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TITLE II 
DEPARTMENT OF VETERANS AFFAIRS 
VETERANS BENEFITS ADMINISTRATION 
COMPENSATION AND PENSIONS 
(INCLUDING TRANSFER OF FUNDS) 
For the payment of compensation benefits to or on 
behalf of veterans and a pilot program for disability ex-
aminations as authorized by section 107 and chapters 11, 
13, 18, 51, 53, 55, and 61 of title 38, United States Code; 
pension benefits to or on behalf of veterans as authorized 
by chapters 15, 51, 53, 55, and 61 of title 38, United 
States Code; and burial benefits, the Reinstated Entitle-
ment Program for Survivors, emergency and other offi-
cers’ retirement pay, adjusted-service credits and certifi-
cates, payment of premiums due on commercial life insur-
ance policies guaranteed under the provisions of title IV 
of the Servicemembers Civil Relief Act (50 U.S.C. App. 
541 et seq.) and for other benefits as authorized by sec-
tions 107, 1312, 1977, and 2106, and chapters 23, 51, 
53, 55, and 61 of title 38, United States Code, 
$2,813,922,000, to remain available until expended, which 
shall be in addition to funds previously appropriated under 
this heading that become available on October 1, 2020; 
and in addition, $130,227,650,000, to remain available 
until expended, which shall become available on October 
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1, 2021: Provided, That not to exceed $20,115,000 of the 
amount made available for fiscal year 2022 under this 
heading shall be reimbursed to ‘‘General Operating Ex-
penses, Veterans Benefits Administration’’, and ‘‘Informa-
tion Technology Systems’’ for necessary expenses in imple-
menting the provisions of chapters 51, 53, and 55 of title 
38, United States Code, the funding source for which is 
specifically provided as the ‘‘Compensation and Pensions’’ 
appropriation: Provided further, That such sums as may 
be earned on an actual qualifying patient basis, shall be 
reimbursed to ‘‘Medical Care Collections Fund’’ to aug-
ment the funding of individual medical facilities for nurs-
ing home care provided to pensioners as authorized. 
READJUSTMENT BENEFITS 
For the payment of readjustment and rehabilitation 
benefits to or on behalf of veterans as authorized by chap-
ters 21, 30, 31, 33, 34, 35, 36, 39, 41, 51, 53, 55, and 
61 of title 38, United States Code, $14,946,618,000, to 
remain available until expended and to become available 
on October 1, 2021: Provided, That expenses for rehabili-
tation program services and assistance which the Sec-
retary is authorized to provide under subsection (a) of sec-
tion 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. 
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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 chapters 19 and 21 of title 38, United 
States Code, $2,148,000, to remain available until ex-
pended, which shall be in addition to funds previously ap-
propriated under this heading that become available on 
October 1, 2020; and in addition, $136,950,000, to re-
main available until expended, which shall become avail-
able on October 1, 2021. 
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 2021, 
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, $204,400,000. 
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VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $33,826, 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 $2,469,522. 
In addition, for administrative expenses necessary to 
carry out the direct loan program, $424,272, which may 
be paid to the appropriation for ‘‘General Operating Ex-
penses, Veterans Benefits Administration’’. 
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, $1,186,000. 
GENERAL OPERATING EXPENSES, VETERANS BENEFITS 
ADMINISTRATION 
For necessary operating expenses of the Veterans 
Benefits Administration, not otherwise provided for, in-
cluding hire of passenger motor vehicles, reimbursement 
of the General Services Administration for security guard 
services, and reimbursement of the Department of De-
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fense 
for 
the 
cost 
of 
overseas 
employee 
mail, 
$3,187,000,000 (reduced by $1,000,000) (reduced by 
$1,000,000) (increased by $1,000,000): Provided, That 
expenses for services and assistance authorized under 
paragraphs (1), (2), (5), and (11) of section 3104(a) of 
title 38, United States Code, that the Secretary of Vet-
erans Affairs determines are necessary to enable entitled 
veterans: (1) to the maximum extent feasible, to become 
employable and to obtain and maintain suitable employ-
ment; or (2) to achieve maximum independence in daily 
living, shall be charged to this account: Provided further, 
That, of the funds made available under this heading, not 
to exceed 10 percent shall remain available until Sep-
tember 30, 2022. 
