II 
112TH CONGRESS 
1ST SESSION H. R. 2646 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 21, 2011 
Received 
AN ACT 
To authorize certain Department of Veterans Affairs major 
medical facility projects and leases, to extend certain 
expiring provisions of law, and to modify certain authori-
ties of the Secretary of Veterans Affairs, and for other 
purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Veterans Health Care Facilities Capital Improvement 
Act of 2011’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Authorization of fiscal year 2012 major medical facility projects. 
Sec. 3. Modification of authorization for certain major medical facility construc-
tion projects previously authorized. 
Sec. 4. Authorization of fiscal year 2012 major medical facility leases. 
Sec. 5. Authorization of appropriations. 
Sec. 6. Modification of requirements relating to congressional approval of cer-
tain medical facility acquisitions. 
Sec. 7. Limitation on authority of Secretary of Veterans Affairs to use bid sav-
ings on major construction projects to expand purpose of major 
medical facility projects. 
Sec. 8. Name of Department of Veterans Affairs telehealth clinic, Craig, Colo-
rado. 
Sec. 9. George H. O’Brien, Jr., Department of Veterans Affairs Medical Cen-
ter. 
Sec. 10. Extension of certain expiring authorities. 
Sec. 11. Authorization of appropriations for comprehensive service programs for 
homeless veterans. 
Sec. 12. Reauthorization of appropriations for financial assistance for sup-
portive services for very low-income veteran families in perma-
nent housing. 
Sec. 13. Extension of grant program for homeless veterans with special needs. 
Sec. 14. Extension of specially adapted housing assistance for individuals resid-
ing temporarily in housing owned by a family member. 
Sec. 15. Extension of funding fees. 
Sec. 16. Notice and verification of the use of income information from other 
agencies. 
Sec. 17. Termination or reduction of certain benefits and services based on in-
come information obtained from other agencies. 
SEC. 2. AUTHORIZATION OF FISCAL YEAR 2012 MAJOR MED-
ICAL FACILITY PROJECTS. 
The Secretary of Veterans Affairs may carry out the 
following major medical facility projects in fiscal year 
2012, with each project to be carried out in the amount 
specified for each project: 
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(1) Construction of seismic corrections for 
Building 100 at the Department of Veterans Affairs 
Medical Center in Seattle, Washington, in an 
amount not to exceed $51,800,000. 
(2) Construction of seismic corrections and ren-
ovation of various buildings to include Building 209 
for housing facilities for homeless veterans at the 
Department of Veterans Affairs Medical Center in 
West Los Angeles, California, in an amount not to 
exceed $35,500,000. 
SEC. 3. MODIFICATION OF AUTHORIZATION FOR CERTAIN 
MAJOR MEDICAL FACILITY CONSTRUCTION 
PROJECTS PREVIOUSLY AUTHORIZED. 
(a) MODIFICATION OF AUTHORIZATION OF FISCAL 
YEAR 2007 MAJOR MEDICAL FACILITY PROJECT AT DE-
PARTMENT OF VETERANS AFFAIRS MEDICAL CENTER IN 
FAYETTEVILLE, ARKANSAS.—Section 803(3) of the Vet-
erans Benefits, Health Care, and Information Technology 
Act of 2006 (Public Law 109–461) is amended— 
(1) by inserting ‘‘and a parking garage’’ after 
‘‘clinical addition’’; and 
(2) by striking ‘‘$56,163,000’’ and inserting 
‘‘$90,600,000’’. 
(b) MODIFICATION OF EXTENSION OF AUTHORIZA-
TION
FOR MAJOR MEDICAL FACILITY CONSTRUCTION 
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PROJECT IN ORLANDO, FLORIDA, PREVIOUSLY AUTHOR-
IZED IN CONNECTION WITH CAPITAL ASSET REALIGN-
MENT INITIATIVE.—Section 802(11) of the Veterans Ben-
efits, Health Care, and Information Technology Act of 
2006 (Public Law 109–461), as amended by section 
702(b)(4) of the Veterans’ Mental Health and Other Care 
Improvements Act of 2008 (Public Law 110–387; 122 
Stat. 4137), is amended by inserting ‘‘, including a Sim-
ulation, Learning, Education, and Research Network Cen-
ter,’’ after ‘‘Florida, area’’. 
