[Congressional Record Volume 165, Number 98 (Wednesday, June 12, 2019)]
[Senate]
[Page S3391]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 289. Mr. SULLIVAN submitted an amendment intended to be proposed 
by him to the bill S. 1790, to authorize appropriations for fiscal year 
2020 for military activities of the Department of Defense, for military 
construction, and for defense activities of the Department of Energy, 
to prescribe military personnel strengths for such fiscal year, and for 
other purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VII, insert the 
     following:

     SEC. ___. AUTHORITY TO PLAN, DESIGN, AND CONSTRUCT, OR LEASE, 
                   SHARED MEDICAL FACILITIES.

       (a) In General.--Chapter 55 of title 10, United States 
     Code, is amended by inserting after section 1104 the 
     following new section:

     ``Sec. 1104a. Shared medical facilities with the Department 
       of Veterans Affairs

       ``(a) Agreements.--The Secretary of Defense and the 
     Secretary of Veterans Affairs may enter into agreements with 
     each other for the planning, design, and construction, or 
     leasing, of facilities to be operated as shared medical 
     facilities.
       ``(b) Transfer of Amounts by Secretary of Defense.--(1) The 
     Secretary of Defense may transfer to the Secretary of 
     Veterans Affairs amounts as follows:
       ``(A) Amounts, not in excess of the amount authorized by 
     law for an unspecified minor military construction project, 
     for the construction of a shared medical facility if--
       ``(i) the amount of the share of the Department of Defense 
     for the estimated cost of the project does not exceed the 
     amount specified in subsection (a)(2) of section 2805 of this 
     title; and
       ``(ii) the other requirements of such section have been met 
     with respect to amounts identified for transfer.
       ``(B) Amounts appropriated for the Defense Health Program 
     for the purpose of the planning, design, and construction, or 
     the leasing of space, for a shared medical facility.
       ``(2) The authority to transfer amounts under this section 
     is in addition to any other authority to transfer amounts 
     available to the Secretary of Defense.
       ``(3) Section 2215 of this title does not apply to a 
     transfer of funds under this subsection.
       ``(c) Transfer of Amounts by Secretary of Veterans 
     Affairs.--The Secretary of Veterans Affairs may transfer to 
     the Secretary of Defense amounts as follows:
       ``(1) Amounts appropriated to the Secretary of Veterans 
     Affairs for `Construction, minor projects' for use for the 
     planning, design, or construction of a shared medical 
     facility if the amount of the share of the Department of 
     Veterans Affairs for the estimated cost of the project does 
     not exceed the amount specified in section 8104(a)(3)(A) of 
     title 38.
       ``(2) Amounts appropriated to the Secretary of Veterans 
     Affairs for `Construction, major projects' for use for the 
     planning, design, or construction of a shared medical 
     facility if--
       ``(A) the amount of the share of the Department of Veterans 
     Affairs for the estimated cost of the project exceeds the 
     amount specified in subsection (a)(3) of section 8104 of 
     title 38; and
       ``(B) the other requirements of such section have been met 
     with respect to amounts identified for transfer.
       ``(3) Amounts appropriated to the applicable appropriation 
     account of the Department of Veterans Affairs for the purpose 
     of leasing space for a shared medical facility if the amount 
     of the share of the Department of Veterans Affairs for the 
     estimated cost of the project does not exceed the amount 
     specified in section 8104(a)(3)(B) of title 38.
       ``(d) Receipt of Amounts by Secretary of Defense.--(1) Any 
     amount transferred to the Secretary of Defense by the 
     Secretary of Veterans Affairs for necessary expenses for the 
     planning, design, and construction of a shared medical 
     facility, if the amount of the share of the Department of 
     Defense for the cost of such project does not exceed the 
     amount specified in section 2805(a)(2) of this title, may be 
     credited to accounts of the Department of Defense available 
     for the construction of a shared medical facility.
       ``(2) Any amount transferred to the Secretary of Defense by 
     the Secretary of Veterans Affairs for the purpose of the 
     planning and design, or the leasing of space, for a shared 
     medical facility may be credited to accounts of the 
     Department of Defense available for such purposes, and may be 
     used for such purposes.
