1518 
SPENDING REDUCTION ACCOUNT 
SEC. 210. $0. 
SEC. 211. None of the funds made available by this 
Act may be used to deliver a printed copy of the Federal 
Register to the office of a Member of the House of Rep-
resentatives (including a Delegate or Resident Commis-
sioner to the Congress), unless a printed copy is requested 
by the Member (or Delegate or Resident Commissioner). 
This division may be cited as the ‘‘Legislative Branch 
Appropriations Act, 2018’’. 
DIVISION K—MILITARY CONSTRUCTION, 
VETERANS AFFAIRS, AND RELATED 
AGENCIES APPROPRIATIONS ACT, 2018 
The following sums are appropriated, out of any 
money in the Treasury not otherwise appropriated, for 
military construction, the Department of Veterans Affairs, 
and related agencies for the fiscal year ending September 
30, 2018, and for other purposes, namely: 
TITLE I 
DEPARTMENT OF DEFENSE 
MILITARY CONSTRUCTION, ARMY 
For acquisition, construction, installation, and equip-
ment of temporary or permanent public works, military 
installations, facilities, and real property for the Army as 
currently authorized by law, including personnel in the
1519 
Army Corps of Engineers and other personal services nec-
essary for the purposes of this appropriation, and for con-
struction and operation of facilities in support of the func-
tions of the Commander in Chief, $923,994,000, to re-
main available until September 30, 2022: Provided, That, 
of this amount, not to exceed $101,470,000 shall be avail-
able for study, planning, design, architect and engineer 
services, and host nation support, as authorized by law, 
unless the Secretary of the Army determines that addi-
tional obligations are necessary for such purposes and no-
tifies the Committees on Appropriations of both Houses 
of Congress of the determination and the reasons therefor. 
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS 
For acquisition, construction, installation, and equip-
ment of temporary or permanent public works, naval in-
stallations, facilities, and real property for the Navy and 
Marine Corps as currently authorized by law, including 
personnel in the Naval Facilities Engineering Command 
and other personal services necessary for the purposes of 
this appropriation, $1,558,085,000, to remain available 
until September 30, 2022: Provided, That, of this amount, 
not to exceed $219,069,000 shall be available for study, 
planning, design, and architect and engineer services, as 
authorized by law, unless the Secretary of the Navy deter-
mines that additional obligations are necessary for such
1520 
purposes and notifies the Committees on Appropriations 
of both Houses of Congress of the determination and the 
reasons therefor. 
MILITARY CONSTRUCTION, AIR FORCE 
For acquisition, construction, installation, and equip-
ment of temporary or permanent public works, military 
installations, facilities, and real property for the Air Force 
as currently authorized by law, $1,540,474,000, to remain 
available until September 30, 2022: Provided, That, of 
this amount, not to exceed $97,852,000 shall be available 
for study, planning, design, and architect and engineer 
services, as authorized by law, unless the Secretary of the 
Air Force determines that additional obligations are nec-
essary for such purposes and notifies the Committees on 
Appropriations of both Houses of Congress of the deter-
mination and the reasons therefor. 
MILITARY CONSTRUCTION, DEFENSE-WIDE 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition, construction, installation, and equip-
ment of temporary or permanent public works, installa-
tions, facilities, and real property for activities and agen-
cies of the Department of Defense (other than the military 
departments), 
as 
currently 
authorized 
by 
law, 
$2,791,272,000, to remain available until September 30, 
2022: Provided, That such amounts of this appropriation
1521 
as may be determined by the Secretary of Defense may 
be transferred to such appropriations of the Department 
of Defense available for military construction or family 
housing as the Secretary may designate, to be merged with 
and to be available for the same purposes, and for the 
same time period, as the appropriation or fund to which 
transferred: Provided further, That, of the amount, not to 
exceed $185,717,000 shall be available for study, plan-
ning, design, and architect and engineer services, as au-
thorized by law, unless the Secretary of Defense deter-
mines that additional obligations are necessary for such 
purposes and notifies the Committees on Appropriations 
of both Houses of Congress of the determination and the 
reasons therefor. 
MILITARY CONSTRUCTION, ARMY NATIONAL GUARD 
For construction, acquisition, expansion, rehabilita-
tion, and conversion of facilities for the training and ad-
ministration of the Army National Guard, and contribu-
tions therefor, as authorized by chapter 1803 of title 10, 
United States Code, and Military Construction Authoriza-
tion Acts, $210,652,000, to remain available until Sep-
tember 30, 2022: Provided, That, of the amount, not to 
exceed $16,271,000 shall be available for study, planning, 
design, and architect and engineer services, as authorized 
by law, unless the Director of the Army National Guard
1522 
determines that additional obligations are necessary for 
such purposes and notifies the Committees on Appropria-
tions of both Houses of Congress of the determination and 
the reasons therefor. 
