I support the comments submitted by ASVA regarding regulatory reform. I would add the following. The section dealing with the sterility and disposal of needles should be amended to include not just needles but any device that breaks the skin. I have had patients report to me that their previous practitioner had used on them an unwrapped either plum blossom or seven star hammer that "was just laying on the desk" and then return that device to the desk, presumably to to used on another patient. Also, physical therapists should be required to clearly and prominently make clear that their dry needling is NOT acupuncture. Again, I have had patients who have received this treatment, who think they've had acupuncture.