Attached please find a letter from Sharon P. Pearce, CRNA, MSN, President of the American Association of Nurse Anesthetists regarding the notice of public workshop on Examining Health Care Competition. We have seven attachments, including our letter and studies. Due to the limit on attachments we will be sending the remaining attachments in under a separate entry. Here, the attachments are: 1. AANA Comment Letter 2. Health Affairs study: “No Harm Found When Nurse Anesthetists Work Without Supervision By Physicians” 3. Nursing Economics study: “Cost Effectiveness Analysis of Anesthesia Providers” Thank you for the opportunity for comment.