H. Res. 804 

In the House of Representatives, U. S., 

October 8, 2009. 

Resolved, That upon the adoption of this resolution the 

bill (H.R. 1016) entitled ‘‘An Act to amend title 38, United 

States Code, to provide advance appropriations authority for 

certain medical care accounts of the Department of Veterans 

Affairs, and for other purposes’’, with the Senate amendment 

thereto, shall be considered to have been taken from the 

Speaker’s table to the end that the Senate amendment thereto be, and the same is hereby, agreed to with the following 

amendment: 

Strike all after the enacting clause and insert the 

following: 

SECTION 1. SHORT TITLE. 

This Act may be cited as the ‘‘Veterans Health Care 

Budget Reform and Transparency Act of 2009’’. 

SEC. 2. PRESIDENT’S BUDGET SUBMISSION. 

Section 1105(a) of title 31, United States Code, is 

amended by adding at the end the following new paragraph: 
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‘‘(36) information on estimates of appropriations 

for the fiscal year following the fiscal year for which the 

budget is submitted for the following medical care accounts of the Veterans Health Administration, Department of Veterans Affairs account: 

‘‘(A) Medical Services. 

‘‘(B) Medical Support and Compliance. 

‘‘(C) Medical Facilities.’’. 

SEC. 3. ADVANCE APPROPRIATIONS FOR CERTAIN MEDICAL 

CARE ACCOUNTS OF THE DEPARTMENT OF VETERANS AFFAIRS. 

(a) IN GENERAL.—Chapter 1 of title 38, United States 

Code, is amended by inserting after section 116 the following 

new section: 

‘‘§ 117. Advance appropriations for certain medical care 

accounts 

‘‘(a) IN GENERAL.—For each fiscal year, beginning with 

fiscal year 2011, discretionary new budget authority provided 

in an appropriations Act for the medical care accounts of the 

Department shall— 

‘‘(1) be made available for that fiscal year; and 

‘‘(2) include, for each such account, advance discretionary new budget authority that first becomes available 

for the first fiscal year after the budget year. 
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‘‘(b) ESTIMATES REQUIRED.—The Secretary shall include in documents submitted to Congress in support of the 

President’s budget submitted pursuant to section 1105 of 

title 31, United States Code, detailed estimates of the funds 

necessary for the medical care accounts of the Department 

for the fiscal year following the fiscal year for which the 

budget is submitted. 

‘‘(c) MEDICAL CARE ACCOUNTS.—For purposes of this 

section, the term ‘medical care accounts of the Department’ 

means the following medical care accounts of the Veterans 

Health Administration, Department of Veterans Affairs account: 

‘‘(1) Medical Services. 

‘‘(2) Medical Support and Compliance. 

‘‘(3) Medical Facilities. 

‘‘(d) ANNUAL REPORT.—Not later than July 31 of each 

year, the Secretary shall submit to Congress an annual report 

on the sufficiency of the Department’s resources for the next 

fiscal year beginning after the date of the submittal of the 

report for the provision of medical care. Such report shall 

also include estimates of the workload and demand data for 

that fiscal year.’’. 

(b) CLERICAL AMENDMENT.—The table of sections at 

the beginning of such chapter is amended by inserting after 

the item relating to section 113 the following new line: 

‘‘117. Advance appropriations for certain medical care accounts.’’. 
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SEC. 4. COMPTROLLER GENERAL REVIEW OF THE ACCURACY 

OF VA MEDICAL CARE BUDGET SUBMISSION IN 

RELATION TO BASELINE HEALTH CARE MODEL 

PROJECTION. 

(a) REVIEW OF ACCURACY OF MEDICAL CARE BUDGET

SUBMISSION.—The Comptroller General shall conduct a review of each budget of the President for a fiscal year that 

is submitted to Congress pursuant to section 1105(a) of title 

31 in order to assess whether or not the relevant components 

of the amounts requested in such budget for such fiscal year 

for the medical care accounts of the Department of Veterans 

Affairs specified in section 117(c) of title 38, United States 

Code, as added by section 3, are consistent with estimates of 

the resources required by the Department for the provision 

of medical care and services in such fiscal year, as forecast 

using the Enrollee Health Care Projection Model, or other 

methodologies used by the Department. 

(b) REPORTS.— 

(1) IN GENERAL.—Not later than 120 days after 

the date of each year in 2011, 2012, and 2013, on which 

the President submits the budget request for the next 

fiscal year under section 1105 of title 31, United States 

Code, the Comptroller General shall submit to the Committees on Veterans’ Affairs, Appropriations, and the 

Budget of the Senate and the Committees on Veterans’ 

Affairs, Appropriations, and the Budget of the House of 
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Representatives and to the Secretary a report on the review conducted under subsection (a). 

(2) ELEMENTS.—Each report under this paragraph 

shall include, for the fiscal year beginning in the year in 

which such report is submitted, the following: 

(A) An assessment of the review conducted 

under subsection (a). 

(B) The basis for such assessment. 

(C) Such additional information as the Comptroller General determines appropriate. 

(3) AVAILABILITY TO THE PUBLIC.—Each report 

submitted under this subsection shall also be made available to the public. 

Attest: 

Clerk.