确保公平并最大限度地减轻注册人的财务负担。

关于上述第 1 点的补充信息:

 

CCHPBC 章程第 7.4 节规定:

 

7.4 指定中医和针灸卫生专业的注册人可使用以下与其注册人类别相对应的头衔:

(a) 中医和针灸:正式注册人可单独或结合使用“医生”、“中医师”、“中药师”、“中医师”和“针灸师”等术语以及“注册”等缩写词“R.Ac.”、 “R.TCM.H.”、 “R.TCM.P.”和“Dr. TCM”;以及

 

与此相反,目前与此章程相对应的 CTCMA 章程如下:

 

 

47. 以下缩写可用于保留职称:

 

(1) “R.Ac.” 代表注册针灸师,

(2) “R.TCM.H” 代表注册中药师,

(3) “R.TCM.P” 代表注册中医师,

(4) “Dr. TCM.” 代表高级中医师。

 

如果您想就新章程提交反馈,请发送电子邮件或邮寄信件至此处提供的地址:https://c4amalgamation.com/bylaws/

 

此链接还将您引导至新的 C4 管理局网站。您可以在那里查阅新章程草案的全文。