[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 3479 Enrolled Bill (ENR)]

        S.3479

                     One Hundred Fifteenth Congress

                                 of the

                        United States of America


                          AT THE SECOND SESSION

         Begun and held at the City of Washington on Wednesday,
           the third day of January, two thousand and eighteen


                                 An Act


 
   To amend title 38, United States Code, to extend certain expiring 
provisions of law administered by the Secretary of Veterans Affairs, 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. SHORT TITLE; TABLE OF CONTENTS.
    (a) Short Title.--This Act may be cited as the ``Department of 
Veterans Affairs Expiring Authorities Act of 2018''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. References to title 38, United States Code.

                    TITLE I--EXTENSIONS OF AUTHORITY

                     Subtitle A--Health Care Matters

Sec. 101. Extension of authority for collection of copayments for 
          hospital care and nursing home care.
Sec. 102. Extension of requirement to provide nursing home care to 
          certain veterans with service-connected disabilities.
Sec. 103. Removal of authorization of appropriations to provide 
          assistance and support services for caregivers.
Sec. 104. Making permanent authority for recovery from third parties of 
          cost of care and services furnished to veterans with health-
          plan contracts for non-service-connected disability.
Sec. 105. Extension of authority for transfer of real property.
Sec. 106. Extension of authority for pilot program on assistance for 
          child care for certain veterans receiving health care.
Sec. 107. Extension of authority to make grants to veterans service 
          organizations for transportation of highly rural veterans.
Sec. 108. Extension of authority for pilot program on counseling in 
          retreat settings for women veterans newly separated from 
          service.
Sec. 109. Extension of temporary expansion of payments and allowances 
          for beneficiary travel in connection with veterans receiving 
          care from vet centers.

                      Subtitle B--Benefits Matters

Sec. 121. Making permanent authority for temporary expansion of 
          eligibility for specially adapted housing assistance for 
          certain veterans with disabilities causing difficulty 
          ambulating.
Sec. 122. Extension of authority for specially adapted housing assistive 
          technology grant program.
Sec. 123. Making permanent authority to guarantee payment of principal 
          and interest on certificates or other securities.
Sec. 124. Making permanent authority for calculating net value of real 
          property at time of foreclosure.
Sec. 125. Extension of authority relating to vendee loans.
Sec. 126. Making permanent authority to provide rehabilitation and 
          vocational benefits to members of the Armed Forces with severe 
          injuries or illnesses.
Sec. 127. Extension of authority to enter into agreement with the 
          National Academy of Sciences regarding associations between 
          diseases and exposure to dioxin and other chemical compounds 
          in herbicides.

                  Subtitle C--Homeless Veterans Matters

Sec. 141. Extension of authority for homeless veterans reintegration 
          programs.
Sec. 142. Extension of authority for homeless women veterans and 
          homeless veterans with children reintegration program.
Sec. 143. Extension of authority for referral and counseling services 
          for veterans at risk of homelessness transitioning from 
          certain institutions.
Sec. 144. Extension of authority for treatment and rehabilitation 
          services for seriously mentally ill and homeless veterans.
Sec. 145. Extension of authority for financial assistance for supportive 
          services for very low-income veteran families in permanent 
          housing.
Sec. 146. Extension of authority for grant program for homeless veterans 
          with special needs.
Sec. 147. Extension of authority for the Advisory Committee on Homeless 
          Veterans.

                        Subtitle D--Other Matters

Sec. 161. Extension of authority for transportation of individuals to 
          and from Department of Veterans Affairs facilities.
Sec. 162. Extension of authority for operation of the Department of 
          Veterans Affairs regional office in Manila, the Republic of 
          the Philippines.
Sec. 163. Extension of authority for monthly assistance allowances under 
          the Office of National Veterans Sports Programs and Special 
          Events.
Sec. 164. Extension of requirement to provide reports to Congress 
          regarding equitable relief in the case of administrative 
          error.
Sec. 165. Extension of authorization of appropriations for adaptive 
          sports programs for disabled veterans and members of the armed 
          forces.
Sec. 166. Extension of authority for Advisory Committee on Minority 
          Veterans.

TITLE II--IMPROVEMENT OF HEALTH CARE FROM DEPARTMENT OF VETERANS AFFAIRS

Sec. 201. Treatment of modifications of contracts under Veterans 
          Community Care program.
Sec. 202. Modification of provision requiring recognition and 
          acceptance, on an interim basis, of credentials and 
          qualifications of health care providers under community care 
          program.
Sec. 203. Expansion of coverage of Veterans Care Agreements.
Sec. 204. Modification of authority for deduction of overpayments for 
          health care.
Sec. 205. Modification of eligibility of former members of the Armed 
          Forces for mental and behavioral health care from the 
          Department of Veterans Affairs.
Sec. 206. Access of health care providers of the Department of Veterans 
          Affairs to drug monitoring programs that do not participate in 
          the national network.
Sec. 207. Elimination of report on activities and proposals involving 
          contracting for performance by contractor personnel of work 
          previously performed by Department employees.
Sec. 208. Additional report on increased availability of opioid receptor 
          antagonists.
Sec. 209. Expansion of health care assessment to include all territories 
          of the United States and the assessment of extended care 
          services.
Sec. 210. Authorization of major medical facility project at Department 
          of Veterans Affairs West Los Angeles Medical Center.
Sec. 211. Technical amendments to VA MISSION Act of 2018 and amendments 
          made by that Act.

