B.C. Reg. 282/2008
M242/2008
Deposited October 15, 2008
effective October 17, 2008

Health Professions Act

Naturopathic Physicians Regulation

Note: Check the Cumulative Regulation Bulletin 2014
for any non-consolidated amendments to this regulation that may be in effect.

[includes amendments up to B.C. Reg. 156/2009, April 9, 2009]

Contents
 1 Definitions
 2 College name
 3 Reserved titles
 4 Scope of practice
 5 Restricted activities
 6 Limits or conditions on services and restricted activities
 7 Patient relations program
 8 Health profession corporations
Schedule

Definitions

1  In this regulation:

"Act" means the Health Professions Act;

"compound" means

(a) in respect of a drug, to mix with one or more other ingredients, and

(b) in respect of a therapeutic diet, to mix two or more ingredients;

"dispense" has the same meaning as in the Pharmacy Operations and Drug Scheduling Act, but excludes a sale, as defined in that Act;

"drug" means, except in the definition of "substance", a drug

(a) specified in Schedule I of the Drug Schedules Regulation, B.C. Reg. 9/98, other than a drug set out in the Schedule of this regulation, or

(b) specified in Schedule II of the Drug Schedules Regulation;

"enteral instillation" means instillation directly into the gastrointestinal tract;

"minor surgery" means a surgical procedure that

(a) is performed, for a diagnostic or therapeutic purpose, on a superficial anatomical structure, and

(b) does not involve

(i)   sedation, general anaesthesia or respiratory assistance, or

(ii)   a material risk to life;

"naturopathic medicine" means the health profession in which a person provides the services of prevention, assessment and treatment of an individual's diseases, disorders and conditions using education and naturopathic techniques, therapies or therapeutics to stimulate or support healing processes and promote, maintain or restore the overall health of the individual;

"parenteral instillation" means instillation directly into the blood stream;

"prescribe" means to issue a prescription, as defined in the Pharmacy Operations and Drug Scheduling Act;

"substance" includes air and water, but excludes a drug specified in Schedule I, IA, II or IV of the Drug Schedules Regulation.

[am. B.C. Reg. 156/2009, s. 1.]

College name

2  The name "College of Naturopathic Physicians of British Columbia" is the name of the college established under section 15 (1) of the Act for naturopathic medicine.

Reserved titles

3  (1) The following titles are reserved for exclusive use by registrants:

(a) naturopath;

(b) naturopathic physician;

(c) naturopathic doctor;

(d) physician;

(e) doctor.

(2) This section does not prevent a person from using

(a) the title "physician" or "doctor" in a manner authorized by another enactment that regulates a health profession, or

(b) an academic or educational designation that the person is entitled to use.

Scope of practice

4  A registrant may practise naturopathic medicine.

Restricted activities

5  (1) A registrant in the course of practising naturopathic medicine may do any of the following:

(a) use naturopathic techniques to make a diagnosis identifying, as the cause of signs or symptoms of an individual, a disease, disorder or condition;

(b) perform a procedure on tissue

(i)   below the dermis, or

(ii)   below the surface of a mucous membrane;

(c) move a joint of the spine beyond the limits the body can voluntarily achieve but within the anatomical range of motion using a high velocity, low amplitude thrust;

(d) administer a substance

(i)   by injection,

(ii)   by inhalation,

(iii)   by irrigation,

(iv)   by enteral instillation or parenteral instillation, or

(v)   using a hyperbaric chamber;

(e) put an instrument or a device or finger

(i)   into the external ear canal, up to the eardrum,

(ii)   beyond the point in the nasal passages where they normally narrow,

(iii)   beyond the opening of the urethra,

(iv)   beyond the labia majora,

(v)   beyond the anal verge, or

(vi)   into an artificial opening into the body;

(f) put into the external ear canal, up to the eardrum, a substance that is under pressure;

(g) apply

(i)   ultrasound for diagnostic or imaging purposes, including any application of ultrasound to a fetus,

(ii)   electricity for the purposes of

(A)  destroying tissue in the course of minor surgery, or

(B)  defibrillation in the course of emergency cardiac care, or

(iii)   X-rays for diagnostic or imaging purposes, excluding X-rays for the purpose of computerized axial tomography;

(h) issue an instruction or authorization for another person to perform, in respect of a named individual, a restricted activity specified in paragraph (g) (i) or (iii);

