H. R. 2617—486 
Government to exceed $500,000 for projects to be accomplished 
in Japan, in any North Atlantic Treaty Organization member 
country, or in countries bordering the Arabian Gulf, unless such 
contracts are awarded to United States firms or United States 
firms in joint venture with host nation firms. 
SEC. 112. None of the funds made available in this title for 
military construction in the United States territories and posses-
sions in the Pacific and on Kwajalein Atoll, or in countries bordering 
the Arabian Gulf, may be used to award any contract estimated 
by the Government to exceed $1,000,000 to a foreign contractor: 
Provided, That this section shall not be applicable to contract 
awards for which the lowest responsive and responsible bid of 
a United States contractor exceeds the lowest responsive and 
responsible bid of a foreign contractor by greater than 20 percent: 
Provided further, That this section shall not apply to contract 
awards for military construction on Kwajalein Atoll for which the 
lowest responsive and responsible bid is submitted by a Marshallese 
contractor. 
SEC. 113. The Secretary of Defense shall inform the appropriate 
committees of both Houses of Congress, including the Committees 
on Appropriations, of plans and scope of any proposed military 
exercise involving United States personnel 30 days prior to its 
occurring, if amounts expended for construction, either temporary 
or permanent, are anticipated to exceed $100,000. 
SEC. 114. Funds appropriated to the Department of Defense 
for construction in prior years shall be available for construction 
authorized for each such military department by the authorizations 
enacted into law during the current session of Congress. 
SEC. 115. For military construction or family housing projects 
that are being completed with funds otherwise expired or lapsed 
for obligation, expired or lapsed funds may be used to pay the 
cost of associated supervision, inspection, overhead, engineering 
and design on those projects and on subsequent claims, if any. 
SEC. 116. Notwithstanding any other provision of law, any 
funds made available to a military department or defense agency 
for the construction of military projects may be obligated for a 
military construction project or contract, or for any portion of such 
a project or contract, at any time before the end of the fourth 
fiscal year after the fiscal year for which funds for such project 
were made available, if the funds obligated for such project: (1) 
are obligated from funds available for military construction projects; 
and (2) do not exceed the amount appropriated for such project, 
plus any amount by which the cost of such project is increased 
pursuant to law. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 117. Subject to 30 days prior notification, or 14 days 
for a notification provided in an electronic medium pursuant to 
sections 480 and 2883 of title 10, United States Code, to the 
Committees on Appropriations of both Houses of Congress, such 
additional amounts as may be determined by the Secretary of 
Defense may be transferred to: (1) the Department of Defense 
Family Housing Improvement Fund from amounts appropriated 
for construction in ‘‘Family Housing’’ accounts, to be merged with 
and to be available for the same purposes and for the same period 
of time as amounts appropriated directly to the Fund; or (2) the
H. R. 2617—487 
Department of Defense Military Unaccompanied Housing Improve-
ment Fund from amounts appropriated for construction of military 
unaccompanied housing in ‘‘Military Construction’’ accounts, to be 
merged with and to be available for the same purposes and for 
the same period of time as amounts appropriated directly to the 
Fund: Provided, That appropriations made available to the Funds 
shall be available to cover the costs, as defined in section 502(5) 
of the Congressional Budget Act of 1974, of direct loans or loan 
guarantees issued by the Department of Defense pursuant to the 
provisions of subchapter IV of chapter 169 of title 10, United States 
Code, pertaining to alternative means of acquiring and improving 
military family housing, military unaccompanied housing, and sup-
porting facilities. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 118. In addition to any other transfer authority available 
to the Department of Defense, amounts may be transferred from 
the Department of Defense Base Closure Account to the fund estab-
lished by section 1013(d) of the Demonstration Cities and Metropoli-
tan Development Act of 1966 (42 U.S.C. 3374) to pay for expenses 
associated with the Homeowners Assistance Program incurred 
under 42 U.S.C. 3374(a)(1)(A). Any amounts transferred shall be 
merged with and be available for the same purposes and for the 
same time period as the fund to which transferred. 
