Despite AMA opposition, AANP State Affiliates continue to gain ground, increasing scope and gaining licensure laws. Why? Committed volunteer NDs are relentless in their efforts to educate legislators on their education and training. Our academic institutions and the CNME adhere to federal and state accreditation standards that mirror that of allopathic medicine. And NDs all over the country, in licensed and unlicensed jurisdictions, maintain a commitment to the highest standards of the professionalism. Evidence of that is reflected in our licensing laws and bills that require all licensed NDs to have graduated from CNME approved schools and pass the NPLEX. Carrying an active license to practice naturopathic medicine is indeed a badge of honor. It demonstrates commitment to your patients, commitment to continuing education and providing quality care, and commitment to advocating for laws that enable NDs to serve the primary care and prevention needs of at-risk populations across the country. Legislators understand why their constituents want access to naturopathic medicine. Perhaps the AMA will, too.