2017 under this heading shall be reimbursed to ‘‘General 
Operating Expenses, Veterans Benefits Administration’’, 
and ‘‘Information Technology Systems’’ for necessary ex-
penses in implementing the provisions of chapters 51, 53, 
and 55 of title 38, United States Code, the funding source 
for which is specifically provided as the ‘‘Compensation 
and Pensions’’ appropriation: Provided further, That such 
sums as may be earned on an actual qualifying patient 
basis, shall be reimbursed to ‘‘Medical Care Collections 
Fund’’ to augment the funding of individual medical facili-
ties for nursing home care provided to pensioners as au-
thorized. 
READJUSTMENT BENEFITS 
For the payment of readjustment and rehabilitation 
benefits to or on behalf of veterans as authorized by chap-
ters 21, 30, 31, 33, 34, 35, 36, 39, 41, 51, 53, 55, and 
61 of title 38, United States Code, $32,088,826,000, to 
remain 
available 
until 
expended, 
of 
which 
$16,743,904,000 shall become available on October 1, 
2016: Provided, That expenses for rehabilitation program 
services and assistance which the Secretary is authorized 
to provide under subsection (a) of section 3104 of title 
38, United States Code, other than under paragraphs (1), 
(2), (5), and (11) of that subsection, shall be charged to 
this account. 
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VETERANS INSURANCE AND INDEMNITIES 
For military and naval insurance, national service life 
insurance, servicemen’s indemnities, service-disabled vet-
erans insurance, and veterans mortgage life insurance as 
authorized by chapters 19 and 21, title 38, United States 
Code, $169,080,000, to remain available until expended, 
of which $91,920,000 shall become available on October 
1, 2016. 
VETERANS HOUSING BENEFIT PROGRAM FUND 
For the cost of direct and guaranteed loans, such 
sums as may be necessary to carry out the program, as 
authorized by subchapters I through III of chapter 37 of 
title 38, United States Code: Provided, That such costs, 
including the cost of modifying such loans, shall be as de-
fined in section 502 of the Congressional Budget Act of 
1974: Provided further, That during fiscal year 2016, 
within the resources available, not to exceed $500,000 in 
gross obligations for direct loans are authorized for spe-
cially adapted housing loans. 
In addition, for administrative expenses to carry out 
the direct and guaranteed loan programs, $164,558,000. 
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $31,000, as authorized 
by chapter 31 of title 38, United States Code: Provided, 
That such costs, including the cost of modifying such 
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loans, shall be as defined in section 502 of the Congres-
sional Budget Act of 1974: Provided further, That funds 
made available under this heading are available to sub-
sidize gross obligations for the principal amount of direct 
loans not to exceed $2,952,000. 
In addition, for administrative expenses necessary to 
carry out the direct loan program, $367,000, which may 
be paid to the appropriation for ‘‘General Operating Ex-
penses, Veterans Benefits Administration’’. 
NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM 
ACCOUNT 
For administrative expenses to carry out the direct 
loan program authorized by subchapter V of chapter 37 
of title 38, United States Code, $1,134,000. 
VETERANS HEALTH ADMINISTRATION 
MEDICAL SERVICES 
For necessary expenses for furnishing, as authorized 
by law, inpatient and outpatient care and treatment to 
beneficiaries of the Department of Veterans Affairs and 
veterans described in section 1705(a) of title 38, United 
States Code, including care and treatment in facilities not 
under the jurisdiction of the Department, and including 
medical supplies and equipment, bioengineering services, 
food services, and salaries and expenses of healthcare em-
ployees hired under title 38, United States Code, aid to 
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State homes as authorized by section 1741 of title 38, 
United States Code, assistance and support services for 
caregivers as authorized by section 1720G of title 38, 
United States Code, loan repayments authorized by sec-
tion 604 of the Caregivers and Veterans Omnibus Health 
Services Act of 2010 (Public Law 111–163; 124 Stat. 
