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and other necessary facilities of the Veterans Health Ad-
ministration; for administrative expenses in support of 
planning, design, project management, real property ac-
quisition and disposition, construction, and renovation of 
any facility under the jurisdiction or for the use of the 
Department; for oversight, engineering, and architectural 
activities not charged to project costs; for repairing, alter-
ing, improving, or providing facilities in the several hos-
pitals and homes under the jurisdiction of the Depart-
ment, not otherwise provided for, either by contract or by 
the hire of temporary employees and purchase of mate-
rials; for leases of facilities; and for laundry services; 
$1,500,000,000, which shall be in addition to funds pre-
viously appropriated under this heading that become avail-
able 
on 
October 
1, 
2022; 
and, 
in 
addition, 
$8,800,000,000, plus reimbursements, shall become avail-
able on October 1, 2023, and shall remain available until 
September 30, 2024: Provided, That, of the amount made 
available on October 1, 2023, under this heading, 
$350,000,000 shall remain available until September 30, 
2025. 
MEDICAL AND PROSTHETIC RESEARCH 
For necessary expenses in carrying out programs of 
medical and prosthetic research and development as au-
thorized by chapter 73 of title 38, United States Code, 
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$926,000,000, plus reimbursements, shall remain avail-
able until September 30, 2024: Provided, That the Sec-
retary of Veterans Affairs shall ensure that sufficient 
amounts appropriated under this heading are available for 
prosthetic research specifically for female veterans, and 
for toxic exposure research. 
NATIONAL CEMETERY ADMINISTRATION 
For necessary expenses of the National Cemetery Ad-
ministration for operations and maintenance, not other-
wise provided for, including uniforms or allowances there-
for; cemeterial expenses as authorized by law; purchase 
of one passenger motor vehicle for use in cemeterial oper-
ations; hire of passenger motor vehicles; and repair, alter-
ation or improvement of facilities under the jurisdiction 
of the National Cemetery Administration, $430,000,000, 
of which not to exceed 10 percent shall remain available 
until September 30, 2024. 
DEPARTMENTAL ADMINISTRATION 
GENERAL ADMINISTRATION 
(INCLUDING TRANSFER OF FUNDS) 
For necessary operating expenses of the Department 
of Veterans Affairs, not otherwise provided for, including 
administrative expenses in support of Department-wide 
capital planning, management and policy activities, uni-
forms, or allowances therefor; not to exceed $25,000 for 
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official reception and representation expenses; hire of pas-
senger motor vehicles; and reimbursement of the General 
Services Administration for security guard services, 
$435,000,000 (reduced by $10,000,000) (increased by 
$10,000,000) (reduced by $1,000,000), of which not to 
exceed 10 percent shall remain available until September 
30, 2024: Provided, That funds provided under this head-
ing may be transferred to ‘‘General Operating Expenses, 
Veterans Benefits Administration’’. 
BOARD OF VETERANS APPEALS 
For necessary operating expenses of the Board of 
Veterans Appeals, $285,000,000, of which not to exceed 
10 percent shall remain available until September 30, 
2024. 
INFORMATION TECHNOLOGY SYSTEMS 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for information technology 
systems and telecommunications support, including devel-
opmental information systems and operational information 
systems; for pay and associated costs; and for the capital 
asset acquisition of information technology systems, in-
cluding management and related contractual costs of said 
acquisitions, including contractual costs associated with 
operations authorized by section 3109 of title 5, United 
States Code, $5,782,000,000 (reduced by $1,000,000) (re-
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duced by $1,000,000), plus reimbursements: Provided, 
That $1,494,230,000 (reduced by $1,000,000) shall be for 
pay and associated costs, of which not to exceed 3 percent 
shall remain available until September 30, 2024: Provided 
further, That $4,145,678,000 (reduced by $1,000,000) 
shall be for operations and maintenance, of which not to 
exceed 5 percent shall remain available until September 
30, 2024: Provided further, That $142,092,000 shall be 
for information technology systems development, and shall 
remain available until September 30, 2024: Provided fur-
ther, That amounts made available for salaries and ex-
penses, operations and maintenance, and information 
technology systems development may be transferred 
among the three subaccounts after the Secretary of Vet-
erans Affairs requests from the Committees on Appropria-
tions of both Houses of Congress the authority to make 
the transfer and an approval is issued: Provided further, 
That amounts made available for the ‘‘Information Tech-
nology Systems’’ account for development may be trans-
ferred among projects or to newly defined projects: Pro-
vided further, That no project may be increased or de-
creased by more than $3,000,000 of cost prior to submit-
ting a request to the Committees on Appropriations of 
both Houses of Congress to make the transfer and an ap-
proval is issued, or absent a response, a period of 30 days 
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has elapsed: Provided further, That the funds made avail-
able under this heading for information technology sys-
tems development shall be for the projects, and in the 
amounts, specified in the table entitled ‘‘Information 
Technology Development Projects’’ under this heading in 
the report accompanying this Act. 
VETERANS ELECTRONIC HEALTH RECORD 
For activities related to implementation, preparation, 
development, interface, management, rollout, and mainte-
nance of a Veterans Electronic Health Record system, in-
cluding contractual costs associated with operations au-
thorized by section 3109 of title 5, United States Code, 
and salaries and expenses of employees hired under titles 
5 and 38, United States Code, $1,759,000,000 (reduced 
by $5,000,000) (increased by $5,000,000), to remain 
available until September 30, 2025: Provided, That the 
Secretary of Veterans Affairs shall submit to the Commit-
tees on Appropriations of both Houses of Congress quar-
terly reports detailing obligations, expenditures, and de-
ployment implementation by facility, including any 
changes from the deployment plan or schedule: Provided 
further, That the funds provided in this account shall only 
be available to the Office of the Deputy Secretary, to be 
administered by that Office: Provided further, That 25 
percent of the funds made available under this heading 
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shall not be available until July 1, 2023, and are contin-
gent upon the Secretary of Veterans Affairs providing a 
certification of any changes to the deployment schedules 
contained in the plan submitted pursuant to the last pro-
viso under this heading in division J of Public Law 117– 
103, an updated plan with benchmarks and measurable 
metrics for deployment, and an updated plan for address-
ing all required infrastructure upgrades, no later than 30 
days prior to that date to the Committees on Appropria-
tions, and upon approval of the Committees on Appropria-
tions prior to that date. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector 
General, to include information technology, in carrying out 
the provisions of the Inspector General Act of 1978 (5 
U.S.C. App.), $273,000,000, of which not to exceed 10 
percent shall remain available until September 30, 2024. 
