II 
Calendar No. 198 
118TH CONGRESS 
1ST SESSION H. R. 4366 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 5, 2023 
Received; read twice and placed on the calendar 
AN ACT 
Making appropriations for military construction, the Depart-
ment of Veterans Affairs, and related agencies for the 
fiscal year ending September 30, 2024, and for other 
purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
That 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, 2024, and for other purposes, namely: 
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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 
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, $1,517,455,000 (in-
creased by $103,000,000) (reduced by $103,000,000), to 
remain available until September 30, 2028: Provided, 
That, of this amount, not to exceed $345,775,000 shall 
be available for study, planning, design, architect and en-
gineer services, and host nation support, as authorized by 
law, unless the Secretary of the Army determines that ad-
ditional obligations are necessary for such purposes and 
notifies the Committees on Appropriations of both Houses 
of Congress of the determination and the reasons therefor: 
Provided further, That of the amount made available 
under this heading, $162,900,000 shall be for the projects 
and activities, and in the amounts, specified in the table 
under the heading ‘‘Military Construction, Army’’ in the 
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report accompanying this Act, in addition to amounts oth-
erwise available for such purposes. 
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, $4,477,961,000, to remain available 
until September 30, 2028: Provided, That, of this amount, 
not to exceed $602,625,000 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 
purposes and notifies the Committees on Appropriations 
of both Houses of Congress of the determination and the 
reasons therefor: Provided further, That of the amount 
made available under this heading, $52,683,000 shall be 
for the projects and activities, and in the amounts, speci-
fied in the table under the heading ‘‘Military Construction, 
Navy and Marine Corps’’ in the report accompanying this 
Act, in addition to amounts otherwise available for such 
purposes. 
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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, $2,439,614,000, to remain 
available until September 30, 2028: Provided, That, of this 
amount, not to exceed $450,614,000 shall be available for 
study, planning, design, and architect and engineer serv-
ices, as authorized by law, unless the Secretary of the Air 
Force determines that additional obligations are necessary 
for such purposes and notifies the Committees on Appro-
priations of both Houses of Congress of the determination 
and the reasons therefor: Provided further, That of the 
amount made available under this heading, $30,300,000 
shall be for the projects and activities, and in the amounts, 
specified in the table under the heading ‘‘Military Con-
struction, Air Force’’ in the report accompanying this Act, 
in addition to amounts otherwise available for such pur-
poses. 
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 
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departments), 
as 
currently 
authorized 
by 
law, 
$2,651,047,000, to remain available until September 30, 
2028: Provided, That such amounts of this appropriation 
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 $304,045,000 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, $369,261,000, to remain available until Sep-
tember 30, 2028: Provided, That, of the amount, not to 
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exceed $42,361,000 shall be available for study, planning, 
design, and architect and engineer services, as authorized 
by law, unless the Director of the Army National Guard 
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: Provided further, That of the amount 
made available under this heading, $19,075,000 shall be 
for the projects and activities, and in the amounts, speci-
fied in the table under the heading ‘‘Military Construction, 
Army National Guard’’ in the report accompanying this 
Act, in addition to amounts otherwise available for such 
purposes. 
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, $189,322,000, to remain available until September 
30, 2028: Provided, That, of the amount, not to exceed 
$36,200,000 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 
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and notifies the Committees on Appropriations of both 
Houses of Congress of the determination and the reasons 
therefor: Provided further, That of the amount made avail-
able under this heading, $600,000 shall be for the projects 
and activities, and in the amounts, specified in the table 
under the heading ‘‘Military Construction, Air National 
Guard’’ in the report accompanying this Act, in addition 
to amounts otherwise available for such purposes. 
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, $117,076,000, to remain 
available until September 30, 2028: Provided, That, of the 
amount, not to exceed $23,389,000 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-
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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, $61,291,000, to remain available until Sep-
tember 30, 2028: Provided, That, of the amount, not to 
exceed $6,495,000 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-
ministration of the Air Force Reserve as authorized by 
chapter 1803 of title 10, United States Code, and Military 
Construction Authorization Acts, $330,572,000, to remain 
available until September 30, 2028: Provided, That, of the 
amount, not to exceed $12,146,000 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, 
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That of the amount made available under this heading, 
$29,000,000 shall be for the projects and activities, and 
in the amounts, specified in the table under the heading 
‘‘Military Construction, Air Force Reserve’’ in the report 
accompanying this Act, in addition to amounts otherwise 
available for such purposes. 
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-
tary Construction Authorization Acts, $293,434,000, to 
remain available until expended. 
DEPARTMENT OF DEFENSE BASE CLOSURE ACCOUNT 
For deposit into the Department of Defense Base 
Closure Account, established by section 2906(a) of the De-
fense Base Closure and Realignment Act of 1990 (10 
U.S.C. 2687 note), $539,174,000, to remain available 
until expended. 
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FAMILY HOUSING CONSTRUCTION, ARMY 
For expenses of family housing for the Army for con-
struction, including acquisition, replacement, addition, ex-
pansion, extension, and alteration, as authorized by law, 
$304,895,000, to remain available until September 30, 
2028. 
FAMILY HOUSING OPERATION AND MAINTENANCE, 
ARMY 
For expenses of family housing for the Army for op-
eration and maintenance, including debt payment, leasing, 
minor construction, principal and interest charges, and in-
surance premiums, as authorized by law, $395,485,000. 
FAMILY HOUSING CONSTRUCTION, NAVY AND MARINE 
CORPS 
For expenses of family housing for the Navy and Ma-
rine Corps for construction, including acquisition, replace-
ment, addition, expansion, extension, and alteration, as 
authorized by law, $277,142,000, to remain available until 
September 30, 2028. 
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-
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est charges, and insurance premiums, as authorized by 
law, $373,854,000. 
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, 
$237,097,000, to remain available until September 30, 
2028. 
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, 
$324,386,000. 
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, 
$50,785,000. 
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DEPARTMENT OF DEFENSE 
FAMILY HOUSING IMPROVEMENT FUND 
For the Department of Defense Family Housing Im-
provement Fund, $6,611,000, 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, $496,000, 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. 
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 
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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 
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 
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$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-
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 
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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 
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. 
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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 
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 
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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 
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 
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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 
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 
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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: Provided further, That the 
Under Secretary of Defense (Comptroller) is to report an-
nually to the Committees on Appropriations of both 
Houses of Congress all operation and maintenance ex-
penditures for each individual general or flag officer quar-
ters for the prior fiscal year. 
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 
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maintenance and construction have expired for obligation, 
upon a determination that such appropriations will not be 
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. 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. 123. 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. 
