120 
awards for which the lowest responsive and responsible bid 
of a United States contractor exceeds the lowest respon-
sive and responsible bid of a foreign contractor by greater 
than 20 percent: Provided further, That this section shall 
not apply to contract awards for military construction on 
Kwajalein Atoll for which the lowest responsive and re-
sponsible bid is submitted by a Marshallese contractor. 
SEC. 113. The Secretary of Defense shall inform the 
appropriate committees of both Houses of Congress, in-
cluding the Committees on Appropriations, of plans and 
scope of any proposed military exercise involving United 
States personnel 30 days prior to its occurring, if amounts 
expended for construction, either temporary or permanent, 
are anticipated to exceed $100,000. 
SEC. 114. Funds appropriated to the Department of 
Defense for construction in prior years shall be available 
for construction authorized for each such military depart-
ment by the authorizations enacted into law during the 
current session of Congress. 
SEC. 115. For military construction or family housing 
projects that are being completed with funds otherwise ex-
pired or lapsed for obligation, expired or lapsed funds may 
be used to pay the cost of associated supervision, inspec-
tion, overhead, engineering and design on those projects 
and on subsequent claims, if any.
121 
SEC. 116. Notwithstanding any other provision of 
law, any funds made available to a military department 
or defense agency for the construction of military projects 
may be obligated for a military construction project or 
contract, or for any portion of such a project or contract, 
at any time before the end of the fourth fiscal year after 
the fiscal year for which funds for such project were made 
available, if the funds obligated for such project: (1) are 
obligated from funds available for military construction 
projects; and (2) do not exceed the amount appropriated 
for such project, plus any amount by which the cost of 
such project is increased pursuant to law. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 117. Subject to 30 days prior notification, or 
14 days for a notification provided in an electronic me-
dium pursuant to sections 480 and 2883 of title 10, 
United States Code, to the Committees on Appropriations 
of both Houses of Congress, such additional amounts as 
may be determined by the Secretary of Defense may be 
transferred to: (1) the Department of Defense Family 
Housing Improvement Fund from amounts appropriated 
for construction in ‘‘Family Housing’’ accounts, to be 
merged with and to be available for the same purposes 
and for the same period of time as amounts appropriated 
directly to the Fund; or (2) the Department of Defense
122 
Military Unaccompanied Housing Improvement Fund 
from amounts appropriated for construction of military 
unaccompanied housing in ‘‘Military Construction’’ ac-
counts, to be merged with and to be available for the same 
purposes and for the same period of time as amounts ap-
propriated directly to the Fund: Provided, That appropria-
tions made available to the Funds shall be available to 
cover the costs, as defined in section 502(5) of the Con-
gressional Budget Act of 1974, of direct loans or loan 
guarantees issued by the Department of Defense pursuant 
to the provisions of subchapter IV of chapter 169 of title 
10, United States Code, pertaining to alternative means 
of acquiring and improving military family housing, mili-
tary unaccompanied housing, and supporting facilities. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 118. In addition to any other transfer authority 
available to the Department of Defense, amounts may be 
transferred from the Department of Defense Base Closure 
Account to the fund established by section 1013(d) of the 
Demonstration Cities and Metropolitan Development Act 
of 1966 (42 U.S.C. 3374) to pay for expenses associated 
with the Homeowners Assistance Program incurred under 
42 U.S.C. 3374(a)(1)(A). Any amounts transferred shall 
be merged with and be available for the same purposes
123 
and for the same time period as the fund to which trans-
ferred. 
SEC. 119. Notwithstanding any other provision of 
law, funds made available in this title for operation and 
maintenance of family housing shall be the exclusive 
source of funds for repair and maintenance of all family 
housing units, including general or flag officer quarters: 
Provided, That not more than $15,000 per unit may be 
spent annually for the maintenance and repair of any gen-
eral or flag officer quarters without 30 days prior notifica-
tion, or 14 days for a notification provided in an electronic 
medium pursuant to sections 480 and 2883 of title 10, 
United States Code, to the Committees on Appropriations 
of both Houses of Congress, except that an after-the-fact 
notification shall be submitted if the limitation is exceeded 
solely due to costs associated with environmental remedi-
ation that could not be reasonably anticipated at the time 
of the budget submission: Provided further, That the 
Under Secretary of Defense (Comptroller) is to report an-
nually to the Committees on Appropriations of both 
Houses of Congress all operation and maintenance ex-
penditures for each individual general or flag officer quar-
ters for the prior fiscal year. 
