Ontario to Let U.S. Health Workers Start Working Without Prior Registration

In a major shift to address staffing shortages, Ontario will now allow qualified U.S.-licensed doctors and nurses to begin working in the province immediately—without first registering with a professional college. The change removes a key barrier to onboarding international health talent, while immigration and work permit rules remain in place.

Who Is Eligible?
Board-certified U.S. physicians, nurse practitioners, registered nurses, and practical nurses with clean disciplinary records can work for up to six months while they complete their Canadian registration process.

Where Can They Work?
Previously limited to hospitals and long-term care homes, U.S.-trained professionals can now also work in:

  • Primary care clinics
  • Community care and home settings
  • Medical labs

Why Now?
Ontario continues to face a critical shortage of healthcare workers, with many residents lacking access to family doctors. The province hopes this measure will:

  • Accelerate workforce growth
  • Ease hospital pressure
  • Improve access to community care
  • Attract skilled U.S. workers amid growing interest due to political uncertainty in the U.S.

Immigration Still Required
All foreign professionals, including Americans, must still obtain a valid Canadian work permit or permanent residency status.

Support from Medical Organizations
The policy has been welcomed by major provincial health groups, though many stress the need to also invest in retaining the local workforce.

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