VISN, which have been authorized or approved by 
Congress. 
SEC. 233. Effective during the period beginning on 
October 1, 2018 and ending on January 1, 2024, none 
of the funds made available to the Secretary of Veterans 
Affairs by this or any other Act may be obligated or ex-
pended in contravention of the ‘‘Veterans Health Adminis-
tration Clinical Preventive Services Guidance Statement 
on the Veterans Health Administration’s Screening for 
Breast Cancer Guidance’’ published on May 10, 2017, as 
issued by the Veterans Health Administration National 
Center for Health Promotion and Disease Prevention. 
SEC. 234. (a) Notwithstanding any other provision 
of law, the amounts appropriated or otherwise made avail-
able to the Department of Veterans Affairs for the ‘‘Med-
ical Services’’ account may be used to provide— 
(1) fertility counseling and treatment using as-
sisted reproductive technology to a covered veteran 
or the spouse of a covered veteran; or 
(2) adoption reimbursement to a covered vet-
eran. 
(b) In this section: 
(1) The term ‘‘service-connected’’ has the 
meaning given such term in section 101 of title 38, 
United States Code. 
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(2) The term ‘‘covered veteran’’ means a vet-
eran, as such term is defined in section 101 of title 
38, United States Code, who has a service-connected 
disability that results in the inability of the veteran 
to procreate without the use of fertility treatment. 
(3) The term ‘‘assisted reproductive tech-
nology’’ means benefits relating to reproductive as-
sistance provided to a member of the Armed Forces 
who incurs a serious injury or illness on active duty 
pursuant to section 1074(c)(4)(A) of title 10, United 
States Code, as described in the memorandum on 
the subject of ‘‘Policy for Assisted Reproductive 
Services for the Benefit of Seriously or Severely Ill/ 
Injured (Category II or III) Active Duty Service 
Members’’ issued by the Assistant Secretary of De-
fense for Health Affairs on April 3, 2012, and the 
guidance issued to implement such policy, including 
any limitations on the amount of such benefits avail-
able to such a member except that— 
(A) the time periods regarding embryo 
cryopreservation and storage set forth in part 
III(G) and in part IV(H) of such memorandum 
shall not apply; and 
(B) 
such 
term 
includes 
embryo 
cryopreservation and storage without limitation 
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on the duration of such cryopreservation and 
storage. 
(4) The term ‘‘adoption reimbursement’’ means 
reimbursement for the adoption-related expenses for 
an adoption that is finalized after the date of the en-
actment of this Act under the same terms as apply 
under the adoption reimbursement program of the 
Department of Defense, as authorized in Depart-
ment of Defense Instruction 1341.09, including the 
reimbursement limits and requirements set forth in 
such instruction. 
(c) Amounts made available for the purposes speci-
fied in subsection (a) of this section are subject to the 
requirements for funds contained in section 508 of division 
H of the Consolidated Appropriations Act, 2018 (Public 
Law 115–141). 
SEC. 235. None of the funds appropriated or other-
wise made available by this Act or any other Act for the 
Department of Veterans Affairs may be used in a manner 
that is inconsistent with: (1) section 842 of the Transpor-
tation, Treasury, Housing and Urban Development, the 
Judiciary, the District of Columbia, and Independent 
Agencies Appropriations Act, 2006 (Public Law 109–115; 
119 Stat. 2506); or (2) section 8110(a)(5) of title 38, 
United States Code. 
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SEC. 236. None of the funds appropriated in this or 
prior appropriations Acts or otherwise made available to 
the Department of Veterans Affairs may be used to trans-
fer any amounts from the Filipino Veterans Equity Com-
pensation Fund to any other account within the Depart-
ment of Veterans Affairs. 
