to an adjustment under subsection (d), the maximum rate of basic pay for all registered nurses not described in subparagraph (B) may exceed the rate of basic pay established for positions in level IV of the Executive Schedule under section 5315 of title 5 but may not exceed the rate of basic pay established for positions in level III of the Executive Schedule under section 5314 of title 5. . B Improvement of underserved facilities of the Department 231. Development of criteria for designation of certain medical facilities of the Department of Veterans Affairs as underserved facilities and plan to address problem of underserved facilities (a) In general Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall develop criteria to designate medical centers, ambulatory care facilities, and community based outpatient clinics of the Department of Veterans Affairs as underserved facilities. (b) Consideration Criteria developed under subsection (a) shall include consideration of the following with respect to a facility: (1) The ratio of veterans to health care providers of the Department of Veterans Affairs for a standardized geographic area surrounding the facility, including a separate ratio for general practitioners and specialists. (2) The range of clinical specialties covered by such providers in such area. (3) Whether the local community is medically underserved. (4) The type, number, and age of open consults. (5) Whether the facility is meeting the wait-time goals of the Department. (6) Such other criteria as the Secretary considers important in determining which facilities are not adequately serving area veterans. (c) Analysis of facilities Not less frequently than annually, directors of Veterans Integrated Service Networks of the Department shall perform an analysis to determine which facilities within that Veterans Integrated Service Network qualify as underserved facilities pursuant to criteria developed under subsection (a). (d) Annual plan To address