As healthcare is moving to a new model of delivery with the Accountable Care Organizations (ACOs), Clinical Nurse Specialists will be able to contribute greatly to the transition as well as promote seamless care for the patients within an organization.  As we move closer to the 2015 APN  Regulatory Model, this is a significant step that aids CNSs and all levels of nurses to work to their respective scopes of practice.  Please support these regulation changes as advancing nursing practice.