VETERANS HEALTH ADMINISTRATION 
MEDICAL SERVICES 
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, bioengineering services, 
food services, and salaries and expenses of healthcare em-
ployees hired under title 38, United States Code, assist-
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Congress as being for an emergency requirement pursuant 
to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985; and, in addition, 
$58,897,219,000, plus reimbursements, shall become 
available on October 1, 2021, and shall remain available 
until September 30, 2022: Provided further, That, of the 
amount made available on October 1, 2021, under this 
heading, $1,500,000,000 shall remain available until Sep-
tember 30, 2023: Provided further, That, notwithstanding 
any other provision of law, the Secretary of Veterans Af-
fairs shall establish a priority for the provision of medical 
treatment for veterans who have service-connected disabil-
ities, lower income, or have special needs: Provided further, 
That, notwithstanding any other provision of law, the Sec-
retary of Veterans Affairs shall give priority funding for 
the provision of basic medical benefits to veterans in en-
rollment priority groups 1 through 6: Provided further, 
That, notwithstanding any other provision of law, the Sec-
retary of Veterans Affairs may authorize the dispensing 
of prescription drugs from Veterans Health Administra-
tion facilities to enrolled veterans with privately written 
prescriptions based on requirements established by the 
Secretary: Provided further, That, the implementation of 
the program described in the previous proviso shall incur 
no additional cost to the Department of Veterans Affairs: 
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Provided further, That, the Secretary of Veterans Affairs 
shall ensure that sufficient amounts appropriated under 
this heading for medical supplies and equipment are avail-
able for the acquisition of prosthetics designed specifically 
for female veterans. 
MEDICAL COMMUNITY CARE 
For necessary expenses for furnishing health care to 
individuals pursuant to chapter 17 of title 38, United 
States Code, at non-Department facilities, $1,380,800,000 
(reduced by $5,000,000) (increased by $1,000,000), which 
shall be in addition to funds that become available on Oc-
tober 1, 2020: Provided, That, of the amount provided in 
Public Law 116–94 that becomes available on October 1, 
2020 under this heading and was made available until 
September 30, 2021, $3,847,180,000 is designated by the 
Congress as being for an emergency requirement pursuant 
to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985; and, in addition, 
$20,148,244,000, plus reimbursements, shall become 
available on October 1, 2021, and shall remain available 
until September 30, 2022: Provided further, That, of the 
amount made available on October 1, 2021, under this 
heading, $2,000,000,000 shall remain available until Sep-
tember 30, 2023. 
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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.), $279,880,000 (increased 
by $2,000,000), which shall be in addition to funds that 
become available on October 1, 2020: Provided, That, of 
the amount provided in Public Law 116–94 that becomes 
available on October 1, 2020 under this heading and was 
made available until September 30, 2021, $886,235,000 
is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 
1985; and, in addition, $8,403,117,000, plus reimburse-
ments, shall become available on October 1, 2021, and 
shall remain available until September 30, 2022: Provided 
further, That, of the amount made available on October 
1, 2021, under this heading, $150,000,000 shall remain 
available until September 30, 2023. 
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•HR 7608 EH1S
MEDICAL FACILITIES 
For necessary expenses for the maintenance and op-
eration of hospitals, nursing homes, domiciliary facilities, 
and other necessary facilities of the Veterans Health Ad-
ministration; 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; 
$170,120,000 (increased by $274,900,000) (reduced by 
$274,900,000), which shall be in addition to funds that 
become available on October 1, 2020: Provided, That, of 
the amount provided in Public Law 116–94 that becomes 
available on October 1, 2020 under this heading and was 
made available until September 30, 2021, $441,385,000 
is designated by the Congress as being for an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 
1985; and in addition, $6,734,680,000, plus reimburse-
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•HR 7608 EH1S
ments, shall become available on October 1, 2021, and 
shall remain available until September 30, 2022: Provided 
further, That, of the amount made available on October 
1, 2021, under this heading, $250,000,000 shall remain 
available until September 30, 2023. 
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, 
$840,000,000 (reduced by $1,000,000) (increased by 
$1,000,000), plus reimbursements, shall remain available 
until September 30, 2022: Provided, That the Secretary 
of Veterans Affairs shall ensure that sufficient amounts 
appropriated under this heading are available for pros-
thetic research specifically for female veterans, and for 
toxic exposure research. 
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, $349,000,000, 
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BOARD OF VETERANS APPEALS 
For necessary operating expenses of the Board of 
Veterans Appeals, $198,000,000, of which not to exceed 
10 percent shall remain available until September 30, 
2022. 
