H. R. 2646 
One Hundred Twelfth Congress 
of the 
United States of America 
AT THE FIRST SESSION 
Begun and held at the City of Washington on Wednesday, 
the fifth day of January, two thousand and eleven 
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 
authorities of the Secretary of Veterans Affairs, and for other purposes. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
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 construction 
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 certain 
medical facility acquisitions. 
Sec. 7. Limitation on authority of Secretary of Veterans Affairs to use bid savings 
on major construction projects to expand purpose of major medical facil-
ity projects. 
Sec. 8. Name of Department of Veterans Affairs telehealth clinic, Craig, Colorado. 
Sec. 9. George H. O’Brien, Jr., Department of Veterans Affairs Medical Center. 
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 supportive 
services for very low-income veteran families in permanent housing. 
Sec. 13. Extension of grant program for homeless veterans with special needs. 
Sec. 14. Extension of specially adapted housing assistance for individuals residing 
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 agen-
cies. 
Sec. 17. Termination or reduction of certain benefits and services based on income 
information obtained from other agencies. 
SEC. 2. AUTHORIZATION OF FISCAL YEAR 2012 MAJOR MEDICAL 
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: 
(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 renovation of 
various buildings to include Building 209 for housing facilities 
for homeless veterans at the Department of Veterans Affairs
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Medical Center in West Los Angeles, California, in an amount 
not to exceed $35,500,000. 
SEC. 3. MODIFICATION OF AUTHORIZATION FOR CERTAIN MAJOR MED-
ICAL FACILITY CONSTRUCTION PROJECTS PREVIOUSLY 
AUTHORIZED. 
(a) MODIFICATION
OF AUTHORIZATION
OF FISCAL YEAR 2007 
MAJOR MEDICAL FACILITY PROJECT AT DEPARTMENT OF VETERANS 
AFFAIRS MEDICAL CENTER IN FAYETTEVILLE, ARKANSAS.—Section 
803(3) of the Veterans Benefits, Health Care, and Information Tech-
nology Act of 2006 (Public Law 109–461) is amended— 
(1) by inserting ‘‘and a parking garage’’ after ‘‘clinical addi-
tion’’; and 
(2) by striking ‘‘$56,163,000’’ and inserting ‘‘$90,600,000’’. 
(b) MODIFICATION OF EXTENSION OF AUTHORIZATION FOR MAJOR 
MEDICAL FACILITY CONSTRUCTION PROJECT IN ORLANDO, FLORIDA, 
PREVIOUSLY AUTHORIZED
IN CONNECTION WITH CAPITAL ASSET 
REALIGNMENT INITIATIVE.—Section 802(11) of the Veterans Benefits, 
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 Simulation, Learning, Education, and Research Network Center,’’ 
after ‘‘Florida, area’’. 
(c) INCREASE IN AMOUNT OF AUTHORIZATION OF FISCAL YEAR 
2008 MAJOR MEDICAL FACILITY PROJECT AT DEPARTMENT OF VET-
ERANS AFFAIRS MEDICAL CENTER
IN PALO ALTO, CALIFORNIA.— 
The Secretary of Veterans 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 appro-
priated under chapter 3 of title I of the Supplemental Appropria-
tions 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 AT DEPARTMENT OF VET-
ERANS AFFAIRS MEDICAL CENTER, SAN JUAN, PUERTO RICO.—Section 
701(3) of the Veterans’ Mental Health and Other Care Improve-
ments 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 VET-
ERANS AFFAIRS MEDICAL CENTER, ST. LOUIS, MISSOURI.—Section 
803(5) of the Veterans Benefits, Health Care, and Information Tech-
nology 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 MEDICAL 
FACILITY LEASES. 
The Secretary of Veterans Affairs may carry out the following 
fiscal year 2012 major medical facility leases at the locations speci-
fied, in an amount not to exceed the amount shown for that location: 
(1) Columbus, Georgia, Community-Based Outpatient 
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 Outpatient 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 CONSTRUCTION.— 
There is authorized to be appropriated to the Secretary of Veterans 
Affairs for fiscal year 2012 or the year in which funds are appro-
priated for the Construction, Major Projects, account $87,300,000 
for the projects authorized in section 2. 
(b) MODIFICATION OF AUTHORIZATION FOR CERTAIN MAJOR MED-
ICAL FACILITY CONSTRUCTION PROJECTS PREVIOUSLY AUTHORIZED.— 
There is authorized to be appropriated to the Secretary of Veterans 
Affairs for fiscal year 2012 or the year in which funds are appro-
priated for the Construction, Major Projects, account $850,070,000 
for the projects authorized in section 3. 
