What this category is
This category targets long-term shortages in health care, allied health and social services. It was renewed for 2026. It covers 37 occupations, from physicians, nurses and pharmacists to medical technologists, nurse aides, social workers and community service workers.
Unlike the separate category for physicians with Canadian work experience, this one accepts qualifying experience gained in Canada or abroad.
Eligibility
To be invited in a healthcare and social services round, you must:
- Be eligible for at least one of the three programs managed through Express Entry: the Canadian Experience Class (CEC), the Federal Skilled Worker Program (FSWP) or the Federal Skilled Trades Program (FSTP).
- Have a valid profile in the Express Entry pool on the day of the round.
- Within the past 3 years, have at least 12 months of full-time work experience, or an equal amount of part-time work, in a single occupation from the list below, gained in Canada or abroad. The 12 months do not need to be continuous, and the listed occupation does not have to be your primary occupation.
- During that work, have performed the actions in the occupation's NOC lead statement and a substantial number of its main duties, including all of the essential duties.
- Meet every requirement in the Ministerial Instructions for the specific round.
- Candidates who are members of the provincial nominee class are not members of the category under the round instructions. Provincial nominees are invited through Provincial Nominee Program rounds.
Eligible occupations
IRCC's current list has 37 occupations (2021 NOC). Your 12 months must be in one of them.
| Official occupation title | 2021 NOC | TEER | High-wage level from Nov. 3, 2026 |
|---|---|---|---|
| Specialists in clinical and laboratory medicine | 31100 | 1 | 2× (top) |
| Specialists in surgery | 31101 | 1 | 2× (top) |
| General practitioners and family physicians | 31102 | 1 | 2× (top) |
| Veterinarians | 31103 | 1 | 2× (top) |
| Dentists | 31110 | 1 | 1.5× |
| Optometrists | 31111 | 1 | Not listed |
| Audiologists and speech-language pathologists | 31112 | 1 | 1.5× |
| Pharmacists | 31120 | 1 | 1.5× |
| Dietitians and nutritionists | 31121 | 1 | 1.3× |
| Psychologists | 31200 | 1 | 1.5× |
| Chiropractors | 31201 | 1 | Not listed |
| Physiotherapists | 31202 | 1 | 1.5× |
| Occupational therapists | 31203 | 1 | 1.5× |
| Other professional occupations in health diagnosing and treating | 31209 | 1 | Not listed |
| Nursing coordinators and supervisors | 31300 | 1 | 1.5× |
| Registered nurses and registered psychiatric nurses | 31301 | 1 | 1.5× |
| Nurse practitioners | 31302 | 1 | 2× (top) |
| Physician assistants, midwives and allied health professionals | 31303 | 1 | 2× (top) |
| Licensed practical nurses | 32101 | 2 | Not listed |
| Paramedical occupations | 32102 | 2 | 1.3× |
| Respiratory therapists, clinical perfusionists and cardiopulmonary technologists | 32103 | 2 | 1.3× |
| Animal health technologists and veterinary technicians | 32104 | 2 | Not listed |
| Other technical occupations in therapy and assessment | 32109 | 2 | Not listed |
| Dental hygienists and dental therapists | 32111 | 2 | 1.5× |
| Medical laboratory technologists | 32120 | 2 | 1.3× |
| Medical radiation technologists | 32121 | 2 | 1.3× |
| Medical sonographers | 32122 | 2 | 1.3× |
| Cardiology technologists and electrophysiological diagnostic technologists | 32123 | 2 | Not listed |
| Pharmacy technicians | 32124 | 2 | Not listed |
| Other medical technologists and technicians | 32129 | 2 | Not listed |
| Massage therapists | 32201 | 2 | Not listed |
| Medical laboratory assistants and related technical occupations | 33101 | 3 | Not listed |
| Nurse aides, orderlies and patient service associates | 33102 | 3 | Not listed |
| Pharmacy technical assistants and pharmacy assistants | 33103 | 3 | Not listed |
| Social workers | 41300 | 1 | 1.3× |
| Therapists in counselling and related specialized therapies | 41301 | 1 | Not listed |
| Social and community service workers | 42201 | 2 | Not listed |
Immigration eligibility and professional licensing
The Express Entry category
Requires 12 months of recent work in one listed NOC, in Canada or abroad, plus eligibility for CEC, FSWP or FSTP and the round instructions.
Professional licensing
Many of these professions are regulated by the provinces. You may need an assessment, registration, exams or a provincial licence before you can practise in Canada.
You may qualify for the category without a Canadian licence. A Canadian licence, on its own, does not prove the work-experience, program or category requirements.
