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Union Calendar No. 137 

112TH CONGRESS 

1ST SESSION H. R. 2646 

[Report No. 112–209] 

To authorize certain Department of Veterans Affairs major medical facility 

projects and leases, to extend certain expiring provisions of law, and 

to modify certain authorities of the Secretary of Veterans Affairs, and 

for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 26, 2011 

Mr. JOHNSON of Ohio introduced the following bill; which was referred to the 

Committee on Veterans’ Affairs 

SEPTEMBER 15, 2011 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on July 26, 2011] 

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A BILL 

To authorize certain Department of Veterans Affairs major 

medical facility projects and leases, to extend certain 

expiring provisions of law, and to modify certain authorities of the Secretary of Veterans Affairs, and for other 

purposes. 

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

3 SECTION 1. SHORT TITLE. 

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

5 Facilities Capital Improvement Act of 2011’’. 

6 SEC. 2. AUTHORIZATION OF FISCAL YEAR 2012 MAJOR MED7 ICAL FACILITY PROJECTS. 

8 The Secretary of Veterans Affairs may carry out the 

9 following major medical facility projects in fiscal year 

10 2012, with each project to be carried out in the amount 

11 specified for each project: 

12 (1) Construction of seismic corrections for Build13 ing 100 at the Department of Veterans Affairs Med14 ical Center in Seattle, Washington, in an amount not 

15 to exceed $51,800,000. 

16 (2) Construction of seismic corrections and ren17 ovation of various buildings to include Building 209 

18 for housing facilities for homeless veterans at the De19 partment of Veterans Affairs Medical Center in West 

20 Los Angeles, California, in an amount not to exceed 

21 $35,500,000. 

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1 SEC. 3. MODIFICATION OF AUTHORIZATION FOR CERTAIN 

2 MAJOR MEDICAL FACILITY CONSTRUCTION 

3 PROJECTS PREVIOUSLY AUTHORIZED. 

4 (a) MODIFICATION OF AUTHORIZATION OF FISCAL

5 YEAR 2007 MAJOR MEDICAL FACILITY PROJECT AT DE6 PARTMENT OF VETERANS AFFAIRS MEDICAL CENTER IN

7 FAYETTEVILLE, ARKANSAS.—Section 803(3) of the Veterans 

8 Benefits, Health Care, and Information Technology Act of 

9 2006 (Public Law 109–461) is amended— 

10 (1) by inserting ‘‘and a parking garage’’ after 

11 ‘‘clinical addition’’; and 

12 (2) by striking ‘‘$56,163,000’’ and inserting 

13 ‘‘$90,600,000’’. 

14 (b) MODIFICATION OF EXTENSION OF AUTHORIZATION

15 FOR MAJOR MEDICAL FACILITY CONSTRUCTION PROJECT

16 IN ORLANDO, FLORIDA, PREVIOUSLY AUTHORIZED IN CON17 NECTION WITH CAPITAL ASSET REALIGNMENT INITIA18 TIVE.—Section 802(11) of the Veterans Benefits, Health 

19 Care, and Information Technology Act of 2006 (Public Law 

20 109–461), as amended by section 702(b)(4) of the Veterans’ 

21 Mental Health and Other Care Improvements Act of 2008 

22 (Public Law 110–387; 122 Stat. 4137), is amended by in23 serting ‘‘, including a Simulation, Learning, Education, 

24 and Research Network Center,’’ after ‘‘Florida, area’’. 

25 (c) INCREASE IN AMOUNT OF AUTHORIZATION OF FIS26 CAL YEAR 2008 MAJOR MEDICAL FACILITY PROJECT AT

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1 DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER IN

2 PALO ALTO, CALIFORNIA.—The Secretary of Veterans Af3 fairs may carry out the major medical facility project at 

4 the Department of Veterans Affairs Medical Center in Palo 

5 Alto, California, for which amounts were appropriated 

6 under chapter 3 of title I of the Supplemental Appropria7 tions Act, 2008 (Public Law 110–252; 122 Stat. 2326) 

8 under the heading ‘‘CONSTRUCTION, MAJOR PROJECTS’’ 

9 under the heading ‘‘DEPARTMENT OF VETERANS AF10 FAIRS’’ in an amount not to exceed $716,600,000. 

