[Senate Report 117-35]
[From the U.S. Government Publishing Office]


                                                       Calendar No. 114
117th Congress       }                           {             Report
                                 SENATE
 1st Session         }                           {             117-35

======================================================================



 
     MILITARY CONSTRUCTION, VETERANS AFFAIRS, AND RELATED AGENCIES 
                        APPROPRIATION BILL, 2022
                                _______
                                

                 August 4, 2021.--Ordered to be printed

         Mr. Heinrich,  from the Committee on Appropriations, 
                        submitted the following

                                 REPORT

                         [To accompany S. 2604]

    The Committee on Appropriations reports the bill (S. 2604) 
making appropriations for military construction, the Department 
of Veterans Affairs, and related agencies for the fiscal year 
ending September 30, 2022, and for other purposes, reports 
favorably thereon and recommends that the bill do pass.



Amounts in new budget authority

Total of bill as reported to the Senate.................$308,177,759,000
Amount of 2021 appropriations........................... 272,757,216,000
Amount of 2022 budget estimate.......................... 307,065,976,000
Bill as recommended to Senate compared to--
    2021 appropriations................................. +35,420,543,000
    2022 budget estimate................................  +1,111,783,000


                                CONTENTS

                              ----------                              
                                                                   Page
Background:
    Purpose of the Bill..........................................     4
    Committee Recommendation.....................................     4
    Overview and Summary of Bill.................................     4
Title I:
    Military Construction:
        Items of Special Interest:
            Hearings.............................................     6
            Summary of Committee Recommendations.................     6
            Reprogramming Guidelines.............................     6
            Real Property Maintenance............................     7
            Incremental Funding..................................     7
            Other Matters........................................     7
        Military Construction Overview...........................    10
        Military Construction Accounts--Program Description......    10
        Military Construction, Army..............................    10
        Military Construction, Navy and Marine Corps.............    12
        Military Construction, Air Force.........................    14
        Military Construction, Defense-Wide......................    15
        Military Construction, Army National Guard...............    18
        Military Construction, Air National Guard................    20
        Military Construction, Army Reserve......................    20
        Military Construction, Navy Reserve......................    21
        Military Construction, Air Force Reserve.................    21
        North Atlantic Treaty Organization Security Investment 
          Program................................................    21
        Department of Defense Base Closure Account...............    22
        Family Housing Overview..................................    23
        Family Housing Accounts--Program Description.............    23
        Family Housing Construction, Army........................    23
        Family Housing Operation and Maintenance, Army...........    23
        Family Housing Construction, Navy and Marine Corps.......    24
        Family Housing Operation and Maintenance, Navy and Marine 
          Corps..................................................    24
        Family Housing Construction, Air Force...................    24
        Family Housing Operation and Maintenance, Air Force......    24
        Family Housing Operation and Maintenance, Defense-Wide...    24
        Department of Defense Family Housing Improvement Fund....    25
        Department of Defense Military Unaccompanied Housing 
          Improvement Fund.......................................    25
        Administrative Provisions................................    25
Title II:
    Department of Veterans Affairs:
        Items of Special Interest:
            Hearings.............................................    28
            Summary of Committee Recommendations.................    28
            Department Overview..................................    28
        Veterans Benefits Administration.........................    28
            Compensation and Pensions............................    28
            Readjustment Benefits................................    34
            Veterans Insurance and Indemnities...................    35
            Veterans Housing Benefit Program Fund................    35
            Vocational Rehabilitation Loans Program Account......    36
            Native American Veteran Housing Loan Program Account.    36
            General Operating Expenses, Veteran Benefits 
              Administration.....................................    37
        Veterans Health Administration...........................    39
            Medical Services.....................................    44
            Medical Community Care...............................    58
            Medical Support and Compliance.......................    60
            Medical Facilities...................................    61
            Medical and Prosthetic Research......................    62
        Medical Care Cost Recovery Collections...................    65
        Medical Care Collection Fund.............................    65
        National Cemetery Administration.........................    65
        Departmental Administration..............................    66
            General Administration...............................    67
            Board of Veterans Appeals............................    68
            Information Technology Systems.......................    69
            Veterans Electronic Health Record....................    72
            Office of Inspector General..........................    73
            Construction, Major Projects.........................    73
            Construction, Minor Projects.........................    75
            Grants for Construction of State Extended Care 
              Facilities.........................................    76
            Grants for Construction of Veterans Cemeteries.......    76
            Asset and Infrastructure Review......................    77
        Administrative Provisions................................    77
Title III:
    Related Agencies:
        American Battle Monuments Commission:
            Salaries and Expenses................................    82
            Foreign Currency Fluctuations........................    83
        United States Court of Appeals for Veterans Claims: 
          Salaries and Expenses..................................    83
        Department of Defense--Civil: Cemeterial Expenses, Army:
            Salaries and Expenses................................    84
            Construction.........................................    84
        Armed Forces Retirement Home: Trust Fund.................    85
        Administrative Provision.................................    85
Title IV: General Provisions.....................................    86
Program, Project, and Activity...................................    87
Compliance With Paragraph 7, Rule XVI, of the Standing Rules of 
  the 
  Senate.........................................................    87
Compliance With Paragraph 7(c), Rule XXVI of the Standing Rules 
  of the Senate..................................................    89
Compliance With Paragraph 12, Rule XXVI of the Standing Rules of 
  the Senate.....................................................    89
Budgetary Impact of Bill.........................................    90
Military Construction Project Listing by Location................    91
Disclosure of Congressionally Directed Spending Items............   106
Comparative Statement of Budget Authority........................   109

                               BACKGROUND

                          Purpose of the Bill

    The Military Construction, Veterans Affairs, and Related 
Agencies appropriations bill provides necessary funding for the 
planning, design, construction, alteration, and improvement of 
military facilities worldwide. It also finances the cost of 
military family housing and the U.S. share of the NATO Security 
Investment Program. In addition, the bill provides funding, 
including environmental remediation, for base closures and 
realignments authorized by law. The bill provides resources to 
the Department of Veterans Affairs for veterans benefits and 
healthcare and funding for U.S. cemeteries and battlefield 
monuments both in the United States and abroad, including the 
American Battle Monuments Commission and Arlington National 
Cemetery. Additionally, the bill funds the U.S. Court of 
Appeals for Veterans Claims and the Armed Forces Retirement 
Homes.

                        COMMITTEE RECOMMENDATION

    The Committee recommends new budget authority totaling 
$309,128,759,000 for fiscal years 2022 and 2023 for military 
construction, family housing, base closure, and veterans 
healthcare and benefits, including fiscal year 2023 advance 
appropriations for veterans medical care and appropriated 
mandatories, and related agencies. This includes 
$166,715,027,000 in mandatory funding and $142,413,732,000 in 
discretionary funding. The table at the end of the report 
displays the Committee recommendation in comparison with the 
current fiscal year and the President's fiscal year 2022 
request. The following table shows total budget authority 
available for fiscal year 2022.

                   APPROPRIATIONS FOR FISCAL YEAR 2022
------------------------------------------------------------------------
                                                           Senate
                                 Budget request        recommendation
------------------------------------------------------------------------
New budget authority........       $39,192,786,305       $41,255,569,305
Previous advances provided          94,183,260,000        94,183,260,000
 for fiscal year 2022 for
 medical care...............
Previous advances provided         145,311,218,000       145,311,218,000
 for fiscal year 2022 for
 appropriated mandatories...
Less advances provided for         111,287,000,000       111,287,000,000
 fiscal year 2023 for
 medical care...............
Less advances provided for         156,586,190,000       156,586,190,000
 fiscal year 2023 for
 appropriated mandatories...
                             -------------------------------------------
      Total appropriations         110,814,074,305       112,876,857,305
       for fiscal year 2022.
------------------------------------------------------------------------

                      Overview and Summary of Bill

    The Military Construction, Veterans Affairs, and Related 
Agencies appropriations bill funds an array of programs that 
are vital to America's military personnel and their families, 
and to the Nations' veterans. For U.S. military forces and 
their families worldwide, the bill funds critical 
infrastructure, ranging from mission essential operational and 
training facilities, such as command and control centers, 
airfield improvements, and ranges, to key quality-of-life 
facilities, including barracks, family housing, child care 
centers, schools, and hospitals.
    For America's 19.5 million veterans, the bill provides the 
necessary funding for veterans benefits and healthcare, from 
prescription drugs and clinical services to the construction of 
hospitals and other medical facilities throughout the Nation.
    The bill also funds veterans cemeteries in the United 
States, as well as four independent agencies-the American 
Battle Monuments Commission, the U.S. Court of Appeals for 
Veterans Claims, Arlington National Cemetery, and the Armed 
Forces Retirement Homes.

                                TITLE I

                         MILITARY CONSTRUCTION

                                HEARING

    The Subcommittee on Military Construction, Veterans 
Affairs, and Related Agencies held one hearing related to the 
fiscal year 2022 military construction budget request. 
Witnesses included representatives of the Army, Navy, Marine 
Corps, Air Force, and the Office of the Secretary of Defense.

                  SUMMARY OF COMMITTEE RECOMMENDATIONS

    The fiscal year 2022 budget request for military 
construction and family housing totals $9,847,031,000. The 
Committee recommends $11,000,000,000, which is $1,152,969,000 
above the President's budget request.

                        REPROGRAMMING GUIDELINES

    The following reprogramming guidelines apply for all 
military construction and family housing projects. A project or 
account (including the sub-elements of an account) which has 
been specifically reduced by the Congress in acting on the 
budget request is considered to be a congressional interest 
item and as such, prior approval is required. Accordingly, no 
reprogrammings to an item specifically reduced below the 
threshold by the Congress are permitted.
    The reprogramming criteria that apply to military 
construction projects (25 percent of the funded amount or 
$2,000,000, whichever is less) continue to apply to new housing 
construction projects and to improvements over $2,000,000. To 
provide the services the flexibility to proceed with 
construction contracts without disruption or delay, the costs 
associated with environmental hazard remediation such as 
asbestos removal, radon abatement, lead-based paint removal or 
abatement, and any other legislated environmental hazard 
remediation may be excluded, provided that such remediation 
requirements could not be reasonably anticipated at the time of 
the budget submission. This exclusion applies to projects 
authorized in this budget year, as well as projects authorized 
in prior years for which construction has not been completed.
    Furthermore, in instances where prior approval of a 
reprogramming request for a project or account has been 
received from the Committee, the adjusted amount approved 
becomes the new base for any future increase or decrease via 
below-threshold reprogrammings (provided that the project or 
account is not a congressional interest item as defined above).
    In addition to these guidelines, the services are directed 
to adhere to the guidance for military construction 
reprogrammings and notifications, including the pertinent 
statutory authorities contained in Department of Defense [DoD] 
Financial Management Regulation 7000.14-R and relevant updates 
and policy memoranda.

                       REAL PROPERTY MAINTENANCE

    The Committee recommends a continuation of the following 
general rules for repairing a facility under ``Operation and 
Maintenance'' account funding:
  --Components of the facility may be repaired by replacement, 
        and such replacement may be up to current standards or 
        code.
  --Interior arrangements and restorations may be included as 
        repair, but additions and new facilities must be 
        performed as military construction projects.
  --Such projects may be done concurrent with repair projects, 
        as long as the final conjunctively funded project is a 
        complete and usable facility.
  --The appropriate Service Secretary shall submit a 21-day 
        notification prior to carrying out any repair project 
        with an estimated cost in excess of $7,500,000.
    The Department is directed to continue to report on the 
real property maintenance backlog at all installations for 
which there is a requested construction project in future 
budget requests. This information is to be provided on the form 
1390. In addition, for all troop housing requests, the form 
1391 is to continue to show all real property maintenance 
conducted in the past 2 years and all future requirements for 
unaccompanied housing at that installation.

                          INCREMENTAL FUNDING

    In general, the Committee supports full funding for 
military construction projects. However, it continues to be the 
practice of the Committee to provide incremental funding for 
certain large projects, despite administration policy to the 
contrary, to enable the services to more efficiently allocate 
military construction dollars among projects that can be 
executed in the year of appropriation. Therefore, the Committee 
has recommended incremental funding for ten projects.

                             OTHER MATTERS

    Military Construction Funding.--The fiscal year 2022 budget 
request for military construction and family housing represents 
a 26 percent increase over the fiscal year 2021 request, which 
is a positive step overall. However, it is also still a 12 
percent decrease from the fiscal year 2020 request. At the same 
time, there are several significant major construction programs 
that are ongoing, or expected to be programmed in future years 
for which the Department will need to account and budget, in 
addition to the significant recapitalization requirements for 
aging facilities. Developing modern and resilient 
infrastructure requires dedicated investment strategies and the 
Committee continues to provide funding above the budget request 
to support the Department's requirements. The Committee 
encourages the Department to build on this budget request in 
future years.
    Strategic Construction in the Indo-Pacific Region.--The 
Committee supports efforts to execute emergent requirements and 
accelerate construction investments in the Indo-Pacific Command 
[INDOPACOM] region and has provided $20,000,000 above the 
President's budget request over the past 2 years for this 
purpose. The Committee also believes there can be a significant 
return on investment for small dollar, dual use infrastructure 
that supports joint and multilateral exercises and enables 
power projection, particularly in the Western Pacific, and 
encourages INDOPACOM to continue to align these resources 
accordingly. The Committee provides $39,254,000 in planning and 
design for projects in INDOPACOM that support National Defense 
Strategy objectives to sustain joint force military advantages, 
enable allies and partners, and deter adversaries from 
aggression against our national interest, and encourages the 
Department to leverage existing authorities to enable rapid 
execution of emergent requirements.
    Pacific Deterrence Initiative.--The Committee is 
disappointed that the Department did not include any military 
construction investments in direct support of the Pacific 
Deterrence Initiative [PDI]. While there are projects included 
in the budget request that contribute to our posture and 
partnerships in the region, they were not considered to be PDI, 
or budgeted accordingly, by the Department. The fiscal year 
2021 National Defense Authorization Act established PDI to 
counter China's growing aggression and influence and the 
Committee supports meaningful investments to prioritize 
military posture and basing in the Indo-Pacific. The Committee 
encourages the Department to prioritize major construction in 
support of this important initiative in future budget requests.
    Military Installation Resilience.--The Committee continues 
to support efforts to improve the resilience of military 
installations and the sustainability of individual facilities, 
particularly those vulnerable to extreme weather and climate 
events. The Committee believes that each of the services should 
prioritize and commit funding to projects that improve the 
climate resilience of military installations and their 
missions, and notes the need to ensure that infrastructure and 
facilities remain operational against natural and manmade 
threats. The Committee believes such investments are critical 
to installation readiness and therefore provides $10,000,000 
for planning and design and unspecified minor construction for 
the Army, $15,000,000 for planning and design and unspecified 
minor construction for the Air Force, and $25,000,000 for 
planning and design and unspecified minor construction for the 
Navy and Marine Corps to continue to develop projects, conduct 
studies and analyses, and update Unified Facilities Criteria 
[UFC], that will directly enhance military installation 
resilience. Not later than 90 days after enactment of this act, 
the Committee directs the Secretary of Defense to provide a 
report with respect to the status of its future years planning 
program and its efforts to commit funding to projects that 
improve the resilience of military installations and their 
missions; and to provide a comprehensive update on the status 
of the efforts by the U.S. Army Corps of Engineers and Naval 
Facilities Engineering Command to incorporate military 
installation resilience best practices and criteria into master 
planning institute curriculum development.
    Child Development Centers [CDCs].--The Committee recognizes 
the importance that access to childcare plays in improving 
quality of life for servicemembers and their families. In order 
to help address the significant capacity shortfall, the bill 
provides $85,000,000 above the President's request for CDCs, as 
identified on unfunded requirements lists submitted to 
Congress. The Committee encourages the Services to prioritize 
funding in future budget requests for child development centers 
to improve or replace aging facilities and construct new CDCs 
at underserved installations.
    Next Generation Data Transport Architecture.--The Committee 
is aware of the need for enhanced data transport infrastructure 
to meet emerging network performance requirements for 
artificial intelligence and machine learning as well as 
supporting advanced manufacturing, microelectronics and quantum 
engineering. Each of these disruptive technologies requires 
significant additional bandwidth for increased data loads. As 
DoD undertakes large scale construction efforts, such as 
rebuild efforts at NAWS China Lake, Camp Lejeune, and Tyndall 
AFB, and continues to assess the applications for 5G and other 
data transmission innovations required for the base of the 
future, the Committee urges the study and certification of next 
generation data architectures and updates to the UFC and other 
policies to facilitate the use of new network architectures to 
allow mission owners and engineers to meet emerging data 
transmission requirements.
    Military Construction Funding Initiatives.--The bill 
includes funding to address important unfunded priorities 
included in DoD's unfunded priority lists provided to Congress. 
This includes an additional $27,000,000 for the Army, 
$28,000,000 for the Navy and Marine Corps, $36,100,000 for 
Defense-Wide, $11,000,000 for the Army National Guard, and 
$19,200,000 for the Air National Guard. All additional funding 
is reserved for projects that were included in the unfunded 
priority lists submitted to Congress.
    Support for Lab Infrastructure Planning and Design and 
Construction.--The Committee is aware that Defense laboratory 
construction struggles to compete through normal military 
construction planning processes, resulting in negative impacts 
on the ability of the military to develop new acquisition 
programs or perform cutting edge research. As threats continue 
to emerge and construction costs continue to rise, outdated 
range and testing facilities lack the investment needed to 
deliver next generation capability to the U.S. military. For 
example, these laboratories enable research for Army long-range 
precision fires and Air Force electromagnetic and hypersonic 
systems. The Committee recognizes the importance of DoD science 
and technology laboratories and test and evaluation facilities 
and notes that the Services have reported over $3,000,000,000 
in related unfunded military construction requirements. As 
such, the Committee provides $60,000,000 for planning and 
design and unspecified minor construction as well as up to 
$15,000,000 for authorized major construction projects to 
address priority laboratory requirements, as appropriated in 
Section 130.
    Congressionally Directed Spending.--The Committee includes 
Congressionally Directed Spending for planning and design, 
unspecified minor construction, and major construction in 
accordance with Senate Rule XLIV. DoD is directed to carry out 
funding for projects as identified in tables under each 
relevant account header.
    Rescission.--The Committee recommends an administrative 
provision rescinding prior year Defense-Wide unobligated funds 
that are excess to need.

                     Military Construction Overview

Appropriations, 2021....................................  $6,252,686,000
Budget estimate, 2022...................................   8,423,477,000
Committee recommendation................................   9,065,646,000

          MILITARY CONSTRUCTION ACCOUNTS--PROGRAM DESCRIPTION

    The military construction appropriation provides for 
acquisition, construction, installation, and equipment of 
temporary or permanent public works, military installations, 
facilities, and real property for the Department of Defense. 
This appropriation also provides for facilities required as 
well as funds for infrastructure projects and programs required 
to support bases and installations around the world.

                      Military Construction, Army

Appropriations, 2021....................................    $628,900,000
Budget estimate, 2022...................................     834,692,000
Committee recommendation................................     991,762,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $991,762,000 for the Army for 
fiscal year 2022. This amount is $362,862,000 above the fiscal 
year 2021 enacted level and $157,070,000 above the budget 
request. Within the total for Military Construction, Army, 
$147,070,000 is for the following projects in the following 
amounts:

                                           MILITARY CONSTRUCTION, ARMY
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Alaska..................................  Fort Wainwright...........  ERDC-CRREL Permafrost Tunnel         5,400
                                                                       Research Facility:
                                                                       Unspecified Minor
                                                                       Construction.
Georgia.................................  Fort Gordon...............  Cyber Center of Excellence           3,670
                                                                       School Headquarters and
                                                                       Classrooms: Planning and
                                                                       Design.
Georgia.................................  Fort Stewart..............  Barracks: Planning and Design        5,000
Hawaii..................................  Fort Shafter..............  Command and Control Facility:       55,500
                                                                       Cost to Complete.
Kansas..................................  Fort Leavenworth..........  Child Development Center.....       34,000
Missouri................................  Fort Leonard Wood.........  Advanced Individual Training         4,000
                                                                       Battalion Complex: Planning
                                                                       and Design.
New Mexico..............................  White Sands Missile Range.  Missile Assembly Support             1,300
                                                                       Facility: Planning and
                                                                       Design.
New York................................  U.S. Military Academy.....  Engineering Center: Cost to         17,200
                                                                       Complete.
South Carolina..........................  Fort Jackson..............  Reception Barracks Complex,         21,000
                                                                       Ph 1: Cost to Complete.
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.
    Environmental Remediation for Army Construction.--The 
Department is directed to work with interagency partners to 
provide a plan for addressing environmental remediation 
requirements resulting from construction activities conducted 
under 10 U.S.C. 2808 along the Southern Border. This plan is 
directed to be provided to the Committees on Appropriations of 
both Houses of Congress no later than 270 days after enactment 
of this act. The Department is further directed to provide 
quarterly update briefings to the Committees on the progress of 
such environmental remediation activity.
    Arsenals.--The Committee is aware that many Army arsenals 
operate out of WWII era structures that have received limited 
upgrades and modernization. Arsenals perform sensitive missions 
that require specialized safety and security features to 
protect critical infrastructure and ensure the safety of the 
surrounding community. Adequate gates, access control points, 
and vehicle inspection facilities are critical for force 
protection and safe and orderly traffic movements. Therefore, 
the Committee directs the Secretary of the Army to submit a 
report within 180 days of enactment of this act on the 
condition and capacity of access control points at Army 
arsenals, specifically identifying arsenals that may experience 
an increase in traffic and personnel because of new production 
requirements within the arsenal. The report should identify 
risk assessments based off current security postures, cost 
assessments to reduce the security risk at access control 
points, and all existing military construction projects that 
enhance the security posture of arsenals.
    Army Pacific Infrastructure Readiness.--The Committee 
remains concerned about the risks that the Army continues to 
take with respect to funding infrastructure and the degradation 
these risks have on long-term readiness. The Committee has 
previously supported the Army's $2,600,000,000, 30-year 
initiative to improve readiness in the Pacific by addressing 
critical shortfalls in aviation, operations, training, and 
munitions facilities at Schofield Barracks, Wheeler Army 
Airfield, and the Pohakuloa Training Area, in Hawaii. The 
Committee is concerned that this year's budget request does not 
meet the planned investment to support this initiative as 
reflected in previous future years defense programs submitted 
to the Congress. The Committee is also concerned that the 
Department's decision not to submit a future years defense 
program hampers the ability of Congress to make informed 
decisions about funding military infrastructure to avoid long-
term risks to readiness. Not later than 90 days after enactment 
of this act, the Secretary of the Army is directed to provide a 
report on the status of the Army's $2,600,000,000, 30-year 
initiative to improve readiness in the Pacific and a detailed, 
five-year budget plan for funding the facilities necessary to 
resolve risks to aviation, operations, training, munitions 
storage, and other infrastructure requirements in the Pacific.
    Utility Infrastructure.--The Committee is concerned with 
utility infrastructure at Army installations. Adequate utility 
infrastructure contributes to the efficiency, reliability, and 
resiliency of DoD installations and directly contributes to 
mission readiness. The Committee is aware that some 
installations require increased capacity and resilience and 
therefore provides an additional $10,000,000 for unspecified 
minor construction to provide increased capacity, resilience, 
and redundancy for current and emerging power and natural gas 
requirements at Army installations.
    Railyards.--The Committee continues to highlight its 
concern that installations with major deployment missions, 
including Mobilization Force Generation Installations, lack 
sufficient logistics infrastructure to support rapid deployment 
requirements. Installations lacking railhead connection points 
for deployment and redeployment activities hinder deployment 
capabilities and the Committee urges the Army to prioritize 
projects and funding to address deployment infrastructure 
shortfalls in its fiscal year 2023-2027 future years defense 
program.
    Tactical Equipment Maintenance Facilities.--The Committee 
remains concerned that existing tactical equipment maintenance 
facilities are not sufficient to support maintenance and 
readiness operations of a modern combined arms armored 
battalion. Equipment readiness relies on an effective, 
comprehensive maintenance program which, in turn, enhances and 
facilitates training and warfighting. This is particularly 
important for units that rely on armored vehicles as their 
primary weapons system. Some installations, however, have 
outdated vehicle maintenance facilities that were built for 
different types of equipment and unit configurations, are 
severely undersized, and lack needed electrical and 
communication support. The Committee urges the Army to plan and 
program sufficient funding to address maintenance facility 
shortfalls in its fiscal year 2023-2027 future years defense 
program.
    Barracks.--The Committee recognizes the critical role that 
barracks serve to support the warfighter. Some installations 
lack high quality barracks while others do not have enough 
barracks to accommodate all soldiers. For example, Fort Riley, 
the home of the 1st Infantry Division, is strategically located 
within the United States and is regularly recognized as one of 
our Nation's premier military communities but it lacks the 
existing housing infrastructure to accommodate new soldiers. 
The Committee urges the Army to prioritize the construction of 
military unaccompanied housing at such installations.

              Military Construction, Navy and Marine Corps

Appropriations, 2021....................................  $1,716,144,000
Budget estimate, 2022...................................   2,368,352,000
Committee recommendation................................   2,452,247,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $2,452,247,000 for Navy and Marine 
Corps military construction for fiscal year 2022. This amount 
is $736,103,000 above the fiscal year 2021 enacted level and 
$83,895,000 above the budget request. Within the total for 
Military Construction, Navy and Marine Corps, $469,145,000 is 
for the following projects in the following amounts:

                                  MILITARY CONSTRUCTION, NAVY AND MARINE CORPS
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Arizona.................................  MCAS Yuma.................  Combat Training Tank Complex.       29,300
California..............................  NB Ventura County.........  Combat Vehicle Maintenance          48,700
                                                                       Facility.
California..............................  NB Coronado...............  CMV-22B Aircraft Maintenance        63,600
                                                                       Hangar.
Hawaii..................................  MCB Hawaii................  Electrical Distribution             64,500
                                                                       Modernization.
Hawaii..................................  Marine Corps Training Area  Perimeter Security Fence:            6,220
                                           Bellows.                    Unspecified Minor
                                                                       Construction.
Maine...................................  NSA Cutler................  Firehouse: Planning and              2,500
                                                                       Design.
North Carolina..........................  MCAS Cherry Point.........  F-35 Joint Strike Fighter            9,300
                                                                       Sustainment Center: Planning
                                                                       and Design.
North Carolina..........................  MCAS New River............  Maintenance Hangar: Planning        13,300
                                                                       and Design.
North Carolina..........................  MCAS Cherry Point.........  ATC Tower and Airfield              18,700
                                                                       Operations: Cost to Complete.
North Carolina..........................  Camp Lejeune..............  Water Treatment Plant               64,200
                                                                       Replacement Hadnot Point:
                                                                       Cost to Complete.
Rhode Island............................  NAVSTA Newport............  Next Generation Torpedo              1,200
                                                                       Integration Lab: Planning
                                                                       and Design.
Rhode Island............................  NAVSTA Newport............  Submarine Payloads                   1,400
                                                                       Integration Laboratory:
                                                                       Planning and Design.
Rhode Island............................  NAVSTA Newport............  Consolidated RDT&E Systems           1,700
                                                                       Facility: Planning and
                                                                       Design.
Rhode Island............................  NAVSTA Newport............  Next Generation Secure               4,000
                                                                       Submarine Platform Facility:
                                                                       Planning and Design.
South Carolina..........................  MCAS Beaufort.............  F-35 Operational Support             4,700
                                                                       Facility: Unspecified Minor
                                                                       Construction.
South Carolina..........................  MCAS Beaufort.............  Instrument Landing System:           3,000
                                                                       Unspecified Minor
                                                                       Construction.
South Carolina..........................  MCRD Parris Island........  Entry Control Facility               6,000
                                                                       Improvements: Unspecified
                                                                       Minor Construction.
South Carolina..........................  MCAS Beaufort.............  Aircraft Maintenance Hangar..      121,825
South Carolina..........................  MCAS Beaufort.............  Recycling/Hazardous Waste            5,000
                                                                       Facility: Cost to Complete.
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.
    Naval Shipyard Modernization.--The Committee supports the 
Department's Shipyard Infrastructure Optimization Plan and 
believes the restoration of deferred maintenance availabilities 
along with the public shipyard dry dock investments recommended 
by the plan are critical. The Committee urges the Secretary of 
the Navy to prioritize the timely funding of public shipyard 
infrastructure, and in particular, the dry dock and shore 
infrastructure necessary to support critical maintenance of 
surface and submarine fleets by public shipyards.
    Domestic Sourcing for Shipyard Infrastructure.--The 
Committee notes that the Department of the Navy is undertaking 
a multi-year major military construction program to revitalize 
the four public shipyards. The Committee further notes that the 
Federal Acquisition Regulation [FAR], in accordance with the 
Buy American statute, restricts the purchase of construction 
materials that are not domestic, with limited exceptions. These 
requirements preserve the robust and capable domestic 
industrial base needed to support the country's national 
security requirements. In carrying out this public shipyard 
modernization program, the Committee urges the Navy to 
domestically source construction supplies and materials as 
appropriate and viable, and in accordance with the FAR.

                    Military Construction, Air Force

Appropriations, 2021....................................    $616,156,000
Budget estimate, 2022...................................   2,102,690,000
Committee recommendation................................   2,106,750,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $2,106,750,000 for the Air Force 
in fiscal year 2022. This amount is $1,490,594,000 above the 
fiscal year 2021 enacted level and $4,060,000 above the budget 
request. Within the total for Military Construction, Air Force, 
$269,060,000 is for the following projects in the following 
amounts:

                                        MILITARY CONSTRUCTION, AIR FORCE
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Colorado................................  U.S. Air Force Academy....  High-Bay Vehicle Maintenance:        4,360
                                                                       Unspecified Minor
                                                                       Construction.
Colorado................................  U.S. Air Force Academy....  New Cadet Prep School               24,726
                                                                       Dormitory.
Colorado................................  Schriever AFB.............  Fitness Center...............       30,000
Georgia.................................  Moody AFB.................  41 RQS HH-60W Apron..........       12,500
Hawaii..................................  Kirtland AFB Remote Maui    Secure Integration Support           8,800
                                           Experimental Site.          Lab: Planning and Design.
Lousiana................................  Barksdale AFB.............  Entrance Road and Gate: Cost        36,000
                                                                       to Complete.
Nevada..................................  Creech AFB................  Mission Support Facility:            1,900
                                                                       Planning and Design.
Nevada..................................  Creech AFB................  Warrior Fitness Training             2,200
                                                                       Center: Planning and Design.
New Mexico..............................  Kirtland AFB..............  Wyoming Gate Project: Cost to        5,600
                                                                       Complete.
New Mexico..............................  Kirtland AFB..............  PJ/CRO Urban Training                  810
                                                                       Complex: Planning and Design.
New Mexico..............................  Holloman AFB..............  Indoor Target Flip Facility:         2,340
                                                                       Planning and Design.
New Mexico..............................  Kirtland AFB..............  Dedicated Facility for the           5,280
                                                                       Space Rapid Capabilities
                                                                       Office: Planning and Design.
New Mexico..............................  Cannon AFB................  192-Bed Dormitory: Planning          5,568
                                                                       and Design.
New Mexico..............................  Cannon AFB................  Deployment Processing Center:        5,976
                                                                       Planning and Design.
New Mexico..............................  Holloman AFB..............  MQ-9 Formal Training Unit           40,000
                                                                       Operations Facility.
Ohio....................................  Wright-Patterson AFB......  Child Development Center.....       24,000
South Carolina..........................  Joint Base Charleston.....  Flight Line Support Facility.       29,000
South Carolina..........................  Joint Base Charleston.....  Fire and Rescue Station......       30,000
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.
    AC-130J Training Infrastructure.--The Committee supports 
the stand up of an AC-130J Formal Training Unit [FTU] at 
Kirtland Air Force Base, New Mexico as part of a relocation 
from Hurlburt Field, Florida. This action allows Air Force 
Special Operations Command to realign its training mission 
under Air Education and Training Command and consolidate AC-130 
initial mission qualification training at Kirtland. The 
Committee understands that the Air Force conducted a site visit 
to Kirtland Air Force Base in May 2021 to determine the 
facilities needs of the FTU. The Committee directs the 
Secretary of the Air Force to provide a report no later than 90 
days after enactment of this act outlining the timeline for 
developing facilities requirements and to prioritize the 
beddown infrastructure needed for the AC-130J FTU within its 
military construction program.
    Kirtland Microgrid Demonstration Project.--The Committee is 
encouraged by DoD's continued efforts to fund microgrid 
demonstration projects and recognizes the operational benefits 
microgrids provide in terms of increased installation energy 
and cyber resilience. The committee is aware of one such 
program on the grounds of Kirtland Air Force Base, the 
BlockEnergy Microgrid Demonstration Project. Such projects have 
demonstrated improved energy stability and reliability compared 
to traditional Alternating Current systems while reducing 
energy loss and improving efficiency and cyber protection. The 
Committee supports the expansion of the Kirtland demonstration 
project in order to increase energy and cyber resilience and 
demonstrate the viability of similar projects at other CONUS 
and OCONUS installations. Therefore, the Committee directs the 
Secretary of the Air Force to provide a report no later than 90 
days after enactment of this act outlining the energy 
resilience requirements of Kirtland AFB, to include a cost 
estimate for the expansion of the existing BlockEnergy 
Microgrid project. The report shall include an evaluation of 
the ability to integrate the existing BlockEnergy Microgrid 
project, funded to date with Air Force Research, Development, 
Test and Evaluation funding, with a future project funded with 
Military Construction funding, as well as any statutory or 
administrative barriers to such an effort, should such funding 
become available in future fiscal years.
    Weapons Generation Facilities.--The Committee continues to 
recognize the importance of the Weapons Generation Facility 
[WGF] modernization program but is concerned that execution 
delays and cost overruns continue to impact the schedule of 
future projects. The Committee directs the Department to 
continue to provide quarterly updates on projects associated 
with the WGF modernization program, including the status of 
planning and estimated timelines for projects not yet in the 
design phase.
    Quality of Life Facilities.--The Committee continues to 
highlight quality of life facilities and the integral role they 
play in supporting Airmen and their families. It is widely 
recognized that these facilities do not always compete well 
against other mission critical requirements, and the Committee 
encourages the Air Force to continue to identify and plan for 
quality of life facilities, including child development 
centers, fitness centers and dining facilities to meet the 
needs of Air Force installations.

                  Military Construction, Defense-Wide


                     (INCLUDING TRANSFER OF FUNDS)

Appropriations, 2021....................................  $2,041,909,000
Budget estimate, 2022...................................   1,957,289,000
Committee recommendation................................   2,082,663,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $2,082,663,000 for projects 
considered within the Defense-Wide account in fiscal year 2022. 
This amount is $40,754,000 above the fiscal year 2021 enacted 
level and $125,374,000 above the budget request. Within the 
total for Military Construction, Defense-Wide, $89,955,000 is 
for the following projects in the following amounts:

                                       MILITARY CONSTRUCTION, DEFENSE-WIDE
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Hawaii..................................  HDR-H.....................  Homeland Defense Radar-             19,000
                                                                       Hawaii: Planning and Design.
Mississippi.............................  Camp Shelby...............  Electrical Distribution             11,155
                                                                       Infrastructure
                                                                       Undergrounding Hardening
                                                                       Project.
Mississippi.............................  Camp Shelby...............  10 MW Generation Plant and          34,500
                                                                       Feeder Level Microgrid
                                                                       System.
New York................................  Fort Drum.................  Wellfield Expansion                 25,300
                                                                       Resilience Project.
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.
    Energy Resilience and Conservation Investment Program 
[ERCIP].--The Committee supports DoD's investments in energy 
efficiency, renewable energy systems, and energy resilience, 
including through ERCIP. In particular, the Committee 
appreciates the significant increase to ERCIP in the fiscal 
year 2022 budget request. Recognizing the significant demand 
for projects through this program, the Committee recommends an 
increase of $125,120,000 above the request for ERCIP and 
encourages the Department to prioritize funding for energy-
related projects, including renewable energy projects, to 
mitigate risk to mission-critical assets and promote energy 
security and efficiency at military installations.
    Electric Vehicle Infrastructure.--The Committee is 
encouraged by the administration's plan to transition Federal 
vehicles, to include DoD's non-tactical vehicle fleet, to 
electric vehicles [EVs] over the next several years. The 
Committee supports funding in the administration's budget 
request for ERCIP planning and design funds to better 
understand the unique capacity and infrastructure requirements 
of individual installations that are needed to support an 
electric non-tactical vehicle fleet. The Committee further 
notes this planning is necessary because the type of depot 
facility and charging infrastructure needed to support this 
transition across the DoD enterprise is inadequate. Therefore, 
the Committee directs the Secretary of Defense to submit a 
report no later than 180 days after enactment of this act 
outlining the military construction resources and authorities 
needed to support a transition to EVs. This report should 
include a strategy and implementation plan, to include the 
electric charging and depot facility infrastructure 
requirements, to transition the Department-wide non-tactical 
vehicle fleet to EVs.
    Missile Threat and Intelligence Infrastructure.--The 
Committee is concerned that advances in missile technology and 
continued proliferation of increasingly capable missiles 
threaten U.S. bases and servicemembers around the globe. 
Countering this threat will require continued investment in 
cutting-edge research, development, testing, and evaluation to 
ensure the U.S. retains its technological advantage. As such, 
the bill includes Section 132 that provides $153,000,000 to 
support properly sized and configured facilities to maintain 
and expand U.S. dominance in the missile technology field.
    Innovative HVAC Technologies.--The Committee recognizes 
that innovative Heating, Ventilation, and Air Conditioning 
[HVAC] technologies, including heat recovery and demand control 
ventilation, have expanded opportunities for facilities to 
reduce energy use and associated emissions, improve occupant 
comfort, and lower life cycle costs. While DoD regularly 
updates its UFC, current editions may not reflect many of these 
innovative technologies, thus preventing them from being fully 
utilized. Therefore, the Committee directs the Secretary of 
Defense to develop a plan to incorporate (1) commercially 
available, energy efficient HVAC technologies that have not yet 
been included in the UFC, including but not limited to gaseous 
air cleaning technology like advanced filtration and (2) HVAC 
building standards, including but not limited to the Indoor Air 
Quality Procedure in ASHRAE Standard 62.1, that are not yet 
included in the UFC and are expected to increase energy 
efficiency. The Committee directs the Secretary to provide a 
report no later than 180 days after the enactment of this act 
on how the Department will implement the plan.
    Batteryless Technology.--The Committee recognizes that 
innovative technologies for industrial monitoring, including 
those that are batteryless, exist and can reduce energy 
consumption and carbon emissions and enhance their operational 
readiness. The Committee encourages the Department to consider 
these technologies when updating UFC requirements and 
standards.
    Joint Spectrum Center Relocation.--The Committee recognizes 
the need to move the Joint Spectrum Center [JSC] from the 
closed David Taylor Research Center site in Annapolis, Maryland 
due to significant infrastructure problems and JSC's inability 
to meet Anti-Terrorism Force Protection [AT/FP] security 
standards in its existing leased location. Failure to meet 
these security standards requires ongoing security waivers by 
JSC's parent organization, the Defense Information Systems 
Agency, for its remaining lease term. JSC's relocation and 
existing lease termination were authorized in the Fiscal Year 
2008 National Defense Authorization Act and were intended to 
ensure personnel are performing JSC's mission in a building 
that meets all required security, environmental protection, and 
building safety requirements. Therefore, the Committee directs 
the Secretary of Defense to provide an update on the JSC 
relocation and execution timeline no later than 120 days after 
enactment of this act.
    Special Operations Command East Coast Training 
Facilities.--The Committee recognizes the value that regional 
training facilities provide for unique Special Operations 
Command [SOCOM] requirements, as well as the mutual benefits of 
partnerships leveraging under-utilized National Guard training 
infrastructure. In order to provide greater variety and 
diversity in training venues, the Committee directs the 
Secretary of Defense to provide a report within 180 days of 
enactment of this act that outlines any training capability 
shortfalls of East Coast based sites and the feasibility of 
developing an East Coast joint training center with a focus on 
enabling all-domains of warfare. This report should also 
analyze the value provided to SOCOM of National Guard training 
facilities.
    Stormwater Best Management Practices.--The Committee 
encourages the Department to continue to take steps to address 
water and flood resilience. Through updates to Unified 
Facilities Criteria, development of Installation Master Plans, 
and design and construction of projects funded through ERCIP, 
the Committee supports investment in implementing and 
maintaining stormwater Best Management Practices that enhance 
water resilience and quality on military installations. In 
addition to meeting force protection requirements and 
contributing to climate change adaptation, implementing and 
maintaining Best Management Practices will help military 
installations reduce pollution runoff and improve water 
quality. In undertaking this work, the Committee recommends 
that the Secretary consider and utilize natural infrastructure 
approaches, alone or in conjunction with grey infrastructure, 
to increase flood resilience. Natural infrastructure approaches 
(including restored wetlands, floodplains, living shorelines, 
and use of soil or plant systems and permeable surfaces for 
stormwater management) are proven techniques to provide 
significant and measurable risk reduction for inland and 
coastal flood hazards.

