In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Cancer Screening and Prevention 
Act''.

SEC. 2. MEDICARE COVERAGE OF COLORECTAL SCREENING.

    (a) In General.--Section 1834 of the Social Security Act (42 U.S.C. 
1395m) is amended by inserting after subsection (c) the following new 
subsection:
    ``(d) Frequency and Payment Limits for Screening Fecal-Occult Blood 
Tests, Screening Flexible Sigmoidoscopies, and Screening Colonoscopy.--
            ``(1) Screening fecal-occult blood tests.--
                    ``(A) Payment limit.--In establishing fee schedules 
                under section 1833(h) with respect to screening fecal-
                occult blood tests provided for the purpose of early 
                detection of colon cancer, except as provided by the 
                Secretary under paragraph (3)(A), the payment amount 
                established for tests performed--
                            ``(i) in 1996 shall not exceed $5; and
                            ``(ii) in a subsequent year, shall not 
                        exceed the limit on the payment amount 
                        established under this subsection for such 
                        tests for the preceding year, adjusted by the 
                        applicable adjustment under section 1833(h) for 
                        tests performed in such year.
                    ``(B) Frequency limit.--Subject to revision by the 
                Secretary under paragraph (3)(B), no payment may be 
                made under this part for a screening fecal-occult blood 
                test provided to an individual for the purpose of early 
                detection of colon cancer--
                            ``(i) if the individual is under 50 years 
                        of age; or
                            ``(ii) if the test is performed within the 
                        11 months after a previous screening fecal-
                        occult blood test.
            ``(2) Screening flexible sigmoid- oscopies.--
                    ``(A) Payment amount.--The Secretary shall 
                establish a payment amount under section 1848 with 
                respect to screening flexible sigmoidoscopies provided 
                for the purpose of early detection of colon cancer that 
                is consistent with payment amounts under such section 
                for similar or related services, except that such 
                payment amount shall be established without regard to 
                subsection (a)(2)(A) of such section.
                    ``(B) Frequency limit.--Subject to revision by the 
                Secretary under paragraph (4)(B), no payment may be 
                made under this part for a screening flexible 
                sigmoidoscopy provided to an individual for the purpose 
                of early detection of colon cancer--
                            ``(i) if the individual is under 50 years 
                        of age; or
                            ``(ii) if the procedure is performed within 
                        the 47 months after a previous screening 
                        flexible sigmoidoscopy.
            ``(3) Screening colonoscopy for individuals at high risk 
        for colorectal cancer.--
                    ``(A) Payment amount.--The Secretary shall 
                establish a payment amount under section 1848 with 
                respect to screening colonoscopy for individuals at 
                high risk for colorectal cancer (as defined in 
                subparagraph (C)) provided for the purpose of early 
                detection of colon cancer that is consistent with 
                payment amounts under such section for similar or 
                related services, except that such payment amount shall 
                be established without regard to subsection (a)(2)(A) 
                of such section.
                    ``(B) Frequency limit.--Subject to revision by the 
                Secretary under paragraph (4)(B), no payment may be 
                made under this part for a screening colonoscopy for 
                individuals at high
                 risk for colorectal cancer provided to an individual 
for the purpose of early detection of colon cancer if the procedure is 
performed within the 23 months after a previous screening colonoscopy.
                    ``(C) Individual at high risk defined.--In this 
                subsection, an `individual at high risk for colorectal 
                cancer' is an individual who, because of family 
                history, prior experience of cancer or precursor 
                neoplastic polyps, a history of chronic digestive 
                disease condition (including inflammatory bowel 
                disease, Crohn's Disease, or ulcerative colitis), the 
