[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 5361 Introduced in Senate (IS)]

<DOC>






119th CONGRESS
  2d Session
                                S. 5361

   To improve the use and management of mobile medical units by the 
        Department of Veterans Affairs, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             August 7, 2026

 Ms. Rosen (for herself and Mr. Sheehy) introduced the following bill; 
which was read twice and referred to the Committee on Veterans' Affairs

_______________________________________________________________________

                                 A BILL


 
   To improve the use and management of mobile medical units by the 
        Department of Veterans Affairs, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Mobile Medical Unit Rural Expansion 
Act of 2026'' or the ``MMU Rural Expansion Act of 2026''.

SEC. 2. DESIGNATION OF EXISTING OFFICE TO SERVE AS PROGRAM OWNER OF 
              MOBILE MEDICAL UNIT PROGRAM OF DEPARTMENT OF VETERANS 
              AFFAIRS.

    (a) In General.--The Secretary of Veterans Affairs shall designate 
the head of an existing office of the Department of Veterans Affairs to 
serve as the program owner of the Mobile Medical Unit Program of the 
Department.
    (b) Responsibilities.--The head of the office designated under 
subsection (a) shall be responsible for--
            (1) overseeing deployments of mobile medical units of the 
        Department;
            (2) coordinating with leadership of medical centers of the 
        Department with respect to such units;
            (3) managing data collection with respect to such units;
            (4) identifying the funding and procurement sources that 
        exist for such units and that are available to help deploy such 
        units to medical centers of the Department; and
            (5) integrating such units, as appropriate, into broader 
        access-to-care strategies of the Veterans Health 
        Administration.

SEC. 3. NATIONWIDE INVENTORY AND CAPABILITY ASSESSMENT OF MOBILE 
              MEDICAL UNITS OF DEPARTMENT OF VETERANS AFFAIRS.

    (a) In General.--The Secretary of Veterans Affairs shall conduct a 
nationwide inventory and capability assessment with respect to mobile 
medical units of the Department of Veterans Affairs.
    (b) Elements.--The assessment required under subsection (a) shall 
include an assessment of the following:
            (1) The total number of mobile medical units of the 
        Department, including the different types of mobile medical 
        unit models used by the Department.
            (2) The age, condition, and readiness of such units and 
        what sort of maintenance such units need.
            (3) Where such units are currently located and the 
        accessibility of mobile medical unit deployment sites.
            (4) How often each such unit is used and for what services 
        each such unit is used.
            (5) Patient-level data with respect to each such unit.
            (6) Accessibility and lift capability across the mobile 
        medical unit fleet of the Department, including an assessment 
        of the wheelchair accessibility of deployment locations for 
        each such unit.
            (7) Existing unmet needs or access barriers within the 
        Department that such units could fill, when clinically and 
        operationally appropriate.

SEC. 4. ASSESSMENT OF FEASIBILITY AND ADVISABILITY OF REQUIRING ANNUAL 
              DEPLOYMENT OF MOBILE MEDICAL UNITS TO CERTAIN AREAS.

    (a) In General.--Not later than 180 days after the date of the 
enactment of this Act, the Secretary of Veterans Affairs shall conduct 
an assessment to determine the feasibility and advisability of 
requiring certain medical centers of the Department of Veterans Affairs 
to deploy mobile medical units to rural or underserved areas at least 
once per year to improve access to medical services by veterans and 
other individuals eligible for health care under the laws administered 
by the Secretary.
    (b) Elements.--The assessment required by subsection (a) shall--
            (1) incorporate findings from the nationwide inventory and 
        capability assessment required by section 3;
            (2) include proposed criteria the Secretary could use to 
        determine which medical centers of the Department should be 
        subject to the requirement described in subsection (a);
            (3) include proposed rural or underserved areas where 
        mobile medical units could be required to be deployed at least 
        once per year to improve access to medical services by veterans 
        and other individuals;
            (4) include a proposed list of services that mobile medical 
        units could provide safely and appropriately in rural or 
        underserved areas;
            (5) include an estimate of the number of veterans or other 
        individuals who could access medical services through a mobile 
        medical unit deployed to a rural or underserved area; and
            (6) include an assessment of the ideal frequency of such 
        deployments in consideration of--
                    (A) the ability of veterans and other individuals 
                in such areas to access services identified under 
                paragraph (4);
                    (B) the cost to the Department to deploy mobile 
                medical units to such areas; and
                    (C) such other factors as the Secretary considers 
                appropriate.
    (c) Report.--Not later than 90 days after completing the assessment 
required by subsection (a), the Secretary shall submit the assessment 
to the Committee on Veterans' Affairs of the Senate and the Committee 
on Veterans' Affairs of the House of Representatives.

SEC. 5. REPORT.

    (a) In General.--Not later than 180 days after the date of the 
enactment of this Act, the Secretary of Veterans Affairs shall submit 
to the Committee on Veterans' Affairs of the Senate and the Committee 
on Veterans' Affairs of the House of Representatives a report--
            (1) identifying gaps and opportunities to expand the 
        appropriate use by the Department of Veterans Affairs of mobile 
        medical units in rural or underserved areas, including by 
        identifying the gaps between the capabilities of such units and 
        the needs of veterans in rural areas;
            (2) identifying areas that medical centers of the 
        Department serve with high rural veteran populations or that 
        are near high rural veteran populations;
            (3) identifying staffing barriers, clinical support and 
        resources, funding barriers, accessibility barriers, 
        information technology, and training barriers to improving the 
        appropriate use of mobile medical units;
            (4) identifying ways the Department can engage with local 
        veterans service organizations to further identify suitable and 
        accessible locations for mobile medical unit deployments;
            (5) identifying how the head of the office designated under 
        section 2(a) can focus on rectifying the barriers identified 
        under paragraph (3);
            (6) including the findings of the Secretary from the 
        assessment conducted under section 3;
            (7) assessing the findings of the Secretary in response to 
        the report of the Comptroller General of the United States 
        published on December 14, 2023, and titled ``VA Health Care: 
        Actions Needed to Improve Information Reported on Mobile 
        Medical Units'';
            (8) describing any actions taken by the Secretary in 
        response to the Comptroller General report specified under 
        paragraph (7); and
            (9) recommending any legislative or administrative action 
        necessary to improve the use of mobile medical units by the 
        Department.
    (b) Veterans Service Organization Defined.--In this section, the 
term ``veterans service organization'' means an organization recognized 
by the Secretary for the representation of veterans under section 5902 
of title 38, United States Code.
                                 <all>