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for information technology systems development, mod-
ernization, and enhancement for VistA Evolution, not 
more than 25 percent may be obligated or expended until 
the Secretary of Veterans Affairs submits to the Commit-
tees on Appropriations of both Houses of Congress, and 
such Committees approve, a report that describes: (1) the 
status of and changes to the VistA Evolution program 
plan dated March 24, 2014 (hereinafter referred to as the 
‘‘Plan’’), the VistA 4 product roadmap dated February 26, 
2015 (‘‘Roadmap’’), and the VistA 4 Incremental Life 
Cycle Cost Estimate, dated October 26, 2014; (2) any 
changes to the scope or functionality of projects within 
the VistA Evolution program as established in the Plan; 
(3) actual program costs incurred to date; (4) progress 
in meeting the schedule milestones that have been estab-
lished in the Plan; (5) a Project Management Account-
ability System (PMAS) Dashboard Progress report that 
identifies each VistA Evolution project being tracked 
through PMAS, what functionality it is intended to pro-
vide, and what evaluation scores it has received through-
out development; (6) the definition being used for inter-
operability between the electronic health record systems 
of the Department of Defense and the Department of Vet-
erans Affairs, the metrics to measure the extent of inter-
operability, the milestones and timeline associated with 
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achieving interoperability, and the baseline measurements 
associated with interoperability; (7) progress toward devel-
oping and implementing all components and levels of 
interoperability, including semantic interoperability; (8) 
the change management tools in place to facilitate the im-
plementation of VistA Evolution and interoperability; and 
(9) any changes to the governance structure for the VistA 
Evolution program and its chain of decisionmaking au-
thority: Provided further, That the funds made available 
under this heading for information technology systems de-
velopment, modernization, and enhancement, shall be for 
the projects, and in the amounts, specified under this 
heading in the report accompanying this Act. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector 
General, to include information technology, in carrying out 
the provisions of the Inspector General Act of 1978 (5 
U.S.C. App.), $131,766,000, of which not to exceed 
$12,600,000 shall remain available until September 30, 
2017. 
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 
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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, 
$561,800,000, of which $527,800,000 shall remain avail-
able until September 30, 2020, and of which $34,000,000 
shall remain available until expended: Provided, That ex-
cept for advance planning activities, including needs as-
sessments which may or may not lead to capital invest-
ments, and other capital asset management related activi-
ties, including portfolio development and management ac-
tivities, and investment strategy studies funded through 
the advance planning fund and the planning and design 
activities funded through the design fund, including needs 
assessments which may or may not lead to capital invest-
ments, and salaries and associated costs of the resident 
engineers who oversee those capital investments funded 
through this account, and funds provided for the purchase 
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of land for the National Cemetery Administration through 
the land acquisition line item, none of the funds made 
available under this heading shall be used for any project 
which has not been approved by the Congress in the budg-
etary process: Provided further, That funds made available 
under this heading for fiscal year 2016, for each approved 
project shall be obligated: (1) by the awarding of a con-
struction documents contract by September 30, 2016; and 
(2) by the awarding of a construction contract by Sep-
tember 30, 2017: 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. 
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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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, $406,200,000, to remain available 
until September 30, 2020, along with unobligated balances 
of previous ‘‘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-
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 
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vided, 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 ‘‘Information Technology Systems’’ 
accounts for use by the office that provided the service. 
SEC. 211. No appropriations in this title shall be 
available to enter into any new lease of real property if 
the estimated annual rental cost is more than $1,000,000, 
unless the Secretary of Veterans Affairs submits a request 
to enter into such lease to the Committees on Appropria-
tions of both Houses of Congress and (1) the Committees 
approve the request; or (2) the Committees have not re-
jected the request before the date that is 15 days after 
the date on which the request is received. 
SEC. 212. 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-
vided, That the Secretary may recover, in the same man-
ner as any other debt due the United States, the reason-
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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. 213. 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. 214. Amounts made available under ‘‘Medical 
Services’’ are available— 
(1) for furnishing recreational facilities, sup-
plies, and equipment; and 
(2) for funeral expenses, burial expenses, and 
other expenses incidental to funerals and burials for 
beneficiaries receiving care in the Department. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 215. Such sums as may be deposited to the 
Medical Care Collections Fund pursuant to section 1729A 
of title 38, United States Code, may be transferred to 
‘‘Medical Services’’, to remain available until expended for 
the purposes of that account. 
