SEC. 2. AUTHORIZATION FOR FISCAL YEAR 2009 MAJOR 
MEDICAL FACILITY PROJECTS. 
The Secretary of Veterans Affairs may carry out the 
following major medical facility projects in fiscal year 
2009 in the amount specified for each project: 
(1) Seismic corrections, Building 2, at the De-
partment of Veterans Affairs Palo Alto Health care 
System, Palo Alto Division Palo Alto, California, in 
an amount not to exceed $54,000,000. 
(2) Construction of a polytrauma healthcare 
and rehabilitation center at the Department of Vet-
erans Affairs Medical Center, San Antonio, Texas, 
in an amount not to exceed $66,000,000. 
(3) Seismic corrections, Building 1, at the De-
partment of Veterans Affairs Medical Center, San 
Juan, Puerto Rico, in an amount not to exceed 
$225,900,000. 
SEC. 3. MODIFICATION OF AUTHORIZATION AMOUNTS FOR 
CERTAIN MAJOR MEDICAL FACILITY CON-
STRUCTION 
PROJECTS 
PREVIOUSLY 
AU-
THORIZED. 
(a) MODIFICATION OF MAJOR MEDICAL FACILITY 
AUTHORIZATIONS.—Section 801(a) of the Veterans Bene-
fits, Health Care, and Information Technology Act of 
2006 (Public Law 109–461) is amended— 
(1) in paragraph (1)— 
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(A) by striking ‘‘$300,000,000’’ and in-
serting ‘‘$625,000,000’’; and 
(B) by striking the second sentence; and 
(2) 
in 
paragraph 
(3), 
by 
striking 
‘‘$98,000,000’’ and inserting ‘‘$769,200,000’’. 
(b) MODIFICATION OF AUTHORIZATION FOR CER-
TAIN
MAJOR
MEDICAL
FACILITY
CONSTRUCTION 
PROJECTS PREVIOUSLY AUTHORIZED
IN CONNECTION 
WITH CAPITAL ASSET REALIGNMENT INITIATIVE.— 
(1) CORRECTION OF PATIENT PRIVACY DEFI-
CIENCIES AT THE DEPARTMENT OF VETERANS AF-
FAIRS MEDICAL CENTER, GAINESVILLE, FLORIDA.— 
Paragraph (5) of section 802 of the Veterans Bene-
fits, Health Care, and Information Technology Act 
of 2006 (Public Law 109–461) is amended by strik-
ing ‘‘$85,200,000’’ and inserting ‘‘$136,700,000’’. 
(2) CONSTRUCTION OF A NEW MEDICAL CEN-
TER FACILITY AT THE DEPARTMENT OF VETERANS 
AFFAIRS MEDICAL CENTER, LAS VEGAS, NEVADA.— 
Paragraph (7) of such section is amended by strik-
ing ‘‘$406,000,000’’ and inserting ‘‘$600,400,000’’. 
(3) CONSTRUCTION
OF
A
NEW
OUTPATIENT 
CLINIC, LEE COUNTY, FLORIDA.—Paragraph (8) of 
such section is amended— 
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(A) by striking ‘‘ambulatory’’ and all that 
follows through ‘‘purchase,’’ and inserting ‘‘out-
patient clinic in’’; and 
(B) by striking ‘‘$65,100,000’’ and insert-
ing ‘‘$131,800,000’’. 
(4) CONSTRUCTION OF A NEW MEDICAL CEN-
TER
FACILITY, 
ORLANDO, 
FLORIDA.—Paragraph 
(11) of such section is amended by striking 
‘‘$377,700,000’’ and inserting ‘‘$656,800,000’’. 
(5) CONSOLIDATION OF CAMPUSES AT THE UNI-
VERSITY DRIVE AND H. JOHN HEINZ III DIVISIONS, 
PITTSBURGH, PENNSYLVANIA.—Paragraph (12) of 
such section is amended by striking ‘‘$189,205,000’’ 
and inserting ‘‘$295,600,000’’. 
SEC. 4. AUTHORIZATION OF FISCAL YEAR 2009 MAJOR MED-
ICAL FACILITY LEASES. 
The Secretary of Veterans Affairs may carry out the 
following major medical facility leases in fiscal year 2009 
at the locations specified, and in an amount for each lease 
not to exceed the amount shown for such location: 
(1) For an outpatient clinic, Brandon, Florida, 
$4,326,000. 
(2) For an outpatient clinic, Colorado Springs, 
Colorado, $3,995,000. 
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(3) For an outpatient clinic, Eugene, Oregon, 
$5,826,000. 
(4) For the expansion of an outpatient clinic, 
Green Bay, Wisconsin, $5,891,000. 
(5) For an outpatient clinic, Greenville, South 
Carolina, $3,731,000. 
(6) For an outpatient clinic, Mansfield, Ohio, 
$2,212,000. 
(7) For an outpatient clinic, Mayaguez, Puerto 
Rico, $6,276,000. 
(8) For an outpatient clinic, Mesa, Arizona, 
$5,106,000. 
(9) For interim research space, Palo Alto, Cali-
fornia, $8,636,000. 
(10) For the expansion of an outpatient clinic, 
Savannah, Georgia, $3,168,000. 
(11) For an outpatient clinic, Sun City, Ari-
zona, $2,295,000. 
(12) For a primary care annex, Tampa, Flor-
ida, $8,652,000. 
SEC. 5. AUTHORIZATION OF CONSTRUCTION OF MAJOR 
MEDICAL 
FACILITY, 
OKALOOSA 
COUNTY, 
FLORIDA. 
