"The truth is I don't know if they have the resources to set it up (in more facilities)," said Sen. Jon Tester, the Montana Democrat who serves as vice chair of the Indian Affairs Committee. "I see plenty of examples where it's used in rural hospitals, in emergency rooms, used in the VA for mental health treatment and they're very successful, but you've got to have the infrastructure to support it. You've got to have the fiber going in and then you've got to have the people to do it and you've got to pay for the training on how to use it. All of that costs money. But it's a one-time expense."