As the CEO of Crater Community Hospice located in Petersburg,VA, I have reviewed the current regulations. I request that section 12VAC5-391-330B be removed.  As others have noted, the hospitals in my service area no longer have attending physicians seeing the inpatients. Hospitalists cover 24/7 and the hospice Medical DIrector consults with him/her regarding symptom management. The facilities work with specific physicians who come into their buildings. The hospice Medical DIrector oversees the care of our patients and will consult as needed.  Thank you for the opportunity to comment.