103D CONGRESS
1ST SESSION
H. R. 2034
AMENDMENTS
TO
SENATE AMENDMENTS
In the House of Representatives, U. S.,
August 6, 1993.
Resolved, That the House agree to the amendments of
the Senate to the bill (H.R. 2034) entitled ‘‘An Act to amend
title 38, United States Code, to revise and improve veterans’
health programs, and for other purposes’’, with the following
AMENDMENTS:
In lieu of the matter proposed to be inserted by the
amendment of the Senate to the text of the bill, insert:
SECTION. 1. AUTHORIZATION OF DEPARTMENT OF VETER-
ANS AFFAIRS CONSTRUCTION PROJECTS.
(a) AUTHORIZED PROJECTS.—The Secretary of Veter-
ans Affairs may carry out the major medical facility leases
for the Department of Veterans Affairs for which funds are
requested in the budget of the President for fiscal year 1994
and may carry out (or, in the case of the project specified
in paragraph (1), participate in) the following major medi-
cal facility projects in the amounts specified:
(1) Construction in accordance with an agree-
ment between the Secretary of the Air Force and the
Secretary of Veterans Affairs of a medical facility at
Elmendorf Air Force Base, Anchorage, Alaska, to be
shared by the Air Force and the Department of Veter-
ans Affairs, $11,500,000.
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(2) Construction of a psychiatric building at the
Department of Veterans Affairs Medical Center in
Lyons, New Jersey, $41,700,000.
(3) Modernization and seismic corrections at the
Department of Veterans Affairs Medical Center in
Memphis, Tennessee, $10,700,000.
(4) Construction of a replacement bed building
at the Department of Veterans Affairs Medical Center
in Muskogee, Oklahoma, $33,200,000.
(5) Construction of an outpatient care addition
and parking garage at the Department of Veterans
Affairs Medical Center in San Juan, Puerto Rico,
$46,000,000.
(6) Construction, or expansion and moderniza-
tion, of a 120-bed nursing home facility in the area
(referred to as the ‘‘Chesapeake network’’) served by
the Department of Veterans Affairs medical centers in
Baltimore, Maryland; Fort Howard, Maryland; Mar-
tinsburg, West Virginia; Perry Point, Maryland; and
Washington, District of Columbia, the site for which
shall be selected in accordance with subsection (b).
(b) SITE SELECTION.—(1) The Secretary, in selecting
a site for the project referred to in subsection (a)(6), shall
conduct a study to determine the most appropriate location
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for that facility. In conducting the study, the Secretary
shall determine—
(A) what the specific mission of each medical
center operated by the Secretary in the Chesapeake
network should be to achieve within that network—
(i) effective planning;
(ii) reduction in duplication of services and
programs in the same geographic area;
(iii) realignment of services among facilities
within each network;
(iv) improved means of resource distribu-
tion; and
(v) more efficient delivery of needed services;
(B) whether there is a need for expansion and
modernization of the nursing home care unit at the
medical center at Fort Howard, Maryland; and
(C) what effect the construction of nursing home
beds in Baltimore, Maryland, as proposed in the
President’s budget for the Department of Veterans Af-
fairs for fiscal year 1994, would have for the missions
of each of the other medical centers operated by the
Secretary in the Chesapeake network.
(2) Not later than 90 days after the date of the enact-
ment of this Act, the Secretary shall submit to the Commit-
tees on Veterans Affairs of the Senate and House a report
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on the study under paragraph (1). The Secretary shall in-
clude in the report a statement of each determination made
by the Secretary under that paragraph.
SEC. 2. AUTHORIZATION OF APPROPRIATIONS.
(a) IN GENERAL.—There is hereby authorized to be ap-
propriated to the Secretary of Veterans Affairs for fiscal
year 1994—
(1) $143,100,000 for the major medical facility
projects authorized in paragraphs (1) through (5) of
section 101(a) and such sums as may be necessary for
the project described in section 101(a)(6), but not to
exceed $14,500,000 in the case of construction of nurs-
ing home beds in Baltimore, Maryland, as proposed
in the President’s budget for the Department of Veter-
ans Affairs for fiscal year 1994; and
(2) $50,123,105 for the major medical facility
leases authorized in section 101(a).
(b) LIMITATION.—The projects authorized in section
101 may only be carried out using—
(1) funds appropriated for fiscal year 1994 pur-
suant to the authorization of appropriations in sub-
section (a);
(2) funds appropriated for Construction, Major
Projects for a fiscal year before fiscal year 1994 that
remain available for obligation; and
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(3) funds appropriated for Construction, Major
Projects for fiscal year 1994 for a category of activity
not specific to a project.
SEC. 3. INCREASE IN AMOUNT OF FACILITY PROJECT
THRESHOLD.
(a) Section 8104(a)(3)(A) of title 38, United States
Code, is amended by striking out ‘‘$2,000,000’’ and insert-
ing in lieu thereof ‘‘$3,000,000’’.
(b) Section 8109(i)(2) of such title is amended by strik-
ing out ‘‘$2,000,000’’ and inserting in lieu thereof
‘‘$3,000,000’’.
SEC. 4. INCREASED TERM OF LEASE AUTHORITY RELATING
TO PERSHING HALL, FRANCE.
Section 403(c)(1) of the Veterans’ Benefits Programs
Improvement Act of 1991 (36 U.S.C. 493) is amended by
striking out ‘‘35 years’’ and inserting in lieu thereof ‘‘99
years’’.
In lieu of the amendment of the Senate to the title
of the bill, amend the title so as to read: ‘‘An Act to au-
thorize major medical facility construction projects for
the Department of Veterans Affairs for fiscal year 1994,
and for other purposes.’’
Attest:
Clerk.