SEC. 119. Notwithstanding any other provision of law, funds 
made available in this title for operation and maintenance of family 
housing shall be the exclusive source of funds for repair and mainte-
nance of all family housing units, including general or flag officer 
quarters: Provided, That not more than $35,000 per unit may 
be spent annually for the maintenance and repair of any general 
or flag officer quarters without 30 days prior notification, or 14 
days for a notification provided in an electronic medium pursuant 
to sections 480 and 2883 of title 10, United States Code, to the 
Committees on Appropriations of both Houses of Congress, except 
that an after-the-fact notification shall be submitted if the limitation 
is exceeded solely due to costs associated with environmental 
remediation that could not be reasonably anticipated at the time 
of the budget submission: Provided further, That the Under Sec-
retary of Defense (Comptroller) is to report annually to the Commit-
tees on Appropriations of both Houses of Congress all operation 
and maintenance expenditures for each individual general or flag 
officer quarters for the prior fiscal year. 
SEC. 120. Amounts contained in the Ford Island Improvement 
Account established by subsection (h) of section 2814 of title 10, 
United States Code, are appropriated and shall be available until 
expended for the purposes specified in subsection (i)(1) of such 
section or until transferred pursuant to subsection (i)(3) of such 
section. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 121. During the 5-year period after appropriations avail-
able in this Act to the Department of Defense for military construc-
tion and family housing operation and maintenance and construc-
tion have expired for obligation, upon a determination that such 
appropriations will not be necessary for the liquidation of obligations 
or for making authorized adjustments to such appropriations for
H. R. 2617—488 
obligations incurred during the period of availability of such appro-
priations, unobligated balances of such appropriations may be trans-
ferred into the appropriation ‘‘Foreign Currency Fluctuations, 
Construction, Defense’’, to be merged with and to be available 
for the same time period and for the same purposes as the appro-
priation to which transferred. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 122. Amounts appropriated or otherwise made available 
in an account funded under the headings in this title may be 
transferred among projects and activities within the account in 
accordance with the reprogramming guidelines for military 
construction and family housing construction contained in Depart-
ment of Defense Financial Management Regulation 7000.14–R, 
Volume 3, Chapter 7, of March 2011, as in effect on the date 
of enactment of this Act. 
SEC. 123. None of the funds made available in this title may 
be obligated or expended for planning and design and construction 
of projects at Arlington National Cemetery. 
SEC. 124. For an additional amount for the accounts and in 
the amounts specified, to remain available until September 30, 
2027: 
‘‘Military Construction, Army’’, $243,490,000; 
‘‘Military 
Construction, 
Navy 
and 
Marine 
Corps’’, 
$423,300,000; 
‘‘Military Construction, Air Force’’, $527,300,000; 
‘‘Military Construction, Defense-Wide’’, $151,000,000; 
‘‘Military 
Construction, 
Army 
National 
Guard’’, 
$54,743,000; 
‘‘Military Construction, Army Reserve’’, $56,600,000; 
‘‘Military Construction, Navy Reserve’’, $116,964,000; 
‘‘Military Construction, Air Force Reserve’’, $9,000,000; 
‘‘Family Housing Construction, Army’’, $321,722,000; and 
‘‘Family Housing Construction, Air Force’’, $18,800,000: 
Provided, That such funds may only be obligated to carry out 
construction and cost to complete projects identified in the respec-
tive military department’s unfunded priority list for fiscal year 
2023 submitted to Congress: Provided further, That such projects 
are subject to authorization prior to obligation and expenditure 
of funds to carry out construction: Provided further, That not later 
than 60 days after enactment of this Act, the Secretary of the 
military department concerned, or their designee, shall submit to 
the Committees on Appropriations of both Houses of Congress an 
expenditure plan for funds provided under this section. 
SEC. 125. All amounts appropriated to the ‘‘Department of 
Defense—Military Construction, Army’’, ‘‘Department of Defense— 
Military Construction, Navy and Marine Corps’’, ‘‘Department of 
Defense—Military Construction, Air Force’’, and ‘‘Department of 
Defense—Military Construction, Defense-Wide’’ accounts pursuant 
to the authorization of appropriations in a National Defense 
Authorization Act specified for fiscal year 2023 in the funding 
table in section 4601 of that Act shall be immediately available 
and allotted to contract for the full scope of authorized projects. 
