52–503 PDF 

Calendar No. 110 

118TH CONGRESS REPORT " ! SENATE 1st Session 118–43 

MILITARY CONSTRUCTION, VETERANS AFFAIRS, AND 

RELATED AGENCIES APPROPRIATION BILL, 2024 

JUNE 22, 2023.—Ordered to be printed 

Mrs. MURRAY, from the Committee on Appropriations, 

submitted the following 

R E P O R T 

[To accompany S. 2127] 

The Committee on Appropriations reports the bill (S. 2127) making appropriations for military construction, the Department of 

Veterans Affairs, and related agencies for the fiscal year ending 

September 30, 2024, and for other purposes, reports favorably 

thereon and recommends that the bill do pass. 

Amounts in new budget authority 

Total of bill as reported to the Senate ....................$338,267,114,000 

Amount of 2023 appropriations ............................... 333,860,762,000 

Amount of 2024 budget estimate ............................ 380,539,671,000 

Bill as recommended to Senate compared to— 

2023 appropriations .......................................... ∂4,406,352,000 

2024 budget estimate ........................................ ¥42,272,557,000 
(2) 

C O N T E N T S 

Page 

Title I: 

Military Construction: 

Hearing ...................................................................................................... 4 

Summary of Committee Recommendations ............................................ 4 

Reprogramming Guidelines ...................................................................... 4 

Real Property Maintenance ...................................................................... 4 

Incremental Funding ................................................................................ 5 

Military Construction Overview ...................................................................... 7 

Military Construction, Army ........................................................................... 7 

Military Construction, Navy and Marine Corps ............................................ 9 

Military Construction, Air Force ..................................................................... 9 

Military Construction, Defense-Wide .............................................................. 13 

Military Construction, Army National Guard ................................................ 13 

Military Construction, Air National Guard .................................................... 15 

Military Construction, Army Reserve ............................................................. 16 

Military Construction, Navy Reserve ............................................................. 17 

Military Construction, Air Force Reserve ....................................................... 17 

North Atlantic Treaty Organization Security Investment Program ............ 17 

Department of Defense Base Closure Account ............................................... 17 

Family Housing Overview ............................................................................... 18 

Family Housing Construction, Army .............................................................. 19 

Family Housing Operation and Maintenance, Army ..................................... 19 

Family Housing Construction, Navy and Marine Corps ............................... 19 

Family Housing Operation and Maintenance, Navy and Marine Corps ..... 19 

Family Housing Construction, Air Force ........................................................ 20 

Family Housing Operation and Maintenance, Air Force .............................. 20 

Family Housing Operation and Maintenance, Defense-Wide ....................... 20 

Department of Defense Family Housing Improvement Fund ....................... 20 

Department of Defense Military Unaccompanied Housing Improvement 

Fund ............................................................................................................... 20 

Administrative Provisions ................................................................................ 21 

Title II: 

Department of Veterans Affairs: 

Hearing ...................................................................................................... 24 

Summary of Committee Recommendations ............................................ 24 

Department Overview ............................................................................... 24 

Veterans Benefits Administration ................................................................... 25 

Compensation and Pensions ..................................................................... 26 

Readjustment Benefits .............................................................................. 27 

Veterans Insurance and Indemnities ...................................................... 28 

Veterans Housing Benefit Program Fund ............................................... 29 

Vocational Rehabilitation Loans Program Account ................................ 29 

Native American Veteran Housing Loan Program Account .................. 30 

General Operating Expenses, Veteran Benefits Administration ........... 31 

Veterans Health Administration ..................................................................... 33 

Medical Services ........................................................................................ 37 

Preventing Veteran Homelessness ........................................................... 38 

Telehealth Services ................................................................................... 40 

Mental Health/Preventing Veterans Suicide .......................................... 40 

Long-Term Care ........................................................................................ 41 

Rural Healthcare ....................................................................................... 42 

Caregivers .................................................................................................. 43 

Women Veterans Healthcare .................................................................... 43 

Clinical Workforce ..................................................................................... 44 
Page

3 

Title II—Continued 

Veterans Health Administration—Continued 

Other Items of Interest ............................................................................. 44 

Medical Community Care ......................................................................... 49 

Medical Support and Compliance ............................................................ 50 

Medical Facilities ...................................................................................... 50 

Medical and Prosthetic Research ............................................................. 51 

Medical Care Cost Recovery Collections .................................................. 53 

Medical Care Collection Fund—Revenues Applied ................................ 54 

National Cemetery Administration ................................................................. 54 

Departmental Administration ......................................................................... 55 

General Administration ............................................................................ 56 

Board of Veterans Appeals ....................................................................... 58 

Information Technology Systems ............................................................. 59 

Veterans Electronic Health Record .......................................................... 61 

Office of Inspector General ....................................................................... 62 

Construction, Major Projects .................................................................... 63 

Construction, Minor Projects .................................................................... 64 

Grants for Construction of State Extended Care Facilities ................... 65 

Grants for Construction of Veterans Cemeteries .................................... 66 

Cost of War Toxic Exposures Fund .......................................................... 67 

Program Overview ............................................................................................ 67 

Administrative Provisions ................................................................................ 68 

Title III: 

Related Agencies: 

American Battle Monuments Commission: 

Salaries and Expenses ....................................................................... 72 

Foreign Currency Fluctuations ......................................................... 72 

United States Court of Appeals for Veterans Claims: Salaries and 

Expenses ................................................................................................. 72 

Department of Defense—Civil: Cemeterial Expenses, Army: 

Salaries and Expenses ....................................................................... 73 

Construction ....................................................................................... 74 

Armed Forces Retirement Home: Trust Fund ........................................ 74 

Trust Fund ................................................................................................. 74 

Administrative Provision .......................................................................... 74 

Title IV: 

General Provisions ................................................................................................... 75 

Program, Project, and Activity ............................................................................... 76 

Compliance With Paragraph 7, Rule XVI, of the Standing Rules of the 

Senate ................................................................................................................... 76 

Compliance With Paragraph 7(c), Rule XXVI of the Standing Rules of the 

Senate ................................................................................................................... 78 

Compliance With Paragraph 12, Rule XXVI of the Standing Rules of the 

Senate ................................................................................................................... 79 

Budgetary Impact of Bill ......................................................................................... 79 

Military Construction Project Listing by Location ................................................ 80 

Disclosure of Congressionally Directed Spending Items ...................................... 100 

Comparative Statement of Budget Authority ........................................................ 106 
(4) 

TITLE I 

MILITARY CONSTRUCTION 

HEARING

The Subcommittee on Military Construction, Veterans Affairs, 

and Related Agencies held one hearing related to the fiscal year 

2024 military construction budget request. Witnesses included representatives of the Army, Navy, Marine Corps, Air Force, Space 

Force, and the Office of the Secretary of Defense. 

SUMMARY OF COMMITTEE RECOMMENDATIONS

The fiscal year 2024 budget request for military construction and 

family housing totals $16,674,944,000. The Committee recommends 

$19,070,000,000, which is $2,395,056,000 above the President’s 

budget request. 

REPROGRAMMING GUIDELINES

The following reprogramming guidelines apply for all military 

construction and family housing projects. A project or account (including the sub-elements of an account) which has been specifically 

reduced by the Congress in acting on the budget request is considered to be a congressional interest item and as such, prior approval 

is required. Accordingly, no reprogrammings to an item specifically 

reduced below the threshold by the Congress are permitted. 

Recognizing the increased cost and complexity of military construction projects, the Committee maintains the increased reprogramming threshold to enable the Department to be more agile 

and reduce delays associated with cost overruns. The reprogramming criteria that apply to military construction projects, as well 

as new housing construction projects and improvements, is 

$6,000,000 or 25 percent of the funded amount, whichever is less. 

To provide the Services the flexibility to proceed with construction 

contracts without disruption or delay, the costs associated with environmental hazard remediation such as asbestos removal, radon 

abatement, lead-based paint removal or abatement, and any other 

legislated environmental hazard remediation may be excluded, provided that such remediation requirements could not be reasonably 

anticipated at the time of the budget submission. This exclusion 

applies to projects authorized in this budget year, as well as 

projects authorized in prior years for which construction has not 

been completed. 

Furthermore, in instances where prior approval of a reprogramming request for a project or account has been received from the 

Committee, the adjusted amount approved becomes the new base 

for any future increase or decrease via below-threshold 
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reprogrammings (provided that the project or account is not a congressional interest item as defined above). 

In addition to these guidelines, the Services are directed to adhere to the guidance for military construction reprogrammings and 

notifications, including the pertinent statutory authorities contained in Department of Defense [DoD] Financial Management 

Regulation 7000.14–R and relevant updates and policy memoranda. 

REAL PROPERTY MAINTENANCE

The Committee recommends a continuation of the following general rules for repairing a facility under ‘‘Operation and Maintenance’’ account funding: 

—Components of the facility may be repaired by replacement, 

and such replacement may be up to current standards or code. 

—Interior arrangements and restorations may be included as repair, but additions and new facilities must be performed as 

military construction projects. 

—Such projects may be done concurrent with repair projects, as 

long as the final conjunctively funded project is a complete and 

usable facility. 

—The appropriate Service Secretary shall submit a notification 

prior to carrying out any repair project with an estimated cost 

in excess of $7,500,000. 

The Department is directed to continue to report on the real 

property maintenance backlog at all installations for which there 

is a requested construction project in future budget requests. This 

information is to be provided on the form 1390. In addition, for all 

troop housing requests, the form 1391 is to continue to show all 

real property maintenance conducted in the past 2 years and all future requirements for unaccompanied housing at that installation. 

INCREMENTAL FUNDING

In general, the Committee supports full funding for military construction projects. However, it continues to be the practice of the 

Committee to provide incremental funding for certain large projects 

to enable the services to more efficiently allocate military construction dollars among projects that can be executed in the year of appropriation. Therefore, the Committee has recommended incremental funding for three projects. 

Strategic Construction in the Indo-Pacific Region.—The Committee is pleased to see that the Department’s request includes approximately $2,000,000,000 in military construction investments in 

direct support of the Pacific Deterrence Initiative. Further, the 

Committee continues to support efforts to execute emergent requirements and accelerate construction investments in the Indo-Pacific Command [INDOPACOM] region and has provided additional 

resources above the President’s budget request over the past 4 

years for this purpose. The Committee provides an additional 

$112,000,000 in planning and design and unspecified minor construction for projects in INDOPACOM that support National Defense Strategy objectives to sustain joint force military advantages, 

enable allies and partners, and deter adversaries from aggression 

against our National interest, and encourages the Department to 

leverage existing authorities to enable rapid execution of emergent 
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requirements. The Committee notes that the additional unspecified 

minor construction funds provided are not limited to the Exercise 

Related Construction program but are available for any unspecified 

minor construction undertaken by INDOPACOM. 

Military Installation Resilience.—Since fiscal year 2020, the Committee has provided dedicated planning and design and unspecified 

minor construction funding to support installation resilience. The 

primary intent of this funding has been to develop and carry out 

projects that mitigate climate change risks to military installations. 

The Committee believes that such investments are critical to installation readiness and therefore provides $30,000,000 for planning and design and unspecified minor construction in Section 128 

to continue to develop projects, conduct studies and analyses, and 

update Unified Facility Criteria that will directly enhance military 

installation resilience. 

Child Development Centers [CDCs].—The Committee continues to 

recognize the importance of access to childcare in improving both 

readiness and quality of life for servicemembers and their families. 

In order to help address the significant capacity shortfall, in addition to providing $240,820,000 to fully fund the five CDCs included 

in the President’s request, the bill provides an additional 

$59,500,000 in planning and design funding to help develop future 

construction projects. The Committee encourages the Services to 

continue to focus on improving and replacing aging facilities, especially at underserved installations. Further, the Committee appreciates the information provided in prior reports but notes that outstanding concerns still exist about inadequate infrastructure and 

the Department’s ability to meet demand. Therefore, the Committee directs the Service Secretaries to provide an assessment to 

the Committees on Appropriations of both Houses of Congress 

within 120 days of enactment of this act on capacity, funding, and 

infrastructure shortfalls, identified by State, that limit the Department’s ability to meet demand for CDCs. 

Defense of Guam Infrastructure.—The Committee supports the 

overarching mission of the Enhanced Integrated Air & Missile Defense [EIAMD] system on Guam and recognizes the significant associated environmental, planning, and construction activities that 

must be undertaken to stand up the program. In addition to beddown of the missile system, this requires investments in support 

infrastructure for the personnel that will be operating it. The Committee notes that such base operations construction is not scheduled to be requested until fiscal year 2026 and is concerned that 

the Department is not adequately synchronizing support infrastructure that complements deployment of the EIAMD system. The 

Committee encourages the Secretary of Defense, in coordination 

with the Director of the Missile Defense Agency, the Secretary of 

the Army, and other stakeholders as necessary, to ensure that both 

operational and support infrastructure are adequately prioritized 

and synchronized within the Defense of Guam program. 

Military Construction Funding Initiatives.—The bill includes 

funding to address important unfunded priorities and cost to completes included in DoD’s unfunded priority lists provided to Congress. This includes an additional $38,514,000 for the Army, 

$351,100,000 for the Navy and Marine Corps, $66,000,000 for the 
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Air Force, $117,100,000 for Defense-Wide, $89,500,000 for the 

Army National Guard, $5,200,000 for the Air National Guard, and 

$23,000,000 for the Army Reserve. This additional funding is reserved for projects that were included in the unfunded priority lists 

submitted to Congress. Further, the bill includes funding to address rising costs due to inflation. 

Congressionally Directed Spending.—The Committee includes 

Congressionally Directed Spending for planning and design, unspecified minor construction, and major construction in accordance 

with Senate Rule XLIV. DoD is directed to carry out funding for 

projects as identified in tables under each relevant account header. 

MILITARY CONSTRUCTION OVERVIEW

Appropriations, 2023 ............................................................................. $12,989,554,000 

Budget estimate, 2024 ........................................................................... 14,734,193,000 

Committee recommendation ................................................................. 16,006,435,000 

MILITARY CONSTRUCTION ACCOUNTS—PROGRAM DESCRIPTION

The military construction appropriation provides for acquisition, 

construction, installation, and equipment of temporary or permanent public works, military installations, facilities, and real property for the Department of Defense. This appropriation also funds 

infrastructure projects and programs required to support bases and 

installations around the world. 

MILITARY CONSTRUCTION, ARMY

Appropriations, 2023 ............................................................................. $1,553,825,000 

Budget estimate, 2024 ........................................................................... 1,470,555,000 

Committee recommendation ................................................................. 1,876,875,000 

COMMITTEE RECOMMENDATION

The Committee recommends $1,876,875,000 for Military Construction, Army for fiscal year 2024. This amount is $323,050,000 

above the fiscal year 2023 enacted level and $406,320,000 above 

the budget request. Within the total for Military Construction, 

Army, $376,320,000 is for the following projects in the following 

amounts: 

MILITARY CONSTRUCTION, ARMY 

[In thousands of dollars] 

State Location Project Amount 

Alabama ....................... Fort Novosel (Fort Rucker) ... Adv Individual Training Barracks Complex: Cost to 

Complete.

41,200 

Alabama ....................... Fort Novosel (Fort Rucker) ... Aircraft Parts Storage Facility: Unspecified Minor 

Construction.

4,950 

Alabama ....................... Fort Novosel (Fort Rucker) ... Army Radar Approach Control Facility: Unspecified 

Minor Construction.

7,000 

Alabama ....................... Fort Novosel (Fort Rucker) ... Hazardous Material Storage Building: Unspecified 

Minor Construction.

3,850 

Alabama ....................... Fort Novosel (Fort Rucker) ... Ready Building—MEDEVAC: Unspecified Minor 

Construction.

6,100 

Alabama ....................... Fort Novosel (Fort Rucker) ... Vehicle Maintenance Storage Facility: Unspecified 

Minor Construction.

5,100 

Alabama ....................... Redstone Arsenal ................. Access Control Building: Unspecified Minor Construction.4,000 
8 

MILITARY CONSTRUCTION, ARMY—Continued 

[In thousands of dollars] 

State Location Project Amount 

Alabama ....................... Redstone Arsenal ................. Airfield Fire and Rescue Station: Unspecified Minor 

Construction.

5,600 

Alabama ....................... Redstone Arsenal ................. Airport Runway Extension (Overruns): Unspecified 

Minor Construction.

5,500 

Alabama ....................... Redstone Arsenal ................. Natural Gas Expansion and Meter Station: Unspecified Minor Construction.4,800 

Alabama ....................... Redstone Arsenal ................. Test Area 7 Relocation: Unspecified Minor Construction.5,400 

Alaska ........................... Fort Wainwright ................... Soldier Performance Readiness Center: Planning 

and Design.

7,900 

Georgia ......................... Fort Moore (Fort Benning) ... Camp Merrill AST Barracks: Planning and Design .. 1,320 

Georgia ......................... Fort Stewart/Hunter Army 

Airfield.

Combat Aviation Brigade GSAB Hangar: Planning 

and Design.

6,400 

Georgia ......................... Fort Stewart/Hunter Army 

Airfield.

Military Intelligence Battalion Hangar: Planning 

and Design.

2,220 

Hawaii .......................... Fort Shafter .......................... Clearwell and Booster Pump .................................... 23,000 

Hawaii .......................... Helemano Military Reservation.Well and Storage Tanks ........................................... 33,000 

Hawaii .......................... Schofield Barracks ............... Elevated Tank and Distribution Line ........................ 16,000 

Hawaii .......................... Schofield Barracks ............... Water Storage Tank .................................................. 21,000 

Kansas .......................... Fort Riley .............................. Air Traffic Control Tower: Planning and Design ...... 1,600 

Kansas .......................... Fort Riley .............................. Automated Infantry Platoon Battle Course: Unspecified Minor Construction.8,700 

Kansas .......................... Fort Riley .............................. Bob Dole Intermodal Railyard Improvements: Planning and Design.1,110 

Louisiana ...................... Fort Johnson (Fort Polk) ....... Multipurpose Athletic Field ....................................... 13,400 

Michigan ....................... Detroit Arsenal ..................... Manned/Unmanned Tactical Vehicle Lab: Planning 

and Design.

2,400 

New Mexico ................... White Sands Missile Range El Paso Gate Access Control Point: Unspecified 

Minor Construction.

3,600 

New Mexico ................... White Sands Missile Range Guided Missile Building Expansion: Unspecified 

Minor Construction.

5,600 

New Mexico ................... White Sands Missile Range High Energy Laser Systems Test Facility Fire Station: Unspecified Minor Construction.4,450 

New Mexico ................... White Sands Missile Range J–DETC Directed Energy Facility: Planning and Design.3,060 

New Mexico ................... White Sands Missile Range Main Post Fire Station: Unspecified Minor Construction.8,200 

Pennsylvania ................ Letterkenny Army Depot ....... Component Rebuild Shop, Depot Level: Unspecified 

Minor Construction.

2,500 

South Carolina ............. Fort Jackson ......................... Reception Barracks Complex, Ph2: Cost to Complete.101,000 

Washington ................... Joint Base Lewis-McChord ... Barracks: Planning and Design ............................... 7,900 

Washington ................... Yakima Training Center ....... Automated Infantry Platoon Battle Course: Planning 

and Design.

960 

Washington ................... Joint Base Lewis-McChord ... Vehicle Maintenance Shop: Planning and Design ... 7,500 

Further detail of the Committee’s recommendation is provided in 

the State table at the end of this report. 

Army Air Traffic Control Towers.—The Committee continues to 

recognize the importance of Army Air Traffic Control Towers, 

which control aircraft approaching and departing the terminal area 

and aircraft and vehicular movement on the runways, taxiways, 

and all other movement areas. They are the nerve center for an air 

installation complex and are critical to operational success, however, some current Army towers are antiquated and unsafe. The 

Committee encourages the Army to allocate sufficient funding for 

these critical facilities in future budget requests. 
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MILITARY CONSTRUCTION, NAVY AND MARINE CORPS

Appropriations, 2023 ............................................................................. $4,345,320,000 

Budget estimate, 2024 ........................................................................... 6,022,187,000 

Committee recommendation ................................................................. 6,046,309,000 

COMMITTEE RECOMMENDATION

The Committee recommends $6,046,309,000 for Military Construction, Navy and Marine Corps for fiscal year 2024. This 

amount is $1,700,989,000 above the fiscal year 2023 enacted level 

and $24,122,000 above the budget request. Within the total for 

Military Construction, Navy and Marine Corps, $282,880,000 is for 

the following projects in the following amounts: 

MILITARY CONSTRUCTION, NAVY AND MARINE CORPS 

[In thousands of dollars] 

State Location Project Amount 

Arizona .......................... Marine Corps Air Station 

Yuma.

Water Treatment Plant: Planning and Design ......... 8,900 

California ...................... Naval Base Coronado .......... Child Development Center: Planning and Design .... 6,200 

California ...................... Naval Base San Diego ......... Child Development Center: Planning and Design .... 5,600 

Hawaii .......................... Joint Base Pearl HarborHickam.Dry Dock 3 Replacement .......................................... 90,000 

Hawaii .......................... Joint Base Pearl HarborHickam.Waterfront Production Facility: Planning and Design 49,080 

Hawaii .......................... Marine Corps Base Hawaii .. Water Reclamation Facility Compliance Upgrade .... 109,000 

Maryland ....................... Naval Support Activity Bethesda.Construct Joint Navy/DHA Fire Station: Planning 

and Design.

3,000 

Washington ................... Naval Air Station Whidbey 

Island.

E/A–18G Aircraft Regional Service Facility: Planning and Design.11,100 

Further detail of the Committee’s recommendation is provided in 

the State table at the end of this report. 

Naval Shipyard Modernization.—The Committee supports the 

Department’s Shipyard Infrastructure Optimization Plan [SIOP] 

and believes the restoration of deferred maintenance availabilities 

along with the public shipyard dry dock investments recommended 

by the plan are critical. The Committee urges the Secretary of the 

Navy to prioritize the timely funding of public shipyard infrastructure, and in particular, the dry dock and shore infrastructure necessary to support critical maintenance of surface and submarine 

fleets by public shipyards. Recognizing the importance of SIOP and 

the need to adequately resource the development of future projects, 

in addition to fully funding the budget request of $2,285,000,000, 

the Committee further provides $164,080,000 above the request to 

advance design efforts as well as to meet additional construction 

costs that have been identified. 

Seismic Mitigations.—In January 2023, after a seismic study concluded that several dry docks in the Pacific Northwest would put 

submarines at risk of serious damage during earthquakes, the 

Navy halted all submarine docking at four Puget Sound Naval 

Shipyard [PSNS] dry docks. With PSNS serving as one of just four 

public shipyards that maintain the Navy’s aircraft carriers and 

submarines, the material readiness of the Navy’s fleet profoundly 

depends on the ability of these facilities to conduct safe and timely 

maintenance. Without dry dock seismic mitigations, vital sub-
10 

marine maintenance availability periods will be delayed or abandoned, threatening readiness levels of the Navy’s current fleet and 

potentially impacting the ability of the current ballistic missile submarines to remain in service until the introduction of the Columbia-class submarines. Therefore, the Committee encourages the Department to move forward expeditiously with long-term solutions 

for seismic mitigation at PSNS in order to preserve these critical 

Naval facilities and its workforce. 

MILITARY CONSTRUCTION, AIR FORCE

Appropriations, 2023 ............................................................................. $2,614,996,000 

Budget estimate, 2024 ........................................................................... 2,605,314,000 

Committee recommendation ................................................................. 2,802,924,000 

COMMITTEE RECOMMENDATION

The Committee recommends $2,802,924,000 for Military Construction, Air Force for fiscal year 2024. This amount is 

$187,928,000 above the fiscal year 2023 enacted level and 

$197,610,000 above the budget request. Within the total for Military Construction, Air Force, $197,610,000 is for the following 

projects in the following amounts: 

MILITARY CONSTRUCTION, AIR FORCE 

[In thousands of dollars] 

State Location Project Amount 

Alabama ....................... Maxwell Air Force Base ....... Construct Addition, Air Command and Staff College (Bldg 1402): Unspecified Minor Construction.

5,100 

Alabama ....................... Maxwell Air Force Base ....... Replace (Construct) Gunter Fitness Center: Unspecified Minor Construction.8,800 

Alaska ........................... Eielson Air Force Base ......... Coal Thaw Shed Addition: Planning and Design ..... 1,500 

Alaska ........................... Eielson Air Force Base ......... Consolidated Munitions Complex: Planning and Design.15,100 

Alaska ........................... Eielson Air Force Base ......... Cryogenics Facility: Unspecified Minor Construction 6,900 

Alaska ........................... Eielson Air Force Base ......... Fire Station: Planning and Design ........................... 1,700 

Alaska ........................... Eielson Air Force Base ......... Joint Mobility Center Expansion: Planning and Design.3,000 

Alaska ........................... Eielson Air Force Base ......... Joint Pacific Alaska Range Complex Ops Facility: 

Planning and Design.

13,500 

Alaska ........................... Eielson Air Force Base ......... Permanent Party Dorm: Planning and Design ......... 9,500 

Alaska ........................... Joint Base Elmendorf-Richardson.Combat Alert Cell: Planning and Design ................. 18,100 

Alaska ........................... Joint Base Elmendorf-Richardson.Precision Guided Munitions Complex: Planning and 

Design.

6,100 

Alaska ........................... Joint Base Elmendorf-Richardson.Sand Storage Facility: Unspecified Minor Construction.8,800 

Arizona .......................... Luke Air Force Base ............. Child Development Center: Planning and Design .... 2,700 

Arizona .......................... Luke Air Force Base ............. Gila Bend Consolidated Facility: Planning and Design.2,200 

Louisiana ...................... Barksdale Air Force Base .... WGF Dormitory: Planning and Design ...................... 6,700 

Mississippi ................... Columbus Air Force Base .... T–7A Egress Shop: Unspecified Minor Construction 4,600 

Mississippi ................... Columbus Air Force Base .... T–7A Hush House Pad: Unspecified Minor Construction.4,850 

Mississippi ................... Keesler Air Force Base ......... Air Traffic Control Tower: Planning and Design ...... 1,960 

Nebraska ...................... Offutt Air Force Base ........... 55 CES Maintenance/Warehouse: Planning and Design.3,500 

Nebraska ...................... Offutt Air Force Base ........... Base Operations/Mobility Center: Planning and Design.3,000 

Nebraska ...................... Offutt Air Force Base ........... Logistics Readiness Squadron Transportation Facility: Planning and Design.2,700 
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MILITARY CONSTRUCTION, AIR FORCE—Continued 

[In thousands of dollars] 

State Location Project Amount 

Nebraska ...................... Offutt Air Force Base ........... Replace Vehicle Search Area, STRATCOM Gate, 

B511: Unspecified Minor Construction.

7,000 

Nevada ......................... Nellis Air Force Base ........... Dormitory: Planning and Design .............................. 7,500 

New Mexico ................... Cannon Air Force Base ........ Satellite Fire Station: Planning and Design ............ 2,000 

New Mexico ................... Kirtland Air Force Base ....... Wyoming Gate Project: Cost to Complete ................ 24,400 

Ohio .............................. Wright-Patterson Air Force 

Base.

Acquisition Management Complex Phase V: Planning and Design.18,000 

Oklahoma ..................... Vance Air Force Base .......... Undergraduate Pilot Training Center: Planning and 

Design.

8,400 

Further detail of the Committee’s recommendation is provided in 

the State table at the end of this report. 

Addressing Climate Risk in Strategic Basing.—The Committee 

notes that the Air Force Climate Action Plan lists modernizing infrastructure and facilities as the prime objective in maintaining air 

and space dominance. A key metric for this objective is establishing 

a framework to evaluate the effects of climate change to inform 

resourcing and basing processes by fiscal year 2024. The Committee seeks to learn about progress made on this metric and notes 

that Air Force Instruction [AFI] 10–503, which provides procedures 

for the strategic basing process and guides more than a dozen basing decisions each year, has not been updated since October 2020. 

This AFI currently does not include an assessment of probabilistic 

climate threats in the basing criteria or a requirement to incorporate such analysis during site surveys or criteria development, 

despite the creation of tools to aid in evaluating installation exposure and associated future risks such as the Severe Weather/Climate Hazard Screening and Risk Assessment Playbook. As such, 

the Committee is concerned that the basing process does not adequately account for risks or potential mitigation requirements 

when conducting a basing action. The Committee encourages the 

Department to integrate installation climate assessments into the 

strategic basing process and directs the Secretary of the Air Force 

to provide a report on steps taken to develop the framework identified in the climate plan, to include any relevant directives provided 

to Major Commands tasked with initiating basing action requests 

and developing criteria, no later than 120 days after enactment of 

this act. 

Sentinel Program Oversight.—The Committee supports the Sentinel program and includes $140,000,000, as requested, for three 

projects to construct integrated command and training centers, as 

well as a missile handling complex. The Committee continues to 

recognize that certain flexibilities will be required for this unique 

program, as noted in the Joint Explanatory Statement accompanying Public Law 116–260. However, the Committee believes the 

legislative proposal to authorize the use of cost-plus-incentive-fee 

[CPIF] contracting through a modification to Section 101 is an inappropriate approach and instead supports efforts to authorize the 

use of CPIF through the National Defense Authorization Act. 

Agile Common Hangars.—The Committee is aware that agile 

common hangars may provide more capacity and capability than 

traditional facilities since they can support multiple platforms and 
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requirements and eliminate the need to build new and unique facilities for each new aircraft. For example, at Tinker Air Force 

Base, agile common hangars could support both the legacy B–52 

and the forthcoming B–21, replacing multiple facilities that would 

otherwise need to be built for each platform. This would ultimately 

lead to time and cost savings and provide flexibility for future programs. The Committee directs the Secretary of the Air Force to 

provide a report to the Committees on Appropriations of both 

Houses of Congress within 180 days of enactment of this act on the 

cost savings that the agile common hangar could provide, as well 

as which aircraft and which installations are best suited for the 

agile common hangar. 

Hypersonic Labs.—The Committee recognizes the importance of 

Air Force hypersonic test range facilities but notes that investment 

is needed in testing infrastructure to support critical hypersonic 

weapons development. Many labs and testing centers are funded 

with working capital funds, which can make it especially difficult 

to finance infrastructure projects and improvements. The Committee encourages the Department to make investments in its testing infrastructure, including basic water and energy capacity, turbine propulsion cycles, and laboratory infrastructure, in order to 

advance existing capabilities and develop a wide range of new capabilities to compete with advanced adversaries. 

Weapons Generation Facilities.—The Committee continues to recognize the importance of the Weapons Generation Facility [WGF] 

modernization program but is concerned that execution delays and 

cost overruns continue to impact the schedule of future projects. 

The Committee directs the Department to continue to provide quarterly updates on projects associated with the WGF modernization 

program, including the status of planning and estimated timelines 

for projects not yet in the design phase, and urges the Department 

to accelerate the WGF schedule wherever possible. 

Global Strike Command Security Gates.—The Committee remains concerned about deficient security gates at Air Force Global 

Strike Command installations, particularly as the Air Force plans 

to make significant investments in strategic weapons systems and 

weapons generation facilities at these bases. The Committee urges 

the Air Force to plan and program sufficient funding to address security gate deficiencies at these installations in its future years defense program. 

U.S. Space Command Headquarters.—The Committee is concerned that the Department has not finalized a permanent location 

for the United States Space Command headquarters after nearly 5 

years of consideration and with the associated impact on national 

security. Therefore, the Committee directs the Secretary to provide 

a report within 90 days of enactment of this act regarding any 

funds that have been obligated or expended in all previous fiscal 

years for the construction, renovation, or improvement of facilities, 

including all leases, for Space Command Headquarters. 
13 

MILITARY CONSTRUCTION, DEFENSE-WIDE

(INCLUDING TRANSFER OF FUNDS)

Appropriations, 2023 ............................................................................. $2,626,078,000 

Budget estimate, 2024 ........................................................................... 2,984,682,000 

Committee recommendation ................................................................. 3,132,782,000 

COMMITTEE RECOMMENDATION

The Committee recommends $3,132,782,000 for projects considered within the Military Construction, Defense-Wide account for 

fiscal year 2024. This amount is $506,704,000 above the fiscal year 

2023 enacted level and $148,100,000 above the budget request. 

Within the total for Military Construction, Defense-Wide, 

$36,100,000 is for the following projects in the following amounts: 

MILITARY CONSTRUCTION, DEFENSE-WIDE 

[In thousands of dollars] 

State Location Project Amount 

Delaware ....................... Dover Air Force Base ........... Blood Processing Center Replacement ..................... 30,600 

Georgia ......................... Fort Moore (Fort Benning) ... Dexter Elementary School: Planning and Design ..... 500 

Nebraska ...................... Offutt Air Force Base ........... DPAA Laboratory: Planning and Design ................... 5,000 

Further detail of the Committee’s recommendation is provided in 

the State table at the end of this report. 

Energy Resilience and Conservation Investment Program 

[ERCIP].—The Committee supports DoD’s investments in energy 

efficiency, renewable energy systems, and energy resilience, including through ERCIP, and fully funds the budget request of 

$634,250,000. Recognizing the complexity of and cost increases for 

ERCIP projects, the Committee provides an additional $38,000,000 

for cost-to-completes as appropriated in Section 124. The Committee believes that DoD should leverage all available authorities 

to best plan and execute ERCIP projects and that third-party financing can serve as a valuable tool for addressing DoD energy requirements, especially when leveraged in concert with ERCIP. In 

particular, the Committee notes that Areawide Contracts [AWC] 

can help facilitate a project’s timely development, planning, and 

execution and encourages its use, as appropriate, where AWC help 

facilitate ERCIP’s goals. 

MILITARY CONSTRUCTION, ARMY NATIONAL GUARD

Appropriations, 2023 ............................................................................. $459,018,000 

Budget estimate, 2024 ........................................................................... 340,186,000 

Committee recommendation ................................................................. 598,572,000 

COMMITTEE RECOMMENDATION

The Committee recommends $598,572,000 for Military Construction, Army National Guard for fiscal year 2024. This amount is 

$139,554,000 above the fiscal year 2023 enacted level and 

$258,386,000 above the budget request. Within the total for Military Construction, Army National Guard, $251,386,000 is for the 

following projects in the following amounts: 
14 

MILITARY CONSTRUCTION, ARMY NATIONAL GUARD 

[In thousands of dollars] 

State Location Project Amount 

California ...................... Camp Roberts ...................... Automated Multipurpose Machine Gun Range: Cost 

to Complete.

5,000 

Illinois ........................... Bloomington ......................... National Guard Vehicle Maintenance Shop: Cost to 

Complete.

5,250 

Illinois ........................... Chicago, Jones Armory ......... General Jones National Guard Readiness Center Alteration: Planning and Design.5,000 

Illinois ........................... North Riverside .................... Access Control Building: Unspecified Minor Construction.3,400 

Illinois ........................... Peoria ................................... Readiness Center: Planning and Design ................. 2,400 

Kansas .......................... Topeka .................................. National Guard/Reserve Center Building: Cost to 

Complete.

5,856 

Maine ............................ Saco ..................................... National Guard Vehicle Maintenance Shop: Cost to 

Complete.

7,420 

Minnesota ..................... Camp Ripley ........................ Access Control Facility: Planning and Design ......... 1,530 

Mississippi ................... Meridian ............................... Army Aviation Support Facility 3: Planning and Design.2,160 

Mississippi ................... Southaven ............................ National Guard Readiness Center ............................ 22,000 

Nebraska ...................... Mead Training Site .............. Unaccompanied Housing: Planning and Design ...... 1,440 

Nevada ......................... Floyd Edsall Training Center Combined Support Maintenance Shop: Planning 

and Design.

2,700 

Nevada ......................... Floyd Edsall Training Center General Instruction Facility: Planning and Design .. 5,490 

Nevada ......................... Harry Reid Training Center .. Ready Building: Planning and Design ..................... 590 

New Hampshire ............ Center Strafford ................... Physical Fitness Center: Unspecified Minor Construction.9,000 

New Hampshire ............ Pembroke ............................. Vehicle Storage Building: Unspecified Minor Construction.5,000 

New Jersey .................... Newark ................................. National Guard Readiness Center: Planning and 

Design.

1,900 

New Mexico ................... De Bremond Training Site ... Soldier Performance, ACFT Support Building: Unspecified Minor Construction.4,300 

New York ...................... Lexington Armory ................. National Guard Readiness Center Addition/Alteration.90,000 

Pennsylvania ................ Moon Township .................... Combined Support Maintenance Shop: Cost to 

Complete.

3,100 

Pennsylvania ................ New Castle ........................... Vehicle Maintenance Shop Addition: Unspecified 

Minor Construction.

4,650 

Rhode Island ................ North Kingstown .................. National Guard Readiness Center ............................ 30,000 

South Carolina ............. Joint Base Charleston .......... National Guard Readiness Center: Cost to Complete.6,500 

Vermont ........................ Ethan Allen Firing Range .... National Guard Readiness Center Add/Alt: Unspecified Minor Construction.4,750 

Washington ................... Camp Murray ....................... National Guard/Reserve Center: Planning and Design.3,600 

West Virginia ................ Bluefield ............................... National Guard Readiness Center: Planning and 

Design.

1,950 

West Virginia ................ Camp Dawson-Kingwood ..... Covered Training Area: Unspecified Minor Construction.8,300 

West Virginia ................ Charleston ............................ National Guard Readiness Center: Planning and 

Design.

4,800 

West Virginia ................ Parkersburg .......................... National Guard Readiness Center: Planning and 

Design.

3,300 

Further detail of the Committee’s recommendation is provided in 

the State table at the end of this report. 

Defense Access Roads.—The Defense Access Road [DAR] program 

is a valuable tool available to the Department to provide for public 

roadway improvements resulting from defense generated traffic, including increasing unit travel, military vehicle traffic and heavy 

haul trucks. The Committee encourages the Army National Guard 

to use authorities under the DAR program to protect and enhance 
15 

roadways that are critical to national defense, including in rural 

States where DAR certified primary access roads currently do not 

meet safety standards. 

Readiness Centers.—The Committee continues to note that many 

Army National Guard units utilize outdated and substandard facilities which can negatively impact the unit’s ability to meet readiness, recruiting and retention, and training objectives. Facilities 

with physical shortfalls of greater than 50 percent of authorized 

space, such as those in Jamestown, North Dakota, are particularly 

concerning. The Committee encourages the Army National Guard 

to allocate sufficient funding to address such facilities in future 

budget requests. 

Lodging Facilities.—The Committee continues to highlight lodging shortfalls near Army National Guard training centers that support training and readiness activities as well as support training 

for outside agencies. The Committee encourages the Army National 

Guard to allocate appropriate funding towards lodging requirements in future budget requests, particularly for installations with 

new training and readiness requirements. 

