SEC. 3. ADVANCE APPROPRIATIONS FOR CERTAIN MEDICAL 
CARE ACCOUNTS OF THE DEPARTMENT OF 
VETERANS AFFAIRS. 
(a) IN GENERAL.—Chapter 1 of title 38, United States 
Code, is amended by inserting after section 116 the fol-
lowing new section: 
‘‘§ 117. Advance appropriations for certain medical 
care accounts 
‘‘(a) IN GENERAL.—For each fiscal year, beginning 
with fiscal year 2011, discretionary new budget authority 
provided in an appropriations Act for the medical care ac-
counts of the Department shall— 
‘‘(1) be made available for that fiscal year; and 
‘‘(2) include, for each such account, advance dis-
cretionary new budget authority that first becomes 
available for the first fiscal year after the budget year. 
‘‘(b) ESTIMATES REQUIRED.—The Secretary shall in-
clude in documents submitted to Congress in support of the 
President’s budget submitted pursuant to section 1105 of 
title 31, United States Code, detailed estimates of the funds 
necessary for the medical care accounts of the Department 
for the fiscal year following the fiscal year for which the 
budget is submitted. 
‘‘(c) MEDICAL CARE ACCOUNTS.—For purposes of this 
section, the term ‘medical care accounts of the Department’ 
means the following medical care accounts of the Veterans
Health Administration, Department of Veterans Affairs ac-
count: 
‘‘(1) Medical Services. 
‘‘(2) Medical Support and Compliance. 
‘‘(3) Medical Facilities. 
‘‘(d) ANNUAL REPORT.—Not later than July 31 of each 
year, the Secretary shall submit to Congress an annual re-
port on the sufficiency of the Department’s resources for the 
next fiscal year beginning after the date of the submittal 
of the report for the provision of medical care. Such report 
shall also include estimates of the workload and demand 
data for that fiscal year.’’. 
(b) CLERICAL AMENDMENT.—The table of sections at 
the beginning of such chapter is amended by inserting after 
the item relating to section 113 the following new line: 
‘‘117. Advance appropriations for certain medical care accounts.’’. 
SEC. 4. COMPTROLLER GENERAL REVIEW OF THE ACCU-
RACY OF VA MEDICAL CARE BUDGET SUBMIS-
SION IN RELATION TO BASELINE HEALTH 
CARE MODEL PROJECTION. 
(a) REVIEW OF ACCURACY OF MEDICAL CARE BUDGET 
SUBMISSION.—The Comptroller General shall conduct a re-
view of each budget of the President for a fiscal year that 
is submitted to Congress pursuant to section 1105(a) of title 
31 in order to assess whether or not the relevant components 
of the amounts requested in such budget for such fiscal year
for the medical care accounts of the Department of Veterans 
Affairs specified in section 117(c) of title 38, United States 
Code, as added by section 3, are consistent with estimates 
of the resources required by the Department for the provi-
sion of medical care and services in such fiscal year, as 
forecast using the Enrollee Health Care Projection Model, 
or other methodologies used by the Department. 
(b) REPORTS.— 
(1) IN GENERAL.—Not later than 120 days after 
the date of each year in 2011, 2012, and 2013, on 
which the President submits the budget request for the 
next fiscal year under section 1105 of title 31, United 
States Code, the Comptroller General shall submit to 
the Committees on Veterans’ Affairs, Appropriations, 
and the Budget of the Senate and the Committees on 
Veterans’ Affairs, Appropriations, and the Budget of 
the House of Representatives and to the Secretary a 
report on the review conducted under subsection (a). 
(2) ELEMENTS.—Each report under this para-
graph shall include, for the fiscal year beginning in 
the year in which such report is submitted, the fol-
lowing: 
(A) An assessment of the review conducted 
under subsection (a). 
(B) The basis for such assessment.
(C) Such additional information as the 
Comptroller General determines appropriate. 
(3) AVAILABILITY TO THE PUBLIC.—Each report 
submitted under this subsection shall also be made 
available to the public. 
Attest: 
Clerk.