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Volume 68, No. 12

130/2025

The British Columbia Gazette,

Part II

July 29, 2025

B.C. Reg. 130/2025 , deposited July 16, 2025, under the HEALTH PROFESSIONS AND OCCUPATIONS ACT [sections 25 and 27]. Ministerial Order M218/2025, dated July 16, 2025.

I, Josie Osborne, Minister of Health, order that, effective April 1, 2026,

(

a) the Chiropractors Regulation, B.C. Reg. 414/2008, is repealed,

(

b) the Massage Therapists Regulation, B.C. Reg. 280/2008, is repealed,

(

c) the Naturopathic Physicians Regulation, B.C. Reg. 282/2008, is repealed,

(

d) the Traditional Chinese Medicine Practitioners and Acupuncturists Regulation, B.C. Reg. 290/2008, is repealed, and

(

e) the attached Complementary Health Professionals Regulation is made.

— J. OSBORNE, Minister of Health .

COMPLEMENTARY HEALTH PROFESSIONALS REGULATION

Contents

Part 1 – General Matters

Definitions

Designation of health professions

Regulator

Health profession corporations

Use of "doctor"

Part 2 – Practice of Chiropractic

Division 1 – General Practice Matters

Exclusive titles

Scope of practice for chiropractic

Division 2 – Full Restricted Activities

List of full restricted activities

Division 3 – Limited Restricted Activities

List of limited restricted activities

Diagnoses

Other limited restricted activities

Part 3 – Practice of Massage Therapy

Exclusive titles

Scope of practice for massage therapy

Limits and conditions

Part 4 – Practice of Naturopathic Medicine

Division 1 – General Practice Matters

Exclusive titles

Scope of practice for naturopathic medicine

Limits and conditions

Practice standards

Division 2 – Full Restricted Activities

List of full restricted activities

Division 3 – Limited Restricted Activities

List of limited restricted activities

Diagnoses

Other limited restricted activities

Restricted activities if certified

Part 5 – Practice of Traditional Chinese Medicine and Acupuncture

Division 1 – General Practice Matters

Acupuncture defined

Exclusive titles

Scope of practice for traditional Chinese medicine and acupuncture

Division 2 – Limited Restricted Activities

List of limited restricted activities

Diagnoses

Acupuncture

Appendix

Part 1 – General Matters

Definitions

1 In this regulation:

"chiropractic" means the health profession in which a person provides the types of health services referred to in

section 7 [scope of practice for chiropractic] ;

"chiropractor" means a licensee who is authorized to practise chiropractic;

"massage therapist" means a licensee who is authorized to practise massage therapy;

"massage therapy" means the health profession in which a person provides the types of health services referred to in

section 13 [scope of practice for massage therapy] ;

"naturopath" means a licensee who is authorized to practise naturopathic medicine;

"naturopathic medicine" means the health profession in which a person provides the types of health services referred to in

section 16 [scope of practice for naturopathic medicine] ;

"traditional Chinese medicine and acupuncture" means the health profession in which a person provides the types of health services referred to in

section 26 [scope of practice for traditional Chinese medicine and acupuncture] ;

"traditional Chinese medicine practitioner" means a licensee who is authorized to practise traditional Chinese medicine and acupuncture.

Designation of health professions

2 Each of the following continues to be designated as a designated health profession for the purposes of the Act:

(

a) chiropractic;

(

b) massage therapy;

(

c) naturopathic medicine;

(

d) traditional Chinese medicine and acupuncture.

Regulator

3 The College of Complementary Health Professionals of British Columbia is the regulator responsible for governing the designated health professions referred to in

section 2.

Health profession corporations

4 A corporation that does not hold a health profession corporation permit must not carry on the business of providing health services to the public, if the health services are provided by licensees who practise any of the following designated health professions:

(

a) chiropractic;

(

b) massage therapy;

(

c) naturopathic medicine.

Use of "doctor"

(1) Despite anything to the contrary in this regulation, the title "doctor" may be used by a person who is entitled to use an academic or educational designation that consists of or includes that title.

