[Senate Report 118-43]
[From the U.S. Government Publishing Office]


                                                      Calendar No. 110
118th Congress     }                                     {      Report
                                 SENATE
 1st Session       }                                     {      118-43

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



 
     MILITARY CONSTRUCTION, VETERANS AFFAIRS, AND RELATED AGENCIES 
                        APPROPRIATION BILL, 2024
                                _______
                                

                 June 22, 2023.--Ordered to be printed

          Mrs. Murray,  from the Committee on Appropriations, 
                        submitted the following

                                 REPORT

                         [To accompany S. 2127]

    The Committee on Appropriations reports the bill (S. 2127) 
making appropriations for military construction, the Department 
of Veterans Affairs, and related agencies for the fiscal year 
ending September 30, 2024, 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.................$338,267,114,000
Amount of 2023 appropriations........................... 333,860,762,000
Amount of 2024 budget estimate.......................... 380,539,671,000
Bill as recommended to Senate compared to--
    2023 appropriations.................................  +4,406,352,000
    2024 budget estimate................................ -42,272,557,000 







                                CONTENTS

                              ----------                              
                                                                   Page
Title I:
    Military Construction:
        Hearing..................................................     4
        Summary of Committee Recommendations.....................     4
        Reprogramming Guidelines.................................     4
        Real Property Maintenance................................     4
        Incremental Funding......................................     5
    Military Construction Overview...............................     7
    Military Construction, Army..................................     7
    Military Construction, Navy and Marine Corps.................     9
    Military Construction, Air Force.............................     9
    Military Construction, Defense-Wide..........................    13
    Military Construction, Army National Guard...................    13
    Military Construction, Air National Guard....................    15
    Military Construction, Army Reserve..........................    16
    Military Construction, Navy Reserve..........................    17
    Military Construction, Air Force Reserve.....................    17
    North Atlantic Treaty Organization Security Investment 
      Program....................................................    17
    Department of Defense Base Closure Account...................    17
    Family Housing Overview......................................    18
    Family Housing Construction, Army............................    19
    Family Housing Operation and Maintenance, Army...............    19
    Family Housing Construction, Navy and Marine Corps...........    19
    Family Housing Operation and Maintenance, Navy and Marine 
      Corps......................................................    19
    Family Housing Construction, Air Force.......................    20
    Family Housing Operation and Maintenance, Air Force..........    20
    Family Housing Operation and Maintenance, Defense-Wide.......    20
    Department of Defense Family Housing Improvement Fund........    20
    Department of Defense Military Unaccompanied Housing 
      Improvement Fund...........................................    20
    Administrative Provisions....................................    21
Title II:
    Department of Veterans Affairs:
        Hearing..................................................    24
        Summary of Committee Recommendations.....................    24
        Department Overview......................................    24
    Veterans Benefits Administration.............................    25
        Compensation and Pensions................................    26
        Readjustment Benefits....................................    27
        Veterans Insurance and Indemnities.......................    28
        Veterans Housing Benefit Program Fund....................    29
        Vocational Rehabilitation Loans Program Account..........    29
        Native American Veteran Housing Loan Program Account.....    30
        General Operating Expenses, Veteran Benefits 
          Administration.........................................    31
    Veterans Health Administration...............................    33
        Medical Services.........................................    37
        Preventing Veteran Homelessness..........................    38
        Telehealth Services......................................    40
        Mental Health/Preventing Veterans Suicide................    40
        Long-Term Care...........................................    41
        Rural Healthcare.........................................    42
        Caregivers...............................................    43
        Women Veterans Healthcare................................    43
        Clinical Workforce.......................................    44
        Other Items of Interest..................................    44
        Medical Community Care...................................    49
        Medical Support and Compliance...........................    50
        Medical Facilities.......................................    50
        Medical and Prosthetic Research..........................    51
        Medical Care Cost Recovery Collections...................    53
        Medical Care Collection Fund--Revenues Applied...........    54
    National Cemetery Administration.............................    54
    Departmental Administration..................................    55
        General Administration...................................    56
        Board of Veterans Appeals................................    58
        Information Technology Systems...........................    59
        Veterans Electronic Health Record........................    61
        Office of Inspector General..............................    62
        Construction, Major Projects.............................    63
        Construction, Minor Projects.............................    64
        Grants for Construction of State Extended Care Facilities    65
        Grants for Construction of Veterans Cemeteries...........    66
        Cost of War Toxic Exposures Fund.........................    67
    Program Overview.............................................    67
    Administrative Provisions....................................    68
Title III:
    Related Agencies:
        American Battle Monuments Commission:
            Salaries and Expenses................................    72
            Foreign Currency Fluctuations........................    72
        United States Court of Appeals for Veterans Claims: 
          Salaries and Expenses..................................    72
        Department of Defense--Civil: Cemeterial Expenses, Army:
            Salaries and Expenses................................    73
            Construction.........................................    74
        Armed Forces Retirement Home: Trust Fund.................    74
        Trust Fund...............................................    74
        Administrative Provision.................................    74
Title IV:
General Provisions...............................................    75
Program, Project, and Activity...................................    76
Compliance With Paragraph 7, Rule XVI, of the Standing Rules of 
  the 
  Senate.........................................................    76
Compliance With Paragraph 7(c), Rule XXVI of the Standing Rules 
  of the Senate..................................................    78
Compliance With Paragraph 12, Rule XXVI of the Standing Rules of 
  the Senate.....................................................    79
Budgetary Impact of Bill.........................................    79
Military Construction Project Listing by Location................    80
Disclosure of Congressionally Directed Spending Items............   100
Comparative Statement of Budget Authority........................   106

                                TITLE I

                         MILITARY CONSTRUCTION

                                HEARING

    The Subcommittee on Military Construction, Veterans 
Affairs, and Related Agencies held one hearing related to the 
fiscal year 2024 military construction budget request. 
Witnesses included representatives of the Army, Navy, Marine 
Corps, Air Force, Space Force, and the Office of the Secretary 
of Defense.

                  SUMMARY OF COMMITTEE RECOMMENDATIONS

    The fiscal year 2024 budget request for military 
construction and family housing totals $16,674,944,000. The 
Committee recommends $19,070,000,000, which is $2,395,056,000 
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.
    Recognizing the increased cost and complexity of military 
construction projects, the Committee maintains the increased 
reprogramming threshold to enable the Department to be more 
agile and reduce delays associated with cost overruns. The 
reprogramming criteria that apply to military construction 
projects, as well as new housing construction projects and 
improvements, is $6,000,000 or 25 percent of the funded amount, 
whichever is less. 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 
        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 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 three projects.
    Strategic Construction in the Indo-Pacific Region.--The 
Committee is pleased to see that the Department's request 
includes approximately $2,000,000,000 in military construction 
investments in direct support of the Pacific Deterrence 
Initiative. Further, the Committee continues to support efforts 
to execute emergent requirements and accelerate construction 
investments in the Indo-Pacific Command [INDOPACOM] region and 
has provided additional resources above the President's budget 
request over the past 4 years for this purpose. The Committee 
provides an additional $112,000,000 in planning and design and 
unspecified minor construction 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. 
The Committee notes that the additional unspecified minor 
construction funds provided are not limited to the Exercise 
Related Construction program but are available for any 
unspecified minor construction undertaken by INDOPACOM.
    Military Installation Resilience.--Since fiscal year 2020, 
the Committee has provided dedicated planning and design and 
unspecified minor construction funding to support installation 
resilience. The primary intent of this funding has been to 
develop and carry out projects that mitigate climate change 
risks to military installations. The Committee believes that 
such investments are critical to installation readiness and 
therefore provides $30,000,000 for planning and design and 
unspecified minor construction in Section 128 to continue to 
develop projects, conduct studies and analyses, and update 
Unified Facility Criteria that will directly enhance military 
installation resilience.
    Child Development Centers [CDCs].--The Committee continues 
to recognize the importance of access to childcare in improving 
both readiness and quality of life for servicemembers and their 
families. In order to help address the significant capacity 
shortfall, in addition to providing $240,820,000 to fully fund 
the five CDCs included in the President's request, the bill 
provides an additional $59,500,000 in planning and design 
funding to help develop future construction projects. The 
Committee encourages the Services to continue to focus on 
improving and replacing aging facilities, especially at 
underserved installations. Further, the Committee appreciates 
the information provided in prior reports but notes that 
outstanding concerns still exist about inadequate 
infrastructure and the Department's ability to meet demand. 
Therefore, the Committee directs the Service Secretaries to 
provide an assessment to the Committees on Appropriations of 
both Houses of Congress within 120 days of enactment of this 
act on capacity, funding, and infrastructure shortfalls, 
identified by State, that limit the Department's ability to 
meet demand for CDCs.
    Defense of Guam Infrastructure.--The Committee supports the 
overarching mission of the Enhanced Integrated Air & Missile 
Defense [EIAMD] system on Guam and recognizes the significant 
associated environmental, planning, and construction activities 
that must be undertaken to stand up the program. In addition to 
beddown of the missile system, this requires investments in 
support infrastructure for the personnel that will be operating 
it. The Committee notes that such base operations construction 
is not scheduled to be requested until fiscal year 2026 and is 
concerned that the Department is not adequately synchronizing 
support infrastructure that complements deployment of the EIAMD 
system. The Committee encourages the Secretary of Defense, in 
coordination with the Director of the Missile Defense Agency, 
the Secretary of the Army, and other stakeholders as necessary, 
to ensure that both operational and support infrastructure are 
adequately prioritized and synchronized within the Defense of 
Guam program.
    Military Construction Funding Initiatives.--The bill 
includes funding to address important unfunded priorities and 
cost to completes included in DoD's unfunded priority lists 
provided to Congress. This includes an additional $38,514,000 
for the Army, $351,100,000 for the Navy and Marine Corps, 
$66,000,000 for the Air Force, $117,100,000 for Defense-Wide, 
$89,500,000 for the Army National Guard, $5,200,000 for the Air 
National Guard, and $23,000,000 for the Army Reserve. This 
additional funding is reserved for projects that were included 
in the unfunded priority lists submitted to Congress. Further, 
the bill includes funding to address rising costs due to 
inflation.
    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.

                     Military Construction Overview

Appropriations, 2023.................................... $12,989,554,000
Budget estimate, 2024...................................  14,734,193,000
Committee recommendation................................  16,006,435,000

          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 funds infrastructure projects and 
programs required to support bases and installations around the 
world.

                      Military Construction, Army

Appropriations, 2023....................................  $1,553,825,000
Budget estimate, 2024...................................   1,470,555,000
Committee recommendation................................   1,876,875,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $1,876,875,000 for Military 
Construction, Army for fiscal year 2024. This amount is 
$323,050,000 above the fiscal year 2023 enacted level and 
$406,320,000 above the budget request. Within the total for 
Military Construction, Army, $376,320,000 is for the following 
projects in the following amounts:

                                           MILITARY CONSTRUCTION, ARMY
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Alabama.................................  Fort Novosel (Fort Rucker)  Adv Individual Training             41,200
                                                                       Barracks Complex: Cost to
                                                                       Complete.
Alabama.................................  Fort Novosel (Fort Rucker)  Aircraft Parts Storage               4,950
                                                                       Facility: Unspecified Minor
                                                                       Construction.
Alabama.................................  Fort Novosel (Fort Rucker)  Army Radar Approach Control          7,000
                                                                       Facility: Unspecified Minor
                                                                       Construction.
Alabama.................................  Fort Novosel (Fort Rucker)  Hazardous Material Storage           3,850
                                                                       Building: Unspecified Minor
                                                                       Construction.
Alabama.................................  Fort Novosel (Fort Rucker)  Ready Building--MEDEVAC:             6,100
                                                                       Unspecified Minor
                                                                       Construction.
Alabama.................................  Fort Novosel (Fort Rucker)  Vehicle Maintenance Storage          5,100
                                                                       Facility: Unspecified Minor
                                                                       Construction.
Alabama.................................  Redstone Arsenal..........  Access Control Building:             4,000
                                                                       Unspecified Minor
                                                                       Construction.
Alabama.................................  Redstone Arsenal..........  Airfield Fire and Rescue             5,600
                                                                       Station: Unspecified Minor
                                                                       Construction.
Alabama.................................  Redstone Arsenal..........  Airport Runway Extension             5,500
                                                                       (Overruns): Unspecified
                                                                       Minor Construction.
Alabama.................................  Redstone Arsenal..........  Natural Gas Expansion and            4,800
                                                                       Meter Station: Unspecified
                                                                       Minor Construction.
Alabama.................................  Redstone Arsenal..........  Test Area 7 Relocation:              5,400
                                                                       Unspecified Minor
                                                                       Construction.
Alaska..................................  Fort Wainwright...........  Soldier Performance Readiness        7,900
                                                                       Center: Planning and Design.
Georgia.................................  Fort Moore (Fort Benning).  Camp Merrill AST Barracks:           1,320
                                                                       Planning and Design.
Georgia.................................  Fort Stewart/Hunter Army    Combat Aviation Brigade GSAB         6,400
                                           Airfield.                   Hangar: Planning and Design.
Georgia.................................  Fort Stewart/Hunter Army    Military Intelligence                2,220
                                           Airfield.                   Battalion Hangar: Planning
                                                                       and Design.
Hawaii..................................  Fort Shafter..............  Clearwell and Booster Pump...       23,000
Hawaii..................................  Helemano Military           Well and Storage Tanks.......       33,000
                                           Reservation.
Hawaii..................................  Schofield Barracks........  Elevated Tank and                   16,000
                                                                       Distribution Line.
Hawaii..................................  Schofield Barracks........  Water Storage Tank...........       21,000
Kansas..................................  Fort Riley................  Air Traffic Control Tower:           1,600
                                                                       Planning and Design.
Kansas..................................  Fort Riley................  Automated Infantry Platoon           8,700
                                                                       Battle Course: Unspecified
                                                                       Minor Construction.
Kansas..................................  Fort Riley................  Bob Dole Intermodal Railyard         1,110
                                                                       Improvements: Planning and
                                                                       Design.
Louisiana...............................  Fort Johnson (Fort Polk)..  Multipurpose Athletic Field..       13,400
Michigan................................  Detroit Arsenal...........  Manned/Unmanned Tactical             2,400
                                                                       Vehicle Lab: Planning and
                                                                       Design.
New Mexico..............................  White Sands Missile Range.  El Paso Gate Access Control          3,600
                                                                       Point: Unspecified Minor
                                                                       Construction.
New Mexico..............................  White Sands Missile Range.  Guided Missile Building              5,600
                                                                       Expansion: Unspecified Minor
                                                                       Construction.
New Mexico..............................  White Sands Missile Range.  High Energy Laser Systems            4,450
                                                                       Test Facility Fire Station:
                                                                       Unspecified Minor
                                                                       Construction.
New Mexico..............................  White Sands Missile Range.  J-DETC Directed Energy               3,060
                                                                       Facility: Planning and
                                                                       Design.
New Mexico..............................  White Sands Missile Range.  Main Post Fire Station:              8,200
                                                                       Unspecified Minor
                                                                       Construction.
Pennsylvania............................  Letterkenny Army Depot....  Component Rebuild Shop, Depot        2,500
                                                                       Level: Unspecified Minor
                                                                       Construction.
South Carolina..........................  Fort Jackson..............  Reception Barracks Complex,        101,000
                                                                       Ph2: Cost to Complete.
Washington..............................  Joint Base Lewis-McChord..  Barracks: Planning and Design        7,900
Washington..............................  Yakima Training Center....  Automated Infantry Platoon             960
                                                                       Battle Course: Planning and
                                                                       Design.
Washington..............................  Joint Base Lewis-McChord..  Vehicle Maintenance Shop:            7,500
                                                                       Planning and Design.
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.
    Army Air Traffic Control Towers.--The Committee continues 
to recognize the importance of Army Air Traffic Control Towers, 
which control aircraft approaching and departing the terminal 
area and aircraft and vehicular movement on the runways, 
taxiways, and all other movement areas. They are the nerve 
center for an air installation complex and are critical to 
operational success, however, some current Army towers are 
antiquated and unsafe. The Committee encourages the Army to 
allocate sufficient funding for these critical facilities in 
future budget requests.

              Military Construction, Navy and Marine Corps

Appropriations, 2023....................................  $4,345,320,000
Budget estimate, 2024...................................   6,022,187,000
Committee recommendation................................   6,046,309,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $6,046,309,000 for Military 
Construction, Navy and Marine Corps for fiscal year 2024. This 
amount is $1,700,989,000 above the fiscal year 2023 enacted 
level and $24,122,000 above the budget request. Within the 
total for Military Construction, Navy and Marine Corps, 
$282,880,000 is for the following projects in the following 
amounts:

                                  MILITARY CONSTRUCTION, NAVY AND MARINE CORPS
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Arizona.................................  Marine Corps Air Station    Water Treatment Plant:               8,900
                                           Yuma.                       Planning and Design.
California..............................  Naval Base Coronado.......  Child Development Center:            6,200
                                                                       Planning and Design.
California..............................  Naval Base San Diego......  Child Development Center:            5,600
                                                                       Planning and Design.
Hawaii..................................  Joint Base Pearl Harbor-    Dry Dock 3 Replacement.......       90,000
                                           Hickam.
Hawaii..................................  Joint Base Pearl Harbor-    Waterfront Production               49,080
                                           Hickam.                     Facility: Planning and
                                                                       Design.
Hawaii..................................  Marine Corps Base Hawaii..  Water Reclamation Facility         109,000
                                                                       Compliance Upgrade.
Maryland................................  Naval Support Activity      Construct Joint Navy/DHA Fire        3,000
                                           Bethesda.                   Station: Planning and Design.
Washington..............................  Naval Air Station Whidbey   E/A-18G Aircraft Regional           11,100
                                           Island.                     Service Facility: Planning
                                                                       and Design.
----------------------------------------------------------------------------------------------------------------

    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 [SIOP] 
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. Recognizing the importance of SIOP and the need to 
adequately resource the development of future projects, in 
addition to fully funding the budget request of $2,285,000,000, 
the Committee further provides $164,080,000 above the request 
to advance design efforts as well as to meet additional 
construction costs that have been identified.
    Seismic Mitigations.--In January 2023, after a seismic 
study concluded that several dry docks in the Pacific Northwest 
would put submarines at risk of serious damage during 
earthquakes, the Navy halted all submarine docking at four 
Puget Sound Naval Shipyard [PSNS] dry docks. With PSNS serving 
as one of just four public shipyards that maintain the Navy's 
aircraft carriers and submarines, the material readiness of the 
Navy's fleet profoundly depends on the ability of these 
facilities to conduct safe and timely maintenance. Without dry 
dock seismic mitigations, vital submarine maintenance 
availability periods will be delayed or abandoned, threatening 
readiness levels of the Navy's current fleet and potentially 
impacting the ability of the current ballistic missile 
submarines to remain in service until the introduction of the 
Columbia-class submarines. Therefore, the Committee encourages 
the Department to move forward expeditiously with long-term 
solutions for seismic mitigation at PSNS in order to preserve 
these critical Naval facilities and its workforce.

                    Military Construction, Air Force

Appropriations, 2023....................................  $2,614,996,000
Budget estimate, 2024...................................   2,605,314,000
Committee recommendation................................   2,802,924,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $2,802,924,000 for Military 
Construction, Air Force for fiscal year 2024. This amount is 
$187,928,000 above the fiscal year 2023 enacted level and 
$197,610,000 above the budget request. Within the total for 
Military Construction, Air Force, $197,610,000 is for the 
following projects in the following amounts:

                                        MILITARY CONSTRUCTION, AIR FORCE
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Alabama.................................  Maxwell Air Force Base....  Construct Addition, Air              5,100
                                                                       Command and Staff College
                                                                       (Bldg 1402): Unspecified
                                                                       Minor Construction.
Alabama.................................  Maxwell Air Force Base....  Replace (Construct) Gunter           8,800
                                                                       Fitness Center: Unspecified
                                                                       Minor Construction.
Alaska..................................  Eielson Air Force Base....  Coal Thaw Shed Addition:             1,500
                                                                       Planning and Design.
Alaska..................................  Eielson Air Force Base....  Consolidated Munitions              15,100
                                                                       Complex: Planning and Design.
Alaska..................................  Eielson Air Force Base....  Cryogenics Facility:                 6,900
                                                                       Unspecified Minor
                                                                       Construction.
Alaska..................................  Eielson Air Force Base....  Fire Station: Planning and           1,700
                                                                       Design.
Alaska..................................  Eielson Air Force Base....  Joint Mobility Center                3,000
                                                                       Expansion: Planning and
                                                                       Design.
Alaska..................................  Eielson Air Force Base....  Joint Pacific Alaska Range          13,500
                                                                       Complex Ops Facility:
                                                                       Planning and Design.
Alaska..................................  Eielson Air Force Base....  Permanent Party Dorm:                9,500
                                                                       Planning and Design.
Alaska..................................  Joint Base Elmendorf-       Combat Alert Cell: Planning         18,100
                                           Richardson.                 and Design.
Alaska..................................  Joint Base Elmendorf-       Precision Guided Munitions           6,100
                                           Richardson.                 Complex: Planning and Design.
Alaska..................................  Joint Base Elmendorf-       Sand Storage Facility:               8,800
                                           Richardson.                 Unspecified Minor
                                                                       Construction.
Arizona.................................  Luke Air Force Base.......  Child Development Center:            2,700
                                                                       Planning and Design.
Arizona.................................  Luke Air Force Base.......  Gila Bend Consolidated               2,200
                                                                       Facility: Planning and
                                                                       Design.
Louisiana...............................  Barksdale Air Force Base..  WGF Dormitory: Planning and          6,700
                                                                       Design.
Mississippi.............................  Columbus Air Force Base...  T-7A Egress Shop: Unspecified        4,600
                                                                       Minor Construction.
Mississippi.............................  Columbus Air Force Base...  T-7A Hush House Pad:                 4,850
                                                                       Unspecified Minor
                                                                       Construction.
Mississippi.............................  Keesler Air Force Base....  Air Traffic Control Tower:           1,960
                                                                       Planning and Design.
Nebraska................................  Offutt Air Force Base.....  55 CES Maintenance/Warehouse:        3,500
                                                                       Planning and Design.
Nebraska................................  Offutt Air Force Base.....  Base Operations/Mobility             3,000
                                                                       Center: Planning and Design.
Nebraska................................  Offutt Air Force Base.....  Logistics Readiness Squadron         2,700
                                                                       Transportation Facility:
                                                                       Planning and Design.
Nebraska................................  Offutt Air Force Base.....  Replace Vehicle Search Area,         7,000
                                                                       STRATCOM Gate, B511:
                                                                       Unspecified Minor
                                                                       Construction.
Nevada..................................  Nellis Air Force Base.....  Dormitory: Planning and              7,500
                                                                       Design.
New Mexico..............................  Cannon Air Force Base.....  Satellite Fire Station:              2,000
                                                                       Planning and Design.
New Mexico..............................  Kirtland Air Force Base...  Wyoming Gate Project: Cost to       24,400
                                                                       Complete.
Ohio....................................  Wright-Patterson Air Force  Acquisition Management              18,000
                                           Base.                       Complex Phase V: Planning
                                                                       and Design.
Oklahoma................................  Vance Air Force Base......  Undergraduate Pilot Training         8,400
                                                                       Center: Planning and Design.
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.
    Addressing Climate Risk in Strategic Basing.--The Committee 
notes that the Air Force Climate Action Plan lists modernizing 
infrastructure and facilities as the prime objective in 
maintaining air and space dominance. A key metric for this 
objective is establishing a framework to evaluate the effects 
of climate change to inform resourcing and basing processes by 
fiscal year 2024. The Committee seeks to learn about progress 
made on this metric and notes that Air Force Instruction [AFI] 
10-503, which provides procedures for the strategic basing 
process and guides more than a dozen basing decisions each 
year, has not been updated since October 2020. This AFI 
currently does not include an assessment of probabilistic 
climate threats in the basing criteria or a requirement to 
incorporate such analysis during site surveys or criteria 
development, despite the creation of tools to aid in evaluating 
installation exposure and associated future risks such as the 
Severe Weather/Climate Hazard Screening and Risk Assessment 
Playbook. As such, the Committee is concerned that the basing 
process does not adequately account for risks or potential 
mitigation requirements when conducting a basing action. The 
Committee encourages the Department to integrate installation 
climate assessments into the strategic basing process and 
directs the Secretary of the Air Force to provide a report on 
steps taken to develop the framework identified in the climate 
plan, to include any relevant directives provided to Major 
Commands tasked with initiating basing action requests and 
developing criteria, no later than 120 days after enactment of 
this act.
    Sentinel Program Oversight.--The Committee supports the 
Sentinel program and includes $140,000,000, as requested, for 
three projects to construct integrated command and training 
centers, as well as a missile handling complex. The Committee 
continues to recognize that certain flexibilities will be 
required for this unique program, as noted in the Joint 
Explanatory Statement accompanying Public Law 116-260. However, 
the Committee believes the legislative proposal to authorize 
the use of cost-plus-incentive-fee [CPIF] contracting through a 
modification to Section 101 is an inappropriate approach and 
instead supports efforts to authorize the use of CPIF through 
the National Defense Authorization Act.
    Agile Common Hangars.--The Committee is aware that agile 
common hangars may provide more capacity and capability than 
traditional facilities since they can support multiple 
platforms and requirements and eliminate the need to build new 
and unique facilities for each new aircraft. For example, at 
Tinker Air Force Base, agile common hangars could support both 
the legacy B-52 and the forthcoming B-21, replacing multiple 
facilities that would otherwise need to be built for each 
platform. This would ultimately lead to time and cost savings 
and provide flexibility for future programs. The Committee 
directs the Secretary of the Air Force to provide a report to 
the Committees on Appropriations of both Houses of Congress 
within 180 days of enactment of this act on the cost savings 
that the agile common hangar could provide, as well as which 
aircraft and which installations are best suited for the agile 
common hangar.
    Hypersonic Labs.--The Committee recognizes the importance 
of Air Force hypersonic test range facilities but notes that 
investment is needed in testing infrastructure to support 
critical hypersonic weapons development. Many labs and testing 
centers are funded with working capital funds, which can make 
it especially difficult to finance infrastructure projects and 
improvements. The Committee encourages the Department to make 
investments in its testing infrastructure, including basic 
water and energy capacity, turbine propulsion cycles, and 
laboratory infrastructure, in order to advance existing 
capabilities and develop a wide range of new capabilities to 
compete with advanced adversaries.
    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, and urges the Department to accelerate the WGF 
schedule wherever possible.
    Global Strike Command Security Gates.--The Committee 
remains concerned about deficient security gates at Air Force 
Global Strike Command installations, particularly as the Air 
Force plans to make significant investments in strategic 
weapons systems and weapons generation facilities at these 
bases. The Committee urges the Air Force to plan and program 
sufficient funding to address security gate deficiencies at 
these installations in its future years defense program.
    U.S. Space Command Headquarters.--The Committee is 
concerned that the Department has not finalized a permanent 
location for the United States Space Command headquarters after 
nearly 5 years of consideration and with the associated impact 
on national security. Therefore, the Committee directs the 
Secretary to provide a report within 90 days of enactment of 
this act regarding any funds that have been obligated or 
expended in all previous fiscal years for the construction, 
renovation, or improvement of facilities, including all leases, 
for Space Command Headquarters.

                  Military Construction, Defense-Wide


                     (INCLUDING TRANSFER OF FUNDS)

Appropriations, 2023....................................  $2,626,078,000
Budget estimate, 2024...................................   2,984,682,000
Committee recommendation................................   3,132,782,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $3,132,782,000 for projects 
considered within the Military Construction, Defense-Wide 
account for fiscal year 2024. This amount is $506,704,000 above 
the fiscal year 2023 enacted level and $148,100,000 above the 
budget request. Within the total for Military Construction, 
Defense-Wide, $36,100,000 is for the following projects in the 
following amounts:

                                       MILITARY CONSTRUCTION, DEFENSE-WIDE
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Delaware................................  Dover Air Force Base......  Blood Processing Center             30,600
                                                                       Replacement.
Georgia.................................  Fort Moore (Fort Benning).  Dexter Elementary School:              500
                                                                       Planning and Design.
Nebraska................................  Offutt Air Force Base.....  DPAA Laboratory: Planning and        5,000
                                                                       Design.
----------------------------------------------------------------------------------------------------------------

    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, and fully funds the budget request of 
$634,250,000. Recognizing the complexity of and cost increases 
for ERCIP projects, the Committee provides an additional 
$38,000,000 for cost-to-completes as appropriated in Section 
124. The Committee believes that DoD should leverage all 
available authorities to best plan and execute ERCIP projects 
and that third-party financing can serve as a valuable tool for 
addressing DoD energy requirements, especially when leveraged 
in concert with ERCIP. In particular, the Committee notes that 
Areawide Contracts [AWC] can help facilitate a project's timely 
development, planning, and execution and encourages its use, as 
appropriate, where AWC help facilitate ERCIP's goals.

               Military Construction, Army National Guard

Appropriations, 2023....................................    $459,018,000
Budget estimate, 2024...................................     340,186,000
Committee recommendation................................     598,572,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $598,572,000 for Military 
Construction, Army National Guard for fiscal year 2024. This 
amount is $139,554,000 above the fiscal year 2023 enacted level 
and $258,386,000 above the budget request. Within the total for 
Military Construction, Army National Guard, $251,386,000 is for 
the following projects in the following amounts:

                                   MILITARY CONSTRUCTION, ARMY NATIONAL GUARD
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
California..............................  Camp Roberts..............  Automated Multipurpose               5,000
                                                                       Machine Gun Range: Cost to
                                                                       Complete.
Illinois................................  Bloomington...............  National Guard Vehicle               5,250
                                                                       Maintenance Shop: Cost to
                                                                       Complete.
Illinois................................  Chicago, Jones Armory.....  General Jones National Guard         5,000
                                                                       Readiness Center Alteration:
                                                                       Planning and Design.
Illinois................................  North Riverside...........  Access Control Building:             3,400
                                                                       Unspecified Minor
                                                                       Construction.
Illinois................................  Peoria....................  Readiness Center: Planning           2,400
                                                                       and Design.
Kansas..................................  Topeka....................  National Guard/Reserve Center        5,856
                                                                       Building: Cost to Complete.
Maine...................................  Saco......................  National Guard Vehicle               7,420
                                                                       Maintenance Shop: Cost to
                                                                       Complete.
Minnesota...............................  Camp Ripley...............  Access Control Facility:             1,530
                                                                       Planning and Design.
Mississippi.............................  Meridian..................  Army Aviation Support                2,160
                                                                       Facility 3: Planning and
                                                                       Design.
Mississippi.............................  Southaven.................  National Guard Readiness            22,000
                                                                       Center.
Nebraska................................  Mead Training Site........  Unaccompanied Housing:               1,440
                                                                       Planning and Design.
Nevada..................................  Floyd Edsall Training       Combined Support Maintenance         2,700
                                           Center.                     Shop: Planning and Design.
Nevada..................................  Floyd Edsall Training       General Instruction Facility:        5,490
                                           Center.                     Planning and Design.
Nevada..................................  Harry Reid Training Center  Ready Building: Planning and           590
                                                                       Design.
New Hampshire...........................  Center Strafford..........  Physical Fitness Center:             9,000
                                                                       Unspecified Minor
                                                                       Construction.
New Hampshire...........................  Pembroke..................  Vehicle Storage Building:            5,000
                                                                       Unspecified Minor
                                                                       Construction.
New Jersey..............................  Newark....................  National Guard Readiness             1,900
                                                                       Center: Planning and Design.
New Mexico..............................  De Bremond Training Site..  Soldier Performance, ACFT            4,300
                                                                       Support Building:
                                                                       Unspecified Minor
                                                                       Construction.
New York................................  Lexington Armory..........  National Guard Readiness            90,000
                                                                       Center Addition/Alteration.
Pennsylvania............................  Moon Township.............  Combined Support Maintenance         3,100
                                                                       Shop: Cost to Complete.
Pennsylvania............................  New Castle................  Vehicle Maintenance Shop             4,650
                                                                       Addition: Unspecified Minor
                                                                       Construction.
Rhode Island............................  North Kingstown...........  National Guard Readiness            30,000
                                                                       Center.
South Carolina..........................  Joint Base Charleston.....  National Guard Readiness             6,500
                                                                       Center: Cost to Complete.
Vermont.................................  Ethan Allen Firing Range..  National Guard Readiness             4,750
                                                                       Center Add/Alt: Unspecified
                                                                       Minor Construction.
Washington..............................  Camp Murray...............  National Guard/Reserve               3,600
                                                                       Center: Planning and Design.
West Virginia...........................  Bluefield.................  National Guard Readiness             1,950
                                                                       Center: Planning and Design.
West Virginia...........................  Camp Dawson-Kingwood......  Covered Training Area:               8,300
                                                                       Unspecified Minor
                                                                       Construction.
West Virginia...........................  Charleston................  National Guard Readiness             4,800
                                                                       Center: Planning and Design.
West Virginia...........................  Parkersburg...............  National Guard Readiness             3,300
                                                                       Center: Planning and Design.
----------------------------------------------------------------------------------------------------------------

    Further detail of the Committee's recommendation is 
provided in the State table at the end of this report.
    Defense Access Roads.--The Defense Access Road [DAR] 
program is a valuable tool available to the Department to 
provide for public roadway improvements resulting from defense 
generated traffic, including increasing unit travel, military 
vehicle traffic and heavy haul trucks. The Committee encourages 
the Army National Guard to use authorities under the DAR 
program to protect and enhance roadways that are critical to 
national defense, including in rural States where DAR certified 
primary access roads currently do not meet safety standards.
    Readiness Centers.--The Committee continues to note that 
many Army National Guard units utilize outdated and substandard 
facilities which can negatively impact the unit's ability to 
meet readiness, recruiting and retention, and training 
objectives. Facilities with physical shortfalls of greater than 
50 percent of authorized space, such as those in Jamestown, 
North Dakota, are particularly concerning. The Committee 
encourages the Army National Guard to allocate sufficient 
funding to address such facilities in future budget requests.
    Lodging Facilities.--The Committee continues to highlight 
lodging shortfalls near Army National Guard training centers 
that support training and readiness activities as well as 
support training for outside agencies. The Committee encourages 
the Army National Guard to allocate appropriate funding towards 
lodging requirements in future budget requests, particularly 
for installations with new training and readiness requirements.

