I would ask that the agency amend the rule (18VAC112-20-131) regarding who can provide educational experiences to include health care organizations accredited by any Centers for Medicare and Medicaid Services (CMS) approved accrediting body empowered to deem CMS accredited provider status.   I have been a practicing phsical therapist for many year and Sentara has always provided high quality educational programs for staff and outside therapists as well.  The ability to attend more educational programs closer to home helps therapists working for Sentara and other facilities to continue to update skills and provide the highest quality care to our patients.