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[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 114 Enrolled Bill (ENR)]

        S.114

                     One Hundred Fifteenth Congress

                                 of the

                        United States of America

                          AT THE FIRST SESSION

          Begun and held at the City of Washington on Tuesday,
          the third day of January, two thousand and seventeen

                                 An Act

 
To authorize appropriations and to appropriate amounts for the Veterans 
Choice Program of the Department of Veterans Affairs, to improve hiring 
   authorities of the Department, to authorize major medical facility 
                     leases, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
    (a) Short Title.--This Act may be cited as the ``VA Choice and 
Quality Employment Act of 2017''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.

      TITLE I--APPROPRIATION OF AMOUNTS FOR VETERANS CHOICE PROGRAM

Sec. 101. Appropriation of amounts for Veterans Choice Program.

                       TITLE II--PERSONNEL MATTERS

Sec. 201. Modification to annual determination of staffing shortages in 
          Veterans Health Administration.
Sec. 202. Establishment of Department of Veterans Affairs Executive 
          Management Fellowship Program.
Sec. 203. Accountability of leaders for managing the Department of 
          Veterans Affairs.
Sec. 204. Reemployment of former employees at Department of Veterans 
          Affairs.
Sec. 205. Promotional opportunities for technical experts at Department 
          of Veterans Affairs.
Sec. 206. Employment of students and recent graduates by Department of 
          Veterans Affairs.
Sec. 207. Encouragement of transition of military medical professionals 
          into employment with Veterans Health Administration.
Sec. 208. Recruiting database at Department of Veterans Affairs.
Sec. 209. Training for human resources professionals of Veterans Health 
          Administration on recruitment and retention.
Sec. 210. Plan to hire directors of medical centers of Department of 
          Veterans Affairs.
Sec. 211. Exit surveys at Department of Veterans Affairs.
Sec. 212. Requirement that physician assistants employed by the 
          Department of Veterans Affairs receive competitive pay.
Sec. 213. Expansion of direct-hiring authority for Department of 
          Veterans Affairs in case of shortage of highly qualified 
          candidates.
Sec. 214. Comptroller General of the United States assessment of 
          succession planning at Department of Veterans Affairs.

                TITLE III--MAJOR MEDICAL FACILITY LEASES

Sec. 301. Authorization of certain major medical facility leases of the 
          Department of Veterans Affairs.
Sec. 302. Authorization of appropriations for medical facility leases.

                         TITLE IV--OTHER MATTERS

Sec. 401. Extension of reduction in amount of pension furnished by 
          Department of Veterans Affairs for certain veterans covered by 
          medicaid plans for services furnished by nursing facilities.
Sec. 402. Extension of requirement for collection of fees for housing 
          loans guaranteed by Secretary of Veterans Affairs.
Sec. 403. Extension of authority to use income information.

     TITLE I--APPROPRIATION OF AMOUNTS FOR VETERANS CHOICE PROGRAM

    SEC. 101. APPROPRIATION OF AMOUNTS FOR VETERANS CHOICE PROGRAM.
    (a) In General.--There is authorized to be appropriated, and is 
appropriated, to the Secretary of Veterans Affairs, out of any funds in 
the Treasury not otherwise appropriated, $2,100,000,000 to be deposited 
in the Veterans Choice Fund under section 802 of the Veterans Access, 
Choice, and Accountability Act of 2014 (Public Law 113-146; 38 U.S.C. 
1701 note).
    (b) Availability.--The amount appropriated under subsection (a) 
shall remain available until expended.