CONSTRUCTION, MAJOR PROJECTS 
For constructing, altering, extending, and improving 
any of the facilities, including parking projects, under the 
jurisdiction or for the use of the Department of Veterans 
Affairs, or for any of the purposes set forth in sections 
316, 2404, 2406 and chapter 81 of title 38, United States 
Code, not otherwise provided for, including planning, ar-
chitectural and engineering services, construction manage-
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ment services, maintenance or guarantee period services 
costs associated with equipment guarantees provided 
under the project, services of claims analysts, offsite utility 
and storm drainage system construction costs, and site ac-
quisition, where the estimated cost of a project is more 
than the amount set forth in section 8104(a)(3)(A) of title 
38, United States Code, or where funds for a project were 
made available in a previous major project appropriation, 
$1,371,890,000 (increased by $550,000,000) (reduced by 
$550,000,000), of which $731,722,000 shall remain avail-
able 
until 
September 
30, 
2027, 
and 
of 
which 
$640,168,000 shall remain available until expended, of 
which $1,500,000 shall be available for seismic improve-
ment projects and seismic program management activities, 
including for projects that would otherwise be funded by 
the Construction, Minor Projects, Medical Facilities or 
National Cemetery Administration accounts: Provided, 
That except for advance planning activities, including 
needs assessments which may or may not lead to capital 
investments, and other capital asset management related 
activities, including portfolio development and manage-
ment activities, and planning, cost estimating, and design 
for major medical facility projects and major medical facil-
ity leases and investment strategy studies funded through 
the advance planning fund and the planning and design 
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activities funded through the design fund, staffing ex-
penses, and funds provided for the purchase, security, and 
maintenance of land for the National Cemetery Adminis-
tration through the land acquisition line item, none of the 
funds made available under this heading shall be used for 
any project that has not been notified to Congress through 
the budgetary process or that has not been approved by 
the Congress through statute, joint resolution, or in the 
explanatory statement accompanying such Act and pre-
sented to the President at the time of enrollment: Provided 
further, That such sums as may be necessary shall be 
available to reimburse the ‘‘General Administration’’ ac-
count for payment of salaries and expenses of all Office 
of Construction and Facilities Management employees to 
support the full range of capital infrastructure services 
provided, including minor construction and leasing serv-
ices: Provided further, That funds made available under 
this heading for fiscal year 2023, for each approved 
project shall be obligated: (1) by the awarding of a con-
struction documents contract by September 30, 2023; and 
(2) by the awarding of a construction contract by Sep-
tember 30, 2024: Provided further, That the Secretary of 
Veterans Affairs shall promptly submit to the Committees 
on Appropriations of both Houses of Congress a written 
report on any approved major construction project for 
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HR 8294 RFS
which obligations are not incurred within the time limita-
tions established above: Provided further, That notwith-
standing the requirements of section 8104(a) of title 38, 
United States Code, amounts made available under this 
heading for seismic improvement projects and seismic pro-
gram management activities shall be available for the com-
pletion of both new and existing seismic projects of the 
Department. 
CONSTRUCTION, MINOR PROJECTS 
For constructing, altering, extending, and improving 
any of the facilities, including parking projects, under the 
jurisdiction or for the use of the Department of Veterans 
Affairs, including planning and assessments of needs 
which may lead to capital investments, architectural and 
engineering services, maintenance or guarantee period 
services costs associated with equipment guarantees pro-
vided under the project, services of claims analysts, offsite 
utility and storm drainage system construction costs, and 
site acquisition, or for any of the purposes set forth in 
sections 316, 2404, 2406 and chapter 81 of title 38, 
United States Code, not otherwise provided for, where the 
estimated cost of a project is equal to or less than the 
amount set forth in section 8104(a)(3)(A) of title 38, 
United 
States 
Code, 
$626,110,000, 
of 
which 
$563,499,000 shall remain available until September 30, 
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2027, and of which $62,611,000 shall remain available 
until expended, along with unobligated balances of pre-
vious ‘‘Construction, Minor Projects’’ appropriations 
which are hereby made available for any project where the 
estimated cost is equal to or less than the amount set forth 
in such section: Provided, That funds made available 
under this heading shall be for: (1) repairs to any of the 
nonmedical facilities under the jurisdiction or for the use 
of the Department which are necessary because of loss or 
damage caused by any natural disaster or catastrophe; 
and (2) temporary measures necessary to prevent or to 
minimize further loss by such causes. 
GRANTS FOR CONSTRUCTION OF STATE EXTENDED CARE 
FACILITIES 
For grants to assist States to acquire or construct 
State nursing home and domiciliary facilities and to re-
model, modify, or alter existing hospital, nursing home, 
and domiciliary facilities in State homes, for furnishing 
care to veterans as authorized by sections 8131 through 
8137 of title 38, United States Code, $150,000,000, to 
remain available until expended. 
GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES 
For grants to assist States and tribal organizations 
in establishing, expanding, or improving veterans ceme-
teries as authorized by section 2408 of title 38, United 
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HR 8294 RFS
States Code, $50,000,000 (increased by $1,000,000), to 
remain available until expended. 
ASSET AND INFRASTRUCTURE REVIEW 
For carrying out the VA Asset and Infrastructure 
Review Act of 2018 (subtitle A of title II of Public Law 
115–182), $5,000,000 (reduced by $5,000,000), to remain 
available until September 30, 2024. 
ADMINISTRATIVE PROVISIONS 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. Any appropriation for fiscal year 2023 for 
‘‘Compensation and Pensions’’, ‘‘Readjustment Benefits’’, 
and ‘‘Veterans Insurance and Indemnities’’ may be trans-
ferred as necessary to any other of the mentioned appro-
priations: Provided, That, before a transfer may take 
place, the Secretary of Veterans Affairs shall request from 
the Committees on Appropriations of both Houses of Con-
gress the authority to make the transfer and such Com-
mittees issue an approval, or absent a response, a period 
of 30 days has elapsed. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 202. Amounts made available for the Depart-
ment of Veterans Affairs for fiscal year 2023, in this or 
any other Act, under the ‘‘Medical Services’’, ‘‘Medical 
Community Care’’, ‘‘Medical Support and Compliance’’, 
and ‘‘Medical Facilities’’ accounts may be transferred 
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among the accounts: Provided, That any transfers among 
the ‘‘Medical Services’’, ‘‘Medical Community Care’’, and 
‘‘Medical Support and Compliance’’ accounts of 1 percent 
or less of the total amount appropriated to the account 
in this or any other Act may take place subject to notifica-
tion from the Secretary of Veterans Affairs to the Com-
mittees on Appropriations of both Houses of Congress of 
the amount and purpose of the transfer: Provided further, 
That any transfers among the ‘‘Medical Services’’, ‘‘Med-
ical Community Care’’, and ‘‘Medical Support and Compli-
ance’’ accounts in excess of 1 percent, or exceeding the 
cumulative 1 percent for the fiscal year, may take place 
only after the Secretary requests from the Committees on 
Appropriations of both Houses of Congress the authority 
to make the transfer and an approval is issued: Provided 
further, That any transfers to or from the ‘‘Medical Facili-
ties’’ account may take place only after the Secretary re-
quests from the Committees on Appropriations of both 
Houses of Congress the authority to make the transfer 
and an approval is issued. 
