Mark Begich actually said...

It is very important, obviously, to many of our States here, but very much so to Alaska, which is very, very rural in a lot of ways and acce...

There was a Memorandum of Understanding that was signed way back in February 2003 between the VA, HHS, and IHS that said they would collabor...

it's all Federal monies regardless of which Federal agency provides the care, the VA or the IHS.

If you can do it in Alaska, you can do it anywhere.