The Virginia Association of Clinical Nurse Specialists (VaCNS) supports full practice authority for nurse practitioners (NP) in order to fulfill the need for increased primary care services across Virginia, in both rural and metropolitan areas, so all Virginias have access to healthcare. Advanced Practice Registered Nurses, inclusive of NPs, provide excellent nursing care through demonstrated patient outcomes. VaCNS notes that the evidence neither supports: 1) the stipulation that NPs work for 10,000 hours (5 years) before competence is demonstrated; or 2) physician supervision/oversight provides protection for the public. Professional nurses remain the most trusted profession in the US for a reason!