               Military Construction, Air National Guard

Appropriations, 2023....................................    $279,353,000
Budget estimate, 2024...................................     178,722,000
Committee recommendation................................     304,426,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $304,426,000 for Military 
Construction, Air National Guard for fiscal year 2024. This 
amount is $25,073,000 above the fiscal year 2023 enacted level 
and $125,704,000 above the budget request. Within the total for 
Military Construction, Air National Guard, $125,704,000 is for 
the following projects in the following amounts:

                                    MILITARY CONSTRUCTION, AIR NATIONAL GUARD
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Alaska..................................  Eielson Air Force Base....  AMC Standard Dual Bay Hangar:       25,000
                                                                       Planning and Design.
Alaska..................................  Joint Base Elmendorf-       ADAL Alert Crew Facility             7,000
                                           Richardson.                 Hangar 18: Unspecified Minor
                                                                       Construction.
Alaska..................................  Joint Base Elmendorf-       HC-130J Simulator Facility:          2,000
                                           Richardson.                 Planning and Design.
Alaska..................................  Joint Base Elmendorf-       North Campus Electrical Loop:        5,600
                                           Richardson.                 Unspecified Minor
                                                                       Construction.
Maine...................................  Bangor International        Repair Hangar Access Apron           1,450
                                           Airport.                    (Light Duty Ramp): Planning
                                                                       and Design.
Maine...................................  Bangor International        Repair Whiskey Apron:                  704
                                           Airport.                    Planning and Design.
Mississippi.............................  Jackson International       Fire Crash and Rescue                8,000
                                           Airport.                    Station: Cost to Complete.
New Hampshire...........................  Pease Air National Guard    Ground Product Service               4,000
                                           Base.                       Station: Unspecified Minor
                                                                       Construction.
New Jersey..............................  Atlantic City               Consolidated Dining,                 2,000
                                           International Airport.      Services, and Fitness
                                                                       Center: Planning and Design.
New Jersey..............................  Atlantic City               F-16 Mission Training Center:        1,100
                                           International Airport.      Planning and Design.
Oregon..................................  Portland International      Special Tactics Complex Phase       20,000
                                           Airport.                    3.
Oregon..................................  Portland International      Special Tactics Complex Phase       11,000
                                           Airport.                    4.
Pennsylvania............................  Pittsburgh International    Entry Control Facility:              8,000
                                           Airport.                    Unspecified Minor
                                                                       Construction.
West Virginia...........................  McLaughlin Air National     Renovate Building 107 for            2,500
                                           Guard Base.                 Small Air Terminal/Gym:
                                                                       Unspecified Minor
                                                                       Construction.
West Virginia...........................  McLaughlin Air National     Renovate Building 109 for            3,000
                                           Guard Base.                 Aerospace Support Equipment:
                                                                       Unspecified Minor
                                                                       Construction.
West Virginia...........................  Shepherd Field............  Indoor Small Arms Range:             7,000
                                                                       Unspecified Minor
                                                                       Construction.
West Virginia...........................  Shepherd Field............  Main Gate Entry Control Point        6,000
                                                                       Renovation: Unspecified
                                                                       Minor Construction.
Wisconsin...............................  General Mitchell            Indoor Small Arms Range:             7,100
                                           International Airport.      Unspecified Minor
                                                                       Construction.
Wisconsin...............................  General Mitchell            POL Pipeline: Unspecified            4,250
                                           International Airport.      Minor Construction.
----------------------------------------------------------------------------------------------------------------

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

                  Military Construction, Army Reserve

Appropriations, 2023....................................    $193,878,000
Budget estimate, 2024...................................     107,076,000
Committee recommendation................................     151,076,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $151,076,000 for Military 
Construction, Army Reserve for fiscal year 2024. This amount is 
$44,000,000 above the budget request. Within the total for 
Military Construction, Army Reserve, $44,000,000 is for the 
following projects in the following amounts:

                                       MILITARY CONSTRUCTION, ARMY RESERVE
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
California..............................  Fort Hunter Liggett.......  Network Enterprise Center....       40,000
Virginia................................  Richmond..................  Army Reserve Center: Planning        4,000
                                                                       and Design.
----------------------------------------------------------------------------------------------------------------

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

                  Military Construction, Navy Reserve

Appropriations, 2023....................................     $36,837,000
Budget estimate, 2024...................................      51,291,000
Committee recommendation................................      51,291,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $51,291,000 for Military 
Construction, Navy Reserve for fiscal year 2024. This amount is 
$14,454,000 above the fiscal year 2023 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, 2023....................................     $85,423,000
Budget estimate, 2024...................................     291,572,000
Committee recommendation................................     309,572,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $309,572,000 for Military 
Construction, Air Force Reserve for fiscal year 2024. This 
amount is $224,149,000 above the fiscal year 2023 enacted level 
and $18,000,000 above the budget request. Within the total for 
Military Construction, Air Force Reserve, $18,000,000 is for 
the following projects in the following amounts:

                                    MILITARY CONSTRUCTION, AIR FORCE RESERVE
                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                  State                            Location                      Project                Amount
----------------------------------------------------------------------------------------------------------------
Arizona.................................  Davis Monthan Air Force     Guardian Angel POTFF                 8,500
                                           Base.                       Facility: Unspecified Minor
                                                                       Construction.
Louisiana...............................  Barksdale Air Force Base..  307 Bomb Wing Medical                7,000
                                                                       Facility Addition:
                                                                       Unspecified Minor
                                                                       Construction.
Ohio....................................  Youngstown Air Reserve      Fire Station: Planning and           2,500
                                           Station.                    Design.
----------------------------------------------------------------------------------------------------------------

    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, 2023....................................    $220,139,000
Budget estimate, 2024...................................     293,434,000
Committee recommendation................................     293,434,000

                          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 $293,434,000 for the NATO Security 
Investment Program for fiscal year 2024. This amount is equal 
to the budget request.

               Department of Defense Base Closure Account

Appropriations, 2023....................................    $574,687,000
Budget estimate, 2024...................................     389,174,000
Committee recommendation................................     439,174,000

                          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 $439,174,000 for the 
Department of Defense Base Closure Account for fiscal year 
2024. This amount is $50,000,000 above the budget request.
    Environmental Remediation.--The Committee continues to 
recognize that the Services have active costs associated with 
ordnance disposal and environmental clean-up, to include per- 
and polyfluoroalkyl substance contamination at dozens of 
realigned or closed installations. Therefore, the Committee 
provides an additional $50,000,000 to help remediate hazardous 
environmental sites at installations closed under previous Base 
Closure and Realignment rounds. 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 60 days after enactment of this act.

                        Family Housing Overview

Appropriations, 2023....................................  $1,985,836,000
Budget estimate, 2024...................................   1,940,255,000
Committee recommendation................................   1,940,255,000

              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 $1,940,255,000 for Family Housing 
Construction, Operation and Maintenance, and the Department's 
family housing improvement fund for fiscal year 2024. This 
amount is equal to the budget request.
    Dispute Resolution.--In order to provide additional 
transparency and accountability within the privatized housing 
program, the Committee directs the Secretary of Defense to 
provide a report to the Committees on Appropriations of both 
Houses of Congress within 120 days of enactment of this act on 
the dispute process and outcomes since implementation of 
dispute resolution mechanisms. At a minimum, the report shall 
include the following: (1) the number of informal disputes 
filed versus number of formal disputes; (2) the number of 
disputes per installation, per project, and per unit by 
project; (3) the average timeline for concluding the informal 
and formal dispute resolution processes by installation; and 
(4) the percentage of claims that are determined to be founded 
versus unfounded.

                   Family Housing Construction, Army

Appropriations, 2023....................................    $169,339,000
Budget estimate, 2024...................................     304,895,000
Committee recommendation................................     304,895,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $304,895,000 for Family Housing 
Construction, Army for fiscal year 2024. This amount is 
$135,556,000 above the fiscal year 2023 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, 2023....................................    $446,411,000
Budget estimate, 2024...................................     385,485,000
Committee recommendation................................     385,485,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $385,485,000 for Family Housing 
Operation and Maintenance, Army, for fiscal year 2024. This 
amount is equal to the budget request.

           Family Housing Construction, Navy And Marine Corps

Appropriations, 2023....................................    $337,297,000
Budget estimate, 2024...................................     277,142,000
Committee recommendation................................     277,142,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $277,142,000 for Family Housing 
Construction, Navy and Marine Corps for fiscal year 2024. This 
amount is 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, 2023....................................    $378,224,000
Budget estimate, 2024...................................     363,854,000
Committee recommendation................................     363,854,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $363,854,000 for Family Housing 
Operation and Maintenance, Navy and Marine Corps for fiscal 
year 2024. This amount is equal to the budget request.

                 Family Housing Construction, Air Force

Appropriations, 2023....................................    $232,788,000
Budget estimate, 2024...................................     237,097,000
Committee recommendation................................     237,097,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $237,097,000 for Family Housing 
Construction, Air Force for fiscal year 2024. This amount is 
$4,309,000 above the fiscal year 2023 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, 2023....................................    $365,222,000
Budget estimate, 2024...................................     314,386,000
Committee recommendation................................     314,386,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $314,386,000 for Family Housing 
Operation and Maintenance, Air Force for fiscal year 2024. This 
amount is equal to the budget request.

         Family Housing Operation and Maintenance, Defense-Wide

Appropriations, 2023....................................     $50,113,000
Budget estimate, 2024...................................      50,785,000
Committee recommendation................................      50,785,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $50,785,000 for Family Housing 
Operation and Maintenance, Defense-Wide for fiscal year 2024. 
This amount is $672,000 above the fiscal year 2023 enacted 
level and equal to the budget request.

         Department of Defense Family Housing Improvement Fund

Appropriations, 2023....................................      $6,442,000
Budget estimate, 2024...................................       6,611,000
Committee recommendation................................       6,611,000

                          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 $6,611,000 for the Family Housing 
Improvement Fund for fiscal year 2024. This amount is $169,000 
above the fiscal year 2023 enacted level and equal to the 
budget request.
    Navy Privatized Housing.--The Committee is aware that the 
Navy is undertaking a privatized housing project that will 
furnish 88 new housing units at Naval Station Everett and 
requires a transfer of credited funds from land conveyances in 
the Family Housing Improvement Fund. Therefore, the Committee 
includes Section 133 allowing the transfer of $18,800,000 by 
the Secretary of Defense to the Secretary of the Navy to 
address this requirement.

 Department of Defense Military Unaccompanied Housing Improvement Fund

Appropriations, 2023....................................        $494,000
Budget estimate, 2024...................................         496,000
Committee recommendation................................         496,000

                          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 $496,000 for the Military 
Unaccompanied Housing Improvement Fund for fiscal year 2024. 
This amount is $2,000 above the fiscal year 2023 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, fiscal year 2018, and 
fiscal year 2019 projects for which the project authorization 
has not lapsed or has been extended.
    Sec. 127. The Committee includes a provision defining the 
congressional defense committees.
    Sec. 128. The Committee includes a provision providing 
additional funding for Military Installation Resilience.
    Sec. 129. The Committee includes a provision providing 
additional funding for Air Force natural disaster recovery.
    Sec. 130. The Committee includes a provision providing 
additional funding for planning and design of child development 
centers.
    Sec. 131. The Committee includes a provision providing 
additional funding for planning and design and authorized major 
construction projects at future foreign military training 
sites.
    Sec. 132. The Committee includes a provision providing 
funds to address cost increases for authorized major 
construction projects.
    Sec. 133. The Committee includes a provision allowing the 
transfer of funds to the Secretary of the Navy from the Family 
Housing Improvement Fund.
    Sec. 134. The Committee includes a provision providing 
funding for unfunded authorized major construction projects.
    Sec. 135. The Committee includes a provision prohibiting 
the use of funds in this act to close or realign Naval Station 
Guantanamo Bay, Cuba.

                                TITLE II

                     DEPARTMENT OF VETERANS AFFAIRS

                                HEARING

    The Subcommittee on Military Construction, Veterans 
Affairs, and Related Agencies held one hearing related to the 
Department of Veterans Affairs' budget request for fiscal year 
2024 and fiscal year 2025 advance appropriations. The 
subcommittee heard testimony from the Honorable Denis R. 
McDonough, Secretary of Veterans Affairs.

                  SUMMARY OF COMMITTEE RECOMMENDATIONS

    The Committee recommendation includes $296,551,032,000 for 
the Department of Veterans Affairs [VA] for fiscal year 2024, 
including $161,740,342,000 in mandatory spending and 
$134,810,690,000 in discretionary spending. The Committee also 
recommends $193,048,534,000 in advance appropriations for 
mandatory benefits and $112,582,000,000 in advance 
appropriations for veterans medical care for fiscal year 2025.

                          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, 2022, there were an 
estimated 18.5 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 21.9 million dependents (spouses and dependent 
children) of living veterans, and there were about 600,000 
survivors of deceased veterans receiving VA survivor benefits. 
Thus, approximately 41.0 million people, or 12.2 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; 4 district 
offices; 3 Pension Management Centers; 6 Fiduciary Hubs; 2 
Regional Education Processing Offices; 8 Regional Loan Centers; 
1 Insurance Center; 10 National Contact Centers; 1 Education 
Contact Center; 3 Decision Review Operations Centers; and 1 
Records Management Center. The benefits provided include 
compensation for service-connected disabilities; non-service-
connected pensions for veterans who meet certain wartime 
service, income and net worth, age and/or disability 
requirements; 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 
11 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 18 Veterans Integrated Service Networks 
[VISN]; 145 VA Hospitals; 12 Health Care Centers; 289 Multi-
Specialty Community-Based Outpatient Clinics; 414 Primary Care 
Community-Based Outpatient Clinics; 415 Outpatient Services 
Sites; 135 Community Living Centers; 124 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 2024, 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.

                    Veterans Benefits Administration

Appropriations, 2023

                                                        $167,704,472,000

Advance Appropriations, 2024

                                                         155,351,762,000

Budget estimate, 2024

                                                          10,607,580,000

Committee recommendation, 2024

                                                          10,607,580,000

Budget estimate, advance appropriations, 2025

                                                         193,048,534,422

Committee recommendation, advance appropriations, 2025

                                                         193,048,534,422

                        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 2023, the Committee provided 
$155,351,762,000 in advance appropriations for VBA for fiscal 
year 2024. This included $146,778,136,000 for Compensation and 
Pensions; $8,452,500,000 for Readjustment Benefits; and 
$121,126,000 for Veterans Insurance and Indemnities.
    For fiscal year 2024, the Committee's recommendation 
includes an additional $4,655,879,000 for Compensations and 
Pensions; an additional $12,701,000 for Veterans Insurance and 
Indemnities; $316,742,419 for the Veterans Housing Benefit 
Program Fund administrative expenses; $78,337 for the 
Vocational Rehabilitation Loans Program account, with $460,698 
for administrative expenses; $2,718,546 for the Native American 
Veteran Housing Loan Program account; and $3,899,000,000 for 
the General Operating Expenses, Veterans Benefits 
Administration account.
    The Committee recommendation also provides $193,048,534,422 
in advance appropriations for the Veterans Benefits 
Administration's mandatory accounts for fiscal year 2025. This 
level may be adjusted based on the results of the 
administration's mid-session review.

                       COMPENSATION AND PENSIONS

                     (INCLUDING TRANSFER OF FUNDS)

Appropriations, 2023

                                                        $152,016,542,000

Advance Appropriations, 2024

                                                         146,778,136,000

Budget estimate, 2024

                                                           4,655,879,000

Committee recommendation, 2024

                                                           4,655,879,000

Budget estimate, advance appropriations, 2025

                                                         181,390,281,000

Committee recommendation, advance appropriations, 2025

                                                         181,390,281,000

                          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 2024, the 
Department estimates it will obligate $161,455,646,000 for 
compensation payments to 6,094,446 veterans, 562,448 survivors, 
and 1,049 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 that 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 2024, the Department 
estimates that the pensions program will provide benefits to 
150,678 veterans and 112,179 survivors totaling $3,370,179,000.
    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 2024, the Department 
estimates the Compensation and Pensions program will obligate 
$426,420,000 providing burial benefits. This funding will 
provide 45,196 burial allowances, 55,545 burial plot 
allowances, 57,936 service-connected death awards, 450,848 
burial flags, 334,080 headstones or markers, 43,222 graveliners 
or reimbursement for privately purchased outer burial 
receptacles, 326 caskets and urns for the internment of the 
remains of veterans without next of kin, and 1,684 cremation 
urns and commemorative plaques in lieu of furnishing a 
headstone or marker for an eligible deceased individual not 
already buried who served in the Armed Forces.

                        COMMITTEE RECOMMENDATION

    In fiscal year 2023, the Committee provided an advance 
appropriation of $146,778,136,000 for fiscal year 2024 for the 
Compensation and Pensions account.
    The Committee recommendation includes an additional 
$4,655,879,000 for fiscal year 2024 and an advance 
appropriation of $181,390,281,000 for the Compensation and 
Pensions account for fiscal year 2025, as requested.
    Evaluate Survivor Benefits Compensation.--The Committee 
directs the Department to provide a report to the Committees on 
Appropriations of both Houses of Congress no later than 180 
days after enactment of this act on how VA's survivor benefits 
programs may be modernized to keep up with the cost of living 
and to meet the needs of modern survivors, who tend to be 
younger and more diverse than previous populations of 
survivors.

                         READJUSTMENT BENEFITS

Appropriations, 2023

                                                          $8,906,851,000

Advance Appropriations, 2024

                                                           8,452,500,000

Budget estimate, advance appropriations, 2025

                                                          11,523,134,000

Committee recommendation, advance appropriations, 2025

                                                          11,523,134,000

                          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 2023, the Committee provided an advance 
appropriation of $8,452,500,000 for the Readjustment Benefits 
account for fiscal year 2024.
    The Committee recommendation includes an advance 
appropriation of $11,523,134,000 for Readjustment Benefits for 
fiscal year 2025, 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 continues to support this initiative and 
encourages the Department to expand the program to address 
increased demand among veterans, including adding additional 
providers, particularly in areas of the country where the 
initiative is not currently available.
    Student Veterans Transparency and Protection.--The 
Department should ensure that historical data reported via the 
G.I. Bill Comparison Tool remains easily and prominently 
accessible on the benefits.va.gov website, or successor 
website, for a period of not less than 7 years from the date of 
initial publication. The Department is further encouraged to 
collaborate with the Secretary of Education to ensure that the 
tool contains robust and updated education data, and to train 
personnel employed or contracted by the Department to provide 
education benefits counseling, vocational or transition 
assistance, or similar functions, including those who provide 
such counseling or assistance as part of the Transition 
Assistance Program, on how to properly use the tool and provide 
appropriate educational counseling services to individuals 
eligible to use Post-9/11 G.I. bill benefits.

                   VETERANS INSURANCE AND INDEMNITIES

Appropriations, 2023

                                                            $109,865,000

Advance Appropriations, 2024

                                                             121,126,000

Budget estimate, 2024

                                                              12,701,000

Committee recommendation, 2024

                                                              12,701,000

Budget estimate, advance appropriations, 2025

                                                             135,119,422

Committee recommendation, advance appropriations, 2025

                                                             135,119,422

                          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 2023, the Committee provided an advance 
appropriation of $121,126,000 for fiscal year 2024 for the 
Veterans Insurance and Indemnities account. In addition, the 
Committee recommendation includes an additional $12,701,000 for 
fiscal year 2024 and an advance appropriation of $135,119,422 
for Veterans Insurance and Indemnities for fiscal year 2025, as 
requested.

                 VETERANS HOUSING BENEFIT PROGRAM FUND

------------------------------------------------------------------------
                                          Program        Administrative
                                         account\1\         expenses
------------------------------------------------------------------------
Appropriations, 2023...............              SSAN       $282,361,131
Budget estimate, 2024..............              SSAN        316,742,419
Committee recommendation, 2024.....              SSAN        316,742,419
------------------------------------------------------------------------
\1\Such sums as may be necessary [SSAN]

                          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, 
currently estimated to be $1,720,000,000, for funding subsidy 
payments, and $316,742,419 for administrative expenses for 
fiscal year 2024. Bill language limits gross obligations for 
direct loans for specially adapted housing to $500,000.
    Veterans Housing Rehabilitation and Modification Pilot 
Program.--The Committee encourages VA to coordinate with the 
Department of Housing and Urban Development [HUD] to develop an 
outreach plan to increase awareness about this program among 
veterans, Veterans Service Organizations, and other eligible 
entities.

            VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT

------------------------------------------------------------------------
                                                         Administrative
                                      Program account       expenses
------------------------------------------------------------------------
Appropriations, 2023...............            $7,171           $445,698
Budget estimate, 2024..............            78,337            460,698
Committee recommendation, 2024.....            78,337            460,698
------------------------------------------------------------------------

                          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 $1,447 (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 $78,337 for program costs and 
$460,698 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 $2,026,000. It is 
estimated VA will make 1,559 loans in fiscal year 2024, with an 
average amount of $1,300.

          NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM ACCOUNT

Appropriations, 2023....................................      $1,400,000
Budget estimate, 2024...................................       2,718,546
Committee recommendation................................       2,718,546

                          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 Improvement Act of 
2006 (Public Law 109-233).

                        COMMITTEE RECOMMENDATION

    The Committee recommends $2,718,546 for administrative 
expenses associated with this program, as requested.

      GENERAL OPERATING EXPENSES, VETERANS BENEFITS ADMINISTRATION

Appropriations, 2023

                                                          $3,863,000,000

Budget estimate, 2024

                                                           3,899,000,000

Committee recommendation

                                                           3,899,000,000

                          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 $3,899,000,000 for the GOE, VBA 
account, which is $36,000,000 above the fiscal year 2023 
enacted level and equal to the budget request. The Committee 
included bill language to make available through September 30, 
2025, up to 10 percent of the GOE, VBA account.
    In addition, VA estimates to use $1,769,000,000 from the 
Toxic Exposures Fund to support GOE, VBA-related activities in 
fiscal year 2024.
    Contract Providers for Exams.--The Committee is concerned 
about VBA's increased reliance on outside providers to conduct 
compensation and pension exams, which are necessary for 
veterans to receive the benefits that they have earned through 
their military service. The Department is directed to submit a 
report to the Committees on Appropriations of both Houses of 
Congress no later than 1 year after enactment of this act 
regarding contract examination vendors, by District, and 
individual contract vendor. The report shall include (1) the 
average distance traveled by an individual for an exam, and (2) 
the average wait time for an individual to receive an exam. The 
Committee continues to urge 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.
    Oversight of Compensation and Pension Exams.--The Committee 
strongly encourages VBA to maintain statistics regarding the 
rate and frequency with which VA and contract providers render 
negative opinions regarding compensation and pension exams. At 
a minimum, such statistics should contain provider name, 
facility, contractor or Federal employee status, and list of 
conditions (with corresponding rate of diagnosis) for which the 
provider performs compensation and pension exams.
    Support to County, Tribal and Equivalent Governmental 
Veterans Service Officers.--The Committee recognizes the 
crucial role of county, Tribal and equivalent governmental 
Veterans Service Officers in ensuring veterans receive the 
benefits and care they deserve. Accordingly, the Department is 
encouraged to support county, Tribal and equivalent 
governmental Veterans Service Officers in their assistance to 
the Nation's veterans. The Department is directed to submit a 
report to the Committees on Appropriations of both Houses of 
Congress no later than 90 days after enactment of this act 
detailing a systemic method for facilitating collaboration 
between county, state, and Tribal Veterans Service Officers, 
VHA facilities and VBA offices in their respective geographic 
areas. The proposed approach should identify ways to enhance 
existing resources to support county, Tribal and equivalent 
governmental Veterans Service Officers, designate Department 
staff to serve as regional liaisons, and provide a timeline to 
implement across the enterprise. Furthermore, the Committee 
encourages the Department to track what benefits veterans are 
filing for by county. The goal of such collaboration should be 
to improve services to all veterans, to proactively identify 
barriers to delivering high quality care, ensuring veterans who 
need assistance are able to access support, and to share data 
and observations that indicate substandard quality of care.
    Wrongfully Discharged LGBTQ Veterans.--The Committee 
supports the Department's decision to allow eligible discharged 
veterans to receive their due benefits through the Secretary's 
September 17, 2021 memorandum regarding ``Benefits Eligibility 
for Lesbian, Gay, Bisexual, Transgender and Queer [LGBTQ+] 
Former Service Members (VIEWS 5810856).'' In supporting the 
goals of this memorandum, the Committee directs the Department 
to submit a report no later than 270 days after enactment of 
this act on the number of eligible veterans who have received 
their due benefits after this memorandum's release as well as 
efforts by the Department to conduct outreach towards these 
eligible veterans to ensure they are aware of the processes to 
receive their benefits.
    National Training Curriculum.--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 post-traumatic 
stress disorder 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.
    VetSuccess on Campus.--The Committee recognizes the 
importance of the VetSuccess on Campus program's role in 
ensuring success in post-secondary education, and understands 
that while 104 schools are currently supported through the 
program, more than 250 additional schools are waiting for 
support. The Committee strongly encourages VA to continue to 
support this program with additional resources, and to expand 
to additional schools, including locations that serve multiple 
institutions and in States that currently do not benefit from 
the program. The Department is directed to submit a plan to the 
Committees on Appropriations of both Houses of Congress no 
later than 90 days after enactment of this act on how VA plans 
to expand the VetSuccess on Campus program over the next 5 
years to meet the high demand. The plan should outline barriers 
to expansion and options to address them.
    Veteran Benefit Counselors Minimum Ratio.--The Committee is 
aware that many veterans require a ``Navigator'' or 
``Counselor,'' often known as Veteran Benefit Counselors, to 
successfully access VA benefits. These Counselors are generally 
supported and funded through a State agency, and the number of 
Counselors available to veterans varies widely. The Committee 
encourages the Department to create a recommended minimum 
standard ratio for the number of state-funded Veteran Benefit 
Counselors using a National Standard Ratio based upon the 
State's veteran population.
    Outreach to Remote Areas.--The Committee encourages the 
Department to improve outreach, including travel to villages, 
to reach veterans not connected to the major metropolitan areas 
of the United States by a road system.
    Legal Clinic Grant Program Accountability.--Within 1 year 
of enactment of this act, the Department is directed to submit 
a report to the Committees on Appropriations of both Houses of 
Congress on the current United States Code, title 38 
authorities to provide grants to legal clinics providing pro 
bono legal services to veterans, and the status of their 
implementation. The report should include an analysis of any 
current regulations and proposed regulations establishing pilot 
programs and if VA can combine any of these authorities into 
one program to serve each veteran population while simplifying 
the grant application process.
    Unaccredited Assistance.--The Department is directed to 
submit a report to the Committees on Appropriations of both 
Houses of Congress no later than 90 days after enactment of 
this act on the Department's plan to track how many veterans 
assisted by unaccredited claims agents and the outcomes of 
those claims, including whether the claims required a higher 
level review or an appeal to the Board of Veterans Appeals. 
This report should address steps VA will take to ask veterans 
when they file an initial claim for benefits whether they were 
assisted by a third party and if they contracted with any 
outside group for assistance, including the name of the 
individual or group that provided assistance, and the outcome 
of the claim. The report should further assess how improved 
information collection could be used to better protect 
veterans.