Recent rounds for this category
Healthcare and social services rounds held in 2026 (version “2026-Version 3”):
| Round | Date | Invitations | Lowest CRS invited | Tie-breaking rule |
|---|---|---|---|---|
| #441 | September 4, 2026 | 3,500 | 475 | May 26, 2026, 00:26:14 UTC |
| #422 | June 25, 2026 | 4,000 | 475 | May 21, 2026, 12:14:09 UTC |
| #398 | February 20, 2026 | 4,000 | 467 | December 9, 2025, 18:22:06 UTC |
Source: IRCC rounds of invitations data, read October 18, 2026. Every round listed was open to candidates eligible under FSWP, CEC and FSTP. A past cut-off is history, not a prediction: each round has its own invitation total, pool and tie-breaking rule. The tie-breaking rule means that among candidates with the lowest score, only profiles submitted before that date and time were invited.
The program you must qualify under
A category round ranks only people who are already in the Express Entry pool, and you are in the pool only if you meet the entry requirements of at least one of three programs. The category's own requirement (12 months of recent work in a listed occupation) is a separate test and does not replace them.
| Requirement | Canadian Experience Class (CEC) | Federal Skilled Worker Program (FSWP) | Federal Skilled Trades Program (FSTP) |
|---|---|---|---|
| Skilled work experience | At least 1 year (1,560 hours) in TEER 0, 1, 2 or 3, gained in Canada in the 3 years before you apply, while authorized to work | At least 1 year of continuous full-time work (or the part-time equivalent, 1,560 hours) in one primary occupation in TEER 0, 1, 2 or 3, within the last 10 years, in Canada or abroad | At least 2 years of full-time work (3,120 hours) in one skilled trade within the 5 years before you apply, in Canada or abroad |
| Minimum language level | CLB/NCLC 7 for TEER 0 or 1 jobs; CLB/NCLC 5 for TEER 2 or 3 jobs | CLB/NCLC 7 in all four abilities | CLB/NCLC 5 in speaking and listening; CLB/NCLC 4 in reading and writing |
| Education | Not required | A Canadian credential, or a completed foreign credential with an educational credential assessment (ECA) | Not required |
| Job offer or certificate | Not required | Not required; a valid job offer adds points on the program's 100-point grid | A valid full-time job offer of at least 1 year, or a certificate of qualification in the trade from a Canadian authority |
| Proof of funds | Not required | Required, unless you are authorized to work in Canada and have a valid job offer | Required, unless you are authorized to work in Canada and have a valid job offer |
| Other conditions | Work done while studying full-time, co-op terms, self-employment (except some physicians), volunteer work and unpaid internships do not count | At least 67 of 100 points on the program's selection grid | You must have been qualified to practise the trade in the country where you worked |
How a category round works
- Enter the Express Entry poolCreate a profile. If you are eligible for CEC, FSWP or FSTP, IRCC places you in the pool and gives you a Comprehensive Ranking System (CRS) score.
- IRCC identifies category-eligible profilesIRCC checks the information in each profile against the requirements of the category set by the Minister.
- Eligible candidates are ranked by CRSWithin the category, candidates are ranked against each other by their existing CRS score. The category itself adds no points.
- The highest-ranked candidates are invitedThe round's Ministerial Instructions set the number of invitations. The cut-off and tie-breaking rule follow from the ranking.
- Apply within 60 daysAn invitation to apply (ITA) gives you 60 days to submit a complete application for permanent residence.
- IRCC decides the applicationThe officer checks program eligibility, the accuracy of the profile, category eligibility and admissibility to Canada.
Documents to prepare
- Employer reference letters on letterhead showing job title, dates, hours per week, pay and a detailed list of duties
- Supporting records such as pay stubs, tax slips, contracts or employment records
- A clear match between your duties and the lead statement and main duties of the NOC you claim
- Certified translations of documents that are not in English or French, with copies of the originals
- Language test results (IELTS General Training, CELPIP-General or PTE Core for English; TEF Canada or TCF Canada for French), less than 2 years old when you create your profile and when you apply
- A valid passport or travel document
- An educational credential assessment (ECA) report for foreign education, less than 5 years old (required for FSWP)
- Proof of funds if you apply under FSWP or FSTP and are not exempt (see the fees and proof of funds section below)
- Police certificates for you and each family member aged 18 or older, from every country where you lived for 6 months or more in a row in the past 10 years (time in Canada and time before age 18 does not count)
- An immigration medical exam from an IRCC panel physician, done after your invitation, for you and every family member, including those not coming with you
- Birth certificates for dependent children, and marriage, divorce, death or adoption certificates that match your family situation
- Biometrics (fingerprints and photo), which are generally required for permanent residence applications
- All documents required by the program you qualify under (CEC, FSWP or FSTP) and by your personalized checklist after an ITA
Fees and proof of funds
These are IRCC's published fees, in Canadian dollars, for an economic-class permanent residence application (IRCC fee list, modified September 21, 2026). IRCC raised the right of permanent residence fee and the processing fee for applications received on or after April 30, 2026.
| Fee | Amount (CAD) |
|---|---|
| Principal applicant | $1,590 ($990 processing fee plus $600 right of permanent residence fee) |
| Spouse or common-law partner | $1,590 ($990 plus $600) |
| Dependent child, per child | $270 (no right of permanent residence fee) |
| Biometrics | $85 per person; maximum $170 for a family of 2 or more applying together |
The processing fee is due when you submit. The $600 right of permanent residence fee is usually paid when the application is approved, but you can pay it with your application. If IRCC finds your application incomplete, it refunds your fees, but once processing has started the processing fee is not refunded.