MILITARY CONSTRUCTION, AIR NATIONAL GUARD

Appropriations, 2023 ............................................................................. $279,353,000 

Budget estimate, 2024 ........................................................................... 178,722,000 

Committee recommendation ................................................................. 304,426,000 

COMMITTEE RECOMMENDATION

The Committee recommends $304,426,000 for Military Construction, Air National Guard for fiscal year 2024. This amount is 

$25,073,000 above the fiscal year 2023 enacted level and 

$125,704,000 above the budget request. Within the total for Military Construction, Air National Guard, $125,704,000 is for the following projects in the following amounts: 

MILITARY CONSTRUCTION, AIR NATIONAL GUARD 

[In thousands of dollars] 

State Location Project Amount 

Alaska ........................... Eielson Air Force Base ......... AMC Standard Dual Bay Hangar: Planning and Design.25,000 

Alaska ........................... Joint Base Elmendorf-Richardson.ADAL Alert Crew Facility Hangar 18: Unspecified 

Minor Construction.

7,000 

Alaska ........................... Joint Base Elmendorf-Richardson.HC–130J Simulator Facility: Planning and Design .. 2,000 

Alaska ........................... Joint Base Elmendorf-Richardson.North Campus Electrical Loop: Unspecified Minor 

Construction.

5,600 

Maine ............................ Bangor International Airport Repair Hangar Access Apron (Light Duty Ramp): 

Planning and Design.

1,450 

Maine ............................ Bangor International Airport Repair Whiskey Apron: Planning and Design ........... 704 

Mississippi ................... Jackson International Airport Fire Crash and Rescue Station: Cost to Complete .. 8,000 

New Hampshire ............ Pease Air National Guard 

Base.

Ground Product Service Station: Unspecified Minor 

Construction.

4,000 

New Jersey .................... Atlantic City International 

Airport.

Consolidated Dining, Services, and Fitness Center: 

Planning and Design.

2,000 

New Jersey .................... Atlantic City International 

Airport.

F–16 Mission Training Center: Planning and Design.1,100 

Oregon .......................... Portland International Airport.Special Tactics Complex Phase 3 ............................ 20,000 
16 

MILITARY CONSTRUCTION, AIR NATIONAL GUARD—Continued 

[In thousands of dollars] 

State Location Project Amount 

Oregon .......................... Portland International Airport.Special Tactics Complex Phase 4 ............................ 11,000 

Pennsylvania ................ Pittsburgh International Airport.Entry Control Facility: Unspecified Minor Construction.8,000 

West Virginia ................ McLaughlin Air National 

Guard Base.

Renovate Building 107 for Small Air Terminal/Gym: 

Unspecified Minor Construction.

2,500 

West Virginia ................ McLaughlin Air National 

Guard Base.

Renovate Building 109 for Aerospace Support 

Equipment: Unspecified Minor Construction.

3,000 

West Virginia ................ Shepherd Field ..................... Indoor Small Arms Range: Unspecified Minor Construction.7,000 

West Virginia ................ Shepherd Field ..................... Main Gate Entry Control Point Renovation: Unspecified Minor Construction.6,000 

Wisconsin ..................... General Mitchell International Airport.Indoor Small Arms Range: Unspecified Minor Construction.7,100 

Wisconsin ..................... General Mitchell International Airport.POL Pipeline: Unspecified Minor Construction ......... 4,250 

Further detail of the Committee’s recommendation is provided in 

the State table at the end of this report. 

MILITARY CONSTRUCTION, ARMY RESERVE

Appropriations, 2023 ............................................................................. $193,878,000 

Budget estimate, 2024 ........................................................................... 107,076,000 

Committee recommendation ................................................................. 151,076,000 

COMMITTEE RECOMMENDATION

The Committee recommends $151,076,000 for Military Construction, Army Reserve for fiscal year 2024. This amount is 

$44,000,000 above the budget request. Within the total for Military 

Construction, Army Reserve, $44,000,000 is for the following 

projects in the following amounts: 

MILITARY CONSTRUCTION, ARMY RESERVE 

[In thousands of dollars] 

State Location Project Amount 

California ...................... Fort Hunter Liggett .............. Network Enterprise Center ........................................ 40,000 

Virginia ......................... Richmond ............................. Army Reserve Center: Planning and Design ............ 4,000

Further detail of the Committee’s recommendation is provided in 

the State table at the end of this report. 

MILITARY CONSTRUCTION, NAVY RESERVE

Appropriations, 2023 ............................................................................. $36,837,000 

Budget estimate, 2024 ........................................................................... 51,291,000 

Committee recommendation ................................................................. 51,291,000 

COMMITTEE RECOMMENDATION

The Committee recommends $51,291,000 for Military Construction, Navy Reserve for fiscal year 2024. This amount is $14,454,000 

above the fiscal year 2023 enacted level and equal to the budget 

request. Further detail of the Committee’s recommendation is provided in the State table at the end of this report. 
17 

MILITARY CONSTRUCTION, AIR FORCE RESERVE

Appropriations, 2023 ............................................................................. $85,423,000 

Budget estimate, 2024 ........................................................................... 291,572,000 

Committee recommendation ................................................................. 309,572,000 

COMMITTEE RECOMMENDATION

The Committee recommends $309,572,000 for Military Construction, Air Force Reserve for fiscal year 2024. This amount is 

$224,149,000 above the fiscal year 2023 enacted level and 

$18,000,000 above the budget request. Within the total for Military 

Construction, Air Force Reserve, $18,000,000 is for the following 

projects in the following amounts: 

MILITARY CONSTRUCTION, AIR FORCE RESERVE 

[In thousands of dollars] 

State Location Project Amount 

Arizona .......................... Davis Monthan Air Force 

Base.

Guardian Angel POTFF Facility: Unspecified Minor 

Construction.

8,500 

Louisiana ...................... Barksdale Air Force Base .... 307 Bomb Wing Medical Facility Addition: Unspecified Minor Construction.7,000 

Ohio .............................. Youngstown Air Reserve 

Station.

Fire Station: Planning and Design ........................... 2,500 

Further detail of the Committee’s recommendation is provided in 

the State table at the end of this report. 

NORTH ATLANTIC TREATY ORGANIZATION

SECURITY INVESTMENT PROGRAM

Appropriations, 2023 ............................................................................. $220,139,000 

Budget estimate, 2024 ........................................................................... 293,434,000 

Committee recommendation ................................................................. 293,434,000 

PROGRAM DESCRIPTION

The North Atlantic Treaty Organization [NATO] appropriation 

provides for the U.S. cost share of the NATO Security Investment 

Program for the acquisition and construction of military facilities 

and installations (including international military headquarters) 

and for related expenses for the collective defense of the NATO 

Treaty area. 

COMMITTEE RECOMMENDATION

The Committee recommends $293,434,000 for the NATO Security 

Investment Program for fiscal year 2024. This amount is equal to 

the budget request. 

DEPARTMENT OF DEFENSE BASE CLOSURE ACCOUNT

Appropriations, 2023 ............................................................................. $574,687,000 

Budget estimate, 2024 ........................................................................... 389,174,000 

Committee recommendation ................................................................. 439,174,000 

PROGRAM DESCRIPTION

Section 2711 of the National Defense Authorization Act for Fiscal 

Year 2014 (Public Law 112–239) consolidated the Base Closure Ac-
18 

count 1990 and the Base Closure Account 2005 into a single Department of Defense Base Closure Account. The Base Closure Account provides for cleanup and disposal of property consistent with 

the four closure rounds required by the base closure acts of 1988 

and 1990, and with the 2005 closure round required by the Defense 

Base Closure and Realignment Act of 1990 (10 U.S.C. 2687 note). 

COMMITTEE RECOMMENDATION

The Committee recommends a total of $439,174,000 for the Department of Defense Base Closure Account for fiscal year 2024. 

This amount is $50,000,000 above the budget request. 

Environmental Remediation.—The Committee continues to recognize that the Services have active costs associated with ordnance 

disposal and environmental clean-up, to include per- and 

polyfluoroalkyl substance contamination at dozens of realigned or 

closed installations. Therefore, the Committee provides an additional $50,000,000 to help remediate hazardous environmental 

sites at installations closed under previous Base Closure and Realignment rounds. The Committee directs the Secretary of Defense, 

in coordination with the Service Secretaries to provide a spend plan 

for these additional funds to the Committees on Appropriations of 

both Houses of Congress no later than 60 days after enactment of 

this act. 

FAMILY HOUSING OVERVIEW

Appropriations, 2023 ............................................................................. $1,985,836,000 

Budget estimate, 2024 ........................................................................... 1,940,255,000 

Committee recommendation ................................................................. 1,940,255,000 

FAMILY HOUSING ACCOUNTS—PROGRAM DESCRIPTION

The Family Housing appropriation provides funds for military 

family housing construction activities, operation and maintenance, 

the Family Housing Improvement Fund, and the Homeowners Assistance Program. Construction accounts provide funding for new 

construction, improvements and the Federal Government share of 

housing privatization. Operation and maintenance accounts fund 

costs associated with the maintenance and leasing of military family housing, including utilities, services, management, and furnishings. 

COMMITTEE RECOMMENDATION

The Committee recommends $1,940,255,000 for Family Housing 

Construction, Operation and Maintenance, and the Department’s 

family housing improvement fund for fiscal year 2024. This amount 

is equal to the budget request. 

Dispute Resolution.—In order to provide additional transparency 

and accountability within the privatized housing program, the 

Committee directs the Secretary of Defense to provide a report to 

the Committees on Appropriations of both Houses of Congress 

within 120 days of enactment of this act on the dispute process and 

outcomes since implementation of dispute resolution mechanisms. 

At a minimum, the report shall include the following: (1) the number of informal disputes filed versus number of formal disputes; (2) 
19 

the number of disputes per installation, per project, and per unit 

by project; (3) the average timeline for concluding the informal and 

formal dispute resolution processes by installation; and (4) the percentage of claims that are determined to be founded versus unfounded. 

FAMILY HOUSING CONSTRUCTION, ARMY

Appropriations, 2023 ............................................................................. $169,339,000 

Budget estimate, 2024 ........................................................................... 304,895,000 

Committee recommendation ................................................................. 304,895,000 

COMMITTEE RECOMMENDATION

The Committee recommends $304,895,000 for Family Housing 

Construction, Army for fiscal year 2024. This amount is 

$135,556,000 above the fiscal year 2023 enacted level and equal to 

the budget request. Further detail of the Committee’s recommendation is provided in the State table at the end of this report. 

FAMILY HOUSING OPERATION AND MAINTENANCE, ARMY

Appropriations, 2023 ............................................................................. $446,411,000 

Budget estimate, 2024 ........................................................................... 385,485,000 

Committee recommendation ................................................................. 385,485,000 

COMMITTEE RECOMMENDATION

The Committee recommends $385,485,000 for Family Housing 

Operation and Maintenance, Army, for fiscal year 2024. This 

amount is equal to the budget request. 

FAMILY HOUSING CONSTRUCTION, NAVY AND MARINE CORPS

Appropriations, 2023 ............................................................................. $337,297,000 

Budget estimate, 2024 ........................................................................... 277,142,000 

Committee recommendation ................................................................. 277,142,000 

COMMITTEE RECOMMENDATION

The Committee recommends $277,142,000 for Family Housing 

Construction, Navy and Marine Corps for fiscal year 2024. This 

amount is equal to the budget request. Further detail of the Committee’s recommendation is provided in the State table at the end 

of this report. 

FAMILY HOUSING OPERATION AND MAINTENANCE, NAVY AND

MARINE CORPS

Appropriations, 2023 ............................................................................. $378,224,000 

Budget estimate, 2024 ........................................................................... 363,854,000 

Committee recommendation ................................................................. 363,854,000 

COMMITTEE RECOMMENDATION

The Committee recommends $363,854,000 for Family Housing 

Operation and Maintenance, Navy and Marine Corps for fiscal year 

2024. This amount is equal to the budget request. 
20 

FAMILY HOUSING CONSTRUCTION, AIR FORCE

Appropriations, 2023 ............................................................................. $232,788,000 

Budget estimate, 2024 ........................................................................... 237,097,000 

Committee recommendation ................................................................. 237,097,000 

COMMITTEE RECOMMENDATION

The Committee recommends $237,097,000 for Family Housing 

Construction, Air Force for fiscal year 2024. This amount is 

$4,309,000 above the fiscal year 2023 enacted level and equal to 

the budget request. Further detail of the Committee’s recommendation is provided in the State table at the end of this report. 

FAMILY HOUSING OPERATION AND MAINTENANCE, AIR FORCE

Appropriations, 2023 ............................................................................. $365,222,000 

Budget estimate, 2024 ........................................................................... 314,386,000 

Committee recommendation ................................................................. 314,386,000 

COMMITTEE RECOMMENDATION

The Committee recommends $314,386,000 for Family Housing 

Operation and Maintenance, Air Force for fiscal year 2024. This 

amount is equal to the budget request. 

FAMILY HOUSING OPERATION AND MAINTENANCE, DEFENSE-WIDE

Appropriations, 2023 ............................................................................. $50,113,000 

Budget estimate, 2024 ........................................................................... 50,785,000 

Committee recommendation ................................................................. 50,785,000 

COMMITTEE RECOMMENDATION

The Committee recommends $50,785,000 for Family Housing Operation and Maintenance, Defense-Wide for fiscal year 2024. This 

amount is $672,000 above the fiscal year 2023 enacted level and 

equal to the budget request. 

DEPARTMENT OF DEFENSE FAMILY HOUSING IMPROVEMENT FUND

Appropriations, 2023 ............................................................................. $6,442,000 

Budget estimate, 2024 ........................................................................... 6,611,000 

Committee recommendation ................................................................. 6,611,000 

PROGRAM DESCRIPTION

The Family Housing Improvement Fund appropriation provides 

for the Department of Defense to undertake housing initiatives and 

to provide an alternative means of acquiring and improving military family housing and supporting facilities. This account provides 

seed money for housing privatization initiatives. 

COMMITTEE RECOMMENDATION

The Committee recommends $6,611,000 for the Family Housing Improvement Fund for fiscal year 2024. This amount is $169,000 

above the fiscal year 2023 enacted level and equal to the budget 

request. 

Navy Privatized Housing.—The Committee is aware that the 

Navy is undertaking a privatized housing project that will furnish 

88 new housing units at Naval Station Everett and requires a 
21 

transfer of credited funds from land conveyances in the Family 

Housing Improvement Fund. Therefore, the Committee includes 

Section 133 allowing the transfer of $18,800,000 by the Secretary 

of Defense to the Secretary of the Navy to address this requirement. 

DEPARTMENT OF DEFENSE MILITARY UNACCOMPANIED HOUSING

IMPROVEMENT FUND

Appropriations, 2023 ............................................................................. $494,000 

Budget estimate, 2024 ........................................................................... 496,000 

Committee recommendation ................................................................. 496,000 

PROGRAM DESCRIPTION

The Military Unaccompanied Housing Improvement Fund appropriation provides for the Department of Defense to undertake housing initiatives and to provide an alternative means of acquiring and 

improving military unaccompanied housing and supporting facilities. This account provides seed money for housing privatization 

initiatives. 

COMMITTEE RECOMMENDATION

The Committee recommends $496,000 for the Military Unaccompanied Housing Improvement Fund for fiscal year 2024. This 

amount is $2,000 above the fiscal year 2023 enacted level and 

equal to the budget request. 

ADMINISTRATIVE PROVISIONS

Sec. 101. The Committee includes a provision that restricts payments under a cost-plus-a-fixed-fee contract for work, except in 

cases of contracts for environmental restoration at base closure 

sites. 

Sec. 102. The Committee includes a provision that permits the 

use of funds for the hire of passenger motor vehicles. 

Sec. 103. The Committee includes a provision that permits the 

use of funds for defense access roads. 

Sec. 104. The Committee includes a provision that prohibits construction of new bases inside the continental United States for 

which specific appropriations have not been made. 

Sec. 105. The Committee includes a provision that limits the use 

of funds for purchase of land or land easements. 

Sec. 106. The Committee includes a provision that prohibits the 

use of funds to acquire land, prepare a site, or install utilities for 

any family housing except housing for which funds have been made 

available. 

Sec. 107. The Committee includes a provision that limits the use 

of minor construction funds to transfer or relocate activities among 

installations. 

Sec. 108. The Committee includes a provision that prohibits the 

procurement of steel unless American producers, fabricators, and 

manufacturers have been allowed to compete. 

Sec. 109. The Committee includes a provision that prohibits payments of real property taxes in foreign nations. 
22 

Sec. 110. The Committee includes a provision that prohibits construction of new bases overseas without prior notification. 

Sec. 111. The Committee includes a provision that establishes a threshold for American preference of $500,000 relating to architect 

and engineering services for overseas projects. 

Sec. 112. The Committee includes a provision that establishes 

preference for American contractors for military construction in the 

United States territories and possessions in the Pacific, and on 

Kwajalein Atoll, or in countries bordering the Arabian Gulf. 

Sec. 113. The Committee includes a provision that requires notification of military exercises involving construction in excess of 

$100,000. 

Sec. 114. The Committee includes a provision that permits funds 

appropriated in prior years to be available for construction authorized during the current session of Congress. 

Sec. 115. The Committee includes a provision that permits the 

use of expired or lapsed funds to pay the cost of supervision for any 

project being completed with lapsed funds. 

Sec. 116. The Committee includes a provision that permits obligation of funds from more than one fiscal year to execute a construction project, provided that the total obligation for such project 

is consistent with the total amount appropriated for the project. 

Sec. 117. The Committee includes a provision that permits the 

transfer of funds from Family Housing Construction accounts to 

the DoD Family Housing Improvement Fund and from Military 

Construction accounts to the DoD Military Unaccompanied Housing Improvement Fund. 

Sec. 118. The Committee includes a provision that provides 

transfer authority to the Homeowners Assistance Fund. 

Sec. 119. The Committee includes a provision that requires all 

acts making appropriations for military construction be the sole 

funding source of all operation and maintenance for family housing, 

including flag and general officer quarters, and limits the repair on 

flag and general officer quarters to $35,000 per unit per year without prior notification to the congressional defense committees. 

Sec. 120. The Committee includes a provision that provides authority to expend funds from the ‘‘Ford Island Improvement’’ account. 

Sec. 121. The Committee includes a provision that allows the 

transfer of expired funds to the Foreign Currency Fluctuation, Construction, Defense Account. 

Sec. 122. The Committee includes a provision that allows the reprogramming of military construction and family housing construction funds among projects and activities within the account in 

which they are funded. 

Sec. 123. The Committee includes a provision that prohibits the 

use of funds in this title for planning and design and construction 

of projects at Arlington National Cemetery. 

Sec. 124. The Committee includes a provision providing additional funds for unfunded military construction priorities. 

Sec. 125. The Committee includes a provision directing all 

amounts appropriated to military construction accounts be immediately available and allotted for the full scope of authorized 

projects. 
23 

Sec. 126. The Committee includes a provision permitting the obligation of funds for fiscal year 2017, fiscal year 2018, and fiscal year 

2019 projects for which the project authorization has not lapsed or 

has been extended. 

Sec. 127. The Committee includes a provision defining the congressional defense committees. 

Sec. 128. The Committee includes a provision providing additional funding for Military Installation Resilience. 

Sec. 129. The Committee includes a provision providing additional funding for Air Force natural disaster recovery. 

Sec. 130. The Committee includes a provision providing additional funding for planning and design of child development centers. 

Sec. 131. The Committee includes a provision providing additional funding for planning and design and authorized major construction projects at future foreign military training sites. 

Sec. 132. The Committee includes a provision providing funds to 

address cost increases for authorized major construction projects. 

Sec. 133. The Committee includes a provision allowing the transfer of funds to the Secretary of the Navy from the Family Housing 

Improvement Fund. 

Sec. 134. The Committee includes a provision providing funding 

for unfunded authorized major construction projects. 

Sec. 135. The Committee includes a provision prohibiting the use 

of funds in this act to close or realign Naval Station Guantanamo 

Bay, Cuba. 
(24) 

TITLE II 

DEPARTMENT OF VETERANS AFFAIRS 

HEARING

The Subcommittee on Military Construction, Veterans Affairs, 

and Related Agencies held one hearing related to the Department 

of Veterans Affairs’ budget request for fiscal year 2024 and fiscal 

year 2025 advance appropriations. The subcommittee heard testimony from the Honorable Denis R. McDonough, Secretary of Veterans Affairs. 

SUMMARY OF COMMITTEE RECOMMENDATIONS

The Committee recommendation includes $296,551,032,000 for 

the Department of Veterans Affairs [VA] for fiscal year 2024, including $161,740,342,000 in mandatory spending and 

$134,810,690,000 in discretionary spending. The Committee also 

recommends $193,048,534,000 in advance appropriations for mandatory benefits and $112,582,000,000 in advance appropriations for 

veterans medical care for fiscal year 2025. 

DEPARTMENT OVERVIEW

The Veterans Administration was established on July 21, 1930, 

as an independent agency by Executive Order 5398, in accordance 

with the act of July 3, 1930 (46 Stat. 1016). This act authorized the 

President to consolidate and coordinate Federal agencies specially 

created for or concerned with the administration of laws providing 

benefits to veterans, including the Veterans’ Bureau, the Bureau of 

Pensions, and the National Home for Disabled Volunteer Soldiers. 

On March 15, 1989, the Veterans Administration was elevated to 

Cabinet-level status as the Department of Veterans Affairs. 

VA’s mission is to serve America’s veterans and their families as 

their principal advocate in ensuring they receive the care, support, 

and recognition they have earned in service to the Nation. As of 

September 30, 2022, there were an estimated 18.5 million living 

veterans residing in the United States, American Samoa, Guam, 

the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands. There were an estimated 21.9 million dependents (spouses 

and dependent children) of living veterans, and there were about 

600,000 survivors of deceased veterans receiving VA survivor benefits. Thus, approximately 41.0 million people, or 12.2 percent of the 

total estimated resident population of the United States, Puerto 

Rico, U.S. Island Areas and U.S. citizens living abroad were recipients or potential recipients of veterans benefits from the Federal 

Government. VA’s operating units include the Veterans Benefits 

Administration, Veterans Health Administration, National Cemetery Administration, and staff support offices. 
25 

The Veterans Benefits Administration [VBA] provides an integrated program of nonmedical veterans benefits. VBA administers 

a broad range of benefits to veterans and other eligible beneficiaries through 56 regional offices; 4 district offices; 3 Pension 

Management Centers; 6 Fiduciary Hubs; 2 Regional Education 

Processing Offices; 8 Regional Loan Centers; 1 Insurance Center; 

10 National Contact Centers; 1 Education Contact Center; 3 Decision Review Operations Centers; and 1 Records Management Center. The benefits provided include compensation for service-connected disabilities; non-service-connected pensions for veterans who 

meet certain wartime service, income and net worth, age and/or 

disability requirements; vocational rehabilitation assistance; educational and training assistance; home buying assistance; estate 

protection services for veterans under legal disability; information 

and assistance through personalized contacts; and 11 life insurance 

programs. 

The Veterans Health Administration [VHA] develops, maintains, 

and operates a national healthcare delivery system for eligible veterans; carries out a program of education and training of 

healthcare personnel; conducts medical research and development; 

and furnishes health services to members of the Armed Forces during periods of war or national emergency. A system consisting of 

18 Veterans Integrated Service Networks [VISN]; 145 VA Hospitals; 12 Health Care Centers; 289 Multi-Specialty CommunityBased Outpatient Clinics; 414 Primary Care Community-Based 

Outpatient Clinics; 415 Outpatient Services Sites; 135 Community 

Living Centers; 124 Mental Health Residential rehabilitation treatment programs; 300 readjustment counseling Vet Centers; and 83 

Mobile Vet Centers is maintained to meet VA’s medical mission. 

The National Cemetery Administration [NCA] provides for the 

interment of the remains of eligible deceased servicemembers and 

discharged veterans in any national cemetery with available grave 

space; permanently maintains these graves; provides headstones 

and markers for the graves of eligible persons in national and private cemeteries; administers the grant program for aid to States in 

establishing, expanding, or improving State veterans cemeteries; 

and provides certificates to families of deceased veterans recognizing their contributions and service to the Nation. In 2024, cemetery activities will encompass 158 national cemeteries and 34 soldiers’ lots and monuments and their maintenance as national 

shrines. 

Staff support offices include the Office of Inspector General, 

Board of Veterans Appeals, and General Administration offices, 

which support the Secretary, Deputy Secretary, Under Secretary 

for Benefits, Under Secretary for Health, Under Secretary for Memorial Affairs, and General Counsel. 

VETERANS BENEFITS ADMINISTRATION

Appropriations, 2023 ......................................................................... $167,704,472,000 

Advance Appropriations, 2024 ......................................................... 155,351,762,000 

Budget estimate, 2024 ...................................................................... 10,607,580,000 

Committee recommendation, 2024 ................................................... 10,607,580,000 

Budget estimate, advance appropriations, 2025 ............................. 193,048,534,422 

Committee recommendation, advance appropriations, 2025 ......... 193,048,534,422 
26 

ADMINISTRATION OVERVIEW

The Veterans Benefits Administration is responsible for the payment of compensation and pension benefits to eligible service-connected disabled veterans, as well as education benefits and housing 

loan guarantees. 

COMMITTEE RECOMMENDATION

In fiscal year 2023, the Committee provided $155,351,762,000 in 

advance appropriations for VBA for fiscal year 2024. This included 

$146,778,136,000 for Compensation and Pensions; $8,452,500,000 

for Readjustment Benefits; and $121,126,000 for Veterans Insurance and Indemnities. 

For fiscal year 2024, the Committee’s recommendation includes 

an additional $4,655,879,000 for Compensations and Pensions; an 

additional $12,701,000 for Veterans Insurance and Indemnities; 

$316,742,419 for the Veterans Housing Benefit Program Fund administrative expenses; $78,337 for the Vocational Rehabilitation 

Loans Program account, with $460,698 for administrative expenses; 

$2,718,546 for the Native American Veteran Housing Loan Program account; and $3,899,000,000 for the General Operating Expenses, Veterans Benefits Administration account. 

The Committee recommendation also provides $193,048,534,422 

in advance appropriations for the Veterans Benefits Administration’s mandatory accounts for fiscal year 2025. This level may be 

adjusted based on the results of the administration’s mid-session 

review. 

COMPENSATION AND PENSIONS

(INCLUDING TRANSFER OF FUNDS)

Appropriations, 2023 ......................................................................... $152,016,542,000 

Advance Appropriations, 2024 ......................................................... 146,778,136,000 

Budget estimate, 2024 ...................................................................... 4,655,879,000 

Committee recommendation, 2024 ................................................... 4,655,879,000 

Budget estimate, advance appropriations, 2025 ............................. 181,390,281,000 

Committee recommendation, advance appropriations, 2025 ......... 181,390,281,000 

PROGRAM DESCRIPTION

Compensation is payable to living veterans who have suffered 

impairment of earning power from service-connected disabilities. 

The amount of compensation is based upon the impact of disabilities on a veteran’s earning capacity. Death compensation or dependency and indemnity compensation is payable to the surviving 

spouses and dependents of veterans whose deaths occur while on 

active duty or result from service-connected disabilities. A clothing 

allowance may also be provided for veterans with a service-connected disability who use a prosthetic or orthopedic device. In fiscal 

year 2024, the Department estimates it will obligate 

$161,455,646,000 for compensation payments to 6,094,446 veterans, 562,448 survivors, and 1,049 children receiving special benefits. 

Pensions are an income security benefit payable to needy wartime veterans who are precluded from gainful employment due to 

non-service-connected disabilities that render them permanently 
27 

and totally disabled. The Veterans Education and Benefits Expansion Act of 2001 (Public Law 107–103), restored the automatic presumption of permanent and total non-service-connected disability 

for purposes of awarding a pension to veterans age 65 and older, 

subject to the income limitations that apply to all pensioners. 

Death pensions are payable to needy surviving spouses and children of deceased wartime veterans. The rate payable for both disability and death pensions is determined on the basis of the annual 

income of the veteran or their survivors. In fiscal year 2024, the 

Department estimates that the pensions program will provide benefits to 150,678 veterans and 112,179 survivors totaling 

$3,370,179,000. 

The Compensation and Pensions program funds certain burial 

benefits on behalf of eligible deceased veterans. These benefits provide the purchase and transportation costs for headstones and 

markers, graveliners, and pre-placed crypts; and provide partial reimbursement for privately purchased outer burial receptacles. In 

fiscal year 2024, the Department estimates the Compensation and 

Pensions program will obligate $426,420,000 providing burial benefits. This funding will provide 45,196 burial allowances, 55,545 burial plot allowances, 57,936 service-connected death awards, 450,848 

burial flags, 334,080 headstones or markers, 43,222 graveliners or 

reimbursement for privately purchased outer burial receptacles, 

326 caskets and urns for the internment of the remains of veterans 

without next of kin, and 1,684 cremation urns and commemorative 

plaques in lieu of furnishing a headstone or marker for an eligible 

deceased individual not already buried who served in the Armed 

Forces. 

COMMITTEE RECOMMENDATION

In fiscal year 2023, the Committee provided an advance appropriation of $146,778,136,000 for fiscal year 2024 for the Compensation and Pensions account. 

The Committee recommendation includes an additional 

$4,655,879,000 for fiscal year 2024 and an advance appropriation 

of $181,390,281,000 for the Compensation and Pensions account for 

fiscal year 2025, as requested. 

Evaluate Survivor Benefits Compensation.—The Committee directs the Department to provide a report to the Committees on Appropriations of both Houses of Congress no later than 180 days 

after enactment of this act on how VA’s survivor benefits programs 

may be modernized to keep up with the cost of living and to meet 

the needs of modern survivors, who tend to be younger and more 

diverse than previous populations of survivors. 

READJUSTMENT BENEFITS

Appropriations, 2023 ......................................................................... $8,906,851,000 

Advance Appropriations, 2024 ......................................................... 8,452,500,000 

Budget estimate, advance appropriations, 2025 ............................. 11,523,134,000 

Committee recommendation, advance appropriations, 2025 ......... 11,523,134,000 

PROGRAM DESCRIPTION

The Readjustment Benefits appropriation finances the education 

and training of veterans and servicemembers under chapters 21, 
28 

30, 31, 33, 34, 35, 36, 39, 41, 51, 53, 55, and 61 of title 38, United 

States Code. These benefits include the All-Volunteer Force Educational Assistance Program (Montgomery GI bill) and the 

Post-9/11 Educational Assistance Program, including changes 

through the Forever GI bill. Basic benefits are funded through appropriations made to the readjustment benefits account and by 

transfers from the Department of Defense [DoD]. This account also 

finances vocational rehabilitation, specially adapted housing 

grants, specially adapted automobile grants for certain disabled 

veterans, and educational assistance allowances for eligible dependents of those veterans who died from service-connected causes or 

who have a total permanent service-connected disability, as well as 

dependents of servicemembers who were captured or missing in action. 

COMMITTEE RECOMMENDATION

In fiscal year 2023, the Committee provided an advance appropriation of $8,452,500,000 for the Readjustment Benefits account 

for fiscal year 2024. 

The Committee recommendation includes an advance appropriation of $11,523,134,000 for Readjustment Benefits for fiscal year 

2025, as requested. 

Veteran Employment Through Technology Education Courses 

[VET TEC].—The VET TEC program provides veterans with training to start or advance a career in the high-technology industry. 

The Committee continues to support this initiative and encourages 

the Department to expand the program to address increased demand among veterans, including adding additional providers, particularly in areas of the country where the initiative is not currently available. 

Student Veterans Transparency and Protection.—The Department 

should ensure that historical data reported via the G.I. Bill Comparison Tool remains easily and prominently accessible on the benefits.va.gov website, or successor website, for a period of not less 

than 7 years from the date of initial publication. The Department 

is further encouraged to collaborate with the Secretary of Education to ensure that the tool contains robust and updated education data, and to train personnel employed or contracted by the 

Department to provide education benefits counseling, vocational or 

transition assistance, or similar functions, including those who provide such counseling or assistance as part of the Transition Assistance Program, on how to properly use the tool and provide appropriate educational counseling services to individuals eligible to use 

Post-9/11 G.I. bill benefits. 

VETERANS INSURANCE AND INDEMNITIES

Appropriations, 2023 ......................................................................... $109,865,000 

Advance Appropriations, 2024 ......................................................... 121,126,000 

Budget estimate, 2024 ...................................................................... 12,701,000 

Committee recommendation, 2024 ................................................... 12,701,000 

Budget estimate, advance appropriations, 2025 ............................. 135,119,422 

Committee recommendation, advance appropriations, 2025 ......... 135,119,422 
29 

PROGRAM DESCRIPTION

The Veterans Insurance and Indemnities appropriation consists 

of the former appropriations for military and naval insurance, applicable to World War I veterans; National Service Life Insurance, 

applicable to certain World War II veterans; servicemen’s indemnities, applicable to Korean conflict veterans; and veterans mortgage life insurance to individuals who have received a grant for 

specially adapted housing. 

COMMITTEE RECOMMENDATION

In fiscal year 2023, the Committee provided an advance appropriation of $121,126,000 for fiscal year 2024 for the Veterans Insurance and Indemnities account. In addition, the Committee recommendation includes an additional $12,701,000 for fiscal year 

2024 and an advance appropriation of $135,119,422 for Veterans 

Insurance and Indemnities for fiscal year 2025, as requested. 

VETERANS HOUSING BENEFIT PROGRAM FUND

Program account 1 Administrative 

expenses 

Appropriations, 2023 ....................................................................................................... SSAN $282,361,131 

Budget estimate, 2024 ................................................................................................... SSAN 316,742,419 

Committee recommendation, 2024 ................................................................................. SSAN 316,742,419

1 Such sums as may be necessary [SSAN] 

PROGRAM DESCRIPTION

The Veterans Housing Benefit Program Fund provides for all 

costs associated with VA’s direct and guaranteed housing loan programs, with the exception of the Native American Veteran Housing 

Loan Program. 

VA loan guaranties are made to servicemembers, veterans, reservists, and unremarried surviving spouses for the purchase of 

homes, condominiums, and manufactured homes, and for refinancing loans. VA guarantees part of the total loan, permitting the 

purchaser to obtain a mortgage with a competitive interest rate, 

even without a downpayment, if the lender agrees. VA requires a 

downpayment be made for a manufactured home. With a VA guaranty, the lender is protected against loss up to the amount of the 

guaranty if the borrower fails to repay the loan. 

COMMITTEE RECOMMENDATION

The Committee recommends such sums as may be necessary, 

currently estimated to be $1,720,000,000, for funding subsidy payments, and $316,742,419 for administrative expenses for fiscal year 

2024. Bill language limits gross obligations for direct loans for specially adapted housing to $500,000. 

Veterans Housing Rehabilitation and Modification Pilot Program.—The Committee encourages VA to coordinate with the Department of Housing and Urban Development [HUD] to develop an 

outreach plan to increase awareness about this program among 

veterans, Veterans Service Organizations, and other eligible entities. 
30 

VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT

Program account Administrative 

expenses 

Appropriations, 2023 ....................................................................................................... $7,171 $445,698 

Budget estimate, 2024 ................................................................................................... 78,337 460,698 

Committee recommendation, 2024 ................................................................................. 78,337 460,698 

PROGRAM DESCRIPTION

The Vocational Rehabilitation Loans Program account covers the 

cost of direct loans for vocational rehabilitation of eligible veterans 

and, in addition, includes administrative expenses necessary to 

carry out the direct loan program. Loans of up to $1,447 (based on 

the indexed chapter 31 subsistence allowance rate) are currently 

available to service-connected disabled veterans enrolled in vocational rehabilitation programs, as provided under 38 U.S.C. chapter 

31, when the veteran is temporarily in need of additional assistance. Repayment is made in monthly installments, without interest, through deductions from future payments of compensation, 

pension, subsistence allowance, educational assistance allowance, 

or retirement pay. Virtually all loans are repaid in full and most 

in less than 1 year. 

COMMITTEE RECOMMENDATION

The Committee recommends $78,337 for program costs and 

$460,698 for administrative expenses for the Vocational Rehabilitation Loans Program account. The administrative expenses may be 

paid to the General Operating Expenses, Veterans Benefits Administration account. Bill language is included limiting program direct 

loans to $2,026,000. It is estimated VA will make 1,559 loans in fiscal year 2024, with an average amount of $1,300. 

NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM ACCOUNT

Appropriations, 2023 ............................................................................. $1,400,000 

Budget estimate, 2024 ........................................................................... 2,718,546 

Committee recommendation ................................................................. 2,718,546 

PROGRAM DESCRIPTION

The Native American Veteran Housing Loan Program is authorized by 38 U.S.C. chapter 37, section 3761 to provide direct loans 

to Native American veterans living on trust lands. The loans are 

available to purchase, construct, or improve homes to be occupied 

as veteran residences or to refinance a loan previously made under 

this program in order to lower the interest rate. 

Veterans pay a funding fee of 1.25 percent of the loan amount, 

although veterans with a service-connected disability are exempt 

from paying the fee. Before a direct loan can be made, the veteran’s 

Tribal organization must sign a memorandum of understanding 

with VA regarding the terms and conditions of the loan. The Native American Veteran Housing Loan Program began as a pilot program in 1993 and was made permanent by the Veterans’ Housing 

Opportunity and Benefits Improvement Act of 2006 (Public Law 

109–233). 
31 

COMMITTEE RECOMMENDATION

The Committee recommends $2,718,546 for administrative expenses associated with this program, as requested. 

GENERAL OPERATING EXPENSES, VETERANS BENEFITS

ADMINISTRATION

Appropriations, 2023 ......................................................................... $3,863,000,000 

Budget estimate, 2024 ...................................................................... 3,899,000,000 

Committee recommendation ............................................................. 3,899,000,000 

PROGRAM DESCRIPTION

The General Operating Expenses [GOE], VBA account provides 

funding for VBA to administer entitlement programs such as service-connected disability compensation, education benefits, and vocational rehabilitation services. 

COMMITTEE RECOMMENDATION

The Committee recommends $3,899,000,000 for the GOE, VBA 

account, which is $36,000,000 above the fiscal year 2023 enacted 

level and equal to the budget request. The Committee included bill 

language to make available through September 30, 2025, up to 10 

percent of the GOE, VBA account. 

In addition, VA estimates to use $1,769,000,000 from the Toxic 

Exposures Fund to support GOE, VBA-related activities in fiscal 

year 2024. 

Contract Providers for Exams.—The Committee is concerned 

about VBA’s increased reliance on outside providers to conduct 

compensation and pension exams, which are necessary for veterans 

to receive the benefits that they have earned through their military 

service. The Department is directed to submit a report to the Committees on Appropriations of both Houses of Congress no later than 

1 year after enactment of this act regarding contract examination 

vendors, by District, and individual contract vendor. The report 

shall include (1) the average distance traveled by an individual for 

an exam, and (2) the average wait time for an individual to receive 

an exam. The Committee continues to urge VA to ensure that compensation and pension exams are available at VA facilities with the 

capability to conduct them in a safe and thorough manner. 