                      TITLE II--PERSONNEL MATTERS

    SEC. 201. MODIFICATION TO ANNUAL DETERMINATION OF STAFFING 
      SHORTAGES IN VETERANS HEALTH ADMINISTRATION.
    Section 7412(a) of title 38, United States Code, is amended--
        (1) by striking ``the five occupations'' and inserting ``at a 
    minimum, the five clinical occupations and the five nonclinical 
    occupations''; and
        (2) by striking ``throughout the Department'' and inserting 
    ``with respect to each medical center of the Department,''.
    SEC. 202. ESTABLISHMENT OF DEPARTMENT OF VETERANS AFFAIRS EXECUTIVE 
      MANAGEMENT FELLOWSHIP PROGRAM.
    (a) Fellowship Program.--Chapter 7 of title 38, United States Code, 
is amended by adding at the end the following new subchapter:

       ``SUBCHAPTER III--EXECUTIVE MANAGEMENT FELLOWSHIP PROGRAM

``Sec. 741. Executive Management Fellowship Program
    ``(a) Fellowship Program.--There is in the Department an Executive 
Management Fellowship Program. The purpose of the program shall be to 
provide--
        ``(1) eligible employees of the Veterans Benefits 
    Administration and the Veterans Health Administration with training 
    and experience in the private sector; and
        ``(2) eligible employees of a private-sector entity with 
    training and experience in the Department of Veterans Affairs.
    ``(b) Fellowship.--(1) A fellowship provided under this section is 
a 1-year fellowship during which--
        ``(A) with respect to a Department participant, the participant 
    receives training and experience at a private-sector entity that is 
    engaged in the administration and delivery of health care or other 
    services similar to the benefits administered by the Secretary; and
        ``(B) with respect to a private-sector participant, the 
    participant receives training and experience at the Veterans 
    Benefits Administration or the Veterans Health Administration.
    ``(2) The Secretary shall enter into such agreements with private-
sector entities as are necessary to carry out this section.
    ``(c) Selection of Recipients.--(1) In August of each year, the 
Secretary shall select--
        ``(A) not fewer than 18 and not more than 30 eligible employees 
    of the Veterans Benefits Administration and the Veterans Health 
    Administration to receive a fellowship under this section; and
        ``(B) not fewer than 18 and not more than 30 eligible employees 
    of private-sector entities to receive a fellowship under this 
    section.
    ``(2) To the extent practicable, the Secretary shall select 
eligible employees under subparagraphs (A) and (B) of paragraph (1) 
from among eligible employees who are veterans in a manner that is 
reflective of the demographics of the veteran population of the United 
States and that whenever practicable provides a preference to such 
employees who represent or service rural areas.
    ``(d) Eligible Employees.--For the purposes of this section, an 
eligible employee is--
        ``(1) with respect to an employee of the Veterans Benefits 
    Administration or the Veterans Health Administration, an employee 
    who--
            ``(A) is compensated at a rate of basic pay not less than 
        the minimum rate of basic pay payable for grade GS-14 of the 
        General Schedule and not more than either the minimum rate of 
        basic pay payable to a member of the Senior Executive Service 
        under section 5382 of title 5 or the minimum rate of basic pay 
        payable pursuant to chapter 74 of this title, as the case may 
        be;
            ``(B) enters into an agreement with the Secretary under 
        subsection (e); and
            ``(C) submits to the Secretary an application containing 
        such information and assurances as the Secretary may require; 
        and
        ``(2) with respect to an employee of a private-sector entity, 
    an employee who--
            ``(A) is employed in a position whose duties and 
        responsibilities are commensurate with an employee of the 
        Department described in paragraph (1);
            ``(B) enters into an agreement with the Secretary under 
        subsection (e); and
            ``(C) submits to the Secretary an application containing 
        such information and assurances as the Secretary may require.
    ``(e) Agreements.--(1) An agreement between the Secretary and a 
Department participant shall be in writing, shall be signed by the 
participant, and shall include the following provisions:
        ``(A) The Secretary's agreement to provide the participant with 
    a fellowship under this section;
        ``(B) The participant's agreement--
            ``(i) to accept the fellowship;
            ``(ii) after completion of the fellowship, to serve as a 
        full-time employee in the Veterans Benefits Administration or 
        the Veterans Health Administration for at least 2 years as 
        specified in the agreement; and
            ``(iii) that, during the 2-year period beginning on the 
        last day of the fellowship, the participant will not accept 
        employment in the same industry as the industry of the private-
        sector entity at which the participant accepts the fellowship.
        ``(C) A provision that any financial obligation of the United 
    States arising out of an agreement entered into under this 
    subchapter, and any obligation of the participant which is 
    conditioned on such agreement, is contingent upon funds being 
    appropriated.
        ``(D) A statement of the damages to which the United States is 
    entitled under this subchapter for the participant's breach of the 
    agreement.
        ``(E) Such other terms as the Secretary determines are required 
    to be included in the agreement.
    ``(2) An agreement between the Secretary and a private-sector 
participant shall be in writing, shall be signed by the participant, 
and shall include the following provisions:
        ``(A) The Secretary's agreement to provide the participant with 
    a fellowship under this section.
        ``(B) The participant's agreement to accept the fellowship.
        ``(C) Such other terms as the Secretary determines are required 
    to be included in the agreement.
    ``(f) Treatment of Recipients.--(1) A Department participant shall 
be considered an employee of the Department for all purposes, including 
for purposes of receiving a salary and benefits, and shall remain 
eligible for all promotion and incentive programs otherwise available 
to such an employee.
    ``(2) A private-sector participant shall be considered an employee 
of the private-sector entity that employs the participant for all 
purposes, including for purposes of receiving a salary and benefits, 
and during the fellowship shall be treated as a contractor of the 
Department.
    ``(g) Reports.--(1) Not later than 60 days after completing a 
fellowship under this section, a recipient of the fellowship shall 
submit to the Secretary a report on the fellowship.
    ``(2) Each such report shall describe the duties of the recipient 
during the fellowship and any recommendations of the recipient for the 
application by the Secretary of industry processes, technologies, and 
best practices.
    ``(3) Not later than 7 days after receiving each such report, the 
Secretary shall submit to the Committees on Veterans' Affairs of the 
Senate and House of Representatives such report without change.
    ``(h) Definitions.--In this section:
        ``(1) The term `Department participant' means an employee of 
    the Veterans Benefits Administration or the Veterans Health 
    Administration who is participating in the fellowship under this 
    section.
        ``(2) The term `private-sector entity' includes an entity 
    operating under a public-private partnership.
        ``(3) The term `private-sector participant' means an employee 
    of a private-sector entity who is participating in the fellowship 
    under this section.''.
    (b) Deadline for Implementation.--Not later than 1 year after the 
date of the enactment of this Act, the Secretary of Veterans Affairs 
shall implement the Executive Management Fellowship Program required 
under section 741 of title 38, United States Code, as added by 
subsection (a).
    (c) Clerical Amendment.--The table of sections at the beginning of 
chapter 7 of title 38, United States Code, is amended by adding at the 
end the following new items:

