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of the Navy may not award any additional Navy or Marine 
Corps construction project or associated task order on 
Guam associated with the Record of Decision for the 
Guam and CNMI Military Relocation dated September 
2010 if the project includes the use of employees holding 
a visa described in section 101(a)(15)(H)(ii)(b) of the Im-
migration 
and 
Nationality 
Act 
(8 
U.S.C. 
1101(a)(15)(H)(ii)(b); known as ‘‘H–2B workers’’) until 
the Secretary of the Navy provides for a lead system inte-
grator for health care for the H–2B workers. 
(b) DUTIES.—The lead system integrator for health 
care shall— 
(1) provide a comprehensive medical plan for 
the H–2B workers to staff, manage, and execute re-
quirements with maximum clinical, fiscal, and ad-
ministrative efficiencies; 
(2) provide comprehensive planning and coordi-
nation with contractor-provided healthcare services 
and with Guam’s civilian and military healthcare 
community; and 
(3) access local healthcare assets to help meet 
the health care needs of the H–2B workers. 
(c) ELEMENTS OF MEDICAL PLAN.—The comprehen-
sive medical plan referred to in subsection (b)(1) shall— 
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(1) address significant health issues, injury, or 
series of injuries in addition to basic first responder 
medical services for H–2B workers. 
(2) provide pre-deployment health screening at 
the country of origin of H–2B workers, ensuring— 
(A) all major or chronic disease conditions 
of concern are identified; 
(B) proper immunizations are adminis-
tered; 
(C) screening for tuberculosis and commu-
nicable diseases are conducted; and 
(D) all H–2B workers are fit and healthy 
for work prior to deployment; 
(3) provide arrival health screening process is 
developed to ensure the H–2B workers are is fit to 
work and that the risk of spreading communicable 
diseases to the resident population is minimized; and 
(4) provide comprehensive on-site medical serv-
ices, including emergency medical care for the H–2B 
workers, primary health care to include care for 
chronic diseases, preventive services and acute care 
delivery, and accessible prescription services main-
taining oversight, authorization access and delivery 
of prescription medications to the workforce. 
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(d) NOTIFICATION.—Upon assignment of the lead 
system integrator for health care under subsection (a), the 
Secretary of the Navy shall submit to the congressional 
defense committees a notification of the assignment and 
qualifications of the lead system integrator. 
SEC. 2843. CERTIFICATION OF MILITARY READINESS NEED 
FOR FIRING RANGE ON GUAM AS CONDITION 
ON ESTABLISHMENT OF RANGE. 
A firing range on Guam may not be established (in-
cluding any construction or lease of lands related to such 
establishment) until the Secretary of Defense certifies to 
the congressional defense committees that there is a na-
tional security need for the firing range related to readi-
ness of the Armed Forces assigned to the United States 
Pacific Command. 
SEC. 2844. REPEAL OF CONDITION ON USE OF SPECIFIC 
UTILITY CONVEYANCE AUTHORITY REGARD-
ING GUAM INTEGRATED WATER AND WASTE-
WATER TREATMENT SYSTEM. 
Section 2822 of the Military Construction Authoriza-
tion Act for Fiscal Year 2011 (division B of Public Law 
111–383; 124 Stat. 4465) is amended by striking sub-
section (c). 
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Subtitle E—Land Conveyances 
SEC. 2851. LAND EXCHANGE, FORT BLISS TEXAS. 
(a) CONVEYANCE AUTHORIZED.—In exchange for the 
receipt of the real property described in subsection (b), 
the Secretary of the Army may convey to the Texas Gen-
eral Land Office (in this section referred to as the 
‘‘TGLO’’) all right, title, and interest of the United States 
in and to a parcel of undeveloped real property consisting 
of approximately 694 acres at Fort Bliss, Texas, for the 
purpose of facilitating commercial development of the par-
cel. 
(b) CONSIDERATION.—As consideration for the con-
veyance under subsection (a), TGLO shall convey to the 
Secretary of the Army all right, title, and interest of 
TGLO in and to a parcel of real property, including any 
improvements thereon, consisting of approximately 2,880 
acres adjacent to Fort Bliss training areas to facilitate 
tactical vehicle ingress and egress between the installation 
and the training areas and mitigate encroachment issues. 
If the fair market value of the real property to be acquired 
by the Secretary is less than the fair market value of the 
real property to be conveyed under subsection (a), the Sec-
retary may require a cash equalization payment in an 
amount equal to the difference in value. 
(c) PAYMENT OF COSTS OF CONVEYANCES.— 
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(1) PAYMENT
REQUIRED.—The Secretary of 
the Army shall require TGLO to cover costs to be 
incurred by the Secretary, or to reimburse the Sec-
retary for costs incurred by the Secretary, to carry 
out the land exchange under this section, including 
survey costs, costs related to environmental docu-
mentation, and other administrative costs related to 
the conveyance. If amounts are collected from 
TGLO in advance of the Secretary incurring the ac-
tual costs, and the amount collected exceeds the 
costs actually incurred by the Secretary to carry out 
the land exchange, the Secretary shall refund the ex-
cess amount to TGLO. 
(2) TREATMENT
OF
AMOUNTS
RECEIVED.— 
Amounts received as reimbursements under para-
graph (1) shall be credited to the fund or account 
that was used to cover the costs incurred by the Sec-
retary in carrying out the land exchange. Amounts 
so credited shall be merged with amounts in such 
fund or account and shall be available for the same 
purposes, and subject to the same conditions and 
limitations, as amounts in such fund or account. 
(d) DESCRIPTION OF PROPERTY.—The exact acreage 
and legal description of the real property to be exchanged 
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