of title 38, United States Code, $10,440,245,000, to re-
main available until expended: Provided, That expenses for 
rehabilitation program services and assistance which the 
Secretary is authorized to provide under subsection (a) of 
section 3104 of title 38, United States Code, other than 
under paragraphs (1), (2), (5), and (11) of that sub-
section, shall be charged to this account. 
VETERANS INSURANCE AND INDEMNITIES 
For military and naval insurance, national service life 
insurance, servicemen’s indemnities, service-disabled vet-
erans insurance, and veterans mortgage life insurance as 
authorized by title 38, United States Code, chapters 19 
and 21, $62,589,000, to remain available until expended. 
VETERANS HOUSING BENEFIT PROGRAM FUND 
For the cost of direct and guaranteed loans, such 
sums as may be necessary to carry out the program, as 
authorized by subchapters I through III of chapter 37 of 
title 38, United States Code: Provided, That such costs, 
including the cost of modifying such loans, shall be as de-
fined in section 502 of the Congressional Budget Act of 
1974: Provided further, That during fiscal year 2011, 
within the resources available, not to exceed $500,000 in 
gross obligations for direct loans are authorized for spe-
cially adapted housing loans.
In addition, for administrative expenses to carry out 
the direct and guaranteed loan programs, $163,646,000. 
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $48,000, as authorized 
by chapter 31 of title 38, United States Code: Provided, 
That such costs, including the cost of modifying such 
loans, shall be as defined in section 502 of the Congres-
sional Budget Act of 1974: Provided further, That funds 
made available under this heading are available to sub-
sidize gross obligations for the principal amount of direct 
loans not to exceed $3,042,000. 
In addition, for administrative expenses necessary to 
carry out the direct loan program, $337,000, which may 
be paid to the appropriation for ‘‘General operating ex-
penses’’. 
NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM 
ACCOUNT 
For administrative expenses to carry out the direct 
loan program authorized by subchapter V of chapter 37 
of title 38, United States Code, $707,000. 
VETERANS HEALTH ADMINISTRATION 
MEDICAL SERVICES 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for furnishing, as authorized 
by law, inpatient and outpatient care and treatment to
beneficiaries of the Department of Veterans Affairs and 
veterans described in section 1705(a) of title 38, United 
States Code, including care and treatment in facilities not 
under the jurisdiction of the Department, and including 
medical supplies and equipment, food services, and sala-
ries and expenses of health care employees hired under 
title 38, United States Code, aid to State homes as author-
ized by section 1741 of title 38, United States Code, as-
sistance and support services for caregivers as authorized 
by section 1720G of title 38, United States Code, and loan 
repayments authorized by section 604 of Public Law 111– 
163, $39,649,985,000, plus reimbursements, shall become 
available on October 1, 2011, and shall remain available 
until September 30, 2012: Provided, That, of the amount 
made available under this heading $1,015,000,000 shall 
remain available until September 30, 2013: Provided fur-
ther, That, notwithstanding any other provision of law, the 
Secretary of Veterans Affairs shall establish a priority for 
the provision of medical treatment for veterans who have 
service-connected disabilities, lower income, or have special 
needs: Provided further, That, notwithstanding any other 
provision of law, the Secretary of Veterans Affairs shall 
give priority funding for the provision of basic medical 
benefits to veterans in enrollment priority groups 1 
through 6: Provided further, That, notwithstanding any
other provision of law, the Secretary of Veterans Affairs 
may authorize the dispensing of prescription drugs from 
Veterans Health Administration facilities to enrolled vet-
erans with privately written prescriptions based on re-
quirements established by the Secretary: Provided further, 
That the implementation of the program described in the 
previous proviso shall incur no additional cost to the De-
partment of Veterans Affairs. 
MEDICAL SUPPORT AND COMPLIANCE 
For necessary expenses in the administration of the 
medical, hospital, nursing home, domiciliary, construction, 
supply, and research activities, as authorized by law; ad-
ministrative expenses in support of capital policy activi-
ties; and administrative and legal expenses of the Depart-
ment for collecting and recovering amounts owed the De-
partment as authorized under chapter 17 of title 38, 
United States Code, and the Federal Medical Care Recov-
ery Act (42 U.S.C. 2651 et seq.); $5,535,000,000, plus 
reimbursements, shall become available on October 1, 
2011, and shall remain available until September 30, 
2012: Provided, That, of the amount made available under 
this heading, $145,000,000 shall remain available until 
September 30, 2013.