        ``subchapter iii--executive management fellowship program

``741. Executive Management Fellowship Program.''.
    SEC. 203. ACCOUNTABILITY OF LEADERS FOR MANAGING THE DEPARTMENT OF 
      VETERANS AFFAIRS.
    (a) In General.--Subchapter I of chapter 7 of title 38, United 
States Code, is amended by adding at the end the following new section:
``Sec. 725. Annual performance plan for political appointees
    ``(a) In General.--The Secretary shall conduct an annual 
performance plan for each political appointee of the Department that is 
similar to the annual performance plan conducted for an employee of the 
Department who is appointed as a career appointee (as that term is 
defined in section 3132(a) of title 5) within the Senior Executive 
Service at the Department.
    ``(b) Elements of Plan.--Each annual performance plan conducted 
under subsection (a) with respect to a political appointee of the 
Department shall include an assessment of whether the appointee is 
meeting the following goals:
        ``(1) Recruiting, selecting, and retaining well-qualified 
    individuals for employment at the Department.
        ``(2) Engaging and motivating employees.
        ``(3) Training and developing employees and preparing those 
    employees for future leadership roles within the Department.
        ``(4) Holding each employee of the Department that is a manager 
    accountable for addressing issues relating to performance, in 
    particular issues relating to the performance of employees that 
    report to the manager.
    ``(c) Definition of Political Appointee.--In this section, the term 
`political appointee' means an employee of the Department who holds--
        ``(1) a position which has been excepted from the competitive 
    service by reason of its confidential, policy-determining, policy-
    making, or policy-advocating character; or
        ``(2) a position in the Senior Executive Service as a noncareer 
    appointee (as such term is defined in section 3132(a) of title 
    5).''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
chapter 7 of such title is amended by inserting after the item relating 
to section 723 the following new item:

