164 
(5) an inventory of VA buildings with historic 
designation and the methodology used to determine 
the buildings’ condition and utilization; 
(6) a description of how any realignment will be 
consistent with requirements under the National 
Historic Preservation Act; and 
(7) consideration given for reuse of historic 
buildings within newly identified realignment re-
quirements: Provided, That, this provision shall not 
apply to capital projects in VISN 23, or any other 
VISN, which have been authorized or approved by 
Congress. 
SEC. 233. 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 
issued by the Veterans Health Administration National 
Center for Health Promotion and Disease Prevention. 
SEC. 234. (a) Notwithstanding any other provision 
of law, the amounts appropriated or otherwise made avail-
165 
able to the Department of Veterans Affairs for the ‘‘Med-
ical Services’’ account may be used to provide— 
(1) fertility counseling and treatment using as-
sisted reproductive technology to a covered veteran 
or the spouse of a covered veteran; or 
(2) adoption reimbursement to a covered vet-
eran. 
(b) In this section: 
(1) The term ‘‘service-connected’’ has the 
meaning given such term in section 101 of title 38, 
United States Code. 
(2) The term ‘‘covered veteran’’ means a vet-
eran, as such term is defined in section 101 of title 
38, United States Code, who has a service-connected 
disability that results in the inability of the veteran 
to procreate without the use of fertility treatment. 
(3) The term ‘‘assisted reproductive tech-
nology’’ means benefits relating to reproductive as-
sistance provided to a member of the Armed Forces 
who incurs a serious injury or illness on active duty 
pursuant to section 1074(c)(4)(A) of title 10, United 
States Code, as described in the memorandum on 
the subject of ‘‘Policy for Assisted Reproductive 
Services for the Benefit of Seriously or Severely Ill/ 
Injured (Category II or III) Active Duty Service
166 
Members’’ issued by the Assistant Secretary of De-
fense for Health Affairs on April 3, 2012, and the 
guidance issued to implement such policy, including 
any limitations on the amount of such benefits avail-
able to such a member except that— 
(A) the time periods regarding embryo 
cryopreservation and storage set forth in part 
III(G) and in part IV(H) of such memorandum 
shall not apply; and 
(B) 
such 
term 
includes 
embryo 
cryopreservation and storage without limitation 
on the duration of such cryopreservation and 
storage. 
(4) The term ‘‘adoption reimbursement’’ means 
reimbursement for the adoption-related expenses for 
an adoption that is finalized after the date of the en-
actment of this Act under the same terms as apply 
under the adoption reimbursement program of the 
Department of Defense, as authorized in Depart-
ment of Defense Instruction 1341.09, including the 
reimbursement limits and requirements set forth in 
such instruction. 
(c) Amounts made available for the purposes speci-
fied in subsection (a) of this section are subject to the 
requirements for funds contained in section 508 of division
167 
H of the Consolidated Appropriations Act, 2018 (Public 
Law 115–141). 
SEC. 235. 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. 236. 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. 237. None of the funds appropriated or other-
wise made available by this Act may be used to conduct 
research using canines unless: the scientific objectives of 
the study can only be met by research with canines; the 
study has been directly approved by the Secretary; and 
the study is consistent with the revised Department of 
Veterans Affairs canine research policy document released 
on December 18, 2017: Provided, That not later than 180
168 
days after enactment of this Act, the Secretary shall sub-
mit to the Committees on Appropriations of both Houses 
of Congress a detailed report outlining under what cir-
cumstances canine research may be needed if there are 
no other alternatives, how often it was used during that 
time period, and what protocols are in place to determine 
both the safety and efficacy of the research. 
SEC. 238. For an additional amount for the Depart-
ment of Veterans Affairs, $2,000,000,000 to remain avail-
able until expended, for infrastructure improvements, in-
cluding new construction, and in addition to amounts oth-
erwise made available in this Act for such purpose, of 
which: 
(1) $750,000,000 shall be available for seismic 
improvement projects and seismic program manage-
ment activities, including projects that would other-
wise be funded by the Construction, Major Projects, 
the Construction, Minor Projects, Medical Facilities, 
or National Cemetery Administration accounts; 
(2) $100,000,000 shall be for National Ceme-
tery Administration projects within ‘‘Department 
Administration - Construction, Major Projects’’; 
(3) $800,000,000 shall be for ‘‘Veterans Health 
Administration—Medical Facilities’’ to be used for 
non-recurring maintenance; and
169 
(4) $350,000,000 shall be for ‘‘Departmental 
Administration—Construction, Minor Projects’’: 
Provided, That the additional amounts appropriated for 
the purposes of non-recurring maintenance and minor con-
struction may be used to carry out critical life-safety 
projects identified in the Department’s annual facility con-
dition assessments; sustainment projects; modernization 
projects; infrastructure repair; renovations at existing Vet-
erans Health Administration medical centers and out-
patient clinics; and projects included in the Strategic Cap-
ital Investment Process plan: Provided further, That not-
withstanding the requirements of section 8104(a) of title 
38, United States Code, amounts made available under 
this heading for seismic improvement projects and seismic 
program management activities shall be available for the 
completion of both new and existing projects of the De-
partment: Provided further, That the additional amounts 
appropriated under this section may not be obligated or 
expended until the Secretary of Veterans Affairs submits 
to the Committees on Appropriations of both Houses of 
Congress, and such Committees approve, a detailed ex-
penditure plan, including project descriptions and costs, 
for any non-recurring maintenance, major construction or 
minor construction project being funded with the addi-
tional amounts made available in this section.