               Military Construction, Army National Guard

Appropriations, 2021....................................    $349,437,000
Budget estimate, 2022...................................     257,103,000
Committee recommendation................................     315,893,000


                        COMMITTEE RECOMMENDATION

    The Committee recommends $315,893,000 for Military 
Construction, Army National Guard for fiscal year 2022. This 
amount is $33,544,000 below the fiscal year 2021 enacted level 
and $58,790,000 above the budget request. Within the total for 
Military Construction, Army National Guard, $49,790,000 is for 
the following projects in the following amounts:

                                   MILITARY CONSTRUCTION, ARMY NATIONAL GUARD
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Kansas..................................  Topeka....................  National Guard/Reserve Center          420
                                                                       Building SCIF: Planning and
                                                                       Design.
Mississippi.............................  Camp Shelby...............  Maneuver Area Training              15,500
                                                                       Equipment Site (MATES).
Missouri................................  Aviation Classification     AVCRAD Aircraft Maintenance          3,800
                                           Repair Activity Depot.      Hangar Addition: Planning
                                                                       and Design.
North Carolina..........................  Salisbury.................  Aircraft Maintenance Hangar          2,700
                                                                       Addition/Alteration:
                                                                       Planning and Design.
Vermont.................................  Bennington................  Readiness Center.............       16,900
Vermont.................................  Ethan Allen AFB...........  Family Readiness Center:             4,665
                                                                       Unspecified Minor
                                                                       Construction.
Virginia................................  Sandston..................  Aircraft Maintenance Hangar:         5,805
                                                                       Planning and Design.
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.
    National Guard Biathlon Programs.--Since 1973, the National 
Guard has administered the U.S. military's biathlon program, 
providing continuous international engagement, especially with 
NATO allies for whom biathlon is a major sport, training and 
retention for servicemembers with specialties in mountain 
maneuver and action, and supplying U.S. Olympians. In 
recognition of evolving standards for international biathlon 
competition, the Committee includes $6,000,000 above the 
President's budget request in minor military construction for 
the update of biathlon facilities to continue engagement and 
training. The Director of the Army National Guard is directed 
to provide a spend plan for the use of these funds within 30 
days of enactment of this act.
    Vehicle Maintenance Facilities.--The Committee recognizes 
that vehicle maintenance facilities play an important role in 
overall Army National Guard [ARNG] unit readiness. Maintenance 
is particularly critical for National Guard assets that are 
frequently older and in need of greater repair than assets 
utilized by Active Duty counterparts. The Committee notes that 
the ARNG military construction program has appropriately 
prioritized Readiness Centers, however, with variable top line 
budget requests, this has come at the expense of other critical 
infrastructure, such as vehicle maintenance facilities. The 
Committee includes $2,000,000 in Planning and Design for these 
facilities and encourages the Army National Guard to ensure 
maintenance infrastructure is adequately addressed in future 
budget requests.
    Repair Depot.--The Committee is concerned with the 
significant shortfall of maintenance space of the Missouri 
Aviation Classification and Repair Activity Depot [AVCRAD], one 
of four National Guard rotary-wing aviation depot repair 
facilities in the continental United States. The current 
facility lacks adequate space, hangar bays, and shops, and 
existing operations are spread throughout multiple buildings 
that are undersized and result in inefficiencies, taxing 
maintenance space, manpower, and utilities infrastructure. 
Therefore, the Committee provides $3,800,000 for the planning 
and design of an AVCRAD Aircraft Maintenance Hangar Addition to 
provide adequate workspace that will allow for increased 
production and support a more orderly, methodical and efficient 
overhaul of aircraft. Further, the Committee encourages the 
ARNG to prioritize other such depot projects that support the 
increase of work force capacity, production capacity, and rate 
of aircraft repair in future budget submissions.
    Federal, State and Local Intelligence Collaboration.--The 
Committee is aware that several states utilize National Guard 
facilities for intelligence fusion centers. These centers allow 
Federal, State, local, and tribal law enforcement officials to 
collaborate and share intelligence and threat information, and 
co-locating them with National Guard facilities offers 
opportunities for cost savings. The Committee remains 
supportive of such collaborative co-location projects and as 
such provides $420,000 for planning and design of a Joint 
Analysis Center in the Kansas National Guard Joint Forces 
Headquarters Building in Topeka, Kansas.
    Line of Communications Bridge.--The Committee recognizes 
the important role that the Line of Communication Bridge [LOCB] 
provides to the warfighter by facilitating the uninterrupted 
flow of forces, equipment, personnel and supplies for sustained 
ground operations. The Committee believes that the Army 
National Guard should have the ability to provide soldiers with 
initial and sustainment training on the LOCB and urges the Army 
National Guard to prioritize unspecified minor military 
construction funds to establish facilities for this purpose.

               Military Construction, Air National Guard

Appropriations, 2021....................................     $64,214,000
Budget estimate, 2022...................................     197,770,000
Committee recommendation................................     298,550,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $298,550,000 for Military 
Construction, Air National Guard for fiscal year 2022. This 
amount is $234,336,000 above the fiscal year 2021 enacted level 
and $100,780,000 above the budget request. Within the total for 
Military Construction, Air National Guard, $97,780,000 is for 
the following projects in the following amounts:

                                    MILITARY CONSTRUCTION, AIR NATIONAL GUARD
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Connecticut.............................  Bradley ANGB..............  Composite ASE Vehicle               17,000
                                                                       Maintenance Facility.
Delaware................................  New Castle County Airport.  Fuel Cell and Corrosion             17,500
                                                                       Control Hangar.
Illinois................................  Abraham Lincoln Capital     Base Civil Engineer Complex..       10,200
                                           Airport.
New York................................  Gabreski ANGB.............  Base Civil Engineer Complex..       14,800
South Carolina..........................  McEntire JNGB.............  Hazardous Cargo Pad..........        9,000
Washington..............................  Camp Murray ANGS..........  Air Support Operations Group        27,000
                                                                       Complex.
Wisconsin...............................  Volk Combat Readiness       Replace Aircraft Maintenance         2,280
                                           Training Center.            Hangar/Shops: Planning and
                                                                       Design.
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.
    Corrosion Prevention Facilities.--The Committee remains 
concerned about the prevalence of aviation mishaps, 
specifically as it relates to failures in aviation corrosion 
prevention. Recognizing the state of aging corrosion prevention 
infrastructure, much of which exists at Air National Guard 
installations, such as that supporting the 167th Airlift Wing 
at Martinsburg, West Virginia, the Committee directs the 
Director of the Air National Guard, in consultation with the 
Secretary of the Air Force, to submit a report no later than 90 
days after enactment of this act outlining the current state of 
indoor corrosion prevention infrastructure. In particular, the 
report should include the location and facility condition index 
of all indoor corrosion prevention facilities or ``wash racks'' 
specifically designed and constructed for the primary purpose 
of corrosion prevention maintenance. Further, the Committee 
encourages the Air Force and Air National Guard to adequately 
prioritize design and construction funds for corrosion 
prevention facilities.

                  Military Construction, Army Reserve

Appropriations, 2021....................................     $88,337,000
Budget estimate, 2022...................................      64,911,000
Committee recommendation................................      94,111,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $94,111,000 for Military 
Construction, Army Reserve for fiscal year 2022. This amount is 
$5,774,000 above the fiscal year 2021 enacted level and 
$29,200,000 above the budget request. Within the total for 
Military Construction, Army Reserve, $29,200,000 is for the 
following project in the following amount:

                                       MILITARY CONSTRUCTION, ARMY RESERVE
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Wisconsin...............................  Fort McCoy................  Transient Training Enlisted         29,200
                                                                       Barracks.
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.

                  Military Construction, Navy Reserve

Appropriations, 2021....................................     $70,995,000
Budget estimate, 2022...................................      71,804,000
Committee recommendation................................      71,804,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $71,804,000 for Military 
Construction, Navy Reserve for fiscal year 2022. This amount is 
$809,000 above the fiscal year 2021 enacted level and equal to 
the budget request. Further detail of the Committee's 
recommendation is provided in the State table at the end of 
this report.

                Military Construction, Air Force Reserve

Appropriations, 2021....................................     $23,117,000
Budget estimate, 2022...................................      78,374,000
Committee recommendation................................     111,374,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $111,374,000 for Military 
Construction, Air Force Reserve for fiscal year 2022. This 
amount is $88,257,000 above the fiscal year 2021 enacted level 
and $33,000,000 above the budget request. Within the total for 
Military Construction, Air Force Reserve, $33,000,000 is for 
the following project in the following amount:

                                    MILITARY CONSTRUCTION, AIR FORCE RESERVE
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
California..............................  Beale AFB.................  940 ARW SQ OPS & AMU Complex.       33,000
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.

                   North Atlantic Treaty Organization


                      SECURITY INVESTMENT PROGRAM

Appropriations, 2021....................................    $173,030,000
Budget estimate, 2022...................................     205,853,000
Committee recommendation................................     205,853,000

                          PROGRAM DESCRIPTION

    The North Atlantic Treaty Organization [NATO] appropriation 
provides for the U.S. cost share of the NATO Security 
Investment Program for the acquisition and construction of 
military facilities and installations (including international 
military headquarters) and for related expenses for the 
collective defense of the NATO Treaty area.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $205,853,000 for the NATO Security 
Investment Program for fiscal year 2022. This amount is 
$32,823,000 above the fiscal year 2021 enacted level and equal 
to the budget request.

               Department of Defense Base Closure Account

Appropriations, 2021....................................    $480,447,000
Budget estimate, 2022...................................     284,639,000
Committee recommendation................................     334,639,000

                          PROGRAM DESCRIPTION

    Section 2711 of the National Defense Authorization Act for 
Fiscal Year 2014 (Public Law 112-239) consolidated the Base 
Closure Account 1990 and the Base Closure Account 2005 into a 
single Department of Defense Base Closure Account. The Base 
Closure Account provides for cleanup and disposal of property 
consistent with the four closure rounds required by the base 
closure acts of 1988 and 1990, and with the 2005 closure round 
required by the Defense Base Closure and Realignment Act of 
1990 (10 U.S.C. 2687 note).

                        COMMITTEE RECOMMENDATION

    The Committee recommends a total of $334,639,000 for the 
Department of Defense Base Closure Account for fiscal year 
2022. This amount is $145,808,000 below the fiscal year 2021 
enacted level and $50,000,000 above the budget request. Funds 
provided for fiscal year 2022 are for environmental cleanup and 
ongoing operations and maintenance.
    Perfluorooctane Sulfonate [PFOS] and Perfluorooctanoic Acid 
[PFOA].--The Committee provides $40,000,000 in additional funds 
for identification, mitigation, and clean-up costs across DoD 
for PFOS and PFOA. DoD is directed to provide a spend plan for 
these additional funds to the Committees on Appropriations of 
both Houses of Congress no later than 30 days after enactment 
of this act.
    Additional Support for Remedial Activities.--The Committee 
recognizes that the services have active costs associated with 
ordnance disposal, environmental clean-up, property management, 
and other ongoing remedial actions at dozens of realigned or 
closed installations. Understanding that funding requested in 
fiscal year 2022 does not fully cover the known requirements 
and that limited prior-year carryover, particularly for the 
Army, has reduced flexibility in recent years, the Committee 
provides $10,000,000 to carry out additional activities under 
the services' Base Closure Accounts. The Committee directs the 
Secretary of Defense, in coordination with the Service 
Secretaries, to provide a spend plan for these additional funds 
to the Committees on Appropriations of both Houses of Congress 
no later than 30 days after enactment of this act.

                        Family Housing Overview

Appropriations, 2021....................................  $1,336,592,000
Budget estimate, 2022...................................   1,423,554,000
Committee recommendation................................   1,423,554,000

              Family Housing Accounts--Program Description

    The Family Housing appropriation provides funds for 
military family housing construction activities, operation and 
maintenance, the Family Housing Improvement Fund, and the 
Homeowners Assistance Program. Construction accounts provide 
funding for new construction, improvements and the Federal 
Government share of housing privatization. Operation and 
maintenance accounts fund costs associated with the maintenance 
and leasing of military family housing, including utilities, 
services, management, and furnishings.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $1,423,554,000 for Family Housing 
Construction, Operations and Maintenance, and the Department's 
family housing improvement fund for fiscal year 2022. This 
amount is $86,962,0000 above the fiscal year 2021 enacted level 
and equal to the budget request.

                   Family Housing Construction, Army

Appropriations, 2021....................................    $119,400,000
Budget estimate, 2022...................................      99,849,000
Committee recommendation................................      99,849,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $99,849,000 for Army Family 
Housing Construction in fiscal year 2022. This amount is 
$19,551,000 below the fiscal year 2021 enacted level and equal 
to the budget request. Further detail of the Committee's 
recommendation is provided in the State table at the end of 
this report.

             Family Housing Operation and Maintenance, Army

Appropriations, 2021....................................    $352,342,000
Budget estimate, 2022...................................     391,227,000
Committee recommendation................................     391,227,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $391,227,000 for Family Housing 
Operation and Maintenance, Army, for fiscal year 2022. This 
amount is $38,885,000 above the fiscal year 2021 enacted level 
and equal to the budget request.

           Family Housing Construction, Navy And Marine Corps

Appropriations, 2021....................................     $42,897,000
Budget estimate, 2022...................................      77,616,000
Committee recommendation................................      77,616,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $77,616,000 for Family Housing 
Construction, Navy and Marine Corps. This amount is $34,719,000 
above the fiscal year 2021 enacted level and equal to the 
budget request. Further detail of the Committee's 
recommendation is provided in the State table at the end of 
this report.

    Family Housing Operation and Maintenance, Navy and Marine Corps

Appropriations, 2021....................................    $346,493,000
Budget estimate, 2022...................................     357,341,000
Committee recommendation................................     357,341,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $357,341,000 for Family Housing 
Operation and Maintenance, Navy and Marine Corps, in fiscal 
year 2022. This amount is $10,848,000 above the fiscal year 
2021 enacted level and equal to the budget request.

                 Family Housing Construction, Air Force

Appropriations, 2021....................................     $97,214,000
Budget estimate, 2022...................................     115,716,000
Committee recommendation................................     115,716,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $115,716,000 for Family Housing 
Construction, Air Force, in fiscal year 2022. This amount is 
$18,502,000 above the fiscal year 2021 enacted level and equal 
to the budget request. Further detail of the Committee's 
recommendation is provided in the State table at the end of 
this report.

          Family Housing Operation and Maintenance, Air Force

Appropriations, 2021....................................    $317,021,000
Budget estimate, 2022...................................     325,445,000
Committee recommendation................................     325,445,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $325,445,000 for Family Housing 
Operation and Maintenance, Air Force, in fiscal year 2022. This 
amount is $8,424,000 above the fiscal year 2021 enacted level 
and equal to the budget request.

         Family Housing Operation and Maintenance, Defense-wide

Appropriations, 2021....................................     $54,728,000
Budget estimate, 2022...................................      49,785,000
Committee recommendation................................      49,785,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $49,785,000 for Family Housing 
Operation and Maintenance, Defense-Wide, for fiscal year 2022. 
This amount is $4,943,000 below the fiscal year 2021 enacted 
level and equal to the budget request.

         Department of Defense Family Housing Improvement Fund

Appropriations, 2021....................................      $5,897,000
Budget estimate, 2022...................................       6,081,000
Committee recommendation................................       6,081,000

                          PROGRAM DESCRIPTION

    The Family Housing Improvement Fund appropriation provides 
for the Department of Defense to undertake housing initiatives 
and to provide an alternative means of acquiring and improving 
military family housing and supporting facilities. This account 
provides seed money for housing privatization initiatives.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $6,081,000 for the Family Housing 
Improvement Fund in fiscal year 2022. This amount is $184,000 
above the fiscal year 2021 enacted level and equal to the 
budget request.

 Department of Defense Military Unaccompanied Housing Improvement Fund

Appropriations, 2021....................................        $600,000
Budget estimate, 2022...................................         494,000
Committee recommendation................................         494,000

                          PROGRAM DESCRIPTION

    The Military Unaccompanied Housing Improvement Fund 
appropriation provides for the Department of Defense to 
undertake housing initiatives and to provide an alternative 
means of acquiring and improving military unaccompanied housing 
and supporting facilities. This account provides seed money for 
housing privatization initiatives.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $494,000 for the Military 
Unaccompanied Housing Improvement Fund in fiscal year 2022. 
This amount is $106,000 below the fiscal year 2021 enacted 
level and equal to the budget request.

                       Administrative Provisions

    Sec. 101. The Committee includes a provision that restricts 
payments under a cost-plus-a-fixed-fee contract for work, 
except in cases of contracts for environmental restoration at 
base closure sites.
    Sec. 102. The Committee includes a provision that permits 
the use of funds for the hire of passenger motor vehicles.
    Sec. 103. The Committee includes a provision that permits 
the use of funds for defense access roads.
    Sec. 104. The Committee includes a provision that prohibits 
construction of new bases inside the continental United States 
for which specific appropriations have not been made.
    Sec. 105. The Committee includes a provision that limits 
the use of funds for purchase of land or land easements.
    Sec. 106. The Committee includes a provision that prohibits 
the use of funds to acquire land, prepare a site, or install 
utilities for any family housing except housing for which funds 
have been made available.
    Sec. 107. The Committee includes a provision that limits 
the use of minor construction funds to transfer or relocate 
activities among installations.
    Sec. 108. The Committee includes a provision that prohibits 
the procurement of steel unless American producers, 
fabricators, and manufacturers have been allowed to compete.
    Sec. 109. The Committee includes a provision that prohibits 
payments of real property taxes in foreign nations.
    Sec. 110. The Committee includes a provision that prohibits 
construction of new bases overseas without prior notification.
    Sec. 111. The Committee includes a provision that 
establishes a threshold for American preference of $500,000 
relating to architect and engineering services for overseas 
projects.
    Sec. 112. The Committee includes a provision that 
establishes preference for American contractors for military 
construction in the United States territories and possessions 
in the Pacific, and on Kwajalein Atoll, or in countries 
bordering the Arabian Gulf.
    Sec. 113. The Committee includes a provision that requires 
notification of military exercises involving construction in 
excess of $100,000.
    Sec. 114. The Committee includes a provision that permits 
funds appropriated in prior years to be available for 
construction authorized during the current session of Congress.
    Sec. 115. The Committee includes a provision that permits 
the use of expired or lapsed funds to pay the cost of 
supervision for any project being completed with lapsed funds.
    Sec. 116. The Committee includes a provision that permits 
obligation of funds from more than one fiscal year to execute a 
construction project, provided that the total obligation for 
such project is consistent with the total amount appropriated 
for the project.
    Sec. 117. The Committee includes a provision that permits 
the transfer of funds from Family Housing Construction accounts 
to the DoD Family Housing Improvement Fund and from Military 
Construction accounts to the DoD Military Unaccompanied Housing 
Improvement Fund.
    Sec. 118. The Committee includes a provision that provides 
transfer authority to the Homeowners Assistance Fund.
    Sec. 119. The Committee includes a provision that requires 
all acts making appropriations for military construction be the 
sole funding source of all operation and maintenance for family 
housing, including flag and general officer quarters, and 
limits the repair on flag and general officer quarters to 
$35,000 per unit per year without prior notification to the 
congressional defense committees.
    Sec. 120. The Committee includes a provision that provides 
authority to expend funds from the ``Ford Island Improvement'' 
account.
    Sec. 121. The Committee includes a provision that allows 
the transfer of expired funds to the Foreign Currency 
Fluctuation, Construction, Defense Account.
    Sec. 122. The Committee includes a provision that allows 
the reprogramming of military construction and family housing 
construction funds among projects and activities within the 
account in which they are funded.
    Sec. 123. The Committee includes a provision that prohibits 
the use of funds in this title for planning and design and 
construction of projects at Arlington National Cemetery.
    Sec. 124. The Committee includes a provision providing 
additional funds for unfunded military construction priorities.
    Sec. 125. The Committee includes a provision directing all 
amounts appropriated to military construction accounts be 
immediately available and allotted for the full scope of 
authorized projects.
    Sec. 126. The Committee includes a provision permitting the 
obligation of funds for fiscal year 2017 projects for which the 
project authorization has not lapsed or has been extended.
    Sec. 127. The Committee includes a provision rescinding 
unobligated balances from the Military Construction, Defense-
Wide account.
    Sec. 128. The Committee includes a provision defining the 
congressional defense committees.
    Sec. 129. The Committee includes a provision providing 
additional funds for Family Housing cost to complete projects 
identified by the Army.
    Sec. 130. The Committee includes a provision providing 
additional funding for science and technology and testing and 
evaluation laboratory infrastructure.
    Sec. 131. The Committee includes a provision providing 
funding to support the Department of Navy Shipyard 
Infrastructure Optimization Plan.
    Sec. 132. The Committee includes a provision providing 
funding for military construction in support of missile and 
space intelligence missions.
    Sec. 133. The Committee includes a provision providing 
additional funding for Military Installation Resilience.

                                TITLE II

                     DEPARTMENT OF VETERANS AFFAIRS

                                HEARING

    The Subcommittee on Military Construction, Veterans 
Affairs, and Related Agencies held one hearing related to the 
budget request for fiscal year 2022 and fiscal year 2023 
advance appropriations. The subcommittee heard testimony from 
the Honorable Denis R. McDonough, Secretary of the Department 
of Veterans Affairs and the Honorable Jon J. Rychalski, 
Assistant Secretary for Management and Chief Financial Officer.

                  SUMMARY OF COMMITTEE RECOMMENDATIONS

    The Committee recommendation includes $268,365,547,305 for 
the Department of Veterans Affairs [VA] for fiscal year 2022, 
including $155,440,055,000 in mandatory spending and 
$112,925,492,305 in discretionary spending. The Committee also 
recommends $111,287,000,000 in advance appropriations for 
veterans medical care for fiscal year 2023 and $156,586,190,000 
in advance appropriations for appropriated mandatories for 
fiscal year 2023.

                          DEPARTMENT OVERVIEW

    The Veterans Administration was established on July 21, 
1930, as an independent agency by Executive Order 5398, in 
accordance with the act of July 3, 1930 (46 Stat. 1016). This 
act authorized the President to consolidate and coordinate 
Federal agencies specially created for or concerned with the 
administration of laws providing benefits to veterans, 
including the Veterans' Bureau, the Bureau of Pensions, and the 
National Home for Disabled Volunteer Soldiers. On March 15, 
1989, the Veterans Administration was elevated to Cabinet-level 
status as the Department of Veterans Affairs.
    VA's mission is to serve America's veterans and their 
families as their principal advocate in ensuring they receive 
the care, support, and recognition they have earned in service 
to the Nation. As of September 30, 2020, there were an 
estimated 19.5 million living veterans residing in the United 
States, American Samoa, Guam, the Northern Mariana Islands, 
Puerto Rico, and the U.S. Virgin Islands. There were an 
estimated 23.1 million dependents (spouses and dependent 
children) of living veterans, and there were about 606,000 
survivors of deceased veterans receiving VA survivor benefits. 
Thus, approximately 43.2 million people, or 13.0 percent of the 
total estimated resident population of the United States, 
Puerto Rico, U.S. Island Areas and U.S. citizens living abroad 
were recipients or potential recipients of veterans benefits 
from the Federal Government. VA's operating units include the 
Veterans Benefits Administration, Veterans Health 
Administration, National Cemetery Administration, and staff 
support offices.
    The Veterans Benefits Administration [VBA] provides an 
integrated program of nonmedical veterans benefits. VBA 
administers a broad range of benefits to veterans and other 
eligible beneficiaries through 56 regional offices; 3 Pension 
Management Centers; 6 Fiduciary Hubs; 2 Regional Education 
Processing Offices; 8 Regional Loan Centers; 1 Insurance 
Center; 8 National Call Centers; 3 Decision Review Operations 
Centers; and a records processing center in St. Louis, 
Missouri. The benefits provided include compensation for 
service-connected disabilities; pensions for wartime, needy, 
and totally disabled veterans; vocational rehabilitation 
assistance; educational and training assistance; home buying 
assistance; estate protection services for veterans under legal 
disability; information and assistance through personalized 
contacts; and 6 life insurance programs.
    The Veterans Health Administration [VHA] develops, 
maintains, and operates a national healthcare delivery system 
for eligible veterans; carries out a program of education and 
training of healthcare personnel; conducts medical research and 
development; and furnishes health services to members of the 
Armed Forces during periods of war or national emergency. A 
system consisting of 146 VA Hospitals; 13 Health Care Centers; 
222 Multi-Specialty Community-Based outpatient clinics; 550 
Primary Care Community-Based outpatient clinics; 321 Outpatient 
Services Sites; 134 community living centers; 118 mental health 
residential rehabilitation treatment programs; 300 readjustment 
counseling Vet Centers; and 83 Mobile Vet Centers is maintained 
to meet VA's medical mission.
    The National Cemetery Administration [NCA] provides for the 
interment of the remains of eligible deceased servicemembers 
and discharged veterans in any national cemetery with available 
grave space; permanently maintains these graves; provides 
headstones and markers for the graves of eligible persons in 
national and private cemeteries; administers the grant program 
for aid to States in establishing, expanding, or improving 
State veterans cemeteries; and provides certificates to 
families of deceased veterans recognizing their contributions 
and service to the Nation. In 2022, cemetery activities will 
encompass 158 national cemeteries and 34 soldiers' lots and 
monuments and their maintenance as national shrines.
    Staff support offices include the Office of Inspector 
General, Board of Veterans Appeals, and General Administration 
offices, which support the Secretary, Deputy Secretary, Under 
Secretary for Benefits, Under Secretary for Health, Under 
Secretary for Memorial Affairs, and General Counsel.
    In fiscal years 2020 and 2021, the Department received 
supplemental appropriations to assist them to prepare for, 
prevent, and respond to the pandemic and related costs. In 
fiscal year 2020, the Department received $60,000,000 from the 
Families First Coronavirus Response Act (Public Law 116-127) 
and $19,569,500,000 from the Coronavirus Aid, Relief, and 
Economic Assistance [CARES] Act (Public Law 116-136). The 
American Rescue Plan [ARP] (Public Law 117-2) provided the 
Department with $17,080,000,000 in mandatory funding to sustain 
the pandemic response beyond the availability of the CARES Act 
funding. Among the purposes of this funding was to address the 
costs of deferred care, backlog of veteran benefits claims and 
appeals, improve supply chain management capabilities, address 
needed construction to State extended care facilities, and 
train veterans unemployed due to the pandemic for high demand 
occupations. These funds were considered as part of the 
administration's fiscal years 2022 and 2023 requests.
    Toxic Exposures.--The Committee is aware of a long, painful 
history of servicemembers being exposed to toxic substances. VA 
has increasingly recognized illnesses associated with toxic 
exposure during service, and the Secretary announced a 
rulemaking effort to expand benefits for disability claims for 
conditions related to certain toxic exposures, and the 
Committee urges the Department to appropriately fund these 
efforts. In addition, the Congress is considering legislation 
related to benefits and care for veterans with toxic exposures. 
The Committee requests the Department be transparent with its 
analysis and actions, including cost estimates, as this 
important issue is addressed.
    Transition from Active Duty to Civilian Life.--The ability 
of communities to build networks, including through public-
private partnerships, to provide resources to servicemembers, 
veterans, and their families is critical to ensure 
transitioning servicemembers and veterans have the support they 
need in their civilian lives. The Committee encourages the 
Department to provide support for such networked approaches 
including through public-private partnerships.
    Security Infrastructure.--The Committee recommends that 
security and communications technology and policy upgrades at 
VA facilities be addressed at the Department in fiscal year 
2022. The Committee recommends that security upgrades take a 
holistic approach and deploy proven technologies, including 
real-time video surveillance, situational awareness technology, 
and license plate reader technology, in conjunction with 
improved communications capabilities. The Committee notes 
instances when the Office of Inspector General [OIG] was unable 
to review surveillance video from the day of a veteran's death 
or a sentinel event because 30 days elapsed, the tapes were in 
the possession of VA or local police, or were deleted, lost or 
missing. The Committee urges the Department to store tapes for 
a minimum of 120 days and that upon request or after a sentinel 
event, grant the OIG access to a copy of these tapes. The 
Department is directed to provide a report to the Committees on 
both Houses of Appropriations within 180 days of enactment of 
this act describing efforts being taken to increase security at 
VA facilities, in particular, related to veteran safety.
    Supply Chain Modernization.--In 2019, GAO placed VA 
Acquisition Management on its High-Risk List due, in part, to 
VA's medical supply chain challenges. Further, as outlined in 
the June 15, 2021 report ``VA COVID-19 Procurements: Pandemic 
Underscores Urgent Need to Modernize Supply Chain'' [GAO-21-
280], VA is carrying out several supply chain modernization 
efforts, including Medical-Surgical Prime Vendor, Defense 
Medical Logistics Standard Support, LogiCole, Regional 
Readiness Centers, and potentially VA's use of the Defense 
Logistics Agency's Warstopper Program. On June 22, 2021, the 
United States Court of Federal Claims issued an order which may 
require VA to completely re-think major portions of its 
efforts. In addition, in response to requests from Congress and 
GAO, VA committed to creating a Supply Chain Management 
Strategy to outline how its various supply chain initiatives 
relate to each other. The Secretary is directed, within 30 days 
of enactment of this act, to provide the Committees with an 
update or the final version of its Supply Chain Management 
Strategy, to include any changes to the fiscal year 2022 Supply 
Chain Modernization spend plan required based on the challenges 
VA has experienced, including court rulings.
    Veteran Pro-Bono Legal Services.--The Committee recognizes 
an unmet need for holistic programs that offer pro-bono legal 
services to veterans and their dependents. The Committee 
acknowledges existing Department initiatives that guide 
veterans during benefit-related interactions with 
administrative agencies and believes that accredited university 
law schools, particularly those partnering with faculty skilled 
and trained in social work, may be suited to complement 
existing agency efforts in underserved areas. The Committee 
also recognizes that a veteran's lack of access to legal 
services to access benefits that they would otherwise use for 
their livelihood, may cause difficulty for the veteran to 
provide for their essential needs. Accordingly, the Committee 
urges VA to support programs that permit accredited university 
law schools to expand its veterans legal clinic offerings, in 
which social work services are also provided, to serve veterans 
facing unique legal challenges.
    Center for Native Hawaiian, Pacific Islander and U.S.-
Affiliated Pacific Islander Health.--The Committee continues to 
recognize the significant contributions of Native Hawaiian 
[NH], Pacific Islander [PI], and U.S.-Affiliated Pacific 
Islander [USAPI] servicemembers in the U.S. military and the 
disproportionate number of NH, PI, and USAPI veterans. 
Additionally, the Committee recognizes that VA has centers 
dedicated to health policy, innovation, health economics, and 
more, as well as programs that provide special attention to 
rural populations and American Indian/Alaska Natives, but that 
there are no known VA centers specifically dedicated to the 
population of NH, PI, and USAPI veterans. The Committee 
acknowledges report language included in the fiscal year 2021 
agreement regarding a feasibility study and considerations for 
the establishment of a Center for NH, PI, and USAPI Health to 
focus on research, service, and education to improve the lives 
of NH, PI, and USAPI veterans, and looks forward to reviewing 
this feasibility study.
    National VA History Center.--The Committee appreciates the 
steps that the Department has taken to establish the National 
VA History Center to fill a long-standing need for a 
comprehensive program to collect, preserve and provide access 
to VA's relevant historical records and artifacts and to share 
with the public the story of VA and its predecessor 
organizations. The Committee understands fundraising delays 
occurred due to the pandemic. The Department is directed to 
provide an update on fundraising efforts and a plan, including 
a cost estimate, for the remainder of the project to the 
Committees on Appropriations of both Houses of Congress no 
later than 90 days after enactment of this act.
    Unobligated Balances of Expired Discretionary Funds.--The 
Committee directs the Secretary to submit to the Committees on 
Appropriations of both Houses of Congress quarterly reports 
detailing all unobligated balances of expired discretionary 
funds by fiscal year.

                    VETERANS BENEFITS ADMINISTRATION

Appropriations, 2021

                                                        $142,116,608,000

Advance Appropriations, 2022

                                                         145,311,218,000

Budget estimate, 2022

                                                          13,782,955,305

Committee recommendation, 2022

                                                          13,846,069,305

Budget estimate, advance appropriations, 2023

                                                         156,586,190,000

Committee recommendation, advance appropriations, 2023

                                                         156,586,190,000

                        ADMINISTRATION OVERVIEW

    The Veterans Benefits Administration is responsible for the 
payment of compensation and pension benefits to eligible 
service-connected disabled veterans, as well as education 
benefits and housing loan guarantees.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2021, the Committee provided 
$145,311,218,000 in advance appropriations for VBA for fiscal 
year 2022. This included $130,227,650,000 for Compensation and 
Pensions; $14,946,618,000 for Readjustment Benefits; and 
$136,950,000 for Veterans Insurance and Indemnities.
    For fiscal year 2022, the Committee recommends an 
additional $7,347,837,000 for Compensation and Pensions, as 
requested by the administration, as well as an estimated 
$2,781,000,000 for the Veterans Housing Benefit Program Fund. 
Additionally, the Committee recommendation includes 
$229,500,000 for the Veterans Housing Benefit Program Fund 
administrative expenses; $2,838 for the Vocational 
Rehabilitation Loans Program account, with $429,467 for 
administrative expenses; $1,300,000 for the Native American 
Veteran Housing Loan Program account; and $3,486,000,000 for 
the General Operating Expenses, Veterans Benefits 
Administration account.
    The Committee recommendation also provides $156,586,190,000 
in advance appropriations for the Veterans Benefits 
Administration's mandatory accounts for fiscal year 2023. This 
level may be adjusted based on the results of the 
administration's mid-session review.