SEC. 237. None of the funds appropriated or other-
wise made available by this Act may be used to conduct 
research using canines unless: the scientific objectives of 
the study can only be met by research with canines; the 
study has been directly approved by the Secretary; and 
the study is consistent with the revised Department of 
Veterans Affairs canine research policy document released 
on December 18, 2017: Provided, That not later than 180 
days after enactment of this Act, the Secretary shall sub-
mit to the Committees on Appropriations of both Houses 
of Congress a detailed report outlining under what cir-
cumstances canine research may be needed if there are 
no other alternatives, how often it was used during that 
time period, and what protocols are in place to determine 
both the safety and efficacy of the research. 
SEC. 238. For an additional amount for the Depart-
ment of Veterans Affairs, $2,000,000,000 to remain avail-
able until expended, for infrastructure improvements, in-
cluding new construction, and in addition to amounts oth-
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erwise made available in this Act for such purpose, of 
which: 
(1) $750,000,000 shall be available for seismic 
improvement projects and seismic program manage-
ment activities, including projects that would other-
wise be funded by the Construction, Major Projects, 
the Construction, Minor Projects, Medical Facilities, 
or National Cemetery Administration accounts; 
(2) $100,000,000 shall be for National Ceme-
tery Administration projects within ‘‘Department 
Administration - Construction, Major Projects’’; 
(3) $800,000,000 shall be for ‘‘Veterans Health 
Administration—Medical Facilities’’ to be used for 
non-recurring maintenance; and 
(4) $350,000,000 shall be for ‘‘Departmental 
Administration—Construction, Minor Projects’’; 
Provided, That the additional amounts appropriated for 
the purposes of non-recurring maintenance and minor con-
struction may be used to carry out critical life-safety 
projects identified in the Department’s annual facility con-
dition assessments; sustainment projects; modernization 
projects; infrastructure repair; renovations at existing Vet-
erans Health Administration medical centers and out-
patient clinics; and projects included in the Strategic Cap-
ital Investment Process plan: Provided further, That not-
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withstanding 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 projects of the De-
partment: Provided further, That the additional amounts 
appropriated under this section may not be obligated or 
expended until the Secretary of Veterans Affairs submits 
to the Committees on Appropriations of both Houses of 
Congress, and such Committees approve, a detailed ex-
penditure plan, including project descriptions and costs, 
for any non-recurring maintenance, major construction or 
minor construction project being funded with the addi-
tional amounts made available in this section. 
TITLE III 
RELATED AGENCIES 
AMERICAN BATTLE MONUMENTS COMMISSION 
SALARIES AND EXPENSES 
For necessary expenses, not otherwise provided for, 
of the American Battle Monuments Commission, including 
the acquisition of land or interest in land in foreign coun-
tries; purchases and repair of uniforms for caretakers of 
national cemeteries and monuments outside of the United 
States and its territories and possessions; rent of office 
and garage space in foreign countries; purchase (one-for- 
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one replacement basis only) and hire of passenger motor 
vehicles; not to exceed $42,000 for official reception and 
representation expenses; and insurance of official motor 
vehicles in foreign countries, when required by law of such 
countries, $75,100,000, to remain available until ex-
pended. 
FOREIGN CURRENCY FLUCTUATIONS ACCOUNT 
For necessary expenses, not otherwise provided for, 
of the American Battle Monuments Commission, such 
sums as may be necessary, to remain available until ex-
pended, for purposes authorized by section 2109 of title 
36, United States Code. 
UNITED STATES COURT OF APPEALS FOR VETERANS 
CLAIMS 
SALARIES AND EXPENSES 
For necessary expenses for the operation of the 
United States Court of Appeals for Veterans Claims as 
authorized by sections 7251 through 7298 of title 38, 
United States Code, $33,600,000: Provided , That 
$2,580,000 shall be available for the purpose of providing 
financial assistance as described and in accordance with 
the process and reporting procedures set forth under this 
heading in Public Law 102–229. 
