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Competency validation for nursing licensure is an evolving regulatory issue in Kentucky. Societal and professional forces are driving the shift from mandatory continuing education requirements for relicensure to a competency-based evaluation paradigm. The Kentucky Board of Nursing has issued a working position paper, Accountability and Responsibility of Licensees to Assure Nursing Competence (October 1997), as the basis for a dialogue about shaping Kentucky nursing regulation in the twenty-first century. While the position paper explores new models for both initial and continuing licensure requirements, this article focuses on continued competence issue.