1031 
erans Integrated Service Network (VISN), including an up-
dated Long Range Capital Plan to implement realignment 
requirements; (2) an explanation of the process by which 
those plans were developed and coordinated within the 
VISN; (3) a cost vs. benefit analysis of each planned re-
alignment, including the cost of replacing Veterans Health 
Administration services with contract care or other 
outsourced services; (4) an analysis of how any such 
planned realignment of services will impact access to care 
for veterans living in rural or highly rural areas, including 
travel distances and transportation costs to access a VA 
medical facility and availability of local specialty and pri-
mary care; (5) an inventory of VA buildings with historic 
designation and the methodology used to determine the 
buildings’ condition and utilization; (6) a description of 
how any realignment will be consistent with requirements 
under the National Historic Preservation Act; and (7) con-
sideration given for reuse of historic buildings within newly 
identified realignment requirements: Provided, That this 
provision shall not apply to capital projects in VISN 23, 
or any other VISN, which have been authorized or approved 
by Congress. 
SEC. 236. 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 Veterans
1032 
Integrated Service Networks select and contract for diabetes 
monitoring supplies and equipment. 
SEC. 237. None of the funds made available in this 
Act or prior Acts may be used by the Secretary of Veterans 
Affairs to expand the dialysis pilot program approved by 
the Under Secretary of Veterans Affairs for Health in Au-
gust 2010 and by the Secretary of Veterans Affairs in Sep-
tember 2010 or to create any new dialysis capability pro-
vided by the Department of Veterans Affairs in any facility 
that is not an initial facility under the pilot program until 
the later of the following dates: 
(1) September 30, 2015. 
(2) The date on which an independent analysis 
of the dialysis pilot program has been conducted at 
each initial facility and has been submitted to the 
Committees on Appropriations and the Committees 
on Veterans’ Affairs of both Houses of Congress. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 238. The Secretary of Veterans Affairs, upon de-
termination that such action is necessary to address needs 
of the Veterans Health Administration, may transfer to the 
‘‘Medical Services’’ account any discretionary appropria-
tions made available for fiscal year 2015 in this title (except 
appropriations made to the ‘‘General Operating Expenses, 
Veterans Benefits Administration’’ account) or any discre-
1033 
tionary unobligated balances within the Department of Vet-
erans Affairs, including those appropriated for fiscal year 
2015, that were provided in advance by appropriations 
Acts: Provided, That transfers shall be made only with the 
approval of the Office of Management 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 emer-
gency 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 Con-
gress: 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.
1034 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 239. Amounts made available for the Department 
of Veterans Affairs for fiscal year 2015, under the ‘‘Board 
of Veterans Appeals’’ and the ‘‘General Operating Expenses, 
Veterans Benefits Administration’’ accounts may be trans-
ferred between such accounts: Provided, That before a trans-
fer 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 
such Committees issue an approval. 
(RESCISSION OF FUNDS) 
SEC. 240. Of the unobligated balances available within 
the ‘‘DOD–VA Health Care Sharing Incentive Fund’’, 
$15,000,000 are hereby rescinded. 
SEC. 241. Subsection (b) of section 504 of the Veterans’ 
Benefits Improvements Act of 1996 (Public Law 104–275; 
38 U.S.C. 5101 note) is amended to read as follows: 
‘‘(b) LIMITATION.—The Secretary may carry out the 
pilot program under this section as follows: 
‘‘(1) In fiscal years before fiscal year 2015, 
through not more than 10 regional offices of the De-
partment of Veterans Affairs. 
‘‘(2) In fiscal year 2015, through not more than 
12 regional offices of the Department.
1035 
‘‘(3) In fiscal year 2016, through not more than 
15 regional offices of the Department. 
‘‘(4) In fiscal year 2017 and each fiscal year 
thereafter, through such regional offices of the Depart-
ment as the Secretary considers appropriate.’’. 
SEC. 242. Section 101(d)(2)(B)(ii) of the Veterans Ac-
cess, Choice, and Accountability Act of 2014 (Public Law 
113–146; 38 U.S.C. 1701 note) is amended by adding at 
the end the following new subclause: 
‘‘(III) 
OTHER
EXCEPTIONS.— 
With respect to furnishing care or serv-
ices under this section in Alaska, the 
Alaska Fee Schedule of the Department 
of Veterans Affairs will be followed, ex-
cept for when another payment agree-
ment, including a contract or provider 
agreement, is in place. With respect to 
care or services furnished under this 
section in a State with an All-Payer 
Model Agreement under the Social Se-
curity Act that became effective on 
January 1, 2014, the Medicare pay-
ment rates under clause (i) shall be 
calculated based on the payment rates 
under such agreement.’’.