                        TITLE III--OTHER MATTERS

Sec. 301. Approval of courses of education provided by public 
          institutions of higher education for purposes of training and 
          rehabilitation for veterans with service-connected 
          disabilities conditional on in-State tuition rate for 
          veterans.
Sec. 302. Corrective action for certain Department of Veterans Affairs 
          employees for conflicts of interest with educational 
          institutions operated for profit.
Sec. 303. Modification of compliance requirements for particular leases 
          relating to Department of Veterans Affairs West Los Angeles 
          Campus.
SEC. 2. REFERENCES TO TITLE 38, UNITED STATES CODE.
    Except as otherwise expressly provided, whenever in this Act an 
amendment or repeal is expressed in terms of an amendment to, or repeal 
of, a section or other provision, the reference shall be considered to 
be made to a section or other provision of title 38, United States 
Code.

                    TITLE I--EXTENSIONS OF AUTHORITY
                    Subtitle A--Health Care Matters

    SEC. 101. EXTENSION OF AUTHORITY FOR COLLECTION OF COPAYMENTS FOR 
      HOSPITAL CARE AND NURSING HOME CARE.
    Section 1710(f)(2)(B) is amended by striking ``September 30, 2019'' 
and inserting ``September 30, 2020''.
    SEC. 102. EXTENSION OF REQUIREMENT TO PROVIDE NURSING HOME CARE TO 
      CERTAIN VETERANS WITH SERVICE-CONNECTED DISABILITIES.
    Section 1710A(d) is amended by striking ``September 30, 2019'' and 
inserting ``September 30, 2020''.
    SEC. 103. REMOVAL OF AUTHORIZATION OF APPROPRIATIONS TO PROVIDE 
      ASSISTANCE AND SUPPORT SERVICES FOR CAREGIVERS.
    Section 1720G is amended by striking subsection (e).
    SEC. 104. MAKING PERMANENT AUTHORITY FOR RECOVERY FROM THIRD 
      PARTIES OF COST OF CARE AND SERVICES FURNISHED TO VETERANS WITH 
      HEALTH-PLAN CONTRACTS FOR NON-SERVICE-CONNECTED DISABILITY.
    Section 1729(a)(2)(E) is amended, in the matter preceding clause 
(i), by striking ``before September 30, 2019,''.
    SEC. 105. EXTENSION OF AUTHORITY FOR TRANSFER OF REAL PROPERTY.
    Section 8118(a)(5) is amended by striking ``December 31, 2018'' and 
inserting ``September 30, 2020''.
    SEC. 106. EXTENSION OF AUTHORITY FOR PILOT PROGRAM ON ASSISTANCE 
      FOR CHILD CARE FOR CERTAIN VETERANS RECEIVING HEALTH CARE.
    (a) Extension.--Subsection (e) of section 205 of the Caregivers and 
Veterans Omnibus Health Services Act of 2010 (Public Law 111-163; 124 
Stat. 1144; 38 U.S.C. 1710 note) is amended by striking ``September 30, 
2019'' and inserting ``September 30, 2020''.
    (b) Authorization of Appropriations.--Subsection (h) of such 
section is amended by striking ``and 2019'' and inserting ``2019, and 
2020''.
    SEC. 107. EXTENSION OF AUTHORITY TO MAKE GRANTS TO VETERANS SERVICE 
      ORGANIZATIONS FOR TRANSPORTATION OF HIGHLY RURAL VETERANS.
    Section 307(d) of the Caregivers and Veterans Omnibus Health 
Services Act of 2010 (Public Law 111-163; 124 Stat. 1154; 38 U.S.C. 
1710 note) is amended by striking ``2019'' and inserting ``2020''.
    SEC. 108. EXTENSION OF AUTHORITY FOR PILOT PROGRAM ON COUNSELING IN 
      RETREAT SETTINGS FOR WOMEN VETERANS NEWLY SEPARATED FROM SERVICE.
    (a) Extension.--Subsection (d) of section 203 of the Caregivers and 
Veterans Omnibus Health Services Act of 2010 (Public Law 111-163; 124 
Stat. 1143; 38 U.S.C. 1712A note) is amended by striking ``September 
30, 2019'' and inserting ``September 30, 2020''.
    (b) Authorization of Appropriations.--Subsection (f) of such 
section is amended by striking ``and 2019'' and inserting ``2019, and 
2020''.
    SEC. 109. EXTENSION OF TEMPORARY EXPANSION OF PAYMENTS AND 
      ALLOWANCES FOR BENEFICIARY TRAVEL IN CONNECTION WITH VETERANS 
      RECEIVING CARE FROM VET CENTERS.
    Section 104(a) of the Honoring America's Veterans and Caring for 
Camp Lejeune Families Act of 2012 (Public Law 112-154; 126 Stat. 1169), 
as amended by section 109(a) of the Department of Veterans Affairs 
Expiring Authorities Act of 2017 (Public Law 115-62; 131 Stat. 1162), 
is amended by striking ``September 30, 2018'' and inserting ``September 
30, 2019''.

