I 
108TH CONGRESS 
1ST SESSION H. R. 3260
To amend title 38, United States Code, to extend certain authorities for 
health care services and reporting dates and to augment certain health 
care business practices or programs administered by the Secretary of 
Veterans Affairs. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 8, 2003
Mr. SMITH of New Jersey (for himself and Mr. EVANS) introduced the 
following bill; which was referred to the Committee on Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to extend certain 
authorities for health care services and reporting dates 
and to augment certain health care business practices 
or programs administered by the Secretary of Veterans 
Affairs.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Veterans’ Extended Health Care Services and Business 
Enhancements Act of 2003’’.
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows:
Sec. 1. Short title; table of contents. 
Sec. 2. Five-year extension of period for provision of noninstitutional extended-
care services and required nursing home care. 
Sec. 3. Improved benefits for former prisoners of war. 
Sec. 4. Enhancements to enhanced-use lease authority. 
Sec. 5. Department of Defense participation in revolving supply fund pur-
chases. 
Sec. 6. Enhancement of authorities relating to nonprofit research corporations. 
Sec. 7. Report date changes. 
Sec. 8. Designation of Department of Veterans Affairs Medical Center, Pres-
cott, Arizona, as the Bob Stump Department of Veterans Af-
fairs Medical Center.
SEC. 2. FIVE-YEAR EXTENSION OF PERIOD FOR PROVISION 
OF 
NONINSTITUTIONAL 
EXTENDED-CARE 
SERVICES AND REQUIRED NURSING HOME 
CARE. 
(a) NONINSTITUTIONAL EXTENDED CARE SERV-
ICES.—Section 1701(10)(A) of title 38, United States 
Code, is amended by striking ‘‘the date of the enactment 
of the Veterans Millennium Health Care and Benefits Act 
and ending on December 31, 2003,’’ and inserting ‘‘No-
vember 30, 1999, and ending on December 31, 2008,’’. 
(b) REQUIRED
NURSING
HOME
CARE.—Section 
1710A(c) of such title is amended by striking ‘‘December 
31, 2003’’ and inserting ‘‘December 31, 2008’’. 
(c) EXTENSION OF REPORT DATE.—Section 101(i) 
of the Veterans Millennium Health Care and Benefits Act 
(38 U.S.C. 1710A note) is amended by striking ‘‘January 
1, 2003,’’ and inserting ‘‘January 1, 2008,’’.
SEC. 3. IMPROVED BENEFITS FOR FORMER PRISONERS OF 
WAR. 
(a) OUTPATIENT DENTAL CARE FOR ALL FORMER 
PRISONERS OF WAR.—Section 1712(a)(1)(F) of title 38, 
United States Code, is amended by striking ‘‘and who was 
detained or interned for a period of not less than 90 
days’’. 
(b) EXEMPTION FROM PHARMACY COPAYMENT RE-
QUIREMENT.—Section 1722A(a)(3) of such title is amend-
ed—
(1) by striking ‘‘or’’ at the end of subparagraph 
(A); 
(2) by redesignating subparagraph (B) as sub-
paragraph (C); and 
(3) by inserting after subparagraph (A) the fol-
lowing new subparagraph (B): 
‘‘(B) to a veteran who is a former prisoner of 
war; or’’. 
SEC. 4. ENHANCEMENTS TO ENHANCED-USE LEASE AU-
THORITY. 
(a) INCREASED FLEXIBILITY UNDER ENHANCED-
USE LEASES.—Section 8162(a)(2)(B) of title 38, United 
States Code, is amended—
(1) by striking ‘‘proposed by the Under Sec-
retary for Health’’ and inserting ‘‘proposed by one 
of the Under Secretaries’’; and
(2) by striking ‘‘to the provision of medical care 
and services’’ and inserting ‘‘to the programs and 
activities of the Department’’. 
(b) NOTIFICATION OF PROPERTY TO BE LEASED.—
Section 8163 of such title is amended—
(1) in the first sentence of subsection (a)—
(A) by striking ‘‘designate a property to be 
leased under an enhanced-use lease’’ and insert-
ing ‘‘enter into an enhanced-use lease with re-
spect to certain property’’; and 
(B) by striking ‘‘before making the des-
ignation’’ and inserting ‘‘before entering into 
the lease’’; 
(2) in subsection (b), by striking ‘‘of the pro-
posed designation’’ and inserting ‘‘to the congres-
sional veterans’ affairs committees and to the public 
of the proposed lease’’; and 
(3) in subsection (c)—
(A) in paragraph (1)—
(i) by striking ‘‘designate the property 
involved’’ and inserting ‘‘enter into an en-
hanced-use lease of the property involved’’; 
and
(ii) by striking ‘‘to so designate the 
property’’ and inserting ‘‘to enter into such 
lease’’; 
(B) in paragraph (2), by striking ‘‘90-day 
period’’ and inserting ‘‘45-day period’’; 
(C) in paragraph (3)—
(i) by striking ‘‘general description’’ 
in subparagraph (D) and inserting ‘‘de-
scription of the provisions’’; and 
(ii) by adding at the end the following 
new subparagraph: 
‘‘(G) A summary of a cost-benefit analysis of 
the proposed lease.’’; and 
(D) by striking paragraph (4). 
