I work in extreme Southwestern Virginia. We are desperately in need of ALL health care providers. HB-793 will help in giving our Nurse Practitioner managed free clinic continued sustainability. As we treat over 10000 patients, it is essential the joint board develop a transition process which most efficiently opens the doors to nurse practitioners to work independently.  As has been started, attestation of clinical hours shokld have inclusions to ensure that hours can be verified in the cases of physician  death, retirement or inability to obtain signtaure. HB 793 while perfect will make an extreme impact in the Commonwealas a multi disciplinary, collaborative approach to patient care is vital to solving the dilemma of healthcare shortage and access to care.