MEDICAL FACILITIES 
For necessary expenses for the maintenance and op-
eration of hospitals, nursing homes, and domiciliary facili-
ties and other necessary facilities of the Veterans Health 
Administration; 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, 
$5,426,000,000, plus reimbursements, shall become avail-
able on October 1, 2011, and shall remain available until 
September 30, 2012: Provided, That, of the amount made 
available under this heading, $145,000,000 shall remain 
available until September 30, 2013: Provided further, 
That, of the amount available for fiscal year 2012, 
$130,000,000 for non-recurring maintenance shall be allo-
cated in a manner not subject to the Veterans Equitable 
Resource Allocation.
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, 
$590,000,000, plus reimbursements, shall remain avail-
able until September 30, 2012. 
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, $259,004,000, 
of which not to exceed $24,200,000 shall remain available 
until September 30, 2012. 
DEPARTMENTAL ADMINISTRATION 
GENERAL OPERATING EXPENSES 
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 
official reception and representation expenses; hire of pas-
senger motor vehicles; and reimbursement of the General 
Services Administration for security guard services, and 
the Department of Defense for the cost of overseas em-
ployee mail, $2,601,389,000 (reduced by $20,000,000) 
(increased by $20,000,000) (reduced by $100,000) (in-
creased by $100,000) (reduced by $10,000,000) (reduced 
by $50,000) (increased by $50,000) (reduced by 
$150,000) (increased by $150,000): Provided, That ex-
penses for services and assistance authorized under para-
graphs (1), (2), (5), and (11) of section 3104(a) of title 
38, United States Code, that the Secretary of Veterans 
Affairs determines are necessary to enable entitled vet-
erans: (1) to the maximum extent feasible, to become em-
ployable and to obtain and maintain suitable employment; 
or (2) to achieve maximum independence in daily living, 
shall be charged to this account: Provided further, That 
the Veterans Benefits Administration shall be funded at 
not less than $2,162,776,000: Provided further, That of 
the funds made available under this heading, not to exceed 
$111,000,000 shall remain available until September 30, 
2012: Provided further, That from the funds made avail-
able under this heading, the Veterans Benefits Adminis-
tration may purchase (on a one-for-one replacement basis 
only) up to two passenger motor vehicles for use in oper-
ations of that Administration in Manila, Philippines: Pro-
vided further, That of the funds made available under this 
heading, $10,000,000 shall be available to increase the 
number of Department of Veterans Affairs employees who 
administer benefits under chapter 31 of title 38, United 
States Code: Provided further, That of the funds made 
available under this heading, $8,000,000 shall be available 
to fund the adaptive sports grant program under section 
521A of title 38, United States Code, and $2,000,000 
shall be available to carry out section 322 of title 38, 
United States Code. 
INFORMATION TECHNOLOGY SYSTEMS 
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, $3,222,000,000, plus reimbursements, shall 
remain available until September 30, 2012: Provided, 
That none of the funds made available under this heading 
may be obligated until the Department of Veterans Affairs 
submits to the Committees on Appropriations of both 
Houses of Congress, and such Committees approve, a plan
for expenditure that: (1) meets the capital planning and 
investment control review requirements established by the 
Office of Management and Budget; (2) complies with the 
Department of Veterans Affairs enterprise architecture; 
(3) conforms with an established enterprise life cycle 
methodology; and (4) complies with the acquisition rules, 
requirements, guidelines, and systems acquisition manage-
ment practices of the Federal Government: Provided fur-
ther, That not later than 30 days after the date of the 
enactment of this Act, the Secretary of Veterans Affairs 
shall submit to the Committees on Appropriations of both 
Houses of Congress a reprogramming base letter which 
sets forth, by project, the operations and maintenance 
costs, with salary expenses separately designated, and de-
velopment costs to be carried out utilizing amounts made 
available under this heading. 
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.), $115,367,000, of which $6,000,000 shall re-
main available until September 30, 2012. 