(c) AUTHORIZATION OF APPROPRIATIONS FOR MEDICAL FACILITY 
LEASES.—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 Medical Facilities account $49,292,000 
for the leases authorized 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 pursuant to 
the authorization of appropriations in subsection (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 activity 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 CONGRES-
SIONAL 
APPROVAL 
OF 
CERTAIN 
MEDICAL 
FACILITY 
ACQUISITIONS. 
Section 8104 of title 38, United States Code, is amended— 
(1) in subsection (b)— 
(A) in paragraph (1)—
H. R. 2646—4 
(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 following: ‘‘Such 
detailed estimate shall include an identification of each 
of the following: 
‘‘(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 redesig-
nating 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 utiliza-
tion 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 projected’’ and 
inserting ‘‘Projected’’; and 
(ii) by inserting before the period at the end the 
following: ‘‘(including and identifying both recurring 
and non-recurring costs (including activation costs and 
total costs of ancillary services, equipment and all other 
items)) over a five-year period, 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 sub-
paragraphs: 
‘‘(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)— 
(A) by striking ‘‘major medical facility project’’ each 
place it appears and inserting ‘‘major construction project’’; 
and
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(B) in paragraph (2)— 
(i) in subparagraph (A), by striking ‘‘major medical 
facility projects’’ and inserting ‘‘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 EXPAND PURPOSE OF MAJOR MEDICAL 
FACILITY 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 subpara-
graph (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: 
‘‘(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 purpose. 
‘‘(iv) The amounts the Secretary intends to obligate to 
expand the purpose.’’. 
SEC. 8. NAME OF DEPARTMENT OF VETERANS AFFAIRS TELEHEALTH 
CLINIC, CRAIG, COLORADO. 
(a) DESIGNATION.—The Department of Veterans Affairs tele-
health clinic in Craig, Colorado, shall after the date of the enact-
ment of this Act be known and designated as the ‘‘Major William 
Edward Adams Department of Veterans Affairs Clinic’’. 
(b) REFERENCES.—Any reference in any law, regulation, 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 Edward Adams Department of Veterans 
Affairs Clinic’’. 
SEC. 9. GEORGE H. O’BRIEN, JR., DEPARTMENT OF VETERANS AFFAIRS 
MEDICAL CENTER. 
(a) DESIGNATION.—The Department of Veterans Affairs medical 
center located in Big Spring, Texas, shall after the date of the 
enactment of this Act be known and designated as the ‘‘George 
H. O’Brien, Jr., Department of Veterans Affairs Medical Center’’. 
(b) REFERENCES.—Any reference in any law, regulation, map, 
document, record, or other paper of the United States to the Depart-
ment of Veterans Affairs medical center 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 PROGRAMS.—Section 
2021(e)(1)(F) of such title is amended by striking ‘‘2011’’ and 
inserting ‘‘2012’’.
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(c) TREATMENT AND REHABILITATION FOR SERIOUSLY MENTALLY 
ILL
AND HOMELESS VETERANS.—Section 2031(b) of such title is 
amended by striking ‘‘December 31, 2011’’ and inserting ‘‘December 
31, 2012’’. 
(d) ADDITIONAL SERVICES FOR SERIOUSLY MENTALLY ILL AND 
HOMELESS VETERANS.—Section 2033(d) of such title is amended 
by striking ‘‘December 31, 2011’’ and inserting ‘‘December 31, 2012’’. 
(e) HOUSING ASSISTANCE FOR HOMELESS VETERANS.—Section 
2041(c) of such title is amended by striking ‘‘December 31, 2011’’ 
and inserting ‘‘December 31, 2012’’. 
(f) ADVISORY COMMITTEE
ON HOMELESS VETERANS.—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 enactment of this section’’ and 
inserting ‘‘December 31, 2018’’. 
SEC. 11. AUTHORIZATION OF APPROPRIATIONS FOR COMPREHENSIVE 
SERVICE PROGRAMS FOR HOMELESS VETERANS. 
Section 2013 of title 38, United States Code, is amended— 
(1) by striking ‘‘subchapter’’ and all that follows 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. 
‘‘(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 FINANCIAL 
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 subsections (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’’. 
SEC. 14. EXTENSION OF SPECIALLY ADAPTED HOUSING ASSISTANCE 
FOR INDIVIDUALS RESIDING TEMPORARILY IN HOUSING 
OWNED BY A FAMILY MEMBER. 
Section 2102A(e) of title 38, United States Code, is amended 
by striking ‘‘2011’’ and inserting ‘‘2012’’.
H. R. 2646—7 
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 INCOME 
INFORMATION FROM OTHER AGENCIES. 
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 BENEFITS AND 
SERVICES BASED ON INCOME INFORMATION OBTAINED 
FROM OTHER AGENCIES. 
(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 amended by striking ‘‘Sep-
tember 30, 2011’’ and inserting ‘‘November 18, 2011’’. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.