INFORMATION TECHNOLOGY SYSTEMS 
(INCLUDING TRANSFER OF FUNDS) 
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, $4,912,000,000 (reduced by $3,500,000) (re-
duced by $1,000,000) (reduced by $2,000,000) (reduced 
by 
$2,000,000), 
plus 
reimbursements, 
of 
which 
$540,385,000 is designated by the Congress as being for 
an 
emergency 
requirement 
pursuant 
to 
section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit 
Control 
Act 
of 
1985: 
Provided, 
That 
$1,211,238,000 (reduced by $3,500,000) (reduced by 
$1,000,000) (reduced by $2,000,000) (reduced by 
$2,000,000) shall be for pay and associated costs, of which 
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•HR 7608 EH1S
not to exceed 3 percent shall remain available until Sep-
tember 30, 2022: Provided further, That $3,205,216,000 
shall be for operations and maintenance, of which not to 
exceed 5 percent shall remain available until September 
30, 2022: Provided further, That $495,546,000 shall be 
for information technology systems development, and shall 
remain available until September 30, 2022: Provided fur-
ther, That amounts made available for salaries and ex-
penses, operations and maintenance, and information 
technology systems development may be transferred 
among the three subaccounts after the Secretary of Vet-
erans Affairs requests from the Committees on Appropria-
tions of both Houses of Congress the authority to make 
the transfer and an approval is issued: Provided further, 
That amounts made available for the ‘‘Information Tech-
nology Systems’’ account for development may be trans-
ferred among projects or to newly defined projects: Pro-
vided further, That no project may be increased or de-
creased by more than $1,000,000 of cost prior to submit-
ting a request to the Committees on Appropriations of 
both Houses of Congress to make the transfer and an ap-
proval is issued, or absent a response, a period of 30 days 
has elapsed: Provided further, That the funds made avail-
able under this heading for information technology sys-
tems development shall be for the projects, and in the 
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•HR 7608 EH1S
amounts, specified under this heading in the report accom-
panying 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, $2,627,000,000, to remain 
available 
until 
September 
30, 
2023, 
of 
which 
$1,184,485,000 is designated by the Congress as being for 
an 
emergency 
requirement 
pursuant 
to 
section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985: Provided, That the Secretary 
of Veterans Affairs shall submit to the Committees on Ap-
propriations of both Houses of Congress quarterly reports 
detailing obligations, expenditures, and deployment imple-
mentation by facility: Provided further, That the funds 
provided in this account shall only be available to the Of-
fice of the Deputy Secretary, to be administered 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 provided to the 
Committees on Appropriations unless the Secretary of 
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Veterans Affairs provides notification to the Committees 
on Appropriations of such change and an approval 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.), $228,000,000 (increased by $1,300,000), of 
which not to exceed 10 percent shall remain available until 
September 30, 2022. 
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 
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•HR 7608 EH1S
made available in a previous major project appropriation, 
$1,373,000,000, of which $980,638,000 shall remain 
available until September 30, 2025, and of which 
$392,362,000 shall remain available until expended, of 
which $237,198,000 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-
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 
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•HR 7608 EH1S
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 2021, for each ap-
proved project shall be obligated: (1) by the awarding of 
a construction documents contract by September 30, 
2021; and (2) by the awarding of a construction contract 
by September 30, 2022: 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 
for the completion of both new and existing seismic 
projects of the Department. 
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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, 
$400,000,000 
(reduced 
by 
$1,000,000) (increased by $1,000,000), to remain avail-
able until September 30, 2025, along with unobligated bal-
ances of previous ‘‘Construction, Minor Projects’’ appro-
priations 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 be-
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•HR 7608 EH1S
cause 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, $90,000,000 (in-
creased by $3,000,000), to remain available until ex-
pended. 
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 2021 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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•HR 7608 EH1S
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 2021, 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 
2020. 
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 2021, 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 
2021 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 
2021 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 $60,096,000 (reduced by 
$5,000,000) (increased by $5,000,000) for the Office of 
Resolution Management, $6,100,000 for the Office of Em-
ployment Discrimination Complaint Adjudication, and 
$5,294,000 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-
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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. 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 2021 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 2021 for 
‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical 
Support and Compliance’’, ‘‘Medical Facilities’’, ‘‘Con-
struction, Minor Projects’’, and ‘‘Information Technology 
Systems’’, up to $322,932,000, 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. 3571) 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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