                presence of any appropriate recognized gene markers for 
                colorectal cancer, or other predisposing factors, faces 
                a high risk for colorectal cancer.
            ``(4) Reductions in payment limit and revision of 
        frequency.--
                    ``(A) Reductions in payment limit.--The Secretary 
                shall review from time to time the appropriateness of 
                the amount of the payment limit established for 
                screening fecal-occult blood tests under paragraph 
                (1)(A). The Secretary may, with respect to tests 
                performed in a year after 1998, reduce the amount of 
                such
                 limit as it applies nationally or in any area to the 
amount that the Secretary estimates is required to assure that such 
tests of an appropriate quality are readily and conveniently available 
during the year.
                    ``(B) Revision of frequency.--
                            ``(i) Review.--The Secretary shall review 
                        periodically the appropriate frequency for 
                        performing screening fecal-occult blood tests, 
                        screening flexible sigmoidoscopies, and 
                        screening colonoscopy based on age and such 
                        other factors as the Secretary believes to be 
                        pertinent.
                            ``(ii) Revision of frequency.--The 
                        Secretary, taking into consideration the review 
                        made under clause (i), may revise from time to 
                        time the frequency with which such tests and 
                        procedures may be paid for under this 
                        subsection, but no such revision shall apply to 
                        tests or procedures performed before January 1, 
                        1999.
            ``(5) Limiting charges of nonparticipating physicians.--
                    ``(A) In general.--In the case of a screening 
                flexible sigmoidoscopy provided to an individual for 
                the purpose of early detection of colon cancer or a 
                screening colonoscopy provided to an individual at high 
                risk for colorectal cancer for the purpose of early 
                detection of colon cancer for which payment may be made 
                under this part, if a nonparticipating physician 
                provides the procedure to an individual enrolled under 
                this part, the physician may not charge the individual 
                more than the limiting charge (as defined in section 
                1848(g)(2)).
                    ``(B) Enforcement.--If a physician or supplier 
                knowing and willfully imposes a charge in violation of 
                subparagraph (A), the Secretary may apply sanctions 
                against such physician or supplier in accordance with 
                section 1842(j)(2).''.
    (b) Conforming Amendments.--(1) Paragraphs (1)(D) and (2)(D) of 
section 1833(a) of such Act (42 U.S.C. 1395l(a)) are each amended by 
striking ``subsection (h)(1),'' and inserting ``subsection (h)(1) or 
section 1834(d)(1),''.
    (2) Section 1833(h)(1)(A) of such Act (42 U.S.C. 1395l(h)(1)(A)) is 
amended by striking ``The Secretary'' and inserting ``Subject to 
paragraphs (1) and (3)(A) of section 1834(d), the Secretary''.
    (3) Clauses (i) and (ii) of section 1848(a)(2)(A) of such Act (42 
U.S.C. 1395w-4(a)(2)(A)) are each amended by striking ``a service'' and 
inserting ``a service (other than a screening flexible sigmoidoscopy 
provided to an individual for the purpose of early detection of colon 
cancer or a screening colonoscopy provided to an individual at high 
risk for colorectal cancer for the purpose of early detection of colon 
cancer)''.
    (4) Section 1862(a) of such Act (42 U.S.C. 1395y(a)) is amended--
            (A) in paragraph (1)--
                    (i) in subparagraph (E), by striking ``and'' at the 
                end,
                    (ii) in subparagraph (F), by striking the semicolon 
                at the end and inserting ``, and'', and
                    (iii) by adding at the end the following new 
                subparagraph:
            ``(G) in the case of screening fecal-occult blood tests, 
        screening flexible sigmoidoscopies, and screening colonoscopy 
        provided for the purpose of early detection of colon cancer, 
        which are performed more frequently than is covered under 
        section 1834(d);''; and
            (B) in paragraph (7), by striking ``paragraph (1)(B) or 
        under paragraph (1)(F)'' and inserting ``subparagraphs (B), 
        (F), or (G) of paragraph (1)''.

