,,ii  #aac? ,,congress  #a/ ,session    
,s4 #adaa  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ca1 #bjac ,mr4  
,frank5 7= himself & ,mr4 ,boozman7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
specify requirem5ts = ! next update ( ! 
curr5t /rategic plan = ! ,(fice ( ,rural
 ,heal? ( ! ,dep>tm5t ( ,vet]ans        
,affairs = improv+ access to1 & !       
quality (1 heal? c>e s]vices = vet]ans 9
 rural areas4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,rural ,vet]ans ,heal? 
,c>e ,improvem5t ,act ( #bjac4  #b4     
,requirem5ts 9 connection ) next update 
( curr5t /rategic plan = ,(fice ( ,rural
 ,heal? ( ! ,dep>tm5t ( ,vet]ans        
,affairs  7a7 ,requirem5ts  7#a7 ,9     
g5]al ,! fir/ update ( ! ,/rategic ,plan
 ,refre% = ,fiscal ,ye>s #bjab ?r\gh    
#bjad ( ! ,(fice ( ,rural ,heal? ( !    
,dep>tm5t ( ,vet]ans ,affairs aft] !    
date ( ! enactm5t ( ?is ,act1 :e!r an   
update or refre% ( su* ,/rategic ,plan  

,refre% or a /rategic plan to sup]s$e   
su* ,/rategic ,plan ,refre%1 %all be    
prep>$ 9 accordance ) ?is section4  7#b7
 ,consultation ,! ,director ( ! ,(fice (
 ,rural ,heal? %all prep>e ! update 9   
consultation ) ! foll[+3  7,a7 ,!       
,director ( ! ,heal? ,c>e ,ret5tion &   
,recruitm5t ,(fice ( ! ,dep>tm5t4  7,b7 
,! ,director ( ! ,(fice ( ,quality &    
,p]=mance ( ! ,dep>tm5t4  7,c7 ,!       
,director ( ! ,(fice ( ,c>e ,coord9ation
 ,s]vices ( ! ,dep>tm5t4  7b7 ,elem5ts  
,! update describ$ 9 subsection 7a7 %all
 include1 = ! p]iod cov]$ by ! update1 !
 foll[+3  7#a7 ,goals & objectives = !  
recruitm5t & ret5tion by ! ,vet]ans     
,heal? ,adm9i/ration ( heal? c>e        
p]sonnel 9 rural areas4  7#b7 ,goals &  
objectives = ensur+ timel9ess & improv+ 
quality 9 ! deliv]y ( heal? c>e s]vices 
by ! ,vet]ans ,heal? ,adm9i/ration 9    
rural areas ?r\gh contract & fee-basis  
provid]s4  7#c7 ,goals & objectives = ! 
implem5tation1 expansion1 & enhanc$ use 
( telem$ic9e s]vices by ! ,vet]ans      

,heal? ,adm9i/ration 9 rural areas1     
includ+ ?r\gh coord9ation ) o!r         
appropriate (fices ( ! ,dep>tm5t4  7#d7 
,goals & objectives = ensur+ ! full &   
effective use ( mobile outpati5t cl9ics 
by ! ,vet]ans ,heal? ,adm9i/ration = !  
provision ( heal? c>e s]vices 9 rural   
areas1 includ+ goals & objectives = !   
use ( su* cl9ics on a fully mobile basis
 & = enc\rag+ heal? c>e provid]s :o     
provide s]vices ?r\gh su* cl9ics to d s 
9 rural areas4  7#e7 ,proc$ures =       
solicit+ f ea* ,vet]ans ,heal?          
,adm9i/ration facility t s]ves a rural  
area ! foll[+3  7,a7 ,a /atem5t ( !     
cl9ical capacity ( su* facility4  7,b7  
,! proc$ures ( su* facility 9 ! ev5t ( a
 m$ical1 surgical1 or m5tal heal?       
em]g5cy outside ! scope ( ! cl9ical     
capacity ( su* facility4  7,c7 ,!       
proc$ures & me*anisms ( su* facility = !
 provision & coord9ation ( heal? c>e =  
wom5 vet]ans1 includ+ proc$ures &       
me*anisms = coord9ation ) local         
hospitals & heal? c>e facilities1       

ov]sight ( prim>y c>e & fee-basis c>e1 &
 managem5t ( specialty c>e4  7#f7 ,goals
 & objectives = ! modification ( ! fund+
 allocation me*anisms ( ! ,(fice (      
,rural ,heal? 9 ord] to ensure t !      
,(fice di/ributes funds to compon5ts ( !
 ,dep>tm5t to be/ a*ieve ! goals &      
objectives ( ! ,(fice & 9 a timely      
mann]4  7#g7 ,goals & objectives = !    
coord9ation (1 & %>+ ( res\rces )       
respect to1 ! provision ( heal? c>e     
s]vices to vet]ans 9 rural areas betwe5 
! ,dep>tm5t ( ,vet]ans ,affairs1 !      
,dep>tm5t ( ,def5se1 ! ,indian ,heal?   
,s]vice ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices1 & o!r ,f$]al ag5cies1 z       
appropriate & prud5t4  7#h7 ,specific   
mile/ones = ! a*ievem5t ( ! goals &     
objectives develop$ = ! update4  7#i7   
,proc$ures = ensur+ ! effective         
implem5tation ( ! update4  7c7          
,transmittal to ,congress ,n lat] ?an   
#ij days aft] ! date ( ! issuance ( !   
update describ$ 9 subsection 7a71 !     
,secret>y ( ,vet]ans ,affairs %all      

transmit ! update to ,congress1 toge!r )
 su* comm5ts & recomm5dations 9         
connection ) ! update z ! ,secret>y     
consid]s appropriate4