``725. Annual performance plan for political appointees.''.
    SEC. 204. REEMPLOYMENT OF FORMER EMPLOYEES AT DEPARTMENT OF 
      VETERANS AFFAIRS.
    (a) In General.--Notwithstanding sections 3309 through 3318 of 
title 5, United States Code, the Secretary of Veterans Affairs may 
noncompetitively appoint a qualified former career or career 
conditional employee to any position within the competitive service at 
the Department of Veterans Affairs that is one grade or equivalent 
higher than the grade or equivalent of the position at the Department 
most recently occupied by the employee.
    (b) Limitation.--The Secretary may not appoint a qualified former 
employee to a position that is more than one grade (or equivalent) 
higher than the position at the Department most recently occupied by 
the employee.
    (c) Definition of Qualified Former Employee.--For purposes of this 
section, the term ``qualified former employee'' means any individual 
who--
        (1) formerly occupied any career or career conditional position 
    at the Department of Veterans Affairs within 2 years before 
    applying for reemployment at the Department;
        (2) voluntarily left such position, or was subject to a 
    reduction in force, and had a satisfactory performance record while 
    occupying such position; and
        (3) since leaving such position has maintained licensing 
    requirements, related to the position, if any, and gained skill, 
    knowledge, or other factors related to the position.
    SEC. 205. PROMOTIONAL OPPORTUNITIES FOR TECHNICAL EXPERTS AT 
      DEPARTMENT OF VETERANS AFFAIRS.
    Not later than one year after the date of the enactment of this 
Act, the Secretary of Veterans Affairs shall establish a promotional 
track system for employees of the Department of Veterans Affairs that 
the Secretary determines are technical experts pursuant to regulations 
prescribed by the Secretary for purposes of carrying out this section. 
Such system shall--
        (1) provide any such employee the opportunity to advance within 
    the Department without being required to transition to a management 
    position; and
        (2) for purposes of achieving career advancement--
            (A) provide for the establishment of new positions within 
        the Department; and
            (B) notwithstanding any other provision of law, provide for 
        increases in pay for any such employee.
    SEC. 206. EMPLOYMENT OF STUDENTS AND RECENT GRADUATES BY DEPARTMENT 
      OF VETERANS AFFAIRS.
    (a) In General.--The Secretary of Veterans Affairs shall prescribe 
regulations to allow for excepted service appointments of students and 
recent graduates leading to conversion to career or career conditional 
employment of a student or recent graduate of a qualifying educational 
institution, as defined by the Department.
    (b) Applicability.--The conversion authority described in 
subsection (a) shall be applicable to individuals in good standing 
who--
        (1) are employed in a qualifying internship or fellowship 
    program at the Department;
        (2) are employed in the Department in a volunteer capacity and 
    performing substantive duties comparable to those of individuals in 
    internship or fellowship programs and meet the required number of 
    hours for conversion;
        (3) are employed in the Department under a contract or 
    agreement with an external nonprofit organization and performing 
    substantive duties comparable to those of individuals in internship 
    or fellowship programs;
        (4) have received educational assistance under chapter 33 of 
    title 38, United States Code; or
        (5) graduated from a qualifying educational institution, as 
    defined by the Department, and have not reached 30 years of age.
    (c) Uniformity.--For the purposes of paragraphs (2) and (3) of 
subsection (b), hours of work performed by an individual employed shall 
be considered equal to those performed by an individual employed in a 
qualifying internship or fellowship program by the Department.
    SEC. 207. ENCOURAGEMENT OF TRANSITION OF MILITARY MEDICAL 
      PROFESSIONALS INTO EMPLOYMENT WITH VETERANS HEALTH 
      ADMINISTRATION.
    The Secretary of Veterans Affairs shall establish a program to 
encourage an individual who serves in the Armed Forces with a military 
occupational specialty relating to the provision of health care to seek 
employment with the Veterans Health Administration when the individual 
has been discharged or released from service in the Armed Forces or is 
contemplating separating from such service.
    SEC. 208. RECRUITING DATABASE AT DEPARTMENT OF VETERANS AFFAIRS.
    (a) Establishment.--The Secretary of Veterans Affairs shall 
establish a single database that lists--
        (1) each vacant position in the Department of Veterans Affairs 
    that the Secretary determines is critical to the mission of the 
    Department, difficult to fill, or both; and
        (2) each vacant position in the Department of Veterans Affairs 
    for a mental health professional.
    (b) Qualified Applicant.--If the Secretary determines that an 