                       COMPENSATION AND PENSIONS

                     (INCLUDING TRANSFER OF FUNDS)

Appropriations, 2021

                                                        $124,357,226,552

Advance Appropriations, 2022

                                                         130,227,650,000

Budget estimate, 2022

                                                           7,347,837,000

Committee recommendation, 2022

                                                           7,347,837,000

Budget estimate, advance appropriations, 2023

                                                         147,569,474,000

Committee recommendation, advance appropriations, 2023

                                                         147,569,474,000

                          PROGRAM DESCRIPTION

    Compensation is payable to living veterans who have 
suffered impairment of earning power from service-connected 
disabilities. The amount of compensation is based upon the 
impact of disabilities on a veteran's earning capacity. Death 
compensation or dependency and indemnity compensation is 
payable to the surviving spouses and dependents of veterans 
whose deaths occur while on active duty or result from service-
connected disabilities. A clothing allowance may also be 
provided for veterans with a service-connected disability who 
use a prosthetic or orthopedic device. In fiscal year 2022, the 
Department estimates it will obligate $133,794,514,000 for 
payments to 5,503,550 veterans, 475,146 survivors, and 1,281 
children receiving special benefits.
    Pensions are an income security benefit payable to needy 
wartime veterans who are precluded from gainful employment due 
to non-service-connected disabilities which render them 
permanently and totally disabled. The Veterans Education and 
Benefits Expansion Act of 2001 (Public Law 107-103), restored 
the automatic presumption of permanent and total non-service-
connected disability for purposes of awarding a pension to 
veterans age 65 and older, subject to the income limitations 
that apply to all pensioners. Death pensions are payable to 
needy surviving spouses and children of deceased wartime 
veterans. The rate payable for both disability and death 
pensions is determined on the basis of the annual income of the 
veteran or their survivors. In fiscal year 2022, the Department 
estimates that the Pensions program will provide benefits to 
209,355 veterans and 147,472 survivors totaling $4,772,559,000.
    The Compensation and Pensions program funds certain burial 
benefits on behalf of eligible deceased veterans. These 
benefits provide the purchase and transportation costs for 
headstones and markers, graveliners, and pre-placed crypts; and 
provide partial reimbursement for privately purchased outer 
burial receptacles. In fiscal year 2022, the Department 
estimates the Compensation and Pensions program will obligate 
$418,008,000 providing burial benefits. This funding will 
provide 64,111 burial allowances, 58,320 burial plot 
allowances, 56,099 service-connected death awards, 439,056 
burial flags, 341,693 headstones or markers, 105,724 
graveliners or reimbursement for privately purchased outer 
burial receptacles, and 293 caskets and urns for the internment 
of the remains of veterans without next of kin.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2021, the Committee provided an advance 
appropriation of $130,227,650,000 for fiscal year 2022 for the 
Compensation and Pensions account. The Committee recommendation 
includes an additional $7,347,837,000 for Compensation and 
Pensions for fiscal year 2022. The additional appropriation 
coupled with the advance appropriation provided for fiscal year 
2022 provides the Department with total budget authority of 
$137,575,487,000.
    The Committee recommendation includes an advance 
appropriation of $147,569,474,000 for the Compensation and 
Pension account for fiscal year 2023, as requested.
    The increased appropriation for fiscal years 2022 and 2023 
reflects program trends, including increased disability rating 
and corresponding average payments for veteran compensation. It 
also reflects implementation of new laws and interpretations, 
including three new Agent Orange presumptive conditions 
(Parkinson-like symptoms, bladder cancer, and hyperthyroidism) 
enacted in the National Defense Authorization Act, 2021 (Public 
Law 116-283, section 9109), and a requirement to readjudicate 
disability compensation claims for Blue Water Navy Veterans 
(Nehmer, et. al. v. U.S. Department of Veterans Affairs, No. C 
86-06160 WHA).

                         READJUSTMENT BENEFITS

Appropriations, 2021

                                                         $12,578,965,000

Advance Appropriations, 2022

                                                          14,946,618,000

Budget estimate, advance appropriations, 2023

                                                           8,906,851,000

Committee recommendation, advance appropriations, 2023

                                                           8,906,851,000

                          PROGRAM DESCRIPTION

    The Readjustment Benefits appropriation finances the 
education and training of veterans and servicemembers under 
chapters 21, 30, 31, 33, 34, 35, 36, 39, 41, 51, 53, 55, and 61 
of title 38, United States Code. These benefits include the 
All-Volunteer Force Educational Assistance Program (Montgomery 
GI bill) and the Post 
9/11 Educational Assistance Program, including changes through 
the Forever GI bill. Basic benefits are funded through 
appropriations made to the readjustment benefits account and by 
transfers from the Department of Defense [DoD]. This account 
also finances vocational rehabilitation, specially adapted 
housing grants, specially adapted automobile grants for certain 
disabled veterans, and educational assistance allowances for 
eligible dependents of those veterans who died from service-
connected causes or who have a total permanent service-
connected disability, as well as dependents of servicemembers 
who were captured or missing in action.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2021, the Committee provided an advance 
appropriation of $14,946,618 for the Readjustment Benefits 
account for fiscal year 2022.
    The Committee recommendation includes an advance 
appropriation of $8,906,851,000 for Readjustment Benefits for 
fiscal year 2023, as requested.
    Veteran Employment Through Technology Education Courses 
[VET TEC].--The VET TEC program provides veterans with training 
to start or advance a career in the high-technology industry. 
The Committee strongly supports this initiative and encourages 
the Department to expand the program to address increased 
demand.

                   VETERANS INSURANCE AND INDEMNITIES

Appropriations, 2021....................................    $131,372,000
Advance Appropriations, 2022............................     136,950,000
Budget estimate, advance appropriations, 2023...........     109,865,000
Committee recommendation, advance appropriations, 2023..     109,865,000

                          PROGRAM DESCRIPTION

    The Veterans Insurance and Indemnities appropriation 
consists of the former appropriations for military and naval 
insurance, applicable to World War I veterans; National Service 
Life Insurance, applicable to certain World War II veterans; 
servicemen's indemnities, applicable to Korean conflict 
veterans; and veterans mortgage life insurance to individuals 
who have received a grant for specially adapted housing.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2021, the Committee provided an advance 
appropriation of $136,950,000 for fiscal year 2022 for the 
Veterans Insurance and Indemnities account.
    The Committee recommendation includes an advance 
appropriation of $109,865,000 for Veterans Insurance and 
Indemnities for fiscal year 2023, as requested.

                 VETERANS HOUSING BENEFIT PROGRAM FUND

------------------------------------------------------------------------
                                                         Administrative
                                       Program account      expenses
------------------------------------------------------------------------
Appropriations, 2021................    $1,663,000,000      $204,400,000
Budget estimate, 2022...............     2,781,000,000       229,500,000
Committee recommendation............     2,781,000,000       229,500,000
------------------------------------------------------------------------

                          PROGRAM DESCRIPTION

    The Veterans Housing Benefit Program Fund provides for all 
costs associated with VA's direct and guaranteed housing loan 
programs, with the exception of the Native American Veteran 
Housing Loan Program.
    VA loan guaranties are made to servicemembers, veterans, 
reservists, and unremarried surviving spouses for the purchase 
of homes, condominiums, and manufactured homes, and for 
refinancing loans. VA guarantees part of the total loan, 
permitting the purchaser to obtain a mortgage with a 
competitive interest rate, even without a downpayment, if the 
lender agrees. VA requires a downpayment be made for a 
manufactured home. With a VA guaranty, the lender is protected 
against loss up to the amount of the guaranty if the borrower 
fails to repay the loan.

                        COMMITTEE RECOMMENDATION

    The Committee recommends such sums as may be necessary, 
estimated to be $2,781,000,000, for funding subsidy payments, 
and $229,500,000 for administrative expenses for fiscal year 
2022. Bill language limits gross obligations for direct loans 
for specially adapted housing to $500,000.
    VA Home Loans.--The Committee is concerned that some 
veterans using a VA home loan to purchase a home may be at a 
disadvantage in a competitive housing market due to strict 
appraisal and inspection requirements associated with a home 
loan. The Committee directs the Secretary to review the current 
requirements for a VA home loan to ensure that veterans are not 
unnecessarily disadvantaged when seeking to buy a home in a 
competitive housing market, and provide a report to the 
Committees on Appropriations of both Houses of Congress within 
90 days of the enactment of this act on the results of such 
review.

            VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT

------------------------------------------------------------------------
                                                         Administrative
                                       Program account      expenses
------------------------------------------------------------------------
Appropriations, 2021................           $33,826          $424,272
Budget estimate, 2022...............             2,838           429,467
Committee recommendation............             2,838           429,467
------------------------------------------------------------------------

                          PROGRAM DESCRIPTION

    The Vocational Rehabilitation Loans Program account covers 
the cost of direct loans for vocational rehabilitation of 
eligible veterans and, in addition, includes administrative 
expenses necessary to carry out the direct loan program. Loans 
of up to $1,300 (based on the indexed chapter 31 subsistence 
allowance rate) are currently available to service-connected 
disabled veterans enrolled in vocational rehabilitation 
programs, as provided under 38 U.S.C. chapter 31, when the 
veteran is temporarily in need of additional assistance. 
Repayment is made in monthly installments, without interest, 
through deductions from future payments of compensation, 
pension, subsistence allowance, educational assistance 
allowance, or retirement pay. Virtually all loans are repaid in 
full and most in less than 1 year.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $2,838 for program costs and 
$429,467 for administrative expenses for the Vocational 
Rehabilitation Loans Program account. The administrative 
expenses may be paid to the General Operating Expenses, 
Veterans Benefits Administration account. Bill language is 
included limiting program direct loans to $1,662,758. It is 
estimated VA will make 1,570 loans in fiscal year 2022, with an 
average amount of $1,059.

          NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM ACCOUNT

Appropriations, 2021....................................      $1,186,000
Budget estimate, 2022...................................       1,186,000
Committee recommendation................................       1,300,000

                          PROGRAM DESCRIPTION

    The Native American Veteran Housing Loan Program is 
authorized by 38 U.S.C. chapter 37, section 3761 to provide 
direct loans to Native American veterans living on trust lands. 
The loans are available to purchase, construct, or improve 
homes to be occupied as veteran residences or to refinance a 
loan previously made under this program in order to lower the 
interest rate.
    Veterans pay a funding fee of 1.25 percent of the loan 
amount, although veterans with a service-connected disability 
are exempt from paying the fee. Before a direct loan can be 
made, the veteran's tribal organization must sign a memorandum 
of understanding with VA regarding the terms and conditions of 
the loan. The Native American Veteran Housing Loan Program 
began as a pilot program in 1993 and was made permanent by the 
Veterans Housing Opportunity and Benefits Act of 2006 (Public 
Law 109-233).

                        COMMITTEE RECOMMENDATION

    The Committee recommends $1,300,000 for administrative 
expenses associated with this program. This is $114,000 greater 
than the budget request.

      GENERAL OPERATING EXPENSES, VETERANS BENEFITS ADMINISTRATION

Appropriations, 2021....................................  $3,180,000,000
Budget estimate, 2022...................................   3,423,000,000
Committee recommendation................................   3,486,000,000

                          PROGRAM DESCRIPTION

    The General Operating Expenses [GOE], VBA account provides 
funding for VBA to administer entitlement programs such as 
service-connected disability compensation, education benefits, 
and vocational rehabilitation services.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $3,486,000,000 for the GOE, VBA 
account, which is $306,000,000 above the fiscal year 2021 
enacted level and $63,000,000 above the budget request. The 
Committee has included bill language to make available through 
September 30, 2023, up to 10 percent of the GOE, VBA account.
    Compensation and Pension Exams.--The Committee is concerned 
about the Veterans Benefits Administration's increased reliance 
on outside providers to conduct compensation and pension or 
medical disability exams [MDE]. These exams are necessary for 
veterans to receive the benefits that they have earned through 
their military service. Therefore, the Committee urges VA to 
ensure that compensation and pension exams are available at VA 
facilities with the capability to conduct them in a safe and 
thorough manner. Moreover, the Committee directs VA to provide 
a report to the Committees on Appropriations of both Houses of 
Congress within 90 days of enactment of this act on how it 
plans to use both VHA employees and VBA-contracted examiners 
over the next five fiscal years. This report shall identify 
goals and establish a unified, department-wide strategy, to 
include: (1) the extent to which a core capability of 
conducting MDE at VHA medical centers by VHA employees is 
needed; (2) the extent to which additional contractors are 
needed to meet assessed demand; (3) a plan to standardize MDE 
capacity assessment and reporting across all VHA facilities; 
(4) specific activities and associated timelines needed to 
execute VA's MDE strategy; (5) stakeholder outreach plans; (6) 
plans to standardize how VA assesses the quality of MDE 
conducted by VHA personnel and VBA contractors; (7) the extent 
to which current resourcing and procedures are sufficient to 
coordinate and execute a department-wide MDE strategy between 
VHA and VBA; (8) a risk assessment of VA's current reliance on 
VBA contracts for MDE; and (9) a cost analysis between exams 
provided by VA employees and exams provided by contractors.
    Digitization of Military Records.--No later than 90 days 
after the date of enactment of this act, the Secretary, in 
coordination with the Archivist of the United States, shall 
report to the Committees on Appropriations of both Houses of 
Congress on measurable progress made by the Department and the 
National Personnel Records Center at the National Archives and 
Records Administration to improve veterans' access to their 
military records and to digitize outstanding personnel records 
dating to the year 1990 and earlier. Elements of such a report 
should include data on the number of personnel records that 
remain to be digitized, a digitization timeline with numerical 
targets, and a cost estimate to develop records management 
systems to absorb the influx of electronic records.
    Legal Assistance for the Disability Claims Process.--The VA 
disability compensation system is both complex and fraught with 
delays, and requires both paperwork from doctors and legal 
advice for many veterans who apply. The Department is urged to 
assess the feasibility, advisability, and cost of an initiative 
to provide innovative disability claim services for veterans 
that combines the expertise of law clinics with academic 
medical centers. The Department is directed to provide this 
assessment to the Committees on Appropriations of both Houses 
of Congress no later than 180 days after enactment of this act.
    Laos Operation Ranch Hand.--Not later than 120 days after 
the date of enactment of this act, the Department shall report 
to the Committees on Appropriations of both Houses of Congress 
on VA's efforts to assist veterans who served in Laos during 
Operation Ranch Hand from December 1965 to September 1969 in 
proving their direct-service connection to Agent Orange 
exposure. Elements of such a report should identify the 
Department's efforts to address gaps in the military records of 
veterans who served in Laos during Operation Ranch Hand as well 
as data on the number of Operation Ranch Hand veterans who are 
eligible for a direct-service connection and percentage of 
disability claims that have been denied among those who are 
eligible.
    Karshi Khanabad Air Base.--The Committee recognizes that 
servicemembers may have been exposed to various hazards at 
Karshi Khanabad Air Base, Uzbekistan and urges the Department 
to work with the appropriate military departments to make an 
assessment as soon as feasible regarding the conditions of the 
Air Base, including toxic substance contamination, during the 
period beginning October 1, 2001, and ending December 31, 2005.
    National Training Curriculum.--The Committee is aware that 
in December 2020, the VA Office of Inspector General found that 
in fiscal year 2019, an estimated 18,300 of 118,000 post-
traumatic stress disorder [PTSD] claims were inaccurately 
completed. The Department is encouraged to improve the training 
of VA personnel who are responsible for processing disability 
claims to help ensure benefits are being correctly determined 
so veterans experiencing PTSD have access to the healthcare, 
treatment, and compensation to which they are entitled.
    GI Bill Apprenticeships and On-the-Job-Training.--The 
Committee directs VA to take additional actions to promote 
awareness and increased utilization of apprenticeships and on-
the-job training [OJT] programs, including continued 
coordination and support to State Approving Agencies [SAAs] and 
programs which may incentivize increased participation by 
employers. The Committee recommends additional support and 
resources be provided to SAAs for the purpose of increasing 
awareness and utilization of apprenticeships and OJT. The 
Department is encouraged to explore options to expand the 
program in the future, while ensuring proper oversight of SAA 
contracts.
    Call Center Modernization.--The Committee is concerned 
about the multitude of systems call center employees must 
navigate to perform their jobs. Therefore, the Committee urges 
the Department to streamline its call center systems and submit 
a report to the Committees on Appropriations of both Houses of 
Congress no later than 180 days of enactment of this act 
detailing planned and future modernization efforts to update 
call center, payment, and processing systems.

                     Veterans Health Administration

Appropriations, 2021.................................... $90,779,918,000
Advance appropriations, 2022............................  94,183,260,000
Budget estimate, 2022...................................   4,151,000,000
Committee recommendation, 2022..........................   4,151,000,000
Budget estimate, advance appropriations, 2023........... 111,287,000,000
Committee recommendation, advance appropriations, 2023.. 111,287,000,000

                        ADMINISTRATION OVERVIEW

    The Veterans Health Administration [VHA] is home to the 
United States' largest integrated healthcare system consisting 
of 148 VA Hospitals; 11 Health Care Centers; 219 Multi-
Specialty Community-Based outpatient clinics; 536 Primary Care 
Community-Based outpatient clinics; 322 Outpatient Services 
Sites; 134 community living centers; 114 mental health 
residential rehabilitation treatment programs; 300 readjustment 
counseling Vet Centers; and 80 Mobile Vet Centers.
    The Department of Veterans Affairs Medical Care Collections 
Fund [MCCF] was established by the Balanced Budget Act of 1997 
(Public Law 105-33). In fiscal year 2004, Public Law 108-199 
allowed the Department to deposit first-party and 
pharmaceutical co-payments, third-party insurance payments and 
enhanced-use collections, long-term care co-payments, 
Compensated Work Therapy Program collections, Compensation and 
Pension Living Expenses Program collections, and Parking 
Program fees into the MCCF.
    The Parking Program provides funds for the construction, 
alteration, and acquisition (by purchase or lease) of parking 
garages at VA medical facilities authorized by 38 U.S.C. 8109. 
The Secretary is required under certain circumstances to 
establish and collect fees for the use of such garages and 
parking facilities. Receipts from the parking fees are to be 
deposited into the MCCF and are used for medical services 
activities.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2021, the Committee provided $94,183,260,000 
in advance appropriations for VA's medical care accounts for 
fiscal year 2022. This included $58,897,219,000 for Medical 
Services, $20,148,244,000 for Medical Community Care, 
$8,403,117,000 for Medical Support and Compliance, and 
$6,734,680,000 for Medical Facilities.
    For fiscal year 2022, the Committee recommends an 
additional $3,269,000,000 for Medical Community Care. 
Additionally, the Committee recommendation includes 
$882,000,000 for Medical and Prosthetic Research. Medical Care 
Collections are estimated to be $3,386,000,000 in fiscal year 
2022. The Committee recommendation also provides 
$111,287,000,000 in advance appropriations for VA's medical 
care accounts for fiscal year 2023.
    The Committee recognizes the invaluable role of the 
Department of Veterans Affairs, the Nation's largest integrated 
healthcare system, in serving the unique needs of veterans. The 
Committee believes that a strong and fully resourced Veterans 
Health Administration is necessary to effectively serve our 
Nation's veterans. Veterans overwhelmingly report they are 
satisfied with the care they receive at VA medical centers, 
community-based outpatient clinics, and Vet Centers. Research 
has consistently shown that VA produces as good or better 
health outcomes for its patients than private sector 
healthcare. Furthermore, VA healthcare facilities play a 
critical role in training our Nation's healthcare workforce, 
conducting lifesaving medical research, providing nationwide 
emergency preparedness support, and innovating many best 
practices in healthcare delivery. The Department is reminded of 
the report requirement regarding total cost of care to all 
eligible veterans that was included in the Joint Explanatory 
Statement supporting Public Law 116-260.
    The total planned obligations in fiscal year 2022 and the 
advance appropriations request for fiscal year 2023 show that 
the Department anticipates the cost of providing healthcare to 
veterans will continue to increase. The Committee is committed 
to providing veterans with the care and supports they need, and 
requests the Department improve its transparency in projecting 
estimates of needed care in the future. The Department is 
further directed to provide a report to the Committees on 
Appropriations of both Houses of Congress within 180 days on 
the use of geographic income eligibility thresholds across the 
Nation; the challenges for VA and veterans of having so many 
thresholds; and options for simplifying, including the 
feasibility of implementing a single standard nationwide 
adjusted for household size, or single income eligibility 
thresholds for each State equal to 100 percent of the most 
generous threshold in such State adjusted for household size.
    Negligence of Veterans Affairs Employees and Patient 
Safety.--The Committee remains concerned about the failure of 
patient safety standards at multiple VAMCs and CBOCs, many of 
which have resulted in death or serious injury and criminal 
sentences for the perpetrators. The Department must do more to 
address the culture that hampered employees from identifying 
and reporting behaviors that cost lives. In addition, the 
Department should pursue administrative discipline of any 
employee found negligent in either a criminal, civil, or 
inspector general filing, and take appropriate action related 
to accountable employees ability to retire or resign. The 
Department is directed to provide to the Committees on 
Appropriations and Veterans' Affairs of both Houses of Congress 
within 90 days of enactment of this act a report on necessary 
criteria for inclusion in an acceptable safety standards 
policy, a plan for VHA to confirm all facilities have adequate 
safety standards in place, the process for verifying employees 
are following the safety standards, and the proposed schedule 
for periodically reviewing and updating the standards. This 
review should directly assess the role of third-party 
accreditation providers, such as The Joint Commission, and the 
potential failures to identify whether or not patient safety 
standards were verified in the accreditation process. 
Furthermore, the Committee encourages additional transparency 
with Congress related to third party accreditation, and directs 
the Department to provide a briefing to the Committees on 
Appropriations and Veterans' Affairs of both Houses of Congress 
in support of the directed report.
    Clinical Mistakes.--In Public Law 116-260, the Consolidated 
Appropriations Act, 2021, VA was directed to develop a plan to 
reduce the number of clinical mistakes that require 
institutional or clinical disclosures. The Committee is in 
receipt of the plan and is encouraged by some of the actions VA 
is taking to encourage employees to report adverse events and 
unsafe conditions to the Patient Safety Manager. In the report, 
VA notes ``a successful VHA High Reliability culture is one 
where every staff member feels empowered to influence 
decisions, where our actions demonstrate a solid commitment to 
Zero Harm. VHA seeks to report and study harm and near miss 
events in order to understand weaknesses within our system to 
proactively reduce risk.'' The Committee agrees and encourages 
VA to continue its efforts to develop a culture where all 
employees are empowered to report events and conditions that 
put patient safety at risk. VA is directed to provide the 
Committees on Appropriations of both Houses of Congress an 
update on any elements of the plan that may have changed or 
been updated no later than 180 days of enactment of this act.
    Research Facilities.--For more than half a century, VA, in 
conjunction with its academic affiliates has conducted the 
largest education and training program for health professionals 
in the United States. While this has led to a number of 
clinical benefits, there are areas where the affiliation could 
be better leveraged, including shared research space. The 
ability for VA to utilize research space on the campuses of its 
academic affiliates would not only lift some of the fiscal 
burden of recapitalization efforts, but could also prove to be 
more efficient for principal investigators who are both VA 
clinicians and on faculty at the respective affiliate. The 
Committee understands VA's Office of Academic Affiliation is 
developing models of strategic partnership to acquire clinical 
and research spaces from academic affiliates. Therefore, the 
Committee encourages the Department, where appropriate, to 
enter into these types of arrangements. The Department is 
directed to provide a report to the Committees on 
Appropriations of both Houses of Congress no later than 30 days 
after enactment of this act, on locations where it would be 
feasible and appropriate to employ funding arrangements that 
would allow for sharing agreements between local VA Medical 
Centers to utilize existing research space of its academic 
affiliate. The report should also outline the extent barriers 
to these agreements exist, including legislative and regulatory 
prohibitions.
    Women's Health Care Facilities Improvements.--The Committee 
reminds VA of the annual reporting requirement included in the 
Joint Explanatory Statement accompanying Public Law 116-94.
    Alternative Treatments.--The Committee recognizes that the 
United States is in the midst of a drug epidemic fueled by 
prescription opioids, which has been exacerbated by the 
pandemic. The veteran population is particularly susceptible to 
substance abuse given high rates of chronic pain and service-
related injuries. Alternative treatments for pain management 
have been shown to be effective in reducing pain and reliance 
on prescription opioids. The Committee encourages VA to expand 
the use of alternative treatments to pain management in its 
delivery of healthcare services. The Committee also urges VA to 
integrate treatments such as acupuncture into VA medical 
centers and clinics.
    Acute Post-Surgical Pain Management.--The Committee 
recognizes the notable reduction in prescription opioids for 
veterans who utilize the VA healthcare system. The Committee 
credits this to VA's focus on transforming chronic pain 
management with alternative therapies and an aggressive 
educational effort on safe and responsible use of prescription 
opioids, but recognizes additional non-opioid alternatives may 
be necessary for veterans with unique health needs such as 
liver problems, where alternatives such as acetaminophen may 
not be the best option. Therefore, the Committee encourages VA 
to consider revising its acute pain management guidance to 
include options such as non-opioid local anesthetics delivered 
via elastomeric pain pumps and transcendental meditation as 
alternatives.
    Transcendental Meditation.--The Committee is aware of VA's 
ongoing research evaluating transcendental meditation [TM] as a 
first-line treatment for PTSD and suicidality. The Committee is 
interested in TM's potential as an evidence-based non-invasive 
treatment for veterans of all backgrounds in treating acute 
mental health needs. No later than 180 days of enactment of 
this act, VA is directed to submit a report to the Committees 
on Appropriations of both Houses of Congress on the outcomes 
derived from TM and the resources required to offer TM across 
the VA system.
    Pharmacogenomics Testing.--The Committee recognizes that 
training healthcare professionals on the use of pharmacogenomic 
testing, analysis, alerting and entry into electronic health 
records can save lives, improve outcomes and lower 
expenditures. Therefore, the Department is directed to provide 
a report to the Committees on Appropriations of both Houses of 
Congress 180 days after enactment of this act on their use of 
clinically validated, evidence-based pharmacogenomic analysis, 
testing and clinical decision support tools to assess those 
veterans, especially polypharmacy patients, and those at higher 
risk for adverse drug events to improve care.
    National Center for Post-Traumatic Stress Disorder.--The 
National Center for Post-Traumatic Stress Disorder [NCPTSD] is 
the Federal Government's foremost center of expertise on 
evidence-based treatment of post-traumatic stress. The 
Committee continues to support the mission and work of the 
NCPTSD and provides $40,000,000 to continue the center's 
advancement of the clinical care and social welfare of 
America's veterans who have experienced trauma or suffer from 
PTSD through research, education, and training in the science, 
diagnosis, and treatment of PTSD and stress-related disorders. 
The Committee supports the priorities for NCPTSD as described 
in the Congressional budget submission, and urges it to 
consider academic and interagency collaborations to investigate 
novel combinatorial forms of intervention for PTSD, including 
multifactor approaches.
    Cancer Screenings and Treatment.--The coronavirus disease 
of 2019 [COVID-19] pandemic has led to a decrease in the number 
of routine cancer screenings, which could contribute to an 
increase in later stage cancer diagnoses and more complex 
cancer treatments. VHA should take all steps necessary to 
return to pre-pandemic levels of cancer screenings and 
diagnoses. Accordingly, the Committee encourages VHA to 
increase availability of devices related to imaging, dosimetry, 
and medical physics services to improve treatment planning 
quality and treatment safety. Additionally, the Committee urges 
VHA to conduct outreach and education to encourage all patients 
to receive timely routine screenings, ensuring that those 
diagnosed with cancer are treated as early as possible.
    Non-Invasive Test for Bladder Cancer.--The Committee 
recognizes that VA performs roughly 40,000 cystoscopies 
annually and diagnoses approximately 3,100 new cases of bladder 
cancer each year. Non-invasive forms of testing for bladder 
cancer may decrease the burden of surveillance and long-term 
management of this condition. Accordingly, the Department is 
directed to conduct a report on the feasibility of expanding 
the use of non-invasive tests for bladder cancer, incorporating 
feedback from key stakeholders, including veteran bladder 
cancer patients, Veteran Service Organizations and VA medical 
professionals. The report should be provided to the Committees 
on Appropriations of both Houses of Congress within 180 days of 
enactment of this act.
    Precision Oncology.--Molecular diagnostics and precision 
oncology, including microarray and next generation sequencing, 
performed at the first occurrence of cancer can provide vital 
information regarding the specific tumor type and its drivers, 
which can lead to the most accurate precision medicine for 
patients. The Committee commends the Department's Precision 
Oncology Program and directs the Department to issue a report 
to the Committees on Appropriations of both Houses of Congress 
no later than 60 days after the enactment of this act 
describing the specific types of molecular diagnostics, such as 
microarray, whole exome, whole genome, and RNA-Seq, which the 
Department is providing to cancer patients and their frequency 
of use, as well as detailed policy for data-sharing practices 
for cancer cell lines and models with the external research 
community. The Department is urged to accelerate the adoption 
of molecular diagnostics for numerous cancers, including rare 
cancers, and as appropriate, to engage in interagency or 
public-private partnerships to use a next-generation, 
precision-oncology platform that integrates bioinformatics, 
machine learning, and mathematics to identify complex and 
interconnected mechanisms responsible for drug response and 
resistance to determine the best treatments.
    Precision Medicine Data Storage.--The Committee supports VA 
efforts authorized under section 305 of the Commander John 
Scott Hannon Veterans Mental Health Improvement Act (Public Law 
116-171) to utilize precision medicine to identify and validate 
brain and mental health biomarkers in coordination with the 
Million Veteran Program. The Committee is concerned that VA's 
Information Technology Systems budget request does not include 
the necessary investments to process, analyze, and store all 
relevant data that is required to undertake the 
Congressionally-directed research required under the Hannon 
Act. Therefore, the Committee directs VA to allocate sufficient 
resources for data processing, analysis, and storage to fully 
implement the Hannon Act. Additionally, the Committee urges the 
Department to seek opportunities to coordinate the research 
directed under the Hannon Act with the Long-Term Impact of 
Military-Relevant Brain Injury Consortium Chronic Effects of 
Neurotrauma Consortium.
    Access to Care.--The Department is directed to provide to 
the Committees on Appropriations of both Houses of Congress no 
later than 180 days after the date of the enactment of this act 
a report on: (1) the number of veterans who live more than 100 
miles from a VA facility that offers inpatient care; (2) a list 
of counties in the United States where there are more than 
3,000 veterans who live more than 100 miles from a VA facility 
that offers inpatient care; and (3) a strategy for VA to 
provide better inpatient capacity for veterans who live in the 
counties listed under (2).

                            MEDICAL SERVICES

                     (INCLUDING TRANSFER OF FUNDS)

Appropriations, 2021.................................... $56,655,483,000
Advance appropriations, 2022............................  58,897,219,000
Budget estimate, advance appropriations, 2023...........  70,323,116,000
Committee recommendations, advance appropriations, 2023.  70,323,116,000

                          PROGRAM DESCRIPTION

    The Medical Services account provides for medical services 
for eligible enrolled veterans and other beneficiaries in VA 
healthcare facilities, including VA medical centers and VA 
outpatient clinics.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2021, the Committee provided an advance 
appropriation of $58,897,219,000 for fiscal year 2022 for the 
Medical Services account. In addition, VA has the authority to 
retain co-payments and third-party collections.
    The Committee recommendation also includes an advance 
appropriation of $70,323,116,000 for Medical Services for 
fiscal year 2023, equal to the budget request.

                    PREVENTING VETERAN HOMELESSNESS

    The Committee remains strongly supportive of VA's homeless 
prevention programs. As such the recommendation includes 
$2,154,450,000 to support these programs, consistent with the 
request. This total includes $395,352,000 for the Supportive 
Services for Veterans Families [SSVF] Program; $483,900,000 for 
the Housing and Urban Development-Veterans Affairs Supportive 
Housing [HUD-VASH] Program case management, $270,442,000 for 
the Grant and Per Diem Program [GPD]; and $70,103,000 for the 
Veterans Justice Outreach [VJO] Program. In addition, the 
Department plans to allocate $486,000,000 from the American 
Response Plan (Public Law 117-2) for veteran homelessness 
programs in fiscal year 2022. These programs support 
communities across the Nation providing critical services and 
housing for veterans and their families.
    Homelessness Assistance.--The Committee recognizes the 
Department's efforts to reduce the number of veterans 
experiencing homelessness, with some estimates showing a 50 
percent reduction nationwide since 2009. While VA increased 
supports to veterans at risk of homelessness during the 
pandemic, the Committee is concerned the number of veterans 
experiencing homelessness will increase as homelessness 
assistance, including debt relief programs, enacted at the 
Federal, State, and local levels during the pandemic end. 
Within 120 days of enactment of this act, VA shall provide to 
the Committees on Appropriations of both Houses of Congress a 
report describing lessons learned during the COVID-19 pandemic 
to support veterans experiencing homelessness, to include the 
use of motels and hotels, and outline measures VA has made to 
prepare for a potential increase in veterans experiencing 
homelessness once the COVID-19 debt relief programs expire. It 
is critical that grant recipients and veterans will not face an 
abrupt reduction in support from VA as pandemic-specific 
funding runs out.
    Unnecessary Penalization of Organizations Providing 
Services to Homeless Veterans.--The Committee directs VA to 
conduct an assessment of negative discharges from Homeless 
Program Office [HPO], GPD, SSVF, and HUD-VASH programs over the 
past 5 years, including why the veteran was discharged, broken 
down by veteran service discharge status, age, race, and 
ethnicity, eligibility for VA care, gender, and geographic 
location. This assessment shall be provided to the Committees 
on Appropriations of both Houses of Congress within 90 days of 
enactment of this act, and should also include if the veteran 
had a diagnosed mental illness or substance use disorder, had 
received VA medical care within a year prior to discharge from 
the HPO program, or died by suicide within a year of discharge 
from the program.
    Supportive Services for Veterans Families.--Through grants 
to private non-profit organizations and consumer cooperatives, 
SSVF is designed to rapidly re-house homeless veteran families 
and prevent homelessness for those at imminent risk due to a 
housing crisis. VA provides grants to all 50 States, the 
District of Columbia, Puerto Rico, Guam, and the Virgin 
Islands. The Committee provides $420,000,000 for grant awards 
in fiscal year 2023 and expects the Department to expand to 
other locations to address gaps in services, as appropriate.
    HUD-VASH.--The Committee remains concerned about the high 
number of HUD-VASH staffing vacancies at VA Medical Centers 
nationwide. Due to the integrated nature of HUD-VASH funding 
and services of rental assistance vouchers paired with case 
management, the Committee recommends that VA's budget for case 
managers be increased commensurate with any increases in 
availability of new housing vouchers, with an established and 
appropriate funding level to support at least one case manager 
for each 25 veterans served.
    The Department is reminded of the report requirement 
regarding the HUD-VASH program that was included in the Joint 
Explanatory Statement supporting Public Law 116-260.
    HUD-VASH Caseworkers.--The Committee urges the Department 
to increase the number of caseworkers with strong cultural 
competency skills to assist veterans at risk of homelessness. 
The Committee directs the Department to report to the 
Committees on Appropriations of both Houses of Congress not 
later than 1 year after enactment of this act on the 
effectiveness of using contracted caseworkers in comparison to 
Department caseworkers.
    Homeless Providers GPD Program.--The Committee agrees with 
the goal of ending veteran homelessness by ensuring veterans 
access to permanent, affordable housing of their choice. 
However, the Committee recognizes that service-intensive 
transitional housing provided through VA's GPD Program is an 
important programmatic option, particularly in areas with low 
vacancy rates, limited housing stock, and high market rates, 
and that substance-free and service-intensive housing may be a 
critical step for veterans at risk of relapse into substance 
abuse. The most appropriate mix of housing services for 
veterans should be determined locally through a collaborative 
process including local housing partners, service providers, 
and VA. The Department should continue to make funding 
available for GPD beds based on a collaborative process with 
local housing partners, the local VA Medical Centers and the 
Continuums of Care. The Department is directed to submit a 
report to the Committees on Appropriations of both Houses of 
Congress no later than 180 days after enactment of this act on 
the contingency and remediation plan for veterans impacted by 
changes in availability or losses of awards of Grant Per Diem 
Program funds for current providers that serve rural or highly 
rural areas that would result in the loss of veterans' access 
to transitional housing assistance.
    Supportive Housing Assistance.--The Committee recognizes 
that our Nation's veterans are continuing to become more 
diverse and have unique needs. The Committee directs VA to 
report to Congress how the Department is ensuring support 
through its rental assistance for diverse veteran groups, 
including but not limited to: veterans who are survivors of 
military sexual trauma, LGBTQIA veterans, elderly veterans, 
veterans with dependents, tribal veterans, and veterans re-
entering communities after incarceration or participation in 
residential treatment programs. The Department is directed to 
submit this report to the Committees on Appropriations of both 
Houses of Congress no later than 180 days after enactment of 
this act.

                          TELEHEALTH SERVICES

    The Committee recommendation includes $2,435,182,000, equal 
to the request, to sustain and increase telehealth capacity, 
including in rural and highly rural areas. VA and DoD have long 
been leaders in the field of emerging technology and medicine. 
For VA, telehealth creates a bridge between rural and urban 
centers, allowing the Department to expand access to care in 
areas where services are limited. Telehealth also allows care 
to be provided more effectively and efficiently for veterans 
closer to home and through direct in-home access to providers. 
While VA continues to lead the healthcare industry in the 
expansion of in-home telehealth and remote patient monitoring 
services, these services are often limited by the lack of 
broadband service in remote and rural areas.
    Telehealth Briefing.--The Committee recognizes the role 
that virtual health, or ``telemedicine'' has played in 
advancing health outcomes during the COVID-19 pandemic and 
acknowledges that such services are increasingly relevant to 
veterans and their families, particularly in rural areas. The 
Committee further supports the expansion of these services in 
order to promote safe, convenient and quality medical care to 
all veterans and their families. Therefore, VHA is directed to 
provide a briefing to the Committees on Appropriations of both 
Houses of Congress no later than December 1, 2021, on efforts 
to increase telemedicine services to veterans and families and 
the resources needed to make such services more readily 
available. These resources should include, but not be limited 
to broadband Internet access, personal computers, and basic 
computer skills training. The briefing should include lessons 
learned and best practices captured from the private sector 
during the global pandemic as it relates to telemedicine.
    VA-Academic Telehealth Partnerships.--The Committee 
recognizes the potential of telehealth to build capacity for VA 
to provide healthcare services to the increasing number of 
female veterans, including services that VA has not typically 
provided. The Committee also recognizes that telehealth 
partnerships between VA and academic institutions with 
telehealth and clinical expertise may be beneficial to serve 
veterans, their families, and communities, particularly in 
geographically isolated regions with large numbers of veterans. 
The Committee encourages the Department to support such VA-
academic telehealth partnerships.
    Remote Patient Diabetes Foot Ulcer Monitoring.--The 
Committee recognizes that expanding access to remote patient 
diabetes monitoring will provide more opportunities for 
continual veteran monitoring and improving care outcomes at a 
fraction of the cost of traditional methods and appreciates the 
Department's efforts in this area through programs including 
Preservation Amputation for Veterans Everywhere and The 
Initiative to End Diabetic Limb Loss at VA. However, only a 
small percentage of veterans with diabetic foot ulcers are able 
to benefit from these programs. The Committee encourages the 
Department to continue and expand efforts to monitor diabetes 
patients remotely. The Department is directed to provide a 
report to the Committees on Appropriations of both Houses of 
Congress within 120 days of enactment of this act on the 
feasibility, including cost estimates, of expanding these 
programs to reach an additional 20,000 veterans.