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DEPARTMENT OF DEFENSE—CIVIL 
CEMETERIAL EXPENSES, ARMY 
SALARIES AND EXPENSES 
For necessary expenses for maintenance, operation, 
and improvement of Arlington National Cemetery and Sol-
diers’ and Airmen’s Home National Cemetery, including 
the purchase or lease of passenger motor vehicles for re-
placement on a one-for-one basis only, and not to exceed 
$1,000 for official reception and representation expenses, 
$70,800,000, of which not to exceed $15,000,000 shall re-
main available until September 30, 2021. In addition, 
such sums as may be necessary for parking maintenance, 
repairs and replacement, to be derived from the ‘‘Lease 
of Department of Defense Real Property for Defense 
Agencies’’ account. 
CONSTRUCTION 
For necessary expenses for planning and design and 
construction at Arlington National Cemetery and Soldiers’ 
and Airmen’s Home National Cemetery, $73,855,000, to 
remain available until expended, for planning and design 
and construction associated with the Southern Expansion 
project at Arlington National Cemetery. 
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ARMED FORCES RETIREMENT HOME 
TRUST FUND 
For expenses necessary for the Armed Forces Retire-
ment Home to operate and maintain the Armed Forces 
Retirement Home—Washington, District of Columbia, 
and the Armed Forces Retirement Home—Gulfport, Mis-
sissippi, to be paid from funds available in the Armed 
Forces Retirement Home Trust Fund, $64,300,000, of 
which $1,000,000 shall remain available until expended 
for construction and renovation of the physical plants at 
the Armed Forces Retirement Home—Washington, Dis-
trict of Columbia, and the Armed Forces Retirement 
Home—Gulfport, Mississippi: Provided, That of the 
amounts made available under this heading from funds 
available in the Armed Forces Retirement Home Trust 
Fund, $22,000,000 shall be paid from the general fund 
of the Treasury to the Trust Fund. 
ADMINISTRATIVE PROVISION 
SEC. 301. Amounts deposited into the special account 
established under 10 U.S.C. 4727 are appropriated and 
shall be available until expended to support activities at 
the Army National Military Cemeteries. 
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TITLE IV 
OVERSEAS CONTINGENCY OPERATIONS 
DEPARTMENT OF DEFENSE 
MILITARY CONSTRUCTION, ARMY 
For an additional amount for ‘‘Military Construction, 
Army’’, $261,250,000, to remain available until Sep-
tember 30, 2023, for projects outside of the United States: 
Provided, That such amount is designated by the Congress 
for Overseas Contingency Operations/Global War on Ter-
rorism pursuant to section 251(b)(2)(A)(ii) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985: 
Provided further, That none of the funds made available 
under this heading shall be for construction of the High 
Value Detention Facility, Guantanamo Bay, Cuba, unless 
authorized in an Act authorizing appropriations for fiscal 
year 2019 for military construction. 
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS 
For an additional amount for ‘‘Military Construction, 
Navy and Marine Corps’’, $227,320,000, to remain avail-
able until September 30, 2023, for projects outside of the 
United States: Provided, That such amount is designated 
by the Congress for Overseas Contingency Operations/ 
Global 
War 
on 
Terrorism 
pursuant 
to 
section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
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MILITARY CONSTRUCTION, AIR FORCE 
For an additional amount for ‘‘Military Construction, 
Air Force’’ $345,800,000, to remain available until Sep-
tember 30, 2023, for projects outside of the United States: 
Provided, That such amount is designated by the Congress 
for Overseas Contingency Operations/Global War on Ter-
rorism pursuant to section 251(b)(2)(A)(ii) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
MILITARY CONSTRUCTION, DEFENSE-WIDE 
For an additional amount for ‘‘Military Construction, 
Defense-Wide’’, $87,050,000, to remain available until 
September 30, 2023, for projects outside of the United 
States: Provided, That such amount is designated by the 
Congress for Overseas Contingency Operations/Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
ADMINISTRATIVE PROVISIONS 
SEC. 401. Each amount designated in this Act by the 
Congress for Overseas Contingency Operations/Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985 shall be available only if the President subse-
quently so designates all such amounts and transmits such 
designations to the Congress. 