MILITARY CONSTRUCTION, AIR NATIONAL GUARD 
For construction, acquisition, expansion, rehabilita-
tion, and conversion of facilities for the training and ad-
ministration of the Air National Guard, and contributions 
therefor, as authorized by chapter 1803 of title 10, United 
States Code, and Military Construction Authorization 
Acts, $161,491,000, to remain available until September 
30, 2022: Provided, That, of the amount, not to exceed 
$18,000,000 shall be available for study, planning, design, 
and architect and engineer services, as authorized by law, 
unless the Director of the Air National Guard determines 
that additional obligations are necessary for such purposes 
and notifies the Committees on Appropriations of both 
Houses of Congress of the determination and the reasons 
therefor. 
MILITARY CONSTRUCTION, ARMY RESERVE 
For construction, acquisition, expansion, rehabilita-
tion, and conversion of facilities for the training and ad-
ministration of the Army Reserve as authorized by chapter 
1803 of title 10, United States Code, and Military Con-
struction Authorization Acts, $73,712,000, to remain
1523 
available until September 30, 2022: Provided, That, of the 
amount, not to exceed $6,887,000 shall be available for 
study, planning, design, and architect and engineer serv-
ices, as authorized by law, unless the Chief of the Army 
Reserve determines that additional obligations are nec-
essary for such purposes and notifies the Committees on 
Appropriations of both Houses of Congress of the deter-
mination and the reasons therefor. 
MILITARY CONSTRUCTION, NAVY RESERVE 
For construction, acquisition, expansion, rehabilita-
tion, and conversion of facilities for the training and ad-
ministration of the reserve components of the Navy and 
Marine Corps as authorized by chapter 1803 of title 10, 
United States Code, and Military Construction Authoriza-
tion Acts, $65,271,000, to remain available until Sep-
tember 30, 2022: Provided, That, of the amount, not to 
exceed $4,430,000 shall be available for study, planning, 
design, and architect and engineer services, as authorized 
by law, unless the Secretary of the Navy determines that 
additional obligations are necessary for such purposes and 
notifies the Committees on Appropriations of both Houses 
of Congress of the determination and the reasons therefor. 
MILITARY CONSTRUCTION, AIR FORCE RESERVE 
For construction, acquisition, expansion, rehabilita-
tion, and conversion of facilities for the training and ad-
1524 
ministration of the Air Force Reserve as authorized by 
chapter 1803 of title 10, United States Code, and Military 
Construction Authorization Acts, $63,535,000, to remain 
available until September 30, 2022: Provided, That, of the 
amount, not to exceed $4,725,000 shall be available for 
study, planning, design, and architect and engineer serv-
ices, as authorized by law, unless the Chief of the Air 
Force Reserve determines that additional obligations are 
necessary for such purposes and notifies the Committees 
on Appropriations of both Houses of Congress of the de-
termination and the reasons therefor: Provided further, 
That, the Chief of the Air Force Reserve shall take imme-
diate action to address unfunded military construction re-
quirements for access control points and security issues 
at Air Force Reserve facilities. 
NORTH ATLANTIC TREATY ORGANIZATION 
SECURITY INVESTMENT PROGRAM 
For the United States share of the cost of the North 
Atlantic Treaty Organization Security Investment Pro-
gram for the acquisition and construction of military fa-
cilities and installations (including international military 
headquarters) and for related expenses for the collective 
defense of the North Atlantic Treaty Area as authorized 
by section 2806 of title 10, United States Code, and Mili-
1526 
authorized by law, $83,682,000, to remain available until 
September 30, 2022. 
FAMILY HOUSING OPERATION AND MAINTENANCE, 
NAVY AND MARINE CORPS 
For expenses of family housing for the Navy and Ma-
rine Corps for operation and maintenance, including debt 
payment, leasing, minor construction, principal and inter-
est charges, and insurance premiums, as authorized by 
law, $328,282,000. 
FAMILY HOUSING CONSTRUCTION, AIR FORCE 
For expenses of family housing for the Air Force for 
construction, including acquisition, replacement, addition, 
expansion, extension, and alteration, as authorized by law, 
$85,062,000, to remain available until September 30, 
2022. 
FAMILY HOUSING OPERATION AND MAINTENANCE, AIR 
FORCE 
For expenses of family housing for the Air Force for 
operation and maintenance, including debt payment, leas-
ing, minor construction, principal and interest charges, 
and 
insurance 
premiums, 
as 
authorized 
by 
law, 
$318,324,000.
1527 
FAMILY HOUSING OPERATION AND MAINTENANCE, 
DEFENSE-WIDE 
For expenses of family housing for the activities and 
agencies of the Department of Defense (other than the 
military departments) for operation and maintenance, 
leasing, and minor construction, as authorized by law, 
$59,169,000. 
DEPARTMENT OF DEFENSE FAMILY HOUSING 
IMPROVEMENT FUND 
For the Department of Defense Family Housing Im-
provement Fund, $2,726,000, to remain available until ex-
pended, for family housing initiatives undertaken pursu-
ant to section 2883 of title 10, United States Code, pro-
viding alternative means of acquiring and improving mili-
tary family housing and supporting facilities. 
