Military Construction, Veterans Affairs, and Related Agencies Appropriation Bill, 2022: Senate Report 117-35
Summary
Senate Report 117-35, Calendar No. 114, of the 117th Congress, 1st Session, dated August 4, 2021, in which Mr. Heinrich reports for the Committee on Appropriations on S. 2604, the Military Construction, Veterans Affairs, and Related Agencies Appropriation Bill, 2022. The committee reports the bill favorably and recommends that it do pass. A summary table gives the total of the bill as reported to the Senate as $308,177,759,000, against 272,757,216,000 in 2021 appropriations and a 2022 budget estimate of $307,065,976,000.
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Calendar No. 114
117TH CONGRESS REPORT
" SENATE !
1st Session 117–35
MILITARY CONSTRUCTION, VETERANS AFFAIRS, AND
RELATED AGENCIES APPROPRIATION BILL, 2022
AUGUST 4, 2021.—Ordered to be printed
Mr. HEINRICH, from the Committee on Appropriations,
submitted the following
REPORT
[To accompany S. 2604]
The Committee on Appropriations reports the bill (S. 2604) mak-
ing appropriations for military construction, the Department of
Veterans Affairs, and related agencies for the fiscal year ending
September 30, 2022, and for other purposes, reports favorably
thereon and recommends that the bill do pass.
Amounts in new budget authority
Total of bill as reported to the Senate .................... $308,177,759,000
Amount of 2021 appropriations ............................... 272,757,216,000
Amount of 2022 budget estimate ............................ 307,065,976,000
Bill as recommended to Senate compared to—
2021 appropriations .......................................... ∂35,420,543,000
2022 budget estimate ........................................ ∂1,111,783,000
45–274 PDF
CONTENTS
Page
Background:
Purpose of the Bill ............................................................................................ 4
Committee Recommendation ........................................................................... 4
Overview and Summary of Bill ....................................................................... 4
Title I:
Military Construction:
Items of Special Interest:
Hearings .............................................................................................. 6
Summary of Committee Recommendations ..................................... 6
Reprogramming Guidelines ............................................................... 6
Real Property Maintenance ............................................................... 7
Incremental Funding ......................................................................... 7
Other Matters ..................................................................................... 7
Military Construction Overview ............................................................... 10
Military Construction Accounts—Program Description ......................... 10
Military Construction, Army .................................................................... 10
Military Construction, Navy and Marine Corps ..................................... 12
Military Construction, Air Force .............................................................. 14
Military Construction, Defense-Wide ...................................................... 15
Military Construction, Army National Guard ......................................... 18
Military Construction, Air National Guard ............................................. 20
Military Construction, Army Reserve ...................................................... 20
Military Construction, Navy Reserve ...................................................... 21
Military Construction, Air Force Reserve ............................................... 21
North Atlantic Treaty Organization Security Investment Program ..... 21
Department of Defense Base Closure Account ....................................... 22
Family Housing Overview ........................................................................ 23
Family Housing Accounts—Program Description ................................... 23
Family Housing Construction, Army ....................................................... 23
Family Housing Operation and Maintenance, Army ............................. 23
Family Housing Construction, Navy and Marine Corps ........................ 24
Family Housing Operation and Maintenance, Navy and Marine
Corps ....................................................................................................... 24
Family Housing Construction, Air Force ................................................. 24
Family Housing Operation and Maintenance, Air Force ....................... 24
Family Housing Operation and Maintenance, Defense-Wide ................ 24
Department of Defense Family Housing Improvement Fund ............... 25
Department of Defense Military Unaccompanied Housing Improve-
ment Fund .............................................................................................. 25
Administrative Provisions ........................................................................ 25
Title II:
Department of Veterans Affairs:
Items of Special Interest:
Hearings .............................................................................................. 28
Summary of Committee Recommendations ..................................... 28
Department Overview ........................................................................ 28
Veterans Benefits Administration ........................................................... 28
Compensation and Pensions .............................................................. 28
Readjustment Benefits ....................................................................... 34
Veterans Insurance and Indemnities ............................................... 35
Veterans Housing Benefit Program Fund ........................................ 35
Vocational Rehabilitation Loans Program Account ......................... 36
Native American Veteran Housing Loan Program Account ........... 36
General Operating Expenses, Veteran Benefits Administration ... 37
(2)
3
Page
Title II—Continued
Department of Veterans Affairs—Continued
Veterans Health Administration .............................................................. 39
Medical Services ................................................................................. 44
Medical Community Care .................................................................. 58
Medical Support and Compliance ..................................................... 60
Medical Facilities ............................................................................... 61
Medical and Prosthetic Research ...................................................... 62
Medical Care Cost Recovery Collections .................................................. 65
Medical Care Collection Fund .................................................................. 65
National Cemetery Administration .......................................................... 65
Departmental Administration .................................................................. 66
General Administration ..................................................................... 67
Board of Veterans Appeals ................................................................ 68
Information Technology Systems ...................................................... 69
Veterans Electronic Health Record .................................................. 72
Office of Inspector General ................................................................ 73
Construction, Major Projects ............................................................. 73
Construction, Minor Projects ............................................................. 75
Grants for Construction of State Extended Care Facilities ............ 76
Grants for Construction of Veterans Cemeteries ............................ 76
Asset and Infrastructure Review ...................................................... 77
Administrative Provisions ........................................................................ 77
Title III:
Related Agencies:
American Battle Monuments Commission:
Salaries and Expenses ....................................................................... 82
Foreign Currency Fluctuations ......................................................... 83
United States Court of Appeals for Veterans Claims: Salaries and
Expenses ................................................................................................. 83
Department of Defense—Civil: Cemeterial Expenses, Army:
Salaries and Expenses ....................................................................... 84
Construction ....................................................................................... 84
Armed Forces Retirement Home: Trust Fund ........................................ 85
Administrative Provision .......................................................................... 85
Title IV: General Provisions ................................................................................... 86
Program, Project, and Activity ............................................................................... 87
Compliance With Paragraph 7, Rule XVI, of the Standing Rules of the
Senate ................................................................................................................... 87
Compliance With Paragraph 7(c), Rule XXVI of the Standing Rules of the
Senate ................................................................................................................... 89
Compliance With Paragraph 12, Rule XXVI of the Standing Rules of the
Senate ................................................................................................................... 89
Budgetary Impact of Bill ......................................................................................... 90
Military Construction Project Listing by Location ................................................ 91
Disclosure of Congressionally Directed Spending Items ...................................... 106
Comparative Statement of Budget Authority ........................................................ 109
BACKGROUND
PURPOSE OF THE BILL
The Military Construction, Veterans Affairs, and Related Agen-
cies appropriations bill provides necessary funding for the plan-
ning, design, construction, alteration, and improvement of military
facilities worldwide. It also finances the cost of military family
housing and the U.S. share of the NATO Security Investment Pro-
gram. In addition, the bill provides funding, including environ-
mental remediation, for base closures and realignments authorized
by law. The bill provides resources to the Department of Veterans
Affairs for veterans benefits and healthcare and funding for U.S.
cemeteries and battlefield monuments both in the United States
and abroad, including the American Battle Monuments Commis-
sion and Arlington National Cemetery. Additionally, the bill funds
the U.S. Court of Appeals for Veterans Claims and the Armed
Forces Retirement Homes.
COMMITTEE RECOMMENDATION
The Committee recommends new budget authority totaling
$309,128,759,000 for fiscal years 2022 and 2023 for military con-
struction, family housing, base closure, and veterans healthcare
and benefits, including fiscal year 2023 advance appropriations for
veterans medical care and appropriated mandatories, and related
agencies. This includes $166,715,027,000 in mandatory funding and
$142,413,732,000 in discretionary funding. The table at the end of
the report displays the Committee recommendation in comparison
with the current fiscal year and the President’s fiscal year 2022 re-
quest. The following table shows total budget authority available
for fiscal year 2022.
APPROPRIATIONS FOR FISCAL YEAR 2022
Senate
Budget request recommendation
New budget authority ..................................................................................... $39,192,786,305 $41,255,569,305
Previous advances provided for fiscal year 2022 for medical care .............. 94,183,260,000 94,183,260,000
Previous advances provided for fiscal year 2022 for appropriated
mandatories ................................................................................................ 145,311,218,000 145,311,218,000
Less advances provided for fiscal year 2023 for medical care .................... 111,287,000,000 111,287,000,000
Less advances provided for fiscal year 2023 for appropriated mandatories 156,586,190,000 156,586,190,000
Total appropriations for fiscal year 2022 ......................................... 110,814,074,305 112,876,857,305
OVERVIEW AND SUMMARY OF BILL
The Military Construction, Veterans Affairs, and Related Agen-
cies appropriations bill funds an array of programs that are vital
to America’s military personnel and their families, and to the Na-
(4)
5
tions’ veterans. For U.S. military forces and their families world-
wide, the bill funds critical infrastructure, ranging from mission es-
sential operational and training facilities, such as command and
control centers, airfield improvements, and ranges, to key quality-
of-life facilities, including barracks, family housing, child care cen-
ters, schools, and hospitals.
For America’s 19.5 million veterans, the bill provides the nec-
essary funding for veterans benefits and healthcare, from prescrip-
tion drugs and clinical services to the construction of hospitals and
other medical facilities throughout the Nation.
The bill also funds veterans cemeteries in the United States, as
well as four independent agencies-the American Battle Monuments
Commission, the U.S. Court of Appeals for Veterans Claims, Ar-
lington National Cemetery, and the Armed Forces Retirement
Homes.
TITLE I
MILITARY CONSTRUCTION
HEARING
The Subcommittee on Military Construction, Veterans Affairs,
and Related Agencies held one hearing related to the fiscal year
2022 military construction budget request. Witnesses included rep-
resentatives of the Army, Navy, Marine Corps, Air Force, and the
Office of the Secretary of Defense.
SUMMARY OF COMMITTEE RECOMMENDATIONS
The fiscal year 2022 budget request for military construction and
family housing totals $9,847,031,000. The Committee recommends
$11,000,000,000, which is $1,152,969,000 above the President’s
budget request.
REPROGRAMMING GUIDELINES
The following reprogramming guidelines apply for all military
construction and family housing projects. A project or account (in-
cluding the sub-elements of an account) which has been specifically
reduced by the Congress in acting on the budget request is consid-
ered to be a congressional interest item and as such, prior approval
is required. Accordingly, no reprogrammings to an item specifically
reduced below the threshold by the Congress are permitted.
The reprogramming criteria that apply to military construction
projects (25 percent of the funded amount or $2,000,000, whichever
is less) continue to apply to new housing construction projects and
to improvements over $2,000,000. To provide the services the flexi-
bility 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 re-
moval or abatement, and any other legislated environmental haz-
ard 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 reprogram-
ming 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 con-
gressional interest item as defined above).
In addition to these guidelines, the services are directed to ad-
here to the guidance for military construction reprogrammings and
notifications, including the pertinent statutory authorities con-
(6)
7
tained 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 gen-
eral rules for repairing a facility under ‘‘Operation and Mainte-
nance’’ 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 re-
pair, but additions and new facilities must be performed as
military construction projects.
—Such projects may be done concurrent with repair projects, as
long as the final conjunctively funded project is a complete and
usable facility.
—The appropriate Service Secretary shall submit a 21-day notifi-
cation prior to carrying out any repair project with an esti-
mated 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 fu-
ture requirements for unaccompanied housing at that installation.
INCREMENTAL FUNDING
In general, the Committee supports full funding for military con-
struction projects. However, it continues to be the practice of the
Committee to provide incremental funding for certain large
projects, despite administration policy to the contrary, to enable the
services to more efficiently allocate military construction dollars
among projects that can be executed in the year of appropriation.
Therefore, the Committee has recommended incremental funding
for ten projects.
OTHER MATTERS
Military Construction Funding.—The fiscal year 2022 budget re-
quest for military construction and family housing represents a 26
percent increase over the fiscal year 2021 request, which is a posi-
tive step overall. However, it is also still a 12 percent decrease
from the fiscal year 2020 request. At the same time, there are sev-
eral significant major construction programs that are ongoing, or
expected to be programmed in future years for which the Depart-
ment will need to account and budget, in addition to the significant
recapitalization requirements for aging facilities. Developing mod-
ern and resilient infrastructure requires dedicated investment
strategies and the Committee continues to provide funding above
the budget request to support the Department’s requirements. The
Committee encourages the Department to build on this budget re-
quest in future years.
Strategic Construction in the Indo-Pacific Region.—The Com-
mittee supports efforts to execute emergent requirements and ac-
8
celerate construction investments in the Indo-Pacific Command
[INDOPACOM] region and has provided $20,000,000 above the
President’s budget request over the past 2 years for this purpose.
The Committee also believes there can be a significant return on
investment for small dollar, dual use infrastructure that supports
joint and multilateral exercises and enables power projection, par-
ticularly in the Western Pacific, and encourages INDOPACOM to
continue to align these resources accordingly. The Committee pro-
vides $39,254,000 in planning and design for projects in
INDOPACOM that support National Defense Strategy objectives to
sustain joint force military advantages, enable allies and partners,
and deter adversaries from aggression against our national inter-
est, and encourages the Department to leverage existing authori-
ties to enable rapid execution of emergent requirements.
Pacific Deterrence Initiative.—The Committee is disappointed
that the Department did not include any military construction in-
vestments in direct support of the Pacific Deterrence Initiative
[PDI]. While there are projects included in the budget request that
contribute to our posture and partnerships in the region, they were
not considered to be PDI, or budgeted accordingly, by the Depart-
ment. The fiscal year 2021 National Defense Authorization Act es-
tablished PDI to counter China’s growing aggression and influence
and the Committee supports meaningful investments to prioritize
military posture and basing in the Indo-Pacific. The Committee en-
courages the Department to prioritize major construction in sup-
port of this important initiative in future budget requests.
Military Installation Resilience.—The Committee continues to
support efforts to improve the resilience of military installations
and the sustainability of individual facilities, particularly those
vulnerable to extreme weather and climate events. The Committee
believes that each of the services should prioritize and commit
funding to projects that improve the climate resilience of military
installations and their missions, and notes the need to ensure that
infrastructure and facilities remain operational against natural and
manmade threats. The Committee believes such investments are
critical to installation readiness and therefore provides $10,000,000
for planning and design and unspecified minor construction for the
Army, $15,000,000 for planning and design and unspecified minor
construction for the Air Force, and $25,000,000 for planning and
design and unspecified minor construction for the Navy and Marine
Corps to continue to develop projects, conduct studies and analyses,
and update Unified Facilities Criteria [UFC], that will directly en-
hance military installation resilience. Not later than 90 days after
enactment of this act, the Committee directs the Secretary of De-
fense to provide a report with respect to the status of its future
years planning program and its efforts to commit funding to
projects that improve the resilience of military installations and
their missions; and to provide a comprehensive update on the sta-
tus of the efforts by the U.S. Army Corps of Engineers and Naval
Facilities Engineering Command to incorporate military installa-
tion resilience best practices and criteria into master planning in-
stitute curriculum development.
Child Development Centers [CDCs].—The Committee recognizes
the importance that access to childcare plays in improving quality
9
of life for servicemembers and their families. In order to help ad-
dress the significant capacity shortfall, the bill provides
$85,000,000 above the President’s request for CDCs, as identified
on unfunded requirements lists submitted to Congress. The Com-
mittee encourages the Services to prioritize funding in future budg-
et requests for child development centers to improve or replace
aging facilities and construct new CDCs at underserved installa-
tions.
Next Generation Data Transport Architecture.—The Committee is
aware of the need for enhanced data transport infrastructure to
meet emerging network performance requirements for artificial in-
telligence and machine learning as well as supporting advanced
manufacturing, microelectronics and quantum engineering. Each of
these disruptive technologies requires significant additional band-
width for increased data loads. As DoD undertakes large scale con-
struction efforts, such as rebuild efforts at NAWS China Lake,
Camp Lejeune, and Tyndall AFB, and continues to assess the ap-
plications for 5G and other data transmission innovations required
for the base of the future, the Committee urges the study and cer-
tification of next generation data architectures and updates to the
UFC and other policies to facilitate the use of new network archi-
tectures to allow mission owners and engineers to meet emerging
data transmission requirements.
Military Construction Funding Initiatives.—The bill includes
funding to address important unfunded priorities included in DoD’s
unfunded priority lists provided to Congress. This includes an addi-
tional $27,000,000 for the Army, $28,000,000 for the Navy and Ma-
rine Corps, $36,100,000 for Defense-Wide, $11,000,000 for the
Army National Guard, and $19,200,000 for the Air National Guard.
All additional funding is reserved for projects that were included
in the unfunded priority lists submitted to Congress.
Support for Lab Infrastructure Planning and Design and Con-
struction.—The Committee is aware that Defense laboratory con-
struction struggles to compete through normal military construc-
tion planning processes, resulting in negative impacts on the abil-
ity of the military to develop new acquisition programs or perform
cutting edge research. As threats continue to emerge and construc-
tion costs continue to rise, outdated range and testing facilities lack
the investment needed to deliver next generation capability to the
U.S. military. For example, these laboratories enable research for
Army long-range precision fires and Air Force electromagnetic and
hypersonic systems. The Committee recognizes the importance of
DoD science and technology laboratories and test and evaluation
facilities and notes that the Services have reported over
$3,000,000,000 in related unfunded military construction require-
ments. As such, the Committee provides $60,000,000 for planning
and design and unspecified minor construction as well as up to
$15,000,000 for authorized major construction projects to address
priority laboratory requirements, as appropriated in Section 130.
Congressionally Directed Spending.—The Committee includes
Congressionally Directed Spending for planning and design, un-
specified 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.
10
Rescission.—The Committee recommends an administrative pro-
vision rescinding prior year Defense-Wide unobligated funds that
are excess to need.
MILITARY CONSTRUCTION OVERVIEW
Appropriations, 2021 ............................................................................. $6,252,686,000
Budget estimate, 2022 ........................................................................... 8,423,477,000
Committee recommendation ................................................................. 9,065,646,000
MILITARY CONSTRUCTION ACCOUNTS—PROGRAM DESCRIPTION
The military construction appropriation provides for acquisition,
construction, installation, and equipment of temporary or perma-
nent public works, military installations, facilities, and real prop-
erty for the Department of Defense. This appropriation also pro-
vides for facilities required as well as funds for infrastructure
projects and programs required to support bases and installations
around the world.
MILITARY CONSTRUCTION, ARMY
Appropriations, 2021 ............................................................................. $628,900,000
Budget estimate, 2022 ........................................................................... 834,692,000
Committee recommendation ................................................................. 991,762,000
COMMITTEE RECOMMENDATION
The Committee recommends $991,762,000 for the Army for fiscal
year 2022. This amount is $362,862,000 above the fiscal year 2021
enacted level and $157,070,000 above the budget request. Within
the total for Military Construction, Army, $147,070,000 is for the
following projects in the following amounts:
MILITARY CONSTRUCTION, ARMY
[In thousands of dollars]
State Location Project Amount
Alaska ........................... Fort Wainwright ................... ERDC–CRREL Permafrost Tunnel Research Facility: 5,400
Unspecified Minor Construction.
Georgia ......................... Fort Gordon .......................... Cyber Center of Excellence School Headquarters 3,670
and Classrooms: Planning and Design.
Georgia ......................... Fort Stewart ......................... Barracks: Planning and Design ............................... 5,000
Hawaii .......................... Fort Shafter .......................... Command and Control Facility: Cost to Complete .. 55,500
Kansas .......................... Fort Leavenworth ................. Child Development Center ........................................ 34,000
Missouri ........................ Fort Leonard Wood ............... Advanced Individual Training Battalion Complex: 4,000
Planning and Design.
New Mexico ................... White Sands Missile Range Missile Assembly Support Facility: Planning and 1,300
Design.
New York ...................... U.S. Military Academy .......... Engineering Center: Cost to Complete ..................... 17,200
South Carolina ............. Fort Jackson ......................... Reception Barracks Complex, Ph 1: Cost to Com- 21,000
plete.
Further detail of the Committee’s recommendation is provided in
the State table at the end of this report.
Environmental Remediation for Army Construction.—The Depart-
ment is directed to work with interagency partners to provide a
plan for addressing environmental remediation requirements re-
sulting from construction activities conducted under 10 U.S.C. 2808
along the Southern Border. This plan is directed to be provided to
11
the Committees on Appropriations of both Houses of Congress no
later than 270 days after enactment of this act. The Department
is further directed to provide quarterly update briefings to the
Committees on the progress of such environmental remediation ac-
tivity.
Arsenals.—The Committee is aware that many Army arsenals
operate out of WWII era structures that have received limited up-
grades and modernization. Arsenals perform sensitive missions
that require specialized safety and security features to protect crit-
ical infrastructure and ensure the safety of the surrounding com-
munity. Adequate gates, access control points, and vehicle inspec-
tion facilities are critical for force protection and safe and orderly
traffic movements. Therefore, the Committee directs the Secretary
of the Army to submit a report within 180 days of enactment of
this act on the condition and capacity of access control points at
Army arsenals, specifically identifying arsenals that may experi-
ence an increase in traffic and personnel because of new production
requirements within the arsenal. The report should identify risk
assessments based off current security postures, cost assessments
to reduce the security risk at access control points, and all existing
military construction projects that enhance the security posture of
arsenals.
Army Pacific Infrastructure Readiness.—The Committee remains
concerned about the risks that the Army continues to take with re-
spect to funding infrastructure and the degradation these risks
have on long-term readiness. The Committee has previously sup-
ported the Army’s $2,600,000,000, 30-year initiative to improve
readiness in the Pacific by addressing critical shortfalls in aviation,
operations, training, and munitions facilities at Schofield Barracks,
Wheeler Army Airfield, and the Pohakuloa Training Area, in Ha-
waii. The Committee is concerned that this year’s budget request
does not meet the planned investment to support this initiative as
reflected in previous future years defense programs submitted to
the Congress. The Committee is also concerned that the Depart-
ment’s decision not to submit a future years defense program ham-
pers the ability of Congress to make informed decisions about fund-
ing military infrastructure to avoid long-term risks to readiness.
Not later than 90 days after enactment of this act, the Secretary
of the Army is directed to provide a report on the status of the
Army’s $2,600,000,000, 30-year initiative to improve readiness in
the Pacific and a detailed, five-year budget plan for funding the fa-
cilities necessary to resolve risks to aviation, operations, training,
munitions storage, and other infrastructure requirements in the
Pacific.
Utility Infrastructure.—The Committee is concerned with utility
infrastructure at Army installations. Adequate utility infrastruc-
ture contributes to the efficiency, reliability, and resiliency of DoD
installations and directly contributes to mission readiness. The
Committee is aware that some installations require increased ca-
pacity and resilience and therefore provides an additional
$10,000,000 for unspecified minor construction to provide increased
capacity, resilience, and redundancy for current and emerging
power and natural gas requirements at Army installations.
12
Railyards.—The Committee continues to highlight its concern
that installations with major deployment missions, including Mobi-
lization Force Generation Installations, lack sufficient logistics in-
frastructure to support rapid deployment requirements. Installa-
tions lacking railhead connection points for deployment and rede-
ployment activities hinder deployment capabilities and the Com-
mittee urges the Army to prioritize projects and funding to address
deployment infrastructure shortfalls in its fiscal year 2023–2027
future years defense program.
Tactical Equipment Maintenance Facilities.—The Committee re-
mains concerned that existing tactical equipment maintenance fa-
cilities are not sufficient to support maintenance and readiness op-
erations of a modern combined arms armored battalion. Equipment
readiness relies on an effective, comprehensive maintenance pro-
gram which, in turn, enhances and facilitates training and
warfighting. This is particularly important for units that rely on
armored vehicles as their primary weapons system. Some installa-
tions, however, have outdated vehicle maintenance facilities that
were built for different types of equipment and unit configurations,
are severely undersized, and lack needed electrical and communica-
tion support. The Committee urges the Army to plan and program
sufficient funding to address maintenance facility shortfalls in its
fiscal year 2023–2027 future years defense program.
Barracks.—The Committee recognizes the critical role that bar-
racks serve to support the warfighter. Some installations lack high
quality barracks while others do not have enough barracks to ac-
commodate all soldiers. For example, Fort Riley, the home of the
1st Infantry Division, is strategically located within the United
States and is regularly recognized as one of our Nation’s premier
military communities but it lacks the existing housing infrastruc-
ture to accommodate new soldiers. The Committee urges the Army
to prioritize the construction of military unaccompanied housing at
such installations.
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS
Appropriations, 2021 ............................................................................. $1,716,144,000
Budget estimate, 2022 ........................................................................... 2,368,352,000
Committee recommendation ................................................................. 2,452,247,000
COMMITTEE RECOMMENDATION
The Committee recommends $2,452,247,000 for Navy and Marine
Corps military construction for fiscal year 2022. This amount is
$736,103,000 above the fiscal year 2021 enacted level and
$83,895,000 above the budget request. Within the total for Military
Construction, Navy and Marine Corps, $469,145,000 is for the fol-
lowing projects in the following amounts:
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS
[In thousands of dollars]
State Location Project Amount
Arizona .......................... MCAS Yuma ......................... Combat Training Tank Complex ............................... 29,300
California ...................... NB Ventura County .............. Combat Vehicle Maintenance Facility ...................... 48,700
California ...................... NB Coronado ........................ CMV–22B Aircraft Maintenance Hangar .................. 63,600
13
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS—Continued
[In thousands of dollars]
State Location Project Amount
Hawaii .......................... MCB Hawaii ......................... Electrical Distribution Modernization ....................... 64,500
Hawaii .......................... Marine Corps Training Area Perimeter Security Fence: Unspecified Minor Con- 6,220
Bellows. struction.
Maine ............................ NSA Cutler ........................... Firehouse: Planning and Design .............................. 2,500
North Carolina .............. MCAS Cherry Point ............... F–35 Joint Strike Fighter Sustainment Center: 9,300
Planning and Design.
North Carolina .............. MCAS New River .................. Maintenance Hangar: Planning and Design ............ 13,300
North Carolina .............. MCAS Cherry Point ............... ATC Tower and Airfield Operations: Cost to Com- 18,700
plete.
North Carolina .............. Camp Lejeune ...................... Water Treatment Plant Replacement Hadnot Point: 64,200
Cost to Complete.
Rhode Island ................ NAVSTA Newport .................. Next Generation Torpedo Integration Lab: Planning 1,200
and Design.
Rhode Island ................ NAVSTA Newport .................. Submarine Payloads Integration Laboratory: Plan- 1,400
ning and Design.
Rhode Island ................ NAVSTA Newport .................. Consolidated RDT&E Systems Facility: Planning 1,700
and Design.
Rhode Island ................ NAVSTA Newport .................. Next Generation Secure Submarine Platform Facil- 4,000
ity: Planning and Design.
South Carolina ............. MCAS Beaufort ..................... F–35 Operational Support Facility: Unspecified 4,700
Minor Construction.
South Carolina ............. MCAS Beaufort ..................... Instrument Landing System: Unspecified Minor 3,000
Construction.
South Carolina ............. MCRD Parris Island ............. Entry Control Facility Improvements: Unspecified 6,000
Minor Construction.
South Carolina ............. MCAS Beaufort ..................... Aircraft Maintenance Hangar ................................... 121,825
South Carolina ............. MCAS Beaufort ..................... Recycling/Hazardous Waste Facility: Cost to Com- 5,000
plete.
Further detail of the Committee’s recommendation is provided in
the State table at the end of this report.
Naval Shipyard Modernization.—The Committee supports the
Department’s Shipyard Infrastructure Optimization Plan and be-
lieves the restoration of deferred maintenance availabilities along
with the public shipyard dry dock investments recommended by the
plan are critical. The Committee urges the Secretary of the Navy
to prioritize the timely funding of public shipyard infrastructure,
and in particular, the dry dock and shore infrastructure necessary
to support critical maintenance of surface and submarine fleets by
public shipyards.
Domestic Sourcing for Shipyard Infrastructure.—The Committee
notes that the Department of the Navy is undertaking a multi-year
major military construction program to revitalize the four public
shipyards. The Committee further notes that the Federal Acquisi-
tion Regulation [FAR], in accordance with the Buy American stat-
ute, restricts the purchase of construction materials that are not
domestic, with limited exceptions. These requirements preserve the
robust and capable domestic industrial base needed to support the
country’s national security requirements. In carrying out this pub-
lic shipyard modernization program, the Committee urges the Navy
to domestically source construction supplies and materials as ap-
propriate and viable, and in accordance with the FAR.
14
MILITARY CONSTRUCTION, AIR FORCE
Appropriations, 2021 ............................................................................. $616,156,000
Budget estimate, 2022 ........................................................................... 2,102,690,000
Committee recommendation ................................................................. 2,106,750,000
COMMITTEE RECOMMENDATION
The Committee recommends $2,106,750,000 for the Air Force in
fiscal year 2022. This amount is $1,490,594,000 above the fiscal
year 2021 enacted level and $4,060,000 above the budget request.
Within the total for Military Construction, Air Force, $269,060,000
is for the following projects in the following amounts:
MILITARY CONSTRUCTION, AIR FORCE
[In thousands of dollars]
State Location Project Amount
Colorado ....................... U.S. Air Force Academy ....... High–Bay Vehicle Maintenance: Unspecified Minor 4,360
Construction.
Colorado ....................... U.S. Air Force Academy ....... New Cadet Prep School Dormitory ............................ 24,726
Colorado ....................... Schriever AFB ....................... Fitness Center ........................................................... 30,000
Georgia ......................... Moody AFB ........................... 41 RQS HH–60W Apron ............................................ 12,500
Hawaii .......................... Kirtland AFB Remote Maui Secure Integration Support Lab: Planning and De- 8,800
Experimental Site. sign.
Lousiana ....................... Barksdale AFB ..................... Entrance Road and Gate: Cost to Complete ............ 36,000
Nevada ......................... Creech AFB .......................... Mission Support Facility: Planning and Design ....... 1,900
Nevada ......................... Creech AFB .......................... Warrior Fitness Training Center: Planning and De- 2,200
sign.
New Mexico ................... Kirtland AFB ......................... Wyoming Gate Project: Cost to Complete ................ 5,600
New Mexico ................... Kirtland AFB ......................... PJ/CRO Urban Training Complex: Planning and De- 810
sign.
New Mexico ................... Holloman AFB ...................... Indoor Target Flip Facility: Planning and Design .... 2,340
New Mexico ................... Kirtland AFB ......................... Dedicated Facility for the Space Rapid Capabilities 5,280
Office: Planning and Design.
New Mexico ................... Cannon AFB ......................... 192–Bed Dormitory: Planning and Design ............... 5,568
New Mexico ................... Cannon AFB ......................... Deployment Processing Center: Planning and De- 5,976
sign.
New Mexico ................... Holloman AFB ...................... MQ–9 Formal Training Unit Operations Facility ...... 40,000
Ohio .............................. Wright–Patterson AFB .......... Child Development Center ........................................ 24,000
South Carolina ............. Joint Base Charleston .......... Flight Line Support Facility ...................................... 29,000
South Carolina ............. Joint Base Charleston .......... Fire and Rescue Station ........................................... 30,000
Further detail of the Committee’s recommendation is provided in
the State table at the end of this report.
AC–130J Training Infrastructure.—The Committee supports the
stand up of an AC–130J Formal Training Unit [FTU] at Kirtland
Air Force Base, New Mexico as part of a relocation from Hurlburt
Field, Florida. This action allows Air Force Special Operations
Command to realign its training mission under Air Education and
Training Command and consolidate AC–130 initial mission quali-
fication training at Kirtland. The Committee understands that the
Air Force conducted a site visit to Kirtland Air Force Base in May
2021 to determine the facilities needs of the FTU. The Committee
directs the Secretary of the Air Force to provide a report no later
than 90 days after enactment of this act outlining the timeline for
developing facilities requirements and to prioritize the beddown in-
frastructure needed for the AC–130J FTU within its military con-
struction program.
15
Kirtland Microgrid Demonstration Project.—The Committee is
encouraged by DoD’s continued efforts to fund microgrid dem-
onstration projects and recognizes the operational benefits
microgrids provide in terms of increased installation energy and
cyber resilience. The committee is aware of one such program on
the grounds of Kirtland Air Force Base, the BlockEnergy Microgrid
Demonstration Project. Such projects have demonstrated improved
energy stability and reliability compared to traditional Alternating
Current systems while reducing energy loss and improving effi-
ciency and cyber protection. The Committee supports the expansion
of the Kirtland demonstration project in order to increase energy
and cyber resilience and demonstrate the viability of similar
projects at other CONUS and OCONUS installations. Therefore,
the Committee directs the Secretary of the Air Force to provide a
report no later than 90 days after enactment of this act outlining
the energy resilience requirements of Kirtland AFB, to include a
cost estimate for the expansion of the existing BlockEnergy
Microgrid project. The report shall include an evaluation of the
ability to integrate the existing BlockEnergy Microgrid project,
funded to date with Air Force Research, Development, Test and
Evaluation funding, with a future project funded with Military
Construction funding, as well as any statutory or administrative
barriers to such an effort, should such funding become available in
future fiscal years.
Weapons Generation Facilities.—The Committee continues to rec-
ognize 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 quar-
terly updates on projects associated with the WGF modernization
program, including the status of planning and estimated timelines
for projects not yet in the design phase.
Quality of Life Facilities.—The Committee continues to highlight
quality of life facilities and the integral role they play in supporting
Airmen and their families. It is widely recognized that these facili-
ties do not always compete well against other mission critical re-
quirements, and the Committee encourages the Air Force to con-
tinue to identify and plan for quality of life facilities, including
child development centers, fitness centers and dining facilities to
meet the needs of Air Force installations.
MILITARY CONSTRUCTION, DEFENSE-WIDE
(INCLUDING TRANSFER OF FUNDS)
Appropriations, 2021 ............................................................................. $2,041,909,000
Budget estimate, 2022 ........................................................................... 1,957,289,000
Committee recommendation ................................................................. 2,082,663,000
COMMITTEE RECOMMENDATION
The Committee recommends $2,082,663,000 for projects consid-
ered within the Defense-Wide account in fiscal year 2022. This
amount is $40,754,000 above the fiscal year 2021 enacted level and
$125,374,000 above the budget request. Within the total for Mili-
16
tary Construction, Defense-Wide, $89,955,000 is for the following
projects in the following amounts:
MILITARY CONSTRUCTION, DEFENSE-WIDE
[In thousands of dollars]
State Location Project Amount
Hawaii .......................... HDR–H ................................. Homeland Defense Radar–Hawaii: Planning and 19,000
Design.
