As occupational therapists are a self-regulated profession, College operations are funded entirely by registrant fees. The College is a not-for-profit organization.
The annual registration renewal fee is paid by occupational therapists.
The annual registration renewal fee covers:
- assessment, registration and annual renewal of qualified individuals
-
development of resources to help occupational therapists apply practice standards, as well as other materials and resources created for registrants, students, applicants, employers and the public.
-
administration of the Quality Assurance (QA) program to ensure continuing competence and quality improvement of the profession.
-
investigation of concerns about the conduct and competence of occupational therapists
-
other regulatory work, such as developing and implementing policies and regulation changes that affect occupational therapy practice.
A breakdown of how the fee of $743.03 ($657.55 + 85.48 HST) was spent in
2022-2023 is available below. Please note this information is based on
pre-audited financials and estimates.
Questions and Answers
Why is the College raising fees now?
To continue to meet its obligations to the public, the Ministry of Health, and provincial and federal reporting agencies, a fee increase is now required. Different Colleges take different approaches to financial management. Some raise fees every year, others put forth substantial increases all at once. COTO's Board recognizes these are challenging times and has agreed that over the next five years any increase will be held at 2% or less.
Why does the College have an office in Toronto?
The Toronto office is close to other regulatory colleges, government and health care system partners, and accessible by transit for people who must travel to the college for meetings. Board meetings are held in person in the office as are training sessions, hearings, and other regulatory matters. The College has maintained the same amount of space since 2001, despite the needed staffing increases to manage more than 7000 registrants. The College uses a hybrid model to accommodate its staff instead of moving to a larger space.
Are COTO's fees the highest of Ontario's health professions?
COTO’s membership fees are in the lower mid-range of all health professions in Ontario. Some Colleges will have lower or higher fees depending on how many registrants they have, the profession’s scope of practice, the number of complaints being submitted, and several other factors.
The College talks about protecting the public. What about protecting occupational therapists? What does the College do for me?
As the regulator of the profession in Ontario, the College’s sole mandate is to protect the public.
All regulatory organizations exist for this same purpose of public protection, while professional associations exist to advocate for the professions’ interest.
Paying your fees to be registered with the College makes you a participant in the various aspects of occupational therapy regulation and public protection. This is why we consult with the profession before the Board makes decisions about changes to bylaws, regulations and standards of practices.
Together, we protect the public by ensuring:
- those wanting to become occupational therapists in Ontario meet requirements
- occupational therapists have standards that inform them of their accountabilities to provide safe, competent and ethical care
- occupational therapists engage in continuous improvement of their practice
- we take appropriate steps when there are concerns about an occupational therapist's conduct, competence and health
- we amend standards and regulations whenever government updates laws or passes new ones
- We also work to improve occupational therapy regulation in Ontario.
Here are a few examples:
- Enhancing the Quality Assurance program to support occupational therapists with their ongoing professional development
- Modernizing College governance to support efficient, effective leadership in public protection
Why are fees different across the country and across professions?
Regulation is provincially mandated, and each province has a different set of requirements and legislated Acts. Where the College is responsible for regulating the Occupational Therapy Act, 1991, all other professions have their own Acts to administer. This makes cross-comparison by profession and province difficult.
Here are several factors that impact regulatory fees:
- the requirements of the profession in each jurisdiction (for example, some Colleges do not have a Quality Assurance program)
- the implementation of legal changes (Ontario is experiencing major legislative changes, which require more College resources to manage and implement)
- the size of the profession (there are economies of scale in some aspects of administration, but in others, higher costs to manage more registrants)
- the number of complaints the College receives and investigates and the number of discipline hearings the College must administer
- and more, such as necessary infrastructure projects to manage requirements.
Further information regarding the work of the College is published in our annual reports. Reports are available in French and English.
*This content is adapted, with permission, from the College of Nurses of Ontario; the original work is available on cno.org