As President of the Virginia Association of Clinical Nurse Specialists, I wholeheartedly support this NOIRA. VaCNS appreciates the supportive comments from Clinical Nurse Specialists (CNS) across Virginia as well as those of the APRN community. Although it does not include all the desired elements described in our petition, it answers some urgent concerns. VaCNS looks forward to not only working with the Board of Nursing to update current CNS regulations related to CNS registration and practice in Virginia, but to work collaboratively, using the national practice standards formulated by the National Association of Clinical Nurse Specialists, to assimilate descriptions of CNS practice described in the Code of Virginia with that of the Consensus Model for APRN Regulation.