H. R. 3547—446 
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 sec-
tion 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 serv-
ices, food services, and salaries and expenses of healthcare 
employees hired under title 38, United States Code, aid to State 
homes as authorized by section 1741 of title 38, United States 
Code, assistance and support services for caregivers as authorized 
by section 1720G of title 38, United States Code, loan repayments 
authorized by section 604 of the Caregivers and Veterans Omnibus 
Health Services Act of 2010 (Public Law 111–163; 124 Stat. 1174; 
38 U.S.C. 7681 note), and hospital care and medical services author-
ized by section 1787 of title 38, United States Code; $40,000,000, 
which shall be in addition to funds previously appropriated under 
this heading that became available on October 1, 2013; and, in 
addition, $45,015,527,000, plus reimbursements, shall become avail-
able on October 1, 2014, and shall remain available until September 
30, 2015: Provided, That notwithstanding any other provision of 
law, the Secretary of Veterans Affairs shall establish a priority 
for the provision of medical treatment for veterans who have service- 
connected disabilities, 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 provi-
sion of basic medical benefits to veterans in enrollment priority 
groups 1 through 6: Provided further, That notwithstanding any 
other provision of law, the Secretary of Veterans Affairs may 
authorize the dispensing of prescription drugs from Veterans Health 
Administration 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 Depart-
ment of Veterans Affairs. 
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; administrative expenses 
in support of capital policy activities; and administrative and legal 
expenses of the Department for collecting and recovering amounts 
owed the Department as authorized under chapter 17 of title 38, 
United States Code, and the Federal Medical Care Recovery Act 
(42 U.S.C. 2651 et seq.), $5,879,700,000, plus reimbursements, shall 
become available on October 1, 2014, and shall remain available 
until September 30, 2015. 
MEDICAL FACILITIES 
For necessary expenses for the maintenance and operation of 
hospitals, nursing homes, domiciliary facilities, and other necessary 
facilities of the Veterans Health Administration; for administrative 
expenses in support of planning, design, project management, real
H. R. 3547—447 
property acquisition and disposition, construction, and renovation 
of any facility under the jurisdiction or for the use of the Depart-
ment; for oversight, engineering, and architectural activities not 
charged to project costs; for repairing, altering, improving, or pro-
viding facilities in the several hospitals and homes under the juris-
diction of the Department, not otherwise provided for, either by 
contract or by the hire of temporary employees and purchase of 
materials; for leases of facilities; and for laundry services; 
$85,000,000 which shall be in addition to funds previously appro-
priated under this heading that became available on October 1, 
2013; and, in addition, $4,739,000,000, plus reimbursements, shall 
become available on October 1, 2014, and shall remain available 
until September 30, 2015. 
MEDICAL AND PROSTHETIC RESEARCH 
For necessary expenses in carrying out programs of medical 
and prosthetic research and development as authorized by chapter 
73 of title 38, United States Code, $585,664,000, plus reimburse-
ments, shall remain available until September 30, 2015. 
NATIONAL CEMETERY ADMINISTRATION 
For necessary expenses of the National Cemetery Administra-
tion for operations and maintenance, not otherwise provided for, 
including uniforms or allowances therefor; cemeterial expenses as 
authorized by law; purchase of one passenger motor vehicle for 
use in cemeterial operations; hire of passenger motor vehicles; and 
repair, alteration or improvement of facilities under the jurisdiction 
of the National Cemetery Administration, $250,000,000, of which 
not to exceed $25,000,000 shall remain available until September 
30, 2015. 
DEPARTMENTAL ADMINISTRATION 
GENERAL ADMINISTRATION 
(INCLUDING TRANSFER OF FUNDS) 
For necessary operating expenses of the Department of Vet-
erans Affairs, not otherwise provided for, including administrative 
expenses in support of Department-Wide capital planning, manage-
ment and policy activities, uniforms, or allowances therefor; not 
to exceed $25,000 for official reception and representation expenses; 
hire of passenger motor vehicles; and reimbursement of the General 
Services Administration for security guard services, $415,885,000, 
of which not to exceed $20,151,000 shall remain available until 
September 30, 2015: Provided, That the Board of Veterans Appeals 
shall be funded at not less than $88,294,000: Provided further, 
That funds provided under this heading may be transferred to 
‘‘General Operating Expenses, Veterans Benefits Administration’’. 