               MENTAL HEALTH/PREVENTING VETERANS SUICIDE

    The Committee provides $13,176,661,000 for mental health 
programs, equal to the request, including $2,266,041,000 for 
suicide prevention outreach and treatment programs, of which 
$597,997,000 is for suicide prevention outreach.
    Treatment of Depression.--The Committee recognizes that 
depression is one of the most common conditions associated with 
military service and combat service. Further, the risk of 
suicide increases with this diagnosis each time a veteran tries 
and fails a medication. The Committee is encouraged by ongoing 
VA-sponsored genetic testing research to aid in depression 
treatment selection; however, veterans still have less access 
than Medicare beneficiaries to precision medicine tools. The 
Committee encourages VHA to ensure the procurement of 
pharmacogenomic tests for use in the treatment of depression if 
they have been shown to improve health outcomes of veterans in 
clinical trials.
    Inpatient Mental Health Care for Military Sexual Trauma 
Survivors.--Within 1 year of enactment of this act, the 
Committee directs VA to conduct a study, and report to the 
Committees on Appropriations of both Houses of Congress, of the 
availability of inpatient mental health treatment for military 
sexual trauma [MST] survivors, including wait times, geographic 
disparities, and access to MST-specific tracks at VA 
Residential Rehabilitation Treatment Programs. The study should 
also include an analysis of access to gender-specific inpatient 
care for MST survivors (e.g. women veterans only, male veterans 
only). The report shall also include recommendations for 
reducing wait times for inpatient mental healthcare for MST 
survivors, improving access to gender-specific inpatient care, 
and any changes to the number of MST-specific tracks available 
within VA inpatient care.
    Suicide Prevention Technology.--The Committee recognizes 
the importance of consistent and timely follow-up engagement 
with veterans identified as at-high-risk for suicide. Based on 
a number of Office of Inspector General investigations 
conducted throughout the country last year, there is a 
concerning trend that critical follow-up coordination and 
treatment steps are being missed which can be the result of 
heavy caseloads assigned to Suicide Prevention Coordinators. 
Although VA has been an innovator in implementing an 
enterprise-wide suicide screening initiative, the Department is 
urged to utilize the latest in technology to provide real-time 
case monitoring and management. The Department should consider 
a solution which can provide real-time, interactive 
notifications and data visualization tools to help the Suicide 
Prevention Coordinators manage and identify opportunities to 
improve performance in real-time.
    Mental Health and Suicide Prevention.--The Commander John 
Scott Hannon Veterans Mental Health Care Improvement Act 
(Public Law 116-171), requires the hiring of additional mental 
healthcare providers, expanding telehealth and transition 
assistance programs, and prioritizing increased access to 
mental healthcare for veterans in rural areas. Not later than 
90 days after the date of enactment of this act, the Secretary 
is directed to report to the Committees on Appropriations of 
both Houses of Congress on the Department's efforts to expand 
the enrollment of eligible, separating servicemembers in VA 
healthcare, screen transitioning servicemembers for mental 
health risks, and conduct referrals for VA healthcare 
registration, where appropriate. Elements of such a report 
should include data on the number of newly-separated service 
members enrolled in VA healthcare as well as targets and an 
implementation timeline for increasing enrollment.
    Veterans Crisis Line.--The Committee supports the request 
of $255,968,000 for the Veterans Crisis Line [VCL]. VCL 
provides 24-hours per day suicide prevention and crisis 
intervention services for veterans in crisis and their families 
and friends. The Committee supports the Department's efforts to 
strengthen its operational readiness as the Federal 
Communications Commission designates 9-8-8 as the universal 
telephone number for the National Suicide Prevention Lifeline 
and VCL, which will be implemented by July 2022. The Department 
should ensure VCL is able to utilize geolocation capabilities 
in order to ensure accurate emergency dispatch to persons at 
risk of imminent harm to self or others, similar to those of 
911 call centers.
    Use of Machine Learning Software to Prevent Veteran 
Suicide.--The Committee appreciates the Department's renewed 
focus on preventing veteran suicide and strongly encourages VA, 
in coordination with the Office of Mental Health and the Office 
of Suicide Prevention, to utilize cloud agnostic automated 
machine learning capabilities to rapidly provide predictive 
analysis to stop suicides before they occur. The Department 
should consult with data analytical firms, research 
institutions, and other government agencies that use predictive 
analytics on how best to apply them to prevent suicide.
    Hard-to-Reach Veterans.--The Department is directed to 
submit to the Committees on Appropriations of both Houses of 
Congress a report providing an analysis of the hardest-to-reach 
rural veterans, the barriers to accessing these veterans, and 
next steps to address the mental health needs of these 
veterans, no later than 120 days after enactment of this act.

       OPIOID SAFETY INITIATIVES AND SUBSTANCE USE DISORDER CARE

    To continue to build upon opioid reduction efforts and 
safety initiatives, the Committee recommendation includes 
$621,334,000 for Opioid Prevention and Treatment programs at 
VA, equal to the budget request. This includes $375,668,000 for 
treatment programs and $245,666,000 to continue implementation 
of the Comprehensive Addiction and Recovery Act of 2016 (Public 
Law 114-198).
    Office of Patient Advocacy.--The Committee urges the 
Department to prioritize continued implementation of the 
reforms made to the patient advocacy program as required by the 
Jason Simcakoski Memorial and Promise Act (Title IX, Public Law 
114-198). The Committee believes that the law's establishment 
of the Office of Patient Advocacy will ensure that patient 
advocates put the interests of the veterans they serve first, 
not the interests of the facility. Accordingly, within 90 days 
of enactment of this act, the Committee directs VA to provide 
an updated report to the Committees on Appropriations and 
Veterans' Affairs of both Houses of Congress on its progress 
implementing the relevant sections of Public Law 114-198, and 
the specific training and instructions Patient Advocates are 
given on how to escalate a concern outside of a VA facility 
when they believe a VA facility is not acting in the best 
interest of the veteran.
    Alcohol Use Disorder Medication Assisted Treatment.--The 
Committee encourages VA to increase education among its primary 
care practitioners on the diagnosis and treatment of alcohol 
use disorders with FDA-approved medication assisted treatments.

                             LONG-TERM CARE

    Long-Term Care.--The Committee provides $11,772,077,000 as 
requested by the Department for long-term care. This includes 
$8,095,395,000 for institutional care and $3,676,682,000 for 
non-institutional care. The Committee is aware of the aging 
veteran population and supports long-term care that focuses on 
facilitating veteran independence, enhancing quality of life, 
and supporting the family members of veterans. As such, the 
Committee supports the Department's efforts to broaden 
veterans' options regarding non-institutional long-term care 
support and services, and to accommodate veterans' preferences 
in receiving home-based services, as well as community-based 
care, residential settings, nursing homes, and other services. 
The Committee acknowledges that the veteran population faces 
unique health risks and that each veteran requires an 
individualized approach to care, and VA is encouraged to 
continue cooperation with community, State, and Federal 
partners to expand and grow these programs.
    Veterans Care Agreements.--The Committee is concerned that 
if the Department does not utilize its authority to enter into 
Veterans Care Agreements, as established by section 102 of the 
MISSION Act, veterans may lose access to long-term care 
services. Therefore, the Committee directs the Secretary to 
quickly finalize the template for Veterans Care Agreements and 
to utilize these agreements in conjunction with Community Care 
Network [CCN] contracts, particularly in areas where local 
contracts have not worked in the past. The Committee also urges 
the Department to coordinate with the Departments of Labor and 
Health and Human Services to streamline to the greatest extent 
possible Federal requirements as they pertain to veterans and 
skilled nursing facilities and remove any unnecessary or 
duplicative requirements.
    Domiciliary Care Claims for Veterans with Early-Stage 
Dementia.--Changes to VA's processing and treatment of 
domiciliary care claims have led to some veterans with early-
stage dementia who were earlier ruled eligible for VA 
domiciliary care to now be deemed ineligible. In response, 
Congress passed legislation (Public Law 116-315; section 3007) 
to ensure VA has flexibility to waive certain eligibility 
requirements for domiciliary care for veterans with early-stage 
dementia when in the veteran's best interest. The Committee 
directs the Secretary to expeditiously implement this 
legislation and delegate this waiver authority to Veterans 
Integrated Service Networks [VISNs] and local VA hospital 
systems so that newly eligible veterans may begin to receive 
this crucial support.
    Hospice Care for Veterans.--The Committee supports the 
implementation of hospice care protocols tailored to the unique 
end-of-life care needs of combat veterans, including Vietnam-
era veterans, as well as for Afghanistan, Iraq, and Syria 
veterans. The Committee recognizes there are non-profit 
community-based hospice care providers well-positioned to 
provide specialized care to veterans and their families and 
address issues related to mental health, moral injury, 
substance use disorder and suicide prevention, anticipatory 
grief and bereavement, and guidance on advance care planning. 
Specialized, veteran-centric programs by expert providers in 
the community can address the unique end-of-life needs of 
veterans and their families. The Committee encourages the 
Department to continue and expand its work with community-based 
hospice care providers.

                            RURAL HEALTHCARE

    Veterans residing in rural and remote areas face unique 
barriers to receiving high-quality mental health, primary 
healthcare, and specialty care services. While enhanced 
community care programs offer veterans increased flexibility to 
obtain care close to home, there are often gaps in services in 
rural and remote communities even among private providers. The 
Office of Rural Health [ORH] and its Rural Health Initiative 
has played a critical role in assisting VA in its efforts to 
increase access to care. Therefore the Committee recommendation 
includes $327,455,000 for ORH and the Rural Health Initiative. 
This is $27,455,000 greater than fiscal year 2021 enacted and 
$20,000,000 above the budget request.
    Highly Rural Transportation Grant Program.--The Committee 
recognizes the need to address the care needs of veterans 
living in rural communities across the United States. Such 
veterans frequently lack access to the type of medical 
facilities and medical care found in urban areas which may lead 
to disparities in health outcomes in the long term. Therefore, 
the Committee recommends up to $10,000,000 in funding for the 
Office of Rural Health be dedicated to the Highly Rural 
Transportation Grants Program that helps veterans in rural 
areas travel to VA or VA-authorized care facilities. The 
Department is directed to provide a plan to expand the program 
to the Committees on Appropriation of both Houses of Congress 
within 90 days of enactment of this act.
    Supporting Rural Care Facilities.--The Committee is aware 
of a growing shortage of healthcare and support professionals 
in rural and highly rural areas. To improve recruitment and 
retention initiatives for healthcare providers and support 
personnel in rural and highly rural areas the Committee urges 
the Department to prioritize the hiring of positions that the 
Office of Inspector General has designated as having critical 
occupational staffing shortages, including specialty care 
providers, human resource professionals, police officers and 
security personnel, housekeepers, and clinical support 
personnel. The Committee is also aware of additional challenges 
identified by the VA Office of Inspector General in offering 
telehealth consults for specialty care in rural and highly 
rural CBOCs and urges the Department to address ongoing 
deficiencies in access to telehealth equipment, training, and 
adequate bandwidth to operate the equipment at rural and highly 
rural CBOCs.
    Additional Transportation Barriers.--Transportation is a 
social determinant of health, particularly for the veteran 
population, which is disproportionally rural and mobility 
challenged when compared to the general public. The Department 
is directed to provide a report to the Committees on 
Appropriations of both Houses of Congress within 90 days of 
enactment of this act on efforts to improve transportation at 
VA facilities, particularly in rural areas, including 
accessibility with ramps, automated forward facing wheelchair 
securements (not manual rear facing), and hailing systems that 
support persons with visual, hearing, and cognitive 
disabilities. The report should also include a feasibility 
study and cost estimate for adapting and testing the use of 
accessible and autonomous electric vehicles at rural VA medical 
facilities.

                               CAREGIVERS

    The Committee recommendation includes $1,403,133,000 for 
VA's Caregivers Program, which is $50,000,000 more than the 
budget request. The Committee expects VA to dedicate this 
funding to the program and not to divert the resources to other 
areas, and notes that notification should be provided to the 
Committee of any reprogramming of this funding. In order to 
ensure proper budgetary oversight, the Department is directed 
to report to the Committees on Appropriations quarterly 
obligations (actuals and projections) for the Caregivers 
Program, and highlight any changes to the implementation 
schedule due to the Department's troubling delays to expand the 
program, as well as the timing of information technology 
requirements. The reports should also include information about 
program expansion, including the number of downgrades, 
terminations, and denials of eligibility under the Department's 
new regulations.
    Caregivers Program.--The Caregivers Program was enhanced as 
part of the John S. McCain III, Daniel K. Akaka, and Samuel R. 
Johnson VA Maintaining Internal Systems and Strengthening 
Integrated Outside Networks [MISSION] Act of 2018 (Public Law 
115-182), and the Department is expected to carry out this 
expansion according to the statutory timeline, and to fully 
staff the program, including ensuring that the Caregiver 
Coordinators at each medical center are fully resourced and, to 
the maximum extent possible, assigned designated caregiver 
duties as their chief and only responsibility. Though already 
significantly behind schedule, expansion of the comprehensive 
caregiver program to veterans of all eras must proceed 
expeditiously, including the hiring and training of sufficient 
staff to manage the workload and ensuring the program receives 
the highest quality leadership in the Department's capacity.
    Since the implementation of the expanded program on October 
1, 2020, VA has reported receiving more than 70,000 
applications for the Caregivers Program. Excluding the 30,000 
pending applications, and those that were withdrawn or not 
completed, VA has denied 27,000 applications for an estimated 
67.5 percent denial rate. The data shows that the highest 
percentage of denials were due to the new activities of daily 
living requirement and the 70 percent service-connection 
requirement. These restrictive measures, and others, may be 
causing hardship for veteran families. The Committee directs 
the Secretary to review the regulations, and report to the 
Committees on Appropriations of both Houses of Congress within 
90 days of enactment of this act on whether the current 
regulations are appropriate and best serve the most severely 
wounded veterans.

                       WOMEN VETERANS HEALTHCARE

    Women represent 16.5 percent of today's active duty force 
and 19 percent of National Guard and Reserves. Accordingly, 
women veterans are enrolling in VA healthcare at record levels, 
with women accounting for over 30 percent of the increase in 
veterans enrolled over the past 5 years and the number of women 
veterans using VA healthcare more than tripling since 2001. 
With the upward trend of women serving in all branches of the 
Armed Forces, VA must continue to aggressively expand efforts 
that address the current barriers to gender-specific healthcare 
services and plan accordingly for the type and length of the 
treatment needs of women veterans. The Committee continues to 
believe VA must be poised to address the changing demographic 
of today's and tomorrow's veterans in order to fulfill its 
mission. Toward this end, the Committee recommendation includes 
$820,446,000 for fiscal year 2022, which is $10,000,000 above 
the request, to support gender-specific healthcare services, as 
well as the program office and initiatives. The Department is 
directed to submit to the Committees on Appropriations of both 
Houses of Congress no later than 90 days after enactment of 
this act a spend plan detailing planned activities related to 
care for women veterans.
    Women's Health Care Programs.--The Committee supports an 
expansion of health programs specific to women veterans to 
correct for gender-related gaps in provisions of VA medical 
care. The recommendation includes funding for the Women 
Veterans Health Care Mini Residency Program in order to train 
clinicians to provide primary and emergency healthcare to women 
veterans and to ensure that all female veterans have access to 
healthcare professionals with specialized women's healthcare 
training. The Committee also supports expanding the number of 
full-time or part-time women's healthcare providers at each VA 
medical facility to provide training on the needs of women 
veterans. Further, the Committee supports funding for the 
Office of Women's Health within VHA to develop and implement 
standards of care for women veterans; monitor, identify, and 
rectify deficiencies in care provision; and oversee the 
distribution of resources related to women veterans' health 
programming.
    Office of Women's Health.--The Committee believes with the 
growing number of women veterans, VA needs to continue to 
invest in women's health healthcare at a rate consistent with 
their demand for services. The Committee strongly supports the 
implementation efforts of the new Office of Women's Health 
created with the passage of the Deborah Sampson Act and the 
Women's Health Innovation and Staffing Enhancement Initiative. 
The Committee urges VA to continue its planning and work to 
redesign its women's healthcare delivery system and ensure all 
women veterans have the option to be assigned to Women Health 
Primary Care Providers.

                           CLINICAL WORKFORCE

    The Committee appreciates the Department's efforts to 
address challenges in recruiting and retaining physicians, 
physician assistants, nurses, mental health providers, other 
healthcare professionals, and related support staff. The 
Committee reminds the Department of the annual requirement for 
a report on workforce issues outlined in the Joint Explanatory 
Statement accompanying Public Law 116-260.
    Health Professions.--The Committee recognizes that 
understaffing, especially in medical and nursing positions, is 
a principal obstacle to timely access to care for veterans and 
encourages the Department to investigate the use of 
commercially available hospital management information 
technologies to reduce nursing administrative workloads while 
simultaneously improving patient flow and access to care.
    Medical School Affiliations with VA Health Care 
Facilities.--The Committee is pleased VA improved its academic 
affiliation activities with minority medical schools. For the 
purposes of enhancing training initiatives, improving patient 
care, and providing educational opportunities for our Nation's 
veterans, the Committee urges VHA and the Office of Academic 
Affiliations to maintain this ongoing commitment to minority 
health professions schools.
    Rural Health Providers.--The Committee notes persistent 
issues for VA health facilities in rural areas in recruiting 
and retaining health providers in the face of national provider 
shortages and a highly competitive environment. The Committee 
encourages VA to continue to consider expanded use of physician 
assistants, through both physical facilities and expanded 
access to telehealth services, to address the rural health 
provider gap. VA is directed to submit a report, no later than 
90 days after enactment of this act, to the Committees on 
Appropriations of both Houses of Congress, providing an update 
on VA hiring needs in rural areas and VA plans to address the 
provider gap in rural areas.

                        OTHER ITEMS OF INTEREST

    Headache Disorders Centers of Excellence.--The Committee 
understands that during the Global War on Terror, many 
thousands of veterans sustained traumatic brain injuries or 
were exposed to burn pits, and that chronic headache disorders 
are common consequences of these injuries. In 2020, more than 
408,000 veterans sought specialized healthcare for headache 
disorders within VHA. Currently, VHA maintains 14 active 
Headache Disorders Centers of Excellence [HCoE] sites, and 
plans to establish 6 HCoE consortium sites, 1 in each of the 6 
Veteran Integrated Service Networks that do not have a 
designated center. The Committee encourages the Department to 
expand the HCoE system to include at least 28 sites nationally 
that will provide equitable access to specialty consultation, 
direct healthcare delivery, education of VHA healthcare 
providers, and research to improve the care and clinical 
outcomes of veterans. The Committee expects VHA to provide 
sustained support for the HCoE system to ensure the successful 
recruitment and retention of healthcare providers with 
specialty training in Headache Medicine. Finally, VHA is 
directed to provide to the Committees on Appropriations of both 
Houses of Congress, no later than 60 days after enactment of 
this act, a report that details potential associations between 
open burn pit exposures, chronic headache disorders, and 
healthcare utilization rates, and a plan to expand the number 
of HCoEs.
    Neurology-Related Centers of Excellence.--The Committee 
recognizes the increasing number of veterans affected by 
neurologic conditions, including epilepsy, headaches, multiple 
sclerosis, and Parkinson's disease. The Department is 
encouraged to increase its investment to maintain and expand 
existing centers of excellence within VA dedicated to these 
conditions in order to enhance their value in coordinating 
innovative clinical care, education, and research efforts. 
Finally, the Under Secretary for Health is directed to provide 
a report to the Committees on Appropriations of both Houses of 
Congress no later than 1 year after enactment of this act 
providing details on opportunities to enhance care for veterans 
with neurologic conditions.
    Intimate Partner Violence Program.--The VA Intimate Partner 
Violence Program [IPV] has made important progress in 
implementing programs to combat domestic violence, including 
the expansion of vital services for veterans, their partners, 
caregivers, and VA staff impacted by intimate partner violence. 
The Committee recognizes that high visibility of the program 
must be continued in order to assist as many veterans as 
possible. The Committee supports the funding request, 
encourages increasing the staffing at the national level, and 
supports maintaining IPV Coordinator positions at each VA 
medical facility. The Committee directs the Department to fully 
resource the Intimate Partner Violence Program and to continue 
to include it as a program of interest with budget detail in 
the justifications accompanying the fiscal year 2023 budget 
submissions.
    Veterans Exposed to Open Burn Pits and Airborne Hazards.--
The Committee is supportive of the efforts of VA to research 
and study the health effects of open-air burn pits on veterans. 
In order to provide full and effective medical care, it is 
essential for the Department to better understand the impacts 
exposure during service has had on the health of veterans. 
Therefore the Committee directs not less than $8,000,000 be 
utilized to carry out responsibilities and activities of the 
Airborne Hazards and Burn Pits Center of Excellence.
    Assessment of the Beneficiary Travel Mileage Reimbursement 
Program.--The Committee directs VA to conduct an analysis of 
the costs associated with the rollout of the new Beneficiary 
Travel Self Service system, the impact of the new program on 
utilization of Beneficiary Travel mileage reimbursement 
requests and turnaround times, the efficacy of the current 
mileage reimbursement rate in mitigating the financial burden 
of transportation costs for veterans to medical appointments, 
and the impact of the deductible on mitigating financial burden 
on veterans of transportation to medical appointments and on 
costs associated with the program. The result of this analysis 
shall be provided to the Committees on Appropriations of both 
Houses of Congress within 180 days of enactment of this act.
    Travel Costs for Veterans.--The Committee understands the 
need for certain veterans to receive a transportation stipend 
to visit their closest VA facility. The Department is directed 
to provide a detailed report to the Committees on 
Appropriations of both Houses of Congress within 90 days of 
enactment of this act explaining the criteria for 
transportation stipends provided to veterans seeking care at a 
VA facility and insights on how that might be affecting 
community care.
    Mammography and Breast Imaging Strategic Plan.--Within 1 
year of enactment, the Committee directs VA to develop a 
national strategic plan for breast imaging services (i.e. 
mammography). The plan must cover the evolving needs of women 
veterans, address geographical disparities of in-house imaging 
and the use of community imaging, the use of digital breast 
tomosynthesis (DBT--3D breast imaging), and address the needs 
of male veterans who require breast cancer screening services. 
The plan should address any infrastructure needs, staffing 
concerns, and the needs of veterans with spinal cord injuries 
and disorders.
    Continued Support and Expansion for Whole Health.--Recent 
data about the Whole Health System reveals increased interest 
and participation by veterans, and a resulting drop in 
healthcare costs. The Committee is extremely pleased with the 
Whole Health model of care and includes $83,600,000 in the 
bill, which is $10,000,000 above the request, to continue to 
implement and expand Whole Health to all VA facilities.
    Adaptive Sports.--The Committee includes $16,000,000 for 
the adaptive sports programs. Veterans have shown marked 
improvements in mental and physical health from participating 
in adaptive sports and recreational therapy and veterans have 
expressed the need for these activities to be included in the 
healthcare services VA offers. The Committee also recognizes 
that adaptive sports and recreational therapy provide a low-
cost alternative to other healthcare services that produce 
similar health outcomes, and applauds the efforts of community 
providers of these grants, especially in rural areas, who have 
been able to utilize this key program in successfully 
reintegrating veterans back into their communities.
    Dental Services.--The Committee applauds the excellent 
quality of care provided by VA for all enrolled veterans but 
recognizes that the lack of statutory authority for the 
provision of oral healthcare has hampered the ability of the 
Department to meet its mission of providing comprehensive care 
for enrolled veterans. The Committee understands that the 
provision of such services may improve veterans' lives, their 
overall health, and could serve as a cost-effective method for 
reducing expensive, complex health conditions.
    Child Care Pilot Program.--The Committee recognizes the 
importance of ensuring veterans who are seeking medical care 
and services through VA have access to child care. Too often, 
lack of child care is a barrier to women veterans and younger 
veterans accessing services from the Department. With the women 
veteran population continuing to rise, ensuring access to child 
care is more critical than ever in order to remove barriers to 
veterans accessing care from the Department. The Committee 
directs the Secretary to submit a report to the Committees on 
Appropriations of both Houses of Congress not later than 90 
days after enactment of this act detailing the locations at 
which child care is available through a program of the 
Department pursuant to section 1709C of title 38, United States 
Code, and describing the Department's plan to expand 
availability of such programs across the VA system.
    Surgical Bleed Management.--Last year, the Committee asked 
VHA to consider implementing an intraoperative bleed management 
program that utilizes a bleed scale. The Committee requests 
that VHA report back to the Committees on Appropriations of 
both Houses of Congress within 120 days of enactment of this 
act on the status of implementing a system-wide intraoperative 
bleed management program that utilizes a bleed scale.
    Lovell Federal Health Care Center.--The Committee 
recognizes the innovative collaboration between the Departments 
of Veterans Affairs and Defense at the Captain James A. Lovell 
Federal Health Care Center Demonstration Project, established 
in 2010 under Public Law 111-84. Given the unique nature of 
this joint facility, the Committee notes that the Lovell 
Federal Health Care Center has significant potential to improve 
access, quality, and cost-effectiveness of healthcare delivery 
to veterans, servicemembers, and their families, and already 
serves as a valuable site demonstrating comprehensive 
cooperation and interoperability between VA and DoD. The 
important work of this integration effort must continue as the 
two Departments continue to roll out their respective 
electronic health record programs.
    Pressure Injury Standards.--The Committee commends the 
Department for the March 2019 guidance (VHA Directive 1352) on 
Prevention and Management of Pressure Injuries. As the 
Department indicated to the Committee, it should continue to 
update VHA Directive 1352 to ensure staff have timely access to 
relevant guidelines, research and practice standards on topics 
related to pressure injury risk, prevention and management. 
Furthermore, within 60 days of enactment of this act, the 
Department is directed to provide to the Committees on 
Appropriations of both Houses of Congress a timeline to 
implement the Standardized Pressure Injury Prevention Protocol 
Checklist to improve pressure injury prevention and support the 
development of best practices through the VHA medical system.
    Support for Vet Centers.--The Committee continues to 
believe Vet Centers are critical to veterans in every State and 
it is critical that veterans continue to have access to the 
resources and services they need. The Department should 
expeditiously implement the recommendations made in the GAO 
Report--VA Vet Centers: Evaluations Needed of Expectations for 
Counselor Productivity and Centers' Staffing (GAO-20-652).
    Sleep Apnea.--The Committee directs VA to submit a report 
no later than 180 days of enactment of this act detailing 
efforts to address sleep apnea issues facing veterans, 
including a description and assessment of the feasibility of 
expanding initiatives to provide home sleep tests, equipment 
and home therapy to service patients with various respiratory 
diseases across the country.
    Safe Syringes for VA Health Workers.--The Committee 
recognizes the Nation's increased reliance on VA health workers 
providing FDA-approved COVID-19 vaccines for veterans. The 
Committee is concerned that inconsistent procurement standards 
of syringes could become a significant risk to VA health 
workers providing intravenous medicines and vaccines to 
veterans. Therefore, the Secretary shall submit a report not 
later than 180 days of enactment of this act detailing the VA 
syringe procurement standards and strategies to purchase more 
syringes from domestic producers.
    Pilot Programs for Agritherapy.--The Committee directs 
$5,000,000 to continue a pilot program to train veterans in 
agricultural vocations, while also tending to behavioral and 
mental health needs with behavioral healthcare services and 
treatments by licensed providers at no fewer than three 
locations.
    Hyperbaric Oxygen Therapy.--The Committee continues to be 
supportive of alternative treatment options for veterans with 
PTSD or TBI. The Committee continues to be concerned about the 
lack of participation in VA's hyperbaric oxygen therapy [HBOT] 
demonstration project. The Committee recommends that the 
demonstration project continue until at least September 30, 
2022, and encourages VA to examine altering the scope of the 
project to better research the efficacy of HBOT as a treatment 
for PTSD and TBI.
    Coverage of Continuous Glucose Monitors.--The Committee is 
aware that veterans suffer from diabetes at a greater rate than 
the general population. Left untreated, diabetics face higher 
risks of heart disease, kidney failure, limb amputations, and 
blindness. The Committee is encouraged by innovations in 
diabetes treatment options, including recent technological 
advancements in continuous glucose monitoring systems [CGMs] 
and applauds VA's decision to facilitate access to CGMs during 
the public health emergency by suspending certain coverage 
criteria. In June 2021, Medicare eliminated the requirement for 
patients to perform frequent (e.g., four or more times per day) 
blood glucose testing from their coverage criteria. The 
Secretary is directed to provide the Committees on 
Appropriations of both Houses of Congress with a report 
detailing the clinical rationale for maintaining frequent 
testing criterion no later than 90 days after enactment of this 
act.

                         MEDICAL COMMUNITY CARE

Appropriations, 2021.................................... $18,511,979,000
Advance appropriations, 2022............................  20,148,244,000
Budget estimate, 2022...................................   3,269,000,000
Committee recommendation, 2022..........................   3,269,000,000
Budget estimate, advance appropriations, 2023...........  24,156,659,000
Committee recommendations, advance appropriations, 2023.  24,156,659,000

                          PROGRAM DESCRIPTION

    The Medical Community Care account provides for medical 
services for eligible enrolled veterans and other beneficiaries 
that is purchased from and provided by non-Department of 
Veterans Affairs facilities and providers, including contract 
hospitals, State homes, and outpatient services.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2021, the Committee provided an advance 
appropriation of $20,148,244,000 for fiscal year 2022 for the 
Medical Community Care account. The recommendation for fiscal 
year 2022 includes an additional $3,269,000,000, coupled with 
the advance appropriation provided for fiscal year 2022 
provides the Department with total budget authority of 
$23,417,244,000, which is equal to the request.
    The Committee recommendation also includes an advance 
appropriation of $24,156,659,000 for Medical Community Care for 
fiscal year 2023.
    Community Care Modeling.--The Committee remains concerned 
that the Department consistently makes inaccurate projections 
related to utilization of community care, which impacts their 
annual budget requests. Due to these inaccuracies, it has been 
necessary for Congress to repeatedly provide additional dollars 
outside the annual budget process, or to approve reprogramming 
requests for significant amounts of funding, shortchanging 
Congressional priorities in other areas. Therefore, within 30 
days of enactment of this act, the Department is directed to 
report to the Committees on Appropriations of both Houses of 
Congress when and how they complied with the recommendations in 
GAO's report entitled ``Additional Steps Could Help Improve 
Community Care Budget Estimates'' (GAO-20-669).
    MISSION Act Reporting.--The Department is directed to 
continue to provide to the Committees on Appropriations of both 
Houses of Congress quarterly reports on the expenditures 
related to the MISSION Act for the prior fiscal year and the 
current fiscal year, and estimates for expenditures related to 
the MISSION Act for the next five fiscal years. These reports 
should include costs broken out by account, with categories for 
costs of MISSION Act-affected community care, caregiver 
expansion, urgent care, and other efforts. These reports should 
also include: (1) the number of veterans served by each 
authority for care outlined in section 1703(d) of title 38, 
United States Code (the Department does not offer the care, the 
Department does not operate a full-service medical facility in 
the State in which the covered veteran resides, etc.); (2) the 
cost of such care broken out by the authorities in section 
1703(d); and (3) the timeliness of care, on average.
    In addition, the Department is directed to submit monthly 
reports to the Committees on Appropriations of both Houses of 
Congress identifying available resources, obligations, 
authorizations, and anticipated funding needs for the remainder 
of the fiscal year. This should include detail on the timing of 
authorization of care and the obligation of funds. The report 
should also provide data broken out by VISN on the number of 
referrals and completed appointments in-house and in the 
community, including timeliness.
    Improved Oversight of the Community Care Networks' 
Compliance with Access Standards.--The Committee requests 
further information comparing access to VA in-house care and 
care provided in the private sector based on timeliness. While 
the Committee recognizes the contractual obligations of the 
network administrators are different than the requirements 
placed on the Department, the MISSION Act clearly states VA was 
to report on compliance with standards established as a result 
of the law. The Department is reminded of this requirement to 
report according to the timelines in the MISSION Act, and is 
further directed to include a breakdown of this data for 
primary and specialty care in these reports.
    Improved Oversight of the Community Care Networks' Dental 
Networks.--The Committee is concerned VA is not providing 
appropriate oversight of the adequacy of the CCN dental 
networks. In particular, VA does not routinely confirm whether 
network providers are willing to accept veterans. Culling the 
network provider lists would help alleviate scheduler and 
veteran frustration when appointments cannot be made with 
providers who are not accepting VA patients or are no longer 
practicing at the network location. It would also ensure CCN 
contractors are accountable for building and maintaining a 
truly adequate dental network. Therefore, the Department is 
directed to undertake a nationwide review, to be completed 
within 6 months of enactment of this act, of the discrepancies 
between the number of network providers showing as active in 
the CCN dental networks as of enactment of this act, and when 
the review takes place, and report to the Committees on 
Appropriations of both Houses of Congress on its findings.
    Rural Health Continuity of Care.--The Committee encourages 
the Department to sustain continuity of care for rural veterans 
through provider agreements, based on previous models, such as 
the Access Received Closer to Home program, to ensure veterans 
do not experience a lapse in existing healthcare access during 
the transition to the Veterans Community Care Program and 
Community Care Networks. The Committee continues to support 
enabling the Department to enter into provider agreements with 
non-VA long-term care providers, including skilled nursing 
facilities, as appropriate.
    Dialysis Services.--The Committee understands that VA has a 
long history of providing dialysis services through community 
dialysis providers under the Nationwide Dialysis Services 
contracts when VA is unable to directly provide such care. The 
Committee expects VA will ensure that care is not disrupted or 
diminished for the veterans who receive treatment through 
experienced providers under the Nationwide Dialysis Services 
contracts. In addition, VA is directed to provide the 
Committees on Appropriations of both Houses of Congress with a 
report on the feasibility, advisability, and cost estimates for 
a value-based care model which ties reimbursement to quality of 
care. The report shall be provided no later than 270 days after 
enactment of this act.

                     MEDICAL SUPPORT AND COMPLIANCE

Appropriations, 2021....................................  $8,214,191,000
Advance appropriations, 2022............................   8,403,117,000
Budget estimate, advance appropriations, 2023...........   9,673,409,000
Committee recommendations, advance appropriations, 2023.   9,673,409,000

                          PROGRAM DESCRIPTION

    The Medical Support and Compliance account provides funds 
for management, security, and administrative expenses within 
the VA healthcare system, in addition to providing costs 
associated with the operation of VA medical centers and 
clinics, VISN offices, and the VHA Central Office in 
Washington, DC. This appropriation also covers Chief of Staff 
and Facility Director operations, quality of care oversight, 
legal services, billing and coding activities, procurement, 
financial management, security, and human resource management.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2021, the Committee provided an advance 
appropriation of $8,403,117,000 for fiscal year 2022 for the 
Medical Support and Compliance account.
    The Committee recommendation also includes an advance 
appropriation of $9,673,409,000 for Medical Support and 
Compliance for fiscal year 2023.

                           MEDICAL FACILITIES

Appropriations, 2021....................................  $6,583,265,000
Advance appropriations, 2022............................   6,734,680,000
Budget estimate, advance appropriations, 2023...........   7,133,816,000
Committee recommendations, advance appropriations, 2023.   7,133,816,000

                          PROGRAM DESCRIPTION

    The Medical Facilities account provides funds for the 
operation and maintenance of the VA healthcare system's vast 
capital infrastructure. This appropriation provides for costs 
associated with utilities, engineering, capital planning, 
leases, laundry, groundskeeping, housekeeping, facility repair, 
and property disposition and acquisition.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2021, the Committee provided an advance 
appropriation of $6,734,680,000 for fiscal year 2022 for the 
Medical Facilities account.
    The Committee recommendation also includes an advance 
appropriation of $7,133,816,000 for Medical Facilities for 
fiscal year 2023.
    Energy-Efficient Sensor Technology.--The Committee is 
concerned with the Department's growing maintenance backlog and 
energy consumption at its facilities. The Committee is aware of 
newly developed sensor technology for industrial monitoring, 
including technologies that are batteryless. Advanced sensor 
networks, such as these, can dramatically reduce energy 
consumption and carbon emissions, enhance their operational 
readiness, and equip operations and maintenance personnel with 
tools to monitor and manage their energy resources more 
effectively. Therefore, the Committee recommends the Department 
consider investing in new technologies, including batteryless 
sensor technology for industrial monitoring, to reduce energy 
consumption and carbon emissions and deliver a more resilient 
and sustainable infrastructure.
    Gender-Specific Care Facilities for Women.--The Committee 
directs VA to continue redesigning its healthcare facilities to 
ensure women receive equitable, timely, and high-quality 
healthcare. The Committee encourages the Department to identify 
and appropriately prioritize construction projects which ensure 
facilities consider the gender-specific care needs of women 
veterans.
    Prohibition on Smoking.--The Committee supports the 
Department's efforts for VA facilities to be smoke-free and 
encourages full implementation and enforcement of VHA 
Directives 1085 and 1085.1, which prohibit the use of 
cigarettes, cigars, pipes, and any other combustion or heating 
of tobacco, and the use of any electronic nicotine delivery 
system, including electronic or e-cigarettes, vape pens, and e-
cigars by any person on the premises of any facility of the 
Veterans Health Administration.
    Negative Air Pressure Containment Systems.--The Committee 
is concerned VA has not adequately addressed the scalability 
and surge capacity of commercial-off-the-shelf [COTS] negative 
air pressure containment systems to ensure readiness at its 
medical facilities nationwide. Therefore, the Committee 
encourages the Secretary to explore COTS portable and modular 
negative air room containment systems to increase readiness and 
capacity to respond to surges during pandemics and other 
infectious disease events at VA hospitals and clinics.
    Scoring Process for Leases.--The Committee expresses 
frustration with the delays in funding for leased facilities 
exacerbated by the Congressional Budget Office's scoring 
process for leased facilities.

