,,ii #aai? ,,congress #b;d ,session ,s4 #ecfa ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,augu/ #g1 #bjbf,ms4 ,ros5 7= h]self & ,mr4 ,%eehy7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to improve ! use & managem5t ( mobile m$ical units by ! ,dep>tm5t ( ,vet]ans ,affairs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,mobile ,m$ical ,unit ,rural ,expansion ,act ( #bjbf or ! ,,mmu ,rural ,expansion ,act ( #bjbf4 #b4 ,designation ( exi/+ (fice to s]ve z program own] ( ,mobile ,m$ical ,unit ,program ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all designate ! head ( an exi/+ (fice ( ! ,dep>tm5t ( ,vet]ans ,affairs to s]ve z ! program own] ( ! ,mobile ,m$ical ,unit ,program ( ! ,dep>tm5t4 7b7 ,responsibilities ,! head ( ! (fice designat$ "u subsection 7a7 %all be responsible =-- 7#a7 ov]see+ deploym5ts ( mobile m$ical units ( ! ,dep>tm5t2 7#b7 coord9at+ ) lead]%ip ( m$ical c5t]s ( ! ,dep>tm5t ) respect to su* units2 7#c7 manag+ data collection ) respect to su* units2 7#d7 id5tify+ ! fund+ & procurem5t s\rces t exi/ = su* units & t are available to help deploy su* units to m$ical c5t]s ( ! ,dep>tm5t2 & 7#e7 integrat+ su* units1 z appropriate1 into broad] access-to-c>e /rategies ( ! ,vet]ans ,heal? ,adm9i/ration4 #c4 ,nationwide inv5tory & capability assessm5t ( mobile m$ical units ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all conduct a nationwide inv5tory & capability assessm5t ) respect to mobile m$ical units ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,elem5ts ,! assessm5t requir$ "u subsection 7a7 %all include an assessm5t ( ! foll[+3 7#a7 ,! total numb] ( mobile m$ical units ( ! ,dep>tm5t1 includ+ ! diff]5t types ( mobile m$ical unit models us$ by ! ,dep>tm5t4 7#b7 ,! age1 condition1 & read9ess ( su* units & :at sort ( ma9t5ance su* units ne$4 7#c7 ,:]e su* units are curr5tly locat$ & ! accessibility ( mobile m$ical unit deploym5t sites4 7#d7 ,h[ (t5 ea* su* unit is us$ & = :at s]vices ea* su* unit is us$4 7#e7 ,pati5t-level data ) respect to ea* su* unit4 7#f7 ,accessibility & lift capability across ! mobile m$ical unit fleet ( ! ,dep>tm5t1 includ+ an assessm5t ( ! :eel*air accessibility ( deploym5t locations = ea* su* unit4 7#g7 ,exi/+ unmet ne$s or access b>ri]s )9 ! ,dep>tm5t t su* units c\ld fill1 :5 cl9ically & op]ationally appropriate4 #d4 ,assessm5t ( feasibility & advisability ( requir+ annual deploym5t ( mobile m$ical units to c]ta9 areas 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all conduct an assessm5t to det]m9e ! feasibility & advisability ( requir+ c]ta9 m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs to deploy mobile m$ical units to rural or und]s]v$ areas at lea/ once p] ye> to improve access to m$ical s]vices by vet]ans & o!r individuals eligible = heal? c>e "u ! laws adm9i/]$ by ! ,secret>y4 7b7 ,elem5ts ,! assessm5t requir$ by subsection 7a7 %all-- 7#a7 incorporate f9d+s f ! nationwide inv5tory & capability assessm5t requir$ by section #c2 7#b7 include propos$ crit]ia ! ,secret>y c\ld use to det]m9e :i* m$ical c5t]s ( ! ,dep>tm5t %\ld be subject to ! requirem5t describ$ 9 subsection 7a72 7#c7 include propos$ rural or und]s]v$ areas :]e mobile m$ical units c\ld be requir$ to be deploy$ at lea/ once p] ye> to improve access to m$ical s]vices by vet]ans & o!r individuals2 7#d7 include a propos$ li/ ( s]vices t mobile m$ical units c\ld provide safely & appropriately 9 rural or und]s]v$ areas2 7#e7 include an e/imate ( ! numb] ( vet]ans or o!r individuals :o c\ld access m$ical s]vices ?r\gh a mobile m$ical unit deploy$ to a rural or und]s]v$ area2 & 7#f7 include an assessm5t ( ! ideal frequ5cy ( su* deploym5ts 9 consid]ation (-- 7,a7 ! ability ( vet]ans & o!r individuals 9 su* areas to access s]vices id5tifi$ "u p>agraph 7#d72 7,b7 ! co/ to ! ,dep>tm5t to deploy mobile m$ical units to su* areas2 & 7,c7 su* o!r factors z ! ,secret>y consid]s appropriate4 7c7 ,report ,n lat] ?an #ij days aft] complet+ ! assessm5t requir$ by subsection 7a71 ! ,secret>y %all submit ! assessm5t to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives4 #e4 ,report 7a7 ,9 g5]al ,n lat] ?an #ahj days 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-- 7#a7 id5tify+ gaps & opportunities to exp& ! appropriate use by ! ,dep>tm5t ( ,vet]ans ,affairs ( mobile m$ical units 9 rural or und]s]v$ areas1 includ+ by id5tify+ ! gaps betwe5 ! capabilities ( su* units & ! ne$s ( vet]ans 9 rural areas2 7#b7 id5tify+ areas t m$ical c5t]s ( ! ,dep>tm5t s]ve ) high rural vet]an populations or t are ne> high rural vet]an populations2 7#c7 id5tify+ /aff+ b>ri]s1 cl9ical support & res\rces1 fund+ b>ri]s1 accessibility b>ri]s1 in=mation te*nology1 & tra9+ b>ri]s to improv+ ! appropriate use ( mobile m$ical units2 7#d7 id5tify+ ways ! ,dep>tm5t c engage ) local vet]ans s]vice organizations to fur!r id5tify suitable & accessible locations = mobile m$ical unit deploym5ts2 7#e7 id5tify+ h[ ! head ( ! (fice designat$ "u section #b7;a7 c focus on rectify+ ! b>ri]s id5tifi$ "u p>agraph 7#c72 7#f7 includ+ ! f9d+s ( ! ,secret>y f ! assessm5t conduct$ "u section #c2 7#g7 assess+ ! f9d+s ( ! ,secret>y 9 response to ! report ( ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates publi%$ on ,decemb] #ad1 #bjbc1 & titl$ ,,va ,heal? ,c>e3 ,actions ,ne$$ to ,improve ,in=mation ,report$ on ,mobile ,m$ical ,units2 7#h7 describ+ any actions tak5 by ! ,secret>y 9 response to ! ,comptroll] ,g5]al report specifi$ "u p>agraph 7#g72 & 7#i7 recomm5d+ any legislative or adm9i/rative action necess>y to improve ! use ( mobile m$ical units by ! ,dep>tm5t4 7b7 ,vet]ans s]vice organization def9$ ,9 ?is section1 ! t]m vet]ans s]vice organization means an organization recogniz$ by ! ,secret>y = ! repres5tation ( vet]ans "u section #eijb ( title #ch1 ,unit$ ,/ates ,code4