I fully endorse the guidance document and agree that graduates from PCSAS-accredited programs should be eligible for licensure in VA. PCSAS accredits most of the top-ranked clinical psychology PhD programs in the US, and their graduates perform higher across all objective indices than APA-accredited programs only. In order to expand mental health care access throughout the commonwealth, and particularly high-quality and evidence-based care, it is imperative that PCSAS-accreditation be recognized as one of the possible avenues for psychology licensure.