(2) If any of the following circumstances apply, a licensee who is authorized under this regulation to use the title "doctor" must, in using the title, indicate clearly that the licensee is not a medical practitioner or is not authorized to practise medicine:

(

a) the licensee is engaged in the practice of the licensee’s designated health profession;

(

b) without limiting paragraph (a), the licensee is interacting with a person in carrying out business, professional or other activities related to the practice of a designated health profession;

(

c) the licensee is providing information to the public with respect to

(

i) the practice of a designated health profession, or

(ii) a matter in relation to health.

(3) For certainty, a person described in subsection (1) who is also a licensee is subject to subsection (2).

(4) A board may make bylaws respecting the use of the title "doctor" for the purposes of subsection (2), including imposing prohibitions, requirements, limits and conditions that are additional to those set under that subsection.

Part 2 – Practice of Chiropractic

Division 1 – General Practice Matters

Exclusive titles

6 Except as permitted under the Act, only a chiropractor may use the titles "chiropractor" and "doctor".

Scope of practice for chiropractic

(1) The following types of health services, provided primarily for the purposes set out in subsection (2), constitute the scope of practice for chiropractic:

(

a) assessing the physical health status of patients for the purpose of providing the health services referred to in paragraph (b);

(

b) preventing, treating and managing diseases, disorders and conditions of the neuromusculoskeletal system by manipulating or adjusting the spine and joints

(

i) by manual methods, or

(ii) by using devices directly related to the manipulation or adjustment;

(

c) advising on

(

i) the health and care of the spine, joints and tissue associated with the spine or joints, and

(ii) the effect on the neuromusculoskeletal system of the matters referred to in subparagraph (i).

(2) The primary purposes for providing health services in the practice of chiropractic are the following, as they relate to the neuromusculoskeletal system:

(

a) to promote, maintain and restore physical health as it relates to the diseases, disorders and conditions of that system;

(

b) to rehabilitate and improve physical function;

(

c) to relieve pain.

Division 2 – Full Restricted Activities

List of full restricted activities

8 A chiropractor may perform the restricted activities described in the following items of the Restricted Activities Table:

(

a) item 10 [spinal joints] ;

(

b) items 42 and 45 [authorizations to apply electromagnetism and X-rays] .

Division 3 – Limited Restricted Activities

List of limited restricted activities

9 A chiropractor may perform the restricted activities described in the following items of the Restricted Activities Table, but only as provided for in this Division:

(

a) item 1 [diagnoses] ;

(

b) items 18 and 23 [insertions] ;

(

c) item 36 [X-rays] .

Diagnoses

10 A chiropractor may diagnose a disease, disorder or condition that the chiropractor is authorized under

section 7 (1) (b) [scope of practice for chiropractic] to prevent, treat and manage.

Other limited restricted activities

(1) A chiropractor may insert an instrument, device or finger into the external ear canal for the purpose of assessing the ear and auditory systems.

(2) A chiropractor may insert a finger beyond the anal verge for the purpose of manipulating the coccyx.

(3) A chiropractor may apply X-rays for diagnostic or imaging purposes, except for the purpose of a computed tomography scan.

Part 3 – Practice of Massage Therapy

Exclusive titles

12 Except as permitted under the Act, only a massage therapist may use the titles "massage therapist" and "massage practitioner".

Scope of practice for massage therapy

(1) The following types of health services, provided primarily for the purposes set out in subsection (2), constitute the scope of practice for massage therapy:

(

a) assessing the physical health status of patients for the purpose of providing the health services referred to in paragraph (b);

(

b) preventing, treating and managing disorders and conditions of joints and soft tissue by manual methods, including manipulating and mobilizing the joints and soft tissue;

(

c) advising on the health and care of the joints and soft tissue.

(2) The primary purposes for providing health services in the practice of massage therapy are the following, as they relate to the joints and soft tissue:

(

a) to promote, maintain and restore physical health;

(

b) to rehabilitate and improve physical function;

(

c) to relieve pain.

Limits and conditions

14 A massage therapist must not treat a recent fracture of a bone.

Part 4 – Practice of Naturopathic Medicine

Division 1 – General Practice Matters

Exclusive titles

15 Except as permitted under the Act, only a naturopath may use the titles "naturopath", "naturopathic physician", "naturopathic doctor" and "doctor".

