In California, when we underwent “work comp reform” in 2004. Many of us saw life as we knew it change forever. Practices folded as the power changed hands to the insurance companies and subsequent review agencies that began denying everything and reduced business’ heavily weighted in work comp to nothing. I am happy to report that the pendulum has begun to swing back towards the middle. While all care requires prior authorization (always in writing), we are seeing increased referrals and authorizations while acupuncture, once again, is recognized as an effective component in work comp rehabilitation. I’m so glad to see this. I’ve seen work comp at its highest, its lowest and wasn’t sure if it would ever return in the world of acupuncture. I am refreshed to see that this is finally happening as so many patients truly benefit from this awesome form of medicine.