ment: Provided further, That such sums as may be nec-
essary shall be available to reimburse the ‘‘General Admin-
istration’’ account for payment of salaries and expenses 
of all Office of Construction and Facilities Management 
employees to support the full range of capital infrastruc-
ture services provided, including minor construction and 
leasing services: Provided further, That funds made avail-
able under this heading for fiscal year 2021, for each ap-
proved project shall be obligated: (1) by the awarding of 
a construction documents contract by September 30, 
2021; and (2) by the awarding of a construction contract 
by September 30, 2022: Provided further, That the Sec-
retary 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 limitations established above: Provided further, That 
notwithstanding the requirements of section 8104(a) of 
title 38, United States Code, amounts made available 
under this heading for seismic improvement projects and 
seismic program management activities shall be available 
for the completion of both new and existing seismic 
projects of the Department. 
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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, $400,000,000, to remain available 
until September 30, 2025, 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; 
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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, $90,000,000, 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 2021 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 
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the Committees on Appropriations of both Houses of Con-
gress the authority to make the transfer and such Com-
mittees 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 2021, in this or 
any other Act, under the ‘‘Medical Services’’, ‘‘Medical 
Community Care’’, ‘‘Medical Support and Compliance’’, 
and ‘‘Medical Facilities’’ accounts may be transferred 
among the accounts: Provided, That any transfers among 
the ‘‘Medical Services’’, ‘‘Medical Community Care’’, 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 among the ‘‘Medical Services’’, ‘‘Med-
ical Community Care’’, and ‘‘Medical Support and Compli-
ance’’ accounts in excess of 1 percent, or exceeding the 
cumulative 1 percent for the fiscal year, may take place 
only after the Secretary requests from the Committees on 
Appropriations of both Houses of Congress the authority 
to make the transfer and an approval is issued: Provided 
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further, That any transfers to or from the ‘‘Medical Facili-
ties’’ account 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. 
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-
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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 
2020. 
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 2021, 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 
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(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, the Office of Employment Discrimination Complaint 
Adjudication, and the Office of Diversity and Inclusion for 
all services provided at rates which will recover actual 
costs but not to exceed $60,096,000 for the Office of Reso-
lution Management, $6,100,000 for the Office of Employ-
ment 
Discrimination 
Complaint 
Adjudication, 
and 
$5,294,000 for the Office of Diversity and Inclusion: 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 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-
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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. 212. 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. 213. Amounts made available under ‘‘Medical 
Services’’ are available— 
(1) for furnishing recreational facilities, sup-
plies, and equipment; and 
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(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. 214. 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 the 
‘‘Medical Services’’ and ‘‘Medical Community Care’’ ac-
counts to remain available until expended for the purposes 
of these accounts. 
SEC. 215. The Secretary of Veterans Affairs may 
enter into agreements with Federally Qualified Health 
Centers in the State of Alaska and Indian tribes and tribal 
organizations which are party to the Alaska Native Health 
Compact with the Indian Health Service, to provide 
healthcare, including behavioral health and dental care, to 
veterans in rural Alaska. The Secretary shall require par-
ticipating veterans and facilities to comply with all appro-
priate rules and regulations, as established by the Sec-
retary. The term ‘‘rural Alaska’’ shall mean those lands 
which are not within the boundaries of the municipality 
of Anchorage or the Fairbanks North Star Borough. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 216. Such sums as may be deposited to the De-
partment of Veterans Affairs Capital Asset Fund pursu-
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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. 217. Not later than 30 days after the end of 
each fiscal quarter, the Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
Houses of Congress a report on the financial status of the 
Department of Veterans Affairs for the preceding quarter: 
Provided, That, at a minimum, the report shall include 
the direction contained in the paragraph entitled ‘‘Quar-
terly reporting’’, under the heading ‘‘General Administra-
tion’’ in the joint explanatory statement accompanying 
Public Law 114–223. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 218. Amounts made available under the ‘‘Med-
ical Services’’, ‘‘Medical Community Care’’, ‘‘Medical Sup-
port and Compliance’’, ‘‘Medical Facilities’’, ‘‘General Op-
erating Expenses, Veterans Benefits Administration’’, 
‘‘Board of Veterans Appeals’’, ‘‘General Administration’’, 
and ‘‘National Cemetery Administration’’ accounts for fis-
cal year 2021 may be transferred to or from the ‘‘Informa-
tion Technology Systems’’ account: Provided, That such 