Mississippi ................... Camp Shelby ........................ Electrical Distribution Infrastructure Under- 11,155
grounding Hardening Project.
Mississippi ................... Camp Shelby ........................ 10 MW Generation Plant and Feeder Level 34,500
Microgrid System.
New York ...................... Fort Drum ............................. Wellfield Expansion Resilience Project ..................... 25,300
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, includ-
ing through ERCIP. In particular, the Committee appreciates the
significant increase to ERCIP in the fiscal year 2022 budget re-
quest. Recognizing the significant demand for projects through this
program, the Committee recommends an increase of $125,120,000
above the request for ERCIP and encourages the Department to
prioritize funding for energy-related projects, including renewable
energy projects, to mitigate risk to mission-critical assets and pro-
mote energy security and efficiency at military installations.
Electric Vehicle Infrastructure.—The Committee is encouraged by
the administration’s plan to transition Federal vehicles, to include
DoD’s non-tactical vehicle fleet, to electric vehicles [EVs] over the
next several years. The Committee supports funding in the admin-
istration’s budget request for ERCIP planning and design funds to
better understand the unique capacity and infrastructure require-
ments of individual installations that are needed to support an
electric non-tactical vehicle fleet. The Committee further notes this
planning is necessary because the type of depot facility and charg-
ing infrastructure needed to support this transition across the DoD
enterprise is inadequate. Therefore, the Committee directs the Sec-
retary of Defense to submit a report no later than 180 days after
enactment of this act outlining the military construction resources
and authorities needed to support a transition to EVs. This report
should include a strategy and implementation plan, to include the
electric charging and depot facility infrastructure requirements, to
transition the Department-wide non-tactical vehicle fleet to EVs.
Missile Threat and Intelligence Infrastructure.—The Committee
is concerned that advances in missile technology and continued
proliferation of increasingly capable missiles threaten U.S. bases
and servicemembers around the globe. Countering this threat will
require continued investment in cutting-edge research, develop-
ment, testing, and evaluation to ensure the U.S. retains its techno-
logical advantage. As such, the bill includes Section 132 that pro-
vides $153,000,000 to support properly sized and configured facili-
ties to maintain and expand U.S. dominance in the missile tech-
nology field.
17
Innovative HVAC Technologies.—The Committee recognizes that
innovative Heating, Ventilation, and Air Conditioning [HVAC]
technologies, including heat recovery and demand control ventila-
tion, have expanded opportunities for facilities to reduce energy use
and associated emissions, improve occupant comfort, and lower life
cycle costs. While DoD regularly updates its UFC, current editions
may not reflect many of these innovative technologies, thus pre-
venting them from being fully utilized. Therefore, the Committee
directs the Secretary of Defense to develop a plan to incorporate (1)
commercially available, energy efficient HVAC technologies that
have not yet been included in the UFC, including but not limited
to gaseous air cleaning technology like advanced filtration and (2)
HVAC building standards, including but not limited to the Indoor
Air Quality Procedure in ASHRAE Standard 62.1, that are not yet
included in the UFC and are expected to increase energy efficiency.
The Committee directs the Secretary to provide a report no later
than 180 days after the enactment of this act on how the Depart-
ment will implement the plan.
Batteryless Technology.—The Committee recognizes that innova-
tive technologies for industrial monitoring, including those that are
batteryless, exist and can reduce energy consumption and carbon
emissions and enhance their operational readiness. The Committee
encourages the Department to consider these technologies when
updating UFC requirements and standards.
Joint Spectrum Center Relocation.—The Committee recognizes
the need to move the Joint Spectrum Center [JSC] from the closed
David Taylor Research Center site in Annapolis, Maryland due to
significant infrastructure problems and JSC’s inability to meet
Anti-Terrorism Force Protection [AT/FP] security standards in its
existing leased location. Failure to meet these security standards
requires ongoing security waivers by JSC’s parent organization, the
Defense Information Systems Agency, for its remaining lease term.
JSC’s relocation and existing lease termination were authorized in
the Fiscal Year 2008 National Defense Authorization Act and were
intended to ensure personnel are performing JSC’s mission in a
building that meets all required security, environmental protection,
and building safety requirements. Therefore, the Committee directs
the Secretary of Defense to provide an update on the JSC reloca-
tion and execution timeline no later than 120 days after enactment
of this act.
Special Operations Command East Coast Training Facilities.—
The Committee recognizes the value that regional training facilities
provide for unique Special Operations Command [SOCOM] require-
ments, as well as the mutual benefits of partnerships leveraging
under-utilized National Guard training infrastructure. In order to
provide greater variety and diversity in training venues, the Com-
mittee directs the Secretary of Defense to provide a report within
180 days of enactment of this act that outlines any training capa-
bility shortfalls of East Coast based sites and the feasibility of de-
veloping an East Coast joint training center with a focus on ena-
bling all-domains of warfare. This report should also analyze the
value provided to SOCOM of National Guard training facilities.
Stormwater Best Management Practices.—The Committee encour-
ages the Department to continue to take steps to address water
18
and flood resilience. Through updates to Unified Facilities Criteria,
development of Installation Master Plans, and design and construc-
tion of projects funded through ERCIP, the Committee supports in-
vestment in implementing and maintaining stormwater Best Man-
agement Practices that enhance water resilience and quality on
military installations. In addition to meeting force protection re-
quirements and contributing to climate change adaptation, imple-
menting and maintaining Best Management Practices will help
military installations reduce pollution runoff and improve water
quality. In undertaking this work, the Committee recommends that
the Secretary consider and utilize natural infrastructure ap-
proaches, alone or in conjunction with grey infrastructure, to in-
crease flood resilience. Natural infrastructure approaches (includ-
ing restored wetlands, floodplains, living shorelines, and use of soil
or plant systems and permeable surfaces for stormwater manage-
ment) are proven techniques to provide significant and measurable
risk reduction for inland and coastal flood hazards.
MILITARY CONSTRUCTION, ARMY NATIONAL GUARD
Appropriations, 2021 ............................................................................. $349,437,000
Budget estimate, 2022 ........................................................................... 257,103,000
Committee recommendation ................................................................. 315,893,000
COMMITTEE RECOMMENDATION
The Committee recommends $315,893,000 for Military Construc-
tion, Army National Guard for fiscal year 2022. This amount is
$33,544,000 below the fiscal year 2021 enacted level and
$58,790,000 above the budget request. Within the total for Military
Construction, Army National Guard, $49,790,000 is for the fol-
lowing projects in the following amounts:
MILITARY CONSTRUCTION, ARMY NATIONAL GUARD
[In thousands of dollars]
State Location Project Amount
Kansas .......................... Topeka .................................. National Guard/Reserve Center Building SCIF: Plan- 420
ning and Design.
Mississippi ................... Camp Shelby ........................ Maneuver Area Training Equipment Site (MATES) ... 15,500
Missouri ........................ Aviation Classification Re- AVCRAD Aircraft Maintenance Hangar Addition: 3,800
pair Activity Depot. Planning and Design.
North Carolina .............. Salisbury .............................. Aircraft Maintenance Hangar Addition/Alteration: 2,700
Planning and Design.
Vermont ........................ Bennington ........................... Readiness Center ...................................................... 16,900
Vermont ........................ Ethan Allen AFB ................... Family Readiness Center: Unspecified Minor Con- 4,665
struction.
Virginia ......................... Sandston .............................. Aircraft Maintenance Hangar: Planning and Design 5,805
Further detail of the Committee’s recommendation is provided in
the State table at the end of this report.
National Guard Biathlon Programs.—Since 1973, the National
Guard has administered the U.S. military’s biathlon program, pro-
viding continuous international engagement, especially with NATO
allies for whom biathlon is a major sport, training and retention for
servicemembers with specialties in mountain maneuver and action,
and supplying U.S. Olympians. In recognition of evolving standards
19
for international biathlon competition, the Committee includes
$6,000,000 above the President’s budget request in minor military
construction for the update of biathlon facilities to continue engage-
ment and training. The Director of the Army National Guard is di-
rected to provide a spend plan for the use of these funds within 30
days of enactment of this act.
Vehicle Maintenance Facilities.—The Committee recognizes that
vehicle maintenance facilities play an important role in overall
Army National Guard [ARNG] unit readiness. Maintenance is par-
ticularly critical for National Guard assets that are frequently
older and in need of greater repair than assets utilized by Active
Duty counterparts. The Committee notes that the ARNG military
construction program has appropriately prioritized Readiness Cen-
ters, however, with variable top line budget requests, this has come
at the expense of other critical infrastructure, such as vehicle
maintenance facilities. The Committee includes $2,000,000 in Plan-
ning and Design for these facilities and encourages the Army Na-
tional Guard to ensure maintenance infrastructure is adequately
addressed in future budget requests.
Repair Depot.—The Committee is concerned with the significant
shortfall of maintenance space of the Missouri Aviation Classifica-
tion and Repair Activity Depot [AVCRAD], one of four National
Guard rotary-wing aviation depot repair facilities in the continental
United States. The current facility lacks adequate space, hangar
bays, and shops, and existing operations are spread throughout
multiple buildings that are undersized and result in inefficiencies,
taxing maintenance space, manpower, and utilities infrastructure.
Therefore, the Committee provides $3,800,000 for the planning and
design of an AVCRAD Aircraft Maintenance Hangar Addition to
provide adequate workspace that will allow for increased produc-
tion and support a more orderly, methodical and efficient overhaul
of aircraft. Further, the Committee encourages the ARNG to
prioritize other such depot projects that support the increase of
work force capacity, production capacity, and rate of aircraft repair
in future budget submissions.
Federal, State and Local Intelligence Collaboration.—The Com-
mittee is aware that several states utilize National Guard facilities
for intelligence fusion centers. These centers allow Federal, State,
local, and tribal law enforcement officials to collaborate and share
intelligence and threat information, and co-locating them with Na-
tional Guard facilities offers opportunities for cost savings. The
Committee remains supportive of such collaborative co-location
projects and as such provides $420,000 for planning and design of
a Joint Analysis Center in the Kansas National Guard Joint Forces
Headquarters Building in Topeka, Kansas.
Line of Communications Bridge.—The Committee recognizes the
important role that the Line of Communication Bridge [LOCB] pro-
vides to the warfighter by facilitating the uninterrupted flow of
forces, equipment, personnel and supplies for sustained ground op-
erations. The Committee believes that the Army National Guard
should have the ability to provide soldiers with initial and
sustainment training on the LOCB and urges the Army National
Guard to prioritize unspecified minor military construction funds to
establish facilities for this purpose.
20
MILITARY CONSTRUCTION, AIR NATIONAL GUARD
Appropriations, 2021 ............................................................................. $64,214,000
Budget estimate, 2022 ........................................................................... 197,770,000
Committee recommendation ................................................................. 298,550,000
COMMITTEE RECOMMENDATION
The Committee recommends $298,550,000 for Military Construc-
tion, Air National Guard for fiscal year 2022. This amount is
$234,336,000 above the fiscal year 2021 enacted level and
$100,780,000 above the budget request. Within the total for Mili-
tary Construction, Air National Guard, $97,780,000 is for the fol-
lowing projects in the following amounts:
MILITARY CONSTRUCTION, AIR NATIONAL GUARD
[In thousands of dollars]
State Location Project Amount
Connecticut .................. Bradley ANGB ....................... Composite ASE Vehicle Maintenance Facility .......... 17,000
Delaware ....................... New Castle County Airport .. Fuel Cell and Corrosion Control Hangar .................. 17,500
Illinois ........................... Abraham Lincoln Capital Base Civil Engineer Complex ................................... 10,200
Airport.
New York ...................... Gabreski ANGB ..................... Base Civil Engineer Complex ................................... 14,800
South Carolina ............. McEntire JNGB ..................... Hazardous Cargo Pad ............................................... 9,000
Washington ................... Camp Murray ANGS ............. Air Support Operations Group Complex .................... 27,000
Wisconsin ..................... Volk Combat Readiness Replace Aircraft Maintenance Hangar/Shops: Plan- 2,280
Training Center. ning and Design.
Further detail of the Committee’s recommendation is provided in
the State table at the end of this report.
Corrosion Prevention Facilities.—The Committee remains con-
cerned about the prevalence of aviation mishaps, specifically as it
relates to failures in aviation corrosion prevention. Recognizing the
state of aging corrosion prevention infrastructure, much of which
exists at Air National Guard installations, such as that supporting
the 167th Airlift Wing at Martinsburg, West Virginia, the Com-
mittee directs the Director of the Air National Guard, in consulta-
tion with the Secretary of the Air Force, to submit a report no later
than 90 days after enactment of this act outlining the current state
of indoor corrosion prevention infrastructure. In particular, the re-
port should include the location and facility condition index of all
indoor corrosion prevention facilities or ‘‘wash racks’’ specifically
designed and constructed for the primary purpose of corrosion pre-
vention maintenance. Further, the Committee encourages the Air
Force and Air National Guard to adequately prioritize design and
construction funds for corrosion prevention facilities.
MILITARY CONSTRUCTION, ARMY RESERVE
Appropriations, 2021 ............................................................................. $88,337,000
Budget estimate, 2022 ........................................................................... 64,911,000
Committee recommendation ................................................................. 94,111,000
COMMITTEE RECOMMENDATION
The Committee recommends $94,111,000 for Military Construc-
tion, Army Reserve for fiscal year 2022. This amount is $5,774,000
above the fiscal year 2021 enacted level and $29,200,000 above the
21
budget request. Within the total for Military Construction, Army
Reserve, $29,200,000 is for the following project in the following
amount:
MILITARY CONSTRUCTION, ARMY RESERVE
[In thousands of dollars]
State Location Project Amount
Wisconsin ..................... Fort McCoy ........................... Transient Training Enlisted Barracks ....................... 29,200
Further detail of the Committee’s recommendation is provided in
the State table at the end of this report.
MILITARY CONSTRUCTION, NAVY RESERVE
Appropriations, 2021 ............................................................................. $70,995,000
Budget estimate, 2022 ........................................................................... 71,804,000
Committee recommendation ................................................................. 71,804,000
COMMITTEE RECOMMENDATION
The Committee recommends $71,804,000 for Military Construc-
tion, Navy Reserve for fiscal year 2022. This amount is $809,000
above the fiscal year 2021 enacted level and equal to the budget
request. Further detail of the Committee’s recommendation is pro-
vided in the State table at the end of this report.
MILITARY CONSTRUCTION, AIR FORCE RESERVE
Appropriations, 2021 ............................................................................. $23,117,000
Budget estimate, 2022 ........................................................................... 78,374,000
Committee recommendation ................................................................. 111,374,000
COMMITTEE RECOMMENDATION
The Committee recommends $111,374,000 for Military Construc-
tion, Air Force Reserve for fiscal year 2022. This amount is
$88,257,000 above the fiscal year 2021 enacted level and
$33,000,000 above the budget request. Within the total for Military
Construction, Air Force Reserve, $33,000,000 is for the following
project in the following amount:
MILITARY CONSTRUCTION, AIR FORCE RESERVE
[In thousands of dollars]
State Location Project Amount
California ...................... Beale AFB ............................ 940 ARW SQ OPS & AMU Complex .......................... 33,000
Further detail of the Committee’s recommendation is provided in
the State table at the end of this report.
NORTH ATLANTIC TREATY ORGANIZATION
SECURITY INVESTMENT PROGRAM
Appropriations, 2021 ............................................................................. $173,030,000
Budget estimate, 2022 ........................................................................... 205,853,000
Committee recommendation ................................................................. 205,853,000
22
PROGRAM DESCRIPTION
The North Atlantic Treaty Organization [NATO] appropriation
provides for the U.S. cost share of the NATO Security Investment
Program for the acquisition and construction of military facilities
and installations (including international military headquarters)
and for related expenses for the collective defense of the NATO
Treaty area.
COMMITTEE RECOMMENDATION
The Committee recommends $205,853,000 for the NATO Security
Investment Program for fiscal year 2022. This amount is
$32,823,000 above the fiscal year 2021 enacted level and equal to
the budget request.
DEPARTMENT OF DEFENSE BASE CLOSURE ACCOUNT
Appropriations, 2021 ............................................................................. $480,447,000
Budget estimate, 2022 ........................................................................... 284,639,000
Committee recommendation ................................................................. 334,639,000
PROGRAM DESCRIPTION
Section 2711 of the National Defense Authorization Act for Fiscal
Year 2014 (Public Law 112–239) consolidated the Base Closure Ac-
count 1990 and the Base Closure Account 2005 into a single De-
partment of Defense Base Closure Account. The Base Closure Ac-
count provides for cleanup and disposal of property consistent with
the four closure rounds required by the base closure acts of 1988
and 1990, and with the 2005 closure round required by the Defense
Base Closure and Realignment Act of 1990 (10 U.S.C. 2687 note).
COMMITTEE RECOMMENDATION
The Committee recommends a total of $334,639,000 for the De-
partment of Defense Base Closure Account for fiscal year 2022.
This amount is $145,808,000 below the fiscal year 2021 enacted
level and $50,000,000 above the budget request. Funds provided for
fiscal year 2022 are for environmental cleanup and ongoing oper-
ations and maintenance.
Perfluorooctane Sulfonate [PFOS] and Perfluorooctanoic Acid
[PFOA].—The Committee provides $40,000,000 in additional funds
for identification, mitigation, and clean-up costs across DoD for
PFOS and PFOA. DoD is directed to provide a spend plan for these
additional funds to the Committees on Appropriations of both
Houses of Congress no later than 30 days after enactment of this
act.
Additional Support for Remedial Activities.—The Committee rec-
ognizes that the services have active costs associated with ordnance
disposal, environmental clean-up, property management, and other
ongoing remedial actions at dozens of realigned or closed installa-
tions. Understanding that funding requested in fiscal year 2022
does not fully cover the known requirements and that limited prior-
year carryover, particularly for the Army, has reduced flexibility in
recent years, the Committee provides $10,000,000 to carry out ad-
ditional activities under the services’ Base Closure Accounts. The
Committee directs the Secretary of Defense, in coordination with
23
the Service Secretaries, to provide a spend plan for these additional
funds to the Committees on Appropriations of both Houses of Con-
gress no later than 30 days after enactment of this act.
FAMILY HOUSING OVERVIEW
Appropriations, 2021 ............................................................................. $1,336,592,000
Budget estimate, 2022 ........................................................................... 1,423,554,000
Committee recommendation ................................................................. 1,423,554,000
FAMILY HOUSING ACCOUNTS—PROGRAM DESCRIPTION
The Family Housing appropriation provides funds for military
family housing construction activities, operation and maintenance,
the Family Housing Improvement Fund, and the Homeowners As-
sistance 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 fam-
ily housing, including utilities, services, management, and fur-
nishings.
COMMITTEE RECOMMENDATION
The Committee recommends $1,423,554,000 for Family Housing
Construction, Operations and Maintenance, and the Department’s
family housing improvement fund for fiscal year 2022. This amount
is $86,962,0000 above the fiscal year 2021 enacted level and equal
to the budget request.
FAMILY HOUSING CONSTRUCTION, ARMY
Appropriations, 2021 ............................................................................. $119,400,000
Budget estimate, 2022 ........................................................................... 99,849,000
Committee recommendation ................................................................. 99,849,000
COMMITTEE RECOMMENDATION
The Committee recommends $99,849,000 for Army Family Hous-
ing Construction in fiscal year 2022. This amount is $19,551,000
below the fiscal year 2021 enacted level and equal to the budget
request. Further detail of the Committee’s recommendation is pro-
vided in the State table at the end of this report.
FAMILY HOUSING OPERATION AND MAINTENANCE, ARMY
Appropriations, 2021 ............................................................................. $352,342,000
Budget estimate, 2022 ........................................................................... 391,227,000
Committee recommendation ................................................................. 391,227,000
COMMITTEE RECOMMENDATION
The Committee recommends $391,227,000 for Family Housing
Operation and Maintenance, Army, for fiscal year 2022. This
amount is $38,885,000 above the fiscal year 2021 enacted level and
equal to the budget request.
24
FAMILY HOUSING CONSTRUCTION, NAVY AND MARINE CORPS
Appropriations, 2021 ............................................................................. $42,897,000
Budget estimate, 2022 ........................................................................... 77,616,000
Committee recommendation ................................................................. 77,616,000
COMMITTEE RECOMMENDATION
The Committee recommends $77,616,000 for Family Housing
Construction, Navy and Marine Corps. This amount is $34,719,000
above the fiscal year 2021 enacted level and equal to the budget
request. Further detail of the Committee’s recommendation is pro-
vided in the State table at the end of this report.
FAMILY HOUSING OPERATION AND MAINTENANCE, NAVY AND
MARINE CORPS
Appropriations, 2021 ............................................................................. $346,493,000
Budget estimate, 2022 ........................................................................... 357,341,000
Committee recommendation ................................................................. 357,341,000
COMMITTEE RECOMMENDATION
The Committee recommends $357,341,000 for Family Housing
Operation and Maintenance, Navy and Marine Corps, in fiscal year
2022. This amount is $10,848,000 above the fiscal year 2021 en-
acted level and equal to the budget request.
FAMILY HOUSING CONSTRUCTION, AIR FORCE
Appropriations, 2021 ............................................................................. $97,214,000
Budget estimate, 2022 ........................................................................... 115,716,000
Committee recommendation ................................................................. 115,716,000
COMMITTEE RECOMMENDATION
The Committee recommends $115,716,000 for Family Housing
Construction, Air Force, in fiscal year 2022. This amount is
$18,502,000 above the fiscal year 2021 enacted level and equal to
the budget request. Further detail of the Committee’s recommenda-
tion is provided in the State table at the end of this report.
FAMILY HOUSING OPERATION AND MAINTENANCE, AIR FORCE
Appropriations, 2021 ............................................................................. $317,021,000
Budget estimate, 2022 ........................................................................... 325,445,000
Committee recommendation ................................................................. 325,445,000
COMMITTEE RECOMMENDATION
The Committee recommends $325,445,000 for Family Housing
Operation and Maintenance, Air Force, in fiscal year 2022. This
amount is $8,424,000 above the fiscal year 2021 enacted level and
equal to the budget request.
FAMILY HOUSING OPERATION AND MAINTENANCE, DEFENSE-WIDE
Appropriations, 2021 ............................................................................. $54,728,000
Budget estimate, 2022 ........................................................................... 49,785,000
Committee recommendation ................................................................. 49,785,000
25
COMMITTEE RECOMMENDATION
The Committee recommends $49,785,000 for Family Housing Op-
eration and Maintenance, Defense-Wide, for fiscal year 2022. This
amount is $4,943,000 below the fiscal year 2021 enacted level and
equal to the budget request.
DEPARTMENT OF DEFENSE FAMILY HOUSING IMPROVEMENT FUND
Appropriations, 2021 ............................................................................. $5,897,000
Budget estimate, 2022 ........................................................................... 6,081,000
Committee recommendation ................................................................. 6,081,000
PROGRAM DESCRIPTION
The Family Housing Improvement Fund appropriation provides
for the Department of Defense to undertake housing initiatives and
to provide an alternative means of acquiring and improving mili-
tary family housing and supporting facilities. This account provides
seed money for housing privatization initiatives.
COMMITTEE RECOMMENDATION
The Committee recommends $6,081,000 for the Family Housing
Improvement Fund in fiscal year 2022. This amount is $184,000
above the fiscal year 2021 enacted level and equal to the budget
request.
DEPARTMENT OF DEFENSE MILITARY UNACCOMPANIED HOUSING
IMPROVEMENT FUND
Appropriations, 2021 ............................................................................. $600,000
Budget estimate, 2022 ........................................................................... 494,000
Committee recommendation ................................................................. 494,000
PROGRAM DESCRIPTION
The Military Unaccompanied Housing Improvement Fund appro-
priation provides for the Department of Defense to undertake hous-
ing initiatives and to provide an alternative means of acquiring and
improving military unaccompanied housing and supporting facili-
ties. This account provides seed money for housing privatization
initiatives.
COMMITTEE RECOMMENDATION
The Committee recommends $494,000 for the Military Unaccom-
panied Housing Improvement Fund in fiscal year 2022. This
amount is $106,000 below the fiscal year 2021 enacted level and
equal to the budget request.
ADMINISTRATIVE PROVISIONS
Sec. 101. The Committee includes a provision that restricts pay-
ments 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.
26
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 con-
struction 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 pay-
ments of real property taxes in foreign nations.
Sec. 110. The Committee includes a provision that prohibits con-
struction 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 noti-
fication 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 author-
ized 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 obli-
gation of funds from more than one fiscal year to execute a con-
struction 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 Hous-
ing 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 with-
out prior notification to the congressional defense committees.
27
Sec. 120. The Committee includes a provision that provides au-
thority to expend funds from the ‘‘Ford Island Improvement’’ ac-
count.
Sec. 121. The Committee includes a provision that allows the
transfer of expired funds to the Foreign Currency Fluctuation, Con-
struction, Defense Account.
Sec. 122. The Committee includes a provision that allows the re-
programming of military construction and family housing construc-
tion 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 addi-
tional funds for unfunded military construction priorities.
Sec. 125. The Committee includes a provision directing all
amounts appropriated to military construction accounts be imme-
diately available and allotted for the full scope of authorized
projects.
Sec. 126. The Committee includes a provision permitting the obli-
gation of funds for fiscal year 2017 projects for which the project
authorization has not lapsed or has been extended.
Sec. 127. The Committee includes a provision rescinding unobli-
gated balances from the Military Construction, Defense-Wide ac-
count.
Sec. 128. The Committee includes a provision defining the con-
gressional defense committees.
Sec. 129. The Committee includes a provision providing addi-
tional funds for Family Housing cost to complete projects identified
by the Army.
Sec. 130. The Committee includes a provision providing addi-
tional funding for science and technology and testing and evalua-
tion laboratory infrastructure.
Sec. 131. The Committee includes a provision providing funding
to support the Department of Navy Shipyard Infrastructure Opti-
mization Plan.
Sec. 132. The Committee includes a provision providing funding
for military construction in support of missile and space intel-
ligence missions.
Sec. 133. The Committee includes a provision providing addi-
tional funding for Military Installation Resilience.
TITLE II
DEPARTMENT OF VETERANS AFFAIRS
HEARING
The Subcommittee on Military Construction, Veterans Affairs,
and Related Agencies held one hearing related to the budget re-
quest for fiscal year 2022 and fiscal year 2023 advance appropria-
tions. The subcommittee heard testimony from the Honorable
Denis R. McDonough, Secretary of the Department of Veterans Af-
fairs and the Honorable Jon J. Rychalski, Assistant Secretary for
Management and Chief Financial Officer.
SUMMARY OF COMMITTEE RECOMMENDATIONS
The Committee recommendation includes $268,365,547,305 for
the Department of Veterans Affairs [VA] for fiscal year 2022, in-
cluding $155,440,055,000 in mandatory spending and
$112,925,492,305 in discretionary spending. The Committee also
recommends $111,287,000,000 in advance appropriations for vet-
erans medical care for fiscal year 2023 and $156,586,190,000 in ad-
vance appropriations for appropriated mandatories for fiscal year
2023.
DEPARTMENT OVERVIEW
The Veterans Administration was established on July 21, 1930,
as an independent agency by Executive Order 5398, in accordance
with the act of July 3, 1930 (46 Stat. 1016). This act authorized the
President to consolidate and coordinate Federal agencies specially
created for or concerned with the administration of laws providing
benefits to veterans, including the Veterans’ Bureau, the Bureau of
Pensions, and the National Home for Disabled Volunteer Soldiers.
On March 15, 1989, the Veterans Administration was elevated to
Cabinet-level status as the Department of Veterans Affairs.
VA’s mission is to serve America’s veterans and their families as
their principal advocate in ensuring they receive the care, support,
and recognition they have earned in service to the Nation. As of
September 30, 2020, there were an estimated 19.5 million living
veterans residing in the United States, American Samoa, Guam,
the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Is-
lands. There were an estimated 23.1 million dependents (spouses
and dependent children) of living veterans, and there were about
606,000 survivors of deceased veterans receiving VA survivor bene-
fits. Thus, approximately 43.2 million people, or 13.0 percent of the
total estimated resident population of the United States, Puerto
Rico, U.S. Island Areas and U.S. citizens living abroad were recipi-
ents or potential recipients of veterans benefits from the Federal
Government. VA’s operating units include the Veterans Benefits
(28)
29
Administration, Veterans Health Administration, National Ceme-
tery Administration, and staff support offices.
The Veterans Benefits Administration [VBA] provides an inte-
grated program of nonmedical veterans benefits. VBA administers
a broad range of benefits to veterans and other eligible bene-
ficiaries through 56 regional offices; 3 Pension Management Cen-
ters; 6 Fiduciary Hubs; 2 Regional Education Processing Offices; 8
Regional Loan Centers; 1 Insurance Center; 8 National Call Cen-
ters; 3 Decision Review Operations Centers; and a records proc-
essing center in St. Louis, Missouri. The benefits provided include
compensation for service-connected disabilities; pensions for war-
time, needy, and totally disabled veterans; vocational rehabilitation
assistance; educational and training assistance; home buying as-
sistance; estate protection services for veterans under legal dis-
ability; information and assistance through personalized contacts;
and 6 life insurance programs.
The Veterans Health Administration [VHA] develops, maintains,
and operates a national healthcare delivery system for eligible vet-
erans; 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 dur-
ing periods of war or national emergency. A system consisting of
146 VA Hospitals; 13 Health Care Centers; 222 Multi-Specialty
Community-Based outpatient clinics; 550 Primary Care Commu-
nity-Based outpatient clinics; 321 Outpatient Services Sites; 134
community living centers; 118 mental health residential rehabilita-
tion 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 pri-
vate 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 recog-
nizing their contributions and service to the Nation. In 2022, ceme-
tery activities will encompass 158 national cemeteries and 34 sol-
diers’ 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 Me-
morial Affairs, and General Counsel.
In fiscal years 2020 and 2021, the Department received supple-
mental appropriations to assist them to prepare for, prevent, and
respond to the pandemic and related costs. In fiscal year 2020, the
Department received $60,000,000 from the Families First
Coronavirus Response Act (Public Law 116–127) and
$19,569,500,000 from the Coronavirus Aid, Relief, and Economic
Assistance [CARES] Act (Public Law 116–136). The American Res-
cue Plan [ARP] (Public Law 117–2) provided the Department with
30
$17,080,000,000 in mandatory funding to sustain the pandemic re-
sponse beyond the availability of the CARES Act funding. Among
the purposes of this funding was to address the costs of deferred
care, backlog of veteran benefits claims and appeals, improve sup-
ply chain management capabilities, address needed construction to
State extended care facilities, and train veterans unemployed due
to the pandemic for high demand occupations. These funds were
considered as part of the administration’s fiscal years 2022 and
2023 requests.
Toxic Exposures.—The Committee is aware of a long, painful his-
tory of servicemembers being exposed to toxic substances. VA has
increasingly recognized illnesses associated with toxic exposure
during service, and the Secretary announced a rulemaking effort to
expand benefits for disability claims for conditions related to cer-
tain toxic exposures, and the Committee urges the Department to
appropriately fund these efforts. In addition, the Congress is con-
sidering legislation related to benefits and care for veterans with
toxic exposures. The Committee requests the Department be trans-
parent with its analysis and actions, including cost estimates, as
this important issue is addressed.
Transition from Active Duty to Civilian Life.—The ability of com-
munities to build networks, including through public-private part-
nerships, to provide resources to servicemembers, veterans, and
their families is critical to ensure transitioning servicemembers
and veterans have the support they need in their civilian lives. The
Committee encourages the Department to provide support for such
networked approaches including through public-private partner-
ships.
Security Infrastructure.—The Committee recommends that secu-
rity and communications technology and policy upgrades at VA fa-
cilities be addressed at the Department in fiscal year 2022. The
Committee recommends that security upgrades take a holistic ap-
proach and deploy proven technologies, including real-time video
surveillance, situational awareness technology, and license plate
reader technology, in conjunction with improved communications
capabilities. The Committee notes instances when the Office of In-
spector General [OIG] was unable to review surveillance video from
the day of a veteran’s death or a sentinel event because 30 days
elapsed, the tapes were in the possession of VA or local police, or
were deleted, lost or missing. The Committee urges the Depart-
ment to store tapes for a minimum of 120 days and that upon re-
quest or after a sentinel event, grant the OIG access to a copy of
these tapes. The Department is directed to provide a report to the
Committees on both Houses of Appropriations within 180 days of
enactment of this act describing efforts being taken to increase se-
curity at VA facilities, in particular, related to veteran safety.
Supply Chain Modernization.—In 2019, GAO placed VA Acquisi-
tion Management on its High-Risk List due, in part, to VA’s med-
ical supply chain challenges. Further, as outlined in the June 15,
2021 report ‘‘VA COVID–19 Procurements: Pandemic Underscores
Urgent Need to Modernize Supply Chain’’ [GAO–21–280], VA is
carrying out several supply chain modernization efforts, including
Medical-Surgical Prime Vendor, Defense Medical Logistics Stand-
ard Support, LogiCole, Regional Readiness Centers, and potentially
31
VA’s use of the Defense Logistics Agency’s Warstopper Program.
On June 22, 2021, the United States Court of Federal Claims
issued an order which may require VA to completely re-think major
portions of its efforts. In addition, in response to requests from
Congress and GAO, VA committed to creating a Supply Chain
Management Strategy to outline how its various supply chain ini-
tiatives relate to each other. The Secretary is directed, within 30
days of enactment of this act, to provide the Committees with an
update or the final version of its Supply Chain Management Strat-
egy, to include any changes to the fiscal year 2022 Supply Chain
Modernization spend plan required based on the challenges VA has
experienced, including court rulings.
Veteran Pro-Bono Legal Services.—The Committee recognizes an
unmet need for holistic programs that offer pro-bono legal services
to veterans and their dependents. The Committee acknowledges ex-
isting Department initiatives that guide veterans during benefit-re-
lated interactions with administrative agencies and believes that
accredited university law schools, particularly those partnering
with faculty skilled and trained in social work, may be suited to
complement existing agency efforts in underserved areas. The Com-
mittee also recognizes that a veteran’s lack of access to legal serv-
ices to access benefits that they would otherwise use for their liveli-
hood, may cause difficulty for the veteran to provide for their es-
sential needs. Accordingly, the Committee urges VA to support pro-
grams that permit accredited university law schools to expand its
veterans legal clinic offerings, in which social work services are
also provided, to serve veterans facing unique legal challenges.
