Title: To designate certain amounts authorized to be appropriated for the provision by the Secretary of Veterans Affairs of hospital care and medical services in non-Department of Veterans Affairs facilities pursuant to contracts as changes in concepts and definitions for certain budgetary purposes, and for other purposes.
Policy area: Armed Forces and National Security

Summary:
This bill modifies the rules for estimating the budgetary impact of funds authorized to be appropriated to the Department of Veterans Affairs for contracts for hospital care and medical services in non-department facilities. The bill also requires related adjustments to discretionary spending limits.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5805 Introduced in House (IH)]

<DOC>






115th CONGRESS
  2d Session
                                H. R. 5805

  To designate certain amounts authorized to be appropriated for the 
  provision by the Secretary of Veterans Affairs of hospital care and 
   medical services in non-Department of Veterans Affairs facilities 
   pursuant to contracts as changes in concepts and definitions for 
          certain budgetary purposes, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 15, 2018

   Mr. Lamb introduced the following bill; which was referred to the 
Committee on the Budget, and in addition to the Committee on Veterans' 
Affairs, for a period to be subsequently determined by the Speaker, in 
   each case for consideration of such provisions as fall within the 
                jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
  To designate certain amounts authorized to be appropriated for the 
  provision by the Secretary of Veterans Affairs of hospital care and 
   medical services in non-Department of Veterans Affairs facilities 
   pursuant to contracts as changes in concepts and definitions for 
          certain budgetary purposes, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. DESIGNATION OF CERTAIN AMOUNTS AUTHORIZED TO BE APPROPRIATED 
              FOR THE DEPARTMENT OF VETERANS AFFAIRS AS CHANGES IN 
              CONCEPTS AND DEFINITIONS.

    (a) In General.--Amounts authorized to be appropriated to carry out 
section 1703 of title 38, United States Code, shall be considered 
changes in concepts and definitions pursuant to section 251(b)(1) of 
the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 
901(b)(1)). These changes shall be reflected only in the budget year in 
each sequestration preview report required by section 254(c) of such 
Act. For each budget year, the baseline level of new budget authority 
using up-to-date concepts and definitions shall be equal to the 
discretionary appropriations that are specified for those 
authorizations of appropriations in the budget that the President 
submits under section 1105 of title 31, United States Code, including 
those already provided for that fiscal year as advance discretionary 
new budget authority.
    (b) Adjustment of Fiscal Year 2019 Discretionary Spending Limits.--
Within 15 days of the publication of a final rule in the Federal 
Register promulgating the regulations pursuant to section 101(c) of 
this Act, the Office of Management and Budget shall further adjust the 
fiscal year 2019 discretionary spending limits to reflect the impact of 
those regulations, as estimated by the Department of Veterans Affairs, 
on the discretionary appropriations that are specified for those 
authorizations of appropriations in the Budget that the President 
submitted for that fiscal year under section 1105 of title 31 United 
States Code, and shall provide written notification to the Congress of 
such further adjustments.
    (c) Report to Congress.--Not later than 10 days after the date each 
year on which the President submits the budget request under section 
1105 of title 31 United States Code, and also 10 days after the 
publication of the final rule previously referenced in this section, 
the Secretary of Veterans Affairs shall submit to the Committees on 
Appropriations of both Houses of Congress a report detailing the 
estimates of the resources required by the Department for those 
authorizations of appropriations, as forecast using the Enrollee Health 
Care Projections Model, or other methodologies used by the Department.
    (d) Adjustment of Future Discretionary Spending Limits.--For each 
fiscal year, the Office of Management and Budget shall further adjust 
the discretionary spending limits in section 251(c) of the Balanced 
Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 901(c)) to 
reflect the transmittal of any formal and informal supplementals and 
amendments, as those terms are defined in section 110 of Office of 
Management and Budget Circular A-11, for those authorizations of 
appropriations and shall provide written notification to the Congress 
of such further adjustments within 15 days of such transmittal.
                                 <all>