IV 
111TH CONGRESS 
1ST SESSION 
H. RES. 804 
Providing for the concurrence by the House in the Senate amendment to 
H.R. 1016, with amendment. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 7, 2009 
Mr. FILNER submitted the following resolution; which was referred to the 
Committee on Rules 
RESOLUTION 
Providing for the concurrence by the House in the Senate 
amendment to H.R. 1016, with amendment. 
Resolved, That upon the adoption of this resolution 
the bill (H.R. 1016) entitled ‘‘An Act to amend title 38, 
United States Code, to provide advance appropriations au-
thority for certain medical care accounts of the Depart-
ment of Veterans Affairs, and for other purposes’’, with 
the Senate amendment thereto, shall be considered to have 
been taken from the Speaker’s table to the end that the 
Senate amendment thereto be, and the same is hereby, 
agreed to with the following amendment: 
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Strike all after the enacting clause and insert 
the following: 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Veterans Health Care 
Budget Reform and Transparency Act of 2009’’. 
SEC. 2. PRESIDENT’S BUDGET SUBMISSION. 
Section 1105(a) of title 31, United States Code, is 
amended by adding at the end the following new para-
graph: 
‘‘(36) information on estimates of appropria-
tions for the fiscal year following the fiscal year for 
which the budget is submitted for the following med-
ical care accounts of the Veterans Health Adminis-
tration, Department of Veterans Affairs account: 
‘‘(A) Medical Services. 
‘‘(B) Medical Support and Compliance. 
‘‘(C) Medical Facilities.’’. 
SEC. 3. ADVANCE APPROPRIATIONS FOR CERTAIN MED-
ICAL CARE ACCOUNTS OF THE DEPARTMENT 
OF VETERANS AFFAIRS. 
(a) IN GENERAL.—Chapter 1 of title 38, United 
States Code, is amended by inserting after section 116 the 
following new section: 
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‘‘(d) ANNUAL REPORT.—Not later than July 31 of 
each year, the Secretary shall submit to Congress an an-
nual report on the sufficiency of the Department’s re-
sources for the next fiscal year beginning after the date 
of the submittal of the report for the provision of medical 
care. Such report shall also include estimates of the work-
load and demand data for that fiscal year.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by inserting 
after the item relating to section 113 the following new 
line: 
‘‘117. Advance appropriations for certain medical care accounts.’’. 
SEC. 4. COMPTROLLER GENERAL REVIEW OF THE ACCU-
RACY OF VA MEDICAL CARE BUDGET SUBMIS-
SION IN RELATION TO BASELINE HEALTH 
CARE MODEL PROJECTION. 
(a) REVIEW OF ACCURACY OF MEDICAL CARE BUDG-
ET SUBMISSION.—The Comptroller General shall conduct 
a review of each budget of the President for a fiscal year 
that is submitted to Congress pursuant to section 1105(a) 
of title 31 in order to assess whether or not the relevant 
components of the amounts requested in such budget for 
such fiscal year for the medical care accounts of the De-
partment of Veterans Affairs specified in section 117(c) 
of title 38, United States Code, as added by section 3, 
are consistent with estimates of the resources required by 
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the Department for the provision of medical care and serv-
ices in such fiscal year, as forecast using the Enrollee 
Health Care Projection Model, or other methodologies 
used by the Department. 
(b) REPORTS.— 
(1) IN
GENERAL.—Not later than 120 days 
after the date of each year in 2011, 2012, and 2013, 
on which the President submits the budget request 
for the next fiscal year under section 1105 of title 
31, United States Code, the Comptroller General 
shall submit to the Committees on Veterans’ Affairs, 
Appropriations, and the Budget of the Senate and 
the Committees on Veterans’ Affairs, Appropria-
tions, and the Budget of the House of Representa-
tives and to the Secretary a report on the review 
conducted under subsection (a). 
(2) ELEMENTS.—Each report under this para-
graph shall include, for the fiscal year beginning in 
the year in which such report is submitted, the fol-
lowing: 
(A) An assessment of the review conducted 
under subsection (a). 
(B) The basis for such assessment. 
(C) Such additional information as the 
Comptroller General determines appropriate. 
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(3) AVAILABILITY TO THE PUBLIC.—Each re-
port submitted under this subsection shall also be 
made available to the public. 
Æ 
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