SEC. 3. EFFECTIVE DATE.

    The amendments made by section 2 shall apply to screening fecal-
occult blood tests, screening flexible sigmoidoscopies, and screening 
colonoscopy performed on or after January 1, 1996.
[A]: Cancer Screening and Prevention Act - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of various specified colon and colorectal screening tests and corresponding payment and frequency limits.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``National Cyber Security Leadership 
Act of 2003''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) Federal agencies rely on networked computer systems to 
        deliver critical services and information to the American 
        people, including operations related to national defense, 
        emergency services, tax collection, and the payment of 
        benefits.
            (2) There has been an astonishing increase in cyber threats 
        to government and industry in recent years. The number of cyber 
        attacks on Federal Government systems in 2001 was 71 percent 
        greater than the number of such attacks on such systems in 
        2000.
            (3) Cyber attacks can cause irreparable harm in network 
        systems, including the loss or dissemination of sensitive and 
        important data. Cyber attacks can also reduce the confidence of 
        the American people in the integrity and security of the 
        Internet.
            (4) There is mounting evidence to suggest that terrorists 
        view the Internet as a tool to achieve their goals. Government 
        investigators found that al Qaeda operatives browsed Internet 
        sites that offered software describing the digital switches 
        that control power, water, transport, and communications grids.
            (5) The Bush Administration has recognized in its draft 
        National Strategy to Secure Cyberspace ``the pressing need to 
        make federal cyberspace security a model for the nation''.
            (6) All but a few Federal agencies continue to receive 
        failing grades for their cyber security programs.
            (7) Federal agencies must take significant steps to better 
        protect themselves against cyber attacks, including--
                    (A) identifying significant vulnerabilities in 
                their computer networks and the tools needed to detect 
                such vulnerabilities;
                    (B) monitoring for new vulnerabilities in their 
                computer networks, and assessing risks of cyber 
                attacks;
                    (C) testing computers against identified 
                vulnerabilities; and
                    (D) ensuring that computers and networks are 
                adequately protected against such vulnerabilities.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Chief information officer.--The term ``Chief 
        Information Officer'', with respect to an agency, means the 
        official designated as the Chief Information Officer of the 
        agency pursuant to section 3506(a)(2) of title 44, United 
        States Code.
            (2) Vulnerability.--The term ``vulnerability'', in the case 
        of information technology, means an error or defect in coding, 
        configuration, or installation of such information technology 
        that increases its susceptibility to a cyber threat.
            (3) Other definitions.--Except as otherwise provided in 
        this section, any term used in this Act which is defined in 
        section 3502 of title 44, United States Code, shall have the 
        meaning given that term in such section 3502.

SEC. 4. ELIMINATION OF SIGNIFICANT VULNERABILITIES OF FEDERAL 
              GOVERNMENT INFORMATION TECHNOLOGY.

    (a) In General.--The Chief Information Officer of each agency 
shall--
            (1) identify the significant vulnerabilities of the 
        information technology of such agency, including--
                    (A) vulnerabilities of such classes of information 
                technology of such agency as the Chief Information 
                Officer shall designate for purposes of this section; 
                and
                    (B) vulnerabilities of the information technology 
                of such agency as a whole;
            (2) establish performance goals for eliminating the 
        significant vulnerabilities of the information technology of 
        such agency identified under paragraph (1), with such 
        performance goals--
                    (A) to be established utilizing the current state 
                of the information technology of such agency as a 
                baseline;
                    (B) to be stated both for particular classes of 
                information technology of such agency (as determined 
                under paragraph (1)(A)) and for the information 
                technology of such agency as a whole; and
                    (C) to be expressed as target ratios of 
                vulnerabilities per information technology;
            (3) procure or develop tools to identify and eliminate the 
        vulnerabilities identified under paragraph (1) in order to 
        achieve the performance goals established under paragraph (2);
            (4) train personnel of such agency in the utilization of 
        tools procured or developed under paragraph (3);
            (5) not less often than once each quarter, test the 
        information technology of such agency to determine the extent 
        of the compliance of the information technology with the 
        performance goals established under paragraph (3); and
            (6) to the extent that the information technology of such 
        agency does not comply with the performance goals established 
        under paragraph (3), promptly develop and implement a plan to 
        eliminate significant vulnerabilities in the information 
        technology in order to achieve compliance with such performance 
        goals.
    (b) Annual Report on Activities.--
            (1) Requirement.--The Chief Information Officer of each 
        agency shall include information on its activities under 
        subsection (a) in each annual report submitted to the Director 
        of the Office of Management and Budget under section 3545(e) of 
        title 44, United States Code (as amended by section 301(b) of 
        the Federal Information Security Management Act of 2002 (title 
        III of Public Law 107-347)).
            (2) Form.--The form of information submitted under 
        paragraph (1) shall be specified by the Director of the Office 
        of Management and Budget.
    (c) Governmentwide Standards.--
            (1) Review by nist.--The Director of the Office of 
        Management and Budget shall ensure the review by the Director 
        of the National Institute of Standards and Technology of the 
        annual reports submitted under subsection (b) in the first year 
        after the date of the enactment of this Act.
            (2) Guidelines.--Not later than 180 days after receiving 
        annual reports for review under paragraph (1), the Director of 
        the National Institute of Standards and Technology shall 
        develop and make available to the Chief Information Officers of 
        the agencies governmentwide guidelines for use in complying 
        with subsection (a). The guidelines shall--
                    (A) identify vulnerabilities of information 
                technology common to the agencies; and
                    (B) describe means of eliminating such 
                vulnerabilities, including the use of checklists 
                pursuant to section 8(c) of the Cyber Security Research 
                and Development Act (Public Law 107-305).
            (3) Mandatory use.--
                    (A) Designation of vulnerabilities.--The Director 
                of the National Institute of Standards and Technology 
                shall designate as a result of the review under 
                paragraph (1) any significant vulnerabilities of 
                information technology of such broad applicability and 
                severity so as to warrant the mandatory use of the 
                guidelines developed under paragraph (2) with respect 
                to such vulnerabilities.
                    (B) Mandatory use.--The Secretary of Commerce 
                shall, using the authority available to the Secretary 
                under section 11331(b) of title 40, United States Code, 
                mandate the use by the agencies of guidelines developed 
                under paragraph (2) with respect to vulnerabilities 
                designated under subparagraph (A).
                    (C) Use and exception.--Each agency shall use a 
                standard mandated under subparagraph (B) unless the 
                Chief Information Officer of such agency determines, 
                with the concurrence of the Director of the National 
                Institute of Standards and Technology, that the use of 
                such guideline by such agency would not increase the 
                security of the information technology covered by such 
                standard.

