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
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-
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
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
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 (reduced by $8,000,000) (increased by 
$8,000,000) (reduced by $500,000) (increased by 
$500,000) (reduced by $2,000,000) (reduced by $50,000) 
(increased by $50,000) (reduced by $3,200,000), of which 
not to exceed $10,100,000 shall remain available until 
September 30, 2017: Provided, That funds provided under 
this heading may be transferred to ‘‘General Operating 
Expenses, Veterans Benefits Administration’’. 
BOARD OF VETERANS APPEALS 
For necessary operating expenses of the Board of 
Veterans 
Appeals, 
$107,884,000 
(increased 
by
$2,000,000), of which not to exceed $10,788,000 shall re-
main available until September 30, 2017. 
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 (reduced by $5,000,000) (increased by 
$5,000,000) (reduced by $5,000,000) (increased by 
$5,000,000): Provided, That expenses for services and as-
sistance 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.
Veterans Affairs submits to the Committees on Appropria-
tions of both Houses of Congress a certification of the 
amounts, in parts or in full, to be obligated and expended 
for each development project: Provided further, That 
amounts made available for salaries and expenses, oper-
ations and maintenance, and information technology sys-
tems development, modernization, and enhancement may 
be transferred among the three subaccounts after the Sec-
retary of Veterans Affairs requests from the Committees 
on Appropriations of both Houses of Congress the author-
ity to make the transfer and an approval is issued: Pro-
vided further, That amounts made available for the ‘‘Infor-
mation Technology Systems’’ account for development, 
modernization, and enhancement may be transferred 
among projects or to newly defined projects: Provided fur-
ther, That no project may be increased or decreased by 
more than $1,000,000 of cost prior to submitting a re-
quest to the Committees on Appropriations 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 Office through 
the Department of Veterans Affairs to define data stand-
ards, code sets, and value sets used to enable interoper-
ability: Provided further, That of the funds made available
for information technology systems development, mod-
ernization, 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 
plan dated March 24, 2014 (hereinafter referred to as the 
‘‘Plan’’), the VistA 4 product roadmap dated February 26, 
2015 (‘‘Roadmap’’), and the VistA 4 Incremental Life 
Cycle Cost Estimate, dated October 26, 2014; (2) any 
changes to the scope or functionality of projects within 
the VistA Evolution program as established in the Plan; 
(3) actual program costs incurred to date; (4) progress 
in meeting the schedule milestones that have been estab-
lished in the Plan; (5) a Project Management Account-
ability System (PMAS) Dashboard Progress report that 
identifies each VistA Evolution project being tracked 
through PMAS, what functionality it is intended to pro-
vide, and what evaluation scores it has received through-
out development; (6) the definition being used for inter-
operability between the electronic health record systems 
of the Department of Defense and the Department of Vet-
erans Affairs, the metrics to measure the extent of inter-
operability, the milestones and timeline associated with
achieving interoperability, and the baseline measurements 
associated with interoperability; (7) progress toward devel-
oping and implementing all components and levels of 
interoperability, including semantic interoperability; (8) 
the change management tools in place to facilitate the im-
plementation of VistA Evolution and interoperability; and 
(9) any changes to the governance structure for the VistA 
Evolution program and its chain of decisionmaking au-
thority: Provided further, That the funds made available 
under this heading for information technology systems de-
velopment, modernization, and enhancement, shall be for 
the projects, and in the amounts, specified under this 
heading in the report accompanying this Act. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector 
General, to include information technology, in carrying out 
the provisions of the Inspector General Act of 1978 (5 
U.S.C. App.), $131,766,000, of which not to exceed 
$12,600,000 shall remain available until September 30, 
2017. 
