‘‘Construction, Minor Projects’’ accounts, to remain avail-
able until expended for the purposes of these accounts. 
SEC. 217. Not later than 30 days after the end of 
each fiscal quarter, the Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
Houses of Congress a report on the financial status of the 
Department of Veterans Affairs for the preceding quarter: 
Provided, That, at a minimum, the report shall include 
the direction contained in the paragraph entitled ‘‘Quar-
terly reporting’’, under the heading ‘‘General Administra-
tion’’ in the joint explanatory statement accompanying 
Public Law 114-223. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 218. Amounts made available under the ‘‘Med-
ical Services’’, ‘‘Medical Community Care’’, ‘‘Medical Sup-
port and Compliance’’, ‘‘Medical Facilities’’, ‘‘General Op-
erating Expenses, Veterans Benefits Administration’’, 
‘‘Board of Veterans Appeals’’, ‘‘General Administration’’, 
and ‘‘National Cemetery Administration’’ accounts for fis-
cal year 2018 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, 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00049
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
the Secretary of Veterans Affairs shall request from the 
Committees on Appropriations of both Houses of Congress 
the authority to make the transfer and an approval is 
issued. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 219. Of the amounts appropriated to the De-
partment of Veterans Affairs for fiscal year 2018 for 
‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical 
Support and Compliance’’, ‘‘Medical Facilities’’, ‘‘Con-
struction, Minor Projects’’, and ‘‘Information Technology 
Systems’’, up to $297,137,000, plus reimbursements, may 
be transferred to the Joint Department of Defense-De-
partment of Veterans Affairs Medical Facility Demonstra-
tion Fund, established by section 1704 of the National De-
fense Authorization Act for Fiscal Year 2010 (Public Law 
111–84; 123 Stat. 3571) and may be used for operation 
of the facilities designated as combined Federal medical 
facilities as described by section 706 of the Duncan Hun-
ter National Defense Authorization Act for Fiscal Year 
2009 (Public Law 110–417; 122 Stat. 4500): Provided, 
That additional funds may be transferred from accounts 
designated in this section to the Joint Department of De-
fense-Department of Veterans Affairs Medical Facility 
Demonstration Fund upon written notification by the Sec-
retary of Veterans Affairs to the Committees on Appro-
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00050
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
priations of both Houses of Congress: Provided further, 
That section 222 of title II of division A of Military Con-
struction, Veterans Affairs, and Related Agencies Appro-
priations Act, 2017 ( Public Law 114–223) is repealed. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 220. Of the amounts appropriated to the De-
partment of Veterans Affairs which become available on 
October 1, 2018, for ‘‘Medical Services’’, ‘‘Medical Com-
munity Care’’, ‘‘Medical Support and Compliance’’, and 
‘‘Medical Facilities’’, up to $306,378,000, plus reimburse-
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 Medical 
Facility Demonstration Fund upon written notification by 
the Secretary of Veterans Affairs to the Committees on 
Appropriations of both Houses of Congress. 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00051
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
(INCLUDING TRANSFER OF FUNDS) 
SEC. 221. 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. 222. 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 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00052
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
Code, to remain available until expended, for any purpose 
authorized by section 8111 of title 38, United States Code. 
SEC. 223. 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-
erans Integrated Service Networks select and contract for 
diabetes monitoring supplies and equipment. 
SEC. 224. 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. 225. 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. 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00053
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
SEC. 226. 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-
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. 227. Of the amounts made available for fiscal 
year 2018 for the ‘‘Medical Services’’ and ‘‘Medical Sup-
port 
and 
Compliance’’ 
accounts, 
not 
more 
than 
$226,012,000 shall be available to develop an electronic 
health record: Provided, That not more than 25 percent 
of the amount made available for such purpose may be 
obligated or expended until the Secretary of Veterans Af-
fairs submits to the Committees on Appropriations of both 
House of Congress a detailed explanation of the activities 
to develop the Military Health System Genesis electronic 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00054
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
health record to be funded by the Veterans Health Admin-
istration rather than the Office of Information Tech-
nology, a timeline for completion, master schedule, per-
formance milestones, and annual and life-cycle Veterans 
Health Administration cost estimates. 
