fairs for fiscal year 2012 or the year in which funds are 
appropriated for the Construction, Major Projects, ac-
count $850,070,000 for the projects authorized in section 
3. 
(c) AUTHORIZATION OF APPROPRIATIONS FOR MED-
ICAL FACILITY LEASES.—There is authorized to be appro-
priated to the Secretary of Veterans Affairs for fiscal year 
2012 or the year in which funds are appropriated for the 
Medical Facilities account $49,292,000 for the leases au-
thorized in section 4. 
(d) LIMITATION.—The projects authorized in sections 
2, 3, and 4 may only be carried out using— 
(1) funds appropriated for fiscal year 2012 pur-
suant to the authorization of appropriations in sub-
section (a) of this section; 
(2) funds available for Construction, Major 
Projects, for a fiscal year before fiscal year 2012 
that remain available for obligation; 
(3) funds available for Construction, Major 
Projects, for a fiscal year after fiscal year 2012 that 
remain available for obligation; 
(4) funds appropriated for Construction, Major 
Projects, for fiscal year 2012 for a category of activ-
ity not specific to a project;
(5) funds appropriated for Construction, Major 
Projects, for a fiscal year before 2012 for a category 
of activity not specific to a project; and 
(6) funds appropriated for Construction, Major 
Projects, for a fiscal year after 2012 for a category 
of activity not specific to a project. 
SEC. 6. MODIFICATION OF REQUIREMENTS RELATING TO 
CONGRESSIONAL 
APPROVAL 
OF 
CERTAIN 
MEDICAL FACILITY ACQUISITIONS. 
Section 8104 of title 38, United States Code, is 
amended— 
(1) in subsection (b)— 
(A) in paragraph (1)— 
(i) by striking ‘‘detailed description’’ 
and inserting ‘‘detailed estimate of the 
total costs’’; 
(ii) by striking ‘‘a description of the 
consideration’’ and inserting ‘‘a detailed 
report 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, 
equipment, 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 
period’’ 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 
following: ‘‘, including information on projected 
changes in workload and utilization over a five- 
year period, a ten-year period, and a twenty- 
year period’’; 
(E) in paragraph (4), as so redesignated— 
(i) by striking ‘‘Current and pro-
jected’’ and inserting ‘‘Projected’’; and 
(ii) by inserting before the period at 
the end the following: ‘‘(including and 
identifying both recurring and non-recur-
ring costs (including activation costs and
total costs of ancillary services, equipment 
and all other items)) over a five-year pe-
riod, 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 
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)—