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, $4,343,000,000, plus reimbursements: Pro-
vided, That $1,204,238,000 shall be for pay and associ-
ated costs, of which not to exceed 3 percent shall remain 
available until September 30, 2021: Provided further, That 
$2,737,482,000 shall be for operations and maintenance, 
of which not to exceed 5 percent shall remain available 
until September 30, 2021: Provided further, That 
$401,280,000 shall be for information technology systems 
development, and shall remain available until September 
30, 2021: Provided further, That amounts made available 
for salaries and expenses, operations and maintenance, 
and information technology systems development may be 
transferred among the three subaccounts after the Sec-
retary of Veterans Affairs requests from the Committees 
on Appropriations of both Houses of Congress the author-
ity to make the transfer and an approval is issued: Pro-
vided further, That amounts made available for the ‘‘Infor-
mation Technology Systems’’ account for development 
may be transferred among projects or to newly defined 
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projects: Provided further, That no project may be in-
creased or decreased by more than $1,000,000 of cost 
prior to submitting a request to the Committees on Appro-
priations of both Houses of Congress to make the transfer 
and an approval is issued, or absent a response, a period 
of 30 days has elapsed: Provided further, That the funds 
made available under this heading for information tech-
nology systems development shall be for the projects, and 
in the amounts, specified 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, $1,603,000,000, to remain 
available until September 30, 2022: 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: Provided further, 
That the funds provided in this account shall only be avail-
able to the Office of the Deputy Secretary, to be adminis-
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tered by that Office: Provided further, That none of the 
funds made available under this heading may be obligated 
in a manner inconsistent with deployment schedules pro-
vided to the Committees on Appropriations unless the Sec-
retary of Veterans Affairs provides notification to the 
Committees on Appropriations of such change and an ap-
proval is issued. 
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.), $222,000,000, of which not to exceed 10 
percent shall remain available until September 30, 2021. 
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-
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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, 
$1,235,200,000, of which $1,036,600,000 shall remain 
available until September 30, 2024, and of which 
$198,600,000 shall remain available until expended, of 
which $35,000,000 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 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 funds provided for the purchase, secu-
rity, and maintenance 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 that has not been notified to Con-
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gress through the budgetary process or that has not been 
approved by the Congress through statute, joint resolu-
tion, or in the explanatory statement accompanying such 
Act and presented to the President at the time of enroll-
ment: Provided further, That such sums as may be nec-
essary shall be available to reimburse the ‘‘General Admin-
istration’’ account for payment of salaries and expenses 
of all Office of Construction and Facilities Management 
employees to support the full range of capital infrastruc-
ture services provided, including minor construction and 
leasing services: Provided further, That funds made avail-
able under this heading for fiscal year 2020, for each ap-
proved project shall be obligated: (1) by the awarding of 
a construction documents contract by September 30, 
2020; and (2) by the awarding of a construction contract 
by September 30, 2021: Provided further, That the Sec-
retary 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 which obligations are not incurred within the 
time limitations established above: Provided further, That 
notwithstanding 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 
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for the completion 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, $421,117,000, to remain available 
until September 30, 2024, 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 
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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 
States Code, $45,000,000, to remain available until ex-
pended. 
ADMINISTRATIVE PROVISIONS 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. Any appropriation for fiscal year 2020 for 
‘‘Compensation and Pensions’’, ‘‘Readjustment Benefits’’, 
and ‘‘Veterans Insurance and Indemnities’’ may be trans-
ferred as necessary to any other of the mentioned appro-
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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 2020, in this or 
any other Act, under the ‘‘Medical Services’’, ‘‘Medical 
Community Care’’, ‘‘Medical Support and Compliance’’, 
and ‘‘Medical Facilities’’ accounts may be transferred 
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 
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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-
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 
2019. 
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 2020, 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 
2020 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 
2020 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, the Office of Employment Discrimination Complaint 
Adjudication, and the Office of Diversity and Inclusion for 
all services provided at rates which will recover actual 
costs but not to exceed $57,263,000 for the Office of Reso-
lution Management, $6,000,000 for the Office of Employ-
ment 
Discrimination 
Complaint 
Adjudication, 
and 
$4,628,000 for the Office of Diversity and Inclusion: Pro-
vided, 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 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 
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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. 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— 
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(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 to the 
Medical Care Collections Fund pursuant to section 1729A 
of title 38, United States Code, may be transferred to the 
‘‘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. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 216. 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. 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 
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 2020 may be transferred to or from the ‘‘Informa-
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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. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 219. Of the amounts appropriated to the De-
partment of Veterans Affairs for fiscal year 2020 for 
‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical 
Support and Compliance’’, ‘‘Medical Facilities’’, ‘‘Con-
struction, Minor Projects’’, and ‘‘Information Technology 
Systems’’, up to $314,409,000, 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, 
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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 C of Public Law 
115–244 is repealed. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 220. Of the amounts appropriated to the De-
partment of Veterans Affairs which become available on 
October 1, 2020, for ‘‘Medical Services’’, ‘‘Medical Com-
munity Care’’, ‘‘Medical Support and Compliance’’, and 
‘‘Medical Facilities’’, up to $322,931,000, 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. 3571) 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-
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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 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 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. 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): 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 
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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-
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-
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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-
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. 
