II 

Calendar No. 24 

118TH CONGRESS 

1ST SESSION S. 30 

To authorize major medical facility projects for the Department of Veterans 

Affairs for fiscal year 2023, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JANUARY 24 (legislative day, JANUARY 3), 2023 

Mr. TESTER (for himself and Mr. MORAN) introduced the following bill; which 

was read twice and referred to the Committee on Veterans’ Affairs 

MARCH 7, 2023 

Reported by Mr. TESTER, with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

A BILL 

To authorize major medical facility projects for the Department of Veterans Affairs for fiscal year 2023, 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 2023 Vet5 erans Affairs Major Medical Facility Authorization Act’’. 


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1 SEC. 2. AUTHORIZATION OF MAJOR MEDICAL FACILITY 

2 PROJECTS OF DEPARTMENT OF VETERANS 

3 AFFAIRS FOR FISCAL YEAR 2023. 

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

5 may carry out the following major medical facility projects 

6 in fiscal year 2023 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 community-based out10 patient clinic and national cemetery in Alameda, 

11 California, in an amount not to exceed 

12 $395,000,000. 

13 (2) Construction of a community living center 

14 and renovation of domiciliary and outpatient facili15 ties in Canandaigua, New York, in an amount not 

16 to exceed $506,400,000. 

17 (3) Construction of a new health care center in 

18 El Paso, Texas, in an amount not to exceed 

19 $700,000,000. 

20 (4) Seismic upgrade and specialty care improve21 ments in Fort Harrison, Montana, in an amount not 

22 to exceed $88,600,000. 

23 (5) Realignment and closure of the Livermore 

24 campus in Livermore, California, in an amount not 

25 to exceed $490,000,000. 


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1 (6) Construction of a new medical facility in 

2 Louisville, Kentucky, in an amount not to exceed 

3 $1,013,000,000. 

4 (7) Seismic retrofit and renovation of buildings 

5 100 and 101 in Portland, Oregon, in an amount not 

6 to exceed $523,000,000. 

7 (8) Replacement of the VA Sierra Nevada 

8 Health Care System Medical Center in Reno, Ne9 vada, in an amount not to exceed $223,800,000. 

10 (b) AUTHORIZATION OF APPROPRIATIONS.—There is 

11 authorized to be appropriated to the Secretary of Veterans 

12 Affairs for fiscal year 2023 or the year in which funds 

13 are appropriated for the Construction, Major Projects ac14 count, $3,939,800,000 for the projects authorized in sub15 section (a). 

16 SECTION 1. SHORT TITLE. 

17 This Act may be cited as the ‘‘Fiscal Year 2023 Vet18 erans Affairs Major Medical Facility Authorization Act’’. 

19 SEC. 2. AUTHORIZATION OF MAJOR MEDICAL FACILITY 

20 PROJECTS OF DEPARTMENT OF VETERANS 

21 AFFAIRS FOR FISCAL YEAR 2023. 

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

23 may carry out the following major medical facility projects 

24 in fiscal year 2023 at the locations specified and in an 


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•S 30 RS

1 amount for each project not to exceed the amount specified 

2 for such location: 

3 (1) Construction of a community-based out4 patient clinic and national cemetery in Alameda, 

5 California, in an amount not to exceed $395,000,000. 

6 (2) Construction of a community living center 

7 and renovation of domiciliary and outpatient facili8 ties in Canandaigua, New York, in an amount not to 

9 exceed $506,400,000. 

10 (3) Construction of a new health care center in 

11 El Paso, Texas, in an amount not to exceed 

12 $700,000,000. 

13 (4) Seismic upgrade and specialty care improve14 ments in Fort Harrison, Montana, in an amount not 

15 to exceed $88,600,000. 

16 (5) Realignment and closure of the Livermore 

17 campus in Livermore, California, in an amount not 

18 to exceed $490,000,000. 

19 (6) Construction of a new medical facility in 

20 Louisville, Kentucky, in an amount not to exceed 

21 $1,013,000,000. 

22 (7) Seismic retrofit and renovation, roadway 

23 and site improvements, construction of a new spe24 cialty care facility, demolition, and expansion of 


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1 parking facilities in Portland, Oregon, in an amount 

2 not to exceed $523,000,000. 

3 (b) AUTHORIZATION OF APPROPRIATIONS.—There is 

4 authorized to be appropriated to the Secretary of Veterans 

5 Affairs for fiscal year 2023 or the year in which funds are 

6 appropriated for the Construction, Major Projects account, 

7 $3,716,000,000 for the projects authorized in subsection (a). 


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Calendar No. 24 

118TH CONGRESS 

1ST SESSION S. 30 

A BILL 

To authorize major medical facility projects for the 

2023, and for other purposes. Department of Veterans Affairs for fiscal year 

MARCH 7, 2023 

Reported with an amendment 


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