                      Subtitle B--Benefits Matters

    SEC. 121. MAKING PERMANENT AUTHORITY FOR TEMPORARY EXPANSION OF 
      ELIGIBILITY FOR SPECIALLY ADAPTED HOUSING ASSISTANCE FOR CERTAIN 
      VETERANS WITH DISABILITIES CAUSING DIFFICULTY AMBULATING.
    Section 2101(a)(4) is amended by striking ``(A) Except'' and all 
that follows through ``(B) In each of fiscal years 2014 through 2018, 
the Secretary'' and inserting ``In any fiscal year, the Secretary''.
    SEC. 122. EXTENSION OF AUTHORITY FOR SPECIALLY ADAPTED HOUSING 
      ASSISTIVE TECHNOLOGY GRANT PROGRAM.
    Section 2108(g) is amended by striking ``September 30, 2018'' and 
inserting ``September 30, 2020''.
    SEC. 123. MAKING PERMANENT AUTHORITY TO GUARANTEE PAYMENT OF 
      PRINCIPAL AND INTEREST ON CERTIFICATES OR OTHER SECURITIES.
    Section 3720(h) is amended--
        (1) by striking paragraph (2); and
        (2) by striking ``(1)''.
    SEC. 124. MAKING PERMANENT AUTHORITY FOR CALCULATING NET VALUE OF 
      REAL PROPERTY AT TIME OF FORECLOSURE.
    Section 3732(c) is amended by striking paragraph (11).
    SEC. 125. EXTENSION OF AUTHORITY RELATING TO VENDEE LOANS.
    Section 3733(a)(7) is amended--
        (1) in the matter preceding subparagraph (A), by striking 
    ``September 30, 2018'' and inserting ``September 30, 2019''; and
        (2) in subparagraph (C), by striking ``September 30, 2018,'' 
    and inserting ``September 30, 2019,''.
    SEC. 126. MAKING PERMANENT AUTHORITY TO PROVIDE REHABILITATION AND 
      VOCATIONAL BENEFITS TO MEMBERS OF THE ARMED FORCES WITH SEVERE 
      INJURIES OR ILLNESSES.
    Section 1631(b) of the Wounded Warrior Act (title XVI of Public Law 
110-181; 10 U.S.C. 1071 note) is amended--
        (1) by striking paragraph (2); and
        (2) by striking ``(1) in general.--''.
    SEC. 127. EXTENSION OF AUTHORITY TO ENTER INTO AGREEMENT WITH THE 
      NATIONAL ACADEMY OF SCIENCES REGARDING ASSOCIATIONS BETWEEN 
      DISEASES AND EXPOSURE TO DIOXIN AND OTHER CHEMICAL COMPOUNDS IN 
      HERBICIDES.
    Section 3(i) of the Agent Orange Act of 1991 (Public Law 102-4; 38 
U.S.C. 1116 note) is amended by striking ``September 30, 2018'' and 
inserting ``September 30, 2020''.

                 Subtitle C--Homeless Veterans Matters

    SEC. 141. EXTENSION OF AUTHORITY FOR HOMELESS VETERANS 
      REINTEGRATION PROGRAMS.
    Section 2021(e)(1)(F) is amended by striking ``2018'' and inserting 
``2020''.
    SEC. 142. EXTENSION OF AUTHORITY FOR HOMELESS WOMEN VETERANS AND 
      HOMELESS VETERANS WITH CHILDREN REINTEGRATION PROGRAM.
    Section 2021A(f)(1) is amended by striking ``2018'' and inserting 
``2020''.
    SEC. 143. EXTENSION OF AUTHORITY FOR REFERRAL AND COUNSELING 
      SERVICES FOR VETERANS AT RISK OF HOMELESSNESS TRANSITIONING FROM 
      CERTAIN INSTITUTIONS.
    Section 2023(d) is amended by striking ``September 30, 2018'' and 
inserting ``September 30, 2020''.
    SEC. 144. EXTENSION OF AUTHORITY FOR TREATMENT AND REHABILITATION 
      SERVICES FOR SERIOUSLY MENTALLY ILL AND HOMELESS VETERANS.
    (a) General Treatment.--Section 2031(b) is amended by striking 
``September 30, 2019'' and inserting ``September 30, 2020''.
    (b) Additional Services at Certain Locations.--Section 2033(d) is 
amended by striking ``September 30, 2019'' and inserting ``September 
30, 2020''.
    SEC. 145. EXTENSION OF AUTHORITY FOR FINANCIAL ASSISTANCE FOR 
      SUPPORTIVE SERVICES FOR VERY LOW-INCOME VETERAN FAMILIES IN 
      PERMANENT HOUSING.
    Section 2044(e)(1) is amended by striking subparagraph (F) and 
inserting the following:
        ``(F) $340,000,000 for fiscal year 2018.
        ``(G) $380,000,000 for fiscal year 2019.''.
    SEC. 146. EXTENSION OF AUTHORITY FOR GRANT PROGRAM FOR HOMELESS 
      VETERANS WITH SPECIAL NEEDS.
    Section 2061(d)(1) is amended by striking ``2019'' and inserting 
``2020''.
    SEC. 147. EXTENSION OF AUTHORITY FOR THE ADVISORY COMMITTEE ON 
      HOMELESS VETERANS.
    Section 2066(d) is amended by striking ``September 30, 2018'' and 
inserting ``September 30, 2022''.

