II 118th CONGRESS 2d Session S. 4176 IN THE SENATE OF THE UNITED STATES April 18, 2024 Mr. Tester (for himself, Mr. Moran , Mrs. Murray , Mr. Cornyn , Mr. Blumenthal , Mr. Murphy , Ms. Rosen , Ms. Cortez Masto , Mr. Wyden , Mr. Merkley , Mr. Padilla , and Ms. Butler ) introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs A BILL To authorize major medical facility projects for the Department of Veterans Affairs for fiscal year 2024, and for other purposes.

1. Short title This Act may be cited as the Fiscal Year 2024 Veterans Affairs Major Medical Facility Authorization Act . 2. Authorization of major medical facility projects of Department of Veterans Affairs for fiscal year 2024 (a) In general The Secretary of Veterans Affairs may carry out the following major medical facility projects in fiscal year 2024 at the locations specified and in an amount for each project not to exceed the amount specified for such location: (1) Construction of a new specialty care building 201, renovation of building 18, and expansion of parking facilities in American Lake, Washington, in an amount not to exceed $155,600,000. (2) Expansion of clinical space for mental health, expansion of parking facilities, and land acquisition in Dallas, Texas, in an amount not to exceed $528,400,000. (3) Construction of a new health care center and utility plant in El Paso, Texas, in an amount not to exceed $759,200,000. (4) Replacement of community living center and expansion of parking facilities in Perry Point, Maryland, in an amount not to exceed $274,310,000. (5) Seismic retrofit and renovation of buildings 100 and 101, roadway and site improvements, construction of a new specialty care facility, and demolition and expansion of parking facilities in Portland, Oregon, in an amount not to exceed $613,000,000. (6) Initiation of replacement of the medical center of the Sierra Nevada Health Care System of the Department of Veterans Affairs, including land acquisition and preliminary site work, in Reno, Nevada, in an amount not to exceed $223,800,000. (7) Construction of a new spinal cord injury building, partial renovation of building 1, parking facilities, central utility plant upgrades, and seismic retrofit of the existing spinal cord injury building 11 at the San Diego Health Care System of the Department in San Diego, California, in an amount not to exceed $311,700,000. (8) Construction of a new research facility, parking structure, and demolition in San Francisco, California, in an amount not to exceed $264,500,000. (9) Seismic corrections for building 1, construction of a new administrative building, and expansion of the outpatient clinic and parking structure in San Juan, Puerto Rico, in an amount not to exceed $370,370,000. (10) Phase 1 of the replacement of bed tower, expansion of clinical building, consolidation of administrative building and warehouse, water tower, and new utility plant and parking garages in St. Louis, Missouri, in an amount not to exceed $599,840,000. (11) Construction of a new surgical and clinical space tower, renovation of buildings 1 and 2, and demolition in West Haven, Connecticut, in an amount not to exceed $502,409,000. (b) Authorization of appropriations There is authorized to be appropriated to the Secretary of Veterans Affairs for fiscal year 2024 or the year in which funds are appropriated for the Construction, Major Projects account, $4,603,129,000 for the projects authorized in subsection (a).