Scope of practice for naturopathic medicine

(1) The following types of health services, provided primarily for the purposes set out in subsection (2), constitute the scope of practice for naturopathic medicine:

(

a) assessing the health status of patients for the purpose of providing the health services referred to in paragraph (b);

(

b) preventing, treating and managing physical and mental diseases, disorders and conditions with a focus on naturopathic techniques, therapies and therapeutics;

(

c) advising on physical and mental health.

(2) The primary purposes for providing health services in the practice of naturopathic medicine are the following:

(

a) to promote, maintain and restore physical and mental health;

(

b) to stimulate and support healing processes;

(

c) to relieve pain.

Limits and conditions

(1) A naturopath who performs surgery in the course of providing health services may perform minor surgery only.

(2) For the purposes of subsection (1), "minor surgery" means a surgical procedure that

(

a) is performed on a superficial anatomical structure,

(

b) is performed for a diagnostic or therapeutic purpose,

(

c) does not involve sedation, general anaesthesia or respiratory assistance, and

(

d) does not present a material risk to life.

Practice standards

18 The board must make bylaws establishing or adopting practice standards respecting the performance, by naturopaths, of the restricted activities described in the following items of the Restricted Activities Table:

(

a) items 46 to 49 [drugs] ;

(

b) items 65 and 66 [allergy testing and treatment] .

Division 2 – Full Restricted Activities

List of full restricted activities

19 A naturopath may perform the restricted activities described in the following items of the Restricted Activities Table:

(

a) items 2 and 3 [procedures on tissue] ;

(

b) item 6 [venipuncture] ;

(

c) item 10 [spinal joints] ;

(

d) items 11, 12 and 14 to 16 [substances] ;

(

e) item 25 [inserting pressurized substances] ;

(

f) item 28 [ultrasounds] ;

(

g) items 50 to 52 [therapeutic diets] ;

(

h) items 65 and 66 [allergy testing and treatment] .

Division 3 – Limited Restricted Activities

List of limited restricted activities

20 A naturopath may perform the restricted activities described in the following items of the Restricted Activities Table, but only as provided for in this Division:

(

a) item 1 [diagnoses] ;

(

b) items 18, 19 and 21 to 24 [insertions] ;

(

c) item 30 [electricity] ;

(

d) item 36 [X-rays] ;

(

e) items 37 and 45 [authorizations for ultrasounds and X-rays] ;

(

f) items 46 to 49 [drugs] .

Diagnoses

21 A naturopath may diagnose a disease, disorder or condition that the naturopath is authorized under

section 16 (1) (b) [scope of practice for naturopathic medicine] to prevent, treat and manage.

Other limited restricted activities

(1) A naturopath may insert an instrument, device or finger into any area listed in items 18, 19 or 21 to 24 of the Restricted Activities Table.

(2) A naturopath may apply electricity for the purpose of destroying tissue only in the course of performing minor surgery within the meaning of

section 17 (2) [limits and conditions] .

(3) A naturopath may apply X-rays for diagnostic or imaging purposes, except for the purpose of a computed tomography scan.

Restricted activities if certified

23 A certified naturopath may prescribe, compound, dispense or administer the following:

(

a) a

Schedule I drug that is not listed in the Appendix;

(

b) a

Schedule II drug.

Part 5 – Practice of Traditional Chinese Medicine and Acupuncture

Division 1 – General Practice Matters

Acupuncture defined

24 In this Part, "acupuncture" means the health service of stimulating specific sites on the skin, mucous membranes or subcutaneous tissues by means of needles, lasers, magnetic therapy, acupressure, thermal stimulation or suctioning.

Exclusive titles

25 Except as permitted under the Act, only a licensee who is authorized under the bylaws to do so may use the titles "traditional Chinese medicine practitioner", "doctor of traditional Chinese medicine", "doctor", "acupuncturist" and "traditional Chinese medicine herbalist".

Scope of practice for traditional Chinese medicine and acupuncture

(1) The following types of health services, provided primarily for the purposes set out in subsection (2) and based on traditional Chinese medicine theories and principles, constitute the scope of practice for traditional Chinese medicine and acupuncture:

(

a) assessing the health status of patients for the purpose of providing the health services referred to in paragraph (b);

(

b) preventing, treating and managing physical and mental diseases, disorders and conditions by using one or more of the following techniques, therapies and therapeutics:

(

i) acupuncture;

(ii) traditional Chinese herbs, formulae or food cure recipes;

(iii) manipulative therapy;

(iv) Chinese energy regulation therapy, Chinese shadow boxing or other types of energetic exercise therapies;

(

c) advising on physical and mental health.

