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provided for information technology systems development, 
modernization, and enhancement for the development of 
a joint Department of Defense—Department of Veterans 
Affairs (DOD–VA) integrated electronic health record 
(iEHR), not more than 25 percent may be obligated until 
the DOD–VA Interagency Program Office submits to the 
Committees on Appropriations of both Houses of Con-
gress, and such Committees approve, a plan for expendi-
ture that: (1) defines the budget and cost baseline for de-
velopment of the integrated Electronic Health Record; (2) 
identifies the deployment timeline for the system for both 
Agencies; (3) breaks out annual and total spending for 
each Department; (4) relays detailed cost-sharing business 
rules; (5) establishes data standardization schedules be-
tween the Departments; (6) has been submitted to the 
Government Accountability Office for review; and (7) com-
plies with the acquisition rules, requirements, guidelines, 
and systems acquisition management practices of the Fed-
eral Government: Provided further, That the funds made 
available under this heading for information technology 
systems development, modernization, and enhancement, 
shall be for the projects, and in the amounts, specified 
under this heading in the explanatory statement described 
in section 4 (in the matter preceding division A of this 
consolidated Act). 
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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.), $115,000,000, of which $6,000,000 shall re-
main available until September 30, 2014. 
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-
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, 
$532,470,000, of which $502,470,000 shall remain avail-
able until September 30, 2017, and of which $30,000,000 
shall remain available until expended: Provided, That 
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$5,000,000 shall be to make reimbursements as provided 
in section 7108 of title 41, United States Code, for claims 
paid for contract disputes: Provided further, That except 
for advance planning activities, including needs assess-
ments which may or may not lead to capital investments, 
and other capital asset management related activities, in-
cluding portfolio development and management activities, 
and investment strategy studies funded through the ad-
vance planning fund and the planning and design activities 
funded through the design fund, including needs assess-
ments which may or may not lead to capital investments, 
and salaries and associated costs of the resident engineers 
who oversee those capital investments funded through this 
account, and funds provided for the purchase of land for 
the National Cemetery Administration 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 proc-
ess: Provided further, That funds made available under 
this heading for fiscal year 2013, for each approved 
project shall be obligated: (1) by the awarding of a con-
struction documents contract by September 30, 2013; and 
(2) by the awarding of a construction contract by Sep-
tember 30, 2014: Provided further, That the Secretary of 
Veterans Affairs shall promptly submit to the Committees 
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on Appropriations of both Houses of Congress a written 
report on any approved major construction project for 
which obligations are not incurred within the time limita-
tions 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, 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, $607,530,000, to remain available 
until September 30, 2017, 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 
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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, $85,000,000, to re-
main available until expended. 
GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES 
For grants to assist States and tribal governments 
in establishing, expanding, or improving veterans ceme-
teries as authorized by section 2408 of title 38, United 
States Code, $46,000,000, to remain available until ex-
pended. 
ADMINISTRATIVE PROVISIONS 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. Any appropriation for fiscal year 2013 for 
‘‘Compensation and pensions’’, ‘‘Readjustment benefits’’, 
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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 2013, 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-
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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, 
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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 
2012. 
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 2013, 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 
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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 
2013 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 
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 
2013 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-
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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 to exceed $42,904,000 for the Office of Reso-
lution Management and $3,360,000 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 administration’’ and ‘‘Information technology 
systems’’ accounts for use by the office that provided 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-
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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-
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 
Secretary during the fiscal year in which amounts are re-
ceived. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 213. 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 (in-
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cluding site acquisition and disposition), alterations, and 
improvements of any medical facility under the jurisdic-
tion or for the use of the Department of Veterans Affairs. 
Such sums as realized are in addition to the amount pro-
vided for in ‘‘Construction, major projects’’ and ‘‘Con-
struction, minor projects’’. 
SEC. 214. 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. 215. Such sums as may be deposited to the 
Medical Care Collections Fund pursuant to section 1729A 
of title 38, United States Code, may be transferred to 
‘‘Medical services’’, to remain available until expended for 
the purposes of that account. 