SEC. 120. Amounts contained in the Ford Island Im-
provement Account established by subsection (h) of sec-
124 
tion 2814 of title 10, United States Code, are appro-
priated and shall be available until expended for the pur-
poses specified in subsection (i)(1) of such section or until 
transferred pursuant to subsection (i)(3) of such section. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 121. During the 5-year period after appropria-
tions available in this Act to the Department of Defense 
for military construction and family housing operation and 
maintenance and construction have expired for obligation, 
upon a determination that such appropriations will not be 
necessary for the liquidation of obligations or for making 
authorized adjustments to such appropriations for obliga-
tions incurred during the period of availability of such ap-
propriations, unobligated balances of such appropriations 
may be transferred into the appropriation ‘‘Foreign Cur-
rency Fluctuations, Construction, Defense’’, to be merged 
with and to be available for the same time period and for 
the same purposes as the appropriation to which trans-
ferred. 
SEC. 122. (a) Except as provided in subsection (b), 
none of the funds made available in this Act may be used 
by the Secretary of the Army to relocate a unit in the 
Army that— 
(1) performs a testing mission or function that 
is not performed by any other unit in the Army and
125 
is specifically stipulated in title 10, United States 
Code; and 
(2) is located at a military installation at which 
the total number of civilian employees of the Depart-
ment of the Army and Army contractor personnel 
employed exceeds 10 percent of the total number of 
members of the regular and reserve components of 
the Army assigned to the installation. 
(b) EXCEPTION.—Subsection (a) shall not apply if 
the Secretary of the Army certifies to the congressional 
defense committees that in proposing the relocation of the 
unit of the Army, the Secretary complied with Army Regu-
lation 5–10 relating to the policy, procedures, and respon-
sibilities for Army stationing actions. 
SEC. 123. Amounts appropriated or otherwise made 
available in an account funded under the headings in this 
title may be transferred among projects and activities 
within the account in accordance with the reprogramming 
guidelines for military construction and family housing 
construction contained in Department of Defense Finan-
cial Management Regulation 7000.14–R, Volume 3, Chap-
ter 7, of March 2011, as in effect on the date of enactment 
of this Act. 
SEC. 124. None of the funds made available in this 
title may be obligated or expended for planning and design
127 
of this Act, the Secretary of the military department con-
cerned, or his or her designee, shall submit to the Commit-
tees on Appropriations of both Houses of Congress an ex-
penditure plan for funds provided under this section. 
(RESCISSIONS OF FUNDS) 
SEC. 126. Of the unobligated balances available to 
the Department of Defense from prior appropriation Acts, 
the following funds are hereby rescinded from the fol-
lowing accounts in the amounts specified: 
‘‘NATO 
Security 
Investment 
Program’’, 
$25,000,000; 
‘‘Military 
Construction, 
Air 
Force’’, 
$31,158,000; and 
‘‘The fund established in section 1013(d) of the 
Demonstration Cities and Metropolitan Development 
Act of 1966 (42 U.S.C. 3374)’’, $15,000,000: 
Provided, That no amounts may be rescinded from 
amounts that were designated by the Congress for Over-
seas Contingency Operations/Global War on Terrorism or 
as an emergency requirement pursuant to a concurrent 
resolution on the budget or the Balanced Budget and 
Emergency Deficit Control Act of 1985, as amended. 
SEC. 127. For the purposes of this Act, the term 
‘‘congressional defense committees’’ means the Commit-
tees on Armed Services of the House of Representatives
128 
and the Senate, the Subcommittee on Military Construc-
tion and Veterans Affairs of the Committee on Appropria-
tions of the Senate, and the Subcommittee on Military 
Construction and Veterans Affairs of the Committee on 
Appropriations of the House of Representatives. 
SEC. 128. None of the funds made available by this 
Act may be used to carry out the closure or realignment 
of the United States Naval Station, Guanta´namo Bay, 
Cuba. 