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SEC. 124. For an additional amount for the accounts 
and in the amounts specified, to remain available until 
September 30, 2028: 
‘‘Military Construction, Army’’, $47,700,000; 
‘‘Military Construction, Navy and Marine 
Corps’’, $689,409,000; 
‘‘Military 
Construction, 
Air 
Force’’, 
$148,300,000; 
‘‘Military 
Construction, 
Defense-Wide’’, 
$280,100,000; 
‘‘Military Construction, Army National Guard’’, 
$26,800,000; 
‘‘Military Construction, Air National Guard’’, 
$126,742,000; 
‘‘Military 
Construction, 
Army 
Reserve’’, 
$40,000,000; 
‘‘Military Construction, Air Force Reserve’’, 
$8,500,000; and 
‘‘Family Housing Construction, Air Force’’, 
$27,000,000: 
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 
2024 submitted to Congress: Provided further, That such 
projects are subject to authorization prior to obligation 
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and expenditure of funds to carry out construction: Pro-
vided further, That not later than 60 days after enactment 
of this Act, the Secretary of the military department con-
cerned, or their designee, shall submit to the Committees 
on Appropriations of both Houses of Congress an expendi-
ture plan for funds provided under this section. 
SEC. 125. All amounts appropriated to the ‘‘Depart-
ment of Defense—Military Construction, Army’’, ‘‘De-
partment of Defense—Military Construction, Navy and 
Marine Corps’’, ‘‘Department of Defense—Military Con-
struction, Air Force’’, and ‘‘Department of Defense—Mili-
tary Construction, Defense-Wide’’ accounts pursuant to 
the authorization of appropriations in a National Defense 
Authorization Act specified for fiscal year 2024 in the 
funding table in section 4601 of that Act shall be imme-
diately available and allotted to contract for the full scope 
of authorized projects. 
SEC. 126. Notwithstanding section 116 of this Act, 
funds made available in this Act or any available unobli-
gated balances from prior appropriations Acts may be obli-
gated before October 1, 2025, for fiscal year 2017, 2018, 
and 2019 military construction projects for which project 
authorization has not lapsed or for which authorization 
is extended for fiscal year 2024 by a National Defense 
Authorization Act: Provided, That no amounts may be ob-
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ligated pursuant to this section from amounts that were 
designated by the Congress as an emergency requirement 
pursuant to a concurrent resolution on the budget or the 
Balanced Budget and Emergency Deficit Control Act of 
1985. 
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 
Construction and Veterans Affairs of the Committee on 
Appropriations of the House of Representatives. 
SEC. 128. For an additional amount for the accounts 
and in the amounts specified for planning and design and 
for construction improvements to Department of Defense 
laboratory facilities, to remain available until September 
30, 2028: 
‘‘Military Construction, Army’’, $30,000,000; 
‘‘Military Construction, Navy and Marine 
Corps’’, $30,000,000; and 
‘‘Military 
Construction, 
Air 
Force’’, 
$30,000,000: 
Provided, That not later than 60 days after enactment of 
this Act, the Secretary of the military department con-
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cerned, or their designee, shall submit to the Committees 
on Appropriations of both Houses of Congress an expendi-
ture plan for funds provided under this section: Provided 
further, That the Secretary of the military department 
concerned may not obligate or expend any funds prior to 
approval by the Committees on Appropriations of both 
Houses of Congress of the expenditure plan required by 
this section. 
SEC. 129. For an additional amount for ‘‘Military 
Construction, Air Force’’, $252,000,000, to remain avail-
able until September 30, 2028, for expenses incurred as 
a result of natural disasters: Provided, That not later than 
60 days after the date of enactment of this Act, the Sec-
retary of the Air Force, or their designee, shall submit 
to the Committees on Appropriations of both Houses of 
Congress an expenditure plan for funds provided under 
this section. 
SEC. 130. For an additional amount for the accounts 
and in the amounts specified for planning and design, for 
child development centers, to remain available until Sep-
tember 30, 2028: 
‘‘Military Construction, Army’’, $25,000,000 
(increased 
by 
$25,000,000) 
(reduced 
by 
$25,000,000); 
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‘‘Military Construction, Navy and Marine 
Corps’’, $25,000,000 (increased by $25,000,000) 
(reduced by $25,000,000); and 
‘‘Military 
Construction, 
Air 
Force’’, 
$25,000,000 (increased by $25,000,000) (reduced by 
$25,000,000): 
Provided, That not later than 60 days after the date of 
enactment of this Act, the Secretary of the military de-
partment concerned, or their designee, shall submit to the 
Committees on Appropriations of both Houses of Congress 
an expenditure plan for funds provided under this section. 
SEC. 131. For an additional amount for the accounts 
and amounts specified for planning and design, for bar-
racks, to remain available until September 30, 2028: 
‘‘Military Construction Army’’, $65,000,000; 
‘‘Military Construction, Navy and Marine 
Corps’’, $65,000,000; and 
‘‘Military 
Construction, 
Air 
Force’’, 
$65,000,000: 
Provided, That not later than 60 days after the date of 
enactment of this Act, the Secretary of the military de-
partment concerned, or their designee, shall submit to the 
Committees on Appropriations of both Houses of Congress 
an expenditure plan for funds provided under this section. 
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SEC. 132. For an additional amount for the accounts 
and in the amounts specified for unspecified minor con-
struction for demolition, to remain available until Sep-
tember 30, 2028: 
‘‘Military Construction, Army’’, $15,000,000; 
‘‘Military Construction, Navy and Marine 
Corps’’, $15,000,000; 
‘‘Military 
Construction, 
Air 
Force’’, 
$15,000,000; 
‘‘Military Construction, Army National Guard’’, 
$15,000,000; 
‘‘Military Construction, Air National Guard’’, 
$15,000,000; 
‘‘Military 
Construction, 
Army 
Reserve’’, 
$5,000,000; 
‘‘Military 
Construction, 
Navy 
Reserve’’, 
$5,000,000; and 
‘‘Military Construction, Air Force Reserve’’, 
$5,000,000: 
Provided, That not later than 60 days after the date of 
enactment of this Act, the Secretary of the military de-
partment concerned, or their designee, shall submit to the 
Committees on Appropriations of both Houses of Congress 
an expenditure plan for funds provided under this section: 
Provided further, That the Secretary of the military de-
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partment concerned may not obligate or expend any funds 
prior to approval by the Committees on Appropriations of 
both Houses of Congress of the expenditure plan required 
by this section. 
SEC. 133. For an additional amount for the accounts 
and in the amounts specified, to remain available until 
September 30, 2028: 
‘‘Military Construction, Army’’, $122,210,000; 
‘‘Military 
Construction, 
Air 
Force’’, 
$90,400,000; 
‘‘Military Construction, Army National Guard’’, 
$134,881,000; and 
‘‘Military 
Construction, 
Army 
Reserve’’, 
$23,000,000: 
Provided, That funds may only be obligated to carry out 
cost to complete projects identified in the respective mili-
tary department’s unfunded priority list for fiscal year 
2024 submitted to Congress: Provided further, That such 
projects are subject to authorization prior to obligation 
and expenditure funds to carry out construction: Provided 
further, That not later than 60 days after enactment of 
this Act, the Secretary of the military department con-
cerned, or their designee, shall submit to the Committees 
on Appropriations of both Houses of Congress an expendi-
ture plan for funds under this section. 
