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representative Riley thank you Mr chair Madam Vice chair members of the committee my name is Alex Riley Im the state representative from the 134th District which covers parts of Southwest Springfield the city of Battlefield and Greene County thank you for allowing me to present House Bill 271 to you this evening this is the regulatory reduction act for aprns at a high level this bill is designed to improve access to care and reduce the cost of care for patients in our state I think those are two items that all of us in the legislature are extremely focused on and and this is a a possible tool in the toolbox that we have to do that the way the bill does this is broadly speaking it it removes a series of government imposed regulations on a number of medical providers in our in our state and these are aprns advanced practice registered nurses these are folks who have a great deal of training and they are able they are trained to do a lot more things than the state of Missouri currently a