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, 
53, 55, and 61 of title 38, United States Code, 
$90,119,449,000, to remain available until expended and 
to become available on October 1, 2017: Provided, That 
not to exceed $17,224,000 of the amount made available 
for fiscal year 2018 under this heading shall be reim-
bursed to ‘‘General Operating Expenses, Veterans Bene-
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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, $13,708,648,000, to 
remain available until expended and to become available 
on October 1, 2017: Provided, That expenses for rehabili-
tation program services and assistance which the Sec-
retary is authorized to provide under subsection (a) of sec-
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-
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erans insurance, and veterans mortgage life insurance as 
authorized by chapters 19 and 21, title 38, United States 
Code, $124,504,000, to remain available until expended, 
of which $107,899,000 shall become available on October 
1, 2017. 
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 2017, 
within the resources available, not to exceed $500,000 in 
gross obligations for direct loans are authorized for spe-
cially adapted housing loans. 
In addition, for administrative expenses to carry out 
the direct and guaranteed loan programs, $167,612,000. 
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $36,000, 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-
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sidize gross obligations for the principal amount of direct 
loans not to exceed $2,517,000. 
In addition, for administrative expenses necessary to 
carry out the direct loan program, $389,000, 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. 
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-
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, 
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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; $850,000,000, which shall be in addition to 
funds previously appropriated under this heading that be-
came available on October 1, 2016; and, in addition, 
$44,886,554,000, plus reimbursements, shall become 
available on October 1, 2017, and shall remain available 
until September 30, 2018: Provided, That, of the amount 
made available on October 1, 2017, under this heading, 
$1,400,000,000 shall remain available until September 30, 
2019: 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 disabilities, lower 
income, or have special needs: Provided further, That, not-
withstanding any other provision of law, the Secretary of 
Veterans Affairs shall give priority funding for the provi-
sion of basic medical benefits to veterans in enrollment 
priority groups 1 through 6: Provided further, That, not-
withstanding any other provision of law, the Secretary of 
Veterans Affairs may authorize the dispensing of prescrip-
tion drugs from Veterans Health Administration facilities 
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to enrolled veterans with privately written prescriptions 
based on requirements established by the Secretary: Pro-
vided further, That the implementation of the program de-
scribed 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, 
$7,246,181,000, plus reimbursements, to be derived from 
amounts appropriated in title II of division J of Public 
Law 114–113 under the headings ‘‘Medical Services’’, 
‘‘Medical Support and Compliance’’, or ‘‘Medical Facili-
ties’’ which became available on October 1, 2016; and, in 
addition, $9,409,118,000 shall become available on Octo-
ber 1, 2017, and shall remain available until September 
30, 2018: Provided, That, of the amount made available 
on October 1, 2017, under this heading, $1,500,000,000 
shall remain available until September 30, 2019. 
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-
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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.), $6,654,480,000, plus 
reimbursements, shall become available on October 1, 
2017, and shall remain available until September 30, 
2018: Provided, That, of the amount made available on 
October 1, 2017, under this heading, $100,000,000 shall 
remain available until September 30, 2019. 
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 
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, 
$5,434,880,000, plus reimbursements, shall become avail-
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able on October 1, 2017, and shall remain available until 
September 30, 2018: Provided, That, of the amount made 
available on October 1, 2017, under this heading, 
$250,000,000 shall remain available until September 30, 
2019. 
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, 
$663,366,000, plus reimbursements, shall remain avail-
able until September 30, 2018. 
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, $271,220,000, 
of which not to exceed $26,600,000 shall remain available 
until September 30, 2018. 
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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, 
$336,659,000, of which not to exceed $10,000,000 shall 
remain available until September 30, 2018: Provided, 
That funds provided under this heading may be trans-
ferred 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 
$15,610,000 shall remain available until September 30, 
2018. 
GENERAL OPERATING EXPENSES, VETERANS BENEFITS 
ADMINISTRATION 
For necessary operating expenses of the Veterans 
Benefits Administration, not otherwise provided for, in-
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cluding hire of passenger motor vehicles, reimbursement 
of the General Services Administration for security guard 
services, and reimbursement of the Department of De-
fense 
for 
the 
cost 
of 
overseas 
employee 
mail, 
$2,826,160,000: 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 nec-
essary to enable entitled veterans: (1) to the maximum ex-
tent feasible, to become employable and to obtain and 
maintain suitable employment; or (2) to achieve maximum 
independence in daily living, shall be charged to this ac-
count: Provided further, That, of the funds made available 
under this heading, not to exceed $141,000,000 shall re-
main available until September 30, 2018. 
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 
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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 
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 amounts 
made available under this heading for operations and 
maintenance and information technology systems develop-
ment, modernization, and enhancement, not more than a 
total amount of $168,113,000 shall be available for VistA 
Evolution or any successor: Provided further, That none 
of the funds made available by the preceding proviso may 
be obligated or expended for such program or any suc-
cessor until the Secretary of Veterans Affairs: (1) certifies 
to the Committees on Appropriations of both Houses of 
Congress that the Department of Veterans Affairs has de-
ployed modernized electronic health record software sup-
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porting clinicians of the Department of Veterans Affairs 
and the Department of Defense no later than December 
31, 2016, while ensuring continued support and compat-
ibility with the interoperability platform and full stand-
ards-based interoperability, as stipulated by the National 
Defense Authorization Act of Fiscal Year 2014 (Public 
Law 113–66); (2) submits to the Committees on Appro-
priations of both Houses of Congress the VistA Evolution 
Business Case and supporting documents regarding con-
tinuation of VistA Evolution or alternatives to VistA Evo-
lution, including an analysis of necessary or desired capa-
bilities, technical and security requirements, the plan for 
modernizing the platform framework, and all associated 
costs; and (3) submits to the Committees on Appropria-
tions of both Houses of Congress, and such Committees 
approve, the following: a report that describes a strategic 
plan for VistA Evolution, or any successor, and the associ-
ated implementation plan including metrics and timelines; 
a master schedule and lifecycle cost estimate for VistA 
Evolution or any successor; and an implementation plan 
for the transition from the Project Management Account-
ability System (PMAS) to the new project delivery frame-
work (the Veteran-focused Integration Process (VIP)) 
that includes the methodology by which projects will be 
tracked, progress measured, and deliverables evaluated: 
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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 
$14,800,000 shall remain available until September 30, 
2018. 
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 
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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, 
$528,110,000, of which $494,310,000 shall remain avail-
able until September 30, 2021, and of which $33,800,000 
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 
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 of land, security, and maintenance 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 which has 
not been approved by the Congress in the budgetary proc-
ess: Provided further, That funds made available under 
this heading for fiscal year 2017, for each approved 
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project shall be obligated: (1) by the awarding of a con-
struction documents contract by September 30, 2017; and 
(2) by the awarding of a construction contract by Sep-
tember 30, 2018: 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 limita-
tions established above: Provided further, That, of the 
amount made available under this heading, $222,620,000 
for Veterans Health Administration major construction 
projects shall not be available until the Department 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-
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