I support this new language and clarification of this code is needed.  The correction that is needed within 22VAC45-51-40 is in section D.1.b.  This needs to be revised to include optometrists.  Evaluating, diagnosing, and monitoring rapidly progrssive eye conditions are part of optometry's clinical training , authorized scope, and reflects services offered by optometrists all over Virginia.  Again, 22VAC45-51-40 section D.1.b needs to state :"The individual has a rapidly progressive eye condition that, in the opinion of a qualified optometrist or ophthalmologist, will cause the individual to require a specialized service available through DBVI, or"