A new requirement is in place as of the first of this year requiring office-based accreditation for procedures requiring certain levels of sedation/anesthesia. This mostly impacts pain procedures, GI and cosmetic done in the office. Anything involving a major nerve block up to full anesthesia is included. There has been confusion with some thinking this was delayed; however, we want to be sure the word is out there that this is a requirement. Rule is 844 IAC 5-5: this is a rule from the Medical Licensing Board of Indiana….not a department of Health Facility rule. For details, go to http://www.in.gov/pla/2878.htm.