11 (d) INCREASE IN AMOUNT OF AUTHORIZATION OF FIS12 CAL YEAR 2009 MAJOR MEDICAL FACILITY PROJECT AT

13 DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, 

14 SAN JUAN, PUERTO RICO.—Section 701(3) of the Veterans’ 

15 Mental Health and Other Care Improvements Act of 2008 

16 (Public Law 110–387; 122 Stat. 4137) is amended by strik17 ing ‘‘$225,900,000’’ and inserting ‘‘$277,000,000’’. 

18 (e) INCREASE IN AMOUNT OF AUTHORIZATION OF FIS19 CAL YEAR 2007 MAJOR MEDICAL FACILITY PROJECT AT

20 DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, 

21 ST. LOUIS, MISSOURI.—Section 803(5) of the Veterans Ben22 efits, Health Care, and Information Technology Act of 2006 

23 (Public Law 109–461) is amended by striking 

24 ‘‘$69,053,000’’ and inserting ‘‘$346,300,000’’. 

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1 SEC. 4. AUTHORIZATION OF FISCAL YEAR 2012 MAJOR MED2 ICAL FACILITY LEASES. 

3 The Secretary of Veterans Affairs may carry out the 

4 following fiscal year 2012 major medical facility leases at 

5 the locations specified, in an amount not to exceed the 

6 amount shown for that location: 

7 (1) Columbus, Georgia, Community-Based Out8 patient Clinic, in an amount not to exceed 

9 $5,335,000. 

10 (2) Fort Wayne, Indiana, Outpatient Clinic, in 

11 an amount not to exceed $2,845,000. 

12 (3) Mobile, Alabama, Outpatient Clinic, in an 

13 amount not to exceed $6,565,000. 

14 (4) Rochester, New York, Outpatient Clinic, in 

15 an amount not to exceed $9,232,000. 

16 (5) Salem, Oregon, Community-Based Out17 patient Clinic, in an amount not to exceed 

18 $2,549,000. 

19 (6) San Jose, California, Outpatient Clinic, in 

20 an amount not to exceed $9,546,000. 

21 (7) South Bend, Indiana, Outpatient Clinic, in 

22 an amount not to exceed $6,731,000. 

23 (8) Springfield, Missouri, Community-Based 

24 Outpatient Clinic, in an amount not to exceed 

25 $6,489,000. 

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1 SEC. 5. AUTHORIZATION OF APPROPRIATIONS. 

2 (a) AUTHORIZATION OF APPROPRIATIONS FOR CON3 STRUCTION.—There is authorized to be appropriated to the 

4 Secretary of Veterans Affairs for fiscal year 2012 or the 

5 year in which funds are appropriated for the Construction, 

6 Major Projects account $87,300,000 for the projects author7 ized in section 2. 

8 (b) MODIFICATION OF AUTHORIZATION FOR CERTAIN

9 MAJOR MEDICAL FACILITY CONSTRUCTION PROJECTS PRE10 VIOUSLY AUTHORIZED.—There is authorized to be appro11 priated to the Secretary of Veterans Affairs for fiscal year 

12 2012 or the year in which funds are appropriated for the 

13 Construction, Major Projects account $850,070,000 for the 

14 projects authorized in section 3. 