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SEC. 134. For an additional amount for ‘‘Military 
Construction, Navy and Marine Corps’’, $50,000,000 to 
remain available until September 30, 2028, for planning 
and design for Shipyard Infrastructure Optimization Pro-
gram construction: Provided, That not later than 60 days 
after the date of enactment of this Act, the Secretary of 
the Navy, or their designee, shall submit to the Commit-
tees on Appropriations of both Houses of Congress an ex-
penditure plan for funds provided under this section. 
SEC. 135. 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. 
SEC. 136. (a) None of the funds made available by 
this Act for the Department of the Air Force, or any other 
Department and Agency, may be obligated or expended 
for the construction or modification of facilities for tem-
porary or permanent use by the United States Space Com-
mand for headquarters operations unless, pursuant to sub-
section (b), the preferred location for permanent head-
quarters of the United States Space Command is selected 
or until the required report is submitted. 
(b) In the event a permanent location for the head-
quarters is selected other than the preferred location as 
identified by the Department of the Air Force in January 
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2021, the Secretary of the Air Force shall submit to the 
congressional appropriations committees a report on the 
rationale for the selection of a permanent location for the 
headquarters of the United States Space Command. 
(c) Subsection (a) shall not apply to any repair nec-
essary to maintain facilities to protect personnel or prop-
erty. 
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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, 
$4,655,879,000, which shall be in addition to funds pre-
viously appropriated under this heading that become avail-
able on October 1, 2023, to remain available until ex-
pended; and, in addition, $181,390,281,000, which shall 
become available on October 1, 2024, to remain available 
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until expended: Provided, That not to exceed $22,109,000 
of the amount made available for fiscal year 2025 under 
this heading shall be reimbursed to ‘‘General Operating 
Expenses, Veterans Benefits Administration’’, and ‘‘Infor-
mation Technology Systems’’ for necessary expenses in 
implementing the provisions 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: Provided 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 facili-
ties for nursing home care provided to pensioners as au-
thorized. 
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, $11,523,134,000, 
which shall become available on October 1, 2024, to re-
main available until expended: Provided, That expenses for 
rehabilitation program services and assistance which the 
Secretary is authorized to provide under subsection (a) of 
section 3104 of title 38, United States Code, other than 
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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 of title 38, United 
States Code, $12,701,000, which shall be in addition to 
funds previously appropriated under this heading that be-
come available on October 1, 2023, to remain available 
until expended; and in addition, $135,119,422, which shall 
become available on October 1, 2024, to remain available 
until expended. 
VETERANS HOUSING BENEFIT PROGRAM FUND 
For the cost of direct and guaranteed loans, such 
sums as may be necessary to carry out the program, as 
authorized by 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 2024, 
within the resources available, not to exceed $500,000 in 
gross obligations for direct loans are authorized for spe-
cially adapted housing loans. 
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In addition, for administrative expenses to carry out 
the direct and guaranteed loan programs, $316,742,419 
(increased by $2,000,000) (reduced by $2,000,000) (re-
duced by $1,000,000) (increased by $1,000,000). 
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $78,337, 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 $2,026,000. 
In addition, for administrative expenses necessary to 
carry out the direct loan program, $460,698, 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, $2,718,546. 
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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 
of the General Services Administration for security guard 
services, and reimbursement of the Department of De-
fense 
for 
the 
cost 
of 
overseas 
employee 
mail, 
$3,899,000,000 (reduced by $1,000,000) (increased by 
$1,000,000) (reduced by $1,000,000) (increased by 
$1,000,000) (reduced by $1,000,000) (increased by 
$1,000,000) (increased by $10,000,000)(reduced by 
$10,000,000): 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 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 10 percent shall remain 
available until September 30, 2025. 
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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, assist-
ance and support services for caregivers as authorized by 
section 1720G of title 38, United States Code, loan repay-
ments authorized by section 604 of the Caregivers and 
Veterans Omnibus Health Services Act of 2010 (Public 
Law 111–163; 124 Stat. 1174; 38 U.S.C. 7681 note), 
monthly assistance allowances authorized by section 
322(d) of title 38, United States Code, grants authorized 
by section 521A of title 38, United States Code, and ad-
ministrative expenses necessary to carry out sections 
322(d) and 521A of title 38, United States Code, and hos-
pital care and medical services authorized by section 1787 
of title 38, United States Code; $71,000,000,000 (reduced 
by $10,000,000) (increased by $10,000,000) (reduced by 
$2,000,000) (increased by $2,000,000) (increased by 
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$10,000,000) (reduced by $10,000,000) (reduced by 
$5,000,000) (increased by $5,000,000) (reduced by 
$1,000,000) (increased by $1,000,000) (reduced by 
$10,000,000) (increased by $10,000,000) (reduced by 
$2,000,000) (increased by $2,000,000) (reduced by 
$1,000,000) (increased by $1,000,000) (reduced by 
$10,000,000) (increased by $10,000,000) (increased by 
$1,000,000) (reduced by $1,000,000), plus reimburse-
ments, shall become available on October 1, 2024, and 
shall remain available until September 30, 2025: Provided, 
That, of the amount made available on October 1, 2024, 
under this heading, $2,000,000,000 shall remain available 
until September 30, 2026: Provided further, That, not-
withstanding 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-con-
nected disabilities, lower income, or have special needs: 
Provided further, That, notwithstanding any other provi-
sion of law, the Secretary of Veterans Affairs shall give 
priority funding for the provision of basic medical benefits 
to veterans in enrollment priority groups 1 through 6: Pro-
vided further, That, notwithstanding any other provision 
of law, the Secretary of Veterans Affairs may authorize 
the dispensing of prescription drugs from Veterans Health 
Administration facilities to enrolled veterans with privately 
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written prescriptions based on requirements established by 
the Secretary: Provided further, That the implementation 
of the program described in the previous proviso shall 
incur no additional cost to the Department of Veterans 
Affairs: Provided further, That the Secretary of Veterans 
Affairs shall ensure that sufficient amounts appropriated 
under this heading for medical supplies and equipment are 
available for the acquisition of prosthetics designed specifi-
cally for female veterans: Provided further, That nothing 
in section 2044(e)(1) of title 38, United States Code, may 
be construed as limiting amounts that may be made avail-
able under this heading for fiscal years 2024 and 2025 
in this or prior Acts. 
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, 
$20,382,000,000 (reduced by $1,000,000) (increased by 
$1,000,000), plus reimbursements, shall become available 
on October 1, 2024, and shall remain available until Sep-
tember 30, 2025: Provided, That, of the amount made 
available on October 1, 2024, under this heading, 
$2,000,000,000 shall remain available until September 30, 
2026. 
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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.), $11,800,000,000 (re-
duced by $1,000,000) (increased by $1,000,000), plus re-
imbursements, shall become available on October 1, 2024, 
and shall remain available until September 30, 2025: Pro-
vided, That, of the amount made available on October 1, 
2024, under this heading, $350,000,000 shall remain 
available until September 30, 2026. 