SEC. 203. Appropriations available in this title for 
salaries and expenses shall be available for services au-
thorized by section 3109 of title 5, United States Code; 
hire of passenger motor vehicles; lease of a facility or land 
or both; and uniforms or allowances therefore, as author-
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ized by sections 5901 through 5902 of title 5, United 
States Code. 
SEC. 204. No appropriations in this title (except the 
appropriations for ‘‘Construction, Major Projects’’, and 
‘‘Construction, Minor Projects’’) shall be available for the 
purchase of any site for or toward the construction of any 
new hospital or home. 
SEC. 205. No appropriations in this title shall be 
available for hospitalization or examination of any persons 
(except beneficiaries entitled to such hospitalization or ex-
amination under the laws providing such benefits to vet-
erans, and persons receiving such treatment under sec-
tions 7901 through 7904 of title 5, United States Code, 
or the Robert T. Stafford Disaster Relief and Emergency 
Assistance Act (42 U.S.C. 5121 et seq.)), unless reim-
bursement of the cost of such hospitalization or examina-
tion is made to the ‘‘Medical Services’’ account at such 
rates as may be fixed by the Secretary of Veterans Affairs. 
SEC. 206. Appropriations available in this title for 
‘‘Compensation and Pensions’’, ‘‘Readjustment Benefits’’, 
and ‘‘Veterans Insurance and Indemnities’’ shall be avail-
able for payment of prior year accrued obligations re-
quired to be recorded by law against the corresponding 
prior year accounts within the last quarter of fiscal year 
2022. 
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SEC. 207. Appropriations available in this title shall 
be available to pay prior year obligations of corresponding 
prior year appropriations accounts resulting from sections 
3328(a), 3334, and 3712(a) of title 31, United States 
Code, except that if such obligations are from trust fund 
accounts they shall be payable only from ‘‘Compensation 
and Pensions’’. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 208. Notwithstanding any other provision of 
law, during fiscal year 2023, the Secretary of Veterans 
Affairs shall, from the National Service Life Insurance 
Fund under section 1920 of title 38, United States Code, 
the Veterans’ Special Life Insurance Fund under section 
1923 of title 38, United States Code, and the United 
States Government Life Insurance Fund under section 
1955 of title 38, United States Code, reimburse the ‘‘Gen-
eral Operating Expenses, Veterans Benefits Administra-
tion’’ and ‘‘Information Technology Systems’’ accounts for 
the cost of administration of the insurance programs fi-
nanced through those accounts: Provided, That reimburse-
ment shall be made only from the surplus earnings accu-
mulated in such an insurance program during fiscal year 
2023 that are available for dividends in that program after 
claims have been paid and actuarially determined reserves 
have been set aside: Provided further, That if the cost of 
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HR 8294 RFS
administration of such an insurance program exceeds the 
amount of surplus earnings accumulated in that program, 
reimbursement shall be made only to the extent of such 
surplus earnings: Provided further, That the Secretary 
shall determine the cost of administration for fiscal year 
2023 which is properly allocable to the provision of each 
such insurance program and to the provision of any total 
disability income insurance included in that insurance pro-
gram. 
SEC. 209. Amounts deducted from enhanced-use 
lease proceeds to reimburse an account for expenses in-
curred by that account during a prior fiscal year for pro-
viding enhanced-use lease services shall be available until 
expended. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 210. Funds available in this title or funds for 
salaries and other administrative expenses shall also be 
available to reimburse the Office of Resolution Manage-
ment, Diversity and Inclusion, the Office of Employment 
Discrimination Complaint Adjudication, and the Alter-
native Dispute Resolution function within the Office of 
Human Resources and Administration for all services pro-
vided at rates which will recover actual costs but not to 
exceed $86,481,000 for the Office of Resolution Manage-
ment, Diversity and Inclusion, $6,812,000 for the Office 
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of Employment Discrimination Complaint Adjudication, 
and $4,576,000 for the Alternative Dispute Resolution 
function within the Office of Human Resources and Ad-
ministration: Provided, That payments may be made in 
advance for services to be furnished based on estimated 
costs: Provided further, That amounts received shall be 
credited to the ‘‘General Administration’’ and ‘‘Informa-
tion Technology Systems’’ accounts for use by the office 
that provided the service. 
SEC. 211. No funds of the Department of Veterans 
Affairs shall be available for hospital care, nursing home 
care, or medical services provided to any person under 
chapter 17 of title 38, United States Code, for a non-serv-
ice-connected disability described in section 1729(a)(2) of 
such title, unless that person has disclosed to the Sec-
retary of Veterans Affairs, in such form as the Secretary 
may require, current, accurate third-party reimbursement 
information for purposes of section 1729 of such title: Pro-
vided, That the Secretary may recover, in the same man-
ner as any other debt due the United States, the reason-
able charges for such care or services from any person who 
does not make such disclosure as required: Provided fur-
ther, That any amounts so recovered for care or services 
provided in a prior fiscal year may be obligated by the 
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Secretary during the fiscal year in which amounts are re-
ceived. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 212. Notwithstanding any other provision of 
law, proceeds or revenues derived from enhanced-use leas-
ing activities (including disposal) may be deposited into 
the ‘‘Construction, Major Projects’’ and ‘‘Construction, 
Minor Projects’’ accounts and be used for construction 
(including site acquisition and disposition), alterations, 
and improvements of any medical facility under the juris-
diction or for the use of the Department of Veterans Af-
fairs. Such sums as realized are in addition to the amount 
provided for in ‘‘Construction, Major Projects’’ and ‘‘Con-
struction, Minor Projects’’. 
SEC. 213. Amounts made available under ‘‘Medical 
Services’’ are available— 
(1) for furnishing recreational facilities, sup-
plies, and equipment; and 
(2) for funeral expenses, burial expenses, and 
other expenses incidental to funerals and burials for 
beneficiaries receiving care in the Department. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 214. Such sums as may be deposited into the 
Medical Care Collections Fund pursuant to section 1729A 
of title 38, United States Code, may be transferred to the 
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‘‘Medical Services’’ and ‘‘Medical Community Care’’ ac-
counts to remain available until expended for the purposes 
of these accounts. 
SEC. 215. The Secretary of Veterans Affairs may 
enter into agreements with Federally Qualified Health 
Centers in the State of Alaska and Indian tribes and tribal 
organizations which are party to the Alaska Native Health 
Compact with the Indian Health Service, to provide 
healthcare, including behavioral health and dental care, to 
veterans in rural Alaska. The Secretary shall require par-
ticipating veterans and facilities to comply with all appro-
priate rules and regulations, as established by the Sec-
retary. The term ‘‘rural Alaska’’ shall mean those lands 
which are not within the boundaries of the municipality 
of Anchorage or the Fairbanks North Star Borough. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 216. Such sums as may be deposited into the 
Department of Veterans Affairs Capital Asset Fund pur-
suant to section 8118 of title 38, United States Code, may 
be transferred to the ‘‘Construction, Major Projects’’ and 
‘‘Construction, Minor Projects’’ accounts, to remain avail-
able until expended for the purposes of these accounts. 
