IB 
Union Calendar No. 525 
118TH CONGRESS 
2D SESSION 
H. R. 6324 
[Report No. 118–627] 
To authorize major medical facility projects for the Department of Veterans 
Affairs for fiscal year 2024, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 9, 2023 
Mr. BOST introduced the following bill; which was referred to the Committee 
on Veterans’ Affairs 
AUGUST 9, 2024 
Additional sponsor: Mr. AMODEI 
AUGUST 9, 2024 
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 November 9, 2023] 
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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 ‘‘Fiscal Year 2024 Vet-
erans Affairs Major Medical Facility Authorization Act’’. 
SEC. 2. AUTHORIZATION OF MAJOR MEDICAL FACILITY 
PROJECTS OF DEPARTMENT OF VETERANS 
AFFAIRS FOR FISCAL YEAR 2024. 
(a) IN GENERAL.—The Secretary of Veterans Affairs 
may carry out the following major medical facility projects 
in fiscal year 2024 at the locations specified and in an 
amount for each project not to exceed the amount specified 
for such location: 
(1) Construction of a new specialty care building 
201, renovation of building 18, and expansion of 
parking facilities in American Lake, Washington, in 
an amount not to exceed $155,600,000. 
(2) Expansion of clinical space for mental 
health, expansion of parking facilities, and land ac-
quisition in Dallas, Texas, in an amount not to ex-
ceed $93,100,000. 
(3) Construction of a new health care center and 
utility plant in El Paso, Texas, in an amount not to 
exceed $759,200,000. 
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(4) Replacement of community living center and 
expansion of parking facilities in Perry Point, Mary-
land, in an amount not to exceed $274,310,000. 
(5) Seismic retrofit and renovation of buildings 
100 and 101, roadway and site improvements, con-
struction of a new specialty care facility, and demoli-
tion and expansion of parking facilities in Portland, 
Oregon, in an amount not to exceed $613,000,000. 
(6) Initiation of replacement of the medical cen-
ter of the Sierra Nevada Health Care System of the 
Department of Veterans Affairs, including land ac-
quisition and preliminary site work, in Reno, Ne-
vada, in an amount not to exceed $223,800,000. 
(7) Construction of a new spinal cord injury 
building, partial renovation of building 1, parking 
facilities, central utility plant upgrades, and the seis-
mic retrofit of the existing spinal cord injury build-
ing 11 at the San Diego Health Care System of the 
Department in San Diego, California, in an amount 
not to exceed $311,700,000. 
(8) Construction of a new research facility, park-
ing structure, and demolition in San Francisco, Cali-
fornia, in an amount not to exceed $264,500,000. 
(9) Seismic corrections for building 1, construc-
tion of a new administrative building, and expansion 
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of the outpatient clinic and parking structure in San 
Juan, Puerto Rico, in an amount not to exceed 
$370,370,000. 
(10) Phase 1 of the replacement of bed tower, ex-
pansion of clinical building, consolidation of admin-
istrative building and warehouse, water tower, and 
new utility plant and parking garages in St. Louis, 
Missouri, in an amount not to exceed $599,840,000. 
(11) Construction of a new surgical and clinical 
space tower, renovation of buildings 1 and 2, and 
demolition in West Haven, Connecticut, in an 
amount not to exceed $153,128,000. 
(b) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to the Secretary of Veterans 
Affairs for fiscal year 2024 or the year in which funds are 
appropriated for the Construction, Major Projects account, 
$3,818,548,000 for the projects authorized in subsection (a). 
(c) OFFSET.—The loan fee table in section 3729(b)(2) 
of title 38, United States Code, is amended by striking ‘‘No-
vember 15, 2031’’ each place it appears and inserting ‘‘Au-
gust 3, 2032’’. 
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Union Calendar No. 525 
118TH CONGRESS 
2D SESSION 
H. R. 6324 
[Report No. 118–627] 
A BILL 
To authorize major medical facility projects for the 
Department of Veterans Affairs for fiscal year 
2024, and for other purposes. 
AUGUST 9, 2024 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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