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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, architec-
tural and engineering services, construction management 
services, maintenance or guarantee period services costs as-
sociated with equipment guarantees provided 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 avail-
able 
in 
a 
previous 
major 
project 
appropriation, 
$528,110,000, of which $448,110,000 shall remain available 
until September 30, 2021, and of which $80,000,000 shall 
remain available until expended: Provided, That except for 
advance planning activities, including needs assessments 
which may or may not lead to capital investments, and 
other capital asset management related activities, including 
portfolio development and management activities, and in-
vestment strategy studies funded through the advance plan-
ning fund and the planning and design activities funded 
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through the design fund, including needs assessments which 
may or may not lead to capital investments, and salaries 
and associated costs of the resident engineers who oversee 
those capital investments funded through this account and 
contracting officers who manage specific major construction 
projects, and funds provided for the purchase, security, and 
maintenance of land for the National Cemetery Administra-
tion 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 explan-
atory statement accompanying such Act and presented to 
the President at the time of enrollment: Provided further, 
That funds made available under this heading for fiscal 
year 2017, for each approved project shall be obligated: (1) 
by the awarding of a construction documents contract by 
September 30, 2017; and (2) by the awarding of a construc-
tion contract by September 30, 2018: Provided further, That 
the Secretary of Veterans Affairs shall promptly submit to 
the Committees on Appropriations of both Houses of Con-
gress a written report on any approved major construction 
project for which obligations are not incurred within the 
time limitations established above: Provided further, That, 
of the amount made available under this heading, 
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$222,620,000 for Veterans Health Administration major 
construction projects shall not be available until the Depart-
ment of Veterans Affairs— 
(1) enters into an agreement with an appro-
priate non-Department of Veterans Affairs Federal 
entity to serve as the design and/or construction agent 
for any Veterans Health Administration major con-
struction project with a Total Estimated Cost of 
$100,000,000 or above by providing full project man-
agement services, including management of the project 
design, 
acquisition, 
construction, 
and 
contract 
changes, consistent with section 502 of Public Law 
114–58; and 
(2) certifies in writing that such an agreement 
is executed and intended to minimize or prevent sub-
sequent major construction project cost overruns and 
provides a copy of the agreement entered into and 
any required supplementary information to the Com-
mittees on Appropriations of both Houses of Congress. 
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 engi-
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neering 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 acquisi-
tion, 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 sec-
tion 8104(a)(3)(A) of title 38, United States Code, 
$372,069,000, to remain available until September 30, 
2021, along with unobligated balances of previous ‘‘Con-
struction, 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-
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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 through 8137 of 
title 38, United States Code, $90,000,000, to remain avail-
able until expended. 
GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES 
For grants to assist States and tribal organizations 
in establishing, expanding, or improving veterans ceme-
teries as authorized by section 2408 of title 38, United 
States Code, $45,000,000, to remain available until ex-
pended. 
ADMINISTRATIVE PROVISIONS 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. Any appropriation for fiscal year 2017 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 such Committees 
issue an approval, or absent a response, a period of 30 days 
has elapsed. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 202. Amounts made available for the Department 
of Veterans Affairs for fiscal year 2017, in this or any other 
Act, under the ‘‘Medical Services’’, ‘‘Medical Community 
Care’’, ‘‘Medical Support and Compliance’’, and ‘‘Medical 
Facilities’’ accounts may be transferred among the ac-
counts: Provided, That any transfers between the ‘‘Medical 
Services’’ and ‘‘Medical Support and Compliance’’ accounts 
of 1 percent or less of the total amount appropriated to the 
account in this or any other Act may take place subject 
to notification from the Secretary of Veterans Affairs to the 
Committees on Appropriations of both Houses of Congress 
of the amount and purpose of the transfer: Provided further, 
That any transfers between the ‘‘Medical Services’’ and 
‘‘Medical Support and Compliance’’ accounts in excess of 
1 percent, or exceeding the cumulative 1 percent for the fis-
cal year, may take place only after the Secretary requests 
from the Committees on Appropriations of both Houses of 
Congress the authority to make the transfer and an ap-
proval is issued: Provided further, That any transfers to 
or from the ‘‘Medical Facilities’’ account may take place 
only after the Secretary requests from the Committees on 
Appropriations of both Houses of Congress the authority to 
make the transfer and an approval is issued. 
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SEC. 203. Appropriations available in this title for sal-
aries and expenses shall be available for services authorized 
by section 3109 of title 5, United States Code; hire of pas-
senger motor vehicles; lease of a facility or land or both; 
and uniforms or allowances therefore, as authorized by sec-
tions 5901 through 5902 of title 5, United States Code. 