Center for Native Hawaiian, Pacific Islander and U.S.-Affiliated
Pacific Islander Health.—The Committee continues to recognize the
significant contributions of Native Hawaiian [NH], Pacific Islander
[PI], and U.S.-Affiliated Pacific Islander [USAPI] servicemembers
in the U.S. military and the disproportionate number of NH, PI,
and USAPI veterans. Additionally, the Committee recognizes that
VA has centers dedicated to health policy, innovation, health eco-
nomics, and more, as well as programs that provide special atten-
tion to rural populations and American Indian/Alaska Natives, but
that there are no known VA centers specifically dedicated to the
population of NH, PI, and USAPI veterans. The Committee ac-
knowledges report language included in the fiscal year 2021 agree-
ment regarding a feasibility study and considerations for the estab-
lishment of a Center for NH, PI, and USAPI Health to focus on re-
search, service, and education to improve the lives of NH, PI, and
USAPI veterans, and looks forward to reviewing this feasibility
study.
National VA History Center.—The Committee appreciates the
steps that the Department has taken to establish the National VA
History Center to fill a long-standing need for a comprehensive pro-
gram to collect, preserve and provide access to VA’s relevant histor-
ical records and artifacts and to share with the public the story of
VA and its predecessor organizations. The Committee understands
fundraising delays occurred due to the pandemic. The Department
is directed to provide an update on fundraising efforts and a plan,
including a cost estimate, for the remainder of the project to the
32
Committees on Appropriations of both Houses of Congress no later
than 90 days after enactment of this act.
Unobligated Balances of Expired Discretionary Funds.—The
Committee directs the Secretary to submit to the Committees on
Appropriations of both Houses of Congress quarterly reports detail-
ing all unobligated balances of expired discretionary funds by fiscal
year.
VETERANS BENEFITS ADMINISTRATION
Appropriations, 2021 ......................................................................... $142,116,608,000
Advance Appropriations, 2022 ......................................................... 145,311,218,000
Budget estimate, 2022 ...................................................................... 13,782,955,305
Committee recommendation, 2022 ................................................... 13,846,069,305
Budget estimate, advance appropriations, 2023 ............................. 156,586,190,000
Committee recommendation, advance appropriations, 2023 ......... 156,586,190,000
ADMINISTRATION OVERVIEW
The Veterans Benefits Administration is responsible for the pay-
ment of compensation and pension benefits to eligible service-con-
nected disabled veterans, as well as education benefits and housing
loan guarantees.
COMMITTEE RECOMMENDATION
In fiscal year 2021, the Committee provided $145,311,218,000 in
advance appropriations for VBA for fiscal year 2022. This included
$130,227,650,000 for Compensation and Pensions; $14,946,618,000
for Readjustment Benefits; and $136,950,000 for Veterans Insur-
ance and Indemnities.
For fiscal year 2022, the Committee recommends an additional
$7,347,837,000 for Compensation and Pensions, as requested by the
administration, as well as an estimated $2,781,000,000 for the Vet-
erans Housing Benefit Program Fund. Additionally, the Committee
recommendation includes $229,500,000 for the Veterans Housing
Benefit Program Fund administrative expenses; $2,838 for the Vo-
cational Rehabilitation Loans Program account, with $429,467 for
administrative expenses; $1,300,000 for the Native American Vet-
eran Housing Loan Program account; and $3,486,000,000 for the
General Operating Expenses, Veterans Benefits Administration ac-
count.
The Committee recommendation also provides $156,586,190,000
in advance appropriations for the Veterans Benefits Administra-
tion’s mandatory accounts for fiscal year 2023. This level may be
adjusted based on the results of the administration’s mid-session
review.
COMPENSATION AND PENSIONS
(INCLUDING TRANSFER OF FUNDS)
Appropriations, 2021 ......................................................................... $124,357,226,552
Advance Appropriations, 2022 ......................................................... 130,227,650,000
Budget estimate, 2022 ...................................................................... 7,347,837,000
Committee recommendation, 2022 ................................................... 7,347,837,000
Budget estimate, advance appropriations, 2023 ............................. 147,569,474,000
Committee recommendation, advance appropriations, 2023 ......... 147,569,474,000
33
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 disabil-
ities on a veteran’s earning capacity. Death compensation or de-
pendency 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-con-
nected disability who use a prosthetic or orthopedic device. In fiscal
year 2022, the Department estimates it will obligate
$133,794,514,000 for payments to 5,503,550 veterans, 475,146 sur-
vivors, and 1,281 children receiving special benefits.
Pensions are an income security benefit payable to needy war-
time veterans who are precluded from gainful employment due to
non-service-connected disabilities which render them permanently
and totally disabled. The Veterans Education and Benefits Expan-
sion Act of 2001 (Public Law 107–103), restored the automatic pre-
sumption 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 chil-
dren of deceased wartime veterans. The rate payable for both dis-
ability and death pensions is determined on the basis of the annual
income of the veteran or their survivors. In fiscal year 2022, the
Department estimates that the Pensions program will provide ben-
efits to 209,355 veterans and 147,472 survivors totaling
$4,772,559,000.
The Compensation and Pensions program funds certain burial
benefits on behalf of eligible deceased veterans. These benefits pro-
vide the purchase and transportation costs for headstones and
markers, graveliners, and pre-placed crypts; and provide partial re-
imbursement for privately purchased outer burial receptacles. In
fiscal year 2022, the Department estimates the Compensation and
Pensions program will obligate $418,008,000 providing burial bene-
fits. This funding will provide 64,111 burial allowances, 58,320 bur-
ial plot allowances, 56,099 service-connected death awards, 439,056
burial flags, 341,693 headstones or markers, 105,724 graveliners or
reimbursement for privately purchased outer burial receptacles,
and 293 caskets and urns for the internment of the remains of vet-
erans without next of kin.
COMMITTEE RECOMMENDATION
In fiscal year 2021, the Committee provided an advance appro-
priation of $130,227,650,000 for fiscal year 2022 for the Compensa-
tion and Pensions account. The Committee recommendation in-
cludes an additional $7,347,837,000 for Compensation and Pen-
sions for fiscal year 2022. The additional appropriation coupled
with the advance appropriation provided for fiscal year 2022 pro-
vides the Department with total budget authority of
$137,575,487,000.
34
The Committee recommendation includes an advance appropria-
tion of $147,569,474,000 for the Compensation and Pension account
for fiscal year 2023, as requested.
The increased appropriation for fiscal years 2022 and 2023 re-
flects program trends, including increased disability rating and cor-
responding average payments for veteran compensation. It also re-
flects implementation of new laws and interpretations, including
three new Agent Orange presumptive conditions (Parkinson-like
symptoms, bladder cancer, and hyperthyroidism) enacted in the
National Defense Authorization Act, 2021 (Public Law 116–283,
section 9109), and a requirement to readjudicate disability com-
pensation claims for Blue Water Navy Veterans (Nehmer, et. al. v.
U.S. Department of Veterans Affairs, No. C 86–06160 WHA).
READJUSTMENT BENEFITS
Appropriations, 2021 ......................................................................... $12,578,965,000
Advance Appropriations, 2022 ......................................................... 14,946,618,000
Budget estimate, advance appropriations, 2023 ............................. 8,906,851,000
Committee recommendation, advance appropriations, 2023 ......... 8,906,851,000
PROGRAM DESCRIPTION
The Readjustment Benefits appropriation finances the education
and training of veterans and servicemembers under chapters 21,
30, 31, 33, 34, 35, 36, 39, 41, 51, 53, 55, and 61 of title 38, United
States Code. These benefits include the All-Volunteer Force Edu-
cational 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 appropria-
tions 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, spe-
cially adapted automobile grants for certain disabled veterans, and
educational assistance allowances for eligible dependents of those
veterans who died from service-connected causes or who have a
total permanent service-connected disability, as well as dependents
of servicemembers who were captured or missing in action.
COMMITTEE RECOMMENDATION
In fiscal year 2021, the Committee provided an advance appro-
priation of $14,946,618 for the Readjustment Benefits account for
fiscal year 2022.
The Committee recommendation includes an advance appropria-
tion of $8,906,851,000 for Readjustment Benefits for fiscal year
2023, as requested.
Veteran Employment Through Technology Education Courses
[VET TEC].—The VET TEC program provides veterans with train-
ing to start or advance a career in the high-technology industry.
The Committee strongly supports this initiative and encourages the
Department to expand the program to address increased demand.
35
VETERANS INSURANCE AND INDEMNITIES
Appropriations, 2021 ............................................................................. $131,372,000
Advance Appropriations, 2022 .............................................................. 136,950,000
Budget estimate, advance appropriations, 2023 ................................. 109,865,000
Committee recommendation, advance appropriations, 2023 .............. 109,865,000
PROGRAM DESCRIPTION
The Veterans Insurance and Indemnities appropriation consists
of the former appropriations for military and naval insurance, ap-
plicable to World War I veterans; National Service Life Insurance,
applicable to certain World War II veterans; servicemen’s indem-
nities, applicable to Korean conflict veterans; and veterans mort-
gage life insurance to individuals who have received a grant for
specially adapted housing.
COMMITTEE RECOMMENDATION
In fiscal year 2021, the Committee provided an advance appro-
priation of $136,950,000 for fiscal year 2022 for the Veterans Insur-
ance and Indemnities account.
The Committee recommendation includes an advance appropria-
tion of $109,865,000 for Veterans Insurance and Indemnities for
fiscal year 2023, as requested.
VETERANS HOUSING BENEFIT PROGRAM FUND
Administrative
Program account expenses
Appropriations, 2021 ....................................................................................................... $1,663,000,000 $204,400,000
Budget estimate, 2022 ................................................................................................... 2,781,000,000 229,500,000
Committee recommendation ........................................................................................... 2,781,000,000 229,500,000
PROGRAM DESCRIPTION
The Veterans Housing Benefit Program Fund provides for all
costs associated with VA’s direct and guaranteed housing loan pro-
grams, with the exception of the Native American Veteran Housing
Loan Program.
VA loan guaranties are made to servicemembers, veterans, re-
servists, and unremarried surviving spouses for the purchase of
homes, condominiums, and manufactured homes, and for refi-
nancing 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 guar-
anty, 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, es-
timated to be $2,781,000,000, for funding subsidy payments, and
$229,500,000 for administrative expenses for fiscal year 2022. Bill
language limits gross obligations for direct loans for specially
adapted housing to $500,000.
VA Home Loans.—The Committee is concerned that some vet-
erans using a VA home loan to purchase a home may be at a dis-
36
advantage in a competitive housing market due to strict appraisal
and inspection requirements associated with a home loan. The
Committee directs the Secretary to review the current require-
ments for a VA home loan to ensure that veterans are not unneces-
sarily disadvantaged when seeking to buy a home in a competitive
housing market, and provide a report to the Committees on Appro-
priations of both Houses of Congress within 90 days of the enact-
ment of this act on the results of such review.
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT
Administrative
Program account expenses
Appropriations, 2021 ....................................................................................................... $33,826 $424,272
Budget estimate, 2022 ................................................................................................... 2,838 429,467
Committee recommendation ........................................................................................... 2,838 429,467
PROGRAM DESCRIPTION
The Vocational Rehabilitation Loans Program account covers the
cost of direct loans for vocational rehabilitation of eligible veterans
and, in addition, includes administrative expenses necessary to
carry out the direct loan program. Loans of up to $1,300 (based on
the indexed chapter 31 subsistence allowance rate) are currently
available to service-connected disabled veterans enrolled in voca-
tional rehabilitation programs, as provided under 38 U.S.C. chapter
31, when the veteran is temporarily in need of additional assist-
ance. Repayment is made in monthly installments, without inter-
est, through deductions from future payments of compensation,
pension, subsistence allowance, educational assistance allowance,
or retirement pay. Virtually all loans are repaid in full and most
in less than 1 year.
COMMITTEE RECOMMENDATION
The Committee recommends $2,838 for program costs and
$429,467 for administrative expenses for the Vocational Rehabilita-
tion Loans Program account. The administrative expenses may be
paid to the General Operating Expenses, Veterans Benefits Admin-
istration account. Bill language is included limiting program direct
loans to $1,662,758. It is estimated VA will make 1,570 loans in fis-
cal year 2022, with an average amount of $1,059.
NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM ACCOUNT
Appropriations, 2021 ............................................................................. $1,186,000
Budget estimate, 2022 ........................................................................... 1,186,000
Committee recommendation ................................................................. 1,300,000
PROGRAM DESCRIPTION
The Native American Veteran Housing Loan Program is author-
ized 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.
37
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 Na-
tive American Veteran Housing Loan Program began as a pilot pro-
gram in 1993 and was made permanent by the Veterans Housing
Opportunity and Benefits Act of 2006 (Public Law 109–233).
COMMITTEE RECOMMENDATION
The Committee recommends $1,300,000 for administrative ex-
penses associated with this program. This is $114,000 greater than
the budget request.
GENERAL OPERATING EXPENSES, VETERANS BENEFITS
ADMINISTRATION
Appropriations, 2021 ............................................................................. $3,180,000,000
Budget estimate, 2022 ........................................................................... 3,423,000,000
Committee recommendation ................................................................. 3,486,000,000
PROGRAM DESCRIPTION
The General Operating Expenses [GOE], VBA account provides
funding for VBA to administer entitlement programs such as serv-
ice-connected disability compensation, education benefits, and voca-
tional rehabilitation services.
COMMITTEE RECOMMENDATION
The Committee recommends $3,486,000,000 for the GOE, VBA
account, which is $306,000,000 above the fiscal year 2021 enacted
level and $63,000,000 above the budget request. The Committee
has included bill language to make available through September
30, 2023, up to 10 percent of the GOE, VBA account.
Compensation and Pension Exams.—The Committee is concerned
about the Veterans Benefits Administration’s increased reliance on
outside providers to conduct compensation and pension or medical
disability exams [MDE]. These exams are necessary for veterans to
receive the benefits that they have earned through their military
service. Therefore, the Committee urges VA to ensure that com-
pensation and pension exams are available at VA facilities with the
capability to conduct them in a safe and thorough manner. More-
over, the Committee directs VA to provide a report to the Commit-
tees on Appropriations of both Houses of Congress within 90 days
of enactment of this act on how it plans to use both VHA employees
and VBA-contracted examiners over the next five fiscal years. This
report shall identify goals and establish a unified, department-wide
strategy, to include: (1) the extent to which a core capability of con-
ducting MDE at VHA medical centers by VHA employees is need-
ed; (2) the extent to which additional contractors are needed to
meet assessed demand; (3) a plan to standardize MDE capacity as-
sessment and reporting across all VHA facilities; (4) specific activi-
ties and associated timelines needed to execute VA’s MDE strategy;
(5) stakeholder outreach plans; (6) plans to standardize how VA as-
sesses the quality of MDE conducted by VHA personnel and VBA
contractors; (7) the extent to which current resourcing and proce-
38
dures are sufficient to coordinate and execute a department-wide
MDE strategy between VHA and VBA; (8) a risk assessment of
VA’s current reliance on VBA contracts for MDE; and (9) a cost
analysis between exams provided by VA employees and exams pro-
vided by contractors.
Digitization of Military Records.—No later than 90 days after the
date of enactment of this act, the Secretary, in coordination with
the Archivist of the United States, shall report to the Committees
on Appropriations of both Houses of Congress on measurable
progress made by the Department and the National Personnel
Records Center at the National Archives and Records Administra-
tion to improve veterans’ access to their military records and to
digitize outstanding personnel records dating to the year 1990 and
earlier. Elements of such a report should include data on the num-
ber of personnel records that remain to be digitized, a digitization
timeline with numerical targets, and a cost estimate to develop
records management systems to absorb the influx of electronic
records.
Legal Assistance for the Disability Claims Process.—The VA dis-
ability compensation system is both complex and fraught with
delays, and requires both paperwork from doctors and legal advice
for many veterans who apply. The Department is urged to assess
the feasibility, advisability, and cost of an initiative to provide in-
novative disability claim services for veterans that combines the ex-
pertise of law clinics with academic medical centers. The Depart-
ment is directed to provide this assessment to the Committees on
Appropriations of both Houses of Congress no later than 180 days
after enactment of this act.
Laos Operation Ranch Hand.—Not later than 120 days after the
date of enactment of this act, the Department shall report to the
Committees on Appropriations of both Houses of Congress on VA’s
efforts to assist veterans who served in Laos during Operation
Ranch Hand from December 1965 to September 1969 in proving
their direct-service connection to Agent Orange exposure. Elements
of such a report should identify the Department’s efforts to address
gaps in the military records of veterans who served in Laos during
Operation Ranch Hand as well as data on the number of Operation
Ranch Hand veterans who are eligible for a direct-service connec-
tion and percentage of disability claims that have been denied
among those who are eligible.
Karshi Khanabad Air Base.—The Committee recognizes that
servicemembers may have been exposed to various hazards at
Karshi Khanabad Air Base, Uzbekistan and urges the Department
to work with the appropriate military departments to make an as-
sessment as soon as feasible regarding the conditions of the Air
Base, including toxic substance contamination, during the period
beginning October 1, 2001, and ending December 31, 2005.
National Training Curriculum.—The Committee is aware that in
December 2020, the VA Office of Inspector General found that in
fiscal year 2019, an estimated 18,300 of 118,000 post-traumatic
stress disorder [PTSD] claims were inaccurately completed. The
Department is encouraged to improve the training of VA personnel
who are responsible for processing disability claims to help ensure
benefits are being correctly determined so veterans experiencing
39
PTSD have access to the healthcare, treatment, and compensation
to which they are entitled.
GI Bill Apprenticeships and On-the-Job-Training.—The Com-
mittee 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 appren-
ticeships and OJT. The Department is encouraged to explore op-
tions to expand the program in the future, while ensuring proper
oversight of SAA contracts.
Call Center Modernization.—The Committee is concerned about
the multitude of systems call center employees must navigate to
perform their jobs. Therefore, the Committee urges the Department
to streamline its call center systems and submit a report to the
Committees on Appropriations of both Houses of Congress no later
than 180 days of enactment of this act detailing planned and future
modernization efforts to update call center, payment, and proc-
essing systems.
VETERANS HEALTH ADMINISTRATION
Appropriations, 2021 ............................................................................. $90,779,918,000
Advance appropriations, 2022 .............................................................. 94,183,260,000
Budget estimate, 2022 ........................................................................... 4,151,000,000
Committee recommendation, 2022 ....................................................... 4,151,000,000
Budget estimate, advance appropriations, 2023 ................................. 111,287,000,000
Committee recommendation, advance appropriations, 2023 .............. 111,287,000,000
ADMINISTRATION OVERVIEW
The Veterans Health Administration [VHA] is home to the
United States’ largest integrated healthcare system consisting of
148 VA Hospitals; 11 Health Care Centers; 219 Multi-Specialty
Community-Based outpatient clinics; 536 Primary Care Commu-
nity-Based outpatient clinics; 322 Outpatient Services Sites; 134
community living centers; 114 mental health residential rehabilita-
tion treatment programs; 300 readjustment counseling Vet Centers;
and 80 Mobile Vet Centers.
The Department of Veterans Affairs Medical Care Collections
Fund [MCCF] was established by the Balanced Budget Act of 1997
(Public Law 105–33). In fiscal year 2004, Public Law 108–199 al-
lowed the Department to deposit first-party and pharmaceutical co-
payments, third-party insurance payments and enhanced-use col-
lections, 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, alter-
ation, 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.
40
COMMITTEE RECOMMENDATION
In fiscal year 2021, the Committee provided $94,183,260,000 in
advance appropriations for VA’s medical care accounts for fiscal
year 2022. This included $58,897,219,000 for Medical Services,
$20,148,244,000 for Medical Community Care, $8,403,117,000 for
Medical Support and Compliance, and $6,734,680,000 for Medical
Facilities.
For fiscal year 2022, the Committee recommends an additional
$3,269,000,000 for Medical Community Care. Additionally, the
Committee recommendation includes $882,000,000 for Medical and
Prosthetic Research. Medical Care Collections are estimated to be
$3,386,000,000 in fiscal year 2022. The Committee recommendation
also provides $111,287,000,000 in advance appropriations for VA’s
medical care accounts for fiscal year 2023.
The Committee recognizes the invaluable role of the Department
of Veterans Affairs, the Nation’s largest integrated healthcare sys-
tem, in serving the unique needs of veterans. The Committee be-
lieves that a strong and fully resourced Veterans Health Adminis-
tration is necessary to effectively serve our Nation’s veterans. Vet-
erans overwhelmingly report they are satisfied with the care they
receive at VA medical centers, community-based outpatient clinics,
and Vet Centers. Research has consistently shown that VA pro-
duces as good or better health outcomes for its patients than pri-
vate sector healthcare. Furthermore, VA healthcare facilities play
a critical role in training our Nation’s healthcare workforce, con-
ducting lifesaving medical research, providing nationwide emer-
gency preparedness support, and innovating many best practices in
healthcare delivery. The Department is reminded of the report re-
quirement regarding total cost of care to all eligible veterans that
was included in the Joint Explanatory Statement supporting Public
Law 116–260.
The total planned obligations in fiscal year 2022 and the advance
appropriations request for fiscal year 2023 show that the Depart-
ment anticipates the cost of providing healthcare to veterans will
continue to increase. The Committee is committed to providing vet-
erans with the care and supports they need, and requests the De-
partment improve its transparency in projecting estimates of need-
ed care in the future. The Department is further directed to pro-
vide a report to the Committees on Appropriations of both Houses
of Congress within 180 days on the use of geographic income eligi-
bility thresholds across the Nation; the challenges for VA and vet-
erans of having so many thresholds; and options for simplifying, in-
cluding the feasibility of implementing a single standard nation-
wide adjusted for household size, or single income eligibility thresh-
olds for each State equal to 100 percent of the most generous
threshold in such State adjusted for household size.
Negligence of Veterans Affairs Employees and Patient Safety.—
The Committee remains concerned about the failure of patient safe-
ty standards at multiple VAMCs and CBOCs, many of which have
resulted in death or serious injury and criminal sentences for the
perpetrators. The Department must do more to address the culture
that hampered employees from identifying and reporting behaviors
that cost lives. In addition, the Department should pursue adminis-
41
trative discipline of any employee found negligent in either a crimi-
nal, civil, or inspector general filing, and take appropriate action
related to accountable employees ability to retire or resign. The De-
partment is directed to provide to the Committees on Appropria-
tions and Veterans’ Affairs of both Houses of Congress within 90
days of enactment of this act a report on necessary criteria for in-
clusion in an acceptable safety standards policy, a plan for VHA to
confirm all facilities have adequate safety standards in place, the
process for verifying employees are following the safety standards,
and the proposed schedule for periodically reviewing and updating
the standards. This review should directly assess the role of third-
party accreditation providers, such as The Joint Commission, and
the potential failures to identify whether or not patient safety
standards were verified in the accreditation process. Furthermore,
the Committee encourages additional transparency with Congress
related to third party accreditation, and directs the Department to
provide a briefing to the Committees on Appropriations and Vet-
erans’ Affairs of both Houses of Congress in support of the directed
report.
Clinical Mistakes.—In Public Law 116–260, the Consolidated Ap-
propriations Act, 2021, VA was directed to develop a plan to reduce
the number of clinical mistakes that require institutional or clinical
disclosures. The Committee is in receipt of the plan and is encour-
aged by some of the actions VA is taking to encourage employees
to report adverse events and unsafe conditions to the Patient Safe-
ty Manager. In the report, VA notes ‘‘a successful VHA High Reli-
ability culture is one where every staff member feels empowered to
influence decisions, where our actions demonstrate a solid commit-
ment to Zero Harm. VHA seeks to report and study harm and near
miss events in order to understand weaknesses within our system
to proactively reduce risk.’’ The Committee agrees and encourages
VA to continue its efforts to develop a culture where all employees
are empowered to report events and conditions that put patient
safety at risk. VA is directed to provide the Committees on Appro-
priations of both Houses of Congress an update on any elements of
the plan that may have changed or been updated no later than 180
days of enactment of this act.
Research Facilities.—For more than half a century, VA, in con-
junction with its academic affiliates has conducted the largest edu-
cation and training program for health professionals in the United
States. While this has led to a number of clinical benefits, there are
areas where the affiliation could be better leveraged, including
shared research space. The ability for VA to utilize research space
on the campuses of its academic affiliates would not only lift some
of the fiscal burden of recapitalization efforts, but could also prove
to be more efficient for principal investigators who are both VA cli-
nicians and on faculty at the respective affiliate. The Committee
understands VA’s Office of Academic Affiliation is developing mod-
els of strategic partnership to acquire clinical and research spaces
from academic affiliates. Therefore, the Committee encourages the
Department, where appropriate, to enter into these types of ar-
rangements. The Department is directed to provide a report to the
Committees on Appropriations of both Houses of Congress no later
than 30 days after enactment of this act, on locations where it
42
would be feasible and appropriate to employ funding arrangements
that would allow for sharing agreements between local VA Medical
Centers to utilize existing research space of its academic affiliate.
The report should also outline the extent barriers to these agree-
ments exist, including legislative and regulatory prohibitions.
Women’s Health Care Facilities Improvements.—The Committee
reminds VA of the annual reporting requirement included in the
Joint Explanatory Statement accompanying Public Law 116–94.
Alternative Treatments.—The Committee recognizes that the
United States is in the midst of a drug epidemic fueled by prescrip-
tion opioids, which has been exacerbated by the pandemic. The vet-
eran population is particularly susceptible to substance abuse given
high rates of chronic pain and service-related injuries. Alternative
treatments for pain management have been shown to be effective
in reducing pain and reliance on prescription opioids. The Com-
mittee encourages VA to expand the use of alternative treatments
to pain management in its delivery of healthcare services. The
Committee also urges VA to integrate treatments such as acupunc-
ture into VA medical centers and clinics.
Acute Post-Surgical Pain Management.—The Committee recog-
nizes the notable reduction in prescription opioids for veterans who
utilize the VA healthcare system. The Committee credits this to
VA’s focus on transforming chronic pain management with alter-
native therapies and an aggressive educational effort on safe and
responsible use of prescription opioids, but recognizes additional
non-opioid alternatives may be necessary for veterans with unique
health needs such as liver problems, where alternatives such as ac-
etaminophen may not be the best option. Therefore, the Committee
encourages VA to consider revising its acute pain management
guidance to include options such as non-opioid local anesthetics de-
livered via elastomeric pain pumps and transcendental meditation
as alternatives.
Transcendental Meditation.—The Committee is aware of VA’s on-
going research evaluating transcendental meditation [TM] as a
first-line treatment for PTSD and suicidality. The Committee is in-
terested in TM’s potential as an evidence-based non-invasive treat-
ment for veterans of all backgrounds in treating acute mental
health needs. No later than 180 days of enactment of this act, VA
is directed to submit a report to the Committees on Appropriations
of both Houses of Congress on the outcomes derived from TM and
the resources required to offer TM across the VA system.
Pharmacogenomics Testing.—The Committee recognizes that
training healthcare professionals on the use of pharmacogenomic
testing, analysis, alerting and entry into electronic health records
can save lives, improve outcomes and lower expenditures. There-
fore, the Department is directed to provide a report to the Commit-
tees on Appropriations of both Houses of Congress 180 days after
enactment of this act on their use of clinically validated, evidence-
based pharmacogenomic analysis, testing and clinical decision sup-
port tools to assess those veterans, especially polypharmacy pa-
tients, and those at higher risk for adverse drug events to improve
care.
National Center for Post-Traumatic Stress Disorder.—The Na-
tional Center for Post-Traumatic Stress Disorder [NCPTSD] is the
43
Federal Government’s foremost center of expertise on evidence-
based treatment of post-traumatic stress. The Committee continues
to support the mission and work of the NCPTSD and provides
$40,000,000 to continue the center’s advancement of the clinical
care and social welfare of America’s veterans who have experienced
trauma or suffer from PTSD through research, education, and
training in the science, diagnosis, and treatment of PTSD and
stress-related disorders. The Committee supports the priorities for
NCPTSD as described in the Congressional budget submission, and
urges it to consider academic and interagency collaborations to in-
vestigate novel combinatorial forms of intervention for PTSD, in-
cluding multifactor approaches.
Cancer Screenings and Treatment.—The coronavirus disease of
2019 [COVID–19] pandemic has led to a decrease in the number
of routine cancer screenings, which could contribute to an increase
in later stage cancer diagnoses and more complex cancer treat-
ments. VHA should take all steps necessary to return to pre-pan-
demic levels of cancer screenings and diagnoses. Accordingly, the
Committee encourages VHA to increase availability of devices re-
lated to imaging, dosimetry, and medical physics services to im-
prove treatment planning quality and treatment safety. Addition-
ally, the Committee urges VHA to conduct outreach and education
to encourage all patients to receive timely routine screenings, en-
suring that those diagnosed with cancer are treated as early as
possible.
Non-Invasive Test for Bladder Cancer.—The Committee recog-
nizes that VA performs roughly 40,000 cystoscopies annually and
diagnoses approximately 3,100 new cases of bladder cancer each
year. Non-invasive forms of testing for bladder cancer may decrease
the burden of surveillance and long-term management of this con-
dition. Accordingly, the Department is directed to conduct a report
on the feasibility of expanding the use of non-invasive tests for
bladder cancer, incorporating feedback from key stakeholders, in-
cluding veteran bladder cancer patients, Veteran Service Organiza-
tions and VA medical professionals. The report should be provided
to the Committees on Appropriations of both Houses of Congress
within 180 days of enactment of this act.
Precision Oncology.—Molecular diagnostics and precision oncol-
ogy, including microarray and next generation sequencing, per-
formed at the first occurrence of cancer can provide vital informa-
tion regarding the specific tumor type and its drivers, which can
lead to the most accurate precision medicine for patients. The Com-
mittee commends the Department’s Precision Oncology Program
and directs the Department to issue a report to the Committees on
Appropriations of both Houses of Congress no later than 60 days
after the enactment of this act describing the specific types of mo-
lecular diagnostics, such as microarray, whole exome, whole ge-
nome, and RNA–Seq, which the Department is providing to cancer
patients and their frequency of use, as well as detailed policy for
data-sharing practices for cancer cell lines and models with the ex-
ternal research community. The Department is urged to accelerate
the adoption of molecular diagnostics for numerous cancers, includ-
ing rare cancers, and as appropriate, to engage in interagency or
public-private partnerships to use a next-generation, precision-on-
44
cology platform that integrates bioinformatics, machine learning,
and mathematics to identify complex and interconnected mecha-
nisms responsible for drug response and resistance to determine
the best treatments.
Precision Medicine Data Storage.—The Committee supports VA
efforts authorized under section 305 of the Commander John Scott
Hannon Veterans Mental Health Improvement Act (Public Law
116–171) to utilize precision medicine to identify and validate brain
and mental health biomarkers in coordination with the Million Vet-
eran Program. The Committee is concerned that VA’s Information
Technology Systems budget request does not include the necessary
investments to process, analyze, and store all relevant data that is
required to undertake the Congressionally-directed research re-
quired under the Hannon Act. Therefore, the Committee directs VA
to allocate sufficient resources for data processing, analysis, and
storage to fully implement the Hannon Act. Additionally, the Com-
mittee urges the Department to seek opportunities to coordinate
the research directed under the Hannon Act with the Long-Term
Impact of Military-Relevant Brain Injury Consortium Chronic Ef-
fects of Neurotrauma Consortium.
Access to Care.—The Department is directed to provide to the
Committees on Appropriations of both Houses of Congress no later
than 180 days after the date of the enactment of this act a report
on: (1) the number of veterans who live more than 100 miles from
a VA facility that offers inpatient care; (2) a list of counties in the
United States where there are more than 3,000 veterans who live
more than 100 miles from a VA facility that offers inpatient care;
and (3) a strategy for VA to provide better inpatient capacity for
veterans who live in the counties listed under (2).
MEDICAL SERVICES
(INCLUDING TRANSFER OF FUNDS)
Appropriations, 2021 ............................................................................. $56,655,483,000
Advance appropriations, 2022 .............................................................. 58,897,219,000
Budget estimate, advance appropriations, 2023 ................................. 70,323,116,000
Committee recommendations, advance appropriations, 2023 ............ 70,323,116,000
PROGRAM DESCRIPTION
The Medical Services account provides for medical services for el-
igible enrolled veterans and other beneficiaries in VA healthcare
facilities, including VA medical centers and VA outpatient clinics.
COMMITTEE RECOMMENDATION
In fiscal year 2021, the Committee provided an advance appro-
priation of $58,897,219,000 for fiscal year 2022 for the Medical
Services account. In addition, VA has the authority to retain co-
payments and third-party collections.
The Committee recommendation also includes an advance appro-
priation of $70,323,116,000 for Medical Services for fiscal year
2023, equal to the budget request.
45
PREVENTING VETERAN HOMELESSNESS
The Committee remains strongly supportive of VA’s homeless
prevention programs. As such the recommendation includes
$2,154,450,000 to support these programs, consistent with the re-
quest. This total includes $395,352,000 for the Supportive Services
for Veterans Families [SSVF] Program; $483,900,000 for the Hous-
ing and Urban Development-Veterans Affairs Supportive Housing
[HUD–VASH] Program case management, $270,442,000 for the
Grant and Per Diem Program [GPD]; and $70,103,000 for the Vet-
erans Justice Outreach [VJO] Program. In addition, the Depart-
ment plans to allocate $486,000,000 from the American Response
Plan (Public Law 117–2) for veteran homelessness programs in fis-
cal year 2022. These programs support communities across the Na-
tion providing critical services and housing for veterans and their
families.
Homelessness Assistance.—The Committee recognizes the Depart-
ment’s efforts to reduce the number of veterans experiencing home-
lessness, with some estimates showing a 50 percent reduction na-
tionwide since 2009. While VA increased supports to veterans at
risk of homelessness during the pandemic, the Committee is con-
cerned the number of veterans experiencing homelessness will in-
crease as homelessness assistance, including debt relief programs,
enacted at the Federal, State, and local levels during the pandemic
end. Within 120 days of enactment of this act, VA shall provide to
the Committees on Appropriations of both Houses of Congress a re-
port describing lessons learned during the COVID–19 pandemic to
support veterans experiencing homelessness, to include the use of
motels and hotels, and outline measures VA has made to prepare
for a potential increase in veterans experiencing homelessness once
the COVID–19 debt relief programs expire. It is critical that grant
recipients and veterans will not face an abrupt reduction in sup-
port from VA as pandemic-specific funding runs out.