SEC. 216. The Secretary of Veterans Affairs may 
enter into agreements with Indian tribes and tribal organi-
zations which are party to the Alaska Native Health Com-
pact with the Indian Health Service, and Indian tribes and 
tribal organizations serving rural Alaska which have en-
tered into contracts with the Indian Health Service under 
the Indian Self Determination and Educational Assistance 
Act, to provide healthcare, including behavioral health and 
dental care. The Secretary shall require participating vet-
erans and facilities to comply with all appropriate rules 
and regulations, as established by the Secretary. The term 
‘‘rural Alaska’’ shall mean those lands sited within the ex-
ternal boundaries of the Alaska Native regions specified 
in sections 7(a)(1)–(4) and (7)–(12) of the Alaska Native 
Claims Settlement Act, as amended (43 U.S.C. 1606), and 
those lands within the Alaska Native regions specified in 
sections 7(a)(5) and 7(a)(6) of the Alaska Native Claims 
Settlement Act, as amended (43 U.S.C. 1606), which are 
not within the boundaries of the municipality of Anchor-
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age, the Fairbanks North Star Borough, the Kenai Penin-
sula Borough or the Matanuska Susitna Borough. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 217. Such sums as may be deposited to the De-
partment of Veterans Affairs Capital Asset Fund pursu-
ant 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. 218. None of the funds made available in this 
title may be used to implement any policy prohibiting the 
Directors of the Veterans Integrated Service Networks 
from conducting outreach or marketing to enroll new vet-
erans within their respective Networks. 
SEC. 219. The Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
Houses of Congress a quarterly report on the financial 
status of the Veterans Health Administration. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 220. Amounts made available under the ‘‘Med-
ical Services’’, ‘‘Medical Support and Compliance’’, ‘‘Med-
ical Facilities’’, ‘‘General Operating Expenses, Veterans 
Benefits Administration’’, ‘‘General Administration’’, and 
‘‘National Cemetery Administration’’ accounts for fiscal 
year 2016 may be transferred to or from the ‘‘Information 
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Technology Systems’’ account: Provided, That such trans-
fers may not result in a more than 10 percent aggregate 
increase in the total amount made available by this Act 
for the ‘‘Information Technology Systems’’ account: Pro-
vided further, That before a transfer may take place, the 
Secretary of Veterans Affairs shall request from the Com-
mittees on Appropriations of both Houses of Congress the 
authority to make the transfer and an approval is issued. 
SEC. 221. Of the amounts made available to the De-
partment of Veterans Affairs for fiscal year 2016, in this 
or any other Act, under the ‘‘Medical Facilities’’ account 
for nonrecurring maintenance, not more than 20 percent 
of the funds made available shall be obligated during the 
last 2 months of that fiscal year: Provided, That the Sec-
retary may waive this requirement after providing written 
notice to the Committees on Appropriations of both 
Houses of Congress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 222. Of the amounts appropriated to the De-
partment of Veterans Affairs for fiscal year 2016 for 
‘‘Medical Services’’, ‘‘Medical Support and Compliance’’, 
‘‘Medical Facilities’’, ‘‘Construction, Minor Projects’’, and 
‘‘Information Technology Systems’’, up to $266,303,000, 
plus reimbursements, may be transferred to the Joint De-
partment of Defense-Department of Veterans Affairs 
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Medical Facility Demonstration Fund, established by sec-
tion 1704 of the National Defense Authorization Act for 
Fiscal Year 2010 (Public Law 111–84; 123 Stat. 3571) 
and may be used for operation of the facilities designated 
as combined Federal medical facilities as described by sec-
tion 706 of the Duncan Hunter National Defense Author-
ization 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 Defense-Department of Veterans Af-
fairs Medical Facility Demonstration Fund upon written 
notification by the Secretary of Veterans Affairs to the 
Committees on Appropriations of both Houses of Con-
gress: Provided further, That section 223 of Title II of 
Division I of Public Law 113–235 is repealed. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 223. Of the amounts appropriated to the De-
partment of Veterans Affairs which become available on 
October 1, 2016, for ‘‘Medical Services’’, ‘‘Medical Sup-
port and Compliance’’, and ‘‘Medical Facilities’’, up to 
$265,675,000, plus reimbursements, may be transferred 
to the Joint Department of Defense-Department of Vet-
erans Affairs Medical Facility Demonstration Fund, es-
tablished by section 1704 of the National Defense Author-
ization Act for Fiscal Year 2010 (Public Law 111–84; 123 
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Houses of Congress a quarterly report that contains the 
following information from each Veterans Benefits Admin-
istration Regional Office: (1) the average time to complete 
a disability compensation claim; (2) the number of claims 
pending more than 125 days; (3) error rates; (4) the num-
ber of claims personnel; (5) any corrective action taken 
within the quarter to address poor performance; (6) train-
ing programs undertaken; (7) the number and results of 
Quality Review Team audits; and (8) the number of infor-
mal claims that are unprocessed: Provided, That each 
quarterly report shall be submitted no later than 30 days 
after the end of the respective quarter. 