(2) The primary purposes for providing health services in the practice of traditional Chinese medicine and acupuncture are the following:

(

a) to promote, maintain and restore physical and mental health;

(

b) to relieve pain.

Division 2 – Limited Restricted Activities

List of limited restricted activities

27 A traditional Chinese medicine practitioner may perform the restricted activities described in the following items of the Restricted Activities Table, but only as provided for in this Division:

(

a) item 1 [diagnoses] ;

(

b) items 2 and 3 [procedures on tissue] .

Diagnoses

28 A traditional Chinese medicine practitioner may diagnose a disease, disorder or condition that the traditional Chinese medicine practitioner is authorized under

section 26 (1) (b) [scope of practice for traditional Chinese medicine and acupuncture] to prevent, treat and manage.

Acupuncture

29 A traditional Chinese medicine practitioner who is authorized under the bylaws to perform acupuncture may, for that purpose, perform a procedure on tissue below the dermis or the surface of a mucous membrane.

Appendix

(section 23 [naturopathic medicine – drugs])

Excluded Drugs Listed in

Schedule I of the Drug Schedules Regulation

Table 1 – Excluded

Schedule I Drugs (

A) Item

Excluded

Schedule I Drugs

Item

Excluded

Schedule I Drugs

Acetohexamide

Aminopyrine and its derivatives

Adalimumab

Amprenavir and its salts and derivatives

Adefovir and its salts and derivatives

Amsacrine and its salts

Agalsidase alfa

Anagrelide and its salts

Aldesleukin

Anakinra and its salts and derivatives

Alemtuzumab

Anastrozole

Alkyl nitrites

Ancestim

Alprazolam

Anti-thymocyte globulin

Altretamine

Atazanavir and its salts

Amifostine and its salts

Atracurium besilate

Aminoglutethimide

Auranofin

Aminopterin and its salts

Aurothioglucose

Table 2 – Excluded

Schedule I Drugs (B,

C) Item

Excluded

Schedule I Drugs

Item

Excluded

Schedule I Drugs

Basiliximab

Chlorambucil and its salts and derivatives

Bevacizumab

Chlordiazepoxide and its salts

Bicalutamide

Chlorisondamine and its salts

Bleomycin

Choriogonadotripin alfa

Bortezomib

Cinacalcet and its salts

Bromazepam and its salts

Cisplatin

Buserelin and its salts

Cladribine and its salts

Busulfan

Clobazam and its salts

Cabergoline and its salts

Clonazepam and its salts

Capecitabine and its salts and derivatives

Clorazepic acid and its salts

Carboplatin

Cyclophosphamide

Carmustine

Cycloserine

Cetrorelix and its salts

Cyclosporine

Cetuximab

Cytarabine and its salts

Table 3 – Excluded

Schedule I Drugs (D,

E) Item

Excluded

Schedule I Drugs

Item

Excluded

Schedule I Drugs

Dacarbazine

Droperidol and its salts

Daclizumab

Edrophonium chloride

Dactinomycin

Efavirenz

Daunorubicin and its salts

Emtricitabine

Delavirdine and its salts

Enflurane

Desflurane

Enfuvirtide

Dexrazoxane and its salts

Epirubicine and its salts

Diazepam and its salts

Erythropoietin

Didanosine and its salts and derivatives

Estazolam and its salts

Diethylstilbestrol and its derivatives

Estramustine and its salts

Dihydrotachysterol

Etanercept

Dinoprostone and its salts and derivatives

Ethambutol and its salts

Docetaxel and its derivatives

Ethionamide and its salts

Doxacurium chloride

Etoposide and its derivatives

Doxercalciferol and its derivatives

Exemestane

Doxorubicin and its salts

Table 4 – Excluded

Schedule I Drugs (F –

K) Item

Excluded

Schedule I Drugs

Item

Excluded

Schedule I Drugs

Fenfluramine and its salts

Halazepam and its salt

Filgrastim

Halofantrine and its salts

Flucytosine

Halothane

Fludarabine and its salts and derivatives

Hydroxychloroquine and its salts