Unnecessary Penalization of Organizations Providing Services to
Homeless Veterans.—The Committee directs VA to conduct an as-
sessment of negative discharges from Homeless Program Office
[HPO], GPD, SSVF, and HUD–VASH programs over the past 5
years, including why the veteran was discharged, broken down by
veteran service discharge status, age, race, and ethnicity, eligibility
for VA care, gender, and geographic location. This assessment shall
be provided to the Committees on Appropriations of both Houses
of Congress within 90 days of enactment of this act, and should
also include if the veteran had a diagnosed mental illness or sub-
stance use disorder, had received VA medical care within a year
prior to discharge from the HPO program, or died by suicide within
a year of discharge from the program.
Supportive Services for Veterans Families.—Through grants to
private non-profit organizations and consumer cooperatives, SSVF
is designed to rapidly re-house homeless veteran families and pre-
vent homelessness for those at imminent risk due to a housing cri-
sis. VA provides grants to all 50 States, the District of Columbia,
Puerto Rico, Guam, and the Virgin Islands. The Committee pro-
vides $420,000,000 for grant awards in fiscal year 2023 and expects
46
the Department to expand to other locations to address gaps in
services, as appropriate.
HUD–VASH.—The Committee remains concerned about the high
number of HUD–VASH staffing vacancies at VA Medical Centers
nationwide. Due to the integrated nature of HUD–VASH funding
and services of rental assistance vouchers paired with case man-
agement, the Committee recommends that VA’s budget for case
managers be increased commensurate with any increases in avail-
ability of new housing vouchers, with an established and appro-
priate funding level to support at least one case manager for each
25 veterans served.
The Department is reminded of the report requirement regarding
the HUD–VASH program that was included in the Joint Explana-
tory Statement supporting Public Law 116–260.
HUD–VASH Caseworkers.—The Committee urges the Depart-
ment to increase the number of caseworkers with strong cultural
competency skills to assist veterans at risk of homelessness. The
Committee directs the Department to report to the Committees on
Appropriations of both Houses of Congress not later than 1 year
after enactment of this act on the effectiveness of using contracted
caseworkers in comparison to Department caseworkers.
Homeless Providers GPD Program.—The Committee agrees with
the goal of ending veteran homelessness by ensuring veterans ac-
cess to permanent, affordable housing of their choice. However, the
Committee recognizes that service-intensive transitional housing
provided through VA’s GPD Program is an important pro-
grammatic 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 vet-
erans at risk of relapse into substance abuse. The most appropriate
mix of housing services for veterans should be determined locally
through a collaborative process including local housing partners,
service providers, and VA. The Department should continue to
make funding available for GPD beds based on a collaborative proc-
ess with local housing partners, the local VA Medical Centers and
the Continuums of Care. The Department is directed to submit a
report to the Committees on Appropriations of both Houses of Con-
gress no later than 180 days after enactment of this act on the con-
tingency and remediation plan for veterans impacted by changes in
availability or losses of awards of Grant Per Diem Program funds
for current providers that serve rural or highly rural areas that
would result in the loss of veterans’ access to transitional housing
assistance.
Supportive Housing Assistance.—The Committee recognizes that
our Nation’s veterans are continuing to become more diverse and
have unique needs. The Committee directs VA to report to Con-
gress how the Department is ensuring support through its rental
assistance for diverse veteran groups, including but not limited to:
veterans who are survivors of military sexual trauma, LGBTQIA
veterans, elderly veterans, veterans with dependents, tribal vet-
erans, and veterans re-entering communities after incarceration or
participation in residential treatment programs. The Department is
directed to submit this report to the Committees on Appropriations
47
of both Houses of Congress no later than 180 days after enactment
of this act.
TELEHEALTH SERVICES
The Committee recommendation includes $2,435,182,000, equal
to the request, to sustain and increase telehealth capacity, includ-
ing 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, allow-
ing the Department to expand access to care in areas where serv-
ices are limited. Telehealth also allows care to be provided more ef-
fectively and efficiently for veterans closer to home and through di-
rect in-home access to providers. While VA continues to lead the
healthcare industry in the expansion of in-home telehealth and re-
mote patient monitoring services, these services are often limited
by the lack of broadband service in remote and rural areas.
Telehealth Briefing.—The Committee recognizes the role that vir-
tual health, or ‘‘telemedicine’’ has played in advancing health out-
comes during the COVID–19 pandemic and acknowledges that such
services are increasingly relevant to veterans and their families,
particularly in rural areas. The Committee further supports the ex-
pansion of these services in order to promote safe, convenient and
quality medical care to all veterans and their families. Therefore,
VHA is directed to provide a briefing to the Committees on Appro-
priations of both Houses of Congress no later than December 1,
2021, on efforts to increase telemedicine services to veterans and
families and the resources needed to make such services more
readily available. These resources should include, but not be lim-
ited to broadband Internet access, personal computers, and basic
computer skills training. The briefing should include lessons
learned and best practices captured from the private sector during
the global pandemic as it relates to telemedicine.
VA-Academic Telehealth Partnerships.—The Committee recog-
nizes the potential of telehealth to build capacity for VA to provide
healthcare services to the increasing number of female veterans,
including services that VA has not typically provided. The Com-
mittee also recognizes that telehealth partnerships between VA
and academic institutions with telehealth and clinical expertise
may be beneficial to serve veterans, their families, and commu-
nities, particularly in geographically isolated regions with large
numbers of veterans. The Committee encourages the Department
to support such VA-academic telehealth partnerships.
Remote Patient Diabetes Foot Ulcer Monitoring.—The Committee
recognizes that expanding access to remote patient diabetes moni-
toring will provide more opportunities for continual veteran moni-
toring and improving care outcomes at a fraction of the cost of tra-
ditional methods and appreciates the Department’s efforts in this
area through programs including Preservation Amputation for Vet-
erans Everywhere and The Initiative to End Diabetic Limb Loss at
VA. However, only a small percentage of veterans with diabetic foot
ulcers are able to benefit from these programs. The Committee en-
courages the Department to continue and expand efforts to monitor
diabetes patients remotely. The Department is directed to provide
a report to the Committees on Appropriations of both Houses of
48
Congress within 120 days of enactment of this act on the feasi-
bility, including cost estimates, of expanding these programs to
reach an additional 20,000 veterans.
MENTAL HEALTH/PREVENTING VETERANS SUICIDE
The Committee provides $13,176,661,000 for mental health pro-
grams, equal to the request, including $2,266,041,000 for suicide
prevention outreach and treatment programs, of which
$597,997,000 is for suicide prevention outreach.
Treatment of Depression.—The Committee recognizes that de-
pression is one of the most common conditions associated with mili-
tary service and combat service. Further, the risk of suicide in-
creases with this diagnosis each time a veteran tries and fails a
medication. The Committee is encouraged by ongoing VA-sponsored
genetic testing research to aid in depression treatment selection;
however, veterans still have less access than Medicare beneficiaries
to precision medicine tools. The Committee encourages VHA to en-
sure the procurement of pharmacogenomic tests for use in the
treatment of depression if they have been shown to improve health
outcomes of veterans in clinical trials.
Inpatient Mental Health Care for Military Sexual Trauma Sur-
vivors.—Within 1 year of enactment of this act, the Committee di-
rects VA to conduct a study, and report to the Committees on Ap-
propriations of both Houses of Congress, of the availability of inpa-
tient mental health treatment for military sexual trauma [MST]
survivors, including wait times, geographic disparities, and access
to MST-specific tracks at VA Residential Rehabilitation Treatment
Programs. The study should also include an analysis of access to
gender-specific inpatient care for MST survivors (e.g. women vet-
erans only, male veterans only). The report shall also include rec-
ommendations for reducing wait times for inpatient mental
healthcare for MST survivors, improving access to gender-specific
inpatient care, and any changes to the number of MST-specific
tracks available within VA inpatient care.
Suicide Prevention Technology.—The Committee recognizes the
importance of consistent and timely follow-up engagement with vet-
erans identified as at-high-risk for suicide. Based on a number of
Office of Inspector General investigations conducted throughout the
country last year, there is a concerning trend that critical follow-
up coordination and treatment steps are being missed which can be
the result of heavy caseloads assigned to Suicide Prevention Coor-
dinators. Although VA has been an innovator in implementing an
enterprise-wide suicide screening initiative, the Department is
urged to utilize the latest in technology to provide real-time case
monitoring and management. The Department should consider a
solution which can provide real-time, interactive notifications and
data visualization tools to help the Suicide Prevention Coordinators
manage and identify opportunities to improve performance in real-
time.
Mental Health and Suicide Prevention.—The Commander John
Scott Hannon Veterans Mental Health Care Improvement Act
(Public Law 116–171), requires the hiring of additional mental
healthcare providers, expanding telehealth and transition assist-
ance programs, and prioritizing increased access to mental
49
healthcare for veterans in rural areas. Not later than 90 days after
the date of enactment of this act, the Secretary is directed to report
to the Committees on Appropriations of both Houses of Congress
on the Department’s efforts to expand the enrollment of eligible,
separating servicemembers in VA healthcare, screen transitioning
servicemembers for mental health risks, and conduct referrals for
VA healthcare registration, where appropriate. Elements of such a
report should include data on the number of newly-separated serv-
ice members enrolled in VA healthcare as well as targets and an
implementation timeline for increasing enrollment.
Veterans Crisis Line.—The Committee supports the request of
$255,968,000 for the Veterans Crisis Line [VCL]. VCL provides 24-
hours per day suicide prevention and crisis intervention services
for veterans in crisis and their families and friends. The Committee
supports the Department’s efforts to strengthen its operational
readiness as the Federal Communications Commission designates
9-8-8 as the universal telephone number for the National Suicide
Prevention Lifeline and VCL, which will be implemented by July
2022. The Department should ensure VCL is able to utilize
geolocation capabilities in order to ensure accurate emergency dis-
patch to persons at risk of imminent harm to self or others, similar
to those of 911 call centers.
Use of Machine Learning Software to Prevent Veteran Suicide.—
The Committee appreciates the Department’s renewed focus on
preventing veteran suicide and strongly encourages VA, in coordi-
nation with the Office of Mental Health and the Office of Suicide
Prevention, to utilize cloud agnostic automated machine learning
capabilities to rapidly provide predictive analysis to stop suicides
before they occur. The Department should consult with data ana-
lytical firms, research institutions, and other government agencies
that use predictive analytics on how best to apply them to prevent
suicide.
Hard-to-Reach Veterans.—The Department is directed to submit
to the Committees on Appropriations of both Houses of Congress
a report providing an analysis of the hardest-to-reach rural vet-
erans, the barriers to accessing these veterans, and next steps to
address the mental health needs of these veterans, no later than
120 days after enactment of this act.
OPIOID SAFETY INITIATIVES AND SUBSTANCE USE DISORDER CARE
To continue to build upon opioid reduction efforts and safety ini-
tiatives, the Committee recommendation includes $621,334,000 for
Opioid Prevention and Treatment programs at VA, equal to the
budget request. This includes $375,668,000 for treatment programs
and $245,666,000 to continue implementation of the Comprehen-
sive Addiction and Recovery Act of 2016 (Public Law 114–198).
Office of Patient Advocacy.—The Committee urges the Depart-
ment to prioritize continued implementation of the reforms made
to the patient advocacy program as required by the Jason
Simcakoski Memorial and Promise Act (Title IX, Public Law 114–
198). The Committee believes that the law’s establishment of the
Office of Patient Advocacy will ensure that patient advocates put
the interests of the veterans they serve first, not the interests of
the facility. Accordingly, within 90 days of enactment of this act,
50
the Committee directs VA to provide an updated report to the Com-
mittees on Appropriations and Veterans’ Affairs of both Houses of
Congress on its progress implementing the relevant sections of
Public Law 114–198, and the specific training and instructions Pa-
tient Advocates are given on how to escalate a concern outside of
a VA facility when they believe a VA facility is not acting in the
best interest of the veteran.
Alcohol Use Disorder Medication Assisted Treatment.—The Com-
mittee encourages VA to increase education among its primary care
practitioners on the diagnosis and treatment of alcohol use dis-
orders with FDA-approved medication assisted treatments.
LONG-TERM CARE
Long-Term Care.—The Committee provides $11,772,077,000 as
requested by the Department for long-term care. This includes
$8,095,395,000 for institutional care and $3,676,682,000 for non-in-
stitutional care. The Committee is aware of the aging veteran pop-
ulation and supports long-term care that focuses on facilitating vet-
eran 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-in-
stitutional long-term care support and services, and to accommo-
date veterans’ preferences in receiving home-based services, as well
as community-based care, residential settings, nursing homes, and
other services. The Committee acknowledges that the veteran pop-
ulation faces unique health risks and that each veteran requires an
individualized approach to care, and VA is encouraged to continue
cooperation with community, State, and Federal partners to expand
and grow these programs.
Veterans Care Agreements.—The Committee is concerned that if
the Department does not utilize its authority to enter into Veterans
Care Agreements, as established by section 102 of the MISSION
Act, veterans may lose access to long-term care services. Therefore,
the Committee directs the Secretary to quickly finalize the tem-
plate for Veterans Care Agreements and to utilize these agree-
ments in conjunction with Community Care Network [CCN] con-
tracts, particularly in areas where local contracts have not worked
in the past. The Committee also urges the Department to coordi-
nate with the Departments of Labor and Health and Human Serv-
ices to streamline to the greatest extent possible Federal require-
ments as they pertain to veterans and skilled nursing facilities and
remove any unnecessary or duplicative requirements.
Domiciliary Care Claims for Veterans with Early-Stage Demen-
tia.—Changes to VA’s processing and treatment of domiciliary care
claims have led to some veterans with early-stage dementia who
were earlier ruled eligible for VA domiciliary care to now be
deemed ineligible. In response, Congress passed legislation (Public
Law 116–315; section 3007) to ensure VA has flexibility to waive
certain eligibility requirements for domiciliary care for veterans
with early-stage dementia when in the veteran’s best interest. The
Committee directs the Secretary to expeditiously implement this
legislation and delegate this waiver authority to Veterans Inte-
grated Service Networks [VISNs] and local VA hospital systems so
51
that newly eligible veterans may begin to receive this crucial sup-
port.
Hospice Care for Veterans.—The Committee supports the imple-
mentation of hospice care protocols tailored to the unique end-of-
life care needs of combat veterans, including Vietnam-era veterans,
as well as for Afghanistan, Iraq, and Syria veterans. The Com-
mittee recognizes there are non-profit community-based hospice
care providers well-positioned to provide specialized care to vet-
erans and their families and address issues related to mental
health, moral injury, substance use disorder and suicide preven-
tion, anticipatory grief and bereavement, and guidance on advance
care planning. Specialized, veteran-centric programs by expert pro-
viders in the community can address the unique end-of-life needs
of veterans and their families. The Committee encourages the De-
partment to continue and expand its work with community-based
hospice care providers.
RURAL HEALTHCARE
Veterans residing in rural and remote areas face unique barriers
to receiving high-quality mental health, primary healthcare, and
specialty care services. While enhanced community care programs
offer veterans increased flexibility to obtain care close to home,
there are often gaps in services in rural and remote communities
even among private providers. The Office of Rural Health [ORH]
and its Rural Health Initiative has played a critical role in assist-
ing VA in its efforts to increase access to care. Therefore the Com-
mittee recommendation includes $327,455,000 for ORH and the
Rural Health Initiative. This is $27,455,000 greater than fiscal
year 2021 enacted and $20,000,000 above the budget request.
Highly Rural Transportation Grant Program.—The Committee
recognizes the need to address the care needs of veterans living in
rural communities across the United States. Such veterans fre-
quently lack access to the type of medical facilities and medical
care found in urban areas which may lead to disparities in health
outcomes in the long term. Therefore, the Committee recommends
up to $10,000,000 in funding for the Office of Rural Health be dedi-
cated to the Highly Rural Transportation Grants Program that
helps veterans in rural areas travel to VA or VA-authorized care
facilities. The Department is directed to provide a plan to expand
the program to the Committees on Appropriation of both Houses of
Congress within 90 days of enactment of this act.
Supporting Rural Care Facilities.—The Committee is aware of a
growing shortage of healthcare and support professionals in rural
and highly rural areas. To improve recruitment and retention ini-
tiatives for healthcare providers and support personnel in rural
and highly rural areas the Committee urges the Department to
prioritize the hiring of positions that the Office of Inspector Gen-
eral has designated as having critical occupational staffing short-
ages, including specialty care providers, human resource profes-
sionals, police officers and security personnel, housekeepers, and
clinical support personnel. The Committee is also aware of addi-
tional challenges identified by the VA Office of Inspector General
in offering telehealth consults for specialty care in rural and highly
rural CBOCs and urges the Department to address ongoing defi-
52
ciencies in access to telehealth equipment, training, and adequate
bandwidth to operate the equipment at rural and highly rural
CBOCs.
Additional Transportation Barriers.—Transportation is a social
determinant of health, particularly for the veteran population,
which is disproportionally rural and mobility challenged when com-
pared to the general public. The Department is directed to provide
a report to the Committees on Appropriations of both Houses of
Congress within 90 days of enactment of this act on efforts to im-
prove transportation at VA facilities, particularly in rural areas, in-
cluding accessibility with ramps, automated forward facing wheel-
chair securements (not manual rear facing), and hailing systems
that support persons with visual, hearing, and cognitive disabil-
ities. The report should also include a feasibility study and cost es-
timate for adapting and testing the use of accessible and autono-
mous electric vehicles at rural VA medical facilities.
CAREGIVERS
The Committee recommendation includes $1,403,133,000 for VA’s
Caregivers Program, which is $50,000,000 more than the budget
request. The Committee expects VA to dedicate this funding to the
program and not to divert the resources to other areas, and notes
that notification should be provided to the Committee of any re-
programming of this funding. In order to ensure proper budgetary
oversight, the Department is directed to report to the Committees
on Appropriations quarterly obligations (actuals and projections)
for the Caregivers Program, and highlight any changes to the im-
plementation schedule due to the Department’s troubling delays to
expand the program, as well as the timing of information tech-
nology requirements. The reports should also include information
about program expansion, including the number of downgrades,
terminations, and denials of eligibility under the Department’s new
regulations.
Caregivers Program.—The Caregivers Program was enhanced as
part of the John S. McCain III, Daniel K. Akaka, and Samuel R.
Johnson VA Maintaining Internal Systems and Strengthening Inte-
grated Outside Networks [MISSION] Act of 2018 (Public Law 115–
182), and the Department is expected to carry out this expansion
according to the statutory timeline, and to fully staff the program,
including ensuring that the Caregiver Coordinators at each medical
center are fully resourced and, to the maximum extent possible, as-
signed designated caregiver duties as their chief and only responsi-
bility. Though already significantly behind schedule, expansion of
the comprehensive caregiver program to veterans of all eras must
proceed expeditiously, including the hiring and training of suffi-
cient staff to manage the workload and ensuring the program re-
ceives the highest quality leadership in the Department’s capacity.
Since the implementation of the expanded program on October 1,
2020, VA has reported receiving more than 70,000 applications for
the Caregivers Program. Excluding the 30,000 pending applica-
tions, and those that were withdrawn or not completed, VA has de-
nied 27,000 applications for an estimated 67.5 percent denial rate.
The data shows that the highest percentage of denials were due to
the new activities of daily living requirement and the 70 percent
53
service-connection requirement. These restrictive measures, and
others, may be causing hardship for veteran families. The Com-
mittee directs the Secretary to review the regulations, and report
to the Committees on Appropriations of both Houses of Congress
within 90 days of enactment of this act on whether the current reg-
ulations are appropriate and best serve the most severely wounded
veterans.
WOMEN VETERANS HEALTHCARE
Women represent 16.5 percent of today’s active duty force and 19
percent of National Guard and Reserves. Accordingly, women vet-
erans are enrolling in VA healthcare at record levels, with women
accounting for over 30 percent of the increase in veterans enrolled
over the past 5 years and the number of women veterans using VA
healthcare more than tripling since 2001. With the upward trend
of women serving in all branches of the Armed Forces, VA must
continue to aggressively expand efforts that address the current
barriers to gender-specific healthcare services and plan accordingly
for the type and length of the treatment needs of women veterans.
The Committee continues to believe VA must be poised to address
the changing demographic of today’s and tomorrow’s veterans in
order to fulfill its mission. Toward this end, the Committee rec-
ommendation includes $820,446,000 for fiscal year 2022, which is
$10,000,000 above the request, to support gender-specific
healthcare services, as well as the program office and initiatives.
The Department is directed to submit to the Committees on Appro-
priations of both Houses of Congress no later than 90 days after
enactment of this act a spend plan detailing planned activities re-
lated to care for women veterans.
Women’s Health Care Programs.—The Committee supports an
expansion of health programs specific to women veterans to correct
for gender-related gaps in provisions of VA medical care. The rec-
ommendation includes funding for the Women Veterans Health
Care Mini Residency Program in order to train clinicians to provide
primary and emergency healthcare to women veterans and to en-
sure that all female veterans have access to healthcare profes-
sionals with specialized women’s healthcare training. The Com-
mittee also supports expanding the number of full-time or part-
time women’s healthcare providers at each VA medical facility to
provide training on the needs of women veterans. Further, the
Committee supports funding for the Office of Women’s Health with-
in VHA to develop and implement standards of care for women vet-
erans; monitor, identify, and rectify deficiencies in care provision;
and oversee the distribution of resources related to women vet-
erans’ health programming.
Office of Women’s Health.—The Committee believes with the
growing number of women veterans, VA needs to continue to invest
in women’s health healthcare at a rate consistent with their de-
mand for services. The Committee strongly supports the implemen-
tation efforts of the new Office of Women’s Health created with the
passage of the Deborah Sampson Act and the Women’s Health In-
novation and Staffing Enhancement Initiative. The Committee
urges VA to continue its planning and work to redesign its women’s
healthcare delivery system and ensure all women veterans have
54
the option to be assigned to Women Health Primary Care Pro-
viders.
CLINICAL WORKFORCE
The Committee appreciates the Department’s efforts to address
challenges in recruiting and retaining physicians, physician assist-
ants, nurses, mental health providers, other healthcare profes-
sionals, and related support staff. The Committee reminds the De-
partment of the annual requirement for a report on workforce
issues outlined in the Joint Explanatory Statement accompanying
Public Law 116–260.
Health Professions.—The Committee recognizes that under-
staffing, especially in medical and nursing positions, is a principal
obstacle to timely access to care for veterans and encourages the
Department to investigate the use of commercially available hos-
pital management information technologies to reduce nursing ad-
ministrative workloads while simultaneously improving patient
flow and access to care.
Medical School Affiliations with VA Health Care Facilities.—The
Committee is pleased VA improved its academic affiliation activi-
ties with minority medical schools. For the purposes of enhancing
training initiatives, improving patient care, and providing edu-
cational opportunities for our Nation’s veterans, the Committee
urges VHA and the Office of Academic Affiliations to maintain this
ongoing commitment to minority health professions schools.
Rural Health Providers.—The Committee notes persistent issues
for VA health facilities in rural areas in recruiting and retaining
health providers in the face of national provider shortages and a
highly competitive environment. The Committee encourages VA to
continue to consider expanded use of physician assistants, through
both physical facilities and expanded access to telehealth services,
to address the rural health provider gap. VA is directed to submit
a report, no later than 90 days after enactment of this act, to the
Committees on Appropriations of both Houses of Congress, pro-
viding an update on VA hiring needs in rural areas and VA plans
to address the provider gap in rural areas.
OTHER ITEMS OF INTEREST
Headache Disorders Centers of Excellence.—The Committee un-
derstands that during the Global War on Terror, many thousands
of veterans sustained traumatic brain injuries or were exposed to
burn pits, and that chronic headache disorders are common con-
sequences of these injuries. In 2020, more than 408,000 veterans
sought specialized healthcare for headache disorders within VHA.
Currently, VHA maintains 14 active Headache Disorders Centers
of Excellence [HCoE] sites, and plans to establish 6 HCoE consor-
tium sites, 1 in each of the 6 Veteran Integrated Service Networks
that do not have a designated center. The Committee encourages
the Department to expand the HCoE system to include at least 28
sites nationally that will provide equitable access to specialty con-
sultation, direct healthcare delivery, education of VHA healthcare
providers, and research to improve the care and clinical outcomes
of veterans. The Committee expects VHA to provide sustained sup-
port for the HCoE system to ensure the successful recruitment and
55
retention of healthcare providers with specialty training in Head-
ache Medicine. Finally, VHA is directed to provide to the Commit-
tees on Appropriations of both Houses of Congress, no later than
60 days after enactment of this act, a report that details potential
associations between open burn pit exposures, chronic headache
disorders, and healthcare utilization rates, and a plan to expand
the number of HCoEs.
Neurology-Related Centers of Excellence.—The Committee recog-
nizes the increasing number of veterans affected by neurologic con-
ditions, including epilepsy, headaches, multiple sclerosis, and Par-
kinson’s disease. The Department is encouraged to increase its in-
vestment to maintain and expand existing centers of excellence
within VA dedicated to these conditions in order to enhance their
value in coordinating innovative clinical care, education, and re-
search efforts. Finally, the Under Secretary for Health is directed
to provide a report to the Committees on Appropriations of both
Houses of Congress no later than 1 year after enactment of this act
providing details on opportunities to enhance care for veterans
with neurologic conditions.
Intimate Partner Violence Program.—The VA Intimate Partner
Violence Program [IPV] has made important progress in imple-
menting programs to combat domestic violence, including the ex-
pansion of vital services for veterans, their partners, caregivers,
and VA staff impacted by intimate partner violence. The Com-
mittee recognizes that high visibility of the program must be con-
tinued in order to assist as many veterans as possible. The Com-
mittee supports the funding request, encourages increasing the
staffing at the national level, and supports maintaining IPV Coor-
dinator positions at each VA medical facility. The Committee di-
rects the Department to fully resource the Intimate Partner Vio-
lence Program and to continue to include it as a program of inter-
est with budget detail in the justifications accompanying the fiscal
year 2023 budget submissions.
Veterans Exposed to Open Burn Pits and Airborne Hazards.—The
Committee is supportive of the efforts of VA to research and study
the health effects of open-air burn pits on veterans. In order to pro-
vide full and effective medical care, it is essential for the Depart-
ment to better understand the impacts exposure during service has
had on the health of veterans. Therefore the Committee directs not
less than $8,000,000 be utilized to carry out responsibilities and ac-
tivities of the Airborne Hazards and Burn Pits Center of Excel-
lence.
Assessment of the Beneficiary Travel Mileage Reimbursement Pro-
gram.—The Committee directs VA to conduct an analysis of the
costs associated with the rollout of the new Beneficiary Travel Self
Service system, the impact of the new program on utilization of
Beneficiary Travel mileage reimbursement requests and turn-
around times, the efficacy of the current mileage reimbursement
rate in mitigating the financial burden of transportation costs for
veterans to medical appointments, and the impact of the deductible
on mitigating financial burden on veterans of transportation to
medical appointments and on costs associated with the program.
The result of this analysis shall be provided to the Committees on
56
Appropriations of both Houses of Congress within 180 days of en-
actment of this act.
Travel Costs for Veterans.—The Committee understands the need
for certain veterans to receive a transportation stipend to visit
their closest VA facility. The Department is directed to provide a
detailed report to the Committees on Appropriations of both
Houses of Congress within 90 days of enactment of this act explain-
ing the criteria for transportation stipends provided to veterans
seeking care at a VA facility and insights on how that might be af-
fecting community care.
Mammography and Breast Imaging Strategic Plan.—Within 1
year of enactment, the Committee directs VA to develop a national
strategic plan for breast imaging services (i.e. mammography). The
plan must cover the evolving needs of women veterans, address
geographical disparities of in-house imaging and the use of commu-
nity imaging, the use of digital breast tomosynthesis (DBT—3D
breast imaging), and address the needs of male veterans who re-
quire breast cancer screening services. The plan should address
any infrastructure needs, staffing concerns, and the needs of vet-
erans with spinal cord injuries and disorders.
Continued Support and Expansion for Whole Health.—Recent
data about the Whole Health System reveals increased interest and
participation by veterans, and a resulting drop in healthcare costs.
The Committee is extremely pleased with the Whole Health model
of care and includes $83,600,000 in the bill, which is $10,000,000
above the request, to continue to implement and expand Whole
Health to all VA facilities.
Adaptive Sports.—The Committee includes $16,000,000 for the
adaptive sports programs. Veterans have shown marked improve-
ments in mental and physical health from participating in adaptive
sports and recreational therapy and veterans have expressed the
need for these activities to be included in the healthcare services
VA offers. The Committee also recognizes that adaptive sports and
recreational therapy provide a low-cost alternative to other
healthcare services that produce similar health outcomes, and ap-
plauds the efforts of community providers of these grants, espe-
cially in rural areas, who have been able to utilize this key pro-
gram in successfully reintegrating veterans back into their commu-
nities.
Dental Services.—The Committee applauds the excellent quality
of care provided by VA for all enrolled veterans but recognizes that
the lack of statutory authority for the provision of oral healthcare
has hampered the ability of the Department to meet its mission of
providing comprehensive care for enrolled veterans. The Committee
understands that the provision of such services may improve vet-
erans’ lives, their overall health, and could serve as a cost-effective
method for reducing expensive, complex health conditions.
Child Care Pilot Program.—The Committee recognizes the im-
portance of ensuring veterans who are seeking medical care and
services through VA have access to child care. Too often, lack of
child care is a barrier to women veterans and younger veterans ac-
cessing services from the Department. With the women veteran
population continuing to rise, ensuring access to child care is more
critical than ever in order to remove barriers to veterans accessing
57
care from the Department. The Committee directs the Secretary to
submit a report to the Committees on Appropriations of both
Houses of Congress not later than 90 days after enactment of this
act detailing the locations at which child care is available through
a program of the Department pursuant to section 1709C of title 38,
United States Code, and describing the Department’s plan to ex-
pand availability of such programs across the VA system.
Surgical Bleed Management.—Last year, the Committee asked
VHA to consider implementing an intraoperative bleed manage-
ment program that utilizes a bleed scale. The Committee requests
that VHA report back to the Committees on Appropriations of both
Houses of Congress within 120 days of enactment of this act on the
status of implementing a system-wide intraoperative bleed man-
agement program that utilizes a bleed scale.
Lovell Federal Health Care Center.—The Committee recognizes
the innovative collaboration between the Departments of Veterans
Affairs and Defense at the Captain James A. Lovell Federal Health
Care Center Demonstration Project, established in 2010 under Pub-
lic Law 111–84. Given the unique nature of this joint facility, the
Committee notes that the Lovell Federal Health Care Center has
significant potential to improve access, quality, and cost-effective-
ness of healthcare delivery to veterans, servicemembers, and their
families, and already serves as a valuable site demonstrating com-
prehensive cooperation and interoperability between VA and DoD.
The important work of this integration effort must continue as the
two Departments continue to roll out their respective electronic
health record programs.
Pressure Injury Standards.—The Committee commends the De-
partment for the March 2019 guidance (VHA Directive 1352) on
Prevention and Management of Pressure Injuries. As the Depart-
ment indicated to the Committee, it should continue to update
VHA Directive 1352 to ensure staff have timely access to relevant
guidelines, research and practice standards on topics related to
pressure injury risk, prevention and management. Furthermore,
within 60 days of enactment of this act, the Department is directed
to provide to the Committees on Appropriations of both Houses of
Congress a timeline to implement the Standardized Pressure In-
jury Prevention Protocol Checklist to improve pressure injury pre-
vention and support the development of best practices through the
VHA medical system.
Support for Vet Centers.—The Committee continues to believe
Vet Centers are critical to veterans in every State and it is critical
that veterans continue to have access to the resources and services
they need. The Department should expeditiously implement the
recommendations made in the GAO Report—VA Vet Centers: Eval-
uations Needed of Expectations for Counselor Productivity and
Centers’ Staffing (GAO–20–652).
Sleep Apnea.—The Committee directs VA to submit a report no
later than 180 days of enactment of this act detailing efforts to ad-
dress sleep apnea issues facing veterans, including a description
and assessment of the feasibility of expanding initiatives to provide
home sleep tests, equipment and home therapy to service patients
with various respiratory diseases across the country.
58
Safe Syringes for VA Health Workers.—The Committee recog-
nizes the Nation’s increased reliance on VA health workers pro-
viding FDA-approved COVID–19 vaccines for veterans. The Com-
mittee is concerned that inconsistent procurement standards of sy-
ringes could become a significant risk to VA health workers pro-
viding intravenous medicines and vaccines to veterans. Therefore,
the Secretary shall submit a report not later than 180 days of en-
actment of this act detailing the VA syringe procurement standards
and strategies to purchase more syringes from domestic producers.
Pilot Programs for Agritherapy.—The Committee directs
$5,000,000 to continue a pilot program to train veterans in agricul-
tural vocations, while also tending to behavioral and mental health
needs with behavioral healthcare services and treatments by li-
censed providers at no fewer than three locations.
Hyperbaric Oxygen Therapy.—The Committee continues to be
supportive of alternative treatment options for veterans with PTSD
or TBI. The Committee continues to be concerned about the lack
of participation in VA’s hyperbaric oxygen therapy [HBOT] dem-
onstration project. The Committee recommends that the dem-
onstration project continue until at least September 30, 2022, and
encourages VA to examine altering the scope of the project to bet-
ter research the efficacy of HBOT as a treatment for PTSD and
TBI.
Coverage of Continuous Glucose Monitors.—The Committee is
aware that veterans suffer from diabetes at a greater rate than the
general population. Left untreated, diabetics face higher risks of
heart disease, kidney failure, limb amputations, and blindness. The
Committee is encouraged by innovations in diabetes treatment op-
tions, including recent technological advancements in continuous
glucose monitoring systems [CGMs] and applauds VA’s decision to
facilitate access to CGMs during the public health emergency by
suspending certain coverage criteria. In June 2021, Medicare elimi-
nated the requirement for patients to perform frequent (e.g., four
or more times per day) blood glucose testing from their coverage
criteria. The Secretary is directed to provide the Committees on
Appropriations of both Houses of Congress with a report detailing
the clinical rationale for maintaining frequent testing criterion no
later than 90 days after enactment of this act.
