,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bjji  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #aj1 #bjad,mr4
 ,udall ( ,new ,mexico 7= himself & ,mr4
 ,hell]7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to      
improve ! provision ( heal? c>e by !    
,dep>tm5t ( ,vet]ans ,affairs to vet]ans
 9 rural & highly rural areas1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,rural ,vet]ans ,improvem5t
 ,act ( #bjad4  #b4 ,provision ( m5tal  
heal? c>e to c]ta9 vet]ans 9 rural &    
highly rural areas  7a7 ,9 g5]al ,!     
,secret>y ( ,vet]ans ,affairs %all      
provide m5tal heal? c>e to eligible     
vet]ans describ$ 9 subsection 7c7 = :i* 
a det]m9ation has be5 made "u subsection
 7d74  7b7 ,use ( o!r provid]s  7#a7 ,9 
g5]al ,! ,secret>y may provide m5tal    
heal? c>e "u ?is section by contract+ ) 
or provid+ paym5ts to m5tal heal? c>e   
provid]s t are n o!rwise affiliat$ ) !  
,dep>tm5t ( ,vet]ans ,affairs & %all1 to

 ! ext5t feasible1 use heal? c>e        
res\rces pursuant to exi/+ arrangem5ts1 
contracts1 or agreem5ts ent]$ into "u   
section #haec ( title #ch1 ,unit$ ,/ates
 ,code4  7#b7 ,paym5ts ,! ,secret>y may 
n provide paym5ts describ$ 9 p>agraph   
7#a7 t exce$ ! am\nt t ! ,secret>y w\ld 
o!rwise exp5d 9 provid+ simil> m5tal    
heal? c>e ?r\gh ! ,dep>tm5t or "u su*   
exi/+ arrangem5ts1 contracts1 or        
agreem5ts4  7c7 ,eligible vet]ans ,an   
eligible vet]an describ$ 9 ?is          
subsection is a vet]an t-- 7#a7 has a   
m5tal heal? issue result+ f             
po/-traumatic /ress disord]1 traumatic  
bra9 injury1 or any o!r heal? condition 
t 0 incurr$ or aggravat$ 9 l9e ( duty 9 
! active milit>y1 naval1 or air s]vice2 
&  7#b7 lives 9 a rural area or highly  
rural area4  7d7 ,det]m9ation ,!        
,secret>y %all provide ! c>e requir$ by 
subsection 7a7 to an eligible vet]an if 
! ,secret>y det]m9es any ( ! foll[+3    
7#a7 7,a7 ,a m5tal heal? c>e provid]    
affiliat$ ) ! ,dep>tm5t is n available  

to provide m5tal heal? c>e s]vices to ! 
eligible vet]an at ! m$ical facility ( !
 ,dep>tm5t t is ne>e/ to ! resid5ce ( ! 
eligible vet]an2 &  7,b7 7i7 9-p]son &  
teleheal? m5tal heal? c>e s]vices f !   
,dep>tm5t are n available to ! eligible 
vet]an2  7ii7 ! eligible vet]an reque/s 
t a m5tal heal? c>e provid] affiliat$ ) 
! ,dep>tm5t provide m5tal heal? c>e     
s]vices to ! eligible vet]an 9 private &
 ! provid] is unable or unwill+ to d s2 
or  7iii7 travel by ! eligible vet]an to
 a regional m$ical c5t] ( ! ,dep>tm5t is
 impractical or sev]ely detrim5tal to ! 
heal? ( ! eligible vet]an4  7#b7 ,t--   
7,a7 7i7 a m5tal heal? c>e provid]      
affiliat$ ) ! ,dep>tm5t has recomm5d$ t 
a complem5t>y & alt]native !rapy approv$
 by ! ,food & ,drug ,adm9i/ration be    
adm9i/]$ to ! eligible vet]an2  7ii7 !  
eligible vet]an is a memb] ( an ,indian 
tribe or a ,native ,hawaiian & reque/s a
 heal+ me?od t is a cultural tradition (
 ! eligible vet]an2 or  7iii7 a m5tal   
heal? c>e provid] has recomm5d$ a       