SEC. 5. AUTHORIZATION OF APPROPRIATIONS.

    (a) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out the provisions of this Act amounts as 
follows:
            (1) For the Department of Commerce for the National 
        Institute of Standards and Technology, $1,000,000 for fiscal 
        year 2004 to develop the guidelines required by section 4(c).
            (2) For each agency, such sums as may be necessary for such 
        agency for fiscal years 2004 through 2008 to carry out the 
        provisions of this Act.
    (b) Availability.--The amount authorized to be appropriated by 
subsection (a)(1) shall remain available until expended.

SEC. 6. EFFECTIVE DATE.

    This Act shall take effect 180 days after the date of the enactment 
of this Act.
[A]: National Cyber Security Leadership Act of 2003 - Requires the Chief Information Officer of each Federal agency to: (1) identify the significant vulnerabilities of the information technology (IT) of such agency; (2) establish performance goals for eliminating such vulnerabilities; (3) procure or develop tools to identify and eliminate those vulnerabilities in order to achieve such performance goals; (4) train personnel in the utilization of those tools; (5) test the agency's IT to determine the extent of its compliance with the performance goals; and (6) develop and implement a plan to eliminate significant vulnerabilities in order to achieve compliance.Requires: (1) each Officer to include information on the agency's activities under this Act in annual reports on the agency's information security program and practices submitted to the Director of the Office of Management and Budget (OMB); and (2) the OMB Director to ensure the review of such reports by the Director of the National Institute of Standards and Technology (NIST); (3) the NIST Director to designate, as the result of such review, any significant IT vulnerabilities of such broad applicability and severity so as to warrant the use of government-wide guidelines the Director shall develop and make available to such Officers for complying with this Act; and (4) the Secretary of Commerce to mandate agency use of such guidelines.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Veterans Health Care 
Improvement Act of 2007''.

SEC. 2. TRAVEL REIMBURSEMENT FOR VETERANS RECEIVING TREATMENT AT 
              FACILITIES OF THE DEPARTMENT OF VETERANS AFFAIRS.

    Section 111 of title 38, United States Code, is amended--
            (1) in subsection (a)--
                    (A) by striking ``subsistence),'' and inserting 
                ``subsistence at a rate equivalent to the rate provided 
                to Federal employees under section 5702 of title 5),''; 
                and
                    (B) by striking ``traveled,'' and inserting ``(at a 
                rate equivalent to the rate provided to Federal 
                employees under section 5704 of title 5),'';
            (2) by striking subsection (g); and
            (3) by redesignating subsection (h) as subsection (g).

SEC. 3. CENTERS FOR RURAL HEALTH RESEARCH, EDUCATION, AND CLINICAL 
              ACTIVITIES.