CONSTRUCTION, MAJOR PROJECTS 
For constructing, altering, extending, and improving 
any of the facilities, including parking projects, under the 
jurisdiction or for the use of the Department of Veterans 
Affairs, or for any of the purposes set forth in sections
316, 2404, 2406 and chapter 81 of title 38, United States 
Code, not otherwise provided for, including planning, ar-
chitectural and engineering services, construction manage-
ment services, maintenance or guarantee period services 
costs associated with equipment guarantees provided 
under the project, services of claims analysts, offsite utility 
and storm drainage system construction costs, and site ac-
quisition, where the estimated cost of a project is more 
than the amount set forth in section 8104(a)(3)(A) of title 
38, United States Code, or where funds for a project were 
made available in a previous major project appropriation, 
$561,800,000, of which $527,800,000 shall remain avail-
able until September 30, 2020, and of which $34,000,000 
shall remain available until expended: Provided, That ex-
cept for advance planning activities, including needs as-
sessments which may or may not lead to capital invest-
ments, and other capital asset management related activi-
ties, including portfolio development and management ac-
tivities, and investment strategy studies funded through 
the advance planning fund and the planning and design 
activities funded through the design fund, including needs 
assessments which may or may not lead to capital invest-
ments, and salaries and associated costs of the resident 
engineers who oversee those capital investments funded 
through this account, and funds provided for the purchase
of land for the National Cemetery Administration through 
the land acquisition line item, none of the funds made 
available under this heading shall be used for any project 
which has not been approved by the Congress in the budg-
etary process: Provided further, That funds made available 
under this heading for fiscal year 2016, for each approved 
project shall be obligated: (1) by the awarding of a con-
struction documents contract by September 30, 2016; and 
(2) by the awarding of a construction contract by Sep-
tember 30, 2017: Provided further, That the Secretary of 
Veterans Affairs shall promptly submit to the Committees 
on Appropriations of both Houses of Congress a written 
report on any approved major construction project for 
which obligations are not incurred within the time limita-
tions established above. 
CONSTRUCTION, MINOR PROJECTS 
For constructing, altering, extending, and improving 
any of the facilities, including parking projects, under the 
jurisdiction or for the use of the Department of Veterans 
Affairs, including planning and assessments of needs 
which may lead to capital investments, architectural and 
engineering services, maintenance or guarantee period 
services costs associated with equipment guarantees pro-
vided under the project, services of claims analysts, offsite 
utility and storm drainage system construction costs, and
site acquisition, or for any of the purposes set forth in 
sections 316, 2404, 2406, and chapter 81 of title 38, 
United States Code, not otherwise provided for, where the 
estimated cost of a project is equal to or less than the 
amount set forth in section 8104(a)(3)(A) of title 38, 
United States Code, $406,200,000, to remain available 
until September 30, 2020, along with unobligated balances 
of previous ‘‘Construction, Minor Projects’’ appropriations 
which are hereby made available for any project where the 
estimated cost is equal to or less than the amount set forth 
in such section: Provided, That funds made available 
under this heading shall be for: (1) repairs to any of the 
nonmedical facilities under the jurisdiction or for the use 
of the Department which are necessary because of loss or 
damage caused by any natural disaster or catastrophe; 
and (2) temporary measures necessary to prevent or to 
minimize further loss by such causes. 
GRANTS FOR CONSTRUCTION OF STATE EXTENDED CARE 
FACILITIES 
For grants to assist States to acquire or construct 
State nursing home and domiciliary facilities and to re-
model, modify, or alter existing hospital, nursing home, 
and domiciliary facilities in State homes, for furnishing 
care to veterans as authorized by sections 8131 through
8137 of title 38, United States Code, $80,000,000, to re-
main available until expended. 
GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES 
For grants to assist States and tribal organizations 
in establishing, expanding, or improving veterans ceme-
teries as authorized by section 2408 of title 38, United 
States Code, $45,000,000, to remain available until ex-
pended. 
