The Clinical Nurse Specialist is trained to provide diagnosis and treatment, disease management, health promotion, and prevention of illness. Allowing CNS's to practice to the full extent of their licensure will assist Virginia in providing access to quality healthcare to all residents. I support the The Virginia Association of Clinical Nurse Specialists (VaCNS)’s petition to revise the regulations governing Clinical Nurse Specialist (CNS) registration and practice.  The recommendations are necessary to clarify CNS registration requirements and to differentiate CNS practice from that of the professional nurse. The revisions align with nurse practice acts and regulations in neighboring states, across the nation, as well as the tenets of the Consensus Model for APRN Regulation (2008). I fully support this petition and urge the Commonwealth of Virginia to join other states in the United States and provide full practice authority to Clinical Nurse Specialists.