SEC. 126. Notwithstanding section 116 of this Act, funds made 
available in this Act or any available unobligated balances from 
prior appropriations Acts may be obligated before October 1, 2024
H. R. 2617—489 
for fiscal year 2017 and fiscal year 2018 military construction 
projects for which project authorization has not lapsed or for which 
authorization is extended for fiscal year 2023 by a National Defense 
Authorization Act: Provided, That no amounts may be obligated 
pursuant to this section from amounts that were designated by 
the Congress as an emergency requirement pursuant to a concur-
rent resolution on the budget or the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
SEC. 127. For the purposes of this Act, the term ‘‘congressional 
defense committees’’ means the Committees on Armed Services 
of the House of Representatives and the Senate, the Subcommittee 
on Military Construction and Veterans Affairs of the Committee 
on Appropriations of the Senate, and the Subcommittee on Military 
Construction and Veterans Affairs of the Committee on Appropria-
tions of the House of Representatives. 
SEC. 128. For an additional amount for the accounts and in 
the amounts specified for planning and design, unspecified minor 
construction, and authorized major construction projects, for 
construction improvements to Department of Defense laboratory 
facilities, to remain available until September 30, 2027: 
‘‘Military Construction, Army’’, $20,000,000; 
‘‘Military 
Construction, 
Navy 
and 
Marine 
Corps’’, 
$10,000,000; and 
‘‘Military Construction, Air Force’’, $90,000,000: 
Provided, That not later than 60 days after enactment of this 
Act, the Secretary of the military department concerned, or their 
designee, shall submit to the Committees on Appropriations of 
both Houses of Congress an expenditure plan for funds provided 
under this section: Provided further, That the Secretary of the 
military department concerned may not obligate or expend any 
funds prior to approval by the Committees on Appropriations of 
both Houses of Congress of the expenditure plan required by this 
section. 
SEC. 129. For an additional amount for the accounts and in 
the amounts specified for planning and design and unspecified 
minor construction, for improving military installation resilience, 
to remain available until September 30, 2027: 
‘‘Military Construction, Army’’, $25,000,000; 
‘‘Military 
Construction, 
Navy 
and 
Marine 
Corps’’, 
$40,000,000; and 
‘‘Military Construction, Air Force’’, $25,000,000: 
Provided, That not later than 60 days after enactment of this 
Act, the Secretary of the military department concerned, or their 
designee, shall submit to the Committees on Appropriations of 
both Houses of Congress an expenditure plan for funds provided 
under this section: Provided further, That the Secretary of the 
military department concerned may not obligate or expend any 
funds prior to approval by the Committees on Appropriations of 
both Houses of Congress of the expenditure plan required by this 
section. 
SEC. 130. For an additional amount for ‘‘Military Construction, 
Air Force’’, $360,000,000, to remain available until September 30, 
2027, for expenses incurred as a result of natural disasters: Pro-
vided, That not later than 60 days after the date of enactment 
of this Act, the Secretary of the Air Force, or their designee, shall 
submit to the Committees on Appropriations of both Houses of 
Congress an expenditure plan for funds provided under this section.
H. R. 2617—490 
SEC. 131. For an additional amount for the accounts and in 
the amounts specified to address cost increases identified subse-
quent to the fiscal year 2023 budget request for authorized major 
construction projects included either in that request or funded in 
Title I of Division J of Public Law 117–103, to remain available 
until September 30, 2027: 
‘‘Military Construction, Army’’, $103,000,000; 
‘‘Military 
Construction, 
Navy 
and 
Marine 
Corps’’, 
$331,000,000; 
‘‘Military Construction, Air Force’’, $273,000,000; 
‘‘Military Construction, Defense-Wide’’, $279,347,000; 
‘‘Military 
Construction, 
Army 
National 
Guard’’, 
$66,000,000; 
‘‘Military Construction, Air National Guard’’, $17,000,000; 
‘‘Military Construction, Army Reserve’’, $24,000,000; 
‘‘Military Construction, Navy Reserve’’, $5,500,000; and 
‘‘Military Construction, Air Force Reserve’’, $11,000,000: 
Provided, That not later than 60 days after the date of enactment 
of this Act, the Secretary of the military department concerned, 
or their designee, shall submit to the Committees on Appropriations 
of both Houses of Congress an expenditure plan for funds provided 
under this section. 