DEPARTMENT OF DEFENSE MILITARY UNACCOMPANIED 
HOUSING IMPROVEMENT FUND 
For the Department of Defense Military Unaccom-
panied Housing Improvement Fund, $623,000, to remain 
available until expended, for unaccompanied housing ini-
tiatives undertaken pursuant to section 2883 of title 10, 
United States Code, providing alternative means of acquir-
ing and improving military unaccompanied housing and 
supporting facilities.
1528 
ADMINISTRATIVE PROVISIONS 
SEC. 101. None of the funds made available in this 
title shall be expended for payments under a cost-plus-a- 
fixed-fee contract for construction, where cost estimates 
exceed $25,000, to be performed within the United States, 
except Alaska, without the specific approval in writing of 
the Secretary of Defense setting forth the reasons there-
for. 
SEC. 102. Funds made available in this title for con-
struction shall be available for hire of passenger motor ve-
hicles. 
SEC. 103. Funds made available in this title for con-
struction may be used for advances to the Federal High-
way Administration, Department of Transportation, for 
the construction of access roads as authorized by section 
210 of title 23, United States Code, when projects author-
ized therein are certified as important to the national de-
fense by the Secretary of Defense. 
SEC. 104. None of the funds made available in this 
title may be used to begin construction of new bases in 
the United States for which specific appropriations have 
not been made. 
SEC. 105. None of the funds made available in this 
title shall be used for purchase of land or land easements 
in excess of 100 percent of the value as determined by
1529 
the Army Corps of Engineers or the Naval Facilities Engi-
neering Command, except: (1) where there is a determina-
tion of value by a Federal court; (2) purchases negotiated 
by the Attorney General or the designee of the Attorney 
General; (3) where the estimated value is less than 
$25,000; or (4) as otherwise determined by the Secretary 
of Defense to be in the public interest. 
SEC. 106. None of the funds made available in this 
title shall be used to: (1) acquire land; (2) provide for site 
preparation; or (3) install utilities for any family housing, 
except housing for which funds have been made available 
in annual Acts making appropriations for military con-
struction. 
SEC. 107. None of the funds made available in this 
title for minor construction may be used to transfer or 
relocate any activity from one base or installation to an-
other, without prior notification to the Committees on Ap-
propriations of both Houses of Congress. 
SEC. 108. None of the funds made available in this 
title may be used for the procurement of steel for any con-
struction project or activity for which American steel pro-
ducers, fabricators, and manufacturers have been denied 
the opportunity to compete for such steel procurement. 
SEC. 109. None of the funds available to the Depart-
ment of Defense for military construction or family hous-
1530 
ing during the current fiscal year may be used to pay real 
property taxes in any foreign nation. 
SEC. 110. None of the funds made available in this 
title may be used to initiate a new installation overseas 
without prior notification to the Committees on Appro-
priations of both Houses of Congress. 
SEC. 111. None of the funds made available in this 
title may be obligated for architect and engineer contracts 
estimated by the Government to exceed $500,000 for 
projects to be accomplished in Japan, in any North Atlan-
tic 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 terri-
tories and possessions 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 respon-
sive and responsible bid of a foreign contractor by greater 
than 20 percent: Provided further, That this section shall
1531 
not apply to contract awards for military construction on 
Kwajalein Atoll for which the lowest responsive and re-
sponsible bid is submitted by a Marshallese contractor. 
SEC. 113. The Secretary of Defense shall inform the 
appropriate committees of both Houses of Congress, in-
cluding 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 depart-
ment 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 ex-
pired or lapsed for obligation, expired or lapsed funds may 
be used to pay the cost of associated supervision, inspec-
tion, 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
1532 
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 me-
dium 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 Department of Defense 
Military Unaccompanied Housing Improvement Fund 
from amounts appropriated for construction of military 
unaccompanied housing in ‘‘Military Construction’’ ac-
counts, to be merged with and to be available for the same
1533 
purposes and for the same period of time as amounts ap-
propriated directly to the Fund: Provided, That appropria-
tions made available to the Funds shall be available to 
cover the costs, as defined in section 502(5) of the Con-
gressional 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, mili-
tary unaccompanied housing, and supporting 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 established by section 1013(d) of the 
Demonstration Cities and Metropolitan 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 trans-
ferred. 
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
1534 
source of funds for repair and maintenance of all family 
housing units, including general or flag officer quarters: 
Provided, That not more than $15,000 per unit may be 
spent annually for the maintenance and repair of any gen-
eral or flag officer quarters without 30 days prior notifica-
tion, 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 remedi-
ation that could not be reasonably anticipated at the time 
of the budget submission. 
