Short title

This Act may be cited as the

Department of Veterans Affairs Medical Facility Authorization and Lease Act of 2008

Authorization for fiscal year 2009 major medical facility projects

The Secretary of Veterans Affairs may carry out the following major medical facility projects in fiscal year 2009 in the amount specified for each project: (1)Seismic corrections, Building 2, at the Department of Veterans Affairs Palo Alto Health care System, Palo Alto Division Palo Alto, California, in an amount not to exceed $54,000,000. (2)Construction of a polytrauma healthcare and rehabilitation center at the Department of Veterans Affairs Medical Center, San Antonio, Texas, in an amount not to exceed $66,000,000. (3)Seismic corrections, Building 1, at the Department of Veterans Affairs Medical Center, San Juan, Puerto Rico, in an amount not to exceed $225,900,000.

Modification of Authorization Amounts for Certain Major Medical Facility Construction Projects Previously Authorized

(a)

Modification of major medical facility authorizations

Section 801(a) of the Veterans Benefits, Health Care, and Information Technology Act of 2006 (Public Law 109–461) is amended— (1)in paragraph (1)— (A)by striking $300,000,000 and inserting $625,000,000; and (B)by striking the second sentence; and (2)in paragraph (3), by striking $98,000,000 and inserting $769,200,000. (b)

Modification of authorization for certain major medical facility construction projects previously authorized in connection with capital asset realignment initiative

(1)

Correction of patient privacy deficiencies at the Department of Veterans Affairs Medical Center, Gainesville, Florida

Paragraph (5) of section 802 of the Veterans Benefits, Health Care, and Information Technology Act of 2006 (Public Law 109–461) is amended by striking $85,200,000 and inserting $136,700,000. (2)

Construction of a new medical center facility at the Department of Veterans Affairs medical center, Las Vegas, Nevada

Paragraph (7) of such section is amended by striking $406,000,000 and inserting $600,400,000. (3)

Construction of a new outpatient clinic, Lee County, Florida

Paragraph (8) of such section is amended— (A)by striking ambulatory and all that follows through purchase, and inserting outpatient clinic in; and (B)by striking $65,100,000 and inserting $131,800,000. (4)

Construction of a new medical center facility, Orlando, Florida

Paragraph (11) of such section is amended by striking $377,700,000 and inserting $656,800,000. (5)

Consolidation of campuses at the University Drive and H. John Heinz III Divisions, Pittsburgh, Pennsylvania

Paragraph (12) of such section is amended by striking $189,205,000 and inserting $295,600,000.

Authorization of Fiscal Year 2009 Major Medical Facility Leases

The Secretary of Veterans Affairs may carry out the following major medical facility leases in fiscal year 2009 at the locations specified, and in an amount for each lease not to exceed the amount shown for such location: (1)For an outpatient clinic, Brandon, Florida, $4,326,000. (2)For an outpatient clinic, Colorado Springs, Colorado, $3,995,000. (3)For an outpatient clinic, Eugene, Oregon, $5,826,000. (4)For the expansion of an outpatient clinic, Green Bay, Wisconsin, $5,891,000. (5)For an outpatient clinic, Greenville, South Carolina, $3,731,000. (6)For an outpatient clinic, Mansfield, Ohio, $2,212,000. (7)For an outpatient clinic, Mayaguez, Puerto Rico, $6,276,000. (8)For an outpatient clinic, Mesa, Arizona, $5,106,000. (9)For interim research space, Palo Alto, California, $8,636,000. (10)For the expansion of an outpatient clinic, Savannah, Georgia, $3,168,000. (11)For an outpatient clinic, Sun City, Arizona, $2,295,000. (12)For a primary care annex, Tampa, Florida, $8,652,000.

Authorization of construction of major medical facility, Okaloosa County, Florida

(a)

Authorization

The Secretary of Veterans Affairs shall carry out a major medical facility project to construct a new medical facility of the Department of Veterans Affairs in Okaloosa County, Florida, in an amount not to exceed $54,475,000. (b)

Facility location

The facility authorized to be constructed pursuant to subsection (a) shall be built in accordance with option 2 of the report to Congress dated June 26, 2007, required to be submitted under section 823 of the Veterans Benefits, Health Care, and Information Technology Act of 2006 (Public Law 109–461; 120 Stat. 3449). (c)

Plan for sharing of inpatient and outpatient services

Not later than 180 days after the date of the enactment of the Act, the Secretary of Veterans Affairs shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives a plan that sets forth terms and conditions for the sharing of inpatient and outpatient services at the medical facility authorized to be constructed pursuant to subsection (a).

Authorization of Appropriations

(a)

Authorization of appropriations for fiscal year 2009 major medical facility projects

There is authorized to be appropriated for the Secretary of Veterans Affairs for fiscal year 2009 for the Construction, Major Projects, account— (1)$345,900,000 for the projects authorized in section 2; (2)$1,694,295,000 for the increased amounts authorized for projects whose authorizations are modified by section 3; and (3)$54,475,000 for the project authorized in section 5. (b)

Authorization For Appropriations For Fiscal Year 2009 Major Medical Facility Leases

There is authorized to be appropriated for the Secretary of Veterans Affairs for fiscal year 2009 for the Medical Facilities account, $60,114,000, for the leases authorized in section 4.

Facilities administration

Not later than 60 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives a report updating the progress of the Secretary in complying with section 312A of title 38, United States Code.

Annual report on outpatient clinics

(a)

Annual report required

Subchapter I of chapter 81 of title 38, United States Code, is amended by adding at the end the following new section:

8119.

Annual report on outpatient clinics

(a)

Annual report required

The Secretary of Veterans Affairs shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives an annual report on community-based outpatient clinics and other outpatient clinics. The report shall be submitted each year not later than the date on which the budget for the next fiscal year is submitted to the Congress under section 1105 of title 31. (b)

Contents of report

Each report required under subsection (a) shall include the following: (1)A list of each community-based outpatient clinic and other outpatient clinic of the Department, and for each such clinic, the type of clinic, location, size, number of health professionals employed by the clinic, workload, whether the clinic is leased or constructed and operated by the Secretary, and the annual cost of operating the clinic. (2)A list of community-based outpatient clinics and other outpatient clinics that the Secretary opened during the fiscal year preceding the fiscal year during which the report is submitted and a list of clinics the Secretary proposes opening during the fiscal year during which the report is submitted and the subsequent fiscal year, together with the cost of activating each such clinic and the information required to be provided under paragraph (1) for each such clinic and proposed clinic. (3)A list of proposed community-based outpatient clinics and other outpatient clinics that are, as of the date of the submission of the report, under review by the National Review Panel and a list of possible locations for future clinics identified in the Department’s strategic planning process, including any identified locations in rural and underserved areas. (4)A prioritized list of sites of care identified by the Secretary that the Secretary could establish without carrying out construction or entering into a lease, including— (A)any such sites that could be expanded by hiring additional staff or allocating staff to Federal facilities or facilities operating in collaboration with the Federal Government; and (B)any sites established, or able to be established, under sections 8111 and 8153 of this title.

(b)

Deadline for first annual report

The Secretary of Veterans Affairs shall submit the first report required under section 8119(a) of title 38, United States Code, as added by subsection (a), by not later than 90 days after the date of the enactment of this Act. (c)

Clerical amendment

The table of sections at the beginning of such chapter is amended by adding at the end of the items relating to subchapter I the following new item:

8119. Annual report on outpatient clinics.

Technical correction

Section 807(e) of the Veterans Benefits, Health Care, and Information Technology Act of 2006 (Public Law 109–461) is amended by striking Medical Care each place it appears and inserting “Medical Facilities”.