H. R. 6324 

One Hundred Eighteenth Congress 

of the 

United States of America 

AT THE SECOND SESSION 

Begun and held at the City of Washington on Wednesday, 

the third day of January, two thousand and twenty-four 

An Act 

To authorize major medical facility projects for the Department of Veterans Affairs 

for fiscal year 2024, and for other purposes. 

Be it enacted by the Senate and House of Representatives of 

the United States of America in Congress assembled, 

SECTION 1. SHORT TITLE. 

This Act may be cited as the ‘‘Fiscal Year 2024 Veterans Affairs 

Major Medical Facility Authorization Act’’. 

SEC. 2. AUTHORIZATION OF MAJOR MEDICAL FACILITY PROJECTS OF 

DEPARTMENT OF VETERANS AFFAIRS FOR FISCAL YEAR 

2024. 

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

out the following major medical facility projects in fiscal year 2024 

at the locations specified and in an amount for each project not 

to exceed the amount specified for such location: 

(1) Construction of a new specialty care building 201, renovation of building 18, and expansion of parking facilities in 

American Lake, Washington, in an amount not to exceed 

$155,600,000. 

(2) Expansion of clinical space for mental health, expansion 

of parking facilities, and land acquisition in Dallas, Texas, 

in an amount not to exceed $93,100,000. 

(3) Construction of a new health care center and utility 

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

$759,200,000. 

(4) Replacement of community living center and expansion 

of parking facilities in Perry Point, Maryland, in an amount 

not to exceed $274,310,000. 

(5) Seismic retrofit and renovation of buildings 100 and 

101, roadway and site improvements, construction of a new 

specialty care facility, and demolition and expansion of parking 

facilities in Portland, Oregon, in an amount not to exceed 

$613,000,000. 

(6) Initiation of replacement of the medical center of the 

Sierra Nevada Health Care System of the Department of Veterans Affairs, including land acquisition and preliminary site 

work, in Reno, Nevada, in an amount not to exceed 

$223,800,000. 

(7) Construction of a new spinal cord injury building, partial renovation of building 1, parking facilities, central utility 

plant upgrades, and the seismic retrofit of the existing spinal 

cord injury building 11 at the San Diego Health Care System 
H. R. 6324—2 

of the Department in San Diego, California, in an amount 

not to exceed $311,700,000. 

(8) Construction of a new research facility, parking structure, and demolition in San Francisco, California, in an amount 

not to exceed $264,500,000. 

(9) Seismic corrections for building 1, construction of a 

new administrative building, and expansion of the outpatient 

clinic and parking structure in San Juan, Puerto Rico, in an 

amount not to exceed $370,370,000. 

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

of clinical building, consolidation of administrative building 

and warehouse, water tower, and new utility plant and parking 

garages in St. Louis, Missouri, in an amount not to exceed 

$135,340,000. 

(11) Construction of a new surgical and clinical space tower, 

renovation of buildings 1 and 2, and demolition in West Haven, 

Connecticut, in an amount not to exceed $153,128,000. 

(b) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 

to be appropriated to the Secretary of Veterans Affairs for fiscal 

year 2024 or the year in which funds are appropriated for the 

Construction, Major Projects account, $3,354,048,000 for the 

projects authorized in subsection (a). 

Speaker of the House of Representatives. 

Vice President of the United States and

President of the Senate.