SEC. 120. Amounts contained in the Ford Island Im-
provement Account established by subsection (h) of sec-
tion 2814 of title 10, United States Code, are appro-
priated and shall be available until expended for the pur-
poses 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 appropria-
tions available in this Act to the Department of Defense 
for military construction and family housing operation and 
maintenance and construction have expired for obligation, 
upon a determination that such appropriations will not be
1535 
necessary for the liquidation of obligations or for making 
authorized adjustments to such appropriations for obliga-
tions incurred during the period of availability of such ap-
propriations, unobligated balances of such appropriations 
may be transferred into the appropriation ‘‘Foreign Cur-
rency Fluctuations, Construction, Defense’’, to be merged 
with and to be available for the same time period and for 
the same purposes as the appropriation to which trans-
ferred. 
SEC. 122. (a) Except as provided in subsection (b), 
none of the funds made available in this Act may be used 
by the Secretary of the Army to relocate a unit in the 
Army that— 
(1) performs a testing mission or function that 
is not performed by any other unit in the Army and 
is specifically stipulated in title 10, United States 
Code; and 
(2) is located at a military installation at which 
the total number of civilian employees of the Depart-
ment of the Army and Army contractor personnel 
employed exceeds 10 percent of the total number of 
members of the regular and reserve components of 
the Army assigned to the installation. 
(b) EXCEPTION.—Subsection (a) shall not apply if 
the Secretary of the Army certifies to the congressional
1536 
defense committees that in proposing the relocation of the 
unit of the Army, the Secretary complied with Army Regu-
lation 5–10 relating to the policy, procedures, and respon-
sibilities for Army stationing actions. 
SEC. 123. 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 Department of Defense Finan-
cial Management Regulation 7000.14–R, Volume 3, Chap-
ter 7, of March 2011, as in effect on the date of enactment 
of this Act. 
SEC. 124. 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 Ceme-
tery. 
SEC. 125. For an additional amount for the accounts 
and in the amounts specified, to remain available until 
September 30, 2022: 
‘‘Military Construction, Army’’, $43,800,000; 
‘‘Military Construction, Navy and Marine 
Corps’’, $126,900,000; 
‘‘Military 
Construction, 
Air 
Force’’, 
$70,300,000;
1537 
‘‘Military Construction, Army National Guard’’, 
$56,000,000; 
‘‘Military 
Construction, 
Army 
Reserve’’, 
$56,000,000; 
‘‘Military Construction, Air National Guard’’, 
$41,900,000; and 
‘‘Military Construction, Air Force Reserve’’, 
$44,100,000: 
Provided, That such funds may only be obligated to carry 
out construction projects identified in the respective mili-
tary department’s unfunded priority list for fiscal year 
2018 submitted to Congress by the Secretary of Defense: 
Provided further, That such projects are subject to author-
ization prior to obligation and expenditure of funds to 
carry out construction: Provided further, That not later 
than 30 days after enactment of this Act, the Secretary 
of the military department concerned, or his or her des-
ignee, shall submit to the Committees on Appropriations 
of both Houses of Congress an expenditure plan for funds 
provided under this section. 
(RESCISSIONS OF FUNDS) 
SEC. 126. Of the unobligated balances available to 
the Department of Defense from prior appropriation Acts, 
the following funds are hereby rescinded from the fol-
lowing accounts in the amounts specified:
1538 
‘‘Military Construction, Army’’, $10,000,000; 
‘‘Military Construction, Navy and Marine 
Corps’’, $10,000,000; 
‘‘Military 
Construction, 
Defense-Wide’’, 
$27,440,000; 
‘‘North Atlantic Treaty Organization Security 
Investment Program’’, $25,000,000; 
‘‘Family 
Housing 
Construction, 
Army’’, 
$18,000,000; 
‘‘Family Housing Construction, Navy and Ma-
rine Corps’’, $8,000,000; and 
‘‘Family Housing Construction, Air Force’’, 
$20,000,000: 
Provided, That no amounts may be rescinded from 
amounts that were designated by the Congress for Over-
seas Contingency Operations/Global War on Terrorism or 
as an emergency requirement pursuant to a concurrent 
resolution on the budget or the Balanced Budget and 
Emergency Deficit Control Act of 1985, as amended. 
SEC. 127. For the purposes of this Act, the term 
‘‘congressional defense committees’’ means the Commit-
tees on Armed Services of the House of Representatives 
and the Senate, the Subcommittee on Military Construc-
tion and Veterans Affairs of the Committee on Appropria-
tions of the Senate, and the Subcommittee on Military
1539 
Construction and Veterans Affairs of the Committee on 
Appropriations of the House of Representatives. 
SEC. 128. 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 ex-
aminations as authorized 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 Entitle-
ment Program for Survivors, emergency and other offi-
cers’ retirement pay, adjusted-service credits and certifi-
cates, payment of premiums due on commercial life insur-
ance 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 sec-
tions 107, 1312, 1977, and 2106, and chapters 23, 51,
1540 
53, 55, and 61 of title 38, United States Code, 
$95,768,462,000, to remain available until expended and 
to become available on October 1, 2018: Provided, That 
not to exceed $17,882,000 of the amount made available 
for fiscal year 2019 under this heading shall be reim-
bursed to ‘‘General Operating Expenses, Veterans Bene-
fits Administration’’, and ‘‘Information Technology Sys-
tems’’ for necessary expenses in implementing the provi-
sions of chapters 51, 53, and 55 of title 38, United States 
Code, the funding source for which is specifically provided 
as the ‘‘Compensation and Pensions’’ appropriation: Pro-
vided 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 individual medical facilities for nursing home care pro-
vided to pensioners as authorized. 