15 (c) AUTHORIZATION OF APPROPRIATIONS FOR MED16 ICAL FACILITY LEASES.—There is authorized to be appro17 priated to the Secretary of Veterans Affairs for fiscal year 

18 2012 or the year in which funds are appropriated for the 

19 Medical Facilities account $49,292,000 for the leases au20 thorized in section 4. 

21 (d) LIMITATION.—The projects authorized in sections 

22 2, 3, and 4 may only be carried out using— 

23 (1) funds appropriated for fiscal year 2012 pur24 suant to the authorization of appropriations in sub25 section (a) of this section; 

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1 (2) funds available for Construction, Major 

2 Projects, for a fiscal year before fiscal year 2012 that 

3 remain available for obligation; 

4 (3) funds available for Construction, Major 

5 Projects, for a fiscal year after fiscal year 2012 that 

6 remain available for obligation; 

7 (4) funds appropriated for Construction, Major 

8 Projects, for fiscal year 2012 for a category of activity 

9 not specific to a project; 

10 (5) funds appropriated for Construction, Major 

11 Projects, for a fiscal year before 2012 for a category 

12 of activity not specific to a project; and 

13 (6) funds appropriated for Construction, Major 

14 Projects, for a fiscal year after 2012 for a category of 

15 activity not specific to a project. 

16 SEC. 6. MODIFICATION OF REQUIREMENTS RELATING TO 

17 CONGRESSIONAL APPROVAL OF CERTAIN 

18 MEDICAL FACILITY ACQUISITIONS. 

19 Section 8104 of title 38, United States Code, is amend20 ed— 

21 (1) in subsection (b)— 

22 (A) in paragraph (1)— 

23 (i) by striking ‘‘detailed description’’ 

24 and inserting ‘‘detailed estimate of the total 

25 costs’’; 

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1 (ii) by striking ‘‘a description of the 

2 consideration’’ and inserting ‘‘a detailed re3 port of the consideration’’; and 

4 (iii) by adding at the end the fol5 lowing: ‘‘Such detailed estimate shall in6 clude an identification of each of the fol7 lowing: 

8 ‘‘(A) Total construction costs. 

9 ‘‘(B) Activation costs. 

10 ‘‘(C) Special purpose alterations (lump-sum 

11 payment) costs. 

12 ‘‘(D) Number of personnel. 

13 ‘‘(E) Total costs of ancillary services, equip14 ment, and all other items.’’; 

15 (B) by striking paragraphs (2) and (3) and 

16 redesignating paragraphs (4) through (8) as 

17 paragraphs (2) through (6), respectively; 

18 (C) in paragraph (2), as so redesignated, by 

19 striking ‘‘a five-year period and a ten-year pe20 riod’’ and inserting ‘‘a five-year period, a ten21 year period, and a twenty-year period’’; 

22 (D) in paragraph (3), as so redesignated, by 

23 inserting before the period at the end the fol24 lowing: ‘‘, including information on projected 

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1 year period, a ten-year period, and a twenty2 year period’’; 

3 (E) in paragraph (4), as so redesignated— 

4 (i) by striking ‘‘Current and projected’’ 

5 and inserting ‘‘Projected’’; and 

6 (ii) by inserting before the period at 

7 the end the following: ‘‘(including and iden8 tifying both recurring and non-recurring 

9 costs (including activation costs and total 

10 costs of ancillary services, equipment and 

11 all other items)) over a five-year period, a 

12 ten-year period, and a twenty-year period’’; 

13 and 

14 (F) in paragraph (6), as so redesignated— 

15 (i) by striking ‘‘a description of each 

16 alternative to construction of the facility 

17 that was considered’’ and inserting ‘‘each of 

18 the following’’; and 

19 (ii) by adding at the end the following 

20 new subparagraphs: 

21 ‘‘(A) A detailed estimate of the total costs 

22 (including total construction costs, activation 

23 costs, special purpose alterations (lump-sum 

24 payment) costs, number of personnel and total 

25 costs of ancillary services, equipment and all 

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1 other items) for each alternative to construction 

2 of the facility that was considered. 

3 ‘‘(B) A comparison of total costs to total 

4 benefits for each such alternative. 