SEC. 204. 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. 205. No appropriations in this title shall be 
available for hospitalization or examination of any persons 
(except beneficiaries entitled to such hospitalization or ex-
amination under the laws providing such benefits to vet-
erans, and persons receiving such treatment under sections 
7901 through 7904 of title 5, United States Code, or the 
Robert T. Stafford Disaster Relief and Emergency Assist-
ance Act (42 U.S.C. 5121 et seq.)), unless reimbursement 
of the cost of such hospitalization or examination is made 
to the ‘‘Medical Services’’ account at such rates as may be 
fixed by the Secretary of Veterans Affairs. 
SEC. 206. Appropriations available in this title for 
‘‘Compensation and Pensions’’, ‘‘Readjustment Benefits’’, 
and ‘‘Veterans Insurance and Indemnities’’ shall be avail-
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able for payment of prior year accrued obligations required 
to be recorded by law against the corresponding prior year 
accounts within the last quarter of fiscal year 2016. 
SEC. 207. 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 only from ‘‘Compensation and Pen-
sions’’. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 208. Notwithstanding any other provision of law, 
during fiscal year 2017, the Secretary of Veterans Affairs 
shall, from the National Service Life Insurance Fund under 
section 1920 of title 38, United States Code, the Veterans’ 
Special Life Insurance Fund under section 1923 of title 38, 
United States Code, and the United States Government Life 
Insurance Fund under section 1955 of title 38, United 
States Code, reimburse the ‘‘General Operating Expenses, 
Veterans Benefits Administration’’ and ‘‘Information Tech-
nology Systems’’ accounts 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 such an insurance pro-
gram during fiscal year 2017 that are available for divi-
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dends in that program after claims have been paid and ac-
tuarially determined reserves have been set aside: Provided 
further, That if the cost of administration of such an insur-
ance program exceeds the amount of surplus earnings accu-
mulated in that program, reimbursement shall be made 
only to the extent of such surplus earnings: Provided fur-
ther, That the Secretary shall determine the cost of adminis-
tration for fiscal year 2017 which is properly allocable to 
the provision of each such insurance program and to the 
provision of any total disability income insurance included 
in that insurance program. 
SEC. 209. Amounts deducted from enhanced-use lease 
proceeds to reimburse an account for expenses incurred by 
that account during a prior fiscal year for providing en-
hanced-use lease services, may be obligated during the fiscal 
year in which the proceeds are received. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 210. Funds available in this title or funds for 
salaries and other administrative expenses shall also be 
available to reimburse the Office of Resolution Management 
of the Department of Veterans Affairs and the Office of Em-
ployment Discrimination Complaint Adjudication under 
section 319 of title 38, United States Code, for all services 
provided at rates which will recover actual costs but not 
to exceed $47,668,000 for the Office of Resolution Manage-
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ment and $3,532,000 for the Office of Employment Dis-
crimination Complaint Adjudication: Provided, That pay-
ments 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. None of the funds in this or any other Act 
may be used to close Department of Veterans Affairs (VA) 
hospitals, domiciliaries, or clinics, conduct an environ-
mental assessment, or to diminish healthcare services at ex-
isting Veterans Health Administration medical facilities lo-
cated in Veterans Integrated Service Network 23 as part 
of a planned realignment of VA services until the Secretary 
provides to the Committees on Appropriations of both 
Houses of Congress a report including the following ele-
ments: 
(1) a national realignment strategy that includes 
a detailed description of realignment plans within 
each Veterans Integrated Service Network (VISN), in-
cluding an updated Long Range Capital Plan to im-
plement realignment requirements; 
(2) an explanation of the process by which those 
plans were developed and coordinated within each 
VISN; 
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(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 re-
alignment of services will impact access to care for 
veterans living in rural or highly rural areas, includ-
ing travel distances and transportation costs to access 
a VA medical facility and availability of local spe-
cialty and primary 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 His-
toric Preservation Act; and 
(7) consideration given for reuse of historic 
buildings within newly identified realignment re-
quirements: 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. 212. No funds of the Department of Veterans Af-
fairs shall be available for hospital care, nursing home care, 
or medical services provided to any person under chapter 
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17 of title 38, United States Code, for a non-service-con-
nected disability described in section 1729(a)(2) of such 
title, unless that person has disclosed to the Secretary 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: Provided, That 
the Secretary may recover, in the same manner as any other 
debt due the United States, the reasonable charges for such 
care or services from any person who does not make such 
disclosure as required: Provided further, 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 received. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 213. Notwithstanding any other provision of law, 
proceeds or revenues derived from enhanced-use leasing ac-
tivities (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’’. 
