To authorize major medical facility projects and major medical facility leases for the Department of Veterans Affairs for fiscal year 2009, and for other purposes.

Summary: Department of Veterans Affairs Medical Facility Authorization and Lease Act of 2008 - Authorizes the Secretary of Veterans Affairs to carry out major medical facility projects (projects) in FY2009 in: (1) Palo Alto, California; (2) San Antonio, Texas; and (3) San Juan, Puerto Rico.

Amends the Veterans Benefits, Health Care, and Information Technology Act of 2006 to increase the amount authorized under such Act for: (1) all projects; and (2) specified projects in Florida, Nevada, and Pennsylvania in connection with the Capital Asset Realignment Initiative.

Authorizes the Secretary to carry out specified major medical facility leases (leases) in FY2009 in Arizona, California, Colorado, Florida, Georgia, Ohio, Oregon, Puerto Rico, South Carolina, and Wisconsin.

Authorizes the Secretary to carry out a project in Okaloosa County, Florida.

Authorizes appropriations for projects and leases authorized or increased under this Act.

Directs the Secretary to submit to the congressional veterans' committees: (1) a report updating progress made in complying with provisions requiring the establishment of, and responsibilities for, a Department of Veterans Affairs (VA) Director of Construction and Facilities Management; and (2) an annual report on VA community-based outpatient clinics and other outpatient clinics.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Department of Veterans Affairs 
Medical Facility Authorization and Lease Act of 2008''.

SEC. 2. AUTHORIZATION FOR FISCAL YEAR 2009 MAJOR MEDICAL FACILITY 
              PROJECTS.

    The Secretary of Veterans Affairs may carry out the following major 
medical facility projects in fiscal year 2009 in the amount specified 
for each project:
            (1) Seismic corrections, Building 2, at the Department of 
        Veterans Affairs Palo Alto Health care System, Palo Alto 
        Division Palo Alto, California, in an amount not to exceed 
        $54,000,000.
            (2) Construction of a polytrauma healthcare and 
        rehabilitation center at the Department of Veterans Affairs 
        Medical Center, San Antonio, Texas, in an amount not to exceed 
        $66,000,000.
            (3) Seismic corrections, Building 1, at the Department of 
        Veterans Affairs Medical Center, San Juan, Puerto Rico, in an 
        amount not to exceed $225,900,000.

SEC. 3. MODIFICATION OF AUTHORIZATION AMOUNTS FOR CERTAIN MAJOR MEDICAL 
              FACILITY CONSTRUCTION PROJECTS PREVIOUSLY AUTHORIZED.

    (a) Modification of Major Medical Facility Authorizations.--Section 
801(a) of the Veterans Benefits, Health Care, and Information 
Technology Act of 2006 (Public Law 109-461) is amended--
            (1) in paragraph (1)--
                    (A) by striking ``$300,000,000'' and inserting 
                ``$625,000,000''; and
                    (B) by striking the second sentence; and
            (2) in paragraph (3), by striking ``$98,000,000'' and 
        inserting ``$769,200,000''.
    (b) Modification of Authorization for Certain Major Medical 
Facility Construction Projects Previously Authorized in Connection With 
Capital Asset Realignment Initiative.--
            (1) Correction of patient privacy deficiencies at the 
        department of veterans affairs medical center, gainesville, 
        florida.--Paragraph (5) of section 802 of the Veterans 
        Benefits, Health Care, and Information Technology Act of 2006 
        (Public Law 109-461) is amended by striking ``$85,200,000'' and 
        inserting ``$136,700,000''.
            (2) Construction of a new medical center facility at the 
        department of veterans affairs medical center, las vegas, 
        nevada.--Paragraph (7) of such section is amended by striking 
        ``$406,000,000'' and inserting ``$600,400,000''.
            (3) Construction of a new outpatient clinic, lee county, 
        florida.--Paragraph (8) of such section is amended--
                    (A) by striking ``ambulatory'' and all that follows 
                through ``purchase,'' and inserting ``outpatient clinic 
                in''; and
                    (B) by striking ``$65,100,000'' and inserting 
                ``$131,800,000''.
            (4) Construction of a new medical center facility, orlando, 
        florida.--Paragraph (11) of such section is amended by striking 
        ``$377,700,000'' and inserting ``$656,800,000''.
            (5) Consolidation of campuses at the university drive and 
        h. john heinz iii divisions, pittsburgh, pennsylvania.--
        Paragraph (12) of such section is amended by striking 
        ``$189,205,000'' and inserting ``$295,600,000''.

SEC. 4. AUTHORIZATION OF FISCAL YEAR 2009 MAJOR MEDICAL FACILITY 
              LEASES.

    The Secretary of Veterans Affairs may carry out the following major 
medical facility leases in fiscal year 2009 at the locations specified, 
and in an amount for each lease not to exceed the amount shown for such 
location:
            (1) For an outpatient clinic, Brandon, Florida, $4,326,000.
            (2) For an outpatient clinic, Colorado Springs, Colorado, 
        $3,995,000.
            (3) For an outpatient clinic, Eugene, Oregon, $5,826,000.
            (4) For the expansion of an outpatient clinic, Green Bay, 
        Wisconsin, $5,891,000.
            (5) For an outpatient clinic, Greenville, South Carolina, 
        $3,731,000.
            (6) For an outpatient clinic, Mansfield, Ohio, $2,212,000.
            (7) For an outpatient clinic, Mayaguez, Puerto Rico, 
        $6,276,000.
            (8) For an outpatient clinic, Mesa, Arizona, $5,106,000.
            (9) For interim research space, Palo Alto, California, 
        $8,636,000.
            (10) For the expansion of an outpatient clinic, Savannah, 
        Georgia, $3,168,000.
            (11) For an outpatient clinic, Sun City, Arizona, 
        $2,295,000.
            (12) For a primary care annex, Tampa, Florida, $8,652,000.