(c) INCREASE IN AMOUNT OF AUTHORIZATION OF 
FISCAL YEAR 2008 MAJOR MEDICAL FACILITY PROJECT 
AT DEPARTMENT OF VETERANS AFFAIRS MEDICAL CEN-
TER IN PALO ALTO, CALIFORNIA.—The Secretary of Vet-
erans Affairs may carry out the major medical facility 
project at the Department of Veterans Affairs Medical 
Center in Palo Alto, California, for which amounts were 
appropriated under chapter 3 of title I of the Supple-
mental Appropriations Act, 2008 (Public Law 110–252; 
122 Stat. 2326) under the heading ‘‘CONSTRUCTION, 
MAJOR PROJECTS’’ under the heading ‘‘DEPARTMENT 
OF VETERANS AFFAIRS’’ in an amount not to exceed 
$716,600,000. 
(d) INCREASE IN AMOUNT OF AUTHORIZATION OF 
FISCAL YEAR 2009 MAJOR MEDICAL FACILITY PROJECT 
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AT DEPARTMENT OF VETERANS AFFAIRS MEDICAL CEN-
TER, SAN JUAN, PUERTO RICO.—Section 701(3) of the 
Veterans’ Mental Health and Other Care Improvements 
Act of 2008 (Public Law 110–387; 122 Stat. 4137) is 
amended by striking ‘‘$225,900,000’’ and inserting 
‘‘$277,000,000’’. 
(e) INCREASE IN AMOUNT OF AUTHORIZATION OF 
FISCAL YEAR 2007 MAJOR MEDICAL FACILITY PROJECT 
AT DEPARTMENT OF VETERANS AFFAIRS MEDICAL CEN-
TER, ST. LOUIS, MISSOURI.—Section 803(5) of the Vet-
erans Benefits, Health Care, and Information Technology 
Act of 2006 (Public Law 109–461) is amended by striking 
‘‘$69,053,000’’ and inserting ‘‘$346,300,000’’. 
SEC. 4. AUTHORIZATION OF FISCAL YEAR 2012 MAJOR MED-
ICAL FACILITY LEASES. 
The Secretary of Veterans Affairs may carry out the 
following fiscal year 2012 major medical facility leases at 
the locations specified, in an amount not to exceed the 
amount shown for that location: 
(1) Columbus, Georgia, Community-Based Out-
patient Clinic, in an amount not to exceed 
$5,335,000. 
(2) Fort Wayne, Indiana, Outpatient Clinic, in 
an amount not to exceed $2,845,000. 
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(3) Mobile, Alabama, Outpatient Clinic, in an 
amount not to exceed $6,565,000. 
(4) Rochester, New York, Outpatient Clinic, in 
an amount not to exceed $9,232,000. 
(5) Salem, Oregon, Community-Based Out-
patient Clinic, in an amount not to exceed 
$2,549,000. 
(6) San Jose, California, Outpatient Clinic, in 
an amount not to exceed $9,546,000. 
(7) South Bend, Indiana, Outpatient Clinic, in 
an amount not to exceed $6,731,000. 
(8) Springfield, Missouri, Community-Based 
Outpatient Clinic, in an amount not to exceed 
$6,489,000. 
SEC. 5. AUTHORIZATION OF APPROPRIATIONS. 
(a) AUTHORIZATION OF APPROPRIATIONS FOR CON-
STRUCTION.—There is authorized to be appropriated to 
the Secretary of Veterans Affairs for fiscal year 2012 or 
the year in which funds are appropriated for the Construc-
tion, Major Projects, account $87,300,000 for the projects 
authorized in section 2. 
(b) MODIFICATION OF AUTHORIZATION FOR CER-
TAIN
MAJOR
MEDICAL
FACILITY
CONSTRUCTION 
PROJECTS PREVIOUSLY AUTHORIZED.—There is author-
ized to be appropriated to the Secretary of Veterans Af-
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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; 
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(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. 