SEC. 129. Notwithstanding any other provision of 
law, none of the funds appropriated or otherwise made 
available by this or any other Act may be used to consoli-
date or relocate any element of a United States Air Force 
Rapid Engineer Deployable Heavy Operational Repair 
Squadron Engineer (RED HORSE) outside of the United 
States until the Secretary of the Air Force: (1) completes 
an analysis and comparison of the cost and infrastructure 
investment required to consolidate or relocate a RED 
HORSE squadron outside of the United States versus 
within the United States; (2) provides to the Committees 
on Appropriations of both Houses of Congress (‘‘the Com-
mittees’’) a report detailing the findings of the cost anal-
ysis; and (3) certifies in writing to the Committees that 
the preferred site for the consolidation or relocation yields 
the greatest savings for the Air Force: Provided, That the
129 
term ‘‘United States’’ in this section does not include any 
territory or possession of the United States. 
SEC. 130. All amounts appropriated to ‘‘Department 
of Defense—Military Construction accounts for Army, 
Navy and Marine Corps, Air Force and Defense-Wide’’ 
pursuant to the authorization of appropriations in the Na-
tional Defense Authorization Act specified for fiscal year 
2019 in the funding table in section 4601 of that Act, 
shall be immediately available and allotted to contract for 
the full scope of authorized projects. 
SEC. 131. For an additional amount for the accounts 
and in the amounts specified, for enhancing force protec-
tion and safety at military installations, to remain avail-
able until September 30, 2023: 
‘‘Military Construction, Army’’, $50,000,000; 
‘‘Military Construction, Navy and Marine 
Corps’’, $50,000,000; 
‘‘Military 
Construction, 
Air 
Force’’, 
$50,000,000: 
Provided, That such projects are subject to authorization 
prior to obligation and expenditure of funds to carry out 
construction: Provided further, That not later than 30 
days after enactment of this Act, the Secretary of the mili-
tary department concerned, or his or her designee, shall 
submit to the Committees on Appropriations of both
130 
Houses of Congress an expenditure plan for funds pro-
vided under this section. 
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, 
$108,530,139,000, to remain available until expended, of 
which $107,119,807,000 shall become available on Octo-
ber 1, 2019: Provided, That not to exceed $18,047,000
131 
of the amount made available for fiscal year 2020 under 
this heading shall be reimbursed to ‘‘General Operating 
Expenses, Veterans Benefits Administration’’, and ‘‘Infor-
mation Technology Systems’’ for necessary expenses in 
implementing 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 augment the funding of individual medical facili-
ties for nursing home care provided to pensioners as au-
thorized. 
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, $14,065,282,000, to 
remain available until expended and to become available 
on October 1, 2019: 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.
132 
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, title 38, United States 
Code, $111,340,000, which shall become available on Oc-
tober 1, 2019, and shall remain available until expended. 
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 2019, 
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, $200,612,000. 
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $39,000, 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-
133 
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 $2,037,000. 
In addition, for administrative expenses necessary to 
carry out the direct loan program, $396,000, 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, $1,149,000. 
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-
fense 
for 
the 
cost 
of 
overseas 
employee 
mail, 
$2,922,000,000: 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 Veterans Affairs determines are nec-
134 
essary to enable entitled veterans: (1) to the maximum ex-
tent feasible, to become employable and to obtain and 
maintain suitable employment; or (2) to achieve maximum 
independence in daily living, shall be charged to this ac-
count: Provided further, That, of the funds made available 
under this heading, not to exceed 5 percent shall remain 
available until September 30, 2020. 
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, 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 sec-
tion 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), monthly assistance allow-
135 
ances authorized by section 322(d) of title 38, United 
States Code, grants authorized by section 521A of title 
38, United States Code, and administrative expenses nec-
essary to carry out sections 322(d) and 521A of title 38, 
United States Code, and hospital care and medical serv-
ices authorized by section 1787 of title 38, United States 
Code, $48,747,988,000 (reduced by $1,000,000) (in-
creased by $1,000,000) (reduced by $1,000,000) (in-
creased by $1,000,000) (reduced by $5,000,000) (in-
creased by $5,000,000) (reduced by $28,872,000) (in-
creased by $28,872,000) (increased by $5,000,000) (in-
creased by $5,000,000) (increased by $8,000,000), plus 
reimbursements, shall become available on October 1, 
2019, and shall remain available until September 30, 
2020: Provided, That, of the amount made available on 
October 1, 2018, under this heading, $1,400,000,000 shall 
remain available until September 30, 2021: Provided fur-
ther, 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 Secretary of Veterans Affairs shall 
give priority funding for the provision of basic medical 
benefits to veterans in enrollment priority groups 1
136 
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 vet-
erans with privately written prescriptions based on re-
quirements established by the Secretary: Provided further, 
That the implementation of the program described in the 
previous proviso shall incur no additional cost to the De-
partment of Veterans Affairs. 