Oversight of Compensation and Pension Exams.—The Committee 

strongly encourages VBA to maintain statistics regarding the rate 

and frequency with which VA and contract providers render negative opinions regarding compensation and pension exams. At a 

minimum, such statistics should contain provider name, facility, 

contractor or Federal employee status, and list of conditions (with 

corresponding rate of diagnosis) for which the provider performs 

compensation and pension exams. 

Support to County, Tribal and Equivalent Governmental Veterans 

Service Officers.—The Committee recognizes the crucial role of 

county, Tribal and equivalent governmental Veterans Service Officers in ensuring veterans receive the benefits and care they deserve. Accordingly, the Department is encouraged to support county, Tribal and equivalent governmental Veterans Service Officers 

in their assistance to the Nation’s veterans. The Department is di-
32 

rected to submit a report to the Committees on Appropriations of 

both Houses of Congress no later than 90 days after enactment of 

this act detailing a systemic method for facilitating collaboration 

between county, state, and Tribal Veterans Service Officers, VHA 

facilities and VBA offices in their respective geographic areas. The 

proposed approach should identify ways to enhance existing resources to support county, Tribal and equivalent governmental Veterans Service Officers, designate Department staff to serve as regional liaisons, and provide a timeline to implement across the enterprise. Furthermore, the Committee encourages the Department 

to track what benefits veterans are filing for by county. The goal 

of such collaboration should be to improve services to all veterans, 

to proactively identify barriers to delivering high quality care, ensuring veterans who need assistance are able to access support, 

and to share data and observations that indicate substandard quality of care. 

Wrongfully Discharged LGBTQ Veterans.—The Committee supports the Department’s decision to allow eligible discharged veterans to receive their due benefits through the Secretary’s September 17, 2021 memorandum regarding ‘‘Benefits Eligibility for 

Lesbian, Gay, Bisexual, Transgender and Queer [LGBTQ∂] 

Former Service Members (VIEWS 5810856).’’ In supporting the 

goals of this memorandum, the Committee directs the Department 

to submit a report no later than 270 days after enactment of this 

act on the number of eligible veterans who have received their due 

benefits after this memorandum’s release as well as efforts by the 

Department to conduct outreach towards these eligible veterans to 

ensure they are aware of the processes to receive their benefits. 

National Training Curriculum.—The Department is encouraged 

to improve the training of VA personnel who are responsible for 

processing disability claims to help ensure benefits are being correctly determined so veterans experiencing post-traumatic stress 

disorder have access to the healthcare, treatment, and compensation to which they are entitled. 

GI Bill Apprenticeships and On-the-Job-Training.—The Committee directs VA to take additional actions to promote awareness 

and increased utilization of apprenticeships and on-the-job training 

[OJT] programs, including continued coordination and support to 

State Approving Agencies [SAAs] and programs which may 

incentivize increased participation by employers. The Committee 

recommends additional support and resources be provided to SAAs 

for the purpose of increasing awareness and utilization of apprenticeships and OJT. The Department is encouraged to explore options to expand the program in the future, while ensuring proper 

oversight of SAA contracts. 

VetSuccess on Campus.—The Committee recognizes the importance of the VetSuccess on Campus program’s role in ensuring success in post-secondary education, and understands that while 104 

schools are currently supported through the program, more than 

250 additional schools are waiting for support. The Committee 

strongly encourages VA to continue to support this program with 

additional resources, and to expand to additional schools, including 

locations that serve multiple institutions and in States that currently do not benefit from the program. The Department is directed 
33 

to submit a plan to the Committees on Appropriations of both 

Houses of Congress no later than 90 days after enactment of this 

act on how VA plans to expand the VetSuccess on Campus program 

over the next 5 years to meet the high demand. The plan should 

outline barriers to expansion and options to address them. 

Veteran Benefit Counselors Minimum Ratio.—The Committee is 

aware that many veterans require a ‘‘Navigator’’ or ‘‘Counselor,’’ 

often known as Veteran Benefit Counselors, to successfully access 

VA benefits. These Counselors are generally supported and funded 

through a State agency, and the number of Counselors available to 

veterans varies widely. The Committee encourages the Department 

to create a recommended minimum standard ratio for the number 

of state-funded Veteran Benefit Counselors using a National Standard Ratio based upon the State’s veteran population. 

Outreach to Remote Areas.—The Committee encourages the Department to improve outreach, including travel to villages, to reach 

veterans not connected to the major metropolitan areas of the 

United States by a road system. 

Legal Clinic Grant Program Accountability.—Within 1 year of enactment of this act, the Department is directed to submit a report 

to the Committees on Appropriations of both Houses of Congress 

on the current United States Code, title 38 authorities to provide 

grants to legal clinics providing pro bono legal services to veterans, 

and the status of their implementation. The report should include 

an analysis of any current regulations and proposed regulations establishing pilot programs and if VA can combine any of these authorities into one program to serve each veteran population while 

simplifying the grant application process. 

Unaccredited Assistance.—The Department is directed to submit 

a report to the Committees on Appropriations of both Houses of 

Congress no later than 90 days after enactment of this act on the 

Department’s plan to track how many veterans assisted by 

unaccredited claims agents and the outcomes of those claims, including whether the claims required a higher level review or an appeal to the Board of Veterans Appeals. This report should address 

steps VA will take to ask veterans when they file an initial claim 

for benefits whether they were assisted by a third party and if they 

contracted with any outside group for assistance, including the 

name of the individual or group that provided assistance, and the 

outcome of the claim. The report should further assess how improved information collection could be used to better protect veterans. 

VETERANS HEALTH ADMINISTRATION

Appropriations, 2023 ......................................................................... $119,664,000,000 

Advance appropriations, 2024 .......................................................... 128,104,000,000 

Budget estimate, 2024 1 .................................................................... ¥6,154,697,000 

Committee recommendation, 2024 1 ................................................ ¥6,154,697,000 

Budget estimate, advance appropriations, 2025 ............................. 112,582,000,000 

Committee recommendation, advance appropriations, 2025 ......... 112,582,000,000 

1The budget request proposed to rescind unobligated balances to lower the funds available 

in fiscal year 2024. The Committee recommendation adjusts the previously enacted advance appropriation for fiscal year 2024 to be consistent with the revised request. 
34 

ADMINISTRATION OVERVIEW

The Veterans Health Administration [VHA] is home to the 

United States’ largest integrated healthcare system. 

The Department of Veterans Affairs Medical Care Collections 

Fund [MCCF] was established by the Balanced Budget Act of 1997 

(Public Law 105–33). In fiscal year 2004, the Consolidated Appropriations Act, 2004 (Public Law 108–199) allowed the Department 

to deposit first-party and pharmaceutical co-payments, third-party 

insurance payments and enhanced-use collections, long-term care 

co-payments, Compensated Work Therapy Program collections, 

Compensation and Pension Living Expenses Program collections, 

and Parking Program fees into the MCCF. 

The Parking Program provides funds for the construction, alteration, and acquisition (by purchase or lease) of parking garages at 

VA medical facilities authorized by 38 U.S.C. 8109. The Secretary 

is required under certain circumstances to establish and collect fees 

for the use of such garages and parking facilities. Receipts from the 

parking fees are to be deposited into the MCCF and are used for 

medical services activities. 

COMMITTEE RECOMMENDATION

In fiscal year 2023, the Committee provided $128,104,000,000 in 

advance appropriations for VA’s medical care accounts for fiscal 

year 2024. This included $74,004,000,000 for Medical Services, 

$33,000,000,000 for Medical Community Care, $12,300,000,000 for 

Medical Support and Compliance, and $8,800,000,000 for Medical 

Facilities. 

The President’s Budget Request submitted for fiscal year 2024 

included revised requests for these accounts totaling 

$121,011,303,000. This included $69,070,887,000 for Medical Services, $31,090,931,000 for Medical Community Care, 

$12,300,000,000 for Medical Support and Compliance, and 

$8,549,485,000 for Medical Facilities. 

For fiscal year 2024, the Committee provides a total of 

$121,011,303,000 for VA medical care, in accordance with agreements related to the Fiscal Responsibility Act of 2023 (Public Law 

118–5). The Committee adjusts the amounts previously advance 

appropriated for fiscal year 2024 to provide $69,070,887,000 for 

Medical Services, $29,840,416,000 for Medical Community Care, 

$12,300,000,000 for Medical Support and Compliance, and 

$9,800,000,000 for Medical Facilities. Additionally, the Committee 

recommendation includes $938,000,000 for Medical and Prosthetic 

Research. Medical Care Collections are estimated to be 

$3,991,000,000 in fiscal year 2024. The Committee recommendation 

also provides $112,582,000,000 in advance appropriations for VA’s 

medical care accounts for fiscal year 2025, consistent with the request. 

The Fiscal Responsibility Act (Public Law 118–5) directly appropriated $20,268,000,000 for the Toxic Exposures Fund, of which 

$17,116,000,000 is estimated to be for medical care, for a total of 

$138,126,995,000 in medical care funding in fiscal year 2024, consistent with the request. 
35 

The Committee recognizes the invaluable role of the Department 

of Veterans Affairs, the Nation’s largest integrated healthcare system, in serving the unique needs of veterans. The Committee recognizes that a strong and fully resourced VHA is necessary to effectively serve our Nation’s veterans. 

Scheduling Data for In-House and Community Care.—The Department is directed to report to the Committees on Appropriations 

of both Houses of Congress no later than 30 days after enactment 

of this act and monthly thereafter, updates, by facility, on the average number of days it takes for veterans to receive appointments 

at VA and in the community, from file entry date to first scheduled 

and file entry date to appointment. 

VA Infrastructure Requirements.—The Committee acknowledges 

the need for substantial investments in facilities within the Department to address aging infrastructure. The Committee reminds VA 

of the annual reporting requirement included in the Joint Explanatory Statement accompanying Public Law 116–94 related to women’s healthcare facilities improvements, and is directed to allocate 

appropriate funding to undertake such improvements. 

Child Care Assistance.—The Committee supports the Department’s planned efforts to expand child care assistance to veterans 

receiving healthcare at all VA medical facilities by January 5, 

2026, as required by the Johnny Isakson and David P. Roe, M.D. 

Veterans Health Care and Benefits Improvement Act of 2020 (Public Law 116–315). The Department is strongly encouraged to allocate appropriate funding for this effort, including to publish regulations and initiate and complete the necessary information technology systems as soon as possible. 

Opioid Use Disorder/Alternative Treatments.—Alternative treatments for pain management have been shown to be effective in reducing pain and reliance on prescription opioids. The Committee 

notes the directive language in the Joint Explanatory Statement 

accompanying Public Law 117–38 requiring the Department to 

track the use of osteopathic manipulative treatment to treat back 

and other pain. The Committee continues to encourage VA to expand the use of alternative treatments to pain management, such 

as acupuncture, in its delivery of healthcare services. The Committee also urges VA to integrate alternative treatments into VA 

medical centers and clinics through licensed professionals or on a 

contract basis. 

Access to Care for Rural and Tribal Veterans.—The Committee 

remains concerned about the closure of facilities based on the quadrennial market area assessments required under the VA MISSION 

Act of 2018 (Public Law 115–182). For any future infrastructure 

changes, the Department is urged to focus on maintaining or improving veterans’ access to medical care nationwide, including in 

dense urban and rural areas. The Committee retains a provision 

prohibiting the Department from taking steps towards closing facilities or diminishing healthcare services at facilities, absent a report to the Committee including an analysis of how the action 

would impact access to care for veterans living in rural or highly 

rural areas, including Tribal areas. 

Pharmacogenomics Analysis.—The Department is directed to 

submit a report to the Committees on Appropriations of both 
36 

Houses of Congress no later than 90 days after enactment of this 

act on the feasibility, advisability, and cost estimate of undertaking 

a study to record patient responses to pharmaceuticals based on 

their genetic profile. The study could take the results from a patient’s pharmacogenomics test and map those results against the 

patient’s medical condition(s), currently prescribed medications, 

and different therapeutics/medications which are widely prescribed 

to treat these conditions, and provide the treating physician with 

easily understood, actionable information to utilize in making a decision about the course of medication(s) which will yield the greatest benefit to a patient and limit the risk of potential harm/adverse 

events based upon identified drug-to-gene and drug-to-drug interactions. 

National Center for Post-Traumatic Stress Disorder.—The Committee continues to support the mission and work of the National 

Center for Post-Traumatic Stress Disorder [NCPTSD] and provides 

$42,000,000 to continue the center’s advancement of the clinical 

care and social welfare of America’s veterans who have experienced 

trauma or suffer from PTSD through research, education, and 

training in the science, diagnosis, and treatment of PTSD and 

stress-related disorders. The Committee supports the priorities for 

NCPTSD as described in the Congressional budget submission, and 

urges it to consider academic and interagency collaborations to investigate novel combinatorial forms of intervention for PTSD, including multifactor approaches. 

CHAMPVA Electronic Application Filing.—The Committee is 

concerned VA only receives applications for the Civilian Health and 

Medical Program of the Department of Veterans Affairs 

[CHAMPVA] by mail or fax, while veterans may apply for 

healthcare benefits through an online application. Within 90 days 

of enactment of this act, the Department is directed to report to the 

Committees on Appropriations of both Houses of Congress on the 

Department’s plans to allow CHAMPVA applicants to submit their 

applications electronically and view the status of their application 

online. The report should include an estimated timeline for the Department’s full implementation of an electronic application option 

for CHAMPVA applicants. 

Strategic Partnerships to Increase Access to Care.—The Committee encourages VA to consider preexisting or shovel-ready infrastructure projects, as well as opportunities to work with strategic 

partners, to expand inpatient medical services, inpatient mental 

health services or joint VA/DoD services for veterans and 

servicemembers, particularly in areas with anticipated high enrollee growth. 

Veterans Exposed to Open Burn Pits and Airborne Hazards.—The 

Committee is supportive of the efforts of VA to research and study 

the health effects of open-air burn pits on veterans. In order to provide full and effective medical care, it is essential for the Department to better understand the impacts exposure during service has 

had on the health of veterans, including linkages to rare cancer not 

yet identified by VA as presumptive to military service. Therefore, 

the Committee includes $15,000,000 to carry out responsibilities 

and activities of the Airborne Hazards and Burn Pits Center of Excellence. 
37 

Center for Native Hawaiian, Pacific Islander and U.S.-Affiliated 

Pacific Islander Health.—In fiscal year 2023, funds were allocated 

for the Department to establish a Center for Native Hawaiian 

[NH], Pacific Islander [PI], and U.S.-Affiliated Pacific Islander 

[USAPI] Health to focus on research, service, and education to improve the lives of NH, PI, and USAPI veterans. As part of this continuing effort, the Department is encouraged to allocate sufficient 

funding for the Center and to partner with non-government institutions and universities to examine telehealth and telepharmacy; 

models of interprofessional primary care, including the integration 

of pharmacists and behavioral health; electronic health records and 

data analytics; health workforce; and indigenous people innovation. 

Third-Party Administrators.—The Committee encourages all 

third party administrators partnering with VA to process veteran 

health claims to possess a congressional liaison to ensure oversight 

and communication among congressional offices and caseworkers. 

Falls Prevention.—The Department is directed to submit a report 

to the Committees on Appropriations of both Houses of Congress 

no later than 180 days after enactment of this act assessing the effectiveness of actions taken to address falls prevention and providing a strategic plan to prevent falls in the future. Specifically, 

the assessment should address the Department’s efforts related to: 

(1) the use of Specially Adapted Housing Program grants or Home 

Improvements and Structural Alterations grants; (2) falls prevention education efforts for veterans, caregivers, and long-term support services institutional and non-institutional staff; and (3) collaborations with the Department of Health and Human Services 

National Institute on Disability Independent Living and Rehabilitation Research to prevent falls in VA and VA-affiliated facilities 

and home and community-based settings. The report should include data on the specific number of falls that have occurred among 

veterans (including those covered by VHA) over the past 5 years 

and the cost of such falls to the Department. 

MEDICAL SERVICES

(INCLUDING TRANSFER OF FUNDS)

Appropriations, 2023 ......................................................................... $70,584,116,000 

Advance appropriations, 2024 .......................................................... 74,004,000,000 

Budget estimate, 2024 1 .................................................................... ¥4,933,113,000 

Committee recommendation, 2024 1 ................................................ ¥4,933,113,000 

Budget estimate, advance appropriations, 2025 ............................. 71,000,000,000 

Committee recommendation, advance appropriations, 2025 ......... 71,000,000,000 

1The budget request proposed to rescind unobligated balances to lower the funds available 

in fiscal year 2024. The Committee recommendation adjusts the previously enacted advance appropriation for fiscal year 2024 to be consistent with the revised request. 

PROGRAM DESCRIPTION

The Medical Services account provides for medical services for eligible enrolled veterans and other beneficiaries in VA healthcare 

facilities, including VA medical centers and VA outpatient clinics. 

COMMITTEE RECOMMENDATION

In fiscal year 2023, the Committee provided an advance appropriation of $74,004,000,000 for fiscal year 2024 for the Medical 
38 

Services account. The recommendation for fiscal year 2024 includes 

a negative adjustment of $4,933,113,000, which provides the Department with total budget authority of $69,070,887,000, consistent 

with the revised request. In addition, VA estimates to use 

$9,525,000,000 from the Toxic Exposures Fund to support medical 

services in fiscal year 2024. VA also has the authority to retain copayments and third-party collections. 

The Committee recommendation also includes an advance appro- priation of $71,000,000,000 for Medical Services for fiscal year 

2025, equal to the budget request. 

PREVENTING VETERAN HOMELESSNESS

The Committee remains strongly supportive of VA’s homelessness prevention programs. As such the recommendation includes 

$3,113,530,000 to support these programs, $2,382,000 more than 

the request. This total includes $774,744,000 for the Supportive 

Services for Veterans Families [SSVF] Program; $620,000,000 for 

Housing and Urban Development-Veterans Affairs Supportive 

Housing [HUD–VASH] Program case management, $306,161,000 

for the Grant and Per Diem [GPD] Program; and $109,721,000 for 

the Veterans Justice Outreach [VJO] Program and Legal Services 

for Veterans grants. 

The Committee recognizes the Department’s efforts to reduce the 

number of veterans experiencing homelessness, and the goal of putting 38,000 veterans experiencing homelessness into long term 

housing in calendar year 2023. While VA increased supports to veterans at risk of homelessness during the pandemic, the Committee 

is concerned the number of veterans experiencing homelessness 

will increase as homelessness assistance, including debt relief programs, enacted at the Federal, State, and local levels during the 

pandemic end. 

SSVF.—SSVF is a critical program designed to help reach the 

goal of ending homelessness among veterans. In reviewing and 

scoring grant applications, the Committee urges the Department to 

ensure it includes reviewers familiar with the unique needs of 

rural and underserved geographic areas. VA is encouraged to support grantees who meet the minimum scoring threshold and have 

familiarity working with VA, as they are more likely to have a 

well-rounded understanding of what a veteran may be experiencing. 

HUD–VASH Case Management.—The Committee supports the 

expansion of caseworkers hired in order to reach the Department’s 

goal of 90 percent of caseworker positions filled. The Committee 

therefore provides additional funding to address the case manager 

shortage. The Committee encourages the Department to expand 

the program to reach as many veterans as possible as part of the 

broader national effort to reduce the number of veterans experiencing homelessness and to prevent veteran suicide. 

Collaborative case management models allow the Department to 

designate a third party to support HUD–VASH veterans and can 

be effective in increasing the accessibility of case management 

services. The Committee reminds the Department of the direction 

in the Joint Explanatory Statement accompanying Public Law 117– 

328 for VA and HUD to coordinate to establish pathways that 
39 

would allow for temporary, transitional case management by Public 

Housing Authorities [PHAs], and to finalize its guidance related to 

approving a PHA to be a designated service provider. The Committee directs VA and HUD to brief the Senate Committees on Appropriations of both Houses of Congress no later than 30 days of 

enactment of this act on the status of the guidance and outreach 

efforts to inform communities of these flexibilities. 

HUD–VASH Provision of Furniture and Household Items.—The 

Department is directed to submit a report to the Committees on 

Appropriations of both Houses of Congress no later than 90 days 

after enactment of this act regarding the feasibility and advisability of creating a new program to secure necessary household 

furnishings, such as furniture, towels, and kitchenware, to help 

veterans participating in HUD–VASH to successfully transition to 

a new home to ensure a comfortable, stable living space. As part 

of this analysis, the Department should consider how to secure 

bulk purchase pricing and shipment of items at best cost, and determine best practices for administering the program, including 

through partnership or agreement with local veteran organizations, 

State agencies, or a VA/HUD consortium. 

GPD Program.—The Committee recognizes that service-intensive 

transitional housing provided through VA’s GPD Program is an important programmatic option, particularly in areas with low vacancy rates, limited housing stock, and high market rates, and that 

substance-free and service-intensive housing may be a critical step 

for veterans at risk of relapse into substance abuse. The Department should continue to make funding available for GPD beds 

based on a collaborative process with local housing partners, the 

local VA Medical Centers and the Continuums of Care. 

Healthcare for Homeless Veterans Program.—The Healthcare for 

Homeless Veterans Program [HCHV] performs valuable outreach 

to identify veterans experiencing homelessness who are eligible for 

VA services and assist these veterans in accessing appropriate 

healthcare and benefits. The Committee urges the Department to 

provide additional funds for the planned expansion to veterans 

with Other Than Honorable Discharges and to expand outreach regarding the housing, healthcare, and mental healthcare resources 

that VA offers in order to reach as many at-risk veterans as possible and strengthen their relationship with VA to improve longterm outcomes. 

Rural, American Indian [AI]/Alaska Native [AN], Native Hawaiian, and Pacific Islander Veterans Homelessness Assessment.—The 

Department is directed to conduct a study and provide a report to 

the Committees on Appropriations of both Houses of Congress 

within 1 year of enactment of this act regarding access to and utilization of VA’s homelessness programs by rural, AI/AN, NH, and PI 

veterans. This study should evaluate the availability of HUD– 

VASH vouchers and case managers, SSVF providers, GPD providers, HCHV providers, and any other programs relevant to veteran homelessness as the Secretary deems prudent. The study 

should also collect data, where available, on chronic homelessness, 

substance use disorder, and severe mental illness amongst rural, 

AI/AN, NH, and PI populations experiencing, at-risk-of, or having 

recently experienced homelessness. The data in the report should 
40 

be separated by the homelessness program, the categories listed 

above, and location, with an accounting for circumstances where 

categories may overlap. 

TELEHEALTH SERVICES

The Committee recommendation includes $5,165,336,000, equal 

to the request, to sustain and increase telehealth capacity, including in rural and highly rural areas. VA and DoD have long been 

leaders in the field of emerging technology and medicine. For VA, 

telehealth creates a bridge between rural and urban centers, allowing the Department to expand access to care in areas where services are limited. Telehealth also allows care to be provided more effectively and efficiently for veterans closer to home and through direct in-home access to providers. While VA continues to lead the 

healthcare industry in the expansion of in-home telehealth and remote patient monitoring services, these services are often limited 

by the lack of broadband service in remote and rural areas. 

Virtual Cognitive Behavioral Therapy.—The Joint Explanatory 

Statement accompanying Public Law 117–328 encouraged VA to 

expand access to mental health services for all eligible veterans 

through partnerships with virtual programs and platforms with accredited therapist-guided, cognitive behavioral therapy programs. 

However, the Committee is concerned VA has not taken steps to 

establish such partnerships. As such, the Committee encourages 

VA to utilize available funding to establish partnerships and furnish VA-accredited clinicians with commercially available platforms 

offering cognitive behavioral therapy in rural service areas struggling with broadband operability. The Department is directed to 

provide the Committees on Appropriations of both Houses of Congress a report, no later than 90 days after enactment of this act, 

on the status of such partnerships to expand access to mental 

health services for all eligible veterans. 

MENTAL HEALTH/PREVENTING VETERANS SUICIDE

The Committee provides $16,243,469,000 for mental health pro- grams, equal to the request, including $3,034,423,000 for suicide 

prevention outreach and treatment programs, of which 

$558,794,000 is for suicide prevention outreach. 

Suicide Prevention Coordinators.—VA Medical Centers may benefit from the latest real-time technologies that complement the existing retrospective reporting tools from the VA Central Office. Specifically, Suicide Prevention Coordinators should have real-time 

case monitoring and management tools that improve situational 

awareness, patient safety and compliance with VA Risk ID policies. 

The Committee directs the Secretary to continue to implement the 

recommendations from the report included in the Joint Explanatory Statement accompanying Public Law 117–328 to improve access to Suicide Prevention Coordinators for veterans. 

Veterans Crisis Line.—The Committee supports the request of $300,500,000 for the Veterans Crisis Line [VCL]. VCL provides 24- 

hours per day suicide prevention and crisis intervention services 

for veterans in crisis and their families and friends. The Department is directed to enable VCL to utilize geolocation capabilities in 

order to facilitate accurate emergency dispatch to persons at risk 
41 

of imminent harm to self or others, similar to those of 911 call centers. 

Improving Depression Treatment with Precision Medicine.—The 

Committee recognizes that depression is one of the most common 

conditions associated with military service and combat exposure. 

The Department is encouraged to partner with clinical laboratories 

providing pharmacogenomic tests to inform treatments for clinical 

depression if they have been shown to improve health outcomes of 

veterans in clinical trials. 

Use of Ketamine.—The Department is directed to perform a review of whether its national protocol guidance for the prescription 

of ketamine is consistent with current scientific opinion and evidence-based practice, and report to the Committees on Appropriations of both Houses of Congress no later than 60 days after enactment of this act. 

Utilization of Benefits.—In preparing the National Veteran Suicide Prevention Annual Report, the Committee directs VHA to review VBA data on the rates of usage of veterans benefits programs. 

OPIOID SAFETY INITIATIVES AND SUBSTANCE USE DISORDER CARE

To continue to build upon opioid reduction efforts and safety ini- tiatives, the Committee recommendation includes $715,365,000 for 

Opioid Prevention and Treatment programs at VA, equal to the 

budget request. This includes $460,878,000 for treatment programs 

and $254,487,000 to continue implementation of the Jason 

Simcakoski Memorial and Promise Act, as part of the Comprehensive Addiction and Recovery Act of 2016 (Public Law 114–198). 

Alcohol Use Disorder Medication Assisted Treatment.—The Committee encourages VA to increase education among its primary care 

practitioners on the diagnosis and treatment of alcohol use disorders with Food and Drug Administration [FDA]-approved medication assisted treatments and counseling, as clinically indicated. 

LONG-TERM CARE

The Committee provides $12,940,784,000 for institutional and 

non-institutional care, equal to the budget request. The Committee 

is aware of the aging veteran population and supports long-term 

care that focuses on facilitating veteran independence, enhancing 

quality of life, and supporting the family members of veterans. As 

such, the Committee supports the Department’s efforts to broaden 

veterans’ options regarding non-institutional long-term care support and services, and to accommodate veterans’ preferences in how 

and where they receive care and other services. 

Rural Access to Home and Community-Based Services.—The 

Committee looks forward to receiving the report on rural access to 

Home and Community-Based Services requested in the Joint Explanatory Statement accompanying Public Law 117–328. 

Domiciliary Care Claims for Veterans with Early-Stage Dementia.—The Committee directs the Secretary to expeditiously complete the rulemaking process to implement section 3007 of Public 

Law 116–315. The Department is further directed to delegate the 

authority to waive certain eligibility requirements for domiciliary 

care for veterans with early stage dementia, when in the veteran’s 
42 

best interest, to regional VISNs and local VA hospital systems so 

that newly eligible veterans may begin to receive this crucial support. 

Nursing Home, Long-Term, and Hospice Care.—The Department 

is directed to submit a report to the Committees on Appropriations 

of both Houses of Congress no later than 90 days after enactment 

of this act on the feasibility and advisability of alternate payment 

structures for providers within the Homemaker and Home Health 

Aide program. This analysis should outline a system where a single 

provider agency would be responsible for adhering to all home care 

agency licensing and labor law requirements in the States in which 

they operate and would be the employer of record; the veteran 

would be the managing employer for the caregiver. The Department would reimburse the provider agency the same rate it reimburses home health agencies under the current Homemaker and 

Home Health Aide program and a majority of the rate would go to 

compensating caregivers. The provider agency would be responsible 

for offering a self-directed model that provides administrative supports for veterans, conducting background checks for every caregiver and verifying any other caregiver qualification requirements 

based on state home care agency licensing statutes and regulations. 

RURAL HEALTHCARE

Veterans residing in rural and remote areas face unique barriers 

to receiving high-quality mental health, primary healthcare, and 

specialty care services. While enhanced community care programs 

offer veterans increased flexibility to obtain care close to home, 

there are often gaps in services in rural and remote communities, 

even among private providers. The Office of Rural Health [ORH] 

and its Rural Health Initiative has played a critical role in assisting VA in its efforts to increase access to care. Therefore the Committee recommendation includes $347,455,000 for ORH and the 

Rural Health Initiative. This is $10,000,000 more than fiscal year 

2023 enacted and $10,000,000 above the budget request. 

Transportation for Rural Veterans.—The Committee recognizes 

the need to address the care needs of veterans living in rural communities across the United States. Such veterans frequently lack 

access to the type of medical facilities and medical care found in 

urban areas which may lead to disparities in health outcomes in 

the long term. The Committee urges the Department to expand and 

improve transportation access to and from facilities that serve 

rural veterans, and recommends up to $15,000,000 in funding for 

the Office of Rural Health be dedicated to the Highly Rural Transportation Grants Program that helps veterans in rural areas travel 

to VA or VA-authorized care facilities. 

Veterans Affairs Health Navigator Platform.—The Department is 

encouraged to consider allocating funding for Health Management 

Platforms and a health navigator system, focused on improving patient access and beneficiary experiences for veterans in rural and/ 

or low population density areas. This rural veterans’ program could 

parallel the ongoing Defense Health Agency’s healthcare management pilot program and further harmonize the healthcare systems 

of DoD and VA. 
43 

CAREGIVERS

The Committee recommendation includes $2,422,410,000 for VA’s 

Caregivers Program, which is equal to the budget request. 

The Caregivers Program was enhanced as part of the John S. 

McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside 

Networks [MISSION] Act of 2018 (Public Law 115–182). VA was 

not able to implement the program consistent with statutory 

timelines or Congressional intent. 

Program of Comprehensive Assistance for Family Caregivers.— 

The Committee strongly encourages the Department to suspend all 

reassessments and discharges for legacy Program of Comprehensive Assistance for Family Caregivers [PCAFC] participants until 

full completion of the ongoing review. The Committee further urges 

the Department to work collaboratively with the Committee during 

this process. 

Expediting Appeals for Legacy Caregivers.—The Committee again 

encourages the Secretary to permit recently disqualified and denied 

applicants with a history in the program to have their applications 

automatically reconsidered under the current requirements, rather 

than go through the appeals process. Additionally, the Committee 

requests VA consider creating an expedited review for PCAFC appeals to ensure timely decisions and requests a briefing within 30 

days of enactment of this act on what actions VA is taking to address these denials. 

PCAFC Expansion.—The Department is directed to submit a report to the Committees on Appropriations of both Houses of Congress no later than 90 days after enactment of this act on the feasibility and advisability, including a cost estimate, of expanding eligibility for PCAFC services to all veterans who served before 2001 

with a disability rating greater than 0 percent. 

WOMEN VETERANS HEALTHCARE

Today, women make up 16.9 percent of the active-duty military 

forces and 19 percent of National Guard and Reserves. The number 

of women veterans using VA healthcare has continued to rise, with 

women accounting for over 30 percent of the increase in veterans 

enrolled over the past 5 years. VA must enhance its services and 

access to gender-specific care, including primary care providers, 

gynecologists, maternity care, mammography services, and mental 

health providers, including care related to experiences of military 

sexual trauma. Enhancing capacity to support pregnant and 

postpartum women veterans must also be a priority, which should 

include expansion of maternity care and lactation support for 

women veterans. 

Toward this end, the Committee recommendation includes 

$1,279,096,000 for fiscal year 2024, equal to the request, to support 

gender-specific healthcare services, as well as the program office 

and initiatives. VA is encouraged to use this funding to continue 

to expand this care so that all women veterans, including those in 

rural areas, have the access to care they deserve. The Committee 

also urges the Department to ensure that there are dedicated entrances, security, and women providers at all VA sites of care. 
44 

CLINICAL WORKFORCE

The Committee appreciates the Department’s efforts to address 

challenges in recruiting and retaining physicians, physician assistants, nurses, mental health providers, other healthcare professionals, and related support staff. The Committee reminds the Department of the annual requirement for a report on workforce 

issues outlined in the Joint Explanatory Statement accompanying 

Public Law 116–260. 

Respiratory Therapists.—Respiratory therapists are a critical 

part of the care team and the Committee encourages VA to ensure 

that respiratory therapists are available to veterans where they are 

most needed. The Department is directed to evaluate staffing needs 

for respiratory therapists using a validated data system, and to report back to the Committees on Appropriations of both Houses of 

Congress within 180 days of the publication of this report on gaps 

in staffing for respiratory therapists. 

VA Rural Hiring Comparison.—The Department is directed to 

assess and compare hiring for rural and highly rural facilities 

versus urban facilities and to provide a report to the Committees 

on Appropriations of both Houses of Congress within 1 year of enactment of this act. This should include a comparison of time-tofill averages for rural facilities against more urban facilities, an assessment of VA’s ability to conduct market salary surveys in rural 

areas with limited private sector competition, and overall salary 

comparison amongst rural physicians and as compared to their 

urban counterparts. 

OTHER ITEMS OF INTEREST

Neurology Centers of Excellence.—The Committee recognizes the 

increasing number of veterans affected by neurologic conditions, including but not limited to: epilepsy, headache, multiple sclerosis, 

and Parkinson’s disease. The Neurology Centers of Excellence provide essential innovative clinical care, education, and research efforts focused on these conditions. The Committee applauds the Department for recent investments into the headache, multiple sclerosis, and Parkinson’s disease centers and encourages further investment in, and collaboration between the Centers across disciplines and directs the Department to allocate $70,000,000 for the 

Neurology Centers of Excellence for maintenance and expansion. 

The Department is directed to provide the Committees on Appropriations of both Houses of Congress no later than 90 days after 

enactment of this act with an outline of how this funding will be 

allocated, as well as an estimate of any savings projected to be realized due to collaboration. 

Drug-Resistant Epilepsy.—The Committee encourages the Department to ensure that all veterans with epilepsy have the opportunity to be comprehensively evaluated at a VHA Epilepsy Center 

of Excellence to identify drug-resistant epilepsy patients who may 

be candidates for FDA-approved non-drug therapies. 

Helping Heroes.—The Department is directed to submit a report 

to the Committees on Appropriations of both Houses of Congress 

no later than 180 days after enactment of this act assessing the 

needs of disabled veterans and their families, including the types 
45 

and quality of support disabled veterans receive from the children 

living with them, and the unmet needs of these children. These 

supportive services should include, but are not limited to, wellness 

services (e.g., mental, emotional, behavioral, and nutritional); peersupport programs; and assistance accessing veterans’ education 

benefits and workforce development programs. The Department 

should solicit input from veterans and their families in completing 

this assessment. In addition, the Department is strongly encouraged to include information on mental health and other services for 

children in its Transitional Assistance Program curriculum and resources provided to families through VHA. 

Intimate Partner Violence Assistance Program.—The VA Intimate 

Partner Violence [IPV] Assistance Program addresses the identification of IPV and access to services for veterans with the aim of 

maintaining or establishing the physical, emotional and psychological safety and well-being of veterans and their families. Program expansions should include screening, prevention, and intervention services to veterans while strengthening collaboration with 

community partners as well as with the Program of Comprehensive 

Assistance for Family Caregivers and VA programs to address 

homelessness. The focus should be on developing a culture of safety 

and adopting a holistic, trauma-informed, veteran-centered approach to services and support for those veterans experiencing intimate partner violence. The Committee supports IPV Coordinator 

positions at each VA medical facility, and supports the request of 

$36,879,000 to fully fund the program, and directs the Department 

to continue to include it as a program of interest with budget detail 

in the justifications accompanying the fiscal year 2025 budget submission. 

Veterans Transportation Service.—The Committee encourages the 

Department to utilize shared-ride on-demand transportation software at some facilities, to measure its impact on providing veterans 

with reliable transportation services and study whether techenablement of the on-demand shared ride model will benefit the 

broader Veterans Transportation Program. 

Continued Support and Expansion for Whole Health.—The Committee is pleased by data in the budget request regarding the 

Whole Health Program. Given evidence of the program’s success for 

patients struggling with opioid use disorder and chronic pain, the 

Committee supports the proposed increase and expanding the 

Whole Health model to all VA health facilities nationwide. 

Adaptive Sports.—The Committee provides $30,414,000 for National Veterans Sports Programs, including $16,000,000 for the 

adaptive sports programs. Veterans have shown marked improvements in mental and physical health from participating in adaptive 

sports and recreational therapy, and have expressed the need for 

these activities to be included in the healthcare services VA offers. 

The Committee also recognizes that adaptive sports and recreational therapy provide a low-cost alternative to other healthcare 

services that produce similar health outcomes, and applauds the efforts of community providers of these grants, especially in rural 

areas, who have been able to utilize this key program in successfully reintegrating veterans back into their communities. The Committee is acutely aware that community providers of adaptive 
46 

sports grants spend considerable time and effort in planning and 

implementing their veteran service programs. The Committee, 

therefore, encourages the Department to assess how the treatment 

of ‘‘administrative expenses and personnel expenses’’ under current 

law may restrict program outcomes and recommend changes, if appropriate. 

Dental Services.—The Committee encourages the Department to 

offer veterans robust support to address their oral health needs 

using a whole-person approach, especially for veterans with additional medical needs including diabetes and heart disease. The Department is directed to submit a report to the Committees on Appropriations of both Houses of Congress no later than 180 days 

from the enactment of this act assessing the state of veterans’ oral 

healthcare programs and these programs’ ability to adequately 

serve the current and future oral health needs of veterans. Specifically, this report should include an assessment of the Department’s 

infrastructure for serving the oral health needs of current VHA-enrolled veterans, the availability of providers, and what additional 

investments or policies would be needed to expand eligibility, particularly to veterans with heart diseases and diabetes. In addition, 

the report should assess the feasibility of expanding services in 

order to furnish dental care to all veterans diagnosed with heart 

disease or diabetes and who are enrolled to receive VHA care, and 

include a cost estimate for a period of 10 years. 

Vet Centers.—The Committee supports the request for Vet Centers and urges the Department to increase access to Vet Centers 

by ensuring adequate staffing and evaluating whether additional 

centers may be needed. Additionally, the Committee expects the 

Department to fully implement Section 5126, Improvement of Vet 

Centers at Department of Veterans Affairs, of the James M. Inhofe 

National Defense Authorization Act for Fiscal Year 2023 (Public 

Law 117–263). 