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, 8102, 8103, 8106, 8108, 8109, 8110, 
and 8122 of title 38, United States Code, including plan-
ning, architectural and engineering services, construction 
management 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, 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, 
$1,166,036,000 
(increased 
by 
$10,000,000), to remain available until expended, of which 
$6,000,000 shall be to make reimbursements as provided 
in section 13 of the Contract Disputes Act of 1978 (41 
U.S.C. 612) for claims paid for contract disputes: Pro-
vided, That except for advance planning activities, includ-
ing needs assessments which may or may not lead to cap-
ital investments, and other capital asset management re-
lated activities, including portfolio development and man-
agement activities, and investment strategy studies funded 
through the advance planning fund and the planning and 
design activities funded through the design fund, including
needs assessments which may or may not lead to capital 
investments, and salaries and associated costs of the resi-
dent engineers who oversee those capital investments 
funded through this account, and funds provided for the 
purchase of land for the National Cemetery Administra-
tion through the land acquisition line item, none of the 
funds made available under this heading shall be used for 
any project which has not been approved by the Congress 
in the budgetary process: Provided further, That funds 
made available under this heading for fiscal year 2011, 
for each approved project shall be obligated: (1) by the 
awarding of a construction documents contract by Sep-
tember 30, 2011; and (2) by the awarding of a construc-
tion contract by September 30, 2012: Provided further, 
That the Secretary of Veterans Affairs shall promptly sub-
mit to the Committees on Appropriations of both Houses 
of Congress a written report on any approved major con-
struction project for which obligations are not incurred 
within the time limitations established above. 
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, 8102, 8103, 8106, 8108, 8109, 
8110, 8122, and 8162 of title 38, United States Code, 
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, $507,700,000, to remain avail-
able until expended, along with unobligated balances of 
previous ‘‘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: Provided further, 
That of the funds made available under this heading, 
$162,734,000 shall be for renewable energy projects at 
Department of Veterans Affairs medical facility campuses 
pursuant to section 8103 of title 38, United States Code.
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, $85,000,000, to re-
main available until expended. 
GRANTS FOR CONSTRUCTION OF STATE VETERANS 
CEMETERIES 
For grants to assist States in establishing, expand-
ing, or improving State veterans cemeteries as authorized 
by section 2408 of title 38, United States Code, 
$46,000,000, to remain available until expended. 
ADMINISTRATIVE PROVISIONS 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. Any appropriation for fiscal year 2011 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 Congress 
the authority to make the transfer and such Committees
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 2011, in this Act 
or any other Act, under the ‘‘Medical services’’, ‘‘Medical 
support and compliance’’, and ‘‘Medical facilities’’ ac-
counts may be transferred among the accounts: Provided, 
That any transfers between the ‘‘Medical services’’ 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 between the ‘‘Medical services’’ and 
‘‘Medical support and compliance’’ accounts in excess of 
1 percent, or exceeding the cumulative 1 percent for the 
fiscal year, 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: Provided further, That any 
transfers to or from the ‘‘Medical facilities’’ account may 
take place only after the Secretary requests from the Com-
mittees 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-
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 
2010. 
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 2011, 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’’ and ‘‘Information technology sys-
tems’’ accounts for the cost of administration of the insur-
ance programs financed through those accounts: Provided, 
That reimbursement shall be made only from the surplus 
earnings accumulated in such an insurance program dur-
ing fiscal year 2011 that are available for dividends in that 
program after claims have been paid and actuarially deter-
mined reserves have been set aside: Provided further, That 
if the cost of 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 2011 which is properly allocable to the provi-
sion of each such insurance program and to the provision 
of any total disability income insurance included in that 
insurance program. 
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, may be obligated dur-
ing the fiscal year in which the proceeds are received. 
(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 of the Department of Veterans Affairs and the Of-
fice of Employment Discrimination Complaint Adjudica-
tion under section 319 of title 38, United States Code, 
for all services provided at rates which will recover actual 
costs but not exceed $35,794,000 for the Office of Resolu-
tion Management and $3,354,000 for the Office of Em-
ployment and Discrimination Complaint Adjudication: 
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 operating expenses’’ and ‘‘Information tech-
nology systems’’ accounts for use by the office that pro-
vided the service. 
SEC. 211. No appropriations in this title shall be 
available to enter into any new lease of real property if 
the estimated annual rental cost is more than $1,000,000, 
unless the Secretary submits a report which the Commit-
tees on Appropriations of both Houses of Congress ap-
prove within 30 days following the date on which the re-
port is received. 
SEC. 212. 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-