                     Veterans Health Administration


Appropriations, 2023

                                                        $119,664,000,000

Advance appropriations, 2024

                                                         128,104,000,000

Budget estimate, 2024\1\

                                                          -6,154,697,000

Committee recommendation, 2024\1\

                                                          -6,154,697,000

Budget estimate, advance appropriations, 2025

                                                         112,582,000,000

Committee recommendation, advance appropriations, 2025

                                                         112,582,000,000

\1\The budget request proposed to rescind unobligated balances to lower 
the funds available in fiscal year 2024. The Committee recommendation 
adjusts the previously enacted advance appropriation for fiscal year 
2024 to be consistent with the revised request.
---------------------------------------------------------------------------

                        ADMINISTRATION OVERVIEW

    The Veterans Health Administration [VHA] is home to the 
United States' largest integrated healthcare system.
    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, the Consolidated 
Appropriations Act, 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 2023, the Committee provided 
$128,104,000,000 in advance appropriations for VA's medical 
care accounts for fiscal year 2024. This included 
$74,004,000,000 for Medical Services, $33,000,000,000 for 
Medical Community Care, $12,300,000,000 for Medical Support and 
Compliance, and $8,800,000,000 for Medical Facilities.
    The President's Budget Request submitted for fiscal year 
2024 included revised requests for these accounts totaling 
$121,011,303,000. This included $69,070,887,000 for Medical 
Services, $31,090,931,000 for Medical Community Care, 
$12,300,000,000 for Medical Support and Compliance, and 
$8,549,485,000 for Medical Facilities.
    For fiscal year 2024, the Committee provides a total of 
$121,011,303,000 for VA medical care, in accordance with 
agreements related to the Fiscal Responsibility Act of 2023 
(Public Law 118-5). The Committee adjusts the amounts 
previously advance appropriated for fiscal year 2024 to provide 
$69,070,887,000 for Medical Services, $29,840,416,000 for 
Medical Community Care, $12,300,000,000 for Medical Support and 
Compliance, and $9,800,000,000 for Medical Facilities. 
Additionally, the Committee recommendation includes 
$938,000,000 for Medical and Prosthetic Research. Medical Care 
Collections are estimated to be $3,991,000,000 in fiscal year 
2024. The Committee recommendation also provides 
$112,582,000,000 in advance appropriations for VA's medical 
care accounts for fiscal year 2025, consistent with the 
request.
    The Fiscal Responsibility Act (Public Law 118-5) directly 
appropriated $20,268,000,000 for the Toxic Exposures Fund, of 
which $17,116,000,000 is estimated to be for medical care, for 
a total of $138,126,995,000 in medical care funding in fiscal 
year 2024, consistent with the request.
    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 recognizes that a strong and fully resourced VHA is 
necessary to effectively serve our Nation's veterans.
    Scheduling Data for In-House and Community Care.--The 
Department is directed to report to the Committees on 
Appropriations of both Houses of Congress no later than 30 days 
after enactment of this act and monthly thereafter, updates, by 
facility, on the average number of days it takes for veterans 
to receive appointments at VA and in the community, from file 
entry date to first scheduled and file entry date to 
appointment.
    VA Infrastructure Requirements.--The Committee acknowledges 
the need for substantial investments in facilities within the 
Department to address aging infrastructure. The Committee 
reminds VA of the annual reporting requirement included in the 
Joint Explanatory Statement accompanying Public Law 116-94 
related to women's healthcare facilities improvements, and is 
directed to allocate appropriate funding to undertake such 
improvements.
    Child Care Assistance.--The Committee supports the 
Department's planned efforts to expand child care assistance to 
veterans receiving healthcare at all VA medical facilities by 
January 5, 2026, as required by the Johnny Isakson and David P. 
Roe, M.D. Veterans Health Care and Benefits Improvement Act of 
2020 (Public Law 116-315). The Department is strongly 
encouraged to allocate appropriate funding for this effort, 
including to publish regulations and initiate and complete the 
necessary information technology systems as soon as possible.
    Opioid Use Disorder/Alternative Treatments.--Alternative 
treatments for pain management have been shown to be effective 
in reducing pain and reliance on prescription opioids. The 
Committee notes the directive language in the Joint Explanatory 
Statement accompanying Public Law 117-38 requiring the 
Department to track the use of osteopathic manipulative 
treatment to treat back and other pain. The Committee continues 
to encourage VA to expand the use of alternative treatments to 
pain management, such as acupuncture, in its delivery of 
healthcare services. The Committee also urges VA to integrate 
alternative treatments into VA medical centers and clinics 
through licensed professionals or on a contract basis.
    Access to Care for Rural and Tribal Veterans.--The 
Committee remains concerned about the closure of facilities 
based on the quadrennial market area assessments required under 
the VA MISSION Act of 2018 (Public Law 115-182). For any future 
infrastructure changes, the Department is urged to focus on 
maintaining or improving veterans' access to medical care 
nationwide, including in dense urban and rural areas. The 
Committee retains a provision prohibiting the Department from 
taking steps towards closing facilities or diminishing 
healthcare services at facilities, absent a report to the 
Committee including an analysis of how the action would impact 
access to care for veterans living in rural or highly rural 
areas, including Tribal areas.
    Pharmacogenomics Analysis.--The Department is directed to 
submit a report to the Committees on Appropriations of both 
Houses of Congress no later than 90 days after enactment of 
this act on the feasibility, advisability, and cost estimate of 
undertaking a study to record patient responses to 
pharmaceuticals based on their genetic profile. The study could 
take the results from a patient's pharmacogenomics test and map 
those results against the patient's medical condition(s), 
currently prescribed medications, and different therapeutics/
medications which are widely prescribed to treat these 
conditions, and provide the treating physician with easily 
understood, actionable information to utilize in making a 
decision about the course of medication(s) which will yield the 
greatest benefit to a patient and limit the risk of potential 
harm/adverse events based upon identified drug-to-gene and 
drug-to-drug interactions.
    National Center for Post-Traumatic Stress Disorder.--The 
Committee continues to support the mission and work of the 
National Center for Post-Traumatic Stress Disorder [NCPTSD] and 
provides $42,000,000 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.
    CHAMPVA Electronic Application Filing.--The Committee is 
concerned VA only receives applications for the Civilian Health 
and Medical Program of the Department of Veterans Affairs 
[CHAMPVA] by mail or fax, while veterans may apply for 
healthcare benefits through an online application. Within 90 
days of enactment of this act, the Department is directed to 
report to the Committees on Appropriations of both Houses of 
Congress on the Department's plans to allow CHAMPVA applicants 
to submit their applications electronically and view the status 
of their application online. The report should include an 
estimated timeline for the Department's full implementation of 
an electronic application option for CHAMPVA applicants.
    Strategic Partnerships to Increase Access to Care.--The 
Committee encourages VA to consider preexisting or shovel-ready 
infrastructure projects, as well as opportunities to work with 
strategic partners, to expand inpatient medical services, 
inpatient mental health services or joint VA/DoD services for 
veterans and servicemembers, particularly in areas with 
anticipated high enrollee growth.
    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, 
including linkages to rare cancer not yet identified by VA as 
presumptive to military service. Therefore, the Committee 
includes $15,000,000 to carry out responsibilities and 
activities of the Airborne Hazards and Burn Pits Center of 
Excellence.
    Center for Native Hawaiian, Pacific Islander and U.S.-
Affiliated Pacific Islander Health.--In fiscal year 2023, funds 
were allocated for the Department to establish a Center for 
Native Hawaiian [NH], Pacific Islander [PI], and U.S.-
Affiliated Pacific Islander [USAPI] Health to focus on 
research, service, and education to improve the lives of NH, 
PI, and USAPI veterans. As part of this continuing effort, the 
Department is encouraged to allocate sufficient funding for the 
Center and to partner with non-government institutions and 
universities to examine telehealth and telepharmacy; models of 
interprofessional primary care, including the integration of 
pharmacists and behavioral health; electronic health records 
and data analytics; health workforce; and indigenous people 
innovation.
    Third-Party Administrators.--The Committee encourages all 
third party administrators partnering with VA to process 
veteran health claims to possess a congressional liaison to 
ensure oversight and communication among congressional offices 
and caseworkers.
    Falls Prevention.--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 
assessing the effectiveness of actions taken to address falls 
prevention and providing a strategic plan to prevent falls in 
the future. Specifically, the assessment should address the 
Department's efforts related to: (1) the use of Specially 
Adapted Housing Program grants or Home Improvements and 
Structural Alterations grants; (2) falls prevention education 
efforts for veterans, caregivers, and long-term support 
services institutional and non-institutional staff; and (3) 
collaborations with the Department of Health and Human Services 
National Institute on Disability Independent Living and 
Rehabilitation Research to prevent falls in VA and VA-
affiliated facilities and home and community-based settings. 
The report should include data on the specific number of falls 
that have occurred among veterans (including those covered by 
VHA) over the past 5 years and the cost of such falls to the 
Department.

                            MEDICAL SERVICES

                     (INCLUDING TRANSFER OF FUNDS)

Appropriations, 2023

                                                         $70,584,116,000

Advance appropriations, 2024

                                                          74,004,000,000

Budget estimate, 2024\1\

                                                          -4,933,113,000

Committee recommendation, 2024\1\

                                                          -4,933,113,000

Budget estimate, advance appropriations, 2025

                                                          71,000,000,000

Committee recommendation, advance appropriations, 2025

                                                          71,000,000,000

\1\The budget request proposed to rescind unobligated balances to lower 
the funds available in fiscal year 2024. The Committee recommendation 
adjusts the previously enacted advance appropriation for fiscal year 
2024 to be consistent with the revised request.
---------------------------------------------------------------------------

                          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 2023, the Committee provided an advance 
appropriation of $74,004,000,000 for fiscal year 2024 for the 
Medical Services account. The recommendation for fiscal year 
2024 includes a negative adjustment of $4,933,113,000, which 
provides the Department with total budget authority of 
$69,070,887,000, consistent with the revised request. In 
addition, VA estimates to use $9,525,000,000 from the Toxic 
Exposures Fund to support medical services in fiscal year 2024. 
VA also has the authority to retain co-payments and third-party 
collections.
    The Committee recommendation also includes an advance 
appropriation of $71,000,000,000 for Medical Services for 
fiscal year 2025, equal to the budget request.

                    PREVENTING VETERAN HOMELESSNESS

    The Committee remains strongly supportive of VA's 
homelessness prevention programs. As such the recommendation 
includes $3,113,530,000 to support these programs, $2,382,000 
more than the request. This total includes $774,744,000 for the 
Supportive Services for Veterans Families [SSVF] Program; 
$620,000,000 for Housing and Urban Development-Veterans Affairs 
Supportive Housing [HUD-VASH] Program case management, 
$306,161,000 for the Grant and Per Diem [GPD] Program; and 
$109,721,000 for the Veterans Justice Outreach [VJO] Program 
and Legal Services for Veterans grants.
    The Committee recognizes the Department's efforts to reduce 
the number of veterans experiencing homelessness, and the goal 
of putting 38,000 veterans experiencing homelessness into long 
term housing in calendar year 2023. 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.
    SSVF.--SSVF is a critical program designed to help reach 
the goal of ending homelessness among veterans. In reviewing 
and scoring grant applications, the Committee urges the 
Department to ensure it includes reviewers familiar with the 
unique needs of rural and underserved geographic areas. VA is 
encouraged to support grantees who meet the minimum scoring 
threshold and have familiarity working with VA, as they are 
more likely to have a well-rounded understanding of what a 
veteran may be experiencing.
    HUD-VASH Case Management.--The Committee supports the 
expansion of caseworkers hired in order to reach the 
Department's goal of 90 percent of caseworker positions filled. 
The Committee therefore provides additional funding to address 
the case manager shortage. The Committee encourages the 
Department to expand the program to reach as many veterans as 
possible as part of the broader national effort to reduce the 
number of veterans experiencing homelessness and to prevent 
veteran suicide.
    Collaborative case management models allow the Department 
to designate a third party to support HUD-VASH veterans and can 
be effective in increasing the accessibility of case management 
services. The Committee reminds the Department of the direction 
in the Joint Explanatory Statement accompanying Public Law 117-
328 for VA and HUD to coordinate to establish pathways that 
would allow for temporary, transitional case management by 
Public Housing Authorities [PHAs], and to finalize its guidance 
related to approving a PHA to be a designated service provider. 
The Committee directs VA and HUD to brief the Senate Committees 
on Appropriations of both Houses of Congress no later than 30 
days of enactment of this act on the status of the guidance and 
outreach efforts to inform communities of these flexibilities.
    HUD-VASH Provision of Furniture and Household Items.--The 
Department is directed to submit a report to the Committees on 
Appropriations of both Houses of Congress no later than 90 days 
after enactment of this act regarding the feasibility and 
advisability of creating a new program to secure necessary 
household furnishings, such as furniture, towels, and 
kitchenware, to help veterans participating in HUD-VASH to 
successfully transition to a new home to ensure a comfortable, 
stable living space. As part of this analysis, the Department 
should consider how to secure bulk purchase pricing and 
shipment of items at best cost, and determine best practices 
for administering the program, including through partnership or 
agreement with local veteran organizations, State agencies, or 
a VA/HUD consortium.
    GPD Program.--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 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.
    Healthcare for Homeless Veterans Program.--The Healthcare 
for Homeless Veterans Program [HCHV] performs valuable outreach 
to identify veterans experiencing homelessness who are eligible 
for VA services and assist these veterans in accessing 
appropriate healthcare and benefits. The Committee urges the 
Department to provide additional funds for the planned 
expansion to veterans with Other Than Honorable Discharges and 
to expand outreach regarding the housing, healthcare, and 
mental healthcare resources that VA offers in order to reach as 
many at-risk veterans as possible and strengthen their 
relationship with VA to improve long-term outcomes.
    Rural, American Indian [AI]/Alaska Native [AN], Native 
Hawaiian, and Pacific Islander Veterans Homelessness 
Assessment.--The Department is directed to conduct a study and 
provide a report to the Committees on Appropriations of both 
Houses of Congress within 1 year of enactment of this act 
regarding access to and utilization of VA's homelessness 
programs by rural, AI/AN, NH, and PI veterans. This study 
should evaluate the availability of HUD-VASH vouchers and case 
managers, SSVF providers, GPD providers, HCHV providers, and 
any other programs relevant to veteran homelessness as the 
Secretary deems prudent. The study should also collect data, 
where available, on chronic homelessness, substance use 
disorder, and severe mental illness amongst rural, AI/AN, NH, 
and PI populations experiencing, at-risk-of, or having recently 
experienced homelessness. The data in the report should be 
separated by the homelessness program, the categories listed 
above, and location, with an accounting for circumstances where 
categories may overlap.

                          TELEHEALTH SERVICES

    The Committee recommendation includes $5,165,336,000, 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.
    Virtual Cognitive Behavioral Therapy.--The Joint 
Explanatory Statement accompanying Public Law 117-328 
encouraged VA to expand access to mental health services for 
all eligible veterans through partnerships with virtual 
programs and platforms with accredited therapist-guided, 
cognitive behavioral therapy programs. However, the Committee 
is concerned VA has not taken steps to establish such 
partnerships. As such, the Committee encourages VA to utilize 
available funding to establish partnerships and furnish VA-
accredited clinicians with commercially available platforms 
offering cognitive behavioral therapy in rural service areas 
struggling with broadband operability. The Department is 
directed to provide the Committees on Appropriations of both 
Houses of Congress a report, no later than 90 days after 
enactment of this act, on the status of such partnerships to 
expand access to mental health services for all eligible 
veterans.

               MENTAL HEALTH/PREVENTING VETERANS SUICIDE

    The Committee provides $16,243,469,000 for mental health 
programs, equal to the request, including $3,034,423,000 for 
suicide prevention outreach and treatment programs, of which 
$558,794,000 is for suicide prevention outreach.
    Suicide Prevention Coordinators.--VA Medical Centers may 
benefit from the latest real-time technologies that complement 
the existing retrospective reporting tools from the VA Central 
Office. Specifically, Suicide Prevention Coordinators should 
have real-time case monitoring and management tools that 
improve situational awareness, patient safety and compliance 
with VA Risk ID policies. The Committee directs the Secretary 
to continue to implement the recommendations from the report 
included in the Joint Explanatory Statement accompanying Public 
Law 117-328 to improve access to Suicide Prevention 
Coordinators for veterans.
    Veterans Crisis Line.--The Committee supports the request 
of $300,500,000 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 Department is directed to enable VCL to 
utilize geolocation capabilities in order to facilitate 
accurate emergency dispatch to persons at risk of imminent harm 
to self or others, similar to those of 911 call centers.
    Improving Depression Treatment with Precision Medicine.--
The Committee recognizes that depression is one of the most 
common conditions associated with military service and combat 
exposure. The Department is encouraged to partner with clinical 
laboratories providing pharmacogenomic tests to inform 
treatments for clinical depression if they have been shown to 
improve health outcomes of veterans in clinical trials.
    Use of Ketamine.--The Department is directed to perform a 
review of whether its national protocol guidance for the 
prescription of ketamine is consistent with current scientific 
opinion and evidence-based practice, and report to the 
Committees on Appropriations of both Houses of Congress no 
later than 60 days after enactment of this act.
    Utilization of Benefits.--In preparing the National Veteran 
Suicide Prevention Annual Report, the Committee directs VHA to 
review VBA data on the rates of usage of veterans benefits 
programs.

       OPIOID SAFETY INITIATIVES AND SUBSTANCE USE DISORDER CARE

    To continue to build upon opioid reduction efforts and 
safety initiatives, the Committee recommendation includes 
$715,365,000 for Opioid Prevention and Treatment programs at 
VA, equal to the budget request. This includes $460,878,000 for 
treatment programs and $254,487,000 to continue implementation 
of the Jason Simcakoski Memorial and Promise Act, as part of 
the Comprehensive Addiction and Recovery Act of 2016 (Public 
Law 114-198).

    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 Food and Drug Administration [FDA]-approved 
medication assisted treatments and counseling, as clinically 
indicated.

                             LONG-TERM CARE

    The Committee provides $12,940,784,000 for institutional 
and non-institutional care, equal to the budget request. 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 how and where they receive 
care and other services.
    Rural Access to Home and Community-Based Services.--The 
Committee looks forward to receiving the report on rural access 
to Home and Community-Based Services requested in the Joint 
Explanatory Statement accompanying Public Law 117-328.
    Domiciliary Care Claims for Veterans with Early-Stage 
Dementia.--The Committee directs the Secretary to expeditiously 
complete the rulemaking process to implement section 3007 of 
Public Law 116-315. The Department is further directed to 
delegate the authority to waive certain eligibility 
requirements for domiciliary care for veterans with early stage 
dementia, when in the veteran's best interest, to regional 
VISNs and local VA hospital systems so that newly eligible 
veterans may begin to receive this crucial support.
    Nursing Home, Long-Term, and Hospice Care.--The Department 
is directed to submit a report to the Committees on 
Appropriations of both Houses of Congress no later than 90 days 
after enactment of this act on the feasibility and advisability 
of alternate payment structures for providers within the 
Homemaker and Home Health Aide program. This analysis should 
outline a system where a single provider agency would be 
responsible for adhering to all home care agency licensing and 
labor law requirements in the States in which they operate and 
would be the employer of record; the veteran would be the 
managing employer for the caregiver. The Department would 
reimburse the provider agency the same rate it reimburses home 
health agencies under the current Homemaker and Home Health 
Aide program and a majority of the rate would go to 
compensating caregivers. The provider agency would be 
responsible for offering a self-directed model that provides 
administrative supports for veterans, conducting background 
checks for every caregiver and verifying any other caregiver 
qualification requirements based on state home care agency 
licensing statutes and regulations.

                            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 $347,455,000 for ORH and the Rural Health Initiative. 
This is $10,000,000 more than fiscal year 2023 enacted and 
$10,000,000 above the budget request.
    Transportation for Rural Veterans.--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. The 
Committee urges the Department to expand and improve 
transportation access to and from facilities that serve rural 
veterans, and recommends up to $15,000,000 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.
    Veterans Affairs Health Navigator Platform.--The Department 
is encouraged to consider allocating funding for Health 
Management Platforms and a health navigator system, focused on 
improving patient access and beneficiary experiences for 
veterans in rural and/or low population density areas. This 
rural veterans' program could parallel the ongoing Defense 
Health Agency's healthcare management pilot program and further 
harmonize the healthcare systems of DoD and VA.

                               CAREGIVERS

    The Committee recommendation includes $2,422,410,000 for 
VA's Caregivers Program, which is equal to the budget request.
    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). VA 
was not able to implement the program consistent with statutory 
timelines or Congressional intent.
    Program of Comprehensive Assistance for Family 
Caregivers.--The Committee strongly encourages the Department 
to suspend all reassessments and discharges for legacy Program 
of Comprehensive Assistance for Family Caregivers [PCAFC] 
participants until full completion of the ongoing review. The 
Committee further urges the Department to work collaboratively 
with the Committee during this process.
    Expediting Appeals for Legacy Caregivers.--The Committee 
again encourages the Secretary to permit recently disqualified 
and denied applicants with a history in the program to have 
their applications automatically reconsidered under the current 
requirements, rather than go through the appeals process. 
Additionally, the Committee requests VA consider creating an 
expedited review for PCAFC appeals to ensure timely decisions 
and requests a briefing within 30 days of enactment of this act 
on what actions VA is taking to address these denials.
    PCAFC Expansion.--The Department is directed to submit a 
report to the Committees on Appropriations of both Houses of 
Congress no later than 90 days after enactment of this act on 
the feasibility and advisability, including a cost estimate, of 
expanding eligibility for PCAFC services to all veterans who 
served before 2001 with a disability rating greater than 0 
percent.

                       WOMEN VETERANS HEALTHCARE

    Today, women make up 16.9 percent of the active-duty 
military forces and 19 percent of National Guard and Reserves. 
The number of women veterans using VA healthcare has continued 
to rise, with women accounting for over 30 percent of the 
increase in veterans enrolled over the past 5 years. VA must 
enhance its services and access to gender-specific care, 
including primary care providers, gynecologists, maternity 
care, mammography services, and mental health providers, 
including care related to experiences of military sexual 
trauma. Enhancing capacity to support pregnant and postpartum 
women veterans must also be a priority, which should include 
expansion of maternity care and lactation support for women 
veterans.
    Toward this end, the Committee recommendation includes 
$1,279,096,000 for fiscal year 2024, equal to the request, to 
support gender-specific healthcare services, as well as the 
program office and initiatives. VA is encouraged to use this 
funding to continue to expand this care so that all women 
veterans, including those in rural areas, have the access to 
care they deserve. The Committee also urges the Department to 
ensure that there are dedicated entrances, security, and women 
providers at all VA sites of care.

                           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.
    Respiratory Therapists.--Respiratory therapists are a 
critical part of the care team and the Committee encourages VA 
to ensure that respiratory therapists are available to veterans 
where they are most needed. The Department is directed to 
evaluate staffing needs for respiratory therapists using a 
validated data system, and to report back to the Committees on 
Appropriations of both Houses of Congress within 180 days of 
the publication of this report on gaps in staffing for 
respiratory therapists.
    VA Rural Hiring Comparison.--The Department is directed to 
assess and compare hiring for rural and highly rural facilities 
versus urban facilities and to provide a report to the 
Committees on Appropriations of both Houses of Congress within 
1 year of enactment of this act. This should include a 
comparison of time-to-fill averages for rural facilities 
against more urban facilities, an assessment of VA's ability to 
conduct market salary surveys in rural areas with limited 
private sector competition, and overall salary comparison 
amongst rural physicians and as compared to their urban 
counterparts.

                        OTHER ITEMS OF INTEREST

    Neurology Centers of Excellence.--The Committee recognizes 
the increasing number of veterans affected by neurologic 
conditions, including but not limited to: epilepsy, headache, 
multiple sclerosis, and Parkinson's disease. The Neurology 
Centers of Excellence provide essential innovative clinical 
care, education, and research efforts focused on these 
conditions. The Committee applauds the Department for recent 
investments into the headache, multiple sclerosis, and 
Parkinson's disease centers and encourages further investment 
in, and collaboration between the Centers across disciplines 
and directs the Department to allocate $70,000,000 for the 
Neurology Centers of Excellence for maintenance and expansion. 
The Department is directed to provide the Committees on 
Appropriations of both Houses of Congress no later than 90 days 
after enactment of this act with an outline of how this funding 
will be allocated, as well as an estimate of any savings 
projected to be realized due to collaboration.
    Drug-Resistant Epilepsy.--The Committee encourages the 
Department to ensure that all veterans with epilepsy have the 
opportunity to be comprehensively evaluated at a VHA Epilepsy 
Center of Excellence to identify drug-resistant epilepsy 
patients who may be candidates for FDA-approved non-drug 
therapies.
    Helping Heroes.--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 
assessing the needs of disabled veterans and their families, 
including the types and quality of support disabled veterans 
receive from the children living with them, and the unmet needs 
of these children. These supportive services should include, 
but are not limited to, wellness services (e.g., mental, 
emotional, behavioral, and nutritional); peer-support programs; 
and assistance accessing veterans' education benefits and 
workforce development programs. The Department should solicit 
input from veterans and their families in completing this 
assessment. In addition, the Department is strongly encouraged 
to include information on mental health and other services for 
children in its Transitional Assistance Program curriculum and 
resources provided to families through VHA.
    Intimate Partner Violence Assistance Program.--The VA 
Intimate Partner Violence [IPV] Assistance Program addresses 
the identification of IPV and access to services for veterans 
with the aim of maintaining or establishing the physical, 
emotional and psychological safety and well-being of veterans 
and their families. Program expansions should include 
screening, prevention, and intervention services to veterans 
while strengthening collaboration with community partners as 
well as with the Program of Comprehensive Assistance for Family 
Caregivers and VA programs to address homelessness. The focus 
should be on developing a culture of safety and adopting a 
holistic, trauma-informed, veteran-centered approach to 
services and support for those veterans experiencing intimate 
partner violence. The Committee supports IPV Coordinator 
positions at each VA medical facility, and supports the request 
of $36,879,000 to fully fund the program, and directs the 
Department to continue to include it as a program of interest 
with budget detail in the justifications accompanying the 
fiscal year 2025 budget submission.
    Veterans Transportation Service.--The Committee encourages 
the Department to utilize shared-ride on-demand transportation 
software at some facilities, to measure its impact on providing 
veterans with reliable transportation services and study 
whether tech-enablement of the on-demand shared ride model will 
benefit the broader Veterans Transportation Program.
    Continued Support and Expansion for Whole Health.--The 
Committee is pleased by data in the budget request regarding 
the Whole Health Program. Given evidence of the program's 
success for patients struggling with opioid use disorder and 
chronic pain, the Committee supports the proposed increase and 
expanding the Whole Health model to all VA health facilities 
nationwide.
    Adaptive Sports.--The Committee provides $30,414,000 for 
National Veterans Sports Programs, including $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 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. The Committee is acutely aware 
that community providers of adaptive sports grants spend 
considerable time and effort in planning and implementing their 
veteran service programs. The Committee, therefore, encourages 
the Department to assess how the treatment of ``administrative 
expenses and personnel expenses'' under current law may 
restrict program outcomes and recommend changes, if 
appropriate.
    Dental Services.--The Committee encourages the Department 
to offer veterans robust support to address their oral health 
needs using a whole-person approach, especially for veterans 
with additional medical needs including diabetes and heart 
disease. The Department is directed to submit a report to the 
Committees on Appropriations of both Houses of Congress no 
later than 180 days from the enactment of this act assessing 
the state of veterans' oral healthcare programs and these 
programs' ability to adequately serve the current and future 
oral health needs of veterans. Specifically, this report should 
include an assessment of the Department's infrastructure for 
serving the oral health needs of current VHA-enrolled veterans, 
the availability of providers, and what additional investments 
or policies would be needed to expand eligibility, particularly 
to veterans with heart diseases and diabetes. In addition, the 
report should assess the feasibility of expanding services in 
order to furnish dental care to all veterans diagnosed with 
heart disease or diabetes and who are enrolled to receive VHA 
care, and include a cost estimate for a period of 10 years.
    Vet Centers.--The Committee supports the request for Vet 
Centers and urges the Department to increase access to Vet 
Centers by ensuring adequate staffing and evaluating whether 
additional centers may be needed. Additionally, the Committee 
expects the Department to fully implement Section 5126, 
Improvement of Vet Centers at Department of Veterans Affairs, 
of the James M. Inhofe National Defense Authorization Act for 
Fiscal Year 2023 (Public Law 117-263).
    Mobile Vet Centers.--The Department is directed to provide 
a report to the Committees on Appropriations of both Houses of 
Congress no later than 120 days after enactment of this act, 
outlining a plan, with a cost estimate, to provide at least two 
additional mobile vet centers per VISN, specifically in rural 
areas throughout the country.
    Vet Center Scholarship Program.--The Committee is concerned 
VA did not conduct a robust outreach and communications 
campaign to advertise the launch of the VA Readjustment 
Counseling Service [RCS] Scholarship Program in March 2023. 
This scholarship program was established by the Commander Scott 
Hannon Veterans Mental Health Care Improvement Act of 2019 
(Public Law 116-171) to provide educational assistance to 
students pursuing graduate degrees in mental health 
disciplines, in exchange for a service commitment at a Vet 
Center. No later than 180 days after enactment of this act, the 
Department is directed to submit to the Committees on 
Appropriations of both Houses of Congress a report on lessons 
learned from the first year of the RCS Scholarship Program, 
including plans for improving communications and marketing to 
attract more program applicants and participants, thereby 
bolstering VA's Vet Center workforce.
    Air Ambulance Reimbursement.--The Committee remains 
concerned that changes to the reimbursement rates for ground 
and air ambulance services may negatively impact the ability of 
veterans to access emergency medical services, particularly in 
rural and underserved areas. The Department should facilitate 
individual medical centers or VISNs contracting with providers 
of these services, including the provision of technical 
assistance to providers on the contract process, and consider 
further delay of the rule if necessary.
    Pilot Programs for Agritherapy.--The Committee includes 
$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.
    Hyperbaric Oxygen Therapy.--The Committee encourages the 
Department to continue to research the efficacy of hyperbaric 
oxygen therapy [HBOT] as a treatment for post-traumatic stress 
disorder and traumatic brain injury, and permit case-by-case 
referrals for HBOT in the community.
    Domestic Procurement of Medical Isotope Molybdenum-99.--The 
Committee encourages the Department to use domestically 
produced Molybdenum-99 in order to reduce the reliance on 
foreign imports of Molybdenum-99, to the extent practicable 
without having a detrimental impact on patient care.
    Medical Cannabis.--In implementing VHA Directive 1315, 
Access to VHA Clinical Programs for Veterans Participating in 
State-Approved Marijuana Programs, the Committee directs the 
Department to make appropriate recommendations, complete forms, 
or take other actions to facilitate a veteran's decision to 
participate in such programs approved by a State and document 
it appropriately, to the extent allowable under Federal law.
    On-Dose Pharmaceutical Authentication to Protect 
Veterans.--The Committee is concerned with the ongoing 
counterfeit pharmaceutical and fentanyl crisis facing our 
Nation and leaving our veterans vulnerable. The Committee 
encourages the Department to consider the use of on-dose 
physical chemical identification authentication technologies to 
help secure the supply chain of pharmaceutical products. The 
Committee looks forward to receiving the On-Dose Pharmaceutical 
Authentication Study and Report requested in the Joint 
Explanatory Statement accompanying Public Law 117-328.
    Integration of Veteran and Tribal Partners in Applicable 
Areas.--The Committee directs the Secretary to appoint a single 
point of contact to coordinate Federal Tribal and veteran 
healthcare in areas where it may be difficult for a veteran to 
find proper representation due to limited presence of VA 
facilities.
    Nuclear Medicine Quality Improvements.--The Committee notes 
the Nuclear Regulatory Commission recently began a rulemaking 
process to require reporting of some nuclear medicine 
extravasations. The Committee encourages all VA health 
facilities to monitor injection quality, as well as image 
extravasations and perform dosimetry and notify patients when 
such monitoring occurs, and urges the Department to adopt 
regulatory requirements to improve safety, quality, and 
transparency for patients.
    Obstructive Sleep Apnea.--The Committee encourages the 
Department to explore a range of treatments for veterans 
suffering from obstructive sleep apnea, including the use of 
innovative appliances.
    Food Service Guidelines Implementation.--The Committee 
supports the goal set forth in the National Strategy on Hunger, 
Nutrition, and Health to update and implement government-wide 
the Food Service Guidelines for Federal Facilities. The 
Committee strongly encourages VHA to implement the Food Service 
Guidelines across its food service facilities.
    Hospital Acquired Central Line Associated Bloodstream 
Infections.--The Committee urges VA to build and sustain 
conventional infection prevention and control strategies to 
reduce the significant increase in central-line-associated 
bloodstream infections [CLABSIs], which were documented during 
the pandemic, and any other hospital acquired infections. The 
Department is directed to submit a report to the Committees on 
Appropriations of both Houses of Congress no later than 180 
days after the enactment of this act detailing a timeline with 
steps, accomplished and planned, to reduce the percentage of 
CLABSI and other hospital acquired infection to less than pre-
pandemic rates.
    Anti-Privatization.--The Committee opposes any effort that 
would weaken the VA medical system or put it on a path toward 
privatization.
    Eligibility Requirements for Veterans.--Currently, veterans 
face a complex set of eligibility requirements to determine if 
they can receive healthcare from VA. Not least of which are the 
six subcategories of Priority Group 8. The Department is 
encouraged to work with Congress to streamline eligibility 
requirements.
    Compact of Free Association Veterans.--The Department is 
directed to provide to the Committees on Appropriations of both 
Houses of Congress no later than 90 days after enactment of 
this act, a cost estimate for providing hospital care, medical 
services, and extended care services to veterans residing in 
the freely associated States.
    Autonomous Mobile Robots.--The Committee is aware of the 
Department's use of autonomous mobile robots at a growing 
number of VA hospitals, resulting in a variety of efficiencies. 
The Department is encouraged to consider the utilization of 
autonomous mobile robots when planning and designing new 
construction or renovations of medical facilities. The 
Department is directed to submit a report to the Committees on 
Appropriations of both Houses of Congress no later than 90 days 
after enactment of this act on the cost savings and 
efficiencies realized by the use of autonomous mobile robots at 
Department medical facilities.
    Veterans Health Administration Interoperable 
Technologies.--The security of VA facilities is a top priority 
for the Committee. Effective security requires interoperable 
communications between VA police, employees and local police 
and first responders. The Committee encourages the Department 
to seek opportunities to use interoperable technologies to 
eliminate communication silos between VA security, local police 
and fire, DoD force protection, and medical technicians to 
include access to real-time video and sensor data during normal 
and incident operations.

