I agree with the comments as stated. I do think that QMHP-E and LMHP-E should be allowed in their respective capacity to provide client services. I am also in agreeance with removing the requirement of ACT being first line of response for Crisis. I believe most CSB's are providing this service thru Emergency Services and Prescreen processing, while implementing needed coordination of care to ensure client is taken care of. Our agency works very close with our Emergency Services Program to ensure client safety and to promote client's positive mental health. Please consider all (demographics, location of services, access of professionals to provide said services, etc) when final decision is made. Please also consider how client services/ outcome may be impacted by proposed changes. Please consider how proposed changes may have the potential to decrease availability of qualified providers to provide the said service.