                    MEDICAL AND PROSTHETIC RESEARCH

Appropriations, 2021....................................    $815,000,000
Budget estimate, 2022...................................     882,000,000
Committee recommendation................................     882,000,000

                          PROGRAM DESCRIPTION

    The Medical and Prosthetic Research account provides funds 
for medical, rehabilitative, and health services research. 
Medical research supports basic and clinical studies that 
advance knowledge leading to improvements in the prevention, 
diagnosis, and treatment of diseases and disabilities. 
Rehabilitation research focuses on rehabilitation engineering 
problems in the fields of prosthetics, orthotics, adaptive 
equipment for vehicles, sensory aids, and related areas. Health 
services research focuses on improving the effectiveness and 
economy of the delivery of health services.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $882,000,000 for the Medical and 
Prosthetic Research account. This is $67,000,000 above the 
fiscal year 2021 enacted level and equal to the budget request.
    The Committee remains highly supportive of this program, 
and recognizes its importance both in improving healthcare 
services to veterans and recruiting and retaining high quality 
medical professionals in the Veterans Health Administration.
    Through the Department's research and development program, 
VA has implemented a comprehensive research agenda to develop 
new treatments and tools for clinicians to ease the physical 
and psychological pain of men and women returning from war 
zones, to improve access to VA healthcare services, and to 
accelerate discoveries and applications, especially for 
neurotrauma, sensory loss, amputation, polytrauma, and related 
prosthetic needs. The Committee encourages VA to continue its 
research into developing novel approaches to restoring veterans 
with amputation, central nervous system injuries, loss of sight 
or hearing, or other physical and cognitive impairments to full 
and productive lives.
    Per- and Polyflouroalkyl Substance Exposure.--The Committee 
is concerned about the exposure of veterans to per- and 
polyfluoroalkyl substances [PFAS] during their military service 
and how these chemicals may have affected their health and what 
resources are available to them. PFAS chemicals have been found 
in the drinking water at more than 600 military installations 
nationwide. A byproduct of aqueous firefighting foam [AFFF] 
used by the military, PFAS materials are classified as 
``emerging contaminants'' as their long-term cumulative effects 
on human health is not yet known. However, initial analyses 
have linked PFAS materials with birth defects, various forms of 
cancer and immune system dysfunction, causing great public 
concern for members of the military and veterans who have 
served at the dozens of bases found to be contaminated with 
these materials. At the direction of Congress, VA has 
established a number of registries for veterans who may have 
been exposed to various environmental contaminants, including 
Agent Orange and emissions from open burn pits in Iraq and 
Afghanistan. Therefore, the Committee encourages VA to 
establish and maintain a registry for veterans who may have 
been exposed to PFAS due to exposure to AFFF during their 
military service and develop a public information campaign to 
inform eligible individuals about the registry. The Committee 
also directs VA to provide a plan to the Committees on 
Appropriations of both Houses of Congress within 120 days of 
enactment of this act, to provide blood testing for this 
chemical to veterans eligible and enrolled for VA healthcare 
who served as military firefighters.
    VA Cancer Moonshot.--The Committee supports the 
Department's contribution to this effort by utilizing advances 
in genomic science to provide targeted treatment to veterans. 
The Department has identified prostate cancer, triple-negative 
breast cancer, colorectal cancer, and rare cancers as areas of 
priority. Due to the prevalence of various skin cancers among 
servicemembers, the Committee directs that skin cancer be 
included as well.
    Advanced Platform Technology [APT] Center.--The Committee 
applauds VHA for the progress being made to provide our 
Nation's veterans with new assistive and restorative 
technologies that address sensory, motor, or cognitive 
deficits, as well as limb loss. The APT Center has effectively 
utilized a partnership model to leverage local and national 
research expertise to drive dramatic progress in diverse areas 
including artificial lung development, wound healing, and 
neurally-connected sensory prosthesis. The Committee provides 
continued support for these commendable efforts.
    Next-Generation Nonsurgical Neurotechnology.--The Committee 
sees great benefit in collaboration between the Defense 
Advanced Research Projects Agency's [DARPA's] Next Generation 
Nonsurgical Neurotechnology program and VA in developing and 
testing neurotechnology for veteran movement rehabilitation. 
The Committee encourages DARPA and VA to work together to 
include disabled veteran candidates in DARPA's human clinical 
trials of the nanoscale minimally invasive brain computer 
interface and demonstrate the potential benefits of this 
emerging neurotechnology in restoring movement and offering 
independence without invasive surgical procedures.
    Severe Depression and Suicide Prevention.--Studies by the 
National Institutes of Mental Health investigating the use of 
Scopolamine in treating depression and suicide prevention have 
shown promising initial results in rapidly decreasing patients' 
Montgomery-Asberg Depression Rating Scale scores, with over 50 
percent of patients achieving remission. Therefore, the 
Committee directs the Department to review these findings and 
determine whether the methods may be effective in treating 
veterans.
    Dystonia.--The Committee continues to urge VA to pursue 
collaborative efforts with the dystonia stakeholder community 
and related Federal agencies. The Department is directed to 
provide an update on relevant research projects that examine 
the connection between traumatic brain injury and dystonia to 
the Committees on Appropriations of both Houses of Congress 
within 90 days of enactment of this act.
    Prosthetic Materials.--The Committee is aware of novel 
applications of additive manufactured highly porous foam 
materials, which may have significant benefits for veterans 
receiving prosthetic bone implants. The Committee encourages VA 
to consider conducting research in this area of prosthetics to 
determine if veterans with amputations may benefit from the use 
of the technology and procedure.
    Advanced Prosthetic Socket Systems.--The Committee 
appreciates the innovative program of prosthetics research the 
Department has undertaken to support veterans with limb loss, 
ranging from limb loss prevention and tools to support 
amputation decisions to efforts to support the use, 
optimization and development of new prosthetic devices. 
Additional research is needed for design improvements to 
prosthetic socket system technologies to help alleviate pain, 
tissue breakdown, infections, revision surgeries, and other 
morbidities of poorly fitting sockets. The Department is 
encouraged to continue and expand research related to 
prosthetic socket systems, including options to improve 
customization. The Department is further encouraged to 
collaborate, as appropriate, with industry, academia, and DoD.
    Spinal Cord Research.--The Committee recognizes the 
severity of spinal cord injuries sustained by servicemembers in 
combat and supports additional research in this area. The 
Department is encouraged to work with outside organizations on 
spinal cord injury research to find a cure and improve the 
quality of life for impaired and disabled veterans. Additional 
investment in spinal cord research could yield a long-term cost 
savings to VA through reduced healthcare costs and restore 
functional recovery to paralyzed veterans.
    Veteran Access to State of the Art Clinical Trials.--The 
Committee remains supportive of funding efforts to provide 
access to clinical trials that offer effective, cutting-edge 
treatments for cancers such as prostate, lung and melanoma that 
occur at high rates in the veteran population. VA is currently 
working to establish new clinical research partnerships between 
National Cancer Institute [NCI]-designated cancer centers and 
VA medical centers focused on the states with the largest 
veteran populations. The Committee appreciates that VA has 
begun to implement this initiative and looks forward to being 
apprised of further progress. The Committee urges VA to support 
the establishment of partnerships between VA hospitals and NCI-
designated facilities consistent with the guidance provided in 
the prior two fiscal years.

                 MEDICAL CARE COST RECOVERY COLLECTIONS

                      MEDICAL CARE COLLECTION FUND

Appropriations, 2021....................................  $4,403,000,000
Budget estimate, 2022...................................   3,386,000,000
Committee recommendation................................   3,386,000,000

             MEDICAL CARE COLLECTION FUND--REVENUES APPLIED

Appropriations, 2021.................................... -$4,403,000,000
Budget estimate, 2022...................................  -3,386,000,000
Committee recommendation................................  -3,386,000,000

                          PROGRAM DESCRIPTION

    The Medical Care Collection Fund [MCCF] was established by 
the Balanced Budget Act of 1997 (Public Law 105-33). In fiscal 
year 2004, Public Law 108-199 allowed the Department of 
Veterans Affairs to deposit first-party and pharmacy co-
payments; third-party insurance payments and enhanced-use 
collections; long-term care co-payments; Compensated Work 
Therapy Program collections; and Parking Program fees into the 
MCCF. The Secretary of Veterans Affairs has the authority to 
transfer funds from the MCCF to the Medical Services and 
Medical Community Care accounts.

                        COMMITTEE RECOMMENDATION

    The Committee recommendation includes the authority to 
retain co-payments and third-party collections, estimated to 
total $3,386,000,000 in fiscal year 2022.

                    National Cemetery Administration

Appropriations, 2021....................................    $352,000,000
Budget estimate, 2022...................................     394,000,000
Committee recommendation................................     394,000,000

                        ADMINISTRATION OVERVIEW

    The National Cemetery Administration [NCA] was established 
in accordance with Public Law 93-94, the National Cemeteries 
Act of 1973. It has a four-fold mission: to provide for the 
interment in any national cemetery of the remains of eligible 
deceased servicemembers and discharged veterans, together with 
their spouses and certain dependents, and permanently maintain 
their graves; to provide headstones for, and to mark graves of, 
eligible persons in national, State, and private cemeteries; to 
administer the grant program for aid to States in establishing, 
expanding, or improving State veterans cemeteries; and to 
administer the Presidential Memorial Certificate Program.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $394,000,000 for the National 
Cemetery Administration. This is an increase of $42,000,000 
above the fiscal year 2021 enacted level and equal to the 
budget request. The appropriated funding for NCA should be used 
to maintain existing cemeteries and to activate newly completed 
cemeteries.
    The Committee has included bill language to make available 
through September 30, 2023, up to 10 percent of the National 
Cemetery Administration appropriation.
    Committal Service Shelters.--The Committee reiterates its 
support for committal service shelters and directs the 
Department to carry out a pilot program with at least three 
sites to enclose or partially enclose committal shelters at 
national cemeteries located in areas with a drastic temperature 
differential. The Department is directed to report to the 
Committees on Appropriations of both Houses of Congress no 
later than 180 days after enactment of this act on the status 
of this effort, including locations chosen.
    Western New York Cemetery.--The Committee is pleased that 
the Department intends to complete delivery of the full scope 
of the Western New York National Cemetery as described in the 
fiscal year 2017 budget proposal by the conclusion of Phase 1B 
construction. The Department is directed to provide a plan and 
timeline for completing the project to the Committees on 
Appropriations of both Houses of Congress no later than 60 days 
after enactment of this act.
    Rural Initiative.--The Committee supports NCA's decision to 
add additional infrastructure--such as wind walls, restrooms, 
and storage sheds--to its Rural Initiative National Cemeteries 
so that veterans and their families are better served. As the 
Department finalizes the designs for these projects, the 
Committee recommends that the agency consider any necessary 
water, sewage, and electric utilities that would support these 
upcoming projects. The Committee also encourages VA to enter 
into public-private partnerships to help fund these 
improvements where appropriate. Further, the Committee 
encourages VA to consult and engage with local communities and 
stakeholders as it makes plans and undertakes construction of 
additional infrastructure at Rural Initiative National 
Cemeteries.

                      Departmental Administration

Appropriations, 2021.................................... $10,169,911,000
Budget estimate, 2022...................................  10,588,000,000
Committee recommendation................................  10,480,000,000

                        ADMINISTRATION OVERVIEW

    Departmental Administration provides for the administration 
of veterans benefits through VBA, the executive direction of 
the Department, several top level supporting offices, and the 
Board of Veterans Appeals.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $10,480,000,000 for Departmental 
Administration. The amount is composed of $401,200,000 for 
General Administration; $228,000,000 for the Board of Veterans 
Appeals; $4,842,800,000 for Information Technology Systems; 
$2,500,000,000 for the Veterans Electronic Health Record; 
$239,000,000 for the Office of Inspector General; 
$1,611,000,000 for Construction, Major Projects; $553,000,000 
for Construction, Minor Projects; $50,000,000 for Grants for 
Construction of State Extended Care Facilities; $50,000,000 for 
Grants for the Construction of State Veterans Cemeteries; and 
$5,000,000 for Asset and Infrastructure Review.
    In addition, fiscal year 2022 is the first year funds are 
available from the Recurring Expenses Transformational Fund 
[Transformational Fund]. Established in the Consolidated 
Appropriations Act of 2016 (Public Law 114-113), the 
Transformational Fund consists of unobligated balances of 
expired discretionary appropriations, following the fifth 
fiscal year after the last fiscal year funds were originally 
available. These funds shall be available until expended for 
facilities infrastructure improvements, including nonrecurring 
maintenance, at existing VA hospitals and clinics, and for 
information technology systems improvements and sustainment. 
The fiscal year 2022 Transformational Fund balance is 
approximately $842,000,000, of which VA proposed to allocate 
$820,000,000, with approximately $670,000,000 for minor 
construction projects and the remainder for information 
technology systems.

                         GENERAL ADMINISTRATION

                     (INCLUDING TRANSFER OF FUNDS)

Appropriations, 2021....................................    $365,911,000
Budget estimate, 2022...................................     401,200,000
Committee recommendation................................     401,200,000

                          PROGRAM DESCRIPTION

    The General Administration account provides funding for the 
Office of the Secretary, six assistant secretaries, and three 
independent staff offices.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $401,200,000 for General 
Administration. This amount is $35,289,000 above the fiscal 
year 2021 enacted level and equal to the budget request. The 
Committee has included bill language to make available through 
September 30, 2023, up to 10 percent of the General 
Administration appropriation.
    The Committee provides funding for General Administration 
in the amounts specified below:

 
                        [In thousands of dollars]
------------------------------------------------------------------------
                                      Fiscal year 2022      Committee
              Office\1\                budget request    recommendation
------------------------------------------------------------------------
Office of the Secretary.............            16,265            16,265
Office of General Counsel...........           125,510           125,510
Office of Management................            73,726            73,726
Office of Human Resources &                    103,646           103,646
 Administration/Office of
 Operations, Security & Preparedness
Office of Enterprise Integration....            33,636            33,636
Office of Public and                            14,435            14,435
 Intergovernmental Affairs..........
Office of Congressional &                        7,480             7,480
 Legislative Affairs................
Office of Accountability &                      26,502            26,502
 Whistleblower Protection...........
                                     -----------------------------------
    Total...........................           401,200           401,200
------------------------------------------------------------------------
\1\The Office of Acquisition, Logistics & Construction and the Veterans
  Experience Office are funded solely with reimbursable authority.


    The Secretary may alter these allocations if the Committees 
have been notified and written approval is provided.
    Improving Personal Cybersecurity for Veterans.--The 
Department is encouraged to help improve personal cybersecurity 
among veterans by increasing digital and media literacy through 
education and resources, including protection against cyber 
threats and influence campaigns.
    Update on ABLE Act Awareness Efforts.--The Achieving a 
Better Life Experience Act of 2014 or ABLE Act (Public Law 113-
295, Division B) allows individuals and families to save for 
the purpose of supporting individuals with disabilities in 
maintaining their health, independence and quality of life. The 
Committee strongly encourages the Department to raise awareness 
of the eligibility and benefits of these accounts. The 
Committees on Appropriations of both Houses of Congress request 
an update on this effort within 90 days of enactment of this 
act.
    Data Governance and Analytics.--The Committee is supportive 
of the work carried out by VA's Office of Enterprise 
Integration [OEI] for the continuous improvement of veterans' 
access and outcomes throughout their lifetimes. OEI uses data 
and analytics to develop deep population insights that enable 
VA programs to better connect with veterans, as outlined in the 
VA Data Strategy. VA, as a learning enterprise, should manage, 
integrate, and consolidate its various data sources to ensure 
its data is of highest quality and is used to support 
operational decisionmaking. As such, the Committee encourages 
OEI to further coordinate enterprise-wide efforts to manage VA 
data as a strategic asset, in order to enhance veterans' 
insights and to strengthen VA's delivery of services and 
benefits to veterans, their families, survivors, and 
caregivers.
    Data Sharing.--The Committee supports the Department's 
recent efforts through OEI and VHA to become more data driven 
in their approach to how they make Department-wide decisions. 
The Committee urges VA to create a plan within 12 months of 
enactment of this act that enables better sharing of data 
across the different Administrations. The plan should explore 
existing governmental models such as DoD's Cost Assessment and 
Program Evaluation office and make determinations on their 
effectiveness within VA.

                       BOARD OF VETERANS APPEALS

Appropriations, 2021....................................    $196,000,000
Budget estimate, 2022...................................     228,000,000
Committee recommendation................................     228,000,000

                          PROGRAM DESCRIPTION

    As set forth in section 7101(a) of title 38 United States 
Code, the Board of Veterans Appeals is responsible for making 
final decisions on claims for veterans benefits presented to 
the Board for appellate review. The vast majority of the 
Board's workload derives from benefit claims initiated by the 
Veterans Benefits Administration's Regional Offices. The 
appellate process has multiple steps, most of which occur at 
the local Regional Office level. If a veteran is not satisfied 
with the Regional Office determination, he or she may appeal to 
the Board for a final agency decision. The Board adjudicates 
appeals covering all areas of veterans benefits, including 
service connection, increased disability ratings, total 
disability ratings, pensions, insurance benefits, educational 
benefits, home loan guaranties, vocational rehabilitation, 
waivers of indebtedness, fee basis medical care, and dependency 
and indemnity compensation.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $228,000,000 for the Board of 
Veterans Appeals, which is $32,000,000 above the fiscal year 
2021 enacted level and equal to the budget request. The 
Committee has included bill language to make available through 
September 30, 2023, up to 10 percent of the Board of Veterans 
Appeals appropriation.
    Appeals Backlog.--The Department is currently experiencing 
a backlog of disability claims, which has only been exacerbated 
by the COVID-19 pandemic. The Committee recognizes veterans' 
expectations regarding timely and accurate appeals processing, 
and supports full funding of the Board of Veterans' Appeals to 
increase personnel, reduce the backlog of claims and get 
veterans the timely answers they deserve.

                     INFORMATION TECHNOLOGY SYSTEMS

Appropriations, 2021....................................  $4,912,000,000
Budget estimate, 2022...................................   4,842,800,000
Committee recommendation................................   4,842,800,000

                          PROGRAM DESCRIPTION

    The Information Technology [IT] Systems appropriation, 
along with reimbursements, funds the costs of all IT staff 
salaries and expenses, the operations and maintenance of all 
existing information technology systems, and the development of 
new projects and programs designed to improve the delivery of 
service to veterans. This appropriation also funds the costs 
associated with the Office of Information and Technology which 
oversees the functions highlighted above.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $4,842,800,000 for the Information 
Technology Systems account. This amount is equal to the budget 
request. The Committee recommendation includes $1,414,215,000 
for staff salaries and expenses, $3,131,585,000 for operation 
and maintenance of existing programs, and $297,000,000 for 
program development. In addition, the Committee supports the 
Department's allocation of funds from the Transformational Fund 
to support Information Technology.
    The Committee has appropriated the Information Technology 
Systems account as three subaccounts. This funding structure 
enhances the Committee's ability to ensure funds are executed 
in a manner consistent with the Department's budget submission. 
The Committee has provided sufficient flexibility within the 
subaccounts by way of authorized carryover amounts and 
reprogramming authority to give the Office of Information 
Technology as much flexibility as possible to accomplish its 
mission and goals, while ensuring proper accountability and 
oversight.
    The Committee is aware that an aging IT infrastructure and 
antiquated systems have contributed to issues affecting 
veterans, their families, and third parties with whom VA has 
agreements; and that the Department continues to identify 
significant costs to support new and critical initiatives. 
Additionally, the Department has reported its inability to 
comply with requirements that have been passed into law due to 
lack of appropriate IT systems. While the Committee will 
continue to work with the Department to ensure current IT 
projects are appropriately resourced, the Committee believes 
the Department's Information Technology Programs budget 
submission document is in need of significant improvement.
    The Committee is disappointed that the Department made 
little to no effort to comply with fiscal year 2021 Committee 
direction regarding improvements to the IT budget submission in 
Volume II. The Committee reaffirms its belief that the 
Department's IT budget submission document is in need of 
significant improvement. Similar to efforts the Committee 
directed for improvements to Volume IV, Construction and Long 
Range Plan, the Committee directs the Department to improve the 
type, quality, and organization of information in the IT budget 
submission starting in the fiscal year 2023 submission. This 
should include a section detailing every existing funded IT 
project. The Department's approach in reforming its IT 
submission should draw lessons from the detail of the 
Construction and Long Range Plan submission.

               INFORMATION TECHNOLOGY DEVELOPMENT PROJECTS
                        [In thousands of dollars]
------------------------------------------------------------------------
                                      Fiscal year 2022      Committee
               Project                 budget request    recommendation
------------------------------------------------------------------------
Clinical Applications
    Supply Chain Management.........            76,105            76,105
    Healthcare Administration                   20,710            20,710
     Systems........................
    Health Data Interoperability....             2,125             2,125
    My HealtheVet...................             4,684             4,684
                                     -----------------------------------
        Subtotal Clinical                      103,624           103,624
         Applications...............
 
Health Management Platform
    Community Care..................            34,853            34,853
    Digital Health Platform.........            11,807            11,807
    Patient Record Systems..........             9,000             9,000
    Purchased Care..................             6,836             6,836
    Telehealth Services.............             6,600             6,600
                                     -----------------------------------
        Subtotal Health Management              69,096            69,096
         Platform...................
 
Health Research and Development
    Research........................             8,660             8,660
                                     -----------------------------------
        Subtotal Health Research and             8,660             8,660
         Development................
 
Benefits Systems
    Education Benefits..............            50,000            50,000
    Veterans Customer Experience....             9,880             9,880
    Veterans Benefits Management....            14,285            14,285
    Benefits Systems................             9,825             9,825
    Benefits Appeals................             3,400             3,400
                                     -----------------------------------
        Subtotal Benefits Systems...            87,390            87,390
 
Memorial Affairs
    Memorials Automation............             9,030             9,030
                                     -----------------------------------
        Subtotal Memorial Affairs...             9,030             9,030
 
Cyber Security
    Cyber Security..................            11,200            11,200
                                     -----------------------------------
        Subtotal Cyber Security.....            11,200            11,200
 
Information/Infrastructure
 Management
    Data Integration and Management.             8,000             8,000
                                     -----------------------------------
        Subtotal Information/                    8,000             8,000
         Infrastructure Management..
                                     -----------------------------------
    Total IT Development............           297,000           297,000
------------------------------------------------------------------------

    Prioritizing IT Modernization and Managing Cybersecurity 
Risk.--The Committee is aware of the continued need to 
modernize VA IT systems, and ongoing efforts to do so. In 
addition, VA continues to dedicate more than 80 percent of its 
IT operations and maintenance funding to managing legacy 
systems that may be outdated and pose security risks. These 
aged and disparate systems put VA at an increased cybersecurity 
risk and impede the ability of VA to efficiently deliver 
benefits and care to the veterans who have earned it. To 
improve VA services and protect against growing cyber 
vulnerabilities, VA must take an enterprise-wide approach to 
securing its IT systems. This may include, but is not limited 
to, developing and executing a plan to retire its legacy IT 
systems and fully integrating cybersecurity risk management 
into its IT modernization efforts.
    Zero Trust Network Concept.--As the Department continues to 
modernize its cyber networks across VISNs, the Committee 
instructs the Department to review and consider DoD's success 
implementing a Zero Trust concept of operations on all VA-owned 
networks.
    Accessibility.--The Committee recognizes a need to ensure 
that the Department meets the accessibility needs of employees 
with disabilities. The Department is directed to conduct a 
study on the accessibility of SharePoint for Department 
employees, including those with limited vision or blindness, 
and submit a report to the Committees on Appropriations of both 
Houses of Congress no later than 1 year after passage of this 
act. The report should take into account feedback from key 
stakeholders, including labor unions and VA employees with 
limited vision or blindness; assess potential solutions for 
making SharePoint accessible; and identify barriers to 
implementing those solutions. Additionally, the Department is 
directed to identify a Department-wide remediation team to 
handle all accessibility concerns, including those related to 
document remediation, website and app compliance, and audio 
description and captioning.

                   VETERANS ELECTRONIC HEALTH RECORD

Appropriations, 2021....................................  $2,627,000,000
Budget estimate, 2022...................................   2,663,000,000
Committee recommendation, 2022..........................   2,500,000,000

                          PROGRAM DESCRIPTION

    The Veterans Electronic Health Record [EHR] account funds 
all activities related to the acquisition, implementation, 
preparation, development, interface, management, rollout, and 
maintenance of a new EHR. The EHR solution and implementation 
will include program management; an enterprise-wide EHR system; 
change management; training; testing; deployment services; 
sustainment; and other solutions encompassing the entire range 
of EHR requirements.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $2,500,000,000 for the Veterans 
EHR. This is $127,000,000 below the fiscal year 2021 enacted 
level and $163,000,000 below the budget request. While the 
Committee remains supportive of replacing VA's current EHR with 
the same system being acquired by DoD, frustrations continue 
with the delays in execution, as well as with the Department's 
poor communication. The Committee appreciates the Secretary 
undertaking a strategic review following concerns raised from 
the rollout of the new system at the Mann-Grandstaff VA Medical 
Center in Spokane, Washington, which resulted in decreased 
productivity beyond what was projected in the short run. The 
Committee looks forward to receiving more information on the 
Department's recommended changes to improve functions such as 
governance, infrastructure, training, and budgeting. VA is 
encouraged to adopt an enterprise-wide approach for the 
remaining implementation process.
    Given the schedules and costs associated with any 
acquisition of this size and magnitude, it is important for the 
Department to provide regular implementation updates. 
Therefore, the bill continues strict quarterly reporting of 
obligations, expenditures, and deployment schedule by facility. 
The Department is directed to continue quarterly briefings to 
review timelines, performance milestones, costs, 
implementation, and change management progress. In addition, 
the Committee included a statutory proviso that makes 25 
percent of funding contingent upon the Secretary providing a 
plan with benchmarks and measurable metrics for deployment, and 
a plan for addressing all required infrastructure updates, no 
later than 30 days prior to July 1, 2022.
    The Committee continues to direct GAO to perform quarterly 
performance reviews of the VA EHR deployment to keep the 
Committees on Appropriations and Veteran's Affairs of both 
Houses of Congress apprised of VA's progress.
    Tribal Veteran Electronic Health Record.--The Committee 
urges the Department to consult with the Indian Health Service 
on their new electronic health records system currently under 
development to ensure the interoperability between the agencies 
systems. VA is directed to report to the Committees on 
Appropriations of both Houses of Congress within 90 days of 
enactment of this act on the steps they are taking to ensure a 
seamless transition of electronic health records for our 
Nation's tribal veterans.

                      OFFICE OF INSPECTOR GENERAL

Appropriations, 2021....................................    $228,000,000
Budget estimate, 2022...................................     239,000,000
Committee recommendation................................     239,000,000

                          PROGRAM DESCRIPTION

    The Office of Inspector General [OIG] was established by 
the Inspector General Act of 1978 and is responsible for the 
audit, investigation, and inspection of all Department of 
Veterans Affairs programs and operations.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $239,000,000 for OIG. This is 
$11,000,000 above the fiscal year 2021 enacted level and equal 
to the budget request. The Committee has included bill language 
to make available through September 30, 2023, up to 10 percent 
of the OIG appropriation.
    The Committee continues to support OIG's essential 
oversight of VA's programs and operations, and maintains a 
provision to support timely access to any records, documents, 
or other materials available to the Department. Similarly, the 
Committee strongly encourages OIG to undertake and complete 
investigations in a timely manner, including sharing 
information with the Department, the Department of Justice, or 
other entities as appropriate.

                      CONSTRUCTION, MAJOR PROJECTS

Appropriations, 2021....................................  $1,316,000,000
Budget estimate, 2022...................................   1,611,000,000
Committee recommendation................................   1,611,000,000

                          PROGRAM DESCRIPTION

    The Construction, Major Projects account provides for 
constructing, altering, extending, and improving any of the 
facilities (including parking projects) under the jurisdiction 
or for the use of VA, including planning, architectural and 
engineering services, needs assessment, and site acquisition 
where the estimated cost of a project is more than the amount 
set forth in 38 U.S.C. 8104(a)(3)(A). Proceeds realized from 
Enhanced Use Lease activities may be deposited into the 
Construction, Major Projects and Construction, Minor Projects 
accounts.

                        COMMITTEE RECOMMENDATION

    The Committee recommends an appropriation of $1,611,000,000 
for the construction of major projects. This is $295,000,000 
above the fiscal year 2021 enacted level and equal to the 
budget request.
    The following table reflects the President's budget request 
for major construction projects and the corresponding Committee 
recommendations.

                       MAJOR CONSTRUCTION PROJECTS
                        [In thousands of dollars]
------------------------------------------------------------------------
                                      Fiscal year 2022      Committee
      Location and description         budget request    recommendation
------------------------------------------------------------------------
Veterans Health Administration
 [VHA]:
    Biloxi, MS: Restoration of                  22,500            22,500
     Hospital/Consolidation of
     Gulfport.......................
    Portland, OR: Upgrade Portland              20,000            20,000
     Bldg 100/101 for Seismic
     Retrofit and Renovation........
    Louisville, KY: New Medical                 93,000            93,000
     Center.........................
    San Francisco, CA: New Research             74,400            74,400
     Facility.......................
    West Los Angeles, CA: Build New             40,000            40,000
     Critical Care Center...........
    Long Beach, CA: Mental Health &             20,000            20,000
     Community Living Center........
    Canandaigua, NY: Construction               60,159            60,159
     and Renovation.................
    San Diego, CA: SCI & Seismic                10,000            10,000
     Bldg 11........................
    Dallas, TX: Spinal Cord Injury..            43,239            43,239
    Oklahoma City, OK: Construct                18,103            18,103
     Surgical Intensive Care Unit
     and Renovate Operating Rooms...
    St. Louis [JC], MO: Replace Bed             92,000            92,000
     Tower, Clinical Bldg Expansion
     & Parking Garage...............
    El Paso, TX: Construct New                 150,000           150,000
     Health Care Center.............
    Advance Planning and Design                417,699           417,699
     Fund: Various Stations.........
    Asbestos--Various Stations......            12,000            12,000
    Construction & Facilities                  124,600           124,600
     Management Staff--Various
     Stations.......................
    Hazardous Waste--Various                     4,000             4,000
     Stations.......................
    Judgment Fund--Various Stations.            35,000            35,000
    Non-Departmental Federal Entity            132,000           132,000
     Project Management Support--
     Various Stations...............
    Seismic Corrections--Various               100,000           100,000
     Stations.......................
                                     -----------------------------------
        Total, VHA..................         1,468,700         1,468,700
 
National Cemetery Administration
 [NCA]:
    Fort Logan, CO: Phase 1                     50,000            50,000
     Gravesite Expansion............
    Indiantown Gap, PA: Phase 5                 44,500            44,500
     Gravesite Expansion............
    Advance Planning and Design                 35,000            35,000
     Fund: Various Stations.........
    NCA Land Acquisiion Fund:                    1,000             1,000
     Various Stations...............
                                     -----------------------------------
        Total, NCA..................           130,500           130,500
 
General Administration/Staff Offices  ................  ................
Department Advance Planning and                 11,800            11,800
 Design Fund for Major Construction.
                                     -----------------------------------
        Total Construction, Major            1,611,000         1,611,000
         Projects...................
------------------------------------------------------------------------

    Construction Program.--The Committee recognizes the 
importance of VA's construction program, and encourages the 
Department to take into account whether states have a full-
service VA medical facility when determining which projects to 
fund.
    CHIP-IN Program.--The Committee strongly encourages the 
Department to expeditiously review and approve proposals for 
projects under the Communities Helping Invest through Property 
and Improvements Needed [CHIP-IN] for Veterans Act of 2016, 
that address gaps in required services for veterans. 
Recognizing the importance and impact CHIP-IN facilities will 
have on our veteran population and the potential for project 
disruption due to cost containment concerns, the Committee 
directs the Department to provide quarterly updates to the 
Committees on Appropriations and Veterans Affairs of both 
Houses of Congress on the status of all active CHIP-IN 
projects. Additionally, the Committee recognizes the need to 
modernize facilities and provide state of the art behavioral 
health facilities to continue to provide best in class health 
services for veterans. The Committee encourages the Department 
to proceed with efforts to modernize VA facilities and provide 
an update on planning for this effort no later than 60 days 
after enactment of this act.
    Seismic Retrofits at the West Los Angeles VA.--The 
Committee directs VA to develop a plan for seismic retrofits 
and construction on Buildings 156, 157, 257, 258 and 300 at the 
West Los Angeles VA Medical Center, including the possibility 
of allocating funding as a Capital Contribution. These 
improvements will help operationalize the Greater Los Angeles 
Healthcare System's Master Plan, which calls for the delivery 
of more than 1,200 units of housing for more than 4,000 
veterans experiencing homelessness.

                      CONSTRUCTION, MINOR PROJECTS

Appropriations, 2021....................................    $390,000,000
Budget estimate, 2022...................................     553,000,000
Committee recommendation................................     553,000,000

                          PROGRAM DESCRIPTION

    The Construction, Minor Projects account provides for 
constructing, altering, extending, and improving any of the 
facilities (including parking) under the jurisdiction or for 
the use of VA, including planning, assessment of needs, 
architectural and engineering services, and site acquisition, 
where the estimated cost of a project is equal to or less than 
$20,000,000. Public Law 106-117, the Veterans Millennium Health 
Care and Benefits Act of 1999, gave VA authority to make 
capital contributions from minor construction in enhanced-use 
leases. Proceeds realized from enhanced-use lease activities 
may be deposited into the Construction, Major Projects and 
Construction, Minor Projects accounts.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $553,000,000 for minor 
construction. This is $163,000,000 above the fiscal year 2021 
enacted level and equal to the budget request.
    The recommendation includes $359,210,000 for the Veterans 
Health Administration, $106,990,000 for the National Cemetery 
Administration, $22,100,000 for the Veterans Benefits 
Administration, and $64,700,000 for staff offices and the 
Office of Information and Technology. The Department is 
directed to provide an expenditure plan to the Committees on 
Appropriations of both Houses of Congress no later than 30 days 
after enactment of this act for the amount appropriated for 
minor construction. In addition, the Committee supports the 
Department's allocation from the Transformational Fund to 
support minor construction.
    Permanent Residential Rehabilitation Treatment Unit.--The 
Committee recognizes the importance of long-term beds for 
veterans suffering from substance use disorders, particularly 
in rural areas. The Committee is concerned that VA does not 
appear to have prioritized these projects in its construction 
planning and budgeting, and is encouraged to include necessary 
projects in future budget requests to ensure veterans are able 
to receive adequate mental health and substance use treatment.

       GRANTS FOR CONSTRUCTION OF STATE EXTENDED CARE FACILITIES

Appropriations, 2021....................................     $90,000,000
Budget estimate, 2022...................................................
Committee recommendation................................      50,000,000

                          PROGRAM DESCRIPTION

    This account is used to provide grants to assist States in 
acquiring or constructing State home facilities for furnishing 
domiciliary or nursing home care to veterans, and to expand, 
remodel, or alter existing buildings for furnishing 
domiciliary, nursing home, or hospital care to veterans in 
State homes. The grant may not exceed 65 percent of the total 
cost of the project. Public Law 102-585 granted permanent 
authority for this program, and Public Law 106-117 provided 
greater specificity in directing VA to prescribe regulations 
for the number of beds for which grant assistance may be 
furnished. This program has been a successful partnership 
between States and VA in meeting the long-term care needs of 
elderly veterans for decades.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $50,000,000 for Grants for 
Construction of State Extended Care Facilities. This is 
$50,000,000 above the budget request.
    The Committee recognizes the important role that State 
Veterans Homes play in providing nursing home, domiciliary or 
adult day care to veterans around the country. The Committee 
notes that the administration's budget did not request funding 
for the Grants for Construction of State Extended Care 
Facilities program in fiscal year 2022 after significant 
funding was provided through the CARES Act (Public Law 116-136) 
and the American Rescue Plan (Public Law 117-2) that enabled VA 
to fund all existing Priority 1 projects. The Committee notes 
that additional projects are needed around the country to 
support the needs of our Nation's veterans, and VA receives new 
applications each year. Therefore, the Committee recommends 
funding in fiscal year 2022 to address applications for 
additional Priority 1 projects.

             GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES

Appropriations, 2021....................................     $45,000,000
Budget estimate, 2022...................................      45,000,000
Committee recommendation................................      50,000,000

                          PROGRAM DESCRIPTION

    Public Law 105-368 amended title 38 U.S.C. 2408 and 
established authority to provide aid to States for 
establishment, expansion, and improvement of State veterans 
cemeteries, which are operated and permanently maintained by 
the States. This statutory change increased the maximum Federal 
share from 50 percent to 100 percent in order to fund 
construction costs and initial equipment expenses when the 
cemetery is established. States remain responsible for 
providing the land and for paying all costs related to 
operation and maintenance of the cemeteries, including the 
costs for subsequent equipment purchases.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $50,000,000 for Grants for 
Construction of State Veterans Cemeteries. This is $5,000,000 
above the fiscal year 2021 enacted and the budget request.