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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)— 
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(A) by striking ‘‘major medical facility 
project’’ each place it appears and inserting 
‘‘major construction project’’; and 
(B) in paragraph (2)— 
(i) in subparagraph (A), by striking 
‘‘major medical facility projects’’ and in-
serting ‘‘major construction projects’’; and 
(ii) in subparagraph (B), by striking 
‘‘major medical facility’’ and inserting 
‘‘major construction project’’. 
SEC. 7. LIMITATION ON AUTHORITY OF SECRETARY OF 
VETERANS AFFAIRS TO USE BID SAVINGS ON 
MAJOR CONSTRUCTION PROJECTS TO EX-
PAND PURPOSE OF MAJOR MEDICAL FACIL-
ITY PROJECTS. 
Section 8104(d)(2) of title 38, United States Code, 
as amended by section 6, is further amended by adding 
at the end the following new subparagraph: 
‘‘(C) The Secretary may not obligate an amount 
under subparagraph (A) to expand the purpose of a major 
construction project except pursuant to a provision of law 
enacted after the date on which the Secretary submits to 
the committees described in subparagraph (B) notice of 
the following: 
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‘‘(i) The major construction project that is the 
source of the bid savings. 
‘‘(ii) The major construction project for which 
the Secretary intends to expand the purpose. 
‘‘(iii) A description of such expansion of pur-
pose. 
‘‘(iv) The amounts the Secretary intends to ob-
ligate to expand the purpose.’’. 
SEC. 8. NAME OF DEPARTMENT OF VETERANS AFFAIRS 
TELEHEALTH CLINIC, CRAIG, COLORADO. 
(a) DESIGNATION.—The Department of Veterans Af-
fairs telehealth clinic in Craig, Colorado, shall after the 
date of the enactment of this Act be known and designated 
as the ‘‘Major William Edward Adams Department of Vet-
erans Affairs Clinic’’. 
(b) REFERENCES.—Any reference in any law, regula-
tion, map, document, record, or other paper of the United 
States to the clinic referred to in subsection (a) shall be 
considered to be a reference to the ‘‘Major William Ed-
ward Adams Department of Veterans Affairs Clinic’’. 
SEC. 9. GEORGE H. O’BRIEN, JR., DEPARTMENT OF VET-
ERANS AFFAIRS MEDICAL CENTER. 
(a) DESIGNATION.—The Department of Veterans Af-
fairs medical center located in Big Spring, Texas, shall 
after the date of the enactment of this Act be known and 
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designated as the ‘‘George H. O’Brien, Jr., Department 
of Veterans Affairs Medical Center’’. 
(b) REFERENCES.—Any reference in any law, regula-
tion, map, document, record, or other paper of the United 
States to the Department of Veterans Affairs medical cen-
ter referred to in subsection (a) shall be considered to be 
a reference to the ‘‘George H. O’Brien, Jr., Department 
of Veterans Affairs Medical Center’’. 
SEC. 10. EXTENSION OF CERTAIN EXPIRING AUTHORITIES. 
(a) RECOVERY AUDITS FOR CERTAIN CONTRACTS.— 
Section 1703(d)(4) of title 38, United States Code, is 
amended by striking ‘‘September 30, 2013’’ and inserting 
‘‘September 30, 2020’’. 
(b) HOMELESS VETERANS REINTEGRATION PRO-
GRAMS.—Section 2021(e)(1)(F) of such title is amended 
by striking ‘‘2011’’ and inserting ‘‘2012’’. 
(c) TREATMENT AND REHABILITATION FOR SERI-
OUSLY MENTALLY ILL AND HOMELESS VETERANS.—Sec-
tion 2031(b) of such title is amended by striking ‘‘Decem-
ber 31, 2011’’ and inserting ‘‘December 31, 2012’’. 
(d) ADDITIONAL SERVICES FOR SERIOUSLY MEN-
TALLY ILL AND HOMELESS VETERANS.—Section 2033(d) 
of such title is amended by striking ‘‘December 31, 2011’’ 
and inserting ‘‘December 31, 2012’’. 
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(e) HOUSING ASSISTANCE
FOR HOMELESS VET-
ERANS.—Section 2041(c) of such title is amended by 
striking ‘‘December 31, 2011’’ and inserting ‘‘December 
31, 2012’’. 
