The state of Virginia has strong acupuncture licensure laws- these laws ensure that individuals receiving acupuncture remain safe during and after treatment. The amount of training to safely and effectively render this care is not accomplished in a few days or a weekend. Licensed acupuncturists spend years in graduate level education learning and honing diagnostic and needle skills. Dry needling is a subset of acupuncture (WHO, AMA) and should be regulated as such with all acupuncture needle insertion requiring an acupuncture license. Under training is a threat to public health.