My clinical practice as a CNS has targeted older adults across all settings for over 20 years. Currenty, I see patients who have early memory loss or early dementia. I have worked with older adults in the hospital, in long-term care, in adult day care, and now in an outpatient setting. Physicians and APNs refer to me regularly, but most of my referrals come from patients themselves. I am Medicare reimbursed and would see more patients if the CNS licensure in Virginia allowed that. My services are poorly reimbursed due to licensure issues, but because the service for older adults is so needed, and because I am a respected provider, the Carilion Clinic Center for Healthy Aging, continues to support the service I provide. As a graduate of a DNP (Doctor of Nursing Practice) program, I am also teaching undergraduate and master's nursing students. There are more requests to work with me in my clinic than I can honor. Yet the need for more nurses with geriatric training will continue to increase as Baby Boomers turn 65 this year and for the next 20 years. I am willing to serve but our great state of Virginia restricts my practice outside of the CNS role in most other states. I urge support of this regulation.