                       Subtitle D--Other Matters

    SEC. 161. EXTENSION OF AUTHORITY FOR TRANSPORTATION OF INDIVIDUALS 
      TO AND FROM DEPARTMENT OF VETERANS AFFAIRS FACILITIES.
    Section 111A(a)(2) is amended by striking ``September 30, 2019'' 
and inserting ``September 30, 2020''.
    SEC. 162. EXTENSION OF AUTHORITY FOR OPERATION OF THE DEPARTMENT OF 
      VETERANS AFFAIRS REGIONAL OFFICE IN MANILA, THE REPUBLIC OF THE 
      PHILIPPINES.
    Section 315(b) is amended by striking ``September 30, 2018'' and 
inserting ``September 30, 2019''.
    SEC. 163. EXTENSION OF AUTHORITY FOR MONTHLY ASSISTANCE ALLOWANCES 
      UNDER THE OFFICE OF NATIONAL VETERANS SPORTS PROGRAMS AND SPECIAL 
      EVENTS.
    Section 322(d)(4) is amended by striking ``2019'' and inserting 
``2020''.
    SEC. 164. EXTENSION OF REQUIREMENT TO PROVIDE REPORTS TO CONGRESS 
      REGARDING EQUITABLE RELIEF IN THE CASE OF ADMINISTRATIVE ERROR.
    Section 503(c) is amended by striking ``December 31, 2018'' and 
inserting ``December 31, 2020''.
    SEC. 165. EXTENSION OF AUTHORIZATION OF APPROPRIATIONS FOR ADAPTIVE 
      SPORTS PROGRAMS FOR DISABLED VETERANS AND MEMBERS OF THE ARMED 
      FORCES.
    Section 521A is amended--
        (1) in subsection (g)(1), by striking ``2019'' and inserting 
    ``2020''; and
        (2) in subsection (l), by striking ``2019'' and inserting 
    ``2020''.
    SEC. 166. EXTENSION OF AUTHORITY FOR ADVISORY COMMITTEE ON MINORITY 
      VETERANS.
    (a) Extension of Authority.--Subsection (e) of section 544 is 
amended by striking ``September 30, 2018'' and inserting ``September 
30, 2022''.
    (b) Modification of Reporting Requirement.--Subsection (c)(1) of 
such section is amended, in the matter preceding subparagraph (A), by 
striking ``each year'' and inserting ``every other year''.

