It is not difficult nor to become a L.Ac first if you really want to penetrate the skin with a needle. Please, be considerate about the safety of those that come to you needing help, they are last of the kind that need to be needled precariously without proper licensure in acupuncture and then rudely awakens to being seriously injured by a non-acupuncturist. This proposed regulation does nothing to enhance the confidence of the Virginians (this coming from a person with strong family ties to VA)!