transfers may not result in a more than 10 percent aggre-
gate increase in the total amount made available by this 
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Act for the ‘‘Information Technology Systems’’ account: 
Provided further, 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 an approval is 
issued. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 219. Of the amounts appropriated to the De-
partment of Veterans Affairs for fiscal year 2021 for 
‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical 
Support and Compliance’’, ‘‘Medical Facilities’’, ‘‘Con-
struction, Minor Projects’’, and ‘‘Information Technology 
Systems’’, up to $322,932,000, plus reimbursements, may 
be transferred to the Joint Department of Defense—De-
partment of Veterans Affairs Medical Facility Demonstra-
tion Fund, established by section 1704 of the National De-
fense 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 section 706 of the Duncan Hun-
ter National Defense 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 De-
fense—Department of Veterans Affairs Medical Facility 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 222. Of the amounts available in this title for 
‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical 
Support and Compliance’’, and ‘‘Medical Facilities’’, a 
minimum of $15,000,000 shall be transferred to the 
DOD–VA Health Care Sharing Incentive Fund, as au-
thorized 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. 
SEC. 223. The Secretary of Veterans Affairs shall no-
tify the Committees on Appropriations of both Houses of 
Congress of all bid savings in a major construction project 
that total at least $5,000,000, or 5 percent of the pro-
grammed amount of the project, whichever is less: Pro-
vided, That such notification shall occur within 14 days 
of a contract identifying the programmed amount: Pro-
vided further, That the Secretary shall notify the Commit-
tees on Appropriations of both Houses of Congress 14 
days prior to the obligation of such bid savings and shall 
describe the anticipated use of such savings. 
SEC. 224. 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-
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erans Affairs receives approval from the Committees on 
Appropriations of both Houses of Congress. 
SEC. 225. Not later than 30 days after the end of 
each fiscal quarter, the Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
Houses of Congress a quarterly report containing perform-
ance measures and data from each Veterans Benefits Ad-
ministration Regional Office: Provided, That, at a min-
imum, the report shall include the direction contained in 
the section entitled ‘‘Disability claims backlog’’, under the 
heading ‘‘General Operating Expenses, Veterans Benefits 
Administration’’ in the joint explanatory statement accom-
panying Public Law 114–223: Provided further, That the 
report shall also include information on the number of ap-
peals pending at the Veterans Benefits Administration as 
well as the Board of Veterans Appeals on a quarterly 
basis. 
SEC. 226. The Secretary of Veterans Affairs shall 
provide written notification to the Committees on Appro-
priations of both Houses of Congress 15 days prior to or-
ganizational changes which result in the transfer of 25 or 
more full-time equivalents from one organizational unit of 
the Department of Veterans Affairs to another. 
SEC. 227. The Secretary of Veterans Affairs shall 
provide on a quarterly basis to the Committees on Appro-
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priations of both Houses of Congress notification of any 
single national outreach and awareness marketing cam-
paign in which obligations exceed $1,000,000. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 228. The Secretary of Veterans Affairs, upon 
determination that such action is necessary to address 
needs of the Veterans Health Administration, may trans-
fer to the ‘‘Medical Services’’ account any discretionary 
appropriations made available for fiscal year 2021 in this 
title (except appropriations made to the ‘‘General Oper-
ating Expenses, Veterans Benefits Administration’’ ac-
count) or any discretionary unobligated balances within 
the Department of Veterans Affairs, including those ap-
propriated for fiscal year 2021, that were provided in ad-
vance by appropriations Acts: Provided, That transfers 
shall be made only with the approval of the Office of Man-
agement and Budget: Provided further, That the transfer 
authority provided in this section is in addition to any 
other transfer authority provided by law: Provided further, 
That no amounts may be transferred from amounts that 
were designated by Congress as an emergency requirement 
pursuant to a concurrent resolution on the budget or the 
Balanced Budget and Emergency Deficit Control Act of 
1985: Provided further, That such authority to transfer 
may not be used unless for higher priority items, based 
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on emergent healthcare requirements, than those for 
which originally appropriated and in no case where the 
item for which funds are requested has been denied by 
Congress: Provided further, That, upon determination that 
all or part of the funds transferred from an appropriation 
are not necessary, such amounts may be transferred back 
to that appropriation and shall be available for the same 
purposes as originally appropriated: Provided further, 
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 receive approval of that request. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 229. Amounts made available for the Depart-
ment of Veterans Affairs for fiscal year 2021, under the 
‘‘Board of Veterans Appeals’’ and the ‘‘General Operating 
Expenses, Veterans Benefits Administration’’ accounts 
may be transferred between such accounts: Provided, That 
before a transfer may take place, the Secretary of Vet-
erans Affairs shall request from the Committees on Appro-
priations of both Houses of Congress the authority to 
make the transfer and receive approval of that request. 