SEC. 228. 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. 229. 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. 230. The Secretary of Veterans Affairs, upon 
determination that such action is necessary to address 
needs of the Veterans Health Administration, may trans-
fer to the ‘‘Medical Services’’ account any discretionary 
appropriations made available for fiscal year 2018 in this 
title (except appropriations made to the ‘‘General Oper-
ating Expenses, Veterans Benefits Administration’’ ac-
count) or any discretionary unobligated balances within 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00055
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
the Department of Veterans Affairs, including those ap-
propriated for fiscal year 2018, 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 
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. 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00056
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
(INCLUDING TRANSFER OF FUNDS) 
SEC. 231. Amounts made available for the Depart-
ment of Veterans Affairs for fiscal year 2018, 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. 232. The Secretary of Veterans Affairs may not 
reprogram funds among major construction projects or 
programs if such instance of reprogramming will exceed 
$5,000,000, unless such reprogramming is approved by 
the Committees on Appropriations of both Houses of Con-
gress. 
(RESCISSIONS OF FUNDS) 
SEC. 233. Of the discretionary funds made available 
in Public Law 114-223 for the Department of Veterans 
Affairs for fiscal year 2018, $313,730,000 are rescinded 
from ‘‘Medical Services’’, $63,282,000 are rescinded from 
‘‘Medical Support and Compliance’’, and $22,960,000 are 
rescinded from ‘‘Medical Facilities’’. 
SEC. 234. The amounts otherwise made available by 
this Act for the following accounts of the Department of 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00057
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
Veterans Affairs are hereby reduced by the following 
amounts: 
(1) ‘‘Veterans Health Administration—Medical 
and Prosthetic Research’’, $6,823,000. 
(2) 
‘‘National 
Cemetery 
Administration’’, 
$3,003,000. 
(3) 
‘‘Departmental 
Administration—General 
Administration’’, $3,600,000. 
(4) ‘‘Departmental Administration—Board of 
Veterans Appeals’’, $1,579,000. 
(5) 
‘‘Departmental 
Administration—General 
Operating Expenses, Veterans Benefits Administra-
tion’’, $35,470,000. 
(6) ‘‘Departmental Administration—Informa-
tion Technology Systems’’, $18,997,000. 
(7)‘‘Departmental 
Administration—Office 
of 
Inspector General’’, $1,716,000. 
SEC. 235. (a) The Secretary of Veterans Affairs shall 
ensure that the toll-free suicide hotline under section 
1720F(h) of title 38, United States Code— 
(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. 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00058
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
(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. 236. 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-
mental assessment, or to diminish healthcare services at 
existing Veterans Health Administration medical facilities 
located in Veterans Integrated Service Network 8 or 23 
as part of a planned realignment of VA services until the 
Secretary provides to the Committees on Appropriations 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00059
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
of both Houses of Congress a report including the fol-
lowing 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; 
(5) an inventory of VA buildings with historic 
designation and the methodology used to determine 
the buildings’ condition and utilization; 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00060
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
(6) a description of how any realignment will be 
consistent with requirements under the National 
Historic Preservation Act; and 
(7) consideration given for reuse of historic 
buildings within newly identified realignment re-
quirements: Provided, That, this provision shall not 
apply to capital projects in VISN 23, or any other 
VISN, which have been authorized or approved by 
Congress. 
SEC. 237. Section 8109(b) of title 38, United States 
Code, is amended— 
(1) in paragraph (2), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (3), by striking the period and 
inserting ‘‘; and’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(4) notwithstanding subsection (a) of section 1344 
of title 31, may use a passenger carrier (as such term is 
defined in subsection (h)(1) of such section) to transport 
such an employee between a parking facility and the med-
ical facility of the Department at which the employee 
works.’’. 
SEC. 238. None of the funds made available to the 
Secretary of Veterans Affairs by this or any other Act may 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00061
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
be obligated or expended in contravention of the ‘‘Veterans 
Health Administration Clinical Preventive Services Guid-
ance Statement on the Veterans Health Administration’s 
Screening for Breast Cancer Guidance’’ published on May 
10, 2017, as issued by the Veterans Health Administra-
tion National Center for Health Promotion and Disease 
Prevention. 
SEC. 239. (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. 
(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. 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00062
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
(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 
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-
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00063
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
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, 2017 (Public 
Law 115–31). 
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- 
one replacement basis only) and hire of passenger motor 
vehicles; not to exceed $7,500 for official reception and 
representation expenses; and insurance of official motor 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00064
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS
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 
(INCLUDING TRANSFER OF FUNDS) 
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 of the 
amount, $800,000 shall be transferred to the General 
Services Administration for planning and design of a 
courthouse: Provided further, That $2,580,000 shall be 
available for the purpose of providing financial assistance 
as described and in accordance with the process and re-
porting procedures set forth under this heading in Public 
Law 102-229. 
VerDate Sep 11 2014 
21:37 Jun 22, 2017
Jkt 069200
PO 00000
Frm 00065
Fmt 6652
Sfmt 6201
E:\BILLS\H2998.RH
H2998
srobinson on DSKBC5CHB2PROD with BILLS