ADMINISTRATIVE PROVISIONS 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. Any appropriation for fiscal year 2016 for 
‘‘Compensation and Pensions’’, ‘‘Readjustment Benefits’’, 
and ‘‘Veterans Insurance and Indemnities’’ may be trans-
ferred as necessary to any other of the mentioned appro-
priations: 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 transfer and such Committees 
issue an approval, or absent a response, a period of 30 
days has elapsed. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 202. Amounts made available for the Depart-
ment of Veterans Affairs for fiscal year 2016, in this or 
any other Act, under the ‘‘Medical Services’’, ‘‘Medical 
Support and Compliance’’, and ‘‘Medical Facilities’’ ac-
counts may be transferred among the accounts: Provided, 
That any transfers between the ‘‘Medical Services’’ and 
‘‘Medical Support and Compliance’’ accounts of 1 percent 
or less of the total amount appropriated to the account 
in this or any other Act may take place subject to notifica-
tion from the Secretary of Veterans Affairs to the Com-
mittees on Appropriations of both Houses of Congress of 
the amount and purpose of the transfer: Provided further, 
That any transfers between the ‘‘Medical Services’’ and 
‘‘Medical Support and Compliance’’ accounts in excess of 
1 percent, or exceeding the cumulative 1 percent for the 
fiscal year, may take place only after the Secretary re-
quests from the Committees on Appropriations of both 
Houses of Congress the authority to make the transfer 
and an approval is issued: Provided further, That any 
transfers to or from the ‘‘Medical Facilities’’ account may 
take place only after the Secretary requests from the Com-
mittees on Appropriations of both Houses of Congress the 
authority to make the transfer and an approval is issued. 
SEC. 203. Appropriations available in this title for 
salaries and expenses shall be available for services au-
thorized by section 3109 of title 5, United States Code; 
hire of passenger motor vehicles; lease of a facility or land 
or both; and uniforms or allowances therefore, as author-
ized by sections 5901 through 5902 of title 5, United 
States Code. 
SEC. 204. No appropriations in this title (except the 
appropriations for ‘‘Construction, Major Projects’’, and 
‘‘Construction, Minor Projects’’) shall be available for the 
purchase of any site for or toward the construction of any 
new hospital or home. 
SEC. 205. No appropriations in this title shall be 
available for hospitalization or examination of any persons 
(except beneficiaries entitled to such hospitalization or ex-
amination under the laws providing such benefits to vet-
erans, and persons receiving such treatment under sec-
tions 7901 through 7904 of title 5, United States Code, 
or the Robert T. Stafford Disaster Relief and Emergency 
Assistance Act (42 U.S.C. 5121 et seq.)), unless reim-
bursement of the cost of such hospitalization or examina-
tion is made to the ‘‘Medical Services’’ account at such 
rates as may be fixed by the Secretary of Veterans Affairs. 
SEC. 206. Appropriations available in this title for 
‘‘Compensation and Pensions’’, ‘‘Readjustment Benefits’’, 
and ‘‘Veterans Insurance and Indemnities’’ shall be avail-
able for payment of prior year accrued obligations re-
quired to be recorded by law against the corresponding 
prior year accounts within the last quarter of fiscal year 
2015.
SEC. 207. Appropriations available in this title shall 
be available to pay prior year obligations of corresponding 
prior year appropriations accounts resulting from sections 
3328(a), 3334, and 3712(a) of title 31, United States 
Code, except that if such obligations are from trust fund 
accounts they shall be payable only from ‘‘Compensation 
and Pensions’’. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 208. Notwithstanding any other provision of 
law, during fiscal year 2016, the Secretary of Veterans 
Affairs shall, from the National Service Life Insurance 
Fund under section 1920 of title 38, United States Code, 
the Veterans’ Special Life Insurance Fund under section 
1923 of title 38, United States Code, and the United 
States Government Life Insurance Fund under section 
1955 of title 38, United States Code, reimburse the ‘‘Gen-
eral Operating Expenses, Veterans Benefits Administra-
tion’’ and ‘‘Information Technology Systems’’ accounts for 
the cost of administration of the insurance programs fi-
nanced through those accounts: Provided, That reimburse-
ment shall be made only from the surplus earnings accu-
mulated in such an insurance program during fiscal year 
2016 that are available for dividends in that program after 
claims have been paid and actuarially determined reserves 
have been set aside: Provided further, That if the cost of
administration of such an insurance program exceeds the 
amount of surplus earnings accumulated in that program, 
reimbursement shall be made only to the extent of such 
surplus earnings: Provided further, That the Secretary 
shall determine the cost of administration for fiscal year 
2016 which is properly allocable to the provision of each 
such insurance program and to the provision of any total 
disability income insurance included in that insurance pro-
gram. 
