[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
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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.
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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) ...............
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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)
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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 ...............
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Total, Cemeterial Expenses, Army............................. 155,900 188,480 188,480 +32,580 ...............
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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 ............... ...............
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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 ...............
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Total, Armed Forces Retirement Home............................ 152,360 77,000 77,000 -75,360 ...............
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Total, title III, Related Agencies........................... 442,660 471,310 471,310 +28,650 ...............
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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)................................................
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Grand total, this bill............................................. 333,860,762 380,539,671 338,267,114 +4,406,352 -42,272,557
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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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