IB 
Union Calendar No. 137 
112TH CONGRESS 
1ST SESSION H. R. 2646 
[Report No. 112–209] 
To authorize certain Department of Veterans Affairs major medical facility 
projects and leases, to extend certain expiring provisions of law, and 
to modify certain authorities of the Secretary of Veterans Affairs, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 26, 2011 
Mr. JOHNSON of Ohio introduced the following bill; which was referred to the 
Committee on Veterans’ Affairs 
SEPTEMBER 15, 2011 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on July 26, 2011] 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6652
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
A BILL 
To authorize certain Department of Veterans Affairs major 
medical facility projects and leases, to extend certain 
expiring provisions of law, and to modify certain authori-
ties of the Secretary of Veterans Affairs, and for other 
purposes. 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6652
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Veterans Health Care 
Facilities Capital Improvement Act of 2011’’. 
SEC. 2. AUTHORIZATION OF FISCAL YEAR 2012 MAJOR MED-
ICAL FACILITY PROJECTS. 
The Secretary of Veterans Affairs may carry out the 
following major medical facility projects in fiscal year 
2012, with each project to be carried out in the amount 
specified for each project: 
(1) Construction of seismic corrections for Build-
ing 100 at the Department of Veterans Affairs Med-
ical Center in Seattle, Washington, in an amount not 
to exceed $51,800,000. 
(2) Construction of seismic corrections and ren-
ovation of various buildings to include Building 209 
for housing facilities for homeless veterans at the De-
partment of Veterans Affairs Medical Center in West 
Los Angeles, California, in an amount not to exceed 
$35,500,000. 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6203
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
SEC. 3. MODIFICATION OF AUTHORIZATION FOR CERTAIN 
MAJOR MEDICAL FACILITY CONSTRUCTION 
PROJECTS PREVIOUSLY AUTHORIZED. 
(a) MODIFICATION
OF AUTHORIZATION
OF FISCAL 
YEAR 2007 MAJOR MEDICAL FACILITY PROJECT AT DE-
PARTMENT OF VETERANS AFFAIRS MEDICAL CENTER IN 
FAYETTEVILLE, ARKANSAS.—Section 803(3) of the Veterans 
Benefits, Health Care, and Information Technology Act of 
2006 (Public Law 109–461) is amended— 
(1) by inserting ‘‘and a parking garage’’ after 
‘‘clinical addition’’; and 
(2) by striking ‘‘$56,163,000’’ and inserting 
‘‘$90,600,000’’. 
(b) MODIFICATION OF EXTENSION OF AUTHORIZATION 
FOR MAJOR MEDICAL FACILITY CONSTRUCTION PROJECT 
IN ORLANDO, FLORIDA, PREVIOUSLY AUTHORIZED IN CON-
NECTION WITH CAPITAL ASSET REALIGNMENT INITIA-
TIVE.—Section 802(11) of the Veterans Benefits, Health 
Care, and Information Technology Act of 2006 (Public Law 
109–461), as amended by section 702(b)(4) of the Veterans’ 
Mental Health and Other Care Improvements Act of 2008 
(Public Law 110–387; 122 Stat. 4137), is amended by in-
serting ‘‘, including a Simulation, Learning, Education, 
and Research Network Center,’’ after ‘‘Florida, area’’. 
(c) INCREASE IN AMOUNT OF AUTHORIZATION OF FIS-
CAL YEAR 2008 MAJOR MEDICAL FACILITY PROJECT AT 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6203
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER IN 
PALO ALTO, CALIFORNIA.—The Secretary of Veterans Af-
fairs may carry out the major medical facility project at 
the Department of Veterans Affairs Medical Center in Palo 
Alto, California, for which amounts were appropriated 
under chapter 3 of title I of the Supplemental Appropria-
tions Act, 2008 (Public Law 110–252; 122 Stat. 2326) 
under the heading ‘‘CONSTRUCTION, MAJOR
PROJECTS’’ 
under the heading ‘‘DEPARTMENT OF VETERANS AF-
FAIRS’’ in an amount not to exceed $716,600,000. 