(a) AUTHORIZATION.—The Secretary of Veterans Af-
fairs shall carry out a major medical facility project to 
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construct a new medical facility of the Department of Vet-
erans Affairs in Okaloosa County, Florida, in an amount 
not to exceed $54,475,000. 
(b) FACILITY LOCATION.—The facility authorized to 
be constructed pursuant to subsection (a) shall be built 
in accordance with option 2 of the report to Congress 
dated June 26, 2007, required to be submitted under sec-
tion 823 of the Veterans Benefits, Health Care, and Infor-
mation Technology Act of 2006 (Public Law 109–461; 
120 Stat. 3449). 
(c) PLAN FOR SHARING OF INPATIENT AND OUT-
PATIENT SERVICES.—Not later than 180 days after the 
date of the enactment of the Act, the Secretary of Vet-
erans Affairs shall submit to the Committees on Veterans’ 
Affairs of the Senate and House of Representatives a plan 
that sets forth terms and conditions for the sharing of in-
patient and outpatient services at the medical facility au-
thorized to be constructed pursuant to subsection (a). 
SEC. 6. AUTHORIZATION OF APPROPRIATIONS. 
(a) AUTHORIZATION OF APPROPRIATIONS FOR FIS-
CAL YEAR 2009 MAJOR MEDICAL FACILITY PROJECTS.— 
There is authorized to be appropriated for the Secretary 
of Veterans Affairs for fiscal year 2009 for the Construc-
tion, Major Projects, account— 
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(1) $345,900,000 for the projects authorized in 
section 2; 
(2) $1,694,295,000 for the increased amounts 
authorized for projects whose authorizations are 
modified by section 3; and 
(3) $54,475,000 for the project authorized in 
section 5. 
(b) AUTHORIZATION FOR APPROPRIATIONS FOR FIS-
CAL YEAR 2009 MAJOR MEDICAL FACILITY LEASES.— 
There is authorized to be appropriated for the Secretary 
of Veterans Affairs for fiscal year 2009 for the Medical 
Facilities account, $60,114,000, for the leases authorized 
in section 4. 
SEC. 7. FACILITIES ADMINISTRATION. 
Not later than 60 days after the date of the enact-
ment of this Act, the Secretary of Veterans Affairs shall 
submit to the Committees on Veterans’ Affairs of the Sen-
ate and House of Representatives a report updating the 
progress of the Secretary in complying with section 312A 
of title 38, United States Code. 
SEC. 8. ANNUAL REPORT ON OUTPATIENT CLINICS. 
(a) ANNUAL REPORT REQUIRED.—Subchapter I of 
chapter 81 of title 38, United States Code, is amended 
by adding at the end the following new section: 
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‘‘§ 8119. Annual report on outpatient clinics 
‘‘(a) ANNUAL REPORT REQUIRED.—The Secretary of 
Veterans Affairs shall submit to the Committees on Vet-
erans’ Affairs of the Senate and House of Representatives 
an annual report on community-based outpatient clinics 
and other outpatient clinics. The report shall be submitted 
each year not later than the date on which the budget 
for the next fiscal year is submitted to the Congress under 
section 1105 of title 31. 
‘‘(b) CONTENTS OF REPORT.—Each report required 
under subsection (a) shall include the following: 
‘‘(1) A list of each community-based outpatient 
clinic and other outpatient clinic of the Department, 
and for each such clinic, the type of clinic, location, 
size, number of health professionals employed by the 
clinic, workload, whether the clinic is leased or con-
structed and operated by the Secretary, and the an-
nual cost of operating the clinic. 
‘‘(2) A list of community-based outpatient clin-
ics and other outpatient clinics that the Secretary 
opened during the fiscal year preceding the fiscal 
year during which the report is submitted and a list 
of clinics the Secretary proposes opening during the 
fiscal year during which the report is submitted and 
the subsequent fiscal year, together with the cost of 
activating each such clinic and the information re-
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quired to be provided under paragraph (1) for each 
such clinic and proposed clinic. 
‘‘(3) A list of proposed community-based out-
patient clinics and other outpatient clinics that are, 
as of the date of the submission of the report, under 
review by the National Review Panel and a list of 
possible locations for future clinics identified in the 
Department’s strategic planning process, including 
any identified locations in rural and underserved 
areas. 
‘‘(4) A prioritized list of sites of care identified 
by the Secretary that the Secretary could establish 
without carrying out construction or entering into a 
lease, including— 
‘‘(A) any such sites that could be expanded 
by hiring additional staff or allocating staff to 
Federal facilities or facilities operating in col-
laboration with the Federal Government; and 
‘‘(B) any sites established, or able to be es-
tablished, under sections 8111 and 8153 of this 
title.’’. 
(b) DEADLINE FOR FIRST ANNUAL REPORT.—The 
Secretary of Veterans Affairs shall submit the first report 
required under section 8119(a) of title 38, United States 
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Code, as added by subsection (a), by not later than 90 
days after the date of the enactment of this Act. 
(c) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by adding 
at the end of the items relating to subchapter I the fol-
lowing new item: 
‘‘8119. Annual report on outpatient clinics.’’. 
SEC. 9. TECHNICAL CORRECTION. 
Section 807(e) of the Veterans Benefits, Health Care, 
and Information Technology Act of 2006 (Public Law 
109–461) is amended by striking ‘‘Medical Care’’ each 
place it appears and inserting ‘‘Medical Facilities’’. 
Æ 
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