SEC. 132. For an additional amount for the accounts and in 
the amounts specified for planning and design and authorized major 
construction projects, for child development centers, to remain avail-
able until September 30, 2027: 
‘‘Military Construction, Army’’, $15,000,000; 
‘‘Military 
Construction, 
Navy 
and 
Marine 
Corps’’, 
$15,000,000; and 
‘‘Military Construction, Air Force’’, $37,400,000: 
Provided, That not later than 60 days after the date of enactment 
of this Act, the Secretary of the military department concerned, 
or their designee, shall submit to the Committees on Appropriations 
of both Houses of Congress an expenditure plan for funds provided 
under this section. 
SEC. 133. For an additional amount for ‘‘Military Construction, 
Navy and Marine Corps’’, $25,000,000, to remain available until 
September 30, 2027, for planning and design of water treatment 
and distribution facilities construction, including relating to 
improvements of infrastructure and defueling at the Red Hill Bulk 
Fuel Storage Facility: Provided, That not later than 180 days after 
the date of enactment of this Act, the Secretary of the Navy, 
or their designee, shall submit to the Committees on Appropriations 
of both Houses of Congress an expenditure plan for funds provided 
under this section. 
SEC. 134. For an additional amount for the accounts and in 
the amounts specified to address cost increases for authorized major 
construction projects funded by this Act, to remain available until 
September 30, 2027: 
‘‘Military Construction, Army’’, $48,600,000; 
‘‘Military 
Construction, 
Navy 
and 
Marine 
Corps’’, 
$166,500,000; 
‘‘Military Construction, Air Force’’, $63,350,000; 
‘‘Military Construction, Defense-Wide’’, $14,200,000; 
‘‘Military 
Construction, 
Army 
National 
Guard’’, 
$18,900,000; 
‘‘Military Construction, Air National Guard’’, $4,900,000;
H. R. 2617—491 
‘‘Military Construction, Army Reserve’’, $2,000,000; and 
‘‘Military Construction, Air Force Reserve’’, $500,000: 
Provided, That not later than 60 days after the date of enactment 
of this Act, the Secretary of the military department concerned, 
or their designee, shall submit to the Committees on Appropriations 
of both Houses of Congress an expenditure plan for funds provided 
under this section: Provided further, That the Secretary of the 
military department concerned may not obligate or expend any 
funds prior to approval by the Committees on Appropriations of 
both Houses of Congress of the expenditure plan required by this 
section. 
SEC. 135. For an additional amount for ‘‘Military Construction, 
Air National Guard’’, $10,000,000, to remain available until Sep-
tember 30, 2027, for planning and design for construction at future 
foreign military training sites: Provided, That not later than 60 
days after enactment of this Act, the Secretary of the Air Force, 
or their designee, shall submit to the Committees on Appropriations 
of both Houses of Congress an expenditure plan for funds provided 
under this section. 
SEC. 136. None of the funds made available by this Act may 
be used to carry out the closure or realignment of the United 
States Naval Station, Guanta´namo Bay, Cuba. 
TITLE II 
DEPARTMENT OF VETERANS AFFAIRS 
VETERANS BENEFITS ADMINISTRATION 
COMPENSATION AND PENSIONS 
(INCLUDING TRANSFER OF FUNDS) 
For the payment of compensation benefits to or on behalf of 
veterans and a pilot program for disability examinations as author-
ized by section 107 and chapters 11, 13, 18, 51, 53, 55, and 61 
of title 38, United States Code; pension benefits to or on behalf 
of veterans as authorized by chapters 15, 51, 53, 55, and 61 of 
title 38, United States Code; and burial benefits, the Reinstated 
Entitlement Program for Survivors, emergency and other officers’ 
retirement pay, adjusted-service credits and certificates, payment 
of premiums due on commercial life insurance policies guaranteed 
under the provisions of title IV of the Servicemembers Civil Relief 
Act (50 U.S.C. App. 541 et seq.) and for other benefits as authorized 
by sections 107, 1312, 1977, and 2106, and chapters 23, 51, 53, 
55, and 61 of title 38, United States Code, $146,778,136,000, which 
shall become available on October 1, 2023, to remain available 
until expended: Provided, That not to exceed $21,423,000 of the 
amount made available for fiscal year 2024 under this heading 
shall be reimbursed to ‘‘General Operating Expenses, Veterans 
Benefits Administration’’, and ‘‘Information Technology Systems’’ 
for necessary expenses in implementing the provisions of chapters 
51, 53, and 55 of title 38, United States Code, the funding source 
for which is specifically provided as the ‘‘Compensation and Pen-
sions’’ appropriation: Provided further, That such sums as may 
be earned on an actual qualifying patient basis, shall be reimbursed 
to ‘‘Medical Care Collections Fund’’ to augment the funding of
H. R. 2617—492 
individual medical facilities for nursing home care provided to pen-
sioners as authorized. 
