I support the corrected and clarifying inclusion of both optometrists and ophthalmologists in 22VAC45-51-10. Definitions.  They reflect and properly recognize the scope of practice of optometrists, who by clinical training are more likely to be specialized in low vision and vision rehabilitation services.

To be accurate and necessarily improve access for patients, 22VAC45-51-40 (Eligibility for vocational rehabilitation services), section D. 1. b. needs to be revised to include optometrists.  Evaluating, diagnosing and monitoring rapidly progressive eye conditions are a basic part of optometry's clinical training and their authorized scope of practice.  Further, this reflects services offered by optometrists throughout Virginia.  Patient access will clearly be improved by inclusion of this language as optometrists are far mor geographically distributed than their ophthalmology colleagues.  Thank you.