(i) in respect of a drug,

(i)   prescribe the drug,

(ii)   compound the drug,

(iii)   dispense the drug, or

(iv)   administer the drug by any method;

(j) if nutrition is administered by enteral instillation or parenteral instillation,

(i)   select ingredients for a therapeutic diet,

(ii)   compound a therapeutic diet, or

(iii)   dispense a therapeutic diet;

(k) conduct challenge testing for allergies

(i)   that involves injection, scratch tests or inhalation, if the individual being tested has not had a previous anaphylactic reaction, or

(ii)   by any method, if the individual being tested has had a previous anaphylactic reaction;

(l) conduct desensitizing treatment for allergies

(i)   that involves injection, scratch tests or inhalation, if the individual being tested has not had a previous anaphylactic reaction, or

(ii)   by any method, if the individual being tested has had a previous anaphylactic reaction.

(2) Only a registrant may practise naturopathic medicine.

[en. B.C. Reg. 156/2009, s. 2.]

Limits or conditions on services and restricted activities

6  (1) A registrant may perform only surgery that is minor surgery.

(2) A registrant may prescribe, compound, dispense or administer a drug only if

(a) standards, limits and conditions have been established, under section 19 (1) (k) or (l) of the Act, respecting the prescribing, compounding, dispensing and administering of drugs by registrants,

(b) the standards, limits and conditions described in paragraph (a) are established on the recommendation of a committee that

(i)   is established under section 19 (1) (t) of the Act, and

(ii)   has the duty and power to develop, review and recommend those standards, limits and conditions, and

(c) the registrant has successfully completed a certification program established, required or approved under the bylaws to ensure that registrants are qualified and competent to prescribe, compound, dispense or administer a drug.

(3) A registrant may perform an activity described in section 5 (1) (d) (v), (k) or (l) only if

(a) standards, limits and conditions have been established, under section 19 (1) (k) or (l) of the Act, respecting the activity, and

(b) the standards, limits and conditions described in paragraph (a) are established on the recommendation of a committee that

(i)   is established under section 19 (1) (t) of the Act, and

(ii)   has the duty and power to develop, review and recommend those standards, limits and conditions.

[en. B.C. Reg. 156/2009, s. 3.]

Patient relations program

7  The college is designated for the purposes of section 16 (2) (f) of the Act.

Health profession corporations

8  Part 4 of the Act applies to naturopathic medicine.

Schedule

[en. B.C. Reg. 156/2009, s. 4.]

