This CPB is revised to state that acupuncture is considered medically necessary for back pain (the previous version of the CPB limited coverage of acupuncture to back pain that was chronic). This CPB has been revised to state that acupuncture is considered experimental and investigational for breast cancer-related hot flashes, chronic constipation, chronic fatigue syndrome, heart failure, menopause-associated vasomotor symptoms, multiple sclerosis, Parkinson's disease-related fatigue, plantar fasciitis, post-operative ileus, and post-stroke shoulder pain.