Thank you for the opportunity to provide public comment. I have been a nurse practitioner (NP) for __4_ years practicing in _Primary Care setting in Richmond . Completion of graduate education and national board certification deem that I am a competent clinical provider.

The five-year equivalent requirement creates a costly bottleneck to building provider workforce and equitable distribution in primary care delivery for underserved and vulnerable populations. Unduly burdensome regulations on top of this requirement will result in additional bottlenecks compromising access to care