READJUSTMENT BENEFITS 
For the payment of readjustment and rehabilitation benefits 
to or on behalf of veterans as authorized by chapters 21, 30, 31, 
33, 34, 35, 36, 39, 41, 51, 53, 55, and 61 of title 38, United 
States Code, $8,452,500,000, which shall become available on 
October 1, 2023, to remain available until expended: Provided, 
That expenses for rehabilitation program services and assistance 
which the Secretary is authorized to provide under subsection (a) 
of section 3104 of title 38, United States Code, other than under 
paragraphs (1), (2), (5), and (11) of that subsection, shall be charged 
to this account. 
VETERANS INSURANCE AND INDEMNITIES 
For military and naval insurance, national service life insur-
ance, servicemen’s indemnities, service-disabled veterans insurance, 
and veterans mortgage life insurance as authorized by chapters 
19 and 21 of title 38, United States Code, $121,126,000, which 
shall become available on October 1, 2023, to remain available 
until expended. 
VETERANS HOUSING BENEFIT PROGRAM FUND 
For the cost of direct and guaranteed loans, such sums as 
may be necessary to carry out the program, as authorized by sub-
chapters I through III of chapter 37 of title 38, United States 
Code: Provided, That such costs, including the cost of modifying 
such loans, shall be as defined in section 502 of the Congressional 
Budget Act of 1974: Provided further, That, during fiscal year 
2023, within the resources available, not to exceed $500,000 in 
gross obligations for direct loans are authorized for specially 
adapted housing loans. 
In addition, for administrative expenses to carry out the direct 
and guaranteed loan programs, $282,361,131. 
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $7,171, as authorized by chapter 
31 of title 38, United States Code: Provided, That such costs, 
including the cost of modifying such loans, shall be as defined 
in section 502 of the Congressional Budget Act of 1974: Provided 
further, That funds made available under this heading are available 
to subsidize gross obligations for the principal amount of direct 
loans not to exceed $942,330. 
In addition, for administrative expenses necessary to carry 
out the direct loan program, $445,698, which may be paid to the 
appropriation for ‘‘General Operating Expenses, Veterans Benefits 
Administration’’. 
NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM ACCOUNT 
For administrative expenses to carry out the direct loan pro-
gram authorized by subchapter V of chapter 37 of title 38, United 
States Code, $1,400,000.
H. R. 2617—493 
GENERAL OPERATING EXPENSES, VETERANS BENEFITS 
ADMINISTRATION 
For necessary operating expenses of the Veterans Benefits 
Administration, not otherwise provided for, including hire of pas-
senger motor vehicles, reimbursement of the General Services 
Administration for security guard services, and reimbursement of 
the Department of Defense for the cost of overseas employee mail, 
$3,863,000,000: Provided, That expenses for services and assistance 
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 necessary to enable entitled veterans: (1) 
to the maximum extent feasible, to become employable and to 
obtain and maintain suitable employment; or (2) to achieve max-
imum independence in daily living, shall be charged to this account: 
Provided further, That, of the funds made available under this 
heading, not to exceed 10 percent shall remain available until 
September 30, 2024. 
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 sec-
tion 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 serv-
ices, food services, and salaries and expenses of healthcare 
employees hired under 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 
section 604 of the Caregivers and Veterans Omnibus Health Serv-
ices Act of 2010 (Public Law 111–163; 124 Stat. 1174; 38 U.S.C. 
