If finalized, a proposed rule from the U.S. Department of Veterans Affairs (VA) would place medical residents in existing or new residency programs and reimburse certain costs associated with graduate medical education. The VA is considering factors for determining clinical needs in certain areas, i.e., the ratio of veterans to VA providers, and for placement of residents in facilities outside of the VA. This will include an evaluation of the range of clinical specialties of VA and non-VA providers in underserved rural and tribal communities. A future request for proposal will announce opportunities for placement of residents at certain underserved VA facilities as well as certain Rural Health Clinics and Federally Qualified Health Centers. By statute, the pilot program prioritizes the placement of residents in Indian Health Service facilities, and Indian tribal or tribal organization facilities.