   TITLE II--IMPROVEMENT OF HEALTH CARE FROM DEPARTMENT OF VETERANS 
                                AFFAIRS

    SEC. 201. TREATMENT OF MODIFICATIONS OF CONTRACTS UNDER VETERANS 
      COMMUNITY CARE PROGRAM.
    (a) In General.--Section 1703(h)(1) is amended--
        (1) by striking ``The Secretary shall'' and inserting ``(A) The 
    Secretary shall''; and
        (2) by adding at the end the following new subparagraph:
    ``(B) For purposes of subparagraph (A), the requirement to enter 
into consolidated, competitively bid contracts shall not restrict the 
authority of the Secretary under other provisions of law when modifying 
such a contract after entering into the contract.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
take effect on the effective date specified in section 101(b) of the 
John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA 
Maintaining Internal Systems and Strengthening Integrated Outside 
Networks Act of 2018 (Public Law 115-182).
    SEC. 202. MODIFICATION OF PROVISION REQUIRING RECOGNITION AND 
      ACCEPTANCE, ON AN INTERIM BASIS, OF CREDENTIALS AND 
      QUALIFICATIONS OF HEALTH CARE PROVIDERS UNDER COMMUNITY CARE 
      PROGRAM.
    Section 1703(h)(5)(A) is amended by striking ``the date of the 
enactment'' and inserting ``the effective date specified in section 
101(b)''.
    SEC. 203. EXPANSION OF COVERAGE OF VETERANS CARE AGREEMENTS.
    (a) In General.--Section 1703A is amended by adding at the end the 
following new subsection:
    ``(l) Covered Individual Defined.--In this section, the term 
`covered individual' means any individual eligible for hospital care, 
medical services, or extended care services under this title or any 
other law administered by the Secretary.''.
    (b) Conforming Amendments.--Section 1703A is amended--
        (1) in subsection (a)(1)--
            (A) in subparagraph (A), by striking ``veteran'' each place 
        it appears and inserting ``covered individual''; and
            (B) in subparagraph (C)--
                (i) by striking ``veteran'' and inserting ``covered 
            individual''; and
                (ii) by striking ``veteran's'' and inserting ``covered 
            individual's'';
        (2) in subsection (e)(2)(B), by striking ``veteran'' each place 
    it appears and inserting ``covered individual'';
        (3) in subsection (f)(2)--
            (A) in subparagraph (C), by striking ``veterans'' and 
        inserting ``covered individuals''; and
            (B) in subparagraph (D), by striking ``veteran'' and 
        inserting ``covered individual'';
        (4) in subsection (g), by striking ``to veterans'' and 
    inserting ``to covered individuals''; and
        (5) in subsection (j)--
            (A) by striking ``any veteran'' and inserting ``any covered 
        individual''; and
            (B) by striking ``to veterans'' each place it appears and 
        inserting ``to covered individuals''.
    SEC. 204. MODIFICATION OF AUTHORITY FOR DEDUCTION OF OVERPAYMENTS 
      FOR HEALTH CARE.
    Section 1703D(e)(1) is amended--
        (1) by striking ``shall'' and inserting ``may''; and
        (2) by inserting before the period at the end the following: 
    ``and may use any other means authorized by another provision of 
    law to correct or recover overpayments''.
    SEC. 205. MODIFICATION OF ELIGIBILITY OF FORMER MEMBERS OF THE 
      ARMED FORCES FOR MENTAL AND BEHAVIORAL HEALTH CARE FROM THE 
      DEPARTMENT OF VETERANS AFFAIRS.
    Section 1720I(b)(3) is amended by striking ``is not otherwise 
eligible to enroll'' and inserting ``is not enrolled''.
    SEC. 206. ACCESS OF HEALTH CARE PROVIDERS OF THE DEPARTMENT OF 
      VETERANS AFFAIRS TO DRUG MONITORING PROGRAMS THAT DO NOT 
      PARTICIPATE IN THE NATIONAL NETWORK.
    Section 1730B is amended--
        (1) in subsection (a)--
            (A) in paragraph (1), by inserting ``, or any individual 
        State or regional prescription drug monitoring program,'' after 
        ``programs'';
            (B) in paragraph (2)(A), by striking ``such network'' and 
        inserting ``the national network of State-based prescription 
        monitoring programs, or, if providing care in a State that does 
        not participate in such national network, an individual State 
        or regional prescription drug monitoring program,''; and
            (C) in paragraph (3), by inserting ``, or any individual 
        State or regional prescription drug monitoring program,'' after 
        programs; and
        (2) in subsection (c)(2) by inserting ``, or any individual 
    State or regional prescription drug monitoring program,'' after 
    ``programs''.
    SEC. 207. ELIMINATION OF REPORT ON ACTIVITIES AND PROPOSALS 
      INVOLVING CONTRACTING FOR PERFORMANCE BY CONTRACTOR PERSONNEL OF 
      WORK PREVIOUSLY PERFORMED BY DEPARTMENT EMPLOYEES.
    Section 8110 is amended--
        (1) by striking subsection (c); and
        (2) by redesignating subsections (d), (e), and (f) as 
    subsections (c), (d), and (e), respectively.
    SEC. 208. ADDITIONAL REPORT ON INCREASED AVAILABILITY OF OPIOID 
      RECEPTOR ANTAGONISTS.
    Section 911(e)(2) of the Jason Simcakoski Memorial and Promise Act 
(Public Law 114-198; 38 U.S.C. 1701 note) is amended by inserting ``and 
not later than one year after the date of the enactment of the 
Department of Veterans Affairs Expiring Authorities Act of 2018'' 
before ``the Secretary shall''.
