#aaf? ,,congress  #b;d ,session  ,h4 ,r4
 #fbcg  ,,an ,,act  ,to am5d ! ,indian  
,heal? ,c>e ,improvem5t ,act to cl>ify !
 requirem5t ( ! ,dep>tm5t ( ,vet]ans    
,affairs & ! ,dep>tm5t ( ,def5se to     
reimburse ! ,indian ,heal? ,s]vice =    
c]ta9 heal? c>e s]vices4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,prop] &
 ,reimburs$ ,c>e = ,native ,vet]ans ,act
 or ! ,,prc = ,native ,vet]ans ,act4    
#b4 ,cl>ification ( requirem5t (        
,dep>tm5t ( ,vet]ans ,affairs &         
,dep>tm5t ( ,def5se to reimburse ,indian
 ,heal? ,s]vice = c]ta9 heal? c>e       
s]vices ,section #dje7;c7 ( ! ,indian   
,heal? ,c>e ,improvem5t ,act 7#be       
,u4,s4,c4 #afde7 is am5d$ by ins]t+ be=e
 ! p]iod at ! end ! foll[+3 1 reg>dless 
( :e!r su* s]vices are provid$ directly 
by ! ,s]vice1 an ,indian tribe1 or      
tribal organization1 ?r\gh              
pur*as$_/ref]r$ c>e1 or ?r\gh a contract
 = travel describ$ 9 section #bac7;b74  
,pass$ ! ,h\se ( ,repres5tatives        
,novemb] #af1 #bjbj4;,cl]k4