Transition to the Regulated Health Professions Act: What Registered Midwives Need to Know on June 30th

29 Jun 2026

The Government of Nova Scotia is moving all regulated health professions to a new legislative framework under the Regulated Health Professions Act (RHPA). When midwifery is migrated on by June 30, 2026, the current Midwifery Act will be repealed and midwifery will instead be governed by the RHPA, the Regulated Health Professions General Regulations, profession-specific regulations, and Bylaws. 

The following are some key features of this transition:

1. A new regulator will replace the current Council

The current Midwifery Regulatory Council of Nova Scotia (MRCNS) was established under the Midwifery Act. After the transition, MRCNS will be replaced by the Nova Scotia Nursing & Midwifery Regulator (NSNMR). The NSNMR will regulate both the midwifery and nursing professions in Nova Scotia.

2. Midwifery will continue to be a distinct profession

Although the regulatory structure is changing, midwifery will remain a distinct profession. While both nursing and midwifery will be regulated by a single multi-profession regulator (the NSNMR), this is a change to the regulatory body, not a “merger” of the professions themselves. 

3. The statutory framework will be more standardized across professions

The RHPA creates a common framework for all regulated health professions in Nova Scotia. This framework is intended to modernize regulation, improve consistency, strengthen public protection, and provide regulators with common tools for registration, complaints, investigations, professional conduct reviews, and fitness-to-practise processes.

Under the new framework, you can consult the following documents to find rules concerning regulatory requirements:

  • RHPA and the General Regulations
    • Reporting requirements by the Regulator
    • Committee powers and authority
    • Professional conduct procedures
    • Registrant reporting requirements
  • Nursing & Midwifery Regulations
    • Requirements for registration and licensing
    • Categories of licensing
    • Scope of practice of the profession
    • Title protection
  • NSNMR Bylaws
    • Governance (Board composition and procedure)
    • Currency of practice requirements
    • Fines and penalties

4. Registration and licensing language will change

To align with the RHPA, there will be two categories of midwifery licence:

  • Practising: a registrant holding this licence can practice midwifery without conditions or restrictions. These registrants will be on the practising register.
  • Conditional: a registrant holding this licence can practice midwifery with restrictions or under terms, limits or conditions. These registrants will be on the conditional register.

There will no longer be a separate Active Practising Non-Clinical Licence. Those who currently hold an Active Practising Non-Clinical Licence will be transitioned to a Conditional Licence (with a condition relating to limiting practise to a non-clinical role). 

The RHPA regulations require broader publication of registration information, including name, registration number, register, licence category or licence status, and current conditions, restrictions, and licensing sanctions that are not subject to a publication ban.

5. Scope of practice language is being modernized

The current Midwifery Act sets out a specific, prescriptive definition of the practice of midwifery. Under the RHPA regulations, the midwifery scope of practice will be modernized and broadened. In the coming months, the NSNMR will develop standards and practice guidelines to ensure that appropriate parameters exist to support midwives working to their full scope. While that guidance is developed and implemented, registrants remain accountable for ensuring that their practice is consistent with their individual competence, based on their training, knowledge, and workplace policies. 

6. Registrant obligations will be more explicit in legislation

Under the RHPA, registrants have express statutory duties, including duties to comply with the Act, regulations, Bylaws, code of ethics and standards of practice; cooperate with regulatory processes; maintain current contact information; maintain records of practice hours; maintain required liability protection; practise only within individual scope and licence terms; and report unsafe or unethical practice in certain circumstances (a “duty to report”). Expanded registrant duties are set out in section 60 of the RHPA.  

7. Complaint and conduct processes will be modernized

The RHPA includes standardized professional conduct processes. The Registrar will now have the opportunity to refer certain complaints to a Complaints Committee, and there will be a formal fitness-to-practise process for midwives who may be experiencing an incapacity (i.e., a health concern, including substance abuse). 

What is not changing?

  • The NSNMR will remain committed to regulating midwifery practice in the public interest. 
  • At this time, the current Standards of Practice and Code of Ethics will remain in effect. Policies will be updated as necessary to ensure consistency with RHPA requirements and changes will be communicated to registrants as they are implemented.
  • At this time, there will be no change to the current annual licence renewal timeline.
  • The protected titles (“Registered Midwife”, “midwife”) will not change. 
  • Current MRCNS registrants will become NSNMR registrants after the transition. Existing licences will remain valid.

8. Who do I contact if I have questions about Midwifery practice or regulations? 

We will continue to communicate important updates as this transition proceeds. To stay up to date, after June 30th please visit (nsnmr.ca). We appreciate your patience and understanding during this period of change and evolution.

While Jenny Wright will no longer be the Registrar, her new role as the Director of Integration is responsible for overseeing the integration of midwifery within the new regulator. 

Jen Neil is also transitioning to the new regulator in an administrative role that will also support midwifery integration.

In the interim Jenny and Jen will continue to be your point of contact for questions regarding practice, registrations, complaints or any regulatory issues you may need support with and navigating the new regulator. 

Contact Information

Email Midwifery@nsnmr.ca or call 1-833-267-6727

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