I 
116TH CONGRESS 
1ST SESSION H. R. 4152 
To amend title 10, United States Code, to provide the Secretary of Defense 
and the Secretary of Veterans Affairs authority to enter into agreements 
for the planning, design, and construction, or leasing, of facilities to 
be operated as shared medical facilities, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 2, 2019 
Mr. KELLY of Mississippi introduced the following bill; which was referred to 
the Committee on Armed Services, and in addition to the Committees on 
Veterans’ Affairs, and Appropriations, for a period to be subsequently de-
termined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title 10, United States Code, to provide the Sec-
retary of Defense and the Secretary of Veterans Affairs 
authority to enter into agreements for the planning, de-
sign, and construction, or leasing, of facilities to be oper-
ated as shared medical facilities, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘VA-DoD Shared Med-
ical Facilities Act of 2019’’. 
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SEC. 2. AUTHORITY TO PLAN, DESIGN, AND CONSTRUCT, OR 
LEASE, SHARED MEDICAL FACILITIES. 
(a) IN GENERAL.—Chapter 55 of title 10, United 
States Code, is amended by inserting after section 1104 
the following new section: 
‘‘§ 1104a. Shared medical facilities with the Depart-
ment of Veterans Affairs 
‘‘(a) AGREEMENTS.—The Secretary of Defense and 
the Secretary of Veterans Affairs may enter into agree-
ments with each other for the planning, design, and con-
struction, or leasing, of facilities to be operated as shared 
medical facilities. 
‘‘(b) TRANSFER OF AMOUNTS BY SECRETARY OF DE-
FENSE.—(1) The Secretary of Defense may transfer to 
the Secretary of Veterans Affairs amounts as follows: 
‘‘(A) Amounts, not in excess of the amount au-
thorized by law for an unspecified minor military 
construction project, for the construction of a shared 
medical facility if— 
‘‘(i) the amount of the share of the De-
partment of Defense for the estimated cost of 
the project does not exceed the amount speci-
fied in subsection (a)(2) of section 2805 of this 
title; and 
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‘‘(ii) the other requirements of such section 
have been met with respect to amounts identi-
fied for transfer. 
‘‘(B) Amounts appropriated for the Defense 
Health Program for the purpose of the planning, de-
sign, and construction, or the leasing of space, for 
a shared medical facility. 
‘‘(2) The authority to transfer amounts under this 
section is in addition to any other authority to transfer 
amounts available to the Secretary of Defense. 
‘‘(3) Section 2215 of this title does not apply to a 
transfer of funds under this subsection. 
‘‘(c) TRANSFER OF AMOUNTS BY SECRETARY OF 
VETERANS AFFAIRS.—The Secretary of Veterans Affairs 
may transfer to the Secretary of Defense amounts as fol-
lows: 
‘‘(1) Amounts appropriated to the Secretary of 
Veterans Affairs for ‘Construction, minor projects’ 
for use for the planning, design, or construction of 
a shared medical facility if the amount of the share 
of the Department of Veterans Affairs for the esti-
mated cost of the project does not exceed the 
amount specified in section 8104(a)(3)(A) of title 
38. 
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‘‘(2) Amounts appropriated to the Secretary of 
Veterans Affairs for ‘Construction, major projects’ 
for use for the planning, design, or construction of 
a shared medical facility if— 
‘‘(A) the amount of the share of the De-
partment of Veterans Affairs for the estimated 
cost of the project exceeds the amount specified 
in subsection (a)(3) of section 8104 of title 38; 
and 
‘‘(B) the other requirements of such sec-
tion have been met with respect to amounts 
identified for transfer. 
‘‘(3) Amounts appropriated to the applicable 
appropriation account of the Department of Vet-
erans Affairs for the purpose of leasing space for a 
shared medical facility if the amount of the share of 
the Department of Veterans Affairs for the esti-
mated cost of the project does not exceed the 
amount specified in section 8104(a)(3)(B) of title 
38. 
‘‘(d) RECEIPT OF AMOUNTS BY SECRETARY OF DE-
FENSE.—(1) Any amount transferred to the Secretary of 
Defense by the Secretary of Veterans Affairs for necessary 
expenses for the planning, design, and construction of a 
shared medical facility, if the amount of the share of the 
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Department of Defense for the cost of such project does 
not exceed the amount specified in section 2805(a)(2) of 
this title, may be credited to accounts of the Department 
of Defense available for the construction of a shared med-
ical facility. 