applicant for a vacant position listed in the database established 
under subsection (a) is qualified for such position but does not select 
the applicant for such position, the Secretary, at the election of the 
applicant, may consider the applicant for other similar vacant 
positions listed in the database for which the applicant is qualified.
    (c) Prolonged Vacancies.--If the Secretary does not fill a vacant 
position listed in the database established under subsection (a) after 
a period determined appropriate by the Secretary, the Secretary--
        (1) may ensure that applicants described in subsection (b) are 
    considered for such position; and
        (2) may use the database established under subsection (a) to 
    assist in filling such position.
    (d) Report.--Not later than one year after the date of the 
enactment of this Act, the Secretary shall submit to Congress a report 
on the use and efficacy of the database established under subsection 
(a).
    SEC. 209. TRAINING FOR HUMAN RESOURCES PROFESSIONALS OF VETERANS 
      HEALTH ADMINISTRATION ON RECRUITMENT AND RETENTION.
    (a) In General.--The Secretary of Veterans Affairs shall provide to 
human resources professionals of the Veterans Health Administration 
training on how to best recruit and retain employees of the Veterans 
Health Administration, including with respect to any recruitment and 
retention matters that are unique to the Veterans Health Administration 
pursuant to chapter 74 of title 38, United States Code, or other 
provisions of law.
    (b) Virtual Training.--Training provided under this section shall 
be provided virtually.
    (c) Amount of Training.--The Secretary shall ensure that each human 
resources professional of the Veterans Health Administration receives 
the training described in subsection (a)--
        (1) as soon as practicable after being hired by the Secretary 
    as a human resources professional; and
        (2) annually thereafter.
    (d) Certification.--The Secretary shall require that each human 
resources professional of the Veterans Health Administration, upon the 
completion of the training described in subsection (a), certifies that 
the professional received the training and understands the information 
provided by the training.
    (e) Annual Report.--Not less frequently than annually, the 
Secretary shall submit to the Committee on Veterans' Affairs of the 
Senate and the Committee on Veterans' Affairs of the House of 
Representatives a report on the training described in subsection (a), 
including the cost of providing such training and the number of human 
resources professionals who received such training during the year 
covered by the report.
    SEC. 210. PLAN TO HIRE DIRECTORS OF MEDICAL CENTERS OF DEPARTMENT 
      OF VETERANS AFFAIRS.
    (a) Plan.--Not later than 120 days after the date of the enactment 
of this Act, the Secretary of Veterans Affairs shall develop and 
implement a plan to hire highly qualified directors for each medical 
center of the Department of Veterans Affairs that lacks a permanent 
director as of the date of the plan.
    (b) Priority.--The Secretary shall prioritize under the plan 
developed under subsection (a) the hiring of directors for medical 
centers that have not had a permanent director for the longest periods.
    (c) Matters Included.--The plan developed under subsection (a) 
shall include the following:
        (1) A deadline to hire directors of medical centers of the 
    Department as described in such subsection.
        (2) Identification of the possible impediments to such hiring.
        (3) Identification of opportunities to promote and train 
    candidates from within the Department to senior executive positions 
    in the Department, including as directors of medical centers.
    (d) Submittal of Plan.--Not later than 120 days after the date of 
the enactment of this Act, the Secretary shall submit to the Committee 
on Veterans' Affairs of the Senate and the Committee on Veterans' 
Affairs of the House of Representatives the plan developed under 
subsection (a).
    (e) Semiannual Reports.--Not later than 180 days after the date of 
the enactment of this Act, and not later than 180 days thereafter, the 
Secretary shall submit to the Committee on Veterans' Affairs of the 
Senate and the Committee on Veterans' Affairs of the House of 
Representatives a report containing a list of each medical center of 
the Department that lacks a permanent director as of the date of the 
report.
    SEC. 211. EXIT SURVEYS AT DEPARTMENT OF VETERANS AFFAIRS.
    (a) Exit Surveys Required.--
        (1) In general.--The Secretary of Veterans Affairs shall 
    develop and carry out a standardized exit survey to be voluntarily 
    completed by career and noncareer employees and executives of the 
    Department of Veterans Affairs who voluntarily separate from the 
    Department.
        (2) Consultation.--Such exit survey shall be developed in 
    consultation with an appropriate non-Department entity with 
    experience developing such surveys.
    (b) Survey Content.--The survey shall include, at a minimum, the 
