Our healthcare system is in crisis. The Clinical Nurse Specialist is one of four advanced practice RN roles in the United States. Regulatory limits on the full scope of practice in a time when all resources must be maximized does a disservice to the Commonwealth. We are systems thinkers with advanced education in our speciality populations who drive improved outcomes. I expect my legislators to review the data and evidence for full scope of CNS practice and to not be swayed by lobbiest or special interest groups who fear impingment on their professional roles.