In their article, “How Advanced Practice Nurses Became Part of the Prescription for Pennsylvania,” Hansen-Turton, Ritter, & Valdez (2009) describe how advanced practice nurses in that state successfully advocated for “nursing-related legislative reforms” as part of the “Prescription for Pennsylvania” health care reform legislation, sponsored by Governor Edward Rendell (p. 7). The Pennsylvania Coalition of Nurse Practitioners began in the 1980s with only three nurse practitioners (NPs) and by 2005 was composed of 17 regional groups throughout the state. Some of their accomplishments since the year 2000 include gaining prescriptive authority, signatory authority for disability placards and license plates, and permission for oral and written orders in hospitals. The many years of lobbying, coalition building, and hard work led to nursing-related bills heard in the Pennsylvania Assembly in 2007 regarding expanded scope of NP practice—for instance, prescriptive authority for controlled substances, home visits for chronically ill patients, the ability to order wheelchairs and other medical devices, and referral power to other professionals, such as occupational and physical therapists. This has paved the way for a large health care provider, Highmark Inc., to seek out independent NPs as “primary care practitioners” to meet the anticipated demand when 32 additional Americans will gain health insurance coverage in the next few years. Medicare payments for NPs are currently at 85% of payments for physicians, and nurse-managed clinics may become more prevalent as health care reform moves into high gear (Johnson, 2010; Toland, 2011). We must seize this opportunity and “learn to speak with a unified voice and build strong relationships with a broad range of bipartisan policy makers, funders, civic leaders, business leaders, and legislative advocates” as the Pennsylvania nurse practitioners did (HansenTurton et al., 2009, p. 7).