FSWP and FSTP candidates must show settlement funds unless they are authorized to work in Canada and have a valid job offer. CEC candidates do not need to show funds. Anyone who is exempt still uploads a letter explaining the exemption. IRCC's current table (marked updated July 7, 2025, and still posted on October 18, 2026) is:
| Family members | Funds needed (CAD) |
|---|---|
| 1 | $15,263 |
| 2 | $19,001 |
| 3 | $23,360 |
| 4 | $28,362 |
| 5 | $32,168 |
| 6 | $36,280 |
| 7 | $40,392 |
| Each additional member | $4,112 |
- Family size counts you, your spouse or partner and all dependent children, even if they are not coming or are already Canadian citizens or permanent residents.
- Funds must be available to you when you apply and when the permanent resident visa is issued. Borrowed money and home equity do not count.
- Bank letters must be on the bank's letterhead and show your name, account numbers, account opening dates, current balance, six-month average balance and any outstanding debts.
Important limits
- Being eligible for a category adds no CRS points and does not guarantee that IRCC will hold a round for that category. IRCC may not need a category round if enough category-eligible candidates are invited through other rounds.
- The occupation list, the work-experience rule and the round instructions can change. The live IRCC page and the instructions for the exact round decide.
- An invitation does not remove the need to prove program eligibility, every CRS point claimed, category eligibility and admissibility.
- A job title is not enough. The evidence must support the NOC lead statement and main duties of one listed occupation.
Frequently asked questions
Do I need Canadian healthcare experience?
No. This category accepts qualifying experience gained in Canada or abroad. The separate physicians category requires Canadian experience.
Can I combine two healthcare occupations to reach 12 months?
No. The 12 months must be in a single listed occupation. Periods in that same occupation can be added together even if they are not continuous.
Does a healthcare degree make me eligible?
Not by itself. Eligibility depends on qualifying work experience in a listed NOC, plus the program and round requirements.
Does part-time work count?
Yes. An equal amount of part-time work can count, if the hours, dates and duties are documented.
Do I need a Canadian professional licence?
Not for the category itself. You may need one to work in a regulated profession in Canada.
Are social service occupations included?
Yes. Social workers (41300), counselling therapists (41301) and social and community service workers (42201) are on the list.
Does the category give me extra CRS points?
No. Eligible candidates are ranked by their existing CRS score.
Does a past cut-off predict the next round?
No. The 2026 healthcare cut-offs were 467 and 475, but each round depends on the pool and the number of invitations, and the CRS changes on November 3, 2026.
What government fees do I pay after an invitation?
For a principal applicant, $1,590 ($990 processing fee plus the $600 right of permanent residence fee). A spouse or partner is also $1,590, each dependent child is $270, and biometrics are $85 per person (maximum $170 per family). See the fees section above. Language tests, the ECA, the medical exam, police certificates and translations cost extra.
Do I need proof of funds?
Only if you qualify under FSWP or FSTP, and not if you are authorized to work in Canada with a valid job offer. CEC candidates do not need to show funds. Exempt candidates upload a letter explaining the exemption.
Can my spouse and children be included?
Yes. You declare your spouse or common-law partner and dependent children in your profile and application. Each family member needs a medical exam, even if they are not coming with you, and police certificates from age 18, and fees apply for each.
What if my situation changes after I receive an invitation?
Recalculate your score before you apply. If it falls below the lowest score in the latest round, for example because a job offer, a nomination or your language results are no longer valid, IRCC says you should decline the invitation. An application sent anyway may be refused and the fee may not be refunded. Declining returns you to the pool.
How long does an Express Entry profile last?
A profile stays in the pool for up to 12 months from the day it is received. Keep it accurate: every claim must be proven with documents if you are invited.
Official sources
- IRCC: Express Entry, category-based selection (current categories and occupation lists)
- IRCC backgrounder, February 18, 2026: 2026 categories and the 12-month work-experience rule
- IRCC: Express Entry rounds of invitations
- IRCC: Ministerial Instructions for round #441 (healthcare and social services)
- IRCC: 2026 changes to CRS points for Canadian work experience and job offers
- IRCC: Express Entry, what to do after an invitation to apply
- IRCC: Express Entry, proof of funds
- IRCC: permanent residence fees
- IRCC notice: permanent residence fees increasing on April 30, 2026
- IRCC: Express Entry, language test requirements
- IRCC: Federal Skilled Worker Program eligibility
- IRCC: Federal Skilled Trades Program eligibility
- IRCC: Canadian Experience Class eligibility
- IRCC: changes to Express Entry for high-wage occupations (October 2026)
This page is general information about Canadian immigration law and policy as of the date above. It is not legal advice for your situation. Programs, forms and fees change often; check the official sources before you apply.