SEC. 217. Not later than 30 days after the end of 
each fiscal quarter, the Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
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Houses of Congress a report on the financial status of the 
Department of Veterans Affairs for the preceding quarter: 
Provided, That, at a minimum, the report shall include 
the direction contained in the paragraph entitled ‘‘Quar-
terly reporting’’, under the heading ‘‘General Administra-
tion’’ in the joint explanatory statement accompanying 
Public Law 114–223. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 218. Amounts made available under the ‘‘Med-
ical Services’’, ‘‘Medical Community Care’’, ‘‘Medical Sup-
port and Compliance’’, ‘‘Medical Facilities’’, ‘‘General Op-
erating Expenses, Veterans Benefits Administration’’, 
‘‘Board of Veterans Appeals’’, ‘‘General Administration’’, 
and ‘‘National Cemetery Administration’’ accounts for fis-
cal year 2023 may be transferred to or from the ‘‘Informa-
tion Technology Systems’’ account: Provided, That such 
transfers may not result in a more than 10 percent aggre-
gate increase in the total amount made available by this 
Act for the ‘‘Information Technology Systems’’ account: 
Provided further, That, before a transfer may take place, 
the Secretary of Veterans Affairs shall request from the 
Committees on Appropriations of both Houses of Congress 
the authority to make the transfer and an approval is 
issued. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 219. Of the amounts appropriated to the De-
partment of Veterans Affairs for fiscal year 2023 for 
‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical 
Support and Compliance’’, ‘‘Medical Facilities’’, ‘‘Con-
struction, Minor Projects’’, and ‘‘Information Technology 
Systems’’, up to $330,140,000, plus reimbursements, may 
be transferred to the Joint Department of Defense—De-
partment of Veterans Affairs Medical Facility Demonstra-
tion Fund, established by section 1704 of the National De-
fense Authorization Act for Fiscal Year 2010 (Public Law 
111–84; 123 Stat. 2571) and may be used for operation 
of the facilities designated as combined Federal medical 
facilities as described by section 706 of the Duncan Hun-
ter National Defense Authorization Act for Fiscal Year 
2009 (Public Law 110–417; 122 Stat. 4500): Provided, 
That additional funds may be transferred from accounts 
designated in this section to the Joint Department of De-
fense—Department of Veterans Affairs Medical Facility 
Demonstration Fund upon written notification by the Sec-
retary of Veterans Affairs to the Committees on Appro-
priations of both Houses of Congress: Provided further, 
That section 220 of title II of division J of Public Law 
117–103 is repealed. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 220. Of the amounts appropriated to the De-
partment of Veterans Affairs which become available on 
October 1, 2023, for ‘‘Medical Services’’, ‘‘Medical Com-
munity Care’’, ‘‘Medical Support and Compliance’’, and 
‘‘Medical Facilities’’, up to $314,825,000, plus reimburse-
ments, may be transferred to the Joint Department of De-
fense—Department of Veterans Affairs Medical Facility 
Demonstration Fund, established by section 1704 of the 
National Defense Authorization Act for Fiscal Year 2010 
(Public Law 111–84; 123 Stat. 2571) and may be used 
for operation of the facilities designated as combined Fed-
eral medical facilities as described by section 706 of the 
Duncan Hunter National Defense Authorization Act for 
Fiscal Year 2009 (Public Law 110–417; 122 Stat. 4500): 
Provided, That additional funds may be transferred from 
accounts designated in this section to the Joint Depart-
ment of Defense—Department of Veterans Affairs Med-
ical Facility Demonstration Fund upon written notifica-
tion by the Secretary of Veterans Affairs to the Commit-
tees on Appropriations of both Houses of Congress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 221. Such sums as may be deposited into the 
Medical Care Collections Fund pursuant to section 1729A 
of title 38, United States Code, for healthcare provided 
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at facilities designated as combined Federal medical facili-
ties as described by section 706 of the Duncan Hunter 
National Defense Authorization Act for Fiscal Year 2009 
(Public Law 110–417; 122 Stat. 4500) shall also be avail-
able: (1) for transfer to the Joint Department of De-
fense—Department of Veterans Affairs Medical Facility 
Demonstration Fund, established by section 1704 of the 
National Defense Authorization Act for Fiscal Year 2010 
(Public Law 111–84; 123 Stat. 2571); and (2) for oper-
ations of the facilities designated as combined Federal 
medical facilities as described by section 706 of the Dun-
can Hunter National Defense Authorization Act for Fiscal 
Year 2009 (Public Law 110–417; 122 Stat. 4500): Pro-
vided, That, notwithstanding section 1704(b)(3) of the 
National Defense Authorization Act for Fiscal Year 2010 
(Public Law 111–84; 123 Stat. 2573), amounts trans-
ferred to the Joint Department of Defense—Department 
of Veterans Affairs Medical Facility Demonstration Fund 
shall remain available until expended. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 222. Of the amounts available in this title for 
‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical 
Support and Compliance’’, and ‘‘Medical Facilities’’, a 
minimum of $15,000,000 shall be transferred to the 
DOD–VA Health Care Sharing Incentive Fund, as au-
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thorized by section 8111(d) of title 38, United States 
Code, to remain available until expended, for any purpose 
authorized by section 8111 of title 38, United States Code. 
SEC. 223. The Secretary of Veterans Affairs shall no-
tify the Committees on Appropriations of both Houses of 
Congress of all bid savings in a major construction project 
that total at least $5,000,000, or 5 percent of the pro-
grammed amount of the project, whichever is less: Pro-
vided, That such notification shall occur within 14 days 
of a contract identifying the programmed amount: Pro-
vided further, That the Secretary shall notify the Commit-
tees on Appropriations of both Houses of Congress 14 
days prior to the obligation of such bid savings and shall 
describe the anticipated use of such savings. 
SEC. 224. None of the funds made available for 
‘‘Construction, Major Projects’’ may be used for a project 
in excess of the scope specified for that project in the origi-
nal justification data provided to the Congress as part of 
the request for appropriations unless the Secretary of Vet-
erans Affairs receives approval from the Committees on 
Appropriations of both Houses of Congress. 
SEC. 225. Not later than 30 days after the end of 
each fiscal quarter, the Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
Houses of Congress a quarterly report containing perform-
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ance measures and data from each Veterans Benefits Ad-
ministration Regional Office: Provided, That, at a min-
imum, the report shall include the direction contained in 
the section entitled ‘‘Disability claims backlog’’, under the 
heading ‘‘General Operating Expenses, Veterans Benefits 
Administration’’ in the joint explanatory statement accom-
panying Public Law 114–223: Provided further, That the 
report shall also include information on the number of ap-
peals pending at the Veterans Benefits Administration as 
well as the Board of Veterans Appeals on a quarterly 
basis. 