(c) DISPOSITION OF LEASED PROPERTY.—Section 
8164 of such title is amended—
(1) in subsection (a)—
(A) by striking ‘‘by requesting the Admin-
istrator of General Services to dispose of the 
property pursuant to subsection (b)’’ in the 
first sentence; and 
(B) by striking the third sentence; 
(2) in subsection (b)—
(A) by striking ‘‘Secretary and the Admin-
istrator of General Services jointly determine’’ 
and inserting ‘‘Secretary determines’’; and 
(B) by striking ‘‘Secretary and the Admin-
istrator consider’’ and inserting ‘‘Secretary con-
siders’’; and 
(3) in subsection (c), by striking ‘‘90 days’’ and 
inserting ‘‘45 days’’. 
(d) USE OF PROCEEDS.—Section 8165 of such title 
is amended—
(1) in subsection (a)—
(A) by inserting after ‘‘of this title’’ the 
following: ‘‘, except that any funds received by 
the Department under an enhanced-use lease in 
support of the Veterans Benefits Administra-
tion or the National Cemetery Administration 
and remaining after any deduction from such 
funds under subsection (b) shall be credited to 
applicable appropriations of that Administra-
tion’’; and 
(B) in paragraph (2), by striking ‘‘and re-
maining after’’ and all that follows through 
‘‘nursing home revolving fund’’ and inserting 
‘‘shall be deposited in applicable appropriations 
of the Administration of the Department that
had functional control of the leased property be-
fore the Secretary entered into the enhanced-
use lease’’; 
(2) in subsection (b), by adding at the end the 
following new sentence: ‘‘The Secretary may use the 
proceeds from any enhanced-use lease to reimburse 
applicable appropriations of the Department for any 
expenses incurred in the development of additional 
enhanced-use leases.’’; and 
(3) by striking subsection (c). 
(e) CLERICAL AMENDMENTS.—(1) The heading of 
section 8163 of such title is amended to read as follows: 
‘‘§ 8163. Hearing and notice requirements regarding 
proposed leases’’. 
(2) The item relating to section 8163 in the table of 
sections at the beginning of chapter 81 of such title is 
amended to read as follows:
‘‘8163. Hearing and notice requirements regarding proposed leases.’’.
SEC. 5. DEPARTMENT OF DEFENSE PARTICIPATION IN RE-
VOLVING SUPPLY FUND PURCHASES. 
(a) ENHANCEMENT OF DEPARTMENT OF DEFENSE 
PARTICIPATION.—Section 8121 of title 38, United States 
Code, is amended—
(1) by redesignating subsections (b) and (c) as 
subsections (d) and (e), respectively;
(2) by designating the last sentence of sub-
section (a) as subsection (c); and 
(3) by inserting after paragraph (3) of sub-
section (a) the following new subsection: 
‘‘(b) The Secretary may authorize the Secretary of 
Defense to make purchases through the fund in the same 
manner as activities of the Department. When services, 
equipment, or supplies are furnished to the Secretary of 
Defense through the fund, the reimbursement required by 
paragraph (2) of subsection (a) shall be made from appro-
priations made to the Department of Defense, and when 
services or supplies are to be furnished to the Department 
of Defense, the fund may be credited, as provided in para-
graph (3) of subsection (a), with advances from appropria-
tions available to the Department of Defense.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply only with respect to funds ap-
propriated for a fiscal year after fiscal year 2003. 
SEC. 6. ENHANCEMENT OF AUTHORITIES RELATING TO 
NONPROFIT RESEARCH CORPORATIONS. 
(a) COVERAGE OF PERSONNEL UNDER TORT CLAIMS 
LAWS.—(1) Subchapter IV of chapter 73 of title 38, 
United States Code, is amended by inserting after section 
7364 the following new section:
(b) CLARIFICATION
OF
EXECUTIVE
DIRECTOR’S 
ETHICS CERTIFICATION DUTIES.—Section 7366(c) of 
such title is amended—
(1) by inserting ‘‘(1)’’ after ‘‘(c)’’; 
(2) by striking ‘‘any year—’’ and all that fol-
lows through ‘‘shall be subject’’ and inserting ‘‘any 
year shall be subject’’; 
(3) by striking ‘‘functions; and’’ and inserting 
‘‘functions.’’; and 
(4) by striking paragraph (2) and inserting the 
following: 
‘‘(2) Each corporation established under this sub-
chapter shall each year submit to the Secretary a state-
ment signed by the executive director of the corporation 
verifying that each director and employee has certified 
awareness of the laws and regulations referred to in para-
graph (1) and of the consequences of violations of those 
laws and regulations in the same manner as Federal em-
ployees are required to.’’. 
(c) FIVE-YEAR EXTENSION OF AUTHORITY TO ES-
TABLISH RESEARCH CORPORATIONS.—Section 7368 of 
such title is amended by striking ‘‘December 31, 2003’’ 
and inserting ‘‘December 31, 2008’’.
(f) ANNUAL REPORT OF SPECIAL COMMITTEE ON 
PTSD.—Section 110(e)(2) of the Veterans’ Health Care 
Act of 1984 (38 U.S.C. 1712A note) is amended by strik-
ing ‘‘February 1 of each of the three following years’’ and 
inserting ‘‘May 1 of each year through 2004’’. 
SEC. 8. DESIGNATION OF DEPARTMENT OF VETERANS AF-
FAIRS MEDICAL CENTER, PRESCOTT, ARI-
ZONA, AS THE BOB STUMP DEPARTMENT OF 
VETERANS AFFAIRS MEDICAL CENTER. 
The Department of Veterans Affairs Medical Center 
located in Prescott, Arizona, shall after the date of the 
enactment of this Act be known and designated as the 
‘‘Bob Stump Department of Veterans Affairs Medical 
Center’’. Any reference to such medical center in any law, 
regulation, map, document, or other paper of the United 
States shall be considered to be a reference to the Bob 
Stump Department of Veterans Affairs Medical Center.
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