Kate Feola was quoted in ePharmaceuticals (April 2009) about the Massachusetts Pharmaceutical and Medical Device Manufacturer Conduct regulations. Pharmaceutical and medical device companies must annually disclose to the Massachusetts Department of Public Health any payment or economic benefit with a value of at least $50 made for sales or marketing. Ms. Feola said that the disclosure requirements are not new to pharmaceutical companies. However, Ms. Feola said that Massachusetts is the first state to require financial disclosure by medical device companies which will increase compliance challenges facing the manufacturers. "Device manufactures have never had to think through what systems, whether manual or electronic, are necessary to ensure the company is accounting for all of the expenses that must be reported to the state, what accounts are those expenses coming from, and to whom they are being paid."