SEC. 230. The Secretary of Veterans Affairs shall 
submit to the Committees on Appropriations of both 
Houses of Congress a reprogramming request if at any 
point during fiscal year 2016 the funding allocated for a 
medical care program that is not estimated through the 
Enrollee Health Care Projection Model is adjusted by 
more than $25,000,000 from the allocation shown in the 
corresponding congressional budget justification. Amounts 
may only be reprogrammed as requested under this section 
if: (1) the Committees on Appropriations of both Houses 
of Congress approve the request; or (2) the Committees 
have not rejected the request before the date that is 15 
days after the date on which the request is received. 
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SEC. 231. Of the funds provided to the Department 
of Veterans Affairs for fiscal year 2016 for ‘‘Medical Serv-
ices’’ and ‘‘Medical Support and Compliance’’, a maximum 
of $5,000,000 may be obligated from the ‘‘Medical Serv-
ices’’ account and a maximum of $154,596,000 may be 
obligated from the ‘‘Medical Support and Compliance’’ ac-
count for the VistA Evolution and electronic health record 
interoperability projects: Provided, That funds in addition 
to these amounts may be obligated for the VistA Evolution 
and electronic health record interoperability projects upon 
written notification by the Secretary of Veterans Affairs 
to the Committees on Appropriations of both Houses of 
Congress. 
SEC. 232. 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. 
(RESCISSION OF FUNDS) 
SEC. 233. (a) There is hereby rescinded an aggregate 
amount of $101,000,000 from the total budget authority 
provided for fiscal year 2016 for discretionary accounts 
of the Department of Veterans Affairs in— 
(1) this Act; or 
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(2) any advance appropriation for fiscal year 
2016 in prior appropriation Acts. 
(b) The Secretary shall submit to the Committees on 
Appropriations of both Houses of Congress a report speci-
fying the account and amount of each rescission not later 
than 20 days following enactment of this Act. 
SEC. 234. The Secretary of Veterans Affairs shall 
provide on a quarterly basis to the Committees on Appro-
priations of both Houses of Congress notification of any 
single national outreach and awareness marketing cam-
paign in which obligations exceed $2,000,000. 
SEC. 235. None of the funds available to the Depart-
ment of Veterans Affairs, in this or any other Act, may 
be used to replace the current system by which the Vet-
erans Integrated Service Networks select and contract for 
diabetes monitoring supplies and equipment. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 236. 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 2016 in this 
title (except appropriations made to the ‘‘General Oper-
ating Expenses, Veterans Benefits Administration’’ ac-
count) or any discretionary unobligated balances within 
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the Department of Veterans Affairs, including those ap-
propriated for fiscal year 2016, 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 
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. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 237. Amounts made available for the Depart-
ment of Veterans Affairs for fiscal year 2016, 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 from such Com-
mittees for such request. 
(RESCISSION OF FUNDS) 
SEC. 238. Of the unobligated balances available with-
in the ‘‘DOD–VA Health Care Sharing Incentive Fund’’, 
$15,000,000 are hereby rescinded. 
SEC. 239. The Secretary of Veterans Affairs may not 
reprogram funds among major construction projects or 
programs if such instance of reprogramming will exceed 
$5,000,000, unless such reprogramming is approved by 
the Committees on Appropriations of both Houses of Con-
gress. 
(RESCISSIONS OF FUNDS) 
SEC. 240. Of the discretionary funds made available 
in Public Law 113–235 for the Department of Veterans 
Affairs for fiscal year 2016, $197,923,000 are rescinded 
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from ‘‘Medical Services’’, $42,272,000 are rescinded from 
‘‘Medical Support and Compliance’’, and $15,353,000 are 
rescinded from ‘‘Medical Facilities’’. 
SEC. 241. The amounts otherwise made available by 
this Act for the following accounts of the Department of 
Veterans Affairs are hereby reduced by the following 
amounts: 
(1) ‘‘Veterans Benefits Administration—Vet-
erans Housing Benefit Program Fund’’, $3,098,000. 
(2) ‘‘Veterans Benefits Administration—Voca-
tional Rehabilitation Loans Program Account’’, 
$10,000. 
(3) ‘‘Veterans Benefits Administration—Native 
American Veteran Housing Loan Program Ac-
count’’, $25,000. 
(4) ‘‘Veterans Health Administration—Medical 
and Prosthetic Research’’, $3,109,000. 
(5) 
‘‘National 
Cemetery 
Administration’’, 
$1,654,000. 
(6) 
‘‘Departmental 
Administration—General 
Administration’’, $3,877,000. 
(7) ‘‘Departmental Administration—Board of 
Veterans Appeals’’, $786,000. 
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