    SEC. 209. EXPANSION OF HEALTH CARE ASSESSMENT TO INCLUDE ALL 
      TERRITORIES OF THE UNITED STATES AND THE ASSESSMENT OF EXTENDED 
      CARE SERVICES.
    Section 213 of the John S. McCain III, Daniel K. Akaka, and Samuel 
R. Johnson VA Maintaining Internal Systems and Strengthening Integrated 
Outside Networks Act of 2018 (Public Law 115-182) is amended--
        (1) in the section header, by striking ``pacific territories'' 
    and inserting ``territories of the united states'';
        (2) in subsection (a)--
            (A) by striking ``180 days'' and inserting ``270 days''; 
        and
            (B) by striking ``Pacific territories'' and inserting 
        ``territories of the United States'';
        (3) in subsection (b)--
            (A) in paragraph (1)--
                (i) in the matter preceding subparagraph (A), by 
            striking ``Pacific territories'' and inserting 
            ``territories of the United States''; and
                (ii) by adding at the end the following:
            ``(E) Extended care.''; and
            (B) in paragraph (2)--
                (i) by striking ``community-based outpatient clinic'' 
            and inserting ``medical facility''; and
                (ii) by striking ``Pacific territory'' and inserting 
            ``territory of the United States''; and
        (4) in subsection (c)--
            (A) by striking ``Pacific territories'' and inserting 
        ``territories of the United States'';
            (B) by striking ``and''; and
            (C) by inserting before the period at the end the 
        following: ``, Puerto Rico, and the United States Virgin 
        Islands''.
    SEC. 210. AUTHORIZATION OF MAJOR MEDICAL FACILITY PROJECT AT 
      DEPARTMENT OF VETERANS AFFAIRS WEST LOS ANGELES MEDICAL CENTER.
    (a) In General.--The Secretary of Veterans Affairs may carry out 
the major medical facility project described in subsection (b) in 
fiscal year 2019, in an amount not to exceed $35,000,000.
    (b) Major Medical Facility Project.--The major medical facility 
project described in this subsection is the construction of a new 
regional food services facility building on the campus of the medical 
center of the Department of Veterans Affairs in West Los Angeles, 
California, to replace the seismically deficient Building 300, Regional 
Food Service Facility, which is located on the north campus of the 
medical center as of the date of the enactment of this Act.
    SEC. 211. TECHNICAL AMENDMENTS TO VA MISSION ACT OF 2018 AND 
      AMENDMENTS MADE BY THAT ACT.
    (a) Title 38.--
        (1) Annual report on performance awards and bonuses.--Section 
    726(c)(3) is amended by striking ``, United States Code''.
        (2) Veterans care agreements.--Section 1703A(h)(4) is amended 
    by striking ``, United States Code''.
        (3) Access standards.--Section 1703B(i) is amended--
            (A) by striking ``(1) The term'' and inserting ``In this 
        section:
        ``(1) The term'';
            (B) in paragraph (1), by moving subparagraphs (A) and (B) 
        two ems to the right;
            (C) by moving paragraph (2) two ems to the right; and
            (D) in paragraph (2), by striking ``refers to'' and 
        inserting ``means''.
        (4) Standards for quality.--Section 1703C(c) is amended--
            (A) by striking ``(c)(1) The term'' and inserting ``(c) 
        Definitions.-- In this section:
        ``(1) The term'';
            (B) in paragraph (1), by moving subparagraphs (A) and (B) 
        two ems to the right;
            (C) by moving paragraph (2) two ems to the right; and
            (D) in paragraph (2), by striking ``refers to'' and 
        inserting ``means''.
        (5) Prompt payment standard.--Section 1703D(g)(3) is amended by 
    striking ``of this Act, as amended by the Caring for Our Veterans 
    Act of 2018,'' and inserting ``of this title''.
        (6) Remediation of medical service lines.--Section 1706A is 
    amended--
            (A) in subsection (a), in the matter preceding paragraph 
        (1), by inserting ``of this title'' after ``section 
        1703(e)(1)''; and
            (B) in subsection (d)(1), by striking ``paragraph (1)'' and 
        inserting ``subsection (a)''.
        (7) Walk-in care.--Section 1725A is amended--
            (A) in subsection (c), by striking ``or other agreement'' 
        and inserting ``agreement, or other arrangement''; and
            (B) in subsection (f)(4), by striking ``Section 8153(c)'' 
        and inserting ``Sections 8153(c) and 1703A(j)''.
        (8) Authority to recover the cost of services furnished for 
    non-service-connected disabilities.--Section 1729(a)(2)(D) is 
    amending by striking the period at the end and inserting ``; or''.
        (9) Agreements with state homes.--Section 
    1745(a)(4)(B)(ii)(III) is amended by striking ``subchapter V of 
    chapter 17 of this title'' and inserting ``this subchapter''.
        (10) Transplant procedures with live donors and related 
    services.--Section 1788(c) is amended by striking ``this chapter'' 
    and inserting ``this title''.
        (11) Quadrennial veterans health administration review.--
    Section 7330C is amended--
            (A) in subsection (a)--
                (i) in paragraph (1), by striking ``Secretary of 
            Veterans Affairs'' and inserting ``Secretary'';
                (ii) in paragraph (2)--

