This report argues that Ontario must expand the educational options for people who want to become registered nurses (RNs). It argues that the change Ontario requires is to authorize colleges to offer their own high-quality nursing degrees. Until 2005, about 70 per cent of Ontario's RNs were educated at colleges. Today, tens of thousands of RNs who graduated from Ontario's colleges continue to provide high-quality health care to patients in Ontario's hospitals and other health-care settings. Beginning in 2005, provincial regulations were changed to require new nurses to hold a baccalaureate degree in nursing from a university. Currently, two types of nursing education are permitted: stand-alone university programs, and joint college-university programs that lead to a university degree. Ontario's colleges believe this policy must change and that colleges should be authorized to offer high-quality, four-year baccalaureate degrees that are recognized as meeting the requirements for entering the nursing profession. This change will make it possible for colleges to play a large and distinctive role within a long-term provincial strategy for sustaining and renewing the health human resources workforce. Colleges argue that the change should be made because: (1) Colleges have the ability to reach out to prospective students from diverse backgrounds who have the potential to be successful in nursing degree programs; (2) Many colleges are geographically located where there is a need for expanded access to nursing education; (3) Colleges produce well-prepared graduates, many of whom want to work in their local communities; (4) National and provincial quality standards are already in place to guarantee the quality of baccalaureate nursing programs, and colleges remain committed to meeting these standards; (5) Expansion of the nursing degree options in the province can be accomplished within the province's current levels of funding support and will result in a more cost-effective use of existing resources; and (6) With the increasing numbers of Ontarians needing health care now and in the future, it is time to eliminate unnecessary barriers and expand the range of options for creating a strong and diverse nursing workforce. A proposed implementation strategy is provided in the appendix.