READJUSTMENT BENEFITS 
For the payment of readjustment and rehabilitation 
benefits to or on behalf of veterans as authorized by chap-
ters 21, 30, 31, 33, 34, 35, 36, 39, 41, 51, 53, 55, and 
61 of title 38, United States Code, $11,832,175,000, to 
remain available until expended and to become available 
on October 1, 2018: Provided, That expenses for rehabili-
tation program services and assistance which the Sec-
retary is authorized to provide under subsection (a) of sec-
1541 
tion 3104 of title 38, United States Code, other than 
under paragraphs (1), (2), (5), and (11) of that sub-
section, shall be charged to this account. 
VETERANS INSURANCE AND INDEMNITIES 
For military and naval insurance, national service life 
insurance, servicemen’s indemnities, service-disabled vet-
erans insurance, and veterans mortgage life insurance as 
authorized by chapters 19 and 21, title 38, United States 
Code, $121,529,000, which shall be in addition to remain 
available until expended, which shall be in addition to 
funds previously appropriated under this heading that be-
came available on October 1, 2017, of which $109,090,000 
shall become available on October 1, 2018. 
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 subchapters 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 de-
fined in section 502 of the Congressional Budget Act of 
1974: Provided further, That, during fiscal year 2018, 
within the resources available, not to exceed $500,000 in 
gross obligations for direct loans are authorized for spe-
cially adapted housing loans.
1542 
In addition, for administrative expenses to carry out 
the direct and guaranteed loan programs, $178,626,000. 
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $30,000, 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 Congres-
sional Budget Act of 1974: Provided further, That funds 
made available under this heading are available to sub-
sidize gross obligations for the principal amount of direct 
loans not to exceed $2,356,000. 
In addition, for administrative expenses necessary to 
carry out the direct loan program, $395,000, which may 
be paid to the appropriation for ‘‘General Operating Ex-
penses, Veterans Benefits Administration’’. 
NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM 
ACCOUNT 
For administrative expenses to carry out the direct 
loan program 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, in-
cluding hire of passenger motor vehicles, reimbursement
1543 
of the General Services Administration for security guard 
services, and reimbursement of the Department of De-
fense 
for 
the 
cost 
of 
overseas 
employee 
mail, 
$2,894,000,000 (increased by $5,000,000): 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 en-
titled veterans: (1) to the maximum extent feasible, to be-
come employable and to obtain and maintain suitable em-
ployment; or (2) to achieve maximum independence in 
daily living, shall be charged to this account: Provided fur-
ther, That, of the funds made available under this heading, 
not to exceed 5 percent shall remain available until Sep-
tember 30, 2019. 
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 section 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 services, 
food services, and salaries and expenses of healthcare em-
1544 
ployees 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 sec-
tion 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), and hospital care and med-
ical services authorized by section 1787 of title 38, United 
States 
Code; 
$1,031,808,000 
(reduced 
by 
$1,031,808,000) (increased by $1,031,808,000) (reduced 
by $2,500,000) (increased by $2,500,000) (reduced by 
$2,000,000) (increased by $2,000,000) (reduced by 
$5,000,000) (increased by $5,000,000), which shall be in 
addition to funds previously appropriated under this head-
ing that became available on October 1, 2017; and, in ad-
dition, $49,161,165,000, plus reimbursements, shall be-
come available on October 1, 2018, and shall remain avail-
able until September 30, 2019: Provided, That, of the 
amount made available on October 1, 2018, under this 
heading, $1,400,000,000 shall remain available until Sep-
tember 30, 2020: Provided further, That, notwithstanding 
any other provision of law, the Secretary of Veterans Af-
fairs shall establish a priority for the provision of medical 
treatment for veterans who have service-connected disabil-
1545 
ities, lower income, or have special needs: Provided further, 
That, notwithstanding any other provision of law, the Sec-
retary of Veterans Affairs shall give priority funding for 
the provision of basic medical benefits to veterans in en-
rollment priority groups 1 through 6: Provided further, 
That, notwithstanding any other provision of law, the Sec-
retary of Veterans Affairs may authorize the dispensing 
of prescription drugs from Veterans Health Administra-
tion 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. 
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, $254,000,000 
(reduced by $5,000,000) (increased by $5,000,000), which 
shall be in addition to funds previously appropriated under 
this heading that became available on October 1, 2017; 
and, in addition, $8,384,704,000, plus reimbursements, 
shall become available on October 1, 2018, and shall re-
main available until September 30, 2019: Provided, That 
of the amount made available on October 1, 2018, under
1546 
this heading, $2,000,000,000 shall remain available until 
September 30, 2022. 
