Wonderful regulatory guidance here folks. As a federal employee in VA, this is exciting that I can finally practice in VA the way I practice on-site in a federal facility. 
Expansion ensures more certification procedures, greater oversight, and increased proficiency for the profession. VA is behind many other states with this regulation, but I am impressed by the bill presented as it is the most fair. 

I am excited to see how this increases access-to-care, and raises the standard-of-care practice (both Optometry and Ophthalmology!). As an OD who has supervised 1st year Ophthalmic residents, this is a long time coming and will only make each profession better.