‘‘Medical services’’, to remain available until expended for 
the purposes of that account. 
SEC. 216. Notwithstanding any other provision of 
law, the Secretary of Veterans Affairs shall allow veterans 
who are eligible under existing Department of Veterans 
Affairs medical care requirements and who reside in Alas-
ka to obtain medical care services from medical facilities 
supported by the Indian Health Service or tribal organiza-
tions. The Secretary shall: (1) limit the application of this 
provision to rural Alaskan veterans in areas where an ex-
isting Department of Veterans Affairs facility or Veterans 
Affairs-contracted service is unavailable; (2) require par-
ticipating veterans and facilities to comply with all appro-
priate rules and regulations, as established by the Sec-
retary; (3) require this provision to be consistent with 
Capital Asset Realignment for Enhanced Services activi-
ties; and (4) result in no additional cost to the Department 
of Veterans Affairs or the Indian Health Service. 
(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. 
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SEC. 218. None of the funds available to the Depart-
ment of Veterans Affairs, in this Act, or any other Act, 
may be used to replace the current system by which the 
Veterans Integrated Services Networks select and contract 
for diabetes monitoring supplies and equipment. 
SEC. 219. 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. 220. 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. 221. Amounts made available under the ‘‘Med-
ical services’’, ‘‘Medical support and compliance’’, ‘‘Med-
ical facilities’’, ‘‘General operating expenses’’, and ‘‘Na-
tional Cemetery Administration’’ accounts for fiscal year 
2010, 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. 
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SEC. 222. Amounts made available for the ‘‘Informa-
tion technology systems’’ account may be transferred be-
tween projects: Provided, That no project may be in-
creased or decreased by more than $1,000,000 of cost 
prior to submitting a request to the Committees on Appro-
priations of both Houses of Congress to make the transfer 
and an approval is issued, or absent a response, a period 
of 30 days has elapsed. 
SEC. 223. 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 Transportation, Treas-
ury, Housing and Urban Development, the Judici-
ary, 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. 
SEC. 224. Of the amounts made available to the De-
partment of Veterans Affairs for fiscal year 2010, in this 
Act or any other Act, under the ‘‘Medical facilities’’ ac-
count for non-recurring 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 
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the Secretary may waive this requirement after providing 
written notice to the Committees on Appropriations of 
both Houses of Congress. 
SEC. 225. Section 1925(d)(3) of title 38, United 
States Code, is amended by striking ‘‘appropriation ‘Gen-
eral Operating Expenses, Department of Veterans Af-
fairs’ ’’ and inserting ‘‘appropriations for ‘General Oper-
ating Expenses and Information Technology Systems, De-
partment of Veterans Affairs’ ’’. 
SEC. 226. Section 1922(a) of title 38, United States 
Code, is amended by striking ‘‘administrative costs to the 
Government for the costs of’’ and inserting ‘‘administra-
tive support financed by the appropriations for ‘General 
Operating Expenses, Department of Veterans Affairs’ and 
‘Information Technology Systems, Department of Vet-
erans Affairs’ for’’. 
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 
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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 
vehicles in foreign countries, when required by law of such 
countries, $61,800,000, 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, $27,115,000, of which $1,820,000 
shall be available for the purpose of providing financial 
assistance as described, and in accordance with the proc-
ess and reporting procedures set forth, under this heading 
in Public Law 102–229. 
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