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; ad-
ministrative expenses in support of capital policy activi-
ties; and administrative and legal expenses of the Depart-
ment for collecting and recovering amounts owed the De-
partment as authorized under chapter 17 of title 38, 
United States Code, and the Federal Medical Care Recov-
ery Act (42 U.S.C. 2651 et seq.), $284,397,000, which 
shall be in addition to funds previously appropriated under 
this heading that became available on October 1, 2017; 
and, in addition, $7,239,156,000, plus reimbursements, 
shall become available on October 1, 2018, and shall re-
main available until September 30, 2019: Provided, That, 
of the amount made available on October 1, 2018, under 
this heading, $100,000,000 shall remain available until 
September 30, 2020. 
MEDICAL FACILITIES 
For necessary expenses for the maintenance and op-
eration of hospitals, nursing homes, domiciliary facilities, 
and other necessary facilities of the Veterans Health Ad-
ministration; for administrative expenses in support of
1547 
planning, design, project management, real property ac-
quisition and disposition, construction, and renovation of 
any facility under the jurisdiction or for the use of the 
Department; for oversight, engineering, and architectural 
activities not charged to project costs; for repairing, alter-
ing, improving, or providing facilities in the several hos-
pitals and homes under the jurisdiction of the Depart-
ment, not otherwise provided for, either by contract or by 
the hire of temporary employees and purchase of mate-
rials; for leases of facilities; and for laundry services; 
$1,079,795,000, which shall be in addition to funds pre-
viously appropriated under this heading that became avail-
able 
on 
October 
1, 
2017; 
and, 
in 
addition, 
$5,914,288,000, plus reimbursements, shall become avail-
able on October 1, 2018, and shall remain available until 
September 30, 2019: Provided, That, of the amount made 
available on October 1, 2018, under this heading, 
$250,000,000 shall remain available until September 30, 
2020. 
MEDICAL AND PROSTHETIC RESEARCH 
For necessary expenses in carrying out programs of 
medical and prosthetic research and development as au-
thorized by chapter 73 of title 38, United States Code, 
$698,228,000, plus reimbursements, shall remain avail-
able until September 30, 2019.
1548 
NATIONAL CEMETERY ADMINISTRATION 
For necessary expenses of the National Cemetery Ad-
ministration for operations and maintenance, not other-
wise provided for, including uniforms or allowances there-
for; cemeterial expenses as authorized by law; purchase 
of one passenger motor vehicle for use in cemeterial oper-
ations; hire of passenger motor vehicles; and repair, alter-
ation or improvement of facilities under the jurisdiction 
of the National Cemetery Administration, $306,193,000, 
of which not to exceed 10 percent shall remain available 
until September 30, 2019. 
DEPARTMENTAL ADMINISTRATION 
GENERAL ADMINISTRATION 
(INCLUDING TRANSFER OF FUNDS) 
For necessary operating expenses of the Department 
of Veterans Affairs, not otherwise provided for, including 
administrative expenses in support of Department-wide 
capital planning, management and policy activities, uni-
forms, or allowances therefor; not to exceed $25,000 for 
official reception and representation expenses; hire of pas-
senger motor vehicles; and reimbursement of the General 
Services Administration for security guard services, 
$346,891,000 (reduced by $5,000,000), of which not to 
exceed 5 percent shall remain available until September 
30, 2019: Provided, That funds provided under this head-
1549 
ing may be transferred to ‘‘General Operating Expenses, 
Veterans Benefits Administration’’. 
BOARD OF VETERANS APPEALS 
For necessary operating expenses of the Board of 
Veterans Appeals, $156,096,000, of which not to exceed 
10 percent shall remain available until September 30, 
2019. 
