pact with the Indian Health Service, and Indian tribes and 
tribal organizations serving rural Alaska which have en-
tered into contracts with the Indian Health Service under 
the Indian Self Determination and Educational Assistance 
Act, to provide healthcare, including behavioral health and 
dental care. The Secretary shall require participating vet-
erans and facilities to comply with all appropriate rules 
and regulations, as established by the Secretary. The term 
‘‘rural Alaska’’ shall mean those lands sited within the ex-
ternal boundaries of the Alaska Native regions specified 
in sections 7(a)(1)–(4) and (7)–(12) of the Alaska Native 
Claims Settlement Act, as amended (43 U.S.C. 1606), and 
those lands within the Alaska Native regions specified in 
sections 7(a)(5) and 7(a)(6) of the Alaska Native Claims 
Settlement Act, as amended (43 U.S.C. 1606), which are 
not within the boundaries of the municipality of Anchor-
age, the Fairbanks North Star Borough, the Kenai Penin-
sula Borough or the Matanuska Susitna Borough. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 217. 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. 218. None of the funds made available in this 
title may be used to implement any policy prohibiting the 
Directors of the Veterans Integrated Services Networks 
from conducting outreach or marketing to enroll new vet-
erans within their respective Networks. 
SEC. 219. The Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
Houses of Congress a quarterly report on the financial 
status of the Veterans Health Administration. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 220. Amounts made available under the ‘‘Med-
ical Services’’, ‘‘Medical Support and Compliance’’, ‘‘Med-
ical Facilities’’, ‘‘General Operating Expenses, Veterans 
Benefits Administration’’, ‘‘General Administration’’, and 
‘‘National Cemetery Administration’’ accounts for fiscal 
year 2015 may be transferred to or from the ‘‘Information 
Technology Systems’’ account: Provided, 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 trans-
fer and an approval is issued. 
SEC. 221. Of the amounts made available to the De-
partment of Veterans Affairs for fiscal year 2015, in this 
Act or any other Act, under the ‘‘Medical Facilities’’ ac-
count for nonrecurring maintenance, not more than 20
percent of the funds made available shall be obligated dur-
ing the last 2 months of that fiscal year: Provided, That 
the Secretary may waive this requirement after providing 
written notice to the Committees on Appropriations of 
both Houses of Congress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 222. Of the amounts appropriated to the De-
partment of Veterans Affairs for fiscal year 2015 for 
‘‘Medical Services’’, ‘‘Medical Support and Compliance’’, 
‘‘Medical Facilities’’, ‘‘Construction, Minor Projects’’, and 
‘‘Information Technology Systems’’, up to $252,366,000, 
plus reimbursements, may be transferred to the Joint De-
partment of Defense-Department of Veterans Affairs 
Medical Facility Demonstration Fund, established by sec-
tion 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 Federal medical facilities as described by sec-
tion 706 of the Duncan Hunter National Defense Author-
ization 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 Department of Defense-Department of Veterans Af-
fairs Medical Facility Demonstration Fund upon written 
notification by the Secretary of Veterans Affairs to the
Committees on Appropriations of both Houses of Con-
gress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 223. 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 Defense- 
Department of Veterans Affairs Medical Facility Dem-
onstration Fund, established by section 1704 of the Na-
tional 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). 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 224. Of the amounts available in this title for 
‘‘Medical Services’’, ‘‘Medical Support and Compliance’’, 
and ‘‘Medical Facilities’’, a minimum of $15,000,000 shall 
be transferred to the DOD–VA Health Care Sharing In-
centive Fund, as authorized 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. 
(INCLUDING RESCISSIONS OF FUNDS) 
SEC. 225. (a) Of the funds appropriated in title II 
of division J of Public Law 113–76, the following amounts 
which become available on October 1, 2014, are hereby 
rescinded from the following accounts in the amounts 
specified: 
(1) ‘‘Department of Veterans Affairs, Medical 
Services’’, $1,400,000,000. 
(2) ‘‘Department of Veterans Affairs, Medical 
Support and Compliance’’, $100,000,000. 
(3) ‘‘Department of Veterans Affairs, Medical 
Facilities’’, $250,000,000. 
(b) In addition to amounts provided elsewhere in this 
Act, an additional amount is appropriated to the following 
accounts in the amounts specified to remain available until 
September 30, 2016: 
(1) ‘‘Department of Veterans Affairs, Medical 
Services’’, $1,400,000,000. 
(2) ‘‘Department of Veterans Affairs, Medical 
Support and Compliance’’, $100,000,000. 
(3) ‘‘Department of Veterans Affairs, Medical 
Facilities’’, $250,000,000.
SEC. 226. The Secretary of the Department of Vet-
erans Affairs shall notify the Committees on Appropria-
tions of both Houses of Congress of all bid savings in 
major construction projects that total at least $5,000,000, 
or 5 percent of the programmed amount of the project, 
whichever is less: Provided, That such notification shall 
occur within 14 days of a contract identifying the pro-
grammed amount: Provided further, That the Secretary 
shall notify the Committees 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. 227. The scope of work for a project included 
in ‘‘Construction, Major Projects’’ may not be increased 
above the scope specified for that project in the original 
justification data provided to the Congress as part of the 
request for appropriations. 
SEC. 228. The Secretary of the Department of Vet-
erans Affairs shall provide on a quarterly basis to the 
Committees on Appropriations of both Houses of Congress 
notification of any single national outreach and awareness 
marketing 
campaign 
in 
which 
obligations 
exceed 
$2,000,000. 
SEC. 229. The Secretary shall submit to the Commit-
tees on Appropriations of both Houses of Congress a re-
programming request if at any point during fiscal year 
2015, the funding allocated for a medical care initiative 
identified in the fiscal year 2015 expenditure plan is ad-
justed by more than $25,000,000 from the allocation 
shown in the corresponding congressional budget justifica-
tion. Such a reprogramming request may go forward only 
if the Committees on Appropriations of both Houses of 
Congress approve the request or if a period of 14 days 
has elapsed. 
SEC. 230. Of the funds provided to the Department 
of Veterans Affairs for fiscal year 2015 for ‘‘Medical Serv-
ices’’ and ‘‘Medical Support and Compliance’’, a maximum 
of $8,371,000 may be obligated from the ‘‘Medical Serv-
ices’’ account and a maximum of $114,703,000 may be 
obligated from the ‘‘Medical Support and Compliance’’ ac-
count for the VistA Evolution and electronic health record 
interoperability projects: Provided, That funds in addition 
to these amounts may be obligated for the VistA Evolution 
and electronic health record interoperability projects upon 
written notification by the Secretary of Veterans Affairs 
to the Committees on Appropriations of both Houses of 
Congress. 
SEC. 231. 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-