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This study was conducted to identify the number and density of active licensed acupuncturists(LAcs),as well as the number of accredited schools in acupuncture and Oriental medicine(AOM),as of January 1,2023,in the United States(U.S.).The number of active LAcs as of January 1,2023 was 34,524,potentially 33,364 after removing license duplication in multiple states,among which the largest three states were California(with 7317 LAcs[21.19％of the total]),New York(5024[14.55％])and Florida(2644[7.66％]).The total number of LAcs decreased by 8.87％from 2018,and fell short of our projected number of LAcs in 2023 by 9037,or 20.75％.The overall LAc density in the U.S.-measured as the number of LAcs per 100,000 population-was 10.36,less than in 2018.There were 56 active,accredited AOM schools which offered a total of 147 programs(121 at the level necessary for licensing[entry-level],12 for an advanced practicing degree[advanced-level],and 14 for certifications).Broken down further,offerings included 50 master's degrees in acupuncture,40 master's degrees in Oriental medicine,31 entry-level doctorate degrees(10 in acupuncture and 21 in acupuncture plus Chinese herbal medicine),and 12 advanced-level doctorate degrees in AOM.The certification programs included one in East-Asian Medical Bodywork and 13 in CHM.Among these schools in 2023,institutions in the West and East Coast states comprised 67.86％(decreased from 77.42％in 2018)of the national total.California,Florida and Illinois represented 39.29％.There were 48 jurisdictions with acupuncture practice laws in place.The data suggests that the acupuncture profession in the U.S.has been significantly impacted during the coronavirus disease 2019 pandemic.