following:
        (1) Reasons for leaving the Department.
        (2) Efforts made by the supervisor of the employee to retain 
    the individual.
        (3) The extent of job satisfaction and engagement during the 
    employment.
        (4) The intent of employee to either remain employed within the 
    Federal Government or to leave employment with the Federal 
    Government.
        (5) Such other matters as the Secretary determines appropriate.
    (c) Anonymity of Survey Content.--The Secretary shall ensure that 
data collected under subsection (a)--
        (1) is anonymized, including through the use of a location that 
    allows for privacy;
        (2) is not directly visible by another employee; and
        (3) does not require the departing employee to input any 
    personally identifiable data.
    (d) Sharing of Survey Data.--The Secretary shall ensure that the 
results of the survey required by subsection (a) are--
        (1) aggregated at the Veterans Integrated Service Network 
    level; and
        (2) shared on an annual basis with directors and managers of 
    facilities of the Department and the Veterans Integrated Service 
    Networks.
    (e) Annual Report.--
        (1) In general.--Not later than one year after the date of the 
    enactment of this Act and not less frequently than once each year 
    thereafter, the Secretary shall submit to the Committee on 
    Veterans' Affairs of the Senate and the Committee on Veterans' 
    Affairs of the House of Representatives a report containing the 
    aggregate results of the exit survey under subsection (a) covering 
    the year prior to the report.
        (2) Contents.--Each report submitted under paragraph (1) shall 
    include, for the period covered by the report, the following:
            (A) An analysis of the most common reasons employees choose 
        to leave the Department.
            (B) The steps the Secretary is taking to improve retention, 
        particularly for mission-critical occupations.
            (C) The demographic characteristics of employees choosing 
        to leave the Department.
            (D) Any legislative barriers to improving employee 
        retention.
            (E) The total number of employees who voluntarily separated 
        from the Department and the number and percentage of whom took 
        the exit survey under subsection (a).
    SEC. 212. REQUIREMENT THAT PHYSICIAN ASSISTANTS EMPLOYED BY THE 
      DEPARTMENT OF VETERANS AFFAIRS RECEIVE COMPETITIVE PAY.
    Section 7451(a)(2) of title 38, United States Code, is amended--
        (1) by redesignating subparagraph (B) as subparagraph (C);
        (2) by inserting after subparagraph (A) the following new 
    subparagraph (B):
        ``(B) Physician assistant.''; and
        (3) in subparagraph (C), as redesignated by paragraph (1), by 
    striking ``and registered nurse'' and inserting ``registered nurse, 
    and physician assistant''.
    SEC. 213. EXPANSION OF DIRECT-HIRING AUTHORITY FOR DEPARTMENT OF 
      VETERANS AFFAIRS IN CASE OF SHORTAGE OF HIGHLY QUALIFIED 
      CANDIDATES.
    Section 3304(a)(3)(B) of title 5, United States Code, is amended by 
inserting ``(or, with respect to the Department of Veterans Affairs, 
that there exists a severe shortage of highly qualified candidates)'' 
after ``severe shortage of candidates''.
    SEC. 214. COMPTROLLER GENERAL OF THE UNITED STATES ASSESSMENT OF 
      SUCCESSION PLANNING AT DEPARTMENT OF VETERANS AFFAIRS.
    (a) Assessment.--
        (1) In general.--The Comptroller General of the United States 
    shall assess the extent to which key succession planning policies 
    and guidance at the Department of Veterans Affairs, including the 
    Veterans Health Administration, the Veterans Benefits 
    Administration, and the National Cemetery Administration, are 
    consistent with leading practices for succession and workforce 
    planning identified by Comptroller General.
        (2) Additional matters.--In carrying out the assessment 
    required by paragraph (1), the Comptroller General may assess such 
    other matters as the Comptroller General considers appropriate.
    (b) Report.--Not later than two years after the date of the 
enactment of this Act, the Comptroller General shall submit to the 
Committee on Veterans' Affairs of the Senate and the Committee on 
Veterans' Affairs of the House of Representatives a report on the 
assessment carried out under subsection (a).
    (c) Sense of Congress on Study on Compliance With Policies and 
Guidance.--It is the sense of Congress that--
        (1) the Comptroller General should conduct a study to examine 
    the extent to which a sampling of installations of the Department 
    of Veterans Affairs are complying with policies and guidance of the 
    Department, as well as applicable leading practices; and
        (2) the scope and timeframe of a study conducted as described 
    in paragraph (1) may be dependent upon the findings of the 
    Comptroller General with respect to the assessment carried out 
    under subsection (a).

