It may seem as simple as point and shoot but it is not only skill of how to shoot but when to use this technology and when it is dangerous.  I am referred over 100 patient's a week to decide on if this treatment is a good option from ODs in the community and many times other diagnosis and pathology went unnoticed and performing the referred procedure would have caused harm and even vision loss.  This is not a simple procedure.  It is shooting a laser into an eye that is irreversible .   It is non-sensical to allow non-surgeons to use a laser in the eyeball.  The vast majority of people spend effort to choose among the surgeons in the region who they would allow to use this irreversible technology and this bill would allow many unqualified persons to have access.  It is not safe and will add to morbidity.  There is no access issue in Virginia.  Our office can see these evaluations and perform the procedure within 2-3 weeks.  Sooner if needed.  This should NOT be passed.