                    ASSET AND INFRASTRUCTURE REVIEW

Appropriations, 2021....................................................
Budget estimate, 2022...................................      $5,000,000
Committee recommendation................................       5,000,000

                          PROGRAM DESCRIPTION

    The Asset and Infrastructure Review account will fund 
implementation of the Asset and Infrastructure Review Act, 
under the VA MISSION Act of 2018 (Public Law 115-182), Title 
II. For fiscal years 2022 and 2023, it will support the Asset 
and Infrastructure Review Commission [the Commission], which 
will review VA's recommendations to modernize or realign 
Veterans Health Administration facilities, including leased 
facilities. By January 31, 2023, the Commission shall provide a 
report to the President on VA's plan along with the 
Commission's recommendations. Support staff will conduct in-
depth field hearings and receive input from veterans, Veterans 
Service Organizations, local VA providers, local governments, 
and the public. Fiscal year 2022 is the first year this account 
will be funded.

                        COMMITTEE RECOMMENDATION

    The Committee recommends $5,000,000 for the Asset and 
Infrastructure Review [AIR] account, which is equal to the 
request. This is a new account for fiscal year 2022.
    Asset and Infrastructure Review Commission.--The Committee 
is concerned that the recommendations of the AIR Commission 
could greatly impact the healthcare access of veterans. The 
Department is directed to consult with the Health Resources and 
Services Administration and the Rural Health Council within the 
Centers for Medicare & Medicaid Services regarding designations 
including Health Professional Shortage Area and Medically 
Underserved Area/Population designations in determining the 
impact of moving or closing a VA facility on the ability of 
veterans to access healthcare in their community.

                       Administrative Provisions


             (INCLUDING TRANSFERS AND RESCISSIONS OF FUNDS)

    Sec. 201. The Committee includes a provision which outlines 
transfer authority and responsibilities for the Veterans 
Benefits Administration.
    Sec. 202. The Committee includes a provision which outlines 
transfer authority and responsibilities for the Veterans Health 
Administration.
    Sec. 203. The Committee includes a provision which outlines 
the use of funds appropriated for salaries and expenses.
    Sec. 204. The Committee includes a provision mandating that 
only construction funds may be used for land procurement or the 
construction of any new hospital or home.
    Sec. 205. The Committee includes a provision allowing for 
reimbursements to the Medical Services account.
    Sec. 206. The Committee includes a provision allowing for 
payments of prior year obligations.
    Sec. 207. The Committee includes a provision which allows 
for the use of funds for prior year obligations.
    Sec. 208. The Committee includes a provision which allows 
for payments from the National Service Life Insurance Fund.
    Sec. 209. The Committee includes a provision which outlines 
the use of funds from enhanced-use lease proceeds.
    Sec. 210. The Committee includes a provision which provides 
funds for the Office of Resolution Management, Diversity and 
Inclusion, the Office of Employment Discrimination Complaint 
Adjudication, and the Alternate Dispute Resolution function 
within the Office of Human Resources and Administration.
    Sec. 211. The Committee includes a provision which requires 
disclosure of third-party reimbursement information.
    Sec. 212. The Committee includes a provision which allows 
for the transfer of revenue derived from enhanced-use leases 
into the construction accounts.
    Sec. 213. The Committee includes a provision which outlines 
authorized uses for Medical Services account funds.
    Sec. 214. The Committee includes a provision which allows 
funds in the Medical Care Collection Fund to be transferred 
into the Medical Services and Medical Community Care accounts.
    Sec. 215. The Committee includes a provision which allows 
eligible veterans in the State of Alaska to obtain medical care 
services.
    Sec. 216. The Committee includes a provision which allows 
for the transfer of funds into the construction accounts.
    Sec. 217. The Committee includes a provision requiring the 
Secretary of Veterans Affairs to submit quarterly financial 
reports.
    Sec. 218. The Committee includes a provision outlining 
transfer authority for the Information Technology Systems 
account.
    Sec. 219. The Committee includes a provision allowing for 
the transfer of funds from certain accounts to the Joint 
Department of Defense/Department of Veterans Affairs Medical 
Facility Demonstration Fund, as authorized by Public Law 111-
84.
    Sec. 220. The Committee includes a provision allowing for 
the transfer of funds from certain advance appropriation 
accounts to the Joint Department of Defense/Department of 
Veterans Affairs Medical Facility Demonstration Fund, as 
authorized by Public Law 111-84.
    Sec. 221. The Committee includes a provision allowing for 
the transfer of certain funds deposited in the Medical Care 
Collections Fund to the Joint Department of Defense/Department 
of Veterans Affairs Medical Facility Demonstration Fund, as 
authorized by Public Law 111-84.
    Sec. 222. The Committee includes a provision directing a 
minimum of $15,000,000 be transferred from Medical Services, 
Medical Support and Compliance, and Medical Facilities to the 
Department of Defense/Department of Veterans Affairs Health 
Care Sharing Incentive Fund, as authorized by section 8111 of 
title 38, United States Code.
    Sec. 223. The Committee includes a provision prohibiting 
funds available to the Department in this or any other act from 
being used to replace the current system by which VISNs select 
and contract for diabetes monitoring supplies and equipment.
    Sec. 224. The Committee includes a provision requiring 
notification of all bid savings for major construction 
projects.
    Sec. 225. The Committee includes a provision restricting 
scope increases for major construction projects above that 
specified in the original project justification.
    Sec. 226. The Committee includes a provision requiring the 
Department to submit reports relating to the Veterans Benefits 
Administration on claims processing at Regional Offices.
    Sec. 227. The Committee includes a provision requiring VA 
to notify the Committee 15 days prior to any organizational 
changes within VA of 25 or more FTE.
    Sec. 228. The Committee includes a provision requiring the 
Secretary to report to the Committees each quarter about any 
single national outreach and awareness marketing campaign 
exceeding $1,000,000.
    Sec. 229. The Committee includes a provision permitting the 
transfer to the Medical Services account of fiscal year 
discretionary 2022 appropriated funds.
    Sec. 230. The Committee includes a provision permitting the 
transfer of funds between GOE, VBA and BVA.
    Sec. 231. The Committee includes a provision prohibiting 
the reprogramming of funds in excess of $7,000,000 among major 
construction projects or programs.
    Sec. 232. The Committee includes a provision mandating 
certain professional standards for the veterans crisis hotline.
    Sec. 233. The Committee includes a provision requiring VA 
to use the mammography screening guidelines announced by the 
Secretary on May 10, 2017.
    Sec. 234. The Committee includes a provision allowing the 
use of Medical Services funding for assisted reproductive 
technology treatment and adoption reimbursement for veterans 
and their spouses if the veteran has a service-connected 
disability that results in being unable to procreate without 
such fertility treatment.
    Sec. 235. The Committee includes a provision prohibiting 
any funds to be used to contract out any functions performed by 
more than 10 employees without a fair competition process.
    Sec. 236. The Committee includes a provision pertaining to 
Native Hawaiian small businesses.
    Sec. 237. The Committee includes a provision directing the 
discontinuation of the usage of Social Security numbers within 
VA.
    Sec. 238. The Committee includes a provision pertaining to 
the certification of marriage and family therapists.
    Sec. 239. The Committee includes a provision prohibiting 
the transfer of funds from the Filipino Veterans Equity 
Compensation Fund to any other VA account.
    Sec. 240. The Committee includes a provision regarding a 
childcare program.
    Sec. 241. The Committee includes a provision prohibiting 
funds to be used to restrict an individual's ability to speak 
with a Member of Congress or his or her staff.
    Sec. 242. The Committee includes a provision requiring 
certain data to be included in the budget justifications for 
the Construction, Major account.
    Sec. 243. The Committee includes a provision prohibiting 
the use of funds to deny the Inspector General timely access to 
information, unless a provision of law expressly refers to the 
Inspector General and expressly limits such access.
    Sec. 244. The Committee includes a provision prohibiting 
funding from being used in a manner that would increase wait 
times for veterans at medical facilities.
    Sec. 245. The Committee includes a provision prohibiting 
the use of funds in fiscal year 2022 to convert any program 
which received specific purpose funds in fiscal year 2021 to a 
general purpose-funded program without the approval of the 
Committees on Appropriations of both Houses of Congress at 
least 30 days prior to any such action.
    Sec. 246. The Committee includes a reference to a provision 
in the 2017 appropriations act identifying information which 
may be used to verify the status of coastwise merchant seamen 
who served during World War II for the purposes of eligibility 
for medals, ribbons, or other military decorations.
    Sec. 247. The Committee includes a provision prohibiting 
the use of canines in VA research unless: the scientific 
objectives of the study can only be met by using canines; the 
study has been directly approved by the Secretary; and the 
study is consistent with the revised VA canine research policy 
document released in December, 2017.
    Sec. 248. The Committee includes a provision ensuring 
particular ratios of veterans to FTE position within any VA 
program of rehabilitation.
    Sec. 249. The Committee includes a provision to allow 
fiscal year 2022 and 2023 ``Medical Community Care'' funds to 
be used to cover obligations that otherwise would be paid by 
the Veterans Choice Fund, if necessary.
    Sec. 250. The Committee includes a provision to allow 
obligations and expenditures applicable to the ``Medical 
Services'' account in fiscal years 2017 through 2019 for aid to 
State homes to remain in the ``Medical Community Care'' 
account.
    Sec. 251. The Committee includes a provision specifying an 
amount from the four medical care accounts for gender-specific 
care and programmatic efforts to deliver care for women 
veterans.
    Sec. 252. The Committee includes a provision to address 
contributions from other Federal agencies to VA Non-Profit 
Corporations for research.
    Sec. 253. The Committee includes a provision which outlines 
transfer authority and responsibilities for the ``Asset and 
Infrastructure Review'' account.
    Sec. 254. The Committee includes a provision rescinding and 
re-appropriating funds from the ``Recurring Expenses 
Transformational Fund''.
    Sec. 255. The Committee includes a provision requiring 
quarterly reports on the status of the ``Veterans Medical Care 
and Health Fund''.
    Sec. 256. The Committee includes a provision prohibiting 
the use of funds to interfere with the ability of veterans to 
participate in State-approved medicinal cannabis programs or 
deny service to such veterans.

                               TITLE III

                            RELATED AGENCIES

                  American Battle Monuments Commission

                                OVERVIEW

    The American Battle Monuments Commission [ABMC] was 
established by Congress in 1923 and is responsible for the 
following: designing, constructing, operating, and maintaining 
permanent American cemeteries in foreign countries; 
establishing and maintaining U.S. military memorials, 
monuments, and markers where American Armed Forces have served 
overseas since April 6, 1917, the date of the United States 
entry into World War I, and within the United States when 
directed by public law; and controlling the design and 
construction of permanent U.S. military monuments and markers 
by other U.S. citizens and organizations, both public and 
private, and encouraging their maintenance. ABMC administers, 
operates, and maintains 26 permanent American military 
cemeteries, 32 Federal memorials, monuments, and markers, and 8 
non-Federal memorials located in 17 foreign countries, the U.S. 
Commonwealth of the Northern Mariana Islands, the Midway Atoll, 
the British Dependency of Gibraltar, and the United States of 
America.

                         SALARIES AND EXPENSES

Appropriations, 2021....................................     $84,100,000
Budget estimate, 2022...................................      84,800,000
Committee recommendation................................      87,500,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $87,500,000 for the Salaries and 
Expenses account. This amount is $3,400,000 above the fiscal 
year 2021 enacted level and $2,700,000 above the budget 
request. The recommendation includes funding to bolster the 
Commission's maintenance and infrastructure program and to 
execute deferred maintenance and capital projects, not only to 
maintain the cemeteries and monuments honoring America's war 
dead, but also to preserve and communicate these veterans' 
stories of courage and sacrifice.
    Yankee Division Memorial Church.--The Yankee Division 
Memorial Church, also known as the Belleau Village Church, 
serves as a memorial to the 2,281 soldiers of the 26th Infantry 
(Yankee) Division who perished during World War I. While the 
Church has previously been restored and maintained by a private 
organization, the Committee believes it may be appropriate for 
this sacred testament to the service of the Yankee Division to 
be transferred to the possession of ABMC. The Committee 
understands that there are several unknown factors at this 
stage that must be first understood prior to transfer of the 
memorial. Therefore, the Secretary is directed to complete a 
facility inspection and analysis, and submit a report to the 
Committees on Appropriations of both Houses of Congress no 
later than 180 days after enactment of this act that provides a 
cost estimate, to include one-time and recurring restoration 
and maintenance requirements, a determination of the viability 
of transfer from local landowner to the agency, and to identify 
any other barriers to acceptance that may exist.
    Battle Monuments Educational Program.--The Committee 
encourages ABMC to continue to develop educational and virtual 
web-based programming to inform the public about the important 
history tied to the Commission's battle monuments and 
cemeteries, and their related historical events, and to share 
the stories of service and sacrifice represented by these 
monuments and cemeteries. This programming may include live, 
video, and web-based productions with the potential to reach 
broad audiences. Furthermore, the Commission may collaborate 
with other Federal agencies, State entities, or non-profits as 
it deems appropriate in developing and distributing this 
educational programming. The Committee directs the Secretary to 
provide a report no later than 90 days after enactment of this 
act on how ABMC carries out educational programming, including 
any new proposed content to be covered.

                     FOREIGN CURRENCY FLUCTUATIONS

    The Committee includes in the accompanying act, as proposed 
by the administration, such sums as necessary for the Foreign 
Currency Fluctuations account. Funding the account in this 
manner allows the Commission to maintain cemeteries regardless 
of the volatility of foreign currency fluctuations.

           United States Court of Appeals for Veterans Claims


                                OVERVIEW

    The United States Court of Appeals for Veterans Claims was 
established by the Veterans' Judicial Review Act of 1988 
(Public Law 100-687). The Court is an independent judicial 
tribunal with exclusive jurisdiction to review decisions of the 
Board of Veterans Appeals. It has the authority to decide all 
relevant questions of law; interpret constitutional, statutory, 
and regulatory provisions; and determine the meaning or 
applicability of the terms of an action by the Secretary of 
Veterans Affairs. It is authorized to compel action by the 
Secretary. It is authorized to hold unconstitutional or 
otherwise unlawful and set aside decisions, findings, 
conclusions, rules, and regulations issued or adopted by the 
Secretary of Veterans Affairs, the Board of Veterans Appeals, 
or the Chairman of the Board that are found to be arbitrary or 
capricious. The Court's principal office location is 
Washington, DC; however, it is a national court, empowered to 
sit anywhere in the United States.

                         SALARIES AND EXPENSES

Appropriations, 2021....................................     $37,100,000
Budget estimate, 2022...................................      41,700,000
Committee recommendation................................      41,700,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $41,700,000 for the U.S. Court of 
Appeals for Veterans Claims. This amount is $4,600,000 above 
the fiscal year 2021 enacted level and equal to the budget 
request.

                      Department of Defense--Civil


                       Cemeterial Expenses, Army


                                OVERVIEW

    The Secretary of the Army is responsible for the 
administration, operation, and maintenance of Arlington 
National Cemetery [ANC] and the Soldiers' and Airmen's Home 
National Cemetery. In addition to its principal function as a 
national cemetery, Arlington hosts more than 3,000 public 
wreath laying ceremonies, and approximately 3.5 million 
visitors annually.

                         SALARIES AND EXPENSES

Appropriations, 2021....................................     $81,815,000
Budget estimate, 2022...................................      87,000,000
Committee recommendation................................      87,000,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $87,000,000 for the Salaries and 
Expenses account. This amount is $5,185,000 above the fiscal 
year 2021 enacted level and equal to the budget request.
    ANC historically performs over 7,000 burial services each 
year for veterans and family members and an average of 27-30 
each weekday. The Committee is encouraged that after years of 
relying on Congressional increases, the base requirements for 
Arlington National Cemetery were met in the fiscal year 2022 
budget request.
    This Committee remains unwavering in its support for the 
Cemetery and the successful completion of the Cemetery's truly 
unique and honored mission.

                              CONSTRUCTION

Appropriations, 2021....................................................
Budget estimate, 2022...................................    $141,000,000
Committee recommendation................................     141,000,000

    The Committee recommends $141,000,000 for the Construction 
account. This amount is $141,000,000 above the fiscal year 2021 
enacted level and equal to the budget request. In addition to 
the $219,000,000 previously appropriated, this funding will 
enable Arlington National Cemetery to complete planning and 
design and construction for its Southern Expansion project. 
This project will provide approximately 80,000 additional 
burial opportunities across 38 acres and extend the service 
life of the cemetery into the 2060s.

                      Armed Forces Retirement Home


                               Trust Fund


                                OVERVIEW

    The Armed Forces Retirement Home [AFRH] is an independent 
agency that was created in 1991 by the merging of the United 
States Soldiers' and Airmen's Home in Washington D.C. and the 
United States Naval Home in Gulfport, Mississippi. AFRH 
operates and maintains the two communities to provide 
affordable resident services and care to retired and former 
enlisted servicemembers and their spouses.

                               TRUST FUND

Appropriations, 2021....................................     $75,300,000
Budget estimate, 2022...................................      75,300,000
Committee recommendation................................      76,300,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends authority to expend $76,300,000 
from the Armed Forces Retirement Home Trust Fund to operate and 
maintain the Armed Forces Retirement Home-Washington, DC, and 
the Armed Forces Retirement Home-Gulfport, Mississippi. This 
amount is $1,000,000 above the fiscal year 2021 enacted level 
and the budget request, and includes funding to complete high 
priority capital projects currently under design.
    The Committee recognizes the critical role of AFRH 
operations and the importance of delivering uninterrupted 
healthcare to its residents. Therefore, the Committee supports 
the request for 2-year availability of funds.

                        Administrative Provision

    Sec. 301. The Committee includes a provision making 
available funds as authorized by 10 U.S.C. 4727.

                                TITLE IV

                           GENERAL PROVISIONS

    Sec. 401. The Committee includes a provision that prohibits 
the obligation of funds beyond the current fiscal year unless 
expressly so provided.
    Sec. 402. The Committee includes a provision that prohibits 
the use of funds for programs, projects, or activities not in 
compliance with Federal law relating to risk assessment, the 
protection of private property rights, or unfunded mandates.
    Sec. 403. The Committee includes a provision that 
encourages the expansion of E-commerce technologies and 
procedures.
    Sec. 404. The Committee includes a provision that specifies 
the congressional committees that are to receive all reports 
and notifications.
    Sec. 405. The Committee includes a provision that limits 
funds from being transferred from this appropriations measure 
to any instrumentality of the United States Government without 
authority from an appropriations act.
    Sec. 406. The Committee includes a provision regarding the 
posting of congressional reports on agency Web sites.
    Sec. 407. The Committee includes a provision prohibiting 
the use of funds to establish or maintain a computer network 
unless such network blocks the viewing, downloading, and 
exchanging of pornography, except for law enforcement 
investigation, prosecution, or adjudication activities.
    Sec. 408. The Committee includes a provision prohibiting 
the use of funds for the payment of first-class travel by an 
employee of the executive branch.
    Sec. 409. The Committee includes a provision prohibiting 
the use of funds in this act for any contract where the 
contractor has not complied with E-Verify requirements.
    Sec. 410. The Committee includes a provision prohibiting 
the use of funds in this act to construct facilities on 
military installations that do not meet resiliency standards.

                     PROGRAM, PROJECT, AND ACTIVITY

    In fiscal year 2021, for purposes of the Balanced Budget 
and Emergency Deficit Control Act of 1985 (Public Law 99-177) 
or the Balanced Budget and Emergency Deficit Control 
Reaffirmation Act of 1987 (Public Law 100-119), the following 
information provides the definition of the term ``program, 
project, and activity'' for departments, agencies and programs 
under the jurisdiction of the Military Construction and 
Veterans Affairs, and Related Agencies subcommittee. The term 
``program, project, and activity'' shall include the most 
specific level of budget items identified in the Military 
Construction, Veterans Affairs, and Related Agencies 
Appropriations Act, 2021, the House and Senate Committee 
reports, and the conference report and accompanying joint 
explanatory statement of managers of the committee of 
conference.
    If a sequestration order is necessary, in implementing the 
Presidential order, departments, and agencies shall apply any 
percentage reduction required for fiscal year 2021 pursuant to 
the provisions of Public Law 99-177 or Public Law 100-119 to 
all items specified in the justifications submitted to the 
Committees on Appropriations of the Senate and House of 
Representatives in support of the fiscal year 2021 budget 
estimates, as amended, for such departments and agencies, as 
modified by congressional action, and in addition, for the 
Department of Defense, Military Construction, the definition 
shall include specific construction locations as identified in 
the explanatory notes.

  COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE STANDING RULES OF THE 
                                 SENATE

    Paragraph 7 of rule XVI requires that Committee reports 
accompanying general appropriations bills identify each 
recommended amendment which proposes an item of appropriation 
which is not made to carry out the provisions of an existing 
law, a treaty stipulation, or an act or resolution previously 
passed by the Senate during that session.
    The Committee recommends funding for the following programs 
which currently lack authorization:
Title I: Department of Defense
    Military Construction, Army
    Military Construction, Navy and Marine Corps
    Military Construction, Air Force
    Military Construction, Defense-Wide
    Military Construction, Army National Guard
    Military Construction, Air National Guard
    Military Construction, Army Reserve
    Military Construction, Navy Reserve
    Military Construction, Air Force Reserve
    North Atlantic Treaty Organization Security Investment 
Program
    Department of Defense Base Closure Account
    Family Housing Operation and Maintenance, Army
    Family Housing Operation and Maintenance, Navy and Marine 
Corps
    Family Housing Operation and Maintenance, Air Force
    Family Housing Operation and Maintenance, Defense-Wide
    Family Housing Construction, Army
    Family Housing Construction, Navy and Marine Corps
    Family Housing Construction, Air Force
    Department of Defense Family Housing Improvement Fund
    Department of Defense Military Unaccompanied Housing 
Improvement Fund
Title II: Department of Veterans Affairs
    Veterans Benefits Administration
    Veterans Health Administration
    National Cemetery Administration
    Departmental Administration
Title III: Related Agencies
    American Battle Monuments Commission
    U.S. Court of Appeals for Veterans Claims
    Cemeterial Expenses, Army
    Armed Forces Retirement Home

COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE STANDING RULES OF THE 
                                 SENATE

    Pursuant to paragraph 7(c) of rule XXVI, on August 4, 2021, 
the Committee ordered favorably reported a bill (S. 2604) 
making appropriations for military construction, the Department 
of Veterans Affairs, and related agencies for the fiscal year 
ending September 30, 2022, and for other purposes, provided, 
that the bill be subject to amendment and that any amendment 
increasing budget authority be offset by a reduction of equal 
or greater budget authority, by a recorded vote of 25-5, a 
quorum being present. The vote was as follows:
        Yeas                          Nays
Chairman Leahy                      Mr. McConnell
Ms. Murray                          Mr. Kennedy
Mrs. Feinstein                      Mr. Braun
Mr. Durbin                          Mr. Hagerty
Mr. Reed                            Mr. Rubio
Mr. Tester
Mrs. Shaheen
Mr. Merkley
Mr. Coons
Mr. Schatz
Ms. Baldwin
Mr. Murphy
Mr. Manchin
Mr. Van Hollen
Mr. Heinrich
Mr. Shelby
Ms. Collins
Ms. Murkowski
Mr. Graham
Mr. Blunt
Mr. Moran
Mr. Hoeven
Mr. Boozman
Mrs. Capito
Mrs. Hyde-Smith

 COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE STANDING RULES OF THE 
                                 SENATE

    Paragraph 12 of rule XXVI requires that Committee reports 
on a bill or joint resolution repealing or amending any statute 
or part of any statute include ``(a) the text of the statute or 
part thereof which is proposed to be repealed; and (b) a 
comparative print of that part of the bill or joint resolution 
making the amendment and of the statute or part thereof 
proposed to be amended, showing by stricken-through type and 
italics, parallel columns, or other appropriate typographical 
devices the omissions and insertions which would be made by the 
bill or joint resolution if enacted in the form recommended by 
the committee.''
    The Committee bill as recommended contains no such 
provisions.
                                ------                                


                        BUDGETARY IMPACT OF BILL


  PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC. 308(a), PUBLIC LAW 93-344, AS
                                                     AMENDED
                                            [In millions of dollars]
----------------------------------------------------------------------------------------------------------------
                                                              Budget authority                 Outlays
                                                       ---------------------------------------------------------
                                                           Committee     Amount  in     Committee     Amount  in
                                                         allocation\1\      bill      allocation\1\      bill
----------------------------------------------------------------------------------------------------------------
Comparison of amounts in the bill with the
 subcommittee allocation for 2022: Military
 Construction and Veterans Affairs, and Related
 Agencies:
    Mandatory.........................................  ..............      142,457  ..............   \2\153,749
    Discretionary.....................................  ..............      124,359  ..............   \2\128,848
        Defense.......................................  ..............       11,000             NA            NA
        Non-defense...................................  ..............      113,359             NA            NA
Projection of outlays associated with the
 recommendation:
    2022..............................................  ..............  ...........  ..............   \3\163,969
    2023..............................................  ..............  ...........  ..............      106,103
    2024..............................................  ..............  ...........  ..............       15,269
    2025..............................................  ..............  ...........  ..............        4,089
    2026 and future years.............................  ..............  ...........  ..............        3,339
Financial assistance to State and local governments                NA           152             NA         \3\26
 for  2022............................................
----------------------------------------------------------------------------------------------------------------
\1\As of the date that this bill was reported, there is no section 302(a) allocation to the Committee on
  Appropriations for fiscal year 2022.
\2\Includes outlays from prior-year budget authority.
\3\Excludes outlays from prior-year budget authority.
 
NA: Not applicable.


                                MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                                                     Committee
                                                                                                  recommendation
                    Installation and project                          Budget         Committee      compared to
                                                                     estimate     recommendation      budget
                                                                                                     estimate
----------------------------------------------------------------------------------------------------------------
                             ALABAMA
 
ARMY:
    REDSTONE ARSENAL:
        PROPULSION SYSTEMS LAB..................................          55,000          55,000  ..............
                                                                 -----------------------------------------------
            TOTAL ALABAMA.......................................          55,000          55,000  ..............
 
                             ALASKA
 
ARMY:
    FORT WAINWRIGHT:
        ERDC-CRREL PERMAFROST TUNNEL RESEARCH FACILITY..........  ..............           5,400          +5,400
AIR FORCE:
    JB ELMENDORF-RICHARDSON:
        EXTEND RUNWAY 16/34, (INC 1)............................          79,000          79,000  ..............
                                                                 -----------------------------------------------
            TOTAL, ALASKA.......................................          79,000          84,400          +5,400
 
                             ARIZONA
 
NAVY:
    MCAS YUMA:
        COMBAT TRAINING TANK COMPLEX............................  ..............          29,300         +29,300
AIR FORCE:
    DAVIS-MONTHAN AFB:
        SOUTH WILMOT GATE.......................................          13,400          13,400  ..............
    LUKE AFB:
        F-35A ADAL AMU FACILITY SQUADRON #6.....................          28,000          28,000  ..............
        F-35A SQUADRON OPERATIONS FACILITY #6...................          21,000          21,000  ..............
                                                                 -----------------------------------------------
            TOTAL, ARIZONA......................................          62,400          91,700         +29,300
 
                           CALIFORNIA
 
ARMY:
    FORT IRWIN:
        SIMULATIONS CENTER......................................          52,000          52,000  ..............
NAVY:
    CAMP PENDLETON:
        I MEF CONSOLIDATED INFORMATION CENTER (INC 3)...........          19,869          19,869  ..............
    CORONADO:
        CMV-22B AIRCRAFT MAINTENANCE HANGAR.....................  ..............          63,600         +63,600
    LEMOORE:
        F-35C HANGAR 6 PHASE 2 (MOD 3/4) (INC 2)................          75,070          75,070  ..............
    SAN DIEGO:
        PIER 6 REPLACEMENT (INC 2)..............................          50,000          50,000  ..............
    SEAL BEACH:
        MISSILE MAGAZINES (INC 2)...............................          10,840          10,840  ..............
    SAN NICHOLAS ISLAND:
        DIRECTED ENERGY WEAPONS TEST FACILITIES.................          19,907          19,907  ..............
    VENTURA COUNTY:
        COMBAT VEHICLE MAINTENANCE FACILITY.....................  ..............          48,700         +48,700
AIR FORCE:
    EDWARDS AFB:
        FLIGHT TEST ENGINEERING LAB COMPLEX.....................           4,000           4,000  ..............
    VANDENBERG AFB:
        GBSD RE-ENTRY VEHICLE FACILITY..........................          48,000          48,000  ..............
        GBSD STAGE PROCESSING FACILITY..........................          19,000          19,000  ..............
DEFENSE-WIDE:
    CAMP PENDLETON:
        VETERINARY TREATMENT FACILITY REPLACEMENT...............          13,600          13,600  ..............
CORONADO
        SOF ATC OPERATIONS SUPPORT FACILITY.....................          21,700          21,700  ..............
        SOF NSWG11 OPERATIONS SUPPORT FACILITY..................          12,000          12,000  ..............
AIR FORCE RESERVE:
    BEALE AFB:
        940 ARW SQ OPS & AMU COMPLEX............................  ..............          33,000         +33,000
                                                                 -----------------------------------------------
            TOTAL, CALIFORNIA...................................         345,986         491,286        +145,300
 
                            COLORADO
 
AIR FORCE:
    SCHRIEVER AFB:
        FITNESS CENTER..........................................  ..............          30,000         +30,000
    US AIR FORCE ACADEMY:
        HIGH-BAY VEHICLE MAINTENANCE: UNSPECIFIED MINOR           ..............           4,360          +4,360
         CONSTRUCTION...........................................
        NEW CADET PREP SCHOOL DORMITORY.........................  ..............          24,726         +24,726
DEFENSE-WIDE:
    BUCKLEY AFB:
        JCC EXPANSION...........................................          20,000          20,000  ..............
                                                                 -----------------------------------------------
            TOTAL, COLORADO.....................................          20,000          79,086         +59,086
 
                           CONNECTICUT
 
ARMY NATIONAL GUARD:
    PUTNAM:
        NATIONAL GUARD READINESS CENTER.........................          17,500          17,500  ..............
AIR NATIONAL GUARD:
    BRADLEY IAP:
        COMPOSITE ASE VEHICLE MAINTENANCE FACILITY..............  ..............          17,000         +17,000
                                                                 -----------------------------------------------
            TOTAL, CONNECTICUT..................................          17,500          34,500         +17,000
 
                            DELAWARE
 
AIR NATIONAL GUARD:
    NEW CASTLE COUNTY AIRPORT:
        FUEL CELL AND CORROSION CONTROL HANGAR..................  ..............          17,500         +17,500
                                                                 -----------------------------------------------
            TOTAL, DELAWARE.....................................  ..............          17,500         +17,500
 
                      DISTRICT OF COLUMBIA
 
AIR FORCE:
    JB ANACOSTIA BOLLING:
        JOINT AIR DEFENSE OPERATIONS CENTER PHASE II............          24,000          24,000  ..............
                                                                 -----------------------------------------------
      TOTAL, DISTRICT OF COLUMBIA...............................          24,000          24,000  ..............
 
                             FLORIDA
 
AIR FORCE RESERVE:
    HOMESTEAD AFS:
        CORROSION CONTROL FACILITY..............................          14,000          14,000  ..............
    PATRICK AFB:
        SIMULATOR C-130J........................................          18,500          18,500  ..............
                                                                 -----------------------------------------------
      TOTAL, FLORIDA............................................          32,500          32,500  ..............
 
GEORGIA
 
ARMY:
    FORT GORDON:
        CYBER INSTRUCTIONAL FAC (ADMIN/CMD), (INC 2)............          69,000          69,000  ..............
        CYBER CENTER OF EXCELLENCE SCHOOL HEADQUARTERS AND        ..............           3,670          +3,670
         CLASSROOMS: PLANNING AND DESIGN........................
    FORT STEWART:
        BARRACKS: PLANNING AND DESIGN...........................  ..............           5,000          +5,000
AIR FORCE:
    MOODY AFB:
        41 RQS HH-60W APRON.....................................  ..............          12,500         +12,500
DEFENSE-WIDE:
    FORT BENNING:
        SOF BATTALION HEADQUARTERS FACILITY.....................          62,000          62,000  ..............
ARMY NATIONAL GUARD:
    FORT BENNING:
        POST-INITIAL MIL TRAINING UNACCOMP HOUSING..............          13,200          13,200  ..............
                                                                 -----------------------------------------------
      TOTAL, GEORGIA............................................         144,200         165,370         +21,170
 
                             HAWAII
 
ARMY
    FORT SHAFTER:
        COMMAND AND CONTROL FACILITY: COST TO COMPLETE..........  ..............          55,500         +55,500
    WEST LOCH NAV MAG ANNEX:
        AMMUNITION STORAGE......................................          51,000          51,000  ..............
NAVY:
    MARINE CORPS TRAINING AREA BELLOWS:
        PERIMETER SECURITY FENCE: UNSPECIFIED MINOR CONSTRUCTION  ..............           6,220          +6,220
    MCB HAWAII:
        ELECTRICAL DISTRIBUTION MODERNIZATION...................  ..............          64,500         +64,500
AIR FORCE:
    KIRTLAND AFB REMOTE MAUI EXPERIMENTAL SITE:
        SECURE INTEGRATION SUPPORT LAB: PLANNING AND DESIGN.....  ..............           8,800          +8,800
DEFENSE-WIDE:
    HDR-HAWAII:
        HOMELAND DEFENSE RADAR: PLANNING AND DESIGN.............  ..............          19,000         +19,000
    JOINT BASE PEARL HARBOR-HICKAM:
        VETERINARY TREATMENT FACILITY REPLACEMENT...............          29,800          29,800  ..............
                                                                 -----------------------------------------------
      TOTAL, HAWAII.............................................          80,800         234,820        +154,020
 
                              IDAHO
 
ARMY NATIONAL GUARD:
    JEROME:
        NATIONAL GUARD READINESS CENTER.........................          15,000          15,000  ..............
                                                                 -----------------------------------------------
      TOTAL, IDAHO..............................................          15,000          15,000  ..............
 
                            ILLINOIS
 
ARMY NATIONAL GUARD:
    BLOOMINGTON:
        NATIONAL GUARD VEHICLE MAINTENANCE SHOP.................          15,000          15,000  ..............
AIR NATIONAL GUARD:
    ABRAHAM LINCOLN CAPITAL AIRPORT:
        BASE CIVIL ENGINEER COMPLEX.............................  ..............          10,200         +10,200
                                                                 -----------------------------------------------
      TOTAL, ILLINOIS...........................................          15,000          25,200         +10,200
 
                             KANSAS
 
ARMY:
    FORT LEAVENWORTH:
        CHILD DEVELOPMENT CENTER................................  ..............          34,000         +34,000
ARMY NATIONAL GUARD:
    TOPEKA:
        NATIONAL GUARD/RESERVE CENTER BUILDING..................          16,732          16,732  ..............
        NATIONAL GUARD/RESERVE CENTER BUILDING SCIF: PLANNING     ..............             420            +420
         AND DESIGN.............................................
                                                                 -----------------------------------------------
            TOTAL, KANSAS.......................................          16,732          51,152         +34,420
 
                            LOUISIANA
 
ARMY:
    FORT POLK:
        JOINT OPERATIONS CENTER.................................          55,000          55,000  ..............
AIR FORCE:
    BARKSDALE AFB:
        WEAPONS GENERATION FACILITY, (INC1).....................          40,000          40,000  ..............
        ENTRANCE ROAD AND GATE: COST TO COMPLETE................  ..............          36,000         +36,000
ARMY NATIONAL GUARD:
    LAKE CHARLES:
        NATIONAL GUARD READINESS CENTER.........................          18,500          18,500  ..............
                                                                 -----------------------------------------------
      TOTAL, LOUISIANA..........................................         113,500         149,500         +36,000
 
                              MAINE
 
NAVY:
    NSA CUTLER:
            FIREHOUSE: PLANNING AND DESIGN......................  ..............           2,500          +2,500
    KITTERY:
        MULTI-MISSION DRYDOCK #1 EXTENSION (INC 2)..............         250,000         250,000  ..............
ARMY NATIONAL GUARD:
    SACO:
        NATIONAL GUARD VEHICLE MAINTENANCE SHOP.................          21,200          21,200  ..............
                                                                 -----------------------------------------------
            TOTAL, MAINE........................................         271,200         273,700          +2,500
 
                            MARYLAND
 
ARMY:
    FORT MEADE:
        BARRACKS................................................          81,000          81,000  ..............
AIR FORCE:
    JOINT BASE ANDREWS:
        FIRE CRASH RESCUE STATION...............................          26,000          26,000  ..............
DEFENSE-WIDE:
    BETHESDA NAVAL HOSPITAL:
        MEDCEN ADDITION/ALTERATION, (INC 5).....................         153,233         153,233  ..............
    FORT MEADE:
        NSAW RECAP BUILDNG 4, (INC 1)...........................         104,100         104,100  ..............
        NSAW MISSION OPS AND RECORDS CENTER (INC 1).............          94,000          94,000  ..............
        SOF OPERATIONS FACILITY.................................         100,000         100,000  ..............
                                                                 -----------------------------------------------
            TOTAL, MARYLAND.....................................         558,333         558,333  ..............
 
                          MASSACHUSETTS
 
AIR FORCE:
    HANSCOM AFB:
        NC3 ACQUISITIONS MANAGEMENT FACILITY....................          66,000          66,000  ..............
AIR NATIONAL GUARD:
    BARNES MAP:
        COMBINED ENGINE/ASE/NDI SHOP............................          12,200          12,200  ..............
                                                                 -----------------------------------------------
            TOTAL, MASSACHUSETTS................................          78,200          78,200  ..............
 
