Measuring the pupillary distance has never been a requirement during an ocular examination by an optometrist or ophthalmologist but rather the optician responsible for measuring and fitting the eye wear itself. This is not a medical procedure and is not related to the patient's health. This mandatory regulatory change would add an undue burden on these professionals.  Additionally, there are many pupillary distances that would be required to be measured accurately to ensure proper vision including distance binocular PD, near binocular PD, left eye monocular PD, and right eye monocular PD.  A true measurement of all these requires a skilled optician, a monocular digital pupillometer, and a patient sitting at a desk with their heads perfectly level with the optician.  Lastly, only the fitting optician would understand an actual patient's requirements including frame and lens choices as these are only finalized during an eye wear purchase. Forcing optometrists or ophthalmologists to do this inaccurately in an examination room setting is unfair to these professionals, unfair to the patients, and also unfair to the skilled opticians that offer this service.