Mobile Vet Centers.—The Department is directed to provide a report to the Committees on Appropriations of both Houses of Congress no later than 120 days after enactment of this act, outlining 

a plan, with a cost estimate, to provide at least two additional mobile vet centers per VISN, specifically in rural areas throughout the 

country. 

Vet Center Scholarship Program.—The Committee is concerned 

VA did not conduct a robust outreach and communications campaign to advertise the launch of the VA Readjustment Counseling 

Service [RCS] Scholarship Program in March 2023. This scholarship program was established by the Commander Scott Hannon 

Veterans Mental Health Care Improvement Act of 2019 (Public 

Law 116–171) to provide educational assistance to students pursuing graduate degrees in mental health disciplines, in exchange 

for a service commitment at a Vet Center. No later than 180 days 

after enactment of this act, the Department is directed to submit 

to the Committees on Appropriations of both Houses of Congress 

a report on lessons learned from the first year of the RCS Scholarship Program, including plans for improving communications and 

marketing to attract more program applicants and participants, 

thereby bolstering VA’s Vet Center workforce. 
47 

Air Ambulance Reimbursement.—The Committee remains concerned that changes to the reimbursement rates for ground and air 

ambulance services may negatively impact the ability of veterans 

to access emergency medical services, particularly in rural and underserved areas. The Department should facilitate individual medical centers or VISNs contracting with providers of these services, 

including the provision of technical assistance to providers on the 

contract process, and consider further delay of the rule if necessary. 

Pilot Programs for Agritherapy.—The Committee includes 

$5,000,000 to continue a pilot program to train veterans in agricultural vocations, while also tending to behavioral and mental health 

needs with behavioral healthcare services and treatments by licensed providers. 

Hyperbaric Oxygen Therapy.—The Committee encourages the Department to continue to research the efficacy of hyperbaric oxygen 

therapy [HBOT] as a treatment for post-traumatic stress disorder 

and traumatic brain injury, and permit case-by-case referrals for 

HBOT in the community. 

Domestic Procurement of Medical Isotope Molybdenum-99.—The 

Committee encourages the Department to use domestically produced Molybdenum-99 in order to reduce the reliance on foreign 

imports of Molybdenum-99, to the extent practicable without having a detrimental impact on patient care. 

Medical Cannabis.—In implementing VHA Directive 1315, Access to VHA Clinical Programs for Veterans Participating in StateApproved Marijuana Programs, the Committee directs the Department to make appropriate recommendations, complete forms, or 

take other actions to facilitate a veteran’s decision to participate in 

such programs approved by a State and document it appropriately, 

to the extent allowable under Federal law. 

On-Dose Pharmaceutical Authentication to Protect Veterans.—The 

Committee is concerned with the ongoing counterfeit pharmaceutical and fentanyl crisis facing our Nation and leaving our veterans vulnerable. The Committee encourages the Department to 

consider the use of on-dose physical chemical identification authentication technologies to help secure the supply chain of pharmaceutical products. The Committee looks forward to receiving the 

On-Dose Pharmaceutical Authentication Study and Report requested in the Joint Explanatory Statement accompanying Public 

Law 117–328. 

Integration of Veteran and Tribal Partners in Applicable Areas.— 

The Committee directs the Secretary to appoint a single point of 

contact to coordinate Federal Tribal and veteran healthcare in 

areas where it may be difficult for a veteran to find proper representation due to limited presence of VA facilities. 

Nuclear Medicine Quality Improvements.—The Committee notes 

the Nuclear Regulatory Commission recently began a rulemaking 

process to require reporting of some nuclear medicine 

extravasations. The Committee encourages all VA health facilities 

to monitor injection quality, as well as image extravasations and 

perform dosimetry and notify patients when such monitoring occurs, and urges the Department to adopt regulatory requirements 

to improve safety, quality, and transparency for patients. 
48 

Obstructive Sleep Apnea.—The Committee encourages the Department to explore a range of treatments for veterans suffering 

from obstructive sleep apnea, including the use of innovative appliances. 

Food Service Guidelines Implementation.—The Committee supports the goal set forth in the National Strategy on Hunger, Nutrition, and Health to update and implement government-wide the 

Food Service Guidelines for Federal Facilities. The Committee 

strongly encourages VHA to implement the Food Service Guidelines across its food service facilities. 

Hospital Acquired Central Line Associated Bloodstream Infections.—The Committee urges VA to build and sustain conventional 

infection prevention and control strategies to reduce the significant 

increase in central-line-associated bloodstream infections 

[CLABSIs], which were documented during the pandemic, and any 

other hospital acquired infections. The Department is directed to 

submit a report to the Committees on Appropriations of both 

Houses of Congress no later than 180 days after the enactment of 

this act detailing a timeline with steps, accomplished and planned, 

to reduce the percentage of CLABSI and other hospital acquired infection to less than pre-pandemic rates. 

Anti-Privatization.—The Committee opposes any effort that 

would weaken the VA medical system or put it on a path toward 

privatization. 

Eligibility Requirements for Veterans.—Currently, veterans face a 

complex set of eligibility requirements to determine if they can receive healthcare from VA. Not least of which are the six subcategories of Priority Group 8. The Department is encouraged to work 

with Congress to streamline eligibility requirements. 

Compact of Free Association Veterans.—The Department is directed to provide to the Committees on Appropriations of both 

Houses of Congress no later than 90 days after enactment of this 

act, a cost estimate for providing hospital care, medical services, 

and extended care services to veterans residing in the freely associated States. 

Autonomous Mobile Robots.—The Committee is aware of the Department’s use of autonomous mobile robots at a growing number 

of VA hospitals, resulting in a variety of efficiencies. The Department is encouraged to consider the utilization of autonomous mobile robots when planning and designing new construction or renovations of medical facilities. The Department is directed to submit 

a report to the Committees on Appropriations of both Houses of 

Congress no later than 90 days after enactment of this act on the 

cost savings and efficiencies realized by the use of autonomous mobile robots at Department medical facilities. 

Veterans Health Administration Interoperable Technologies.—The 

security of VA facilities is a top priority for the Committee. Effective security requires interoperable communications between VA 

police, employees and local police and first responders. The Committee encourages the Department to seek opportunities to use 

interoperable technologies to eliminate communication silos between VA security, local police and fire, DoD force protection, and 

medical technicians to include access to real-time video and sensor 

data during normal and incident operations. 
49 

MEDICAL COMMUNITY CARE

Appropriations, 2023 ......................................................................... $28,456,659,000 

Advance appropriations, 2024 .......................................................... 33,000,000,000 

Budget estimate, 2024 1 .................................................................... ¥1,909,069,000 

Committee recommendation, 2024 1 ................................................ ¥3,159,584,000 

Budget estimate, advance appropriations, 2025 ............................. 20,382,000,000 

Committee recommendation, advance appropriations, 2025 ......... 20,382,000,000 

1The budget request proposed to rescind unobligated balances to lower the funds available 

in fiscal year 2024. The Committee recommendation adjusts the previously enacted advance appropriation for fiscal year 2024 to reflect a reduction in the amount requested. 

PROGRAM DESCRIPTION

The Medical Community Care account provides for medical services for eligible enrolled veterans and other beneficiaries that is 

purchased from and provided by non-Department of Veterans Affairs facilities and providers, including contract hospitals, State 

homes, and outpatient services. 

COMMITTEE RECOMMENDATION

In fiscal year 2023, the Committee provided an advance appro- priation of $33,000,000,000 for fiscal year 2024 for the Medical 

Community Care account. The recommendation for fiscal year 2024 

includes a negative adjustment of $3,159,584,000, which provides 

the Department with a total budget authority of $29,840,416,000. 

In addition, VA estimates to use $6,740,264,000 from the Toxic Exposures Fund to support medical community care in fiscal year 

2024, for a total of $36,580,680,000. 

The Committee recommendation also includes an advance appro- priation of $20,382,000,000 for Medical Community Care for fiscal 

year 2025. 

MISSION Act Reporting.—The Committee continues to be interested in data relating to utilization of MISSION Act authorities 

and expenditure estimates, as well as the number of veterans 

served based on each authority for care outlined in section 1703(d) 

of title 38, United States Code. The Department is encouraged to 

continue tracking this information. 

Dialysis Services.—The Committee encourages the Department to 

utilize a pay-for-performance value-based dialysis payment model, 

including performance metrics that are highly correlated with improved health outcomes and lower cost. The Department is directed 

to submit the expanded feasibility report, including a pay-for-performance value-based dialysis payment model, as indicated in the 

Joint Explanatory Statement accompanying Public Law 117–328, 

no later than September 30, 2023. 

State Veterans Homes Per Diem.—The Committee understands 

the Department intends to revise the formula used for determining 

per diem rates at state veterans homes, and supports this effort. 

Veterans Access to Long-Term Care.—The Committee is aware of 

the Department’s support for extending exemptions to providers, 

including long-term care, operating pursuant to an agreement with 

VA in order to improve veterans’ access to care. The Committee is 

concerned that any additional requirements imposed on the Department’s community care providers will make it more difficult to 

recruit and retain these vital partners. Therefore, the Committee 

encourages the Department to work with the Department of Labor 
50 

to seek exemptions for Veterans Affairs Health Benefits Providers 

from its authority, similar to TRICARE providers, as appropriate. 

Care to Veterans in the Republic of the Philippines.—The Department is directed to perform an analysis of the feasibility and advisability of establishing a community care network in the Philippines 

and report to the Committees on Appropriations of both Houses of 

Congress on its findings within 1 year of the enactment of this act. 

MEDICAL SUPPORT AND COMPLIANCE

Appropriations, 2023 ......................................................................... $11,073,409,000 

Advance appropriations, 2024 .......................................................... 12,300,000,000 

Budget estimate, advance appropriations, 2025 ............................. 11,800,000,000 

Committee recommendation, advance appropriations, 2025 ......... 11,800,000,000 

PROGRAM DESCRIPTION

The Medical Support and Compliance account provides funds for 

management, security, and administrative expenses within the VA 

healthcare system, in addition to providing costs associated with 

the operation of VA medical centers and clinics, VISN offices, and 

the VHA Central Office in Washington, DC. This appropriation also 

covers Chief of Staff and Facility Director operations, quality of 

care oversight, legal services, billing and coding activities, procurement, financial management, security, and human resource management. 

COMMITTEE RECOMMENDATION

In fiscal year 2023, the Committee provided an advance appropriation of $12,300,000,000 for fiscal year 2024 for the Medical 

Support and Compliance account. In addition, VA estimates to use 

$850,000,000 from the Toxic Exposures Fund for medical support 

and compliance activities in fiscal year 2024. 

The Committee recommendation includes an advance appropriation of $11,800,000,000 for Medical Support and Compliance for fiscal year 2025, consistent with the request. 

MEDICAL FACILITIES

Appropriations, 2023 ......................................................................... $8,633,816,000 

Advance appropriations, 2024 .......................................................... 8,800,000,000 

Budget estimate, 2024 1 .................................................................... ¥250,515,000 

Committee recommendation, 2024 ................................................... 1,000,000,000 

Budget estimate, advance appropriations, 2025 ............................. 9,400,000,000 

Committee recommendation, advance appropriations, 2025 ......... 9,400,000,000 

1The budget request proposed to rescind unobligated balances to lower the funds available 

in fiscal year 2024. 

PROGRAM DESCRIPTION

The Medical Facilities account provides funds for the operation 

and maintenance of the VA healthcare system’s vast capital infrastructure. This appropriation provides for costs associated with 

utilities, engineering, capital planning, leases, laundry, 

groundskeeping, housekeeping, facility repair, and property disposition and acquisition. 
51 

COMMITTEE RECOMMENDATION

In fiscal year 2023, the Committee provided an advance appropriation of $8,800,000,000 for fiscal year 2024 for the Medical Facilities account. The recommendation for fiscal year 2024 includes 

an additional $1,000,000,000, which coupled with the advance appropriation provided for fiscal year 2024 provides the Department 

with total budget authority of $9,800,000,000. 

The Committee recommendation also includes an advance appropriation of $9,400,000,000 for Medical Facilities for fiscal year 

2025. 

Prohibition on Smoking.—The Committee supports the Department’s efforts to make VA facilities smoke-free and encourages full 

implementation and enforcement of VHA Directives 1085 and 

1085.1, which prohibit the use of cigarettes, cigars, pipes, and any 

other combustion or heating of tobacco, and the use of any electronic nicotine delivery system, including electronic or e-cigarettes, 

vape pens, and e-cigars by any person on the premises of any VHA 

facility. 

MEDICAL AND PROSTHETIC RESEARCH

Appropriations, 2023 ............................................................................. $916,000,000 

Budget estimate, 2024 ........................................................................... 938,000,000 

Committee recommendation ................................................................. 938,000,000 

PROGRAM DESCRIPTION

The Medical and Prosthetic Research account provides funds for 

medical, rehabilitative, and health services research. Medical research supports basic and clinical studies that advance knowledge 

leading to improvements in the prevention, diagnosis, and treatment of diseases and disabilities. Rehabilitation research focuses 

on rehabilitation engineering problems in the fields of prosthetics, 

orthotics, adaptive equipment for vehicles, sensory aids, and related areas. Health services research focuses on improving the effectiveness and economy of the delivery of health services. 

COMMITTEE RECOMMENDATION

The Committee recommends $938,000,000 for the Medical and 

Prosthetic Research account. This is $22,000,000 above the fiscal 

year 2023 enacted level and equal to the budget request. In addition, VA estimates to use $46,000,000 from the Toxic Exposures 

Fund to support medical research in fiscal year 2024, for a total of 

$984,000,000. 

The Committee remains highly supportive of this program, and 

recognizes its importance both in improving healthcare services to 

veterans and recruiting and retaining high quality medical professionals in the Veterans Health Administration. 

Per- and Polyfluoroalkyl Substance Exposure.—The Committee 

understands the Department continues to review recommendations 

by the National Academies of Sciences, Engineering and Medicine, 

including the utility of blood testing, and to actively collaborate 

with Federal and academic partners to better understand the 

health implications of per- and polyfluoralkyl [PFAS] exposure related to military service. The Department is directed to report to 
52 

the Committees on Appropriations of both Houses of Congress no 

later than 90 days after enactment of this act on its recommended 

guidance for blood testing, including for military firefighters who 

were exposed to aqueous firefighting foam [AFFF]. The Committee 

continues to encourage VA to establish and maintain a registry for 

veterans who may have been exposed to PFAS due to exposure to 

AFFF during their military service and to develop a public information campaign to inform eligible individuals about the registry. 

PFAS Research.—The Department, in coordination with DoD and 

in consultation with the Centers for Disease Control and Prevention, shall submit a report to the Committees on Appropriations of 

both Houses of Congress no later than 1 year after enactment of 

this act regarding the ability of the Department to (1) create distinct PFAS exposure cohorts based on location and date of PFAS 

exposure, including related to AFFF; (2) create a longitudinal 

record of service-related PFAS exposures per individual, including 

all current and former service members potentially exposed in such 

cohorts; (3) conduct appropriate medical surveillance to detect 

emerging health conditions among such personnel potentially exposed to PFAS; (4) support epidemiological research to determine 

which health outcomes have greater rates of prevalence or incidence among such personnel potentially exposed to PFAS; and, (5) 

support clinical care and public health activities by providing clinical care providers the ability to search such longitudinal records 

for individuals under their care and associate them to such exposure events. 

Opiate-Free Pain Therapy for Veterans.—The Department is encouraged to implement a research project in various VA facilities/ 

VISNs evaluating the efficacy of thermal, shortwave diathermy on 

patients with chronic pain for non-opioid pain relief. This research 

should include real world evidence collected by VHA researchers in 

collaboration with veteran patients and private providers and researchers. 

Non-Invasive Lung Function Screening.—The Committee notes 

that the Department has increased its research into veterans with 

deployment-related respiratory disease and strongly encourages the 

Department to continue its efforts to identify and use in clinical 

practice non-invasive FDA-approved screening technologies that 

save veterans from invasive procedures such as surgical lung biopsies that are often required to establish a diagnosis. The Committee directs the Department to submit a report to the Committees on Appropriations of both Houses of Congress on their efforts 

relating to such implementation no later than 90 days after the enactment of this act. 

Advanced Platform Technology [APT] Center.—The Committee 

applauds VHA for the progress being made to provide our Nation’s 

veterans with new assistive and restorative technologies that address sensory, motor, or cognitive deficits, as well as limb loss. The 

APT Center has effectively utilized a partnership model to leverage 

local and national research expertise to drive dramatic progress in 

diverse areas including artificial lung development, wound healing, 

and neurally-connected sensory prosthesis. 

Access to Clinical Oncology Trials.—The Committee continues to 

support the ongoing collaborative efforts between VA medical cen-
53 

ters and National Cancer Institute [NCI]-designated comprehensive 

cancer centers, but notes the lack of infrastructure for clinical 

trials in other areas of the country. Expanding access to clinical oncology trials remains a priority and as such the Committee directs 

that not less than $10,000,000 be allocated to support partnerships 

between VA medical centers and NCI-designated comprehensive 

cancer centers, with an emphasis on expanding to new sites outside 

the current NAVIGATE structure. 

PhytoNutrient Strategy for Brain and Mental Health.—The Committee encourages the Department to conduct research on 

phytonutrient complexes as therapeutic countermeasures against 

adverse mental status and decline in veteran populations. 

Focused Ultrasound Therapy.—The Committee encourages VA to 

conduct a study into the feasibility and advisability of utilizing 

non-invasive Focus Ultrasound Therapy to treat certain conditions 

such as Parkinson’s disease, essential tremors, prostate cancer, 

fibroids and other medical conditions. Within 1 year of enactment 

of this act, the Department is directed to report to the Committees 

on Appropriations of both Houses of Congress on the findings of 

this study, which should consider clinical and other stakeholder 

partnerships and detail any barriers or obstacles the Department 

might face in conducting proactive research on focused ultrasound 

therapy. 

Point-of-Care Ultrasound Technologies.—The Committee encourages the continued use of proven Point-Of-Care-Ultrasound 

[POCUS] technologies across VHA, as appropriate. The Department is directed to submit a report to the Committees on Appropriations of both Houses of Congress no later than 90 days after 

enactment of this act on the current and planned use of POCUS, 

including a cost estimate of expansion across the wide variety of 

VHA clinical environments, and any barriers to scaling. 

Psychedelic Research.—The Committee recognizes the increased 

interest in studying psychedelic therapies and their potential 

therapeutic effects for veterans. The Committee encourages VA to 

explore opportunities to assist with privately-funded research programs to evaluate the efficacy of psychedelic therapies in treating 

PTSD, major depressive disorder, and other serious mental health 

conditions. 

Stomach Cancer.—The Committee recognizes that stomach cancer is a concern for veterans who experienced hazardous exposure 

to ionizing radiation and have been diagnosed with Helicobacter 

pylori [H. pylori]. Therefore, the Committee encourages the Department to conduct a study on the prevalence of stomach cancer diagnoses in veterans who were exposed to ionizing radiation and who 

were also diagnosed with H. pylori. The study should include any 

preventative measures and advice given to these veterans as a result of their diagnosis. 

MEDICAL CARE COST RECOVERY COLLECTIONS

MEDICAL CARE COLLECTION FUND

Appropriations, 2023 ......................................................................... $3,910,000,000 

Budget estimate, 2024 ...................................................................... 3,991,000,000 

Committee recommendation ............................................................. 3,991,000,000 
54 

MEDICAL CARE COLLECTION FUND–REVENUES APPLIED

Appropriations, 2023 ......................................................................... ¥$3,910,000,000 

Budget estimate, 2024 ...................................................................... ¥3,991,000,000 

Committee recommendation ............................................................. ¥3,991,000,000 

PROGRAM DESCRIPTION

The Medical Care Collection Fund [MCCF] was established by 

the Balanced Budget Act of 1997 (Public Law 105–33). In fiscal 

year 2004, Public Law 108–199 allowed the Department of Veterans Affairs to deposit first-party and pharmacy co-payments; 

third-party insurance payments and enhanced-use collections; longterm care co-payments; Compensated Work Therapy Program collections; and Parking Program fees into the MCCF. The Secretary 

of Veterans Affairs has the authority to transfer funds from the 

MCCF to the Medical Services and Medical Community Care accounts. 

COMMITTEE RECOMMENDATION

The Committee recommendation includes the authority to retain 

co-payments and third-party collections, estimated to total 

$3,991,000,000 in fiscal year 2024. 

NATIONAL CEMETERY ADMINISTRATION

Appropriations, 2023 ............................................................................. $430,000,000 

Budget estimate, 2024 ........................................................................... 480,000,000 

Committee recommendation ................................................................. 480,000,000 

ADMINISTRATION OVERVIEW

The National Cemetery Administration [NCA] was established in 

accordance with the National Cemeteries Act of 1973 (Public Law 

93–43). It has a four-fold mission: to provide for the interment in 

any national cemetery of the remains of eligible deceased 

servicemembers and discharged veterans, together with their 

spouses and certain dependents, and permanently maintain their 

graves; to provide headstones for, and to mark graves of, eligible 

persons in national, State, and private cemeteries; to administer 

the grant program for aid to States in establishing, expanding, or 

improving State veterans cemeteries; and to administer the Presidential Memorial Certificate Program. 

COMMITTEE RECOMMENDATION

The Committee recommends $480,000,000 for the National Cemetery Administration. This is an increase of $50,000,000 above the 

fiscal year 2023 enacted level and equal to the budget request. The 

appropriated funding for NCA should be used to maintain existing 

cemeteries and to activate newly completed cemeteries. 

The Committee has included bill language to make available 

through September 30, 2025, up to 10 percent of the National Cemetery Administration appropriation. 

Rural Initiative National Cemetery Grants Program.—The Committee supports the National Cemetery Administration’s efforts to 

construct additional infrastructure at its Rural Initiative national 

cemeteries. In order to ensure that these infrastructure projects are 
55 

meeting the needs of veterans, volunteers, and visitors, the Department should conduct an assessment at each Rural Initiative national cemetery site, with feedback from community stakeholders— 

to include veterans, veterans service organizations, volunteers, 

local leadership, adjacent landowners, and visitors, to determine if 

it is advisable to construct permanent support infrastructure. The 

Committee strongly encourages the Department to work with State 

and local entities interested in constructing and donating facilities 

to help meet location-specific needs, as appropriate. 

Honorable Flag Disposal Program.—The Committee directs the 

Department to submit a report to the Committees on Appropriations of both Houses of Congress no later than 90 days after the 

enactment of this act on (1) reasons for the lack of capacity to destroy flags made of synthetic materials; (2) potential health hazards of the destruction of synthetic flags in open air burn pits; and 

(3) what options exist for NCA to provide environmentally safe and 

acceptable options for honorably disposing of flags made of synthetic materials. Additionally, the report shall include a section on 

the feasibility, advisability and projected costs of creating a program to provide at least one State Veterans Cemetery in every 

State with the capacity to offer environmentally safe and acceptable options for honorably disposing of flags made of synthetic materials. 

Hmong and Laotian Veterans.—The Committee strongly encourages VA to update any necessary Federal regulations to ensure 

that State Veterans Cemeteries are aware of and comply with section 6601 of Public Law 117–81, which authorized certain special 

guerrilla unit veterans who operated from a base in Laos for interment in national cemeteries, to ensure that State Veterans Cemeteries remain eligible for the VA Cemetery Grants Program. 

Unclaimed Veteran Burials.—The Committee encourages the Department to coordinate with state cemeteries to update forms to ensure cemeteries are being reimbursed for assisting with unclaimed 

veteran burials. The Committee directs VA to clearly define the unclaimed veteran burial financial obligation and explain the payout 

procedure in the instructions. Further, the Committee strongly encourages VBA to establish a point of contact for funeral homes to 

make inquiries regarding the form. 

DEPARTMENTAL ADMINISTRATION

Appropriations, 2023 ............................................................................. $10,806,000,000 

Budget estimate, 2024 ........................................................................... 11,107,000,000 

Committee recommendation ................................................................. 10,578,142,000 

ADMINISTRATION OVERVIEW

Departmental Administration provides for the administration of 

veterans benefits through VBA, the executive direction of the Department, several top level supporting offices, and the Board of 

Veterans Appeals. 

COMMITTEE RECOMMENDATION

The Committee recommends $10,578,142,000 for Departmental 

Administration. The amount is composed of $475,000,000 for General Administration; $287,000,000 for the Board of Veterans Ap-
56 

peals; $6,401,000,000 for Information Technology Systems; 

$1,334,142,000 for the Veterans Electronic Health Record; 

$296,000,000 for the Office of Inspector General; $881,000,000 for 

Construction, Major Projects; $680,000,000 for Construction, Minor 

Projects; $164,000,000 for Grants for Construction of State Extended Care Facilities; and $60,000,000 for Grants for the Construction of State Veterans Cemeteries. 

In addition, funds are available from the Recurring Expenses 

Transformational Fund [Transformational Fund]. Established in 

the Consolidated Appropriations Act of 2016 (Public Law 114–113), 

the Transformational Fund consists of unobligated balances of expired discretionary appropriations, following the fifth fiscal year 

after the last fiscal year funds were originally available. These 

funds shall be available until expended for facilities infrastructure 

improvements, including nonrecurring maintenance, at existing VA 

hospitals and clinics, and for information technology systems improvements and sustainment. For fiscal year 2024, VA proposed to 

allocate $600,000,000 of the anticipated Transformational Fund 

balance for major construction projects. 

GENERAL ADMINISTRATION

(INCLUDING TRANSFER OF FUNDS)

Appropriations, 2023 ............................................................................. $433,000,000 

Budget estimate, 2024 ........................................................................... 475,000,000 

Committee recommendation ................................................................. 475,000,000 

PROGRAM DESCRIPTION

The General Administration account provides funding for the Office of the Secretary, six assistant secretaries, and three independent staff offices. 

COMMITTEE RECOMMENDATION

The Committee recommends $475,000,000 for General Administration. This amount is $42,000,000 above the fiscal year 2023 enacted level and equal to the budget request. The Committee has included bill language to make available through September 30, 

2025, up to 10 percent of the General Administration appropriation. 

The Committee provides funding for General Administration in 

the amounts specified below: 

[In thousands of dollars] 

Office 1 Fiscal year 2024 

budget request 

Committee recommendation 

Office of the Secretary ........................................................................................... 19,165 19,165

Office of General Counsel ...................................................................................... 149,283 149,283 

Office of Management ........................................................................................... 88,424 88,424 

Office of Human Resources & Administration/Operations, Security & Preparedness ................................................................................................................... 120,900 120,900 

Office of Enterprise Integration ............................................................................. 38,941 38,941 

Office of Public & Intergovernmental Affairs ........................................................ 17,985 17,985 

Office of Congressional & Legislative Affairs ....................................................... 9,975 9,975 

Office of Accountability & Whistleblower Protection ............................................. 30,327 30,327 
57 

[In thousands of dollars] 

Office 1 Fiscal year 2024 

budget request 

Committee 

recommendation 

Total ................................................................................................................... 475,000 475,000 

1The Office of Acquisition, Logistics & Construction and the Veterans Experience Office are funded solely with reimbursable authority. 

The Secretary may alter these allocations if the Committees have 

been notified and written approval is provided. 

Unobligated Balances of Expired Discretionary Funds.—The 

Committee directs the Secretary to submit to the Committees on 

Appropriations of both Houses of Congress quarterly reports detailing all unobligated balances of expired discretionary funds by fiscal 

year. 

Asian American, Native Hawaiian, and Pacific Islander Data 

Disaggregation.—To improve data on our Nation’s veteran population, the Committee directs the Department to disaggregate 

Asian American, Native Hawaiian, and Pacific Islander demographic data into the race categories used in the 2020 U.S. Census. 

Improving Personal Cybersecurity for Veterans.—The Department 

is encouraged to help improve personal cybersecurity among veterans by increasing digital and media literacy through education 

and resources, including protection against cyber threats and influence campaigns. 

Improving the Accessibility of VA Services and the Workplace for 

People with Disabilities.—The Committee recognizes a need to ensure the Department meets the accessibility needs of disabled veterans and employees. As information technology responsibilities 

fall to the VISNs, the Committee strongly encourages the Department to include in all job descriptions for VISN Directors, all legal 

accessibility requirements, including legal requirements from the 

following pieces of legislation: Sections 501, 504, and 508 of Rehabilitation Act of 1973, the Plain Writing Act of 2010, the 21st Century Integrated Digital Experience Act, and the VA Website Accessibility Act of 2019. The Committee also strongly encourages the 

Department, in coordination with relevant groups representing people with disabilities, including groups representing disabled veterans, and the U.S. Access Board, to establish and implement 

quantitative and qualitative criteria for VISN Directors’ performance in meeting legal accessibility requirements and to provide a 

report to the Committees on Appropriations of both Houses of Congress no later than 180 days after enactment of this act detailing 

these criteria and implementation progress as well as confirming 

the inclusion of accessibility requirements in all job descriptions for 

VISN Directors. 

The Committee also strongly encourages the Secretary to consider establishing an Advisory Committee on Equal Access to ensure the Department’s compliance with disability laws, including 

representatives of people with disabilities, including veterans, as 

well as technical and policy experts. The Department should provide a report to the Committees on the feasibility and advisability 

of the creation of such an Advisory Committee. 

Acquisition and Logistics.—The Department’s Service Disabled 

Veteran Owned Small Businesses [SDVOSBs] contract awards and 

obligations often fall short of targets, and SDVOSBs remain an un-
58 

derutilized agency partner. The VETS 2 Governmentwide Acquisition Contract [GWAC] may be an opportunity for VA to increase its 

partnerships with SDVOSBs, while ensuring compliance; reducing 

protest risks, procurement lead times and associated costs; and 

providing for customized IT services-based solutions that are tailored to meet agency needs. Within 60 days of enactment of this 

act, the Department is directed to submit a report to the Committees on Appropriations of both Houses of Congress detailing a plan 

for increasing SDVOSB utilization through the VETS 2 GWAC. 

Predatory Representational Services to Veterans.—The Committee 

remains concerned about individuals and organizations aggressively marketing representational services to veterans using predatory tactics, often resulting in veterans having to pay exorbitant 

fees for representation for disability compensation claims, appeals, 

and Camp Lejeune related lawsuits. The VA Office of General 

Counsel is strongly encouraged to increase efforts to properly oversee claims representative accreditation, as well as ensure veterans 

are fully aware of their due process rights, VA’s duty to assist, and 

the free representational services offered by accredited veterans 

service organizations. 

Assessment of VA Accountability Measures.—The Committee believes the Department must be allowed to terminate bad employees 

to ensure veterans have the best possible experience from the Department. No later than 120 days after enactment of this act, the 

Secretary shall provide a report to Congress that includes an assessment of current authorities used to terminate or otherwise discipline bad employees, and to identify any needed authorities to address misconduct or poor performance. 

Voting-Related Activities.—The Committee directs the Secretary 

to provide to the Committees on Appropriations of both Houses of 

Congress a briefing, no later than 90 days after enactment of this 

act, regarding any strategic plans developed by the Department 

since January 20, 2021 outlining the ways that the Department 

has promoted voter registration, and voter participation. 

BOARD OF VETERANS APPEALS

Appropriations, 2023 ............................................................................. $285,000,000 

Budget estimate, 2024 ........................................................................... 287,000,000 

Committee recommendation ................................................................. 287,000,000 

PROGRAM DESCRIPTION

As set forth in section 7101(a) of title 38 United States Code, the 

Board of Veterans Appeals [BVA] is responsible for making final 

decisions on claims for veterans benefits presented to the Board for 

appellate review. The vast majority of the Board’s workload derives 

from benefit claims initiated by the Veterans Benefits Administration’s Regional Offices. The appellate process has multiple steps, 

most of which occur at the local Regional Office level. If a veteran 

is not satisfied with the Regional Office determination, he or she 

may appeal to the Board for a final agency decision. The Board adjudicates appeals covering all areas of veterans benefits, including 

service connection, increased disability ratings, total disability ratings, pensions, insurance benefits, educational benefits, home loan 
59 

guaranties, vocational rehabilitation, waivers of indebtedness, fee 

basis medical care, and dependency and indemnity compensation. 

COMMITTEE RECOMMENDATION

The Committee recommends $287,000,000 for the Board of Veterans Appeals, which is $2,000,000 above the fiscal year 2023 enacted level and equal to the budget request. The Committee has included bill language to make available through September 30, 

2025, up to 10 percent of BVA’s appropriation. In addition, VA estimates to use $4,000,000 from the Toxic Exposures Fund to support 

BVA activities related to toxic exposures in fiscal year 2024. 

BVA Hearings.—The Department is directed to make public on 

its website (1) the number of compensation and pension appeals 

pending at the Board by month for the past 3 years; (2) the average 

number days for compensation and pension appeals pending at the 

Board; and (3) the greatest number of days of currently pending 

compensation and pension appeals before the Board. Additionally, 

the Department is directed to submit to the Committees on Appropriations of both Houses of Congress no later than 90 days after 

enactment of this act a report including (1) detailed information on 

the reason for a claim being ‘‘backlogged’’; and (2) whether additional resources or authorities are needed to reduce the backlog or 

adjudicate the claims that have been pending the longest. 

INFORMATION TECHNOLOGY SYSTEMS

Appropriations, 2023 ......................................................................... $5,782,000,000 

Budget estimate, 2024 ...................................................................... 6,401,000,000 

Committee recommendation ............................................................. 6,401,000,000 

PROGRAM DESCRIPTION

The Information Technology [IT] Systems appropriation, along 

with reimbursements, funds the costs of all IT staff salaries and 

expenses, the operations and maintenance of all existing information technology systems, and the development of new projects and 

programs designed to improve the delivery of service to veterans. 

This appropriation also funds the costs associated with the Office 

of Information and Technology which oversees the functions highlighted above. 

COMMITTEE RECOMMENDATION

The Committee recommends $6,401,000,000 for the Information 

Technology Systems account. This amount is equal to the budget 

request. The Committee recommendation includes $1,606,977,000 

for staff salaries and expenses, $4,668,373,000 for operation and 

maintenance of existing programs, including $75,288,000 for activations, and $125,650,000 for program development. In addition, VA 

estimates to use $1,243,000,000 from the Toxic Exposures Fund to 

support the information technology systems activities related to 

toxic exposures in fiscal year 2024. 

The Committee has appropriated the Information Technology 

Systems account as three subaccounts. This funding structure enhances the Committee’s ability to ensure funds are executed in a 

manner consistent with the Department’s budget submission. The 

Committee has provided sufficient flexibility within the sub-
60 

accounts by way of authorized carryover amounts and reprogramming authority to give the Office of Information Technology as 

much flexibility as possible to accomplish its mission and goals, 

while ensuring proper accountability and oversight. 

The Committee is aware that an aging IT infrastructure and antiquated systems have contributed to issues affecting veterans, 

their families, and third parties with whom VA has agreements; 

and that the Department continues to identify significant costs to 

support new and critical initiatives. Additionally, the Department 

has reported its inability to comply with requirements that have 

been passed into law due to lack of appropriate IT systems. The 

Committee will continue to work with the Department to ensure IT 

projects are appropriately resourced, and continues to be interested 

in data related to IT projects across the Department that are required but awaiting funding. 

INFORMATION TECHNOLOGY DEVELOPMENT PROJECTS 

[In thousands of dollars] 

Project Fiscal year 2024 

budget request 

Committee 

recommendation 

Clinical Enabling Capabilities 

Health Delivery Support ......................................................................................... 23,599 23,599 

Operational Support ............................................................................................... 23,137 23,137

Health Administration ............................................................................................ 6,920 6,920 

Subtotal Clinical Enabling Capabilities ............................................................ 53,656 53,656 

Health Business Services 

Common Health Care Workflows ........................................................................... 7,594 7,594 

Common Health Care Specific Services ................................................................ 7,100 7,100 

Subtotal Health Business Services ................................................................... 14,694 14,694 

Care Coverage Capabilities 

Care Coverage Services ......................................................................................... 13,608 13,608 

Subtotal Care Coverage Capabilities ................................................................ 13,608 13,608 

Clinical Care Capabilities 

Clinical Care Services ............................................................................................ 7,949 7,949 

Subtotal Clinical Care Capabilities .................................................................. 7,949 7,949 

Health IT Services 

Enterprise IT Infrastructure ................................................................................... 2,000 2,000 

Subtotal Health IT Services ............................................................................... 2,000 2,000 

Patient Management Capabilities 

Patient Management Services ............................................................................... 559 559 

Subtotal Patient Management Capabilities ...................................................... 559 559 

Benefits Services 

Loan Guaranty ........................................................................................................ 16,000 16,000 

Subtotal Benefits Services ................................................................................ 16,000 16,000 

Veterans Experience Services 

Digital Experience .................................................................................................. 9,511 9,511

Customer Data Management Experience ............................................................... 4,673 4,673 
61 

INFORMATION TECHNOLOGY DEVELOPMENT PROJECTS—Continued 

[In thousands of dollars] 

Project Fiscal year 2024 

budget request 

Committee 

recommendation 

Subtotal Veterans Experience Services ............................................................. 14,184 14,184 

Corporate Services 

Financial Management Services ............................................................................ 3,000 3,000 

Subtotal Corporate Services .............................................................................. 3,000 3,000 

Total IT Development ......................................................................................... 125,650 125,650 

VETERANS ELECTRONIC HEALTH RECORD

Appropriations, 2023 ......................................................................... $1,759,000,000 

Budget estimate, 2024 ...................................................................... 1,863,000,000 

Committee recommendation ............................................................. 1,334,142,000 

PROGRAM DESCRIPTION

The Veterans Electronic Health Record [EHR] account funds all 

activities related to the acquisition, implementation, preparation, 

development, interface, management, rollout, and maintenance of a 

new EHR. The EHR solution and implementation will include program management; an enterprise-wide EHR system; change management; training; testing; deployment services; sustainment; and 

other solutions encompassing the entire range of EHR requirements. 

COMMITTEE RECOMMENDATION

The Committee recommends $1,334,142,000 for the Veterans 

EHR, which is $528,858,000 below the budget request, but equal 

to the revised estimate provided by the Department based on the 

decision to pause future deployments. The Committee remains supportive of replacing VA’s current EHR with the same system being 

acquired by DoD, and supports the Department’s current effort to 

‘‘reset’’ the initiative and hold future rollouts until performance in 

the sites currently using the new EHR has improved. 

Given the schedules and costs associated with any acquisition of 

this size and magnitude, it is important for the Department to provide regular implementation updates. Therefore, the bill continues 

the strict quarterly reporting requirements of obligations, expenditures, and any upcoming deployment schedule by facility. The Department is directed to continue quarterly briefings to review 

timelines, performance milestones, costs, implementation, and 

change management progress. In addition, the Committee included 

a statutory proviso that makes 25 percent of funding contingent 

upon the Secretary (1) providing a report outlining the 

measureable operational metrics that will be used to determine 

when it is appropriate to re-start deployments; (2) providing a report on the reset process as of March 1, 2024, including progress 

on achieving the necessary targets and the current performance at 

all Department facilities using the new electronic health record 

compared to pre-deployment baselines; and (3) certifying whether 

the system is stable, ready, and optimized for further deployment 
62 

at VA sites, and if not, an estimate of the timeline required for further deployment. 