SEC. 226. The Secretary of Veterans Affairs shall 
provide written notification to the Committees on Appro-
priations of both Houses of Congress 15 days prior to or-
ganizational changes which result in the transfer of 25 or 
more full-time equivalents from one organizational unit of 
the Department of Veterans Affairs to another. 
SEC. 227. The Secretary of Veterans Affairs shall 
provide on a quarterly basis to the Committees on Appro-
priations of both Houses of Congress notification of any 
single national outreach and awareness marketing cam-
paign in which obligations exceed $1,000,000. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 228. The Secretary of Veterans Affairs, upon 
determination that such action is necessary to address 
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needs of the Veterans Health Administration, may trans-
fer to the ‘‘Medical Services’’ account any discretionary 
appropriations made available for fiscal year 2023 in this 
title (except appropriations made to the ‘‘General Oper-
ating Expenses, Veterans Benefits Administration’’ ac-
count) or any discretionary unobligated balances within 
the Department of Veterans Affairs, including those ap-
propriated for fiscal year 2023, that were provided in ad-
vance by appropriations Acts: Provided, That transfers 
shall be made only with the approval of the Office of Man-
agement and Budget: Provided further, That the transfer 
authority provided in this section is in addition to any 
other transfer authority provided by law: Provided further, 
That no amounts may be transferred from amounts that 
were designated by Congress as an emergency requirement 
pursuant to a concurrent resolution on the budget or the 
Balanced Budget and Emergency Deficit Control Act of 
1985: Provided further, That such authority to transfer 
may not be used unless for higher priority items, based 
on emergent healthcare requirements, than those for 
which originally appropriated and in no case where the 
item for which funds are requested has been denied by 
Congress: Provided further, That, upon determination that 
all or part of the funds transferred from an appropriation 
are not necessary, such amounts may be transferred back 
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to that appropriation and shall be available for the same 
purposes as originally appropriated: Provided further, 
That before a transfer may take place, the Secretary of 
Veterans Affairs shall request from the Committees on 
Appropriations of both Houses of Congress the authority 
to make the transfer and receive approval of that request. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 229. Amounts made available for the Depart-
ment of Veterans Affairs for fiscal year 2023, under the 
‘‘Board of Veterans Appeals’’ and the ‘‘General Operating 
Expenses, Veterans Benefits Administration’’ accounts 
may be transferred between such accounts: Provided, That 
before a transfer may take place, the Secretary of Vet-
erans Affairs shall request from the Committees on Appro-
priations of both Houses of Congress the authority to 
make the transfer and receive approval of that request. 
SEC. 230. The Secretary of Veterans Affairs may not 
reprogram funds among major construction projects or 
programs if such instance of reprogramming will exceed 
$7,000,000, unless such reprogramming is approved by 
the Committees on Appropriations of both Houses of Con-
gress. 
SEC. 231. (a) The Secretary of Veterans Affairs shall 
ensure that the toll-free suicide hotline under section 
1720F(h) of title 38, United States Code— 
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(1) provides to individuals who contact the hot-
line immediate assistance from a trained profes-
sional; and 
(2) adheres to all requirements of the American 
Association of Suicidology. 
(b)(1) None of the funds made available by this Act 
may be used to enforce or otherwise carry out any Execu-
tive action that prohibits the Secretary of Veterans Affairs 
from appointing an individual to occupy a vacant civil 
service position, or establishing a new civil service position, 
at the Department of Veterans Affairs with respect to 
such a position relating to the hotline specified in sub-
section (a). 
(2) In this subsection— 
(A) the term ‘‘civil service’’ has the meaning 
given such term in section 2101(1) of title 5, United 
States Code; and 
(B) the term ‘‘Executive action’’ includes— 
(i) 
any 
Executive 
order, 
Presidential 
memorandum, or other action by the President; 
and 
(ii) any agency policy, order, or other di-
rective. 
(c)(1) The Secretary of Veterans Affairs shall con-
duct a study on the effectiveness of the hotline specified 
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in subsection (a) during the 5-year period beginning on 
January 1, 2016, based on an analysis of national suicide 
data and data collected from such hotline. 
(2) At a minimum, the study required by paragraph 
(1) shall— 
(A) determine the number of veterans who con-
tact the hotline specified in subsection (a) and who 
receive follow up services from the hotline or mental 
health services from the Department of Veterans Af-
fairs thereafter; 
(B) determine the number of veterans who con-
tact the hotline who are not referred to, or do not 
continue receiving, mental health care who commit 
suicide; and 
(C) determine the number of veterans described 
in subparagraph (A) who commit or attempt suicide. 
SEC. 232. Effective during the period beginning on 
October 1, 2018, and ending on January 1, 2024, none 
of the funds made available to the Secretary of Veterans 
Affairs by this or any other Act may be obligated or ex-
pended in contravention of the ‘‘Veterans Health Adminis-
tration Clinical Preventive Services Guidance Statement 
on the Veterans Health Administration’s Screening for 
Breast Cancer Guidance’’ published on May 10, 2017, as 
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issued by the Veterans Health Administration National 
Center for Health Promotion and Disease Prevention. 
SEC. 233. Subchapter II of chapter 17 of title 38, 
United States Code, is amended by adding at the end the 
following new section (and conforming the table of sections 
at the beginning of such chapter accordingly): 
‘‘§ 1720K. Infertility counseling and treatment; reim-
bursement of adoption expenses 
‘‘(a) INFERTILITY COUNSELING AND TREATMENT.— 
(1) Pursuant to regulations the Secretary shall prescribe 
to carry out this subsection, the Secretary may provide 
infertility counseling and treatment, using assisted repro-
ductive technology, including in vitro fertilization, intra-
uterine insemination, and other advanced reproductive 
technologies, to the following: 
‘‘(A) A veteran— 
‘‘(i) who is enrolled in the system of an-
nual patient enrollment established and oper-
ated under section 1705 of this title; and 
‘‘(ii) who, in the judgment of a health care 
professional of the Department— 
‘‘(I) has a service-connected disability 
or condition causing or aggravating infer-
tility; or 
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‘‘(II) is infertile as a result of having 
received medically necessary treatment 
pursuant to this chapter. 
‘‘(B) The spouse of a veteran described in sub-
paragraph (A), or the partner of a veteran described 
in subparagraph (A) whom the veteran designates 
for purposes of this subsection. 
‘‘(2)(A) The Secretary may contract with a provider 
of in vitro fertilization services to obtain donor gametes 
or embryos from third-party donors. 
‘‘(B) The Secretary may only obtain third-party do-
nation of gametes or embryos through a contract. 
‘‘(C) The Secretary may not provide assisted repro-
ductive technology services or medical services to third- 
party donors. 
