[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H. Res. 804 Engrossed in House (EH)]

H. Res. 804

                In the House of Representatives, U. S.,

                                                       October 8, 2009.
    Resolved, That upon the adoption of this resolution the bill (H.R. 1016) 
entitled ``An Act to amend title 38, United States Code, to provide advance 
appropriations authority for certain medical care accounts of the Department of 
Veterans Affairs, and for other purposes'', with the Senate amendment thereto, 
shall be considered to have been taken from the Speaker's table to the end that 
the Senate amendment thereto be, and the same is hereby, agreed to with the 
following amendment:
            Strike all after the enacting clause and insert the following:

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Veterans Health Care Budget Reform and 
Transparency Act of 2009''.

SEC. 2. PRESIDENT'S BUDGET SUBMISSION.

    Section 1105(a) of title 31, United States Code, is amended by adding at the 
end the following new paragraph:
            ``(36) information on estimates of appropriations for the fiscal 
        year following the fiscal year for which the budget is submitted for the 
        following medical care accounts of the Veterans Health Administration, 
        Department of Veterans Affairs account:
                    ``(A) Medical Services.
                    ``(B) Medical Support and Compliance.
                    ``(C) Medical Facilities.''.

SEC. 3. ADVANCE APPROPRIATIONS FOR CERTAIN MEDICAL CARE ACCOUNTS OF THE 
              DEPARTMENT OF VETERANS AFFAIRS.

    (a) In General.--Chapter 1 of title 38, United States Code, is amended by 
inserting after section 116 the following new section:
``Sec. 117. Advance appropriations for certain medical care accounts
    ``(a) In General.--For each fiscal year, beginning with fiscal year 2011, 
discretionary new budget authority provided in an appropriations Act for the 
medical care accounts of the Department shall--
            ``(1) be made available for that fiscal year; and
            ``(2) include, for each such account, advance discretionary new 
        budget authority that first becomes available for the first fiscal year 
        after the budget year.
    ``(b) Estimates Required.--The Secretary shall include in documents 
submitted to Congress in support of the President's budget submitted pursuant to 
section 1105 of title 31, United States Code, detailed estimates of the funds 
necessary for the medical care accounts of the Department for the fiscal year 
following the fiscal year for which the budget is submitted.
    ``(c) Medical Care Accounts.--For purposes of this section, the term 
`medical care accounts of the Department' means the following medical care 
accounts of the Veterans Health Administration, Department of Veterans Affairs 
account:
            ``(1) Medical Services.
            ``(2) Medical Support and Compliance.
            ``(3) Medical Facilities.
    ``(d) Annual Report.--Not later than July 31 of each year, the Secretary 
shall submit to Congress an annual report on the sufficiency of the Department's 
resources for the next fiscal year beginning after the date of the submittal of 
the report for the provision of medical care. Such report shall also include 
estimates of the workload and demand data for that fiscal year.''.
    (b) Clerical Amendment.--The table of sections at the beginning of such 
chapter is amended by inserting after the item relating to section 113 the 
following new line:

``117. Advance appropriations for certain medical care accounts.''.

SEC. 4. COMPTROLLER GENERAL REVIEW OF THE ACCURACY OF VA MEDICAL CARE BUDGET 
              SUBMISSION IN RELATION TO BASELINE HEALTH CARE MODEL PROJECTION.

    (a) Review of Accuracy of Medical Care Budget Submission.--The Comptroller 
General shall conduct a review of each budget of the President for a fiscal year 
that is submitted to Congress pursuant to section 1105(a) of title 31 in order 
to assess whether or not the relevant components of the amounts requested in 
such budget for such fiscal year for the medical care accounts of the Department 
of Veterans Affairs specified in section 117(c) of title 38, United States Code, 
as added by section 3, are consistent with estimates of the resources required 
by the Department for the provision of medical care and services in such fiscal 
year, as forecast using the Enrollee Health Care Projection Model, or other 
methodologies used by the Department.
    (b) Reports.--
            (1) In general.--Not later than 120 days after the date of each year 
        in 2011, 2012, and 2013, on which the President submits the budget 
        request for the next fiscal year under section 1105 of title 31, United 
        States Code, the Comptroller General shall submit to the Committees on 
        Veterans' Affairs, Appropriations, and the Budget of the Senate and the 
        Committees on Veterans' Affairs, Appropriations, and the Budget of the 
        House of Representatives and to the Secretary a report on the review 
        conducted under subsection (a).
            (2) Elements.--Each report under this paragraph shall include, for 
        the fiscal year beginning in the year in which such report is submitted, 
        the following:
                    (A) An assessment of the review conducted under subsection 
                (a).
                    (B) The basis for such assessment.
                    (C) Such additional information as the Comptroller General 
                determines appropriate.
            (3) Availability to the public.--Each report submitted under this 
        subsection shall also be made available to the public.
            Attest:

                                                                          Clerk.