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, $500,000,000 
which shall be in addition to funds previously appropriated 
under this heading that become available on October 1, 
2018: and, in addition, $14,419,786,000 (reduced by 
$5,000,000) (reduced by $5,000,000) (reduced by 
$8,000,000), plus reimbursements, shall become available 
on October 1, 2019, and shall remain available until Sep-
tember 30, 2020: Provided, That, of the amount made 
available on October 1, 2019, under this heading, 
$2,000,000,000 shall remain available until September 30, 
2021.
137 
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.), $7,106,150,000 (re-
duced by $5,000,000) (increased by $5,000,000) (reduced 
by $1,500,000) (increased by $1,500,000), plus reim-
bursements, shall become available on October 1, 2019, 
and shall remain available until September 30, 2020: Pro-
vided, That, of the amount made available on October 1, 
2019, under this heading, $100,000,000 shall remain 
available until September 30, 2021. 
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
138 
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, 
$5,276,676,000, plus reimbursements, shall become avail-
able on October 1, 2019, and shall remain available until 
September 30, 2020: Provided, That, of the amount made 
available on October 1, 2019, under this heading, 
$250,000,000 shall remain available until September 30, 
2021. 
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, 
$732,262,000, plus reimbursements, shall remain avail-
able until September 30, 2020: Provided, That of the 
amount made available under this heading, $27,000,000 
shall remain available until September 30, 2023. 
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-
139 
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, $315,836,000, 
of which not to exceed 10 percent shall remain available 
until September 30, 2020. 
DEPARTMENTAL ADMINISTRATION 
GENERAL ADMINISTRATION 
(INCLUDING TRANSFER OF FUNDS) 
For necessary operating expenses of the Department 
of Veterans Affairs, not otherwise provided for, including 
administrative expenses in support of Department-wide 
capital planning, management and policy activities, uni-
forms, or allowances therefor; not to exceed $25,000 for 
official reception and representation expenses; hire of pas-
senger motor vehicles; and reimbursement of the General 
Services Administration for security guard services, 
$346,091,000 (reduced by $1,000,000) (increased by 
$1,000,000), of which not to exceed 5 percent shall remain 
available until September 30, 2020: Provided, That funds 
provided under this heading may be transferred to ‘‘Gen-
eral Operating Expenses, Veterans Benefits Administra-
tion’’.
140 
BOARD OF VETERANS APPEALS 
For necessary operating expenses of the Board of 
Veterans Appeals, $174,748,000, of which not to exceed 
10 percent shall remain available until September 30, 
2020. 
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, $4,105,500,000, plus reimbursements: Pro-
vided, That $1,235,320,000 shall be for pay and associ-
ated costs, of which not to exceed 5 percent shall remain 
available until September 30, 2020: Provided further, That 
$2,521,650,000 shall be for operations and maintenance, 
of which not to exceed 5 percent shall remain available 
until September 30, 2020: Provided further, That 
$348,530,000 shall be for information technology systems 
development, and shall remain available until September 
30, 2020: Provided further, That amounts made available
141 
for information technology systems development may not 
be obligated or expended until the Secretary of Veterans 
Affairs or the Chief Information Officer of the Depart-
ment of Veterans Affairs submits to the Committees on 
Appropriations of both Houses of Congress a certification 
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 may be transferred among the three 
subaccounts after the Secretary of Veterans Affairs re-
quests 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 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 Con-
gress to make the transfer and an approval is issued, or 
absent a response, a period of 30 days has elapsed: Pro-
vided further, That the funds made available under this 
heading for information technology systems development
142 
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, $1,207,000,000, to remain 
available until September 30, 2021: 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-
tered by that Office. 
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.), $172,054,000 (reduced by $1,000,000) (in-
creased by $1,000,000), of which not to exceed 10 percent 
shall remain available until September 30, 2020.
