Our VA based CNS's are working diligently and tirelessly to improve patient outcomes, across the entire spectrum of healthcare.  Legislators must act NOW to acknowledge, reward, and compensate them for saving lives and delivering superior patient care.  In large part our CNS's do this and can't even get billable hours- where is the appreciation for their daily contribution?  It is legislative malpractice to not do more the our CNS's across Virginia and the entire US.  Time for our elected officials to work as hard as our CNS's do everyday!