These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. with a current, active U.S. medical license and board certification (ABMS or AOA) in one or more of the following: Clinical Genetics and Genomics, Clinical Biochemical Genetics, Medical Biochemical Genetics, Clinical Cytogenetics and Genomics, or Molecular Genetic Pathology.