‘‘(3)(A) The Secretary may contract with a facility 
to furnish the cryopreservation, storage, and transpor-
tation of gametes and embryos. 
‘‘(B) The Secretary may not impose any limitation 
on the period in which an embryo or gamete is 
cryopreserved and stored pursuant to this subsection. 
‘‘(4) The legal status, custody, future use, donation, 
disposition, or destruction, of gametes or embryos relating 
to infertility or treatment furnished under this subsection 
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shall be determined in accordance with the law of the 
State in which the gametes or embryos are located. 
‘‘(5)(A) In prescribing regulations to carry out this 
subsection, the Secretary shall ensure that any in vitro 
fertilization (including with respect to the number of re-
trieval attempts and completed embryo transfer cycles) 
will be— 
‘‘(i) determined using the best medical evidence 
available; and 
‘‘(ii) provided in accordance with applicable 
standards of care. 
‘‘(B) In furnishing in vitro fertilization to a covered 
individual pursuant to this subsection, the Secretary is re-
sponsible only for payment of the costs of the in vitro fer-
tilization services. 
‘‘(C) The Secretary may not furnish an in vitro fer-
tilization cycle to a covered individual under this sub-
section unless the Secretary receives consent for such cycle 
from each of the following: 
‘‘(i) The covered individual. 
‘‘(ii) If the covered individual is a spouse or 
partner of a veteran as described in subparagraph 
(1)(B), the veteran. 
‘‘(iii) If applicable, the third-party donor. 
‘‘(6) In this subsection: 
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‘‘(A) The term ‘covered individual’ means a vet-
eran, spouse, or partner who receives infertility 
counseling and treatment under paragraph (1). 
‘‘(B) The term ‘gamete’ means a mature sperm 
or an oocyte or egg germ cell, as applicable. 
‘‘(C) The term ‘infertility’ means the inability 
to procreate without the use of infertility treatment. 
‘‘(D) The term ‘in vitro fertilization’ means the 
procedure in which an oocyte is removed from a ma-
ture ovarian follicle and fertilized by a sperm cell 
outside the human body and, at the appropriate 
time, transferred into the uterus. 
‘‘(E) The term ‘third-party donor’ means an in-
dividual who consents to donate the gametes or em-
bryo of the individual for use in treatment furnished 
pursuant to this subsection. 
‘‘(b) ADOPTION REIMBURSEMENT.—(1) Pursuant to 
regulations the Secretary shall prescribe to carry out this 
subsection, the Secretary may reimburse an eligible vet-
eran for qualifying adoption expenses incurred by the vet-
eran in the adoption of a child. 
‘‘(2) For purposes of this subsection, an eligible vet-
eran is a veteran who meets the following criteria: 
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‘‘(A) The veteran is enrolled in the system of 
annual patient enrollment established and operated 
under section 1705 of this title. 
‘‘(B) The veteran, in the judgment of the health 
care professional of the Department— 
‘‘(i) has a service-connected disability or 
condition causing or aggravating infertility; or 
‘‘(ii) is infertile as a result of having re-
ceived medically necessary treatment pursuant 
to this chapter. 
‘‘(3) An adoption for which expenses may be reim-
bursed under this subsection includes an adoption by a 
single person, an infant adoption, an intercountry adop-
tion, or an adoption of a child with special needs (as de-
fined in section 473(c) of the Social Security Act (42 
U.S.C. 673(c))). 
‘‘(4) The Secretary may reimburse an eligible veteran 
for qualifying adoption expenses under this subsection 
only after the adoption is final. 
‘‘(5) The Secretary may not reimburse an eligible vet-
eran for qualifying adoption expenses under this sub-
section for any expense paid to or for the veteran under 
any other adoption benefits program administered by the 
Federal Government or under any such program adminis-
tered by a State or local government. 
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‘‘(6)(A)(i) The Secretary may not reimburse an eligi-
ble veteran, or two eligible veterans who are partners, for 
qualifying adoption expenses under this subsection for 
more than one adoption. 
‘‘(ii) The Secretary may not reimburse more than one 
eligible veteran for the qualifying adoption expenses under 
this subsection for the adoption of the same child. 
‘‘(B) In prescribing regulations to carry out this sub-
section, the Secretary shall establish minimum and max-
imum amounts for the reimbursement of qualifying adop-
tion expenses. 
‘‘(7) In this subsection: 
‘‘(A) Notwithstanding section 101 of this title, 
the term ‘child’ means an individual who is under 
the age of eighteen years. 
‘‘(B) The term ‘qualified adoption agency’ 
means— 
‘‘(i) a State or local government agency 
that has responsibility under State or local law 
for child placement through adoption; 
‘‘(ii) a nonprofit, voluntary adoption agen-
cy that is authorized by State or local law to 
place children for adoption; 
‘‘(iii) any other source authorized by a 
State to provide adoption placement if the 
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adoption is supervised by a court under State 
or local law; or 
‘‘(iv) a foreign government or an agency 
authorized by a foreign government to place 
children for adoption, in any case in which— 
‘‘(I) the adopted child is entitled to 
automatic citizenship under section 320 of 
the Immigration and Nationality Act (8 
U.S.C. 1431); or 
‘‘(II) a certificate of citizenship has 
been issued for such child under section 
322 of that Act (8 U.S.C. 1433). 
‘‘(C) The term ‘qualifying adoption expenses’ 
means reasonable and necessary expenses that are 
directly related to the legal adoption of a child, but 
only if such adoption is arranged by a qualified 
adoption agency. Such term does not include any ex-
pense incurred— 
‘‘(i) by an adopting parent for travel; or 
‘‘(ii) in connection with an adoption ar-
ranged in violation of Federal, State, or local 
law. 
‘‘(D) The term ‘reasonable and necessary ex-
penses’ includes— 
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‘‘(i) public and private agency fees, includ-
ing adoption fees charged by an agency in a 
foreign country; 
‘‘(ii) placement fees, including fees charged 
adoptive parents for counseling; 
‘‘(iii) legal fees (including court costs) or 
notary expenses; and 
‘‘(iv) medical expenses, including hospital 
expenses of the biological mother of the child to 
be adopted and of a newborn infant to be 
adopted.’’. 
SEC. 234. None of the funds appropriated or other-
wise made available by this Act or any other Act for the 
Department of Veterans Affairs may be used in a manner 
that is inconsistent with: (1) section 842 of the Transpor-
tation, Treasury, Housing and Urban Development, the 
Judiciary, the District of Columbia, and Independent 
Agencies Appropriations Act, 2006 (Public Law 109–115; 
119 Stat. 2506); or (2) section 8110(a)(5) of title 38, 
United States Code. 
SEC. 235. Section 842 of Public Law 109–115 shall 
not apply to conversion of an activity or function of the 
Veterans Health Administration, Veterans Benefits Ad-
ministration, or National Cemetery Administration to con-
tractor performance by a business concern that is at least 
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51 percent owned by one or more Indian tribes as defined 
in section 5304(e) of title 25, United States Code, or one 
or more Native Hawaiian Organizations as defined in sec-
tion 637(a)(15) of title 15, United States Code. 
