; and (2) by striking and such evidence and inserting and evidence of record before the Secretary . 3. Specification of accounts for certain expenses relating to medical examinations for veterans disability compensation claims under laws administered by Secretary of Veterans Affairs Section 5103A(d) of title 38, United States Code, is amended by adding at the end the following new paragraph: (3) Expenses of carrying out a medical examination or obtaining a medical opinion under paragraph (1), including payment for travel and incidental expenses under the terms and conditions set forth by section 111 of this title for the examination or medical opinion, shall be reimbursed to the accounts available for the general operating expenses of the Veterans Benefits Administration and information technology systems from amounts available to the Secretary for payment of compensation and pensions. . 4. Study on improvements to Department of Veterans Affairs covered medical disability examinations in rural areas (a) Study required Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall complete a study on access by rural veterans to covered medical disability examinations. (b) Elements (1) In general The study conducted under subsection (a) shall include the following: (A) A comparison of the average number of days to complete covered medical disability examinations for rural veterans compared to a national non-rural average time to complete a covered medical disability examinations, by either contractors or employees of the Department. (B) A root cause analysis of differences identified pursuant to subparagraph (A). (C) The plan of the Secretary for the following year to improve access described in subsection (a), which shall include a plan for the pursuit of a commercial or industry-standard solution or technology that could enable rural or housebound veterans to receive examinations without traveling long distances. (2) National non-rural average defined For purposes of