INFORMATION TECHNOLOGY SYSTEMS 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for information technology 
systems and telecommunications support, including devel-
opmental information systems and operational information 
systems; for pay and associated costs; and for the capital 
asset acquisition of information technology systems, in-
cluding management and related contractual costs of said 
acquisitions, including contractual costs associated with 
operations authorized by section 3109 of title 5, United 
States Code, $4,135,500,000, plus reimbursements: Pro-
vided, That $1,230,320,000 shall be for pay and associ-
ated costs, of which not to exceed $36,000,000 shall re-
main available until September 30, 2019: Provided further, 
That $2,486,650,000 shall be for operations and mainte-
nance, of which not to exceed $174,000,000 shall remain 
available until September 30, 2019: Provided further, That 
$418,530,000 shall be for information technology systems
1550 
development, modernization, and enhancement, and shall 
remain available until September 30, 2019: Provided fur-
ther, That amounts made available for information tech-
nology systems development, modernization, and enhance-
ment may not be obligated or expended until the Secretary 
of Veterans Affairs or the Chief Information Officer of 
the Department of Veterans Affairs submits to the Com-
mittees on Appropriations of both Houses of Congress a 
certification of the amounts, in parts or in full, to be obli-
gated and expended for each development project: Pro-
vided further, That amounts made available for salaries 
and expenses, operations and maintenance, and informa-
tion technology systems development, modernization, and 
enhancement 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 Technology Systems’’ ac-
count for development, modernization, and enhancement 
may be transferred among projects or to newly defined 
projects: Provided further, That no project may be in-
creased or decreased by more than $1,000,000 of cost 
prior to submitting a request to the Committees on Appro-
priations of both Houses of Congress to make the transfer
1551 
and an approval is issued, or absent a response, a period 
of 30 days has elapsed: Provided further, That funds under 
this heading may be used by the Interagency Program Of-
fice through the Department of Veterans Affairs to define 
data standards, code sets, and value sets used to enable 
interoperability: Provided further, That, of the funds made 
available for information technology systems development, 
modernization, and enhancement for the development of 
an electronic health record, not more than 25 percent may 
be obligated or expended until the Secretary of Veterans 
Affairs submits to the Committees on Appropriations of 
both Houses of Congress: 
(1) a detailed explanation of the solicitation 
submitted to Cerner Corporation for development of 
an electronic health record for the Department of 
Veterans Affairs; 
(2) an explanation of how the electronic health 
record would replicate the Military Health System 
(MHS) Genesis record developed by Cerner for the 
Department of Defense, as well as the enhanced ca-
pabilities the Department of Veterans Affairs re-
quires to achieve complete interoperability with the 
Department of Defense system and non-Department 
of Veterans Affairs providers who participate in the 
Department of Veterans Affairs healthcare system;
1552 
(3) a strategic plan for development of the elec-
tronic health record system, an associated implemen-
tation plan including timelines and performance 
milestones, a master schedule and annual and life- 
cycle cost estimates; 
(4) information on plans to maintain current 
functionality and integration with Department of 
Defense records during the transition to MHS Gen-
esis; and 
(5) Department of Veterans Affairs plans to 
manage the transition process to MHS Genesis, in-
cluding possible pilot programs, training for users, 
and use of change management tools: 
Provided further, That the funds made available under this 
heading for information technology systems development, 
modernization, and enhancement, shall be for the projects, 
and in the amounts, specified under this heading in the 
report accompanying this Act. 
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.), $160,106,000, of which not to exceed 10 
percent shall remain available until September 30, 2019.
1553 
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, ar-
chitectural and engineering services, construction manage-
ment 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 ac-
quisition, 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, 
$410,530,000, of which $372,000,000 shall remain avail-
able until September 30, 2022, and of which $38,530,000 
shall remain available until expended: Provided, That ex-
cept for advance planning activities, including needs as-
sessments which may or may not lead to capital invest-
ments, and other capital asset management related activi-
ties, including portfolio development and management ac-
tivities, and investment strategy studies funded through 
the advance planning fund and the planning and design
1554 
activities funded through the design fund, including needs 
assessments which may or may not lead to capital invest-
ments, and salaries and associated costs of the resident 
engineers who oversee those capital investments funded 
through this account and contracting officers who manage 
specific major construction projects, 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 proc-
ess 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 funds made 
available under this heading for fiscal year 2018, for each 
approved project shall be obligated: (1) by the awarding 
of a construction documents contract by September 30, 
2018; and (2) by the awarding of a construction contract 
by September 30, 2019: 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,
1555 
of the amount made available under this heading, 
$117,300,000 for Veterans Health Administration major 
construction projects shall not be available until the De-
partment of Veterans Affairs— 
(1) enters into an agreement with an appro-
priate non-Department of Veterans Affairs Federal 
entity to serve as the design and/or construction 
agent for any Veterans Health Administration major 
construction project with a Total Estimated Cost of 
$100,000,000 or above by providing full project 
management services, including management of the 
project design, acquisition, construction, and con-
tract changes, consistent with section 502 of Public 
Law 114–58; and 
(2) certifies in writing that such an agreement 
is executed and intended to minimize or prevent sub-
sequent major construction project cost overruns 
and provides a copy of the agreement entered into 
and any required supplementary information to the 
Committees on Appropriations of both Houses of 
Congress. 
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
1556 
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, $342,570,000, to remain available 
until September 30, 2022, 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 necessary to prevent or to 
minimize further loss by such causes.
1557 
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 2018 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 
the Committees on Appropriations of both Houses of Con-
gress the authority to make the transfer and such Com-
1558 
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 2018, 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 
further, That any transfers to or from the ‘‘Medical Facili-
ties’’ account may take place only after the Secretary re-
1559 
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-
bursement of the cost of such hospitalization or examina-
1560 
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 
2017. 
