New LMIA restrictions? You can still bring in your live-in nanny.
Since September 2024, LMIA rules have changed in the Montreal region. The good news: medical exemptions let many families carry on — whether you're renewing or hiring a new live-in nanny. Our team tells you within 24 hours if you qualify.
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What has changed in the LMIA program?
LMIA applications for low-wage positions are suspended in the Montreal economic region.
This suspension remains in effect in 2026. It applies specifically to certain municipalities on the island and nearby (full list below).
Who stays eligible through the exemptions?
Despite the suspension, a live-in nanny is still possible when a member of the household needs in-home care:
Seniors losing autonomy
An older person needing part-time or full-time in-home assistance (minimum 30 hours/week).
Physical or cognitive disability
A person needing consistent in-home support from a qualified caregiver.
Child with special needs
A child with a chronic illness requiring consistent in-home support and supervision.
Chèque emploi-service
Families on the Chèque emploi-service program can have part of the caregiver's wages covered by the government.
The municipalities concerned
If you live in one of these areas, the new LMIA rules apply to you — and that's exactly where the medical exemption makes all the difference:
What this means for you
How Regency Nannies supports you
From your first question to your nanny's arrival, we handle it all — backed by our agency's legal expertise, led by a lawyer who is a member of the Quebec Bar, and by our CNESST permit for recruitment.
Identify your exemption
We assess your eligibility and help you gather the medical certificate and required documents.
Find the right nanny
Our thorough vetting process matches you with a caregiver who fits your needs. You can also welcome an au pair from Europe, with no LMIA needed.
Secure the work permit
Our team guides you through obtaining the work permit and makes sure every step is compliant.
Ongoing support
We stay by your side until your nanny is settled, and beyond, for a stress-free experience.
Families who can benefit
An elderly parent
A senior or relative needing consistent in-home care.
A child with special needs
A child with a documented physical or cognitive condition.
Someone who is ill
Long-term illness or palliative care at home.
The jargon, without the jargon
What is an LMIA?
What is the medical exemption?
The Chèque emploi-service (CES)
The TFWP and the work permit
The CNESST recruitment permit
Your questions about the new rules
Can I still hire a live-in nanny despite the suspension?
What are the requirements to hire under the new rules?
- Provide a medical certificate confirming the person's care needs.
- Our team prepares and submits the LMIA application specifying the applicable caregiver exemption — you don't navigate it alone.
- We ensure compliance with provincial labour and immigration law at every step.
How long does it take to hire through Regency Nannies?
Live stress-free. Check your eligibility.
Despite the new LMIA rules, bringing in a live-in nanny is still possible for many families. Book a free consultation — we'll tell you exactly where you stand.