                    (I) in subparagraph (B), by striking ``Department 
                of Veterans Affairs'' and inserting ``Department'';
                    (II) in subparagraph (C), by striking ``of title 
                38, as added by section 102'' and inserting ``of this 
                title''; and
                    (III) in subparagraph (H)(i), by striking 
                ``Department of Veterans Affairs'' and inserting 
                ``Department''; and

                (iii) in paragraph (4)--

                    (I) in subparagraph (A)(iii), by inserting ``of 
                this title'' after ``section 1703C''; and
                    (II) in subparagraph (B), by inserting ``of this 
                title'' after ``section 1703(b)'';

            (B) in subsection (b)(2)(I), by inserting ``of this title'' 
        after ``section 1706A''; and
            (C) in subsection (c)--
                (i) in paragraph (1), by striking ``such high 
            performing'' and inserting ``a high-performing''; and
                (ii) in paragraph (3), by inserting ``such'' before ``a 
            high-performing''.
        (12) Department of veterans affairs specialty education loan 
    repayment program.--Section 7693(a)(1) is amended by striking ``is 
    hired'' and inserting ``will be eligible for appointment''.
    (b) VA MISSION ACT.--
        (1) Training program for administration of non-department 
    health care.--Section 122(a)(2) of the John S. McCain III, Daniel 
    K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and 
    Strengthening Integrated Outside Networks Act of 2018 (Public Law 
    115-182) is amended by striking ``such title'' and inserting 
    ``title 38, United States Code''.
        (2) Processes for safe opioid prescribing practices by non-
    department providers.--Section 131 of the John S. McCain III, 
    Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal 
    Systems and Strengthening Integrated Outside Networks Act of 2018 
    (Public Law 115-182) is amended--
            (A) in subsection (c)(1)--
                (i) by inserting ``of title 38, United States Code,'' 
            after ``section 1703(a)(2)(A)'';
                (ii) by striking ``of this title'' each place it 
            appears and inserting ``of this Act''; and
                (iii) by inserting ``of such title'' after ``section 
            1703A(e)(2)(F)''; and
            (B) in subsection (d), by striking ``covered veterans'' 
        each place it appears and inserting ``veterans''.
        (3) Plans for supplemental appropriations.--Section 141 of the 
    John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA 
    Maintaining Internal Systems and Strengthening Integrated Outside 
    Networks Act of 2018 (Public Law 115-182) is amended by striking 
    ``Whenever the Secretary'' and inserting ``Whenever the Secretary 
    of Veterans Affairs''.
        (4) Telemedicine reporting requirement.--Section 151(c)(1) of 
    the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA 
    Maintaining Internal Systems and Strengthening Integrated Outside 
    Networks Act of 2018 (Public Law 115-182) is amended by striking 
    ``section 1730B'' and inserting ``section 1730C''.
        (5) Expansion of family caregiver program.--Section 
    161(a)(1)(B) of the John S. McCain III, Daniel K. Akaka, and Samuel 
    R. Johnson VA Maintaining Internal Systems and Strengthening 
    Integrated Outside Networks Act of 2018 (Public Law 115-182) is 
    amended by striking ``such title'' and inserting ``title 38, United 
    States Code''.
        (6) Specialty education loan repayment program.--Section 303 of 
    the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA 
    Maintaining Internal Systems and Strengthening Integrated Outside 
    Networks Act of 2018 (Public Law 115-182) is amended--
            (A) in subsection (d), by inserting ``of Veterans Affairs'' 
        after ``Department''; and
            (B) in subsection (e), in the matter preceding paragraph 
        (1), by striking ``established'' and inserting ``under 
        subchapter VIII of chapter 76 of title 38, United States Code, 
        as enacted''.
        (7) Veterans healing veterans medical access and scholarship 
    program.--Section 304 of the John S. McCain III, Daniel K. Akaka, 
    and Samuel R. Johnson VA Maintaining Internal Systems and 
    Strengthening Integrated Outside Networks Act of 2018 (Public Law 
    115-182) is amended--
            (A) in subsection (a), by striking ``covered medical 
        schools'' and inserting ``covered medical school''; and
            (B) in subsection (b)--
                (i) in paragraph (2), by striking ``entitled to'' and 
            inserting ``concurrently receiving'';
                (ii) in paragraph (3), by striking ``2019'' and 
            inserting ``2020''; and
                (iii) in paragraph (6), by striking ``subsection (e)'' 
            and inserting ``subsection (d)'';
            (C) in subsection (c)--
                (i) in paragraph (1), by striking ``2019'' and 
            inserting ``2020''; and
                (ii) in paragraph (3), by striking ``2019'' and 
            inserting ``2020'';
            (D) in subsection (e), by striking ``2019'' and inserting 
        ``2020''; and
            (E) in subsection (f), by striking ``December 31, 2020'' 
        and inserting ``December 31, 2021''.
        (8) Development of criteria for designation of certain medical 
    facilities as underserved facilities and plan to address problem of 
    underserved facilities.--Section 401 of the John S. McCain III, 
    Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal 
    Systems and Strengthening Integrated Outside Networks Act of 2018 
    (Public Law 115-182) is amended--
            (A) in subsection (b)(5), by adding ``or the applicable 
        access standards developed under section 1703B of title 38, 
        United States Code'' after ``the wait-time goals of the 
        Department''; and
            (B) in subsection (d)(2)(A), by striking ``section 407'' 
        and inserting ``section 402''.
        (9) Pilot program on graduate medical education and 
    residency.--Section 403(b)(4) of the John S. McCain III, Daniel K. 
    Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and 
    Strengthening Integrated Outside Networks Act of 2018 (Public Law 
    115-182) is amended by inserting ``under'' after ``an agreement''.
        (10) Department of veterans affairs medical scribe pilot 
    program.--Section 507 of the John S. McCain III, Daniel K. Akaka, 
    and Samuel R. Johnson VA Maintaining Internal Systems and 
    Strengthening Integrated Outside Networks Act of 2018 (Public Law 
    115-182) is amended--
            (A) in subsection (b)(3), by striking ``as determine'' and 
        inserting ``as determined''; and
            (B) in subsection (c)(2)(C), by striking ``speciality'' and 
        inserting ``specialty''.