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 2018, 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 
1955 of title 38, United States Code, reimburse the ‘‘Gen-
1561 
eral Operating Expenses, Veterans Benefits Administra-
tion’’ and ‘‘Information Technology Systems’’ accounts for 
the cost of administration of the insurance programs fi-
nanced through those accounts: Provided, That reimburse-
ment shall be made only from the surplus earnings accu-
mulated in such an insurance program during fiscal year 
2018 that are available for dividends in that program after 
claims have been paid and actuarially determined reserves 
have been set aside: Provided further, That if the cost of 
administration of such an insurance program exceeds the 
amount of surplus earnings accumulated in that program, 
reimbursement shall be made only to the extent of such 
surplus earnings: Provided further, That the Secretary 
shall determine the cost of administration for fiscal year 
2018 which is properly allocable to the provision of each 
such insurance program and to the provision of any total 
disability income insurance included in that insurance pro-
gram. 
SEC. 209. Amounts deducted from enhanced-use 
lease proceeds to reimburse an account for expenses in-
curred by that account during a prior fiscal year for pro-
viding enhanced-use lease services, may be obligated dur-
ing the fiscal year in which the proceeds are received.
1562 
(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, the Office of Accountability Review, the 
Central Whistleblower Office, the Office of Diversity and 
Inclusion, and the Office of the Executive Director of Ac-
countability and Whistleblower Protection, for all services 
provided at rates which will recover actual costs but not 
to exceed $47,668,000 for the Office of Resolution Man-
agement, $3,932,000 for the Office of Employment Dis-
crimination Complaint Adjudication, $10,057,000 for the 
Office of Accountability Review, $6,646,000 for the Cen-
tral Whistleblower Office, $2,973,000 for the Office of Di-
versity and Inclusion, and $917,000 for the Office of the 
Executive Director of Accountability and Whistleblower 
Protection: Provided, That payments may be made in ad-
vance for services to be furnished based on estimated 
costs: Provided further, That amounts received shall be 
credited to the ‘‘General Administration’’ and ‘‘Informa-
tion 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
1563 
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-
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
1564 
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 
(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-
1565 
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-
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’’,
1566 
‘‘Board of Veterans Appeals’’, ‘‘General Administration’’, 
and ‘‘National Cemetery Administration’’ accounts for fis-
cal year 2018 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 
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 2018 for 
‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical 
Support and Compliance’’, ‘‘Medical Facilities’’, ‘‘Con-
struction, Minor Projects’’, and ‘‘Information Technology 
Systems’’, up to $297,137,000, 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
1567 
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 
Demonstration Fund upon written notification by the Sec-
retary of Veterans Affairs to the Committees on Appro-
priations of both Houses of Congress: Provided further, 
That section 222 of title II of division A of Military Con-
struction, Veterans Affairs, and Related Agencies Appro-
priations Act, 2017 (Public Law 114–223) is repealed. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 220. Of the amounts appropriated to the De-
partment of Veterans Affairs which become available on 
October 1, 2018, for ‘‘Medical Services’’, ‘‘Medical Com-
munity Care’’, ‘‘Medical Support and Compliance’’, and 
‘‘Medical Facilities’’, up to $306,378,000, plus reimburse-
ments, may be transferred to the Joint Department of De-
fense-Department of Veterans Affairs Medical Facility 
Demonstration Fund, established by section 1704 of the 
National Defense 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 Fed-
eral medical facilities as described by section 706 of the
1568 
Duncan Hunter 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 Depart-
ment of Defense-Department of Veterans Affairs Medical 
Facility Demonstration Fund upon written notification by 
the Secretary of Veterans Affairs to the Committees on 
Appropriations of both Houses of Congress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 221. Such sums as may be deposited to the 
Medical Care Collections Fund pursuant to section 1729A 
of title 38, United States Code, for healthcare provided 
at facilities designated as combined Federal medical facili-
ties as described by section 706 of the Duncan Hunter 
National Defense Authorization Act for Fiscal Year 2009 
(Public Law 110–417; 122 Stat. 4500) shall also be avail-
able: (1) for transfer to the Joint Department of Defense- 
Department of Veterans Affairs Medical Facility Dem-
onstration Fund, established by section 1704 of the Na-
tional Defense Authorization Act for Fiscal Year 2010 
(Public Law 111–84; 123 Stat. 3571); and (2) for oper-
ations of the facilities designated as combined Federal 
medical facilities as described by section 706 of the Dun-
can Hunter National Defense Authorization Act for Fiscal 
Year 2009 (Public Law 110–417; 122 Stat. 4500).
1569 
(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. None of the funds available to the Depart-
ment of Veterans Affairs, in this or any other Act, may 
be used to replace the current system by which the Vet-
erans Integrated Service Networks select and contract for 
diabetes monitoring supplies and equipment. 
SEC. 224. 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.
1570 
SEC. 225. 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-
erans Affairs receives approval from the Committees on 
Appropriations of both Houses of Congress. 
SEC. 226. 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. 227. Of the amounts made available for fiscal 
year 2018 for the ‘‘Medical Services’’ and ‘‘Medical Sup-
port 
and 
Compliance’’ 
accounts, 
not 
more 
than