CNS are APRN and need to be recognized as such in Virginia. Like NP, CNM, and CRNA, they are another advanced specialist separate from RN and with more training and expertise than RN. By failing to recognize their skillset and regulating CNS as themselves, Virginia will be less likely to have CNSs move to this state to provide services and limits these professionals' scope of practice. 

I write in support of CNS on behalf of the Virginia Affiliate of ACNM as the president-elect, and as an advanced practice provider in Virginia.