After practicing in the Washington DC area including private practice in both Bethesda & Vienna, I moved to KY, one of the first 4 states to promote medical.  I was humbled by how far behind I was from the sight saving optometrists here.  That was 2016 and since then I have actively pursued my laser continuing education 8 consecutive years as it is a requirement to practice here. Here we have a “free” laser center to encourage optometrists to serve at the highest scope.  We are also offered 1:1 shared care with skilled optometrists and ophthalmologists to reinforce clinical standards.  It is not only safe, but quite beneficial with the underserved populations we see in today’s America.  Privileged to serve in a state that insist on advancement in primary care and camaraderie amongst providers.  As an interactive learner I absolutely support the draft regulations as presented without changes.