Canada’s ongoing nursing and healthcare workforce shortages have placed significant focus on the British Columbia Provincial Nominee Program (BC PNP), and in particular its Health Authority Stream. After a 50% reduction in its 2025 nomination allocation, BC PNP has tailored this stream to ensure front-line healthcare roles remain prioritized.
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How federal cuts shaped BC’s 2025 PNP strategy
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Key changes to the Health Authority Stream
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Eligible occupations and nomination targets
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Invitation‑to‑apply volumes and trends
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What to expect in the second half of 2025
Background: Federal Allocation Cuts & BC PNP Strategy
In January 2025, the Government of Canada slashed provincial nominee allocations under its Immigration Levels Plan 2025–27, granting British Columbia just 4,000 nominations—a 50% decline from 2024’s 8,000 welcomebc.ca. Faced with more than 5,200 applications in its Skills Immigration inventory, BC PNP had to refocus on critical labour‑market gaps:
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Front‑line healthcare (Health Authority Stream)
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Entrepreneurship (Entrepreneur Stream)
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High economic impact skilled workers (Skills Immigration)
Read the official announcement: BC PNP to focus on healthcare, entrepreneurs and high economic impact candidates in 2025 welcomebc.ca.
Health Authority Stream: Limited to Direct Care Roles
The Health Authority Stream offers a direct PR pathway for healthcare professionals employed full‑time by a BC public health authority. It bypasses the general Skills Immigration Registration System (SIRS) pool.
Major 2025 Changes
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Restricted Eligibility: Now open only to occupations providing direct patient care, such as nurses, doctors, and certain allied health professionals. Early Childhood Education Assistants and non‑clinical roles are excluded.
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Quota Allocation: Approximately 1,100 of BC’s 4,000 nominations in 2025 are reserved for Health Authority Stream candidates, ensuring that essential healthcare positions are filled first.
Eligible Occupations Under the Health Authority Stream
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Full‑Time Job Offer
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From a provincial health authority (e.g., Vancouver Coastal Health, Fraser Health).
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Direct Healthcare Provision
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Roles such as Registered Nurses (NOC 3012), Licensed Practical Nurses (NOC 3233), Medical Laboratory Technologists (NOC 3211), Physiotherapists (NOC 31402), Medical Radiation Technologists (NOC 3215), and others.
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Non‑clinical positions, such as administrative or support roles, no longer qualify under this stream. For a full list of eligible NOC codes, refer to the BC PNP Health Authority Stream page welcomebc.ca.
Invitation‑to‑Apply (ITA) Trends: January – June 2025
While BC PNP does not release stream‑specific monthly ITA numbers publicly, combined data and partner reports indicate:
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Health Authority Stream ITAs: ~1,100 slots reserved; roughly 900–1,000 ITAs issued by June 30.
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Major Draws: Two targeted Health Authority draws in April and May, specifically inviting front‑line care roles.
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Average CRS Scores: Minimum threshold not based on CRS but on job‑offer validity and health authority endorsement.
Communities with High Nomination Activity
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Fraser Health (covers Metro Vancouver, Surrey)
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Vancouver Coastal Health (Downtown Vancouver and Islands)
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Interior Health (Kelowna, Kamloops)
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Island Health (Victoria, Nanaimo)
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Northern Health (Prince George region)
These authorities serve high‑population areas and rural hubs, reflecting diverse healthcare needs across the province. As per the jobs listed at QuestJobs, there are currenly almost 400 PR eligible jobs under the BC Health Authority Stream.
What’s Next? H2 2025 Outlook
Stream Reopening & Adjustments
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Continued Health Authority Draws: Expect monthly or bi‑monthly targeted draws until the 1,100‑slot quota is filled.
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NOC Expansion: Potential inclusion of other front‑line roles (e.g., respiratory therapists) pending Ministry of Health consultation
New Student‑Focused Streams
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BC plans to launch three new international student streams once federal allocations improve—likely in late 2025. These may complement health‑stream pathways for nursing graduates.
Entrepreneur & High Impact
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Entrepreneur Stream remains open, with updated minimum investment and job‑creation requirements.
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High Economic Impact nominations (~100 slots) will continue, targeting C-suite and specialized roles.
Explore healthcare PR eligible jobs in BC
Key Resources
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BC PNP Health Authority Stream: https://www.welcomebc.ca/immigrate-to-b-c/skills-immigration/health-authority welcomebc.ca
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BC PNP News & Updates: https://www.welcomebc.ca/immigrate-to-b-c/news welcomebc.ca
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Invitations to Apply: https://www.welcomebc.ca/immigrate-to-b-c/invitations-to-apply welcomebc.ca
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Moving2Canada Analysis: https://moving2canada.com/news-and-features/news/immigration/bc-changes-provincial-nominee-program-2025/ Moving2Canada
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CIC News on Health Authority Stream: https://www.cicnews.com/2025/04/major-changes-to-british-columbias-provincial-nominee-program-0454062.html CIC News