SEC. 230. The Secretary of Veterans Affairs may not 
reprogram funds among major construction projects or 
programs if such instance of reprogramming will exceed 
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$7,000,000, unless such reprogramming is approved by 
the Committees on Appropriations of both Houses of Con-
gress. 
SEC. 231. (a) The Secretary of Veterans Affairs shall 
ensure that the toll-free suicide hotline under section 
1720F(h) of title 38, United States Code— 
(1) provides to individuals who contact the hot-
line immediate assistance from a trained profes-
sional; and 
(2) adheres to all requirements of the American 
Association of Suicidology. 
(b)(1) None of the funds made available by this Act 
may be used to enforce or otherwise carry out any Execu-
tive action that prohibits the Secretary of Veterans Affairs 
from appointing an individual to occupy a vacant civil 
service position, or establishing a new civil service position, 
at the Department of Veterans Affairs with respect to 
such a position relating to the hotline specified in sub-
section (a). 
(2) In this subsection— 
(A) the term ‘‘civil service’’ has the meaning 
given such term in section 2101(1) of title 5, United 
States Code; and 
(B) the term ‘‘Executive action’’ includes— 
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(i) any Executive order, presidential memo-
randum, or other action by the President; and 
(ii) any agency policy, order, or other di-
rective. 
(c)(1) The Secretary of Veterans Affairs shall con-
duct a study on the effectiveness of the hotline specified 
in subsection (a) during the five-year period beginning on 
January 1, 2016, based on an analysis of national suicide 
data and data collected from such hotline. 
(2) At a minimum, the study required by paragraph 
(1) shall— 
(A) determine the number of veterans who con-
tact the hotline specified in subsection (a) and who 
receive follow up services from the hotline or mental 
health services from the Department of Veterans Af-
fairs thereafter; 
(B) determine the number of veterans who con-
tact the hotline who are not referred to, or do not 
continue receiving, mental health care who commit 
suicide; and 
(C) determine the number of veterans described 
in subparagraph (A) who commit or attempt suicide. 
SEC. 232. None of the funds in this or any other Act 
may be used to close Department of Veterans Affairs (VA) 
hospitals, domiciliaries, or clinics, conduct an environ-
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mental assessment, or to diminish healthcare services at 
existing Veterans Health Administration medical facilities 
located in Veterans Integrated Service Network 23 as part 
of a planned realignment of VA services until the Sec-
retary provides to the Committees on Appropriations of 
both Houses of Congress a report including the following 
elements— 
(1) a national realignment strategy that in-
cludes a detailed description of realignment plans 
within each Veterans Integrated Services Network 
(VISN), including an updated Long Range Capital 
Plan to implement realignment requirements; 
(2) an explanation of the process by which 
those plans were developed and coordinated within 
each VISN; 
(3) a cost versus benefit analysis of each 
planned realignment, including the cost of replacing 
Veterans Health Administration services with con-
tract care or other outsourced services; 
(4) an analysis of how any such planned re-
alignment of services will impact access to care for 
veterans living in rural or highly rural areas, includ-
ing travel distances and transportation costs to ac-
cess a VA medical facility and availability of local 
specialty and primary care; 
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(5) an inventory of VA buildings with historic 
designation and the methodology used to determine 
the buildings’ condition and utilization; 
(6) a description of how any realignment will be 
consistent with requirements under the National 
Historic Preservation Act; and 
(7) consideration given for reuse of historic 
buildings within newly identified realignment re-
quirements: Provided, That, this provision shall not 
apply to capital projects in VISN 23, or any other 
VISN, which have been authorized or approved by 
Congress. 
