118TH CONGRESS 

2D SESSION H. R. 6324 

AN ACT 

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

other purposes. 

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

2 This Act may be cited as the ‘‘Fiscal Year 2024 Vet3 erans Affairs Major Medical Facility Authorization Act’’. 

4 SEC. 2. AUTHORIZATION OF MAJOR MEDICAL FACILITY 

5 PROJECTS OF DEPARTMENT OF VETERANS 

6 AFFAIRS FOR FISCAL YEAR 2024. 

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

8 may carry out the following major medical facility projects 

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

10 amount for each project not to exceed the amount speci11 fied for such location: 

12 (1) Construction of a new specialty care build13 ing 201, renovation of building 18, and expansion of 

14 parking facilities in American Lake, Washington, in 

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

16 (2) Expansion of clinical space for mental 

17 health, expansion of parking facilities, and land ac18 quisition in Dallas, Texas, in an amount not to ex19 ceed $93,100,000. 

20 (3) Construction of a new health care center 

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

22 not to exceed $759,200,000. 

23 (4) Replacement of community living center and 

24 expansion of parking facilities in Perry Point, Mary25 land, in an amount not to exceed $274,310,000. 
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1 (5) Seismic retrofit and renovation of buildings 

2 100 and 101, roadway and site improvements, con3 struction of a new specialty care facility, and demoli4 tion and expansion of parking facilities in Portland, 

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

6 (6) Initiation of replacement of the medical cen7 ter of the Sierra Nevada Health Care System of the 

8 Department of Veterans Affairs, including land ac9 quisition and preliminary site work, in Reno, Ne10 vada, in an amount not to exceed $223,800,000. 

11 (7) Construction of a new spinal cord injury 

12 building, partial renovation of building 1, parking 

13 facilities, central utility plant upgrades, and the seis14 mic retrofit of the existing spinal cord injury build15 ing 11 at the San Diego Health Care System of the 

16 Department in San Diego, California, in an amount 

17 not to exceed $311,700,000. 

18 (8) Construction of a new research facility, 

19 parking structure, and demolition in San Francisco, 

20 California, in an amount not to exceed 

21 $264,500,000. 

22 (9) Seismic corrections for building 1, construc23 tion of a new administrative building, and expansion 

24 of the outpatient clinic and parking structure in San 
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1 Juan, Puerto Rico, in an amount not to exceed 

2 $370,370,000. 

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

4 expansion of clinical building, consolidation of ad5 ministrative building and warehouse, water tower, 

6 and new utility plant and parking garages in St. 

7 Louis, Missouri, in an amount not to exceed 

8 $135,340,000. 

9 (11) Construction of a new surgical and clinical 

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

11 demolition in West Haven, Connecticut, in an 

12 amount not to exceed $153,128,000. 

13 (b) AUTHORIZATION OF APPROPRIATIONS.—There is 

14 authorized to be appropriated to the Secretary of Veterans 

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

16 are appropriated for the Construction, Major Projects ac17 count, $3,354,048,000 for the projects authorized in sub18 section (a). 

Passed the House of Representatives September 17, 

2024. 

Attest: 

Clerk. 

118TH CONGRESS 

2D SESSION H. R. 6324 

AN ACT 

To authorize major medical facility projects for the 

2024, and for other purposes. Department of Veterans Affairs for fiscal year