. >> let me just digress for 30 seconds and tell you that jim tallon who is on the alliance board and who runs the united hospital fund at new york city once observed that because of all of these various reading systems, new york city contained one of 40 top hospitals in the united states. yes, gary? >> stuart gor dan with the national association of state mental health directors. in the mental health field, a lot of services are provided through peer support in mental health and substance abuse. in an aligned area, i know a lot of services, despite scope of practice laws in the states, can be provided by nurse practitioner who said physician's assistants. is that something, i guess it's two facets of the same issue, is that something that naic is looking at? >> it's not currently on the table. it's an issue that we're going to be looking at. we've tended in the past not to get much involved. who provides the care and toez sh certify cases, you know the number. >> i should say that we received several questions on cards asking about the role of non-provie dance. i wonder, are there st