Flumazenil

Idarubicin and its salts

Fluorouracil and its derivatives for parenteral use only

Ifosfamide

Flurazepam and its salts

Imatinib and its salts

Flutamide

Imiglucerase

Follicle stimulating hormone

Indinavir and its salts

Formestane and its salts and derivatives

Infliximab

Fulvestrant

Interferon

Gallamine triethiodide

Iproniazid and its salts

Ganirelix and its salts and derivatives

Irinotecan and its salts

Gefitinib

Isoflurane

Gemcitabine and its salts

Ivermectin and its derivatives

Glatiramer and its salts

Kanamycin and its salts and derivatives

Gold and its salts and derivatives

Ketamine and its salts

Goserelin and its salts

Ketazolam and its salts

Table 5 – Excluded

Schedule I Drugs (L,

M) Item

Excluded

Schedule I Drugs

Item

Excluded

Schedule I Drugs

Lamivudine and its salts

Melanoma therapeutic vaccine

Laronidase

Melphalan

L-Asparaginase

Menotropins (human)

Leflunomide and its salts

Mercaptopurine

Letrozole

Meropenem and its salts and derivatives

Leuprolide and its salts

Mesna

Levallorphane and its salts

Metaraminol bitartrate

Levamisole and its salts

Midazolam and its salts

Lincomycin and its salts and derivatives

Midodrine and its salts

Linezolid and its salts

Miglustat

Lomefloxacin and its salts

Mitomycin and its salts

Lomustine

Mitotane (o,p'-DDD)

Lopinavir

Mitoxantrone and its salts

Loracarbef and its salts and derivatives

Mivacurium chloride

Lorazepam and its salts

Molgramostim

Mazindol and its salts

Muromonab-CD3

Mecamylamine and its salts

Mycophenolic acid and its salts and derivatives

Mechlorethamine and its salts

Table 6 – Excluded

Schedule I Drugs (N –

P) Item

Excluded

Schedule I Drugs

Item

Excluded

Schedule I Drugs

Nalmefene and its salts

Pemetrexed and its salts

Nelfinavir and its salts

Pentamidine and its salts

Neostigmine salts

Pentolinium tartrate

Netilmicin and its salts and derivatives

Pentostatin and its salts

Nevirapine and its salts

Perflutren

Nikethamide

Phentolamine and its salts

Nilutamide

Pipobroman

Nitrazepam and its salts

Porfimer and its salts

Octreotide

Pralidoxime and its salts

Oxazepam and its salts

Prazepam and its salts

Paclitaxel and its derivatives

Prodilidine and its salts

Palivizumab

Propofol

Pamidronic acid and its salts

Pyrazinamide

Pancuronium and its salts

Pyridostigmine bromide

Pegfilgrastim

Table 7 – Excluded

Schedule I Drugs (R,

S) Item

Excluded

Schedule I Drugs

Item

Excluded

Schedule I Drugs

Raltitrexed and its salts and derivatives

Sargramostin

Rasburicase

Sevelamer hydrochloride

Rifabutin and its salts

Sirolimus and its derivatives

Riluzole and its salts

Sodium aurothiomalate

Ritonavir

Stavudine

Rituximab

Streptozocin

Rocuronium bromide

Succinylcholine and its salts

Rofecoxib

Suxamethonium chloride

Saquinavir and its salts and derivatives

Table 8 – Excluded

Schedule I Drugs (T –

Z) Item

Excluded

Schedule I Drugs

Item

Excluded

Schedule I Drugs

Tacrolimus and its derivatives

Treosulfan

Tegafur and its salts

Treprostinil and its salts

Temazepam and its salts

Tretamine

Temozolomide and its salts

Triazolam and its salts

Teniposide

Trimethaphan camsylate

Tenofovir and its salts and derivatives

Trimetrexate and its salts

Thalidomide

Troglitazone

Thiocarlide

Tubocurarine and its salts

Thioguanine

Valrubicin and its derivatives

Thiotepa

Vecuronium bromide

Tiludronic acid and its salts

Viomycin and its salts and derivatives

Tipranavir and its salts

Zalcitabine and its salts

Topotecan and its salts

Zidovudine

Toremifene and its salts

Zoledronic acid and its salts and derivatives

Trastuzumab

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