SEC. 233. Effective during the period beginning on 
October 1, 2018 and ending on January 1, 2024, none 
of the funds made available to the Secretary of Veterans 
Affairs by this or any other Act may be obligated or ex-
pended in contravention of the ‘‘Veterans Health Adminis-
tration Clinical Preventive Services Guidance Statement 
on the Veterans Health Administration’s Screening for 
Breast Cancer Guidance’’ published on May 10, 2017, as 
issued by the Veterans Health Administration National 
Center for Health Promotion and Disease Prevention. 
SEC. 234. (a) Chapter 17 of title 38, United States 
Code, is amended by inserting after section 1720I the fol-
lowing new section: 
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‘‘§ 1720J. Provision of assisted reproductive tech-
nology or adoption reimbursements for 
certain disabled veterans 
‘‘(a) PROVISION OF SERVICES.—Subject to the avail-
ability of appropriations, the Secretary may provide— 
‘‘(1) fertility counseling and treatment using as-
sisted reproductive technology to a covered veteran 
or the spouse of a covered veteran; or 
‘‘(2) adoption reimbursement to a covered vet-
eran. 
‘‘(b) LIMITATIONS.—Amounts made available for the 
purposes specified in subsection (a) are subject to the re-
quirements for funds contained in section 508 of division 
H of the Consolidated Appropriations Act, 2017 (Public 
Law 115–31). 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) The term ‘adoption reimbursement’ means 
reimbursement for the adoption-related expenses for 
an adoption that is finalized after the date of the en-
actment of this section under the same terms as 
apply under the adoption reimbursement program of 
the Department of Defense, as authorized in De-
partment of Defense Instruction 1341.09, including 
the reimbursement limits and requirements set forth 
in such instruction, as in effect on the date of the 
enactment of this section. 
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‘‘(2) The term ‘assisted reproductive tech-
nology’ means benefits relating to reproductive as-
sistance provided to a member of the Armed Forces 
who incurs a serious injury or illness on active duty 
pursuant to section 1074(c)(4)(A) of title 10, as de-
scribed in the memorandum on the subject of ‘Policy 
for Assisted Reproductive Services for the Benefit of 
Seriously or Severely Ill/Injured (Category II or III) 
Active Duty Service Members’ issued by the Assist-
ant Secretary of Defense for Health Affairs on April 
3, 2012, and the guidance issued to implement such 
policy, as in effect on the date of the enactment of 
this section, including any limitations on the amount 
of such benefits available to such a member, except 
that— 
‘‘(A) 
the 
periods 
regarding 
embryo 
cryopreservation and storage set forth in part 
III(G) and in part IV(H) of the first part IV 
of such memorandum shall not apply; and 
‘‘(B) 
such 
term 
includes 
embryo 
cryopreservation and storage without limitation 
on the duration of such cryopreservation and 
storage. 
‘‘(3) The term ‘covered veteran’ means a vet-
eran who has a service-connected disability that re-
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sults in the inability of the veteran to procreate 
without the use of fertility treatment.’’. 
(b) The table of sections at the beginning of such 
chapter is amended by inserting after the item relating 
to section 1720I the following new item: 
‘‘1720J. Provision of assisted reproductive technology or adoption reimburse-
ments for certain disabled veterans.’’. 
SEC. 235. None of the funds appropriated or other-
wise made available by this Act or any other Act for the 
Department of Veterans Affairs may be used in a manner 
that is inconsistent with: (1) section 842 of the Transpor-
tation, Treasury, Housing and Urban Development, the 
Judiciary, the District of Columbia, and Independent 
Agencies Appropriations Act, 2006 (Public Law 109–115; 
119 Stat. 2506); or (2) section 8110(a)(5) of title 38, 
United States Code. 
SEC. 236. Section 842 of Public Law 109–115 shall 
not apply to conversion of an activity or function of the 
Veterans Health Administration, Veterans Benefits Ad-
ministration, or National Cemetery Administration to con-
tractor performance by a business concern that is at least 
51 percent owned by one or more Indian tribes as defined 
in section 5304(e) of title 25, United States Code, or one 
or more Native Hawaiian Organizations as defined in sec-
tion 637(a)(15) of title 15, United States Code. 
