Background

Labour mobility registrants are nurses who are currently registered in another Canadian province or territory and applied to CNO using the automatic recognition process. The automatic recognition process allows labour mobility applicants to be registered with CNO within two business days. Automatic recognition was implemented on Jan. 1, 2026; learn more about automatic recognition.

At the September Council meeting, Council approved the requirement that labour mobility registrants will have to successfully pass the Jurisprudence Exam (JE) post-registration to remain registered with CNO. This change goes into effect Jan. 1, 2027.

Successfully completing the JE is a registration requirement for all other applicants prior to registration. The JE is an interactive, user-friendly “open book” online exam that tests the applicant’s knowledge of Ontario laws and CNO practice documents through multiple-choice questions. Applicants have unlimited writes to successfully pass the exam in a 30-day period. It costs $40 to take the exam. Completing the exam supports safe, ethical and quality nursing care for Ontarians.

Proposed by-law change

To support the change that labour mobility registrants must complete the JE post-registration, CNO has proposed a change to our Fees By-Law.

The proposed changes would require a labour mobility registrant who does not complete the JE within the 30-day time frame to pay a $400 penalty fee to CNO. The proposed changes include an article that allows CNO’s Registrar & CEO to extend the time period for a registrant if exceptional circumstances justify needing extra time.

In September, CNO’s Council approved these proposed amendments being circulated for feedback.

We want your feedback

Please complete this survey to share your feedback on the proposed by-law changes to support the implementation of automatic recognition.

We will provide Council with a summary of the consultation feedback in December 2026. Your responses are anonymous and confidential. CNO will only share aggregate results and anonymized verbatim quotes. Council will then decide whether to approve the by-law changes.

How to complete the survey

1. Review the proposed changes listed below
2. Complete the survey

It should take about five minutes to finish the survey. The survey is available from Monday, Sept. 28, 2026, to Thursday, Nov. 26, 2026. 

Proposed amendments to By-law No.2: Fees 

6.03 A registrant who fails to attempt the Jurisprudence Examination within the specified time by the College, shall pay the Penalty Fee - Jurisprudence Examination as set out in the Fee Table.

6.03.1 Despite article 6.03, the Registrar may extend the time specified by the College if, in the Registrar’s opinion, the circumstances are sufficiently extraordinary to warrant an extension and are not based upon the ability of the individual member to pay the fee.

CNO is proposing changes to its Nurse Practitioner (NP) practice standard, and we want to hear from you. These changes involve proposed accountabilities around the prescribing of safer supply medications. We are proposing these changes to prevent drug diversion and ensure that clients have the same experience whether they are being treated by a physician or a nurse practitioner.

Specifically, the proposed changes would add the following accountabilities to the standard:

• When prescribing opioids in conjunction with opioid agonist therapy (OAT), NPs must:
• perform an in-person assessment at least once monthly for clients receiving safer supply medication
• clearly note on prescriptions for safer supply medication “safer supply” and “no carries” (take-home doses) to communicate the intent and that each dose of safer supply medication be consumed under direct observation by a regulated health-care professional

We are also proposing to add definitions for OAT and safer supply in the NP practice standard’s glossary section.

Below you will find a link to a survey where you can share your feedback on these proposed changes. The deadline to complete the survey is November 5, 2026. We want to hear from you!

CNO’s Council (our Board of Directors) will consider your feedback and proposed changes to the NP standard at its December 2026 meeting.

A French version of this message and the survey itself are available upon request.