they don't see how penalizing the patients, as opposed to non-compliant doctors, devalues the program. The CDPHE needs to offer advanced warning if they are going to change what they consider to be acceptable. They need to warn clinics that are operating in such a way as to become non-compliant, and they need to notify patients as to new standards so patients know what to look out for. To all of a sudden stop accepting recs from PAs, after doing so and communicating directly with PAs for over 2 years, with no notice.. is criminal.