The CNS is one of four advanced practice RN roles as defined by NCSBN and as such should have regulatory parity.  Healthcare professionals are challenged to provide robust health care services for the population of Virginia in a complex and burdened healthcare system.  There is immense opportunity for CNSs with full scope of practice authority to provide an advanced scope of clinical services and lead interprofessional teams in optimizing healthcare outcomes for the Commonwealth.  Virginia is one of a shrinking number of states which limit CNS practice by regulation.  Revisions to the current regulations, providing for licensure and full practice authority, are essential to the resolution of disparity across states and with the APRN community.  I firmaly support changes to Virginia CNS regulation.