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).