                         MEDICAL COMMUNITY CARE

Appropriations, 2023

                                                         $28,456,659,000

Advance appropriations, 2024

                                                          33,000,000,000

Budget estimate, 2024\1\

                                                          -1,909,069,000

Committee recommendation, 2024\1\

                                                          -3,159,584,000

Budget estimate, advance appropriations, 2025

                                                          20,382,000,000

Committee recommendation, advance appropriations, 2025

                                                          20,382,000,000

\1\The budget request proposed to rescind unobligated balances to lower 
the funds available in fiscal year 2024. The Committee recommendation 
adjusts the previously enacted advance appropriation for fiscal year 
2024 to reflect a reduction in the amount requested.
---------------------------------------------------------------------------

                          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 2023, the Committee provided an advance 
appropriation of $33,000,000,000 for fiscal year 2024 for the 
Medical Community Care account. The recommendation for fiscal 
year 2024 includes a negative adjustment of $3,159,584,000, 
which provides the Department with a total budget authority of 
$29,840,416,000. In addition, VA estimates to use 
$6,740,264,000 from the Toxic Exposures Fund to support medical 
community care in fiscal year 2024, for a total of 
$36,580,680,000.
    The Committee recommendation also includes an advance 
appropriation of $20,382,000,000 for Medical Community Care for 
fiscal year 2025.
    MISSION Act Reporting.--The Committee continues to be 
interested in data relating to utilization of MISSION Act 
authorities and expenditure estimates, as well as the number of 
veterans served based on each authority for care outlined in 
section 1703(d) of title 38, United States Code. The Department 
is encouraged to continue tracking this information.
    Dialysis Services.--The Committee encourages the Department 
to utilize a pay-for-performance value-based dialysis payment 
model, including performance metrics that are highly correlated 
with improved health outcomes and lower cost. The Department is 
directed to submit the expanded feasibility report, including a 
pay-for-performance value-based dialysis payment model, as 
indicated in the Joint Explanatory Statement accompanying 
Public Law 117-328, no later than September 30, 2023.
    State Veterans Homes Per Diem.--The Committee understands 
the Department intends to revise the formula used for 
determining per diem rates at state veterans homes, and 
supports this effort.
    Veterans Access to Long-Term Care.--The Committee is aware 
of the Department's support for extending exemptions to 
providers, including long-term care, operating pursuant to an 
agreement with VA in order to improve veterans' access to care. 
The Committee is concerned that any additional requirements 
imposed on the Department's community care providers will make 
it more difficult to recruit and retain these vital partners. 
Therefore, the Committee encourages the Department to work with 
the Department of Labor to seek exemptions for Veterans Affairs 
Health Benefits Providers from its authority, similar to 
TRICARE providers, as appropriate.
    Care to Veterans in the Republic of the Philippines.--The 
Department is directed to perform an analysis of the 
feasibility and advisability of establishing a community care 
network in the Philippines and report to the Committees on 
Appropriations of both Houses of Congress on its findings 
within 1 year of the enactment of this act.

                     MEDICAL SUPPORT AND COMPLIANCE

Appropriations, 2023

                                                         $11,073,409,000

Advance appropriations, 2024

                                                          12,300,000,000

Budget estimate, advance appropriations, 2025

                                                          11,800,000,000

Committee recommendation, advance appropriations, 2025

                                                          11,800,000,000

                          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 2023, the Committee provided an advance 
appropriation of $12,300,000,000 for fiscal year 2024 for the 
Medical Support and Compliance account. In addition, VA 
estimates to use $850,000,000 from the Toxic Exposures Fund for 
medical support and compliance activities in fiscal year 2024.
    The Committee recommendation includes an advance 
appropriation of $11,800,000,000 for Medical Support and 
Compliance for fiscal year 2025, consistent with the request.

                           MEDICAL FACILITIES

Appropriations, 2023

                                                          $8,633,816,000

Advance appropriations, 2024

                                                           8,800,000,000

Budget estimate, 2024\1\

                                                            -250,515,000

Committee recommendation, 2024

                                                           1,000,000,000

Budget estimate, advance appropriations, 2025

                                                           9,400,000,000

Committee recommendation, advance appropriations, 2025

                                                           9,400,000,000

\1\The budget request proposed to rescind unobligated balances to lower 
the funds available in fiscal year 2024.
---------------------------------------------------------------------------

                          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 2023, the Committee provided an advance 
appropriation of $8,800,000,000 for fiscal year 2024 for the 
Medical Facilities account. The recommendation for fiscal year 
2024 includes an additional $1,000,000,000, which coupled with 
the advance appropriation provided for fiscal year 2024 
provides the Department with total budget authority of 
$9,800,000,000.
    The Committee recommendation also includes an advance 
appropriation of $9,400,000,000 for Medical Facilities for 
fiscal year 2025.
    Prohibition on Smoking.--The Committee supports the 
Department's efforts to make VA facilities 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 VHA facility.

                    MEDICAL AND PROSTHETIC RESEARCH

Appropriations, 2023....................................    $916,000,000
Budget estimate, 2024...................................     938,000,000
Committee recommendation................................     938,000,000

                          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 $938,000,000 for the Medical and 
Prosthetic Research account. This is $22,000,000 above the 
fiscal year 2023 enacted level and equal to the budget request. 
In addition, VA estimates to use $46,000,000 from the Toxic 
Exposures Fund to support medical research in fiscal year 2024, 
for a total of $984,000,000.
    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.
    Per- and Polyfluoroalkyl Substance Exposure.--The Committee 
understands the Department continues to review recommendations 
by the National Academies of Sciences, Engineering and 
Medicine, including the utility of blood testing, and to 
actively collaborate with Federal and academic partners to 
better understand the health implications of per- and 
polyfluoralkyl [PFAS] exposure related to military service. The 
Department is directed to report to the Committees on 
Appropriations of both Houses of Congress no later than 90 days 
after enactment of this act on its recommended guidance for 
blood testing, including for military firefighters who were 
exposed to aqueous firefighting foam [AFFF]. The Committee 
continues to encourage 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 to develop a public 
information campaign to inform eligible individuals about the 
registry.
    PFAS Research.--The Department, in coordination with DoD 
and in consultation with the Centers for Disease Control and 
Prevention, shall submit a report to the Committees on 
Appropriations of both Houses of Congress no later than 1 year 
after enactment of this act regarding the ability of the 
Department to (1) create distinct PFAS exposure cohorts based 
on location and date of PFAS exposure, including related to 
AFFF; (2) create a longitudinal record of service-related PFAS 
exposures per individual, including all current and former 
service members potentially exposed in such cohorts; (3) 
conduct appropriate medical surveillance to detect emerging 
health conditions among such personnel potentially exposed to 
PFAS; (4) support epidemiological research to determine which 
health outcomes have greater rates of prevalence or incidence 
among such personnel potentially exposed to PFAS; and, (5) 
support clinical care and public health activities by providing 
clinical care providers the ability to search such longitudinal 
records for individuals under their care and associate them to 
such exposure events.
    Opiate-Free Pain Therapy for Veterans.--The Department is 
encouraged to implement a research project in various VA 
facilities/VISNs evaluating the efficacy of thermal, shortwave 
diathermy on patients with chronic pain for non-opioid pain 
relief. This research should include real world evidence 
collected by VHA researchers in collaboration with veteran 
patients and private providers and researchers.
    Non-Invasive Lung Function Screening.--The Committee notes 
that the Department has increased its research into veterans 
with deployment-related respiratory disease and strongly 
encourages the Department to continue its efforts to identify 
and use in clinical practice non-invasive FDA-approved 
screening technologies that save veterans from invasive 
procedures such as surgical lung biopsies that are often 
required to establish a diagnosis. The Committee directs the 
Department to submit a report to the Committees on 
Appropriations of both Houses of Congress on their efforts 
relating to such implementation no later than 90 days after the 
enactment of this act.
    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.
    Access to Clinical Oncology Trials.--The Committee 
continues to support the ongoing collaborative efforts between 
VA medical centers and National Cancer Institute [NCI]-
designated comprehensive cancer centers, but notes the lack of 
infrastructure for clinical trials in other areas of the 
country. Expanding access to clinical oncology trials remains a 
priority and as such the Committee directs that not less than 
$10,000,000 be allocated to support partnerships between VA 
medical centers and NCI-designated comprehensive cancer 
centers, with an emphasis on expanding to new sites outside the 
current NAVIGATE structure.
    PhytoNutrient Strategy for Brain and Mental Health.--The 
Committee encourages the Department to conduct research on 
phytonutrient complexes as therapeutic countermeasures against 
adverse mental status and decline in veteran populations.
    Focused Ultrasound Therapy.--The Committee encourages VA to 
conduct a study into the feasibility and advisability of 
utilizing non-invasive Focus Ultrasound Therapy to treat 
certain conditions such as Parkinson's disease, essential 
tremors, prostate cancer, fibroids and other medical 
conditions. Within 1 year of enactment of this act, the 
Department is directed to report to the Committees on 
Appropriations of both Houses of Congress on the findings of 
this study, which should consider clinical and other 
stakeholder partnerships and detail any barriers or obstacles 
the Department might face in conducting proactive research on 
focused ultrasound therapy.
    Point-of-Care Ultrasound Technologies.--The Committee 
encourages the continued use of proven Point-Of-Care-Ultrasound 
[POCUS] technologies across VHA, as appropriate. The Department 
is directed to submit a report to the Committees on 
Appropriations of both Houses of Congress no later than 90 days 
after enactment of this act on the current and planned use of 
POCUS, including a cost estimate of expansion across the wide 
variety of VHA clinical environments, and any barriers to 
scaling.
    Psychedelic Research.--The Committee recognizes the 
increased interest in studying psychedelic therapies and their 
potential therapeutic effects for veterans. The Committee 
encourages VA to explore opportunities to assist with 
privately-funded research programs to evaluate the efficacy of 
psychedelic therapies in treating PTSD, major depressive 
disorder, and other serious mental health conditions.
    Stomach Cancer.--The Committee recognizes that stomach 
cancer is a concern for veterans who experienced hazardous 
exposure to ionizing radiation and have been diagnosed with 
Helicobacter pylori [H. pylori]. Therefore, the Committee 
encourages the Department to conduct a study on the prevalence 
of stomach cancer diagnoses in veterans who were exposed to 
ionizing radiation and who were also diagnosed with H. pylori. 
The study should include any preventative measures and advice 
given to these veterans as a result of their diagnosis.

                 MEDICAL CARE COST RECOVERY COLLECTIONS

                      MEDICAL CARE COLLECTION FUND

Appropriations, 2023

                                                          $3,910,000,000

Budget estimate, 2024

                                                           3,991,000,000

Committee recommendation

                                                           3,991,000,000

             MEDICAL CARE COLLECTION FUND-REVENUES APPLIED

Appropriations, 2023

                                                         -$3,910,000,000

Budget estimate, 2024

                                                          -3,991,000,000

Committee recommendation

                                                          -3,991,000,000

                          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 $3,991,000,000 in fiscal year 2024.

                    National Cemetery Administration

Appropriations, 2023....................................    $430,000,000
Budget estimate, 2024...................................     480,000,000
Committee recommendation................................     480,000,000

                        ADMINISTRATION OVERVIEW

    The National Cemetery Administration [NCA] was established 
in accordance with the National Cemeteries Act of 1973 (Public 
Law 93-43). 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 $480,000,000 for the National 
Cemetery Administration. This is an increase of $50,000,000 
above the fiscal year 2023 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, 2025, up to 10 percent of the National 
Cemetery Administration appropriation.
    Rural Initiative National Cemetery Grants Program.--The 
Committee supports the National Cemetery Administration's 
efforts to construct additional infrastructure at its Rural 
Initiative national cemeteries. In order to ensure that these 
infrastructure projects are meeting the needs of veterans, 
volunteers, and visitors, the Department should conduct an 
assessment at each Rural Initiative national cemetery site, 
with feedback from community stakeholders--to include veterans, 
veterans service organizations, volunteers, local leadership, 
adjacent landowners, and visitors, to determine if it is 
advisable to construct permanent support infrastructure. The 
Committee strongly encourages the Department to work with State 
and local entities interested in constructing and donating 
facilities to help meet location-specific needs, as 
appropriate.
    Honorable Flag Disposal Program.--The Committee directs the 
Department to submit a report to the Committees on 
Appropriations of both Houses of Congress no later than 90 days 
after the enactment of this act on (1) reasons for the lack of 
capacity to destroy flags made of synthetic materials; (2) 
potential health hazards of the destruction of synthetic flags 
in open air burn pits; and (3) what options exist for NCA to 
provide environmentally safe and acceptable options for 
honorably disposing of flags made of synthetic materials. 
Additionally, the report shall include a section on the 
feasibility, advisability and projected costs of creating a 
program to provide at least one State Veterans Cemetery in 
every State with the capacity to offer environmentally safe and 
acceptable options for honorably disposing of flags made of 
synthetic materials.
    Hmong and Laotian Veterans.--The Committee strongly 
encourages VA to update any necessary Federal regulations to 
ensure that State Veterans Cemeteries are aware of and comply 
with section 6601 of Public Law 117-81, which authorized 
certain special guerrilla unit veterans who operated from a 
base in Laos for interment in national cemeteries, to ensure 
that State Veterans Cemeteries remain eligible for the VA 
Cemetery Grants Program.
    Unclaimed Veteran Burials.--The Committee encourages the 
Department to coordinate with state cemeteries to update forms 
to ensure cemeteries are being reimbursed for assisting with 
unclaimed veteran burials. The Committee directs VA to clearly 
define the unclaimed veteran burial financial obligation and 
explain the payout procedure in the instructions. Further, the 
Committee strongly encourages VBA to establish a point of 
contact for funeral homes to make inquiries regarding the form.

                      Departmental Administration

Appropriations, 2023.................................... $10,806,000,000
Budget estimate, 2024...................................  11,107,000,000
Committee recommendation................................  10,578,142,000

                        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 $10,578,142,000 for Departmental 
Administration. The amount is composed of $475,000,000 for 
General Administration; $287,000,000 for the Board of Veterans 
Appeals; $6,401,000,000 for Information Technology Systems; 
$1,334,142,000 for the Veterans Electronic Health Record; 
$296,000,000 for the Office of Inspector General; $881,000,000 
for Construction, Major Projects; $680,000,000 for 
Construction, Minor Projects; $164,000,000 for Grants for 
Construction of State Extended Care Facilities; and $60,000,000 
for Grants for the Construction of State Veterans Cemeteries.
    In addition, 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. For fiscal year 2024, VA proposed 
to allocate $600,000,000 of the anticipated Transformational 
Fund balance for major construction projects.

                         GENERAL ADMINISTRATION

                     (INCLUDING TRANSFER OF FUNDS)

Appropriations, 2023....................................    $433,000,000
Budget estimate, 2024...................................     475,000,000
Committee recommendation................................     475,000,000

                          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 $475,000,000 for General 
Administration. This amount is $42,000,000 above the fiscal 
year 2023 enacted level and equal to the budget request. The 
Committee has included bill language to make available through 
September 30, 2025, 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 2024      Committee
              Office\1\                budget request    recommendation
------------------------------------------------------------------------
    Office of the Secretary.........            19,165            19,165
    Office of General Counsel.......           149,283           149,283
    Office of Management............            88,424            88,424
    Office of Human Resources &                120,900           120,900
     Administration/Operations,
     Security & Preparedness........
    Office of Enterprise Integration            38,941            38,941
    Office of Public &                          17,985            17,985
     Intergovernmental Affairs......
    Office of Congressional &                    9,975             9,975
     Legislative Affairs............
    Office of Accountability &                  30,327            30,327
     Whistleblower Protection.......
                                     -----------------------------------
      Total.........................           475,000           475,000
------------------------------------------------------------------------
\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.
    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.
    Asian American, Native Hawaiian, and Pacific Islander Data 
Disaggregation.--To improve data on our Nation's veteran 
population, the Committee directs the Department to 
disaggregate Asian American, Native Hawaiian, and Pacific 
Islander demographic data into the race categories used in the 
2020 U.S. Census.
    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.
    Improving the Accessibility of VA Services and the 
Workplace for People with Disabilities.--The Committee 
recognizes a need to ensure the Department meets the 
accessibility needs of disabled veterans and employees. As 
information technology responsibilities fall to the VISNs, the 
Committee strongly encourages the Department to include in all 
job descriptions for VISN Directors, all legal accessibility 
requirements, including legal requirements from the following 
pieces of legislation: Sections 501, 504, and 508 of 
Rehabilitation Act of 1973, the Plain Writing Act of 2010, the 
21st Century Integrated Digital Experience Act, and the VA 
Website Accessibility Act of 2019. The Committee also strongly 
encourages the Department, in coordination with relevant groups 
representing people with disabilities, including groups 
representing disabled veterans, and the U.S. Access Board, to 
establish and implement quantitative and qualitative criteria 
for VISN Directors' performance in meeting legal accessibility 
requirements and to provide a report to the Committees on 
Appropriations of both Houses of Congress no later than 180 
days after enactment of this act detailing these criteria and 
implementation progress as well as confirming the inclusion of 
accessibility requirements in all job descriptions for VISN 
Directors.
    The Committee also strongly encourages the Secretary to 
consider establishing an Advisory Committee on Equal Access to 
ensure the Department's compliance with disability laws, 
including representatives of people with disabilities, 
including veterans, as well as technical and policy experts. 
The Department should provide a report to the Committees on the 
feasibility and advisability of the creation of such an 
Advisory Committee.
    Acquisition and Logistics.--The Department's Service 
Disabled Veteran Owned Small Businesses [SDVOSBs] contract 
awards and obligations often fall short of targets, and SDVOSBs 
remain an underutilized agency partner. The VETS 2 
Governmentwide Acquisition Contract [GWAC] may be an 
opportunity for VA to increase its partnerships with SDVOSBs, 
while ensuring compliance; reducing protest risks, procurement 
lead times and associated costs; and providing for customized 
IT services-based solutions that are tailored to meet agency 
needs. Within 60 days of enactment of this act, the Department 
is directed to submit a report to the Committees on 
Appropriations of both Houses of Congress detailing a plan for 
increasing SDVOSB utilization through the VETS 2 GWAC.
    Predatory Representational Services to Veterans.--The 
Committee remains concerned about individuals and organizations 
aggressively marketing representational services to veterans 
using predatory tactics, often resulting in veterans having to 
pay exorbitant fees for representation for disability 
compensation claims, appeals, and Camp Lejeune related 
lawsuits. The VA Office of General Counsel is strongly 
encouraged to increase efforts to properly oversee claims 
representative accreditation, as well as ensure veterans are 
fully aware of their due process rights, VA's duty to assist, 
and the free representational services offered by accredited 
veterans service organizations.
    Assessment of VA Accountability Measures.--The Committee 
believes the Department must be allowed to terminate bad 
employees to ensure veterans have the best possible experience 
from the Department. No later than 120 days after enactment of 
this act, the Secretary shall provide a report to Congress that 
includes an assessment of current authorities used to terminate 
or otherwise discipline bad employees, and to identify any 
needed authorities to address misconduct or poor performance.
    Voting-Related Activities.--The Committee directs the 
Secretary to provide to the Committees on Appropriations of 
both Houses of Congress a briefing, no later than 90 days after 
enactment of this act, regarding any strategic plans developed 
by the Department since January 20, 2021 outlining the ways 
that the Department has promoted voter registration, and voter 
participation.

                       BOARD OF VETERANS APPEALS

Appropriations, 2023....................................    $285,000,000
Budget estimate, 2024...................................     287,000,000
Committee recommendation................................     287,000,000

                          PROGRAM DESCRIPTION

    As set forth in section 7101(a) of title 38 United States 
Code, the Board of Veterans Appeals [BVA] 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 $287,000,000 for the Board of 
Veterans Appeals, which is $2,000,000 above the fiscal year 
2023 enacted level and equal to the budget request. The 
Committee has included bill language to make available through 
September 30, 2025, up to 10 percent of BVA's appropriation. In 
addition, VA estimates to use $4,000,000 from the Toxic 
Exposures Fund to support BVA activities related to toxic 
exposures in fiscal year 2024.
    BVA Hearings.--The Department is directed to make public on 
its website (1) the number of compensation and pension appeals 
pending at the Board by month for the past 3 years; (2) the 
average number days for compensation and pension appeals 
pending at the Board; and (3) the greatest number of days of 
currently pending compensation and pension appeals before the 
Board. Additionally, 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 report 
including (1) detailed information on the reason for a claim 
being ``backlogged''; and (2) whether additional resources or 
authorities are needed to reduce the backlog or adjudicate the 
claims that have been pending the longest.

                     INFORMATION TECHNOLOGY SYSTEMS

Appropriations, 2023

                                                          $5,782,000,000

Budget estimate, 2024

                                                           6,401,000,000

Committee recommendation

                                                           6,401,000,000

                          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 $6,401,000,000 for the Information 
Technology Systems account. This amount is equal to the budget 
request. The Committee recommendation includes $1,606,977,000 
for staff salaries and expenses, $4,668,373,000 for operation 
and maintenance of existing programs, including $75,288,000 for 
activations, and $125,650,000 for program development. In 
addition, VA estimates to use $1,243,000,000 from the Toxic 
Exposures Fund to support the information technology systems 
activities related to toxic exposures in fiscal year 2024.
    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. The Committee will continue to 
work with the Department to ensure IT projects are 
appropriately resourced, and continues to be interested in data 
related to IT projects across the Department that are required 
but awaiting funding.

               INFORMATION TECHNOLOGY DEVELOPMENT PROJECTS
                        [In thousands of dollars]
------------------------------------------------------------------------
                                      Fiscal year 2024      Committee
               Project                 budget request    recommendation
------------------------------------------------------------------------
Clinical Enabling Capabilities
    Health Delivery Support.........            23,599            23,599
    Operational Support.............            23,137            23,137
    Health Administration...........             6,920             6,920
                                     -----------------------------------
      Subtotal Clinical Enabling                53,656            53,656
       Capabilities.................
                                     ===================================
Health Business Services
    Common Health Care Workflows....             7,594             7,594
    Common Health Care Specific                  7,100             7,100
     Services.......................
                                     -----------------------------------
      Subtotal Health Business                  14,694            14,694
       Services.....................
                                     ===================================
Care Coverage Capabilities
    Care Coverage Services..........            13,608            13,608
                                     -----------------------------------
      Subtotal Care Coverage                    13,608            13,608
       Capabilities.................
                                     ===================================
Clinical Care Capabilities
    Clinical Care Services..........             7,949             7,949
                                     -----------------------------------
      Subtotal Clinical Care                     7,949             7,949
       Capabilities.................
                                     ===================================
Health IT Services
    Enterprise IT Infrastructure....             2,000             2,000
                                     -----------------------------------
      Subtotal Health IT Services...             2,000             2,000
                                     ===================================
Patient Management Capabilities
    Patient Management Services.....               559               559
                                     -----------------------------------
      Subtotal Patient Management                  559               559
       Capabilities.................
                                     ===================================
Benefits Services
    Loan Guaranty...................            16,000            16,000
                                     -----------------------------------
      Subtotal Benefits Services....            16,000            16,000
                                     ===================================
Veterans Experience Services
    Digital Experience..............             9,511             9,511
    Customer Data Management                     4,673             4,673
     Experience.....................
                                     -----------------------------------
      Subtotal Veterans Experience              14,184            14,184
       Services.....................
                                     ===================================
Corporate Services
    Financial Management Services...             3,000             3,000
                                     -----------------------------------
      Subtotal Corporate Services...             3,000             3,000
                                     ===================================
      Total IT Development..........           125,650           125,650
------------------------------------------------------------------------

                   VETERANS ELECTRONIC HEALTH RECORD

Appropriations, 2023

                                                          $1,759,000,000

Budget estimate, 2024

                                                           1,863,000,000

Committee recommendation

                                                           1,334,142,000

                          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 $1,334,142,000 for the Veterans 
EHR, which is $528,858,000 below the budget request, but equal 
to the revised estimate provided by the Department based on the 
decision to pause future deployments. The Committee remains 
supportive of replacing VA's current EHR with the same system 
being acquired by DoD, and supports the Department's current 
effort to ``reset'' the initiative and hold future rollouts 
until performance in the sites currently using the new EHR has 
improved.
    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 the strict quarterly reporting 
requirements of obligations, expenditures, and any upcoming 
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 (1) providing a report outlining the measureable 
operational metrics that will be used to determine when it is 
appropriate to re-start deployments; (2) providing a report on 
the reset process as of March 1, 2024, including progress on 
achieving the necessary targets and the current performance at 
all Department facilities using the new electronic health 
record compared to pre-deployment baselines; and (3) certifying 
whether the system is stable, ready, and optimized for further 
deployment at VA sites, and if not, an estimate of the timeline 
required for further deployment.
    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.
    Support for Operations at Sites Utilizing the New EHR.--For 
each site using the new EHR, the Committee directs the 
Department to ensure that implementation of the new EHR has not 
had negative impacts on the relevant facilities, especially 
with respect to any formulaic funding or staffing models. The 
Department is directed to periodically report to the Committees 
on Appropriations of both Houses of Congress on changes to 
staffing levels, productivity compared to pre-implementation 
levels, and wait times for access to VA care and care in the 
community. The Committee also discourages the Department from 
retaliation against employees who raise patient safety concerns 
related to the EHR Modernization activities.
    Veterans Electronic Health Record Modernization.--It is 
vital the Department demonstrates it has learned from the 
lessons of the fraught rollout of the electronic health record 
at the Mann-Grandstaff VA Medical Center, specifically lessons 
learned with the super user program and the training, 
medication management, patient record flags, and overall 
patient safety. The Department should make every effort to 
leverage the electronic health record modernization contract to 
address ongoing concerns and issues with Oracle's patient 
safety, productivity, and usability record.
    Medical Image Exchange.--The Committee supports VA efforts 
to move away from hand-carried or couriered CD-and DVD-ROMs to 
implement a modern medical image exchange software. The 
Committee directs the Department to ensure this type of 
software solution is integrated in the future Veterans EHR 
system and enable its deployment in VA Enterprise Cloud.
    Improved Scheduling.--No later than 90 days after enactment 
of this act, the Committee directs the Department to brief the 
Committees on Appropriations of both Houses of Congress on the 
timeframe for implementing the scheduling solution for medical 
appointments throughout the enterprise.

                      OFFICE OF INSPECTOR GENERAL

Appropriations, 2023....................................    $273,000,000
Budget estimate, 2024...................................     296,000,000
Committee recommendation................................     296,000,000

                          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 $296,000,000 for OIG. This is 
$23,000,000 above the fiscal year 2023 enacted level and equal 
to the budget request. The Committee has included bill language 
to make available through September 30, 2025, up to 10 percent 
of the OIG appropriation.
    OIG continues to sustain an extremely high performance 
level, and 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, 2023

                                                          $1,447,890,000

Budget estimate, 2024

                                                             881,000,000

Committee recommendation

                                                             881,000,000

                          PROGRAM DESCRIPTION

    The Construction, Major Projects account provides funds 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 $881,000,000 
for the construction of major projects. This is equal to the 
budget request. In addition, the Committee supports the 
Department's allocation of $600,000,000 from the 
Transformational Fund to support the construction of major 
projects bringing the Department's total resources for Major 
Construction to $1,481,000,000.
    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 2024  budget    Committee  recommendation
                                                                    request          ---------------------------
                Location and description                 ----------------------------
                                                          Appropriation      RETF     Appropriation      RETF
----------------------------------------------------------------------------------------------------------------
Veterans Health Administration [VHA]:
    San Juan, PR: Seismic Corrections Building 1, New     .............       41,370  .............       41,370
     Administrative Building, Expansion of Outpatient
     Clinic and Parking Structure.......................
    Portland, OR: Upgrade Building 100 and 101 for        .............       90,000  .............       90,000
     Seismic Retrofit and Renovation, Roadway and Site
     Improvements, New Specialty Care Facility,
     Demolition and Expansion of Parking Facilities.....
    American Lake, WA: Construction of New Specialty      .............       45,000  .............       45,000
     Care Building 201, Renovation of Building 18 and
     Expansion of Parking Facilities....................
    San Francisco, CA: New Research Facility, Parking     .............        9,620  .............        9,620
     Structure and Demolition...........................
    San Diego, CA: Spinal Cord Injury and Seismic         .............       49,600  .............       49,600
     Building 11........................................
    Perry Point, MD: Replacement Community Living Center  .............      181,610  .............      181,610
     and Parking Expansion..............................
    El Paso, TX: Construct New Health Care Center and     .............       59,200  .............       59,200
     Utility Plant......................................
    West Haven, CT: New Surgical and Clinical Space            153,128   ...........       153,128   ...........
     Tower, Renovation of Buildings 1 and 2 and
     Demolition.........................................
    Dallas, TX: Clinical Expansion for Mental Health,     .............       77,460  .............       77,460
     Expansion of Parking Facilities and Land
     Acquisition........................................
    Advance Planning and Design Fund--Various Stations..       196,872        46,140       196,872        46,140
    Asbestos--Various Stations..........................         8,000   ...........         8,000   ...........
    Construction & Facilities Management Staff--Various        153,000   ...........       153,000   ...........
     Stations...........................................
    Hazardous Waste--Various Stations...................         1,000   ...........         1,000   ...........
    Judgment Fund--Various Stations.....................        25,000   ...........        25,000   ...........
    Non-Departmental Federal Entity Project Management         112,000   ...........       112,000   ...........
     Support--Various Stations..........................
    Seismic Corrections--Various Stations...............       110,000   ...........       110,000   ...........
                                                         -------------------------------------------------------
        Total, VHA......................................       759,000       600,000       759,000       600,000
                                                         =======================================================
 
National Cemetery Administration [NCA]:
    St. Louis, MO: Jefferson Barracks NC--Phase 1               28,800   ...........        28,800   ...........
     Gravesite Development (New Land)...................
    Tahoma, WA: Tahoma NC--Gravesite Expansion..........        78,200   ...........        78,200   ...........
    Advance Planning and Design Fund--Various Stations..         5,000   ...........         5,000   ...........
                                                         -------------------------------------------------------
        Total, NCA......................................       112,000   ...........       112,000   ...........
                                                         =======================================================
 
General Administration/Staff Offices
    Department Advance Planning and Design Fund for             10,000   ...........        10,000   ...........
     Major Construction.................................
                                                         -------------------------------------------------------
        Total Construction, Major Projects..............       881,000       600,000       881,000       600,000
----------------------------------------------------------------------------------------------------------------

    Facilities with Insufficient Beds to Meet Patient Demand.--
The Committee urges the Department to add projects to the SCIP 
lists that would address instances where in-patient care demand 
regularly exceeds in-patient care bed availability, causing VA 
to rely on bed space in the Emergency Department for overflow 
bed capacity.
    Extreme Weather Preparation.--The Committee directs the 
Department to provide a report to the Committees on 
Appropriations of both Houses of Congress no later than 120 
days after enactment of this act on the state of buildings and 
infrastructure in light of historic extreme weather and a plan 
on how the Department will retrofit and replace vulnerable 
components such as pipes, windows, insulation, and related 
items.