SEC. 216. The Secretary of Veterans Affairs may 
enter into agreements with Indian tribes and tribal organi-
zations which are party to the Alaska Native Health Com-
pact with the Indian Health Service, and Indian tribes and 
tribal organizations serving rural Alaska which have en-
tered into contracts with the Indian Health Service under 
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the Indian Self Determination and Educational Assistance 
Act, to provide healthcare, including behavioral health and 
dental care. The Secretary shall require participating vet-
erans and facilities to comply with all appropriate rules 
and regulations, as established by the Secretary. The term 
‘‘rural Alaska’’ shall mean those lands sited within the ex-
ternal boundaries of the Alaska Native regions specified 
in sections 7(a)(1)–(4) and (7)–(12) of the Alaska Native 
Claims Settlement Act, as amended (43 U.S.C. 1606), and 
those lands within the Alaska Native regions specified in 
sections 7(a)(5) and 7(a)(6) of the Alaska Native Claims 
Settlement Act, as amended (43 U.S.C. 1606), which are 
not within the boundaries of the municipality of Anchor-
age, the Fairbanks North Star Borough, the Kenai Penin-
sula Borough or the Matanuska Susitna Borough. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 217. Such sums as may be deposited to the De-
partment of Veterans Affairs Capital Asset Fund pursu-
ant 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. 218. None of the funds made available in this 
title may be used to implement any policy prohibiting the 
Directors of the Veterans Integrated Services Networks 
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from conducting outreach or marketing to enroll new vet-
erans within their respective Networks. 
SEC. 219. The Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
Houses of Congress a quarterly report on the financial 
status of the Veterans Health Administration. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 220. Amounts made available under the ‘‘Med-
ical services’’, ‘‘Medical support and compliance’’, ‘‘Med-
ical facilities’’, ‘‘General operating expenses, Veterans 
Benefits Administration’’, ‘‘General administration’’, and 
‘‘National Cemetery Administration’’ accounts for fiscal 
year 2013, may be transferred to or from the ‘‘Informa-
tion technology systems’’ account: Provided, That before 
a transfer may take place, the Secretary of Veterans Af-
fairs shall request from the Committees on Appropriations 
of both Houses of Congress the authority to make the 
transfer and an approval is issued. 
SEC. 221. 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; 
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119 Stat. 2506); or (2) section 8110(a)(5) of title 38, 
United States Code. 
SEC. 222. Of the amounts made available to the De-
partment of Veterans Affairs for fiscal year 2013, in this 
Act or any other Act, under the ‘‘Medical facilities’’ ac-
count for nonrecurring maintenance, not more than 20 
percent of the funds made available shall be obligated dur-
ing the last 2 months of that fiscal year: Provided, That 
the Secretary may waive this requirement after providing 
written notice to the Committees on Appropriations of 
both Houses of Congress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 223. Of the amounts appropriated to the De-
partment of Veterans Affairs for fiscal year 2013 for 
‘‘Medical services’’, ‘‘Medical support and compliance’’, 
‘‘Medical facilities’’, ‘‘Construction, minor projects’’, and 
‘‘Information technology systems’’, up to $247,356,000, 
plus reimbursements, may be transferred to the Joint De-
partment of Defense-Department of Veterans Affairs 
Medical Facility Demonstration Fund, established by sec-
tion 1704 of the National Defense Authorization Act for 
Fiscal Year 2010 (Public Law 111–84; 123 Stat. 3571) 
and may be used for operation of the facilities designated 
as combined Federal medical facilities as described by sec-
tion 706 of the Duncan Hunter National Defense Author-
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HR 933 PCS
ization 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 Defense-Department of Veterans Af-
fairs Medical Facility Demonstration Fund upon written 
notification by the Secretary of Veterans Affairs to the 
Committees on Appropriations of both Houses of Con-
gress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 224. Such sums as may be deposited to the 
Medical Care Collections Fund pursuant to section 1729A 
of title 38, United States Code, for healthcare provided 
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 Defense- 
Department of Veterans Affairs Medical Facility Dem-
onstration Fund, established by section 1704 of the Na-
tional Defense Authorization Act for Fiscal Year 2010 
(Public Law 111–84; 123 Stat. 3571); 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). 
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