HR 5385 RFS 
ery Act (42 U.S.C. 2651 et seq.); $3,277,000,000, plus 
reimbursements, of which $250,000,000 shall be available 
until September 30, 2008. 
MEDICAL FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for the maintenance and op-
eration of hospitals, nursing homes, and domiciliary facili-
ties and other necessary facilities for the Veterans Health 
Administration; 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 and food serv-
ices, $3,594,000,000, plus reimbursements, of which 
$250,000,000 shall be available until September 30, 2008. 
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, 
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to 
remain 
available 
until 
September 
30, 
2008, 
$412,000,000, plus reimbursements. 
DEPARTMENTAL ADMINISTRATION 
GENERAL OPERATING EXPENSES 
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, and 
the Department of Defense for the cost of overseas em-
ployee mail, $1,480,764,000: 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 deter-
mines are necessary to enable entitled veterans: (1) to the 
maximum extent feasible, to become employable and to ob-
tain and maintain suitable employment; or (2) to achieve 
maximum independence in daily living, shall be charged 
to this account: Provided further, That the Veterans Bene-
fits Administration shall be funded at not less than 
$1,167,859,000: Provided further, That of the funds made 
available under this heading, not to exceed $75,000,000 
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shall be available for obligation until September 30, 2008: 
Provided further, That from the funds made available 
under this heading, the Veterans Benefits Administration 
may purchase (one-for-one replacement basis only) up to 
two passenger motor vehicles for use in operations of that 
Administration in Manila, Philippines. 
INFORMATION TECHNOLOGY SYSTEMS 
For necessary expenses for information technology 
systems and telecommunications support, including devel-
opmental information systems and operational information 
systems; for the capital asset acquisition of information 
technology systems, including management and related 
contractual costs of said acquisitions, including contrac-
tual costs associated with operations authorized by chap-
ter 3109 of title 5, United States Code, $1,302,330,000, 
plus reimbursements, to remain available until September 
30, 2008: Provided, That none of these funds may be obli-
gated until the Department of Veterans Affairs submits 
to the Committees on Appropriations of both Houses of 
Congress, and such Committees approve, a plan for ex-
penditure that: (1) meets the capital planning and invest-
ment control review requirements established by the Office 
of Management and Budget; (2) complies with the Depart-
ment of Veterans Affairs enterprise architecture; (3) con-
forms with an established enterprise life cycle method-
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ology; and (4) complies with the acquisition rules, require-
ments, guidelines, and systems acquisition management 
practices of the Federal Government: Provided further, 
That within 30 days of enactment of this Act, the Sec-
retary of Veterans Affairs shall submit to the Committees 
on Appropriations of both Houses of Congress a re-
programming base letter which provides, by project, the 
costs included in this appropriation. 
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; 
and 
hire 
of 
passenger 
motor 
vehicles, 
$160,733,000, of which not to exceed $8,037,000 shall be 
available until September 30, 2008. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector 
General in carrying out the provisions of the Inspector 
General Act of 1978, $69,499,000, to remain available 
until September 30, 2008. 
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 
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Affairs, or for any of the purposes set forth in sections 
316, 2404, 2406, 8102, 8103, 8106, 8108, 8109, 8110, 
and 8122 of title 38, United States Code, including plan-
ning, architectural and engineering services, construction 
management 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 
site acquisition, 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, $283,670,000, to remain available until ex-
pended, of which $2,000,000 shall be to make reimburse-
ments as provided in section 13 of the Contract Disputes 
Act of 1978 (41 U.S.C. 612) for claims paid for contract 
disputes: Provided, That except for advance planning ac-
tivities, including needs assessments which may or may 
not lead to capital investments, and other capital asset 
management related activities, such as portfolio develop-
ment and management activities, 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 investments, none of the funds appropriated 
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under this heading shall be used for any project which has 
not been approved by the Congress in the budgetary proc-
ess: Provided further, That funds provided in this appro-
priation for fiscal year 2007, for each approved project 
shall be obligated: (1) by the awarding of a construction 
documents contract by September 30, 2007; and (2) by 
the awarding of a construction contract by September 30, 
2008: Provided further, That the Secretary of Veterans Af-
fairs shall promptly report in writing to the Committees 
on Appropriations of both Houses of Congress any ap-
proved major construction project in which obligations are 
not incurred within the time limitations established above: 
Provided further, That none of the funds in this or any 
other Act may be used to reduce the mission, services or 
infrastructure, including land, of the 18 facilities on the 
Capital Asset Realignment for Enhanced Services 
(CARES) list requiring further study as specified by the 
Secretary of Veterans Affairs without prior approval of the 
Committees on Appropriations of both Houses of Con-
gress. 
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 
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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 
site acquisition, or for any of the purposes set forth in 
sections 316, 2404, 2406, 8102, 8103, 8106, 8108, 8109, 
8110, 8122, and 8162 of title 38, United States Code, 
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, $210,000,000, to remain avail-
able until expended, 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, for: (1) repairs to any of the nonmedical 
facilities under the jurisdiction or for the use of the De-
partment 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 8131–8137 of title 
38, United States Code, $105,000,000, to remain avail-
able until expended: Provided, That not less than 
$20,000,000 shall be available only to correct life and pa-
tient safety deficiencies and minor modifications at exist-
ing facilities. 
GRANTS FOR CONSTRUCTION OF STATE VETERANS 
CEMETERIES 
For grants to aid States in establishing, expanding, 
or improving State veterans cemeteries as authorized by 
section 2408 of title 38, United States Code, $32,000,000, 
to remain available until expended. 