treatm5t = ! eligible vet]an t1 bas$ on 
! m$ical k ( ! heal? c>e provid]1 is    
safe & w\ld assi/ ! eligible vet]an 9   
cop+ ) po/-traumatic /ress disord]1     
traumatic bra9 injury1 or ano!r m5tal   
heal? issue2 &  7,b7 7i7 ! eligible     
vet]an has n receiv$ ! !rapy1 heal+     
me?od1 or treatm5t describ$ 9           
subp>agraph 7,a7 because ( !            
inaccessibility or unavailability ( su* 
treatm5t f a m$ical facility ( !        
,dep>tm5t2 &  7ii7 ! eligible vet]an1 z 
a result ( ! m5tal heal? condition ( !  
eligible vet]an-- 7,i7 _c "w or ma9ta9  
employm5t2  7,,ii7 is at increas$ risk (
 do+ physical h>m to ! eligible vet]an  
or o!rs2 or  7,,iii7 _c adequately      
manage activities ( daily life4  7e7    
,indian tribe def9$ ,9 ?is section1 !   
t]m ,indian tribe has ! mean+ giv5 t t]m
 9 section #d ( ! ,indian               
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #dej;b74 
#c4 ,report on effectiv5ess (           
complem5t>y & alt]native m$ic9e 9 treat+

 vet]ans ) c]ta9 m5tal illnesses ,n lat]
 ?an "o ye> aft] ! date ( ! enactm5t (  
?is ,act1 ! ,secret>y ( ,vet]ans        
,affairs %all submit to ! ,committee on 
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
effectiv5ess ( complem5t>y & alt]native 
m$ic9e us$ by ! ,dep>tm5t ( ,vet]ans    
,affairs 9 treat+ vet]ans ) m5tal heal? 
conditions result+ f po/-traumatic /ress
 disord]1 traumatic bra9 injury1 or any 
o!r heal? condition t 0 incurr$ or      
aggravat$ 9 l9e ( duty 9 ! active       
milit>y1 naval1 or air s]vice4  #d4     
,grants to provide transportation to    
community-bas$ outpati5t cl9ics =       
vet]ans 9 rural & highly rural areas    
7a7 ,grants au?oriz$  7#a7 ,9 g5]al ,!  
,secret>y ( ,vet]ans ,affairs may aw>d  
grants to eligible entities to provide  
transportation to vet]ans 9 rural &     
highly rural areas :o w\ld o!rwise be   
eligible = reimbursem5t = or paym5t (   
travel exp5ses by ! ,dep>tm5t ( ,vet]ans

 ,affairs pursuant to section #aaa or   
section #aaa;,a ( title #ch1 ,unit$     
,/ates ,code4  7#b7 ,maximum am\nt ,!   
,secret>y may n aw>d a grant "u ?is     
section 9 an am\nt t exce$s #ajj1jjj4   
7#c7 ,no mat*+ requir$ ,! ,secret>y may 
n require t an eligible entity provide a
 contribution ( funds z a condition (   
receiv+ ! grant4  7b7 ,eligible entities
 ,! ,secret>y may aw>d grants "u ?is    
section to any ( ! foll[+ entities3 7#a7
 ,/ate vet]ans ag5cies4  7#b7 ,vet]ans  
s]vice organizations4  7#c7 ,tribal     
organizations4  7c7 ,use ( grants       
,eligible entities 9 receipt ( a grant  
"u ?is section may use ! grant am\nt z  
foll[s3 7#a7 ,to provide transportation 
to vet]ans 9 rural & highly rural areas 
to & f m$ical c5t]s ( ! ,dep>tm5t (     
,vet]ans ,affairs1 includ+              
transportation by air or sea if         
necess>y4  7#b7 ,to o!rwise assi/       
vet]ans 9 rural & highly rural areas )  
transportation 9 connection ) !         
provision ( m$ical c>e to ^? vet]ans1   