7681 note), monthly assistance allowances authorized by section 
322(d) of title 38, United States Code, grants authorized by section 
521A of title 38, United States Code, and administrative expenses 
necessary to carry out sections 322(d) and 521A of title 38, United 
States Code, and hospital care and medical services authorized 
by section 1787 of title 38, United States Code; $261,000,000, which 
shall be in addition to funds previously appropriated under this 
heading that became available on October 1, 2022; and, in addition, 
$74,004,000,000, plus reimbursements, shall become available on 
October 1, 2023, and shall remain available until September 30, 
2024: Provided, That, of the amount made available on October 
1, 2023, under this heading, $2,000,000,000 shall remain available 
until September 30, 2025: Provided further, That, notwithstanding 
any other provision of law, the Secretary of Veterans Affairs shall 
establish a priority for the provision of medical treatment for vet-
erans who have service-connected disabilities, lower income, or have 
special needs: Provided further, That, notwithstanding any other 
provision of law, the Secretary of Veterans Affairs shall give priority 
funding for the provision of basic medical benefits to veterans 
in enrollment priority groups 1 through 6: Provided further, That, 
notwithstanding any other provision of law, the Secretary of Vet-
erans Affairs may authorize the dispensing of prescription drugs 
from Veterans Health Administration facilities to enrolled veterans
H. R. 2617—494 
with privately written prescriptions based on requirements estab-
lished 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: Provided 
further, That the Secretary of Veterans Affairs shall ensure that 
sufficient amounts appropriated under this heading for medical 
supplies and equipment are available for the acquisition of pros-
thetics designed specifically for female veterans: Provided further, 
That nothing in section 2044(e)(1) of title 38, United States Code, 
may be construed as limiting amounts that may be made available 
under this heading for fiscal years 2023 and 2024 in this or prior 
Acts. 
MEDICAL COMMUNITY CARE 
For necessary expenses for furnishing health care to individuals 
pursuant to chapter 17 of title 38, United States Code, at non- 
Department facilities, $4,300,000,000, which shall be in addition 
to funds previously appropriated under this heading that became 
available on October 1, 2022; and, in addition, $33,000,000,000, 
plus reimbursements, shall become available on October 1, 2023, 
and shall remain available until September 30, 2024: Provided, 
That, of the amount made available on October 1, 2023, under 
this heading, $2,000,000,000 shall remain available until September 
30, 2025. 
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; administrative expenses 
in support of capital policy activities; and administrative and legal 
expenses of the Department for collecting and recovering amounts 
owed the Department as authorized under chapter 17 of title 38, 
United States Code, and the Federal Medical Care Recovery Act 
(42 U.S.C. 2651 et seq.), $1,400,000,000, which shall be in addition 
to funds previously appropriated under this heading that became 
available on October 1, 2022; and, in addition, $12,300,000,000, 
plus reimbursements, shall become available on October 1, 2023, 
and shall remain available until September 30, 2024: Provided, 
That, of the amount made available on October 1, 2023, under 
this heading, $350,000,000 shall remain available until September 
30, 2025. 
MEDICAL FACILITIES 
For necessary expenses for the maintenance and operation of 
hospitals, nursing homes, domiciliary facilities, and other necessary 
facilities of the Veterans Health Administration; for administrative 
expenses in support of planning, design, project management, real 
property acquisition and disposition, construction, and renovation 
of any facility under the jurisdiction or for the use of the Depart-
ment; for oversight, engineering, and architectural activities not 
charged to project costs; for repairing, altering, improving, or pro-
viding facilities in the several hospitals and homes under the juris-
diction of the Department, not otherwise provided for, either by 
contract or by the hire of temporary employees and purchase of 
materials; for leases of facilities; and for laundry services;
H. R. 2617—495 
$1,500,000,000, which shall be in addition to funds previously appro-
priated under this heading that became available on October 1, 
2022; and, in addition, $8,800,000,000, plus reimbursements, shall 
become available on October 1, 2023, and shall remain available 
until September 30, 2024: Provided, That, of the amount made 
available on October 1, 2023, under this heading, $500,000,000 
shall remain available until September 30, 2025. 
MEDICAL AND PROSTHETIC RESEARCH 
For necessary expenses in carrying out programs of medical 
and prosthetic research and development as authorized by chapter 
73 of title 38, United States Code, $916,000,000, plus reimburse-
ments, shall remain available until September 30, 2024: Provided, 
That the Secretary of Veterans Affairs shall ensure that sufficient 
amounts appropriated under this heading are available for pros-
thetic research specifically for female veterans, and for toxic expo-
sure research. 