MEDICAL COMMUNITY CARE
Appropriations, 2021 ............................................................................. $18,511,979,000
Advance appropriations, 2022 .............................................................. 20,148,244,000
Budget estimate, 2022 ........................................................................... 3,269,000,000
Committee recommendation, 2022 ....................................................... 3,269,000,000
Budget estimate, advance appropriations, 2023 ................................. 24,156,659,000
Committee recommendations, advance appropriations, 2023 ............ 24,156,659,000
PROGRAM DESCRIPTION
The Medical Community Care account provides for medical serv-
ices for eligible enrolled veterans and other beneficiaries that is
purchased from and provided by non-Department of Veterans Af-
fairs facilities and providers, including contract hospitals, State
homes, and outpatient services.
59
COMMITTEE RECOMMENDATION
In fiscal year 2021, the Committee provided an advance appro-
priation of $20,148,244,000 for fiscal year 2022 for the Medical
Community Care account. The recommendation for fiscal year 2022
includes an additional $3,269,000,000, coupled with the advance
appropriation provided for fiscal year 2022 provides the Depart-
ment with total budget authority of $23,417,244,000, which is
equal to the request.
The Committee recommendation also includes an advance appro-
priation of $24,156,659,000 for Medical Community Care for fiscal
year 2023.
Community Care Modeling.—The Committee remains concerned
that the Department consistently makes inaccurate projections re-
lated to utilization of community care, which impacts their annual
budget requests. Due to these inaccuracies, it has been necessary
for Congress to repeatedly provide additional dollars outside the
annual budget process, or to approve reprogramming requests for
significant amounts of funding, shortchanging Congressional prior-
ities in other areas. Therefore, within 30 days of enactment of this
act, the Department is directed to report to the Committees on Ap-
propriations of both Houses of Congress when and how they com-
plied with the recommendations in GAO’s report entitled ‘‘Addi-
tional Steps Could Help Improve Community Care Budget Esti-
mates’’ (GAO–20–669).
MISSION Act Reporting.—The Department is directed to con-
tinue to provide to the Committees on Appropriations of both
Houses of Congress quarterly reports on the expenditures related
to the MISSION Act for the prior fiscal year and the current fiscal
year, and estimates for expenditures related to the MISSION Act
for the next five fiscal years. These reports should include costs
broken out by account, with categories for costs of MISSION Act-
affected community care, caregiver expansion, urgent care, and
other efforts. These reports should also include: (1) the number of
veterans served by each authority for care outlined in section
1703(d) of title 38, United States Code (the Department does not
offer the care, the Department does not operate a full-service med-
ical facility in the State in which the covered veteran resides, etc.);
(2) the cost of such care broken out by the authorities in section
1703(d); and (3) the timeliness of care, on average.
In addition, the Department is directed to submit monthly re-
ports to the Committees on Appropriations of both Houses of Con-
gress identifying available resources, obligations, authorizations,
and anticipated funding needs for the remainder of the fiscal year.
This should include detail on the timing of authorization of care
and the obligation of funds. The report should also provide data
broken out by VISN on the number of referrals and completed ap-
pointments in-house and in the community, including timeliness.
Improved Oversight of the Community Care Networks’ Compli-
ance with Access Standards.—The Committee requests further in-
formation comparing access to VA in-house care and care provided
in the private sector based on timeliness. While the Committee rec-
ognizes the contractual obligations of the network administrators
are different than the requirements placed on the Department, the
60
MISSION Act clearly states VA was to report on compliance with
standards established as a result of the law. The Department is re-
minded of this requirement to report according to the timelines in
the MISSION Act, and is further directed to include a breakdown
of this data for primary and specialty care in these reports.
Improved Oversight of the Community Care Networks’ Dental
Networks.—The Committee is concerned VA is not providing appro-
priate oversight of the adequacy of the CCN dental networks. In
particular, VA does not routinely confirm whether network pro-
viders are willing to accept veterans. Culling the network provider
lists would help alleviate scheduler and veteran frustration when
appointments cannot be made with providers who are not accepting
VA patients or are no longer practicing at the network location. It
would also ensure CCN contractors are accountable for building
and maintaining a truly adequate dental network. Therefore, the
Department is directed to undertake a nationwide review, to be
completed within 6 months of enactment of this act, of the discrep-
ancies between the number of network providers showing as active
in the CCN dental networks as of enactment of this act, and when
the review takes place, and report to the Committees on Appropria-
tions of both Houses of Congress on its findings.
Rural Health Continuity of Care.—The Committee encourages
the Department to sustain continuity of care for rural veterans
through provider agreements, based on previous models, such as
the Access Received Closer to Home program, to ensure veterans
do not experience a lapse in existing healthcare access during the
transition to the Veterans Community Care Program and Commu-
nity Care Networks. The Committee continues to support enabling
the Department to enter into provider agreements with non-VA
long-term care providers, including skilled nursing facilities, as ap-
propriate.
Dialysis Services.—The Committee understands that VA has a
long history of providing dialysis services through community di-
alysis providers under the Nationwide Dialysis Services contracts
when VA is unable to directly provide such care. The Committee
expects VA will ensure that care is not disrupted or diminished for
the veterans who receive treatment through experienced providers
under the Nationwide Dialysis Services contracts. In addition, VA
is directed to provide the Committees on Appropriations of both
Houses of Congress with a report on the feasibility, advisability,
and cost estimates for a value-based care model which ties reim-
bursement to quality of care. The report shall be provided no later
than 270 days after enactment of this act.
MEDICAL SUPPORT AND COMPLIANCE
Appropriations, 2021 ............................................................................. $8,214,191,000
Advance appropriations, 2022 .............................................................. 8,403,117,000
Budget estimate, advance appropriations, 2023 ................................. 9,673,409,000
Committee recommendations, advance appropriations, 2023 ............ 9,673,409,000
PROGRAM DESCRIPTION
The Medical Support and Compliance account provides funds for
management, security, and administrative expenses within the VA
healthcare system, in addition to providing costs associated with
61
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, procure-
ment, financial management, security, and human resource man-
agement.
COMMITTEE RECOMMENDATION
In fiscal year 2021, the Committee provided an advance appro-
priation of $8,403,117,000 for fiscal year 2022 for the Medical Sup-
port and Compliance account.
The Committee recommendation also includes an advance appro-
priation of $9,673,409,000 for Medical Support and Compliance for
fiscal year 2023.
MEDICAL FACILITIES
Appropriations, 2021 ............................................................................. $6,583,265,000
Advance appropriations, 2022 .............................................................. 6,734,680,000
Budget estimate, advance appropriations, 2023 ................................. 7,133,816,000
Committee recommendations, advance appropriations, 2023 ............ 7,133,816,000
PROGRAM DESCRIPTION
The Medical Facilities account provides funds for the operation
and maintenance of the VA healthcare system’s vast capital infra-
structure. This appropriation provides for costs associated with
utilities, engineering, capital planning, leases, laundry,
groundskeeping, housekeeping, facility repair, and property disposi-
tion and acquisition.
COMMITTEE RECOMMENDATION
In fiscal year 2021, the Committee provided an advance appro-
priation of $6,734,680,000 for fiscal year 2022 for the Medical Fa-
cilities account.
The Committee recommendation also includes an advance appro-
priation of $7,133,816,000 for Medical Facilities for fiscal year
2023.
Energy-Efficient Sensor Technology.—The Committee is con-
cerned with the Department’s growing maintenance backlog and
energy consumption at its facilities. The Committee is aware of
newly developed sensor technology for industrial monitoring, in-
cluding technologies that are batteryless. Advanced sensor net-
works, such as these, can dramatically reduce energy consumption
and carbon emissions, enhance their operational readiness, and
equip operations and maintenance personnel with tools to monitor
and manage their energy resources more effectively. Therefore, the
Committee recommends the Department consider investing in new
technologies, including batteryless sensor technology for industrial
monitoring, to reduce energy consumption and carbon emissions
and deliver a more resilient and sustainable infrastructure.
Gender-Specific Care Facilities for Women.—The Committee di-
rects VA to continue redesigning its healthcare facilities to ensure
women receive equitable, timely, and high-quality healthcare. The
Committee encourages the Department to identify and appro-
62
priately prioritize construction projects which ensure facilities con-
sider the gender-specific care needs of women veterans.
Prohibition on Smoking.—The Committee supports the Depart-
ment’s efforts for VA facilities to be smoke-free and encourages full
implementation and enforcement of VHA Directives 1085 and
1085.1, which prohibit the use of cigarettes, cigars, pipes, and any
other combustion or heating of tobacco, and the use of any elec-
tronic nicotine delivery system, including electronic or e-cigarettes,
vape pens, and e-cigars by any person on the premises of any facil-
ity of the Veterans Health Administration.
Negative Air Pressure Containment Systems.—The Committee is
concerned VA has not adequately addressed the scalability and
surge capacity of commercial-off-the-shelf [COTS] negative air pres-
sure containment systems to ensure readiness at its medical facili-
ties nationwide. Therefore, the Committee encourages the Sec-
retary to explore COTS portable and modular negative air room
containment systems to increase readiness and capacity to respond
to surges during pandemics and other infectious disease events at
VA hospitals and clinics.
Scoring Process for Leases.—The Committee expresses frustra-
tion with the delays in funding for leased facilities exacerbated by
the Congressional Budget Office’s scoring process for leased facili-
ties.
MEDICAL AND PROSTHETIC RESEARCH
Appropriations, 2021 ............................................................................. $815,000,000
Budget estimate, 2022 ........................................................................... 882,000,000
Committee recommendation ................................................................. 882,000,000
PROGRAM DESCRIPTION
The Medical and Prosthetic Research account provides funds for
medical, rehabilitative, and health services research. Medical re-
search supports basic and clinical studies that advance knowledge
leading to improvements in the prevention, diagnosis, and treat-
ment of diseases and disabilities. Rehabilitation research focuses
on rehabilitation engineering problems in the fields of prosthetics,
orthotics, adaptive equipment for vehicles, sensory aids, and re-
lated areas. Health services research focuses on improving the ef-
fectiveness and economy of the delivery of health services.
COMMITTEE RECOMMENDATION
The Committee recommends $882,000,000 for the Medical and
Prosthetic Research account. This is $67,000,000 above the fiscal
year 2021 enacted level and equal to the budget request.
The Committee remains highly supportive of this program, and
recognizes its importance both in improving healthcare services to
veterans and recruiting and retaining high quality medical profes-
sionals in the Veterans Health Administration.
Through the Department’s research and development program,
VA has implemented a comprehensive research agenda to develop
new treatments and tools for clinicians to ease the physical and
psychological pain of men and women returning from war zones, to
improve access to VA healthcare services, and to accelerate discov-
eries and applications, especially for neurotrauma, sensory loss,
63
amputation, polytrauma, and related prosthetic needs. The Com-
mittee encourages VA to continue its research into developing novel
approaches to restoring veterans with amputation, central nervous
system injuries, loss of sight or hearing, or other physical and cog-
nitive impairments to full and productive lives.
Per- and Polyflouroalkyl Substance Exposure.—The Committee is
concerned about the exposure of veterans to per- and
polyfluoroalkyl substances [PFAS] during their military service and
how these chemicals may have affected their health and what re-
sources are available to them. PFAS chemicals have been found in
the drinking water at more than 600 military installations nation-
wide. A byproduct of aqueous firefighting foam [AFFF] used by the
military, PFAS materials are classified as ‘‘emerging contaminants’’
as their long-term cumulative effects on human health is not yet
known. However, initial analyses have linked PFAS materials with
birth defects, various forms of cancer and immune system dysfunc-
tion, causing great public concern for members of the military and
veterans who have served at the dozens of bases found to be con-
taminated with these materials. At the direction of Congress, VA
has established a number of registries for veterans who may have
been exposed to various environmental contaminants, including
Agent Orange and emissions from open burn pits in Iraq and Af-
ghanistan. Therefore, the Committee encourages VA to establish
and maintain a registry for veterans who may have been exposed
to PFAS due to exposure to AFFF during their military service and
develop a public information campaign to inform eligible individ-
uals about the registry. The Committee also directs VA to provide
a plan to the Committees on Appropriations of both Houses of Con-
gress within 120 days of enactment of this act, to provide blood
testing for this chemical to veterans eligible and enrolled for VA
healthcare who served as military firefighters.
VA Cancer Moonshot.—The Committee supports the Depart-
ment’s contribution to this effort by utilizing advances in genomic
science to provide targeted treatment to veterans. The Department
has identified prostate cancer, triple-negative breast cancer,
colorectal cancer, and rare cancers as areas of priority. Due to the
prevalence of various skin cancers among servicemembers, the
Committee directs that skin cancer be included as well.
Advanced Platform Technology [APT] Center.—The Committee
applauds VHA for the progress being made to provide our Nation’s
veterans with new assistive and restorative technologies that ad-
dress sensory, motor, or cognitive deficits, as well as limb loss. The
APT Center has effectively utilized a partnership model to leverage
local and national research expertise to drive dramatic progress in
diverse areas including artificial lung development, wound healing,
and neurally-connected sensory prosthesis. The Committee pro-
vides continued support for these commendable efforts.
Next-Generation Nonsurgical Neurotechnology.—The Committee
sees great benefit in collaboration between the Defense Advanced
Research Projects Agency’s [DARPA’s] Next Generation Nonsur-
gical Neurotechnology program and VA in developing and testing
neurotechnology for veteran movement rehabilitation. The Com-
mittee encourages DARPA and VA to work together to include dis-
abled veteran candidates in DARPA’s human clinical trials of the
64
nanoscale minimally invasive brain computer interface and dem-
onstrate the potential benefits of this emerging neurotechnology in
restoring movement and offering independence without invasive
surgical procedures.
Severe Depression and Suicide Prevention.—Studies by the Na-
tional Institutes of Mental Health investigating the use of Scopol-
amine in treating depression and suicide prevention have shown
promising initial results in rapidly decreasing patients’ Mont-
gomery-Asberg Depression Rating Scale scores, with over 50 per-
cent of patients achieving remission. Therefore, the Committee di-
rects the Department to review these findings and determine
whether the methods may be effective in treating veterans.
Dystonia.—The Committee continues to urge VA to pursue col-
laborative efforts with the dystonia stakeholder community and re-
lated Federal agencies. The Department is directed to provide an
update on relevant research projects that examine the connection
between traumatic brain injury and dystonia to the Committees on
Appropriations of both Houses of Congress within 90 days of enact-
ment of this act.
Prosthetic Materials.—The Committee is aware of novel applica-
tions of additive manufactured highly porous foam materials, which
may have significant benefits for veterans receiving prosthetic bone
implants. The Committee encourages VA to consider conducting re-
search in this area of prosthetics to determine if veterans with am-
putations may benefit from the use of the technology and proce-
dure.
Advanced Prosthetic Socket Systems.—The Committee appre-
ciates the innovative program of prosthetics research the Depart-
ment has undertaken to support veterans with limb loss, ranging
from limb loss prevention and tools to support amputation deci-
sions to efforts to support the use, optimization and development
of new prosthetic devices. Additional research is needed for design
improvements to prosthetic socket system technologies to help al-
leviate pain, tissue breakdown, infections, revision surgeries, and
other morbidities of poorly fitting sockets. The Department is en-
couraged to continue and expand research related to prosthetic
socket systems, including options to improve customization. The
Department is further encouraged to collaborate, as appropriate,
with industry, academia, and DoD.
Spinal Cord Research.—The Committee recognizes the severity of
spinal cord injuries sustained by servicemembers in combat and
supports additional research in this area. The Department is en-
couraged to work with outside organizations on spinal cord injury
research to find a cure and improve the quality of life for impaired
and disabled veterans. Additional investment in spinal cord re-
search could yield a long-term cost savings to VA through reduced
healthcare costs and restore functional recovery to paralyzed vet-
erans.
Veteran Access to State of the Art Clinical Trials.—The Com-
mittee remains supportive of funding efforts to provide access to
clinical trials that offer effective, cutting-edge treatments for can-
cers such as prostate, lung and melanoma that occur at high rates
in the veteran population. VA is currently working to establish new
clinical research partnerships between National Cancer Institute
65
[NCI]-designated cancer centers and VA medical centers focused on
the states with the largest veteran populations. The Committee ap-
preciates that VA has begun to implement this initiative and looks
forward to being apprised of further progress. The Committee urges
VA to support the establishment of partnerships between VA hos-
pitals and NCI-designated facilities consistent with the guidance
provided in the prior two fiscal years.
MEDICAL CARE COST RECOVERY COLLECTIONS
MEDICAL CARE COLLECTION FUND
Appropriations, 2021 ............................................................................. $4,403,000,000
Budget estimate, 2022 ........................................................................... 3,386,000,000
Committee recommendation ................................................................. 3,386,000,000
MEDICAL CARE COLLECTION FUND—REVENUES APPLIED
Appropriations, 2021 .............................................................................¥$4,403,000,000
Budget estimate, 2022 ........................................................................... ¥3,386,000,000
Committee recommendation ................................................................. ¥3,386,000,000
PROGRAM DESCRIPTION
The Medical Care Collection Fund [MCCF] was established by
the Balanced Budget Act of 1997 (Public Law 105–33). In fiscal
year 2004, Public Law 108–199 allowed the Department of Vet-
erans 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 col-
lections; 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 ac-
counts.
COMMITTEE RECOMMENDATION
The Committee recommendation includes the authority to retain
co-payments and third-party collections, estimated to total
$3,386,000,000 in fiscal year 2022.
NATIONAL CEMETERY ADMINISTRATION
Appropriations, 2021 ............................................................................. $352,000,000
Budget estimate, 2022 ........................................................................... 394,000,000
Committee recommendation ................................................................. 394,000,000
ADMINISTRATION OVERVIEW
The National Cemetery Administration [NCA] was established in
accordance with Public Law 93–94, the National Cemeteries Act of
1973. It has a four-fold mission: to provide for the interment in any
national cemetery of the remains of eligible deceased
servicemembers and discharged veterans, together with their
spouses and certain dependents, and permanently maintain their
graves; to provide headstones for, and to mark graves of, eligible
persons in national, State, and private cemeteries; to administer
the grant program for aid to States in establishing, expanding, or
improving State veterans cemeteries; and to administer the Presi-
dential Memorial Certificate Program.
66
COMMITTEE RECOMMENDATION
The Committee recommends $394,000,000 for the National Cem-
etery Administration. This is an increase of $42,000,000 above the
fiscal year 2021 enacted level and equal to the budget request. The
appropriated funding for NCA should be used to maintain existing
cemeteries and to activate newly completed cemeteries.
The Committee has included bill language to make available
through September 30, 2023, up to 10 percent of the National Cem-
etery Administration appropriation.
Committal Service Shelters.—The Committee reiterates its sup-
port for committal service shelters and directs the Department to
carry out a pilot program with at least three sites to enclose or par-
tially enclose committal shelters at national cemeteries located in
areas with a drastic temperature differential. The Department is
directed to report to the Committees on Appropriations of both
Houses of Congress no later than 180 days after enactment of this
act on the status of this effort, including locations chosen.
Western New York Cemetery.—The Committee is pleased that the
Department intends to complete delivery of the full scope of the
Western New York National Cemetery as described in the fiscal
year 2017 budget proposal by the conclusion of Phase 1B construc-
tion. The Department is directed to provide a plan and timeline for
completing the project to the Committees on Appropriations of both
Houses of Congress no later than 60 days after enactment of this
act.
Rural Initiative.—The Committee supports NCA’s decision to add
additional infrastructure—such as wind walls, restrooms, and stor-
age sheds—to its Rural Initiative National Cemeteries so that vet-
erans and their families are better served. As the Department fi-
nalizes the designs for these projects, the Committee recommends
that the agency consider any necessary water, sewage, and electric
utilities that would support these upcoming projects. The Com-
mittee also encourages VA to enter into public-private partnerships
to help fund these improvements where appropriate. Further, the
Committee encourages VA to consult and engage with local commu-
nities and stakeholders as it makes plans and undertakes construc-
tion of additional infrastructure at Rural Initiative National Ceme-
teries.
DEPARTMENTAL ADMINISTRATION
Appropriations, 2021 ............................................................................. $10,169,911,000
Budget estimate, 2022 ........................................................................... 10,588,000,000
Committee recommendation ................................................................. 10,480,000,000
ADMINISTRATION OVERVIEW
Departmental Administration provides for the administration of
veterans benefits through VBA, the executive direction of the De-
partment, several top level supporting offices, and the Board of
Veterans Appeals.
COMMITTEE RECOMMENDATION
The Committee recommends $10,480,000,000 for Departmental
Administration. The amount is composed of $401,200,000 for Gen-
67
eral Administration; $228,000,000 for the Board of Veterans Ap-
peals; $4,842,800,000 for Information Technology Systems;
$2,500,000,000 for the Veterans Electronic Health Record;
$239,000,000 for the Office of Inspector General; $1,611,000,000 for
Construction, Major Projects; $553,000,000 for Construction, Minor
Projects; $50,000,000 for Grants for Construction of State Extended
Care Facilities; $50,000,000 for Grants for the Construction of
State Veterans Cemeteries; and $5,000,000 for Asset and Infra-
structure Review.
In addition, fiscal year 2022 is the first year funds are available
from the Recurring Expenses Transformational Fund [Trans-
formational Fund]. Established in the Consolidated Appropriations
Act of 2016 (Public Law 114–113), the Transformational Fund con-
sists of unobligated balances of expired discretionary appropria-
tions, following the fifth fiscal year after the last fiscal year funds
were originally available. These funds shall be available until ex-
pended for facilities infrastructure improvements, including non-
recurring maintenance, at existing VA hospitals and clinics, and for
information technology systems improvements and sustainment.
The fiscal year 2022 Transformational Fund balance is approxi-
mately $842,000,000, of which VA proposed to allocate
$820,000,000, with approximately $670,000,000 for minor construc-
tion projects and the remainder for information technology systems.
GENERAL ADMINISTRATION
(INCLUDING TRANSFER OF FUNDS)
Appropriations, 2021 ............................................................................. $365,911,000
Budget estimate, 2022 ........................................................................... 401,200,000
Committee recommendation ................................................................. 401,200,000
PROGRAM DESCRIPTION
The General Administration account provides funding for the Of-
fice of the Secretary, six assistant secretaries, and three inde-
pendent staff offices.
COMMITTEE RECOMMENDATION
The Committee recommends $401,200,000 for General Adminis-
tration. This amount is $35,289,000 above the fiscal year 2021 en-
acted level and equal to the budget request. The Committee has in-
cluded bill language to make available through September 30,
2023, up to 10 percent of the General Administration appropria-
tion.
The Committee provides funding for General Administration in
the amounts specified below:
[In thousands of dollars]
Fiscal year 2022 Committee
Office 1 budget request recommendation
Office of the Secretary .................................................................................................... 16,265 16,265
Office of General Counsel ............................................................................................... 125,510 125,510
Office of Management .................................................................................................... 73,726 73,726
Office of Human Resources & Administration/Office of Operations, Security & Pre-
paredness ................................................................................................................... I 103,646 I 103,646
68
[In thousands of dollars]
Fiscal year 2022 Committee
Office 1 budget request recommendation
Office of Enterprise Integration ...................................................................................... 33,636 33,636
Office of Public and Intergovernmental Affairs ............................................................. 14,435 14,435
Office of Congressional & Legislative Affairs ................................................................ 7,480 7,480
Office of Accountability & Whistleblower Protection ...................................................... 26,502 26,502
Total ....................................................................................................................... 401,200 401,200
1 The Office of Acquisition, Logistics & Construction and the Veterans Experience Office are funded solely with reimbursable authority.
The Secretary may alter these allocations if the Committees have
been notified and written approval is provided.
Improving Personal Cybersecurity for Veterans.—The Department
is encouraged to help improve personal cybersecurity among vet-
erans by increasing digital and media literacy through education
and resources, including protection against cyber threats and influ-
ence campaigns.
Update on ABLE Act Awareness Efforts.—The Achieving a Better
Life Experience Act of 2014 or ABLE Act (Public Law 113–295, Di-
vision B) allows individuals and families to save for the purpose of
supporting individuals with disabilities in maintaining their
health, independence and quality of life. The Committee strongly
encourages the Department to raise awareness of the eligibility and
benefits of these accounts. The Committees on Appropriations of
both Houses of Congress request an update on this effort within 90
days of enactment of this act.
Data Governance and Analytics.—The Committee is supportive of
the work carried out by VA’s Office of Enterprise Integration [OEI]
for the continuous improvement of veterans’ access and outcomes
throughout their lifetimes. OEI uses data and analytics to develop
deep population insights that enable VA programs to better connect
with veterans, as outlined in the VA Data Strategy. VA, as a learn-
ing enterprise, should manage, integrate, and consolidate its var-
ious data sources to ensure its data is of highest quality and is
used to support operational decisionmaking. As such, the Com-
mittee encourages OEI to further coordinate enterprise-wide efforts
to manage VA data as a strategic asset, in order to enhance vet-
erans’ insights and to strengthen VA’s delivery of services and ben-
efits to veterans, their families, survivors, and caregivers.
Data Sharing.—The Committee supports the Department’s re-
cent efforts through OEI and VHA to become more data driven in
their approach to how they make Department-wide decisions. The
Committee urges VA to create a plan within 12 months of enact-
ment of this act that enables better sharing of data across the dif-
ferent Administrations. The plan should explore existing govern-
mental models such as DoD’s Cost Assessment and Program Eval-
uation office and make determinations on their effectiveness within
VA.
BOARD OF VETERANS APPEALS
Appropriations, 2021 ............................................................................. $196,000,000
Budget estimate, 2022 ........................................................................... 228,000,000
Committee recommendation ................................................................. 228,000,000
69
PROGRAM DESCRIPTION
As set forth in section 7101(a) of title 38 United States Code, the
Board of Veterans Appeals is responsible for making final decisions
on claims for veterans benefits presented to the Board for appellate
review. The vast majority of the Board’s workload derives from
benefit claims initiated by the Veterans Benefits Administration’s
Regional Offices. The appellate process has multiple steps, most of
which occur at the local Regional Office level. If a veteran is not
satisfied with the Regional Office determination, he or she may ap-
peal 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 guar-
anties, vocational rehabilitation, waivers of indebtedness, fee basis
medical care, and dependency and indemnity compensation.
COMMITTEE RECOMMENDATION
The Committee recommends $228,000,000 for the Board of Vet-
erans Appeals, which is $32,000,000 above the fiscal year 2021 en-
acted level and equal to the budget request. The Committee has in-
cluded bill language to make available through September 30,
2023, up to 10 percent of the Board of Veterans Appeals appropria-
tion.
Appeals Backlog.—The Department is currently experiencing a
backlog of disability claims, which has only been exacerbated by
the COVID–19 pandemic. The Committee recognizes veterans’ ex-
pectations regarding timely and accurate appeals processing, and
supports full funding of the Board of Veterans’ Appeals to increase
personnel, reduce the backlog of claims and get veterans the timely
answers they deserve.
INFORMATION TECHNOLOGY SYSTEMS
Appropriations, 2021 ............................................................................. $4,912,000,000
Budget estimate, 2022 ........................................................................... 4,842,800,000
Committee recommendation ................................................................. 4,842,800,000
PROGRAM DESCRIPTION
The Information Technology [IT] Systems appropriation, along
with reimbursements, funds the costs of all IT staff salaries and
expenses, the operations and maintenance of all existing informa-
tion 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 high-
lighted above.
COMMITTEE RECOMMENDATION
The Committee recommends $4,842,800,000 for the Information
Technology Systems account. This amount is equal to the budget
request. The Committee recommendation includes $1,414,215,000
for staff salaries and expenses, $3,131,585,000 for operation and
maintenance of existing programs, and $297,000,000 for program
development. In addition, the Committee supports the Depart-
70
ment’s allocation of funds from the Transformational Fund to sup-
port Information Technology.
The Committee has appropriated the Information Technology
Systems account as three subaccounts. This funding structure en-
hances 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 sub-
accounts by way of authorized carryover amounts and reprogram-
ming 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 an-
tiquated systems have contributed to issues affecting veterans,
their families, and third parties with whom VA has agreements;
and that the Department continues to identify significant costs to
support new and critical initiatives. Additionally, the Department
has reported its inability to comply with requirements that have
been passed into law due to lack of appropriate IT systems. While
the Committee will continue to work with the Department to en-
sure current IT projects are appropriately resourced, the Com-
mittee believes the Department’s Information Technology Programs
budget submission document is in need of significant improvement.
The Committee is disappointed that the Department made little
to no effort to comply with fiscal year 2021 Committee direction re-
garding improvements to the IT budget submission in Volume II.
The Committee reaffirms its belief that the Department’s IT budget
submission document is in need of significant improvement. Simi-
lar to efforts the Committee directed for improvements to Volume
IV, Construction and Long Range Plan, the Committee directs the
Department to improve the type, quality, and organization of infor-
mation in the IT budget submission starting in the fiscal year 2023
submission. This should include a section detailing every existing
funded IT project. The Department’s approach in reforming its IT
submission should draw lessons from the detail of the Construction
and Long Range Plan submission.
INFORMATION TECHNOLOGY DEVELOPMENT PROJECTS
[In thousands of dollars]
Fiscal year 2022 Committee
Project budget request recommendation
Clinical Applications
Supply Chain Management .................................................................................... 76,105 76,105
Healthcare Administration Systems ....................................................................... 20,710 20,710
Health Data Interoperability .................................................................................. 2,125 2,125
My HealtheVet ........................................................................................................ 4,684 4,684
Subtotal Clinical Applications ...................................................................... 103,624 103,624
Health Management Platform
Community Care ..................................................................................................... 34,853 34,853
Digital Health Platform .......................................................................................... 11,807 11,807
Patient Record Systems ......................................................................................... 9,000 9,000
Purchased Care ...................................................................................................... 6,836 6,836
Telehealth Services ................................................................................................ 6,600 6,600
Subtotal Health Management Platform ........................................................ 69,096 69,096
71
INFORMATION TECHNOLOGY DEVELOPMENT PROJECTS—Continued
[In thousands of dollars]
Fiscal year 2022 Committee
Project budget request recommendation
Health Research and Development
Research ................................................................................................................. 8,660 8,660
Subtotal Health Research and Development ................................................ 8,660 8,660
Benefits Systems
Education Benefits ................................................................................................. 50,000 50,000
Veterans Customer Experience .............................................................................. 9,880 9,880
Veterans Benefits Management ............................................................................. 14,285 14,285
Benefits Systems ................................................................................................... 9,825 9,825
Benefits Appeals .................................................................................................... 3,400 3,400
Subtotal Benefits Systems ............................................................................ 87,390 87,390
Memorial Affairs
Memorials Automation ........................................................................................... 9,030 9,030
Subtotal Memorial Affairs ............................................................................. 9,030 9,030
Cyber Security
Cyber Security ........................................................................................................ 11,200 11,200
Subtotal Cyber Security ................................................................................ 11,200 11,200
Information/Infrastructure Management
Data Integration and Management ....................................................................... 8,000 8,000
Subtotal Information/Infrastructure Management ........................................ 8,000 8,000
Total IT Development ............................................................................................. 297,000 297,000
Prioritizing IT Modernization and Managing Cybersecurity
Risk.—The Committee is aware of the continued need to modernize
VA IT systems, and ongoing efforts to do so. In addition, VA con-
tinues to dedicate more than 80 percent of its IT operations and
maintenance funding to managing legacy systems that may be out-
dated and pose security risks. These aged and disparate systems
put VA at an increased cybersecurity risk and impede the ability
of VA to efficiently deliver benefits and care to the veterans who
have earned it. To improve VA services and protect against grow-
ing cyber vulnerabilities, VA must take an enterprise-wide ap-
proach to securing its IT systems. This may include, but is not lim-
ited to, developing and executing a plan to retire its legacy IT sys-
tems and fully integrating cybersecurity risk management into its
IT modernization efforts.
Zero Trust Network Concept.—As the Department continues to
modernize its cyber networks across VISNs, the Committee in-
structs the Department to review and consider DoD’s success im-
plementing a Zero Trust concept of operations on all VA-owned net-
works.
Accessibility.—The Committee recognizes a need to ensure that
the Department meets the accessibility needs of employees with
disabilities. The Department is directed to conduct a study on the
accessibility of SharePoint for Department employees, including
those with limited vision or blindness, and submit a report to the
Committees on Appropriations of both Houses of Congress no later
than 1 year after passage of this act. The report should take into
72
account feedback from key stakeholders, including labor unions and
VA employees with limited vision or blindness; assess potential so-
lutions for making SharePoint accessible; and identify barriers to
implementing those solutions. Additionally, the Department is di-
rected to identify a Department-wide remediation team to handle
all accessibility concerns, including those related to document re-
mediation, website and app compliance, and audio description and
captioning.
VETERANS ELECTRONIC HEALTH RECORD
Appropriations, 2021 ............................................................................. $2,627,000,000
Budget estimate, 2022 ........................................................................... 2,663,000,000
Committee recommendation, 2022 ....................................................... 2,500,000,000
PROGRAM DESCRIPTION
The Veterans Electronic Health Record [EHR] account funds all
activities related to the acquisition, implementation, preparation,
development, interface, management, rollout, and maintenance of a
new EHR. The EHR solution and implementation will include pro-
gram management; an enterprise-wide EHR system; change man-
agement; training; testing; deployment services; sustainment; and
other solutions encompassing the entire range of EHR require-
ments.
COMMITTEE RECOMMENDATION
The Committee recommends $2,500,000,000 for the Veterans
EHR. This is $127,000,000 below the fiscal year 2021 enacted level
and $163,000,000 below the budget request. While the Committee
remains supportive of replacing VA’s current EHR with the same
system being acquired by DoD, frustrations continue with the
delays in execution, as well as with the Department’s poor commu-
nication. The Committee appreciates the Secretary undertaking a
strategic review following concerns raised from the rollout of the
new system at the Mann-Grandstaff VA Medical Center in Spo-
kane, Washington, which resulted in decreased productivity beyond
what was projected in the short run. The Committee looks forward
to receiving more information on the Department’s recommended
changes to improve functions such as governance, infrastructure,
training, and budgeting. VA is encouraged to adopt an enterprise-
wide approach for the remaining implementation process.