includ+ transportation by air or sea if 
necess>y4  7d7 ,application  7#a7 ,9    
g5]al ,ea* eligible entity seek+ a grant
 "u ?is section %all submit an          
application to ! ,secret>y at su* "t1 9 
su* mann]1 & accompani$ by su* in=mation
 z ! ,secret>y may require4  7#b7       
,cont5ts ,ea* application submitt$      
pursuant to p>agraph 7#a7 %all conta9 a 
proposal = ! mann] 9 :i* ! eligible     
entity seeks to provide ! transportation
 describ$ 9 subsection 7a74  7e7        
,priority ,! ,secret>y %all give        
priority 9 ! aw>d+ ( grants "u ?is      
section to applications submitt$ "u     
subsection 7d7 t conta9 proposals t     
comply ) section #ejd ( !               
,rehabilitation ,act ( #aigc 7#bi       
,u4,s4,c4 #gid7 & regulations issu$ by !
 ,secret>y ( ,transportation "u su*     
section #ejd4  7f7 ,def9itions ,9 ?is   
section3 7#a7 ,tribal organization ,!   
t]m tribal organization has ! mean+ giv5
 t t]m 9 section #d ( ! ,indian         
,self-,det]m9ation & ,education         

,assi/ance ,act 7#be ,u4,s4,c4 #dej;b74 
7#b7 ,vet]ans s]vice organization ,! t]m
 vet]ans s]vice organization means an   
organization recogniz$ by ! ,secret>y ( 
,vet]ans ,affairs = ! repres5tation (   
vet]ans "u section #eijb ( title #ch1   
,unit$ ,/ates ,code4  #e4 ,pilot program
 on h\s+ all[ances = heal? c>e provid]s 
( ! ,dep>tm5t ( ,vet]ans ,affairs       
accept+ assignm5t at rural & highly     
rural community-bas$ outpati5t cl9ics   
7a7 ,pilot program au?oriz$ ,! ,secret>y
 ( ,vet]ans ,affairs may c>ry out a     
pilot program to assess ! feasibility & 
advisability ( provid+ a h\s+ all[ance  
to heal? c>e provid]s ( ! ,dep>tm5t (   
,vet]ans ,affairs :o accept assignm5t at
 rural or highly rural community-bas$   
outpati5t cl9ics z a means ( enc\rag+   
su* heal? c>e provid]s to accept        
assignm5t to su* cl9ics4  7b7           
,eligibility ,an individual is eligible 
= p>ticipation 9 ! pilot program if !   
individual-- 7#a7 is a heal? c>e        
provid]2  7#b7 is1 or agrees to become1 

an employee ( ! ,vet]ans ,heal?         
,adm9i/ration on a full-"t basis 9 a    
heal? c>e position designat$ by !       
,secret>y = purposes ( ! pilot program2 
&  7#c7 accepts an assignm5t 9 su*      
position = a t]m ( n less ?an #cf mon?s 
at a rural or highly rural              
community-bas$ outpati5t cl9ic select$  
by ! ,secret>y = purposes ( ! pilot     
program4  7c7 ,conditions on paym5t (   
h\s+ all[ance ,except z provid$ 9       
subsection 7d77#c71 an individual may be
 provid$ a h\s+ all[ance "u ! pilot     
program only :ile-- 7#a7 9 good /&+ z a 
heal? c>e provid] )9 ! ,vet]ans ,heal?  
,adm9i/ration2 &  7#b7 assign$ z a heal?
 c>e provid] at a rural or highly rural 
community-bas$ outpati5t cl9ic4  7d7    
,am\nt ( h\s+ all[ance  7#a7 ,mon?ly    
am\nt dur+ initial t]m ,dur+ ! fir/ #cf 
mon?s ( p>ticipation 9 ! pilot program1 
! h\s+ all[ance provid$ a heal? c>e     
provid] p>ticipat+ 9 ! pilot program    
%all be provid$ on a mon?ly basis at a  
rate t is equival5t to ! mon?ly rate (  

