Nurse practitioners are highly educated and committed nurses who work tirelessly to help those in need. Nurse practitioners constantly work to improve the health and wealthfare of their patients and those in the community. They provide excellent care and provide needed services and medical care to those who request care.  Demanding >10,000 hours of supervised oversight is extravagant. Nurse Practitioners work within a framework of a medical team at all times collaborating with team members as needed. A more realistic requirement would be less than 1 year of collaborative practice.  Many nurse practitioners work in practices that they are already working alone or with one MD, should the collaborative physician become ill or incapacitated the patients in that practice would be without medical care.  Studies have shown that Nurse Practitioners provide equal or better care to their patients with chronic illnesses than their physician counterparts. Most nurse practitioners presently work within a medical team  but those who  choose to go out on their own should not face barriers to practice within their scope of practice.  With the expansion of Medicaid more nurse practioner swill be needed to provide care to those in need.