As a radiologist practicing in the state of Virginia and one who is actively involved with the American College of Radiology on the state and national levels I am fully in support of licensure of RAs and the regulations as written. This has been a collaborative effort of the ACR and the ASRT on the national level. Virginia is one of only a few states with RA training programs. It is important that they be licensed so that they will have the opportunity remain in Virginia to practice . With the provider shortages that are projected to exist with healthcare reform it is critical that we have all the help we can get to provide care to the citizens of the Commonwealth.