II Calendar No. 24 118th CONGRESS 1st Session S. 30 IN THE SENATE OF THE UNITED STATES January 24 (legislative day, January 3), 2023 Mr. Tester (for himself and Mr. Moran ) introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs March 7, 2023 Reported by Mr. Tester , with an amendment Strike out all after the enacting clause and insert the part printed in italic A BILL To authorize major medical facility projects for the Department of Veterans Affairs for fiscal year 2023, and for other purposes.

1. Short title This Act may be cited as the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act . 2. Authorization of major medical facility projects of Department of Veterans Affairs for fiscal year 2023 (a) In general The Secretary of Veterans Affairs may carry out the following major medical facility projects in fiscal year 2023 at the locations specified and in an amount for each project not to exceed the amount specified for such location: (1) Construction of a community-based outpatient clinic and national cemetery in Alameda, California, in an amount not to exceed $395,000,000. (2) Construction of a community living center and renovation of domiciliary and outpatient facilities in Canandaigua, New York, in an amount not to exceed $506,400,000. (3) Construction of a new health care center in El Paso, Texas, in an amount not to exceed $700,000,000. (4) Seismic upgrade and specialty care improvements in Fort Harrison, Montana, in an amount not to exceed $88,600,000. (5) Realignment and closure of the Livermore campus in Livermore, California, in an amount not to exceed $490,000,000. (6) Construction of a new medical facility in Louisville, Kentucky, in an amount not to exceed $1,013,000,000. (7) Seismic retrofit and renovation of buildings 100 and 101 in Portland, Oregon, in an amount not to exceed $523,000,000. (8) Replacement of the VA Sierra Nevada Health Care System Medical Center in Reno, Nevada, in an amount not to exceed $223,800,000. (b) Authorization of appropriations There is authorized to be appropriated to the Secretary of Veterans Affairs for fiscal year 2023 or the year in which funds are appropriated for the Construction, Major Projects account, $3,939,800,000 for the projects authorized in subsection (a). 1. Short title This Act may be cited as the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act . 2. Authorization of major medical facility projects of Department of Veterans Affairs for fiscal year 2023 (a) In general The Secretary of Veterans Affairs may carry out the following major medical facility projects in fiscal year 2023 at the locations specified and in an amount for each project not to exceed the amount specified for such location: (1) Construction of a community-based outpatient clinic and national cemetery in Alameda, California, in an amount not to exceed $395,000,000. (2) Construction of a community living center and renovation of domiciliary and outpatient facilities in Canandaigua, New York, in an amount not to exceed $506,400,000. (3) Construction of a new health care center in El Paso, Texas, in an amount not to exceed $700,000,000. (4) Seismic upgrade and specialty care improvements in Fort Harrison, Montana, in an amount not to exceed $88,600,000. (5) Realignment and closure of the Livermore campus in Livermore, California, in an amount not to exceed $490,000,000. (6) Construction of a new medical facility in Louisville, Kentucky, in an amount not to exceed $1,013,000,000. (7) Seismic retrofit and renovation, roadway and site improvements, construction of a new specialty care facility, demolition, and expansion of parking facilities in Portland, Oregon, in an amount not to exceed $523,000,000. (b) Authorization of appropriations There is authorized to be appropriated to the Secretary of Veterans Affairs for fiscal year 2023 or the year in which funds are appropriated for the Construction, Major Projects account, $3,716,000,000 for the projects authorized in subsection (a).

March 7, 2023 Reported with an amendment