Given the schedules and costs associated with any acquisition of
this size and magnitude, it is important for the Department to pro-
vide regular implementation updates. Therefore, the bill continues
strict quarterly reporting of obligations, expenditures, and deploy-
ment schedule by facility. The Department is directed to continue
quarterly briefings to review timelines, performance milestones,
costs, implementation, and change management progress. In addi-
tion, the Committee included a statutory proviso that makes 25
percent of funding contingent upon the Secretary providing a plan
with benchmarks and measurable metrics for deployment, and a
plan for addressing all required infrastructure updates, no later
than 30 days prior to July 1, 2022.
The Committee continues to direct GAO to perform quarterly
performance reviews of the VA EHR deployment to keep the Com-
73
mittees on Appropriations and Veteran’s Affairs of both Houses of
Congress apprised of VA’s progress.
Tribal Veteran Electronic Health Record.—The Committee urges
the Department to consult with the Indian Health Service on their
new electronic health records system currently under development
to ensure the interoperability between the agencies systems. VA is
directed to report to the Committees on Appropriations of both
Houses of Congress within 90 days of enactment of this act on the
steps they are taking to ensure a seamless transition of electronic
health records for our Nation’s tribal veterans.
OFFICE OF INSPECTOR GENERAL
Appropriations, 2021 ............................................................................. $228,000,000
Budget estimate, 2022 ........................................................................... 239,000,000
Committee recommendation ................................................................. 239,000,000
PROGRAM DESCRIPTION
The Office of Inspector General [OIG] was established by the In-
spector General Act of 1978 and is responsible for the audit, inves-
tigation, and inspection of all Department of Veterans Affairs pro-
grams and operations.
COMMITTEE RECOMMENDATION
The Committee recommends $239,000,000 for OIG. This is
$11,000,000 above the fiscal year 2021 enacted level and equal to
the budget request. The Committee has included bill language to
make available through September 30, 2023, up to 10 percent of
the OIG appropriation.
The Committee continues to support OIG’s essential oversight of
VA’s programs and operations, and maintains a provision to sup-
port timely access to any records, documents, or other materials
available to the Department. Similarly, the Committee strongly en-
courages OIG to undertake and complete investigations in a timely
manner, including sharing information with the Department, the
Department of Justice, or other entities as appropriate.
CONSTRUCTION, MAJOR PROJECTS
Appropriations, 2021 ............................................................................. $1,316,000,000
Budget estimate, 2022 ........................................................................... 1,611,000,000
Committee recommendation ................................................................. 1,611,000,000
PROGRAM DESCRIPTION
The Construction, Major Projects account provides for con-
structing, 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 activi-
ties may be deposited into the Construction, Major Projects and
Construction, Minor Projects accounts.
74
COMMITTEE RECOMMENDATION
The Committee recommends an appropriation of $1,611,000,000
for the construction of major projects. This is $295,000,000 above
the fiscal year 2021 enacted level and equal to the budget request.
The following table reflects the President’s budget request for
major construction projects and the corresponding Committee rec-
ommendations.
MAJOR CONSTRUCTION PROJECTS
[In thousands of dollars]
Fiscal year 2022 Committee
Location and description budget request recommendation
Veterans Health Administration [VHA]:
Biloxi, MS: Restoration of Hospital/Consolidation of Gulfport .............................. 22,500 22,500
Portland, OR: Upgrade Portland Bldg 100/101 for Seismic Retrofit and Renova-
tion ..................................................................................................................... 20,000 20,000
Louisville, KY: New Medical Center ....................................................................... 93,000 93,000
San Francisco, CA: New Research Facility ............................................................ 74,400 74,400
West Los Angeles, CA: Build New Critical Care Center ........................................ 40,000 40,000
Long Beach, CA: Mental Health & Community Living Center .............................. 20,000 20,000
Canandaigua, NY: Construction and Renovation .................................................. 60,159 60,159
San Diego, CA: SCI & Seismic Bldg 11 ................................................................ 10,000 10,000
Dallas, TX: Spinal Cord Injury ............................................................................... 43,239 43,239
Oklahoma City, OK: Construct Surgical Intensive Care Unit and Renovate Oper-
ating Rooms ...................................................................................................... 18,103 18,103
St. Louis [JC], MO: Replace Bed Tower, Clinical Bldg Expansion & Parking Ga-
rage .................................................................................................................... 92,000 92,000
El Paso, TX: Construct New Health Care Center ................................................... 150,000 150,000
Advance Planning and Design Fund: Various Stations ........................................ 417,699 417,699
Asbestos—Various Stations .................................................................................. 12,000 12,000
Construction & Facilities Management Staff—Various Stations ......................... 124,600 124,600
Hazardous Waste—Various Stations ..................................................................... 4,000 4,000
Judgment Fund—Various Stations ........................................................................ 35,000 35,000
Non-Departmental Federal Entity Project Management Support—Various Sta-
tions ................................................................................................................... 132,000 132,000
Seismic Corrections—Various Stations ................................................................. 100,000 100,000
Total, VHA ...................................................................................................... 1,468,700 1,468,700
National Cemetery Administration [NCA]:
Fort Logan, CO: Phase 1 Gravesite Expansion ...................................................... 50,000 50,000
Indiantown Gap, PA: Phase 5 Gravesite Expansion .............................................. 44,500 44,500
Advance Planning and Design Fund: Various Stations ........................................ 35,000 35,000
NCA Land Acquisiion Fund: Various Stations ....................................................... 1,000 1,000
Total, NCA ..................................................................................................... 130,500 130,500
General Administration/Staff Offices .............................................................................. ............................ ............................
Department Advance Planning and Design Fund for Major Construction ..................... 11,800 11,800
Total Construction, Major Projects ............................................................... 1,611,000 1,611,000
Construction Program.—The Committee recognizes the impor-
tance of VA’s construction program, and encourages the Depart-
ment to take into account whether states have a full-service VA
medical facility when determining which projects to fund.
CHIP–IN Program.—The Committee strongly encourages the De-
partment to expeditiously review and approve proposals for projects
under the Communities Helping Invest through Property and Im-
provements Needed [CHIP–IN] for Veterans Act of 2016, that ad-
dress gaps in required services for veterans. Recognizing the impor-
tance and impact CHIP–IN facilities will have on our veteran popu-
75
lation and the potential for project disruption due to cost contain-
ment concerns, the Committee directs the Department to provide
quarterly updates to the Committees on Appropriations and Vet-
erans Affairs of both Houses of Congress on the status of all active
CHIP–IN projects. Additionally, the Committee recognizes the need
to modernize facilities and provide state of the art behavioral
health facilities to continue to provide best in class health services
for veterans. The Committee encourages the Department to proceed
with efforts to modernize VA facilities and provide an update on
planning for this effort no later than 60 days after enactment of
this act.
Seismic Retrofits at the West Los Angeles VA.—The Committee
directs VA to develop a plan for seismic retrofits and construction
on Buildings 156, 157, 257, 258 and 300 at the West Los Angeles
VA Medical Center, including the possibility of allocating funding
as a Capital Contribution. These improvements will help
operationalize the Greater Los Angeles Healthcare System’s Master
Plan, which calls for the delivery of more than 1,200 units of hous-
ing for more than 4,000 veterans experiencing homelessness.
CONSTRUCTION, MINOR PROJECTS
Appropriations, 2021 ............................................................................. $390,000,000
Budget estimate, 2022 ........................................................................... 553,000,000
Committee recommendation ................................................................. 553,000,000
PROGRAM DESCRIPTION
The Construction, Minor Projects account provides for con-
structing, altering, extending, and improving any of the facilities
(including parking) under the jurisdiction or for the use of VA, in-
cluding planning, assessment of needs, architectural and engineer-
ing services, and site acquisition, where the estimated cost of a
project is equal to or less than $20,000,000. Public Law 106–117,
the Veterans Millennium Health Care and Benefits Act of 1999,
gave VA authority to make capital contributions from minor con-
struction in enhanced-use leases. Proceeds realized from enhanced-
use lease activities may be deposited into the Construction, Major
Projects and Construction, Minor Projects accounts.
COMMITTEE RECOMMENDATION
The Committee recommends $553,000,000 for minor construc-
tion. This is $163,000,000 above the fiscal year 2021 enacted level
and equal to the budget request.
The recommendation includes $359,210,000 for the Veterans
Health Administration, $106,990,000 for the National Cemetery
Administration, $22,100,000 for the Veterans Benefits Administra-
tion, and $64,700,000 for staff offices and the Office of Information
and Technology. The Department is directed to provide an expendi-
ture plan to the Committees on Appropriations of both Houses of
Congress no later than 30 days after enactment of this act for the
amount appropriated for minor construction. In addition, the Com-
mittee supports the Department’s allocation from the Trans-
formational Fund to support minor construction.
Permanent Residential Rehabilitation Treatment Unit.—The
Committee recognizes the importance of long-term beds for vet-
76
erans 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 fu-
ture budget requests to ensure veterans are able to receive ade-
quate mental health and substance use treatment.
GRANTS FOR CONSTRUCTION OF STATE EXTENDED CARE FACILITIES
Appropriations, 2021 ............................................................................. $90,000,000
Budget estimate, 2022 ........................................................................... ...........................
Committee recommendation ................................................................. 50,000,000
PROGRAM DESCRIPTION
This account is used to provide grants to assist States in acquir-
ing 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 hos-
pital 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 be-
tween States and VA in meeting the long-term care needs of elder-
ly veterans for decades.
COMMITTEE RECOMMENDATION
The Committee recommends $50,000,000 for Grants for Con-
struction of State Extended Care Facilities. This is $50,000,000
above the budget request.
The Committee recognizes the important role that State Vet-
erans Homes play in providing nursing home, domiciliary or adult
day care to veterans around the country. The Committee notes that
the administration’s budget did not request funding for the Grants
for Construction of State Extended Care Facilities program in fiscal
year 2022 after significant funding was provided through the
CARES Act (Public Law 116–136) and the American Rescue Plan
(Public Law 117–2) that enabled VA to fund all existing Priority 1
projects. The Committee notes that additional projects are needed
around the country to support the needs of our Nation’s veterans,
and VA receives new applications each year. Therefore, the Com-
mittee recommends funding in fiscal year 2022 to address applica-
tions for additional Priority 1 projects.
GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES
Appropriations, 2021 ............................................................................. $45,000,000
Budget estimate, 2022 ........................................................................... 45,000,000
Committee recommendation ................................................................. 50,000,000
PROGRAM DESCRIPTION
Public Law 105–368 amended title 38 U.S.C. 2408 and estab-
lished authority to provide aid to States for establishment, expan-
sion, and improvement of State veterans cemeteries, which are op-
77
erated 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 equip-
ment expenses when the cemetery is established. States remain re-
sponsible for providing the land and for paying all costs related to
operation and maintenance of the cemeteries, including the costs
for subsequent equipment purchases.
COMMITTEE RECOMMENDATION
The Committee recommends $50,000,000 for Grants for Con-
struction of State Veterans Cemeteries. This is $5,000,000 above
the fiscal year 2021 enacted and the budget request.
ASSET AND INFRASTRUCTURE REVIEW
Appropriations, 2021 ............................................................................. ...........................
Budget estimate, 2022 ........................................................................... $5,000,000
Committee recommendation ................................................................. 5,000,000
PROGRAM DESCRIPTION
The Asset and Infrastructure Review account will fund imple-
mentation of the Asset and Infrastructure Review Act, under the
VA MISSION Act of 2018 (Public Law 115–182), Title II. For fiscal
years 2022 and 2023, it will support the Asset and Infrastructure
Review Commission [the Commission], which will review VA’s rec-
ommendations to modernize or realign Veterans Health Adminis-
tration facilities, including leased facilities. By January 31, 2023,
the Commission shall provide a report to the President on VA’s
plan along with the Commission’s recommendations. Support staff
will conduct in-depth field hearings and receive input from vet-
erans, Veterans Service Organizations, local VA providers, local
governments, and the public. Fiscal year 2022 is the first year this
account will be funded.
COMMITTEE RECOMMENDATION
The Committee recommends $5,000,000 for the Asset and Infra-
structure Review [AIR] account, which is equal to the request. This
is a new account for fiscal year 2022.
Asset and Infrastructure Review Commission.—The Committee is
concerned that the recommendations of the AIR Commission could
greatly impact the healthcare access of veterans. The Department
is directed to consult with the Health Resources and Services Ad-
ministration and the Rural Health Council within the Centers for
Medicare & Medicaid Services regarding designations including
Health Professional Shortage Area and Medically Underserved
Area/Population designations in determining the impact of moving
or closing a VA facility on the ability of veterans to access
healthcare in their community.
ADMINISTRATIVE PROVISIONS
(INCLUDING TRANSFERS AND RESCISSIONS OF FUNDS)
Sec. 201. The Committee includes a provision which outlines
transfer authority and responsibilities for the Veterans Benefits
Administration.
78
Sec. 202. The Committee includes a provision which outlines
transfer authority and responsibilities for the Veterans Health Ad-
ministration.
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 reim-
bursements to the Medical Services account.
Sec. 206. The Committee includes a provision allowing for pay-
ments 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 In-
clusion, the Office of Employment Discrimination Complaint Adju-
dication, and the Alternate Dispute Resolution function within the
Office of Human Resources and Administration.
Sec. 211. The Committee includes a provision which requires dis-
closure 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 au-
thorized 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 eligi-
ble 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 Sec-
retary 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 Dem-
onstration 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
79
Affairs Medical Facility Demonstration Fund, as authorized by
Public Law 111–84.
Sec. 222. The Committee includes a provision directing a min-
imum 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 In-
centive 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 con-
tract for diabetes monitoring supplies and equipment.
Sec. 224. The Committee includes a provision requiring notifica-
tion 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 De-
partment to submit reports relating to the Veterans Benefits Ad-
ministration on claims processing at Regional Offices.
Sec. 227. The Committee includes a provision requiring VA to no-
tify 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 Sec-
retary to report to the Committees each quarter about any single
national outreach and awareness marketing campaign exceeding
$1,000,000.
Sec. 229. The Committee includes a provision permitting the
transfer to the Medical Services account of fiscal year discretionary
2022 appropriated funds.
Sec. 230. The Committee includes a provision permitting the
transfer of funds between GOE, VBA and BVA.
Sec. 231. The Committee includes a provision prohibiting the re-
programming of funds in excess of $7,000,000 among major con-
struction 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 Sec-
retary on May 10, 2017.
Sec. 234. The Committee includes a provision allowing the use of
Medical Services funding for assisted reproductive technology treat-
ment 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 Na-
tive Hawaiian small businesses.
Sec. 237. The Committee includes a provision directing the dis-
continuation 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.
80
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 Mem-
ber 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 Construc-
tion, Major account.
Sec. 243. The Committee includes a provision prohibiting the use
of funds to deny the Inspector General timely access to informa-
tion, unless a provision of law expressly refers to the Inspector
General and expressly limits such access.
Sec. 244. The Committee includes a provision prohibiting funding
from being used in a manner that would increase wait times for
veterans at medical facilities.
Sec. 245. The Committee includes a provision prohibiting the use
of funds in fiscal year 2022 to convert any program which received
specific purpose funds in fiscal year 2021 to a general purpose-
funded program without the approval of the Committees on Appro-
priations 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, rib-
bons, or other military decorations.
Sec. 247. The Committee includes a provision prohibiting the use
of canines in VA research unless: the scientific objectives of the
study can only be met by using canines; the study has been directly
approved by the Secretary; and the study is consistent with the re-
vised VA canine research policy document released in December,
2017.
Sec. 248. The Committee includes a provision ensuring particular
ratios of veterans to FTE position within any VA program of reha-
bilitation.
Sec. 249. The Committee includes a provision to allow fiscal year
2022 and 2023 ‘‘Medical Community Care’’ funds to be used to
cover obligations that otherwise would be paid by the Veterans
Choice Fund, if necessary.
Sec. 250. The Committee includes a provision to allow obligations
and expenditures applicable to the ‘‘Medical Services’’ account in
fiscal years 2017 through 2019 for aid to State homes to remain in
the ‘‘Medical Community Care’’ account.
Sec. 251. The Committee includes a provision specifying an
amount from the four medical care accounts for gender-specific care
and programmatic efforts to deliver care for women veterans.
Sec. 252. The Committee includes a provision to address con-
tributions from other Federal agencies to VA Non-Profit Corpora-
tions for research.
81
Sec. 253. The Committee includes a provision which outlines
transfer authority and responsibilities for the ‘‘Asset and Infra-
structure Review’’ account.
Sec. 254. The Committee includes a provision rescinding and re-
appropriating funds from the ‘‘Recurring Expenses Trans-
formational Fund’’.
Sec. 255. The Committee includes a provision requiring quarterly
reports on the status of the ‘‘Veterans Medical Care and Health
Fund’’.
Sec. 256. The Committee includes a provision prohibiting the use
of funds to interfere with the ability of veterans to participate in
State-approved medicinal cannabis programs or deny service to
such veterans.
TITLE III
RELATED AGENCIES
AMERICAN BATTLE MONUMENTS COMMISSION
OVERVIEW
The American Battle Monuments Commission [ABMC] was es-
tablished by Congress in 1923 and is responsible for the following:
designing, constructing, operating, and maintaining permanent
American cemeteries in foreign countries; establishing and main-
taining 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 admin-
isters, operates, and maintains 26 permanent American military
cemeteries, 32 Federal memorials, monuments, and markers, and
8 non-Federal memorials located in 17 foreign countries, the U.S.
Commonwealth of the Northern Mariana Islands, the Midway
Atoll, the British Dependency of Gibraltar, and the United States
of America.
SALARIES AND EXPENSES
Appropriations, 2021 ............................................................................. $84,100,000
Budget estimate, 2022 ........................................................................... 84,800,000
Committee recommendation ................................................................. 87,500,000
COMMITTEE RECOMMENDATION
The Committee recommends $87,500,000 for the Salaries and Ex-
penses account. This amount is $3,400,000 above the fiscal year
2021 enacted level and $2,700,000 above the budget request. The
recommendation includes funding to bolster the Commission’s
maintenance and infrastructure program and to execute deferred
maintenance and capital projects, not only to maintain the ceme-
teries and monuments honoring America’s war dead, but also to
preserve and communicate these veterans’ stories of courage and
sacrifice.
Yankee Division Memorial Church.—The Yankee Division Memo-
rial Church, also known as the Belleau Village Church, serves as
a memorial to the 2,281 soldiers of the 26th Infantry (Yankee) Divi-
sion who perished during World War I. While the Church has pre-
viously been restored and maintained by a private organization,
the Committee believes it may be appropriate for this sacred testa-
ment to the service of the Yankee Division to be transferred to the
possession of ABMC. The Committee understands that there are
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83
several unknown factors at this stage that must be first understood
prior to transfer of the memorial. Therefore, the Secretary is di-
rected to complete a facility inspection and analysis, and submit a
report to the Committees on Appropriations of both Houses of Con-
gress no later than 180 days after enactment of this act that pro-
vides a cost estimate, to include one-time and recurring restoration
and maintenance requirements, a determination of the viability of
transfer from local landowner to the agency, and to identify any
other barriers to acceptance that may exist.
Battle Monuments Educational Program.—The Committee en-
courages ABMC to continue to develop educational and virtual
web-based programming to inform the public about the important
history tied to the Commission’s battle monuments and cemeteries,
and their related historical events, and to share the stories of serv-
ice and sacrifice represented by these monuments and cemeteries.
This programming may include live, video, and web-based produc-
tions with the potential to reach broad audiences. Furthermore, the
Commission may collaborate with other Federal agencies, State en-
tities, or non-profits as it deems appropriate in developing and dis-
tributing this educational programming. The Committee directs the
Secretary to provide a report no later than 90 days after enactment
of this act on how ABMC carries out educational programming, in-
cluding any new proposed content to be covered.
FOREIGN CURRENCY FLUCTUATIONS
The Committee includes in the accompanying act, as proposed by
the administration, such sums as necessary for the Foreign Cur-
rency Fluctuations account. Funding the account in this manner al-
lows the Commission to maintain cemeteries regardless of the vola-
tility of foreign currency fluctuations.
UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS
OVERVIEW
The United States Court of Appeals for Veterans Claims was es-
tablished by the Veterans’ Judicial Review Act of 1988 (Public Law
100–687). The Court is an independent judicial tribunal with exclu-
sive jurisdiction to review decisions of the Board of Veterans Ap-
peals. 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 other-
wise unlawful and set aside decisions, findings, conclusions, rules,
and regulations issued or adopted by the Secretary of Veterans Af-
fairs, the Board of Veterans Appeals, or the Chairman of the Board
that are found to be arbitrary or capricious. The Court’s principal
office location is Washington, DC; however, it is a national court,
empowered to sit anywhere in the United States.
SALARIES AND EXPENSES
Appropriations, 2021 ............................................................................. $37,100,000
Budget estimate, 2022 ........................................................................... 41,700,000
Committee recommendation ................................................................. 41,700,000
84
COMMITTEE RECOMMENDATION
The Committee recommends $41,700,000 for the U.S. Court of
Appeals for Veterans Claims. This amount is $4,600,000 above the
fiscal year 2021 enacted level and equal to the budget request.
DEPARTMENT OF DEFENSE—CIVIL
CEMETERIAL EXPENSES, ARMY
OVERVIEW
The Secretary of the Army is responsible for the administration,
operation, and maintenance of Arlington National Cemetery [ANC]
and the Soldiers’ and Airmen’s Home National Cemetery. In addi-
tion to its principal function as a national cemetery, Arlington
hosts more than 3,000 public wreath laying ceremonies, and ap-
proximately 3.5 million visitors annually.
SALARIES AND EXPENSES
Appropriations, 2021 ............................................................................. $81,815,000
Budget estimate, 2022 ........................................................................... 87,000,000
Committee recommendation ................................................................. 87,000,000
COMMITTEE RECOMMENDATION
The Committee recommends $87,000,000 for the Salaries and Ex-
penses account. This amount is $5,185,000 above the fiscal year
2021 enacted level and equal to the budget request.
ANC historically performs over 7,000 burial services each year
for veterans and family members and an average of 27–30 each
weekday. The Committee is encouraged that after years of relying
on Congressional increases, the base requirements for Arlington
National Cemetery were met in the fiscal year 2022 budget re-
quest.
This Committee remains unwavering in its support for the Ceme-
tery and the successful completion of the Cemetery’s truly unique
and honored mission.
CONSTRUCTION
Appropriations, 2021 ............................................................................. ...........................
Budget estimate, 2022 ........................................................................... $141,000,000
Committee recommendation ................................................................. 141,000,000
The Committee recommends $141,000,000 for the Construction
account. This amount is $141,000,000 above the fiscal year 2021
enacted level and equal to the budget request. In addition to the
$219,000,000 previously appropriated, this funding will enable Ar-
lington National Cemetery to complete planning and design and
construction for its Southern Expansion project. This project will
provide approximately 80,000 additional burial opportunities across
38 acres and extend the service life of the cemetery into the 2060s.
85
ARMED FORCES RETIREMENT HOME
TRUST FUND
OVERVIEW
The Armed Forces Retirement Home [AFRH] is an independent
agency that was created in 1991 by the merging of the United
States Soldiers’ and Airmen’s Home in Washington D.C. and the
United States Naval Home in Gulfport, Mississippi. AFRH operates
and maintains the two communities to provide affordable resident
services and care to retired and former enlisted servicemembers
and their spouses.
TRUST FUND
Appropriations, 2021 ............................................................................. $75,300,000
Budget estimate, 2022 ........................................................................... 75,300,000
Committee recommendation ................................................................. 76,300,000
COMMITTEE RECOMMENDATION
The Committee recommends authority to expend $76,300,000
from the Armed Forces Retirement Home Trust Fund to operate
and maintain the Armed Forces Retirement Home-Washington,
DC, and the Armed Forces Retirement Home-Gulfport, Mississippi.
This amount is $1,000,000 above the fiscal year 2021 enacted level
and the budget request, and includes funding to complete high pri-
ority capital projects currently under design.
The Committee recognizes the critical role of AFRH operations
and the importance of delivering uninterrupted healthcare to its
residents. Therefore, the Committee supports the request for 2-year
availability of funds.
ADMINISTRATIVE PROVISION
Sec. 301. The Committee includes a provision making available
funds as authorized by 10 U.S.C. 4727.
TITLE IV
GENERAL PROVISIONS
SEC. 401. The Committee includes a provision that prohibits the
obligation of funds beyond the current fiscal year unless expressly
so provided.
SEC. 402. The Committee includes a provision that prohibits the
use of funds for programs, projects, or activities not in compliance
with Federal law relating to risk assessment, the protection of pri-
vate 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 notifi-
cations.
SEC. 405. The Committee includes a provision that limits funds
from being transferred from this appropriations measure to any in-
strumentality of the United States Government without authority
from an appropriations act.
SEC. 406. The Committee includes a provision regarding the post-
ing 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 por-
nography, 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.
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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 de-
partments, agencies and programs under the jurisdiction of the
Military Construction and Veterans Affairs, and Related Agencies
subcommittee. The term ‘‘program, project, and activity’’ shall in-
clude the most specific level of budget items identified in the Mili-
tary Construction, Veterans Affairs, and Related Agencies Appro-
priations Act, 2021, the House and Senate Committee reports, and
the conference report and accompanying joint explanatory state-
ment of managers of the committee of conference.
If a sequestration order is necessary, in implementing the Presi-
dential order, departments, and agencies shall apply any percent-
age reduction required for fiscal year 2021 pursuant to the provi-
sions of Public Law 99–177 or Public Law 100–119 to all items
specified in the justifications submitted to the Committees on Ap-
propriations of the Senate and House of Representatives in support
of the fiscal year 2021 budget estimates, as amended, for such de-
partments 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 identi-
fied 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 accom-
panying 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 stipu-
lation, or an act or resolution previously passed by the Senate dur-
ing 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
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88
North Atlantic Treaty Organization Security Investment Pro-
gram
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 Im-
provement 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
89
COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE
STANDING RULES OF THE SENATE
Pursuant to paragraph 7(c) of rule XXVI, on August 4, 2021, the
Committee ordered favorably reported a bill (S. 2604) making ap-
propriations for military construction, the Department of Veterans
Affairs, and related agencies for the fiscal year ending September
30, 2022, and for other purposes, provided, that the bill be subject
to amendment and that any amendment increasing budget author-
ity be offset by a reduction of equal or greater budget authority, by
a recorded vote of 25–5, a quorum being present. The vote was as
follows:
Yeas Nays
Chairman Leahy Mr. McConnell
Ms. Murray Mr. Kennedy
Mrs. Feinstein Mr. Braun
Mr. Durbin Mr. Hagerty
Mr. Reed Mr. Rubio
Mr. Tester
Mrs. Shaheen
Mr. Merkley
Mr. Coons
Mr. Schatz
Ms. Baldwin
Mr. Murphy
Mr. Manchin
Mr. Van Hollen
Mr. Heinrich
Mr. Shelby
Ms. Collins
Ms. Murkowski
Mr. Graham
Mr. Blunt
Mr. Moran
Mr. Hoeven
Mr. Boozman
Mrs. Capito
Mrs. Hyde-Smith
COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE
STANDING RULES OF THE SENATE
Paragraph 12 of rule XXVI requires that Committee reports on
a bill or joint resolution repealing or amending any statute or part
of any statute include ‘‘(a) the text of the statute or part thereof
which is proposed to be repealed; and (b) a comparative print of
that part of the bill or joint resolution making the amendment and
of the statute or part thereof proposed to be amended, showing by
stricken-through type and italics, parallel columns, or other appro-
priate 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.
90
BUDGETARY IMPACT OF BILL
PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC.
308(a), PUBLIC LAW 93–344, AS AMENDED
[In millions of dollars]
Budget authority Outlays
Committee Amount Committee Amount
allocation 1 in bill allocation 1 in bill
Comparison of amounts in the bill with the subcommittee allo-
cation for 2022: Military Construction and Veterans Affairs,
and Related Agencies:
Mandatory ............................................................................ .................... 142,457 .................... 2 153,749
Discretionary ........................................................................ .................... 124,359 .................... 2 128,848
Defense ....................................................................... .................... 11,000 NA NA
Non-defense ................................................................ .................... 113,359 NA NA
Projection of outlays associated with the recommendation:
2022 ..................................................................................... .................... .................... .................... 3 163,969
2023 ..................................................................................... .................... .................... .................... 106,103
2024 ..................................................................................... .................... .................... .................... 15,269
2025 ..................................................................................... .................... .................... .................... 4,089
2026 and future years ........................................................ .................... .................... .................... 3,339
Financial assistance to State and local governments for
2022 ......................................................................................... NA 152 NA 3 26
1 As of the date that this bill was reported, there is no section 302(a) allocation to the Committee on Appropriations for fiscal year 2022.
2 Includes outlays from prior-year budget authority.
3 Excludes outlays from prior-year budget authority.
NA: Not applicable.
91
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
ALABAMA
ARMY:
REDSTONE ARSENAL:
PROPULSION SYSTEMS LAB ..................................................... 55,000 55,000 ........................
TOTAL ALABAMA .............................................................. 55,000 55,000 ........................
ALASKA
ARMY:
FORT WAINWRIGHT:
ERDC-CRREL PERMAFROST TUNNEL RESEARCH FACILITY ...... ........................ 5,400 ∂5,400
AIR FORCE:
JB ELMENDORF–RICHARDSON:
EXTEND RUNWAY 16/34, (INC 1) ............................................. 79,000 79,000 ........................
TOTAL, ALASKA ................................................................ 79,000 84,400 ∂5,400
ARIZONA
NAVY:
MCAS YUMA:
COMBAT TRAINING TANK COMPLEX ......................................... ........................ 29,300 ∂29,300
AIR FORCE:
DAVIS-MONTHAN AFB:
SOUTH WILMOT GATE ............................................................... 13,400 13,400 ........................
LUKE AFB:
F–35A ADAL AMU FACILITY SQUADRON #6 ............................. 28,000 28,000 ........................
F–35A SQUADRON OPERATIONS FACILITY #6 .......................... 21,000 21,000 ........................
TOTAL, ARIZONA .............................................................. 62,400 91,700 ∂29,300
CALIFORNIA
ARMY:
FORT IRWIN:
SIMULATIONS CENTER .............................................................. 52,000 52,000 ........................
NAVY:
CAMP PENDLETON:
I MEF CONSOLIDATED INFORMATION CENTER (INC 3) ............ 19,869 19,869 ........................
CORONADO:
CMV–22B AIRCRAFT MAINTENANCE HANGAR .......................... ........................ 63,600 ∂63,600
LEMOORE:
F–35C HANGAR 6 PHASE 2 (MOD 3/4) (INC 2) ...................... 75,070 75,070 ........................
SAN DIEGO:
PIER 6 REPLACEMENT (INC 2) ................................................. 50,000 50,000 ........................
SEAL BEACH:
MISSILE MAGAZINES (INC 2) .................................................... 10,840 10,840 ........................
SAN NICHOLAS ISLAND:
DIRECTED ENERGY WEAPONS TEST FACILITIES ....................... 19,907 19,907 ........................
VENTURA COUNTY:
COMBAT VEHICLE MAINTENANCE FACILITY .............................. ........................ 48,700 ∂48,700
AIR FORCE:
EDWARDS AFB:
FLIGHT TEST ENGINEERING LAB COMPLEX .............................. 4,000 4,000 ........................
VANDENBERG AFB:
GBSD RE–ENTRY VEHICLE FACILITY ........................................ 48,000 48,000 ........................
GBSD STAGE PROCESSING FACILITY ........................................ 19,000 19,000 ........................
DEFENSE-WIDE:
CAMP PENDLETON:
VETERINARY TREATMENT FACILITY REPLACEMENT .................. 13,600 13,600 ........................
CORONADO
SOF ATC OPERATIONS SUPPORT FACILITY ............................... 21,700 21,700 ........................
92
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
SOF NSWG11 OPERATIONS SUPPORT FACILITY ........................ 12,000 12,000 ........................
AIR FORCE RESERVE:
BEALE AFB:
940 ARW SQ OPS & AMU COMPLEX ........................................ ........................ 33,000 ∂33,000
TOTAL, CALIFORNIA ......................................................... 345,986 491,286 ∂145,300
COLORADO
AIR FORCE:
SCHRIEVER AFB:
FITNESS CENTER ...................................................................... ........................ 30,000 ∂30,000
US AIR FORCE ACADEMY:
HIGH-BAY VEHICLE MAINTENANCE: UNSPECIFIED MINOR
CONSTRUCTION .................................................................... ........................ 4,360 ∂4,360
NEW CADET PREP SCHOOL DORMITORY .................................. ........................ 24,726 ∂24,726
DEFENSE–WIDE:
BUCKLEY AFB:
JCC EXPANSION ........................................................................ 20,000 20,000 ........................
TOTAL, COLORADO ........................................................... 20,000 79,086 ∂59,086
CONNECTICUT
ARMY NATIONAL GUARD:
PUTNAM:
NATIONAL GUARD READINESS CENTER .................................... 17,500 17,500 ........................
AIR NATIONAL GUARD:
BRADLEY IAP:
COMPOSITE ASE VEHICLE MAINTENANCE FACILITY ................. ........................ 17,000 ∂17,000
TOTAL, CONNECTICUT ...................................................... 17,500 34,500 ∂17,000
DELAWARE
AIR NATIONAL GUARD:
NEW CASTLE COUNTY AIRPORT:
FUEL CELL AND CORROSION CONTROL HANGAR ..................... ........................ 17,500 ∂17,500
TOTAL, DELAWARE ........................................................... ........................ 17,500 ∂17,500
DISTRICT OF COLUMBIA
AIR FORCE:
JB ANACOSTIA BOLLING:
JOINT AIR DEFENSE OPERATIONS CENTER PHASE II ............... 24,000 24,000 ........................
TOTAL, DISTRICT OF COLUMBIA .................................................... 24,000 24,000 ........................
FLORIDA
AIR FORCE RESERVE:
HOMESTEAD AFS:
CORROSION CONTROL FACILITY ............................................... 14,000 14,000 ........................
PATRICK AFB:
SIMULATOR C–130J .................................................................. 18,500 18,500 ........................
TOTAL, FLORIDA ............................................................................ 32,500 32,500 ........................
GEORGIA
ARMY:
FORT GORDON:
CYBER INSTRUCTIONAL FAC (ADMIN/CMD), (INC 2) ................ 69,000 69,000 ........................
