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‘‘(36) information on estimates of appropriations 
for the fiscal year following the fiscal year for which the 
budget is submitted for the following medical care ac-
counts of the Veterans Health Administration, Depart-
ment of Veterans Affairs account: 
‘‘(A) Medical Services. 
‘‘(B) Medical Support and Compliance. 
‘‘(C) Medical Facilities.’’. 
SEC. 3. ADVANCE APPROPRIATIONS FOR CERTAIN MEDICAL 
CARE ACCOUNTS OF THE DEPARTMENT OF VET-
ERANS AFFAIRS. 
(a) IN GENERAL.—Chapter 1 of title 38, United States 
Code, is amended by inserting after section 116 the following 
new section: 
‘‘§ 117. Advance appropriations for certain medical care 
accounts 
‘‘(a) IN GENERAL.—For each fiscal year, beginning with 
fiscal year 2011, discretionary new budget authority provided 
in an appropriations Act for the medical care accounts of the 
Department shall— 
‘‘(1) be made available for that fiscal year; and 
‘‘(2) include, for each such account, advance discre-
tionary new budget authority that first becomes available 
for the first fiscal year after the budget year.
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‘‘(b) ESTIMATES REQUIRED.—The Secretary shall in-
clude in documents submitted to Congress in support of the 
President’s budget submitted pursuant to section 1105 of 
title 31, United States Code, detailed estimates of the funds 
necessary for the medical care accounts of the Department 
for the fiscal year following the fiscal year for which the 
budget is submitted. 
‘‘(c) MEDICAL CARE ACCOUNTS.—For purposes of this 
section, the term ‘medical care accounts of the Department’ 
means the following medical care accounts of the Veterans 
Health Administration, Department of Veterans Affairs ac-
count: 
‘‘(1) Medical Services. 
‘‘(2) Medical Support and Compliance. 
‘‘(3) Medical Facilities. 
‘‘(d) ANNUAL REPORT.—Not later than July 31 of each 
year, the Secretary shall submit to Congress an annual report 
on the sufficiency of the Department’s resources for the next 
fiscal year beginning after the date of the submittal of the 
report for the provision of medical care. Such report shall 
also include estimates of the workload and demand data for 
that fiscal year.’’. 
(b) CLERICAL AMENDMENT.—The table of sections at 
the beginning of such chapter is amended by inserting after 
the item relating to section 113 the following new line: 
‘‘117. Advance appropriations for certain medical care accounts.’’.
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SEC. 4. COMPTROLLER GENERAL REVIEW OF THE ACCURACY 
OF VA MEDICAL CARE BUDGET SUBMISSION IN 
RELATION TO BASELINE HEALTH CARE MODEL 
PROJECTION. 
(a) REVIEW OF ACCURACY OF MEDICAL CARE BUDGET 
SUBMISSION.—The Comptroller General shall conduct a re-
view of each budget of the President for a fiscal year that 
is submitted to Congress pursuant to section 1105(a) of title 
31 in order to assess whether or not the relevant components 
of the amounts requested in such budget for such fiscal year 
for the medical care accounts of the Department of Veterans 
Affairs specified in section 117(c) of title 38, United States 
Code, as added by section 3, are consistent with estimates of 
the resources required by the Department for the provision 
of medical care and services in such fiscal year, as forecast 
using the Enrollee Health Care Projection Model, or other 
methodologies used by the Department. 
(b) REPORTS.— 
(1) IN GENERAL.—Not later than 120 days after 
the date of each year in 2011, 2012, and 2013, on which 
the President submits the budget request for the next 
fiscal year under section 1105 of title 31, United States 
Code, the Comptroller General shall submit to the Com-
mittees on Veterans’ Affairs, Appropriations, and the 
Budget of the Senate and the Committees on Veterans’ 
Affairs, Appropriations, and the Budget of the House of
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Representatives and to the Secretary a report on the re-
view conducted under subsection (a). 
(2) ELEMENTS.—Each report under this paragraph 
shall include, for the fiscal year beginning in the year in 
which such report is submitted, the following: 
(A) An assessment of the review conducted 
under subsection (a). 
(B) The basis for such assessment. 
(C) Such additional information as the Comp-
troller General determines appropriate. 
(3) AVAILABILITY TO THE PUBLIC.—Each report 
submitted under this subsection shall also be made avail-
able to the public. 
Attest: 
Clerk.