1174; 38 U.S.C. 7681 note), and hospital care and med-
ical services authorized by section 1787 of title 38, United 
States Code; $969,554,000, which shall be in addition to 
funds previously appropriated under this heading that be-
came available on October 1, 2015; and, in addition, 
$51,673,000,000, plus reimbursements, shall become 
available on October 1, 2016, and shall remain available 
until September 30, 2017: Provided, That notwithstanding 
any other provision of law, the Secretary of Veterans Af-
fairs shall establish a priority for the provision of medical 
treatment for veterans who have service-connected disabil-
ities, lower income, or have special needs: Provided further, 
That notwithstanding any other provision of law, the Sec-
retary of Veterans Affairs shall give priority funding for 
the provision of basic medical benefits to veterans in en-
rollment priority groups 1 through 6: Provided further, 
That notwithstanding any other provision of law, the Sec-
retary of Veterans Affairs may authorize the dispensing 
of prescription drugs from Veterans Health Administra-
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tion facilities to enrolled veterans with privately written 
prescriptions based on requirements established by the 
Secretary: Provided further, That the implementation of 
the program described in the previous proviso shall incur 
no additional cost to the Department of Veterans Affairs. 
MEDICAL SUPPORT AND COMPLIANCE 
For necessary expenses in the administration of the 
medical, hospital, nursing home, domiciliary, construction, 
supply, and research activities, as authorized by law; ad-
ministrative expenses in support of capital policy activi-
ties; and administrative and legal expenses of the Depart-
ment for collecting and recovering amounts owed the De-
partment as authorized under chapter 17 of title 38, 
United States Code, and the Federal Medical Care Recov-
ery Act (42 U.S.C. 2651 et seq.), $6,524,000,000, plus 
reimbursements, shall become available on October 1, 
2016, and shall remain available until September 30, 
2017. 
MEDICAL FACILITIES 
For necessary expenses for the maintenance and op-
eration of hospitals, nursing homes, domiciliary facilities, 
and other necessary facilities of the Veterans Health Ad-
ministration; for administrative expenses in support of 
planning, design, project management, real property ac-
quisition and disposition, construction, and renovation of 
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any facility under the jurisdiction or for the use of the 
Department; for oversight, engineering, and architectural 
activities not charged to project costs; for repairing, alter-
ing, improving, or providing facilities in the several hos-
pitals and homes under the jurisdiction of the Depart-
ment, not otherwise provided for, either by contract or by 
the hire of temporary employees and purchase of mate-
rials; for leases of facilities; and for laundry services, 
$5,074,000,000, plus reimbursements, shall become avail-
able on October 1, 2016, and shall remain available until 
September 30, 2017. 
MEDICAL AND PROSTHETIC RESEARCH 
For necessary expenses in carrying out programs of 
medical and prosthetic research and development as au-
thorized by chapter 73 of title 38, United States Code, 
$621,813,000, plus reimbursements, shall remain avail-
able until September 30, 2017. 
NATIONAL CEMETERY ADMINISTRATION 
For necessary expenses of the National Cemetery Ad-
ministration for operations and maintenance, not other-
wise provided for, including uniforms or allowances there-
for; cemeterial expenses as authorized by law; purchase 
of one passenger motor vehicle for use in cemeterial oper-
ations; hire of passenger motor vehicles; and repair, alter-
ation or improvement of facilities under the jurisdiction 
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of the National Cemetery Administration, $266,220,000, 
of which not to exceed $26,600,000 shall remain available 
until September 30, 2017. 
