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$5,000,000) (reduced by $10,000,000) (increased by 
$10,000,000) (increased by $1,000,000), to remain avail-
able until September 30, 2023, which shall be in addition 
to funds previously appropriated under this heading that 
become available on October 1, 2021; and, in addition, 
$70,323,116,000, plus reimbursements, shall become 
available on October 1, 2022, and shall remain available 
until September 30, 2023: Provided, That, of the amount 
made available on October 1, 2022, under this heading, 
$1,500,000,000 shall remain available until September 30, 
2024: Provided further, That, notwithstanding any other 
provision of law, the Secretary of Veterans Affairs shall 
establish a priority for the provision of medical treatment 
for veterans who have service-connected disabilities, lower 
income, or have special needs: Provided further, That, not-
withstanding any other provision of law, the Secretary of 
Veterans Affairs shall give priority funding for the provi-
sion of basic medical benefits to veterans in enrollment 
priority groups 1 through 6: Provided further, That, not-
withstanding any other provision of law, the Secretary of 
Veterans Affairs may authorize the dispensing of prescrip-
tion drugs from Veterans Health Administration facilities 
to enrolled veterans with privately written prescriptions 
based on requirements established by the Secretary: Pro-
vided further, That the implementation of the program de-
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scribed in the previous proviso shall incur no additional 
cost to the Department of Veterans Affairs: Provided fur-
ther, 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 specifically for female 
veterans. 
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, $3,269,000,000 
(reduced by $5,000,000), which shall be in addition to 
funds previously appropriated under this heading that be-
come available on October 1, 2021; and, in addition, 
$24,156,659,000, plus reimbursements, shall become 
available on October 1, 2022, and shall remain available 
until September 30, 2023: Provided, That, of the amount 
made available on October 1, 2022, under this heading, 
$2,000,000,000 shall remain available until September 30, 
2024. 
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-
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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.), $9,673,409,000, plus 
reimbursements, shall become available on October 1, 
2022, and shall remain available until September 30, 
2023: Provided, That, of the amount made available on 
October 1, 2022, under this heading, $200,000,000 shall 
remain available until September 30, 2024. 
MEDICAL FACILITIES 
For necessary expenses for the maintenance and op-
eration of hospitals, nursing homes, domiciliary facilities, 
and other necessary facilities of the Veterans Health Ad-
ministration; for administrative expenses in support of 
planning, design, project management, real property ac-
quisition and disposition, construction, and renovation of 
any facility under the jurisdiction or for the use of the 
Department; for oversight, engineering, and architectural 
activities not charged to project costs; for repairing, alter-
ing, improving, or providing facilities in the several hos-
pitals and homes under the jurisdiction of the Depart-
ment, not otherwise provided for, either by contract or by 
the hire of temporary employees and purchase of mate-
rials; for leases of facilities; and for laundry services; 
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$7,133,816,000, plus reimbursements, shall become avail-
able on October 1, 2022, and shall remain available until 
September 30, 2023: Provided, That, of the amount made 
available on October 1, 2022, under this heading, 
$350,000,000 shall remain available until September 30, 
2024. 
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, 
$902,000,000 (increased by $2,000,000), plus reimburse-
ments, shall remain available until September 30, 2023: 
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. 
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, $392,000,000, 
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of which not to exceed 10 percent shall remain available 
until September 30, 2023. 
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, 
$396,911,000 (increased by $1,000,000) (reduced by 
$1,000,000) (increased by $1,000,000) (reduced by 
$1,000,000), of which not to exceed 10 percent shall re-
main available until September 30, 2023: Provided, That 
funds provided under this heading may be transferred to 
‘‘General Operating Expenses, Veterans Benefits Adminis-
tration’’. 
ASSET AND INFRASTRUCTURE REVIEW 
For carrying out the VA Asset and Infrastructure 
Review Act of 2018 (subtitle A of title II of Public Law 
115–182), $5,000,000, to remain available until Sep-
tember 30, 2023. 
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30, 2023: 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 under this heading 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-
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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, $2,637,000,000, to remain 
available until September 30, 2024: 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, 2022, and are contin-
gent upon the Secretary of Veterans Affairs providing a 
certification within 7 days prior to that date to the Com-
mittees on Appropriations of any changes to the deploy-
ment schedules. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector 
General, to include information technology, in carrying out 
the provisions of the Inspector General Act of 1978 (5 
U.S.C. App.), $239,000,000 (reduced by $1,000,000) (in-
creased by $1,000,000), of which not to exceed 10 percent 
shall remain available until September 30, 2023. 
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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, 
$1,611,000,000, of which $657,326,000 shall remain 
available until September 30, 2026, and of which 
$953,674,000 shall remain available until expended, of 
which $100,000,000 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 
National Cemetery Administration accounts: Provided, 
That except for advance planning activities, including 
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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-
ices: Provided further, That funds made available under 
this heading for fiscal year 2022, for each approved 
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project shall be obligated: (1) by the awarding of a con-
struction documents contract by September 30, 2022; and 
(2) by the awarding of a construction contract by Sep-
tember 30, 2023: 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-
vided under the project, services of claims analysts, offsite 
utility and storm drainage system construction costs, and 
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