basic all[ance = h\s+ 7,,bah7 payable "u
 section #djc ( title #cg1 ,unit$ ,/ates
 ,code1 to memb]s ( ! uni=m$ s]vices ^: 
grade1 dep5d5cy /atus1 & geographic     
location mo/ closely equals1 z det]m9$  
by ! ,secret>y1 ! grade ( su* provid] "u
 section #gdjd ( title #ch1 ,unit$      
,/ates ,code1 & ! dep5d5cy /atus &      
geographic location ( su* provid]4  7#b7
 ,mon?ly am\nt = c]ta9 provid]s =       
additional t]m ,if ^u completion ( !    
fir/ #cf mon?s 9 ! pilot program a heal?
 c>e provid] accepts cont9u+            
p>ticipation 9 ! pilot program at a     
rural or highly rural community-bas$    
outpati5t cl9ic = a t]m ( n less ?an #ab
 additional mon?s1 ! h\s+ all[ance      
provid$ ! heal? c>e provid] "u ! pilot  
program %all be provid$ on a mon?ly     
basis = su* additional mon?s at a rate  
det]m9$ 9 accordance ) p>agraph 7#a74   
7#c7 ,bonus am\nt  7,a7 ,completion (   
initial t]m ,any heal? c>e provid] :o   
successfully completes #cf mon?s (      
p>ticipation 9 ! pilot program %all be  

paid ^u completion ( p>ticipation 9 !   
pilot program an am\nt equal to ?ree    
mon?s ( ! mon?ly rate ( h\s+ all[ance   
provid$ ! heal? c>e provid] "u p>agraph 
7#a7 dur+ ! la/ mon? be=e ! provid]'s   
completion ( p>ticipation 9 ! pilot     
program4  7,b7 ,completion ( additional 
"o-ye> t]m ,any heal? c>e provid] :o    
successfully completes #dh mon?s (      
p>ticipation 9 ! pilot program %all be  
paid ^u completion ( p>ticipation 9 !   
pilot program an am\nt equal to #ab     
mon?s ( ! mon?ly rate ( h\s+ all[ance   
provid$ ! heal? c>e provid] "u p>agraph 
7#b7 dur+ ! la/ mon? be=e ! provid]'s   
completion ( p>ticipation 9 ! pilot     
program4  7,c7 ,completion ( additional 
two-ye> t]m ,any heal? c>e provid] :o   
successfully completes #fj mon?s (      
p>ticipation 9 ! pilot program %all be  
paid ^u completion ( p>ticipation 9 !   
pilot program an am\nt equal to #ac     
mon?s ( ! mon?ly rate ( h\s+ all[ance   
provid$ ! heal? c>e provid] "u p>agraph 
7#b7 dur+ ! la/ mon? be=e ! provid]'s   

completion ( p>ticipation 9 ! pilot     
program4  7,d7 ,no requirem5t to rema9  
on assignm5t ,an am\nt payable "u ?is   
p>agraph %all be paid :e!r or n ! heal? 
c>e provid] conc]n$ rema9s 9 an         
assignm5t at a rural or highly rural    
community-bas$ outpati5t cl9ic4  7e7    
,nature ( all[ance  7#a7 ,supplem5tal   
am\nt ,any h\s+ all[ance provid$ "u !   
pilot program %all be 9 addition to any 
pay 7includ+ basic pay1 special pay1 &  
retirem5t or o!r bonus pay7 payable to  
p]sonnel ( ! ,vet]ans ,heal?            
,adm9i/ration p]sonnel "u *apt] #gd (   
title #ch1 ,unit$ ,/ates ,code1 or any  
o!r provision ( law4  7#b7 ,exemption f 
taxation ,= purposes ( ! ,int]nal       
,rev5ue ,code ( #aihf1 any h\s+ all[ance
 provid$ "u ! pilot program %all n be   
includ$ 9 gross income4  7f7 ,annual    
reports  7#a7 ,9 g5]al ,n lat] ?an "o   
ye> aft] ! date ( ! enactm5t ( ?is ,act 
& n less frequ5tly ?an once ea* ye>     
!reaft] :ile ! pilot program is 9       
effect1 ! ,secret>y %all submit to !    

