Please consider increasing the allowed program simulation for direct client contact hours to 50% of total clinical hours.  The NCSBN's National Simulation Study (Hayden, Smiley, Alexander, Kardong-Edgren & Jeffries, 2014) found no significant differences regarding knowledge acquisition and clinical performance when traditional clinical experiences were substituted with up to 50% simulation.  Clinical site availability and preceptorship opportunities have become more restrictive.  Increasing the use of simulation, delivered by qualified nursing faculty with meaningful debriefing can provide control of the content of clinical experiences and enhance student clinical judgment skills.  Currently, 27 of the 50 states permit 50% or greater of total nursing program clinical hours to be delivered through simulation.  The NCLEX results of the vast majority of these 27 states support the delivery of this level of simulation in lieu of a traditional clinical experience.