II 

118TH CONGRESS 

2D SESSION S. 4176 

To authorize major medical facility projects for the Department of Veterans 

Affairs for fiscal year 2024, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

APRIL 18, 2024 

Mr. TESTER (for himself, Mr. MORAN, Mrs. MURRAY, Mr. CORNYN, Mr. 

BLUMENTHAL, Mr. MURPHY, Ms. ROSEN, Ms. CORTEZ MASTO, Mr. 

WYDEN, Mr. MERKLEY, Mr. PADILLA, and Ms. BUTLER) introduced the 

following bill; which was read twice and referred to the Committee on 

Veterans’ Affairs 

A BILL 

To authorize major medical facility projects for the Department of Veterans Affairs for fiscal year 2024, and for 

other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Fiscal Year 2024 Vet5 erans Affairs Major Medical Facility Authorization Act’’. 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
2 

•S 4176 IS

1 SEC. 2. AUTHORIZATION OF MAJOR MEDICAL FACILITY 

2 PROJECTS OF DEPARTMENT OF VETERANS 

3 AFFAIRS FOR FISCAL YEAR 2024. 

4 (a) IN GENERAL.—The Secretary of Veterans Affairs 

5 may carry out the following major medical facility projects 

6 in fiscal year 2024 at the locations specified and in an 

7 amount for each project not to exceed the amount speci8 fied for such location: 

9 (1) Construction of a new specialty care build10 ing 201, renovation of building 18, and expansion of 

11 parking facilities in American Lake, Washington, in 

12 an amount not to exceed $155,600,000. 

13 (2) Expansion of clinical space for mental 

14 health, expansion of parking facilities, and land ac15 quisition in Dallas, Texas, in an amount not to ex16 ceed $528,400,000. 

17 (3) Construction of a new health care center 

18 and utility plant in El Paso, Texas, in an amount 

19 not to exceed $759,200,000. 

20 (4) Replacement of community living center and 

21 expansion of parking facilities in Perry Point, Mary22 land, in an amount not to exceed $274,310,000. 

23 (5) Seismic retrofit and renovation of buildings 

24 100 and 101, roadway and site improvements, con25 struction of a new specialty care facility, and demoliVerDate Sep 11 2014 03:56 May 03, 2024 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S4176.IS S4176

kjohnson on DSK7ZCZBW3PROD with $$_JOB
3 

•S 4176 IS

1 tion and expansion of parking facilities in Portland, 

2 Oregon, in an amount not to exceed $613,000,000. 

3 (6) Initiation of replacement of the medical cen4 ter of the Sierra Nevada Health Care System of the 

5 Department of Veterans Affairs, including land ac6 quisition and preliminary site work, in Reno, Ne7 vada, in an amount not to exceed $223,800,000. 

8 (7) Construction of a new spinal cord injury 

9 building, partial renovation of building 1, parking 

10 facilities, central utility plant upgrades, and seismic 

11 retrofit of the existing spinal cord injury building 11 

12 at the San Diego Health Care System of the De13 partment in San Diego, California, in an amount not 

14 to exceed $311,700,000. 

15 (8) Construction of a new research facility, 

16 parking structure, and demolition in San Francisco, 

17 California, in an amount not to exceed 

18 $264,500,000. 

19 (9) Seismic corrections for building 1, construc20 tion of a new administrative building, and expansion 

21 of the outpatient clinic and parking structure in San 

22 Juan, Puerto Rico, in an amount not to exceed 

23 $370,370,000. 

24 (10) Phase 1 of the replacement of bed tower, 

25 expansion of clinical building, consolidation of adVerDate Sep 11 2014 03:56 May 03, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S4176.IS S4176

kjohnson on DSK7ZCZBW3PROD with $$_JOB
4 

•S 4176 IS

1 ministrative building and warehouse, water tower, 

2 and new utility plant and parking garages in St. 

3 Louis, Missouri, in an amount not to exceed 

4 $599,840,000. 

5 (11) Construction of a new surgical and clinical 

6 space tower, renovation of buildings 1 and 2, and 

7 demolition in West Haven, Connecticut, in an 

8 amount not to exceed $502,409,000. 

9 (b) AUTHORIZATION OF APPROPRIATIONS.—There is 

10 authorized to be appropriated to the Secretary of Veterans 

11 Affairs for fiscal year 2024 or the year in which funds 

12 are appropriated for the Construction, Major Projects ac13 count, $4,603,129,000 for the projects authorized in sub14 section (a). 

Æ 


kjohnson on DSK7ZCZBW3PROD with $$_JOB