‘‘(2) Any amount transferred to the Secretary of De-
fense by the Secretary of Veterans Affairs for the purpose 
of the planning and design, or the leasing of space, for 
a shared medical facility may be credited to accounts of 
the Department of Defense available for such purposes, 
and may be used for such purposes. 
‘‘(3) Using accounts credited with transfers from the 
Secretary of Veterans Affairs under paragraph (1), the 
Secretary of Defense may carry out unspecified minor 
military construction projects, if the share of the Depart-
ment of Defense for the cost of such project does not ex-
ceed the amount specified in section 2805(a)(2) of this 
title. 
‘‘(e) RECEIPT OF AMOUNTS BY SECRETARY OF VET-
ERANS AFFAIRS.—(1) Any amount transferred to the Sec-
retary of Veterans Affairs by the Secretary of Defense for 
necessary expenses for the planning, design, and construc-
tion of a shared medical facility, if the amount of the share 
of the Department of Veterans Affairs for the cost of such 
project does not exceed the amount specified in section 
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8104(a)(3)(A) of title 38, may be credited to the ‘Con-
struction, minor projects’ account of the Department of 
Veterans Affairs and used for the necessary expenses of 
constructing such shared medical facility. 
‘‘(2) Any amount transferred to the Secretary of Vet-
erans Affairs by the Secretary of Defense for necessary 
expenses for the planning, design, and construction of a 
shared medical facility, if the amount of the share of the 
Department of Veterans Affairs for the cost of such 
project exceeds the amount specified in subsection 
(a)(3)(A) of section 8104 of title 38, may be credited to 
the ‘Construction, major projects’ account of the Depart-
ment of Veterans Affairs and used for the necessary ex-
penses of constructing such shared medical facility if the 
other requirements of such section have been met with re-
spect to amounts identified for transfer. 
‘‘(3) Any amount transferred to the Secretary of Vet-
erans Affairs by the Secretary of Defense for the purpose 
of leasing space for a shared medical facility may be cred-
ited to accounts of the Department of Veterans Affairs 
available for such purposes, and may be used for such pur-
poses. 
‘‘(f) MERGER
OF AMOUNTS TRANSFERRED.—Any 
amount transferred under this section shall be merged 
with, and be available for the same purposes and the same 
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time period as, the appropriation or fund to which trans-
ferred. 
‘‘(g) SHARED MEDICAL FACILITY DEFINED.—(1) In 
this section, the term ‘shared medical facility’ means a 
building or buildings, or a campus, intended to be used 
by both the Department of Defense and the Department 
of Veterans Affairs for the provision of health care serv-
ices, whether under the jurisdiction of the Secretary of De-
fense or the Secretary of Veterans Affairs, and whether 
or not located on a military installation or on real property 
under the jurisdiction of the Secretary of Veterans Affairs. 
‘‘(2) Such term includes any necessary building and 
auxiliary structure, garage, parking facility, mechanical 
equipment, abutting sidewalks, and accommodations for 
attending personnel.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 55 of such title is amended 
by inserting after the item relating to section 1104 the 
following new item: 
‘‘1104a. Shared medical facilities with the Department of Veterans Affairs.’’. 
(c) TECHNICAL CORRECTION.—Paragraph (3) of sec-
tion 8104(a) of title 38, United States Code, is amended 
to read as follows: 
‘‘(3) For purposes of this subsection: 
‘‘(A) The term ‘major medical facility project’ 
means a project for the construction, alteration, or 
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acquisition of a medical facility involving a total ex-
penditure of more than $20,000,000, but such term 
does not include an acquisition by exchange, non-
recurring maintenance projects of the Department, 
or the construction, alteration, or acquisition of a 
shared Federal medical facility for which the De-
partment’s estimated share of the project costs does 
not exceed $20,000,000. 
‘‘(B) The term ‘major medical facility lease’ 
means a lease for space for use as a new medical fa-
cility at an average annual rent of more than 
$1,000,000.’’. 
Æ 
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