SEC. 209. Amounts deducted from enhanced-use 
lease proceeds to reimburse an account for expenses in-
curred by that account during a prior fiscal year for pro-
viding enhanced-use lease services, may be obligated dur-
ing the fiscal year in which the proceeds are received. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 210. Funds available in this title or funds for 
salaries and other administrative expenses shall also be 
available to reimburse the Office of Resolution Manage-
ment of the Department of Veterans Affairs and the Of-
fice of Employment Discrimination Complaint Adjudica-
tion under section 319 of title 38, United States Code, 
for all services provided at rates which will recover actual 
costs but not to exceed $43,700,000 for the Office of Reso-
lution Management and $3,400,000 for the Office of Em-
ployment Discrimination Complaint Adjudication: Pro-
vided, That payments may be made in advance for services 
to be furnished based on estimated costs: Provided further, 
That amounts received shall be credited to the ‘‘General 
Administration’’ and ‘‘Information Technology Systems’’ 
accounts for use by the office that provided the service. 
SEC. 211. No appropriations in this title shall be 
available to enter into any new lease of real property if 
the estimated annual rental cost is more than $1,000,000, 
unless the Secretary of Veterans Affairs submits a request 
to enter into such lease to the Committees on Appropria-
tions of both Houses of Congress and (1) the Committees 
approve the request; or (2) the Committees have not re-
jected the request before the date that is 15 days after 
the date on which the request is received. 
SEC. 212. No funds of the Department of Veterans 
Affairs shall be available for hospital care, nursing home 
care, or medical services provided to any person under 
chapter 17 of title 38, United States Code, for a non-serv-
ice-connected disability described in section 1729(a)(2) of 
such title, unless that person has disclosed to the Sec-
retary of Veterans Affairs, in such form as the Secretary 
may require, current, accurate third-party reimbursement 
information for purposes of section 1729 of such title: Pro-
vided, That the Secretary may recover, in the same man-
ner as any other debt due the United States, the reason-
able charges for such care or services from any person who 
does not make such disclosure as required: Provided fur-
ther, That any amounts so recovered for care or services 
provided in a prior fiscal year may be obligated by the 
Secretary during the fiscal year in which amounts are re-
ceived. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 213. Notwithstanding any other provision of 
law, proceeds or revenues derived from enhanced-use leas-
ing activities (including disposal) may be deposited into 
the ‘‘Construction, Major Projects’’ and ‘‘Construction, 
Minor Projects’’ accounts and be used for construction 
(including site acquisition and disposition), alterations, 
and improvements of any medical facility under the juris-
diction or for the use of the Department of Veterans Af-
fairs. Such sums as realized are in addition to the amount 
provided for in ‘‘Construction, Major Projects’’ and ‘‘Con-
struction, Minor Projects’’. 
SEC. 214. Amounts made available under ‘‘Medical 
Services’’ are available— 
(1) for furnishing recreational facilities, sup-
plies, and equipment; and 
(2) for funeral expenses, burial expenses, and 
other expenses incidental to funerals and burials for 
beneficiaries receiving care in the Department.
(INCLUDING TRANSFER OF FUNDS) 
SEC. 215. Such sums as may be deposited to the 
Medical Care Collections Fund pursuant to section 1729A 
of title 38, United States Code, may be transferred to 
‘‘Medical Services’’, to remain available until expended for 
the purposes of that account. 