(d) INCREASE IN AMOUNT OF AUTHORIZATION OF FIS-
CAL YEAR 2009 MAJOR MEDICAL FACILITY PROJECT AT 
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, 
SAN JUAN, PUERTO RICO.—Section 701(3) of the Veterans’ 
Mental Health and Other Care Improvements Act of 2008 
(Public Law 110–387; 122 Stat. 4137) is amended by strik-
ing ‘‘$225,900,000’’ and inserting ‘‘$277,000,000’’. 
(e) INCREASE IN AMOUNT OF AUTHORIZATION OF FIS-
CAL YEAR 2007 MAJOR MEDICAL FACILITY PROJECT AT 
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, 
ST. LOUIS, MISSOURI.—Section 803(5) of the Veterans Ben-
efits, Health Care, and Information Technology Act of 2006 
(Public 
Law 
109–461) 
is 
amended 
by 
striking 
‘‘$69,053,000’’ and inserting ‘‘$346,300,000’’. 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6203
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
SEC. 4. AUTHORIZATION OF FISCAL YEAR 2012 MAJOR MED-
ICAL FACILITY LEASES. 
The Secretary of Veterans Affairs may carry out the 
following fiscal year 2012 major medical facility leases at 
the locations specified, in an amount not to exceed the 
amount shown for that location: 
(1) Columbus, Georgia, Community-Based Out-
patient Clinic, in an amount not to exceed 
$5,335,000. 
(2) Fort Wayne, Indiana, Outpatient Clinic, in 
an amount not to exceed $2,845,000. 
(3) Mobile, Alabama, Outpatient Clinic, in an 
amount not to exceed $6,565,000. 
(4) Rochester, New York, Outpatient Clinic, in 
an amount not to exceed $9,232,000. 
(5) Salem, Oregon, Community-Based Out-
patient Clinic, in an amount not to exceed 
$2,549,000. 
(6) San Jose, California, Outpatient Clinic, in 
an amount not to exceed $9,546,000. 
(7) South Bend, Indiana, Outpatient Clinic, in 
an amount not to exceed $6,731,000. 
(8) Springfield, Missouri, Community-Based 
Outpatient Clinic, in an amount not to exceed 
$6,489,000. 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6203
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
(ii) by striking ‘‘a description of the 
consideration’’ and inserting ‘‘a detailed re-
port of the consideration’’; and 
(iii) by adding at the end the fol-
lowing: ‘‘Such detailed estimate shall in-
clude an identification of each of the fol-
lowing: 
‘‘(A) Total construction costs. 
‘‘(B) Activation costs. 
‘‘(C) Special purpose alterations (lump-sum 
payment) costs. 
‘‘(D) Number of personnel. 
‘‘(E) Total costs of ancillary services, equip-
ment, and all other items.’’; 
(B) by striking paragraphs (2) and (3) and 
redesignating paragraphs (4) through (8) as 
paragraphs (2) through (6), respectively; 
(C) in paragraph (2), as so redesignated, by 
striking ‘‘a five-year period and a ten-year pe-
riod’’ and inserting ‘‘a five-year period, a ten- 
year period, and a twenty-year period’’; 
(D) in paragraph (3), as so redesignated, by 
inserting before the period at the end the fol-
lowing: ‘‘, including information on projected 
changes in workload and utilization over a five- 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6203
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
year period, a ten-year period, and a twenty- 
year period’’; 
(E) in paragraph (4), as so redesignated— 
(i) by striking ‘‘Current and projected’’ 
and inserting ‘‘Projected’’; and 
(ii) by inserting before the period at 
the end the following: ‘‘(including and iden-
tifying both recurring and non-recurring 
costs (including activation costs and total 
costs of ancillary services, equipment and 
all other items)) over a five-year period, a 
ten-year period, and a twenty-year period’’; 
and 
(F) in paragraph (6), as so redesignated— 
(i) by striking ‘‘a description of each 
alternative to construction of the facility 
that was considered’’ and inserting ‘‘each of 
the following’’; and 
(ii) by adding at the end the following 
new subparagraphs: 
‘‘(A) A detailed estimate of the total costs 
(including total construction costs, activation 
costs, special purpose alterations (lump-sum 
payment) costs, number of personnel and total 
costs of ancillary services, equipment and all 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6203
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
other items) for each alternative to construction 
of the facility that was considered. 
