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VA Recommendations to the AIR Commission

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Volume II: Market Recommendations

Volume II contains the recommendations, which are designed to modernize and realign VA health care facilities to improve access and outcomes for current and future generations of Veterans. The VA health care system is divided into 18 Veterans Integrated Service Networks (VISNs), or regional systems of care. Market recommendations are organized by VISN below.

Information regarding how to navigate each market recommendation can be found in the reading guide.

Appendices, including market assessment data, can be found here.

Map of the 18 Veterans Integrated Service Networks across the United States

VISN 1 VISN 12

Market Recommendation
(CT, ME, MA, NH, RI, VT)


Market Recommendation
(IL, IN, MI, MN, WI)

VISN 2 VISN 15

Market Recommendation
(NJ, NY, PA)


Market Recommendation
(AR, IL, IN, KS, KY, MO)

VISN 4 VISN 16

Market Recommendation
(DE, NJ, NY, OH, PA, WV)


Market Recommendation
(AL, AR, FL, LA, MS, MO, OK, TX)

VISN 5 VISN 17

Market Recommendation
(DC, KY, MD, OH, PA, VA,  WV)


Market Recommendation
(NM, OK, TX)

VISN 6 VISN 19

Market Recommendation
(NC, VA)


Market Recommendation
(CO, ID, KS, MT, NE, NV, OK, TX, UT, WY)

VISN 7 VISN 20

Market Recommendation
(AL, GA, SC)


Market Recommendation
(AK, CA, ID, MT, OR, WA)

VISN 8 VISN 21

Market Recommendation
(FL, GA, PR, VI)


Market Recommendation
(CA, HI, NV, AS, GU, MP)

VISN 9 VISN 22

Market Recommendation
(AR, GA, KY, IN, MS, TN, VA)


Market Recommendation
(AZ, CA, CO, NM)

VISN 10 VISN 23

Market Recommendation
(IN, KY, MI, OH)


Market Recommendation
(IL, IA, KS, MN, MO, NE, ND, SD, WI, WY)