SEC. 236. (a) Except as provided in subsection (b), 
the Secretary of Veterans Affairs, in consultation with the 
Secretary of Defense and the Secretary of Labor, shall dis-
continue using Social Security account numbers to identify 
individuals in all information systems of the Department 
of Veterans Affairs as follows: 
(1) For all veterans submitting to the Secretary 
of Veterans Affairs new claims for benefits under 
laws administered by the Secretary, not later than 
March 23, 2023. 
(2) For all individuals not described in para-
graph (1), not later than March 23, 2026. 
(b) The Secretary of Veterans Affairs may use a So-
cial Security account number to identify an individual in 
an information system of the Department of Veterans Af-
fairs if and only if the use of such number is required 
to obtain information the Secretary requires from an in-
formation system that is not under the jurisdiction of the 
Secretary. 
(c) The matter in subsections (a) and (b) shall super-
sede section 238 of division F of Public Law 116–94. 
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SEC. 237. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2023 and 2024 
for ‘‘Medical Services’’, section 239 of division A of Public 
Law 114–223 shall apply. 
SEC. 238. None of the funds appropriated in this or 
prior appropriations Acts or otherwise made available to 
the Department of Veterans Affairs may be used to trans-
fer any amounts from the Filipino Veterans Equity Com-
pensation Fund to any other account within the Depart-
ment of Veterans Affairs. 
SEC. 239. Of the funds provided to the Department 
of Veterans Affairs for each of fiscal year 2023 and fiscal 
year 2024 for ‘‘Medical Services’’, funds may be used in 
each year to carry out and expand the child care program 
authorized by section 205 of Public Law 111–163, not-
withstanding subsection (e) of such section. 
SEC. 240. None of the funds appropriated or other-
wise made available in this title may be used by the Sec-
retary of Veterans Affairs to enter into an agreement re-
lated to resolving a dispute or claim with an individual 
that would restrict in any way the individual from speak-
ing to members of Congress or their staff on any topic 
not otherwise prohibited from disclosure by Federal law 
or required by Executive order to be kept secret in the 
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interest of national defense or the conduct of foreign af-
fairs. 
SEC. 241. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2023 and 2024, 
section 258 of division A of Public Law 114–223 shall 
apply. 
SEC. 242. (a) None of the funds appropriated or oth-
erwise made available by this Act may be used to deny 
an Inspector General funded under this Act timely access 
to any records, documents, or other materials available to 
the department or agency over which that Inspector Gen-
eral has responsibilities under the Inspector General Act 
of 1978 (5 U.S.C. App.), or to prevent or impede the ac-
cess of the Inspector General to such records, documents, 
or other materials, under any provision of law, except a 
provision of law that expressly refers to such Inspector 
General and expressly limits the right of access. 
(b) A department or agency covered by this section 
shall provide its Inspector General access to all records, 
documents, and other materials in a timely manner. 
(c) Each Inspector General shall ensure compliance 
with statutory limitations on disclosure relevant to the in-
formation provided by the establishment over which that 
Inspector General has responsibilities under the Inspector 
General Act of 1978 (5 U.S.C. App.). 
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(d) Each Inspector General covered by this section 
shall report to the Committee on Appropriations of the 
Senate and the Committee on Appropriations of the House 
of Representatives within 5 calendar days of any failure 
by any department or agency covered by this section to 
comply with this requirement. 
SEC. 243. None of the funds made available in this 
Act may be used in a manner that would increase wait 
times for veterans who seek care at medical facilities of 
the Department of Veterans Affairs. 
SEC. 244. None of the funds appropriated or other-
wise made available by this Act to the Veterans Health 
Administration may be used in fiscal year 2023 to convert 
any program which received specific purpose funds in fis-
cal year 2022 to a general purpose funded program unless 
the Secretary of Veterans Affairs submits written notifica-
tion of any such proposal to the Committees on Appropria-
tions of both Houses of Congress at least 30 days prior 
to any such action and an approval is issued by the Com-
mittees. 
SEC. 245. (a) Except as provided by subsection (b), 
none of the funds made available by this Act may be used 
by the Secretary of Veterans Affairs to purchase, breed, 
transport, house, feed, maintain, dispose of, or experiment 
on, dogs or cats as part of the conduct of any study includ-
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ing an assignment of pain category D or E, as defined 
by the Pain and Distress Categories of the Department 
of Agriculture (or such successor categories developed pur-
suant to section 13 of the Animal Welfare Act (7 U.S.C. 
2143)). 
(b) Subsection (a) shall not apply to training pro-
grams or studies of service dogs described in section 1714 
of title 38, United States Code, or section 17.148 of title 
38, Code of Federal Regulations. 
SEC. 246. Amounts made available for the ‘‘Veterans 
Health Administration, Medical Community Care’’ ac-
count in this or any other Act for fiscal years 2023 and 
2024 may be used for expenses that would otherwise be 
payable from the Veterans Choice Fund established by 
section 802 of the Veterans Access, Choice, and Account-
ability Act, as amended (38 U.S.C. 1701 note). 
SEC. 247. Obligations and expenditures applicable to 
the ‘‘Medical Services’’ account in fiscal years 2017 
through 2019 for aid to state homes (as authorized by 
section 1741 of title 38, United States Code) shall remain 
in the ‘‘Medical Community Care’’ account for such fiscal 
years. 
SEC. 248. Of the amounts made available for the De-
partment of Veterans Affairs for fiscal year 2023, in this 
or any other Act, under the ‘‘Veterans Health Administra-
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tion—Medical Services’’, ‘‘Veterans Health Administra-
tion—Medical Community Care’’, ‘‘Veterans Health Ad-
ministration—Medical Support and Compliance’’, and 
‘‘Veterans Health Administration—Medical Facilities’’ ac-
counts, $911,119,000 shall be made available for gender- 
specific care and programmatic efforts to deliver care for 
women veterans. 
(RESCISSION OF FUNDS) 
SEC. 249. Of the unobligated balances in the ‘‘Recur-
ring Expenses Transformational Fund’’ established in sec-
tion 243 of division J of Public Law 114–113, 
$48,132,853 is hereby rescinded. 
SEC. 250. Not later than 30 days after the end of 
each fiscal quarter, the Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
Houses of Congress a quarterly report on the status of 
the ‘‘Veterans Medical Care and Health Fund’’, estab-
lished to execute section 8002 of the American Rescue 
Plan Act of 2021 (Public Law 117–2): Provided, That, 
at a minimum, the report shall include an update on obli-
gations by program, project or activity and a plan for ex-
pending the remaining funds: Provided further, That the 
Secretary of Veterans Affairs must submit notification of 
any plans to reallocate funds from the current apportion-
ment categories of ‘‘Medical Services’’, ‘‘Medical Support 
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and Compliance’’, ‘‘Medical Facilities’’, ‘‘Medical Commu-
nity Care’’, or ‘‘Medical and Prosthetic Research’’, includ-
ing the amount and purpose of each reallocation to the 
Committees on Appropriations of both Houses of Congress 
and such Committees issue an approval, or absent a re-
sponse, a period of 30 days has elapsed. 
