SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Department of Vet-
erans Affairs Medical Facility Authorization and Lease 
Act of 2008’’. 
SEC. 2. AUTHORIZATION FOR FISCAL YEAR 2009 MAJOR 
MEDICAL FACILITY PROJECTS. 
The Secretary of Veterans Affairs may carry out the 
following major medical facility projects in fiscal year 
2009 in the amount specified for each project: 
(1) Seismic corrections, Building 2, at the De-
partment of Veterans Affairs Palo Alto Health care 
System, Palo Alto Division Palo Alto, California, in 
an amount not to exceed $54,000,000. 
(2) Construction of a polytrauma healthcare 
and rehabilitation center at the Department of Vet-
erans Affairs Medical Center, San Antonio, Texas, 
in an amount not to exceed $66,000,000. 
(3) Seismic corrections, Building 1, at the De-
partment of Veterans Affairs Medical Center, San 
Juan, Puerto Rico, in an amount not to exceed 
$225,900,000.
SEC. 3. MODIFICATION OF AUTHORIZATION AMOUNTS FOR 
CERTAIN MAJOR MEDICAL FACILITY CON-
STRUCTION 
PROJECTS 
PREVIOUSLY 
AU-
THORIZED. 
(a) MODIFICATION OF MAJOR MEDICAL FACILITY 
AUTHORIZATIONS.—Section 801(a) of the Veterans Bene-
fits, Health Care, and Information Technology Act of 
2006 (Public Law 109–461) is amended— 
(1) in paragraph (1)— 
(A) by striking ‘‘$300,000,000’’ and in-
serting ‘‘$625,000,000’’; and 
(B) by striking the second sentence; and 
(2) 
in 
paragraph 
(3), 
by 
striking 
‘‘$98,000,000’’ and inserting ‘‘$769,200,000’’. 
(b) MODIFICATION OF AUTHORIZATION FOR CER-
TAIN
MAJOR
MEDICAL
FACILITY
CONSTRUCTION 
PROJECTS PREVIOUSLY AUTHORIZED
IN CONNECTION 
WITH CAPITAL ASSET REALIGNMENT INITIATIVE.— 
(1) CORRECTION OF PATIENT PRIVACY DEFI-
CIENCIES AT THE DEPARTMENT OF VETERANS AF-
FAIRS MEDICAL CENTER, GAINESVILLE, FLORIDA.— 
Paragraph (5) of section 802 of the Veterans Bene-
fits, Health Care, and Information Technology Act 
of 2006 (Public Law 109–461) is amended by strik-
ing ‘‘$85,200,000’’ and inserting ‘‘$136,700,000’’.
(2) CONSTRUCTION OF A NEW MEDICAL CEN-
TER FACILITY AT THE DEPARTMENT OF VETERANS 
AFFAIRS MEDICAL CENTER, LAS VEGAS, NEVADA.— 
Paragraph (7) of such section is amended by strik-
ing ‘‘$406,000,000’’ and inserting ‘‘$600,400,000’’. 
(3) CONSTRUCTION
OF
A
NEW
OUTPATIENT 
CLINIC, LEE COUNTY, FLORIDA.—Paragraph (8) of 
such section is amended— 
(A) by striking ‘‘ambulatory’’ and all that 
follows through ‘‘purchase,’’ and inserting ‘‘out-
patient clinic in’’; and 
(B) by striking ‘‘$65,100,000’’ and insert-
ing ‘‘$131,800,000’’. 
(4) CONSTRUCTION OF A NEW MEDICAL CEN-
TER
FACILITY, 
ORLANDO, 
FLORIDA.—Paragraph 
(11) of such section is amended by striking 
‘‘$377,700,000’’ and inserting ‘‘$656,800,000’’. 
(5) CONSOLIDATION OF CAMPUSES AT THE UNI-
VERSITY DRIVE AND H. JOHN HEINZ III DIVISIONS, 
PITTSBURGH, PENNSYLVANIA.—Paragraph (12) of 
such section is amended by striking ‘‘$189,205,000’’ 
and inserting ‘‘$295,600,000’’.
SEC. 4. AUTHORIZATION OF FISCAL YEAR 2009 MAJOR MED-
ICAL FACILITY LEASES. 
The Secretary of Veterans Affairs may carry out the 
following major medical facility leases in fiscal year 2009 
at the locations specified, and in an amount for each lease 
not to exceed the amount shown for such location: 
(1) For an outpatient clinic, Brandon, Florida, 
$4,326,000. 
(2) For an outpatient clinic, Colorado Springs, 
Colorado, $3,995,000. 
(3) For an outpatient clinic, Eugene, Oregon, 
$5,826,000. 
(4) For the expansion of an outpatient clinic, 
Green Bay, Wisconsin, $5,891,000. 
(5) For an outpatient clinic, Greenville, South 
Carolina, $3,731,000. 
(6) For an outpatient clinic, Mansfield, Ohio, 
$2,212,000. 
(7) For an outpatient clinic, Mayaguez, Puerto 
Rico, $6,276,000. 
(8) For an outpatient clinic, Mesa, Arizona, 
$5,106,000. 
(9) For interim research space, Palo Alto, Cali-
fornia, $8,636,000. 
(10) For the expansion of an outpatient clinic, 
Savannah, Georgia, $3,168,000.
(11) For an outpatient clinic, Sun City, Ari-
zona, $2,295,000. 
(12) For a primary care annex, Tampa, Flor-
ida, $8,652,000. 
SEC. 5. AUTHORIZATION OF CONSTRUCTION OF MAJOR 
MEDICAL 
FACILITY, 
OKALOOSA 
COUNTY, 
FLORIDA. 
(a) AUTHORIZATION.—The Secretary of Veterans Af-
fairs shall carry out a major medical facility project to 
construct a new medical facility of the Department of Vet-
erans Affairs in Okaloosa County, Florida, in an amount 
not to exceed $54,475,000. 
(b) FACILITY LOCATION.—The facility authorized to 
be constructed pursuant to subsection (a) shall be built 
in accordance with option 2 of the report to Congress 
dated June 26, 2007, required to be submitted under sec-
tion 823 of the Veterans Benefits, Health Care, and Infor-
mation Technology Act of 2006 (Public Law 109–461; 
120 Stat. 3449). 
(c) PLAN FOR SHARING OF INPATIENT AND OUT-
PATIENT SERVICES.—Not later than 180 days after the 
date of the enactment of the Act, the Secretary of Vet-
erans Affairs shall submit to the Committees on Veterans’ 
Affairs of the Senate and House of Representatives a plan 
that sets forth terms and conditions for the sharing of in-