                            MICHIGAN
 
ARMY RESERVE:
    SOUTHFIELD:
        AREA MAINTENANCE SUPPORT ACTIVITY.......................          12,000          12,000  ..............
NAVY RESERVE:
    BATTLE CREEK:
        RESERVE CENTER & VEHICLE MAINTENANCE FACILITY...........          49,090          49,090  ..............
AIR NATIONAL GUARD:
    ALPENA COUNTY REGIONAL AIRPORT:
        AIRCRAFT MAINTENANCE HANGAR/SHOPS.......................          23,000          23,000  ..............
    WK KELLOG REGIONAL AIRPORT:
        CONSTRUCT MAIN BASE ENTRANCE............................          10,000          10,000  ..............
                                                                 -----------------------------------------------
            TOTAL, MICHIGAN.....................................          94,090          94,090  ..............
 
                            MINNESOTA
 
NAVY RESERVE:
    MINNEAPOLIS:
        JOINT RESERVE INTELLIGENCE CENTER.......................          14,350          14,350  ..............
AIR FORCE RESERVE:
    MINNEAPOLIS-ST PAUL IAP:
        MISSION SUPPORT GROUP FACILITY..........................          14,000          14,000  ..............
                                                                 -----------------------------------------------
            TOTAL, MINNESOTA....................................          28,350          28,350  ..............
 
                           MISSISSIPPI
 
DEFENSE-WIDE:
    CAMP SHELBY:
        10 MW GENERATION PLANT AND FEEDER LEVEL MICROGRID SYSTEM  ..............          34,500         +34,500
        ELECTRICAL DISTRIBUTION INFRASTRUCTURE UNDERGROUNDING     ..............          11,155         +11,155
         HARDENING PROJECT......................................
ARMY NATIONAL GUARD:
    CAMP SHELBY:
        MANEUVER AREA TRAINING EQUIPMENT SITE...................  ..............          15,500         +15,500
AIR NATIONAL GUARD:
    JACKSON IAP:
        FIRE CRASH AND RESCUE STATION...........................           9,300           9,300  ..............
                                                                 -----------------------------------------------
            TOTAL, MISSISSIPPI..................................           9,300          70,455         +61,155
 
                            MISSOURI
 
ARMY:
    FORT LEONARD WOOD:
        ADVANCED INDIVIDUAL TRAINING BATTALION COMPLEX: PLANNING  ..............           4,000          +4,000
         AND DESIGN.............................................
DEFENSE-WIDE:
    FORT LEONARD WOOD:
        HOSPITAL REPLACEMENT (INC 4)............................         160,000         160,000  ..............
ARMY NATIONAL GUARD:
    AVIATION CLASSIFICATION REPAIR ACTIVITY DEPOT:
        AVCRAD AIRCRAFT MAINTENANCE HANGAR ADDITION: PLANNING     ..............           3,800          +3,800
         AND DESIGN.............................................
                                                                 -----------------------------------------------
            TOTAL, MISSOURI.....................................         160,000         167,800          +7,800
 
                             MONTANA
 
ARMY NATIONAL GUARD:
BUTTE:
            NATIONAL GUARD READINESS CENTER.....................          16,000          16,000  ..............
                                                                 -----------------------------------------------
      TOTAL, MONTANA............................................          16,000          16,000  ..............
 
                             NEVADA
 
NAVY:
    FALLON:
        TRAINING RANGE LAND ACQUISITION--PHASE 2................          48,250  ..............         -48,250
AIR FORCE:
    CREECH AFB:
        MISSION SUPPORT FACILITY: PLANNING AND DESIGN...........  ..............           1,900          +1,900
        WARRIOR FITNESS TRAINING CENTER: PLANNING AND DESIGN....  ..............           2,200          +2,200
                                                                 -----------------------------------------------
            TOTAL, NEVADA.......................................          48,250           4,100         -44,150
 
                           NEW MEXICO
 
ARMY:
    WHITE SANDS MISSILE RANGE:
        MISSILE ASSEMBLY SUPPORT FACILITY: PLANNING AND DESIGN..  ..............           1,300          +1,300
AIR FORCE:
    CANNON AFB:
        192-BED DORMITORY: PLANNING AND DESIGN..................  ..............           5,568          +5,568
        DEPLOYMENT PROCESSING CENTER: PLANNING AND DESIGN.......  ..............           5,976          +5,976
    HOLLOMAN AFB:
        INDOOR TARGET FLIP FACILITY: PLANNING AND DESIGN........  ..............           2,340          +2,340
        MQ-9 FORMAL TRAINING UNIT OPERATIONS FACILITY...........  ..............          40,000         +40,000
    KIRTLAND AFB:
        DEDICATED FACILITY FOR THE SPACE RAPID CAPABILITIES       ..............           5,280          +5,280
         OFFICE: PLANNING AND DESIGN............................
        PJ/CRO URBAN TRAINING COMPLEX: PLANNING AND DESIGN......  ..............             810            +810
        WYOMING GATE PROJECT: COST TO COMPLETE..................  ..............           5,600          +5,600
DEFENSE-WIDE:
    KIRTLAND AFB:
        ENVIRONMENTAL HEALTH FACILITY REPLACEMENT...............           8,600           8,600  ..............
                                                                 -----------------------------------------------
            TOTAL, NEW MEXICO...................................           8,600          75,474         +66,874
 
                            NEW YORK
 
ARMY:
    FORT HAMILTON:
        INFORMATION SYSTEMS FACILITY............................          26,000          26,000  ..............
    WATERVLIET ARSENAL:
        ACCESS CONTROL POINT....................................          20,000          20,000  ..............
    US MILITARY ACADEMY:
        ENGINEERING CENTER: COST TO COMPLETE....................  ..............          17,200         +17,200
DEFENSE-WIDE:
    FORT DRUM:
        WELLFIELD EXPANSION RESILIENCE PROJECT..................  ..............          25,300         +25,300
AIR NATIONAL GUARD:
    GABRESKI ANGB:
        BASE CIVIL ENGINEER COMPLEX.............................  ..............          14,800         +14,800
    SCHENECTADY MUNICIPAL AIRPORT:
        C-130 FLIGHT SIMULATOR FACILITY.........................          10,800          10,800  ..............
AIR FORCE RESERVE:
    NIAGARA FALLS IAP:
        MAIN GATE...............................................          10,600          10,600  ..............
                                                                 -----------------------------------------------
            TOTAL, NEW YORK.....................................          67,400         124,700         +57,300
 
                         NORTH CAROLINA
 
NAVY:
    CAMP LEJEUNE:
        II MEF OPERATIONS CENTER REPLACEMENT (INC 2)............          42,200          42,200  ..............
        WATER TREATMENT PLANT REPLACEMENT HADNOT POINT: COST TO   ..............          64,200         +64,200
         COMPLETE...............................................
    MCAS CHERRY POINT:
        AIRCRAFT MAINTENANCE HANGAR.............................         207,897          97,897        -110,000
        ATC TOWER AND AIRFIELD OPERATIONS: COST TO COMPLETE.....  ..............          18,700         +18,700
        F-35 FLIGHTLINE UTILITES MODERNIZATION PH 2.............         113,520          57,520         -56,000
        F-35 JOINT STRIKE FIGHTER SUSTAINMENT CENTER: PLANNING    ..............           9,300          +9,300
         AND DESIGN.............................................
    MCAS NEW RIVER:
        MAINTENANCE HANGAR: PLANNING AND DESIGN.................  ..............          13,300         +13,300
ARMY NATIONAL GUARD:
    SALISBURY:
        AIRCRAFT MAINTENANCE HANGAR ADDITION/ALTERATION:          ..............           2,700          +2,700
         PLANNING AND DESIGN....................................
                                                                 -----------------------------------------------
            TOTAL, NORTH CAROLINA...............................         363,617         305,817         -57,800
 
                          NORTH DAKOTA
 
ARMY NATIONAL GUARD:
    DICKINSON:
        NATIONAL GUARD READINESS CENTER.........................          15,500          15,500  ..............
                                                                 -----------------------------------------------
            TOTAL, NORTH DAKOTA.................................          15,500          15,500  ..............
 
                              OHIO
 
AIR FORCE:
    WRIGHT-PATTERSON AFB:
        CHILD DEVELOPMENT CENTER................................  ..............          24,000         +24,000
ARMY RESERVE:
    WRIGHT-PATTERSON AFB:
        AR CENTER TRAINING BUILDING/UHS.........................          19,000          19,000  ..............
AIR NATIONAL GUARD:
    CAMP PERRY:
        RED HORSE LOGISTICS COMPLEX.............................           7,800           7,800  ..............
                                                                 -----------------------------------------------
      TOTAL, OHIO...............................................          26,800          50,800         +24,000
 
                            OKLAHOMA
 
AIR FORCE:
    TINKER AFB:
        KC-46A 3-BAY DEPOT MAINTENANCE HANGAR...................         160,000          80,000         -80,000
                                                                 -----------------------------------------------
            TOTAL, OKLAHOMA.....................................         160,000          80,000         -80,000
 
                          PENNSYLVANIA
 
ARMY:
    LETTERKENNY ARMY DEPOT:
        FIRE STATION............................................          21,000          21,000  ..............
                                                                 -----------------------------------------------
            TOTAL, PENNSYLVANIA.................................          21,000          21,000  ..............
 
                          RHODE ISLAND
 
NAVY:
    NEWPORT:
        CONSOLIDATED RDT&E SYSTEMS FACILITY: PLANNING AND DESIGN  ..............           1,700          +1,700
        NEXT GENERATION SECURE SUBMARINE PLATFORM FACILITY:       ..............           4,000          +4,000
         PLANNING AND DESIGN....................................
        NEXT GENERATION TORPEDO INTEGRATION LAB: PLANNING AND     ..............           1,200          +1,200
         DESIGN.................................................
        SUBMARINE PAYLOADS INTEGRATION LABORATORY: PLANNING AND   ..............           1,400          +1,400
         DESIGN.................................................
                                                                 -----------------------------------------------
            TOTAL, RHODE ISLAND.................................  ..............           8,300          +8,300
 
                         SOUTH CAROLINA
 
ARMY:
    FORT JACKSON:
        RECEPTION BARRACKS COMPLEX, PH1: COST TO COMPLETE.......  ..............          21,000         +21,000
            RECEPTION BARRACKS COMPLEX, PH2, (INC 2)............          34,000          34,000  ..............
NAVY:
    MCAS BEAUFORT:
        AIRCRAFT MAINTENANCE HANGAR.............................  ..............         121,825        +121,825
        F-35 OPERATIONAL SUPPORT FACILITY: UNSPECIFIED MINOR      ..............           4,700          +4,700
         CONSTRUCTION...........................................
        INSTRUMENT LANDING SYSTEM: UNSPECIFIED MINOR              ..............           3,000          +3,000
         CONSTRUCTION...........................................
        RECYCLING/HAZARDOUS WASTE FACILITY: COST TO COMPLETE....  ..............           5,000          +5,000
    MCRD PARRIS ISLAND:
        ENTRY CONTROL FACILITY IMPROVEMENTS: UNSPECIFIED MINOR    ..............           6,000          +6,000
         CONSTRUCTION...........................................
AIR FORCE:
    JB CHARLESTON:
        FIRE AND RESCUE STATION.................................  ..............          30,000         +30,000
        FLIGHT LINE SUPPORT FACILITY............................  ..............          29,000         +29,000
AIR NATIONAL GUARD:
    MCENTIRE ANGS:
        F-16 MISSION TRAINING CENTER............................           9,800           9,800  ..............
        HAZARDOUS CARGO PAD.....................................  ..............           9,000          +9,000
                                                                 -----------------------------------------------
            TOTAL, SOUTH CAROLINA...............................          43,800         273,325        +229,525
 
                          SOUTH DAKOTA
 
AIR FORCE:
    ELLSWORTH AFB:
        B-21 2-BAY LO RESTORATION FACILITY, (INC 2).............          91,000          91,000  ..............
        B-21 ADAL FLIGHT SIMULATOR..............................          24,000          24,000  ..............
        B-21 FIELD TRAINING DETACHMENT FACILITY.................          47,000          47,000  ..............
        B-21 FORMAL TRAINING UNIT/AMU...........................          70,000          70,000  ..............
        B-21 MISSION OPERATIONS PLANNING FACILITY...............          36,000          36,000  ..............
        B-21 WASHRACK & MAINTENANCE HANGAR......................          65,000          65,000  ..............
AIR NATIONAL GUARD:
    JOE FOSS FIELD:
        F-16 MISSION TRAINING CENTER............................           9,800           9,800  ..............
                                                                 -----------------------------------------------
            TOTAL, SOUTH DAKOTA.................................         342,800         342,800  ..............
 
                              TEXAS
 
AIR FORCE:
    JOINT BASE SAN ANTONIO:
        BMT RECRUIT DORMITORY 7.................................         141,000         100,000         -41,000
        BMT RECRUIT DORMITORY 8 (INC 3).........................          31,000          31,000  ..............
    SHEPPARD AFB:
        CHILD DEVELOPMENT CENTER................................          20,000          20,000  ..............
DEFENSE-WIDE:
    JOINT BASE SAN ANTONIO:
        AMBULATORY CARE CENTER PHASE 4..........................          35,000          35,000  ..............
                                                                 -----------------------------------------------
            TOTAL, TEXAS........................................         227,000         186,000         -41,000
 
                              UTAH
 
AIR FORCE:
    HILL AFB:
        GBSD ORGANIC SOFTWARE SUSTAIN CENTER (INC 2)............          31,000          31,000  ..............
                                                                 -----------------------------------------------
            TOTAL, UTAH.........................................          31,000          31,000  ..............
 
                             VERMONT
 
ARMY NATIONAL GUARD:
    BENNINGTON:
        READINESS CENTER........................................  ..............          16,900         +16,900
    ETHAN ALLEN AFB:
        FAMILY READINESS CENTER: UNSPECIFIED MINOR CONSTRUCTION.  ..............           4,665          +4,665
                                                                 -----------------------------------------------
            TOTAL, VERMONT......................................  ..............          21,565         +21,565
 
                            VIRGINIA
 
NAVY:
    NORFOLK:
        SUBMARINE PIER 3 (INC 2)................................          88,923          88,923  ..............
    PORTSMOUTH:
        DRY DOCK SALTWATER SYSTEM FOR CVN-78....................         156,380          56,380        -100,000
    QUANTICO:
        VEHICLE INSPECTION AND VISITOR CONTROL CENTER...........          42,850          42,850  ..............
        WARGAMING CENTER (INC 2)................................          30,500          30,500  ..............
DEFENSE-WIDE:
    FORT BELVOIR:
        VETERINARY TREATMENT FACILITY REPLACEMENT...............          29,800          29,800  ..............
    PENTAGON:
        CONSOLIDATED MAINTENANCE COMPLEX (RRMC).................          20,000          20,000  ..............
        FORCE PROTECTION PERIMETER ENHANCEMENTS.................           8,608           8,608  ..............
        PUBLIC WORKS SUPPORT FACILITY...........................          21,935          21,935  ..............
ARMY NATIONAL GUARD:
    SANDSTON:
        AIRCRAFT MAINTENANCE HANGAR: PLANNING AND DESIGN........  ..............           5,805          +5,805
    TROUTVILLE
        COMBINED SUPPORT MAINTENANCE SHOP ADDITION..............           6,900           6,900  ..............
        NATIONAL GUARD READINESS CENTER ADDITION................           6,100           6,100  ..............
                                                                 -----------------------------------------------
            TOTAL, VIRGINIA.....................................         411,996         317,801         -94,195
 
                           WASHINGTON
 
DEFENSE-WIDE:
    OAK HARBOR:
        ACC/DENTAL CLINIC.......................................          59,000          59,000  ..............
AIR NATIONAL GUARD:
    CAMP MURRAY ANGS:
        AIR SUPPORT OPERATIONS GROUP COMPLEX....................  ..............          27,000         +27,000
                                                                 -----------------------------------------------
            TOTAL, WASHINGTON...................................          59,000          86,000         +27,000
 
                            WISCONSIN
 
ARMY RESERVE:
    FORT MCCOY:
        TRANSIENT TRAINING BN HQ................................          12,200          12,200  ..............
        TRANSIENT TRAINING ENLISTED BARRACKS....................  ..............          29,200         +29,200
AIR NATIONAL GUARD:
    TRUAX FIELD:
        F-35 3-BAY SPECIALIZED HANGAR...........................          31,000          31,000  ..............
        MEDICAL READINESS FACILITY:.............................          13,200          13,200  ..............
    VOLK COMBAT READINESS TRAINING CENTER:
        REPLACE AIRCRAFT MAINTENANCE HANGAR/SHOPS: PLANNING AND   ..............           2,280          +2,280
         DESIGN.................................................
                                                                 -----------------------------------------------
            TOTAL, WISCONSIN....................................          56,400          87,880         +31,480
 
                             WYOMING
 
AIR NATIONAL GUARD:
    CHEYENNE MAP:
        COMBINED VEHICLE MAINTENANCE & ASE COMPLEX..............          13,400          13,400  ..............
                                                                 -----------------------------------------------
            TOTAL, WYOMING......................................          13,400          13,400  ..............
 
                            AUSTRALIA
 
AIR FORCE:
    DARWIN:
        SQUADRON OPERATIONS FACILITY............................           7,400           7,400  ..............
    TINDAL:
        AIRCRAFT MAINTENANCE SUPPORT FACILITY...................           6,200           6,200  ..............
        SQUADRON OPERATIONS FACILITY............................           8,200           8,200  ..............
                                                                 -----------------------------------------------
            TOTAL, AUSTRALIA....................................          21,800          21,800  ..............
 
                             BELGIUM
 
ARMY:
    SHAPE HQ:
        COMMAND AND CONTROL FACILITY............................          16,000          16,000  ..............
DEFENSE-WIDE:
    CHIEVRES AB:
        EUROPE WEST DISTRICT SUPERINTENDENT'S OFFICE............          15,000          15,000  ..............
                                                                 -----------------------------------------------
            TOTAL, BELGIUM......................................          31,000          31,000  ..............
 
                             GERMANY
 
ARMY:
    EAST CAMP GRAFENWOEHR:
        EDI: BARRACKS AND DINING FACILITY.......................         103,000         103,000  ..............
    SMITH BARRACKS:
        INDOOR SMALL ARMS RANGE.................................          17,500          17,500  ..............
        LIVE FIRE EXERCISE SHOOTHOUSE...........................          16,000          16,000  ..............
AIR FORCE:
    SPANGDAHLEM AB:
        F/A-22 LO/COMPOSITE REPAIR FACILITY.....................          22,625          22,625  ..............
DEFENSE-WIDE:
    RAMSTEIN AB:
        RAMSTEIN MIDDLE SCHOOL..................................          93,000          93,000  ..............
                                                                 -----------------------------------------------
            TOTAL, GERMANY......................................         252,125         252,125  ..............
 
                             GREECE
 
NAVY:
    SOUDA BAY:
        EDI: JOINT MOBILITY PROCESSING CENTER...................          41,650          41,650  ..............
                                                                 -----------------------------------------------
            TOTAL, GREECE.......................................          41,650          41,650  ..............
 
                              GUAM
 
NAVY:
    ANDERSEN AFB:
        AVIATION ADMIN BUILDING.................................          50,890          50,890  ..............
    JOINT REGION MARIANAS:
        BACHELOR ENLISTED QUARTERS H (INC 2)....................          43,200          43,200  ..............
        4TH MARINES REGIMENT FACILITIES.........................         109,507          78,507         -31,000
        COMBAT LOGISTICS BATALLION-4 FACILITY...................          92,710          92,710  ..............
        CONSOLIDATED ARMORY.....................................          43,470          43,470  ..............
        INFANTRY BATTALION COMPANY HQ...........................          44,100          44,100  ..............
        MARINE EXPEDITIONARY BRIGADE ENABLERS...................          66,830          66,830  ..............
        PRINCIPAL END ITEM (PEI) WAREHOUSE......................          47,110          47,110  ..............
        X-RAY WHARF BERTH 2.....................................         103,800          63,800         -40,000
        JOINT COMMUNICATION UPGRADE (INC 2).....................          84,000          84,000  ..............
AIR FORCE:
    JOINT REGION MARIANAS:
        AIRFIELD DAMAGE REPAIR WAREHOUSE........................          30,000          30,000  ..............
        HAYMAN MUNITIONS STORAGE IGLOOS, MSA2...................           9,824           9,824  ..............
        MUNITIONS STORAGE IGLOOS IV.............................          55,000          55,000  ..............
ARMY NATIONAL GUARD:
    BARRIGADA:
        NATIONAL GUARD READINESS CENTER ADDITION................          34,000          34,000  ..............
                                                                 -----------------------------------------------
            TOTAL, GUAM.........................................         814,441         743,441         -71,000
 
                             HUNGARY
 
AIR FORCE:
    KECSKEMET AIR BASE:
        ERI: CONSTRUCT PARALLEL TAXIWAY.........................          38,650          38,650  ..............
        ERI: CONSTRUCT AIRFIELD UPGRADES........................          20,564          20,564  ..............
                                                                 -----------------------------------------------
            TOTAL, HUNGARY......................................          59,214          59,214  ..............
 
                              JAPAN
 
NAVY:
    YOKOSUKA:
        PIER 5 (BERTHS 2 AND 3) (INC 3).........................          15,292          15,292  ..............
        SHIP HANDLING & COMBAT TRAINING FACILITIES..............          49,900          49,900  ..............
AIR FORCE:
    KADENA AIR BASE:
        AIRFIELD DAMAGE REPAIR FACILITY.........................          38,000          38,000  ..............
        HELICOPTER RESCUE OPS MAINTENANCE HANGAR................         168,000          68,000        -100,000
        REPLACE MUNITIONS STRUCTURES............................          26,100          26,100  ..............
    MISAWA AIR BASE:
        AIRFIELD DAMAGE REPAIR FACILITY.........................          25,000          25,000  ..............
    YOKOTA AB:
        CONSTRUCT CATM FACILITY.................................          25,000          25,000  ..............
        C-130J CORROSION CONTROL HANGAR.........................          67,000          67,000  ..............
DEFENSE-WIDE:
    IWAKUNI:
        FUEL PIER...............................................          57,700          57,700  ..............
    KADENA AIR BASE:
        TRUCK UNLOAD FACILITIES.................................          22,300          22,300  ..............
        OPERATIONS SUPPORT FACILITY.............................          24,000          24,000  ..............
    MISAWA AIR BASE:
        ADDITIVE INJECTION PUMP AND STORAGE SYSTEM..............           6,000           6,000  ..............
    YOKOTA AB:
        HANGAR/AMU..............................................         108,253          50,253         -58,000
                                                                 -----------------------------------------------
            TOTAL, JAPAN........................................         632,545         474,545        -158,000
 
                           PUERTO RICO
 
DEFENSE-WIDE:
    PUNTA BORINQUEN:
        RAMEY UNIT SCHOOL REPLACEMENT...........................          84,000          84,000  ..............
                                                                 -----------------------------------------------
            TOTAL, PUERTO RICO..................................          84,000          84,000  ..............
 
                              SPAIN
 
AIR FORCE:
    MORON:
        EDI: HOT CARGO PAD......................................           8,542           8,542  ..............
                                                                 -----------------------------------------------
            TOTAL, SPAIN........................................           8,542           8,542  ..............
 
                         UNITED KINGDOM
 
AIR FORCE:
    RAF FAIRFORD:
        EDI: CONSTRUCT DABS-FEV STORAGE.........................          94,000          50,000         -44,000
    RAF LAKENHEATH:
        F-35A MUNITION INSPECTION FACILITY......................          31,000          31,000  ..............
        F-35A WEAPONS LOAD TRAINING FACILITY....................          49,000          49,000  ..............
DEFENSE-WIDE:
    RAF LAKENHEATH:
        HOSPITAL REPLACEMENT-TEMPORARY FACILITIES...............          19,283          19,283  ..............
    MENWITH HILL STATION:
        RAFMH MAIN GATE REHABILITATION..........................          20,000          20,000  ..............
                                                                 -----------------------------------------------
            TOTAL, UNITED KINGDOM...............................         213,283         169,283         -44,000
 
                       WORLDWIDE CLASSIFED
 
ARMY:
    FORWARD OPERATING SITE......................................          31,000          31,000  ..............
                                                                 -----------------------------------------------
        TOTAL, WORLDWIDE CLASSIFIED.............................          31,000          31,000  ..............
NATO SECURITY INVESTMENT PROGRAM................................         205,853         205,853  ..............
 
                      WORLDWIDE UNSPECIFIED
 
ARMY:
    HOST NATION SUPPORT.........................................          27,000          27,000  ..............
    PLANNING AND DESIGN.........................................         124,649         124,649  ..............
    MINOR CONSTRUCTION..........................................          35,543          45,543         +10,000
    CDS: PLANNING AND DESIGN / UMC..............................  ..............        (19,370)       (+19,370)
                                                                 -----------------------------------------------
        SUBTOTAL, ARMY..........................................         187,192         197,192         +10,000
NAVY:
    PLANNING AND DESIGN.........................................         363,252         363,252  ..............
    MINOR CONSTRUCTION..........................................          56,435          56,435  ..............
    CDS: PLANNING AND DESIGN / UMC..............................  ..............        (53,320)       (+53,320)
                                                                 -----------------------------------------------
        SUBTOTAL, NAVY..........................................         419,687         419,687  ..............
                                                                 ===============================================
AIR FORCE
    PLANNING AND DESIGN.........................................         229,301         229,301  ..............
    MINOR CONSTRUCTION..........................................          58,884          58,884  ..............
    CDS: PLANNING AND DESIGN / UMC..............................  ..............        (37,234)       (+37,234)
                                                                 -----------------------------------------------
        SUBTOTAL, AIR FORCE.....................................         288,185         288,185  ..............
DEFENSE-WIDE:
    ENERGY RESILIENCE AND CONSERVATION INVESTMENT PROGRAM                246,600         293,700         +47,100
     (ERCIP)....................................................
    CDS: ERCIP / PLANNING AND DESIGN............................  ..............        (70,955)       (+70,955)
    PLANNING AND DESIGN:
        DEFENSE-WIDE............................................          14,194          53,448         +39,254
        DEFENSE-WIDE ERCIP......................................          40,150          47,215          +7,065
        DEFENSE INTELLIGENCE AGENCY.............................          11,000          11,000  ..............
        DEFENSE LOGISTICS AGENCY................................          20,862          20,862  ..............
        DEFENSE HEALTH AGENCY...................................          35,099          35,099  ..............
        DEPARTMENT OF DEFENSE EDUCATION AGENCY..................          13,317          13,317  ..............
        NATIONAL SECURITY AGENCY................................          83,840          83,840  ..............
        SPECIAL OPERATIONS COMMAND..............................          20,576          20,576  ..............
        THE JOINT STAFF.........................................           2,000           2,000  ..............
        WASHINGTON HEADQUARTERS SERVICES........................           5,275           5,275  ..............
        INDOPACOM...............................................  ..............  ..............  ..............
    CDS: PLANNING AND DESIGN/UMC................................  ..............        (19,000)       (+19,000)
                                                                 -----------------------------------------------
        SUBTOTAL, DEFENSE-WIDE..................................         492,913         586,332         +93,419
 
                 UNSPECIFIED MINOR CONSTRUCTION
 
DEFENSE-WIDE:
    DEFENSE-WIDE................................................           3,000           3,000  ..............
    DEFENSE LOGISTICS AGENCY....................................           6,668           6,668  ..............
    DEPARTMENT OF DEFENSE EDUCATION AGENCY......................           8,000           8,000  ..............
    MISSILE DEFENSE AGENCY......................................           4,435           4,435  ..............
    NATIONAL SECURITY AGENCY....................................          12,000          12,000  ..............
    SPECIAL OPERATIONS COMMAND..................................          21,746          21,746  ..............
    THE JOINT STAFF.............................................           5,615           5,615  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, UNSPECIFIED MINOR CONSTRUCTION................          61,464          61,464  ..............
ARMY NATIONAL GUARD:
    PLANNING AND DESIGN.........................................          22,000          25,000          +3,000
    MINOR CONSTRUCTION..........................................          39,471          45,471          +6,000
    CDS: PLANNING AND DESIGN/UMC................................  ..............        (17,390)       (+17,390)
AIR NATIONAL GUARD:
    PLANNING AND DESIGN.........................................          18,402          21,402          +3,000
    MINOR CONSTRUCTION..........................................          29,068          29,068  ..............
    CDS: PLANNING AND DESIGN....................................  ..............         (2,280)        (+2,280)
ARMY RESERVE:
    PLANNING AND DESIGN.........................................           7,167           7,167  ..............
    MINOR CONSTRUCTION..........................................          14,544          14,544  ..............
NAVY RESERVE:
    PLANNING AND DESIGN.........................................           6,005           6,005  ..............
    MINOR CONSTRUCTION..........................................           2,359           2,359  ..............
AIR FORCE RESERVE:
    PLANNING AND DESIGN.........................................           5,830           5,830  ..............
    MINOR CONSTRUCTION..........................................          15,444          15,444  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, WORLDWIDE UNSPECIFIED.........................       2,131,223       2,296,642        +165,419
 
                      FAMILY HOUSING, ARMY
 
ITALY:
    VICENZA:
        FAMILY HOUSING NEW CONSTRUCTION.........................          92,304          92,304  ..............
PLANNING AND DESIGN.............................................           7,545           7,545  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, CONSTRUCTION..................................          99,849          99,849  ..............
OPERATION AND MAINTENANCE:
    UTILITIES ACCOUNT...........................................          43,772          43,772  ..............
    SERVICES ACCOUNT............................................           8,277           8,277  ..............
    MANAGEMENT ACCOUNT..........................................          42,850          42,850  ..............
    MISCELLANEOUS ACCOUNT.......................................             556             556  ..............
    FURNISHINGS ACCOUNT.........................................          18,077          18,077  ..............
    LEASING.....................................................         128,110         128,110  ..............
    MAINTENANCE OF REAL PROPERTY................................         111,181         111,181  ..............
    PRIVATIZATION SUPPORT COSTS.................................          38,404          38,404  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, OPERATIONS AND MAINTENANCE....................         391,227         391,227  ..............
 
              FAMILY HOUSING, NAVY AND MARINE CORPS
 
JAPAN
    YOKOSUKA:
        CONSTRUCTION IMPROVEMENTS...............................          61,469          61,469  ..............
WASHINGTON, DC:
    MARINE BARRACKS:
        WHOLE HOUSE REVITALIZATION QUARTERS #6..................          10,415          10,415  ..............
PLANNING AND DESIGN.............................................           3,634           3,634  ..............
PLANNING AND DESIGN FOR USMC/DPRI...............................           2,098           2,098  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, CONSTRUCTION..................................          77,616          77,616  ..............
OPERATION AND MAINTENANCE:
    UTILITIES ACCOUNT...........................................          56,271          56,271  ..............
    SERVICES ACCOUNT............................................          17,637          17,637  ..............
    MANAGEMENT ACCOUNT..........................................          54,083          54,083  ..............
    MISCELLANEOUS ACCOUNT.......................................             285             285  ..............
    FURNISHINGS ACCOUNT.........................................          16,537          16,537  ..............
    LEASING.....................................................          62,567          62,567  ..............
    MAINTENANCE OF REAL PROPERTY................................          95,417          95,417  ..............
    PRIVATIZATION SUPPORT COSTS.................................          54,544          54,544  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, OPERATION AND MAINTENANCE.....................         357,341         357,341  ..............
 
                    FAMILY HOUSING, AIR FORCE
 
JAPAN:
    YOKOTA AB:
        CONSTRUCTION IMPROVEMENTS (45 UNITS)....................          49,258          49,258  ..............
    WARNER ROBBINS AFB:
        MHPI PROJECT RESTRUCTURE................................           6,000           6,000  ..............
    OFFUTT AFB:
        MHPI PROJECT RESTRUCTURE................................          50,000          50,000  ..............
PLANNING AND DESIGN.............................................          10,458          10,458  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, CONSTRUCTION..................................         115,716         115,716  ..............
OPERATION AND MAINTENANCE:
    UTILITIES ACCOUNT...........................................          43,668          43,668  ..............
    MANAGEMENT ACCOUNT..........................................          70,062          70,062  ..............
    SERVICES ACCOUNT............................................           8,124           8,124  ..............
    FURNISHINGS ACCOUNT.........................................          26,842          26,842  ..............
    MISCELLANEOUS ACCOUNT.......................................           2,200           2,200  ..............
    LEASING.....................................................           9,520           9,520  ..............
    MAINTENANCE OF REAL PROPERTY................................         141,754         141,754  ..............
    PRIVATIZATION SUPPORT COSTS.................................          23,275          23,275  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, OPERATION AND MAINTENANCE.....................         325,445         325,445  ..............
 
                  FAMILY HOUSING, DEFENSE-WIDE
 
OPERATION AND MAINTENANCE:
    NATIONAL SECURITY AGENCY:
        UTILITIES ACCOUNT.......................................              14              14  ..............
        FURNISHINGS ACCOUNT.....................................              83              83  ..............
        LEASING.................................................          13,387          13,387  ..............
        MAINTENANCE OF REAL PROPERTY............................              49              49  ..............
    DEFENSE INTELLIGENCE AGENCY:
        UTILITIES ACCOUNT.......................................           4,166           4,166  ..............
        FURNISHINGS ACCOUNT.....................................             656             656  ..............
        LEASING.................................................          31,430          31,430  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, OPERATION AND MAINTENANCE.....................          49,785          49,785  ..............
DOD FAMILY HOUSING IMPROVEMENT FUND.............................           6,081           6,081  ..............
DOD MILITARY UNACCOMPANIED HOUSING IMPROVEMENT FUND.............             494             494  ..............
 
                  BASE REALIGNMENT AND CLOSURE
 
BASE REALIGNMENT AND CLOSURE ACCOUNT............................         284,639         334,639         +50,000
                                                                 -----------------------------------------------
        TOTAL, BASE REALIGNMENT AND CLOSURE.....................         284,639         334,639         +50,000
 
                    ADMINISTRATIVE PROVISIONS
 
UNFUNDED REQUIREMENTS:
MILITARY CONSTRUCTION, ARMY (Sec 124)...........................  ..............          27,000         +27,000
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS (Sec 124)..........  ..............          28,000         +28,000
MILITARY CONSTRUCTION, DEFENSE-WIDE (Sec 124)...................  ..............          36,100         +36,100
MILITARY CONSTRUCTION, ARMY NATIONAL GUARD (Sec 124)............  ..............          11,000         +11,000
MILITARY CONSTRUCTION, AIR NATIONAL GUARD (Sec 124).............  ..............          19,200         +19,200
MIR, Army (Sec 133).............................................  ..............          10,000         +10,000
MIR, Navy and Marine Corps (Sec 133)............................  ..............          25,000         +25,000
MIR, Air Force (Sec 133)........................................  ..............          15,000         +15,000
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS--SIOP UNSPECIFIED    ..............         225,000        +225,000
 WORLDWIDE (Sec 131)............................................
COST TO COMPLETE PROJECTS--SERVICES:
FAMILY HOUSING CONSTRUCTION, ARMY (Sec 129).....................  ..............          17,500         +17,500
                                                                 -----------------------------------------------
        SUBTOTAL, COST TO COMPLETE PROJECT......................  ..............          17,500         +17,500
Lab Infrastructure--Army (Sec 130)..............................  ..............          30,000         +30,000
Lab Infrastructure--Navy (Sec 130)..............................  ..............          15,000         +15,000
Lab Infrastructure--Air Force (Sec 130).........................  ..............          30,000         +30,000
Military Construction, Defense-Wide (Sec 132)...................  ..............         153,000        +153,000
Military Construction, Defense-Wide rescission (Sec 127)........  ..............      (-131,000)      (-131,000)
                                                                 -----------------------------------------------
      ADMINISTRATIVE TOTAL......................................  ..............         510,800        +510,800
 
                              RECAP
 
 
ARMY............................................................         834,692         991,762        +157,070
NAVY AND MARINE CORPS...........................................       2,368,352       2,452,247         +83,895
AIR FORCE.......................................................       2,102,690       2,106,750          +4,060
DEFENSE-WIDE....................................................       1,957,289       2,082,663        +125,374
ARMY NATIONAL GUARD.............................................         257,103         315,893         +58,790
AIR NATIONAL GUARD..............................................         197,770         298,550        +100,780
ARMY RESERVE....................................................          64,911          94,111         +29,200
NAVY RESERVE....................................................          71,804          71,804  ..............
AIR FORCE RESERVE...............................................          78,374         111,374         +33,000
NATO............................................................         205,853         205,853  ..............
DEPARTMENT OF DEFENSE BASE CLOSURE ACCOUNT (BRAC)...............         284,639         334,639         +50,000
FAMILY HOUSING, ARMY............................................         491,076         491,076  ..............
    CONSTRUCTION................................................        (99,849)        (99,849)  ..............
    OPERATION AND MAINTENANCE...................................       (391,227)       (391,227)  ..............
FAMILY HOUSING, NAVY AND MARINE CORPS...........................         434,957         434,957  ..............
    CONSTRUCTION................................................        (77,616)        (77,616)  ..............
    OPERATION AND MAINTENANCE...................................       (357,341)       (357,341)  ..............
FAMILY HOUSING, AIR FORCE.......................................         441,161         441,161  ..............
    CONSTRUCTION................................................       (115,716)       (115,716)  ..............
    OPERATION AND MAINTENANCE...................................       (325,445)       (325,445)  ..............
FAMILY HOUSING, DEFENSE-WIDE....................................          49,785          49,785  ..............
    CONSTRUCTION................................................  ..............  ..............  ..............
    OPERATION AND MAINTENANCE...................................        (49,785)        (49,785)  ..............
DOD FAMILY HOUSING IMPROVEMENT FUND.............................           6,081           6,081  ..............
DOD UNACCOMPANIED HOUSING IMPROVEMENT FUND......................             494             494  ..............
ADMINISTRATIVE PROVISIONS.......................................  ..............         641,800        +641,800
    RESCISSION..................................................  ..............        -131,000        -131,000
                                                                 -----------------------------------------------
        GRAND TOTAL.............................................       9,847,031      11,000,000      +1,152,969
----------------------------------------------------------------------------------------------------------------

         DISCLOSURE OF CONGRESSIONALLY DIRECTED SPENDING ITEMS

    The Constitution vests in the Congress the power of the 
purse. The Committee believes strongly that Congress should 
make the decisions on how to allocate the people's money.
    As defined in Rule XLIV of the Standing Rules of the 
Senate, the term ``congressionally directed spending item'' 
means a provision or report language included primarily at the 
request of a Senator, providing, authorizing, or recommending a 
specific amount of discretionary budget authority, credit 
authority, or other spending authority for a contract, loan, 
loan guarantee, grant, loan authority, or other expenditure 
with or to an entity, or targeted to a specific State, locality 
or congressional district, other than through a statutory or 
administrative, formula-driven, or competitive award process.
    For each item, a Member is required to provide a 
certification that neither the Member nor the Member's 
immediate family has a pecuniary interest in such 
congressionally directed spending item. Such certifications are 
available to the public on the website of the Senate Committee 
on Appropriations (https://www.appropriations.senate.gov/
congressionally-directed-spending-requests).
    Following is a list of congressionally directed spending 
items included in the Senate recommendation discussed in this 
report, along with the name of each Senator who submitted a 
request to the Committee of jurisdiction for each item so 
identified. Neither the Committee recommendation nor this 
report contains any limited tax benefits or limited tariff 
benefits as defined in rule XLIV.