NATIONAL CEMETERY ADMINISTRATION 
For necessary expenses of the National Cemetery Administra-
tion for operations and maintenance, not otherwise provided for, 
including uniforms or allowances therefor; cemeterial expenses as 
authorized by law; purchase of one passenger motor vehicle for 
use in cemeterial operations; hire of passenger motor vehicles; and 
repair, alteration or improvement of facilities under the jurisdiction 
of the National Cemetery Administration, $430,000,000, of which 
not to exceed 10 percent shall remain available until September 
30, 2024. 
DEPARTMENTAL ADMINISTRATION 
GENERAL ADMINISTRATION 
(INCLUDING TRANSFER OF FUNDS) 
For necessary operating expenses of the Department of Vet-
erans Affairs, not otherwise provided for, including administrative 
expenses in support of Department-wide capital planning, manage-
ment and policy activities, uniforms, or allowances therefor; not 
to exceed $25,000 for official reception and representation expenses; 
hire of passenger motor vehicles; and reimbursement of the General 
Services Administration for security guard services, $433,000,000, 
of which not to exceed 10 percent shall remain available until 
September 30, 2024: Provided, That funds provided under this 
heading may be transferred to ‘‘General Operating Expenses, Vet-
erans Benefits Administration’’. 
BOARD OF VETERANS APPEALS 
For necessary operating expenses of the Board of Veterans 
Appeals, $285,000,000, of which not to exceed 10 percent shall 
remain available until September 30, 2024.
H. R. 2617—496 
INFORMATION TECHNOLOGY SYSTEMS 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for information technology systems and 
telecommunications support, including developmental information 
systems and operational information systems; for pay and associated 
costs; and for the capital asset acquisition of information technology 
systems, including management and related contractual costs of 
said acquisitions, including contractual costs associated with oper-
ations authorized by section 3109 of title 5, United States Code, 
$5,782,000,000, 
plus 
reimbursements: 
Provided, 
That 
$1,494,230,000 shall be for pay and associated costs, of which not 
to exceed 3 percent shall remain available until September 30, 
2024: Provided further, That $4,145,678,000 shall be for operations 
and maintenance, of which not to exceed 5 percent shall remain 
available until September 30, 2024: Provided further, That 
$142,092,000 shall be for information technology systems develop-
ment, and shall remain available until September 30, 2024: Pro-
vided further, That amounts made available for salaries and 
expenses, operations and maintenance, and information technology 
systems development may be transferred among the three sub-
accounts after the Secretary of Veterans Affairs requests from the 
Committees on Appropriations of both Houses of Congress the 
authority to make the transfer and an approval is issued: Provided 
further, That amounts made available for the ‘‘Information Tech-
nology Systems’’ account for development may be transferred among 
projects or to newly defined projects: Provided further, That no 
project may be increased or decreased by more than $3,000,000 
of cost prior to submitting a request to the Committees on Appro-
priations 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 the funds made available under 
this heading for information technology systems development shall 
be for the projects, and in the amounts, specified under this heading 
in the explanatory statement described in section 4 (in the matter 
preceding division A of this consolidated Act). 
VETERANS ELECTRONIC HEALTH RECORD 
For activities related to implementation, preparation, develop-
ment, interface, management, rollout, and maintenance of a Vet-
erans Electronic Health Record system, including contractual costs 
associated with operations authorized by section 3109 of title 5, 
United States Code, and salaries and expenses of employees hired 
under titles 5 and 38, United States Code, $1,759,000,000, to remain 
available until September 30, 2025: Provided, That the Secretary 
of Veterans Affairs shall submit to the Committees on Appropria-
tions of both Houses of Congress quarterly reports detailing obliga-
tions, expenditures, and deployment implementation by facility, 
including any changes from the deployment plan or schedule: Pro-
vided further, That the funds provided in this account shall only 
be available to the Office of the Deputy Secretary, to be adminis-
tered by that Office: Provided further, That 25 percent of the funds 
made available under this heading shall not be available until 
July 1, 2023, and are contingent upon the Secretary of Veterans 
Affairs—
H. R. 2617—497 
(1) providing the Committees on Appropriations a report 
detailing the status of outstanding issues impacting the sta-
bility and usability of the new electronic health record system, 
including those that contributed to the October 13, 2022, deploy-
ment delay, along with a timeline and measurable metrics 
to resolve issues, no later than 60 days after enactment of 
this Act; 
(2) certifying and detailing any changes to the full deploy-
ment schedule, no later than 60 days prior to July 1, 2023; 
and 
(3) certifying in writing no later than 30 days prior to 
July 1, 2023, the following— 
(A) the status of issues included in the report ref-
erenced in paragraph (1), including issues that have not 
been closed but have been suitably resolved or mitigated 
in a manner that will enhance provider productivity and 
minimize the potential for patient harm; and 
(B) whether the system is stable, ready, and optimized 
for further deployment at VA sites. 