SEC. 5. AUTHORIZATION OF CONSTRUCTION OF MAJOR MEDICAL FACILITY, 
              OKALOOSA COUNTY, FLORIDA.

    (a) Authorization.--The Secretary of Veterans Affairs shall carry 
out a major medical facility project to construct a new medical 
facility of the Department of Veterans Affairs in Okaloosa County, 
Florida, in an amount not to exceed $54,475,000.
    (b) Facility Location.--The facility authorized to be constructed 
pursuant to subsection (a) shall be built in accordance with option 2 
of the report to Congress dated June 26, 2007, required to be submitted 
under section 823 of the Veterans Benefits, Health Care, and 
Information Technology Act of 2006 (Public Law 109-461; 120 Stat. 
3449).
    (c) Plan for Sharing of Inpatient and Outpatient Services.--Not 
later than 180 days after the date of the enactment of the Act, the 
Secretary of Veterans Affairs shall submit to the Committees on 
Veterans' Affairs of the Senate and House of Representatives a plan 
that sets forth terms and conditions for the sharing of inpatient and 
outpatient services at the medical facility authorized to be 
constructed pursuant to subsection (a).

SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

    (a) Authorization of Appropriations for Fiscal Year 2009 Major 
Medical Facility Projects.--There is authorized to be appropriated for 
the Secretary of Veterans Affairs for fiscal year 2009 for the 
Construction, Major Projects, account--
            (1) $345,900,000 for the projects authorized in section 2;
            (2) $1,694,295,000 for the increased amounts authorized for 
        projects whose authorizations are modified by section 3; and
            (3) $54,475,000 for the project authorized in section 5.
    (b) Authorization For Appropriations For Fiscal Year 2009 Major 
Medical Facility Leases.--There is authorized to be appropriated for 
the Secretary of Veterans Affairs for fiscal year 2009 for the Medical 
Facilities account, $60,114,000, for the leases authorized in section 
4.

SEC. 7. FACILITIES ADMINISTRATION.

    Not later than 60 days after the date of the enactment of this Act, 
the Secretary of Veterans Affairs shall submit to the Committees on 
Veterans' Affairs of the Senate and House of Representatives a report 
updating the progress of the Secretary in complying with section 312A 
of title 38, United States Code.

SEC. 8. ANNUAL REPORT ON OUTPATIENT CLINICS.

    (a) Annual Report Required.--Subchapter I of chapter 81 of title 
38, United States Code, is amended by adding at the end the following 
new section:
``Sec. 8119. Annual report on outpatient clinics
    ``(a) Annual Report Required.--The Secretary of Veterans Affairs 
shall submit to the Committees on Veterans' Affairs of the Senate and 
House of Representatives an annual report on community-based outpatient 
clinics and other outpatient clinics. The report shall be submitted 
each year not later than the date on which the budget for the next 
fiscal year is submitted to the Congress under section 1105 of title 
31.
    ``(b) Contents of Report.--Each report required under subsection 
(a) shall include the following:
            ``(1) A list of each community-based outpatient clinic and 
        other outpatient clinic of the Department, and for each such 
        clinic, the type of clinic, location, size, number of health 
        professionals employed by the clinic, workload, whether the 
        clinic is leased or constructed and operated by the Secretary, 
        and the annual cost of operating the clinic.
            ``(2) A list of community-based outpatient clinics and 
        other outpatient clinics that the Secretary opened during the 
        fiscal year preceding the fiscal year during which the report 
        is submitted and a list of clinics the Secretary proposes 
        opening during the fiscal year during which the report is 
        submitted and the subsequent fiscal year, together with the 
        cost of activating each such clinic and the information 
        required to be provided under paragraph (1) for each such 
        clinic and proposed clinic.
            ``(3) A list of proposed community-based outpatient clinics 
        and other outpatient clinics that are, as of the date of the 
        submission of the report, under review by the National Review 
        Panel and a list of possible locations for future clinics 
        identified in the Department's strategic planning process, 
        including any identified locations in rural and underserved 
        areas.
            ``(4) A prioritized list of sites of care identified by the 
        Secretary that the Secretary could establish without carrying 
        out construction or entering into a lease, including--
                    ``(A) any such sites that could be expanded by 
                hiring additional staff or allocating staff to Federal 
                facilities or facilities operating in collaboration 
                with the Federal Government; and
                    ``(B) any sites established, or able to be 
                established, under sections 8111 and 8153 of this 
                title.''.
    (b) Deadline for First Annual Report.--The Secretary of Veterans 
Affairs shall submit the first report required under section 8119(a) of 
title 38, United States Code, as added by subsection (a), by not later 
than 90 days after the date of the enactment of this Act.
    (c) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by adding at the end of the items relating to 
subchapter I the following new item:

``8119. Annual report on outpatient clinics.''.

SEC. 9. TECHNICAL CORRECTION.

    Section 807(e) of the Veterans Benefits, Health Care, and 
Information Technology Act of 2006 (Public Law 109-461) is amended by 
striking ``Medical Care'' each place it appears and inserting ``Medical 
Facilities''.

            Passed the House of Representatives May 21, 2008.

            Attest:

                                            LORRAINE C. MILLER,

                                                                 Clerk.