DEPARTMENTAL ADMINISTRATION 
GENERAL ADMINISTRATION 
(INCLUDING TRANSFER OF FUNDS) 
For necessary operating expenses of the Department 
of Veterans Affairs, not otherwise provided for, including 
administrative expenses in support of Department-wide 
capital planning, management and policy activities, uni-
forms, or allowances therefor; not to exceed $25,000 for 
official reception and representation expenses; hire of pas-
senger motor vehicles; and reimbursement of the General 
Services Administration for security guard services, 
$336,659,000, of which not to exceed $10,100,000 shall 
remain available until September 30, 2017: Provided, 
That funds provided under this heading may be trans-
ferred to ‘‘General Operating Expenses, Veterans Benefits 
Administration’’. 
BOARD OF VETERANS APPEALS 
For necessary operating expenses of the Board of 
Veterans Appeals, $107,884,000, of which not to exceed 
$10,788,000 shall remain available until September 30, 
2017. 
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GENERAL OPERATING EXPENSES, VETERANS BENEFITS 
ADMINISTRATION 
For necessary operating expenses of the Veterans 
Benefits Administration, not otherwise provided for, in-
cluding hire of passenger motor vehicles, reimbursement 
of the General Services Administration for security guard 
services, and reimbursement of the Department of De-
fense 
for 
the 
cost 
of 
overseas 
employee 
mail, 
$2,697,734,000: Provided, That expenses for services and 
assistance authorized under paragraphs (1), (2), (5), and 
(11) of section 3104(a) of title 38, United States Code, 
that the Secretary of Veterans Affairs determines are nec-
essary to enable entitled veterans: (1) to the maximum ex-
tent feasible, to become employable and to obtain and 
maintain suitable employment; or (2) to achieve maximum 
independence in daily living, shall be charged to this ac-
count: Provided further, That of the funds made available 
under this heading, not to exceed $134,800,000 shall re-
main available until September 30, 2017. 
INFORMATION TECHNOLOGY SYSTEMS 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for information technology 
systems and telecommunications support, including devel-
opmental information systems and operational information 
systems; for pay and associated costs; and for the capital 
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asset acquisition of information technology systems, in-
cluding management and related contractual costs of said 
acquisitions, including contractual costs associated with 
operations authorized by section 3109 of title 5, United 
States Code, $4,038,363,000, plus reimbursements: Pro-
vided, That $1,115,757,000 shall be for pay and associ-
ated costs, of which not to exceed $34,800,000 shall re-
main available until September 30, 2017: Provided further, 
That $2,417,863,000 shall be for operations and mainte-
nance, of which not to exceed $167,900,000 shall remain 
available until September 30, 2017: Provided further, That 
$504,743,000 shall be for information technology systems 
development, modernization, and enhancement, and shall 
remain available until September 30, 2017: Provided fur-
ther, That amounts made available for information tech-
nology systems development, modernization, and enhance-
ment may not be obligated or expended until the Secretary 
of Veterans Affairs or the Chief Information Officer of 
the Department of Veterans Affairs submits to the Com-
mittees on Appropriations of both Houses of Congress a 
certification of the amounts, in parts or in full, to be obli-
gated and expended for each development project: Pro-
vided further, That amounts made available for salaries 
and expenses, operations and maintenance, and informa-
tion technology systems development, modernization, and 
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enhancement may be transferred among the three sub-
accounts after the Secretary of Veterans Affairs requests 
from the Committees on Appropriations of both Houses 
of Congress the authority to make the transfer and an 
approval is issued: Provided further, That amounts made 
available for the ‘‘Information Technology Systems’’ ac-
count for development, modernization, and enhancement 
may be transferred among projects or to newly defined 
projects: Provided further, 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: Provided further, That funds under 
this heading may be used by the Interagency Program Of-
fice through the Department of Veterans Affairs to define 
data standards, code sets, and value sets used to enable 
interoperability: Provided further, That of the funds made 
available for information technology systems development, 
modernization, and enhancement for VistA Evolution, not 
more than 25 percent may be obligated or expended until 
the Secretary of Veterans Affairs submits to the Commit-
tees on Appropriations of both Houses of Congress, and 
such Committees approve, a report that describes: (1) the 
status of and changes to the VistA Evolution program 
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