I 

115TH CONGRESS 

2D SESSION H. R. 5805 

To designate certain amounts authorized to be appropriated for the provision 

by the Secretary of Veterans Affairs of hospital care and medical services 

in non-Department of Veterans Affairs facilities pursuant to contracts 

as changes in concepts and definitions for certain budgetary purposes, 

and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 15, 2018 

Mr. LAMB introduced the following bill; which was referred to the Committee 

on the Budget, and in addition to the Committee on Veterans’ Affairs, 

for a period to be subsequently determined by the Speaker, in each case 

for consideration of such provisions as fall within the jurisdiction of the 

committee concerned 

A BILL 

To designate certain amounts authorized to be appropriated 

for the provision by the Secretary of Veterans Affairs 

of hospital care and medical services in non-Department 

of Veterans Affairs facilities pursuant to contracts as 

changes in concepts and definitions for certain budgetary 

purposes, 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. DESIGNATION OF CERTAIN AMOUNTS AUTHOR2 IZED TO BE APPROPRIATED FOR THE DE3 PARTMENT OF VETERANS AFFAIRS AS 

4 CHANGES IN CONCEPTS AND DEFINITIONS. 

5 (a) IN GENERAL.—Amounts authorized to be appro6 priated to carry out section 1703 of title 38, United States 

7 Code, shall be considered changes in concepts and defini8 tions pursuant to section 251(b)(1) of the Balanced Budg9 et and Emergency Deficit Control Act of 1985 (2 U.S.C. 

10 901(b)(1)). These changes shall be reflected only in the 

11 budget year in each sequestration preview report required 

12 by section 254(c) of such Act. For each budget year, the 

13 baseline level of new budget authority using up-to-date 

14 concepts and definitions shall be equal to the discretionary 

15 appropriations that are specified for those authorizations 

16 of appropriations in the budget that the President submits 

17 under section 1105 of title 31, United States Code, includ18 ing those already provided for that fiscal year as advance 

19 discretionary new budget authority. 

20 (b) ADJUSTMENT OF FISCAL YEAR 2019 DISCRE21 TIONARY SPENDING LIMITS.—Within 15 days of the pub22 lication of a final rule in the Federal Register promul23 gating the regulations pursuant to section 101(c) of this 

24 Act, the Office of Management and Budget shall further 

25 adjust the fiscal year 2019 discretionary spending limits 

26 to reflect the impact of those regulations, as estimated by 


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1 the Department of Veterans Affairs, on the discretionary 

2 appropriations that are specified for those authorizations 

3 of appropriations in the Budget that the President sub4 mitted for that fiscal year under section 1105 of title 31 

5 United States Code, and shall provide written notification 

6 to the Congress of such further adjustments. 

7 (c) REPORT TO CONGRESS.—Not later than 10 days 

8 after the date each year on which the President submits 

9 the budget request under section 1105 of title 31 United 

10 States Code, and also 10 days after the publication of the 

11 final rule previously referenced in this section, the Sec12 retary of Veterans Affairs shall submit to the Committees 

13 on Appropriations of both Houses of Congress a report 

14 detailing the estimates of the resources required by the 

15 Department for those authorizations of appropriations, as 

16 forecast using the Enrollee Health Care Projections 

17 Model, or other methodologies used by the Department. 

18 (d) ADJUSTMENT OF FUTURE DISCRETIONARY

19 SPENDING LIMITS.—For each fiscal year, the Office of 

20 Management and Budget shall further adjust the discre21 tionary spending limits in section 251(c) of the Balanced 

22 Budget and Emergency Deficit Control Act of 1985 (2 

23 U.S.C. 901(c)) to reflect the transmittal of any formal and 

24 informal supplementals and amendments, as those terms 

25 are defined in section 110 of Office of Management and 


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1 Budget Circular A–11, for those authorizations of appro2 priations and shall provide written notification to the Con3 gress of such further adjustments within 15 days of such 

4 transmittal. 

Æ 


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