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.), $273,000,000, 
of which not to exceed 10 percent shall remain available until 
September 30, 2024. 
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, 
architectural 
and 
engineering 
services, 
construction management 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 acquisition, 
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, $1,447,890,000, of which $731,722,000 
shall remain available until September 30, 2027, and of which 
$716,168,000 shall remain available until expended, of which 
$1,500,000 shall be available for seismic improvement projects and 
seismic program management activities, including for projects that 
would otherwise be funded by the Construction, Minor Projects, 
Medical Facilities or National Cemetery Administration accounts: 
Provided, That except for advance planning activities, including 
needs assessments which may or may not lead to capital invest-
ments, and other capital asset management related activities, 
including portfolio development and management activities, and 
planning, cost estimating, and design for major medical facility 
projects and major medical facility leases and investment strategy 
studies funded through the advance planning fund and the planning 
and design activities funded through the design fund, staffing
H. R. 2617—498 
expenses, and funds provided for the purchase, security, and 
maintenance 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 that 
has not been notified to Congress through the budgetary process 
or that has not been approved by the Congress through statute, 
joint resolution, or in the explanatory statement accompanying 
such Act and presented to the President at the time of enrollment: 
Provided further, That such sums as may be necessary shall be 
available to reimburse the ‘‘General Administration’’ account for 
payment of salaries and expenses of all Office of Construction 
and Facilities Management employees to support the full range 
of capital infrastructure services provided, including minor construc-
tion and leasing services: Provided further, That funds made avail-
able under this heading for fiscal year 2023, for each approved 
project shall be obligated: (1) by the awarding of a construction 
documents contract by September 30, 2023; and (2) by the awarding 
of a construction contract by September 30, 2024: 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 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 Depart-
ment. 
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 plan-
ning and assessments of needs which may lead to capital invest-
ments, architectural and engineering services, maintenance or guar-
antee 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 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, $626,110,000, of which $563,499,000 shall 
remain available until September 30, 2027, and of which 
$62,611,000 shall remain available until expended, 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 nec-
essary to prevent or to minimize further loss by such causes.
H. R. 2617—499 
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 remodel, 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, $150,000,000, 
to remain available until expended. 
GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES 
For grants to assist States and tribal organizations in estab-
lishing, expanding, or improving veterans cemeteries as authorized 
by section 2408 of title 38, United States Code, $50,000,000, to 
remain available until expended. 
COST OF WAR TOXIC EXPOSURES FUND 
For investment in the delivery of veterans’ health care associ-
ated with exposure to environmental hazards, the expenses incident 
to the delivery of veterans’ health care and benefits associated 
with exposure to environmental hazards, and medical and other 
research relating to exposure to environmental hazards, as author-
ized by section 324 of title 38, United States Code, and in addition 
to amounts otherwise available for such purposes in the appropria-
tions provided in this or prior Acts, $5,000,000,000, to remain 
available until September 30, 2027: Provided, That not later than 
30 days after the date of enactment of this Act, the Secretary 
of Veterans Affairs shall submit to the Committees on Appropria-
tions of both Houses of Congress an expenditure plan for funds 
provided under this heading for fiscal year 2023. 
ADMINISTRATIVE PROVISIONS 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. Any appropriation for fiscal year 2023 for ‘‘Compensa-
tion and Pensions’’, ‘‘Readjustment Benefits’’, and ‘‘Veterans Insur-
ance and Indemnities’’ may be transferred as necessary to any 
other of the mentioned appropriations: 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 Department of Vet-
erans Affairs for fiscal year 2023, in this or any other Act, under 
the ‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical Sup-
port 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 notification from the Secretary 
of Veterans Affairs to the Committees on Appropriations of both