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 
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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; 
$9,400,000,000, plus reimbursements, shall become avail-
able on October 1, 2024, and shall remain available until 
September 30, 2025: Provided, That, of the amount made 
available on October 1, 2024, under this heading, 
$500,000,000 shall remain available until September 30, 
2026. 
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, 
$938,000,000 (increased by $3,000,000) (reduced by 
$20,000,000) (increased by $20,000,000), plus reimburse-
ments, shall remain available until September 30, 2025: 
Provided, That the Secretary of Veterans Affairs shall en-
sure that sufficient amounts appropriated under this 
heading are available for prosthetic research specifically 
for female veterans, and for toxic exposure research. 
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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, $480,000,000 
(increased by $2,000,000), of which not to exceed 10 per-
cent shall remain available until September 30, 2025. 
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, 
$475,000,000 (reduced by $5,500,000) (reduced by 
$3,500,000) (reduced by $3,500,000) (reduced by 
$3,500,000) (reduced by $3,500,000) (reduced by 
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$1,000,000) (increased by $1,000,000) (reduced by 
$5,000,000), of which not to exceed 10 percent shall re-
main available until September 30, 2025: Provided, That 
funds provided under this heading may be transferred to 
‘‘General Operating Expenses, Veterans Benefits Adminis-
tration’’. 
BOARD OF VETERANS APPEALS 
For necessary operating expenses of the Board of 
Veterans 
Appeals, 
$287,000,000 
(increased 
by 
$2,000,000) of which not to exceed 10 percent shall re-
main available until September 30, 2025. 
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, $6,401,000,000 (reduced by $5,000,000), 
plus reimbursements: Provided, That $1,606,977,000 (re-
duced by $5,000,000) shall be for pay and associated 
costs, of which not to exceed 3 percent shall remain avail-
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able until September 30, 2025: Provided further, That 
$4,668,373,000 shall be for operations and maintenance, 
of which not to exceed 5 percent shall remain available 
until September 30, 2025: Provided further, That 
$125,650,000 shall be for information technology systems 
development, and shall remain available until September 
30, 2025: Provided further, That amounts made available 
for salaries and expenses, operations and maintenance, 
and information technology systems development may be 
transferred among the three subaccounts after the Sec-
retary of Veterans Affairs requests from the Committees 
on Appropriations of both Houses of Congress the author-
ity to make the transfer and an approval is issued: Pro-
vided further, That amounts made available for the ‘‘Infor-
mation Technology Systems’’ account for development 
may be transferred among projects or to newly defined 
projects: Provided further, That no project may be in-
creased or decreased by more than $3,000,000 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 the funds 
made available under this heading for information tech-
nology systems development shall be for the projects, and 
in the amounts, specified in the table entitled ‘‘Informa-
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tion Technology Development Projects’’ under this head-
ing in the report accompanying this Act. 
VETERANS ELECTRONIC HEALTH RECORD 
For activities related to implementation, preparation, 
development, interface, management, rollout, and mainte-
nance of a Veterans Electronic Health Record system, in-
cluding contractual costs associated with operations au-
thorized by section 3109 of title 5, United States Code, 
and salaries and expenses of employees hired under titles 
5 and 38, United States Code, $1,863,000,000 (reduced 
by $1,000,000) (increased by $1,000,000), to remain 
available until September 30, 2026: Provided, That the 
Secretary of Veterans Affairs shall submit to the Commit-
tees on Appropriations of both Houses of Congress quar-
terly reports detailing obligations, expenditures, and de-
ployment implementation by facility, including any 
changes from the deployment plan or schedule: Provided 
further, That the funds provided in this account shall only 
be available to the Office of the Deputy Secretary, to be 
administered by that Office: Provided further, That 25 
percent of the funds made available under this heading 
shall not be available until July 1, 2024, and are contin-
gent upon the Secretary of Veterans Affairs— 
(1) providing the Committees on Appropriations 
a report detailing the status of outstanding issues 
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impacting the stability and usability of the new elec-
tronic health record system, including those that 
contributed to the October 13, 2022, deployment 
delay, along with a timeline and measurable metrics 
to resolve issues, no later than 60 days after enact-
ment of this Act; 
(2) certifying and detailing any changes to the 
full deployment schedule, no later than 60 days prior 
to July 1, 2024; and 
(3) certifying in writing no later than 30 days 
prior to July 1, 2024, the following— 
(A) the status of issues included in the re-
port referenced in paragraph (1), including 
issues that have not been closed but have been 
suitably resolved or mitigated in a manner that 
will enhance provider productivity and minimize 
the potential for patient harm; and 
(B) whether the system is stable, ready, 
and optimized for further deployment at VA 
sites. 
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 
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U.S.C. App.), $296,000,000, of which not to exceed 10 
percent shall remain available until September 30, 2025. 
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, 
$881,000,000, of which $373,096,000 shall remain avail-
able 
until 
September 
30, 
2028, 
and 
of 
which 
$507,904,000 shall remain available until expended, of 
which $110,000,000 shall be available for seismic improve-
ment projects and seismic program management activities, 
including for projects that would otherwise be funded by 
the Construction, Minor Projects, Medical Facilities or 
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National Cemetery Administration accounts: Provided, 
That except for advance planning activities, including 
needs assessments which may or may not lead to capital 
investments, and other capital asset management related 
activities, including portfolio development and manage-
ment activities, and planning, cost estimating, and design 
for major medical facility projects and major medical facil-
ity leases and investment strategy studies funded through 
the advance planning fund and the planning and design 
activities funded through the design fund, staffing ex-
penses, and funds provided for the purchase, security, and 
maintenance of land for the National Cemetery Adminis-
tration 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 process or that has not been approved by 
the Congress through statute, joint resolution, or in the 
explanatory statement accompanying such Act and pre-
sented to the President at the time of enrollment: Provided 
further, That such sums as may be necessary shall be 
available to reimburse the ‘‘General Administration’’ ac-
count for payment of salaries and expenses of all Office 
of Construction and Facilities Management employees to 
support the full range of capital infrastructure services 
provided, including minor construction and leasing serv-
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ices: Provided further, That funds made available under 
this heading for fiscal year 2024, for each approved 
project shall be obligated: (1) by the awarding of a con-
struction documents contract by September 30, 2024; and 
(2) by the awarding of a construction contract by Sep-
tember 30, 2025: 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 notwith-
standing the requirements of section 8104(a) of title 38, 
United States Code, amounts made available under this 
heading for seismic improvement projects and seismic pro-
gram management activities shall be available for the com-
pletion of both new and existing seismic projects of the 
Department. 
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 
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-
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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, 
$680,000,000, 
of 
which 
$612,000,000 shall remain available until September 30, 
2028, and of which $68,000,000 shall remain available 
until expended, along with unobligated balances of pre-
vious ‘‘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. 