                      CONSTRUCTION, MINOR PROJECTS

Appropriations, 2023....................................    $626,110,000
Budget estimate, 2024...................................     680,000,000
Committee recommendation................................     680,000,000

                          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. The Veterans Millennium Health Care and Benefits 
Act (Public Law 106-117) 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 $680,000,000 for minor 
construction. This is $53,890,000 above the fiscal year 2023 
enacted level and equal to the budget request.
    The recommendation includes $334,150,000 for the Veterans 
Health Administration, $182,560,000 for the National Cemetery 
Administration, $62,070,000 for the Veterans Benefits 
Administration, and $101,220,000 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.
    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, 2023....................................    $150,000,000
Budget estimate, 2024...................................     164,000,000
Committee recommendation................................     164,000,000

                          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 $164,000,000 for Grants for 
Construction of State Extended Care Facilities. This is 
$14,000,000 above the fiscal year 2023 enacted level and equal 
to 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.
    Program Demand.--The Committee encourages VA to request 
sufficient funding in future years to better meet demand and to 
increase the number of long term care beds available for 
veterans.
    Prioritization Process Review.--As required under section 
8134(a) of title 38, United States Code, when the Secretary 
reviews and revises regulations prescribed under paragraphs (2) 
and (3) for grant applications submitted in fiscal year 2024 
for assistance under grants for construction of State extended 
care facilities program, the Secretary is urged to consider 
supplementing established prioritization criteria to take into 
account: (1) geographic diversity among grant recipients, 
including the need for a balance in addressing the needs of 
urban and rural areas; (2) age and condition of the facility, 
to prioritize facilities over 80 years with an industry-
standard Facility Condition Index maximum rating of poor; and 
(3) access to other providers who can appropriately meet the 
veterans' extended care facilities' needs, to prioritize 
facilities with limited access to other such providers. The 
Department also is encouraged to prioritize funding to 
facilities that have only one State Extended Care Facility.

             GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES

Appropriations, 2023....................................     $50,000,000
Budget estimate, 2024...................................      60,000,000
Committee recommendation................................      60,000,000

                          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 $60,000,000 for Grants for 
Construction of State Veterans Cemeteries. This is $10,000,000 
above the fiscal year 2023 enacted level and equal to the 
budget request.

                    COST OF WAR TOXIC EXPOSURES FUND

Appropriations, 2023

                                                          $5,000,000,000

Appropriations, 2024\1\

                                                          20,268,000,000

Appropriations, 2025\1\

                                                          24,455,000,000

\1\Funds for fiscal years 2024 and 2025 were appropriated in the Fiscal 
Responsibility Act of 2023 (Public Law 118-5); no additional funds are 
provided in this act.
---------------------------------------------------------------------------

                            Program Overview

    The Cost of War Toxic Exposures Fund [Toxic Exposures Fund] 
was established in order to fully fund the new costs related to 
providing veterans and their families the benefits and care 
associated with eligibility expansion included in the Honoring 
Our PACT Act of 2022 (Public Law 117-168) [PACT Act].
    The Committee supports the Department's implementation 
efforts to date, and notes that veterans will benefit from the 
Department's decision not to phase-in PACT Act benefits over 
the next several years, and instead to make all new 
eligibilities effective as of August 10, 2022. The latest 
report shows that VA has completed claims of over 276,000 
veterans or survivors applying for benefits related to the 
expanded eligibilities included in the PACT Act.
    The Department may allocate funds from the Cost of War 
Toxic Exposures Fund for investment in the delivery of veterans 
healthcare associated with exposure to environmental hazards in 
service, expenses incident to the delivery of veterans 
healthcare and benefits associated with exposure to 
environmental hazards in service, and medical and other 
research related to exposures to environmental hazards in 
service.
    The intent of this fund is to cover the costs associated 
with implementing the PACT Act, including additional future 
eligibilities that result from the process changes enacted. 
This fund is not intended to be used to cover costs of 
healthcare or providing other benefits that VA had authority 
for prior to passage, or care and benefits that are not related 
to toxic exposure.
    The Committee supports the appropriations provided for 
fiscal years 2024 and 2025 in the Fiscal Responsibility Act of 
2023 (Public Law 118-5), and includes a provision with a new 
quarterly reporting requirement on the status of the Toxic 
Exposures Fund. Further, the Committee expects a consolidated 
section in future budget requests outlining the proposed 
spending from the Toxic Exposures Fund, consistent with 
requirements in Public Law 117-168.
    PACT Act Outreach Study.--The Committee encourages the 
Department to utilize all available means to ensure veterans 
are receiving the care they are entitled to under the PACT Act. 
No later than 120 days after enactment of this act, the 
Department is directed to provide a report to Congress on 
outreach efforts to veterans on the law, and training that has 
been provided to VA staff when advising veterans of their new 
benefits under the law. As part of the report, the Department 
shall identify any shortfalls in both of these efforts.
    Colorectal Cancer Research.--The Committee encourages the 
Department to conduct a study on the prevalence of colorectal 
cancer diagnoses in veterans who were exposed to burn pits and 
other environmental hazards while serving overseas.
    Kosovo Veterans Toxic Exposures.--Air samples taken on Camp 
Nothing Hill in Kosovo between 2018 and 2020 have exceeded both 
the Military Exposure Guidelines and the Environmental 
Protection Agency's National Ambient Air Quality Standards for 
long-term particulate matter exposure caused by a nearby open-
air burn pit. As thousands of military personnel have served 
there, the Department should consider if Kosovo should be added 
to the list of covered countries for the purposes of 
determining presumptive eligibility, specifically service in 
the NATO Kosovo Force since June 1999, as ``covered service.''

                       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 2023 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 2024 to convert any program 
which received specific purpose funds in fiscal year 2023 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 addressing 
animal research at the Department of Veterans Affairs.
    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 2024 and 2025 ``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 allocating 
funds from the ``Recurring Expenses Transformational Fund'' for 
specific purposes.
    Sec. 253. The Committee includes a provision requiring 
quarterly reports on obligations from the ``Cost of War Toxic 
Exposures Fund''.
    Sec. 254. The Committee includes a provision to address 
contributions from other Federal agencies to VA Non-Profit 
Corporations for research.
    Sec. 255. The Committee includes a provision to rescind 
previously appropriated funding.
    Sec. 256. The Committee includes a provision to rescind 
previously appropriated funding.
    Sec. 257. The Committee includes a provision to restrict 
funds from being used to close medical facilities.
    Sec. 258. The Committee includes a provision to allow use 
of unobligated balances to support construction projects in the 
CHIP-IN program.
    Sec. 259. The Committee includes a provision prohibiting 
the use of funds for certain information technology equipment 
and software.
    Sec. 260. 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 and 32 Federal memorials, monuments, and markers, 
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, 2023....................................     $87,500,000
Budget estimate, 2024...................................     158,630,000
Committee recommendation................................     158,630,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $158,630,000 for the Salaries and 
Expenses account. This amount is $71,130,000 above the fiscal 
year 2023 enacted level and equal to the budget request.

                     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, 2023....................................     $46,900,000
Budget estimate, 2024...................................      47,200,000
Committee recommendation................................      47,200,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $47,200,000 for the U.S. Court of 
Appeals for Veterans Claims. This amount is $300,000 above the 
fiscal year 2023 enacted level and equal to the budget request.
    Staffing.--The Committee is concerned that projected 
increases in appeals due to enactment of the Honoring our PACT 
Act (Public Law 117-168) will lead to an additional demand for 
which the Court may not be adequately staffed. The Committee 
directs the Court to provide a report within 90 days of 
enactment of this act identifying any anticipated increases in 
the Court's workload resulting from PACT Act appeals and any 
resources necessary to bridge that gap.

                      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 million visitors 
annually.

                         SALARIES AND EXPENSES

Appropriations, 2023....................................     $93,400,000
Budget estimate, 2024...................................      99,880,000
Committee recommendation................................      99,880,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $99,880,000 for the Salaries and 
Expenses account. This amount is $6,480,000 above the fiscal 
year 2023 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 remains unwavering in its support 
for the Cemetery and the successful completion of the 
Cemetery's truly unique and honored mission.

                              CONSTRUCTION

Appropriations, 2023....................................     $62,500,000
Budget estimate, 2024...................................      88,600,000
Committee recommendation................................      88,600,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends $88,600,000 for the Construction 
account. This amount is equal to the budget request and 
includes funding for construction of the Southern Expansion 
project. When complete, 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, 2023....................................     $75,360,000
Budget estimate, 2024...................................      77,000,000
Committee recommendation................................      77,000,000

                        COMMITTEE RECOMMENDATION

    The Committee recommends authority to expend $77,000,000 
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 $1,640,000 above the fiscal year 2023 enacted level 
and equal to the budget request.
    The Committee recognizes the critical role of AFRH 
operations and the importance of delivering uninterrupted 
healthcare to its residents. Therefore, the Committee continues 
to support the 2-year availability of funds.

                        Administrative Provision

    Sec. 301. The Committee includes a provision making 
available funds as authorized by 10 U.S.C. 7727.

                                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.
    Sec. 411. The Committee includes a provision prohibiting 
the use of funds in this act for the renovation, expansion, or 
construction of any facility in the continental United States 
for the purpose of housing any individual who has been detained 
at the United States Naval Station, Guantanamo Bay, Cuba.

                     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 June 22, 2023, 
the Committee ordered favorably reported a bill (S. 2127) 
making appropriations for military construction, the Department 
of Veterans Affairs, and related agencies for the fiscal year 
ending September 30, 2024, 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 28-0, a 
quorum being present. The vote was as follows:
        Yeas                          Nays
Chair Murray
Mrs. Feinstein
Mr. Durbin
Mr. Reed
Mr. Tester
Mrs. Shaheen
Mr. Merkley
Mr. Coons
Mr. Schatz
Ms. Baldwin
Mr. Murphy
Mr. Manchin
Mr. Van Hollen
Mr. Heinrich
Mr. Peters
Ms. Collins
Mr. McConnell
Ms. Murkowski
Mr. Graham
Mr. Moran
Mr. Hoeven
Mr. Boozman
Mrs. Capito
Mr. Kennedy
Mrs. Hyde-Smith
Mr. Hagerty
Mrs. Britt
Mrs. Fischer

 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 PSEC. 308(a), PUBLIC LAW 93-344, AS
                                                     AMENDED
                                            [In millions of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                 Budget authority               Outlays
                                                            ----------------------------------------------------
                                                              Committee    Amount  in   Committee    Amount  in
                                                              allocation      bill      allocation      bill
----------------------------------------------------------------------------------------------------------------
Comparison of amounts in the bill with the subcommittee
 allocation for 2024: Military Construction, Veterans
 Affairs, and Related Agencies:
    Mandatory..............................................      209,944      209,944      195,630   \1\195,630
    Discretionary..........................................      154,352      154,352      150,863   \1\150,863
        Defense............................................       19,070       19,070       15,344       15,344
        Non-defense........................................      135,282      135,282      135,519      135,519
Projection of outlays associated with the recommendation:
    2024...................................................  ...........  ...........  ...........   \2\161,119
    2025...................................................  ...........  ...........  ...........      105,966
    2026...................................................  ...........  ...........  ...........       18,628
    2027...................................................  ...........  ...........  ...........        5,851
    2028 and future years..................................  ...........  ...........  ...........        5,637
Financial assistance to State and local governments for               NA          190           NA       \2\(22)
 P2024.....................................................
----------------------------------------------------------------------------------------------------------------
\1\Includes outlays from prior-year budget authority.
\2\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:
    FORT NOVOSEL (FORT RUCKER):
        ADV INDIVIDUAL TRAINING BARRACKS COMPLEX: COST TO         ..............          41,200         +41,200
         COMPLETE...............................................
        AIRCRAFT PARTS STORAGE FACILITY: UNSPECIFIED MINOR        ..............           4,950          +4,950
         CONSTRUCTION...........................................
        ARMY RADAR APPROACH CONTROL FACILITY: UNSPECIFIED MINOR   ..............           7,000          +7,000
         CONSTRUCTION...........................................
        HAZARDOUS MATERIAL STORAGE BUILDING: UNSPECIFIED MINOR    ..............           3,850          +3,850
         CONSTRUCTION...........................................
        READY BUILDING--MEDEVAC: UNSPECIFIED MINOR CONSTRUCTION.  ..............           6,100          +6,100
        VEHICLE MAINTENANCE STORAGE FACILITY: UNSPECIFIED MINOR   ..............           5,100          +5,100
         CONSTRUCTION...........................................
    REDSTONE ARSENAL:
        ACCESS CONTROL BUILDING: UNSPECIFIED MINOR CONSTRUCTION.  ..............           4,000          +4,000
        AIRFIELD FIRE AND RESCUE STATION: UNSPECIFIED MINOR       ..............           5,600          +5,600
         CONSTRUCTION...........................................
        AIRPORT RUNWAY EXTENSION (OVERRUNS): UNSPECIFIED MINOR    ..............           5,500          +5,500
         CONSTRUCTION...........................................
        NATURAL GAS EXPANSION AND METER STATION: UNSPECIFIED      ..............           4,800          +4,800
         MINOR CONSTRUCTION.....................................
        SUBSTATION..............................................          50,000          50,000  ..............
        TEST AREA 7 RELOCATION: UNSPECIFIED MINOR CONSTRUCTION..  ..............           5,400          +5,400
AIR FORCE:
    MAXWELL AIR FORCE BASE:
        CONSTRUCT ADDITION, AIR COMMAND AND STAFF COLLEGE (BLDG   ..............           5,100          +5,100
         1402): UNSPECIFIED MINOR CONSTRUCTION..................
        REPLACE (CONSTRUCT) GUNTER FITNESS CENTER: UNSPECIFIED    ..............           8,800          +8,800
         MINOR CONSTRUCTION.....................................
DEFENSE-WIDE:
    REDSTONE ARSENAL:
        GROUND TEST FACILITY INFRASTRUCTURE.....................         147,975         147,975  ..............
AIR NATIONAL GUARD:
    MONTGOMERY REGIONAL AIRPORT:
        F-35 ADAL SQ OPS BLDG 1303..............................           7,000           7,000  ..............
ARMY RESERVE:
    BIRMINGHAM:
        ARMY RESERVE CENTER/AMSA/LAND...........................          57,000          57,000  ..............
                                                                 -----------------------------------------------
            TOTAL, ALABAMA......................................         261,975         369,375        +107,400
                                                                 ===============================================
 
                             ALASKA
 
ARMY:
    FORT WAINWRIGHT:
        ENLISTED UNACCOMPANIED PERS HSG: COST TO COMPLETE.......          34,000          34,000  ..............
        SOLDIER PERFORMANCE READINESS CENTER: PLANNING AND        ..............           7,900          +7,900
         DESIGN.................................................
AIR FORCE:
    EIELSON AIR FORCE BASE:
        COAL THAW SHED ADDITION: PLANNING AND DESIGN............  ..............           1,500          +1,500
        CONSOLIDATED MUNITIONS COMPLEX: PLANNING AND DESIGN.....  ..............          15,100         +15,100
        CRYOGENICS FACILITY: UNSPECIFIED MINOR CONSTRUCTION.....  ..............           6,900          +6,900
        FIRE STATION: PLANNING AND DESIGN.......................  ..............           1,700          +1,700
        JOINT MOBILITY CENTER EXPANSION: PLANNING AND DESIGN....  ..............           3,000          +3,000
        JOINT PACIFIC ALASKA RANGE COMPLEX OPS FACILITY:          ..............          13,500         +13,500
         PLANNING AND DESIGN....................................
        PERMANENT PARTY DORM: PLANNING AND DESIGN...............  ..............           9,500          +9,500
    JOINT BASE ELMENDORF-RICHARDSON:
        COMBAT ALERT CELL: PLANNING AND DESIGN..................  ..............          18,100         +18,100
        EXTEND RUNWAY 16/34 (INC 3).............................         107,500         107,500  ..............
        PRECISION GUIDED MUNITIONS COMPLEX: PLANNING AND DESIGN.  ..............           6,100          +6,100
        SAND STORAGE FACILITY: UNSPECIFIED MINOR CONSTRUCTION...  ..............           8,800          +8,800
AIR NATIONAL GUARD:
    EIELSON AIR FORCE BASE:
        AMC STANDARD DUAL BAY HANGAR: PLANNING AND DESIGN.......  ..............          25,000         +25,000
    JOINT BASE ELMENDORF-RICHARDSON:
        ADAL ALERT CREW FACILITY HANGAR 18: UNSPECIFIED MINOR     ..............           7,000          +7,000
         CONSTRUCTION...........................................
        HC-130J SIMULATOR FACILITY: PLANNING AND DESIGN.........  ..............           2,000          +2,000
        NORTH CAMPUS ELECTRICAL LOOP: UNSPECIFIED MINOR           ..............           5,600          +5,600
         CONSTRUCTION...........................................
                                                                 -----------------------------------------------
            TOTAL, ALASKA.......................................         141,500         273,200        +131,700
                                                                 ===============================================
 
                             ARIZONA
 
NAVY:
    MARINE CORPS AIR STATION YUMA:
        WATER TREATMENT PLANT: PLANNING AND DESIGN..............  ..............           8,900          +8,900
AIR FORCE:
    LUKE AIR FORCE BASE:
        CHILD DEVELOPMENT CENTER: PLANNING AND DESIGN...........  ..............           2,700          +2,700
        GILA BEND CONSOLIDATED FACILITY: PLANNING AND DESIGN....  ..............           2,200          +2,200
ARMY NATIONAL GUARD:
    SURPRISE READINESS CENTER:
        NATIONAL GUARD READINESS CENTER.........................          15,000          15,000  ..............
AIR NATIONAL GUARD:
    TUCSON IAP:
        MCCA: AIRCRAFT ARRESTING SYSTEM (NEW RWY)...............          11,600          11,600  ..............
ARMY RESERVE:
    SAN TAN VALLEY:
        AREA MAINTENANCE SUPPORT ACTIVITY.......................          12,000          12,000  ..............
AIR FORCE RESERVE:
    DAVIS MONTHAN AIR FORCE BASE:
        GUARDIAN ANGEL POTFF FACILITY: UNSPECIFIED MINOR          ..............           8,500          +8,500
         CONSTRUCTION...........................................
                                                                 -----------------------------------------------
            TOTAL, ARIZONA......................................          38,600          60,900         +22,300
                                                                 ===============================================
 
                           CALIFORNIA
 
NAVY:
    NAVAL BASE CORONADO:
        CHILD DEVELOPMENT CENTER: PLANNING AND DESIGN...........  ..............           6,200          +6,200
    NAVAL BASE SAN DIEGO:
        CHILD DEVELOPMENT CENTER: PLANNING AND DESIGN...........  ..............           5,600          +5,600
    PORT HUENEME:
        LABORATORY COMPOUND FACILITIES IMPROVEMENTS.............         110,000         110,000  ..............
    TWENTYNINE PALMS:
        COMMUNICATIONS TOWERS...................................          42,100          42,100  ..............
DEFENSE-WIDE:
    MARINE CORPS AIR STATION MIRAMAR:
        AMBULATORY CARE CNTR--DENTAL CLINIC ADD/ALT.............         103,000         103,000  ..............
    MARINE CORPS RECRUIT DEPOT SAN DIEGO:
        AMBULATORY CARE CENTER--DENTAL CLINIC REPLMT............         101,644         101,644  ..............
ARMY NATIONAL GUARD:
    CAMP ROBERTS:
        AUTOMATED MULTIPURPOSE MACHINE GUN RANGE: COST TO         ..............           5,000          +5,000
         COMPLETE...............................................
ARMY RESERVE:
    FORT HUNTER LIGGETT:
        NETWORK ENTERPRISE CENTER...............................  ..............          40,000         +40,000
AIR FORCE RESERVE:
    MARCH AIR RESERVE BASE:
        KC-46 ADD/ALTER B1244 FUT/CARGO PALLET STORAGE..........          17,000          17,000  ..............
        KC-46 ADD/ALTER B6000 SIMULATOR FACILITY................           8,500           8,500  ..............
        KC-46 TWO BAY MAINTENANCE/FUEL HANGAR...................         201,000         201,000  ..............
                                                                 -----------------------------------------------
            TOTAL, CALIFORNIA...................................         583,244         640,044         +56,800
                                                                 ===============================================
 
                            COLORADO
 
AIR NATIONAL GUARD:
    BUCKLEY SPACE FORCE BASE:
        AIRCRAFT CORROSION CONTROL..............................          12,000          12,000  ..............
                                                                 -----------------------------------------------
            TOTAL, COLORADO.....................................          12,000          12,000  ..............
                                                                 ===============================================
 
                           CONNECTICUT
 
NAVY:
    NAVAL SUBMARINE BASE NEW LONDON:
        SUBMARINE PIER 31 EXTENSION.............................         112,518         112,518  ..............
        WEAPONS MAGAZINE & ORDNANCE OPERATIONS FAC..............         219,200         219,200  ..............
                                                                 -----------------------------------------------
            TOTAL, CONNECTICUT..................................         331,718         331,718  ..............
                                                                 ===============================================
 
                            DELAWARE
 
DEFENSE-WIDE:
    DOVER AIR FORCE BASE:
        BLOOD PROCESSING CENTER REPLACEMENT.....................  ..............          30,600         +30,600
                                                                 -----------------------------------------------
            TOTAL, DELAWARE.....................................  ..............          30,600         +30,600
                                                                 ===============================================
 
                      DISTRICT OF COLUMBIA
 
NAVY:
    MARINE BARRACKS 8TH AND I:
        BACHELOR ENLISTED QUARTERS & SUPPORT FACILITY...........         131,800         131,800  ..............
                                                                 -----------------------------------------------
            TOTAL, DISTRICT OF COLUMBIA.........................         131,800         131,800  ..............
                                                                 ===============================================
 
                             FLORIDA
 
AIR FORCE:
    MACDILL AIR FORCE BASE:
        KC-46A ADAL FUEL SYSTEM MAINTENANCE DOCK................          18,000          18,000  ..............
        KC-46A ADAL AIRCRAFT CORROSION CONTROL..................          25,000          25,000  ..............
        KC-46A ADAL AIRCRAFT MAINTENANCE HANGAR.................          27,000          27,000  ..............
        KC-46A ADAL APRON & HYDRANT FUELING PITS................          61,000          61,000  ..............
    PATRICK SPACE FORCE BASE:
        COMMERCIAL VEHICLE INSPECTION...........................          15,000          15,000  ..............
        CONSOLIDATED COMMUNICATIONS CENTER: COST TO COMPLETE....          15,000          15,000  ..............
        FINAL DENIAL BARRIERS, SOUTH GATE.......................          12,000          12,000  ..............
                                                                 -----------------------------------------------
            TOTAL, FLORIDA......................................         173,000         173,000  ..............
                                                                 ===============================================
 
                             GEORGIA
 
ARMY:
    FORT GORDON:
        CYBER INSTRUCTIONAL FACILITY (CLASSROOMS)...............         163,000         163,000  ..............
    FORT MOORE (FORT BENNING):
        CAMP MERRILL AST BARRACKS: PLANNING AND DESIGN..........  ..............           1,320          +1,320
    FORT STEWART/HUNTER ARMY AIRFIELD:
        COMBAT AVIATION BRIGADE GSAB HANGAR: PLANNING AND DESIGN  ..............           6,400          +6,400
        MILITARY INTELLIGENCE BATTALION HANGAR: PLANNING AND      ..............           2,220          +2,220
         DESIGN.................................................
AIR FORCE:
    ROBINS AIR FORCE BASE:
        BATTLE MANAGEMENT COMBINED OPERATIONS COMPLEX...........         115,000         115,000  ..............
DEFENSE-WIDE:
    FORT MOORE (FORT BENNING):
        DEXTER ELEMENTARY SCHOOL: PLANNING AND DESIGN...........  ..............             500            +500
                                                                 -----------------------------------------------
            TOTAL, GEORGIA......................................         278,000         288,440         +10,440
                                                                 ===============================================
 
                             HAWAII
 
ARMY:
    ALIAMANU MILITARY RESERVATION:
        WATER STORAGE TANK......................................          20,000          20,000  ..............
    FORT SHAFTER:
        CLEARWELL AND BOOSTER PUMP..............................  ..............          23,000         +23,000
    HELEMANO MILITARY RESERVATION:
        WELL AND STORAGE TANKS..................................  ..............          33,000         +33,000
    SCHOFIELD BARRACKS:
        ELEVATED TANK AND DISTRIBUTION LINE.....................  ..............          16,000         +16,000
        WATER STORAGE TANK......................................  ..............          21,000         +21,000
NAVY:
    JOINT BASE PEARL HARBOR-HICKAM:
        DRY DOCK 3 REPLACEMENT (INC)............................       1,318,711       1,318,711  ..............
        DRY DOCK 3 REPLACEMENT..................................  ..............          90,000         +90,000
        WATERFRONT PRODUCTION FACILITY: PLANNING AND DESIGN.....  ..............          49,080         +49,080
    MARINE CORPS BASE HAWAII:
        WATER RECLAMATION FACILITY COMPLIANCE UPGRADE...........  ..............         109,000        +109,000
                                                                 -----------------------------------------------
            TOTAL, HAWAII.......................................       1,338,711       1,679,791        +341,080
                                                                 ===============================================
 
                              IDAHO
 
ARMY NATIONAL GUARD:
    JEROME COUNTY REGIONAL SITE:
        NATIONAL GUARD VEHICLE MAINTENANCE SHOP.................          17,000          17,000  ..............
                                                                 -----------------------------------------------
            TOTAL, IDAHO........................................          17,000          17,000  ..............
                                                                 ===============================================
 
                            ILLINOIS
 
ARMY NATIONAL GUARD:
    BLOOMINGTON:
        NATIONAL GUARD VEHICLE MAINTENANCE SHOP: COST TO          ..............           5,250          +5,250
         COMPLETE...............................................
    CHICAGO, JONES ARMORY:
        GENERAL JONES NATIONAL GUARD READINESS CENTER             ..............           5,000          +5,000
         ALTERATION: PLANNING AND DESIGN........................
    NORTH RIVERSIDE:
        ACCESS CONTROL BUILDING: UNSPECIFIED MINOR CONSTRUCTION.  ..............           3,400          +3,400
        NATIONAL GUARD VEHICLE MAINTENANCE SHOP.................          24,000          24,000  ..............
    PEORIA:
        READINESS CENTER: PLANNING AND DESIGN...................  ..............           2,400          +2,400
                                                                 -----------------------------------------------
            TOTAL, ILLINOIS.....................................          24,000          40,050         +16,050
                                                                 ===============================================
 
                             INDIANA
 
AIR NATIONAL GUARD:
    FORT WAYNE INTERNATIONAL AIRPORT:
        FIRE STATION............................................           8,900           8,900  ..............
                                                                 -----------------------------------------------
            TOTAL, INDIANA......................................           8,900           8,900  ..............
                                                                 ===============================================
 
                             KANSAS
 
ARMY:
    FORT RILEY:
        AIR TRAFFIC CONTROL TOWER: PLANNING AND DESIGN..........  ..............           1,600          +1,600
        AIRCRAFT MAINTENANCE HANGER.............................         105,000         105,000  ..............
        AUTOMATED INFANTRY PLATOON BATTLE COURSE: UNSPECIFIED     ..............           8,700          +8,700
         MINOR CONSTRUCTION.....................................
        BOB DOLE INTERMODAL RAILYARD IMPROVEMENTS: PLANNING AND   ..............           1,110          +1,110
         DESIGN.................................................
ARMY NATIONAL GUARD:
    TOPEKA:
        NATIONAL GUARD/RESERVE CENTER BUILDING: COST TO COMPLETE  ..............           5,856          +5,856
                                                                 -----------------------------------------------
            TOTAL, KANSAS.......................................         105,000         122,266         +17,266
                                                                 ===============================================
 
                            KENTUCKY
 
ARMY:
    FORT CAMPBELL:
        MULTIPURPOSE TRAINING RANGE.............................          38,000          38,000  ..............
                                                                 -----------------------------------------------
            TOTAL, KENTUCKY.....................................          38,000          38,000  ..............
                                                                 ===============================================
 
                            LOUISIANA
 
ARMY:
    FORT JOHNSON (FORT POLK):
        MULTIPURPOSE ATHLETIC FIELD.............................  ..............          13,400         +13,400
AIR FORCE:
    BARKSDALE AIR FORCE BASE:
        WGF DORMITORY: PLANNING AND DESIGN......................  ..............           6,700          +6,700
        WEAPONS GENERATION FACILITY (INC).......................         112,000         112,000  ..............
AIR FORCE RESERVE:
    BARKSDALE AIR FORCE BASE:
        307 BOMB WING MEDICAL FACILITY ADDITION: UNSPECIFIED      ..............           7,000          +7,000
         MINOR CONSTRUCTION.....................................
                                                                 -----------------------------------------------
            TOTAL, LOUISIANA....................................         112,000         139,100         +27,100
                                                                 ===============================================
 
                              MAINE
 
NAVY:
    KITTERY:
        MULTI-MISSION DRYDOCK #1 EXTENSION (INC)................         544,808         544,808  ..............
ARMY NATIONAL GUARD:
    SACO:
        NATIONAL GUARD VEHICLE MAINTENANCE SHOP: COST TO          ..............           7,420          +7,420
         COMPLETE...............................................
AIR NATIONAL GUARD:
    BANGOR INTERNATIONAL AIRPORT:
        REPAIR HANGAR ACCESS APRON (LIGHT DUTY RAMP): PLANNING    ..............           1,450          +1,450
         AND DESIGN.............................................
        REPAIR WHISKEY APRON: PLANNING AND DESIGN...............  ..............             704            +704
                                                                 -----------------------------------------------
            TOTAL, MAINE........................................         544,808         554,382          +9,574
                                                                 ===============================================
 
                            MARYLAND
 
NAVY:
    FORT MEADE:
        CYBERSECURITY OPERATIONS FACILITY.......................         186,480         100,000         -86,480
    NAVAL AIR STATION PATUXENT RIVER:
        AIRCRAFT DEVELOPMENT AND MAINTENANCE FACILITIES.........         141,700         141,700  ..............
    NAVAL SUPPORT ACTIVITY BETHESDA:
        CONSTRUCT JOINT NAVY/DHA FIRE STATION: PLANNING AND       ..............           3,000          +3,000
         DESIGN.................................................
DEFENSE-WIDE:
    BETHESDA NAVAL HOSPITAL:
        MEDICAL CENTER ADDITION/ALTERATION (INC 7)..............         101,816         101,816  ..............
    FORT MEADE:
        NSAW MISSION OPS AND RECORDS CENTER (INC)...............         105,000         105,000  ..............
        NSAW RECAP BUILDING 4 (INC).............................         315,000         315,000  ..............
        NSAW RECAP BUILDING 5 (ECB 5) (INC).....................          65,000          65,000  ..............
    JOINT BASE ANDREWS:
        HYDRANT FUELING SYSTEM..................................          38,300          38,300  ..............
                                                                 -----------------------------------------------
            TOTAL, MARYLAND.....................................         953,296         869,816         -83,480
                                                                 ===============================================
 