CYBER CENTER OF EXCELLENCE SCHOOL HEADQUARTERS
AND CLASSROOMS: PLANNING AND DESIGN ....................... ........................ 3,670 ∂3,670
93
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
FORT STEWART:
BARRACKS: PLANNING AND DESIGN ........................................ ........................ 5,000 ∂5,000
AIR FORCE:
MOODY AFB:
41 RQS HH–60W APRON .......................................................... ........................ 12,500 ∂12,500
DEFENSE-WIDE:
FORT BENNING:
SOF BATTALION HEADQUARTERS FACILITY ............................... 62,000 62,000 ........................
ARMY NATIONAL GUARD:
FORT BENNING:
POST-INITIAL MIL TRAINING UNACCOMP HOUSING .................. 13,200 13,200 ........................
TOTAL, GEORGIA ........................................................................... 144,200 165,370 ∂21,170
HAWAII
ARMY
FORT SHAFTER:
COMMAND AND CONTROL FACILITY: COST TO COMPLETE ....... ........................ 55,500 ∂55,500
WEST LOCH NAV MAG ANNEX:
AMMUNITION STORAGE ............................................................. 51,000 51,000 ........................
NAVY:
MARINE CORPS TRAINING AREA BELLOWS:
PERIMETER SECURITY FENCE: UNSPECIFIED MINOR CON-
STRUCTION ........................................................................... ........................ 6,220 ∂6,220
MCB HAWAII:
ELECTRICAL DISTRIBUTION MODERNIZATION ........................... ........................ 64,500 ∂64,500
AIR FORCE:
KIRTLAND AFB REMOTE MAUI EXPERIMENTAL SITE:
SECURE INTEGRATION SUPPORT LAB: PLANNING AND DESIGN ........................ 8,800 ∂8,800
DEFENSE-WIDE:
HDR-HAWAII:
HOMELAND DEFENSE RADAR: PLANNING AND DESIGN ............ ........................ 19,000 ∂19,000
JOINT BASE PEARL HARBOR–HICKAM:
VETERINARY TREATMENT FACILITY REPLACEMENT .................. 29,800 29,800 ........................
TOTAL, HAWAII .............................................................................. 80,800 234,820 ∂154,020
IDAHO
ARMY NATIONAL GUARD:
JEROME:
NATIONAL GUARD READINESS CENTER .................................... 15,000 15,000 ........................
TOTAL, IDAHO ................................................................................ 15,000 15,000 ........................
ILLINOIS
ARMY NATIONAL GUARD:
BLOOMINGTON:
NATIONAL GUARD VEHICLE MAINTENANCE SHOP .................... 15,000 15,000 ........................
AIR NATIONAL GUARD:
ABRAHAM LINCOLN CAPITAL AIRPORT:
BASE CIVIL ENGINEER COMPLEX ............................................. ........................ 10,200 ∂10,200
TOTAL, ILLINOIS ............................................................................ 15,000 25,200 ∂10,200
KANSAS
ARMY:
FORT LEAVENWORTH:
CHILD DEVELOPMENT CENTER ................................................. ........................ 34,000 ∂34,000
ARMY NATIONAL GUARD:
TOPEKA:
NATIONAL GUARD/RESERVE CENTER BUILDING ....................... 16,732 16,732 ........................
94
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
NATIONAL GUARD/RESERVE CENTER BUILDING SCIF: PLAN-
NING AND DESIGN ............................................................... ........................ 420 ∂420
TOTAL, KANSAS ................................................................ 16,732 51,152 ∂34,420
LOUISIANA
ARMY:
FORT POLK:
JOINT OPERATIONS CENTER ..................................................... 55,000 55,000 ........................
AIR FORCE:
BARKSDALE AFB:
WEAPONS GENERATION FACILITY, (INC1) ................................. 40,000 40,000 ........................
ENTRANCE ROAD AND GATE: COST TO COMPLETE .................. ........................ 36,000 ∂36,000
ARMY NATIONAL GUARD:
LAKE CHARLES:
NATIONAL GUARD READINESS CENTER .................................... 18,500 18,500 ........................
TOTAL, LOUISIANA ......................................................................... 113,500 149,500 ∂36,000
MAINE
NAVY:
NSA CUTLER:
FIREHOUSE: PLANNING AND DESIGN ............................... ........................ 2,500 ∂2,500
KITTERY:
MULTI-MISSION DRYDOCK #1 EXTENSION (INC 2) .................. 250,000 250,000 ........................
ARMY NATIONAL GUARD:
SACO:
NATIONAL GUARD VEHICLE MAINTENANCE SHOP .................... 21,200 21,200 ........................
TOTAL, MAINE .................................................................. 271,200 273,700 ∂2,500
MARYLAND
ARMY:
FORT MEADE:
BARRACKS ................................................................................ 81,000 81,000 ........................
AIR FORCE:
JOINT BASE ANDREWS:
FIRE CRASH RESCUE STATION ................................................. 26,000 26,000 ........................
DEFENSE-WIDE:
BETHESDA NAVAL HOSPITAL:
MEDCEN ADDITION/ALTERATION, (INC 5) ................................. 153,233 153,233 ........................
FORT MEADE:
NSAW RECAP BUILDNG 4, (INC 1) ........................................... 104,100 104,100 ........................
NSAW MISSION OPS AND RECORDS CENTER (INC 1) .............. 94,000 94,000 ........................
SOF OPERATIONS FACILITY ....................................................... 100,000 100,000 ........................
TOTAL, MARYLAND ........................................................... 558,333 558,333 ........................
MASSACHUSETTS
AIR FORCE:
HANSCOM AFB:
NC3 ACQUISITIONS MANAGEMENT FACILITY ............................ 66,000 66,000 ........................
AIR NATIONAL GUARD:
BARNES MAP:
COMBINED ENGINE/ASE/NDI SHOP ........................................... 12,200 12,200 ........................
TOTAL, MASSACHUSETTS ................................................. 78,200 78,200 ........................
95
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
MICHIGAN
ARMY RESERVE:
SOUTHFIELD:
AREA MAINTENANCE SUPPORT ACTIVITY ................................. 12,000 12,000 ........................
NAVY RESERVE:
BATTLE CREEK:
RESERVE CENTER & VEHICLE MAINTENANCE FACILITY ........... 49,090 49,090 ........................
AIR NATIONAL GUARD:
ALPENA COUNTY REGIONAL AIRPORT:
AIRCRAFT MAINTENANCE HANGAR/SHOPS ............................... 23,000 23,000 ........................
WK KELLOG REGIONAL AIRPORT:
CONSTRUCT MAIN BASE ENTRANCE ........................................ 10,000 10,000 ........................
TOTAL, MICHIGAN ............................................................ 94,090 94,090 ........................
MINNESOTA
NAVY RESERVE:
MINNEAPOLIS:
JOINT RESERVE INTELLIGENCE CENTER ................................... 14,350 14,350 ........................
AIR FORCE RESERVE:
MINNEAPOLIS-ST PAUL IAP:
MISSION SUPPORT GROUP FACILITY ........................................ 14,000 14,000 ........................
TOTAL, MINNESOTA .......................................................... 28,350 28,350 ........................
MISSISSIPPI
DEFENSE-WIDE:
CAMP SHELBY:
10 MW GENERATION PLANT AND FEEDER LEVEL MICROGRID
SYSTEM ................................................................................ ........................ 34,500 ∂34,500
ELECTRICAL DISTRIBUTION INFRASTRUCTURE UNDER-
GROUNDING HARDENING PROJECT ...................................... ........................ 11,155 ∂11,155
ARMY NATIONAL GUARD:
CAMP SHELBY:
MANEUVER AREA TRAINING EQUIPMENT SITE ......................... ........................ 15,500 ∂15,500
AIR NATIONAL GUARD:
JACKSON IAP:
FIRE CRASH AND RESCUE STATION ......................................... 9,300 9,300 ........................
TOTAL, MISSISSIPPI ......................................................... 9,300 70,455 ∂61,155
MISSOURI
ARMY:
FORT LEONARD WOOD:
ADVANCED INDIVIDUAL TRAINING BATTALION COMPLEX:
PLANNING AND DESIGN ....................................................... ........................ 4,000 ∂4,000
DEFENSE-WIDE:
FORT LEONARD WOOD:
HOSPITAL REPLACEMENT (INC 4) ............................................ 160,000 160,000 ........................
ARMY NATIONAL GUARD:
AVIATION CLASSIFICATION REPAIR ACTIVITY DEPOT:
AVCRAD AIRCRAFT MAINTENANCE HANGAR ADDITION: PLAN-
NING AND DESIGN ............................................................... ........................ 3,800 ∂3,800
TOTAL, MISSOURI ............................................................ 160,000 167,800 ∂7,800
96
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
MONTANA
ARMY NATIONAL GUARD:
BUTTE:
NATIONAL GUARD READINESS CENTER ........................... 16,000 16,000 ........................
TOTAL, MONTANA .......................................................................... 16,000 16,000 ........................
NEVADA
NAVY:
FALLON:
TRAINING RANGE LAND ACQUISITION—PHASE 2 .................... 48,250 ........................ ¥48,250
AIR FORCE:
CREECH AFB:
MISSION SUPPORT FACILITY: PLANNING AND DESIGN ............. ........................ 1,900 ∂1,900
WARRIOR FITNESS TRAINING CENTER: PLANNING AND DESIGN ........................ 2,200 ∂2,200
TOTAL, NEVADA ............................................................... 48,250 4,100 ¥44,150
NEW MEXICO
ARMY:
WHITE SANDS MISSILE RANGE:
MISSILE ASSEMBLY SUPPORT FACILITY: PLANNING AND DE-
SIGN ..................................................................................... ........................ 1,300 ∂1,300
AIR FORCE:
CANNON AFB:
192–BED DORMITORY: PLANNING AND DESIGN ...................... ........................ 5,568 ∂5,568
DEPLOYMENT PROCESSING CENTER: PLANNING AND DESIGN ........................ 5,976 ∂5,976
HOLLOMAN AFB:
INDOOR TARGET FLIP FACILITY: PLANNING AND DESIGN ......... ........................ 2,340 ∂2,340
MQ–9 FORMAL TRAINING UNIT OPERATIONS FACILITY ............ ........................ 40,000 ∂40,000
KIRTLAND AFB:
DEDICATED FACILITY FOR THE SPACE RAPID CAPABILITIES
OFFICE: PLANNING AND DESIGN .......................................... ........................ 5,280 ∂5,280
PJ/CRO URBAN TRAINING COMPLEX: PLANNING AND DESIGN ........................ 810 ∂810
WYOMING GATE PROJECT: COST TO COMPLETE ...................... ........................ 5,600 ∂5,600
DEFENSE-WIDE:
KIRTLAND AFB:
ENVIRONMENTAL HEALTH FACILITY REPLACEMENT ................. 8,600 8,600 ........................
TOTAL, NEW MEXICO ....................................................... 8,600 75,474 ∂66,874
NEW YORK
ARMY:
FORT HAMILTON:
INFORMATION SYSTEMS FACILITY ............................................ 26,000 26,000 ........................
WATERVLIET ARSENAL:
ACCESS CONTROL POINT ......................................................... 20,000 20,000 ........................
US MILITARY ACADEMY:
ENGINEERING CENTER: COST TO COMPLETE ........................... ........................ 17,200 ∂17,200
DEFENSE-WIDE:
FORT DRUM:
WELLFIELD EXPANSION RESILIENCE PROJECT ......................... ........................ 25,300 ∂25,300
AIR NATIONAL GUARD:
GABRESKI ANGB:
BASE CIVIL ENGINEER COMPLEX ............................................. ........................ 14,800 ∂14,800
SCHENECTADY MUNICIPAL AIRPORT:
C–130 FLIGHT SIMULATOR FACILITY ........................................ 10,800 10,800 ........................
97
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
AIR FORCE RESERVE:
NIAGARA FALLS IAP:
MAIN GATE ............................................................................... 10,600 10,600 ........................
TOTAL, NEW YORK ........................................................... 67,400 124,700 ∂57,300
NORTH CAROLINA
NAVY:
CAMP LEJEUNE:
II MEF OPERATIONS CENTER REPLACEMENT (INC 2) .............. 42,200 42,200 ........................
WATER TREATMENT PLANT REPLACEMENT HADNOT POINT:
COST TO COMPLETE ............................................................ ........................ 64,200 ∂64,200
MCAS CHERRY POINT:
AIRCRAFT MAINTENANCE HANGAR ........................................... 207,897 97,897 ¥110,000
ATC TOWER AND AIRFIELD OPERATIONS: COST TO COMPLETE ........................ 18,700 ∂18,700
F–35 FLIGHTLINE UTILITES MODERNIZATION PH 2 .................. 113,520 57,520 ¥56,000
F–35 JOINT STRIKE FIGHTER SUSTAINMENT CENTER: PLAN-
NING AND DESIGN ............................................................... ........................ 9,300 ∂9,300
MCAS NEW RIVER:
MAINTENANCE HANGAR: PLANNING AND DESIGN .................... ........................ 13,300 ∂13,300
ARMY NATIONAL GUARD:
SALISBURY:
AIRCRAFT MAINTENANCE HANGAR ADDITION/ALTERATION:
PLANNING AND DESIGN ....................................................... ........................ 2,700 ∂2,700
TOTAL, NORTH CAROLINA ................................................ 363,617 305,817 ¥57,800
NORTH DAKOTA
ARMY NATIONAL GUARD:
DICKINSON:
NATIONAL GUARD READINESS CENTER .................................... 15,500 15,500 ........................
TOTAL, NORTH DAKOTA ................................................... 15,500 15,500 ........................
OHIO
AIR FORCE:
WRIGHT-PATTERSON AFB:
CHILD DEVELOPMENT CENTER ................................................. ........................ 24,000 ∂24,000
ARMY RESERVE:
WRIGHT-PATTERSON AFB:
AR CENTER TRAINING BUILDING/UHS ...................................... 19,000 19,000 ........................
AIR NATIONAL GUARD:
CAMP PERRY:
RED HORSE LOGISTICS COMPLEX ............................................ 7,800 7,800 ........................
TOTAL, OHIO .................................................................................. 26,800 50,800 ∂24,000
OKLAHOMA
AIR FORCE:
TINKER AFB:
KC–46A 3–BAY DEPOT MAINTENANCE HANGAR ...................... 160,000 80,000 ¥80,000
TOTAL, OKLAHOMA ........................................................... 160,000 80,000 ¥80,000
PENNSYLVANIA
ARMY:
LETTERKENNY ARMY DEPOT:
FIRE STATION ........................................................................... 21,000 21,000 ........................
TOTAL, PENNSYLVANIA .................................................... 21,000 21,000 ........................
98
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
RHODE ISLAND
NAVY:
NEWPORT:
CONSOLIDATED RDT&E SYSTEMS FACILITY: PLANNING AND
DESIGN ................................................................................. ........................ 1,700 ∂1,700
NEXT GENERATION SECURE SUBMARINE PLATFORM FACILITY:
PLANNING AND DESIGN ....................................................... ........................ 4,000 ∂4,000
NEXT GENERATION TORPEDO INTEGRATION LAB: PLANNING
AND DESIGN ......................................................................... ........................ 1,200 ∂1,200
SUBMARINE PAYLOADS INTEGRATION LABORATORY: PLAN-
NING AND DESIGN ............................................................... ........................ 1,400 ∂1,400
TOTAL, RHODE ISLAND .................................................... ........................ 8,300 ∂8,300
SOUTH CAROLINA
ARMY:
FORT JACKSON:
RECEPTION BARRACKS COMPLEX, PH1: COST TO COMPLETE ........................ 21,000 ∂21,000
RECEPTION BARRACKS COMPLEX, PH2, (INC 2) ............ 34,000 34,000 ........................
NAVY:
MCAS BEAUFORT:
AIRCRAFT MAINTENANCE HANGAR ........................................... ........................ 121,825 ∂121,825
F–35 OPERATIONAL SUPPORT FACILITY: UNSPECIFIED MINOR
CONSTRUCTION .................................................................... ........................ 4,700 ∂4,700
INSTRUMENT LANDING SYSTEM: UNSPECIFIED MINOR CON-
STRUCTION ........................................................................... ........................ 3,000 ∂3,000
RECYCLING/HAZARDOUS WASTE FACILITY: COST TO COM-
PLETE ................................................................................... ........................ 5,000 ∂5,000
MCRD PARRIS ISLAND:
ENTRY CONTROL FACILITY IMPROVEMENTS: UNSPECIFIED
MINOR CONSTRUCTION ........................................................ ........................ 6,000 ∂6,000
AIR FORCE:
JB CHARLESTON:
FIRE AND RESCUE STATION ..................................................... ........................ 30,000 ∂30,000
FLIGHT LINE SUPPORT FACILITY ............................................... ........................ 29,000 ∂29,000
AIR NATIONAL GUARD:
MCENTIRE ANGS:
F–16 MISSION TRAINING CENTER ............................................ 9,800 9,800 ........................
HAZARDOUS CARGO PAD ......................................................... ........................ 9,000 ∂9,000
TOTAL, SOUTH CAROLINA ................................................ 43,800 273,325 ∂229,525
SOUTH DAKOTA
AIR FORCE:
ELLSWORTH AFB:
B–21 2–BAY LO RESTORATION FACILITY, (INC 2) ................... 91,000 91,000 ........................
B–21 ADAL FLIGHT SIMULATOR ............................................... 24,000 24,000 ........................
B–21 FIELD TRAINING DETACHMENT FACILITY ........................ 47,000 47,000 ........................
B–21 FORMAL TRAINING UNIT/AMU ......................................... 70,000 70,000 ........................
B–21 MISSION OPERATIONS PLANNING FACILITY .................... 36,000 36,000 ........................
B–21 WASHRACK & MAINTENANCE HANGAR ........................... 65,000 65,000 ........................
AIR NATIONAL GUARD:
JOE FOSS FIELD:
F–16 MISSION TRAINING CENTER ............................................ 9,800 9,800 ........................
TOTAL, SOUTH DAKOTA .................................................... 342,800 342,800 ........................
99
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
TEXAS
AIR FORCE:
JOINT BASE SAN ANTONIO:
BMT RECRUIT DORMITORY 7 ................................................... 141,000 100,000 ¥41,000
BMT RECRUIT DORMITORY 8 (INC 3) ...................................... 31,000 31,000 ........................
SHEPPARD AFB:
CHILD DEVELOPMENT CENTER ................................................. 20,000 20,000 ........................
DEFENSE-WIDE:
JOINT BASE SAN ANTONIO:
AMBULATORY CARE CENTER PHASE 4 .................................... 35,000 35,000 ........................
TOTAL, TEXAS .................................................................. 227,000 186,000 ¥41,000
UTAH
AIR FORCE:
HILL AFB:
GBSD ORGANIC SOFTWARE SUSTAIN CENTER (INC 2) ............ 31,000 31,000 ........................
TOTAL, UTAH .................................................................... 31,000 31,000 ........................
VERMONT
ARMY NATIONAL GUARD:
BENNINGTON:
READINESS CENTER ................................................................. ........................ 16,900 ∂16,900
ETHAN ALLEN AFB:
FAMILY READINESS CENTER: UNSPECIFIED MINOR CON-
STRUCTION ........................................................................... ........................ 4,665 ∂4,665
TOTAL, VERMONT ............................................................. ........................ 21,565 ∂21,565
VIRGINIA
NAVY:
NORFOLK:
SUBMARINE PIER 3 (INC 2) ..................................................... 88,923 88,923 ........................
PORTSMOUTH:
DRY DOCK SALTWATER SYSTEM FOR CVN–78 ........................ 156,380 56,380 ¥100,000
QUANTICO:
VEHICLE INSPECTION AND VISITOR CONTROL CENTER ........... 42,850 42,850 ........................
WARGAMING CENTER (INC 2) .................................................. 30,500 30,500 ........................
DEFENSE-WIDE:
FORT BELVOIR:
VETERINARY TREATMENT FACILITY REPLACEMENT .................. 29,800 29,800 ........................
PENTAGON:
CONSOLIDATED MAINTENANCE COMPLEX (RRMC) ................... 20,000 20,000 ........................
FORCE PROTECTION PERIMETER ENHANCEMENTS .................. 8,608 8,608 ........................
PUBLIC WORKS SUPPORT FACILITY .......................................... 21,935 21,935 ........................
ARMY NATIONAL GUARD:
SANDSTON:
AIRCRAFT MAINTENANCE HANGAR: PLANNING AND DESIGN .... ........................ 5,805 ∂5,805
TROUTVILLE
COMBINED SUPPORT MAINTENANCE SHOP ADDITION .............. 6,900 6,900 ........................
NATIONAL GUARD READINESS CENTER ADDITION .................... 6,100 6,100 ........................
TOTAL, VIRGINIA .............................................................. 411,996 317,801 ¥94,195
WASHINGTON
DEFENSE-WIDE:
OAK HARBOR:
ACC/DENTAL CLINIC ................................................................. 59,000 59,000 ........................
100
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
AIR NATIONAL GUARD:
CAMP MURRAY ANGS:
AIR SUPPORT OPERATIONS GROUP COMPLEX ......................... ........................ 27,000 ∂27,000
TOTAL, WASHINGTON ....................................................... 59,000 86,000 ∂27,000
WISCONSIN
ARMY RESERVE:
FORT MCCOY:
TRANSIENT TRAINING BN HQ ................................................... 12,200 12,200 ........................
TRANSIENT TRAINING ENLISTED BARRACKS ............................ ........................ 29,200 ∂29,200
AIR NATIONAL GUARD:
TRUAX FIELD:
F–35 3–BAY SPECIALIZED HANGAR ......................................... 31,000 31,000 ........................
MEDICAL READINESS FACILITY: ................................................ 13,200 13,200 ........................
VOLK COMBAT READINESS TRAINING CENTER:
REPLACE AIRCRAFT MAINTENANCE HANGAR/SHOPS: PLAN-
NING AND DESIGN ............................................................... ........................ 2,280 ∂2,280
TOTAL, WISCONSIN .......................................................... 56,400 87,880 ∂31,480
WYOMING
AIR NATIONAL GUARD:
CHEYENNE MAP:
COMBINED VEHICLE MAINTENANCE & ASE COMPLEX ............. 13,400 13,400 ........................
TOTAL, WYOMING ............................................................. 13,400 13,400 ........................
AUSTRALIA
AIR FORCE:
DARWIN:
SQUADRON OPERATIONS FACILITY ........................................... 7,400 7,400 ........................
TINDAL:
AIRCRAFT MAINTENANCE SUPPORT FACILITY ........................... 6,200 6,200 ........................
SQUADRON OPERATIONS FACILITY ........................................... 8,200 8,200 ........................
TOTAL, AUSTRALIA ........................................................... 21,800 21,800 ........................
BELGIUM
ARMY:
SHAPE HQ:
COMMAND AND CONTROL FACILITY ......................................... 16,000 16,000 ........................
DEFENSE-WIDE:
CHIEVRES AB:
EUROPE WEST DISTRICT SUPERINTENDENT’S OFFICE ............. 15,000 15,000 ........................
TOTAL, BELGIUM .............................................................. 31,000 31,000 ........................
GERMANY
ARMY:
EAST CAMP GRAFENWOEHR:
EDI: BARRACKS AND DINING FACILITY ..................................... 103,000 103,000 ........................
SMITH BARRACKS:
INDOOR SMALL ARMS RANGE .................................................. 17,500 17,500 ........................
LIVE FIRE EXERCISE SHOOTHOUSE .......................................... 16,000 16,000 ........................
AIR FORCE:
SPANGDAHLEM AB:
F/A–22 LO/COMPOSITE REPAIR FACILITY ................................. 22,625 22,625 ........................
101
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
DEFENSE-WIDE:
RAMSTEIN AB:
RAMSTEIN MIDDLE SCHOOL ..................................................... 93,000 93,000 ........................
TOTAL, GERMANY ............................................................ 252,125 252,125 ........................
GREECE
NAVY:
SOUDA BAY:
EDI: JOINT MOBILITY PROCESSING CENTER ............................. 41,650 41,650 ........................
TOTAL, GREECE ............................................................... 41,650 41,650 ........................
GUAM
NAVY:
ANDERSEN AFB:
AVIATION ADMIN BUILDING ...................................................... 50,890 50,890 ........................
JOINT REGION MARIANAS:
BACHELOR ENLISTED QUARTERS H (INC 2) ............................ 43,200 43,200 ........................
4TH MARINES REGIMENT FACILITIES ....................................... 109,507 78,507 ¥31,000
COMBAT LOGISTICS BATALLION–4 FACILITY ............................ 92,710 92,710 ........................
CONSOLIDATED ARMORY .......................................................... 43,470 43,470 ........................
INFANTRY BATTALION COMPANY HQ ........................................ 44,100 44,100 ........................
MARINE EXPEDITIONARY BRIGADE ENABLERS ......................... 66,830 66,830 ........................
PRINCIPAL END ITEM (PEI) WAREHOUSE ................................. 47,110 47,110 ........................
X–RAY WHARF BERTH 2 .......................................................... 103,800 63,800 ¥40,000
JOINT COMMUNICATION UPGRADE (INC 2) .............................. 84,000 84,000 ........................
AIR FORCE:
JOINT REGION MARIANAS:
AIRFIELD DAMAGE REPAIR WAREHOUSE .................................. 30,000 30,000 ........................
HAYMAN MUNITIONS STORAGE IGLOOS, MSA2 ........................ 9,824 9,824 ........................
MUNITIONS STORAGE IGLOOS IV .............................................. 55,000 55,000 ........................
ARMY NATIONAL GUARD:
BARRIGADA:
NATIONAL GUARD READINESS CENTER ADDITION .................... 34,000 34,000 ........................
TOTAL, GUAM ................................................................... 814,441 743,441 ¥71,000
HUNGARY
AIR FORCE:
KECSKEMET AIR BASE:
ERI: CONSTRUCT PARALLEL TAXIWAY ...................................... 38,650 38,650 ........................
ERI: CONSTRUCT AIRFIELD UPGRADES .................................... 20,564 20,564 ........................
TOTAL, HUNGARY ............................................................. 59,214 59,214 ........................
JAPAN
NAVY:
YOKOSUKA:
PIER 5 (BERTHS 2 AND 3) (INC 3) .......................................... 15,292 15,292 ........................
SHIP HANDLING & COMBAT TRAINING FACILITIES ................... 49,900 49,900 ........................
AIR FORCE:
KADENA AIR BASE:
AIRFIELD DAMAGE REPAIR FACILITY ........................................ 38,000 38,000 ........................
HELICOPTER RESCUE OPS MAINTENANCE HANGAR ................. 168,000 68,000 ¥100,000
REPLACE MUNITIONS STRUCTURES ......................................... 26,100 26,100 ........................
MISAWA AIR BASE:
AIRFIELD DAMAGE REPAIR FACILITY ........................................ 25,000 25,000 ........................
YOKOTA AB:
CONSTRUCT CATM FACILITY ..................................................... 25,000 25,000 ........................
C–130J CORROSION CONTROL HANGAR .................................. 67,000 67,000 ........................
102
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
DEFENSE-WIDE:
IWAKUNI:
FUEL PIER ................................................................................ 57,700 57,700 ........................
KADENA AIR BASE:
TRUCK UNLOAD FACILITIES ...................................................... 22,300 22,300 ........................
OPERATIONS SUPPORT FACILITY .............................................. 24,000 24,000 ........................
MISAWA AIR BASE:
ADDITIVE INJECTION PUMP AND STORAGE SYSTEM ................. 6,000 6,000 ........................
YOKOTA AB:
HANGAR/AMU ............................................................................ 108,253 50,253 ¥58,000
TOTAL, JAPAN .................................................................. 632,545 474,545 ¥158,000
PUERTO RICO
DEFENSE-WIDE:
PUNTA BORINQUEN:
RAMEY UNIT SCHOOL REPLACEMENT ...................................... 84,000 84,000 ........................
TOTAL, PUERTO RICO ...................................................... 84,000 84,000 ........................
SPAIN
AIR FORCE:
MORON:
EDI: HOT CARGO PAD ............................................................... 8,542 8,542 ........................
TOTAL, SPAIN ................................................................... 8,542 8,542 ........................
UNITED KINGDOM
AIR FORCE:
RAF FAIRFORD:
EDI: CONSTRUCT DABS–FEV STORAGE .................................... 94,000 50,000 ¥44,000
RAF LAKENHEATH:
F–35A MUNITION INSPECTION FACILITY ................................... 31,000 31,000 ........................
F–35A WEAPONS LOAD TRAINING FACILITY ............................. 49,000 49,000 ........................
DEFENSE-WIDE:
RAF LAKENHEATH:
HOSPITAL REPLACEMENT–TEMPORARY FACILITIES .................. 19,283 19,283 ........................
MENWITH HILL STATION:
RAFMH MAIN GATE REHABILITATION ........................................ 20,000 20,000 ........................
TOTAL, UNITED KINGDOM ................................................ 213,283 169,283 ¥44,000
WORLDWIDE CLASSIFED
ARMY:
FORWARD OPERATING SITE ............................................................... 31,000 31,000 ........................
TOTAL, WORLDWIDE CLASSIFIED .............................................. 31,000 31,000 ........................
NATO SECURITY INVESTMENT PROGRAM ................................................... 205,853 205,853 ........................
WORLDWIDE UNSPECIFIED
ARMY:
HOST NATION SUPPORT ..................................................................... 27,000 27,000 ........................
PLANNING AND DESIGN ..................................................................... 124,649 124,649 ........................
MINOR CONSTRUCTION ..................................................................... 35,543 45,543 ∂10,000
CDS: PLANNING AND DESIGN / UMC ................................................ ........................ (19,370) (∂19,370)
SUBTOTAL, ARMY ..................................................................... 187,192 197,192 ∂10,000
NAVY:
PLANNING AND DESIGN ..................................................................... 363,252 363,252 ........................
MINOR CONSTRUCTION ..................................................................... 56,435 56,435 ........................
103
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
CDS: PLANNING AND DESIGN / UMC ................................................ ........................ (53,320) (∂53,320)
SUBTOTAL, NAVY ...................................................................... 419,687 419,687 ........................
AIR FORCE
PLANNING AND DESIGN ..................................................................... 229,301 229,301 ........................
MINOR CONSTRUCTION ..................................................................... 58,884 58,884 ........................
CDS: PLANNING AND DESIGN / UMC ................................................ ........................ (37,234) (∂37,234)
SUBTOTAL, AIR FORCE ............................................................. 288,185 288,185 ........................
DEFENSE-WIDE:
ENERGY RESILIENCE AND CONSERVATION INVESTMENT PROGRAM
(ERCIP) ......................................................................................... 246,600 293,700 ∂47,100
CDS: ERCIP / PLANNING AND DESIGN .............................................. ........................ (70,955) (∂70,955)
PLANNING AND DESIGN:
DEFENSE-WIDE ......................................................................... 14,194 53,448 ∂39,254
DEFENSE–WIDE ERCIP ............................................................. 40,150 47,215 ∂7,065
DEFENSE INTELLIGENCE AGENCY ............................................. 11,000 11,000 ........................
DEFENSE LOGISTICS AGENCY ................................................... 20,862 20,862 ........................
DEFENSE HEALTH AGENCY ....................................................... 35,099 35,099 ........................
DEPARTMENT OF DEFENSE EDUCATION AGENCY ..................... 13,317 13,317 ........................
NATIONAL SECURITY AGENCY .................................................. 83,840 83,840 ........................
SPECIAL OPERATIONS COMMAND ............................................. 20,576 20,576 ........................
THE JOINT STAFF ...................................................................... 2,000 2,000 ........................
WASHINGTON HEADQUARTERS SERVICES ................................ 5,275 5,275 ........................
INDOPACOM .............................................................................. ........................ ........................ ........................
CDS: PLANNING AND DESIGN/UMC ................................................... ........................ (19,000) (∂19,000)
SUBTOTAL, DEFENSE–WIDE ...................................................... 492,913 586,332 ∂93,419
UNSPECIFIED MINOR CONSTRUCTION
DEFENSE-WIDE:
DEFENSE-WIDE .................................................................................. 3,000 3,000 ........................
DEFENSE LOGISTICS AGENCY ............................................................ 6,668 6,668 ........................
DEPARTMENT OF DEFENSE EDUCATION AGENCY .............................. 8,000 8,000 ........................
MISSILE DEFENSE AGENCY ............................................................... 4,435 4,435 ........................
NATIONAL SECURITY AGENCY ........................................................... 12,000 12,000 ........................
SPECIAL OPERATIONS COMMAND ...................................................... 21,746 21,746 ........................
THE JOINT STAFF ............................................................................... 5,615 5,615 ........................
SUBTOTAL, UNSPECIFIED MINOR CONSTRUCTION .................... 61,464 61,464 ........................
ARMY NATIONAL GUARD:
PLANNING AND DESIGN ..................................................................... 22,000 25,000 ∂3,000
MINOR CONSTRUCTION ..................................................................... 39,471 45,471 ∂6,000
CDS: PLANNING AND DESIGN/UMC ................................................... ........................ (17,390) (∂17,390)
AIR NATIONAL GUARD:
PLANNING AND DESIGN ..................................................................... 18,402 21,402 ∂3,000
MINOR CONSTRUCTION ..................................................................... 29,068 29,068 ........................
CDS: PLANNING AND DESIGN ............................................................ ........................ (2,280) (∂2,280)
ARMY RESERVE:
PLANNING AND DESIGN ..................................................................... 7,167 7,167 ........................
MINOR CONSTRUCTION ..................................................................... 14,544 14,544 ........................
NAVY RESERVE:
PLANNING AND DESIGN ..................................................................... 6,005 6,005 ........................
MINOR CONSTRUCTION ..................................................................... 2,359 2,359 ........................
AIR FORCE RESERVE:
PLANNING AND DESIGN ..................................................................... 5,830 5,830 ........................
MINOR CONSTRUCTION ..................................................................... 15,444 15,444 ........................
SUBTOTAL, WORLDWIDE UNSPECIFIED ..................................... 2,131,223 2,296,642 ∂165,419
104
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
FAMILY HOUSING, ARMY
ITALY:
VICENZA:
FAMILY HOUSING NEW CONSTRUCTION ................................... 92,304 92,304 ........................
PLANNING AND DESIGN .............................................................................. 7,545 7,545 ........................
SUBTOTAL, CONSTRUCTION ...................................................... 99,849 99,849 ........................