‘‘(B) A comparison of total costs to total 
benefits for each such alternative. 
‘‘(C) An explanation of why the preferred 
alternative is the most effective means to achieve 
the stated project goals and the most cost-effective 
alternative.’’; and 
(2) in subsection (d)— 
(A) by striking ‘‘major medical facility 
project’’ each place it appears and inserting 
‘‘major construction project’’; and 
(B) in paragraph— 
(i) in subparagraph (A), by striking 
‘‘major medical facility projects’’ and in-
serting ‘‘major construction projects’’; and 
(ii) in subparagraph (B), by striking 
‘‘major medical facility’’ and inserting 
‘‘major construction project’’. 
SEC. 7. NAME OF DEPARTMENT OF VETERANS AFFAIRS 
TELEHEALTH CLINIC, CRAIG, COLORADO. 
The Department of Veterans Affairs telehealth clinic 
in Craig, Colorado, shall after the date of the enactment 
of this Act be known and designated as the ‘‘Major William 
Edward Adams Department of Veterans Affairs Clinic’’. 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6203
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
Any reference to such clinic in any law, regulation, map, 
document, record, or other paper of the United States shall 
be considered to be a reference to the ‘‘Major William Ed-
ward Adams Department of Veterans Affairs Clinic’’. 
SEC. 8. EXTENSION OF CERTAIN EXPIRING AUTHORITIES. 
(a) RECOVERY AUDITS FOR CERTAIN CONTRACTS.— 
Section 1703(d)(4) of title 38, United States Code, is 
amended by striking ‘‘September 30, 2013’’ and inserting 
‘‘September 30, 2020’’. 
(b) TREATMENT
AND REHABILITATION
FOR SERI-
OUSLY MENTALLY ILL AND HOMELESS VETERANS.—Sec-
tion 2031(b) of such title is amended by striking ‘‘December 
31, 2011’’ and inserting ‘‘December 31, 2012’’. 
(c) ADDITIONAL SERVICES FOR SERIOUSLY MENTALLY 
ILL AND HOMELESS VETERANS.—Section 2033(d) of such 
title is amended by striking ‘‘December 31, 2011’’ and in-
serting ‘‘December 31, 2012’’. 
(d) HOUSING
ASSISTANCE
FOR
HOMELESS
VET-
ERANS.—Section 2041(c) of such title is amended by strik-
ing ‘‘December 31, 2011’’ and inserting ‘‘December 31, 
2012’’. 
(e) ADVISORY
COMMITTEE
ON
HOMELESS
VET-
ERANS.—Section 2066(d) of such title is amended by strik-
ing ‘‘December 30, 2011’’ and inserting ‘‘December 31, 
2012’’. 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6203
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
(f) AUTHORITY TO TRANSFER REAL PROPERTY.—Sec-
tion 8118(a)(5) of such title is amended by striking ‘‘the 
date that is seven years after the date of the enactment of 
this section’’ and inserting ‘‘December 31, 2018’’. 
SEC. 9. GEORGE H. O’BRIEN, JR., DEPARTMENT OF VET-
ERANS AFFAIRS MEDICAL CENTER. 
(a) DESIGNATION.—The Department of Veterans Af-
fairs medical center located in Big Spring, Texas, shall be 
known and designated as the ‘‘George H. O’Brien, Jr., De-
partment of Veterans Affairs Medical Center’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the Department of Veterans Affairs medical center 
referred to in subsection (a) shall be deemed to be a reference 
to the ‘‘George H. O’Brien, Jr., Department of Veterans Af-
fairs Medical Center’’. 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6203
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS
Union Calendar No. 137 
112TH CONGRESS 
1ST SESSION 
H. R. 2646 
[Report No. 112–209] 
A BILL 
To authorize certain Department of Veterans Af-
fairs major medical facility projects and leases, to 
extend certain expiring provisions of law, and to 
modify certain authorities of the Secretary of 
Veterans Affairs, and for other purposes. 
SEPTEMBER 15, 2011 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
VerDate Mar 15 2010 
21:31 Sep 15, 2011
Jkt 099200
PO 00000
Frm 00014
Fmt 6651
Sfmt 6651
E:\BILLS\H2646.RH
H2646
mstockstill on DSK4VPTVN1PROD with BILLS