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SEC. 239. None of the funds appropriated in this or 
prior appropriations Acts or otherwise made available to 
the Department of Veterans Affairs may be used to trans-
fer any amounts from the Filipino Veterans Equity Com-
pensation Fund to any other account within the Depart-
ment of Veterans Affairs. 
SEC. 240. Of the funds provided to the Department 
of Veterans Affairs for each of fiscal year 2021 and fiscal 
year 2022 for ‘‘Medical Services’’, funds may be used in 
each year to carry out and expand the child care program 
authorized by section 205 of Public Law 111–163, not-
withstanding subsection (e) of such section. 
SEC. 241. None of the funds appropriated or other-
wise made available in this title may be used by the Sec-
retary of Veterans Affairs to enter into an agreement re-
lated to resolving a dispute or claim with an individual 
that would restrict in any way the individual from speak-
ing to members of Congress or their staff on any topic 
not otherwise prohibited from disclosure by Federal law 
or required by Executive Order to be kept secret in the 
interest of national defense or the conduct of foreign af-
fairs. 
SEC. 242. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2021 and 2022, 
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section 258 of Division A of Public Law 114–223 shall 
apply. 
SEC. 243. (a) None of the funds appropriated or oth-
erwise made available by this Act may be used to deny 
an Inspector General funded under this Act timely access 
to any records, documents, or other materials available to 
the department or agency of the United States Govern-
ment over which such Inspector General has responsibil-
ities under the Inspector General Act of 1978 (5 U.S.C. 
App.), or to prevent or impede the access of such Inspector 
General to such records, documents, or other materials, 
under any provision of law, except a provision of law that 
expressly refers to such Inspector General and expressly 
limits the right of access of such Inspector General. 
(b) A department or agency covered by this section 
shall provide its Inspector General access to all records, 
documents, and other materials in a timely manner. 
(c) Each Inspector General covered by this section 
shall ensure compliance with statutory limitations on dis-
closure relevant to the information provided by the depart-
ment or agency over which that Inspector General has re-
sponsibilities under the Inspector General Act of 1978 (5 
U.S.C. App.). 
(d) Each Inspector General covered by this section 
shall report to the Committee on Appropriations of the 
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Senate and the Committee on Appropriations of the House 
of Representatives within 5 calendar days of any failure 
by any department or agency covered by this section to 
comply with this section. 
SEC. 244. None of the funds made available in this 
Act may be used in a manner that would increase wait 
times for veterans who seek care at medical facilities of 
the Department of Veterans Affairs. 
SEC. 245. None of the funds appropriated or other-
wise made available by this Act to the Veterans Health 
Administration may be used in fiscal year 2021 to convert 
any program which received specific purpose funds in fis-
cal year 2020 to a general purpose funded program unless 
the Secretary of Veterans Affairs submits written notifica-
tion of any such proposal to the Committees on Appropria-
tions of both Houses of Congress at least thirty days prior 
to any such action and an approval is issued by the Com-
mittees. 
SEC. 246. (a) Except as provided by subsection (b), 
none of the funds made available by this Act may be used 
by the Secretary of Veterans Affairs to purchase, breed, 
transport, house, feed, maintain, dispose of, or experiment 
on, dogs as part of the conduct of any study including 
an assignment of pain category D or E, as defined by the 
Pain and Distress Categories of the Department of Agri-
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culture (or such successor categories developed pursuant 
to section 13 of the Animal Welfare Act (7 U.S.C. 2143)). 
(b) Subsection (a) shall not apply to training pro-
grams or studies of service dogs described in section 1714 
of title 38, United States Code, or section 17.148 of title 
38, Code of Federal Regulations. 
SEC. 247. None of the funds made available by this 
Act may be used by the Secretary of Veterans Affairs to 
close the community based outpatient clinic located in 
Bainbridge, New York, until the Secretary of Veterans Af-
fairs submits to the Committees on Appropriations of the 
House of Representatives and the Senate a market area 
assessment. 