                TITLE III--MAJOR MEDICAL FACILITY LEASES

    SEC. 301. AUTHORIZATION OF CERTAIN MAJOR MEDICAL FACILITY LEASES OF 
      THE DEPARTMENT OF VETERANS AFFAIRS.
    The Secretary of Veterans Affairs may carry out the following major 
medical facility leases at the locations specified and in an amount for 
each lease not to exceed the amount specified for such location (not 
including any estimated cancellation costs):
        (1) For a replacement outpatient clinic, Ann Arbor, Michigan, 
    an amount not to exceed $4,247,000.
        (2) For a new outpatient mental health clinic, Birmingham, 
    Alabama, an amount not to exceed $6,649,000.
        (3) For new research space, Boston, Massachusetts, an amount 
    not to exceed $6,224,000.
        (4) For a replacement research space, Charleston, South 
    Carolina, an amount not to exceed $7,274,000.
        (5) For a replacement outpatient clinic, Corpus Christi, Texas, 
    an amount not to exceed $6,556,000.
        (6) For a replacement outpatient clinic, Daytona Beach, 
    Florida, an amount not to exceed $12,198,000.
        (7) For a replacement Chief Business Office Purchased Care 
    office space, Denver, Colorado, an amount not to exceed 
    $14,784,000.
        (8) For a replacement outpatient clinic, Fredericksburg, 
    Virginia, an amount not to exceed $45,015,000.
        (9) For a new outpatient clinic, Gainesville, Florida, an 
    amount not to exceed $7,891,000.
        (10) For an outpatient mental health clinic, Gainesville, 
    Florida, an amount not to exceed $4,320,000.
        (11) For a replacement outpatient clinic, Hampton Roads, 
    Virginia, an amount not to exceed $18,141,000.
        (12) For a replacement outpatient clinic, Indianapolis, 
    Indiana, an amount not to exceed $7,876,000.
        (13) For a replacement outpatient clinic, Jacksonville, 
    Florida, an amount not to exceed $18,623,000.
        (14) For a replacement outpatient clinic, Missoula, Montana, an 
    amount not to exceed $6,942,000.
        (15) For a replacement outpatient mental health clinic, 
    Northern Colorado, Colorado, an amount not to exceed $8,904,000.
        (16) For a replacement outpatient clinic, Ocala, Florida, an 
    amount not to exceed $5,026,000.
        (17) For a new outpatient clinic, Oxnard, California, an amount 
    not to exceed $5,274,000.
        (18) For a new outpatient clinic, Pike County, Georgia, an 
    amount not to exceed $5,565,000.
        (19) For a new outpatient clinic, Pittsburgh, Pennsylvania, an 
    amount not to exceed $6,247,000.
        (20) For a replacement outpatient clinic, Portland, Maine, an 
    amount not to exceed $6,808,000.
        (21) For a replacement outpatient clinic, Raleigh, North 
    Carolina, an amount not to exceed $21,870,000.
        (22) For a replacement outpatient clinic, phase II, Rochester, 
    New York, an amount not to exceed $3,645,000.
        (23) For a replacement research space, San Diego, California, 
    an amount not to exceed $4,852,000.
        (24) For a new outpatient clinic, Santa Rosa, California, an 
    amount not to exceed $6,922,000.
        (25) For a replacement mental health clinic, Tampa, Florida, an 
    amount not to exceed $13,387,000.
        (26) For a replacement outpatient clinic, Lakeland, Tampa, 
    Florida, an amount not to exceed $10,760,000.
        (27) For a replacement outpatient clinic, Terre Haute, Indiana, 
    an amount not to exceed $4,102,000.
        (28) For a replacement outpatient clinic, Rapid City, South 
    Dakota, an amount not to exceed $4,532,000.
    SEC. 302. AUTHORIZATION OF APPROPRIATIONS FOR MEDICAL FACILITY 
      LEASES.
    There is authorized to be appropriated to the Secretary of Veterans 
Affairs for fiscal year 2018 or the year in which funds are 
appropriated for the Medical Facilities account $274,634,000 for the 
major medical facility leases authorized in section 301.