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-
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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, $164,000,000 (in-
creased by $2,000,000) (increased by $5,000,000) (in-
creased by $5,000,000), to remain available until ex-
pended. 
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, $60,000,000 (increased by $2,000,000), to 
remain available until expended. 
ADMINISTRATIVE PROVISIONS 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. Any appropriation for fiscal year 2024 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-
mittees issue an approval, or absent a response, a period 
of 30 days has elapsed. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 202. Amounts made available for the Depart-
ment of Veterans Affairs for fiscal year 2024, 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-
quests from the Committees on Appropriations of both 
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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-
tion is made to the ‘‘Medical Services’’ account at such 
rates as may be fixed by the Secretary of Veterans Affairs. 
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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 
2023. 
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 2024, 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-
eral Operating Expenses, Veterans Benefits Administra-
tion’’ and ‘‘Information Technology Systems’’ accounts for 
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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 
2024 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 
2024 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 shall be available until 
expended. 
(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-
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ment, Diversity and Inclusion, the Office of Employment 
Discrimination Complaint Adjudication, and the Alter-
native Dispute Resolution function within the Office of 
Human Resources and Administration for all services pro-
vided at rates which will recover actual costs but not to 
exceed $86,481,000 for the Office of Resolution Manage-
ment, Diversity and Inclusion, $6,960,000 for the Office 
of Employment Discrimination Complaint Adjudication, 
and $7,772,000 for the Alternative Dispute Resolution 
function within the Office of Human Resources and Ad-
ministration: Provided, That payments may be made in 
advance 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 
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-
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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 
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 
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(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 into 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 pro-
vide healthcare, including behavioral health and dental 
care, to veterans in rural Alaska. The Secretary shall re-
quire participating veterans and facilities to comply with 
all appropriate rules and regulations, as established by the 
Secretary. The term ‘‘rural Alaska’’ shall mean those 
lands which are not within the boundaries of the munici-
pality of Anchorage or the Fairbanks North Star Borough. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 216. Such sums as may be deposited into the 
Department of Veterans Affairs Capital Asset Fund pur-
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suant 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’’, 
‘‘Board of Veterans Appeals’’, ‘‘General Administration’’, 
and ‘‘National Cemetery Administration’’ accounts for fis-
cal year 2024 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 
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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 2024 for 
‘‘Medical Services’’, ‘‘Medical Community Care’’, ‘‘Medical 
Support and Compliance’’, ‘‘Medical Facilities’’, ‘‘Con-
struction, Minor Projects’’, and ‘‘Information Technology 
Systems’’, up to $430,532,000, 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. 2571) and may be used for operation 
of the facilities designated as combined Federal medical 
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 
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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 220 of title II of division J of Public Law 
117–328 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, 2024, for ‘‘Medical Services’’, ‘‘Medical Com-
munity Care’’, ‘‘Medical Support and Compliance’’, and 
‘‘Medical Facilities’’, up to $456,547,000, 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. 2571) and may be used 
for operation of the facilities designated as combined Fed-
eral medical facilities as described by section 706 of the 
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 Med-
ical Facility Demonstration Fund upon written notifica-
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tion by the Secretary of Veterans Affairs to the Commit-
tees on Appropriations of both Houses of Congress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 221. Such sums as may be deposited into 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 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. 2571); 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): Pro-
vided, That, notwithstanding section 1704(b)(3) of the 
National Defense Authorization Act for Fiscal Year 2010 
(Public Law 111–84; 123 Stat. 2573), amounts trans-
ferred to the Joint Department of Defense—Department 
of Veterans Affairs Medical Facility Demonstration Fund 
shall remain available until expended. 
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(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. 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. 
SEC. 224. 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-
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erans Affairs receives approval from the Committees on 
Appropriations of both Houses of Congress. 
SEC. 225. 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. 226. The Secretary of Veterans Affairs shall 
provide written notification to the Committees on Appro-
priations of both Houses of Congress 15 days prior to or-
ganizational changes which result in the transfer of 25 or 
more full-time equivalents from one organizational unit of 
the Department of Veterans Affairs to another. 
SEC. 227. The Secretary of Veterans Affairs shall 
provide on a quarterly basis to the Committees on Appro-
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priations of both Houses of Congress notification of any 
single national outreach and awareness marketing cam-
paign in which obligations exceed $1,000,000. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 228. The Secretary of Veterans Affairs, upon 
determination that such action is necessary to address 
needs of the Veterans Health Administration, may trans-
fer to the ‘‘Medical Services’’ account any discretionary 
appropriations made available for fiscal year 2024 in this 
title (except appropriations made to the ‘‘General Oper-
ating Expenses, Veterans Benefits Administration’’ ac-
count) or any discretionary unobligated balances within 
the Department of Veterans Affairs, including those ap-
propriated for fiscal year 2024, that were provided in ad-
vance by appropriations Acts: Provided, That transfers 
shall be made only with the approval of the Office of Man-
agement and Budget: Provided further, That the transfer 
authority provided in this section is in addition to any 
other transfer authority provided by law: Provided further, 
That no amounts may be transferred from amounts that 
were designated by Congress as an emergency requirement 
pursuant to a concurrent resolution on the budget or the 
Balanced Budget and Emergency Deficit Control Act of 
1985: Provided further, That such authority to transfer 
may not be used unless for higher priority items, based 
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on emergent healthcare requirements, than those for 
which originally appropriated and in no case where the 
item for which funds are requested has been denied by 
Congress: Provided further, That, upon determination that 
all or part of the funds transferred from an appropriation 
are not necessary, such amounts may be transferred back 
to that appropriation and shall be available for the same 
purposes as originally appropriated: 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 receive approval of that request. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 229. Amounts made available for the Depart-
ment of Veterans Affairs for fiscal year 2024, under the 
‘‘Board of Veterans Appeals’’ and the ‘‘General Operating 
Expenses, Veterans Benefits Administration’’ accounts 
may be transferred between such accounts: Provided, That 
before a transfer may take place, the Secretary of Vet-
erans Affairs shall request from the Committees on Appro-
priations of both Houses of Congress the authority to 
make the transfer and receive approval of that request. 
SEC. 230. The Secretary of Veterans Affairs may not 
reprogram funds among major construction projects or 
programs if such instance of reprogramming will exceed 
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$7,000,000, unless such reprogramming is approved by 
the Committees on Appropriations of both Houses of Con-
gress. 
SEC. 231. (a) The Secretary of Veterans Affairs shall 
ensure that the toll-free suicide hotline under section 
1720F(h) of title 38, United States Code— 
(1) provides to individuals who contact the hot-
line immediate assistance from a trained profes-
sional; and 
(2) adheres to all requirements of the American 
Association of Suicidology. 
(b)(1) None of the funds made available by this Act 
may be used to enforce or otherwise carry out any Execu-
tive action that prohibits the Secretary of Veterans Affairs 
from appointing an individual to occupy a vacant civil 
service position, or establishing a new civil service position, 
at the Department of Veterans Affairs with respect to 
such a position relating to the hotline specified in sub-
section (a). 