The Committee continues to direct GAO to perform quarterly 

performance reviews of the VA EHR deployment to keep the Committees on Appropriations and Veteran’s Affairs of both Houses of 

Congress apprised of VA’s progress. 

Support for Operations at Sites Utilizing the New EHR.—For 

each site using the new EHR, the Committee directs the Department to ensure that implementation of the new EHR has not had 

negative impacts on the relevant facilities, especially with respect 

to any formulaic funding or staffing models. The Department is directed to periodically report to the Committees on Appropriations 

of both Houses of Congress on changes to staffing levels, productivity compared to pre-implementation levels, and wait times for 

access to VA care and care in the community. The Committee also 

discourages the Department from retaliation against employees 

who raise patient safety concerns related to the EHR Modernization activities. 

Veterans Electronic Health Record Modernization.—It is vital the 

Department demonstrates it has learned from the lessons of the 

fraught rollout of the electronic health record at the MannGrandstaff VA Medical Center, specifically lessons learned with the 

super user program and the training, medication management, patient record flags, and overall patient safety. The Department 

should make every effort to leverage the electronic health record 

modernization contract to address ongoing concerns and issues 

with Oracle’s patient safety, productivity, and usability record. 

Medical Image Exchange.—The Committee supports VA efforts to 

move away from hand-carried or couriered CD-and DVD–ROMs to 

implement a modern medical image exchange software. The Committee directs the Department to ensure this type of software solution is integrated in the future Veterans EHR system and enable 

its deployment in VA Enterprise Cloud. 

Improved Scheduling.—No later than 90 days after enactment of 

this act, the Committee directs the Department to brief the Committees on Appropriations of both Houses of Congress on the timeframe for implementing the scheduling solution for medical appointments throughout the enterprise. 

OFFICE OF INSPECTOR GENERAL

Appropriations, 2023 ............................................................................. $273,000,000 

Budget estimate, 2024 ........................................................................... 296,000,000 

Committee recommendation ................................................................. 296,000,000 

PROGRAM DESCRIPTION

The Office of Inspector General [OIG] was established by the Inspector General Act of 1978 and is responsible for the audit, investigation, and inspection of all Department of Veterans Affairs programs and operations. 

COMMITTEE RECOMMENDATION

The Committee recommends $296,000,000 for OIG. This is 

$23,000,000 above the fiscal year 2023 enacted level and equal to 

the budget request. The Committee has included bill language to 
63 

make available through September 30, 2025, up to 10 percent of 

the OIG appropriation. 

OIG continues to sustain an extremely high performance level, 

and the Committee continues to support OIG’s essential oversight 

of VA’s programs and operations, and maintains a provision to support timely access to any records, documents, or other materials 

available to the Department. Similarly, the Committee strongly encourages OIG to undertake and complete investigations in a timely 

manner, including sharing information with the Department, the 

Department of Justice, or other entities as appropriate. 

CONSTRUCTION, MAJOR PROJECTS

Appropriations, 2023 ......................................................................... $1,447,890,000 

Budget estimate, 2024 ...................................................................... 881,000,000 

Committee recommendation ............................................................. 881,000,000 

PROGRAM DESCRIPTION

The Construction, Major Projects account provides funds for constructing, altering, extending, and improving any of the facilities 

(including parking projects) under the jurisdiction or for the use of 

VA, including planning, architectural and engineering services, 

needs assessment, and site acquisition where the estimated cost of 

a project is more than the amount set forth in 38 U.S.C. 

8104(a)(3)(A). Proceeds realized from enhanced use lease activities 

may be deposited into the Construction, Major Projects and Construction, Minor Projects accounts. 

COMMITTEE RECOMMENDATION

The Committee recommends an appropriation of $881,000,000 for 

the construction of major projects. This is equal to the budget request. In addition, the Committee supports the Department’s allocation of $600,000,000 from the Transformational Fund to support 

the construction of major projects bringing the Department’s total 

resources for Major Construction to $1,481,000,000. 

The following table reflects the President’s budget request for 

major construction projects and the corresponding Committee recommendations. 

MAJOR CONSTRUCTION PROJECTS 

[In thousands of dollars] 

Location and description 

Fiscal year 2024 

budget request 

Committee 

recommendation 

Appropriation RETF Appropriation RETF 

Veterans Health Administration [VHA]: 

San Juan, PR: Seismic Corrections Building 1, New Administrative Building, Expansion of Outpatient Clinic 

and Parking Structure ..................................................... .................... 41,370 .................... 41,370

Portland, OR: Upgrade Building 100 and 101 for Seismic 

Retrofit and Renovation, Roadway and Site Improvements, New Specialty Care Facility, Demolition and Expansion of Parking Facilities .......................................... .................... 90,000 .................... 90,000 

American Lake, WA: Construction of New Specialty Care 

Building 201, Renovation of Building 18 and Expansion of Parking Facilities ................................................ .................... 45,000 .................... 45,000
64 

MAJOR CONSTRUCTION PROJECTS—Continued 

[In thousands of dollars] 

Location and description 

Fiscal year 2024 

budget request 

Committee recommendation 

Appropriation RETF Appropriation RETF 

San Francisco, CA: New Research Facility, Parking Structure and Demolition ........................................................ .................... 9,620 .................... 9,620 

San Diego, CA: Spinal Cord Injury and Seismic Building 

11 .................................................................................... .................... 49,600 .................... 49,600 

Perry Point, MD: Replacement Community Living Center 

and Parking Expansion ................................................... .................... 181,610 .................... 181,610

El Paso, TX: Construct New Health Care Center and Utility 

Plant ................................................................................ .................... 59,200 .................... 59,200 

West Haven, CT: New Surgical and Clinical Space Tower, 

Renovation of Buildings 1 and 2 and Demolition ......... 153,128 .................... 153,128 ....................

Dallas, TX: Clinical Expansion for Mental Health, Expansion of Parking Facilities and Land Acquisition ............ .................... 77,460 .................... 77,460 

Advance Planning and Design Fund—Various Stations .... 196,872 46,140 196,872 46,140 

Asbestos—Various Stations ................................................ 8,000 .................... 8,000 ....................

Construction & Facilities Management Staff—Various 

Stations ........................................................................... 153,000 .................... 153,000 ....................

Hazardous Waste—Various Stations .................................. 1,000 .................... 1,000 ....................

Judgment Fund—Various Stations ..................................... 25,000 .................... 25,000 ....................

Non-Departmental Federal Entity Project Management 

Support—Various Stations ............................................. 112,000 .................... 112,000 ....................

Seismic Corrections—Various Stations .............................. 110,000 .................... 110,000 ....................

Total, VHA ................................................................... 759,000 600,000 759,000 600,000 

National Cemetery Administration [NCA]: 

St. Louis, MO: Jefferson Barracks NC—Phase 1 Gravesite 

Development (New Land) ................................................ 28,800 .................... 28,800 ....................

Tahoma, WA: Tahoma NC—Gravesite Expansion ............... 78,200 .................... 78,200 ....................

Advance Planning and Design Fund—Various Stations .... 5,000 .................... 5,000 ....................

Total, NCA ................................................................... 112,000 .................... 112,000 ....................

General Administration/Staff Offices 

Department Advance Planning and Design Fund for Major 

Construction .................................................................... 10,000 .................... 10,000 ....................

Total Construction, Major Projects ............................. 881,000 600,000 881,000 600,000 

Facilities with Insufficient Beds to Meet Patient Demand.—The 

Committee urges the Department to add projects to the SCIP lists 

that would address instances where in-patient care demand regularly exceeds in-patient care bed availability, causing VA to rely on 

bed space in the Emergency Department for overflow bed capacity. 

Extreme Weather Preparation.—The Committee directs the Department to provide a report to the Committees on Appropriations 

of both Houses of Congress no later than 120 days after enactment 

of this act on the state of buildings and infrastructure in light of 

historic extreme weather and a plan on how the Department will 

retrofit and replace vulnerable components such as pipes, windows, 

insulation, and related items. 

CONSTRUCTION, MINOR PROJECTS

Appropriations, 2023 ............................................................................. $626,110,000 

Budget estimate, 2024 ........................................................................... 680,000,000 

Committee recommendation ................................................................. 680,000,000 
65 

PROGRAM DESCRIPTION

The Construction, Minor Projects account provides for constructing, altering, extending, and improving any of the facilities 

(including parking) under the jurisdiction or for the use of VA, including planning, assessment of needs, architectural and engineering services, and site acquisition, where the estimated cost of a 

project is equal to or less than $20,000,000. The Veterans Millennium Health Care and Benefits Act (Public Law 106–117) gave VA 

authority to make capital contributions from minor construction in 

enhanced-use leases. Proceeds realized from enhanced-use lease activities may be deposited into the Construction, Major Projects and 

Construction, Minor Projects accounts. 

COMMITTEE RECOMMENDATION

The Committee recommends $680,000,000 for minor construction. This is $53,890,000 above the fiscal year 2023 enacted level 

and equal to the budget request. 

The recommendation includes $334,150,000 for the Veterans 

Health Administration, $182,560,000 for the National Cemetery 

Administration, $62,070,000 for the Veterans Benefits Administration, and $101,220,000 for staff offices and the Office of Information and Technology. The Department is directed to provide an expenditure plan to the Committees on Appropriations of both 

Houses of Congress no later than 30 days after enactment of this 

act for the amount appropriated for minor construction. 

Permanent Residential Rehabilitation Treatment Unit.—The 

Committee recognizes the importance of long-term beds for veterans suffering from substance use disorders, particularly in rural 

areas. The Committee is concerned that VA does not appear to 

have prioritized these projects in its construction planning and 

budgeting, and is encouraged to include necessary projects in future budget requests to ensure veterans are able to receive adequate mental health and substance use treatment. 

GRANTS FOR CONSTRUCTION OF STATE EXTENDED CARE FACILITIES

Appropriations, 2023 ............................................................................. $150,000,000 

Budget estimate, 2024 ........................................................................... 164,000,000 

Committee recommendation ................................................................. 164,000,000 

PROGRAM DESCRIPTION

This account is used to provide grants to assist States in acquiring or constructing State home facilities for furnishing domiciliary 

or nursing home care to veterans, and to expand, remodel, or alter 

existing buildings for furnishing domiciliary, nursing home, or hospital care to veterans in State homes. The grant may not exceed 

65 percent of the total cost of the project. Public Law 102–585 

granted permanent authority for this program, and Public Law 

106–117 provided greater specificity in directing VA to prescribe 

regulations for the number of beds for which grant assistance may 

be furnished. This program has been a successful partnership between States and VA in meeting the long-term care needs of elderly veterans for decades. 
66 

COMMITTEE RECOMMENDATION

The Committee recommends $164,000,000 for Grants for Construction of State Extended Care Facilities. This is $14,000,000 

above the fiscal year 2023 enacted level and equal to the budget 

request. 

The Committee recognizes the important role that State Veterans Homes play in providing nursing home, domiciliary or adult 

day care to veterans around the country. 

Program Demand.—The Committee encourages VA to request 

sufficient funding in future years to better meet demand and to increase the number of long term care beds available for veterans. 

Prioritization Process Review.—As required under section 8134(a) 

of title 38, United States Code, when the Secretary reviews and revises regulations prescribed under paragraphs (2) and (3) for grant 

applications submitted in fiscal year 2024 for assistance under 

grants for construction of State extended care facilities program, 

the Secretary is urged to consider supplementing established 

prioritization criteria to take into account: (1) geographic diversity 

among grant recipients, including the need for a balance in addressing the needs of urban and rural areas; (2) age and condition 

of the facility, to prioritize facilities over 80 years with an industrystandard Facility Condition Index maximum rating of poor; and (3) 

access to other providers who can appropriately meet the veterans’ 

extended care facilities’ needs, to prioritize facilities with limited 

access to other such providers. The Department also is encouraged 

to prioritize funding to facilities that have only one State Extended 

Care Facility. 

GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES

Appropriations, 2023 ............................................................................. $50,000,000 

Budget estimate, 2024 ........................................................................... 60,000,000 

Committee recommendation ................................................................. 60,000,000 

PROGRAM DESCRIPTION

Public Law 105–368 amended title 38 U.S.C. 2408 and established authority to provide aid to States for establishment, expansion, and improvement of State veterans cemeteries, which are operated and permanently maintained by the States. This statutory 

change increased the maximum Federal share from 50 percent to 

100 percent in order to fund construction costs and initial equipment expenses when the cemetery is established. States remain responsible for providing the land and for paying all costs related to 

operation and maintenance of the cemeteries, including the costs 

for subsequent equipment purchases. 

COMMITTEE RECOMMENDATION

The Committee recommends $60,000,000 for Grants for Construction of State Veterans Cemeteries. This is $10,000,000 above 

the fiscal year 2023 enacted level and equal to the budget request. 
67 

COST OF WAR TOXIC EXPOSURES FUND

Appropriations, 2023 ......................................................................... $5,000,000,000 

Appropriations, 2024 1 ....................................................................... 20,268,000,000 

Appropriations, 2025 1 ....................................................................... 24,455,000,000 1Funds for fiscal years 2024 and 2025 were appropriated in the Fiscal Responsibility Act of 

2023 (Public Law 118–5); no additional funds are provided in this act. 

PROGRAM OVERVIEW

The Cost of War Toxic Exposures Fund [Toxic Exposures Fund] 

was established in order to fully fund the new costs related to providing veterans and their families the benefits and care associated 

with eligibility expansion included in the Honoring Our PACT Act 

of 2022 (Public Law 117–168) [PACT Act]. 

The Committee supports the Department’s implementation efforts to date, and notes that veterans will benefit from the Department’s decision not to phase-in PACT Act benefits over the next 

several years, and instead to make all new eligibilities effective as 

of August 10, 2022. The latest report shows that VA has completed 

claims of over 276,000 veterans or survivors applying for benefits 

related to the expanded eligibilities included in the PACT Act. 

The Department may allocate funds from the Cost of War Toxic 

Exposures Fund for investment in the delivery of veterans 

healthcare associated with exposure to environmental hazards in 

service, expenses incident to the delivery of veterans healthcare 

and benefits associated with exposure to environmental hazards in 

service, and medical and other research related to exposures to environmental hazards in service. 

The intent of this fund is to cover the costs associated with implementing the PACT Act, including additional future eligibilities 

that result from the process changes enacted. This fund is not intended to be used to cover costs of healthcare or providing other 

benefits that VA had authority for prior to passage, or care and 

benefits that are not related to toxic exposure. 

The Committee supports the appropriations provided for fiscal 

years 2024 and 2025 in the Fiscal Responsibility Act of 2023 (Public Law 118–5), and includes a provision with a new quarterly reporting requirement on the status of the Toxic Exposures Fund. 

Further, the Committee expects a consolidated section in future 

budget requests outlining the proposed spending from the Toxic Exposures Fund, consistent with requirements in Public Law 117– 

168. 

PACT Act Outreach Study.—The Committee encourages the Department to utilize all available means to ensure veterans are receiving the care they are entitled to under the PACT Act. No later 

than 120 days after enactment of this act, the Department is directed to provide a report to Congress on outreach efforts to veterans on the law, and training that has been provided to VA staff 

when advising veterans of their new benefits under the law. As 

part of the report, the Department shall identify any shortfalls in 

both of these efforts. 

Colorectal Cancer Research.—The Committee encourages the Department to conduct a study on the prevalence of colorectal cancer 

diagnoses in veterans who were exposed to burn pits and other environmental hazards while serving overseas. 
68 

Kosovo Veterans Toxic Exposures.—Air samples taken on Camp 

Nothing Hill in Kosovo between 2018 and 2020 have exceeded both 

the Military Exposure Guidelines and the Environmental Protection Agency’s National Ambient Air Quality Standards for longterm particulate matter exposure caused by a nearby open-air burn 

pit. As thousands of military personnel have served there, the Department should consider if Kosovo should be added to the list of 

covered countries for the purposes of determining presumptive eligibility, specifically service in the NATO Kosovo Force since June 

1999, as ‘‘covered service.’’ 

ADMINISTRATIVE PROVISIONS

(INCLUDING TRANSFERS AND RESCISSIONS OF FUNDS)

Sec. 201. The Committee includes a provision which outlines 

transfer authority and responsibilities for the Veterans Benefits 

Administration. 

Sec. 202. The Committee includes a provision which outlines 

transfer authority and responsibilities for the Veterans Health Administration. 

Sec. 203. The Committee includes a provision which outlines the 

use of funds appropriated for salaries and expenses. 

Sec. 204. The Committee includes a provision mandating that 

only construction funds may be used for land procurement or the 

construction of any new hospital or home. 

Sec. 205. The Committee includes a provision allowing for reimbursements to the Medical Services account. 

Sec. 206. The Committee includes a provision allowing for payments of prior year obligations. 

Sec. 207. The Committee includes a provision which allows for 

the use of funds for prior year obligations. 

Sec. 208. The Committee includes a provision which allows for 

payments from the National Service Life Insurance Fund. 

Sec. 209. The Committee includes a provision which outlines the 

use of funds from enhanced-use lease proceeds. 

Sec. 210. The Committee includes a provision which provides 

funds for the Office of Resolution Management, Diversity and Inclusion, the Office of Employment Discrimination Complaint Adjudication, and the Alternate Dispute Resolution function within the 

Office of Human Resources and Administration. 

Sec. 211. The Committee includes a provision which requires disclosure of third-party reimbursement information. 

Sec. 212. The Committee includes a provision which allows for 

the transfer of revenue derived from enhanced-use leases into the 

construction accounts. 

Sec. 213. The Committee includes a provision which outlines authorized uses for Medical Services account funds. 

Sec. 214. The Committee includes a provision which allows funds 

in the Medical Care Collection Fund to be transferred into the 

Medical Services and Medical Community Care accounts. 

Sec. 215. The Committee includes a provision which allows eligible veterans in the State of Alaska to obtain medical care services. 

Sec. 216. The Committee includes a provision which allows for 

the transfer of funds into the construction accounts. 
69 

Sec. 217. The Committee includes a provision requiring the Secretary of Veterans Affairs to submit quarterly financial reports. 

Sec. 218. The Committee includes a provision outlining transfer 

authority for the Information Technology Systems account. 

Sec. 219. The Committee includes a provision allowing for the 

transfer of funds from certain accounts to the Joint Department of 

Defense/Department of Veterans Affairs Medical Facility Demonstration Fund, as authorized by Public Law 111–84. 

Sec. 220. The Committee includes a provision allowing for the 

transfer of funds from certain advance appropriation accounts to 

the Joint Department of Defense/Department of Veterans Affairs 

Medical Facility Demonstration Fund, as authorized by Public Law 

111–84. 

Sec. 221. The Committee includes a provision allowing for the 

transfer of certain funds deposited in the Medical Care Collections 

Fund to the Joint Department of Defense/Department of Veterans 

Affairs Medical Facility Demonstration Fund, as authorized by 

Public Law 111–84. 

Sec. 222. The Committee includes a provision directing a minimum of $15,000,000 be transferred from Medical Services, Medical 

Support and Compliance, and Medical Facilities to the Department 

of Defense/Department of Veterans Affairs Health Care Sharing Incentive Fund, as authorized by section 8111 of title 38, United 

States Code. 

Sec. 223. The Committee includes a provision prohibiting funds 

available to the Department in this or any other act from being 

used to replace the current system by which VISNs select and contract for diabetes monitoring supplies and equipment. 

Sec. 224. The Committee includes a provision requiring notification of all bid savings for major construction projects. 

Sec. 225. The Committee includes a provision restricting scope 

increases for major construction projects above that specified in the 

original project justification. 

Sec. 226. The Committee includes a provision requiring the Department to submit reports relating to the Veterans Benefits Administration on claims processing at Regional Offices. 

Sec. 227. The Committee includes a provision requiring VA to notify the Committee 15 days prior to any organizational changes 

within VA of 25 or more FTE. 

Sec. 228. The Committee includes a provision requiring the Secretary to report to the Committees each quarter about any single 

national outreach and awareness marketing campaign exceeding 

$1,000,000. 

Sec. 229. The Committee includes a provision permitting the 

transfer to the Medical Services account of fiscal year discretionary 

2023 appropriated funds. 

Sec. 230. The Committee includes a provision permitting the 

transfer of funds between GOE, VBA and BVA. 

Sec. 231. The Committee includes a provision prohibiting the reprogramming of funds in excess of $7,000,000 among major construction projects or programs. 

Sec. 232. The Committee includes a provision mandating certain 

professional standards for the veterans crisis hotline. 
70 

Sec. 233. The Committee includes a provision requiring VA to 

use the mammography screening guidelines announced by the Secretary on May 10, 2017. 

Sec. 234. The Committee includes a provision allowing the use of 

Medical Services funding for assisted reproductive technology treatment and adoption reimbursement for veterans and their spouses 

if the veteran has a service-connected disability that results in 

being unable to procreate without such fertility treatment. 

Sec. 235. The Committee includes a provision prohibiting any 

funds to be used to contract out any functions performed by more 

than 10 employees without a fair competition process. 

Sec. 236. The Committee includes a provision pertaining to Native Hawaiian small businesses. 

Sec. 237. The Committee includes a provision directing the discontinuation of the usage of Social Security numbers within VA. 

Sec. 238. The Committee includes a provision pertaining to the 

certification of marriage and family therapists. 

Sec. 239. The Committee includes a provision prohibiting the 

transfer of funds from the Filipino Veterans Equity Compensation 

Fund to any other VA account. 

Sec. 240. The Committee includes a provision regarding a 

childcare program. 

Sec. 241. The Committee includes a provision prohibiting funds 

to be used to restrict an individual’s ability to speak with a Member of Congress or his or her staff. 

Sec. 242. The Committee includes a provision requiring certain 

data to be included in the budget justifications for the Construction, Major account. 

Sec. 243. The Committee includes a provision prohibiting the use 

of funds to deny the Inspector General timely access to information, unless a provision of law expressly refers to the Inspector 

General and expressly limits such access. 

Sec. 244. The Committee includes a provision prohibiting funding 

from being used in a manner that would increase wait times for 

veterans at medical facilities. 

Sec. 245. The Committee includes a provision prohibiting the use 

of funds in fiscal year 2024 to convert any program which received 

specific purpose funds in fiscal year 2023 to a general purposefunded program without the approval of the Committees on Appropriations of both Houses of Congress at least 30 days prior to any 

such action. 

Sec. 246. The Committee includes a reference to a provision in 

the 2017 appropriations act identifying information which may be 

used to verify the status of coastwise merchant seamen who served 

during World War II for the purposes of eligibility for medals, ribbons, or other military decorations. 

Sec. 247. The Committee includes a provision addressing animal 

research at the Department of Veterans Affairs. 

Sec. 248. The Committee includes a provision ensuring particular 

ratios of veterans to FTE position within any VA program of rehabilitation. 

Sec. 249. The Committee includes a provision to allow fiscal year 

2024 and 2025 ‘‘Medical Community Care’’ funds to be used to 
71 

cover obligations that otherwise would be paid by the Veterans 

Choice Fund, if necessary. 

Sec. 250. The Committee includes a provision to allow obligations 

and expenditures applicable to the ‘‘Medical Services’’ account in 

fiscal years 2017 through 2019 for aid to State homes to remain in 

the ‘‘Medical Community Care’’ account. 

Sec. 251. The Committee includes a provision specifying an 

amount from the four medical care accounts for gender-specific care 

and programmatic efforts to deliver care for women veterans. 

Sec. 252. The Committee includes a provision allocating funds 

from the ‘‘Recurring Expenses Transformational Fund’’ for specific 

purposes. 

Sec. 253. The Committee includes a provision requiring quarterly 

reports on obligations from the ‘‘Cost of War Toxic Exposures 

Fund’’. 

Sec. 254. The Committee includes a provision to address contributions from other Federal agencies to VA Non-Profit Corporations for research. 

Sec. 255. The Committee includes a provision to rescind previously appropriated funding. 

Sec. 256. The Committee includes a provision to rescind previously appropriated funding. 

Sec. 257. The Committee includes a provision to restrict funds 

from being used to close medical facilities. 

Sec. 258. The Committee includes a provision to allow use of unobligated balances to support construction projects in the CHIP–IN 

program. 

Sec. 259. The Committee includes a provision prohibiting the use 

of funds for certain information technology equipment and software. 

Sec. 260. The Committee includes a provision prohibiting the use 

of funds to interfere with the ability of veterans to participate in 

State-approved medicinal cannabis programs or deny service to 

such veterans. 
(72) 

TITLE III 

RELATED AGENCIES 

AMERICAN BATTLE MONUMENTS COMMISSION

OVERVIEW

The American Battle Monuments Commission [ABMC] was established by Congress in 1923 and is responsible for the following: 

designing, constructing, operating, and maintaining permanent 

American cemeteries in foreign countries; establishing and maintaining U.S. military memorials, monuments, and markers where 

American Armed Forces have served overseas since April 6, 1917, 

the date of the United States entry into World War I, and within 

the United States when directed by public law; and controlling the 

design and construction of permanent U.S. military monuments 

and markers by other U.S. citizens and organizations, both public 

and private, and encouraging their maintenance. ABMC administers, operates, and maintains 26 permanent American military 

cemeteries and 32 Federal memorials, monuments, and markers, 

located in 17 foreign countries, the U.S. Commonwealth of the 

Northern Mariana Islands, the Midway Atoll, the British Dependency of Gibraltar, and the United States of America. 

SALARIES AND EXPENSES

Appropriations, 2023 ............................................................................. $87,500,000 

Budget estimate, 2024 ........................................................................... 158,630,000 

Committee recommendation ................................................................. 158,630,000 

COMMITTEE RECOMMENDATION

The Committee recommends $158,630,000 for the Salaries and 

Expenses account. This amount is $71,130,000 above the fiscal year 

2023 enacted level and equal to the budget request. 

FOREIGN CURRENCY FLUCTUATIONS

The Committee includes in the accompanying act, as proposed by 

the administration, such sums as necessary for the Foreign Currency Fluctuations account. Funding the account in this manner allows the Commission to maintain cemeteries regardless of the volatility of foreign currency fluctuations. 

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

OVERVIEW

The United States Court of Appeals for Veterans Claims was established by the Veterans’ Judicial Review Act of 1988 (Public Law 

100–687). The Court is an independent judicial tribunal with exclu-
73 

sive jurisdiction to review decisions of the Board of Veterans Appeals. It has the authority to decide all relevant questions of law; 

interpret constitutional, statutory, and regulatory provisions; and 

determine the meaning or applicability of the terms of an action by 

the Secretary of Veterans Affairs. It is authorized to compel action 

by the Secretary. It is authorized to hold unconstitutional or otherwise unlawful and set aside decisions, findings, conclusions, rules, 

and regulations issued or adopted by the Secretary of Veterans Affairs, the Board of Veterans Appeals, or the Chairman of the Board 

that are found to be arbitrary or capricious. The Court’s principal 

office location is Washington, DC; however, it is a national court, 

empowered to sit anywhere in the United States. 

SALARIES AND EXPENSES

Appropriations, 2023 ............................................................................. $46,900,000 

Budget estimate, 2024 ........................................................................... 47,200,000 

Committee recommendation ................................................................. 47,200,000 

COMMITTEE RECOMMENDATION

The Committee recommends $47,200,000 for the U.S. Court of 

Appeals for Veterans Claims. This amount is $300,000 above the 

fiscal year 2023 enacted level and equal to the budget request. 

Staffing.—The Committee is concerned that projected increases 

in appeals due to enactment of the Honoring our PACT Act (Public 

Law 117–168) will lead to an additional demand for which the 

Court may not be adequately staffed. The Committee directs the 

Court to provide a report within 90 days of enactment of this act 

identifying any anticipated increases in the Court’s workload resulting from PACT Act appeals and any resources necessary to 

bridge that gap. 

DEPARTMENT OF DEFENSE—CIVIL

CEMETERIAL EXPENSES, ARMY

OVERVIEW

The Secretary of the Army is responsible for the administration, 

operation, and maintenance of Arlington National Cemetery [ANC] 

and the Soldiers’ and Airmen’s Home National Cemetery. In addition to its principal function as a national cemetery, Arlington 

hosts more than 3,000 public wreath laying ceremonies, and approximately 3 million visitors annually. 

SALARIES AND EXPENSES

Appropriations, 2023 ............................................................................. $93,400,000 

Budget estimate, 2024 ........................................................................... 99,880,000 

Committee recommendation ................................................................. 99,880,000 

COMMITTEE RECOMMENDATION

The Committee recommends $99,880,000 for the Salaries and Expenses account. This amount is $6,480,000 above the fiscal year 

2023 enacted level and equal to the budget request. 

ANC historically performs over 7,000 burial services each year 

for veterans and family members and an average of 27–30 each 
74 

weekday. The Committee remains unwavering in its support for 

the Cemetery and the successful completion of the Cemetery’s truly 

unique and honored mission. 

CONSTRUCTION

Appropriations, 2023 ............................................................................. $62,500,000 

Budget estimate, 2024 ........................................................................... 88,600,000 

Committee recommendation ................................................................. 88,600,000 

COMMITTEE RECOMMENDATION

The Committee recommends $88,600,000 for the Construction account. This amount is equal to the budget request and includes 

funding for construction of the Southern Expansion project. When 

complete, this project will provide approximately 80,000 additional 

burial opportunities across 38 acres and extend the service life of 

the cemetery into the 2060s. 

ARMED FORCES RETIREMENT HOME

TRUST FUND

OVERVIEW

The Armed Forces Retirement Home [AFRH] is an independent 

agency that was created in 1991 by the merging of the United 

States Soldiers’ and Airmen’s Home in Washington D.C. and the 

United States Naval Home in Gulfport, Mississippi. AFRH operates 

and maintains the two communities to provide affordable resident 

services and care to retired and former enlisted servicemembers 

and their spouses. 

TRUST FUND

Appropriations, 2023 ............................................................................. $75,360,000 

Budget estimate, 2024 ........................................................................... 77,000,000 

Committee recommendation ................................................................. 77,000,000 

COMMITTEE RECOMMENDATION

The Committee recommends authority to expend $77,000,000 

from the Armed Forces Retirement Home Trust Fund to operate 

and maintain the Armed Forces Retirement Home-Washington, 

DC, and the Armed Forces Retirement Home-Gulfport, Mississippi. 

This amount is $1,640,000 above the fiscal year 2023 enacted level 

and equal to the budget request. 

The Committee recognizes the critical role of AFRH operations 

and the importance of delivering uninterrupted healthcare to its 

residents. Therefore, the Committee continues to support the 2- 

year availability of funds. 

ADMINISTRATIVE PROVISION

Sec. 301. The Committee includes a provision making available 

funds as authorized by 10 U.S.C. 7727. 
(75) 

TITLE IV 

GENERAL PROVISIONS 

Sec. 401. The Committee includes a provision that prohibits the 

obligation of funds beyond the current fiscal year unless expressly 

so provided. 

Sec. 402. The Committee includes a provision that prohibits the 

use of funds for programs, projects, or activities not in compliance 

with Federal law relating to risk assessment, the protection of private property rights, or unfunded mandates. 

Sec. 403. The Committee includes a provision that encourages 

the expansion of E-commerce technologies and procedures. 

Sec. 404. The Committee includes a provision that specifies the 

congressional committees that are to receive all reports and notifications. 

Sec. 405. The Committee includes a provision that limits funds 

from being transferred from this appropriations measure to any instrumentality of the United States Government without authority 

from an appropriations act. 

Sec. 406. The Committee includes a provision regarding the posting of congressional reports on agency Web sites. 

Sec. 407. The Committee includes a provision prohibiting the use 

of funds to establish or maintain a computer network unless such 

network blocks the viewing, downloading, and exchanging of pornography, except for law enforcement investigation, prosecution, or 

adjudication activities. 

Sec. 408. The Committee includes a provision prohibiting the use 

of funds for the payment of first-class travel by an employee of the 

executive branch. 

Sec. 409. The Committee includes a provision prohibiting the use 

of funds in this act for any contract where the contractor has not 

complied with E–Verify requirements. 

Sec. 410. The Committee includes a provision prohibiting the use 

of funds in this act to construct facilities on military installations 

that do not meet resiliency standards. 

Sec. 411. The Committee includes a provision prohibiting the use 

of funds in this act for the renovation, expansion, or construction 

of any facility in the continental United States for the purpose of 

housing any individual who has been detained at the United States 

Naval Station, Guantanamo Bay, Cuba. 
(76) 

PROGRAM, PROJECT, AND ACTIVITY 

In fiscal year 2021, for purposes of the Balanced Budget and 

Emergency Deficit Control Act of 1985 (Public Law 99–177) or the 

Balanced Budget and Emergency Deficit Control Reaffirmation Act 

of 1987 (Public Law 100–119), the following information provides 

the definition of the term ‘‘program, project, and activity’’ for departments, agencies and programs under the jurisdiction of the 

Military Construction and Veterans Affairs, and Related Agencies 

subcommittee. The term ‘‘program, project, and activity’’ shall include the most specific level of budget items identified in the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021, the House and Senate Committee reports, and 

the conference report and accompanying joint explanatory statement of managers of the committee of conference. 

If a sequestration order is necessary, in implementing the Presidential order, departments, and agencies shall apply any percentage reduction required for fiscal year 2021 pursuant to the provisions of Public Law 99–177 or Public Law 100–119 to all items 

specified in the justifications submitted to the Committees on Appropriations of the Senate and House of Representatives in support 

of the fiscal year 2021 budget estimates, as amended, for such departments and agencies, as modified by congressional action, and 

in addition, for the Department of Defense, Military Construction, 

the definition shall include specific construction locations as identified in the explanatory notes. 

COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE 

STANDING RULES OF THE SENATE 

Paragraph 7 of rule XVI requires that Committee reports accompanying general appropriations bills identify each recommended 

amendment which proposes an item of appropriation which is not 

made to carry out the provisions of an existing law, a treaty stipulation, or an act or resolution previously passed by the Senate during that session. 

The Committee recommends funding for the following programs 

which currently lack authorization: 

Title I: Department of Defense 

Military Construction, Army 

Military Construction, Navy and Marine Corps 

Military Construction, Air Force 

Military Construction, Defense-Wide 

Military Construction, Army National Guard 

Military Construction, Air National Guard 

Military Construction, Army Reserve 

Military Construction, Navy Reserve 

Military Construction, Air Force Reserve 
77 

North Atlantic Treaty Organization Security Investment Program 

Department of Defense Base Closure Account 

Family Housing Operation and Maintenance, Army 

Family Housing Operation and Maintenance, Navy and Marine 

Corps 

Family Housing Operation and Maintenance, Air Force 

Family Housing Operation and Maintenance, Defense-Wide 

Family Housing Construction, Army 

Family Housing Construction, Navy and Marine Corps 

Family Housing Construction, Air Force 

Department of Defense Family Housing Improvement Fund 

Department of Defense Military Unaccompanied Housing Improvement Fund 

Title II: Department of Veterans Affairs 

Veterans Benefits Administration 

Veterans Health Administration 

National Cemetery Administration 

Departmental Administration 

Title III: Related Agencies 

American Battle Monuments Commission 

U.S. Court of Appeals for Veterans Claims 

Cemeterial Expenses, Army 

Armed Forces Retirement Home 
78 

COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Pursuant to paragraph 7(c) of rule XXVI, on June 22, 2023, the 

Committee ordered favorably reported a bill (S. 2127) making appropriations for military construction, the Department of Veterans 

Affairs, and related agencies for the fiscal year ending September 

30, 2024, and for other purposes, provided, that the bill be subject 

to amendment and that any amendment increasing budget authority be offset by a reduction of equal or greater budget authority, by 

a recorded vote of 28–0, a quorum being present. The vote was as 

follows: 

Yeas Nays 

Chair Murray 

Mrs. Feinstein 

Mr. Durbin 

Mr. Reed 

Mr. Tester 

Mrs. Shaheen 

Mr. Merkley 

Mr. Coons 

Mr. Schatz 

Ms. Baldwin 

Mr. Murphy 

Mr. Manchin 

Mr. Van Hollen 

Mr. Heinrich 

Mr. Peters 

Ms. Collins 

Mr. McConnell 

Ms. Murkowski 

Mr. Graham 

Mr. Moran 

Mr. Hoeven 

Mr. Boozman 

Mrs. Capito 

Mr. Kennedy 

Mrs. Hyde-Smith 

Mr. Hagerty 

Mrs. Britt 

Mrs. Fischer 
79 

COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Paragraph 12 of rule XXVI requires that Committee reports on 

a bill or joint resolution repealing or amending any statute or part 

of any statute include ‘‘(a) the text of the statute or part thereof 

which is proposed to be repealed; and (b) a comparative print of 

that part of the bill or joint resolution making the amendment and 

of the statute or part thereof proposed to be amended, showing by 

stricken-through type and italics, parallel columns, or other appropriate typographical devices the omissions and insertions which 

would be made by the bill or joint resolution if enacted in the form 

recommended by the committee.’’ 

The Committee bill as recommended contains no such provisions. 

BUDGETARY IMPACT OF BILL 

PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO 

SEC. 308(a), PUBLIC LAW 93–344, AS AMENDED 

[In millions of dollars] 

Budget authority Outlays 

Committee 

allocation 

Amount 

in bill 

Committee 

allocation 

Amount 

in bill 

Comparison of amounts in the bill with the subcommittee allocation for 2024: Military Construction, Veterans Affairs, 

and Related Agencies: 

Mandatory .......................................................................... 209,944 209,944 195,630 1 195,630 

Discretionary ...................................................................... 154,352 154,352 150,863 1 150,863 

Defense ..................................................................... 19,070 19,070 15,344 15,344 

Non-defense .............................................................. 135,282 135,282 135,519 135,519 

Projection of outlays associated with the recommendation: 

2024 ................................................................................... .................... .................... .................... 2 161,119 

2025 ................................................................................... .................... .................... .................... 105,966 

2026 ................................................................................... .................... .................... .................... 18,628 

2027 ................................................................................... .................... .................... .................... 5,851 

2028 and future years ...................................................... .................... .................... .................... 5,637 

Financial assistance to State and local governments for 

2024 ....................................................................................... NA 190 NA 2 (22 ) 

1 Includes outlays from prior-year budget authority. 

2 Excludes outlays from prior-year budget authority. 

NA: Not applicable. 
80 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee recommendation 

Committee recommendation 

compared to 

budget estimate 

ALABAMA 

ARMY: 

FORT NOVOSEL (FORT RUCKER): 

ADV INDIVIDUAL TRAINING BARRACKS COMPLEX: COST TO 

COMPLETE ............................................................................ ........................ 41,200 ∂41,200 

AIRCRAFT PARTS STORAGE FACILITY: UNSPECIFIED MINOR 

CONSTRUCTION .................................................................... ........................ 4,950 ∂4,950 

ARMY RADAR APPROACH CONTROL FACILITY: UNSPECIFIED 

MINOR CONSTRUCTION ........................................................ ........................ 7,000 ∂7,000 

HAZARDOUS MATERIAL STORAGE BUILDING: UNSPECIFIED 

MINOR CONSTRUCTION ........................................................ ........................ 3,850 ∂3,850 

READY BUILDING—MEDEVAC: UNSPECIFIED MINOR CONSTRUCTION ........................................................................... ........................ 6,100 ∂6,100 

VEHICLE MAINTENANCE STORAGE FACILITY: UNSPECIFIED 

MINOR CONSTRUCTION ........................................................ ........................ 5,100 ∂5,100 

REDSTONE ARSENAL: 

ACCESS CONTROL BUILDING: UNSPECIFIED MINOR CONSTRUCTION ........................................................................... ........................ 4,000 ∂4,000 

AIRFIELD FIRE AND RESCUE STATION: UNSPECIFIED MINOR 

CONSTRUCTION .................................................................... ........................ 5,600 ∂5,600 

AIRPORT RUNWAY EXTENSION (OVERRUNS): UNSPECIFIED 

MINOR CONSTRUCTION ........................................................ ........................ 5,500 ∂5,500 

NATURAL GAS EXPANSION AND METER STATION: UNSPECIFIED MINOR CONSTRUCTION .............................................. ........................ 4,800 ∂4,800 

SUBSTATION ............................................................................. 50,000 50,000 ........................