143 
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 
made available in a previous major project appropriation, 
$1,127,486,000, of which $647,486,000 shall remain 
available until September 30, 2023; and of which 
$480,000,000 shall remain available until expended, of 
which $400,000,000 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
144 
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 salaries and associated costs of the resi-
dent engineers who oversee those capital investments 
funded through this account and contracting officers who 
manage specific major construction projects, and funds 
provided for the purchase, security, 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 Congress through the budg-
etary process or that has not been approved by the Con-
gress through statute, joint resolution, or in the explana-
tory statement accompanying such Act and presented to 
the President at the time of enrollment: Provided further, 
That funds made available under this heading for fiscal 
year 2019, for each approved project shall be obligated: 
(1) by the awarding of a construction documents contract 
by September 30, 2019; and (2) by the awarding of a con-
struction contract by September 30, 2020: Provided fur-
145 
ther, That the Secretary of Veterans Affairs shall prompt-
ly 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 im-
provement projects and seismic program management ac-
tivities shall be available 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
146 
amount set forth in section 8104(a)(3)(A) of title 38, 
United States Code, $649,514,000, to remain available 
until September 30, 2023, 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 
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-
147 
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 2019 for 
‘‘Compensation and Pensions’’, ‘‘Readjustment Benefits’’, 
and ‘‘Veterans Insurance and Indemnities’’ may be trans-
ferred as necessary to any other of the mentioned appro-
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 2019, 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
148 
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 
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
149 
‘‘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, 
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 
2018. 
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
150 
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 2019, 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 
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 
2019 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
151 
shall determine the cost of administration for fiscal year 
2019 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-
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, the Office of Accountability and Whistle-
blower Protection, and the Office of Diversity and Inclu-
sion for all services provided at rates which will recover 
actual costs but not to exceed $48,431,000 for the Office 
of Resolution Management, $4,333,000 for the Office of 
Employment Discrimination Complaint Adjudication, 
$17,700,000 for the Office of Accountability and Whistle-
blower Protection, and $3,230,000 for the Office of Diver-
sity and Inclusion: Provided, That payments may be made 
in advance for services to be furnished based on estimated
152 
costs: Provided further, That amounts received shall be 
credited to the ‘‘General Administration’’ and ‘‘Informa-
tion 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 
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
153 
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— 
(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
154 
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. 
(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-
155 
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 2019 may be transferred to or from the ‘‘Informa-
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 which become available on 
October 1, 2019, for ‘‘Medical Services’’, ‘‘Medical Com-
munity Care’’, ‘‘Medical Support and Compliance’’, and 
‘‘Medical Facilities’’, up to $307,609,000, plus reimburse-
156 
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-
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. 220. 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
157 
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 
of Veterans Affairs Medical Facility Demonstration Fund 
shall remain available until expended. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 221. 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. 222. None of the funds available to the Depart-
ment of Veterans Affairs, in this or any other Act, may 
be used to replace the current system by which the Vet-
158 
erans Integrated Service Networks select and contract for 
diabetes monitoring supplies and equipment. 
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-
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-
159 
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. 
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 $2,000,000. 
(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-
160 
fer to the ‘‘Medical Services’’ account any discretionary 
appropriations made available for fiscal year 2019 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 2019, 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 
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
161 
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 2019, 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. 
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—
162 
(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— 
(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-
163 
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; 
(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;
177 
‘‘E–Commerce’’ technologies and procedures in the con-
duct of their business practices and public service activi-
ties. 
SEC. 504. Unless stated otherwise, all reports and no-
tifications required by this Act shall be submitted to the 
Subcommittee on Military Construction and Veterans Af-
fairs, and Related Agencies of the Committee on Appro-
priations of the House of Representatives and the Sub-
committee on Military Construction and Veterans Affairs, 
and Related Agencies of the Committee on Appropriations 
of the Senate. 
SEC. 505. None of the funds made available in this 
Act may be transferred to any department, agency, or in-
strumentality of the United States Government except 
pursuant to a transfer made by, or transfer authority pro-
vided in, this or any other appropriations Act. 
SEC. 506. None of the funds made available in this 
Act may be used for a project or program named for an 
individual serving as a Member, Delegate, or Resident 
Commissioner of the United States House of Representa-
tives. 
SEC. 507. (a) Any agency receiving funds made avail-
able in this Act, shall, subject to subsections (b) and (c), 
post on the public Web site of that agency any report re-
quired to be submitted by the Congress in this or any