SEC. 251. By no later than September 30, 2023, the 
Secretary shall commence construction of the Community- 
Based Outpatient Clinic in Bakersfield, California in ac-
cordance with Lease No. 36C10F20L0008. 
TITLE III 
RELATED AGENCIES 
AMERICAN BATTLE MONUMENTS COMMISSION 
SALARIES AND EXPENSES 
For necessary expenses, not otherwise provided for, 
of the American Battle Monuments Commission, including 
the acquisition of land or interest in land in foreign coun-
tries; purchases and repair of uniforms for caretakers of 
national cemeteries and monuments outside of the United 
States and its territories and possessions; rent of office 
and garage space in foreign countries; purchase (one-for- 
one replacement basis only) and hire of passenger motor 
vehicles; not to exceed $15,000 for official reception and 
representation expenses; and insurance of official motor 
vehicles in foreign countries, when required by law of such 
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countries, $87,500,000, to remain available until ex-
pended. 
FOREIGN CURRENCY FLUCTUATIONS ACCOUNT 
For necessary expenses, not otherwise provided for, 
of the American Battle Monuments Commission, such 
sums as may be necessary, to remain available until ex-
pended, for purposes authorized by section 2109 of title 
36, United States Code. 
UNITED STATES COURT OF APPEALS FOR VETERANS 
CLAIMS 
SALARIES AND EXPENSES 
For necessary expenses for the operation of the 
United States Court of Appeals for Veterans Claims as 
authorized by sections 7251 through 7298 of title 38, 
United States Code, $45,159,000: Provided, That 
$3,385,000 shall be available for the purpose of providing 
financial assistance as described and in accordance with 
the process and reporting procedures set forth under this 
heading in Public Law 102–229. 
DEPARTMENT OF DEFENSE—CIVIL 
CEMETERIAL EXPENSES, ARMY 
SALARIES AND EXPENSES 
For necessary expenses for maintenance, operation, 
and improvement of Arlington National Cemetery and Sol-
diers’ and Airmen’s Home National Cemetery, including 
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the purchase or lease of passenger motor vehicles for re-
placement on a one-for-one basis only, and not to exceed 
$2,000 for official reception and representation expenses, 
$93,400,000, of which not to exceed $15,000,000 shall re-
main available until September 30, 2025. In addition, 
such sums as may be necessary for parking maintenance, 
repairs and replacement, to be derived from the ‘‘Lease 
of Department of Defense Real Property for Defense 
Agencies’’ account. 
CONSTRUCTION 
For necessary expenses for planning and design and 
construction at Arlington National Cemetery and Soldiers’ 
and Airmen’s Home National Cemetery, $62,500,000, to 
remain available until expended, of which $2,500,000 shall 
be for study, planning and design, and architect and engi-
neering services for Memorial Avenue improvements at Ar-
lington National Cemetery; and $60,000,000 shall be for 
planning and design and construction associated with the 
Southern Expansion project at Arlington National Ceme-
tery. 
ARMED FORCES RETIREMENT HOME 
TRUST FUND 
For expenses necessary for the Armed Forces Retire-
ment Home to operate and maintain the Armed Forces 
Retirement Home—Washington, District of Columbia, 
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shall be available until expended to support activities at 
the Army National Military Cemeteries. 
TITLE IV 
GENERAL PROVISIONS 
SEC. 401. No part of any appropriation contained in 
this Act shall remain available for obligation beyond the 
current fiscal year unless expressly so provided herein. 
SEC. 402. None of the funds made available in this 
Act may be used for any program, project, or activity, 
when it is made known to the Federal entity or official 
to which the funds are made available that the program, 
project, or activity is not in compliance with any Federal 
law relating to risk assessment, the protection of private 
property rights, or unfunded mandates. 
SEC. 403. All departments and agencies funded under 
this Act are encouraged, within the limits of the existing 
statutory authorities and funding, to expand their use of 
‘‘E-Commerce’’ technologies and procedures in the con-
duct of their business practices and public service activi-
ties. 
SEC. 404. Unless stated otherwise, all reports and no-
tifications required by this Act shall be submitted to the 
Subcommittee on Military Construction and Veterans Af-
fairs, and Related Agencies of the Committee on Appro-
priations of the House of Representatives and the Sub-
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committee on Military Construction and Veterans Affairs, 
and Related Agencies of the Committee on Appropriations 
of the Senate. 
SEC. 405. None of the funds made available in this 
Act may be transferred to any department, agency, or in-
strumentality of the United States Government except 
pursuant to a transfer made by, or transfer authority pro-
vided in, this or any other appropriations Act. 
SEC. 406. None of the funds made available in this 
Act may be used for a project or program named for an 
individual serving as a Member, Delegate, or Resident 
Commissioner of the United States House of Representa-
tives. 
SEC. 407. (a) Any agency receiving funds made avail-
able in this Act, shall, subject to subsections (b) and (c), 
post on the public Web site of that agency any report re-
quired to be submitted by the Congress in this or any 
other Act, upon the determination by the head of the agen-
cy that it shall serve the national interest. 
(b) Subsection (a) shall not apply to a report if— 
(1) the public posting of the report com-
promises national security; or 
(2) the report contains confidential or propri-
etary information. 
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(c) The head of the agency posting such report shall 
do so only after such report has been made available to 
the requesting Committee or Committees of Congress for 
no less than 45 days. 
SEC. 408. (a) None of the funds made available in 
this Act may be used to maintain or establish a computer 
network unless such network blocks the viewing, 
downloading, and exchanging of pornography. 
(b) Nothing in subsection (a) shall limit the use of 
funds necessary for any Federal, State, tribal, or local law 
enforcement agency or any other entity carrying out crimi-
nal investigations, prosecution, or adjudication activities. 
SEC. 409. None of the funds made available in this 
Act may be used by an agency of the executive branch 
to pay for first-class travel by an employee of the agency 
in contravention of sections 301–10.122 through 301– 
10.124 of title 41, Code of Federal Regulations. 
SEC. 410. None of the funds made available in this 
Act may be used to execute a contract for goods or serv-
ices, including construction services, where the contractor 
has not complied with Executive Order No. 12989. 
SEC. 411. None of the funds made available by this 
Act may be used in contravention of section 101(e)(8) of 
title 10, United States Code. 
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This division may be cited as the ‘‘Military Construc-
tion, Veterans Affairs, and Related Agencies Appropria-
tions Act, 2023’’. 
Passed the House of Representatives July 20, 2022. 
Attest: 
CHERYL L. JOHNSON, 
Clerk. 
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