                        TITLE III--OTHER MATTERS

    SEC. 301. APPROVAL OF COURSES OF EDUCATION PROVIDED BY PUBLIC 
      INSTITUTIONS OF HIGHER EDUCATION FOR PURPOSES OF TRAINING AND 
      REHABILITATION FOR VETERANS WITH SERVICE-CONNECTED DISABILITIES 
      CONDITIONAL ON IN-STATE TUITION RATE FOR VETERANS.
    (a) In General.--Section 3679(c) is amended--
        (1) in paragraph (1), by striking ``chapter 30 or 33'' and 
    inserting ``chapter 30, 31, or 33'';
        (2) in paragraph (2), by adding at the end the following new 
    subparagraph:
        ``(C) An individual who is entitled to rehabilitation under 
    section 3102(a) of this title.'';
        (3) in paragraph (3), by striking ``paragraph (2)(A) or 
    (2)(B)'' and inserting ``paragraph (2)(A), (2)(B), or (2)(C)''; and
        (4) in paragraph (6), by striking ``chapters 30 and 33'' and 
    inserting ``chapters 30, 31, and 33''.
    (b) Applicability.--The amendments made by subsection (a) shall 
apply with respect to courses of education provided during a quarter, 
semester, or term, as applicable, that begins after March 1, 2019.
    SEC. 302. CORRECTIVE ACTION FOR CERTAIN DEPARTMENT OF VETERANS 
      AFFAIRS EMPLOYEES FOR CONFLICTS OF INTEREST WITH EDUCATIONAL 
      INSTITUTIONS OPERATED FOR PROFIT.
    (a) In General.--Section 3683 of title 38, United States Code, is 
amended--
        (1) by striking subsection (a) and inserting the following:
    ``(a) Department Officers and Employees.--(1) An officer or 
employee of the Department shall receive corrective action or 
disciplinary action if such officer or employee--
        ``(A) has, while serving as such an officer or employee, owned 
    any interest in, or received any wage, salary, dividend, profit, or 
    gift from, any educational institution operated for profit; or
        ``(B) has, while serving as a covered officer or employee of 
    the Department, received any service from any educational 
    institution operated for profit.
    ``(2) In this subsection, the term `covered officer or employee of 
the Department' means an officer or employee of the Department who--
        ``(A) works on the administration of benefits under chapter 30, 
    31, 32, 33, 34, 35, or 36 of this title; or
        ``(B) has a potential conflict of interest involving an 
    educational institution operated for profit, as determined by the 
    Secretary.'';
        (2) in subsection (b)--
            (A) by striking ``If the Secretary'' and inserting the 
        following:
    ``(b) State Approving Agency Employees.--If the Secretary'';
            (B) by striking ``wages, salary, dividends, profits, 
        gratuities, or services'' and inserting ``wage, salary, 
        dividend, profit, or gift'';
            (C) by striking ``in which an eligible person or veteran 
        was pursuing a program of education or course under this 
        chapter or chapter 34 or 35 of this title'';
            (D) by striking ``terminate the employment of'' and 
        inserting ``provide corrective action or disciplinary action 
        with respect to''; and
            (E) by striking ``while such person is an officer or 
        employee of the State approving agency, or State department of 
        veterans' affairs or State department of education'' and 
        inserting ``until the completion of such corrective action or 
        disciplinary action'';
        (3) in subsection (c)--
            (A) by striking ``A State approving agency'' and inserting 
        the following:
    ``(c) Disapproval of Courses.--A State approving agency'';
            (B) by striking ``of Veterans Affairs''; and
            (C) by striking ``wages, salary, dividends, profits, 
        gratuities, or services'' and inserting ``wage, salary, 
        dividend, profit, or gift''; and
        (4) in subsection (d)--
            (A) by striking ``The Secretary may'' and inserting the 
        following:
    ``(d) Waiver Authority.--(1) The Secretary may'';
            (B) by striking ``of Veterans Affairs'';
            (C) by striking ``, after reasonable notice and public 
        hearings,''; and
            (D) by adding at the end the following new paragraph:
    ``(2) The Secretary shall provide public notice of any waiver 
granted under this subsection by not later than 30 days after the date 
on which such waiver is granted.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
take effect on the date of the enactment of this Act and shall apply 
with respect to conflicts of interest that occur on or after that date.
    SEC. 303. MODIFICATION OF COMPLIANCE REQUIREMENTS FOR PARTICULAR 
      LEASES RELATING TO DEPARTMENT OF VETERANS AFFAIRS WEST LOS 
      ANGELES CAMPUS.
    Section 2(h)(1) of the West Los Angeles Leasing Act of 2016 (Public 
Law 114-226) is amended by striking ``any lease or land-sharing 
agreement at the Campus'' and inserting ``any new lease or land-sharing 
agreement at the Campus that is not in compliance with such laws''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.