,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! pilot program4  7#b7        
,elem5ts ,ea* report submitt$ "u        
p>agraph 7#a7 %all include ! foll[+3    
7,a7 ,a curr5t description ( ! pilot    
program1 includ+ ! curr5t numb] (       
p>ticipants 9 ! pilot program & ! am\nts
 ( h\s+ all[ance be+ provid$ su*        
p>ticipants4  7,b7 ,a curr5t assessm5t (
 ! value ( ! h\s+ all[ance "u ! pilot   
program 9 enc\rag+ heal? c>e provid]s 9 
accept+ assignm5t to rural & highly     
rural community-bas$ outpati5t cl9ics4  
7g7 ,fund+ ,am\nts = h\s+ all[ances "u !
 pilot program %all be d]iv$ f am\nts   
available = ! ,vet]ans ,heal?           
,adm9i/ration = ,m$ical ,s]vices4  7h7  
,sunset  7#a7 ,9 g5]al ,no individual   
may comm5ce p>ticipation 9 ! pilot      
program on or aft] ! date t is five ye>s
 aft] ! date ( ! enactm5t ( ?is ,act4   
7#b7 ,cont9uation ( on-go+ provision (  
all[ance ,no?+ 9 p>agraph 7#a7 %all be  

con/ru$ to prohibit ! ,secret>y f       
provid+ h\s+ all[ances "u ! pilot       
program to individuals :o comm5ce       
p>ticipation 9 ! pilot program be=e !   
date t is five ye>s aft] ! date ( !     
enactm5t ( ?is ,act4  7i7 ,rural or     
highly rural community-,bas$ outpati5t  
cl9ic def9$ ,9 ?is section1 ! t]m rural 
or highly rural community-bas$ outpati5t
 cl9ic means a community-bas$ outpati5t 
cl9ic ( ! ,vet]ans ,heal? ,adm9i/ration 
t pr$om9antly s]ves vet]ans :o live 9   
rural & highly rural areas4  #f4        
,program on tra9+ heal? c>e pr(essionals
 = assignm5t at community-bas$ outpati5t
 cl9ics t pr$om9antly s]ve vet]ans :o   
live 9 rural & highly rural areas  7a7  
,program requir$  7#a7 ,9 g5]al ,!      
,secret>y ( ,vet]ans ,affairs %all      
e/abli% a program to tra9 heal? c>e     
pr(essionals = assignm5t at             
community-bas$ outpati5t cl9ics t       
pr$om9antly s]ve vet]ans :o live 9 rural
 & highly rural areas4  7#b7 ,p>tn]%ip )
 educational in/itutions  7,a7 ,9 g5]al 

,9 c>ry+ out ! program1 ! ,secret>y may 
ent] into p>tn]%ips ) educational       
in/itutions4  7,b7 ,consultation ,if !  
,secret>y ent]s into a p>tn]%ip ) an    
educational in/itution to c>ry out !    
program1 ! ,secret>y %all consult ) !   
head ( su* educational in/itution )     
respect to ! tra9+ & curriculum provid$ 
"u ! program at su* educational         
in/itution4  7b7 ,tra9+ ,! tra9+ provid$
 to heal? c>e pr(essionals "u ! program 
%all include ! foll[+ c\rses3 7#a7      
,c\rses on g5]al pr(essional developm5t 
( heal? c>e pr(essionals4  7#b7 ,c\rses 
on provid+ heal? c>e to rural           
populations & specifically to rural     
vet]ans4  7c7 ,curriculum ,! program    
%all include tra9+ ) respect to heal?   
issues t commonly afflict vet]ans z     
specifi$ by ! ,secret>y4  7d7 ,hir+     
pref]5ce  7#a7 ,9 g5]al ,ea* heal? c>e  
pr(essional t completes ! program &     
completes a ?ree-ye> assignm5t at a     
community-bas$ outpati5t cl9ic t        
pr$om9antly s]ves vet]ans :o live 9     

