H. R. 5895—61 
become available on October 1, 2019, and shall 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 
2019, 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, $200,612,000. 
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $39,000, 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 $2,037,000. 
In addition, for administrative expenses necessary to carry 
out the direct loan program, $396,000, 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, $1,163,000. 
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, 
$2,956,316,000: 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, 2020.
H. R. 5895—62 
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, aid to State 
homes as authorized by section 1741 of 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 Services 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; 
$750,000,000, which shall be in addition to funds previously appro-
priated under this heading that become available on October 1, 
2018; and, in addition, $51,411,165,000, plus reimbursements, shall 
become available on October 1, 2019, and shall remain available 
until September 30, 2020: Provided, That, of the amount made 
available on October 1, 2019, under this heading, $1,500,000,000 
shall remain available until September 30, 2021: 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 veterans who have service-connected disabil-
ities, lower income, or have special needs: Provided further, That, 
notwithstanding any other provision of law, the Secretary of Vet-
erans 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 Veterans Affairs may authorize the dispensing 
of prescription drugs from Veterans Health Administration facilities 
to enrolled veterans with privately written prescriptions based on 
requirements established 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 prosthetics designed specifically for female veterans. 
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, $1,000,000,000, which shall be in addition 
to funds previously appropriated under this heading that become 
available on October 1, 2018; and, in addition, $10,758,399,000, 
plus reimbursements, shall become available on October 1, 2019, 
and shall remain available until September 30, 2020: Provided,
H. R. 5895—63 
That, of the amount made available on October 1, 2019, under 
this heading, $2,000,000,000 shall remain available until September 
30, 2021. 
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.), $7,239,156,000, plus reimbursements, shall 
become available on October 1, 2019, and shall remain available 
until September 30, 2020: Provided, That, of the amount made 
available on October 1, 2019, under this heading, $100,000,000 
shall remain available until September 30, 2021. 
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; 
$90,180,000, which shall be in addition to funds previously appro-
priated under this heading that become available on October 1, 
2018; and, in addition, $6,141,880,000, plus reimbursements, shall 
become available on October 1, 2019, and shall remain available 
until September 30, 2020: Provided, That, of the amount made 
available on October 1, 2019, under this heading, $250,000,000 
shall remain available until September 30, 2021. 
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, $779,000,000, plus reimburse-
ments, shall remain available until September 30, 2020: Provided, 
That of the amount made available under this heading, $27,000,000 
shall remain available until September 30, 2023: Provided further, 
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,
H. R. 5895—64 
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, $315,836,000, of which 
not to exceed 10 percent shall remain available until September 
30, 2020. 
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, $355,897,000, 
of which not to exceed 10 percent shall remain available until 
September 30, 2020: 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, $174,748,000, of which not to exceed 10 percent shall 
remain available until September 30, 2020. 
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, 
$4,103,000,000, 
plus 
reimbursements: 
Provided, 
That 
$1,199,220,000 shall be for pay and associated costs, of which not 
to exceed 3 percent shall remain available until September 30, 
2020: Provided further, That $2,523,209,000 shall be for operations 
and maintenance, of which not to exceed 5 percent shall remain 
available until September 30, 2020: Provided further, That 
$380,571,000 shall be for information technology systems develop-
ment, and shall remain available until September 30, 2020: 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