1036 
SEC. 243. Section 1710(e)(1)(F) of title 38, United 
States Code, is amended by striking ‘‘January 1, 1957,’’ 
and inserting ‘‘August 1, 1953’’. 
ADVANCE APPROPRIATIONS FOR CERTAIN ACCOUNTS OF 
DEPARTMENT OF VETERANS AFFAIRS 
SEC. 244. (a) IN GENERAL.—Section 117 of title 38, 
United States Code, is amended— 
(1) by striking ‘‘medical care accounts of the De-
partment’’ each place it appears and inserting ‘‘cov-
ered accounts of the Department’’; 
(2) in subsection (a)— 
(A) by striking ‘‘beginning with fiscal year 
2011,’’; and 
(B) by striking ‘‘discretionary’’ each place 
it appears; 
(3) in subsection (c)— 
(A) by striking ‘‘medical care accounts of 
the Veterans Health Administration, Department 
of Veterans Affairs account’’ and inserting ‘‘ac-
counts of the Department of Veterans Affairs ac-
count’’; 
(B) in paragraph (1), by inserting ‘‘Vet-
erans Health Administration,’’ and after ‘‘(1)’’; 
(C) in paragraph (2), by inserting ‘‘Vet-
erans Health Administration,’’ after ‘‘(2)’’;
1037 
(D) in paragraph (3), by inserting ‘‘Vet-
erans Health Administration,’’ after ‘‘(3)’’; 
(E) 
by 
redesignating 
paragraphs 
(1) 
through (3) as paragraphs (4) through (6), re-
spectively; 
(F) by inserting before paragraph (4), as 
redesignated by subparagraph (E), the following 
new paragraphs: 
‘‘(1) Veterans Benefits Administration, Com-
pensation and Pensions. 
‘‘(2) Veterans Benefits Administration, Readjust-
ment Benefits. 
‘‘(3) Veterans Benefits Administration, Veterans 
Insurance and Indemnities.’’; and 
(G) in the subsection heading, by striking 
‘‘MEDICAL
CARE
ACCOUNTS’’ and inserting 
‘‘COVERED ACCOUNTS
OF
THE DEPARTMENT’’; 
and 
(4) in the section heading, by striking ‘‘certain 
medical care accounts’’ and inserting ‘‘cer-
tain accounts’’. 
(b) APPLICABILITY.—Section 117 of title 38, United 
States Code, shall apply as follows: 
(1) With respect to an account described in 
paragraph (4), (5), or (6) of subsection (c) of such
1038 
section, as redesignated by subsection (a) of this sec-
tion, for each fiscal year beginning with fiscal year 
2011. 
(2) With respect to an account described in 
paragraph (1), (2), or (3) of such subsection (c), as 
added by subsection (a) of this section, for each fiscal 
year beginning with 2017. 
(c) CLERICAL AMENDMENT.—The table of sections at 
the beginning of chapter 1 of title 38, United States Code, 
is amended by striking the item relating to section 117 and 
inserting the following new item: 
‘‘117. Advance appropriations for certain accounts.’’. 
(d) CONFORMING AND TECHNICAL AMENDMENTS.— 
Section 1105(a) of title 31, United States Code, is amend-
ed— 
(1) by striking the first paragraph (37) and in-
serting the following new paragraph: 
‘‘(37) information on estimates of appropriations 
for the fiscal year following the fiscal year for which 
the budget is submitted for the following accounts of 
the Department of Veterans Affairs: 
‘‘(A) Veterans Benefits Administration, 
Compensation and Pensions. 
‘‘(B) Veterans Benefits Administration, Re-
adjustment Benefits.
1039 
‘‘(C) Veterans Benefits Administration, Vet-
erans Insurance and Indemnities. 
‘‘(D) Veterans Health Administration, Med-
ical Services. 
‘‘(E) Veterans Health Administration, Med-
ical Support and Compliance. 
‘‘(F) Veterans Health Administration, Med-
ical Facilities.’’; and 
(2) by redesignating the second paragraph (37), 
as added by section 11(a)(2) of the GPRA Moderniza-
tion Act of 2010 (Public Law 111–352; 124 Stat. 
