By denying residents in counseling (like me), as well as supervisees in social work, to provide outpaitent counseling is an injustice to our community.  Our practice is located in an underserved community with the majority of client's using medicaid.  This change would be unfair to the individuals we already serve, as well as those still needing services.  Making this change would create an even larger shortage of available counselors, and create an abrupt and unethical stop in the care of many individuals and families.