SEC. 248. (a) Not later than 180 days after the date 
of the enactment of this Act, and not less frequently than 
once every five-year period thereafter, the Secretary of 
Veterans Affairs shall update the handbook of the Depart-
ment of Veterans Affairs titled ‘‘Planning and Activating 
Community Based Outpatient Clinics’’, or a successor 
handbook, to reflect current policies, best practices, and 
clarify the roles and responsibilities of the personnel of 
the Department involved in the leasing projects of the De-
partment. 
(b) The Secretary shall ensure that the handbook 
specified in subsection (a) defines ‘‘community based out-
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patient clinic’’ in the same manner as such term is defined 
in the Veterans Health Administration Site Tracking 
database (commonly known as ‘‘VAST’’) as of the date 
of the enactment of this Act. 
(c) The Secretary shall ensure that the Veterans 
Health Administration incorporates the best practices con-
tained in the handbook specified in subsection (a) in con-
ducting oversight of the medical centers of the Depart-
ment of Veterans Affairs and the Veterans Integrated 
Service Network. 
(d) Not later than 180 days after the date of the en-
actment of this Act, the Secretary shall provide guidance 
and training to employees of the Veterans Health Admin-
istration for the use of the handbook specified in sub-
section (a). The Secretary shall update such guidance and 
training together with each update of such handbook. 
SEC. 249. Amounts made available for the ‘‘Veterans 
Health Administration, Medical Community Care’’ ac-
count in this or any other Act for fiscal years 2021 and 
2022 may be used for expenses that would have otherwise 
been payable from the Veterans Choice Fund established 
by section 802 of the Veterans Access, Choice, and Ac-
countability Act, as amended (38 U.S.C. 1701 note). 
SEC. 250. Obligations and expenditures applicable to 
the ‘‘Medical Services’’ account in fiscal years 2017 
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through 2019 for aid to state homes (as authorized by 
section 1741 of title 38, United States Code) shall remain 
in the ‘‘Medical Community Care’’ account for such fiscal 
years. 
SEC. 251. Of the total amounts made available on 
October 1, 2020, under the headings ‘‘Department of Vet-
erans Affairs—Veterans Health Administration—Medical 
Services’’, ‘‘Department of Veterans Affairs—Veterans 
Health Administration—Medical Community Care’’, ‘‘De-
partment of Veterans Affairs—Veterans Health Adminis-
tration—Medical Support and Compliance’’, and ‘‘Depart-
ment of Veterans Affairs—Veterans Health Administra-
tion—Medical Facilities’’, $660,691,000 shall be made 
available for gender-specific care for women. 
TITLE III 
RELATED AGENCIES 
AMERICAN BATTLE MONUMENTS COMMISSION 
SALARIES AND EXPENSES 
For necessary expenses, not otherwise provided for, 
of the American Battle Monuments Commission, including 
the acquisition of land or interest in land in foreign coun-
tries; purchases and repair of uniforms for caretakers of 
national cemeteries and monuments outside of the United 
States and its territories and possessions; rent of office 
and garage space in foreign countries; purchase (one-for- 
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one replacement basis only) and hire of passenger motor 
vehicles; not to exceed $15,000 for official reception and 
representation expenses; and insurance of official motor 
vehicles in foreign countries, when required by law of such 
countries, $84,100,000, to remain available until ex-
pended. 
FOREIGN CURRENCY FLUCTUATIONS ACCOUNT 
For necessary expenses, not otherwise provided for, 
of the American Battle Monuments Commission, such 
sums as may be necessary, to remain available until ex-
pended, for purposes authorized by section 2109 of title 
36, United States Code. 
UNITED STATES COURT OF APPEALS FOR VETERANS 
CLAIMS 
SALARIES AND EXPENSES 
For necessary expenses for the operation of the 
United States Court of Appeals for Veterans Claims as 
authorized by sections 7251 through 7298 of title 38, 
United States Code, $37,100,000: Provided, That 
$3,286,509 shall be available for the purpose of providing 
financial assistance as described and in accordance with 
the process and reporting procedures set forth under this 
heading in Public Law 102–229. 