                                                                             CONGRESSIONALLY DIRECTED SPENDING ITEMS
                                                                                    [In thousands of dollars]
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                Account                                                              Project                                                 Funding                   Requestor(s)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Air Force: U.S. Air Force Academy......  Colorado: High-Bay Vehicle Maintenance: Unspecified Minor Construction........................           4,360  Bennet
Air Force: U.S. Air Force Academy......  Colorado: New Cadet Prep School Dormitory.....................................................          24,726  Hickenlooper
Air Force: Schriever AFB...............  Colorado: Fitness Center......................................................................          30,000  Bennet
Air Force: Moody AFB...................  Georgia: 41 RQS HH-60W Apron..................................................................          12,500  Ossoff, Warnock
Air Force: Kirtland AFB Remote Maui      Hawaii: Secure Integration Support Lab: Planning and Design...................................           8,800  Hirono, Schatz
 Experimental Site.
Air Force: Barksdale AFB...............  Louisiana: Entrance Road and Gate: Cost to Complete...........................................          36,000  Cassidy
Air Force: Creech AFB..................  Nevada: Mission Support Facility: Planning and Design.........................................           1,900  Cortez Masto, Rosen
Air Force: Creech AFB..................  Nevada: Warrior Fitness Training Center: Planning and Design..................................           2,200  Cortez Masto, Rosen
Air Force: Kirtland AFB................  New Mexico: Wyoming Gate Project: Cost to Complete............................................           5,600  Heinrich, Lujan
Air Force: Kirtland AFB................  New Mexico: PJ/CRO Urban Training Complex: Planning and Design................................             810  Heinrich, Lujan
Air Force: Holloman AFB................  New Mexico: Indoor Target Flip Facility: Planning and Design..................................           2,340  Heinrich, Lujan
Air Force: Kirtland AFB................  New Mexico: Dedicated Facility for the Space Rapid Capabilities Office: Planning and Design...           5,280  Heinrich, Lujan
Air Force: Cannon AFB..................  New Mexico: 192-Bed Dormitory: Planning and Design............................................           5,568  Heinrich, Lujan
Air Force: Cannon AFB..................  New Mexico: Deployment Processing Center: Planning and Design.................................           5,976  Heinrich, Lujan
Air Force: Holloman AFB................  New Mexico: MQ-9 Formal Training Unit Operations Facility.....................................          40,000  Heinrich, Lujan
Air Force: Wright-Patterson AFB........  Ohio: Child Development Center................................................................          24,000  Brown
Air Force: Joint Base Charleston.......  South Carolina: Flight Line Support Facility..................................................          29,000  Graham
Air Force: Joint Base Charleston.......  South Carolina: Fire and Rescue Station.......................................................          30,000  Graham
Air Force Reserve: Beale AFB...........  California: 940 ARW SQ OPS & AMU Complex......................................................          33,000  Feinstein, Padilla
Air NG: Bradley ANGB...................  Connecticut: Composite ASE Vehicle Maintenance Facility.......................................          17,000  Blumenthal, Murphy
Air NG: New Castle County Airport......  Delaware: Fuel Cell and Corrosion Control Hangar..............................................          17,500  Carper, Coons
Air NG: Base Civil Engineer Complex....  Illinois: Abraham Lincoln Capital Airport.....................................................          10,200  Durbin
Air NG: Base Civil Engineer Complex....  New York: Gabreski ANGB.......................................................................          14,800  Gillibrand, Schumer
Air NG: McEntire JNGB..................  South Carolina: Hazardous Cargo Pad...........................................................           9,000  Graham
Air NG: Camp Murray ANGS...............  Washington: Air Support Operations Group Complex..............................................          27,000  Murray
Air NG: Volk Combat Readiness Training   Wisconsin: Replace Aircraft Maintenance Hangar/Shops: Planning and Design.....................           2,280  Baldwin
 Center.
Army: Fort Wainwright..................  Alaska: ERDC-CRREL Permafrost Tunnel Research Facility: Unspecified Minor Construction........           5,400  Murkowski
Army: Fort Gordon......................  Georgia: Cyber Center of Excellence School Headquarters and Classrooms: Planning and Design...           3,670  Warnock
Army: Fort Stewart.....................  Georgia: Barracks: Planning and Design........................................................           5,000  Ossoff, Warnock
Army: Fort Shafter.....................  Hawaii: Command and Control Facility: Cost to Complete........................................          55,500  Hirono, Schatz
Army: Fort Leavenworth.................  Kansas: Child Development Center..............................................................          34,000  Moran
Army: Fort Leonard Wood................  Missouri: Advanced Individual Training Battalion Complex: Planning and Design.................           4,000  Blunt
Army: White Sands Missile Range........  New Mexico: Missile Assembly Support Facility: Planning and Design............................           1,300  Heinrich, Lujan
Army: U.S. Military Academy............  New York: Engineering Center: Cost to Complete................................................          17,200  Gillibrand, Schumer
Army: Fort Jackson.....................  South Carolina: Reception Barracks Complex, Ph 1: Cost to Complete............................          21,000  Graham
Army Reserve: Fort McCoy...............  Wisconsin: Transient Training Enlisted Barracks...............................................          29,200  Baldwin
Army NG: Topeka........................  Kansas: National Guard/Reserve Center Building SCIF: Planning and Design......................             420  Moran
Army NG: Camp Shelby...................  Mississippi: Maneuver Area Training Equipment Site (MATES)....................................          15,500  Hyde-Smith, Wicker
Army NG; Aviation Classification Repair  Missouri: AVCRAD Aircraft Maintenance Hangar Addition: Planning and Design....................           3,800  Blunt
 Activity Depot.
Army NG: Salisbury.....................  North Carolina: Aircraft Maintenance Hangar Addition/Alteration: Planning and Design..........           2,700  Tillis
Army NG: Bennington....................  Vermont: Readiness Center.....................................................................          16,900  Leahy
Army NG: Ethan Allen AFB...............  Vermont: Family Readiness Center: Unspecified Minor Construction..............................           4,665  Leahy, Sanders
Army NG: Sandston......................  Virginia: Aircraft Maintenance Hangar: Planning and Design....................................           5,805  Warner
Defense-Wide: HDR-H....................  Hawaii: Homeland Defense Radar-Hawaii: Planning and Design....................................          19,000  Hirono, Schatz
Defense-Wide: Camp Shelby..............  Mississippi: Electrical Distribution Infrastructure Undergrounding Hardening Project..........          11,155  Hyde-Smith, Wicker
Defense-Wide: Camp Shelby..............  Mississippi: MW Generation Plant and Feeder Level Microgrid System............................          34,500  Hyde-Smith, Wicker
Defense-Wide: Fort Drum................  New York: Wellfield Expansion Resilience Project..............................................          25,300  Gillibrand, Schumer
Navy: MCAS Yuma........................  Arizona: Combat Training Tank Complex.........................................................          29,300  Kelly, Sinema
Navy: NB Ventura County................  California: Combat Vehicle Maintenance Facility...............................................          48,700  Feinstein
Navy: NB Coronado......................  California: CMV-22B Aircraft Maintenance Hangar...............................................          63,600  Feinstein
Navy: MCB Hawaii.......................  Hawaii: Electrical Distribution Modernization.................................................          64,500  Hirono, Schatz
Navy: Marine Corps Training Area         Hawaii: Perimeter Security Fence: Unspecified Minor Construction..............................           6,220  Hirono
 Bellows.
Navy: NSA Cutler.......................  Maine: Firehouse: Planning and Design.........................................................           2,500  Collins
Navy: MCAS Cherry Point................  North Carolina: F-35 Joint Strike Fighter Sustainment Center: Planning and Design.............           9,300  Burr, Tillis
Navy: MCAS New River...................  North Carolina: Maintenance Hangar: Planning and Design.......................................          13,300  Tillis
Navy: MCAS Cherry Point................  North Carolina: ATC Tower and Airfield Operations.............................................          18,700  Burr
Navy: Camp Lejeune.....................  North Carolina: Water Treatment Plant Replacement Hadnot Point: Cost to Complete..............          64,200  Burr
Navy: NAVSTA Newport...................  Rhode Island: Next Generation Torpedo Integration Lab: Planning and Design....................           1,200  Reed
Navy: NAVSTA Newport...................  Rhode Island: Submarine Payloads Integration Laboratory: Planning and Design..................           1,400  Reed
Navy: NAVSTA Newport...................  Rhode Island: Consolidated RDT&E Systems Facility: Planning and Design........................           1,700  Reed
Navy: NAVSTA Newport...................  Rhode Island: Next Generation Secure Submarine Platform Facility: Planning and Design.........           4,000  Reed
Navy: MCAS Beaufort....................  South Carolina: F-35 Operational Support Facility: Unspecified Minor Construction.............           4,700  Graham
Navy: MCAS Beaufort....................  South Carolina: Instrument Landing System: Unspecified Minor Construction.....................           3,000  Graham
Navy: MCRD Parris Island...............  South Carolina: Entry Control Facility Improvements: Unspecified Minor Construction...........           6,000  Graham
Navy: MCAS Beaufort....................  South Carolina: Aircraft Maintenance Hangar...................................................         121,825  Graham
Navy: MCAS Beaufort....................  South Carolina: Recycling/Hazardous Waste Facility: Cost to Complete..........................           5,000  Graham
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------


  COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2021 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL FOR FISCAL
                                                                        YEAR 2022
                                                                [In thousands of dollars]
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                         Senate Committee recommendation
                                                                                                                             compared with (+ or -)
                                Item                                       2021       Budget estimate     Committee    ---------------------------------
                                                                      appropriation                     recommendation        2022
                                                                                                                         appropriation   Budget estimate
--------------------------------------------------------------------------------------------------------------------------------------------------------
                   TITLE I--DEPARTMENT OF DEFENSE
 
Military Construction, Army........................................         628,900          834,692          991,762         +362,862         +157,070
Military Construction, Navy and Marine Corps.......................       1,716,144        2,368,352        2,452,247         +736,103          +83,895
Military Construction, Air Force...................................         616,156        2,102,690        2,106,750       +1,490,594           +4,060
Military Construction, Defense-Wide................................       2,041,909        1,957,289        2,082,663          +40,754         +125,374
                                                                    ------------------------------------------------------------------------------------
      Total, Active components.....................................       5,003,109        7,263,023        7,633,422       +2,630,313         +370,399
                                                                    ====================================================================================
Military Construction, Army National Guard.........................         349,437          257,103          315,893          -33,544          +58,790
Military Construction, Air National Guard..........................          64,214          197,770          298,550         +234,336         +100,780
Military Construction, Army Reserve................................          88,337           64,911           94,111           +5,774          +29,200
Military Construction, Navy Reserve................................          70,995           71,804           71,804             +809   ...............
Military Construction, Air Force Reserve...........................          23,117           78,374          111,374          +88,257          +33,000
                                                                    ------------------------------------------------------------------------------------
      Total, Reserve components....................................         596,100          669,962          891,732         +295,632         +221,770
                                                                    ====================================================================================
North Atlantic Treaty Organization Security Investment Program.....         173,030          205,853          205,853          +32,823   ...............
Department of Defense Base Closure Account.........................         480,447          284,639          334,639         -145,808          +50,000
                                                                    ------------------------------------------------------------------------------------
      Total, Military Construction.................................       6,252,686        8,423,477        9,065,646       +2,812,960         +642,169
                                                                    ====================================================================================
Family Housing Construction, Army..................................         119,400           99,849           99,849          -19,551   ...............
Family Housing Operation and Maintenance, Army.....................         352,342          391,227          391,227          +38,885   ...............
Family Housing Construction, Navy and Marine Corps.................          42,897           77,616           77,616          +34,719   ...............
Family Housing Operation and Maintenance, Navy and Marine Corps....         346,493          357,341          357,341          +10,848   ...............
Family Housing Construction, Air Force.............................          97,214          115,716          115,716          +18,502   ...............
Family Housing Operation and Maintenance, Air Force................         317,021          325,445          325,445           +8,424   ...............
Family Housing Operation and Maintenance, Defense-Wide.............          54,728           49,785           49,785           -4,943   ...............
Department of Defense Family Housing Improvement Fund..............           5,897            6,081            6,081             +184   ...............
Department of Defense Military Unaccompanied Housing Improvement                600              494              494             -106   ...............
 Fund..............................................................
                                                                    ------------------------------------------------------------------------------------
      Total, Family Housing........................................       1,336,592        1,423,554        1,423,554          +86,962   ...............
                                                                    ====================================================================================
                     ADMINISTRATIVE PROVISIONS
 
Unfunded Requirements:
Military Construction, Army (Sec 124)..............................         233,000   ...............          27,000         -206,000          +27,000
Military Construction, Navy and Marine Corps (Sec 124).............          73,100   ...............          28,000          -45,100          +28,000
Military Construction, Air Force (Sec 124).........................          60,000   ...............  ...............         -60,000   ...............
Military Construction, Army National Guard (Sec 124)...............          49,835   ...............          11,000          -38,835          +11,000
Military Construction, Air National Guard ( Sec 124)...............          29,500   ...............          19,200          -10,300          +19,200
Military Construction, Army Reserve (Sec 130)......................  ...............  ...............  ...............  ...............  ...............
Military Construction, Air Force Reserve (Sec 124).................          25,000   ...............  ...............         -25,000   ...............
Military Construction, Air Force ( Sec 126) (rescission)...........          -9,975   ...............  ...............          +9,975   ...............
Military Construction, Defense-Wide (Sec 124)......................  ...............  ...............          36,100          +36,100          +36,100
Military Construction Defense-Wide (Sec 126) (rescission)..........         -29,838   ...............  ...............         +29,838   ...............
Family Housing Support and Management Costs (Sec129)...............          60,000   ...............  ...............         -60,000   ...............
Military Construction, Military Installation Resilience (Sec 130):
    Military Installation Resilience, Army (Sec 133)...............           4,000   ...............          10,000           +6,000          +10,000
    Military Installation Resilience, Navy and Marine Corps (Sec              7,000   ...............          25,000          +18,000          +25,000
     133)..........................................................
    Military Installation Resilience, Air Force (Sec 133)..........           4,000   ...............          15,000          +11,000          +15,000
Military Installation Resilience, Defense-Wide (Sec 133):
Child Development Centers (Sec 129)................................          32,200   ...............  ...............         -32,200   ...............
Child Development Centers, Army (H Sec 128)                          ...............  ...............  ...............  ...............  ...............
Child Development Centers, Navy and Marine Corps (H Sec 128)         ...............  ...............  ...............  ...............  ...............
Child Development Centers, Air Force (H Sec 128)                     ...............  ...............  ...............  ...............  ...............
Barracks, Army (H Sec 129)                                           ...............  ...............  ...............  ...............  ...............
Barracks, Army National Guard (H Sec 129)                            ...............  ...............  ...............  ...............  ...............
Barracks, Army Reserve (H Sec 129)                                   ...............  ...............  ...............  ...............  ...............
Military Construction, Defense-Wide (Sec 127) (rescission).........        -131,000   ...............        -131,000   ...............        -131,000
Military Construction, Army National Guard A Transformation Plan (H  ...............  ...............  ...............  ...............  ...............
 Sec 131)..........................................................
Military Construction, Natural Disaster (Sec 133)..................  ...............  ...............  ...............  ...............  ...............
Department of Defense Base Closure Account.........................         -50,000   ...............  ...............         +50,000   ...............
Military Construction, Navy and Marine Corps--SIOP Unspecified              -48,000   ...............  ...............         +48,000   ...............
 Worldwide (rescission)............................................
Military Construction, Navy and Marine Corps--SIOP Unspecified       ...............  ...............         225,000         +225,000         +225,000
 Worldwide (Sec 131)...............................................
Lab Infrastructure (Sec 130).......................................  ...............  ...............          75,000          +75,000          +75,000
Military Construction, Defense-Wide (Sec 132)......................  ...............  ...............         153,000         +153,000         +153,000
                                                                    ------------------------------------------------------------------------------------
      Subtotal, Unfunded Requirements--Services....................         308,822   ...............         493,300         +184,478         +493,300
 
Cost to Complete Projects--Services:
Military Construction, Army (H Sec 125)............................          48,000   ...............  ...............         -48,000   ...............
Military Construction, Navy and Marine Corps (H Sec 125)...........          37,700   ...............  ...............         -37,700   ...............
Military Construction, Air Force (H Sec 125).......................          75,700   ...............  ...............         -75,700   ...............
Military Construction, Army Reserve (H Sec 125)                      ...............  ...............  ...............  ...............  ...............
Family Housing Construction, Army (H Sec 125; S Sec 129)...........           4,500   ...............          17,500          +13,000          +17,500
                                                                    ------------------------------------------------------------------------------------
      Subtotal, Cost to Complete Projects--Services................         165,900   ...............          17,500         -148,400          +17,500
                                                                    ------------------------------------------------------------------------------------
      Total, Administrative Provisions.............................         474,722   ...............         510,800          +36,078         +510,800
                                                                    ====================================================================================
      Total, title I, Department of Defense........................       8,064,000        9,847,031       11,000,000       +2,936,000       +1,152,969
          Appropriations...........................................      (8,332,813)      (9,847,031)     (11,131,000)     (+2,798,187)     (+1,283,969)
          Rescissions..............................................       (-268,813)  ...............       (-131,000)       (+137,813)       (-131,000)
                                                                    ====================================================================================
              TITLE II--DEPARTMENT OF VETERANS AFFAIRS
 
                  Veterans Benefits Administration
 
Compensation and pensions:
    Budget year appropriations.....................................       6,110,252        7,347,837        7,347,837       +1,237,585   ...............
    Advance from prior year appropriations.........................     118,246,975      130,227,650      130,227,650      +11,980,675   ...............
                                                                    ------------------------------------------------------------------------------------
          Subtotal, Compensation and pensions available in fiscal       124,357,227      137,575,487      137,575,487      +13,218,260   ...............
           year....................................................
 
    Advance appropriations, FY 2023................................     130,227,650      147,569,474      147,569,474      +17,341,824   ...............
    Less appropriations from prior year advances...................    -118,246,975     -130,227,650     -130,227,650      -11,980,675   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Compensation and pensions appropriated in this bill...     136,337,902      154,917,311      154,917,311      +18,579,409   ...............
                                                                    ====================================================================================
Readjustment benefits:
    Advance from prior year appropriations.........................      12,578,965       14,946,618       14,946,618       +2,367,653   ...............
                                                                    ------------------------------------------------------------------------------------
          Subtotal, Readjustment benefits available in fiscal year.      12,578,965       14,946,618       14,946,618       +2,367,653   ...............
 
    Advance appropriations, FY 2023................................      14,946,618        8,906,851        8,906,851       -6,039,767   ...............
    Less appropriations from prior year advances...................     -12,578,965      -14,946,618      -14,946,618       -2,367,653   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Readjustment benefits appropriated in this bill.......      14,946,618        8,906,851        8,906,851       -6,039,767   ...............
                                                                    ====================================================================================
Veterans insurance and indemnities:
    Budget year appropriations.....................................           2,148   ...............  ...............          -2,148   ...............
    Advance from prior year appropriations.........................         129,224          136,950          136,950           +7,726   ...............
                                                                    ------------------------------------------------------------------------------------
          Subtotal, Veterans insurance and indemnities available in         131,372          136,950          136,950           +5,578   ...............
           fiscal year.............................................
 
    Advance appropriations, FY 2023................................         136,950          109,865          109,865          -27,085   ...............
    Less appropriations from prior year advances...................        -129,224         -136,950         -136,950           -7,726   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Veterans insurance and indemnities appropriated in             139,098          109,865          109,865          -29,233   ...............
       this bill...................................................
                                                                    ====================================================================================
Veterans housing benefit program fund:
    Credit subsidy:
        Direct.....................................................         -18,000          -41,000          -41,000          -23,000   ...............
        Guaranteed.................................................       1,681,000        2,822,000        2,822,000       +1,141,000   ...............
                                                                    ------------------------------------------------------------------------------------
          Subtotal (Credit subsidy)................................       1,663,000        2,781,000        2,781,000       +1,118,000   ...............
 
    (Limitation on direct loans)...................................            (500)            (500)            (500)  ...............  ...............
    Administrative expenses........................................         204,400          229,500          229,500          +25,100   ...............
Vocational rehabilitation loans program account....................              34                3                3              -31   ...............
    (Limitation on direct loans)...................................          (2,470)          (1,663)          (1,663)           (-807)  ...............
    Administrative expenses........................................             424              429              429               +5   ...............
Native American veteran housing loan program account...............           1,186            1,186            1,300             +114             +114
General operating expenses, VBA....................................       3,180,000        3,423,000        3,486,000         +306,000          +63,000
                                                                    ------------------------------------------------------------------------------------
      Total, Veterans Benefits Administration......................     156,472,662      170,369,145      170,432,259      +13,959,597          +63,114
        Budget year appropriations.................................     (11,161,444)     (13,782,955)     (13,846,069)     (+2,684,625)        (+63,114)
        Advance appropriations, FY 2023............................    (145,311,218)    (156,586,190)    (156,586,190)    (+11,274,972)  ...............
        Advances from prior year appropriations....................    (130,955,164)    (145,311,218)    (145,311,218)    (+14,356,054)  ...............
                                                                    ====================================================================================
                   Veterans Health Administration
 
Medical services (MS):
    Budget year appropriations.....................................         497,468   ...............  ...............        -497,468   ...............
    Advance from prior year appropriations.........................      56,158,015       58,897,219       58,897,219       +2,739,204   ...............
                                                                    ------------------------------------------------------------------------------------
          Subtotal, MS available in fiscal year....................      56,655,483       58,897,219       58,897,219       +2,241,736   ...............
 
    Advance appropriations, FY 2023................................      58,897,219       70,323,116       70,323,116      +11,425,897   ...............
    Less appropriations from prior years...........................     -56,158,015      -58,897,219      -58,897,219       -2,739,204   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, MS appropriated in this bill..........................      59,394,687       70,323,116       70,323,116      +10,928,429   ...............
                                                                    ====================================================================================
Medical community care (MCC):
    Budget year appropriations.....................................       1,380,800        3,269,000        3,269,000       +1,888,200   ...............
    Advance from prior year appropriations.........................      17,131,179       20,148,244       20,148,244       +3,017,065   ...............
                                                                    ------------------------------------------------------------------------------------
          Subtotal, MCC available in fiscal year...................      18,511,979       23,417,244       23,417,244       +4,905,265   ...............
 
    Advance appropriations, FY 2023................................      20,148,244       24,156,659       24,156,659       +4,008,415   ...............
    Less appropriations from prior years...........................     -17,131,179      -20,148,244      -20,148,244       -3,017,065   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, MCC appropriated in this bill.........................      21,529,044       27,425,659       27,425,659       +5,896,615   ...............
                                                                    ====================================================================================
Medical support and compliance (MSC):
    Budget year appropriations.....................................         300,000   ...............  ...............        -300,000   ...............
    Advance from prior year appropriations.........................       7,914,191        8,403,117        8,403,117         +488,926   ...............
                                                                    ------------------------------------------------------------------------------------
      Subtotal, MSC available in fiscal year.......................       8,214,191        8,403,117        8,403,117         +188,926   ...............
 
    Advance appropriations, FY 2023................................       8,403,117        9,673,409        9,673,409       +1,270,292   ...............
    Less appropriations from prior years...........................      -7,914,191       -8,403,117       -8,403,117         -488,926   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, MSC appropriated in this bill.........................       8,703,117        9,673,409        9,673,409         +970,292   ...............
                                                                    ====================================================================================
Medical facilities (MF):
    Budget year appropriations.....................................         150,000   ...............  ...............        -150,000   ...............
    Advance from prior year appropriations.........................       6,433,265        6,734,680        6,734,680         +301,415   ...............
                                                                    ------------------------------------------------------------------------------------
          Subtotal, MF available in fiscal year....................       6,583,265        6,734,680        6,734,680         +151,415   ...............
 
    Advance appropriations, FY 2023................................       6,734,680        7,133,816        7,133,816         +399,136   ...............
                Less appropriations from prior years...............      -6,433,265       -6,734,680       -6,734,680         -301,415   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, MF appropriated in this bill..........................       6,884,680        7,133,816        7,133,816         +249,136   ...............
                                                                    ====================================================================================
Medical and prosthetic research....................................         815,000          882,000          882,000          +67,000   ...............
Medical care cost recovery collections:
    Offsetting collections.........................................      -4,403,000       -3,386,000       -3,386,000       +1,017,000   ...............
    Appropriations (indefinite)....................................       4,403,000        3,386,000        3,386,000       -1,017,000   ...............
                                                                    ------------------------------------------------------------------------------------
          Subtotal.................................................  ...............  ...............  ...............  ...............  ...............
 
Medical Care Collections Fund (MCCF) (transfer out) (Sec 214)......       (-784,000)       (-623,000)       (-623,000)       (+161,000)  ...............
Medical Community Care and Medical Services (by transfer) (Sec 214)        (784,000)        (623,000)        (623,000)       (-161,000)  ...............
VA medical funds (transfer out) (Sec 219)..........................       (-322,932)       (-379,009)       (-379,009)        (-56,077)  ...............
DoD-VA Joint Medical Facility Demonstration Fund (by transfer) (Sec        (322,932)        (379,009)        (379,009)        (+56,077)  ...............
 219)..............................................................
MCCF to DoD-VA Joint Medical Facility Demonstration Fund (transfer         (-18,000)        (-17,000)        (-17,000)         (+1,000)  ...............
 out) (Sec 221)....................................................
DoD-VA Joint Medical Facility Demonstration Fund (by transfer) (Sec         (18,000)         (17,000)         (17,000)         (-1,000)  ...............
 221)..............................................................
VA Medical Care Funds (transfer out) (Sec 222).....................        (-15,000)        (-15,000)        (-15,000)  ...............  ...............
DoD-VA Health Care Sharing Incentive Fund (by transfer) (Sec 222)..         (15,000)         (15,000)         (15,000)  ...............  ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Veterans Health Administration........................      97,326,528      115,438,000      115,438,000      +18,111,472   ...............
          Budget year appropriations...............................      (3,143,268)      (4,151,000)      (4,151,000)     (+1,007,732)  ...............
          Advance appropriations (FY 2023).........................     (94,183,260)    (111,287,000)    (111,287,000)    (+17,103,740)  ...............
    Advances from prior year appropriations........................     (87,636,650)     (94,183,260)     (94,183,260)     (+6,546,610)  ...............
    (By transfer)..................................................      (1,139,932)      (1,034,009)      (1,034,009)       (-105,923)  ...............
    (Transfer out).................................................     (-1,139,932)     (-1,034,009)     (-1,034,009)       (+105,923)  ...............
                                                                    ====================================================================================
                  National Cemetery Administration
 
National Cemetery Administration...................................         352,000          394,000          394,000          +42,000   ...............
 
                    Departmental Administration
 
General administration.............................................         365,911          401,200          401,200          +35,289   ...............
Board of Veterans Appeals..........................................         196,000          228,000          228,000          +32,000   ...............
Information Technology Systems (IT Systems)........................       4,912,000        4,842,800        4,842,800          -69,200   ...............
Veterans Electronic Health Record (EHR)............................       2,627,000        2,663,000        2,500,000         -127,000         -163,000
Office of Inspector General........................................         228,000          239,000          239,000          +11,000   ...............
Construction, major projects.......................................       1,316,000        1,611,000        1,611,000         +295,000   ...............
Construction, minor projects.......................................         390,000          553,000          553,000         +163,000   ...............
Grants for construction of State extended care facilities..........          90,000   ...............          50,000          -40,000          +50,000
Grants for the construction of Veterans cemeteries.................          45,000           45,000           50,000           +5,000           +5,000
Asset Infrastructure Review Commission.............................  ...............           5,000            5,000           +5,000   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Departmental Administration...........................      10,169,911       10,588,000       10,480,000         +310,089         -108,000
                                                                    ====================================================================================
                     Administrative Provisions
 
Recurring Expenses Transformational Fund (Sec 255) (rescission)....  ...............  ...............        -820,000         -820,000         -820,000
Information Technology Systems (Sec 255) (appropriations)..........  ...............  ...............         670,000         +670,000         +670,000
Construction, Minor Projects (Sec 255) (appropriations)............  ...............  ...............         150,000         +150,000         +150,000
Medical Support and Compliance (rescission) (Sec 254)..............         -15,000   ...............  ...............         +15,000   ...............
DOD-VA Health Care Sharing Incentive Fund (Sec 253) (rescission)     ...............  ...............  ...............  ...............  ...............
Veterans Electronic Health Record (Sec 254) (rescission)...........         -20,000   ...............  ...............         +20,000   ...............
Medical and Prosthetic Research (Sec 254) (rescission).............         -20,000   ...............  ...............         +20,000   ...............
Board of Veterans Appeals (Sec 253) (rescission)...................  ...............  ...............  ...............  ...............  ...............
National Cemetery Administration (Sec 253) (rescission)              ...............  ...............  ...............  ...............  ...............
Medical Services (Sec 254) (rescission)............................        -100,000   ...............  ...............        +100,000   ...............
Information Technology Systems (Sec 254) (rescission)..............         -37,500   ...............  ...............         +37,500   ...............
General Administration (Sec 254) (rescission)......................         -12,000   ...............  ...............         +12,000   ...............
General Operating Expenses, VBA (Sec 254) (rescission).............         -16,000   ...............  ...............         +16,000   ...............
Construction, Minor Projects (Sec 254) (rescission)................         -35,700   ...............  ...............         +35,700   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Administrative Provisions.............................        -256,200   ...............  ...............        +256,200   ...............
                                                                    ====================================================================================
      Total, title II, Department of Veterans Affairs..............     264,064,901      296,789,145      296,744,259      +32,679,358          -44,886
          Budget year appropriations...............................     (24,826,623)     (28,915,955)     (29,691,069)     (+4,864,446)       (+775,114)
          Rescissions..............................................       (-256,200)  ...............       (-820,000)       (-563,800)       (-820,000)
    Advance Appropriations, FY23:
        (Mandatory)................................................    (145,311,218)    (156,586,190)    (156,586,190)    (+11,274,972)  ...............
        (Discretionary)............................................     (94,183,260)    (111,287,000)    (111,287,000)    (+17,103,740)  ...............
    (By transfer)..................................................      (1,139,932)      (1,034,009)      (1,034,009)       (-105,923)  ...............
    (Transfer out).................................................     (-1,139,932)     (-1,034,009)     (-1,034,009)       (+105,923)  ...............
    (Limitation on direct loans)...................................          (2,970)          (2,163)          (2,163)           (-807)  ...............
    Advances from prior year appropriations:
        (Mandatory)................................................    (130,955,164)    (145,311,218)    (145,311,218)    (+14,356,054)  ...............
        (Discretionary)............................................     (87,636,650)     (94,183,260)     (94,183,260)     (+6,546,610)  ...............
                                                                    ------------------------------------------------------------------------------------
      Total, available this fiscal year............................     243,162,237      268,410,433      268,365,547      +25,203,310          -44,886
      (Mandatory)..................................................    (138,730,564)    (155,440,055)    (155,440,055)    (+16,709,491)  ...............
      (Discretionary)..............................................    (104,431,673)    (112,970,378)    (112,925,492)     (+8,493,819)        (-44,886)
                                                                    ====================================================================================
                    TITLE III--RELATED AGENCIES
 
                American Battle Monuments Commission
 
Salaries and expenses..............................................          84,100           84,800           87,500           +3,400           +2,700
 
              US Court of Appeals for Veterans Claims
 
Salaries and expenses..............................................          37,100           41,700           41,700           +4,600   ...............
 
                    Department of Defense--Civil
 
                     Cemeterial Expenses, Army
 
Salaries and expenses..............................................          81,815           87,000           87,000           +5,185   ...............
Construction.......................................................  ...............         141,000          141,000         +141,000   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Cemeterial Expenses, Army.............................          81,815          228,000          228,000         +146,185   ...............
                                                                    ====================================================================================
              Armed Forces Retirement Home--Trust Fund
 
Operation and maintenance..........................................          44,300           43,000           43,000           -1,300   ...............
Capital program....................................................           9,000            7,300            8,300             -700           +1,000
Payment from General Fund..........................................          22,000           25,000           25,000           +3,000   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Armed Forces Retirement Home..........................          75,300           75,300           76,300           +1,000           +1,000
                                                                    ====================================================================================
      Total, title III, Related Agencies...........................         278,315          429,800          433,500         +155,185           +3,700
                                                                    ====================================================================================
             TITLE IV--OVERSEAS CONTINGENCY OPERATIONS
 
                  Overseas Contingency Operations
 
European Deterrence / Reassurance Initiative:
Military Construction, Army........................................          16,111   ...............  ...............         -16,111   ...............
Military Construction, Navy and Marine Corps.......................          70,020   ...............  ...............         -70,020   ...............
Military Construction, Air Force...................................         263,869   ...............  ...............        -263,869   ...............
Military Construction, Defense-Wide
                                                                    ------------------------------------------------------------------------------------
      Subtotal, European Deterrence/Reassurance Initiative.........         350,000   ...............  ...............        -350,000   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Overseas Contingency Operations.......................         350,000   ...............  ...............        -350,000   ...............
                                                                    ====================================================================================
                    TITLE V--GENERAL PROVISIONS
 
Medical Services (Sec 514) (transfer out) (emergency)..............       (-167,000)  ...............  ...............       (+167,000)  ...............
Veterans Benefits Administration, General Operating Expenses (Sec          (140,000)  ...............  ...............       (-140,000)  ...............
 514) (by transfer) (emergency)....................................
National Cemetery Administration (Sec 514) (by transfer)                    (26,000)  ...............  ...............        (-26,000)  ...............
 (emergency).......................................................
Board of Veterans Appeals (Sec 514) (by transfer) (emergency)......          (1,000)  ...............  ...............         (-1,000)  ...............
Medical Services transfer out (Sec515) (emergency).................       (-243,000)  ...............  ...............       (+243,000)  ...............
Veterans Benefits Administration, General Operating Expenses (Sec          (198,000)  ...............  ...............       (-198,000)  ...............
 515) (by transfer) (emergency)....................................
Information Technology Systems (Sec515) (by transfer) (emergency)..         (45,000)  ...............  ...............        (-45,000)  ...............
Medical Services transfer out (Sec 517) (emergency)................       (-100,000)  ...............  ...............       (+100,000)  ...............
Medical Community Care (Sec 517) (by transfer) (emergency).........        (100,000)  ...............  ...............       (-100,000)  ...............
                                                                    ------------------------------------------------------------------------------------
      Total, title V, General Provisions...........................  ...............  ...............  ...............  ...............  ...............
                                                                    ====================================================================================
                        OTHER APPROPRIATIONS
 
  CONTINUING APPROPRIATIONS ACT, 2021 AND OTHER EXTENSIONS ACT (PL
                           116-159 DIV A)
 
Medical Services transfer to Canteen Service Revolving Fund               (-140,000)  ...............  ...............       (+140,000)  ...............
 (transfer out) (emergency)........................................
Canteen Service Revolving Fund (by transfer) (emergency)...........        (140,000)  ...............  ...............       (-140,000)  ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Continuing Appropriations Act, 2021 and Other           ...............  ...............  ...............  ...............  ...............
       Extensions..................................................
                                                                    ====================================================================================
      Total, Other Appropriations..................................  ...............  ...............  ...............  ...............  ...............
                                                                    ====================================================================================
      Grand total..................................................     272,757,216      307,065,976      308,177,759      +35,420,543       +1,111,783
          Budget year appropriations...............................     (33,437,751)     (39,192,786)     (41,255,569)     (+7,817,818)     (+2,062,783)
          Rescissions..............................................       (-525,013)  ...............       (-951,000)       (-425,987)       (-951,000)
          Advance appropriations, FY23.............................    (239,494,478)    (267,873,190)    (267,873,190)    (+28,378,712)  ...............
          Overseas contingency operations..........................        (350,000)  ...............  ...............       (-350,000)  ...............
      Advances from prior year appropriations......................    (218,591,814)    (239,494,478)    (239,494,478)    (+20,902,664)  ...............
      (By transfer)................................................      (1,139,932)      (1,034,009)      (1,034,009)       (-105,923)  ...............
      (Transfer out)...............................................     (-1,139,932)     (-1,034,009)     (-1,034,009)       (+105,923)  ...............
      (By transfer) (emergency)....................................        (650,000)  ...............  ...............       (-650,000)  ...............
      (Transfer out) (emergency)...................................       (-650,000)  ...............  ...............       (+650,000)  ...............
      (Limitation on direct loans).................................          (2,970)          (2,163)          (2,163)           (-807)  ...............
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