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SEC. 214. Amounts made available under ‘‘Medical 
Services’’ are available— 
(1) for furnishing recreational facilities, sup-
plies, and equipment (including rehabilitative equip-
ment for veterans entitled to a prosthetic appliance 
under chapter 17 of title 38, United States Code, 
which may include recreational sports equipment that 
provides an adaption or accommodation for the vet-
eran, regardless of whether such equipment is inten-
tionally designed to be adaptive equipment, such as 
hand cycles, recumbent bicycles, medically adapted 
upright bicycles, and upright bicycles); and 
(2) for funeral expenses, burial expenses, and 
other expenses incidental to funerals and burials for 
beneficiaries receiving care in the Department. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 215. Such sums as may be deposited to the Med-
ical Care Collections Fund pursuant to section 1729A of 
title 38, United States Code, may be transferred to the 
‘‘Medical Services’’ and ‘‘Medical Community Care’’ ac-
counts, to remain available until expended for the purposes 
of these accounts. 
SEC. 216. The Secretary of Veterans Affairs may enter 
into agreements with Federally Qualified Health Centers in 
the State of Alaska and Indian tribes and tribal organiza-
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tions which are party to the Alaska Native Health Compact 
with the Indian Health Service, to provide healthcare, in-
cluding behavioral health and dental care, to veterans in 
rural Alaska. 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 which are not within 
the boundaries of the municipality of Anchorage or the 
Fairbanks North Star Borough. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 217. Such sums as may be deposited to the De-
partment of Veterans Affairs Capital Asset Fund pursuant 
to section 8118 of title 38, United States Code, may be 
transferred to the ‘‘Construction, Major Projects’’ and ‘‘Con-
struction, Minor Projects’’ accounts, to remain available 
until expended for the purposes of these accounts. 
(RESCISSION OF FUNDS) 
SEC. 218. Of the amounts appropriated in title II of 
division J of Public Law 114–113 under the heading ‘‘Med-
ical Services’’ which become available on October 1, 2016, 
$7,246,181,000 are hereby rescinded. 
SEC. 219. Not later than 30 days after the end of each 
fiscal quarter, the Secretary of Veterans Affairs shall submit 
to the Committees on Appropriations of both Houses of Con-
gress a report on the financial status of the Department 
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of Veterans Affairs for the preceding quarter: Provided, 
That, at a minimum, the report shall include the direction 
contained in the explanatory statement described in section 
4 in the matter preceding division A of the Consolidated 
Appropriations Act, 2016 Public Law 114–113 in title II 
of Division J of the consolidated Act in the paragraph enti-
tled ‘‘Quarterly Report’’, under the heading ‘‘General Ad-
ministration’’. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 220. Amounts made available under the ‘‘Medical 
Services’’, ‘‘Medical Community Care’’, ‘‘Medical Support 
and Compliance’’, ‘‘Medical Facilities’’, ‘‘General Oper-
ating Expenses, Veterans Benefits Administration’’, ‘‘Gen-
eral Administration’’, and ‘‘National Cemetery Adminis-
tration’’ accounts for fiscal year 2017 may be transferred 
to or from the ‘‘Information Technology Systems’’ account: 
Provided, That such transfers 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: Provided further, That, before a transfer 
may take place, the Secretary of Veterans Affairs shall re-
quest from the Committees on Appropriations of both 
Houses of Congress the authority to make the transfer and 
an approval is issued. 
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SEC. 221. None of the funds appropriated or otherwise 
made available by this Act or any other Act for the Depart-
ment of Veterans Affairs may be used in a manner that 
is inconsistent with: (1) section 842 of the Transportation, 
Treasury, Housing and Urban Development, the Judiciary, 
the District of Columbia, and Independent Agencies Appro-
priations Act, 2006 (Public Law 109–115; 119 Stat. 2506); 
or (2) section 8110(a)(5) of title 38, United States Code. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 222. Of the amounts appropriated to the Depart-
ment of Veterans Affairs for fiscal year 2017 for ‘‘Medical 
Services’’, ‘‘Medical Support and Compliance’’, ‘‘Medical 
Facilities’’, ‘‘Construction, Minor Projects’’, and ‘‘Informa-
tion Technology Systems’’, up to $274,731,000, plus reim-
bursements, may be transferred to the Joint Department of 
Defense-Department of Veterans Affairs Medical Facility 
Demonstration Fund, established by section 1704 of the Na-
tional Defense Authorization Act for Fiscal Year 2010 (Pub-
lic Law 111–84; 123 Stat. 3571) and may be used for oper-
ation of the facilities designated as combined Federal med-
ical facilities as described by section 706 of the Duncan 
Hunter National Defense Authorization 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 De-
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