3881), as paragraph (39). 
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 countries; 
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 replace-
ment basis only) and hire of passenger motor vehicles; not 
to exceed $7,500 for official reception and representation
1189 
education programs including not less than 
$10,000,000 for scholarships at not-for-profit in-
stitutions for Egyptian students with high finan-
cial need: Provided, That such funds may also be 
made available for democracy programs: Pro-
vided further, That such funds shall be made 
available for a demonstration project to combat 
hepatitis C, on a cost matching basis from 
sources other than the United States Govern-
ment. 
(B) Notwithstanding any provision of law 
restricting assistance for Egypt, including para-
graph (6) of this subsection, funds made avail-
able under the heading ‘‘Economic Support 
Fund’’ in this Act and prior Acts making appro-
priations for the Department of State, foreign 
operations, and related programs for assistance 
for Egypt may be made available for education 
and economic growth programs, subject to prior 
consultation with the appropriate congressional 
committees: Provided, That such funds may not 
be made available for cash transfer assistance or 
budget support unless the Secretary of State cer-
tifies to the appropriate congressional commit-
tees that the Government of Egypt is taking con-
1190 
sistent and effective steps to stabilize the econ-
omy and implement market-based economic re-
forms. 
(C)(i) Of the funds appropriated by this Act 
under the heading ‘‘Economic Support Fund’’ 
that are available for assistance for Egypt, the 
Secretary of State shall withhold from obligation 
an amount that the Secretary determines to be 
equivalent to that expended by the United States 
Government for bail, and by nongovernmental 
organizations for legal and court fees, associated 
with democracy related trials in Egypt until the 
Secretary certifies and reports to the Committees 
on Appropriations that the Government of Egypt 
has dismissed the convictions issued by the Cairo 
Criminal Court on June 4, 2013, in ‘‘Public 
Prosecution Case No. 1110 for the Year 2012’’. 
(ii) No conviction issued by the Cairo 
Criminal Court on June 4, 2013, in ‘‘Public 
Prosecution Case No. 1110 for the Year 2012’’, 
against a citizen or national of the United 
States or an alien lawfully admitted for perma-
nent residence in the United States, shall be con-
sidered a conviction for purposes of United
1425 
propriated under this heading may be used for advertising 
and promotional activities that support the housing mis-
sion area: Provided further, That the Secretary shall pro-
vide the Committees on Appropriations quarterly written 
notification regarding the status of pending congressional 
reports: Provided further, That the Secretary shall provide 
in electronic form all signed reports required by Congress. 
PROGRAM OFFICE SALARIES AND EXPENSES 
PUBLIC AND INDIAN HOUSING 
For necessary salaries and expenses of the Office of 
Public and Indian Housing, $203,000,000. 
COMMUNITY PLANNING AND DEVELOPMENT 
For necessary salaries and expenses of the Office of 
Community Planning and Development, $102,000,000. 
HOUSING 
For necessary salaries and expenses of the Office of 
Housing, $379,000,000, of which at least $9,000,000 shall 
be for the Office of Risk and Regulatory Affairs. 
POLICY DEVELOPMENT AND RESEARCH 
For necessary salaries and expenses of the Office of 
Policy Development and Research, $22,700,000. 
FAIR HOUSING AND EQUAL OPPORTUNITY 
For necessary salaries and expenses of the Office of 
Fair Housing and Equal Opportunity, $68,000,000.
1482 
(3) the term ‘‘project-based assistance’’ means— 
(A) assistance provided under section 8(b) 
of the United States Housing Act of 1937; 
(B) assistance for housing constructed or 
substantially rehabilitated pursuant to assistance 
provided under section 8(b)(2) of such Act (as 
such section existed immediately before October 
1, 1983); 
(C) rent supplement payments under sec-
tion 101 of the Housing and Urban Development 
Act of 1965; 
(D) interest reduction payments under sec-
tion 236 and/or additional assistance payments 
under section 236(f)(2) of the National Housing 
Act; 
(E) assistance payments made under sec-
tion 202(c)(2) of the Housing Act of 1959; and 
(F) assistance payments made under section 
811(d)(2) of the Cranston-Gonzalez National Af-
fordable Housing Act; 
(4) the term ‘‘receiving project or projects’’ 
means the multifamily housing project or projects to 
which some or all of the project-based assistance, debt, 
and statutorily required low-income and very low-in-
come use restrictions are to be transferred;