J, In your document of October 9th, distributed at the Advisory Board meeting on behalf of ASVA, you wrote that during the regulatory review in February the Advisory Board reaffirmed NCCAOM certification as the standard for obtaining and maintaining the right to practice as a licensed acupuncturist. This did not, in fact, occur. At the February Advisory Board meeting the issue of requiring ongoing NCCAOM credentialing was discussed. As reflected in the minutes, Stephanie Mills and Jennifer Nieman of NCCAOM spoke during the public comment period in support of maintaining the NCCAOM requirement. During the meeting L. A. retracted her comments from the October 2012 meeting and restated her support of the NCCAOM credentialing process, also reflected in the minutes. To my best recollection, though not reflected in the minutes, Elaine Yeatts reported that as the issue of NCCAOM credentialing was controversial, it would not be suitable as part of the fast track regulatory review. You will see in the minutes that the Advisory Board did not take any vote or take any formal position on the NCCAOM credentialing process. (And, even if the Advisory Board had done so, it would in no way preclude addressing the issue again. There are few issues that have not been discussed repeatedly during my time on the Board.) As an ASVA member, I am concerned that ASVA took such a strong position in support of the NCCAOM credential without having any information about any proposed alternatives. Why did ASVA assume that an alternate path would lower standards? Is there any evidence that there has been harm to the profession or the public in states with alternate paths to licensure? Last, but certainly not least, has ASVA made any attempt to poll the membership regarding their satisfaction with the NCCAOM process or their interest in any alternatives? I do not have any agenda here beyond exploring whether what has served us well in the past is continuing to meet our needs in the present. I do not understand why ASVA is against even asking the question, why they are so sure they know the answer, and why they aren’t more interested in what their membership thinks about these issues. In deep gratitude for your service, Elaine