GENERAL OPERATING EXPENSES, VETERANS BENEFITS 
ADMINISTRATION 
For necessary operating expenses of the Veterans Benefits 
Administration, not otherwise provided for, including hire of pas-
senger motor vehicles, reimbursement of the General Services
H. R. 3547—448 
Administration for security guard services, and reimbursement of 
the Department of Defense for the cost of overseas employee mail, 
$2,465,490,000: 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 Veterans 
Affairs determines are necessary to enable entitled veterans: (1) 
to the maximum extent feasible, to become employable and to 
obtain and maintain suitable employment; or (2) to achieve max-
imum independence in daily living, shall be charged to this account: 
Provided further, That of the funds made available under this 
heading, not to exceed $123,000,000 shall remain available until 
September 30, 2015. 
INFORMATION TECHNOLOGY SYSTEMS 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for information technology systems and 
telecommunications support, including developmental information 
systems and operational information systems; for pay and associated 
costs; and for the capital asset acquisition of information technology 
systems, including management and related contractual costs of 
said acquisitions, including contractual costs associated with oper-
ations authorized by section 3109 of title 5, United States Code, 
$3,703,344,000, 
plus 
reimbursements: 
Provided, 
That 
$1,026,400,000 shall be for pay and associated costs, of which not 
to exceed $30,792,000 shall remain available until September 30, 
2015: Provided further, That $2,181,653,000 shall be for operations 
and maintenance, of which not to exceed $151,316,000 shall remain 
available until September 30, 2015: Provided further, That 
$495,291,000 shall be for information technology systems develop-
ment, modernization, and enhancement, and shall remain available 
until September 30, 2015: Provided further, That amounts made 
available for information technology systems development, mod-
ernization, and enhancement may not be obligated or expended 
until the Secretary of Veterans Affairs or the Chief Information 
Officer of the Department of Veterans Affairs submits to the 
Committees on Appropriations of both Houses of Congress a certifi-
cation of the amounts, in parts or in full, to be obligated and 
expended for each development project: Provided further, That 
amounts made available for salaries and expenses, operations and 
maintenance, and information technology systems development, 
modernization, and enhancement may be transferred among the 
three subaccounts after the Secretary of Veterans Affairs requests 
from the Committees on Appropriations 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 
Technology Systems’’ account for development, modernization, and 
enhancement may be transferred among projects or to newly defined 
projects: Provided further, That no project may be increased or 
decreased by more than $1,000,000 of cost prior to submitting 
a request to the Committees on Appropriations 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 funds under this heading may be used by the Interagency 
Program Office through the Department of Veterans Affairs to 
develop a standard data reference terminology model: Provided
H. R. 3547—449 
further, That of the funds provided for information technology sys-
tems development, modernization, and enhancement for VistA Evo-
lution, not more than 25 percent may be obligated until the Sec-
retary of the Department of Veterans Affairs submits to the 
Committees on Appropriations of both Houses of Congress, and 
such Committees approve, a plan for expenditure that: (1) defines 
the budget and cost for full operating capability and the total 
life cycle cost of the project; (2) identifies the deployment timeline, 
including benchmarks, for full operating capability; (3) describes 
how VistA Evolution will adhere to data standardization as defined 
by the Interagency Program Office and how testing will be con-
ducted in order to ensure interoperability between current and 
future Department of Veterans Affairs and Department of Defense 
electronic health record systems; (4) has been submitted to the 
Government Accountability Office for review; and (5) complies with 
the acquisition rules, requirements, guidelines, and systems acquisi-
tion management practices of the Federal Government: Provided 
further, That the funds made available under this heading for 
information technology systems development, modernization, and 
enhancement, shall be for the projects, and in the amounts, specified 
under this heading in the explanatory statement described in sec-
tion 4 (in the matter preceding division A of this consolidated 
Act). 
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.), $121,411,000, 
of which $10,000,000 shall remain available until September 30, 
2015: Provided, That the Office of Inspector General, in coordination 
with the Department of Defense’s Office of Inspector General, shall 
examine the process and procedures currently in place in the trans-
mission of service treatment and personnel records from the Depart-
ment of Defense to the Department of Veterans Affairs. 
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, 
architectural 
and 
engineering 
services, 
construction management 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 acquisition, 
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, $342,130,000, of which $322,130,000 
shall remain available until September 30, 2018, and of which 
$20,000,000 shall remain available until expended: 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 management activities, and investment strategy