Letter urging the VA and IHS to recommend in its report to Congress, and the VA to move forward with agreements for reimbursement of the costs of services provided to eligible Veterans who are not AI/AN. In addition to this overarching recommendation, we have a number of specific proposals that we hope will be addressed in the joint VA/IHS report required under section 102(c) or in implementation of expanding the relationship between VA and the Indian health system in their joint efforts to help VA meet its obligations to all Veterans.