    (a) In General.--Subchapter II of chapter 73 of title 38, United 
States Code, is amended by adding at the end the following new section:
``Sec. 7330A. Centers for rural health research, education, and 
              clinical activities
    ``(a) Establishment of Centers.--The Secretary, through the 
Director of the Office of Rural Health, shall establish and operate not 
less than one and not more than five centers of excellence for rural 
health research, education, and clinical activities, which shall--
            ``(1) conduct research on the provision of health services 
        in rural areas;
            ``(2) develop specific models to be used by the Department 
        in furnishing health services to veterans in rural areas;
            ``(3) provide education and training for health care 
        professionals of the Department on the furnishing of health 
        services to veterans in rural areas; and
            ``(4) develop and implement innovative clinical activities 
        and systems of care for the Department for the furnishing of 
        health services to veterans in rural areas.
    ``(b) Geographic Dispersion.--The Secretary shall ensure that the 
centers authorized under this section are located at health care 
facilities that are geographically dispersed throughout the United 
States.
    ``(c) Selection Criteria.--The Secretary may not designate a health 
care facility as a location for a center under this section unless--
            ``(1) the peer review panel established under subsection 
        (d) determines that the proposal submitted by such facility 
        meets the highest competitive standards of scientific and 
        clinical merit; and
            ``(2) the Secretary determines that the facility has, or 
        may reasonably be anticipated to develop, the following:
                    ``(A) An arrangement with an accredited medical 
                school to provide residents with education and training 
                in health services for veterans in rural areas.
                    ``(B) The ability to attract the participation of 
                scientists who are capable of ingenuity and creativity 
                in health care research efforts.
                    ``(C) A policymaking advisory committee, composed 
                of appropriate health care and research representatives 
                of the facility and of the affiliated school or 
                schools, to advise the directors of such facility and 
                such center on policy matters pertaining to the 
                activities of such center during the period of the 
                operation of such center.
                    ``(D) The capability to conduct effectively 
                evaluations of the activities of such center.
    ``(d) Panel To Evaluate Proposals.--(1) The Director of the Office 
of Rural Health shall establish a panel--
            ``(A) to evaluate the scientific and clinical merit of 
        proposals submitted to establish centers under this section; 
        and
            ``(B) to provide advice to the Director regarding the 
        implementation of this section.
    ``(2) The panel shall review each proposal received from the 
Secretary and shall submit its views on the relative scientific and 
clinical merit of each such proposal to the Secretary.
    ``(3) The panel established under paragraph (1) shall be comprised 
of experts in the fields of public health research, education, and 
clinical care.
    ``(4) Members of the panel shall serve as consultants to the 
Department for a period not to exceed two years.
    ``(5) The panel shall not be subject to the Federal Advisory 
Committee Act (5 U.S.C. App.).
    ``(e) Funding.--(1) There are authorized to be appropriated to the 
Medical Care Account and the Medical and Prosthetics Research Account 
of the Department of Veterans Affairs such sums as may be necessary for 
the support of the research and education activities of the centers 
operated under this section.
    ``(2) There shall be allocated to the centers operated under this 
section, from amounts authorized to be appropriated to the Medical Care 
Account and the Medical and Prosthetics Research Account by paragraph 
(1), such amounts as the Under Secretary of health considers 
appropriate for such centers. Such amounts shall be allocated through 
the Director of the Office of Rural Health.
    ``(3) Activities of clinical and scientific investigation at each 
center operated under this section--
            ``(A) shall be eligible to compete for the award of funding 
        from funds appropriated for the Medical and Prosthetics 
        Research Account; and
            ``(B) shall receive priority in the award of funding from 
        such account to the extent that funds are awarded to projects 
        for research in the care of rural veterans.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
chapter 73 of such title is amended by inserting after the item 
relating to section 7330 the following new item:

``7330A. Centers for rural health research, education, and clinical 
                            activities.''.

SEC. 4. TRANSPORTATION GRANTS FOR RURAL VETERANS SERVICE ORGANIZATIONS.