rural & highly rural areas %all receive 
a pref]5ce 9 selection = employm5t 9 !  
,vet]ans ,heal? ,adm9i/ration at ! end (
 su* ?ree-ye> assignm5t4  7#b7 ,degree (
 pref]5ce  7,a7 ,9 g5]al ,! pref]5ce    
receiv$ "u p>agraph 7#a7 %all be less   
?an ! pref]5ce giv5 a vet]an4  7,b7     
,vet]ans ,a vet]an t receives a pref]5ce
 "u p>agraph 7#a7 %all receive a great] 
pref]5ce ?an an individual t receives a 
pref]5ce "u su* p>agraph :o is n a      
vet]an4  #g4 ,enc\rag+ & facilitat+     
transition ( milit>y m$ical pr(essionals
 into employm5t ) ,vet]ans ,heal?       
,adm9i/ration  7a7 ,enc\rag+ employm5t )
 ,vet]ans ,heal? ,adm9i/ration ,!       
,secret>y ( ,vet]ans ,affairs & !       
,secret>y ( ,def5se %all jo9tly e/abli% 
a program to enc\rage an individual :o  
s]ves 9 ! ,arm$ ,=ces ) a milit>y       
occupational specialty relat+ to !      
provision ( heal? c>e to seek employm5t 
) ! ,vet]ans ,heal? ,adm9i/ration :5 !  
individual has be5 dis*>g$ or releas$ f 
s]vice 9 ! ,arm$ ,=ces or is contemplat+

 sep>at+ f su* s]vice4  7b7 ,mat*+ (    
milit>y occupational specialties ,!     
,secret>y ( ,vet]ans ,affairs & !       
,secret>y ( ,def5se %all jo9tly id5tify 
milit>y occupational specialties relat+ 
to ! provision ( heal? c>e & mat* su*   
occupational specialties ) occupations &
 positions ( employm5t )9 ! ,vet]ans    
,heal? ,adm9i/ration = :i* exp]i5ce 9   
su* milit>y occupational specialty      
qualifies "o = employm5t 9 su*          
occupation or position ( employm5t4  7c7
 ,facilitation ( transition to employm5t
 ) ,vet]ans ,heal? ,adm9i/ration ,!     
,secret>y ( ,vet]ans ,affairs & !       
,secret>y ( ,def5se %all prescribe su*  
regulations & take su* actions z may be 
necess>y to facilitate ! transition (   
individuals ) milit>y occupational      
specialties id5tifi$ "u subsection 7b7  
into ! correspond+ occupations &        
positions ( employm5t ) ! ,vet]ans      
,heal? ,adm9i/ration "u su* subsection4 
#h4 ,assessm5t ( community-bas$         
outpati5t cl9ics 9 rural & highly rural 

areas  7a7 ,assessm5t  7#a7 ,9 g5]al ,! 
,secret>y ( ,vet]ans ,affairs %all      
conduct a p]iodic assessm5t (           
community-bas$ outpati5t cl9ics 9 rural 
& highly rural areas to det]m9e :e!r    
expansion & improvem5t ( community-bas$ 
outpati5t cl9ics 9 ^? areas is feasible 
or advisable4  7#b7 ,elem5ts ,ea*       
p]iodic assessm5t requir$ by subsection 
7a7 %all include ! foll[+ ) respect to  
ea* community-bas$ outpati5t cl9ic      
assess$3 7,a7 ,an assessm5t ( :e!r !    
facility-- 7i7 meets applicable build+  
code requirem5ts2  7ii7 meets applicable
 heal? c>e requirem5ts relat$ to        
privacy2  7iii7 has ! capacity to h&le !
 numb] ( pati5ts t seek c>e at !        
facility2  7iv7 has suffici5t p>k+ =    
pati5ts t seek c>e at ! facility2  7v7  
has adequate access to broadb& te*nology
 to all[ ! use or expansion ( teleheal? 
s]vices at ! facility2 &  7vi7 has !    
capacity to prop]ly /ore & dispose (    
m$ical & o!r haz>d\s wa/e4  7,b7 ,a     
survey ( heal? c>e provid]s :o practice 