(2) In this subsection— 
(A) the term ‘‘civil service’’ has the meaning 
given such term in section 2101(1) of title 5, United 
States Code; and 
(B) the term ‘‘Executive action’’ includes— 
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(i) 
any 
Executive 
order, 
Presidential 
memorandum, or other action by the President; 
and 
(ii) any agency policy, order, or other di-
rective. 
(c)(1) The Secretary of Veterans Affairs shall con-
duct a study on the effectiveness of the hotline specified 
in subsection (a) during the 5-year period beginning on 
January 1, 2016, based on an analysis of national suicide 
data and data collected from such hotline. 
(2) At a minimum, the study required by paragraph 
(1) shall— 
(A) determine the number of veterans who con-
tact the hotline specified in subsection (a) and who 
receive follow up services from the hotline or mental 
health services from the Department of Veterans Af-
fairs thereafter; 
(B) determine the number of veterans who con-
tact the hotline who are not referred to, or do not 
continue receiving, mental health care who commit 
suicide; and 
(C) determine the number of veterans described 
in subparagraph (A) who commit or attempt suicide. 
SEC. 232. Effective during the period beginning on 
October 1, 2018, and ending on January 1, 2025, none 
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of the funds made available to the Secretary of Veterans 
Affairs by this or any other Act may be obligated or ex-
pended in contravention of the ‘‘Veterans Health Adminis-
tration Clinical Preventive Services Guidance Statement 
on the Veterans Health Administration’s Screening for 
Breast Cancer Guidance’’ published on May 10, 2017, as 
issued by the Veterans Health Administration National 
Center for Health Promotion and Disease Prevention. 
SEC. 233. (a) Notwithstanding any other provision 
of law, the amounts appropriated or otherwise made avail-
able to the Department of Veterans Affairs for the ‘‘Med-
ical Services’’ account may be used to provide— 
(1) fertility counseling and treatment using as-
sisted reproductive technology to a covered veteran 
or the spouse of a covered veteran; or 
(2) adoption reimbursement to a covered vet-
eran. 
(b) In this section: 
(1) The term ‘‘service-connected’’ has the 
meaning given such term in section 101 of title 38, 
United States Code. 
(2) The term ‘‘covered veteran’’ means a vet-
eran, as such term is defined in section 101 of title 
38, United States Code, who has a service-connected 
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disability that results in the inability of the veteran 
to procreate without the use of fertility treatment. 
(3) The term ‘‘assisted reproductive tech-
nology’’ means benefits relating to reproductive as-
sistance provided to a member of the Armed Forces 
who incurs a serious injury or illness on active duty 
pursuant to section 1074(c)(4)(A) of title 10, United 
States Code, as described in the memorandum on 
the subject of ‘‘Policy for Assisted Reproductive 
Services for the Benefit of Seriously or Severely Ill/ 
Injured (Category II or III) Active Duty Service 
Members’’ issued by the Assistant Secretary of De-
fense for Health Affairs on April 3, 2012, and the 
guidance issued to implement such policy, including 
any limitations on the amount of such benefits avail-
able to such a member except that— 
(A) the time periods regarding embryo 
cryopreservation and storage set forth in part 
III(G) and in part IV(H) of such memorandum 
shall not apply; and 
(B) 
such 
term 
includes 
embryo 
cryopreservation and storage without limitation 
on the duration of such cryopreservation and 
storage. 
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(4) The term ‘‘adoption reimbursement’’ means 
reimbursement for the adoption-related expenses for 
an adoption that is finalized after the date of the en-
actment of this Act under the same terms as apply 
under the adoption reimbursement program of the 
Department of Defense, as authorized in Depart-
ment of Defense Instruction 1341.09, including the 
reimbursement limits and requirements set forth in 
such instruction. 
(c) Amounts made available for the purposes speci-
fied in subsection (a) of this section are subject to the 
requirements for funds contained in section 508 of division 
H of the Consolidated Appropriations Act, 2018 (Public 
Law 115–141). 
SEC. 234. None of the funds appropriated or other-
wise made available by this Act or any other Act for the 
Department of Veterans Affairs may be used in a manner 
that is inconsistent with: (1) section 842 of the Transpor-
tation, Treasury, Housing and Urban Development, the 
Judiciary, the District of Columbia, and Independent 
Agencies Appropriations Act, 2006 (Public Law 109–115; 
119 Stat. 2506); or (2) section 8110(a)(5) of title 38, 
United States Code. 
SEC. 235. Section 842 of Public Law 109–115 shall 
not apply to conversion of an activity or function of the 
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Veterans Health Administration, Veterans Benefits Ad-
ministration, or National Cemetery Administration to con-
tractor performance by a business concern that is at least 
51 percent owned by one or more Indian Tribes as defined 
in section 5304(e) of title 25, United States Code, or one 
or more Native Hawaiian Organizations as defined in sec-
tion 637(a)(15) of title 15, United States Code. 
SEC. 236. (a) Except as provided in subsection (b), 
the Secretary of Veterans Affairs, in consultation with the 
Secretary of Defense and the Secretary of Labor, shall dis-
continue using Social Security account numbers to identify 
individuals in all information systems of the Department 
of Veterans Affairs as follows: 
(1) For all veterans submitting to the Secretary 
of Veterans Affairs new claims for benefits under 
laws administered by the Secretary, not later than 
September 30, 2024. 
(2) For all individuals not described in para-
graph (1), not later than March 23, 2026. 
(b) The Secretary of Veterans Affairs may use a So-
cial Security account number to identify an individual in 
an information system of the Department of Veterans Af-
fairs if and only if the use of such number is required 
to obtain information the Secretary requires from an in-
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formation system that is not under the jurisdiction of the 
Secretary. 
(c) The matter in subsections (a) and (b) shall super-
sede section 238 of division F of Public Law 116–94. 
SEC. 237. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2024 and 2025 
for ‘‘Medical Services’’, section 239 of division A of Public 
Law 114–223 shall apply. 
SEC. 238. None of the funds appropriated in this or 
prior appropriations Acts or otherwise made available to 
the Department of Veterans Affairs may be used to trans-
fer any amounts from the Filipino Veterans Equity Com-
pensation Fund to any other account within the Depart-
ment of Veterans Affairs. 
SEC. 239. Of the funds provided to the Department 
of Veterans Affairs for each of fiscal year 2024 and fiscal 
year 2025 for ‘‘Medical Services’’, funds may be used in 
each year to carry out and expand the child care program 
authorized by section 205 of Public Law 111–163, not-
withstanding subsection (e) of such section. 
SEC. 240. None of the funds appropriated or other-
wise made available in this title may be used by the Sec-
retary of Veterans Affairs to enter into an agreement re-
lated to resolving a dispute or claim with an individual 
that would restrict in any way the individual from speak-
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ing to members of Congress or their staff on any topic 
not otherwise prohibited from disclosure by Federal law 
or required by Executive order to be kept secret in the 
interest of national defense or the conduct of foreign af-
fairs. 