(f) ADVISORY COMMITTEE
ON HOMELESS VET-
ERANS.—Section 2066(d) of such title is amended by 
striking ‘‘December 30, 2011’’ and inserting ‘‘December 
31, 2012’’. 
(g) AUTHORITY TO TRANSFER REAL PROPERTY.— 
Section 8118(a)(5) of such title is amended by striking 
‘‘the date that is seven years after the date of the enact-
ment of this section’’ and inserting ‘‘December 31, 2018’’. 
SEC. 11. AUTHORIZATION OF APPROPRIATIONS FOR COM-
PREHENSIVE 
SERVICE 
PROGRAMS 
FOR 
HOMELESS VETERANS. 
Section 2013 of title 38, United States Code, is 
amended— 
(1) by striking ‘‘subchapter’’ and all that fol-
lows through the period at the end and inserting the 
following: ‘‘subchapter amounts as follows:’’; and 
(2) by adding at the end the following new 
paragraphs: 
‘‘(1) $150,000,000 for each of fiscal years 2007 
through 2009. 
‘‘(2) $175,100,000 for fiscal year 2010. 
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‘‘(3) $217,700,000 for fiscal year 2011. 
‘‘(4) $250,000,000 for fiscal year 2012. 
‘‘(5) $150,000,000 for fiscal year 2013 and 
each subsequent fiscal year.’’. 
SEC. 12. REAUTHORIZATION OF APPROPRIATIONS FOR FI-
NANCIAL 
ASSISTANCE 
FOR 
SUPPORTIVE 
SERVICES FOR VERY LOW-INCOME VETERAN 
FAMILIES IN PERMANENT HOUSING. 
(a) IN GENERAL.—Subsection (e) of section 2044 is 
amended— 
(1) in paragraph (1), by adding at the end the 
following new subparagraph: 
‘‘(D) $100,000,000 for fiscal year 2012.’’; and 
(2) in paragraph (3), by striking ‘‘2011’’ and 
inserting ‘‘2012’’. 
(b) TECHNICAL AMENDMENT.—Paragraph (1) of 
such subsection is further amended by striking ‘‘carry out 
subsection (a), (b), and (c)’’ and inserting ‘‘carry out sub-
sections (a), (b), and (c)’’. 
SEC. 13. EXTENSION OF GRANT PROGRAM FOR HOMELESS 
VETERANS WITH SPECIAL NEEDS. 
Section 2061(c)(1) of title 38, United States Code, 
is amended by striking ‘‘2011’’ and inserting ‘‘2012’’. 
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SEC. 14. EXTENSION OF SPECIALLY ADAPTED HOUSING AS-
SISTANCE FOR INDIVIDUALS RESIDING TEM-
PORARILY IN HOUSING OWNED BY A FAMILY 
MEMBER. 
Section 2102A(e) of title 38, United States Code, is 
amended by striking ‘‘2011’’ and inserting ‘‘2012’’. 
SEC. 15. EXTENSION OF FUNDING FEES. 
Section 3729(b)(2) of title 38, United States Code, 
is amended by striking ‘‘October 1, 2011’’ each place it 
occurs and inserting ‘‘November 18, 2011’’. 
SEC. 16. NOTICE AND VERIFICATION OF THE USE OF IN-
COME INFORMATION FROM OTHER AGEN-
CIES. 
Section 5317(g) of title 38, United States Code, is 
amended by striking ‘‘September 30, 2011’’ and inserting 
‘‘November 18, 2011’’. 
SEC. 17. TERMINATION OR REDUCTION OF CERTAIN BENE-
FITS AND SERVICES BASED ON INCOME IN-
FORMATION OBTAINED FROM OTHER AGEN-
CIES. 
(a) TITLE 38.—Section 5317A(d) of title 38, United 
States Code, is amended by striking ‘‘September 30, 
2011’’ and inserting ‘‘November 18, 2011’’. 
(b) SOCIAL SECURITY ACT.—Section 453(j)(11)(G) 
of the Social Security Act (42 U.S.C. 653(j)(11)(G)) is 
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amended by striking ‘‘September 30, 2011’’ and inserting 
‘‘November 18, 2011’’. 
Passed the House of Representatives September 20, 
2011. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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