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DEPARTMENT OF DEFENSE—CIVIL 
CEMETERIAL EXPENSES, ARMY 
SALARIES AND EXPENSES 
For necessary expenses for maintenance, operation, 
and improvement of Arlington National Cemetery and Sol-
diers’ and Airmen’s Home National Cemetery, including 
the purchase or lease of passenger motor vehicles for re-
placement on a one-for-one basis only, and not to exceed 
$2,000 for official reception and representation expenses, 
$81,815,000, of which not to exceed $15,000,000 shall re-
main available until September 30, 2023. In addition, 
such sums as may be necessary for parking maintenance, 
repairs and replacement, to be derived from the ‘‘Lease 
of Department of Defense Real Property for Defense 
Agencies’’ account. 
ARMED FORCES RETIREMENT HOME 
TRUST FUND 
For expenses necessary for the Armed Forces Retire-
ment Home to operate and maintain the Armed Forces 
Retirement Home—Washington, District of Columbia, 
and the Armed Forces Retirement Home—Gulfport, Mis-
sissippi, to be paid from funds available in the Armed 
Forces Retirement Home Trust Fund, $73,100,000, to re-
main available until September 30, 2022; of which 
$8,800,000 shall remain available until expended for con-
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struction and renovation of the physical plants at the 
Armed Forces Retirement Home—Washington, District of 
Columbia, and the Armed Forces Retirement Home— 
Gulfport, Mississippi: Provided, That of the amounts made 
available under this heading from funds available in the 
Armed 
Forces 
Retirement 
Home 
Trust 
Fund, 
$22,000,000 shall be paid from the general fund of the 
Treasury to the Trust Fund. 
ADMINISTRATIVE PROVISION 
SEC. 301. Amounts deposited into the special account 
established under 10 U.S.C. 7727 are appropriated and 
shall be available until expended to support activities at 
the Army National Military Cemeteries. 
TITLE IV 
OVERSEAS CONTINGENCY OPERATIONS 
DEPARTMENT OF DEFENSE 
MILITARY CONSTRUCTION, ARMY 
For an additional amount for ‘‘Military Construction, 
Army’’, $16,111,000, to remain available until September 
30, 2025, for projects outside of the United States: Pro-
vided, That such amount is designated by the Congress 
for Overseas Contingency Operations/Global War on Ter-
rorism pursuant to section 251(b)(2)(A)(ii) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
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MILITARY CONSTRUCTION, NAVY AND MARINE CORPS 
For an additional amount for ‘‘Military Construction, 
Navy and Marine Corps’’, $70,020,000, to remain avail-
able until September 30, 2025, for projects outside of the 
United States: Provided, That such amount is designated 
by the Congress for Overseas Contingency Operations/ 
Global 
War 
on 
Terrorism 
pursuant 
to 
section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
MILITARY CONSTRUCTION, AIR FORCE 
For an additional amount for ‘‘Military Construction, 
Air Force’’ $263,869,000, to remain available until Sep-
tember 30, 2025, for projects outside of the United States: 
Provided, That such amount is designated by the Congress 
for Overseas Contingency Operations/Global War on Ter-
rorism pursuant to section 251(b)(2)(A)(ii) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
ADMINISTRATIVE PROVISION 
SEC. 401. None of the funds appropriated for mili-
tary construction projects outside the United States under 
this title may be obligated or expended for planning and 
design of any project associated with the European Deter-
rence Initiative until the Secretary of Defense develops 
and submits to the congressional defense committees, in 
a classified and unclassified format, a list of all of the mili-
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tary construction projects associated with the European 
Deterrence Initiative which the Secretary anticipates will 
be carried out during each of the fiscal years 2022 
through 2026. 
TITLE V 
GENERAL PROVISIONS 
SEC. 501. No part of any appropriation contained in 
this Act shall remain available for obligation beyond the 
current fiscal year unless expressly so provided herein. 
SEC. 502. None of the funds made available in this 
Act may be used for any program, project, or activity, 
when it is made known to the Federal entity or official 
to which the funds are made available that the program, 
project, or activity is not in compliance with any Federal 
law relating to risk assessment, the protection of private 
property rights, or unfunded mandates. 
SEC. 503. All departments and agencies funded under 
this Act are encouraged, within the limits of the existing 
statutory authorities and funding, to expand their use of 
‘‘E-Commerce’’ technologies and procedures in the con-
duct of their business practices and public service activi-
ties. 
SEC. 504. Unless stated otherwise, all reports and no-
tifications required by this Act shall be submitted to the 
Subcommittee on Military Construction and Veterans Af-
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