SEC. 241. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2024 and 2025, 
section 258 of division A of Public Law 114–223 shall 
apply. 
SEC. 242. (a) None of the funds appropriated or oth-
erwise made available by this Act may be used to deny 
an Inspector General funded under this Act timely access 
to any records, documents, or other materials available to 
the department or agency over which that Inspector Gen-
eral has responsibilities under the Inspector General Act 
of 1978 (5 U.S.C. App.), or to prevent or impede the ac-
cess of the Inspector General to such records, documents, 
or other materials, under any provision of law, except a 
provision of law that expressly refers to such Inspector 
General and expressly limits the right of access. 
(b) A department or agency covered by this section 
shall provide its Inspector General access to all records, 
documents, and other materials in a timely manner. 
(c) Each Inspector General shall ensure compliance 
with statutory limitations on disclosure relevant to the in-
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formation provided by the establishment over which that 
Inspector General has responsibilities under the Inspector 
General Act of 1978 (5 U.S.C. App.). 
(d) Each Inspector General covered by this section 
shall report to the Committee on Appropriations of the 
Senate and the Committee on Appropriations of the House 
of Representatives within 5 calendar days of any failure 
by any department or agency covered by this section to 
comply with this requirement. 
SEC. 243. None of the funds made available in this 
Act may be used in a manner that would increase wait 
times for veterans who seek care at medical facilities of 
the Department of Veterans Affairs. 
SEC. 244. None of the funds appropriated or other-
wise made available by this Act to the Veterans Health 
Administration may be used in fiscal year 2024 to convert 
any program which received specific purpose funds in fis-
cal year 2023 to a general purpose funded program unless 
the Secretary of Veterans Affairs submits written notifica-
tion of any such proposal to the Committees on Appropria-
tions of both Houses of Congress at least 30 days prior 
to any such action and an approval is issued by the Com-
mittees. 
SEC. 245. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2024 and 2025, 
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section 248 of division A of Public Law 114–223 shall 
apply. 
SEC. 246. (a) None of the funds appropriated or oth-
erwise made available by this Act may be used to conduct 
research commencing on or after October 1, 2019, that 
uses any canine, feline, or non-human primate unless the 
Secretary of Veterans Affairs approves such research spe-
cifically and in writing pursuant to subsection (b). 
(b)(1) The Secretary of Veterans Affairs may approve 
the conduct of research commencing on or after October 
1, 2019, using canines, felines, or non-human primates if 
the Secretary determines that— 
(A) the scientific objectives of the research can 
only be met by using such canines, felines, or non- 
human primates; 
(B) such scientific objectives are directly related 
to an illness or injury that is combat-related; and 
(C) the research is consistent with the revised 
Department of Veterans Affairs canine research pol-
icy document dated December 15, 2017, including 
any subsequent revisions to such document. 
(2) The Secretary may not delegate the authority 
under this subsection. 
(c) If the Secretary approves any new research pursu-
ant to subsection (b), not later than 30 days before the 
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commencement of such research, the Secretary shall sub-
mit to the Committees on Appropriations of the Senate 
and House of Representatives a report describing— 
(1) the nature of the research to be conducted 
using canines, felines, or non-human primates; 
(2) the date on which the Secretary approved 
the research; 
(3) the justification for the determination of the 
Secretary that the scientific objectives of such re-
search could only be met using canines, felines, or 
non-human primates; 
(4) the frequency and duration of such re-
search; and 
(5) the protocols in place to ensure the neces-
sity, safety, and efficacy of the research. 
(d) Not later than 180 days after the date of the en-
actment of this Act, and biannually thereafter, the Sec-
retary shall submit to such Committees a report describ-
ing— 
(1) any research being conducted by the De-
partment of Veterans Affairs using canines, felines, 
or non-human primates as of the date of the sub-
mittal of the report; 
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(2) the circumstances under which such re-
search was conducted using canines, felines, or non- 
human primates; 
(3) the justification for using canines, felines, 
or non-human primates to conduct such research; 
and 
(4) the protocols in place to ensure the neces-
sity, safety, and efficacy of such research. 
(e) The Department shall implement a plan under 
which the Secretary will eliminate or reduce the research 
conducted using canines, felines, or non-human primates 
by not later than 5 years after the date of enactment of 
Public Law 116–94. 
SEC. 247. (a) The Secretary of Veterans Affairs may 
use amounts appropriated or otherwise made available in 
this title to ensure that the ratio of veterans to full-time 
employment equivalents within any program of rehabilita-
tion conducted under chapter 31 of title 38, United States 
Code, does not exceed 125 veterans to one full-time em-
ployment equivalent. 
(b) Not later than 180 days after the date of the en-
actment of this Act, the Secretary shall submit to Con-
gress a report on the programs of rehabilitation conducted 
under chapter 31 of title 38, United States Code, includ-
ing— 
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(1) an assessment of the veteran-to-staff ratio 
for each such program; and 
(2) recommendations for such action as the 
Secretary considers necessary to reduce the veteran- 
to-staff ratio for each such program. 
SEC. 248. Amounts made available for the ‘‘Veterans 
Health Administration, Medical Community Care’’ ac-
count in this or any other Act for fiscal years 2024 and 
2025 may be used for expenses that would otherwise be 
payable from the Veterans Choice Fund established by 
section 802 of the Veterans Access, Choice, and Account-
ability Act, as amended (38 U.S.C. 1701 note). 
SEC. 249. Obligations and expenditures applicable to 
the ‘‘Medical Services’’ account in fiscal years 2017 
through 2019 for aid to state homes (as authorized by 
section 1741 of title 38, United States Code) shall remain 
in the ‘‘Medical Community Care’’ account for such fiscal 
years. 
SEC. 250. Of the amounts made available for the De-
partment of Veterans Affairs for fiscal year 2024, in this 
or any other Act, under the ‘‘Veterans Health Administra-
tion—Medical Services’’, ‘‘Veterans Health Administra-
tion—Medical Community Care’’, ‘‘Veterans Health Ad-
ministration—Medical Support and Compliance’’, and 
‘‘Veterans Health Administration—Medical Facilities’’ ac-
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counts, $1,279,096,000 shall be made available for gen-
der-specific care and programmatic efforts to deliver care 
for women veterans. 
SEC. 251. Notwithstanding any other law, by no later 
than September 30, 2023, the Secretary shall commence 
construction of the Community Based Outpatient Clinic 
in Bakersfield, California in accordance with Lease 
No.36C10F20L0008. 
SEC. 252. None of the funds made available in this 
Act shall be expended for monthly payments under Lease 
No. VA10112R0032, including section 11 of the lease, 
that exceed $223,166.67 unless required for maintenance 
and repairs or improvements related to the form, fit, or 
function of the facility that directly enhances the safety 
of veterans or improves healthcare services. 