TEST AREA 7 RELOCATION: UNSPECIFIED MINOR CONSTRUCTION ..................................................................................... ........................ 5,400 ∂5,400 

AIR FORCE: 

MAXWELL AIR FORCE BASE: 

CONSTRUCT ADDITION, AIR COMMAND AND STAFF COLLEGE 

(BLDG 1402): UNSPECIFIED MINOR CONSTRUCTION ........... ........................ 5,100 ∂5,100 

REPLACE (CONSTRUCT) GUNTER FITNESS CENTER: UNSPECIFIED MINOR CONSTRUCTION .............................................. ........................ 8,800 ∂8,800 

DEFENSE–WIDE: 

REDSTONE ARSENAL: 

GROUND TEST FACILITY INFRASTRUCTURE .............................. 147,975 147,975 ........................

AIR NATIONAL GUARD: 

MONTGOMERY REGIONAL AIRPORT: 

F–35 ADAL SQ OPS BLDG 1303 .............................................. 7,000 7,000 ........................

ARMY RESERVE: 

BIRMINGHAM: 

ARMY RESERVE CENTER/AMSA/LAND ...................................... 57,000 57,000 ........................

TOTAL, ALABAMA ............................................................. 261,975 369,375 ∂107,400 

ALASKA 

ARMY: 

FORT WAINWRIGHT: 

ENLISTED UNACCOMPANIED PERS HSG: COST TO COMPLETE 34,000 34,000 ........................

SOLDIER PERFORMANCE READINESS CENTER: PLANNING AND 

DESIGN ................................................................................. ........................ 7,900 ∂7,900 

AIR FORCE: 

EIELSON AIR FORCE BASE: 

COAL THAW SHED ADDITION: PLANNING AND DESIGN ............. ........................ 1,500 ∂1,500 

CONSOLIDATED MUNITIONS COMPLEX: PLANNING AND DESIGN ..................................................................................... ........................ 15,100 ∂15,100 

CRYOGENICS FACILITY: UNSPECIFIED MINOR CONSTRUCTION ........................ 6,900 ∂6,900 

FIRE STATION: PLANNING AND DESIGN .................................... ........................ 1,700 ∂1,700 
81 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee 

recommendation 

Committee 

recommendation 

compared to 

budget estimate 

JOINT MOBILITY CENTER EXPANSION: PLANNING AND DESIGN ........................ 3,000 ∂3,000 

JOINT PACIFIC ALASKA RANGE COMPLEX OPS FACILITY: 

PLANNING AND DESIGN ....................................................... ........................ 13,500 ∂13,500 

PERMANENT PARTY DORM: PLANNING AND DESIGN ................ ........................ 9,500 ∂9,500 

JOINT BASE ELMENDORF–RICHARDSON: 

COMBAT ALERT CELL: PLANNING AND DESIGN ........................ ........................ 18,100 ∂18,100 

EXTEND RUNWAY 16/34 (INC 3) .............................................. 107,500 107,500 ........................

PRECISION GUIDED MUNITIONS COMPLEX: PLANNING AND 

DESIGN ................................................................................. ........................ 6,100 ∂6,100 

SAND STORAGE FACILITY: UNSPECIFIED MINOR CONSTRUCTION ..................................................................................... ........................ 8,800 ∂8,800 

AIR NATIONAL GUARD: 

EIELSON AIR FORCE BASE: 

AMC STANDARD DUAL BAY HANGAR: PLANNING AND DESIGN ........................ 25,000 ∂25,000 

JOINT BASE ELMENDORF–RICHARDSON: 

ADAL ALERT CREW FACILITY HANGAR 18: UNSPECIFIED 

MINOR CONSTRUCTION ........................................................ ........................ 7,000 ∂7,000 

HC–130J SIMULATOR FACILITY: PLANNING AND DESIGN ......... ........................ 2,000 ∂2,000 

NORTH CAMPUS ELECTRICAL LOOP: UNSPECIFIED MINOR 

CONSTRUCTION .................................................................... ........................ 5,600 ∂5,600 

TOTAL, ALASKA ................................................................ 141,500 273,200 ∂131,700 

ARIZONA 

NAVY: 

MARINE CORPS AIR STATION YUMA: 

WATER TREATMENT PLANT: PLANNING AND DESIGN ............... ........................ 8,900 ∂8,900 

AIR FORCE: 

LUKE AIR FORCE BASE: 

CHILD DEVELOPMENT CENTER: PLANNING AND DESIGN ......... ........................ 2,700 ∂2,700 

GILA BEND CONSOLIDATED FACILITY: PLANNING AND DESIGN ........................ 2,200 ∂2,200 

ARMY NATIONAL GUARD: 

SURPRISE READINESS CENTER: 

NATIONAL GUARD READINESS CENTER .................................... 15,000 15,000 ........................

AIR NATIONAL GUARD: 

TUCSON IAP: 

MCCA: AIRCRAFT ARRESTING SYSTEM (NEW RWY) ................. 11,600 11,600 ........................

ARMY RESERVE: 

SAN TAN VALLEY: 

AREA MAINTENANCE SUPPORT ACTIVITY ................................. 12,000 12,000 ........................

AIR FORCE RESERVE: 

DAVIS MONTHAN AIR FORCE BASE: 

GUARDIAN ANGEL POTFF FACILITY: UNSPECIFIED MINOR 

CONSTRUCTION .................................................................... ........................ 8,500 ∂8,500 

TOTAL, ARIZONA .............................................................. 38,600 60,900 ∂22,300 

CALIFORNIA 

NAVY: 

NAVAL BASE CORONADO: 

CHILD DEVELOPMENT CENTER: PLANNING AND DESIGN ......... ........................ 6,200 ∂6,200 

NAVAL BASE SAN DIEGO: 

CHILD DEVELOPMENT CENTER: PLANNING AND DESIGN ......... ........................ 5,600 ∂5,600 

PORT HUENEME: 

LABORATORY COMPOUND FACILITIES IMPROVEMENTS ............ 110,000 110,000 ........................

TWENTYNINE PALMS: 

COMMUNICATIONS TOWERS ..................................................... 42,100 42,100 ........................
82 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee recommendation 

Committee recommendation 

compared to 

budget estimate 

DEFENSE–WIDE: 

MARINE CORPS AIR STATION MIRAMAR: 

AMBULATORY CARE CNTR—DENTAL CLINIC ADD/ALT ............ 103,000 103,000 ........................

MARINE CORPS RECRUIT DEPOT SAN DIEGO: 

AMBULATORY CARE CENTER—DENTAL CLINIC REPLMT ......... 101,644 101,644 ........................

ARMY NATIONAL GUARD: 

CAMP ROBERTS: 

AUTOMATED MULTIPURPOSE MACHINE GUN RANGE: COST TO 

COMPLETE ............................................................................ ........................ 5,000 ∂5,000 

ARMY RESERVE: 

FORT HUNTER LIGGETT: 

NETWORK ENTERPRISE CENTER ............................................... ........................ 40,000 ∂40,000 

AIR FORCE RESERVE: 

MARCH AIR RESERVE BASE: 

KC–46 ADD/ALTER B1244 FUT/CARGO PALLET STORAGE ....... 17,000 17,000 ........................

KC–46 ADD/ALTER B6000 SIMULATOR FACILITY ..................... 8,500 8,500 ........................

KC–46 TWO BAY MAINTENANCE/FUEL HANGAR ....................... 201,000 201,000 ........................

TOTAL, CALIFORNIA ......................................................... 583,244 640,044 ∂56,800 

COLORADO 

AIR NATIONAL GUARD: 

BUCKLEY SPACE FORCE BASE: 

AIRCRAFT CORROSION CONTROL ............................................. 12,000 12,000 ........................

TOTAL, COLORADO ........................................................... 12,000 12,000 ........................

CONNECTICUT 

NAVY: 

NAVAL SUBMARINE BASE NEW LONDON: 

SUBMARINE PIER 31 EXTENSION ............................................. 112,518 112,518 ........................

WEAPONS MAGAZINE & ORDNANCE OPERATIONS FAC ............ 219,200 219,200 ........................

TOTAL, CONNECTICUT ...................................................... 331,718 331,718 ........................

DELAWARE 

DEFENSE–WIDE: 

DOVER AIR FORCE BASE: 

BLOOD PROCESSING CENTER REPLACEMENT .......................... ........................ 30,600 ∂30,600 

TOTAL, DELAWARE ........................................................... ........................ 30,600 ∂30,600 

DISTRICT OF COLUMBIA 

NAVY: 

MARINE BARRACKS 8TH AND I: 

BACHELOR ENLISTED QUARTERS & SUPPORT FACILITY .......... 131,800 131,800 ........................

TOTAL, DISTRICT OF COLUMBIA ...................................... 131,800 131,800 ........................

FLORIDA 

AIR FORCE: 

MACDILL AIR FORCE BASE: 

KC–46A ADAL FUEL SYSTEM MAINTENANCE DOCK ................. 18,000 18,000 ........................

KC–46A ADAL AIRCRAFT CORROSION CONTROL ...................... 25,000 25,000 ........................

KC–46A ADAL AIRCRAFT MAINTENANCE HANGAR .................... 27,000 27,000 ........................
83 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee recommendation 

Committee recommendation 

compared to 

budget estimate 

KC–46A ADAL APRON & HYDRANT FUELING PITS ................... 61,000 61,000 ........................

PATRICK SPACE FORCE BASE: 

COMMERCIAL VEHICLE INSPECTION ......................................... 15,000 15,000 ........................

CONSOLIDATED COMMUNICATIONS CENTER: COST TO COMPLETE ................................................................................... 15,000 15,000 ........................

FINAL DENIAL BARRIERS, SOUTH GATE ................................... 12,000 12,000 ........................

TOTAL, FLORIDA ............................................................... 173,000 173,000 ........................

GEORGIA 

ARMY: 

FORT GORDON: 

CYBER INSTRUCTIONAL FACILITY (CLASSROOMS) ................... 163,000 163,000 ........................

FORT MOORE (FORT BENNING): 

CAMP MERRILL AST BARRACKS: PLANNING AND DESIGN ....... ........................ 1,320 ∂1,320 

FORT STEWART/HUNTER ARMY AIRFIELD: 

COMBAT AVIATION BRIGADE GSAB HANGAR: PLANNING AND 

DESIGN ................................................................................. ........................ 6,400 ∂6,400 

MILITARY INTELLIGENCE BATTALION HANGAR: PLANNING AND 

DESIGN ................................................................................. ........................ 2,220 ∂2,220 

AIR FORCE: 

ROBINS AIR FORCE BASE: 

BATTLE MANAGEMENT COMBINED OPERATIONS COMPLEX ...... 115,000 115,000 ........................

DEFENSE–WIDE: 

FORT MOORE (FORT BENNING): 

DEXTER ELEMENTARY SCHOOL: PLANNING AND DESIGN ......... ........................ 500 ∂500 

TOTAL, GEORGIA .............................................................. 278,000 288,440 ∂10,440 

HAWAII 

ARMY: 

ALIAMANU MILITARY RESERVATION: 

WATER STORAGE TANK ............................................................. 20,000 20,000 ........................

FORT SHAFTER: 

CLEARWELL AND BOOSTER PUMP ............................................ ........................ 23,000 ∂23,000 

HELEMANO MILITARY RESERVATION: 

WELL AND STORAGE TANKS ..................................................... ........................ 33,000 ∂33,000 

SCHOFIELD BARRACKS: 

ELEVATED TANK AND DISTRIBUTION LINE ................................ ........................ 16,000 ∂16,000 

WATER STORAGE TANK ............................................................. ........................ 21,000 ∂21,000 

NAVY: 

JOINT BASE PEARL HARBOR–HICKAM: 

DRY DOCK 3 REPLACEMENT (INC) ........................................... 1,318,711 1,318,711 ........................

DRY DOCK 3 REPLACEMENT .................................................... ........................ 90,000 ∂90,000 

WATERFRONT PRODUCTION FACILITY: PLANNING AND DESIGN ........................ 49,080 ∂49,080 

MARINE CORPS BASE HAWAII: 

WATER RECLAMATION FACILITY COMPLIANCE UPGRADE ......... ........................ 109,000 ∂109,000 

TOTAL, HAWAII ................................................................. 1,338,711 1,679,791 ∂341,080 

IDAHO 

ARMY NATIONAL GUARD: 

JEROME COUNTY REGIONAL SITE: 

NATIONAL GUARD VEHICLE MAINTENANCE SHOP .................... 17,000 17,000 ........................

TOTAL, IDAHO .................................................................. 17,000 17,000 ........................
84 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee recommendation 

Committee recommendation 

compared to 

budget estimate 

ILLINOIS 

ARMY NATIONAL GUARD: 

BLOOMINGTON: 

NATIONAL GUARD VEHICLE MAINTENANCE SHOP: COST TO 

COMPLETE ............................................................................ ........................ 5,250 ∂5,250 

CHICAGO, JONES ARMORY: 

GENERAL JONES NATIONAL GUARD READINESS CENTER ALTERATION: PLANNING AND DESIGN ...................................... ........................ 5,000 ∂5,000 

NORTH RIVERSIDE: 

ACCESS CONTROL BUILDING: UNSPECIFIED MINOR CONSTRUCTION ........................................................................... ........................ 3,400 ∂3,400 

NATIONAL GUARD VEHICLE MAINTENANCE SHOP .................... 24,000 24,000 ........................

PEORIA: 

READINESS CENTER: PLANNING AND DESIGN .......................... ........................ 2,400 ∂2,400 

TOTAL, ILLINOIS ............................................................... 24,000 40,050 ∂16,050 

INDIANA 

AIR NATIONAL GUARD: 

FORT WAYNE INTERNATIONAL AIRPORT: 

FIRE STATION ........................................................................... 8,900 8,900 ........................

TOTAL, INDIANA ............................................................... 8,900 8,900 ........................

KANSAS 

ARMY: 

FORT RILEY: 

AIR TRAFFIC CONTROL TOWER: PLANNING AND DESIGN ......... ........................ 1,600 ∂1,600 

AIRCRAFT MAINTENANCE HANGER ........................................... 105,000 105,000 ........................

AUTOMATED INFANTRY PLATOON BATTLE COURSE: UNSPECIFIED MINOR CONSTRUCTION .............................................. ........................ 8,700 ∂8,700 

BOB DOLE INTERMODAL RAILYARD IMPROVEMENTS: PLANNING AND DESIGN ............................................................... ........................ 1,110 ∂1,110 

ARMY NATIONAL GUARD: 

TOPEKA: 

NATIONAL GUARD/RESERVE CENTER BUILDING: COST TO 

COMPLETE ............................................................................ ........................ 5,856 ∂5,856 

TOTAL, KANSAS ................................................................ 105,000 122,266 ∂17,266 

KENTUCKY 

ARMY: 

FORT CAMPBELL: 

MULTIPURPOSE TRAINING RANGE ............................................ 38,000 38,000 ........................

TOTAL, KENTUCKY ........................................................... 38,000 38,000 ........................

LOUISIANA 

ARMY: 

FORT JOHNSON (FORT POLK): 

MULTIPURPOSE ATHLETIC FIELD .............................................. ........................ 13,400 ∂13,400 

AIR FORCE: 

BARKSDALE AIR FORCE BASE: 

WGF DORMITORY: PLANNING AND DESIGN .............................. ........................ 6,700 ∂6,700 

WEAPONS GENERATION FACILITY (INC) .................................... 112,000 112,000 ........................
85 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee 

recommendation 

Committee 

recommendation 

compared to 

budget estimate 

AIR FORCE RESERVE: 

BARKSDALE AIR FORCE BASE: 

307 BOMB WING MEDICAL FACILITY ADDITION: UNSPECIFIED 

MINOR CONSTRUCTION ........................................................ ........................ 7,000 ∂7,000 

TOTAL, LOUISIANA ........................................................... 112,000 139,100 ∂27,100 

MAINE 

NAVY: 

KITTERY: 

MULTI–MISSION DRYDOCK #1 EXTENSION (INC) ..................... 544,808 544,808 ........................

ARMY NATIONAL GUARD: 

SACO: 

NATIONAL GUARD VEHICLE MAINTENANCE SHOP: COST TO 

COMPLETE ............................................................................ ........................ 7,420 ∂7,420 

AIR NATIONAL GUARD: 

BANGOR INTERNATIONAL AIRPORT: 

REPAIR HANGAR ACCESS APRON (LIGHT DUTY RAMP): PLANNING AND DESIGN ............................................................... ........................ 1,450 ∂1,450 

REPAIR WHISKEY APRON: PLANNING AND DESIGN .................. ........................ 704 ∂704 

TOTAL, MAINE .................................................................. 544,808 554,382 ∂9,574 

MARYLAND 

NAVY: 

FORT MEADE: 

CYBERSECURITY OPERATIONS FACILITY .................................. 186,480 100,000 ¥86,480 

NAVAL AIR STATION PATUXENT RIVER: 

AIRCRAFT DEVELOPMENT AND MAINTENANCE FACILITIES ....... 141,700 141,700 ........................

NAVAL SUPPORT ACTIVITY BETHESDA: 

CONSTRUCT JOINT NAVY/DHA FIRE STATION: PLANNING AND 

DESIGN ................................................................................. ........................ 3,000 ∂3,000 

DEFENSE–WIDE: 

BETHESDA NAVAL HOSPITAL: 

MEDICAL CENTER ADDITION/ALTERATION (INC 7) ................... 101,816 101,816 ........................

FORT MEADE: 

NSAW MISSION OPS AND RECORDS CENTER (INC) ................. 105,000 105,000 ........................

NSAW RECAP BUILDING 4 (INC) .............................................. 315,000 315,000 ........................

NSAW RECAP BUILDING 5 (ECB 5) (INC) ................................ 65,000 65,000 ........................

JOINT BASE ANDREWS: 

HYDRANT FUELING SYSTEM ..................................................... 38,300 38,300 ........................

TOTAL, MARYLAND ........................................................... 953,296 869,816 ¥83,480 

MASSACHUSETTS 

ARMY: 

SOLDIER SYSTEMS CENTER NATICK: 

BARRACKS ADDITION ................................................................ 18,500 18,500 ........................

AIR FORCE: 

HANSCOM AIR FORCE BASE: 

CHILD DEVELOPMENT CENTER ................................................. 37,000 37,000 ........................

MIT–LINCOLN LAB (WEST LAB CSL/MIF) (INC) ........................ 70,000 70,000 ........................

TOTAL, MASSACHUSETTS ................................................. 125,500 125,500 ........................
86 

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Committee 

recommendation 

compared to 

budget estimate 

MICHIGAN 

ARMY: 

DETROIT ARSENAL: 

GROUND TRANSPORT EQUIPMENT BUILDING ........................... 72,000 72,000 ........................

MANNED/UNMANNED TACTICAL VEHICLE LAB: PLANNING AND 

DESIGN ................................................................................. ........................ 2,400 ∂2,400 

NAVY RESERVE: 

BATTLE CREEK: 

ORGANIC SUPPLY FACILITIES ................................................... 24,549 24,549 ........................

TOTAL, MICHIGAN ............................................................ 96,549 98,949 ∂2,400 

MINNESOTA 

ARMY NATIONAL GUARD: 

CAMP RIPLEY: 

ACCESS CONTROL FACILITY: PLANNING AND DESIGN .............. ........................ 1,530 ∂1,530 

TOTAL, MINNESOTA .......................................................... ........................ 1,530 ∂1,530 

MISSISSIPPI 

AIR FORCE: 

COLUMBUS AIR FORCE BASE: 

T–7A GROUND BASED TRAINING SYSTEM FACILITY ................. 30,000 30,000 ........................

T–7A UNIT MAINTENANCE TRAINING FACILITY ......................... 9,500 9,500 ........................

T–7A EGRESS SHOP: UNSPECIFIED MINOR CONSTRUCTION .... ........................ 4,600 ∂4,600 

T–7A HUSH HOUSE PAD: UNSPECIFIED MINOR CONSTRUCTION ..................................................................................... ........................ 4,850 ∂4,850 

KEESLER AIR FORCE BASE: 

AIR TRAFFIC CONTROL TOWER: PLANNING AND DESIGN ......... ........................ 1,960 ∂1,960 

ARMY NATIONAL GUARD: 

MERIDIAN: 

ARMY AVIATION SUPPORT FACILITY 3: PLANNING AND DESIGN ........................ 2,160 ∂2,160 

SOUTHAVEN: 

NATIONAL GUARD READINESS CENTER .................................... ........................ 22,000 ∂22,000 

AIR NATIONAL GUARD: 

JACKSON INTERNATIONAL AIRPORT: 

FIRE CRASH AND RESCUE STATION: COST TO COMPLETE ...... ........................ 8,000 ∂8,000 

TOTAL, MISSISSIPPI ......................................................... 39,500 83,070 ∂43,570 

MISSOURI 

ARMY NATIONAL GUARD: 

BELLEFONTAINE: 

NATIONAL GUARD READINESS CENTER .................................... 28,000 28,000 ........................

TOTAL, MISSOURI ............................................................ 28,000 28,000 ........................

MONTANA 

DEFENSE–WIDE: 

GREAT FALLS INTERNATIONAL AIRPORT: 

FUEL FACILITIES ....................................................................... 30,000 30,000 ........................

TOTAL, MONTANA ............................................................. 30,000 30,000 ........................
87 

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NEBRASKA 

AIR FORCE: 

OFFUTT AIR FORCE BASE: 

55 CES MAINTENANCE/WAREHOUSE: PLANNING AND DESIGN ........................ 3,500 ∂3,500 

BASE OPERATIONS/MOBILITY CENTER: PLANNING AND DESIGN ..................................................................................... ........................ 3,000 ∂3,000 

LOGISTICS READINESS SQUADRON TRANSPORTATION FACILITY: PLANNING AND DESIGN ................................................ ........................ 2,700 ∂2,700 

REPLACE VEHICLE SEARCH AREA, STRATCOM GATE, B511: 

UNSPECIFIED MINOR CONSTRUCTION .................................. ........................ 7,000 ∂7,000 

DEFENSE–WIDE: 

OFFUTT AIR FORCE BASE: 

DPAA LABORATORY: PLANNING AND DESIGN ........................... ........................ 5,000 ∂5,000 

ARMY NATIONAL GUARD: 

MEAD TRAINING SITE: 

UNACCOMPANIED HOUSING: PLANNING AND DESIGN .............. ........................ 1,440 ∂1,440 

TOTAL, NEBRASKA ........................................................... ........................ 22,640 ∂22,640 

NEVADA 

AIR FORCE: 

NELLIS AIR FORCE BASE: 

DORMITORY: PLANNING AND DESIGN ....................................... ........................ 7,500 ∂7,500 

ARMY NATIONAL GUARD: 

FLOYD EDSALL TRAINING CENTER: 

COMBINED SUPPORT MAINTENANCE SHOP: PLANNING AND 

DESIGN ................................................................................. ........................ 2,700 ∂2,700 

GENERAL INSTRUCTION FACILITY: PLANNING AND DESIGN ..... ........................ 5,490 ∂5,490 

HARRY REID TRAINING CENTER: 

READY BUILDING: PLANNING AND DESIGN .............................. ........................ 590 ∂590 

TOTAL, NEVADA ............................................................... ........................ 16,280 ∂16,280 

NEW HAMPSHIRE 

ARMY NATIONAL GUARD: 

CENTER STRAFFORD: 

PHYSICAL FITNESS CENTER: UNSPECIFIED MINOR CONSTRUCTION ........................................................................... ........................ 9,000 ∂9,000 

LITTLETON: 

NATIONAL GUARD VEHICLE MAINTENANCE SHOP ADD ............ 23,000 23,000 ........................

PEMBROKE: 

VEHICLE STORAGE BUILDING: UNSPECIFIED MINOR CONSTRUCTION ........................................................................... ........................ 5,000 ∂5,000 

AIR NATIONAL GUARD: 

PEASE AIR NATIONAL GUARD BASE: 

GROUND PRODUCT SERVICE STATION: UNSPECIFIED MINOR 

CONSTRUCTION .................................................................... ........................ 4,000 ∂4,000 

TOTAL, NEW HAMPSHIRE ................................................. 23,000 41,000 ∂18,000 

NEW JERSEY 

ARMY NATIONAL GUARD: 

NEWARK: 

NATIONAL GUARD READINESS CENTER: PLANNING AND DESIGN ..................................................................................... ........................ 1,900 ∂1,900 
88 

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budget estimate 

AIR NATIONAL GUARD: 

ATLANTIC CITY INTERNATIONAL AIRPORT: 

CONSOLIDATED DINING, SERVICES, AND FITNESS CENTER: 

PLANNING AND DESIGN ....................................................... ........................ 2,000 ∂2,000 

F–16 MISSION TRAINING CENTER: PLANNING AND DESIGN .... ........................ 1,100 ∂1,100 

TOTAL, NEW JERSEY ........................................................ ........................ 5,000 ∂5,000 

NEW MEXICO 

ARMY: 

WHITE SANDS MISSILE RANGE: 

EL PASO GATE ACCESS CONTROL POINT: UNSPECIFIED 

MINOR CONSTRUCTION ........................................................ ........................ 3,600 ∂3,600 

GUIDED MISSILE BUILDING EXPANSION: UNSPECIFIED MINOR 

CONSTRUCTION .................................................................... ........................ 5,600 ∂5,600 

HIGH ENERGY LASER SYSTEMS TEST FACILITY FIRE STATION: 

UNSPECIFIED MINOR CONSTRUCTION .................................. ........................ 4,450 ∂4,450 

J–DETC DIRECTED ENERGY FACILITY: PLANNING AND DESIGN ........................ 3,060 ∂3,060 

MAIN POST FIRE STATION: UNSPECIFIED MINOR CONSTRUCTION ..................................................................................... ........................ 8,200 ∂8,200 

AIR FORCE: 

CANNON AIR FORCE BASE: 

SATELLITE FIRE STATION: PLANNING AND DESIGN .................. ........................ 2,000 ∂2,000 

KIRTLAND AIR FORCE BASE: 

WYOMING GATE PROJECT: COST TO COMPLETE ...................... ........................ 24,400 ∂24,400 

ARMY NATIONAL GUARD: 

DE BREMOND TRAINING SITE: 

SOLDIER PERFORMANCE, ACFT SUPPORT BUILDING: UNSPECIFIED MINOR CONSTRUCTION .............................................. ........................ 4,300 ∂4,300 

RIO RANCHO TRAINING SITE: 

NATIONAL GUARD VEHICLE MAINTENANCE SHOP ADD ............ 11,000 11,000 ........................

TOTAL, NEW MEXICO ....................................................... 11,000 66,610 ∂55,610 

NEW YORK 

ARMY NATIONAL GUARD: 

LEXINGTON ARMORY: 

NATIONAL GUARD READINESS CENTER ADDITION/ALTERATION ........................ 90,000 ∂90,000 

TOTAL, NEW YORK ........................................................... ........................ 90,000 ∂90,000 

NORTH CAROLINA 

ARMY: 

FORT LIBERTY (FORT BRAGG): 

AUTOMATED RECORD FIRE RANGE .......................................... 19,500 19,500 ........................

BARRACKS ................................................................................ 50,000 50,000 ........................

BARRACKS (FACILITY PROTOTYPING) ....................................... 85,000 85,000 ........................

NAVY: 

MARINE CORPS AIR STATION CHERRY POINT: 

AIRCRAFT MAINTENANCE HANGAR (INC) .................................. 19,529 19,529 ........................

MAINTENANCE FACILITY & MARINE AIR GROUP HQS .............. 125,150 125,150 ........................

TOTAL, NORTH CAROLINA ................................................ 299,179 299,179 ........................
89 

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OHIO 

AIR FORCE: 

WRIGHT–PATTERSON AIR FORCE BASE: 

ACQUISITION MANAGEMENT COMPLEX PHASE V: PLANNING 

AND DESIGN ......................................................................... ........................ 18,000 ∂18,000 

ARMY NATIONAL GUARD: 

CAMP PERRY JOINT TRAINING CENTER: 

NATIONAL GUARD READINESS CENTER .................................... 19,200 19,200 ........................

AIR FORCE RESERVE: 

YOUNGSTOWN AIR RESERVE STATION: 

FIRE STATION: PLANNING AND DESIGN .................................... ........................ 2,500 ∂2,500 

TOTAL, OHIO .................................................................... 19,200 39,700 ∂20,500 

OKLAHOMA 

AIR FORCE: 

TINKER AIR FORCE BASE: 

KC–46A 3–BAY DEPOT MAINTENANCE HANGAR (INC 3) ......... 78,000 78,000 ........................

VANCE AIR FORCE BASE: 

UNDERGRADUATE PILOT TRAINING CENTER: PLANNING AND 

DESIGN ................................................................................. ........................ 8,400 ∂8,400 

TOTAL, OKLAHOMA ........................................................... 78,000 86,400 ∂8,400 

OREGON 

ARMY NATIONAL GUARD: 

WASHINGTON COUNTY READINESS CENTER: 

NATIONAL GUARD READINESS CENTER .................................... 26,000 26,000 ........................

AIR NATIONAL GUARD: 

PORTLAND INTERNATIONAL AIRPORT: 

SPECIAL TACTICS COMPLEX, PHASE 1 ..................................... 22,000 22,000 ........................

SPECIAL TACTICS COMPLEX, PHASE 2 ..................................... 18,500 18,500 ........................

SPECIAL TACTICS COMPLEX, PHASE 3 ..................................... ........................ 20,000 ∂20,000 

SPECIAL TACTICS COMPLEX, PHASE 4 ..................................... ........................ 11,000 ∂11,000 

TOTAL, OREGON ............................................................... 66,500 97,500 ∂31,000 

PENNSYLVANIA 

ARMY: 

LETTERKENNY ARMY DEPOT: 

COMPONENT REBUILD SHOP, DEPOT LEVEL: UNSPECIFIED 

MINOR CONSTRUCTION ........................................................ ........................ 2,500 ∂2,500 

GUIDED MISSILE MAINTENANCE BUILDING .............................. 89,000 89,000 ........................

ARMY NATIONAL GUARD: 

HERMITAGE READINESS CENTER: 

NATIONAL GUARD READINESS CENTER .................................... 13,600 13,600 ........................

MOON TOWNSHIP: 

COMBINED SUPPORT MAINTENANCE SHOP: COST TO COMPLETE ................................................................................... ........................ 3,100 ∂3,100 

NEW CASTLE: 

VEHICLE MAINTENANCE SHOP ADDITION: UNSPECIFIED MINOR 

CONSTRUCTION .................................................................... ........................ 4,650 ∂4,650 

AIR NATIONAL GUARD: 

PITTSBURGH INTERNATIONAL AIRPORT: 

ENTRY CONTROL FACILITY: UNSPECIFIED MINOR CONSTRUCTION ..................................................................................... ........................ 8,000 ∂8,000 
90 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

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Committee recommendation 

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budget estimate 

TOTAL, PENNSYLVANIA .................................................... 102,600 120,850 ∂18,250 

RHODE ISLAND 

ARMY NATIONAL GUARD: 

NORTH KINGSTOWN: 

NATIONAL GUARD READINESS CENTER .................................... ........................ 30,000 ∂30,000 

TOTAL, RHODE ISLAND .................................................... ........................ 30,000 ∂30,000 

SOUTH CAROLINA 

ARMY: 

FORT JACKSON: 

RECEPTION BARRACKS COMPLEX, PH2: COST TO COMPLETE ........................ 101,000 ∂101,000 

ARMY NATIONAL GUARD: 

AIKEN COUNTY READINESS CENTER: 

NATIONAL GUARD READINESS CENTER .................................... 20,000 20,000 ........................

JOINT BASE CHARLESTON: 

NATIONAL GUARD READINESS CENTER: COST TO COMPLETE ........................ 6,500 ∂6,500 

MCCRADY TRAINING CENTER: 

AUTOMATED MULTIPURPOSE MACHINE GUN RANGE ................ 7,900 7,900 ........................

TOTAL, SOUTH CAROLINA ................................................ 27,900 135,400 ∂107,500 

SOUTH DAKOTA 

AIR FORCE: 

ELLSWORTH AIR FORCE BASE: 

B–21 WEAPONS GENERATION FACILITY (INC) .......................... 160,000 160,000 ........................

B–21 FUEL SYSTEM MAINTENANCE DOCK ............................... 75,000 75,000 ........................

B–21 PHASE HANGAR .............................................................. 160,000 160,000 ........................

TOTAL, SOUTH DAKOTA .................................................... 395,000 395,000 ........................

TEXAS 

ARMY: 

FORT BLISS: 

RAIL YARD ................................................................................ 74,000 74,000 ........................

RED RIVER ARMY DEPOT: 

COMPONENT REBUILD SHOP .................................................... 113,000 113,000 ........................

AIR FORCE: 

JOINT BASE SAN ANTONIO–LACKLAND: 

CHILD DEVELOPMENT CENTER: COST TO COMPLETE .............. 20,000 20,000 ........................

AIR FORCE RESERVE: 

NAVAL AIR STATION JOINT RESERVE BASE FORT WORTH: 

LRS WAREHOUSE ...................................................................... 16,000 16,000 ........................

TOTAL, TEXAS .................................................................. 223,000 223,000 ........................

UTAH 

AIR FORCE: 

HILL AIR FORCE BASE: 

F–35 T–7A EAST CAMPUS INFRASTRUCTURE .......................... 82,000 82,000 ........................

DEFENSE–WIDE: 

HILL AIR FORCE BASE: 

OPEN STORAGE ........................................................................ 14,200 14,200 ........................
91 

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Committee 

recommendation 

Committee 

recommendation 

compared to 

budget estimate 

TOTAL, UTAH .................................................................... 96,200 96,200 ........................

VERMONT 

ARMY NATIONAL GUARD: 

ETHAN ALLEN FIRING RANGE: 

NATIONAL GUARD READINESS CENTER ADD/ALT: UNSPECIFIED MINOR CONSTRUCTION .............................................. ........................ 4,750 ∂4,750 

TOTAL, VERMONT ............................................................. ........................ 4,750 ∂4,750 

VIRGINIA 

NAVY: 

DAM NECK: 

MARITIME SURVEILLANCE SYSTEM FACILITY ........................... 109,680 109,680 ........................

JOINT EXPEDITIONARY BASE LITTLE CREEK—STORY: 

CHILD DEVELOPMENT CENTER ................................................. 35,000 35,000 ........................

MARINE CORPS BASE QUANTICO: 

WATER TREATMENT PLANT ....................................................... 127,120 127,120 ........................

NAVAL STATION NORFOLK: 

CHILD DEVELOPMENT CENTER ................................................. 43,600 43,600 ........................

MQ–25 AIRCRAFT LAYDOWN FACILITIES .................................. 114,495 114,495 ........................

SUBMARINE PIER 3 (INC) ........................................................ 99,077 99,077 ........................

NAVAL WEAPONS STATION YORKTOWN: 

WEAPONS MAGAZINES .............................................................. 221,920 137,472 ¥84,448 

PORTSMOUTH: 

DRY DOCK SALTWATER SYSTEM FOR CVN–78 (INC) ............... 81,082 81,082 ........................

DEFENSE–WIDE: 

FORT BELVOIR: 

DIA HEADQUARTERS ANNEX ..................................................... 185,000 185,000 ........................

JOINT EXPEDITIONARY BASE LITTLE CREEK—STORY: 

SOF SDVT2 OPERATIONS SUPPORT FACILITY ........................... 61,000 61,000 ........................

PENTAGON: 

SEC OPS AND PEDESTRIAN ACCESS FACS .............................. 30,600 30,600 ........................

ARMY NATIONAL GUARD: 

SANDSTON RC & FMS 1: 

AIRCRAFT MAINTENANCE HANGAR ........................................... 20,000 20,000 ........................

ARMY RESERVE: 

RICHMOND: 

ARMY RESERVE CENTER: PLANNING AND DESIGN .................. ........................ 4,000 ∂4,000 

NAVY RESERVE: 

DAM NECK: 

G/ATOR SUPPORT FACILITIES ................................................... 12,400 12,400 ........................

TOTAL, VIRGINIA .............................................................. 1,140,974 1,060,526 ¥80,448 

WASHINGTON 

ARMY: 

JOINT BASE LEWIS–MCCHORD: 

BARRACKS ................................................................................ 100,000 100,000 ........................

BARRACKS: PLANNING AND DESIGN ........................................ ........................ 7,900 ∂7,900 

VEHICLE MAINTENANCE SHOP: PLANNING AND DESIGN .......... ........................ 7,500 ∂7,500 

YAKIMA TRAINING CENTER: 

AUTOMATED INFANTRY PLATOON BATTLE COURSE: PLANNING 

AND DESIGN ......................................................................... ........................ 960 ∂960 
92 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

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Committee recommendation 

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budget estimate 

NAVY: 

NAVAL AIR STATION WHIDBEY ISLAND: 

E/A–18G AIRCRAFT REGIONAL SERVICE FACILITY: PLANNING 

AND DESIGN ......................................................................... ........................ 11,100 ∂11,100 

NAVAL BASE KITSAP: 

SHIPYARD ELECTRICAL BACKBONE .......................................... 195,000 195,000 ........................

DEFENSE–WIDE: 

JOINT BASE LEWIS–MCCHORD: 

SOF CONSOLIDATED RIGGING FACILITY .................................... 62,000 62,000 ........................

MANCHESTER: 

BULK STORAGE TANKS, PHASE 2 ............................................. 71,000 71,000 ........................

