On September 13, 2016, Oklahoma Governor Mary Fallin kicked off an initiative to develop a healthcare access and service delivery network to enhance and support the efforts of the United States Department of Veterans Affairs in providing healthcare services to Oklahoma veterans. That initiative would become known as the Oklahoma Veterans Pilot Program. Over the past two years, volunteer professionals from the private healthcare community, state agencies and federal agencies would come together to provide expertise and recommendations in support of the Oklahoma veterans community. Over 100 healthcare professionals and 500 Oklahoma citizens and businesses statewide would provide inkind services and over 10,000 hours to support the pilot program mission. This Report to the Governor exemplifies the bi-partisan commitment, compassion and single-minded purpose of the Oklahomans that participated in this worthy endeavor. We commend and extend our personal thanks to each member and business. The following is an attempt to capsulize a very in-depth and detailed program initiative and present findings and recommendations. Coupled with the program model and implementation plan developed, we support a 3-year test period to demonstrate the proposed changes in healthcare access and delivery can be more cost-effective and efficient than the current system. To that end, the undersigned believe that a more cost-effective and efficient service model would be possible by moving healthcare outsourcing under state control and management, as opposed to continuing the contracting of services through the Veterans Choice Program.