at ! facility ) respect to-- 7i7 /r5g?s 
( ! facility2  7ii7 weaknesses ( !      
facility2 &  7iii7 areas 9 :i* !        
facility may be improv$4  7b7 ,report ,n
 lat] ?an "o ye> aft] ! date ( !        
enactm5t ( ?is ,act1 & n less frequ5tly 
?an once ea* ye> !reaft]1 ! ,secret>y   
%all submit to ! ,committee on ,vet]ans'
 ,affairs & ! ,committee on             
,appropriations ( ! ,s5ate & !          
,committee on ,vet]ans' ,affairs & !    
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives a report on ! f9d+s ( 
! ,secret>y ) respect to ! mo/ rec5tly  
complet$ assessm5t conduct$ "u          
subsection 7a71 includ+ su*             
recomm5dations z ! ,secret>y may h = !  
expansion or improvem5t ( community-bas$
 outpati5t cl9ics 9 rural & highly rural
 areas4  #i4 ,report on e/abli%m5t (    
,polytrauma ,rehabilitation ,c5t]s or   
,polytrauma ,network ,sites ( !         
,dep>tm5t ( ,vet]ans ,affairs 9 rural   
areas  7a7 ,9 g5]al ,n lat] ?an #ahj    
days aft] ! date ( ! enactm5t ( ?is     

,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all submit to ,congress a report on !  
feasibility & advisability ( e/abli%+ a 
,polytrauma ,rehabilitation ,c5t] or    
,polytrauma ,network ,site 9 ea* area 9 
:i* ! ne>e/ ,polytrauma ,rehabilitation 
,c5t] or ,polytrauma ,network ,site is m
 ?an #cjj miles away4  7b7 ,requirem5ts 
7#a7 ,9 g5]al ,! report requir$ by ?is  
section %all include ! foll[+3 7,a7 ,an 
assessm5t ( ! adequacy ( exi/+          
,polytrauma ,rehabilitation ,c5t]s &    
,polytrauma ,network ,sites 9 provid+   
c>e to vet]ans t live m ?an #cjj miles f
 su* facilities4  7,b7 ,an assessm5t ( !
 adequacy ( exi/+ ,polytrauma           
,rehabilitation ,c5t]s & ,polytrauma    
,network ,sites 9 provid+ rehabilitation
 s]vices pursuant to section #agaj;,c ( 
title #ch1 ,unit$ ,/ates ,code4  7,c7   
,an assessm5t ( ! feasibility &         
advisability ( e/abli%+ a ,polytrauma   
,rehabilitation ,c5t] or ,polytrauma    
,network ,site 9 ea* ,/ate 9 :i* !re is 
a m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans  

,affairs4  7,d7 ,an assessm5t ( :e!r    
e/abli%+ new ,polytrauma ,rehabilitation
 ,c5t]s & ,polytrauma ,network ,sites   
w\ld be b5eficial-- 7i7 to ! vet]an     
population 9 g5]al2  7ii7 to vet]ans :o 
live-- 7,i7 m ?an #cjj miles f ! ne>e/  
,polytrauma ,rehabilitation ,c5t] or    
,polytrauma ,network ,site2 or  7,,ii7 9
 a ,/ate 9 :i* !re is n a ,polytrauma   
,rehabilitation ,c5t] or ,polytrauma    
,network ,site2 &  7iii7 to vet]ans :o  
s]v$ 9 ! active milit>y1 naval1 or air  
s]vice on or aft] ,septemb] #aa1 #bjja4 
7#b7 ,budget = additional facilities ,if
 ! ,secret>y det]m9es t e/abli%+        
additional ,polytrauma ,rehabilitation  
,c5t]s & ,polytrauma ,network ,sites is 
feasible & advisable1 ! ,secret>y %all  
include ) ! report requir$ by subsection
 7a7 a budget & plan = ! e/abli%m5t ( ^?
 additional facilities4  #aj4           
,def9itions ,9 ?is ,act3 7#a7 ,active   
milit>y1 naval1 or air s]vice ,! t]m    
active milit>y1 naval1 or air s]vice has
 ! mean+ giv5 t t]m 9 section #aja (    

title #ch1 ,unit$ ,/ates ,code4  7#b7   
,highly rural area ,! t]m highly rural  
area means an area locat$ 9 a c\nty t   
has less ?an sev5 individuals resid+ 9 t
 c\nty p] squ>e mile4  7#c7 ,rural area 
,! t]m rural area means any area t is n 
an urbaniz$ area or a highly rural area4
  7#d7 ,urbaniz$ area ,! t]m urbaniz$   
area has ! mean+ giv5 t t]m by !        
,director ( ! ,bureau ( ! ,c5sus4