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Figure 1: VETERANS INTEGRATED SERVICE NETWORKS [Source: Department of Veterans Affairs] The VA Medical Centers are independent operations administered by local directors who have great leeway over all operations, and especially over the transportation services available to veterans in that VAMC service area. Local directors may or may not be aware of other travel options or best practices in veterans' transportation services or in the broader field of coordinated community transportation. VA TRANSPORTATION: A BRIEF HISTORICAL OVERVIEW Congress enacted travel benefits in relation to VA health care for certain veterans in 1958. Since that time, VA has provided mileage reimbursement, special mode transport (ambulance, wheelchair van, etc.) and certain other modes of transport such as air travel to qualifying veterans and non-veterans: eligible veterans are those with VA-rated service-related conditions or low income. (See next 19