SEC. 216. The Secretary of Veterans Affairs may 
enter into agreements with Indian tribes and tribal organi-
zations which are party to the Alaska Native Health Com-
pact with the Indian Health Service, and Indian tribes and 
tribal organizations serving rural Alaska which have en-
tered into contracts with the Indian Health Service under 
the Indian Self Determination and Educational Assistance 
Act, to provide healthcare, including behavioral health and 
dental care. The Secretary shall require participating vet-
erans and facilities to comply with all appropriate rules 
and regulations, as established by the Secretary. The term 
‘‘rural Alaska’’ shall mean those lands sited within the ex-
ternal boundaries of the Alaska Native regions specified 
in sections 7(a)(1)–(4) and (7)–(12) of the Alaska Native 
Claims Settlement Act, as amended (43 U.S.C. 1606), and 
those lands within the Alaska Native regions specified in 
sections 7(a)(5) and 7(a)(6) of the Alaska Native Claims 
Settlement Act, as amended (43 U.S.C. 1606), which are 
not within the boundaries of the municipality of Anchor-
age, the Fairbanks North Star Borough, the Kenai Penin-
sula Borough or the Matanuska Susitna Borough. 
(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. 
SEC. 218. None of the funds made available in this 
title may be used to implement any policy prohibiting the 
Directors of the Veterans Integrated Service Networks 
from conducting outreach or marketing to enroll new vet-
erans within their respective Networks. 
SEC. 219. 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. 220. Amounts made available under the ‘‘Med-
ical Services’’, ‘‘Medical Support and Compliance’’, ‘‘Med-
ical Facilities’’, ‘‘General Operating Expenses, Veterans 
Benefits Administration’’, ‘‘General Administration’’, and 
‘‘National Cemetery Administration’’ accounts for fiscal 
year 2016 may be transferred to or from the ‘‘Information
Technology Systems’’ account: Provided, That such trans-
fers may not result in a more than 10 percent aggregate 
increase in the total amount made available by this Act 
for the ‘‘Information Technology Systems’’ account: Pro-
vided further, That before a transfer may take place, the 
Secretary of Veterans Affairs shall request from the Com-
mittees on Appropriations of both Houses of Congress the 
authority to make the transfer and an approval is issued. 
SEC. 221. Of the amounts made available to the De-
partment of Veterans Affairs for fiscal year 2016, in this 
or any other Act, under the ‘‘Medical Facilities’’ account 
for nonrecurring maintenance, not more than 20 percent 
of the funds made available shall be obligated during the 
last 2 months of that fiscal year: Provided, That the Sec-
retary may waive this requirement after providing written 
notice to the Committees on Appropriations of both 
Houses of Congress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 222. Of the amounts appropriated to the De-
partment of Veterans Affairs for fiscal year 2016 for 
‘‘Medical Services’’, ‘‘Medical Support and Compliance’’, 
‘‘Medical Facilities’’, ‘‘Construction, Minor Projects’’, and 
‘‘Information Technology Systems’’, up to $266,303,000, 
plus reimbursements, may be transferred to the Joint De-
partment of Defense-Department of Veterans Affairs
Medical Facility Demonstration Fund, established by sec-
tion 1704 of the National Defense Authorization Act for 
Fiscal Year 2010 (Public Law 111–84; 123 Stat. 3571) 
and may be used for operation of the facilities designated 
as combined Federal medical facilities as described by sec-
tion 706 of the Duncan Hunter National Defense Author-
ization Act for Fiscal Year 2009 (Public Law 110–417; 
122 Stat. 4500): Provided, That additional funds may be 
transferred from accounts designated in this section to the 
Joint Department of Defense-Department of Veterans Af-
fairs Medical Facility Demonstration Fund upon written 
notification by the Secretary of Veterans Affairs to the 
Committees on Appropriations of both Houses of Con-
gress: Provided further, That section 223 of Title II of 
Division I of Public Law 113–235 is repealed. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 223. Of the amounts appropriated to the De-
