2025 Physician Main Agreement

The 2025 Physician Main Agreement (PMA), renamed to replace terminology with historically inappropriate cultural connotations, was ratified in June 2026 with a total of 4,292 votes cast and 91.8% in favour. This represents a significant investment in physicians and health care amid a difficult fiscal environment and is a strong step forward for BC doctors and patients.

The Physician Main Agreement covers the relationship and economic arrangements between the Government of British Columbia and the Doctors of BC. The agreement is in effect to March 31, 2029.

PMA

• 2025 Physician Main Agreement

PMA supporting agreements

• 2025 MOA - Declaration and ISAR
• 2025 MOA - Increases for Non-PMA Contracts and Payment Models
• 2025 MOA - Physical and Psychology Health and Safety
• 2025 MOA - Physician Administrative Burdens
• 2025 MOU - Introduction and Ongoing Improvement of EHRs
• 2025 MOU - Provincial Engagement
• 2025 MOU - Regional and Local Engagement
• 2025 PMA Letter - Physician Respectful Workplace and Disciplinary Process
• 2025 PMA Letter - Physician Respectful Workplace and Discipline Process Reviews
• 2025 PMA Letter - Representation of Physicians

The new four-year agreement provides funding increases of $984 million/year by the end of the agreement, equivalent to a 13.6% increase in the total expenditure base. Additionally, government is providing $100M in new funding for Alternatively Paid physicians to address workload growth. More information on what this ratification means is available in the President’s Letter; highlights of the agreement include:

• Significant new funding for fee-for-service specialists to help address income disparities, support the introduction of new cross-specialty fees, and address gender inequity issues. 
• Significant new funding to address income disparities between practice categories and recruitment and retention challenges for service contracted and salaried physicians 
• Significant new funding for family physicians to address equity issues, close gaps that have developed under different payment models, and modernize the Fee Guide, along with additional funding and a government commitment to further improve the LFP Payment Model.
• The single largest increase in funding ever allocated to the Joint Standing Committee on Rural Issues to support rural physicians and help address their concerns about the erosion of the rural advantage in recent years. 
• Increased premiums for fee-for-service and AP physicians for after-hours work and a new premium for elective surgeries scheduled on evenings, weekends, and statutory holidays. 
• A 20% increase to both MOCAP rates and Business Cost Premiums. 
• Increased annual funding to further address administrative burdens faced by physicians and expand physical and psychological health and safety supports. 
• Noteworthy improvements to parental leave benefits and increased funding to help physicians save for retirement.
• A new joint Community Digital Health Innovation Program, which will fund AI products for physicians and support community-based physicians with EMR-related challenges.