       ``(3) Using accounts credited with transfers from the 
     Secretary of Veterans Affairs under paragraph (1), the 
     Secretary of Defense may carry out unspecified minor military 
     construction projects, if the share of the Department of 
     Defense for the cost of such project does not exceed the 
     amount specified in section 2805(a)(2) of this title.
       ``(e) Receipt of Amounts by Secretary of Veterans 
     Affairs.--(1) Any amount transferred to the Secretary of 
     Veterans Affairs by the Secretary of Defense for necessary 
     expenses for the planning, design, and construction of a 
     shared medical facility, if the amount of the share of the 
     Department of Veterans Affairs for the cost of such project 
     does not exceed the amount specified in section 8104(a)(3)(A) 
     of title 38, may be credited to the `Construction, minor 
     projects' account of the Department of Veterans Affairs and 
     used for the necessary expenses of constructing such shared 
     medical facility.
       ``(2) Any amount transferred to the Secretary of Veterans 
     Affairs by the Secretary of Defense for necessary expenses 
     for the planning, design, and construction of a shared 
     medical facility, if the amount of the share of the 
     Department of Veterans Affairs for the cost of such project 
     exceeds the amount specified in subsection (a)(3)(A) of 
     section 8104 of title 38, may be credited to the 
     `Construction, major projects' account of the Department of 
     Veterans Affairs and used for the necessary expenses of 
     constructing such shared medical facility if the other 
     requirements of such section have been met with respect to 
     amounts identified for transfer.
       ``(3) Any amount transferred to the Secretary of Veterans 
     Affairs by the Secretary of Defense for the purpose of 
     leasing space for a shared medical facility may be credited 
     to accounts of the Department of Veterans Affairs available 
     for such purposes, and may be used for such purposes.
       ``(f) Merger of Amounts Transferred.--Any amount 
     transferred under this section shall be merged with, and be 
     available for the same purposes and the same time period as, 
     the appropriation or fund to which transferred.
       ``(g) Shared Medical Facility Defined.--(1) In this 
     section, the term `shared medical facility' means a building 
     or buildings, or a campus, intended to be used by both the 
     Department of Defense and the Department of Veterans Affairs 
     for the provision of health care services, whether under the 
     jurisdiction of the Secretary of Defense or the Secretary of 
     Veterans Affairs, and whether or not located on a military 
     installation or on real property under the jurisdiction of 
     the Secretary of Veterans Affairs.
       ``(2) Such term includes any necessary building and 
     auxiliary structure, garage, parking facility, mechanical 
     equipment, abutting sidewalks, and accommodations for 
     attending personnel.''.
       (b) Clerical Amendment.--The table of sections at the 
     beginning of chapter 55 of such title is amended by inserting 
     after the item relating to section 1104 the following new 
     item:

``1104a. Shared medical facilities with the Department of Veterans 
              Affairs.''.
       (c) Technical Correction.--Paragraph (3) of section 8104(a) 
     of title 38, United States Code, is amended to read as 
     follows:
       ``(3) For purposes of this subsection:
       ``(A) The term `major medical facility project' means a 
     project for the construction, alteration, or acquisition of a 
     medical facility involving a total expenditure of more than 
     $20,000,000, but such term does not include an acquisition by 
     exchange, nonrecurring maintenance projects of the 
     Department, or the construction, alteration, or acquisition 
     of a shared Federal medical facility for which the 
     Department's estimated share of the project costs does not 
     exceed $20,000,000.
       ``(B) The term `major medical facility lease' means a lease 
     for space for use as a new medical facility at an average 
     annual rent of more than the dollar threshold for leases 
     procured through the General Services Administration under 
     section 3307(a)(2) of title 40, which shall be subject to 
     annual adjustment in accordance with section 3307(h) of such 
     title, but such term does not include a lease for space for 
     use as a shared Federal medical facility for which the 
     Department's estimated share of the lease costs does not 
     exceed that dollar threshold.''.
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