The change is a step backwards for CNSs. This proposed change does not follow the LACE recommendations or the Consensus Model.  As a group, the CNSs need to work towards the Consensus Model and LACE recomendations.  It would be easier if there was a listing of approved tests for the CNS. There is a list on the NP site. If this person meets the education and clinical hours the Adult Health exam is appropriate.  It is very expense and time consuming for specialist groups to provided certification for each specialist.  My recommendation is this person take a broader exam, then obtain more specific certification if available (for example I have my CCNS AND Asthma Educator AND Certified Tobacco Treatment Specialist.). The CCNS is recognized by the state, the others are for my personal focus.