                          MASSACHUSETTS
 
ARMY:
    SOLDIER SYSTEMS CENTER NATICK:
        BARRACKS ADDITION.......................................          18,500          18,500  ..............
AIR FORCE:
    HANSCOM AIR FORCE BASE:
        CHILD DEVELOPMENT CENTER................................          37,000          37,000  ..............
        MIT-LINCOLN LAB (WEST LAB CSL/MIF) (INC)................          70,000          70,000  ..............
                                                                 -----------------------------------------------
            TOTAL, MASSACHUSETTS................................         125,500         125,500  ..............
                                                                 ===============================================
 
                            MICHIGAN
 
ARMY:
    DETROIT ARSENAL:
        GROUND TRANSPORT EQUIPMENT BUILDING.....................          72,000          72,000  ..............
        MANNED/UNMANNED TACTICAL VEHICLE LAB: PLANNING AND        ..............           2,400          +2,400
         DESIGN.................................................
NAVY RESERVE:
    BATTLE CREEK:
        ORGANIC SUPPLY FACILITIES...............................          24,549          24,549  ..............
                                                                 -----------------------------------------------
            TOTAL, MICHIGAN.....................................          96,549          98,949          +2,400
                                                                 ===============================================
 
                            MINNESOTA
 
ARMY NATIONAL GUARD:
    CAMP RIPLEY:
        ACCESS CONTROL FACILITY: PLANNING AND DESIGN............  ..............           1,530          +1,530
                                                                 -----------------------------------------------
            TOTAL, MINNESOTA....................................  ..............           1,530          +1,530
                                                                 ===============================================
 
                           MISSISSIPPI
 
AIR FORCE:
    COLUMBUS AIR FORCE BASE:
        T-7A GROUND BASED TRAINING SYSTEM FACILITY..............          30,000          30,000  ..............
        T-7A UNIT MAINTENANCE TRAINING FACILITY.................           9,500           9,500  ..............
        T-7A EGRESS SHOP: UNSPECIFIED MINOR CONSTRUCTION........  ..............           4,600          +4,600
        T-7A HUSH HOUSE PAD: UNSPECIFIED MINOR CONSTRUCTION.....  ..............           4,850          +4,850
    KEESLER AIR FORCE BASE:
        AIR TRAFFIC CONTROL TOWER: PLANNING AND DESIGN..........  ..............           1,960          +1,960
ARMY NATIONAL GUARD:
    MERIDIAN:
        ARMY AVIATION SUPPORT FACILITY 3: PLANNING AND DESIGN...  ..............           2,160          +2,160
    SOUTHAVEN:
        NATIONAL GUARD READINESS CENTER.........................  ..............          22,000         +22,000
AIR NATIONAL GUARD:
    JACKSON INTERNATIONAL AIRPORT:
        FIRE CRASH AND RESCUE STATION: COST TO COMPLETE.........  ..............           8,000          +8,000
                                                                 -----------------------------------------------
            TOTAL, MISSISSIPPI..................................          39,500          83,070         +43,570
                                                                 ===============================================
 
                            MISSOURI
 
ARMY NATIONAL GUARD:
    BELLEFONTAINE:
        NATIONAL GUARD READINESS CENTER.........................          28,000          28,000  ..............
                                                                 -----------------------------------------------
            TOTAL, MISSOURI.....................................          28,000          28,000  ..............
                                                                 ===============================================
 
                             MONTANA
 
DEFENSE-WIDE:
    GREAT FALLS INTERNATIONAL AIRPORT:
        FUEL FACILITIES.........................................          30,000          30,000  ..............
                                                                 -----------------------------------------------
            TOTAL, MONTANA......................................          30,000          30,000  ..............
                                                                 ===============================================
 
                            NEBRASKA
 
AIR FORCE:
    OFFUTT AIR FORCE BASE:
        55 CES MAINTENANCE/WAREHOUSE: PLANNING AND DESIGN.......  ..............           3,500          +3,500
        BASE OPERATIONS/MOBILITY CENTER: PLANNING AND DESIGN....  ..............           3,000          +3,000
        LOGISTICS READINESS SQUADRON TRANSPORTATION FACILITY:     ..............           2,700          +2,700
         PLANNING AND DESIGN....................................
        REPLACE VEHICLE SEARCH AREA, STRATCOM GATE, B511:         ..............           7,000          +7,000
         UNSPECIFIED MINOR CONSTRUCTION.........................
DEFENSE-WIDE:
    OFFUTT AIR FORCE BASE:
        DPAA LABORATORY: PLANNING AND DESIGN....................  ..............           5,000          +5,000
ARMY NATIONAL GUARD:
    MEAD TRAINING SITE:
        UNACCOMPANIED HOUSING: PLANNING AND DESIGN..............  ..............           1,440          +1,440
                                                                 -----------------------------------------------
            TOTAL, NEBRASKA.....................................  ..............          22,640         +22,640
                                                                 ===============================================
 
                             NEVADA
 
AIR FORCE:
    NELLIS AIR FORCE BASE:
        DORMITORY: PLANNING AND DESIGN..........................  ..............           7,500          +7,500
ARMY NATIONAL GUARD:
    FLOYD EDSALL TRAINING CENTER:
        COMBINED SUPPORT MAINTENANCE SHOP: PLANNING AND DESIGN..  ..............           2,700          +2,700
        GENERAL INSTRUCTION FACILITY: PLANNING AND DESIGN.......  ..............           5,490          +5,490
    HARRY REID TRAINING CENTER:
        READY BUILDING: PLANNING AND DESIGN.....................  ..............             590            +590
                                                                 -----------------------------------------------
            TOTAL, NEVADA.......................................  ..............          16,280         +16,280
                                                                 ===============================================
 
                          NEW HAMPSHIRE
 
ARMY NATIONAL GUARD:
    CENTER STRAFFORD:
        PHYSICAL FITNESS CENTER: UNSPECIFIED MINOR CONSTRUCTION.  ..............           9,000          +9,000
    LITTLETON:
        NATIONAL GUARD VEHICLE MAINTENANCE SHOP ADD.............          23,000          23,000  ..............
    PEMBROKE:
        VEHICLE STORAGE BUILDING: UNSPECIFIED MINOR CONSTRUCTION  ..............           5,000          +5,000
AIR NATIONAL GUARD:
    PEASE AIR NATIONAL GUARD BASE:
        GROUND PRODUCT SERVICE STATION: UNSPECIFIED MINOR         ..............           4,000          +4,000
         CONSTRUCTION...........................................
                                                                 -----------------------------------------------
            TOTAL, NEW HAMPSHIRE................................          23,000          41,000         +18,000
                                                                 ===============================================
 
                           NEW JERSEY
 
ARMY NATIONAL GUARD:
    NEWARK:
        NATIONAL GUARD READINESS CENTER: PLANNING AND DESIGN....  ..............           1,900          +1,900
AIR NATIONAL GUARD:
    ATLANTIC CITY INTERNATIONAL AIRPORT:
        CONSOLIDATED DINING, SERVICES, AND FITNESS CENTER:        ..............           2,000          +2,000
         PLANNING AND DESIGN....................................
        F-16 MISSION TRAINING CENTER: PLANNING AND DESIGN.......  ..............           1,100          +1,100
                                                                 -----------------------------------------------
            TOTAL, NEW JERSEY...................................  ..............           5,000          +5,000
                                                                 ===============================================
 
                           NEW MEXICO
 
ARMY:
    WHITE SANDS MISSILE RANGE:
        EL PASO GATE ACCESS CONTROL POINT: UNSPECIFIED MINOR      ..............           3,600          +3,600
         CONSTRUCTION...........................................
        GUIDED MISSILE BUILDING EXPANSION: UNSPECIFIED MINOR      ..............           5,600          +5,600
         CONSTRUCTION...........................................
        HIGH ENERGY LASER SYSTEMS TEST FACILITY FIRE STATION:     ..............           4,450          +4,450
         UNSPECIFIED MINOR CONSTRUCTION.........................
        J-DETC DIRECTED ENERGY FACILITY: PLANNING AND DESIGN....  ..............           3,060          +3,060
        MAIN POST FIRE STATION: UNSPECIFIED MINOR CONSTRUCTION..  ..............           8,200          +8,200
AIR FORCE:
    CANNON AIR FORCE BASE:
        SATELLITE FIRE STATION: PLANNING AND DESIGN.............  ..............           2,000          +2,000
    KIRTLAND AIR FORCE BASE:
        WYOMING GATE PROJECT: COST TO COMPLETE..................  ..............          24,400         +24,400
ARMY NATIONAL GUARD:
    DE BREMOND TRAINING SITE:
        SOLDIER PERFORMANCE, ACFT SUPPORT BUILDING: UNSPECIFIED   ..............           4,300          +4,300
         MINOR CONSTRUCTION.....................................
    RIO RANCHO TRAINING SITE:
        NATIONAL GUARD VEHICLE MAINTENANCE SHOP ADD.............          11,000          11,000  ..............
                                                                 -----------------------------------------------
            TOTAL, NEW MEXICO...................................          11,000          66,610         +55,610
                                                                 ===============================================
 
                            NEW YORK
 
ARMY NATIONAL GUARD:
    LEXINGTON ARMORY:
        NATIONAL GUARD READINESS CENTER ADDITION/ALTERATION.....  ..............          90,000         +90,000
                                                                 -----------------------------------------------
            TOTAL, NEW YORK.....................................  ..............          90,000         +90,000
                                                                 ===============================================
 
                         NORTH CAROLINA
 
ARMY:
    FORT LIBERTY (FORT BRAGG):
        AUTOMATED RECORD FIRE RANGE.............................          19,500          19,500  ..............
        BARRACKS................................................          50,000          50,000  ..............
        BARRACKS (FACILITY PROTOTYPING).........................          85,000          85,000  ..............
NAVY:
    MARINE CORPS AIR STATION CHERRY POINT:
        AIRCRAFT MAINTENANCE HANGAR (INC).......................          19,529          19,529  ..............
        MAINTENANCE FACILITY & MARINE AIR GROUP HQS.............         125,150         125,150  ..............
                                                                 -----------------------------------------------
            TOTAL, NORTH CAROLINA...............................         299,179         299,179  ..............
                                                                 ===============================================
 
                              OHIO
 
AIR FORCE:
    WRIGHT-PATTERSON AIR FORCE BASE:
        ACQUISITION MANAGEMENT COMPLEX PHASE V: PLANNING AND      ..............          18,000         +18,000
         DESIGN.................................................
ARMY NATIONAL GUARD:
    CAMP PERRY JOINT TRAINING CENTER:
        NATIONAL GUARD READINESS CENTER.........................          19,200          19,200  ..............
AIR FORCE RESERVE:
    YOUNGSTOWN AIR RESERVE STATION:
        FIRE STATION: PLANNING AND DESIGN.......................  ..............           2,500          +2,500
                                                                 -----------------------------------------------
            TOTAL, OHIO.........................................          19,200          39,700         +20,500
                                                                 ===============================================
 
                            OKLAHOMA
 
AIR FORCE:
    TINKER AIR FORCE BASE:
        KC-46A 3-BAY DEPOT MAINTENANCE HANGAR (INC 3)...........          78,000          78,000  ..............
    VANCE AIR FORCE BASE:
        UNDERGRADUATE PILOT TRAINING CENTER: PLANNING AND DESIGN  ..............           8,400          +8,400
                                                                 -----------------------------------------------
            TOTAL, OKLAHOMA.....................................          78,000          86,400          +8,400
                                                                 ===============================================
 
                             OREGON
 
ARMY NATIONAL GUARD:
    WASHINGTON COUNTY READINESS CENTER:
        NATIONAL GUARD READINESS CENTER.........................          26,000          26,000  ..............
AIR NATIONAL GUARD:
    PORTLAND INTERNATIONAL AIRPORT:
        SPECIAL TACTICS COMPLEX, PHASE 1........................          22,000          22,000  ..............
        SPECIAL TACTICS COMPLEX, PHASE 2........................          18,500          18,500  ..............
        SPECIAL TACTICS COMPLEX, PHASE 3........................  ..............          20,000         +20,000
        SPECIAL TACTICS COMPLEX, PHASE 4........................  ..............          11,000         +11,000
                                                                 -----------------------------------------------
            TOTAL, OREGON.......................................          66,500          97,500         +31,000
                                                                 ===============================================
 
                          PENNSYLVANIA
 
ARMY:
    LETTERKENNY ARMY DEPOT:
        COMPONENT REBUILD SHOP, DEPOT LEVEL: UNSPECIFIED MINOR    ..............           2,500          +2,500
         CONSTRUCTION...........................................
        GUIDED MISSILE MAINTENANCE BUILDING.....................          89,000          89,000  ..............
ARMY NATIONAL GUARD:
    HERMITAGE READINESS CENTER:
        NATIONAL GUARD READINESS CENTER.........................          13,600          13,600  ..............
    MOON TOWNSHIP:
        COMBINED SUPPORT MAINTENANCE SHOP: COST TO COMPLETE.....  ..............           3,100          +3,100
    NEW CASTLE:
        VEHICLE MAINTENANCE SHOP ADDITION: UNSPECIFIED MINOR      ..............           4,650          +4,650
         CONSTRUCTION...........................................
AIR NATIONAL GUARD:
    PITTSBURGH INTERNATIONAL AIRPORT:
        ENTRY CONTROL FACILITY: UNSPECIFIED MINOR CONSTRUCTION..  ..............           8,000          +8,000
                                                                 -----------------------------------------------
            TOTAL, PENNSYLVANIA.................................         102,600         120,850         +18,250
                                                                 ===============================================
 
                          RHODE ISLAND
 
ARMY NATIONAL GUARD:
    NORTH KINGSTOWN:
        NATIONAL GUARD READINESS CENTER.........................  ..............          30,000         +30,000
                                                                 -----------------------------------------------
            TOTAL, RHODE ISLAND.................................  ..............          30,000         +30,000
                                                                 ===============================================
 
                         SOUTH CAROLINA
 
ARMY:
    FORT JACKSON:
        RECEPTION BARRACKS COMPLEX, PH2: COST TO COMPLETE.......  ..............         101,000        +101,000
ARMY NATIONAL GUARD:
    AIKEN COUNTY READINESS CENTER:
        NATIONAL GUARD READINESS CENTER.........................          20,000          20,000  ..............
    JOINT BASE CHARLESTON:
        NATIONAL GUARD READINESS CENTER: COST TO COMPLETE.......  ..............           6,500          +6,500
    MCCRADY TRAINING CENTER:
        AUTOMATED MULTIPURPOSE MACHINE GUN RANGE................           7,900           7,900  ..............
                                                                 -----------------------------------------------
            TOTAL, SOUTH CAROLINA...............................          27,900         135,400        +107,500
                                                                 ===============================================
 
                          SOUTH DAKOTA
 
AIR FORCE:
    ELLSWORTH AIR FORCE BASE:
        B-21 WEAPONS GENERATION FACILITY (INC)..................         160,000         160,000  ..............
        B-21 FUEL SYSTEM MAINTENANCE DOCK.......................          75,000          75,000  ..............
        B-21 PHASE HANGAR.......................................         160,000         160,000  ..............
                                                                 -----------------------------------------------
            TOTAL, SOUTH DAKOTA.................................         395,000         395,000  ..............
                                                                 ===============================================
 
                              TEXAS
 
ARMY:
    FORT BLISS:
        RAIL YARD...............................................          74,000          74,000  ..............
    RED RIVER ARMY DEPOT:
        COMPONENT REBUILD SHOP..................................         113,000         113,000  ..............
AIR FORCE:
    JOINT BASE SAN ANTONIO-LACKLAND:
        CHILD DEVELOPMENT CENTER: COST TO COMPLETE..............          20,000          20,000  ..............
AIR FORCE RESERVE:
    NAVAL AIR STATION JOINT RESERVE BASE FORT WORTH:
        LRS WAREHOUSE...........................................          16,000          16,000  ..............
                                                                 -----------------------------------------------
            TOTAL, TEXAS........................................         223,000         223,000  ..............
                                                                 ===============================================
 
                              UTAH
 
AIR FORCE:
    HILL AIR FORCE BASE:
        F-35 T-7A EAST CAMPUS INFRASTRUCTURE....................          82,000          82,000  ..............
DEFENSE-WIDE:
    HILL AIR FORCE BASE:
        OPEN STORAGE............................................          14,200          14,200  ..............
                                                                 -----------------------------------------------
            TOTAL, UTAH.........................................          96,200          96,200  ..............
                                                                 ===============================================
 
                             VERMONT
 
ARMY NATIONAL GUARD:
    ETHAN ALLEN FIRING RANGE:
        NATIONAL GUARD READINESS CENTER ADD/ALT: UNSPECIFIED      ..............           4,750          +4,750
         MINOR CONSTRUCTION.....................................
                                                                 -----------------------------------------------
            TOTAL, VERMONT......................................  ..............           4,750          +4,750
                                                                 ===============================================
 
                            VIRGINIA
 
NAVY:
    DAM NECK:
        MARITIME SURVEILLANCE SYSTEM FACILITY...................         109,680         109,680  ..............
    JOINT EXPEDITIONARY BASE LITTLE CREEK--STORY:
        CHILD DEVELOPMENT CENTER................................          35,000          35,000  ..............
    MARINE CORPS BASE QUANTICO:
        WATER TREATMENT PLANT...................................         127,120         127,120  ..............
    NAVAL STATION NORFOLK:
        CHILD DEVELOPMENT CENTER................................          43,600          43,600  ..............
        MQ-25 AIRCRAFT LAYDOWN FACILITIES.......................         114,495         114,495  ..............
        SUBMARINE PIER 3 (INC)..................................          99,077          99,077  ..............
    NAVAL WEAPONS STATION YORKTOWN:
        WEAPONS MAGAZINES.......................................         221,920         137,472         -84,448
    PORTSMOUTH:
        DRY DOCK SALTWATER SYSTEM FOR CVN-78 (INC)..............          81,082          81,082  ..............
DEFENSE-WIDE:
    FORT BELVOIR:
        DIA HEADQUARTERS ANNEX..................................         185,000         185,000  ..............
    JOINT EXPEDITIONARY BASE LITTLE CREEK--STORY:
        SOF SDVT2 OPERATIONS SUPPORT FACILITY...................          61,000          61,000  ..............
    PENTAGON:
        SEC OPS AND PEDESTRIAN ACCESS FACS......................          30,600          30,600  ..............
ARMY NATIONAL GUARD:
    SANDSTON RC & FMS 1:
        AIRCRAFT MAINTENANCE HANGAR.............................          20,000          20,000  ..............
ARMY RESERVE:
    RICHMOND:
        ARMY RESERVE CENTER: PLANNING AND DESIGN................  ..............           4,000          +4,000
NAVY RESERVE:
    DAM NECK:
        G/ATOR SUPPORT FACILITIES...............................          12,400          12,400  ..............
                                                                 -----------------------------------------------
            TOTAL, VIRGINIA.....................................       1,140,974       1,060,526         -80,448
                                                                 ===============================================
 
                           WASHINGTON
 
ARMY:
    JOINT BASE LEWIS-MCCHORD:
        BARRACKS................................................         100,000         100,000  ..............
        BARRACKS: PLANNING AND DESIGN...........................  ..............           7,900          +7,900
        VEHICLE MAINTENANCE SHOP: PLANNING AND DESIGN...........  ..............           7,500          +7,500
    YAKIMA TRAINING CENTER:
        AUTOMATED INFANTRY PLATOON BATTLE COURSE: PLANNING AND    ..............             960            +960
         DESIGN.................................................
NAVY:
    NAVAL AIR STATION WHIDBEY ISLAND:
        E/A-18G AIRCRAFT REGIONAL SERVICE FACILITY: PLANNING AND  ..............          11,100         +11,100
         DESIGN.................................................
    NAVAL BASE KITSAP:
        SHIPYARD ELECTRICAL BACKBONE............................         195,000         195,000  ..............
DEFENSE-WIDE:
    JOINT BASE LEWIS-MCCHORD:
        SOF CONSOLIDATED RIGGING FACILITY.......................          62,000          62,000  ..............
    MANCHESTER:
        BULK STORAGE TANKS, PHASE 2.............................          71,000          71,000  ..............
ARMY NATIONAL GUARD:
    CAMP MURRAY:
        NATIONAL GUARD/RESERVE CENTER: PLANNING AND DESIGN......  ..............           3,600          +3,600
                                                                 -----------------------------------------------
            TOTAL, WASHINGTON...................................         428,000         459,060         +31,060
                                                                 ===============================================
 
                          WEST VIRGINIA
 
ARMY NATIONAL GUARD:
    BLUEFIELD:
        NATIONAL GUARD READINESS CENTER: PLANNING AND DESIGN....  ..............           1,950          +1,950
    CAMP DAWSON-KINGWOOD:
        COVERED TRAINING AREA: UNSPECIFIED MINOR CONSTRUCTION...  ..............           8,300          +8,300
    CHARLESTON:
        NATIONAL GUARD READINESS CENTER: PLANNING AND DESIGN....  ..............           4,800          +4,800
    PARKERSBURG:
        NATIONAL GUARD READINESS CENTER: PLANNING AND DESIGN....  ..............           3,300          +3,300
AIR NATIONAL GUARD:
    MCLAUGHLIN AIR NATIONAL GUARD BASE:
        RENOVATE BUILDING 107 FOR SMALL AIR TERMINAL/GYM:         ..............           2,500          +2,500
         UNSPECIFIED MINOR CONSTRUCTION.........................
        RENOVATE BUILDING 109 FOR AEROSPACE SUPPORT EQUIPMENT:    ..............           3,000          +3,000
         UNSPECIFIED MINOR CONSTRUCTION.........................
    SHEPHERD FIELD:
        INDOOR SMALL ARMS RANGE: UNSPECIFIED MINOR CONSTRUCTION.  ..............           7,000          +7,000
        MAIN GATE ENTRY CONTROL POINT RENOVATION: UNSPECIFIED     ..............           6,000          +6,000
         MINOR CONSTRUCTION.....................................
                                                                 -----------------------------------------------
            TOTAL, WEST VIRGINIA................................  ..............          36,850         +36,850
                                                                 ===============================================
 
                            WISCONSIN
 
ARMY NATIONAL GUARD:
    VIROQUA:
        NATIONAL GUARD READINESS CENTER.........................          18,200          18,200  ..............
AIR NATIONAL GUARD:
    GENERAL MITCHELL INTERNATIONAL AIRPORT:
        INDOOR SMALL ARMS RANGE: UNSPECIFIED MINOR CONSTRUCTION.  ..............           7,100          +7,100
        POL UNDERGROUND PIPELINE: UNSPECIFIED MINOR CONSTRUCTION  ..............           4,250          +4,250
                                                                 -----------------------------------------------
            TOTAL, WISCONSIN....................................          18,200          29,550         +11,350
                                                                 ===============================================
 
                             WYOMING
 
AIR FORCE:
    FE WARREN AIR FORCE BASE:
        GBSD INTEGRATED COMMAND CENTER (INC 2)..................          27,000          27,000  ..............
        GBSD INTEGRATED TRAINING CENTER.........................          85,000          85,000  ..............
        GBSD MISSILE HANDLING COMPLEX (INC 2)...................          28,000          28,000  ..............
                                                                 -----------------------------------------------
            TOTAL, WYOMING......................................         140,000         140,000  ..............
                                                                 ===============================================
 
                            AUSTRALIA
 
NAVY:
    DARWIN:
        PDI: AIRCRAFT PARKING APRON (INC).......................         134,624         134,624  ..............
AIR FORCE:
    DARWIN:
        PDI: SQUADRON OPERATIONS FACILITY.......................          26,000          26,000  ..............
    TINDAL:
        PDI: AIRCRAFT MAINTENANCE SUPPORT FACILITY..............          17,500          17,500  ..............
        PDI: BOMBER APRON.......................................          93,000          93,000  ..............
        PDI: SQUADRON OPERATIONS FACILITY.......................          20,000          20,000  ..............
                                                                 -----------------------------------------------
            TOTAL, AUSTRALIA....................................         291,124         291,124  ..............
                                                                 ===============================================
 
                              CUBA
 
DEFENSE-WIDE:
    NAVAL STATION GUANTANAMO BAY:
        AMBULATORY CARE CENTER (INC 1)..........................          60,000          60,000  ..............
                                                                 -----------------------------------------------
            TOTAL, CUBA.........................................          60,000          60,000  ..............
                                                                 ===============================================
 
                             GERMANY
 
ARMY:
    GRAFENWOEHR:
        AUTOMATED MULTIPURPOSE MACHINE GUN RANGE................          10,400          10,400  ..............
    HOHENFELS:
        SIMULATIONS CENTER......................................          56,000          56,000  ..............
DEFENSE-WIDE:
    BAUMHOLDER:
        SOF COMPANY OPERATIONS FACILITY.........................          41,000          41,000  ..............
        SOF JOINT PARACHUTE RIGGING FACILITY....................          23,000          23,000  ..............
    KAISERSLAUTERN AIR BASE:
        KAISERSLAUTERN MIDDLE SCHOOL............................          21,275          21,275  ..............
    RAMSTEIN AIR BASE:
        RAMSTEIN MIDDLE SCHOOL..................................         181,764         181,764  ..............
    RHINE ORDNANCE BARRACKS:
        MEDICAL CENTER REPLACEMENT (INC 11).....................          77,210          77,210  ..............
    STUTTGART:
        ROBINSON BARRACKS ELEM SCHOOL REPLACEMENT...............           8,000           8,000  ..............
                                                                 -----------------------------------------------
            TOTAL, GERMANY......................................         418,649         418,649  ..............
                                                                 ===============================================
 
                              GUAM
 
NAVY:
    JOINT REGION MARIANAS:
        PDI: CHILD DEVELOPMENT CENTER...........................         105,220         105,220  ..............
        PDI: JOINT CONSOL COMM CENTER (INC).....................         107,000         107,000  ..............
        PDI: JOINT COMMUNICATION UPGRADE (INC)..................         292,830         180,000        -112,830
        PDI: MISSILE INTEGRATION TEST FACILITY..................         174,540         174,540  ..............
    FINEGAYAN:
        PDI: 9TH ESB TRAINING COMPLEX...........................          23,380          23,380  ..............
        PDI: ARTILLERY BATTERY FACILITIES.......................         137,550         137,550  ..............
        PDI: CONSOLIDATED MEB HQ/NCIS PHII......................          19,740          19,740  ..............
        PDI: RECREATION CENTER..................................          34,740          34,740  ..............
        PDI: RELIGIOUS MINISTRY SERVICES FACILITY...............          46,350          46,350  ..............
        PDI: SATELLITE COMMUNICATIONS FACILITY (INC)............         166,159         166,159  ..............
        PDI: TRAINING CENTER....................................          89,640          89,640  ..............
AIR FORCE:
    JOINT REGION MARIANAS:
        PDI: NORTH AIRCRAFT PARKING RAMP (INC)..................         109,000         109,000  ..............
AIR FORCE RESERVE:
    JOINT REGION MARIANAS:
        AERIAL PORT FACILITY....................................          27,000          27,000  ..............
                                                                 -----------------------------------------------
            TOTAL, GUAM.........................................       1,333,149       1,220,319        -112,830
                                                                 ===============================================
 
                            HONDURAS
 
DEFENSE-WIDE:
    SOTO CANO AIR BASE:
        FUEL FACILITIES.........................................          41,300          41,300  ..............
                                                                 -----------------------------------------------
            TOTAL, HONDURAS.....................................          41,300          41,300  ..............
                                                                 ===============================================
 
                              ITALY
 
NAVY:
    NAVAL AIR STATION SIGONELLA:
        EDI: ORDNANCE MAGAZINES.................................          77,072          77,072  ..............
                                                                 -----------------------------------------------
            TOTAL, ITALY........................................          77,072          77,072  ..............
                                                                 ===============================================
 
                              JAPAN
 
AIR FORCE:
    KADENA AIR BASE:
        PDI: HELO RESCUE OPS MAINTENANCE HANGAR (INC)...........          46,000          46,000  ..............
        PDI: THEATER A/C CORROSION CONTROL CTR (INC)............          42,000          42,000  ..............
DEFENSE-WIDE:
    FLEET ACTIVITIES YOKOSUKA:
        KINNICK HIGH SCHOOL (INC)...............................          70,000          70,000  ..............
    KADENA AIR BASE:
        PDI: SOF COMPOSITE MAINTENANCE FACILITY.................          11,400          11,400  ..............
        PDI: SOF MAINTENANCE HANGAR.............................          88,900          88,900  ..............
                                                                 -----------------------------------------------
            TOTAL, JAPAN........................................         258,300         258,300  ..............
                                                                 ===============================================
 
                    NORTHERN MARIANA ISLANDS
 
AIR FORCE:
    TINIAN:
        PDI: AIRFIELD DEVELOPMENT, PHASE 1 (INC 3)..............          26,000          26,000  ..............
        PDI: FUEL TANKS W/PIPELN & HYDRANT (INC 3)..............          20,000          20,000  ..............
        PDI: PARKING APRON (INC 3)..............................          32,000          32,000  ..............
                                                                 -----------------------------------------------
            TOTAL, MARIANA ISLANDS..............................          78,000          78,000  ..............
                                                                 ===============================================
 
                             NORWAY
 
AIR FORCE:
    RYGGE:
        EDI: DABS-FEV STORAGE...................................          88,000          88,000  ..............
        EDI: MUNITIONS STORAGE AREA.............................          31,000          31,000  ..............
                                                                 -----------------------------------------------
            TOTAL, NORWAY.......................................         119,000         119,000  ..............
                                                                 ===============================================
 
                           PHILIPPINES
 
AIR FORCE:
    BASA AIR BASE:
        PDI: TRANSIENT AIRCRAFT PARKING APRON...................          35,000          35,000  ..............
                                                                 -----------------------------------------------
            TOTAL, PHILIPPINES..................................          35,000          35,000  ..............
                                                                 ===============================================
 
                              SPAIN
 
AIR FORCE:
    MORON AIR BASE:
        EDI: MUNITIONS STORAGE..................................          26,000          26,000  ..............
DEFENSE-WIDE:
    NAVAL STATION ROTA:
        BULK TANK FARM, PHASE 1.................................          80,000          80,000  ..............
                                                                 -----------------------------------------------
            TOTAL, SPAIN........................................         106,000         106,000  ..............
                                                                 ===============================================
 
                         UNITED KINGDOM
 
AIR FORCE:
    ROYAL AIR FORCE FAIRFORD:
        EDI: RADR STORAGE FACILITY..............................          47,000          47,000  ..............
    ROYAL AIR FORCE LAKENHEATH:
        EDI: RADR STORAGE FACILITY..............................          28,000          28,000  ..............
        SURETY DORMITORY........................................          50,000          50,000  ..............
                                                                 -----------------------------------------------
            TOTAL, UNITED KINGDOM...............................         125,000         125,000  ..............
                                                                 ===============================================
NATO SECURITY INVESTMENT PROGRAM................................         293,434         293,434  ..............
 
