103D CONGRESS

1ST SESSION H. R. 2034

AMENDMENTS

TO

SENATE AMENDMENTS
In the House of Representatives, U. S.,

August 6, 1993.

Resolved, That the House agree to the amendments of

the Senate to the bill (H.R. 2034) entitled ‘‘An Act to amend

title 38, United States Code, to revise and improve veterans’

health programs, and for other purposes’’, with the following

AMENDMENTS:

In lieu of the matter proposed to be inserted by the

amendment of the Senate to the text of the bill, insert:

1 SECTION. 1. AUTHORIZATION OF DEPARTMENT OF VETER2 ANS AFFAIRS CONSTRUCTION PROJECTS.

3 (a) AUTHORIZED PROJECTS.—The Secretary of Veter4 ans Affairs may carry out the major medical facility leases

5 for the Department of Veterans Affairs for which funds are

6 requested in the budget of the President for fiscal year 1994

7 and may carry out (or, in the case of the project specified

8 in paragraph (1), participate in) the following major medi9 cal facility projects in the amounts specified:

10 (1) Construction in accordance with an agree11 ment between the Secretary of the Air Force and the

12 Secretary of Veterans Affairs of a medical facility at

13 Elmendorf Air Force Base, Anchorage, Alaska, to be

14 shared by the Air Force and the Department of Veter15 ans Affairs, $11,500,000.
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1 (2) Construction of a psychiatric building at the

2 Department of Veterans Affairs Medical Center in

3 Lyons, New Jersey, $41,700,000.

4 (3) Modernization and seismic corrections at the

5 Department of Veterans Affairs Medical Center in

6 Memphis, Tennessee, $10,700,000.

7 (4) Construction of a replacement bed building

8 at the Department of Veterans Affairs Medical Center

9 in Muskogee, Oklahoma, $33,200,000.

10 (5) Construction of an outpatient care addition

11 and parking garage at the Department of Veterans

12 Affairs Medical Center in San Juan, Puerto Rico,

13 $46,000,000.

14 (6) Construction, or expansion and moderniza15 tion, of a 120-bed nursing home facility in the area

16 (referred to as the ‘‘Chesapeake network’’) served by

17 the Department of Veterans Affairs medical centers in

18 Baltimore, Maryland; Fort Howard, Maryland; Mar19 tinsburg, West Virginia; Perry Point, Maryland; and

20 Washington, District of Columbia, the site for which

21 shall be selected in accordance with subsection (b).

22 (b) SITE SELECTION.—(1) The Secretary, in selecting

23 a site for the project referred to in subsection (a)(6), shall

24 conduct a study to determine the most appropriate location
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1 for that facility. In conducting the study, the Secretary

2 shall determine—

3 (A) what the specific mission of each medical

4 center operated by the Secretary in the Chesapeake

5 network should be to achieve within that network—

6 (i) effective planning;

7 (ii) reduction in duplication of services and

8 programs in the same geographic area;

9 (iii) realignment of services among facilities

10 within each network;

11 (iv) improved means of resource distribu12 tion; and

13 (v) more efficient delivery of needed services;

14 (B) whether there is a need for expansion and

15 modernization of the nursing home care unit at the

16 medical center at Fort Howard, Maryland; and

17 (C) what effect the construction of nursing home

18 beds in Baltimore, Maryland, as proposed in the

19 President’s budget for the Department of Veterans Af20 fairs for fiscal year 1994, would have for the missions

21 of each of the other medical centers operated by the

22 Secretary in the Chesapeake network.

23 (2) Not later than 90 days after the date of the enact24 ment of this Act, the Secretary shall submit to the Commit25 tees on Veterans Affairs of the Senate and House a report
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1 on the study under paragraph (1). The Secretary shall in2 clude in the report a statement of each determination made

3 by the Secretary under that paragraph.

4 SEC. 2. AUTHORIZATION OF APPROPRIATIONS.

5 (a) IN GENERAL.—There is hereby authorized to be ap6 propriated to the Secretary of Veterans Affairs for fiscal

7 year 1994—

8 (1) $143,100,000 for the major medical facility

9 projects authorized in paragraphs (1) through (5) of

10 section 101(a) and such sums as may be necessary for

11 the project described in section 101(a)(6), but not to

12 exceed $14,500,000 in the case of construction of nurs13 ing home beds in Baltimore, Maryland, as proposed

14 in the President’s budget for the Department of Veter15 ans Affairs for fiscal year 1994; and

16 (2) $50,123,105 for the major medical facility

17 leases authorized in section 101(a).

18 (b) LIMITATION.—The projects authorized in section

19 101 may only be carried out using—

20 (1) funds appropriated for fiscal year 1994 pur21 suant to the authorization of appropriations in sub22 section (a);

23 (2) funds appropriated for Construction, Major

24 Projects for a fiscal year before fiscal year 1994 that

25 remain available for obligation; and
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1 (3) funds appropriated for Construction, Major

2 Projects for fiscal year 1994 for a category of activity

3 not specific to a project.

4 SEC. 3. INCREASE IN AMOUNT OF FACILITY PROJECT

5 THRESHOLD.

6 (a) Section 8104(a)(3)(A) of title 38, United States

7 Code, is amended by striking out ‘‘$2,000,000’’ and insert8 ing in lieu thereof ‘‘$3,000,000’’.

9 (b) Section 8109(i)(2) of such title is amended by strik10 ing out ‘‘$2,000,000’’ and inserting in lieu thereof

11 ‘‘$3,000,000’’.

12 SEC. 4. INCREASED TERM OF LEASE AUTHORITY RELATING

13 TO PERSHING HALL, FRANCE.

14 Section 403(c)(1) of the Veterans’ Benefits Programs

15 Improvement Act of 1991 (36 U.S.C. 493) is amended by

16 striking out ‘‘35 years’’ and inserting in lieu thereof ‘‘99

17 years’’.

In lieu of the amendment of the Senate to the title

of the bill, amend the title so as to read: ‘‘An Act to authorize major medical facility construction projects for

the Department of Veterans Affairs for fiscal year 1994,

and for other purposes.’’

Attest:

Clerk.