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SEC. 402. None of the funds appropriated for mili-
tary construction projects outside the United States under 
this title may be obligated or expended for planning and 
design of any project associated with the European Deter-
rence Initiative until the Secretary of Defense submits to 
the congressional defense committees a list of all of the 
military construction projects associated with the Euro-
pean Deterrence Initiative which the Secretary acticipates 
will be carried out during each of the fiscal years 2019 
through 2023. 
TITLE V 
GENERAL PROVISIONS 
SEC. 501. No part of any appropriation contained in 
this Act shall remain available for obligation beyond the 
current fiscal year unless expressly so provided herein. 
SEC. 502. None of the funds made available in this 
Act may be used for any program, project, or activity, 
when it is made known to the Federal entity or official 
to which the funds are made available that the program, 
project, or activity is not in compliance with any Federal 
law relating to risk assessment, the protection of private 
property rights, or unfunded mandates. 
SEC. 503. All departments and agencies funded under 
this Act are encouraged, within the limits of the existing 
statutory authorities and funding, to expand their use of 
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‘‘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 
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other Act, upon the determination by the head of the agen-
cy that it shall serve the national interest. 
(b) Subsection (a) shall not apply to a report if— 
(1) the public posting of the report com-
promises national security; or 
(2) the report contains confidential or propri-
etary information. 
(c) The head of the agency posting such report shall 
do so only after such report has been made available to 
the requesting Committee or Committees of Congress for 
no less than 45 days. 
SEC. 508. (a) None of the funds made available in 
this Act may be used to maintain or establish a computer 
network unless such network blocks the viewing, 
downloading, and exchanging of pornography. 
(b) Nothing in subsection (a) shall limit the use of 
funds necessary for any Federal, State, tribal, or local law 
enforcement agency or any other entity carrying out crimi-
nal investigations, prosecution, or adjudication activities. 
SEC. 509. None of the funds made available in this 
Act may be used by an agency of the executive branch 
to pay for first-class travel by an employee of the agency 
in contravention of sections 301–10.122 through 301– 
10.124 of title 41, Code of Federal Regulations. 
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SEC. 510. None of the funds made available in this 
Act may be used to execute a contract for goods or serv-
ices, including construction services, where the contractor 
has not complied with Executive Order No. 12989. 
SEC. 511. None of the funds made available by this 
Act may be used by the Department of Defense or the 
Department of Veterans Affairs to lease or purchase new 
light duty vehicles for any executive fleet, or for an agen-
cy’s fleet inventory, except in accordance with Presidential 
Memorandum—Federal Fleet Performance, dated May 
24, 2011. 
SEC. 512. (a) IN GENERAL.—None of the funds ap-
propriated or otherwise made available to the Department 
of Defense in this Act may be used to construct, renovate, 
or expand any facility in the United States, its territories, 
or possessions to house any individual detained at United 
States Naval Station, Guanta´namo Bay, Cuba, for the 
purposes of detention or imprisonment in the custody or 
under the control of the Department of Defense. 
(b) The prohibition in subsection (a) shall not apply 
to any modification of facilities at United States Naval 
Station, Guanta´namo Bay, Cuba. 
(c) An individual described in this subsection is any 
individual who, as of June 24, 2009, is located at United 
States Naval Station, Guanta´namo Bay, Cuba, and who— 
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(1) is not a citizen of the United States or a 
member of the Armed Forces of the United States; 
and 
(2) is— 
(A) in the custody or under the effective 
control of the Department of Defense; or 
(B) otherwise under detention at United 
States Naval Station, Guanta´namo Bay, Cuba. 
SPENDING REDUCTION ACCOUNT 
SEC. 513. $0 
This Act may be cited as the ‘‘Military Construction, 
Veterans Affairs, and Related Agencies Appropriations 
Act, 2019’’. 
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Union Calendar No. 518 
115TH CONGRESS 
2D SESSION 
H. R. 5786 
[Report No. 115–673] 
A BILL 
Making appropriations for military construction, 
the Department of Veterans Affairs, and related 
agencies for the fiscal year ending September 30, 
2019, and for other purposes. 
MAY 11, 2018 
Committed to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
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