I am a current practicing Virginia optometrist and truly believe supporting this proposal will allow more accessible care to our patients as there are almost 2x more optometrists in Virginia than ophthalmologists, lifting the burden to the working poor. Optometrists have been performing these procedures since the 1990’s and 12 other states include in office laser procedures by optometrists. Optometry education and training supports the regulation requirements of 2 proctored sessions per procedure. The draft regulations as presented were developed with input from both optometry and ophthalmology and should be supported as presented.