partment of Veterans Affairs which become available on 
October 1, 2016, for ‘‘Medical Services’’, ‘‘Medical Sup-
port and Compliance’’, and ‘‘Medical Facilities’’, up to 
$265,675,000, plus reimbursements, may be transferred 
to the Joint Department of Defense-Department of Vet-
erans Affairs Medical Facility Demonstration Fund, es-
tablished by section 1704 of the National Defense Author-
ization Act for Fiscal Year 2010 (Public Law 111–84; 123
Stat. 3571) and may be used for operation of the facilities 
designated as combined Federal medical facilities as de-
scribed by section 706 of the Duncan Hunter National De-
fense Authorization Act for Fiscal Year 2009 (Public Law 
110–417; 122 Stat. 4500): Provided, That additional 
funds may be transferred from accounts designated in this 
section to the Joint Department of Defense-Department 
of Veterans Affairs Medical Facility Demonstration Fund 
upon written notification by the Secretary of Veterans Af-
fairs to the Committees on Appropriations of both Houses 
of Congress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 224. Such sums as may be deposited to the 
Medical Care Collections Fund pursuant to section 1729A 
of title 38, United States Code, for healthcare provided 
at facilities designated as combined Federal medical facili-
ties as described by section 706 of the Duncan Hunter 
National Defense Authorization Act for Fiscal Year 2009 
(Public Law 110–417; 122 Stat. 4500) shall also be avail-
able: (1) for transfer to the Joint Department of Defense- 
Department of Veterans Affairs Medical Facility Dem-
onstration Fund, established by section 1704 of the Na-
tional Defense Authorization Act for Fiscal Year 2010 
(Public Law 111–84; 123 Stat. 3571); and (2) for oper-
ations of the facilities designated as combined Federal
medical facilities as described by section 706 of the Dun-
can Hunter National Defense Authorization Act for Fiscal 
Year 2009 (Public Law 110–417; 122 Stat. 4500). 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 225. Of the amounts available in this title for 
‘‘Medical Services’’, ‘‘Medical Support and Compliance’’, 
and ‘‘Medical Facilities’’, a minimum of $15,000,000 shall 
be transferred to the DOD–VA Health Care Sharing In-
centive Fund, as authorized by section 8111(d) of title 38, 
United States Code, to remain available until expended, 
for any purpose authorized by section 8111 of title 38, 
United States Code. 
(INCLUDING RESCISSIONS OF FUNDS) 
SEC. 226. (a) Of the funds appropriated in title II 
of division I of Public Law 113–235, the following 
amounts which became available on October 1, 2015, are 
hereby rescinded from the following accounts in the 
amounts specified: 
(1) ‘‘Department of Veterans Affairs, Medical 
Services’’, $1,400,000,000. 
(2) ‘‘Department of Veterans Affairs, Medical 
Support and Compliance’’, $100,000,000. 
(3) ‘‘Department of Veterans Affairs, Medical 
Facilities’’, $250,000,000.
(b) In addition to amounts provided elsewhere in this 
Act, an additional amount is appropriated to the following 
accounts in the amounts specified to remain available until 
September 30, 2017: 
(1) ‘‘Department of Veterans Affairs, Medical 
Services’’, $1,400,000,000. 
(2) ‘‘Department of Veterans Affairs, Medical 
Support and Compliance’’, $100,000,000. 
(3) ‘‘Department of Veterans Affairs, Medical 
Facilities’’, $250,000,000. 
SEC. 227. The Secretary of Veterans Affairs shall no-
tify the Committees on Appropriations of both Houses of 
Congress of all bid savings for a major construction 
project within 15 days of being identified that total at 
least $5,000,000, or 5 percent of the programmed amount 
of the project, whichever is less. 
SEC. 228. None of the funds made available for 
‘‘Construction, Major Projects’’ may be used for a project 
in excess of the scope specified for that project in the origi-
nal justification data provided to the Congress as part of 
the request for appropriations unless the Secretary of Vet-
erans Affairs receives approval from the Committees on 
Appropriations of both Houses of Congress. 
SEC. 229. The Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both