SEC. 253. 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 on the status of 
the ‘‘Veterans Medical Care and Health Fund’’, estab-
lished to execute section 8002 of the American Rescue 
Plan Act of 2021 (Public Law 117–2): Provided, That, 
at a minimum, the report shall include an update on obli-
gations by program, project or activity and a plan for ex-
pending the remaining funds: Provided further, That the 
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Secretary of Veterans Affairs must submit notification of 
any plans to reallocate funds from the current apportion-
ment categories of ‘‘Medical Services’’, ‘‘Medical Support 
and Compliance’’, ‘‘Medical Facilities’’, ‘‘Medical Commu-
nity Care’’, or ‘‘Medical and Prosthetic Research’’, includ-
ing the amount and purpose of each reallocation to the 
Committees on Appropriations of both Houses of Congress 
and such Committees issue an approval, or absent a re-
sponse, a period of 30 days has elapsed. 
SEC. 254. Any amounts transferred to the Secretary 
and administered by a corporation referred to in section 
7364(b) of title 38, United States Code, between October 
1, 2017 and September 30, 2018 for purposes of carrying 
out an order placed with the Department of Veterans Af-
fairs pursuant to section 1535 of title 31, United States 
Code, that are available for obligation pursuant to section 
7364(b)(1) of title 38, United States Code, are to remain 
available for the liquidation of valid obligations incurred 
by such corporation during the period of performance of 
such order, provided that the Secretary of Veterans Af-
fairs determines that such amounts need to remain avail-
able for such liquidation. 
SEC. 255. Unobligated balances available under the 
headings ‘‘Construction, Major Projects’’ and ‘‘Construc-
tion, Minor Projects’’ may be obligated by the Secretary 
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of Veterans Affairs for a facility pursuant to section 
2(e)(1) of the Communities Helping Invest through Prop-
erty and Improvements Needed for Veterans Act of 2016 
(Public Law 114–294; 38 U.S.C. 8103 note), as amended, 
to provide additional funds or to fund an escalation clause 
under such section of such Act: Provided, That before such 
unobligated balances are obligated pursuant to this sec-
tion, the Secretary of Veterans Affairs shall request from 
the Committees on Appropriations of both Houses of Con-
gress the authority to obligate such unobligated balances 
and such Committees issue an approval, or absent a re-
sponse, a period of 30 days has elapsed: Provided further, 
That the request to obligate such unobligated balances 
must provide Congress notice that the entity described in 
section 2(a)(2) of Public Law 114–294, as amended, has 
exhausted available cost containment approaches as set 
forth in the agreement under section 2(c) of such Public 
Law. 
SEC. 256. Of the unobligated balances available to 
the Department of Veterans Affairs from prior appropria-
tions Acts, the following funds are hereby rescinded from 
the following accounts in the amounts specified: 
‘‘Veterans 
Health 
Administration—Medical 
Services’’, $4,933,113,000; 
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‘‘Veterans 
Health 
Administration—Medical 
Community Care’’, $1,909,069,000; and 
‘‘Veterans Health Administration—Medical Fa-
cilities’’, $250,515,000. 
SEC. 257. Not later than 30 days after the date the 
funds become available, the Secretary shall submit to the 
Committees on Appropriations an expenditure plan for 
funds made available through the Fiscal Responsibility 
Act of 2023 (P.L. 118-5) for the Cost of War Toxic Expo-
sures Fund for fiscal years 2024 and 2025. 
SEC. 258. (a) None of the funds made available in 
this Act may be used to implement, administer, or other-
wise carry out the Department of Veterans Affairs interim 
final rule published on September 9, 2022, or any suc-
cessor to such rule, or to propose, promulgate, or imple-
ment any substantially similar rule or policy. 
(b) None of the funds appropriated in this Act shall 
be expended for any abortion, including through a medical 
benefits package or health benefits program that includes 
coverage of abortion. 
(c) The limitations established in subsection (b) shall 
not apply to an abortion— 
(1) if the pregnancy is the result of an act of 
rape or incest; or 
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(2) in the case where a woman suffers from a 
physical disorder, physical injury, or physical illness, 
including a life-endangering physical condition 
caused by or arising from the pregnancy itself, that 
would, as certified by a physician, place the woman 
in danger of death unless an abortion is performed. 
SEC. 259. None of the funds made available by this 
Act may be used for surgical procedures or hormone thera-
pies for the purposes of gender affirming care. 
SEC. 260. None of the funds made available by this 
Act may be used by the Secretary of Veterans Affairs to 
fly or display a flag over a facility of the Department of 
Veterans Affairs or a national cemetery other than the 
flag of the United States, the flag of a State, Territory, 
or District of Columbia, the flag of an Indian Tribal gov-
ernment, the flag of the Department, the flag of an Armed 
Force, or the POW/MIA flag. 
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TITLE III 
RELATED AGENCIES 
AMERICAN BATTLE MONUMENTS COMMISSION 
SALARIES AND EXPENSES 
For necessary expenses, not otherwise provided for, 
of the American Battle Monuments Commission, including 
the acquisition of land or interest in land in foreign coun-
tries; purchases and repair of uniforms for caretakers of 
national cemeteries and monuments outside of the United 
States and its territories and possessions; rent of office 
and garage space in foreign countries; purchase (one-for- 
one replacement basis only) and hire of passenger motor 
vehicles; not to exceed $15,000 for official reception and 
representation expenses; and insurance of official motor 
vehicles in foreign countries, when required by law of such 
countries, $158,630,000, to remain available until ex-
pended. 
FOREIGN CURRENCY FLUCTUATIONS ACCOUNT 
For necessary expenses, not otherwise provided for, 
of the American Battle Monuments Commission, such 
sums as may be necessary, to remain available until ex-
pended, for purposes authorized by section 2109 of title 
36, United States Code. 
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UNITED STATES COURT OF APPEALS FOR VETERANS 
CLAIMS 
SALARIES AND EXPENSES 
For necessary expenses for the operation of the 
United States Court of Appeals for Veterans Claims as 
authorized by sections 7251 through 7298 of title 38, 
United States Code, $47,200,000: Provided, That 
$3,385,000 shall be available for the purpose of providing 
financial assistance as described and in accordance with 
the process and reporting procedures set forth under this 
heading in Public Law 102–229. 
DEPARTMENT OF DEFENSE—CIVIL 
CEMETERIAL EXPENSES, ARMY 
SALARIES AND EXPENSES 
For necessary expenses for maintenance, operation, 
and improvement of Arlington National Cemetery and Sol-
diers’ and Airmen’s Home National Cemetery, including 
the purchase or lease of passenger motor vehicles for re-
placement on a one-for-one basis only, and not to exceed 
$2,000 for official reception and representation expenses, 
$100,267,000, of which not to exceed $15,000,000 shall 
remain available until September 30, 2026. In addition, 
such sums as may be necessary for parking maintenance, 
repairs and replacement, to be derived from the ‘‘Lease 
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