ARMY NATIONAL GUARD: 

CAMP MURRAY: 

NATIONAL GUARD/RESERVE CENTER: PLANNING AND DESIGN ........................ 3,600 ∂3,600 

TOTAL, WASHINGTON ....................................................... 428,000 459,060 ∂31,060 

WEST VIRGINIA 

ARMY NATIONAL GUARD: 

BLUEFIELD: 

NATIONAL GUARD READINESS CENTER: PLANNING AND DESIGN ..................................................................................... ........................ 1,950 ∂1,950 

CAMP DAWSON–KINGWOOD: 

COVERED TRAINING AREA: UNSPECIFIED MINOR CONSTRUCTION ..................................................................................... ........................ 8,300 ∂8,300 

CHARLESTON: 

NATIONAL GUARD READINESS CENTER: PLANNING AND DESIGN ..................................................................................... ........................ 4,800 ∂4,800 

PARKERSBURG: 

NATIONAL GUARD READINESS CENTER: PLANNING AND DESIGN ..................................................................................... ........................ 3,300 ∂3,300 

AIR NATIONAL GUARD: 

MCLAUGHLIN AIR NATIONAL GUARD BASE: 

RENOVATE BUILDING 107 FOR SMALL AIR TERMINAL/GYM: 

UNSPECIFIED MINOR CONSTRUCTION .................................. ........................ 2,500 ∂2,500 

RENOVATE BUILDING 109 FOR AEROSPACE SUPPORT EQUIPMENT: UNSPECIFIED MINOR CONSTRUCTION ...................... ........................ 3,000 ∂3,000 

SHEPHERD FIELD: 

INDOOR SMALL ARMS RANGE: UNSPECIFIED MINOR CONSTRUCTION ........................................................................... ........................ 7,000 ∂7,000 

MAIN GATE ENTRY CONTROL POINT RENOVATION: UNSPECIFIED MINOR CONSTRUCTION .............................................. ........................ 6,000 ∂6,000 

TOTAL, WEST VIRGINIA .................................................... ........................ 36,850 ∂36,850 

WISCONSIN 

ARMY NATIONAL GUARD: 

VIROQUA: 

NATIONAL GUARD READINESS CENTER .................................... 18,200 18,200 ........................

AIR NATIONAL GUARD: 

GENERAL MITCHELL INTERNATIONAL AIRPORT: 

INDOOR SMALL ARMS RANGE: UNSPECIFIED MINOR CONSTRUCTION ........................................................................... ........................ 7,100 ∂7,100 

POL UNDERGROUND PIPELINE: UNSPECIFIED MINOR CONSTRUCTION ........................................................................... ........................ 4,250 ∂4,250 

TOTAL, WISCONSIN .......................................................... 18,200 29,550 ∂11,350 
93 

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Committee recommendation 

Committee recommendation 

compared to 

budget estimate 

WYOMING 

AIR FORCE: 

FE WARREN AIR FORCE BASE: 

GBSD INTEGRATED COMMAND CENTER (INC 2) ...................... 27,000 27,000 ........................

GBSD INTEGRATED TRAINING CENTER ..................................... 85,000 85,000 ........................

GBSD MISSILE HANDLING COMPLEX (INC 2) ........................... 28,000 28,000 ........................

TOTAL, WYOMING ............................................................. 140,000 140,000 ........................

AUSTRALIA 

NAVY: 

DARWIN: 

PDI: AIRCRAFT PARKING APRON (INC) ..................................... 134,624 134,624 ........................

AIR FORCE: 

DARWIN: 

PDI: SQUADRON OPERATIONS FACILITY ................................... 26,000 26,000 ........................

TINDAL: 

PDI: AIRCRAFT MAINTENANCE SUPPORT FACILITY ................... 17,500 17,500 ........................

PDI: BOMBER APRON ............................................................... 93,000 93,000 ........................

PDI: SQUADRON OPERATIONS FACILITY ................................... 20,000 20,000 ........................

TOTAL, AUSTRALIA ........................................................... 291,124 291,124 ........................

CUBA 

DEFENSE–WIDE: 

NAVAL STATION GUANTANAMO BAY: 

AMBULATORY CARE CENTER (INC 1) ....................................... 60,000 60,000 ........................

TOTAL, CUBA ................................................................... 60,000 60,000 ........................

GERMANY 

ARMY: 

GRAFENWOEHR: 

AUTOMATED MULTIPURPOSE MACHINE GUN RANGE ................ 10,400 10,400 ........................

HOHENFELS: 

SIMULATIONS CENTER .............................................................. 56,000 56,000 ........................

DEFENSE–WIDE: 

BAUMHOLDER: 

SOF COMPANY OPERATIONS FACILITY ...................................... 41,000 41,000 ........................

SOF JOINT PARACHUTE RIGGING FACILITY ............................... 23,000 23,000 ........................

KAISERSLAUTERN AIR BASE: 

KAISERSLAUTERN MIDDLE SCHOOL .......................................... 21,275 21,275 ........................

RAMSTEIN AIR BASE: 

RAMSTEIN MIDDLE SCHOOL ..................................................... 181,764 181,764 ........................

RHINE ORDNANCE BARRACKS: 

MEDICAL CENTER REPLACEMENT (INC 11) ............................. 77,210 77,210 ........................

STUTTGART: 

ROBINSON BARRACKS ELEM SCHOOL REPLACEMENT ............. 8,000 8,000 ........................

TOTAL, GERMANY ............................................................ 418,649 418,649 ........................

GUAM 

NAVY: 

JOINT REGION MARIANAS: 

PDI: CHILD DEVELOPMENT CENTER ......................................... 105,220 105,220 ........................
94 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

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recommendation 

compared to 

budget estimate 

PDI: JOINT CONSOL COMM CENTER (INC) ............................... 107,000 107,000 ........................

PDI: JOINT COMMUNICATION UPGRADE (INC) .......................... 292,830 180,000 ¥112,830 

PDI: MISSILE INTEGRATION TEST FACILITY .............................. 174,540 174,540 ........................

FINEGAYAN: 

PDI: 9TH ESB TRAINING COMPLEX ........................................... 23,380 23,380 ........................

PDI: ARTILLERY BATTERY FACILITIES ....................................... 137,550 137,550 ........................

PDI: CONSOLIDATED MEB HQ/NCIS PHII .................................. 19,740 19,740 ........................

PDI: RECREATION CENTER ....................................................... 34,740 34,740 ........................

PDI: RELIGIOUS MINISTRY SERVICES FACILITY ........................ 46,350 46,350 ........................

PDI: SATELLITE COMMUNICATIONS FACILITY (INC) .................. 166,159 166,159 ........................

PDI: TRAINING CENTER ............................................................ 89,640 89,640 ........................

AIR FORCE: 

JOINT REGION MARIANAS: 

PDI: NORTH AIRCRAFT PARKING RAMP (INC) .......................... 109,000 109,000 ........................

AIR FORCE RESERVE: 

JOINT REGION MARIANAS: 

AERIAL PORT FACILITY ............................................................. 27,000 27,000 ........................

TOTAL, GUAM ................................................................... 1,333,149 1,220,319 ¥112,830 

HONDURAS 

DEFENSE–WIDE: 

SOTO CANO AIR BASE: 

FUEL FACILITIES ....................................................................... 41,300 41,300 ........................

TOTAL, HONDURAS .......................................................... 41,300 41,300 ........................

ITALY 

NAVY: 

NAVAL AIR STATION SIGONELLA: 

EDI: ORDNANCE MAGAZINES .................................................... 77,072 77,072 ........................

TOTAL, ITALY ................................................................... 77,072 77,072 ........................

JAPAN 

AIR FORCE: 

KADENA AIR BASE: 

PDI: HELO RESCUE OPS MAINTENANCE HANGAR (INC) ........... 46,000 46,000 ........................

PDI: THEATER A/C CORROSION CONTROL CTR (INC) .............. 42,000 42,000 ........................

DEFENSE–WIDE: 

FLEET ACTIVITIES YOKOSUKA: 

KINNICK HIGH SCHOOL (INC) ................................................... 70,000 70,000 ........................

KADENA AIR BASE: 

PDI: SOF COMPOSITE MAINTENANCE FACILITY ........................ 11,400 11,400 ........................

PDI: SOF MAINTENANCE HANGAR ............................................. 88,900 88,900 ........................

TOTAL, JAPAN .................................................................. 258,300 258,300 ........................

NORTHERN MARIANA ISLANDS 

AIR FORCE: 

TINIAN: 

PDI: AIRFIELD DEVELOPMENT, PHASE 1 (INC 3) ..................... 26,000 26,000 ........................

PDI: FUEL TANKS W/PIPELN & HYDRANT (INC 3) .................... 20,000 20,000 ........................

PDI: PARKING APRON (INC 3) .................................................. 32,000 32,000 ........................
95 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

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Installation and project Budget 

estimate 

Committee recommendation 

Committee recommendation 

compared to 

budget estimate 

TOTAL, MARIANA ISLANDS ............................................... 78,000 78,000 ........................

NORWAY 

AIR FORCE: 

RYGGE: 

EDI: DABS–FEV STORAGE ......................................................... 88,000 88,000 ........................

EDI: MUNITIONS STORAGE AREA .............................................. 31,000 31,000 ........................

TOTAL, NORWAY .............................................................. 119,000 119,000 ........................

PHILIPPINES 

AIR FORCE: 

BASA AIR BASE: 

PDI: TRANSIENT AIRCRAFT PARKING APRON ............................ 35,000 35,000 ........................

TOTAL, PHILIPPINES ......................................................... 35,000 35,000 ........................

SPAIN 

AIR FORCE: 

MORON AIR BASE: 

EDI: MUNITIONS STORAGE ........................................................ 26,000 26,000 ........................

DEFENSE–WIDE: 

NAVAL STATION ROTA: 

BULK TANK FARM, PHASE 1 ..................................................... 80,000 80,000 ........................

TOTAL, SPAIN ................................................................... 106,000 106,000 ........................

UNITED KINGDOM 

AIR FORCE: 

ROYAL AIR FORCE FAIRFORD: 

EDI: RADR STORAGE FACILITY ................................................. 47,000 47,000 ........................

ROYAL AIR FORCE LAKENHEATH: 

EDI: RADR STORAGE FACILITY ................................................. 28,000 28,000 ........................

SURETY DORMITORY ................................................................ 50,000 50,000 ........................

TOTAL, UNITED KINGDOM ................................................ 125,000 125,000 ........................

NATO SECURITY INVESTMENT PROGRAM ................................................... 293,434 293,434 ........................

WORLDWIDE UNSPECIFIED 

ARMY: 

HOST NATION SUPPORT ..................................................................... 26,000 26,000 ........................

PLANNING AND DESIGN ..................................................................... 270,875 280,875 ∂10,000 

MINOR CONSTRUCTION ..................................................................... 76,280 96,280 ∂20,000 

SUBTOTAL, ARMY ..................................................................... 373,155 403,155 ∂30,000 

NAVY: 

PLANNING AND DESIGN ..................................................................... 599,942 624,942 ∂25,000 

MINOR CONSTRUCTION ..................................................................... 34,430 34,430 ........................

SUBTOTAL, NAVY ...................................................................... 634,372 659,372 ∂25,000 

AIR FORCE: 

EDI: PLANNING AND DESIGN ............................................................. 5,648 5,648 ........................

PLANNING AND DESIGN ..................................................................... 338,985 338,985 ........................
96 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee recommendation 

Committee recommendation 

compared to 

budget estimate 

SPACE FORCE: PLANNING AND DESIGN ............................................ 90,281 90,281 ........................

MINOR CONSTRUCTION ..................................................................... 64,900 64,900 ........................

SUBTOTAL, AIR FORCE ............................................................. 499,814 499,814 ........................

DEFENSE–WIDE: 

ENERGY RESILIENCE AND CONSERVATION INVESTMENT PROGRAM 548,000 548,000 ........................

PLANNING AND DESIGN: 

DEFENSE–WIDE ................................................................................. 32,579 32,579 ........................

DEFENSE–WIDE ERCIP ...................................................................... 86,250 86,250 ........................

MISSILE DEFENSE AGENCY ............................................................... 1,035 1,035 ........................

DEFENSE LOGISTICS AGENCY ............................................................ 24,000 24,000 ........................

DEFENSE HEALTH AGENCY ................................................................ 49,610 49,610 ........................

DEPARTMENT OF DEFENSE EDUCATION AGENCY .............................. 8,568 8,568 ........................

NATIONAL SECURITY AGENCY ........................................................... 3,068 3,068 ........................

US SPECIAL OPERATIONS COMMAND ................................................ 25,130 25,130 ........................

THE JOINT STAFF ............................................................................... 2,000 2,000 ........................

WASHINGTON HEADQUARTERS SERVICE ........................................... 590 590 ........................

US CYBER COMMAND ....................................................................... 30,215 30,215 ........................

INDOPACOM ....................................................................................... ........................ 50,000 ∂50,000 

SUBTOTAL, DEFENSE–WIDE ...................................................... 811,045 861,045 ∂50,000 

UNSPECIFIED MINOR CONSTRUCTION 

DEFENSE–WIDE: 

DEFENSE–WIDE ................................................................................. 3,000 3,000 ........................

DEFENSE LOGISTICS AGENCY ............................................................ 4,875 4,875 ........................

THE JOINT STAFF ............................................................................... 11,107 11,107 ........................

US SPECIAL OPERATIONS COMMAND ................................................ 19,271 19,271 ........................

INDOPACOM ....................................................................................... ........................ 62,000 ∂62,000 

SUBTOTAL, UNSPECIFIED MINOR CONSTRUCTION .................... 38,253 100,253 ∂62,000 

ARMY NATIONAL GUARD: 

PLANNING AND DESIGN ..................................................................... 34,286 34,286 ........................

MINOR CONSTRUCTION ..................................................................... 63,000 70,000 ∂7,000 

AIR NATIONAL GUARD: 

PLANNING AND DESIGN ..................................................................... 35,600 35,600 ........................

MINOR CONSTRUCTION ..................................................................... 63,122 63,122 ........................

ARMY RESERVE: 

PLANNING AND DESIGN ..................................................................... 23,389 23,389 ........................

MINOR CONSTRUCTION ..................................................................... 14,687 14,687 ........................

NAVY RESERVE: 

PLANNING AND DESIGN ..................................................................... 6,495 6,495 ........................

MINOR CONSTRUCTION ..................................................................... 7,847 7,847 ........................

AIR FORCE RESERVE: 

PLANNING AND DESIGN ..................................................................... 12,146 12,146 ........................

MINOR CONSTRUCTION ..................................................................... 9,926 9,926 ........................

SUBTOTAL, WORLDWIDE UNSPECIFIED ..................................... 2,627,137 2,801,137 ∂174,000 

FAMILY HOUSING, ARMY 

GEORGIA: 

FORT GORDON: 

FORT GORDON MHPI EQUITY INVESTMENT .............................. (50,000) (50,000) ........................

MISSOURI: 

FORT LEONARD WOOD: 

FORT LEONARD WOOD MHPI EQUITY INVESTMENT .................. (50,000) (50,000) ........................
97 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee recommendation 

Committee recommendation 

compared to 

budget estimate 

GERMANY: 

BAUMHOLDER: 

FAMILY HOUSING NEW CONSTRUCTION ................................... (78,746) (78,746) ........................

KWAJALEIN: 

KWAJALEIN ATOLL: 

FAMILY HOUSING REPLACEMENT CONSTRUCTION ................... (98,600) (98,600) ........................

PLANNING AND DESIGN .............................................................................. (27,549) (27,549) ........................

SUBTOTAL, CONSTRUCTION ............................................................... 304,895 304,895 ........................

OPERATION AND MAINTENANCE: 

UTILITIES ........................................................................................... (38,951) (38,951) ........................

SERVICES .......................................................................................... (7,037) (7,037) ........................

MANAGEMENT .................................................................................... (41,121) (41,121) ........................

MISCELLANEOUS ................................................................................ (554) (554) ........................

FURNISHINGS ..................................................................................... (12,121) (12,121) ........................

LEASING ............................................................................................. (112,976) (112,976) ........................

MAINTENANCE ................................................................................... (86,706) (86,706) ........................

HOUSING PRIVATIZATION SUPPORT ................................................... (86,019) (86,019) ........................

SUBTOTAL, OPERATIONS AND MAINTENANCE ........................... 385,485 385,485 ........................

FAMILY HOUSING, NAVY AND MARINE CORPS 

GUAM: 

NSA ANDERSEN: 

REPLACE ANDERSEN HOUSING (AF) PH7 ................................. (83,126) (83,126) ........................

REPLACE ANDERSEN HOUSING PH 8 ....................................... (121,906) (121,906) ........................

IMPROVEMENTS, WASHINGTON DC ........................................... (57,740) (57,740) ........................

PLANNING AND DESIGN, WASHINGTON DC ................................................. (4,782) (4,782) ........................

PLANNING AND DESIGN FOR DPRI/GUAM ................................................... (9,588) (9,588) ........................

SUBTOTAL, CONSTRUCTION ............................................................... 277,142 277,142 ........................

OPERATION AND MAINTENANCE: 

UTILITIES ........................................................................................... (43,320) (43,320) ........................

SERVICES .......................................................................................... (13,250) (13,250) ........................

MANAGEMENT .................................................................................... (61,896) (61,896) ........................

MISCELLANEOUS ................................................................................ (419) (419) ........................

FURNISHINGS ..................................................................................... (17,744) (17,744) ........................

LEASING ............................................................................................. (60,214) (60,214) ........................

MAINTENANCE ................................................................................... (101,356) (101,356) ........................

HOUSING PRIVATIZATION SUPPORT ................................................... (65,655) (65,655) ........................

SUBTOTAL, OPERATION AND MAINTENANCE ............................. 363,854 363,854 ........................

FAMILY HOUSING, AIR FORCE 

ALABAMA: 

MAXWELL AIR FORCE BASE: 

MHPI RESTRUCTURE–AETC GROUP II ...................................... (65,000) (65,000) ........................

COLORADO: 

US AIR FORCE ACADEMY: 

CONSTRUCTION IMPROVEMENT—CARLTON HOUSE ................. (9,282) (9,282) ........................

HAWAII: 

HICKAM AIR FORCE BASE: 

MHPI RESTRUCTURE–JB PEARL HARBOR–HICKAM .................. (75,000) (75,000) ........................

MISSISSIPPI: 

KEESLER AIR FORCE BASE: 

MHPI RESTRUCTURE–SOUTHERN GROUP ................................. (80,000) (80,000) ........................
98 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee recommendation 

Committee recommendation 

compared to 

budget estimate 

PLANNING AND DESIGN .............................................................................. (7,815) (7,815) ........................

SUBTOTAL, CONSTRUCTION ............................................................... 237,097 237,097 ........................

OPERATION AND MAINTENANCE: 

UTILITIES ........................................................................................... (48,054) (48,054) ........................

MANAGEMENT .................................................................................... (68,023) (68,023) ........................

SERVICES .......................................................................................... (10,692) (10,692) ........................

FURNISHINGS ..................................................................................... (12,884) (23,884) (∂11,000) 

MISCELLANEOUS ................................................................................ (2,377) (2,377) ........................

LEASING ............................................................................................. (5,143) (5,143) ........................

MAINTENANCE ................................................................................... (135,410) (124,410) (¥11,000) 

HOUSING PRIVATIZATION ................................................................... (31,803) (31,803) ........................

SUBTOTAL, OPERATION AND MAINTENANCE ............................. 314,386 314,386 ........................

FAMILY HOUSING, DEFENSE–WIDE 

OPERATION AND MAINTENANCE: 

NATIONAL SECURITY AGENCY: 

UTILITIES .................................................................................. (15) (15) ........................

FURNISHINGS ............................................................................ (89) (89) ........................

LEASING .................................................................................... (13,658) (13,658) ........................

MAINTENANCE .......................................................................... (35) (35) ........................

DEFENSE INTELLIGENCE AGENCY: 

UTILITIES .................................................................................. (4,273) (4,273) ........................

FURNISHINGS ............................................................................ (673) (673) ........................

LEASING .................................................................................... (32,042) (32,042) ........................

SUBTOTAL, OPERATION AND MAINTENANCE .................... 50,785 50,785 ........................

DOD FAMILY HOUSING IMPROVEMENT FUND ............................................. (6,611) (6,611) ........................

DOD MILITARY UNACCOMPANIED HOUSING IMPROVEMENT FUND ............. (496) (496) ........................

BASE REALIGNMENT AND CLOSURE 

ARMY .......................................................................................................... 150,640 170,640 ∂20,000 

NAVY ........................................................................................................... 108,818 118,818 ∂10,000 

AIR FORCE .................................................................................................. 123,990 143,990 ∂20,000 

DEFENSE–WIDE .......................................................................................... 5,726 5,726 ........................

TOTAL, BASE REALIGNMENT AND CLOSURE ...................................... 389,174 439,174 ∂50,000 

UNFUNDED REQUIREMENTS (SEC 124): 

MILITARY CONSTRUCTION, ARMY ...................................................... ........................ 38,514 ∂38,514 

MILITARY CONSTRUCTION, NAVY AND MARINE CORPS ..................... ........................ 351,100 ∂351,100 

MILITARY CONSTRUCTION, AIR FORCE .............................................. ........................ 66,000 ∂66,000 

MILITARY CONSTRUCTION, DEFENSE–WIDE ...................................... ........................ 117,100 ∂117,100 

MILITARY CONSTRUCTION, ARMY NATIONAL GUARD ......................... ........................ 89,500 ∂89,500 

MILITARY CONSTRUCTION, AIR NATIONAL GUARD ............................ ........................ 5,200 ∂5,200 

MILITARY CONSTRUCTION, ARMY RESERVE ...................................... ........................ 23,000 ∂23,000 

MILITARY INSTALLATION RESILIENCE (SEC 128): 

MILITARY INSTALLATION RESILIENCE, ARMY ..................................... ........................ 15,000 ∂15,000 

MILITARY INSTALLATION RESILIENCE, NAVY AND MARINE CORPS ... ........................ 7,500 ∂7,500 

MILITARY INSTALLATION RESILIENCE, AIR FORCE ............................ ........................ 7,500 ∂7,500 

NATURAL DISASTER RECOVERY (SEC 129): 

MILITARY CONSTRUCTION, AIR FORCE .............................................. ........................ 150,000 ∂150,000 

CHILD DEVELOPMENT CENTERS (SEC 130): 

MILITARY CONSTRUCTION, ARMY ...................................................... ........................ 15,000 ∂15,000 

MILITARY CONSTRUCTION, NAVY AND MARINE CORPS ..................... ........................ 15,000 ∂15,000 

MILITARY CONSTRUCTION, AIR FORCE .............................................. ........................ 15,000 ∂15,000 
99 

MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued 

[In thousands of dollars] 

Installation and project Budget 

estimate 

Committee 

recommendation 

Committee 

recommendation 

compared to 

budget estimate 

FOREIGN MILITARY TRAINING INFRASTRUCTURE (SEC 131): 

MILITARY CONSTRUCTION, AIR FORCE .............................................. ........................ 83,000 ∂83,000 

COST TO COMPLETES (SEC 132): 

MILITARY CONSTRUCTION, AIR FORCE .............................................. ........................ 20,000 ∂20,000 

FAMILY HOUSING IMPROVEMENT (SEC 133): 

FAMILY HOUSING OPERATION AND MAINTENANCE , NAVY ............... ........................ 19,000 ∂19,000 

AUTHORIZED PROJECTS (SEC 134): 

MILITARY CONSTRUCTION, NAVY ....................................................... ........................ 48,300 ∂48,300 

MILITARY CONSTRUCTION, DEFENSE–WIDE ...................................... ........................ 37,100 ∂37,100 

RECAP 

ARMY .......................................................................................................... 1,470,555 1,876,875 ∂406,320 

NAVY AND MARINE CORPS ......................................................................... 6,022,187 6,046,309 ∂24,122 

AIR FORCE .................................................................................................. 2,605,314 2,802,924 ∂197,610 

DEFENSE–WIDE .......................................................................................... 2,984,682 3,132,782 ∂148,100 

ARMY NATIONAL GUARD ............................................................................. 340,186 598,572 ∂258,386 

AIR NATIONAL GUARD ................................................................................ 178,722 304,426 ∂125,704 

ARMY RESERVE .......................................................................................... 107,076 151,076 ∂44,000 

NAVY RESERVE ........................................................................................... 51,291 51,291 ........................

AIR FORCE RESERVE .................................................................................. 291,572 309,572 ∂18,000 

NATO ........................................................................................................... 293,434 293,434 ........................

DEPARTMENT OF DEFENSE BASE CLOSURE ACCOUNT (BRAC) ................. 389,174 439,174 ∂50,000 

FAMILY HOUSING, ARMY ............................................................................ 690,380 690,380 ........................

CONSTRUCTION ................................................................................. (304,895) (304,895) ........................

OPERATION AND MAINTENANCE ........................................................ (385,485) (385,485) ........................

FAMILY HOUSING, NAVY AND MARINE CORPS ........................................... 640,996 640,996 ........................

CONSTRUCTION ................................................................................. (277,142) (277,142) ........................

OPERATION AND MAINTENANCE ........................................................ (363,854) (363,854) ........................

FAMILY HOUSING, AIR FORCE .................................................................... 551,483 551,483 ........................

CONSTRUCTION ................................................................................. (237,097) (237,097) ........................

OPERATION AND MAINTENANCE ........................................................ (314,386) (314,386) ........................

FAMILY HOUSING, DEFENSE–WIDE ............................................................. 50,785 50,785 ........................

OPERATION AND MAINTENANCE ........................................................ (50,785) (50,785) ........................

DOD FAMILY HOUSING IMPROVEMENT FUND ............................................. 6,611 6,611 ........................

DOD UNACCOMPANIED HOUSING IMPROVEMENT FUND ............................. 496 496 ........................

TOTAL, Administrative Provisions ..................................................... ........................ 1,122,814 ∂1,122,814 

GRAND TOTAL ........................................................................... 16,674,944 19,070,000 ∂2,395,056 
100 

DISCLOSURE OF CONGRESSIONALLY DIRECTED SPENDING 

ITEMS 

The Constitution vests in the Congress the power of the purse. 

The Committee believes strongly that Congress should make the 

decisions on how to allocate the people’s money. 

As defined in Rule XLIV of the Standing Rules of the Senate, the 

term ‘‘congressionally directed spending item’’ means a provision or 

report language included primarily at the request of a Senator, providing, authorizing, or recommending a specific amount of discretionary budget authority, credit authority, or other spending authority for a contract, loan, loan guarantee, grant, loan authority, 

or other expenditure with or to an entity, or targeted to a specific 

State, locality or congressional district, other than through a statutory or administrative, formula-driven, or competitive award process. 

For each item, a Member is required to provide a certification 

that neither the Member nor the Member’s immediate family has 

a pecuniary interest in such congressionally directed spending 

item. Such certifications are available to the public on the website 

of the Senate Committee on Appropriations (https:// 

www.appropriations.senate.gov/congressionally-directed-spendingrequests). 

Following is a list of congressionally directed spending items included in the Senate recommendation discussed in this report, 

along with the name of each Senator who submitted a request to 

the Committee of jurisdiction for each item so identified. Neither 

the Committee recommendation nor this report contains any limited tax benefits or limited tariff benefits as defined in rule XLIV. 
101 

CONGRESSIONALLY DIRECTED SPENDING ITEMS 

[In thousands of dollars] 

Account State Location Project Amount Requestor(s) 

Air Force ........................... Alabama ...................... Maxwell Air Force Base .................. Construct Addition, Air Command and Staff College (Bldg 

1402): Unspecified Minor Construction.

5,100 Britt 

Air Force ........................... Alabama ...................... Maxwell Air Force Base .................. Replace (Construct) Gunter Fitness Center: Unspecified 

Minor Construction.

8,800 Britt 

Army ................................. Alabama ...................... Fort Novosel (Fort Rucker) ............. Adv Individual Training Barracks Complex: Cost to Complete. 41,200 Britt Army ................................. Alabama ...................... Fort Novosel (Fort Rucker) ............. Aircraft Parts Storage Facility: Unspecified Minor Construction. 4,950 Tuberville Army ................................. Alabama ...................... Fort Novosel (Fort Rucker) ............. Army Radar Approach Control Facility: Unspecified Minor 

Construction.

7,000 Britt 

Army ................................. Alabama ...................... Fort Novosel (Fort Rucker) ............. Hazardous Material Storage Building: Unspecified Minor 

Construction.

3,850 Britt/Tuberville 

Army ................................. Alabama ...................... Fort Novosel (Fort Rucker) ............. Ready Building—MEDEVAC: Unspecified Minor Construction. 6,100 Britt/Tuberville Army ................................. Alabama ...................... Fort Novosel (Fort Rucker) ............. Vehicle Maintenance Storage Facility: Unspecified Minor 

Construction.

5,100 Tuberville 

Army ................................. Alabama ...................... Redstone Arsenal ........................... Access Control Building: Unspecified Minor Construction .. 4,000 Tuberville Army ................................. Alabama ...................... Redstone Arsenal ........................... Airfield Fire and Rescue Station: Unspecified Minor Construction. 5,600 Britt Army ................................. Alabama ...................... Redstone Arsenal ........................... Airport Runway Extension (Overruns): Unspecified Minor 

Construction.

5,500 Britt/Tuberville 

Army ................................. Alabama ...................... Redstone Arsenal ........................... Natural Gas Expansion and Meter Station: Unspecified 

Minor Construction.

4,800 Tuberville 

Army ................................. Alabama ...................... Redstone Arsenal ........................... Test Area 7 Relocation: Unspecified Minor Construction .... 5,400 Tuberville Air Force ........................... Alaska .......................... Eielson Air Force Base ................... Coal Thaw Shed Addition: Planning and Design ................ 1,500 Murkowski Air Force ........................... Alaska .......................... Eielson Air Force Base ................... Consolidated Munitions Complex: Planning and Design ..... 15,100 Murkowski Air Force ........................... Alaska .......................... Eielson Air Force Base ................... Cryogenics Facility: Unspecified Minor Construction ........... 6,900 Murkowski Air Force ........................... Alaska .......................... Eielson Air Force Base ................... Fire Station: Planning and Design ...................................... 1,700 Murkowski Air Force ........................... Alaska .......................... Eielson Air Force Base ................... Joint Mobility Center Expansion: Planning and Design ....... 3,000 Murkowski Air Force ........................... Alaska .......................... Eielson Air Force Base ................... Joint Pacific Alaska Range Complex Ops Facility: Planning 

and Design.

13,500 Murkowski 

Air Force ........................... Alaska .......................... Eielson Air Force Base ................... Permanent Party Dorm: Planning and Design ..................... 9,500 Murkowski Air Force ........................... Alaska .......................... Joint Base Elmendorf-Richardson .. Combat Alert Cell: Planning and Design ............................ 18,100 Murkowski Air Force ........................... Alaska .......................... Joint Base Elmendorf-Richardson .. Precision Guided Munitions Complex: Planning and Design 6,100 Murkowski Air Force ........................... Alaska .......................... Joint Base Elmendorf-Richardson .. Sand Storage Facility: Unspecified Minor Construction ...... 8,800 Murkowski 
102 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

[In thousands of dollars] 

Account State Location Project Amount Requestor(s) 

Air National Guard ........... Alaska .......................... Eielson Air Force Base ................... AMC Standard Dual Bay Hangar: Planning and Design ..... 25,000 Murkowski Air National Guard ........... Alaska .......................... Joint Base Elmendorf-Richardson .. ADAL Alert Crew Facility Hangar 18: Unspecified Minor 

Construction.

7,000 Murkowski 

Air National Guard ........... Alaska .......................... Joint Base Elmendorf-Richardson .. HC–130J Simulator Facility: Planning and Design ............. 2,000 Murkowski Air National Guard ........... Alaska .......................... Joint Base Elmendorf-Richardson .. North Campus Electrical Loop: Unspecified Minor Construction. 5,600 Murkowski Army ................................. Alaska .......................... Fort Wainwright .............................. Soldier Performance Readiness Center: Planning and Design. 7,900 Murkowski Air Force ........................... Arizona ......................... Luke Air Force Base ....................... Child Development Center: Planning and Design ............... 2,700 Kelly/Sinema Air Force ........................... Arizona ......................... Luke Air Force Base ....................... Gila Bend Consolidated Facility: Planning and Design ...... 2,200 Kelly/Sinema Air Force Reserve ............. Arizona ......................... Davis Monthan Air Force Base ...... Guardian Angel POTFF Facility: Unspecified Minor Construction. 8,500 Kelly Navy and Marine Corps ... Arizona ......................... Marine Corps Air Station Yuma ..... Water Treatment Plant: Planning and Design ..................... 8,900 Kelly Army National Guard ........ California ..................... Camp Roberts ................................ Automated Multipurpose Machine Gun Range: Cost to 

Complete.

5,000 Feinstein 

Army Reserve .................... California ..................... Fort Hunter Liggett ......................... Network Enterprise Center ................................................... 40,000 Feinstein Navy and Marine Corps ... California ..................... Naval Base Coronado ..................... Child Development Center: Planning and Design ............... 6,200 Feinstein Navy and Marine Corps ... California ..................... Naval Base San Diego ................... Child Development Center: Planning and Design ............... 5,600 Feinstein Defense-Wide (DHA) ......... Delaware ...................... Dover Air Force Base ...................... Blood Processing Center Replacement ................................ 30,600 Carper/Coons Army ................................. Georgia ........................ Fort Moore (Fort Benning) .............. Camp Merrill AST Barracks: Planning and Design ............. 1,320 Ossoff/Warnock Army ................................. Georgia ........................ Fort Stewart/Hunter Army Airfield .. Combat Aviation Brigade GSAB Hangar: Planning and Design. 6,400 Ossoff/Warnock Army ................................. Georgia ........................ Fort Stewart/Hunter Army Airfield .. Military Intelligence Battalion Hangar: Planning and Design. 2,220 Ossoff/Warnock Defense-Wide (DODEA) ..... Georgia ........................ Fort Moore (Fort Benning) .............. Dexter Elementary School: Planning and Design ................ 500 Ossoff/Warnock Army ................................. Hawaii .......................... Fort Shafter .................................... Clearwell and Booster Pump ............................................... 23,000 Hirono/Schatz Army ................................. Hawaii .......................... Helemano Military Reservation ...... Well and Storage Tanks ....................................................... 33,000 Hirono/Schatz Army ................................. Hawaii .......................... Schofield Barracks ......................... Elevated Tank and Distribution Line ................................... 16,000 Hirono/Schatz Army ................................. Hawaii .......................... Schofield Barracks ......................... Water Storage Tank .............................................................. 21,000 Hirono/Schatz Navy and Marine Corps ... Hawaii .......................... Joint Base Pearl Harbor-Hickam .... Dry Dock 3 Replacement ...................................................... 90,000 Schatz Navy and Marine Corps ... Hawaii .......................... Joint Base Pearl Harbor-Hickam .... Waterfront Production Facility: Planning and Design ......... 49,080 Hirono Navy and Marine Corps ... Hawaii .......................... Marine Corps Base Hawaii ............ Water Reclamation Facility Compliance Upgrade ............... 109,000 Hirono/Schatz Army National Guard ........ Illinois .......................... Bloomington ................................... National Guard Vehicle Maintenance Shop: Cost to Complete. 5,250 Durbin 
103 

Army National Guard ........ Illinois .......................... Chicago, Jones Armory ................... General Jones National Guard Readiness Center Alteration: 

Planning and Design.

5,000 Duckworth/Durbin 

Army National Guard ........ Illinois .......................... North Riverside ............................... Access Control Building: Unspecified Minor Construction .. 3,400 Durbin Army National Guard ........ Illinois .......................... Peoria .............................................. Readiness Center: Planning and Design ............................. 2,400 Duckworth/Durbin Army ................................. Kansas ......................... Fort Riley ........................................ Air Traffic Control Tower: Planning and Design .................. 1,600 Moran Army ................................. Kansas ......................... Fort Riley ........................................ Automated Infantry Platoon Battle Course: Unspecified 

Minor Construction.

8,700 Moran 

Army ................................. Kansas ......................... Fort Riley ........................................ Bob Dole Intermodal Railyard Improvements: Planning and 

Design.

1,110 Moran 

Army National Guard ........ Kansas ......................... Topeka ............................................ National Guard/Reserve Center Building: Cost to Complete 5,856 Moran Air Force ........................... Louisiana ..................... Barksdale Air Force Base ............... WGF Dormitory: Planning and Design .................................. 6,700 Kennedy Air Force Reserve ............. Louisiana ..................... Barksdale Air Force Base ............... 307 Bomb Wing Medical Facility Addition: Unspecified 

Minor Construction.

7,000 Cassidy/Kennedy 

Army ................................. Louisiana ..................... Fort Johnson (Fort Polk) ................. Multipurpose Athletic Field .................................................. 13,400 Kennedy Air National Guard ........... Maine ........................... Bangor International Airport .......... Repair Hangar Access Apron (Light Duty Ramp): Planning 

and Design.

1,450 Collins/King 

Air National Guard ........... Maine ........................... Bangor International Airport .......... Repair Whiskey Apron: Planning and Design ...................... 704 Collins/King Army National Guard ........ Maine ........................... Saco ................................................ National Guard Vehicle Maintenance Shop: Cost to Complete. 7,420 Collins Navy and Marine Corps ... Maryland ...................... Naval Support Activity Bethesda ... Construct Joint Navy/DHA Fire Station: Planning and Design. 3,000 Cardin/Van Hollen Army ................................. Michigan ...................... Detroit Arsenal ............................... Manned/Unmanned Tactical Vehicle Lab: Planning and 

Design.

2,400 Peters 

Army National Guard ........ Minnesota .................... Camp Ripley ................................... Access Control Facility: Planning and Design ..................... 1,530 Klobuchar/Smith Air Force ........................... Mississippi ................... Columbus Air Force Base ............... T–7A Egress Shop: Unspecified Minor Construction ........... 4,600 Hyde-Smith Air Force ........................... Mississippi ................... Columbus Air Force Base ............... T–7A Hush House Pad: Unspecified Minor Construction .... 4,850 Hyde-Smith Air Force ........................... Mississippi ................... Keesler Air Force Base ................... Air Traffic Control Tower: Planning and Design .................. 1,960 Hyde-Smith/Wicker Air National Guard ........... Mississippi ................... Jackson International Airport ......... Fire Crash and Rescue Station: Cost to Complete ............. 8,000 Wicker Army National Guard ........ Mississippi ................... Meridian .......................................... Army Aviation Support Facility 3: Planning and Design ..... 2,160 Hyde-Smith/Wicker Army National Guard ........ Mississippi ................... Southaven ....................................... National Guard Readiness Center ....................................... 22,000 Wicker Air Force ........................... Nebraska ...................... Offutt Air Force Base ..................... 55 CES Maintenance/Warehouse: Planning and Design ..... 3,500 Fischer Air Force ........................... Nebraska ...................... Offutt Air Force Base ..................... Base Operations/Mobility Center: Planning and Design ..... 3,000 Fischer Air Force ........................... Nebraska ...................... Offutt Air Force Base ..................... Logistics Readiness Squadron Transportation Facility: 

Planning and Design.