Excluded Schedule I Drugs

Acetohexamide Chlorisondamine and its salts
Adalimumab Choriogonadotripin alfa
Adefovir Cinacalcet and its salts
Agalsidase alfa Cisplatin
Aldesleukin Cladribine and its salts
Alemtuzumab Clobazam and its salts
Alfentanil Clonazepam and its salts
Alkyl nitrites Clorazepic acid and its salts
Alprazolam Codeine when prescribed as a single entity or
Altretamine when included in a preparation containing
Amifostine and its salts 60 mg or more per dosage unit
Aminoglutethimide Cyclophosphamide
Aminopterin and its salts Cycloserine
Aminopyrine and its derivatives Cyclosporine
Amprenavir and its salts and derivatives Cytarabine and its salts
Amsacrine and its salts Dacarbazine
Anagrelide and it salts Daclizumab
Anakinra and its salts and derivatives Dactinomycin
Anastrozole Daunorubicin and its salts
Ancestim Delavirdine and its salts
Anileridine Desflurane
Anti-thymocyte globulin Dexrazoxane and its salts
Atazanavir and its salts Diazepam and its salts
Atracurium besilate Didanosine and its salts and derivatives
Auranofin Diethylstilbestrol and its derivatives
Aurothioglucose Dihydrotachysterol
Basiliximab Dinoprostone and its salts and derivatives
Bevacizumab Docetaxel and its derivatives
Bicalutamide Doxacurium chloride
Bleomycin Doxercalciferol and its derivatives
Bortezomib Doxorubicin and its salts
Bromazepam and its salts Droperidol and its salts
Buprenorphine Edrophonium chloride
Buserelin and its salts Efavirenz
Busulfan Emtricitabine
Butalbital Enflurane
Butorphanol Enfuvirtide
Cabergoline and its salts Epirubicine and its salts
Capecitabine and its salts and derivatives Erythropoietin
Carboplatin Estazolam and its salts
Carmustine Estramustine and its salts
Cetrorelix and its salts Etanercept
Cetuximab Ethambutol and its salts
Chlorambucil and its salts and derivatives Ethchlorvynol
Chlordiazepoxide and its salts Ethionamide and its salts
Ethoheptazine and its salts Leuprolide and its salts
Etoposide and its derivatives Levallorphane and its salts
Exemestane Levamisole and its salts
Fenfluramine and its salts Levorphanol
Fentanyl Lincomycin and its salts and derivatives
Filgrastim Linezolid and its salts
Flucytosine Lomefloxacin and its salts
Fludarabine and its salts and derivatives Lomustine
Flumazenil Lopinavir
Fluorouracil and its derivatives for parenteral Loracarbef and its salts and derivatives
use only Lorazepam and its salts
Flurazepam and its salts Mazindol and its salts
Flutamide Mecamylamine and its salts
Follicle stimulating hormone Mechlorethamine and its salts
Formestane and its salts and derivatives Melanoma therapeutic vaccine
Fulvestrant Melphalan
Gallamine triethiodide Menotropins (human)
Ganirelix and its salts and derivatives Meperidine (pethidine)
Gefitinib Mercaptopurine
Gemcitabine and its salts Meropenem and its salts and derivatives
Glatiramer and its salts Mesna
Gold and its salts Metaraminol bitartrate
Goserelin and its salts Methadone
Halazepam and its salt Methaqualone
Halofantrine and its salts Midazolam and its salts
Halothane Midodrine and its salts
Hydrocodone (dihydrocodeinone) Miglustat
Hydromorphone (dihydromorphone) Mitomycin and its salts
Hydroxychloroquine and its salts Mitotane (o,p'-DDD)
Idarubicin and its salts Mitoxantrone and its salts
Ifosfamide Mivacurium chloride
Imatinib and its salts Molgramostim
Imiglucerase Morphine
Indinavir and its salts Muromonab-CD3
Infliximab Mycophenolic acid and its salts and derivatives
Interferon Nalmefene and its salts
Iproniazid and its salts Nelfinavir and its salts
Irinotecan and its salts Neostigmine salts
Isoflurane Netilmicin and its salts and derivatives
Ivermectin and its derivatives Nevirapine and its salts
Kanamycin and its salts and derivatives Nikethamide
Ketamine and its salts Nilutamide
Ketazolam and its salts Nitrazepam and its salts
Lamivudine and its salts Normethadone
Laronidase Octreotide
L-Asparaginase Oxazepam and its salts
Leflunomide and its salts Oxycodone
Letrozole Paclitaxel and its derivatives
Palivizumab Streptozocin
Pamidronic acid and its salts Succinylcholine and its salts
Pancuronium and its salts Sufentanil
Pegfilgrastim Suxamethonium chloride
Pemetrexed and its salts Tacrolimus and its derivatives
Pentamidine and its salts Tegafur and its salts
Pentazocine Temazepam and its salts
Pentolinium tartrate Temozolomide and its salts
Pentostatin and its salts Teniposide
Perflutren Tenofovir and its salts and derivatives
Phentolamine and its salts Thalidomide
Pipobroman Thiocarlide
Porfimer and its salts Thioguanine
Pralidoxime and its salts Thiotepa
Prazepam and its salts Tiludronic acid and its salts
Prodilidine and its salts Tipranavir and its salts
Propofol Topotecan and its salts
Propoxyphene Toremifene and its salts
Pyrazinamide Trastuzumab
Pyridostigmine bromide Treosulfan
Raltitrexed and its salts and derivatives Treprostinil and its salts
Rasburicase Tretamine
Rifabutin and its salts Triazolam and its salts
Riluzole and its salts Trimethaphan camsylate
Ritonavir Trimetrexate and its salts
Rituximab Troglitazone
Rocuronium bromide Tubocurarine and its salts
Rofecoxib Valrubicin and its derivatives
Saquinavir and its salts and derivatives Vecuronium bromide
Sargramostin Viomycin and its salts and derivatives
Sevelamer hydrochloride Zalcitabine and its salts
Sirolimus and its derivatives Zidovudine
Sodium aurothiomalate Zoledronic acid and its salts and derivatives
Stavudine

[Provisions of the Health Professions Act, R.S.B.C. 1996, c. 183, relevant to the enactment of this regulation: section 12 (2)]