    (a) Grants Authorized.--
            (1) In general.--The Secretary of Veterans Affairs shall 
        establish a grant program to provide innovative transportation 
        options to veterans in remote rural areas.
            (2) Use of funds.--Grants awarded under this section may be 
        used by State veterans' service agencies and veterans service 
        organizations to--
                    (A) assist veterans in remote rural areas to travel 
                to Department of Veterans Affairs medical centers; and
                    (B) otherwise assist in providing medical care to 
                veterans in remote rural areas.
            (3) Maximum amount.--The amount of a grant under this 
        section may not exceed $50,000.
            (4) No matching requirement.--The recipient of a grant 
        under this section shall not be required to provide matching 
        funds as a condition for receiving such grant.
    (b) Regulations.--The Secretary shall prescribe regulations for--
            (1) evaluating grant applications under this section; and
            (2) otherwise administering the program established by this 
        section.
    (c) Veterans Service Organization Definition.--In this section, the 
term ``veterans service organization'' means any organization 
recognized by the Secretary of Veterans Affairs for the representation 
of veterans under section 5902 of title 38, United States Code.
    (d) Authorization of Appropriations.--There are authorized to be 
appropriated $3,000,000 for each of fiscal years 2008 through 2012 to 
carry out this section.

SEC. 5. DEMONSTRATION PROJECTS ON ALTERNATIVES FOR EXPANDING CARE FOR 
              VETERANS IN RURAL AREAS.

    (a) In General.--The Secretary of Veterans Affairs, through the 
Director of the Office of Rural Health, shall carry out demonstration 
projects to examine alternatives for expanding care for veterans in 
rural areas, including the following:
            (1) Establishing a partnership between the Department of 
        Veterans Affairs and the Centers for Medicare and Medicaid 
        Services of the Department of Health and Human Services to 
        coordinate care for veterans in rural areas at critical access 
        hospitals (as designated or certified under section 1820 of the 
        Social Security Act (42 U.S.C. 1395i-4)).
            (2) Establishing a partnership between the Department of 
        Veterans Affairs and the Department of Health and Human 
        Services to coordinate care for veterans in rural areas at 
        community health centers.
            (3) Expanding coordination between the Department of 
        Veterans Affairs and the Indian Health Service to expand care 
        for Native American veterans.
    (b) Geographic Distribution.--The Secretary of Veterans Affairs 
shall ensure that the demonstration projects authorized under 
subsection (a) are located at facilities that are geographically 
distributed throughout the United States.
    (c) Report.--Not later than two years after the date of the 
enactment of this Act, the Secretary of Veterans Affairs shall submit a 
report on the results of the demonstration projects conducted under 
subsection (a) to--
            (1) the Committee on Veterans' Affairs and the Committee on 
        Appropriations of the Senate; and
            (2) the Committee on Veterans' Affairs and the Committee on 
        Appropriations of the House of Representatives.

SEC. 6. REPORT TO CONGRESS ON MATTERS RELATED TO CARE FOR VETERANS WHO 
              LIVE IN RURAL AREAS.

    (a) Annual Report.--The Secretary of Veterans Affairs shall submit 
to Congress each year, together with documents submitted to Congress in 
support of the budget of the President for the fiscal year beginning in 
such year (as submitted pursuant to section 1105 of title 31, United 
States Code), an assessment, current as of the fiscal year ending in 
the year before such report is submitted, of the following:
            (1) The implementation of the provisions of this Act, 
        including the amendments made by this Act.
            (2) The establishment and function of the Office of Rural 
        Health under section 7308 of title 38, United States Code.
    (b) Additional Requirements for Initial Report.--The Secretary of 
Veterans Affairs shall submit to Congress, together with the first 
report submitted under subsection (a), an assessment of the following:
            (1) The fee-basis health-care program required by 
        subsection (b) of section 212 of the Veterans Benefits, Health 
        Care, and Information Technology Act of 2006 (Public Law 109-
        461; 120 Stat. 3422).
            (2) The outreach program required by section 213 of such 
        Act.
[A]:
Rural Veterans Health Care Improvement Act of 2007 - Authorizes the Secretary of Veterans Affairs to pay travel expenses for veterans receiving treatment at Department of Veterans Affairs (VA) facilities at the rate provided to federal employees in connection with the performance of official duties.

Directs the Secretary to: (1) establish and operate at least one and up to five centers of excellence for rural health research, education, and clinical activities; (2) establish a grant program to provide innovative transportation options to veterans in remote rural areas; (3) carry out demonstration projects to examine alternatives for expanding care for veterans in rural areas; and (4) report annually to Congress on matters related to VA care for veterans residing in rural areas.