                      WORLDWIDE UNSPECIFIED
 
ARMY:
    HOST NATION SUPPORT.........................................          26,000          26,000  ..............
    PLANNING AND DESIGN.........................................         270,875         280,875         +10,000
    MINOR CONSTRUCTION..........................................          76,280          96,280         +20,000
                                                                 -----------------------------------------------
        SUBTOTAL, ARMY..........................................         373,155         403,155         +30,000
                                                                 ===============================================
NAVY:
    PLANNING AND DESIGN.........................................         599,942         624,942         +25,000
    MINOR CONSTRUCTION..........................................          34,430          34,430  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, NAVY..........................................         634,372         659,372         +25,000
                                                                 ===============================================
AIR FORCE:
    EDI: PLANNING AND DESIGN....................................           5,648           5,648  ..............
    PLANNING AND DESIGN.........................................         338,985         338,985  ..............
    SPACE FORCE: PLANNING AND DESIGN............................          90,281          90,281  ..............
    MINOR CONSTRUCTION..........................................          64,900          64,900  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, AIR FORCE.....................................         499,814         499,814  ..............
                                                                 ===============================================
DEFENSE-WIDE:
    ENERGY RESILIENCE AND CONSERVATION INVESTMENT PROGRAM.......         548,000         548,000  ..............
    PLANNING AND DESIGN:
    DEFENSE-WIDE................................................          32,579          32,579  ..............
    DEFENSE-WIDE ERCIP..........................................          86,250          86,250  ..............
    MISSILE DEFENSE AGENCY......................................           1,035           1,035  ..............
    DEFENSE LOGISTICS AGENCY....................................          24,000          24,000  ..............
    DEFENSE HEALTH AGENCY.......................................          49,610          49,610  ..............
    DEPARTMENT OF DEFENSE EDUCATION AGENCY......................           8,568           8,568  ..............
    NATIONAL SECURITY AGENCY....................................           3,068           3,068  ..............
    US SPECIAL OPERATIONS COMMAND...............................          25,130          25,130  ..............
    THE JOINT STAFF.............................................           2,000           2,000  ..............
    WASHINGTON HEADQUARTERS SERVICE.............................             590             590  ..............
    US CYBER COMMAND............................................          30,215          30,215  ..............
    INDOPACOM...................................................  ..............          50,000         +50,000
                                                                 -----------------------------------------------
        SUBTOTAL, DEFENSE-WIDE..................................         811,045         861,045         +50,000
                                                                 ===============================================
 
                  UNSPECIFIED MINOR CONSTRUCTION
 
    DEFENSE-WIDE:
    DEFENSE-WIDE................................................           3,000           3,000  ..............
    DEFENSE LOGISTICS AGENCY....................................           4,875           4,875  ..............
    THE JOINT STAFF.............................................          11,107          11,107  ..............
    US SPECIAL OPERATIONS COMMAND...............................          19,271          19,271  ..............
    INDOPACOM...................................................  ..............          62,000         +62,000
                                                                 -----------------------------------------------
        SUBTOTAL, UNSPECIFIED MINOR CONSTRUCTION................          38,253         100,253         +62,000
                                                                 ===============================================
ARMY NATIONAL GUARD:
    PLANNING AND DESIGN.........................................          34,286          34,286  ..............
    MINOR CONSTRUCTION..........................................          63,000          70,000          +7,000
AIR NATIONAL GUARD:
    PLANNING AND DESIGN.........................................          35,600          35,600  ..............
    MINOR CONSTRUCTION..........................................          63,122          63,122  ..............
ARMY RESERVE:
    PLANNING AND DESIGN.........................................          23,389          23,389  ..............
    MINOR CONSTRUCTION..........................................          14,687          14,687  ..............
NAVY RESERVE:
    PLANNING AND DESIGN.........................................           6,495           6,495  ..............
    MINOR CONSTRUCTION..........................................           7,847           7,847  ..............
AIR FORCE RESERVE:
    PLANNING AND DESIGN.........................................          12,146          12,146  ..............
    MINOR CONSTRUCTION..........................................           9,926           9,926  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, WORLDWIDE UNSPECIFIED.........................       2,627,137       2,801,137        +174,000
                                                                 ===============================================
 
                      FAMILY HOUSING, ARMY
 
GEORGIA:
    FORT GORDON:
        FORT GORDON MHPI EQUITY INVESTMENT......................        (50,000)        (50,000)  ..............
MISSOURI:
    FORT LEONARD WOOD:
        FORT LEONARD WOOD MHPI EQUITY INVESTMENT................        (50,000)        (50,000)  ..............
GERMANY:
    BAUMHOLDER:
        FAMILY HOUSING NEW CONSTRUCTION.........................        (78,746)        (78,746)  ..............
KWAJALEIN:
    KWAJALEIN ATOLL:
        FAMILY HOUSING REPLACEMENT CONSTRUCTION.................        (98,600)        (98,600)  ..............
PLANNING AND DESIGN.............................................        (27,549)        (27,549)  ..............
                                                                 -----------------------------------------------
    SUBTOTAL, CONSTRUCTION......................................         304,895         304,895  ..............
                                                                 ===============================================
OPERATION AND MAINTENANCE:
    UTILITIES...................................................        (38,951)        (38,951)  ..............
    SERVICES....................................................         (7,037)         (7,037)  ..............
    MANAGEMENT..................................................        (41,121)        (41,121)  ..............
    MISCELLANEOUS...............................................           (554)           (554)  ..............
    FURNISHINGS.................................................        (12,121)        (12,121)  ..............
    LEASING.....................................................       (112,976)       (112,976)  ..............
    MAINTENANCE.................................................        (86,706)        (86,706)  ..............
    HOUSING PRIVATIZATION SUPPORT...............................        (86,019)        (86,019)  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, OPERATIONS AND MAINTENANCE....................         385,485         385,485  ..............
                                                                 ===============================================
 
              FAMILY HOUSING, NAVY AND MARINE CORPS
 
GUAM:
    NSA ANDERSEN:
        REPLACE ANDERSEN HOUSING (AF) PH7.......................        (83,126)        (83,126)  ..............
        REPLACE ANDERSEN HOUSING PH 8...........................       (121,906)       (121,906)  ..............
        IMPROVEMENTS, WASHINGTON DC.............................        (57,740)        (57,740)  ..............
PLANNING AND DESIGN, WASHINGTON DC..............................         (4,782)         (4,782)  ..............
PLANNING AND DESIGN FOR DPRI/GUAM...............................         (9,588)         (9,588)  ..............
                                                                 -----------------------------------------------
    SUBTOTAL, CONSTRUCTION......................................         277,142         277,142  ..............
                                                                 ===============================================
OPERATION AND MAINTENANCE:
    UTILITIES...................................................        (43,320)        (43,320)  ..............
    SERVICES....................................................        (13,250)        (13,250)  ..............
    MANAGEMENT..................................................        (61,896)        (61,896)  ..............
    MISCELLANEOUS...............................................           (419)           (419)  ..............
    FURNISHINGS.................................................        (17,744)        (17,744)  ..............
    LEASING.....................................................        (60,214)        (60,214)  ..............
    MAINTENANCE.................................................       (101,356)       (101,356)  ..............
    HOUSING PRIVATIZATION SUPPORT...............................        (65,655)        (65,655)  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, OPERATION AND MAINTENANCE.....................         363,854         363,854  ..............
                                                                 ===============================================
 
                    FAMILY HOUSING, AIR FORCE
 
ALABAMA:
    MAXWELL AIR FORCE BASE:
        MHPI RESTRUCTURE-AETC GROUP II..........................        (65,000)        (65,000)  ..............
COLORADO:
    US AIR FORCE ACADEMY:
        CONSTRUCTION IMPROVEMENT--CARLTON HOUSE.................         (9,282)         (9,282)  ..............
HAWAII:
    HICKAM AIR FORCE BASE:
        MHPI RESTRUCTURE-JB PEARL HARBOR-HICKAM.................        (75,000)        (75,000)  ..............
MISSISSIPPI:
    KEESLER AIR FORCE BASE:
        MHPI RESTRUCTURE-SOUTHERN GROUP.........................        (80,000)        (80,000)  ..............
PLANNING AND DESIGN.............................................         (7,815)         (7,815)  ..............
                                                                 -----------------------------------------------
    SUBTOTAL, CONSTRUCTION......................................         237,097         237,097  ..............
                                                                 ===============================================
OPERATION AND MAINTENANCE:
    UTILITIES...................................................        (48,054)        (48,054)  ..............
    MANAGEMENT..................................................        (68,023)        (68,023)  ..............
    SERVICES....................................................        (10,692)        (10,692)  ..............
    FURNISHINGS.................................................        (12,884)        (23,884)       (+11,000)
    MISCELLANEOUS...............................................         (2,377)         (2,377)  ..............
    LEASING.....................................................         (5,143)         (5,143)  ..............
    MAINTENANCE.................................................       (135,410)       (124,410)       (-11,000)
    HOUSING PRIVATIZATION.......................................        (31,803)        (31,803)  ..............
                                                                 -----------------------------------------------
        SUBTOTAL, OPERATION AND MAINTENANCE.....................         314,386         314,386  ..............
                                                                 ===============================================
 
                  FAMILY HOUSING, DEFENSE-WIDE
 
OPERATION AND MAINTENANCE:
    NATIONAL SECURITY AGENCY:
        UTILITIES...............................................            (15)            (15)  ..............
        FURNISHINGS.............................................            (89)            (89)  ..............
        LEASING.................................................        (13,658)        (13,658)  ..............
        MAINTENANCE.............................................            (35)            (35)  ..............
    DEFENSE INTELLIGENCE AGENCY:
        UTILITIES...............................................         (4,273)         (4,273)  ..............
        FURNISHINGS.............................................           (673)           (673)  ..............
        LEASING.................................................        (32,042)        (32,042)  ..............
                                                                 -----------------------------------------------
            SUBTOTAL, OPERATION AND MAINTENANCE.................          50,785          50,785  ..............
                                                                 ===============================================
DOD FAMILY HOUSING IMPROVEMENT FUND.............................         (6,611)         (6,611)  ..............
DOD MILITARY UNACCOMPANIED HOUSING IMPROVEMENT FUND.............           (496)           (496)  ..............
 
                  BASE REALIGNMENT AND CLOSURE
 
ARMY............................................................         150,640         170,640         +20,000
NAVY............................................................         108,818         118,818         +10,000
AIR FORCE.......................................................         123,990         143,990         +20,000
DEFENSE-WIDE....................................................           5,726           5,726  ..............
                                                                 -----------------------------------------------
    TOTAL, BASE REALIGNMENT AND CLOSURE.........................         389,174         439,174         +50,000
                                                                 ===============================================
UNFUNDED REQUIREMENTS (SEC 124):
    MILITARY CONSTRUCTION, ARMY.................................  ..............          38,514         +38,514
    MILITARY CONSTRUCTION, NAVY AND MARINE CORPS................  ..............         351,100        +351,100
    MILITARY CONSTRUCTION, AIR FORCE............................  ..............          66,000         +66,000
    MILITARY CONSTRUCTION, DEFENSE-WIDE.........................  ..............         117,100        +117,100
    MILITARY CONSTRUCTION, ARMY NATIONAL GUARD..................  ..............          89,500         +89,500
    MILITARY CONSTRUCTION, AIR NATIONAL GUARD...................  ..............           5,200          +5,200
    MILITARY CONSTRUCTION, ARMY RESERVE.........................  ..............          23,000         +23,000
MILITARY INSTALLATION RESILIENCE (SEC 128):
    MILITARY INSTALLATION RESILIENCE, ARMY......................  ..............          15,000         +15,000
    MILITARY INSTALLATION RESILIENCE, NAVY AND MARINE CORPS.....  ..............           7,500          +7,500
    MILITARY INSTALLATION RESILIENCE, AIR FORCE.................  ..............           7,500          +7,500
NATURAL DISASTER RECOVERY (SEC 129):
    MILITARY CONSTRUCTION, AIR FORCE............................  ..............         150,000        +150,000
CHILD DEVELOPMENT CENTERS (SEC 130):
    MILITARY CONSTRUCTION, ARMY.................................  ..............          15,000         +15,000
    MILITARY CONSTRUCTION, NAVY AND MARINE CORPS................  ..............          15,000         +15,000
    MILITARY CONSTRUCTION, AIR FORCE............................  ..............          15,000         +15,000
FOREIGN MILITARY TRAINING INFRASTRUCTURE (SEC 131):
    MILITARY CONSTRUCTION, AIR FORCE............................  ..............          83,000         +83,000
COST TO COMPLETES (SEC 132):
    MILITARY CONSTRUCTION, AIR FORCE............................  ..............          20,000         +20,000
FAMILY HOUSING IMPROVEMENT (SEC 133):
    FAMILY HOUSING OPERATION AND MAINTENANCE , NAVY.............  ..............          19,000         +19,000
AUTHORIZED PROJECTS (SEC 134):
    MILITARY CONSTRUCTION, NAVY.................................  ..............          48,300         +48,300
    MILITARY CONSTRUCTION, DEFENSE-WIDE.........................  ..............          37,100         +37,100
 
                              RECAP
 
ARMY............................................................       1,470,555       1,876,875        +406,320
NAVY AND MARINE CORPS...........................................       6,022,187       6,046,309         +24,122
AIR FORCE.......................................................       2,605,314       2,802,924        +197,610
DEFENSE-WIDE....................................................       2,984,682       3,132,782        +148,100
ARMY NATIONAL GUARD.............................................         340,186         598,572        +258,386
AIR NATIONAL GUARD..............................................         178,722         304,426        +125,704
ARMY RESERVE....................................................         107,076         151,076         +44,000
NAVY RESERVE....................................................          51,291          51,291  ..............
AIR FORCE RESERVE...............................................         291,572         309,572         +18,000
NATO............................................................         293,434         293,434  ..............
DEPARTMENT OF DEFENSE BASE CLOSURE ACCOUNT (BRAC)...............         389,174         439,174         +50,000
FAMILY HOUSING, ARMY............................................         690,380         690,380  ..............
    CONSTRUCTION................................................       (304,895)       (304,895)  ..............
    OPERATION AND MAINTENANCE...................................       (385,485)       (385,485)  ..............
FAMILY HOUSING, NAVY AND MARINE CORPS...........................         640,996         640,996  ..............
    CONSTRUCTION................................................       (277,142)       (277,142)  ..............
    OPERATION AND MAINTENANCE...................................       (363,854)       (363,854)  ..............
FAMILY HOUSING, AIR FORCE.......................................         551,483         551,483  ..............
    CONSTRUCTION................................................       (237,097)       (237,097)  ..............
    OPERATION AND MAINTENANCE...................................       (314,386)       (314,386)  ..............
FAMILY HOUSING, DEFENSE-WIDE....................................          50,785          50,785  ..............
    OPERATION AND MAINTENANCE...................................        (50,785)        (50,785)  ..............
DOD FAMILY HOUSING IMPROVEMENT FUND.............................           6,611           6,611  ..............
DOD UNACCOMPANIED HOUSING IMPROVEMENT FUND......................             496             496  ..............
                                                                 -----------------------------------------------
    TOTAL, Administrative Provisions............................  ..............       1,122,814      +1,122,814
                                                                 ===============================================
        GRAND TOTAL.............................................      16,674,944      19,070,000      +2,395,056
----------------------------------------------------------------------------------------------------------------

         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                       State                 Location                    Project                 Amount           Requestor(s)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Air Force.........................  Alabama..............  Maxwell Air Force      Construct Addition, Air                  5,100  Britt
                                                            Base.                  Command and Staff College
                                                                                   (Bldg 1402): Unspecified
                                                                                   Minor Construction.
Air Force.........................  Alabama..............  Maxwell Air Force      Replace (Construct) Gunter               8,800  Britt
                                                            Base.                  Fitness Center: Unspecified
                                                                                   Minor Construction.
Army..............................  Alabama..............  Fort Novosel (Fort     Adv Individual Training                 41,200  Britt
                                                            Rucker).               Barracks Complex: Cost to
                                                                                   Complete.
Army..............................  Alabama..............  Fort Novosel (Fort     Aircraft Parts Storage                   4,950  Tuberville
                                                            Rucker).               Facility: Unspecified Minor
                                                                                   Construction.
Army..............................  Alabama..............  Fort Novosel (Fort     Army Radar Approach Control              7,000  Britt
                                                            Rucker).               Facility: Unspecified Minor
                                                                                   Construction.
Army..............................  Alabama..............  Fort Novosel (Fort     Hazardous Material Storage               3,850  Britt/Tuberville
                                                            Rucker).               Building: Unspecified Minor
                                                                                   Construction.
Army..............................  Alabama..............  Fort Novosel (Fort     Ready Building--MEDEVAC:                 6,100  Britt/Tuberville
                                                            Rucker).               Unspecified Minor
                                                                                   Construction.
Army..............................  Alabama..............  Fort Novosel (Fort     Vehicle Maintenance Storage              5,100  Tuberville
                                                            Rucker).               Facility: Unspecified Minor
                                                                                   Construction.
Army..............................  Alabama..............  Redstone Arsenal.....  Access Control Building:                 4,000  Tuberville
                                                                                   Unspecified Minor
                                                                                   Construction.
Army..............................  Alabama..............  Redstone Arsenal.....  Airfield Fire and Rescue                 5,600  Britt
                                                                                   Station: Unspecified Minor
                                                                                   Construction.
Army..............................  Alabama..............  Redstone Arsenal.....  Airport Runway Extension                 5,500  Britt/Tuberville
                                                                                   (Overruns): Unspecified Minor
                                                                                   Construction.
Army..............................  Alabama..............  Redstone Arsenal.....  Natural Gas Expansion and                4,800  Tuberville
                                                                                   Meter Station: Unspecified
                                                                                   Minor Construction.
Army..............................  Alabama..............  Redstone Arsenal.....  Test Area 7 Relocation:                  5,400  Tuberville
                                                                                   Unspecified Minor
                                                                                   Construction.
Air Force.........................  Alaska...............  Eielson Air Force      Coal Thaw Shed Addition:                 1,500  Murkowski
                                                            Base.                  Planning and Design.
Air Force.........................  Alaska...............  Eielson Air Force      Consolidated Munitions                  15,100  Murkowski
                                                            Base.                  Complex: Planning and Design.
Air Force.........................  Alaska...............  Eielson Air Force      Cryogenics Facility:                     6,900  Murkowski
                                                            Base.                  Unspecified Minor
                                                                                   Construction.
Air Force.........................  Alaska...............  Eielson Air Force      Fire Station: Planning and               1,700  Murkowski
                                                            Base.                  Design.
Air Force.........................  Alaska...............  Eielson Air Force      Joint Mobility Center                    3,000  Murkowski
                                                            Base.                  Expansion: Planning and
                                                                                   Design.
Air Force.........................  Alaska...............  Eielson Air Force      Joint Pacific Alaska Range              13,500  Murkowski
                                                            Base.                  Complex Ops Facility:
                                                                                   Planning and Design.
Air Force.........................  Alaska...............  Eielson Air Force      Permanent Party Dorm: Planning           9,500  Murkowski
                                                            Base.                  and Design.
Air Force.........................  Alaska...............  Joint Base Elmendorf-  Combat Alert Cell: Planning             18,100  Murkowski
                                                            Richardson.            and Design.
Air Force.........................  Alaska...............  Joint Base Elmendorf-  Precision Guided Munitions               6,100  Murkowski
                                                            Richardson.            Complex: Planning and Design.
Air Force.........................  Alaska...............  Joint Base Elmendorf-  Sand Storage Facility:                   8,800  Murkowski
                                                            Richardson.            Unspecified Minor
                                                                                   Construction.
Air National Guard................  Alaska...............  Eielson Air Force      AMC Standard Dual Bay Hangar:           25,000  Murkowski
                                                            Base.                  Planning and Design.
Air National Guard................  Alaska...............  Joint Base Elmendorf-  ADAL Alert Crew Facility                 7,000  Murkowski
                                                            Richardson.            Hangar 18: Unspecified Minor
                                                                                   Construction.
Air National Guard................  Alaska...............  Joint Base Elmendorf-  HC-130J Simulator Facility:              2,000  Murkowski
                                                            Richardson.            Planning and Design.
Air National Guard................  Alaska...............  Joint Base Elmendorf-  North Campus Electrical Loop:            5,600  Murkowski
                                                            Richardson.            Unspecified Minor
                                                                                   Construction.
Army..............................  Alaska...............  Fort Wainwright......  Soldier Performance Readiness            7,900  Murkowski
                                                                                   Center: Planning and Design.
Air Force.........................  Arizona..............  Luke Air Force Base..  Child Development Center:                2,700  Kelly/Sinema
                                                                                   Planning and Design.
Air Force.........................  Arizona..............  Luke Air Force Base..  Gila Bend Consolidated                   2,200  Kelly/Sinema
                                                                                   Facility: Planning and Design.
Air Force Reserve.................  Arizona..............  Davis Monthan Air      Guardian Angel POTFF Facility:           8,500  Kelly
                                                            Force Base.            Unspecified Minor
                                                                                   Construction.
Navy and Marine Corps.............  Arizona..............  Marine Corps Air       Water Treatment Plant:                   8,900  Kelly
                                                            Station Yuma.          Planning and Design.
Army National Guard...............  California...........  Camp Roberts.........  Automated Multipurpose Machine           5,000  Feinstein
                                                                                   Gun Range: Cost to Complete.
Army Reserve......................  California...........  Fort Hunter Liggett..  Network Enterprise Center.....          40,000  Feinstein
Navy and Marine Corps.............  California...........  Naval Base Coronado..  Child Development Center:                6,200  Feinstein
                                                                                   Planning and Design.
Navy and Marine Corps.............  California...........  Naval Base San Diego.  Child Development Center:                5,600  Feinstein
                                                                                   Planning and Design.
Defense-Wide (DHA)................  Delaware.............  Dover Air Force Base.  Blood Processing Center                 30,600  Carper/Coons
                                                                                   Replacement.
Army..............................  Georgia..............  Fort Moore (Fort       Camp Merrill AST Barracks:               1,320  Ossoff/Warnock
                                                            Benning).              Planning and Design.
Army..............................  Georgia..............  Fort Stewart/Hunter    Combat Aviation Brigade GSAB             6,400  Ossoff/Warnock
                                                            Army Airfield.         Hangar: Planning and Design.
Army..............................  Georgia..............  Fort Stewart/Hunter    Military Intelligence                    2,220  Ossoff/Warnock
                                                            Army Airfield.         Battalion Hangar: Planning
                                                                                   and Design.
Defense-Wide (DODEA)..............  Georgia..............  Fort Moore (Fort       Dexter Elementary School:                  500  Ossoff/Warnock
                                                            Benning).              Planning and Design.
Army..............................  Hawaii...............  Fort Shafter.........  Clearwell and Booster Pump....          23,000  Hirono/Schatz
Army..............................  Hawaii...............  Helemano Military      Well and Storage Tanks........          33,000  Hirono/Schatz
                                                            Reservation.
Army..............................  Hawaii...............  Schofield Barracks...  Elevated Tank and Distribution          16,000  Hirono/Schatz
                                                                                   Line.
Army..............................  Hawaii...............  Schofield Barracks...  Water Storage Tank............          21,000  Hirono/Schatz
Navy and Marine Corps.............  Hawaii...............  Joint Base Pearl       Dry Dock 3 Replacement........          90,000  Schatz
                                                            Harbor-Hickam.
Navy and Marine Corps.............  Hawaii...............  Joint Base Pearl       Waterfront Production                   49,080  Hirono
                                                            Harbor-Hickam.         Facility: Planning and Design.
Navy and Marine Corps.............  Hawaii...............  Marine Corps Base      Water Reclamation Facility             109,000  Hirono/Schatz
                                                            Hawaii.                Compliance Upgrade.
Army National Guard...............  Illinois.............  Bloomington..........  National Guard Vehicle                   5,250  Durbin
                                                                                   Maintenance Shop: Cost to
                                                                                   Complete.
Army National Guard...............  Illinois.............  Chicago, Jones Armory  General Jones National Guard             5,000  Duckworth/Durbin
                                                                                   Readiness Center Alteration:
                                                                                   Planning and Design.
Army National Guard...............  Illinois.............  North Riverside......  Access Control Building:                 3,400  Durbin
                                                                                   Unspecified Minor
                                                                                   Construction.
Army National Guard...............  Illinois.............  Peoria...............  Readiness Center: Planning and           2,400  Duckworth/Durbin
                                                                                   Design.
Army..............................  Kansas...............  Fort Riley...........  Air Traffic Control Tower:               1,600  Moran
                                                                                   Planning and Design.
Army..............................  Kansas...............  Fort Riley...........  Automated Infantry Platoon               8,700  Moran
                                                                                   Battle Course: Unspecified
                                                                                   Minor Construction.
Army..............................  Kansas...............  Fort Riley...........  Bob Dole Intermodal Railyard             1,110  Moran
                                                                                   Improvements: Planning and
                                                                                   Design.
Army National Guard...............  Kansas...............  Topeka...............  National Guard/Reserve Center            5,856  Moran
                                                                                   Building: Cost to Complete.
Air Force.........................  Louisiana............  Barksdale Air Force    WGF Dormitory: Planning and              6,700  Kennedy
                                                            Base.                  Design.
Air Force Reserve.................  Louisiana............  Barksdale Air Force    307 Bomb Wing Medical Facility           7,000  Cassidy/Kennedy
                                                            Base.                  Addition: Unspecified Minor
                                                                                   Construction.
Army..............................  Louisiana............  Fort Johnson (Fort     Multipurpose Athletic Field...          13,400  Kennedy
                                                            Polk).
Air National Guard................  Maine................  Bangor International   Repair Hangar Access Apron               1,450  Collins/King
                                                            Airport.               (Light Duty Ramp): Planning
                                                                                   and Design.
Air National Guard................  Maine................  Bangor International   Repair Whiskey Apron: Planning             704  Collins/King
                                                            Airport.               and Design.
Army National Guard...............  Maine................  Saco.................  National Guard Vehicle                   7,420  Collins
                                                                                   Maintenance Shop: Cost to
                                                                                   Complete.
Navy and Marine Corps.............  Maryland.............  Naval Support          Construct Joint Navy/DHA Fire            3,000  Cardin/Van Hollen
                                                            Activity Bethesda.     Station: Planning and Design.
Army..............................  Michigan.............  Detroit Arsenal......  Manned/Unmanned Tactical                 2,400  Peters
                                                                                   Vehicle Lab: Planning and
                                                                                   Design.
Army National Guard...............  Minnesota............  Camp Ripley..........  Access Control Facility:                 1,530  Klobuchar/Smith
                                                                                   Planning and Design.
Air Force.........................  Mississippi..........  Columbus Air Force     T-7A Egress Shop: Unspecified            4,600  Hyde-Smith
                                                            Base.                  Minor Construction.
Air Force.........................  Mississippi..........  Columbus Air Force     T-7A Hush House Pad:                     4,850  Hyde-Smith
                                                            Base.                  Unspecified Minor
                                                                                   Construction.
Air Force.........................  Mississippi..........  Keesler Air Force      Air Traffic Control Tower:               1,960  Hyde-Smith/Wicker
                                                            Base.                  Planning and Design.
Air National Guard................  Mississippi..........  Jackson International  Fire Crash and Rescue Station:           8,000  Wicker
                                                            Airport.               Cost to Complete.
Army National Guard...............  Mississippi..........  Meridian.............  Army Aviation Support Facility           2,160  Hyde-Smith/Wicker
                                                                                   3: Planning and Design.
Army National Guard...............  Mississippi..........  Southaven............  National Guard Readiness                22,000  Wicker
                                                                                   Center.
Air Force.........................  Nebraska.............  Offutt Air Force Base  55 CES Maintenance/Warehouse:            3,500  Fischer
                                                                                   Planning and Design.
Air Force.........................  Nebraska.............  Offutt Air Force Base  Base Operations/Mobility                 3,000  Fischer
                                                                                   Center: Planning and Design.
Air Force.........................  Nebraska.............  Offutt Air Force Base  Logistics Readiness Squadron             2,700  Fischer
                                                                                   Transportation Facility:
                                                                                   Planning and Design.
Air Force.........................  Nebraska.............  Offutt Air Force Base  Replace Vehicle Search Area,             7,000  Fischer
                                                                                   STRATCOM Gate, B511:
                                                                                   Unspecified Minor
                                                                                   Construction.
Army National Guard...............  Nebraska.............  Mead Training Site...  Unaccompanied Housing:                   1,440  Fischer
                                                                                   Planning and Design.
Defense-Wide (DPAA)...............  Nebraska.............  Offutt Air Force Base  DPAA Laboratory: Planning and            5,000  Fischer
                                                                                   Design.
Air Force.........................  Nevada...............  Nellis Air Force Base  Dormitory: Planning and Design           7,500  Cortez Masto/Rosen
Army National Guard...............  Nevada...............  Floyd Edsall Training  Combined Support Maintenance             2,700  Cortez Masto/Rosen
                                                            Center.                Shop: Planning and Design.
Army National Guard...............  Nevada...............  Floyd Edsall Training  General Instruction Facility:            5,490  Cortez Masto/Rosen
                                                            Center.                Planning and Design.
Army National Guard...............  Nevada...............  Harry Reid Training    Ready Building: Planning and               590  Cortez Masto/Rosen
                                                            Center.                Design.
Air National Guard................  New Hampshire........  Pease Air National     Ground Product Service                   4,000  Shaheen
                                                            Guard Base.            Station: Unspecified Minor
                                                                                   Construction.
Army National Guard...............  New Hampshire........  Center Strafford.....  Physical Fitness Center:                 9,000  Shaheen
                                                                                   Unspecified Minor
                                                                                   Construction.
Army National Guard...............  New Hampshire........  Pembroke.............  Vehicle Storage Building:                5,000  Shaheen
                                                                                   Unspecified Minor
                                                                                   Construction.
Air National Guard................  New Jersey...........  Atlantic City          Consolidated Dining, Services,           2,000  Booker/Menendez
                                                            International          and Fitness Center: Planning
                                                            Airport.               and Design.
Air National Guard................  New Jersey...........  Atlantic City          F-16 Mission Training Center:            1,100  Booker/Menendez
                                                            International          Planning and Design.
                                                            Airport.
Army National Guard...............  New Jersey...........  Newark...............  National Guard Readiness                 1,900  Booker/Menendez
                                                                                   Center: Planning and Design.
Air Force.........................  New Mexico...........  Cannon Air Force Base  Satellite Fire Station:                  2,000  Heinrich/Lujan
                                                                                   Planning and Design.
Air Force.........................  New Mexico...........  Kirtland Air Force     Wyoming Gate Project: Cost to           24,400  Heinrich/Lujan
                                                            Base.                  Complete.
Army..............................  New Mexico...........  White Sands Missile    El Paso Gate Access Control              3,600  Heinrich/Lujan
                                                            Range.                 Point: Unspecified Minor
                                                                                   Construction.
Army..............................  New Mexico...........  White Sands Missile    Guided Missile Building                  5,600  Heinrich
                                                            Range.                 Expansion: Unspecified Minor
                                                                                   Construction.
Army..............................  New Mexico...........  White Sands Missile    High Energy Laser Systems Test           4,450  Heinrich
                                                            Range.                 Facility Fire Station:
                                                                                   Unspecified Minor
                                                                                   Construction.
Army..............................  New Mexico...........  White Sands Missile    J-DETC Directed Energy                   3,060  Heinrich/Lujan
                                                            Range.                 Facility: Planning and Design.
Army..............................  New Mexico...........  White Sands Missile    Main Post Fire Station:                  8,200  Heinrich
                                                            Range.                 Unspecified Minor
                                                                                   Construction.
Army National Guard...............  New Mexico...........  De Bremond Training    Soldier Performance, ACFT                4,300  Heinrich/Lujan
                                                            Site.                  Support Building: Unspecified
                                                                                   Minor Construction.
Army National Guard...............  New York.............  Lexington Armory.....  National Guard Readiness                90,000  Gillibrand/Schumer
                                                                                   Center Addition/Alteration.
Air Force.........................  Ohio.................  Wright-Patterson Air   Acquisition Management Complex          18,000  Brown
                                                            Force Base.            Phase V: Planning and Design.
Air Force Reserve.................  Ohio.................  Youngstown Air         Fire Station: Planning and               2,500  Brown
                                                            Reserve Station.       Design.
Air Force.........................  Oklahoma.............  Vance Air Force Base.  Undergraduate Pilot Training             8,400  Mullin
                                                                                   Center: Planning and Design.
Air National Guard................  Oregon...............  Portland               Special Tactics Complex Phase           20,000  Merkley/Wyden
                                                            International          3.
                                                            Airport.
Air National Guard................  Oregon...............  Portland               Special Tactics Complex Phase           11,000  Merkley/Wyden
                                                            International          4.
                                                            Airport.
Air National Guard................  Pennsylvania.........  Pittsburgh             Entry Control Facility:                  8,000  Casey/Fetterman
                                                            International          Unspecified Minor
                                                            Airport.               Construction.
Army..............................  Pennsylvania.........  Letterkenny Army       Component Rebuild Shop, Depot            2,500  Casey/Fetterman
                                                            Depot.                 Level: Unspecified Minor
                                                                                   Construction.
Army National Guard...............  Pennsylvania.........  Moon Township........  Combined Support Maintenance             3,100  Casey/Fetterman
                                                                                   Shop: Cost to Complete.
Army National Guard...............  Pennsylvania.........  New Castle...........  Vehicle Maintenance Shop                 4,650  Casey/Fetterman
                                                                                   Addition: Unspecified Minor
                                                                                   Construction.
Army National Guard...............  Rhode Island.........  North Kingstown......  National Guard Readiness                30,000  Reed
                                                                                   Center.
Army..............................  South Carolina.......  Fort Jackson.........  Reception Barracks Complex,            101,000  Graham
                                                                                   Ph2: Cost to Complete.
Army National Guard...............  South Carolina.......  Joint Base Charleston  National Guard Readiness                 6,500  Graham
                                                                                   Center: Cost to Complete.
Army National Guard...............  Vermont..............  Ethan Allen Firing     National Guard Readiness                 4,750  Sanders/Welch
                                                            Range.                 Center Add/Alt: Unspecified
                                                                                   Minor Construction.
Army Reserve......................  Virginia.............  Richmond.............  Army Reserve Center: Planning            4,000  Kaine/Warner
                                                                                   and Design.
Army..............................  Washington...........  Joint Base Lewis-      Barracks: Planning and Design.           7,900  Murray
                                                            McChord.
Army..............................  Washington...........  Yakima Training        Automated Infantry Platoon                 960  Murray
                                                            Center.                Battle Course: Planning and
                                                                                   Design.
Army..............................  Washington...........  Joint Base Lewis-      Vehicle Maintenance Shop:                7,500  Murray
                                                            McChord.               Planning and Design.
Army National Guard...............  Washington...........  Camp Murray..........  National Guard/Reserve Center:           3,600  Murray
                                                                                   Planning and Design.
Navy and Marine Corps.............  Washington...........  Naval Air Station      E/A-18G Aircraft Regional               11,100  Murray
                                                            Whidbey Island.        Service Facility: Planning
                                                                                   and Design.
Air National Guard................  West Virginia........  McLaughlin Air         Renovate Building 107 for                2,500  Capito/Manchin
                                                            National Guard Base.   Small Air Terminal/Gym:
                                                                                   Unspecified Minor
                                                                                   Construction.
Air National Guard................  West Virginia........  McLaughlin Air         Renovate Building 109 for                3,000  Capito/Manchin
                                                            National Guard Base.   Aerospace Support Equipment:
                                                                                   Unspecified Minor
                                                                                   Construction.
Air National Guard................  West Virginia........  Shepherd Field.......  Indoor Small Arms Range:                 7,000  Capito/Manchin
                                                                                   Unspecified Minor
                                                                                   Construction.
Air National Guard................  West Virginia........  Shepherd Field.......  Main Gate Entry Control Point            6,000  Capito/Manchin
                                                                                   Renovation: Unspecified Minor
                                                                                   Construction.
Army National Guard...............  West Virginia........  Bluefield............  National Guard Readiness                 1,950  Capito/Manchin
                                                                                   Center: Planning and Design.
Army National Guard...............  West Virginia........  Camp Dawson-Kingwood.  Covered Training Area:                   8,300  Capito/Manchin
                                                                                   Unspecified Minor
                                                                                   Construction.
Army National Guard...............  West Virginia........  Charleston...........  National Guard Readiness                 4,800  Capito/Manchin
                                                                                   Center: Planning and Design.
Army National Guard...............  West Virginia........  Parkersburg..........  National Guard Readiness                 3,300  Capito/Manchin
                                                                                   Center: Planning and Design.
Air National Guard................  Wisconsin............  General Mitchell       Indoor Small Arms Range:                 7,100  Baldwin
                                                            International          Unspecified Minor
                                                            Airport.               Construction.
Air National Guard................  Wisconsin............  General Mitchell       POL Pipeline: Unspecified                4,250  Baldwin
                                                            International          Minor Construction.
                                                            Airport.
--------------------------------------------------------------------------------------------------------------------------------------------------------


  COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2023 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL FOR FISCAL
                                                                        YEAR 2024
                                                                [In thousands of dollars]
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                         Senate Committee recommendation
                                                                                                                             compared with (+ or -)
                                Item                                       2023       Budget estimate     Committee    ---------------------------------
                                                                      appropriation                     recommendation        2024
                                                                                                                         appropriation   Budget estimate
--------------------------------------------------------------------------------------------------------------------------------------------------------
                   TITLE I--DEPARTMENT OF DEFENSE
 
                       Military Construction
 
Active Components:
    Military Construction, Army....................................       1,553,825        1,470,555        1,876,875         +323,050         +406,320
    Military Construction, Navy and Marine Corps...................       4,345,320        6,022,187        6,046,309       +1,700,989          +24,122
    Military Construction, Air Force...............................       2,614,996        2,605,314        2,802,924         +187,928         +197,610
    Military Construction, Defense-Wide............................       2,626,078        2,984,682        3,132,782         +506,704         +148,100
                                                                    ------------------------------------------------------------------------------------
        Subtotal, Active components................................      11,140,219       13,082,738       13,858,890       +2,718,671         +776,152
 
Reserve Components:
    Military Construction, Army National Guard.....................         459,018          340,186          598,572         +139,554         +258,386
    Military Construction, Air National Guard......................         279,353          178,722          304,426          +25,073         +125,704
    Military Construction, Army Reserve............................         193,878          107,076          151,076          -42,802          +44,000
    Military Construction, Navy Reserve............................          36,837           51,291           51,291          +14,454   ...............
    Military Construction, Air Force Reserve.......................          85,423          291,572          309,572         +224,149          +18,000
                                                                    ------------------------------------------------------------------------------------
        Subtotal, Reserve components...............................       1,054,509          968,847        1,414,937         +360,428         +446,090
 
North Atlantic Treaty Organization Security Investment Program.....         220,139          293,434          293,434          +73,295   ...............
Department of Defense Base Closure Account.........................         574,687          389,174          439,174         -135,513          +50,000
                                                                    ------------------------------------------------------------------------------------
      Total, Military Construction.................................      12,989,554       14,734,193       16,006,435       +3,016,881       +1,272,242
                                                                    ====================================================================================
 
                           Family Housing
 
Family Housing Construction, Army..................................         169,339          304,895          304,895         +135,556   ...............
Family Housing Operation and Maintenance, Army.....................         446,411          385,485          385,485          -60,926   ...............
Family Housing Construction, Navy and Marine Corps.................         337,297          277,142          277,142          -60,155   ...............
Family Housing Operation and Maintenance, Navy and Marine Corps....         378,224          363,854          363,854          -14,370   ...............
Family Housing Construction, Air Force.............................         232,788          237,097          237,097           +4,309   ...............
Family Housing Operation and Maintenance, Air Force................         365,222          314,386          314,386          -50,836   ...............
Family Housing Operation and Maintenance, Defense-Wide.............          50,113           50,785           50,785             +672   ...............
Department of Defense Family Housing Improvement Fund..............           6,442            6,611            6,611             +169   ...............
Department of Defense Military Unaccompanied Housing Improvement                494              496              496               +2   ...............
 Fund..............................................................
                                                                    ------------------------------------------------------------------------------------
      Total, Family Housing........................................       1,986,330        1,940,751        1,940,751          -45,579   ...............
                                                                    ====================================================================================
 
                     Administrative Provisions
 
Unfunded Requirements (Sec 124):
    Military Construction, Army....................................         243,490   ...............          38,514         -204,976          +38,514
    Military Construction, Navy & Marine Corps.....................         423,300   ...............         351,100          -72,200         +351,100
    Military Construction, Air Force...............................         527,300   ...............          66,000         -461,300          +66,000
    Military Construction, Defense-Wide............................         151,000   ...............         117,100          -33,900         +117,100
    Military Construction, Army National Guard.....................          54,743   ...............          89,500          +34,757          +89,500
    Military Construction, Air National Guard......................  ...............  ...............           5,200           +5,200           +5,200
    Military Construction, Army Reserve............................          56,600   ...............          23,000          -33,600          +23,000
    Military Construction, Navy Reserve............................         116,964   ...............  ...............        -116,964   ...............
    Military Construction, Air Force Reserve.......................           9,000   ...............  ...............          -9,000   ...............
    Family Housing Construction, Army..............................         321,722   ...............  ...............        -321,722   ...............
    Family Housing Construction, Air Force.........................          18,800   ...............  ...............         -18,800   ...............
 
Lab Infrastructure (FY23 Sec 128):
    Lab Infrastructure, Army.......................................          20,000   ...............  ...............         -20,000   ...............
    Lab Infrastructure, Navy & Marine Corps........................          10,000   ...............  ...............         -10,000   ...............
    Lab Infrastructure, Air Force..................................          90,000   ...............  ...............         -90,000   ...............
 
Military Installation Resilience (Sec 128):                          ...............  ...............  ...............  ...............  ...............
    Military Construction, Army....................................          25,000   ...............          15,000          -10,000          +15,000
    Military Construction, Navy & Marine Corps.....................          40,000   ...............           7,500          -32,500           +7,500
    Military Construction, Air Force...............................          25,000   ...............           7,500          -17,500           +7,500
 
Natural Disaster Recovery (Sec 129):
    Military Construction, Air Force...............................         360,000   ...............         150,000         -210,000         +150,000
 
Child Development Centers (Sec 130):
    Military Construction, Army....................................          15,000   ...............          15,000   ...............         +15,000
    Military Construction, Navy & Marine Corps.....................          15,000   ...............          15,000   ...............         +15,000
    Military Construction, Air Force...............................          37,400   ...............          15,000          -22,400          +15,000
 
Foreign Military Training Infrastructure (Sec 131):
    Military Construction, Air National Guard......................          10,000   ...............          83,000          +73,000          +83,000
 
Cost to Completes (Sec 132):
    Military Construction, Air Force...............................  ...............  ...............          20,000          +20,000          +20,000
 
Family Housing Improvement (Sec 133):
    Family Housing, Navy & Marine Corps............................  ...............  ...............          19,000          +19,000          +19,000
 
Authorized Projects (Sec 134):
    Military Construction, Navy & Marine Corps.....................  ...............  ...............          48,300          +48,300          +48,300
    Military Construction, Defense-Wide............................  ...............  ...............          37,100          +37,100          +37,100
 
Water Treatment and Distribution Infrastructure (FY23 Sec 133):
    Military Construction, Navy & Marine Corps.....................          25,000   ...............  ...............         -25,000   ...............
 
Cost to Completes (FY23 Sec 131):
    Military Construction, Army....................................         103,000   ...............  ...............        -103,000   ...............
    Military Construction, Navy & Marine Corps.....................         331,000   ...............  ...............        -331,000   ...............
    Military Construction, Air Force...............................         273,000   ...............  ...............        -273,000   ...............
    Military Construction, Defense-Wide............................         279,347   ...............  ...............        -279,347   ...............
    Military Construction, Army National Guard.....................          66,000   ...............  ...............         -66,000   ...............
    Military Construction, Air National Guard......................          17,000   ...............  ...............         -17,000   ...............
    Military Construction, Army Reserve............................          24,000   ...............  ...............         -24,000   ...............
    Military Construction, Navy Reserve............................           5,500   ...............  ...............          -5,500   ...............
    Military Construction, Air Force Reserve.......................          11,000   ...............  ...............         -11,000   ...............
 
Additional Cost to Completes (FY23 Sec 134):
    Military Construction, Army....................................          48,600   ...............  ...............         -48,600   ...............
    Military Construction, Navy & Marine Corps.....................         166,500   ...............  ...............        -166,500   ...............
    Military Construction, Air Force...............................          63,350   ...............  ...............         -63,350   ...............
    Military Construction, Defense-Wide............................          14,200   ...............  ...............         -14,200   ...............
    Military Construction, Army National Guard.....................          18,900   ...............  ...............         -18,900   ...............
    Military Construction, Air National Guard......................           4,900   ...............  ...............          -4,900   ...............
    Military Construction, Army Reserve............................           2,000   ...............  ...............          -2,000   ...............
    Military Construction, Air Force Reserve.......................             500   ...............  ...............            -500   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Administrative Provisions.............................       4,024,116   ...............       1,122,814       -2,901,302       +1,122,814
                                                                    ====================================================================================
      Total, title I, Department of Defense........................      19,000,000       16,674,944       19,070,000          +70,000       +2,395,056
                                                                    ====================================================================================
          Appropriations...........................................     (19,000,000)     (16,674,944)     (19,070,000)        (+70,000)     (+2,395,056)
          Rescissions..............................................  ...............  ...............  ...............  ...............  ...............
                                                                    ====================================================================================
              TITLE II--DEPARTMENT OF VETERANS AFFAIRS
 
                  Veterans Benefits Administration
 
Compensation and pensions:
    Budget year appropriations.....................................  ...............       4,655,879        4,655,879       +4,655,879   ...............
    Advance from prior year appropriations.........................     152,016,542      146,778,136      146,778,136       -5,238,406   ...............
                                                                    ------------------------------------------------------------------------------------
        Subtotal, Compensation and pensions available in fiscal         152,016,542      151,434,015      151,434,015         -582,527   ...............
         year......................................................
 
    Advance appropriations.........................................     146,778,136      181,390,281      181,390,281      +34,612,145   ...............
    Less appropriations from prior year advances...................    -152,016,542     -146,778,136     -146,778,136       +5,238,406   ...............
                                                                    ------------------------------------------------------------------------------------
        Total, Compensation and pensions appropriated in this bill.     146,778,136      186,046,160      186,046,160      +39,268,024   ...............
                                                                    ====================================================================================
 
Readjustment benefits:
    Advance from prior year appropriations.........................       8,906,851        8,452,500        8,452,500         -454,351   ...............
                                                                    ------------------------------------------------------------------------------------
        Subtotal, Readjustment benefits available in fiscal year...       8,906,851        8,452,500        8,452,500         -454,351   ...............
 
    Advance appropriations.........................................       8,452,500       11,523,134       11,523,134       +3,070,634   ...............
    Less appropriations from prior year advances...................      -8,906,851       -8,452,500       -8,452,500         +454,351   ...............
                                                                    ------------------------------------------------------------------------------------
        Total, Readjustment benefits appropriated in this bill.....       8,452,500       11,523,134       11,523,134       +3,070,634   ...............
                                                                    ====================================================================================
 
Veterans insurance and indemnities:
    Budget year appropriations.....................................  ...............          12,701           12,701          +12,701   ...............
    Advance from prior year appropriations.........................         109,865          121,126          121,126          +11,261   ...............
                                                                    ------------------------------------------------------------------------------------
        Subtotal, Veterans insurance and indemnities available in           109,865          133,827          133,827          +23,962   ...............
         fiscal year...............................................
 
    Advance appropriations.........................................         121,126          135,119          135,119          +13,993   ...............
    Less appropriations from prior year advances...................        -109,865         -121,126         -121,126          -11,261   ...............
                                                                    ------------------------------------------------------------------------------------
        Total, Veterans insurance and indemnities appropriated in           121,126          147,820          147,820          +26,694   ...............
         this bill.................................................
                                                                    ====================================================================================
 
Veterans housing benefit program fund:
    Credit subsidy:
        Direct.....................................................        -104,000          -83,000          -83,000          +21,000   ...............
        Guaranteed.................................................       2,628,000        1,803,000        1,803,000         -825,000   ...............
                                                                    ------------------------------------------------------------------------------------
        Subtotal (Credit subsidy)..................................       2,524,000        1,720,000        1,720,000         -804,000   ...............
 
    (Limitation on direct loans)...................................            (500)            (500)            (500)  ...............  ...............
    Administrative expenses........................................         282,361          316,742          316,742          +34,381   ...............
Vocational rehabilitation loans program account....................               7               78               78              +71   ...............
    (Limitation on direct loans)...................................            (942)          (2,026)          (2,026)         (+1,084)  ...............
    Administrative expenses........................................             446              461              461              +15   ...............
Native American veteran housing loan program account...............           1,400            2,719            2,719           +1,319   ...............
General operating expenses, VBA....................................       3,863,000        3,899,000        3,899,000          +36,000   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Veterans Benefits Administration......................     162,022,976      203,656,114      203,656,114      +41,633,138   ...............
                                                                    ====================================================================================
        Budget year appropriations.................................      (6,671,214)     (10,607,580)     (10,607,580)     (+3,936,366)  ...............
        Advance appropriations.....................................    (155,351,762)    (193,048,534)    (193,048,534)    (+37,696,772)  ...............
      Advances from prior year appropriations......................    (161,033,258)    (155,351,762)    (155,351,762)     (-5,681,496)  ...............
                                                                    ====================================================================================
                   Veterans Health Administration
 
Medical services (MS):
    Budget year appropriations.....................................         261,000   ...............      -4,933,113       -5,194,113       -4,933,113
    Advance from prior year appropriations.........................      70,323,116       74,004,000       74,004,000       +3,680,884   ...............
                                                                    ------------------------------------------------------------------------------------
        Subtotal, MS available in fiscal year......................      70,584,116       74,004,000       69,070,887       -1,513,229       -4,933,113
 
        Advance appropriations.....................................      74,004,000       71,000,000       71,000,000       -3,004,000   ...............
                                                                    ------------------------------------------------------------------------------------
          Total, MS appropriated in this bill......................      74,265,000       71,000,000       66,066,887       -8,198,113       -4,933,113
                                                                    ====================================================================================
 
Medical community care (MCC):
    Budget year appropriations.....................................       4,300,000   ...............      -3,159,584       -7,459,584       -3,159,584
    Advance from prior year appropriations.........................      24,156,659       33,000,000       33,000,000       +8,843,341   ...............
                                                                    ------------------------------------------------------------------------------------
        Subtotal, MCC available in fiscal year.....................      28,456,659       33,000,000       29,840,416       +1,383,757       -3,159,584
 
        Advance appropriations.....................................      33,000,000       20,382,000       20,382,000      -12,618,000   ...............
                                                                    ------------------------------------------------------------------------------------
          Total, MCC appropriated in this bill.....................      37,300,000       20,382,000       17,222,416      -20,077,584       -3,159,584
                                                                    ====================================================================================
 
Medical support and compliance (MSC):
    Budget year appropriations.....................................       1,400,000   ...............  ...............      -1,400,000   ...............
    Advance from prior year appropriations.........................       9,673,409       12,300,000       12,300,000       +2,626,591   ...............
                                                                    ------------------------------------------------------------------------------------
        Subtotal, MSC available in fiscal year.....................      11,073,409       12,300,000       12,300,000       +1,226,591   ...............
 
        Advance appropriations.....................................      12,300,000       11,800,000       11,800,000         -500,000   ...............
                                                                    ------------------------------------------------------------------------------------
            Total, MSC appropriated in this bill...................      13,700,000       11,800,000       11,800,000       -1,900,000   ...............
                                                                    ====================================================================================
 
Medical facilities (MF):
    Budget year appropriations.....................................       1,500,000   ...............       1,000,000         -500,000       +1,000,000
    Advance from prior year appropriations.........................       7,133,816        8,800,000        8,800,000       +1,666,184   ...............
                                                                    ------------------------------------------------------------------------------------
        Subtotal, MF available in fiscal year......................       8,633,816        8,800,000        9,800,000       +1,166,184       +1,000,000
 
        Advance appropriations.....................................       8,800,000        9,400,000        9,400,000         +600,000   ...............
                                                                    ------------------------------------------------------------------------------------
          Total, MF appropriated in this bill......................      10,300,000        9,400,000       10,400,000         +100,000       +1,000,000
                                                                    ====================================================================================
      Total, VA Medical Care in fiscal year........................     118,748,000      128,104,000      121,011,303       +2,263,303       -7,092,697
                                                                    ====================================================================================
Medical and prosthetic research....................................         916,000          938,000          938,000          +22,000   ...............
 
Medical care cost recovery collections:
    Offsetting collections.........................................      -3,910,000       -3,991,000       -3,991,000          -81,000   ...............
    Appropriations (indefinite)....................................       3,910,000        3,991,000        3,991,000          +81,000   ...............
                                                                    ------------------------------------------------------------------------------------
      Subtotal.....................................................  ...............  ...............  ...............  ...............  ...............
 
Medical Care Collections Fund (MCCF) (transfer out) (Sec 214)......       (-785,000)       (-491,000)       (-491,000)       (+294,000)  ...............
Medical Community Care and Medical Services (by transfer) (Sec 214)        (785,000)        (491,000)        (491,000)       (-294,000)  ...............
VA medical funds (transfer out) (Sec 219)..........................       (-330,140)       (-430,532)       (-430,532)       (-100,392)  ...............
DoD-VA Joint Medical Facility Demonstration Fund (by transfer) (Sec        (330,140)        (430,532)        (430,532)       (+100,392)  ...............
 219)..............................................................
MCCF to DoD-VA Joint Medical Facility Demonstration Fund (transfer         (-16,000)        (-20,000)        (-20,000)         (-4,000)  ...............
 out) (Sec 221)....................................................
DoD-VA Joint Medical Facility Demonstration Fund (by transfer) (Sec         (16,000)         (20,000)         (20,000)         (+4,000)  ...............
 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 in this bill...........     136,481,000      113,520,000      106,427,303      -30,053,697       -7,092,697
        Budget year appropriations.................................      (8,377,000)        (938,000)     (-6,154,697)    (-14,531,697)     (-7,092,697)
        Advance appropriations.....................................    (128,104,000)    (112,582,000)    (112,582,000)    (-15,522,000)  ...............
      Advances from prior year appropriations......................    (111,287,000)    (128,104,000)    (128,104,000)    (+16,817,000)  ...............
      (By transfer)................................................      (1,146,140)        (956,532)        (956,532)       (-189,608)  ...............
      (Transfer out)...............................................     (-1,146,140)       (-956,532)       (-956,532)       (+189,608)  ...............
                                                                    ====================================================================================
 
                  National Cemetery Administration
 
National Cemetery Administration...................................         430,000          480,000          480,000          +50,000   ...............
 
                    Departmental Administration
 
General Administration.............................................         433,000          475,000          475,000          +42,000   ...............
Board of Veterans Appeals..........................................         285,000          287,000          287,000           +2,000   ...............
Information Technology Systems (IT Systems)........................       5,782,000        6,401,000        6,401,000         +619,000   ...............
Veterans Electronic Health Record (EHR)............................       1,759,000        1,863,000        1,334,142         -424,858         -528,858
Office of Inspector General........................................         273,000          296,000          296,000          +23,000   ...............
Construction, major projects.......................................       1,447,890          881,000          881,000         -566,890   ...............
Construction, minor projects.......................................         626,110          680,000          680,000          +53,890   ...............
Recurring Expenses Transformational Fund...........................  ...............  ...............  ...............  ...............  ...............
Grants for construction of State extended care facilities..........         150,000          164,000          164,000          +14,000   ...............
Grants for the construction of Veterans cemeteries.................          50,000           60,000           60,000          +10,000   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Departmental Administration...........................      10,806,000       11,107,000       10,578,142         -227,858         -528,858
                                                                    ====================================================================================
 
                  Cost of War Toxic Exposures Fund
 
Cost of War Toxic Exposures Fund...................................       5,000,000       20,268,000   ...............      -5,000,000      -20,268,000
    (Medical Care).................................................      (3,822,377)     (17,116,000)  ...............     (-3,822,377)    (-17,116,000)
    (Medical Research).............................................          (1,830)         (46,000)  ...............         (-1,830)        (-46,000)
    (Office of Information Technology).............................        (656,000)      (1,243,000)  ...............       (-656,000)     (-1,243,000)
    (Board of Veterans' Appeals)...................................            (700)          (4,000)  ...............           (-700)         (-4,000)
    (Veterans Benefits Administration).............................        (482,362)      (1,769,000)  ...............       (-482,362)     (-1,769,000)
    (General Administration).......................................         (36,731)         (90,000)  ...............        (-36,731)        (-90,000)
                                                                    ------------------------------------------------------------------------------------
      Total, Cost of War Toxic Exposures Fund......................       5,000,000       20,268,000   ...............      -5,000,000      -20,268,000
                                                                    ====================================================================================
Advance Appropriations, FY 25......................................  ...............      21,455,000   ...............  ...............     -21,455,000
 
                     Administrative Provisions
 
Medical Community Care (Sec 202)(Transfer out).....................  ...............     (-3,919,081)  ...............  ...............     (+3,919,081)
Medical Support and Compliance(Sec 202)(Transfer out)..............  ...............       (-850,000)  ...............  ...............       (+850,000)
Medical Faciltities (Sec 202)(by transfer).........................  ...............      (4,769,081)  ...............  ...............     (-4,769,081)
Medical Facilities (Sec 238) (rescission)..........................  ...............        -250,515   ...............  ...............        +250,515
Medical Community Care (MCC) (Sec 238 (Req)/Sec 256) (rescission)..  ...............      -1,909,069         -976,005         -976,005         +933,064
Medical Services (MS) (Sec 238 (Req)/Sec 256) (rescission).........  ...............      -4,933,113       -1,000,000       -1,000,000       +3,933,113
Medical Facilities (Sec 239) (rescission)..........................  ...............      -4,769,081   ...............  ...............      +4,769,081
Medical Facilities (Sec 239) (reappropriation).....................  ...............       4,769,081   ...............  ...............      -4,769,081
Recurring Expenses Transformational Fund (Sec 257) (rescission)....         -90,874   ...............  ...............         +90,874   ...............
Veterans Electronic Health Record (Sec 255) (rescission)...........        -150,000   ...............        -439,750         -289,750         -439,750
Asset and Infrastructure Review (Sec 255) (rescission).............          -5,000   ...............  ...............          +5,000   ...............
Major Construction (Sec 255) (rescission)..........................         -76,000   ...............  ...............         +76,000   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Administrative Provisions.............................        -321,874       -7,092,697       -2,415,755       -2,093,881       +4,676,942
                                                                    ====================================================================================
      Total, title II, Department of Veterans Affairs..............     314,418,102      363,393,417      318,725,804       +4,307,702      -44,667,613
        Budget year appropriations.................................     (31,284,214)     (48,169,661)     (15,511,025)    (-15,773,189)    (-32,658,636)
        Rescissions................................................       (-321,874)    (-11,861,778)     (-2,415,755)     (-2,093,881)     (+9,446,023)
                                                                    ====================================================================================
 
        Advance Appropriations, FY25:
          (Mandatory)..............................................    (155,351,762)    (214,503,534)    (193,048,534)    (+37,696,772)    (-21,455,000)
          (Discretionary)..........................................    (128,104,000)    (112,582,000)    (112,582,000)    (-15,522,000)  ...............
    (By transfer)..................................................      (1,146,140)      (5,725,613)        (956,532)       (-189,608)     (-4,769,081)
    (Transfer out).................................................     (-1,146,140)     (-5,725,613)       (-956,532)       (+189,608)     (+4,769,081)
    (Limitation on direct loans)...................................          (1,442)          (2,526)          (2,526)         (+1,084)  ...............
 
    Advances from prior year appropriations:
        (Mandatory)................................................    (161,033,258)    (155,351,762)    (155,351,762)     (-5,681,496)  ...............
        (Discretionary)............................................    (111,287,000)    (128,104,000)    (128,104,000)    (+16,817,000)  ...............
                                                                    ------------------------------------------------------------------------------------
      Total, available this fiscal year............................     303,282,598      319,763,645      296,551,032       -6,731,566      -23,212,613
        (Mandatory)................................................    (168,557,258)    (182,008,342)    (161,740,342)     (-6,816,916)    (-20,268,000)
        (Discretionary)............................................    (134,725,340)    (137,755,303)    (134,810,690)        (+85,350)     (-2,944,613)
                                                                    ====================================================================================
 
                    TITLE III--RELATED AGENCIES
 
                American Battle Monuments Commission
 
Salaries and expenses..............................................          87,500          158,630          158,630          +71,130   ...............
 
              US Court of Appeals for Veterans Claims
 
Salaries and expenses..............................................          46,900           47,200           47,200             +300   ...............
 
                    Department of Defense--Civil
 
                     Cemeterial Expenses, Army
 
Salaries and expenses..............................................          93,400           99,880           99,880           +6,480   ...............
Construction.......................................................          62,500           88,600           88,600          +26,100   ...............
                                                                    ------------------------------------------------------------------------------------
      Total, Cemeterial Expenses, Army.............................         155,900          188,480          188,480          +32,580   ...............
                                                                    ====================================================================================
 
              Armed Forces Retirement Home--Trust Fund
 
Operation and maintenance..........................................          43,060           43,060           43,060   ...............  ...............
Capital program....................................................           7,300            8,940            8,940           +1,640   ...............
Payment from General Fund..........................................          25,000           25,000           25,000   ...............  ...............
                                                                    ------------------------------------------------------------------------------------
    Subtotal, Armed Forces Retirement Home--Trust Fund.............          75,360           77,000           77,000           +1,640   ...............
 
          Armed Forces Retirement Home--Major Construction
 
Major Construction.................................................          77,000   ...............  ...............         -77,000   ...............
                                                                    ------------------------------------------------------------------------------------
    Total, Armed Forces Retirement Home............................         152,360           77,000           77,000          -75,360   ...............
                                                                    ====================================================================================
      Total, title III, Related Agencies...........................         442,660          471,310          471,310          +28,650   ...............
                                                                    ====================================================================================
 
                        OTHER APPROPRIATIONS
 
Disaster Recovery, Navy and Marine Corps, Title IX, Division N              (41,040)  ...............  ...............        (-41,040)  ...............
 (Public Law 117-328)..............................................
Medical Facilities, Major Medical Facility Leases, Sec 707 (Public       (1,880,000)        (100,000)        (100,000)     (-1,780,000)  ...............
 Law 117-168)......................................................
Cost of War Toxic Exposures Fund, FY 2024 Budget Year (Public Law    ...............  ...............     (20,268,000)    (+20,268,000)    (+20,268,000)
 118-5)............................................................
Cost of War Toxic Exposures Fund, FY 2025 Advance Appropriation      ...............  ...............     (24,455,000)    (+24,455,000)    (+24,455,000)
 (Public Law 118-5)................................................
                                                                    ------------------------------------------------------------------------------------
Grand total, this bill.............................................     333,860,762      380,539,671      338,267,114       +4,406,352      -42,272,557
                                                                    ====================================================================================
    Budget year appropriations.....................................     (50,726,874)     (65,315,915)     (35,052,335)    (-15,674,539)    (-30,263,580)
    Rescissions....................................................       (-321,874)    (-11,861,778)     (-2,415,755)     (-2,093,881)     (+9,446,023)
    Advance appropriations, FY24...................................    (283,455,762)    (327,085,534)    (305,630,534)    (+22,174,772)    (-21,455,000)
Advances from prior year appropriations............................    (272,320,258)    (283,455,762)    (283,455,762)    (+11,135,504)  ...............
(By transfer)......................................................      (1,146,140)      (5,725,613)        (956,532)       (-189,608)     (-4,769,081)
(Transfer out).....................................................     (-1,146,140)     (-5,725,613)       (-956,532)       (+189,608)     (+4,769,081)
(Limitation on direct loans).......................................          (1,442)          (2,526)          (2,526)         (+1,084)  ...............
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