II 
108TH CONGRESS 
2D SESSION 
H. R. 4768 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 30, 2004 
Received 
AN ACT 
To authorize the Secretary of Veterans Affairs to enter into 
certain major medical facility leases, to authorize that 
Secretary to transfer real property subject to certain 
limitations, otherwise to improve management of medical 
facilities of the Department of Veterans Affairs, and 
for other purposes.
HR 4768 RDS 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; REFERENCES TO TITLE 38, 
UNITED STATES CODE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Veterans Health Programs and Facilities Enhancement 
Act of 2004’’. 
(b) REFERENCES TO TITLE 38, UNITED STATES 
CODE.—Except as otherwise expressly provided, whenever 
in this Act an amendment or repeal is expressed in terms 
of an amendment to, or repeal of, a section or other provi-
sion, the reference shall be considered to be made to a 
section or other provision of title 38, United States Code. 
(c) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; references to title 38, United States Code; table of contents. 
TITLE I—MEDICAL FACILITIES MANAGEMENT 
Sec. 101. Major medical facility leases. 
Sec. 102. Department of Veterans Affairs Capital Asset Fund. 
Sec. 103. Annual report to Congress on inventory of Department of Veterans 
Affairs historic properties. 
Sec. 104. Authority to use project funds to construct or relocate surface park-
ing incidental to a construction or nonrecurring maintenance 
project. 
Sec. 105. Inapplicability of limitation on use of advance planning funds to au-
thorized major medical facility projects. 
Sec. 106. Improvement in enhanced-use lease authorities. 
Sec. 107. Extension of authority to provide care under long-term care pilot pro-
grams. 
TITLE II—OTHER MATTERS 
Sec. 201. Inclusion of all enrolled veterans among persons eligible to use can-
teens operated by Veterans’ Canteen Service. 
Sec. 202. Enhancement of medical preparedness of Department.
HR 4768 RDS 
TITLE I—MEDICAL FACILITIES 
MANAGEMENT 
SEC. 101. MAJOR MEDICAL FACILITY LEASES. 
(a) AUTHORIZED LEASES.—The Secretary of Vet-
erans Affairs may enter into contracts for major medical 
facility leases at the following locations, in an amount for 
each facility lease not to exceed the amount shown for that 
location: 
(1) Wilmington, North Carolina, Outpatient 
Clinic, $1,320,000. 
(2) Greenville, North Carolina, Outpatient Clin-
ic, $1,220,000. 
(3) 
Norfolk, 
Virginia, 
Outpatient 
Clinic, 
$1,250,000. 
(4) Summerfield, Florida, Marion County Out-
patient Clinic, $1,230,000. 
(5) Knoxville, Tennessee, Outpatient Clinic, 
$850,000. 
(6) 
Toledo, 
Ohio, 
Outpatient 
Clinic, 
$1,200,000. 
(7) Crown Point, Indiana, Outpatient Clinic, 
$850,000. 
(8) Fort Worth, Texas, Tarrant County Out-
patient Clinic, $3,900,000.
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(9) Plano, Texas, Collin County Outpatient 
Clinic, $3,300,000. 
(10) San Antonio, Texas, Northeast Central 
Bexar County Outpatient Clinic, $1,400,000. 
(11) Corpus Christi, Texas, Outpatient Clinic, 
$1,200,000. 
(12) Harlingen, Texas, Outpatient Clinic, 
$650,000. 
(13) Denver, Colorado, Health Administration 
Center, $1,950,000. 
(14) Oakland, California, Outpatient Clinic, 
$1,700,000. 
(15) San Diego, California, North County Out-
patient Clinic, $1,300,000. 
(16) San Diego, California, South County, Out-
patient Clinic, $1,100,000. 
(b) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to the Secretary of Veterans 
Affairs for fiscal year 2005 for the Medical Care account, 
$24,420,000 for the leases authorized in subsection (a). 
(c) AUTHORITY FOR LEASE OF CERTAIN LANDS OF 
UNIVERSITY
OF COLORADO.—Notwithstanding section 
8103 of title 38, United States Code, the Secretary of Vet-
erans Affairs may enter into a lease for real property lo-