I support the Virginia Association of Clinical Nurse Specialists petition to revise the regulations governing Clinical Nurse Specialist (CNS) registration and practice. This revision is a key step to overcoming barriers and challenges to CNS practice that persist in the state of Virginia. There are three levels for scope of practice nationwide: full scope, collaborative agreement with a supervising physician, and limited scope. Fewer than ten states nationwide limit scope of practice for CNSs and, unfortunately, Virginia is one of them. A limited scope of practice state severely limits the advanced practice authority that CNSs studied and prepared for through accredited graduate advanced practice nursing programs. Please support this petition.