IV 

111TH CONGRESS 

1ST SESSION H. RES. 804 

Providing for the concurrence by the House in the Senate amendment to 

H.R. 1016, with amendment. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 7, 2009 

Mr. FILNER submitted the following resolution; which was referred to the 

Committee on Rules 

RESOLUTION 

Providing for the concurrence by the House in the Senate 

amendment to H.R. 1016, with amendment. 

1 Resolved, That upon the adoption of this resolution 

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

3 United States Code, to provide advance appropriations au4 thority for certain medical care accounts of the Depart5 ment of Veterans Affairs, and for other purposes’’, with 

6 the Senate amendment thereto, shall be considered to have 

7 been taken from the Speaker’s table to the end that the 

8 Senate amendment thereto be, and the same is hereby, 

9 agreed to with the following amendment: 


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1 Strike all after the enacting clause and insert 

2 the following: 

3 SECTION 1. SHORT TITLE. 

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

5 Budget Reform and Transparency Act of 2009’’. 

6 SEC. 2. PRESIDENT’S BUDGET SUBMISSION. 

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

8 amended by adding at the end the following new para9 graph: 

10 ‘‘(36) information on estimates of appropria11 tions for the fiscal year following the fiscal year for 

12 which the budget is submitted for the following med13 ical care accounts of the Veterans Health Adminis14 tration, Department of Veterans Affairs account: 

15 ‘‘(A) Medical Services. 

16 ‘‘(B) Medical Support and Compliance. 

17 ‘‘(C) Medical Facilities.’’. 

18 SEC. 3. ADVANCE APPROPRIATIONS FOR CERTAIN MED19 ICAL CARE ACCOUNTS OF THE DEPARTMENT 

20 OF VETERANS AFFAIRS. 

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

22 States Code, is amended by inserting after section 116 the 

23 following new section: 


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1 ‘‘§ 117. Advance appropriations for certain medical 

2 care accounts 

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

4 with fiscal year 2011, discretionary new budget authority 

5 provided in an appropriations Act for the medical care ac6 counts of the Department shall— 

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

8 ‘‘(2) include, for each such account, advance 

9 discretionary new budget authority that first be10 comes available for the first fiscal year after the 

11 budget year. 

12 ‘‘(b) ESTIMATES REQUIRED.—The Secretary shall in13 clude in documents submitted to Congress in support of 

14 the President’s budget submitted pursuant to section 1105 

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

16 funds necessary for the medical care accounts of the De17 partment for the fiscal year following the fiscal year for 

18 which the budget is submitted. 

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

20 this section, the term ‘medical care accounts of the De21 partment’ means the following medical care accounts of 

22 the Veterans Health Administration, Department of Vet23 erans Affairs account: 

24 ‘‘(1) Medical Services. 

25 ‘‘(2) Medical Support and Compliance. 

26 ‘‘(3) Medical Facilities. 


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

2 each year, the Secretary shall submit to Congress an an3 nual report on the sufficiency of the Department’s re4 sources for the next fiscal year beginning after the date 

5 of the submittal of the report for the provision of medical 

6 care. Such report shall also include estimates of the work7 load and demand data for that fiscal year.’’. 

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

9 at the beginning of such chapter is amended by inserting 

10 after the item relating to section 113 the following new 

11 line: 

‘‘117. Advance appropriations for certain medical care accounts.’’. 

12 SEC. 4. COMPTROLLER GENERAL REVIEW OF THE ACCU13 RACY OF VA MEDICAL CARE BUDGET SUBMIS14 SION IN RELATION TO BASELINE HEALTH 

15 CARE MODEL PROJECTION. 

16 (a) REVIEW OF ACCURACY OF MEDICAL CARE BUDG17 ET SUBMISSION.—The Comptroller General shall conduct 

18 a review of each budget of the President for a fiscal year 

19 that is submitted to Congress pursuant to section 1105(a) 

20 of title 31 in order to assess whether or not the relevant 

21 components of the amounts requested in such budget for 

22 such fiscal year for the medical care accounts of the De23 partment of Veterans Affairs specified in section 117(c) 

24 of title 38, United States Code, as added by section 3, 

25 are consistent with estimates of the resources required by 


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1 the Department for the provision of medical care and serv2 ices in such fiscal year, as forecast using the Enrollee 

3 Health Care Projection Model, or other methodologies 

4 used by the Department. 

5 (b) REPORTS.— 

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

7 after the date of each year in 2011, 2012, and 2013, 

8 on which the President submits the budget request 

9 for the next fiscal year under section 1105 of title 

10 31, United States Code, the Comptroller General 

11 shall submit to the Committees on Veterans’ Affairs, 

12 Appropriations, and the Budget of the Senate and 

13 the Committees on Veterans’ Affairs, Appropria14 tions, and the Budget of the House of Representa15 tives and to the Secretary a report on the review 

16 conducted under subsection (a). 

17 (2) ELEMENTS.—Each report under this para18 graph shall include, for the fiscal year beginning in 

19 the year in which such report is submitted, the fol20 lowing: 

21 (A) An assessment of the review conducted 

22 under subsection (a). 

23 (B) The basis for such assessment. 

24 (C) Such additional information as the 

25 Comptroller General determines appropriate. 


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1 (3) AVAILABILITY TO THE PUBLIC.—Each re2 port submitted under this subsection shall also be 

3 made available to the public. 

Æ 


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