                        TITLE IV--OTHER MATTERS

    SEC. 401. EXTENSION OF REDUCTION IN AMOUNT OF PENSION FURNISHED BY 
      DEPARTMENT OF VETERANS AFFAIRS FOR CERTAIN VETERANS COVERED BY 
      MEDICAID PLANS FOR SERVICES FURNISHED BY NURSING FACILITIES.
    Section 5503(d)(7) of title 38, United States Code, is amended by 
striking ``September 30, 2024'' and inserting ``September 30, 2027''.
    SEC. 402. EXTENSION OF REQUIREMENT FOR COLLECTION OF FEES FOR 
      HOUSING LOANS GUARANTEED BY SECRETARY OF VETERANS AFFAIRS.
    Section 3729(b)(2) of title 38, United States Code, is amended--
        (1) in subparagraph (A)--
            (A) in clause (iii), by striking ``September 30, 2024'' and 
        inserting ``September 30, 2027''; and
            (B) in clause (iv), by striking ``September 30, 2024'' and 
        inserting ``September 30, 2027'';
        (2) in subparagraph (B)--
            (A) in clause (i), by striking ``September 30, 2024'' and 
        inserting ``September 30, 2027''; and
            (B) in clause (ii), by striking ``September 30, 2024'' and 
        inserting ``September 30, 2027'';
        (3) in subparagraph (C)--
            (A) in clause (i), by striking ``September 30, 2024'' and 
        inserting ``September 30, 2027''; and
            (B) in clause (ii), by striking ``September 30, 2024'' and 
        inserting ``September 30, 2027''; and
        (4) in subparagraph (D)--
            (A) in clause (i), by striking ``September 30, 2024'' and 
        inserting ``September 30, 2027''; and
            (B) in clause (ii), by striking ``September 30, 2024'' and 
        inserting ``September 30, 2027''.
    SEC. 403. EXTENSION OF AUTHORITY TO USE INCOME INFORMATION.
    Section 5317(g) of title 38, United States Code, is amended by 
striking ``September 30, 2024'' and inserting ``September 30, 2027''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
```