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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 
needs of the Veterans Health Administration, may trans-
fer to the ‘‘Medical Services’’ account any discretionary 
appropriations made available for fiscal year 2020 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 2020, 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 
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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 
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 2020, 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. 
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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— 
(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— 
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(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 memo-
randum, or other action by the President; and 
(ii) any agency policy, order, or other di-
rective. 
SEC. 232. None of the funds in this or any other Act 
may be used to close Department of Veterans Affairs (VA) 
hospitals, domiciliaries, or clinics, conduct an environ-
mental assessment, or to diminish healthcare services at 
existing Veterans Health Administration medical facilities 
located in Veterans Integrated Service Network 23 as part 
of a planned realignment of VA services until the Sec-
retary provides to the Committees on Appropriations of 
both Houses of Congress a report including the following 
elements: 
(1) a national realignment strategy that in-
cludes a detailed description of realignment plans 
within each Veterans Integrated Services Network 
(VISN), including an updated Long Range Capital 
Plan to implement realignment requirements; 
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(2) an explanation of the process by which 
those plans were developed and coordinated within 
each VISN; 
(3) a cost versus benefit analysis of each 
planned realignment, including the cost of replacing 
Veterans Health Administration services with con-
tract care or other outsourced services; 
(4) an analysis of how any such planned re-
alignment of services will impact access to care for 
veterans living in rural or highly rural areas, includ-
ing travel distances and transportation costs to ac-
cess a VA medical facility and availability of local 
specialty and primary care; 
(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. 
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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) Chapter 17 of title 38, United States 
Code, is amended by inserting after section 1720I the fol-
lowing new section: 
‘‘§ 1720J. Provision of assisted reproductive tech-
nology or adoption reimbursements for 
certain disabled veterans 
‘‘(a) PROVISION OF SERVICES.—Subject to the avail-
ability of appropriations, the Secretary may 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) LIMITATIONS.—Amounts made available for the 
purposes specified in subsection (a) are subject to the re-
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quirements for funds contained in section 508 of division 
H of the Consolidated Appropriations Act, 2017 (Public 
Law 115–31). 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) 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 section under the same terms as 
apply under the adoption reimbursement program of 
the Department of Defense, as authorized in De-
partment of Defense Instruction 1341.09, including 
the reimbursement limits and requirements set forth 
in such instruction, as in effect on the date of the 
enactment of this section. 
‘‘(2) 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, as de-
scribed 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 Members’ issued by the Assist-
ant Secretary of Defense for Health Affairs on April 
3, 2012, and the guidance issued to implement such 
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policy, as in effect on the date of the enactment of 
this section, including any limitations on the amount 
of such benefits available to such a member, except 
that— 
‘‘(A) 
the 
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. 
‘‘(3) The term ‘covered veteran’ means a vet-
eran who has a service-connected disability that re-
sults in the inability of the veteran to procreate 
without the use of fertility treatment.’’. 
(b) The table of sections at the beginning of such 
chapter is amended by inserting after the item relating 
to section 1720I the following new item: 
‘‘1720J. Provision of assisted reproductive technology or adoption reimburse-
ments for certain disabled veterans.’’. 
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 
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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. 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 
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. 237. (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 5 
years after the date of the enactment of this Act. 
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(2) For all individuals not described in para-
graph (1), not later than 8 years after the date of 
the enactment of this Act. 
(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 only if the use of such number is required to obtain 
information the Secretary requires from an information 
system that is not under the jurisdiction of the Secretary. 
SEC. 238. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2020 and 2021 
for ‘‘Medical Services’’, section 239 of Division A of Public 
Law 114–223 shall apply. 
SEC. 239. 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. 240. Of the funds provided to the Department 
of Veterans Affairs for each of fiscal year 2020 and fiscal 
year 2021 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. 
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SEC. 241. 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 
interest of national defense or the conduct of foreign af-
fairs. 
SEC. 242. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2020 and 2021, 
section 258 of Division A of Public Law 114–223 shall 
apply. 
SEC. 243. For an additional amount for the Depart-
ment of Veterans Affairs, $1,000,000,000 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) $850,000,000 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, 
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the Construction, Minor Projects, Medical Facilities, 
or National Cemetery Administration accounts; 
(2) $150,000,000 shall be for ‘‘Departmental 
Administration—Construction, Minor Projects’’: 
Provided, That the additional amounts appropriated under 
this section for the purpose of minor construction may be 
used to carry out critical life-safety projects identified in 
the Department’s annual facility condition assessments; 
sustainment projects; modernization projects; infrastruc-
ture repair; renovations at existing Veterans Health Ad-
ministration medical centers and outpatient clinics; and 
projects included in the Strategic Capital Investment 
Process plan: Provided further, That notwithstanding the 
requirements of section 8104(a) of title 38, United States 
Code, amounts made available under this heading for seis-
mic improvement projects and seismic program manage-
ment activities shall be available for the completion of both 
new and existing projects of the Department: 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 expenditure plan, includ-
ing project descriptions and costs, for any minor construc-
tion, major construction, or seismic improvement project 
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