ADMINISTRATIVE PROVISIONS 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. Any appropriation for fiscal year 2007 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 Congress 
the authority to make the transfer and an approval is 
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issued, or absent a response, a period of 30 days has 
elapsed. 
SEC. 202. 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 5901–5902 of title 5, United States Code. 
SEC. 203. 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. 204. No appropriations in this title shall be 
available for hospitalization or examination of any persons 
(except beneficiaries entitled under the laws bestowing 
such benefits to veterans, and persons receiving such 
treatment under sections 7901–7904 of title 5, United 
States Code or the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act (42 U.S.C. 5121 et seq.)), un-
less reimbursement of cost is made to the ‘‘Medical serv-
ices’’ account at such rates as may be fixed by the Sec-
retary of Veterans Affairs. 
SEC. 205. Appropriations available in this title for 
‘‘Compensation and pensions’’, ‘‘Readjustment benefits’’, 
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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 
2006. 
SEC. 206. 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 from ‘‘Compensation and 
pensions’’. 
SEC. 207. Notwithstanding any other provision of 
law, during fiscal year 2007, the Secretary of Veterans 
Affairs shall, from the National Service Life Insurance 
Fund (38 U.S.C. 1920), the Veterans’ Special Life Insur-
ance Fund (38 U.S.C. 1923), and the United States Gov-
ernment Life Insurance Fund (38 U.S.C. 1955), reim-
burse the ‘‘General operating expenses’’ account for the 
cost of administration of the insurance programs financed 
through those accounts: Provided, That reimbursement 
shall be made only from the surplus earnings accumulated 
in an insurance program in fiscal year 2007 that are avail-
able for dividends in that program after claims have been 
paid and actuarially determined reserves have been set 
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aside: Provided further, That if the cost of administration 
of 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 2007 which is prop-
erly allocable to the provision of each insurance program 
and to the provision of any total disability income insur-
ance included in such insurance program. 
SEC. 208. 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, may be obligated dur-
ing the fiscal year in which the proceeds are received. 
SEC. 209. Funds available in this title or funds for 
salaries and other administrative expenses shall also be 
available to reimburse the Office of Resolution Manage-
ment and the Office of Employment Discrimination Com-
plaint Adjudication for all services provided at rates which 
will recover actual costs but not exceed $31,246,000 for 
the Office of Resolution Management and $3,059,000 for 
the Office of Employment and Discrimination Complaint 
Adjudication: Provided, That payments may be made in 
advance for services to be furnished based on estimated 
costs: Provided further, That amounts received shall be 
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credited to ‘‘General operating expenses’’ for use by the 
office that provided the service. 
SEC. 210. No appropriations in this title shall be 
available to enter into any new lease of real property if 
the estimated annual rental is more than $300,000 unless 
the Secretary submits a report which the Committees on 
Appropriations of both Houses of Congress approve within 
30 days following the date on which the report is received. 
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-
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. 
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SEC. 212. Notwithstanding any other provision of 
law, at the discretion of the Secretary of Veterans Affairs, 
proceeds or revenues derived from enhanced-use leasing 
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 improve-
ments of any medical facility under the jurisdiction or for 
the use of the Department of Veterans Affairs. Such sums 
as realized are in addition to the amount provided for in 
‘‘Construction, major projects’’ and ‘‘Construction, minor 
projects’’. 
SEC. 213. 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. 
SEC. 214. 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 this account. 
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SEC. 215. Amounts made available for fiscal year 
2007 under the ‘‘Medical services’’, ‘‘Medical administra-
tion’’, and ‘‘Medical facilities’’ accounts may be trans-
ferred among the accounts to the extent necessary to im-
plement the restructuring of the Veterans Health Admin-
istration accounts: Provided, 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. 
SEC. 216. Notwithstanding any other provision of 
law, the Secretary of Veterans Affairs shall allow veterans 
eligible under existing Department of Veterans Affairs 
medical care requirements and who reside in Alaska to ob-
tain medical care services from medical facilities supported 
by the Indian Health Service or tribal organizations. The 
Secretary shall: (1) limit the application of this provision 
to rural Alaskan veterans in areas where an existing De-
partment of Veterans Affairs facility or Veterans Affairs- 
contracted service is unavailable; (2) require participating 
veterans and facilities to comply with all appropriate rules 
and regulations, as established by the Secretary; (3) re-
quire this provision to be consistent with Capital Asset Re-
alignment for Enhanced Services activities; and (4) result 
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in no additional cost to the Department of Veterans Af-
fairs or the Indian Health Service. 
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 available to the Depart-
ment of Veterans Affairs, in this Act or any other Act, 
may be used to replace the current system by which the 
Veterans Integrated Service Networks select and contract 
for diabetes monitoring supplies and equipment. 
SEC. 219. None of the funds made available in this 
Act 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. 220. 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. 
SEC. 221. Amounts made available for the ‘‘Informa-
tion technology systems’’ account may be transferred be-
tween projects: Provided, That no project may be in-
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creased or decreased by more than $1,000,000 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. 
SEC. 222. The authority provided by section 2011 of 
title 38, United States Code, shall continue in effect 
through September 30, 2007. 
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 $7,500 for official reception and 
representation expenses; and insurance of official motor 
vehicles in foreign countries, when required by law of such 
countries, $37,088,000, to remain available until ex-
pended. 
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