5 ‘‘(C) An explanation of why the preferred 

6 alternative is the most effective means to achieve 

7 the stated project goals and the most cost-effective 

8 alternative.’’; and 

9 (2) in subsection (d)— 

10 (A) by striking ‘‘major medical facility 

11 project’’ each place it appears and inserting 

12 ‘‘major construction project’’; and 

13 (B) in paragraph— 

14 (i) in subparagraph (A), by striking 

15 ‘‘major medical facility projects’’ and in16 serting ‘‘major construction projects’’; and 

17 (ii) in subparagraph (B), by striking 

18 ‘‘major medical facility’’ and inserting 

19 ‘‘major construction project’’. 

20 SEC. 7. NAME OF DEPARTMENT OF VETERANS AFFAIRS 

21 TELEHEALTH CLINIC, CRAIG, COLORADO. 

22 The Department of Veterans Affairs telehealth clinic 

23 in Craig, Colorado, shall after the date of the enactment 

24 of this Act be known and designated as the ‘‘Major William 

25 Edward Adams Department of Veterans Affairs Clinic’’. 

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1 Any reference to such clinic in any law, regulation, map, 

2 document, record, or other paper of the United States shall 

3 be considered to be a reference to the ‘‘Major William Ed4 ward Adams Department of Veterans Affairs Clinic’’. 

5 SEC. 8. EXTENSION OF CERTAIN EXPIRING AUTHORITIES. 

6 (a) RECOVERY AUDITS FOR CERTAIN CONTRACTS.— 

7 Section 1703(d)(4) of title 38, United States Code, is 

8 amended by striking ‘‘September 30, 2013’’ and inserting 

9 ‘‘September 30, 2020’’. 

10 (b) TREATMENT AND REHABILITATION FOR SERI11 OUSLY MENTALLY ILL AND HOMELESS VETERANS.—Sec12 tion 2031(b) of such title is amended by striking ‘‘December 

13 31, 2011’’ and inserting ‘‘December 31, 2012’’. 

14 (c) ADDITIONAL SERVICES FOR SERIOUSLY MENTALLY

15 ILL AND HOMELESS VETERANS.—Section 2033(d) of such 

16 title is amended by striking ‘‘December 31, 2011’’ and in17 serting ‘‘December 31, 2012’’. 

18 (d) HOUSING ASSISTANCE FOR HOMELESS VET19 ERANS.—Section 2041(c) of such title is amended by strik20 ing ‘‘December 31, 2011’’ and inserting ‘‘December 31, 

21 2012’’. 

22 (e) ADVISORY COMMITTEE ON HOMELESS VET23 ERANS.—Section 2066(d) of such title is amended by strik24 ing ‘‘December 30, 2011’’ and inserting ‘‘December 31, 

25 2012’’. 

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1 (f) AUTHORITY TO TRANSFER REAL PROPERTY.—Sec2 tion 8118(a)(5) of such title is amended by striking ‘‘the 

3 date that is seven years after the date of the enactment of 

4 this section’’ and inserting ‘‘December 31, 2018’’. 

5 SEC. 9. GEORGE H. O’BRIEN, JR., DEPARTMENT OF VET6 ERANS AFFAIRS MEDICAL CENTER. 

7 (a) DESIGNATION.—The Department of Veterans Af8 fairs medical center located in Big Spring, Texas, shall be 

9 known and designated as the ‘‘George H. O’Brien, Jr., De10 partment of Veterans Affairs Medical Center’’. 

11 (b) REFERENCES.—Any reference in a law, map, regu12 lation, document, paper, or other record of the United 

13 States to the Department of Veterans Affairs medical center 

14 referred to in subsection (a) shall be deemed to be a reference 

15 to the ‘‘George H. O’Brien, Jr., Department of Veterans Af16 fairs Medical Center’’. 

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Union Calendar No. 137 

112TH CONGRESS 

1ST SESSION H. R. 2646 

[Report No. 112–209] 

A BILL 

To authorize certain Department of Veterans AfVeterans Affairs, and for other purposes. modify certain authorities of the Secretary of extend certain expiring provisions of law, and to fairs major medical facility projects and leases, to 

SEPTEMBER 15, 2011 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 

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