2,700 Fischer 

Air Force ........................... Nebraska ...................... Offutt Air Force Base ..................... Replace Vehicle Search Area, STRATCOM Gate, B511: Unspecified Minor Construction. 7,000 Fischer Army National Guard ........ Nebraska ...................... Mead Training Site ......................... Unaccompanied Housing: Planning and Design ................. 1,440 Fischer Defense-Wide (DPAA) ....... Nebraska ...................... Offutt Air Force Base ..................... DPAA Laboratory: Planning and Design ............................... 5,000 Fischer Air Force ........................... Nevada ......................... Nellis Air Force Base ...................... Dormitory: Planning and Design .......................................... 7,500 Cortez Masto/Rosen 
104 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

[In thousands of dollars] 

Account State Location Project Amount Requestor(s) 

Army National Guard ........ Nevada ......................... Floyd Edsall Training Center .......... Combined Support Maintenance Shop: Planning and Design. 2,700 Cortez Masto/Rosen Army National Guard ........ Nevada ......................... Floyd Edsall Training Center .......... General Instruction Facility: Planning and Design .............. 5,490 Cortez Masto/Rosen Army National Guard ........ Nevada ......................... Harry Reid Training Center ............ Ready Building: Planning and Design ................................. 590 Cortez Masto/Rosen Air National Guard ........... New Hampshire ........... Pease Air National Guard Base ..... Ground Product Service Station: Unspecified Minor Construction. 4,000 Shaheen Army National Guard ........ New Hampshire ........... Center Strafford ............................. Physical Fitness Center: Unspecified Minor Construction ... 9,000 Shaheen Army National Guard ........ New Hampshire ........... Pembroke ........................................ Vehicle Storage Building: Unspecified Minor Construction 5,000 Shaheen Air National Guard ........... New Jersey ................... Atlantic City International Airport .. Consolidated Dining, Services, and Fitness Center: Planning and Design. 2,000 Booker/Menendez Air National Guard ........... New Jersey ................... Atlantic City International Airport .. F–16 Mission Training Center: Planning and Design ......... 1,100 Booker/Menendez Army National Guard ........ New Jersey ................... Newark ............................................ National Guard Readiness Center: Planning and Design ... 1,900 Booker/Menendez Air Force ........................... New Mexico .................. Cannon Air Force Base .................. Satellite Fire Station: Planning and Design ........................ 2,000 Heinrich/Lujan Air Force ........................... New Mexico .................. Kirtland Air Force Base .................. Wyoming Gate Project: Cost to Complete ............................ 24,400 Heinrich/Lujan Army ................................. New Mexico .................. White Sands Missile Range ........... El Paso Gate Access Control Point: Unspecified Minor 

Construction.

3,600 Heinrich/Lujan 

Army ................................. New Mexico .................. White Sands Missile Range ........... Guided Missile Building Expansion: Unspecified Minor 

Construction.

5,600 Heinrich 

Army ................................. New Mexico .................. White Sands Missile Range ........... High Energy Laser Systems Test Facility Fire Station: Unspecified Minor Construction. 4,450 Heinrich Army ................................. New Mexico .................. White Sands Missile Range ........... J–DETC Directed Energy Facility: Planning and Design ...... 3,060 Heinrich/Lujan Army ................................. New Mexico .................. White Sands Missile Range ........... Main Post Fire Station: Unspecified Minor Construction .... 8,200 Heinrich Army National Guard ........ New Mexico .................. De Bremond Training Site .............. Soldier Performance, ACFT Support Building: Unspecified 

Minor Construction.

4,300 Heinrich/Lujan 

Army National Guard ........ New York ...................... Lexington Armory ............................ National Guard Readiness Center Addition/Alteration ........ 90,000 Gillibrand/Schumer Air Force ........................... Ohio ............................. Wright-Patterson Air Force Base .... Acquisition Management Complex Phase V: Planning and 

Design.

18,000 Brown 

Air Force Reserve ............. Ohio ............................. Youngstown Air Reserve Station .... Fire Station: Planning and Design ...................................... 2,500 Brown Air Force ........................... Oklahoma ..................... Vance Air Force Base ..................... Undergraduate Pilot Training Center: Planning and Design 8,400 Mullin Air National Guard ........... Oregon ......................... Portland International Airport ........ Special Tactics Complex Phase 3 ........................................ 20,000 Merkley/Wyden Air National Guard ........... Oregon ......................... Portland International Airport ........ Special Tactics Complex Phase 4 ........................................ 11,000 Merkley/Wyden Air National Guard ........... Pennsylvania ................ Pittsburgh International Airport ..... Entry Control Facility: Unspecified Minor Construction ....... 8,000 Casey/Fetterman Army ................................. Pennsylvania ................ Letterkenny Army Depot ................. Component Rebuild Shop, Depot Level: Unspecified Minor 

Construction.

2,500 Casey/Fetterman 

Army National Guard ........ Pennsylvania ................ Moon Township ............................... Combined Support Maintenance Shop: Cost to Complete .. 3,100 Casey/Fetterman 
105 

Army National Guard ........ Pennsylvania ................ New Castle ..................................... Vehicle Maintenance Shop Addition: Unspecified Minor 

Construction.

4,650 Casey/Fetterman 

Army National Guard ........ Rhode Island ............... North Kingstown ............................. National Guard Readiness Center ....................................... 30,000 Reed Army ................................. South Carolina ............. Fort Jackson ................................... Reception Barracks Complex, Ph2: Cost to Complete ......... 101,000 Graham Army National Guard ........ South Carolina ............. Joint Base Charleston .................... National Guard Readiness Center: Cost to Complete ......... 6,500 Graham Army National Guard ........ Vermont ....................... Ethan Allen Firing Range ............... National Guard Readiness Center Add/Alt: Unspecified 

Minor Construction.

4,750 Sanders/Welch 

Army Reserve .................... Virginia ........................ Richmond ....................................... Army Reserve Center: Planning and Design ........................ 4,000 Kaine/Warner Army ................................. Washington .................. Joint Base Lewis-McChord ............. Barracks: Planning and Design ........................................... 7,900 Murray Army ................................. Washington .................. Yakima Training Center ................. Automated Infantry Platoon Battle Course: Planning and 

Design.

960 Murray 

Army ................................. Washington .................. Joint Base Lewis-McChord ............. Vehicle Maintenance Shop: Planning and Design ............... 7,500 Murray Army National Guard ........ Washington .................. Camp Murray .................................. National Guard/Reserve Center: Planning and Design ....... 3,600 Murray Navy and Marine Corps ... Washington .................. Naval Air Station Whidbey Island .. E/A–18G Aircraft Regional Service Facility: Planning and 

Design.

11,100 Murray 

Air National Guard ........... West Virginia ............... McLaughlin Air National Guard 

Base.

Renovate Building 107 for Small Air Terminal/Gym: Unspecified Minor Construction. 2,500 Capito/Manchin 

Air National Guard ........... West Virginia ............... McLaughlin Air National Guard 

Base.

Renovate Building 109 for Aerospace Support Equipment: 

Unspecified Minor Construction.

3,000 Capito/Manchin 

Air National Guard ........... West Virginia ............... Shepherd Field ................................ Indoor Small Arms Range: Unspecified Minor Construction 7,000 Capito/Manchin Air National Guard ........... West Virginia ............... Shepherd Field ................................ Main Gate Entry Control Point Renovation: Unspecified 

Minor Construction.

6,000 Capito/Manchin 

Army National Guard ........ West Virginia ............... Bluefield ......................................... National Guard Readiness Center: Planning and Design ... 1,950 Capito/Manchin Army National Guard ........ West Virginia ............... Camp Dawson-Kingwood ................ Covered Training Area: Unspecified Minor Construction ..... 8,300 Capito/Manchin Army National Guard ........ West Virginia ............... Charleston ...................................... National Guard Readiness Center: Planning and Design ... 4,800 Capito/Manchin Army National Guard ........ West Virginia ............... Parkersburg .................................... National Guard Readiness Center: Planning and Design ... 3,300 Capito/Manchin Air National Guard ........... Wisconsin ..................... General Mitchell International Airport. Indoor Small Arms Range: Unspecified Minor Construction 7,100 Baldwin Air National Guard ........... Wisconsin ..................... General Mitchell International Airport. POL Pipeline: Unspecified Minor Construction .................... 4,250 Baldwin 
106 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2023 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2024 

[In thousands of dollars] 

Item 2023 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2024 

appropriation Budget estimate 

TITLE I—DEPARTMENT OF DEFENSE 

Military Construction 

Active Components: 

Military Construction, Army ......................................................................................................................................... 1,553,825 1,470,555 1,876,875 ∂323,050 ∂406,320 Military Construction, Navy and Marine Corps ........................................................................................................... 4,345,320 6,022,187 6,046,309 ∂1,700,989 ∂24,122 Military Construction, Air Force ................................................................................................................................... 2,614,996 2,605,314 2,802,924 ∂187,928 ∂197,610 Military Construction, Defense-Wide ........................................................................................................................... 2,626,078 2,984,682 3,132,782 ∂506,704 ∂148,100 

Subtotal, Active components .............................................................................................................................. 11,140,219 13,082,738 13,858,890 ∂2,718,671 ∂776,152 

Reserve Components: 

Military Construction, Army National Guard ............................................................................................................... 459,018 340,186 598,572 ∂139,554 ∂258,386 Military Construction, Air National Guard ................................................................................................................... 279,353 178,722 304,426 ∂25,073 ∂125,704 Military Construction, Army Reserve ........................................................................................................................... 193,878 107,076 151,076 ¥42,802 ∂44,000 Military Construction, Navy Reserve ........................................................................................................................... 36,837 51,291 51,291 ∂14,454 ..........................Military Construction, Air Force Reserve ..................................................................................................................... 85,423 291,572 309,572 ∂224,149 ∂18,000 

Subtotal, Reserve components ........................................................................................................................... 1,054,509 968,847 1,414,937 ∂360,428 ∂446,090 

North Atlantic Treaty Organization Security Investment Program ....................................................................................... 220,139 293,434 293,434 ∂73,295 ..........................Department of Defense Base Closure Account .................................................................................................................... 574,687 389,174 439,174 ¥135,513 ∂50,000 

Total, Military Construction .................................................................................................................................... 12,989,554 14,734,193 16,006,435 ∂3,016,881 ∂1,272,242 

Family Housing 

Family Housing Construction, Army ..................................................................................................................................... 169,339 304,895 304,895 ∂135,556 ..........................Family Housing Operation and Maintenance, Army ............................................................................................................. 446,411 385,485 385,485 ¥60,926 ..........................Family Housing Construction, Navy and Marine Corps ....................................................................................................... 337,297 277,142 277,142 ¥60,155 ..........................Family Housing Operation and Maintenance, Navy and Marine Corps ............................................................................... 378,224 363,854 363,854 ¥14,370 ..........................
107 

Family Housing Construction, Air Force ............................................................................................................................... 232,788 237,097 237,097 ∂4,309 ..........................Family Housing Operation and Maintenance, Air Force ...................................................................................................... 365,222 314,386 314,386 ¥50,836 ..........................Family Housing Operation and Maintenance, Defense-Wide ............................................................................................... 50,113 50,785 50,785 ∂672 ..........................Department of Defense Family Housing Improvement Fund ............................................................................................... 6,442 6,611 6,611 ∂169 ..........................Department of Defense Military Unaccompanied Housing Improvement Fund ................................................................... 494 496 496 ∂2 ..........................

Total, Family Housing ............................................................................................................................................. 1,986,330 1,940,751 1,940,751 ¥45,579 ..........................

Administrative Provisions 

Unfunded Requirements (Sec 124): 

Military Construction, Army ......................................................................................................................................... 243,490 .......................... 38,514 ¥204,976 ∂38,514 Military Construction, Navy & Marine Corps .............................................................................................................. 423,300 .......................... 351,100 ¥72,200 ∂351,100 Military Construction, Air Force ................................................................................................................................... 527,300 .......................... 66,000 ¥461,300 ∂66,000 Military Construction, Defense-Wide ........................................................................................................................... 151,000 .......................... 117,100 ¥33,900 ∂117,100 Military Construction, Army National Guard ............................................................................................................... 54,743 .......................... 89,500 ∂34,757 ∂89,500 Military Construction, Air National Guard ................................................................................................................... .......................... .......................... 5,200 ∂5,200 ∂5,200 Military Construction, Army Reserve ........................................................................................................................... 56,600 .......................... 23,000 ¥33,600 ∂23,000 Military Construction, Navy Reserve ........................................................................................................................... 116,964 .......................... .......................... ¥116,964 ..........................Military Construction, Air Force Reserve ..................................................................................................................... 9,000 .......................... .......................... ¥9,000 ..........................Family Housing Construction, Army ............................................................................................................................ 321,722 .......................... .......................... ¥321,722 ..........................Family Housing Construction, Air Force ...................................................................................................................... 18,800 .......................... .......................... ¥18,800 ..........................

Lab Infrastructure (FY23 Sec 128): 

Lab Infrastructure, Army ............................................................................................................................................. 20,000 .......................... .......................... ¥20,000 ..........................Lab Infrastructure, Navy & Marine Corps ................................................................................................................... 10,000 .......................... .......................... ¥10,000 ..........................Lab Infrastructure, Air Force ....................................................................................................................................... 90,000 .......................... .......................... ¥90,000 ..........................

Military Installation Resilience (Sec 128): .......................... .......................... .......................... .......................... ..........................

Military Construction, Army ......................................................................................................................................... 25,000 .......................... 15,000 ¥10,000 ∂15,000 Military Construction, Navy & Marine Corps .............................................................................................................. 40,000 .......................... 7,500 ¥32,500 ∂7,500 Military Construction, Air Force ................................................................................................................................... 25,000 .......................... 7,500 ¥17,500 ∂7,500 

Natural Disaster Recovery (Sec 129): 

Military Construction, Air Force ................................................................................................................................... 360,000 .......................... 150,000 ¥210,000 ∂150,000 

Child Development Centers (Sec 130): 

Military Construction, Army ......................................................................................................................................... 15,000 .......................... 15,000 .......................... ∂15,000 Military Construction, Navy & Marine Corps .............................................................................................................. 15,000 .......................... 15,000 .......................... ∂15,000 Military Construction, Air Force ................................................................................................................................... 37,400 .......................... 15,000 ¥22,400 ∂15,000 

Foreign Military Training Infrastructure (Sec 131): 

Military Construction, Air National Guard ................................................................................................................... 10,000 .......................... 83,000 ∂73,000 ∂83,000 
108 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2023 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2024—Continued 

[In thousands of dollars] 

Item 2023 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2024 

appropriation Budget estimate 

Cost to Completes (Sec 132): 

Military Construction, Air Force ................................................................................................................................... .......................... .......................... 20,000 ∂20,000 ∂20,000 

Family Housing Improvement (Sec 133): 

Family Housing, Navy & Marine Corps ....................................................................................................................... .......................... .......................... 19,000 ∂19,000 ∂19,000 

Authorized Projects (Sec 134): 

Military Construction, Navy & Marine Corps .............................................................................................................. .......................... .......................... 48,300 ∂48,300 ∂48,300 Military Construction, Defense-Wide ........................................................................................................................... .......................... .......................... 37,100 ∂37,100 ∂37,100 

Water Treatment and Distribution Infrastructure (FY23 Sec 133): 

Military Construction, Navy & Marine Corps .............................................................................................................. 25,000 .......................... .......................... ¥25,000 ..........................

Cost to Completes (FY23 Sec 131): 

Military Construction, Army ......................................................................................................................................... 103,000 .......................... .......................... ¥103,000 ..........................Military Construction, Navy & Marine Corps .............................................................................................................. 331,000 .......................... .......................... ¥331,000 ..........................Military Construction, Air Force ................................................................................................................................... 273,000 .......................... .......................... ¥273,000 ..........................Military Construction, Defense-Wide ........................................................................................................................... 279,347 .......................... .......................... ¥279,347 ..........................Military Construction, Army National Guard ............................................................................................................... 66,000 .......................... .......................... ¥66,000 ..........................Military Construction, Air National Guard ................................................................................................................... 17,000 .......................... .......................... ¥17,000 ..........................Military Construction, Army Reserve ........................................................................................................................... 24,000 .......................... .......................... ¥24,000 ..........................Military Construction, Navy Reserve ........................................................................................................................... 5,500 .......................... .......................... ¥5,500 ..........................Military Construction, Air Force Reserve ..................................................................................................................... 11,000 .......................... .......................... ¥11,000 ..........................

Additional Cost to Completes (FY23 Sec 134): 

Military Construction, Army ......................................................................................................................................... 48,600 .......................... .......................... ¥48,600 ..........................Military Construction, Navy & Marine Corps .............................................................................................................. 166,500 .......................... .......................... ¥166,500 ..........................Military Construction, Air Force ................................................................................................................................... 63,350 .......................... .......................... ¥63,350 ..........................Military Construction, Defense-Wide ........................................................................................................................... 14,200 .......................... .......................... ¥14,200 ..........................Military Construction, Army National Guard ............................................................................................................... 18,900 .......................... .......................... ¥18,900 ..........................Military Construction, Air National Guard ................................................................................................................... 4,900 .......................... .......................... ¥4,900 ..........................Military Construction, Army Reserve ........................................................................................................................... 2,000 .......................... .......................... ¥2,000 ..........................
109 

Military Construction, Air Force Reserve ..................................................................................................................... 500 .......................... .......................... ¥500 ..........................

Total, Administrative Provisions ............................................................................................................................. 4,024,116 .......................... 1,122,814 ¥2,901,302 ∂1,122,814 Total, title I, Department of Defense ..................................................................................................................... 19,000,000 16,674,944 19,070,000 ∂70,000 ∂2,395,056 

Appropriations ................................................................................................................................................ (19,000,000 ) (16,674,944 ) (19,070,000 ) (∂70,000 ) (∂2,395,056 ) Rescissions .................................................................................................................................................... .......................... .......................... .......................... .......................... ..........................

TITLE II—DEPARTMENT OF VETERANS AFFAIRS 

Veterans Benefits Administration 

Compensation and pensions: 

Budget year appropriations ......................................................................................................................................... .......................... 4,655,879 4,655,879 ∂4,655,879 ..........................Advance from prior year appropriations ..................................................................................................................... 152,016,542 146,778,136 146,778,136 ¥5,238,406 ..........................

Subtotal, Compensation and pensions available in fiscal year ....................................................................... 152,016,542 151,434,015 151,434,015 ¥582,527 ..........................

Advance appropriations ............................................................................................................................................... 146,778,136 181,390,281 181,390,281 ∂34,612,145 ..........................Less appropriations from prior year advances ........................................................................................................... ¥152,016,542 ¥146,778,136 ¥146,778,136 ∂5,238,406 ..........................

Total, Compensation and pensions appropriated in this bill ........................................................................... 146,778,136 186,046,160 186,046,160 ∂39,268,024 ..........................

Readjustment benefits: 

Advance from prior year appropriations ..................................................................................................................... 8,906,851 8,452,500 8,452,500 ¥454,351 ..........................

Subtotal, Readjustment benefits available in fiscal year ................................................................................. 8,906,851 8,452,500 8,452,500 ¥454,351 ..........................

Advance appropriations ............................................................................................................................................... 8,452,500 11,523,134 11,523,134 ∂3,070,634 ..........................Less appropriations from prior year advances ........................................................................................................... ¥8,906,851 ¥8,452,500 ¥8,452,500 ∂454,351 ..........................

Total, Readjustment benefits appropriated in this bill ..................................................................................... 8,452,500 11,523,134 11,523,134 ∂3,070,634 ..........................

Veterans insurance and indemnities: 

Budget year appropriations ......................................................................................................................................... .......................... 12,701 12,701 ∂12,701 ..........................Advance from prior year appropriations ..................................................................................................................... 109,865 121,126 121,126 ∂11,261 ..........................

Subtotal, Veterans insurance and indemnities available in fiscal year ........................................................... 109,865 133,827 133,827 ∂23,962 ..........................

Advance appropriations ............................................................................................................................................... 121,126 135,119 135,119 ∂13,993 ..........................
110 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2023 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2024—Continued 

[In thousands of dollars] 

Item 2023 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2024 

appropriation Budget estimate 

Less appropriations from prior year advances ........................................................................................................... ¥109,865 ¥121,126 ¥121,126 ¥11,261 ..........................

Total, Veterans insurance and indemnities appropriated in this bill ............................................................... 121,126 147,820 147,820 ∂26,694 ..........................

Veterans housing benefit program fund: 

Credit subsidy: 

Direct .................................................................................................................................................................. ¥104,000 ¥83,000 ¥83,000 ∂21,000 ..........................Guaranteed ......................................................................................................................................................... 2,628,000 1,803,000 1,803,000 ¥825,000 ..........................Subtotal (Credit subsidy) ................................................................................................................................... 2,524,000 1,720,000 1,720,000 ¥804,000 ..........................

(Limitation on direct loans) ........................................................................................................................................ (500 ) (500 ) (500 ) .......................... ..........................Administrative expenses .............................................................................................................................................. 282,361 316,742 316,742 ∂34,381 ..........................

Vocational rehabilitation loans program account ............................................................................................................... 7 78 78 ∂71 ..........................

(Limitation on direct loans) ........................................................................................................................................ (942 ) (2,026 ) (2,026 ) (∂1,084 ) ..........................Administrative expenses .............................................................................................................................................. 446 461 461 ∂15 ..........................

Native American veteran housing loan program account ................................................................................................... 1,400 2,719 2,719 ∂1,319 ..........................General operating expenses, VBA ........................................................................................................................................ 3,863,000 3,899,000 3,899,000 ∂36,000 ..........................

Total, Veterans Benefits Administration ................................................................................................................. 162,022,976 203,656,114 203,656,114 ∂41,633,138 ..........................

Budget year appropriations ................................................................................................................................ (6,671,214 ) (10,607,580 ) (10,607,580 ) (∂3,936,366 ) ..........................Advance appropriations ...................................................................................................................................... (155,351,762 ) (193,048,534 ) (193,048,534 ) (∂37,696,772 ) ..........................

Advances from prior year appropriations ............................................................................................................... (161,033,258 ) (155,351,762 ) (155,351,762 ) (¥5,681,496 ) ..........................

Veterans Health Administration 

Medical services (MS): 

Budget year appropriations ......................................................................................................................................... 261,000 .......................... ¥4,933,113 ¥5,194,113 ¥4,933,113 Advance from prior year appropriations ..................................................................................................................... 70,323,116 74,004,000 74,004,000 ∂3,680,884 ..........................
111 

Subtotal, MS available in fiscal year ................................................................................................................ 70,584,116 74,004,000 69,070,887 ¥1,513,229 ¥4,933,113 Advance appropriations ...................................................................................................................................... 74,004,000 71,000,000 71,000,000 ¥3,004,000 ..........................

Total, MS appropriated in this bill ................................................................................................................ 74,265,000 71,000,000 66,066,887 ¥8,198,113 ¥4,933,113 

Medical community care (MCC): 

Budget year appropriations ......................................................................................................................................... 4,300,000 .......................... ¥3,159,584 ¥7,459,584 ¥3,159,584 Advance from prior year appropriations ..................................................................................................................... 24,156,659 33,000,000 33,000,000 ∂8,843,341 ..........................

Subtotal, MCC available in fiscal year .............................................................................................................. 28,456,659 33,000,000 29,840,416 ∂1,383,757 ¥3,159,584 Advance appropriations ...................................................................................................................................... 33,000,000 20,382,000 20,382,000 ¥12,618,000 ..........................

Total, MCC appropriated in this bill ............................................................................................................. 37,300,000 20,382,000 17,222,416 ¥20,077,584 ¥3,159,584 

Medical support and compliance (MSC): 

Budget year appropriations ......................................................................................................................................... 1,400,000 .......................... .......................... ¥1,400,000 ..........................Advance from prior year appropriations ..................................................................................................................... 9,673,409 12,300,000 12,300,000 ∂2,626,591 ..........................

Subtotal, MSC available in fiscal year .............................................................................................................. 11,073,409 12,300,000 12,300,000 ∂1,226,591 ..........................Advance appropriations ...................................................................................................................................... 12,300,000 11,800,000 11,800,000 ¥500,000 ..........................

Total, MSC appropriated in this bill ......................................................................................................... 13,700,000 11,800,000 11,800,000 ¥1,900,000 ..........................

Medical facilities (MF): 

Budget year appropriations ......................................................................................................................................... 1,500,000 .......................... 1,000,000 ¥500,000 ∂1,000,000 Advance from prior year appropriations ..................................................................................................................... 7,133,816 8,800,000 8,800,000 ∂1,666,184 ..........................

Subtotal, MF available in fiscal year ................................................................................................................ 8,633,816 8,800,000 9,800,000 ∂1,166,184 ∂1,000,000 Advance appropriations ...................................................................................................................................... 8,800,000 9,400,000 9,400,000 ∂600,000 ..........................

Total, MF appropriated in this bill ................................................................................................................ 10,300,000 9,400,000 10,400,000 ∂100,000 ∂1,000,000 

Total, VA Medical Care in fiscal year .................................................................................................................... 118,748,000 128,104,000 121,011,303 ∂2,263,303 ¥7,092,697 

Medical and prosthetic research ......................................................................................................................................... 916,000 938,000 938,000 ∂22,000 ..........................
112 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2023 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2024—Continued 

[In thousands of dollars] 

Item 2023 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2024 

appropriation Budget estimate 

Medical care cost recovery collections: 

Offsetting collections .................................................................................................................................................. ¥3,910,000 ¥3,991,000 ¥3,991,000 ¥81,000 ..........................Appropriations (indefinite) .......................................................................................................................................... 3,910,000 3,991,000 3,991,000 ∂81,000 ..........................

Subtotal ................................................................................................................................................................... .......................... .......................... .......................... .......................... ..........................

Medical Care Collections Fund (MCCF) (transfer out) (Sec 214) ....................................................................................... (¥785,000 ) (¥491,000 ) (¥491,000 ) (∂294,000 ) ..........................Medical Community Care and Medical Services (by transfer) (Sec 214) ........................................................................... (785,000 ) (491,000 ) (491,000 ) (¥294,000 ) ..........................VA medical funds (transfer out) (Sec 219) ......................................................................................................................... (¥330,140 ) (¥430,532 ) (¥430,532 ) (¥100,392 ) ..........................DoD–VA Joint Medical Facility Demonstration Fund (by transfer) (Sec 219) ..................................................................... (330,140 ) (430,532 ) (430,532 ) (∂100,392 ) ..........................MCCF to DoD–VA Joint Medical Facility Demonstration Fund (transfer out) (Sec 221) ..................................................... (¥16,000 ) (¥20,000 ) (¥20,000 ) (¥4,000 ) ..........................DoD–VA Joint Medical Facility Demonstration Fund (by transfer) (Sec 221) ..................................................................... (16,000 ) (20,000 ) (20,000 ) (∂4,000 ) ..........................VA Medical Care Funds (transfer out) (Sec 222) ................................................................................................................ (¥15,000 ) (¥15,000 ) (¥15,000 ) .......................... ..........................DoD–VA Health Care Sharing Incentive Fund (by transfer) (Sec 222) ............................................................................... (15,000 ) (15,000 ) (15,000 ) .......................... ..........................

Total, Veterans Health Administration in this bill ................................................................................................. 136,481,000 113,520,000 106,427,303 ¥30,053,697 ¥7,092,697 

Budget year appropriations ................................................................................................................................ (8,377,000 ) (938,000 ) (¥6,154,697 ) (¥14,531,697 ) (¥7,092,697 ) Advance appropriations ...................................................................................................................................... (128,104,000 ) (112,582,000 ) (112,582,000 ) (¥15,522,000 ) ..........................

Advances from prior year appropriations ............................................................................................................... (111,287,000 ) (128,104,000 ) (128,104,000 ) (∂16,817,000 ) ..........................(By transfer) ............................................................................................................................................................ (1,146,140 ) (956,532 ) (956,532 ) (¥189,608 ) ..........................(Transfer out) .......................................................................................................................................................... (¥1,146,140 ) (¥956,532 ) (¥956,532 ) (∂189,608 ) ..........................

National Cemetery Administration 

National Cemetery Administration ....................................................................................................................................... 430,000 480,000 480,000 ∂50,000 ..........................

Departmental Administration 

General Administration ......................................................................................................................................................... 433,000 475,000 475,000 ∂42,000 ..........................Board of Veterans Appeals .................................................................................................................................................. 285,000 287,000 287,000 ∂2,000 ..........................Information Technology Systems (IT Systems) ..................................................................................................................... 5,782,000 6,401,000 6,401,000 ∂619,000 ..........................Veterans Electronic Health Record (EHR) ............................................................................................................................ 1,759,000 1,863,000 1,334,142 ¥424,858 ¥528,858 
113 

Office of Inspector General .................................................................................................................................................. 273,000 296,000 296,000 ∂23,000 ..........................Construction, major projects ................................................................................................................................................ 1,447,890 881,000 881,000 ¥566,890 ..........................Construction, minor projects ................................................................................................................................................ 626,110 680,000 680,000 ∂53,890 ..........................Recurring Expenses Transformational Fund ........................................................................................................................ .......................... .......................... .......................... .......................... ..........................Grants for construction of State extended care facilities ................................................................................................... 150,000 164,000 164,000 ∂14,000 ..........................Grants for the construction of Veterans cemeteries ........................................................................................................... 50,000 60,000 60,000 ∂10,000 ..........................

Total, Departmental Administration ....................................................................................................................... 10,806,000 11,107,000 10,578,142 ¥227,858 ¥528,858 

Cost of War Toxic Exposures Fund 

Cost of War Toxic Exposures Fund ....................................................................................................................................... 5,000,000 20,268,000 .......................... ¥5,000,000 ¥20,268,000 

(Medical Care) ............................................................................................................................................................. (3,822,377 ) (17,116,000 ) .......................... (¥3,822,377 ) (¥17,116,000 ) (Medical Research) ...................................................................................................................................................... (1,830 ) (46,000 ) .......................... (¥1,830 ) (¥46,000 ) (Office of Information Technology) .............................................................................................................................. (656,000 ) (1,243,000 ) .......................... (¥656,000 ) (¥1,243,000 ) (Board of Veterans’ Appeals) ...................................................................................................................................... (700 ) (4,000 ) .......................... (¥700 ) (¥4,000 ) (Veterans Benefits Administration) ............................................................................................................................. (482,362 ) (1,769,000 ) .......................... (¥482,362 ) (¥1,769,000 ) (General Administration) ............................................................................................................................................. (36,731 ) (90,000 ) .......................... (¥36,731 ) (¥90,000 ) 

Total, Cost of War Toxic Exposures Fund ............................................................................................................... 5,000,000 20,268,000 .......................... ¥5,000,000 ¥20,268,000 

Advance Appropriations, FY 25 ............................................................................................................................................ .......................... 21,455,000 .......................... .......................... ¥21,455,000 

Administrative Provisions 

Medical Community Care (Sec 202)(Transfer out) .............................................................................................................. .......................... (¥3,919,081 ) .......................... .......................... (∂3,919,081 ) Medical Support and Compliance(Sec 202)(Transfer out) .................................................................................................. .......................... (¥850,000 ) .......................... .......................... (∂850,000 ) Medical Faciltities (Sec 202)(by transfer) ........................................................................................................................... .......................... (4,769,081 ) .......................... .......................... (¥4,769,081 ) Medical Facilities (Sec 238) (rescission) ............................................................................................................................. .......................... ¥250,515 .......................... .......................... ∂250,515 Medical Community Care (MCC) (Sec 238 (Req)/Sec 256) (rescission) ............................................................................. .......................... ¥1,909,069 ¥976,005 ¥976,005 ∂933,064 Medical Services (MS) (Sec 238 (Req)/Sec 256) (rescission) ............................................................................................. .......................... ¥4,933,113 ¥1,000,000 ¥1,000,000 ∂3,933,113 Medical Facilities (Sec 239) (rescission) ............................................................................................................................. .......................... ¥4,769,081 .......................... .......................... ∂4,769,081 Medical Facilities (Sec 239) (reappropriation) .................................................................................................................... .......................... 4,769,081 .......................... .......................... ¥4,769,081 Recurring Expenses Transformational Fund (Sec 257) (rescission) .................................................................................... ¥90,874 .......................... .......................... ∂90,874 ..........................Veterans Electronic Health Record (Sec 255) (rescission) .................................................................................................. ¥150,000 .......................... ¥439,750 ¥289,750 ¥439,750 Asset and Infrastructure Review (Sec 255) (rescission) ..................................................................................................... ¥5,000 .......................... .......................... ∂5,000 ..........................Major Construction (Sec 255) (rescission) .......................................................................................................................... ¥76,000 .......................... .......................... ∂76,000 ..........................

Total, Administrative Provisions ............................................................................................................................. ¥321,874 ¥7,092,697 ¥2,415,755 ¥2,093,881 ∂4,676,942 Total, title II, Department of Veterans Affairs ....................................................................................................... 314,418,102 363,393,417 318,725,804 ∂4,307,702 ¥44,667,613 
114 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2023 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2024—Continued 

[In thousands of dollars] 

Item 2023 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2024 

appropriation Budget estimate 

Budget year appropriations ................................................................................................................................ (31,284,214 ) (48,169,661 ) (15,511,025 ) (¥15,773,189 ) (¥32,658,636 ) Rescissions ......................................................................................................................................................... (¥321,874 ) (¥11,861,778 ) (¥2,415,755 ) (¥2,093,881 ) (∂9,446,023 ) Advance Appropriations, FY25: 

(Mandatory) .................................................................................................................................................... (155,351,762 ) (214,503,534 ) (193,048,534 ) (∂37,696,772 ) (¥21,455,000 ) (Discretionary) ................................................................................................................................................ (128,104,000 ) (112,582,000 ) (112,582,000 ) (¥15,522,000 ) ..........................

(By transfer) ................................................................................................................................................................ (1,146,140 ) (5,725,613 ) (956,532 ) (¥189,608 ) (¥4,769,081 ) (Transfer out) .............................................................................................................................................................. (¥1,146,140 ) (¥5,725,613 ) (¥956,532 ) (∂189,608 ) (∂4,769,081 ) (Limitation on direct loans) ........................................................................................................................................ (1,442 ) (2,526 ) (2,526 ) (∂1,084 ) ..........................Advances from prior year appropriations: 

(Mandatory) ........................................................................................................................................................ (161,033,258 ) (155,351,762 ) (155,351,762 ) (¥5,681,496 ) ..........................(Discretionary) .................................................................................................................................................... (111,287,000 ) (128,104,000 ) (128,104,000 ) (∂16,817,000 ) ..........................

Total, available this fiscal year ............................................................................................................................. 303,282,598 319,763,645 296,551,032 ¥6,731,566 ¥23,212,613 

(Mandatory) ........................................................................................................................................................ (168,557,258 ) (182,008,342 ) (161,740,342 ) (¥6,816,916 ) (¥20,268,000 ) (Discretionary) .................................................................................................................................................... (134,725,340 ) (137,755,303 ) (134,810,690 ) (∂85,350 ) (¥2,944,613 ) 

TITLE III—RELATED AGENCIES 

American Battle Monuments Commission 

Salaries and expenses ......................................................................................................................................................... 87,500 158,630 158,630 ∂71,130 ..........................

US Court of Appeals for Veterans Claims 

Salaries and expenses ......................................................................................................................................................... 46,900 47,200 47,200 ∂300 ..........................

Department of Defense—Civil 

Cemeterial Expenses, Army 

Salaries and expenses ......................................................................................................................................................... 93,400 99,880 99,880 ∂6,480 ..........................
115 

Construction ......................................................................................................................................................................... 62,500 88,600 88,600 ∂26,100 ..........................

Total, Cemeterial Expenses, Army .......................................................................................................................... 155,900 188,480 188,480 ∂32,580 ..........................

Armed Forces Retirement Home—Trust Fund 

Operation and maintenance ................................................................................................................................................. 43,060 43,060 43,060 .......................... ..........................Capital program ................................................................................................................................................................... 7,300 8,940 8,940 ∂1,640 ..........................Payment from General Fund ................................................................................................................................................ 25,000 25,000 25,000 .......................... ..........................

Subtotal, Armed Forces Retirement Home—Trust Fund ............................................................................................ 75,360 77,000 77,000 ∂1,640 ..........................

Armed Forces Retirement Home—Major Construction 

Major Construction ............................................................................................................................................................... 77,000 .......................... .......................... ¥77,000 ..........................

Total, Armed Forces Retirement Home ........................................................................................................................ 152,360 77,000 77,000 ¥75,360 ..........................

Total, title III, Related Agencies ............................................................................................................................. 442,660 471,310 471,310 ∂28,650 ..........................

OTHER APPROPRIATIONS 

Disaster Recovery, Navy and Marine Corps, Title IX, Division N (Public Law 117–328) ................................................... (41,040 ) .......................... .......................... (¥41,040 ) ..........................Medical Facilities, Major Medical Facility Leases, Sec 707 (Public Law 117–168) ........................................................... (1,880,000 ) (100,000 ) (100,000 ) (¥1,780,000 ) ..........................Cost of War Toxic Exposures Fund, FY 2024 Budget Year (Public Law 118–5) ................................................................ .......................... .......................... (20,268,000 ) (∂20,268,000 ) (∂20,268,000 ) Cost of War Toxic Exposures Fund, FY 2025 Advance Appropriation (Public Law 118–5) ................................................ .......................... .......................... (24,455,000 ) (∂24,455,000 ) (∂24,455,000 ) Grand total, this bill ............................................................................................................................................................ 333,860,762 380,539,671 338,267,114 ∂4,406,352 ¥42,272,557 

Budget year appropriations ......................................................................................................................................... (50,726,874 ) (65,315,915 ) (35,052,335 ) (¥15,674,539 ) (¥30,263,580 ) Rescissions .................................................................................................................................................................. (¥321,874 ) (¥11,861,778 ) (¥2,415,755 ) (¥2,093,881 ) (∂9,446,023 ) Advance appropriations, FY24 .................................................................................................................................... (283,455,762 ) (327,085,534 ) (305,630,534 ) (∂22,174,772 ) (¥21,455,000 ) 

Advances from prior year appropriations ............................................................................................................................ (272,320,258 ) (283,455,762 ) (283,455,762 ) (∂11,135,504 ) ..........................(By transfer) ......................................................................................................................................................................... (1,146,140 ) (5,725,613 ) (956,532 ) (¥189,608 ) (¥4,769,081 ) (Transfer out) ....................................................................................................................................................................... (¥1,146,140 ) (¥5,725,613 ) (¥956,532 ) (∂189,608 ) (∂4,769,081 ) (Limitation on direct loans) ................................................................................................................................................. (1,442 ) (2,526 ) (2,526 ) (∂1,084 ) ..........................

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