I advocate that the regulations unanimously passed in May be enacted on 7/17 including allowing diverse attestations that will qualify and quantify the competency of the nurse practitioner. Specific to additional certifications and endorsements, I ask the board to acknowledge and waive any additional 5 year period requirement for second certifications. We need our experienced NPs to return for additional credentialing in order to provide augmented care to population health, especially in the area of mental and behavioral health. Physicians who seek other "skills" and certifications do not have waiting periods. An imposed waiting period will impact patient access.