OPERATION AND MAINTENANCE:
UTILITIES ACCOUNT ........................................................................... 43,772 43,772 ........................
SERVICES ACCOUNT .......................................................................... 8,277 8,277 ........................
MANAGEMENT ACCOUNT ................................................................... 42,850 42,850 ........................
MISCELLANEOUS ACCOUNT ............................................................... 556 556 ........................
FURNISHINGS ACCOUNT .................................................................... 18,077 18,077 ........................
LEASING ............................................................................................. 128,110 128,110 ........................
MAINTENANCE OF REAL PROPERTY .................................................. 111,181 111,181 ........................
PRIVATIZATION SUPPORT COSTS ....................................................... 38,404 38,404 ........................
SUBTOTAL, OPERATIONS AND MAINTENANCE ........................... 391,227 391,227 ........................
FAMILY HOUSING, NAVY AND MARINE CORPS
JAPAN
YOKOSUKA:
CONSTRUCTION IMPROVEMENTS .............................................. 61,469 61,469 ........................
WASHINGTON, DC:
MARINE BARRACKS:
WHOLE HOUSE REVITALIZATION QUARTERS #6 ....................... 10,415 10,415 ........................
PLANNING AND DESIGN .............................................................................. 3,634 3,634 ........................
PLANNING AND DESIGN FOR USMC/DPRI ................................................... 2,098 2,098 ........................
SUBTOTAL, CONSTRUCTION ...................................................... 77,616 77,616 ........................
OPERATION AND MAINTENANCE:
UTILITIES ACCOUNT ........................................................................... 56,271 56,271 ........................
SERVICES ACCOUNT .......................................................................... 17,637 17,637 ........................
MANAGEMENT ACCOUNT ................................................................... 54,083 54,083 ........................
MISCELLANEOUS ACCOUNT ............................................................... 285 285 ........................
FURNISHINGS ACCOUNT .................................................................... 16,537 16,537 ........................
LEASING ............................................................................................. 62,567 62,567 ........................
MAINTENANCE OF REAL PROPERTY .................................................. 95,417 95,417 ........................
PRIVATIZATION SUPPORT COSTS ....................................................... 54,544 54,544 ........................
SUBTOTAL, OPERATION AND MAINTENANCE ............................. 357,341 357,341 ........................
FAMILY HOUSING, AIR FORCE
JAPAN:
YOKOTA AB:
CONSTRUCTION IMPROVEMENTS (45 UNITS) ........................... 49,258 49,258 ........................
WARNER ROBBINS AFB:
MHPI PROJECT RESTRUCTURE ................................................. 6,000 6,000 ........................
OFFUTT AFB:
MHPI PROJECT RESTRUCTURE ................................................. 50,000 50,000 ........................
PLANNING AND DESIGN .............................................................................. 10,458 10,458 ........................
SUBTOTAL, CONSTRUCTION ...................................................... 115,716 115,716 ........................
OPERATION AND MAINTENANCE:
UTILITIES ACCOUNT ........................................................................... 43,668 43,668 ........................
MANAGEMENT ACCOUNT ................................................................... 70,062 70,062 ........................
SERVICES ACCOUNT .......................................................................... 8,124 8,124 ........................
FURNISHINGS ACCOUNT .................................................................... 26,842 26,842 ........................
MISCELLANEOUS ACCOUNT ............................................................... 2,200 2,200 ........................
LEASING ............................................................................................. 9,520 9,520 ........................
105
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
MAINTENANCE OF REAL PROPERTY .................................................. 141,754 141,754 ........................
PRIVATIZATION SUPPORT COSTS ....................................................... 23,275 23,275 ........................
SUBTOTAL, OPERATION AND MAINTENANCE ............................. 325,445 325,445 ........................
FAMILY HOUSING, DEFENSE-WIDE
OPERATION AND MAINTENANCE:
NATIONAL SECURITY AGENCY:
UTILITIES ACCOUNT .................................................................. 14 14 ........................
FURNISHINGS ACCOUNT ........................................................... 83 83 ........................
LEASING .................................................................................... 13,387 13,387 ........................
MAINTENANCE OF REAL PROPERTY ......................................... 49 49 ........................
DEFENSE INTELLIGENCE AGENCY:
UTILITIES ACCOUNT .................................................................. 4,166 4,166 ........................
FURNISHINGS ACCOUNT ........................................................... 656 656 ........................
LEASING .................................................................................... 31,430 31,430 ........................
SUBTOTAL, OPERATION AND MAINTENANCE ............................. 49,785 49,785 ........................
DOD FAMILY HOUSING IMPROVEMENT FUND ............................................. 6,081 6,081 ........................
DOD MILITARY UNACCOMPANIED HOUSING IMPROVEMENT FUND ............. 494 494 ........................
BASE REALIGNMENT AND CLOSURE
BASE REALIGNMENT AND CLOSURE ACCOUNT .......................................... 284,639 334,639 ∂50,000
TOTAL, BASE REALIGNMENT AND CLOSURE ............................. 284,639 334,639 ∂50,000
ADMINISTRATIVE PROVISIONS
UNFUNDED REQUIREMENTS:
MILITARY CONSTRUCTION, ARMY (Sec 124) .............................................. ........................ 27,000 ∂27,000
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS (Sec 124) ............. ........................ 28,000 ∂28,000
MILITARY CONSTRUCTION, DEFENSE-WIDE (Sec 124) ............................... ........................ 36,100 ∂36,100
MILITARY CONSTRUCTION, ARMY NATIONAL GUARD (Sec 124) ................. ........................ 11,000 ∂11,000
MILITARY CONSTRUCTION, AIR NATIONAL GUARD (Sec 124) .................... ........................ 19,200 ∂19,200
MIR, Army (Sec 133) .................................................................................. ........................ 10,000 ∂10,000
MIR, Navy and Marine Corps (Sec 133) .................................................... ........................ 25,000 ∂25,000
MIR, Air Force (Sec 133) ........................................................................... ........................ 15,000 ∂15,000
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS—SIOP UNSPEC-
IFIED WORLDWIDE (Sec 131) ................................................................. ........................ 225,000 ∂225,000
COST TO COMPLETE PROJECTS—SERVICES:
FAMILY HOUSING CONSTRUCTION, ARMY (Sec 129) ................................. ........................ 17,500 ∂17,500
SUBTOTAL, COST TO COMPLETE PROJECT ............................... ........................ 17,500 ∂17,500
Lab Infrastructure—Army (Sec 130) ......................................................... ........................ 30,000 ∂30,000
Lab Infrastructure—Navy (Sec 130) ......................................................... ........................ 15,000 ∂15,000
Lab Infrastructure—Air Force (Sec 130) .................................................. ........................ 30,000 ∂30,000
Military Construction, Defense–Wide (Sec 132) ........................................ ........................ 153,000 ∂153,000
Military Construction, Defense–Wide rescission (Sec 127) ....................... ........................ (¥131,000) (¥131,000)
ADMINISTRATIVE TOTAL ................................................................ ........................ 510,800 ∂510,800
RECAP
ARMY .......................................................................................................... 834,692 991,762 ∂157,070
NAVY AND MARINE CORPS ......................................................................... 2,368,352 2,452,247 ∂83,895
AIR FORCE .................................................................................................. 2,102,690 2,106,750 ∂4,060
DEFENSE-WIDE ........................................................................................... 1,957,289 2,082,663 ∂125,374
ARMY NATIONAL GUARD ............................................................................. 257,103 315,893 ∂58,790
AIR NATIONAL GUARD ................................................................................ 197,770 298,550 ∂100,780
ARMY RESERVE .......................................................................................... 64,911 94,111 ∂29,200
NAVY RESERVE ........................................................................................... 71,804 71,804 ........................
AIR FORCE RESERVE .................................................................................. 78,374 111,374 ∂33,000
106
MILITARY CONSTRUCTION PROJECT LISTING BY LOCATION—Continued
[In thousands of dollars]
Committee
Budget Committee recommendation
Installation and project estimate recommendation compared to
budget estimate
NATO ........................................................................................................... 205,853 205,853 ........................
DEPARTMENT OF DEFENSE BASE CLOSURE ACCOUNT (BRAC) ................. 284,639 334,639 ∂50,000
FAMILY HOUSING, ARMY ............................................................................ 491,076 491,076 ........................
CONSTRUCTION ................................................................................. (99,849) (99,849) ........................
OPERATION AND MAINTENANCE ........................................................ (391,227) (391,227) ........................
FAMILY HOUSING, NAVY AND MARINE CORPS ........................................... 434,957 434,957 ........................
CONSTRUCTION ................................................................................. (77,616) (77,616) ........................
OPERATION AND MAINTENANCE ........................................................ (357,341) (357,341) ........................
FAMILY HOUSING, AIR FORCE .................................................................... 441,161 441,161 ........................
CONSTRUCTION ................................................................................. (115,716) (115,716) ........................
OPERATION AND MAINTENANCE ........................................................ (325,445) (325,445) ........................
FAMILY HOUSING, DEFENSE-WIDE .............................................................. 49,785 49,785 ........................
CONSTRUCTION ................................................................................. ........................ ........................ ........................
OPERATION AND MAINTENANCE ........................................................ (49,785) (49,785) ........................
DOD FAMILY HOUSING IMPROVEMENT FUND ............................................. 6,081 6,081 ........................
DOD UNACCOMPANIED HOUSING IMPROVEMENT FUND ............................. 494 494 ........................
ADMINISTRATIVE PROVISIONS .................................................................... ........................ 641,800 ∂641,800
RESCISSION ....................................................................................... ........................ ¥131,000 ¥131,000
GRAND TOTAL ........................................................................... 9,847,031 11,000,000 ∂1,152,969
DISCLOSURE OF CONGRESSIONALLY DIRECTED SPENDING
ITEMS
The Constitution vests in the Congress the power of the purse.
The Committee believes strongly that Congress should make the
decisions on how to allocate the people’s money.
As defined in Rule XLIV of the Standing Rules of the Senate, the
term ‘‘congressionally directed spending item’’ means a provision or
report language included primarily at the request of a Senator, pro-
viding, authorizing, or recommending a specific amount of discre-
tionary budget authority, credit authority, or other spending au-
thority 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 statu-
tory or administrative, formula-driven, or competitive award proc-
ess.
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 in-
cluded 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 lim-
ited tax benefits or limited tariff benefits as defined in rule XLIV.
CONGRESSIONALLY DIRECTED SPENDING ITEMS
[In thousands of dollars]
Account Project Funding Requestor(s)
Air Force: U.S. Air Force Academy .................................... Colorado: High-Bay Vehicle Maintenance: Unspecified Minor Construction ......................................... 4,360 Bennet
Air Force: U.S. Air Force Academy .................................... Colorado: New Cadet Prep School Dormitory ......................................................................................... 24,726 Hickenlooper
Air Force: Schriever AFB .................................................... Colorado: Fitness Center ........................................................................................................................ 30,000 Bennet
Air Force: Moody AFB ........................................................ Georgia: 41 RQS HH–60W Apron ........................................................................................................... 12,500 Ossoff, Warnock
Air Force: Kirtland AFB Remote Maui Experimental Site .. Hawaii: Secure Integration Support Lab: Planning and Design ........................................................... 8,800 Hirono, Schatz
Air Force: Barksdale AFB .................................................. Louisiana: Entrance Road and Gate: Cost to Complete ....................................................................... 36,000 Cassidy
Air Force: Creech AFB ....................................................... Nevada: Mission Support Facility: Planning and Design ...................................................................... 1,900 Cortez Masto, Rosen
Air Force: Creech AFB ....................................................... Nevada: Warrior Fitness Training Center: Planning and Design .......................................................... 2,200 Cortez Masto, Rosen
Air Force: Kirtland AFB ...................................................... New Mexico: Wyoming Gate Project: Cost to Complete ......................................................................... 5,600 Heinrich, Lujan
Air Force: Kirtland AFB ...................................................... New Mexico: PJ/CRO Urban Training Complex: Planning and Design .................................................. 810 Heinrich, Lujan
Air Force: Holloman AFB ................................................... New Mexico: Indoor Target Flip Facility: Planning and Design ............................................................. 2,340 Heinrich, Lujan
Air Force: Kirtland AFB ...................................................... New Mexico: Dedicated Facility for the Space Rapid Capabilities Office: Planning and Design ........ 5,280 Heinrich, Lujan
Air Force: Cannon AFB ...................................................... New Mexico: 192-Bed Dormitory: Planning and Design ........................................................................ 5,568 Heinrich, Lujan
Air Force: Cannon AFB ...................................................... New Mexico: Deployment Processing Center: Planning and Design ..................................................... 5,976 Heinrich, Lujan
Air Force: Holloman AFB ................................................... New Mexico: MQ–9 Formal Training Unit Operations Facility ............................................................... 40,000 Heinrich, Lujan
Air Force: Wright-Patterson AFB ....................................... Ohio: Child Development Center ............................................................................................................ 24,000 Brown
107
Air Force: Joint Base Charleston ....................................... South Carolina: Flight Line Support Facility ......................................................................................... 29,000 Graham
Air Force: Joint Base Charleston ....................................... South Carolina: Fire and Rescue Station .............................................................................................. 30,000 Graham
Air Force Reserve: Beale AFB ............................................ California: 940 ARW SQ OPS & AMU Complex ...................................................................................... 33,000 Feinstein, Padilla
Air NG: Bradley ANGB ....................................................... Connecticut: Composite ASE Vehicle Maintenance Facility ................................................................... 17,000 Blumenthal, Murphy
Air NG: New Castle County Airport ................................... Delaware: Fuel Cell and Corrosion Control Hangar ............................................................................... 17,500 Carper, Coons
Air NG: Base Civil Engineer Complex ............................... Illinois: Abraham Lincoln Capital Airport .............................................................................................. 10,200 Durbin
Air NG: Base Civil Engineer Complex ............................... New York: Gabreski ANGB ...................................................................................................................... 14,800 Gillibrand, Schumer
Air NG: McEntire JNGB ...................................................... South Carolina: Hazardous Cargo Pad .................................................................................................. 9,000 Graham
Air NG: Camp Murray ANGS .............................................. Washington: Air Support Operations Group Complex ............................................................................ 27,000 Murray
Air NG: Volk Combat Readiness Training Center ............. Wisconsin: Replace Aircraft Maintenance Hangar/Shops: Planning and Design ................................. 2,280 Baldwin
Army: Fort Wainwright ....................................................... Alaska: ERDC–CRREL Permafrost Tunnel Research Facility: Unspecified Minor Construction ............ 5,400 Murkowski
Army: Fort Gordon ............................................................. Georgia: Cyber Center of Excellence School Headquarters and Classrooms: Planning and Design .... 3,670 Warnock
Army: Fort Stewart ............................................................ Georgia: Barracks: Planning and Design .............................................................................................. 5,000 Ossoff, Warnock
Army: Fort Shafter ............................................................. Hawaii: Command and Control Facility: Cost to Complete ................................................................... 55,500 Hirono, Schatz
Army: Fort Leavenworth ..................................................... Kansas: Child Development Center ....................................................................................................... 34,000 Moran
Army: Fort Leonard Wood .................................................. Missouri: Advanced Individual Training Battalion Complex: Planning and Design ............................. 4,000 Blunt
Army: White Sands Missile Range .................................... New Mexico: Missile Assembly Support Facility: Planning and Design ................................................ 1,300 Heinrich, Lujan
Army: U.S. Military Academy ............................................. New York: Engineering Center: Cost to Complete ................................................................................. 17,200 Gillibrand, Schumer
Army: Fort Jackson ............................................................ South Carolina: Reception Barracks Complex, Ph 1: Cost to Complete ............................................... 21,000 Graham
CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued
[In thousands of dollars]
Account Project Funding Requestor(s)
Army Reserve: Fort McCoy ................................................. Wisconsin: Transient Training Enlisted Barracks .................................................................................. 29,200 Baldwin
Army NG: Topeka ............................................................... Kansas: National Guard/Reserve Center Building SCIF: Planning and Design .................................... 420 Moran
Army NG: Camp Shelby ..................................................... Mississippi: Maneuver Area Training Equipment Site (MATES) ............................................................ 15,500 Hyde–Smith, Wicker
Army NG; Aviation Classification Repair Activity Depot ... Missouri: AVCRAD Aircraft Maintenance Hangar Addition: Planning and Design ................................ 3,800 Blunt
Army NG: Salisbury ........................................................... North Carolina: Aircraft Maintenance Hangar Addition/Alteration: Planning and Design .................... 2,700 Tillis
Army NG: Bennington ........................................................ Vermont: Readiness Center .................................................................................................................... 16,900 Leahy
Army NG: Ethan Allen AFB ................................................ Vermont: Family Readiness Center: Unspecified Minor Construction ................................................... 4,665 Leahy, Sanders
Army NG: Sandston ........................................................... Virginia: Aircraft Maintenance Hangar: Planning and Design .............................................................. 5,805 Warner
Defense–Wide: HDR–H ...................................................... Hawaii: Homeland Defense Radar-Hawaii: Planning and Design ......................................................... 19,000 Hirono, Schatz
Defense–Wide: Camp Shelby ............................................ Mississippi: Electrical Distribution Infrastructure Undergrounding Hardening Project ........................ 11,155 Hyde–Smith, Wicker
Defense-Wide: Camp Shelby ............................................. Mississippi: MW Generation Plant and Feeder Level Microgrid System ............................................... 34,500 Hyde–Smith, Wicker
Defense-Wide: Fort Drum .................................................. New York: Wellfield Expansion Resilience Project ................................................................................. 25,300 Gillibrand, Schumer
Navy: MCAS Yuma ............................................................. Arizona: Combat Training Tank Complex ............................................................................................... 29,300 Kelly, Sinema
Navy: NB Ventura County .................................................. California: Combat Vehicle Maintenance Facility .................................................................................. 48,700 Feinstein 108
Navy: NB Coronado ........................................................... California: CMV–22B Aircraft Maintenance Hangar .............................................................................. 63,600 Feinstein
Navy: MCB Hawaii ............................................................. Hawaii: Electrical Distribution Modernization ........................................................................................ 64,500 Hirono, Schatz
Navy: Marine Corps Training Area Bellows ...................... Hawaii: Perimeter Security Fence: Unspecified Minor Construction ...................................................... 6,220 Hirono
Navy: NSA Cutler ............................................................... Maine: Firehouse: Planning and Design ................................................................................................ 2,500 Collins
Navy: MCAS Cherry Point .................................................. North Carolina: F–35 Joint Strike Fighter Sustainment Center: Planning and Design ........................ 9,300 Burr, Tillis
Navy: MCAS New River ...................................................... North Carolina: Maintenance Hangar: Planning and Design ................................................................ 13,300 Tillis
Navy: MCAS Cherry Point .................................................. North Carolina: ATC Tower and Airfield Operations .............................................................................. 18,700 Burr
Navy: Camp Lejeune ......................................................... North Carolina: Water Treatment Plant Replacement Hadnot Point: Cost to Complete ....................... 64,200 Burr
Navy: NAVSTA Newport ...................................................... Rhode Island: Next Generation Torpedo Integration Lab: Planning and Design .................................. 1,200 Reed
Navy: NAVSTA Newport ...................................................... Rhode Island: Submarine Payloads Integration Laboratory: Planning and Design .............................. 1,400 Reed
Navy: NAVSTA Newport ...................................................... Rhode Island: Consolidated RDT&E Systems Facility: Planning and Design ....................................... 1,700 Reed
Navy: NAVSTA Newport ...................................................... Rhode Island: Next Generation Secure Submarine Platform Facility: Planning and Design ................ 4,000 Reed
Navy: MCAS Beaufort ........................................................ South Carolina: F–35 Operational Support Facility: Unspecified Minor Construction .......................... 4,700 Graham
Navy: MCAS Beaufort ........................................................ South Carolina: Instrument Landing System: Unspecified Minor Construction .................................... 3,000 Graham
Navy: MCRD Parris Island ................................................. South Carolina: Entry Control Facility Improvements: Unspecified Minor Construction ....................... 6,000 Graham
Navy: MCAS Beaufort ........................................................ South Carolina: Aircraft Maintenance Hangar ...................................................................................... 121,825 Graham
Navy: MCAS Beaufort ........................................................ South Carolina: Recycling/Hazardous Waste Facility: Cost to Complete .............................................. 5,000 Graham
COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2021 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL
FOR FISCAL YEAR 2022
[In thousands of dollars]
Senate Committee recommendation
compared with (∂ or ¥)
2021 Committee
Item Budget estimate
appropriation recommendation 2022 Budget estimate
appropriation
TITLE I—DEPARTMENT OF DEFENSE
Military Construction, Army .................................................................................................................................................. 628,900 834,692 991,762 ∂362,862 ∂157,070
Military Construction, Navy and Marine Corps .................................................................................................................... 1,716,144 2,368,352 2,452,247 ∂736,103 ∂83,895
Military Construction, Air Force ............................................................................................................................................ 616,156 2,102,690 2,106,750 ∂1,490,594 ∂4,060
Military Construction, Defense–Wide ................................................................................................................................... 2,041,909 1,957,289 2,082,663 ∂40,754 ∂125,374
Total, Active components ........................................................................................................................................ 5,003,109 7,263,023 7,633,422 ∂2,630,313 ∂370,399
Military Construction, Army National Guard ........................................................................................................................ 349,437 257,103 315,893 ¥33,544 ∂58,790
Military Construction, Air National Guard ............................................................................................................................ 64,214 197,770 298,550 ∂234,336 ∂100,780 109
Military Construction, Army Reserve .................................................................................................................................... 88,337 64,911 94,111 ∂5,774 ∂29,200
Military Construction, Navy Reserve .................................................................................................................................... 70,995 71,804 71,804 ∂809 ..........................
Military Construction, Air Force Reserve .............................................................................................................................. 23,117 78,374 111,374 ∂88,257 ∂33,000
Total, Reserve components ..................................................................................................................................... 596,100 669,962 891,732 ∂295,632 ∂221,770
North Atlantic Treaty Organization Security Investment Program ....................................................................................... 173,030 205,853 205,853 ∂32,823 ..........................
Department of Defense Base Closure Account .................................................................................................................... 480,447 284,639 334,639 ¥145,808 ∂50,000
Total, Military Construction .................................................................................................................................... 6,252,686 8,423,477 9,065,646 ∂2,812,960 ∂642,169
Family Housing Construction, Army ..................................................................................................................................... 119,400 99,849 99,849 ¥19,551 ..........................
Family Housing Operation and Maintenance, Army ............................................................................................................. 352,342 391,227 391,227 ∂38,885 ..........................
Family Housing Construction, Navy and Marine Corps ....................................................................................................... 42,897 77,616 77,616 ∂34,719 ..........................
Family Housing Operation and Maintenance, Navy and Marine Corps ............................................................................... 346,493 357,341 357,341 ∂10,848 ..........................
Family Housing Construction, Air Force ............................................................................................................................... 97,214 115,716 115,716 ∂18,502 ..........................
Family Housing Operation and Maintenance, Air Force ...................................................................................................... 317,021 325,445 325,445 ∂8,424 ..........................
Family Housing Operation and Maintenance, Defense–Wide .............................................................................................. 54,728 49,785 49,785 ¥4,943 ..........................
Department of Defense Family Housing Improvement Fund ............................................................................................... 5,897 6,081 6,081 ∂184 ..........................
COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2021 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL
FOR FISCAL YEAR 2022—Continued
[In thousands of dollars]
Senate Committee recommendation
compared with (∂ or ¥)
2021 Committee
Item Budget estimate
appropriation recommendation 2022 Budget estimate
appropriation
Department of Defense Military Unaccompanied Housing Improvement Fund ................................................................... 600 494 494 ¥106 ..........................
Total, Family Housing ............................................................................................................................................. 1,336,592 1,423,554 1,423,554 ∂86,962 ..........................
ADMINISTRATIVE PROVISIONS
Unfunded Requirements:
Military Construction, Army (Sec 124) ................................................................................................................................. 233,000 .......................... 27,000 ¥206,000 ∂27,000
Military Construction, Navy and Marine Corps (Sec 124) ................................................................................................... 73,100 .......................... 28,000 ¥45,100 ∂28,000
Military Construction, Air Force (Sec 124) ........................................................................................................................... 60,000 .......................... .......................... ¥60,000 ..........................
Military Construction, Army National Guard (Sec 124) ....................................................................................................... 49,835 .......................... 11,000 ¥38,835 ∂11,000
Military Construction, Air National Guard ( Sec 124) ......................................................................................................... 29,500 .......................... 19,200 ¥10,300 ∂19,200
110
Military Construction, Army Reserve (Sec 130) ................................................................................................................... .......................... .......................... .......................... .......................... ..........................
Military Construction, Air Force Reserve (Sec 124) ............................................................................................................. 25,000 .......................... .......................... ¥25,000 ..........................
Military Construction, Air Force ( Sec 126) (rescission) ..................................................................................................... ¥9,975 .......................... .......................... ∂9,975 ..........................
Military Construction, Defense-Wide (Sec 124) ................................................................................................................... .......................... .......................... 36,100 ∂36,100 ∂36,100
Military Construction Defense-Wide (Sec 126) (rescission) ................................................................................................ ¥29,838 .......................... .......................... ∂29,838 ..........................
Family Housing Support and Management Costs (Sec129) ................................................................................................ 60,000 .......................... .......................... ¥60,000 ..........................
Military Construction, Military Installation Resilience (Sec 130):
Military Installation Resilience, Army (Sec 133) ........................................................................................................ 4,000 .......................... 10,000 ∂6,000 ∂10,000
Military Installation Resilience, Navy and Marine Corps (Sec 133) .......................................................................... 7,000 .......................... 25,000 ∂18,000 ∂25,000
Military Installation Resilience, Air Force (Sec 133) .................................................................................................. 4,000 .......................... 15,000 ∂11,000 ∂15,000
Military Installation Resilience, Defense-Wide (Sec 133):
Child Development Centers (Sec 129) ................................................................................................................................. 32,200 .......................... .......................... ¥32,200 ..........................
Child Development Centers, Army (H Sec 128) .......................... .......................... .......................... .......................... ..........................
Child Development Centers, Navy and Marine Corps (H Sec 128) .......................... .......................... .......................... .......................... ..........................
Child Development Centers, Air Force (H Sec 128) .......................... .......................... .......................... .......................... ..........................
Barracks, Army (H Sec 129) .......................... .......................... .......................... .......................... ..........................
Barracks, Army National Guard (H Sec 129) .......................... .......................... .......................... .......................... ..........................
Barracks, Army Reserve (H Sec 129) .......................... .......................... .......................... .......................... ..........................
Military Construction, Defense-Wide (Sec 127) (rescission) ............................................................................................... ¥131,000 .......................... ¥131,000 .......................... ¥131,000
Military Construction, Army National Guard A Transformation Plan (H Sec 131) .............................................................. .......................... .......................... .......................... .......................... ..........................
Military Construction, Natural Disaster (Sec 133) .............................................................................................................. .......................... .......................... .......................... .......................... ..........................
Department of Defense Base Closure Account .................................................................................................................... ¥50,000 .......................... .......................... ∂50,000 ..........................
Military Construction, Navy and Marine Corps—SIOP Unspecified Worldwide (rescission) ............................................... ¥48,000 .......................... .......................... ∂48,000 ..........................
Military Construction, Navy and Marine Corps—SIOP Unspecified Worldwide (Sec 131) .................................................. .......................... .......................... 225,000 ∂225,000 ∂225,000
Lab Infrastructure (Sec 130) ............................................................................................................................................... .......................... .......................... 75,000 ∂75,000 ∂75,000
Military Construction, Defense-Wide (Sec 132) ................................................................................................................... .......................... .......................... 153,000 ∂153,000 ∂153,000
Subtotal, Unfunded Requirements—Services ........................................................................................................ 308,822 .......................... 493,300 ∂184,478 ∂493,300
Cost to Complete Projects—Services:
Military Construction, Army (H Sec 125) ............................................................................................................................. 48,000 .......................... .......................... ¥48,000 ..........................
Military Construction, Navy and Marine Corps (H Sec 125) ............................................................................................... 37,700 .......................... .......................... ¥37,700 ..........................
Military Construction, Air Force (H Sec 125) ....................................................................................................................... 75,700 .......................... .......................... ¥75,700 ..........................
Military Construction, Army Reserve (H Sec 125) .......................... .......................... .......................... .......................... ..........................
Family Housing Construction, Army (H Sec 125; S Sec 129) ............................................................................................. 4,500 .......................... 17,500 ∂13,000 ∂17,500
Subtotal, Cost to Complete Projects—Services ..................................................................................................... 165,900 .......................... 17,500 ¥148,400 ∂17,500
Total, Administrative Provisions ............................................................................................................................. 474,722 .......................... 510,800 ∂36,078 ∂510,800 111
Total, title I, Department of Defense ..................................................................................................................... 8,064,000 9,847,031 11,000,000 ∂2,936,000 ∂1,152,969
Appropriations ................................................................................................................................................ (8,332,813) (9,847,031) (11,131,000) (∂2,798,187) (∂1,283,969)
Rescissions .................................................................................................................................................... (¥268,813) .......................... (¥131,000) (∂137,813) (¥131,000)
TITLE II—DEPARTMENT OF VETERANS AFFAIRS
Veterans Benefits Administration
Compensation and pensions:
Budget year appropriations ......................................................................................................................................... 6,110,252 7,347,837 7,347,837 ∂1,237,585 ..........................
Advance from prior year appropriations ..................................................................................................................... 118,246,975 130,227,650 130,227,650 ∂11,980,675 ..........................
Subtotal, Compensation and pensions available in fiscal year ................................................................... 124,357,227 137,575,487 137,575,487 ∂13,218,260 ..........................
Advance appropriations, FY 2023 ............................................................................................................................... 130,227,650 147,569,474 147,569,474 ∂17,341,824 ..........................
Less appropriations from prior year advances ........................................................................................................... ¥118,246,975 ¥130,227,650 ¥130,227,650 ¥11,980,675 ..........................
Total, Compensation and pensions appropriated in this bill ................................................................................ 136,337,902 154,917,311 154,917,311 ∂18,579,409 ..........................
COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2021 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL
FOR FISCAL YEAR 2022—Continued
[In thousands of dollars]
Senate Committee recommendation
compared with (∂ or ¥)
2021 Committee
Item Budget estimate
appropriation recommendation 2022 Budget estimate
appropriation
Readjustment benefits:
Advance from prior year appropriations ..................................................................................................................... 12,578,965 14,946,618 14,946,618 ∂2,367,653 ..........................
Subtotal, Readjustment benefits available in fiscal year ............................................................................ 12,578,965 14,946,618 14,946,618 ∂2,367,653 ..........................
Advance appropriations, FY 2023 ............................................................................................................................... 14,946,618 8,906,851 8,906,851 ¥6,039,767 ..........................
Less appropriations from prior year advances ........................................................................................................... ¥12,578,965 ¥14,946,618 ¥14,946,618 ¥2,367,653 ..........................
Total, Readjustment benefits appropriated in this bill ......................................................................................... 14,946,618 8,906,851 8,906,851 ¥6,039,767 ..........................
Veterans insurance and indemnities:
Budget year appropriations ......................................................................................................................................... 2,148 .......................... .......................... ¥2,148 ..........................
112
Advance from prior year appropriations ..................................................................................................................... 129,224 136,950 136,950 ∂7,726 ..........................
Subtotal, Veterans insurance and indemnities available in fiscal year ...................................................... 131,372 136,950 136,950 ∂5,578 ..........................
Advance appropriations, FY 2023 ............................................................................................................................... 136,950 109,865 109,865 ¥27,085 ..........................
Less appropriations from prior year advances ........................................................................................................... ¥129,224 ¥136,950 ¥136,950 ¥7,726 ..........................
Total, Veterans insurance and indemnities appropriated in this bill ................................................................... 139,098 109,865 109,865 ¥29,233 ..........................
Veterans housing benefit program fund:
Credit subsidy:
Direct .................................................................................................................................................................. ¥18,000 ¥41,000 ¥41,000 ¥23,000 ..........................
Guaranteed ......................................................................................................................................................... 1,681,000 2,822,000 2,822,000 ∂1,141,000 ..........................
Subtotal (Credit subsidy) ............................................................................................................................... 1,663,000 2,781,000 2,781,000 ∂1,118,000 ..........................
(Limitation on direct loans) ........................................................................................................................................ (500) (500) (500) .......................... ..........................
Administrative expenses .............................................................................................................................................. 204,400 229,500 229,500 ∂25,100 ..........................
Vocational rehabilitation loans program account ............................................................................................................... 34 3 3 ¥31 ..........................
(Limitation on direct loans) ........................................................................................................................................ (2,470) (1,663) (1,663) (-807) ..........................
Administrative expenses .............................................................................................................................................. 424 429 429 ∂5 ..........................
Native American veteran housing loan program account ................................................................................................... 1,186 1,186 1,300 ∂114 ∂114
General operating expenses, VBA ........................................................................................................................................ 3,180,000 3,423,000 3,486,000 ∂306,000 ∂63,000
Total, Veterans Benefits Administration ................................................................................................................. 156,472,662 170,369,145 170,432,259 ∂13,959,597 ∂63,114
Budget year appropriations ................................................................................................................................ (11,161,444) (13,782,955) (13,846,069) (∂2,684,625) (∂63,114)
Advance appropriations, FY 2023 ...................................................................................................................... (145,311,218) (156,586,190) (156,586,190) (∂11,274,972) ..........................
Advances from prior year appropriations .......................................................................................................... (130,955,164) (145,311,218) (145,311,218) (∂14,356,054) ..........................
Veterans Health Administration
Medical services (MS):
Budget year appropriations ......................................................................................................................................... 497,468 .......................... .......................... ¥497,468 ..........................
Advance from prior year appropriations ..................................................................................................................... 56,158,015 58,897,219 58,897,219 ∂2,739,204 ..........................
Subtotal, MS available in fiscal year ............................................................................................................ 56,655,483 58,897,219 58,897,219 ∂2,241,736 ..........................
Advance appropriations, FY 2023 ............................................................................................................................... 58,897,219 70,323,116 70,323,116 ∂11,425,897 ..........................
Less appropriations from prior years .......................................................................................................................... ¥56,158,015 ¥58,897,219 ¥58,897,219 ¥2,739,204 ..........................
Total, MS appropriated in this bill ......................................................................................................................... 59,394,687 70,323,116 70,323,116 ∂10,928,429 ..........................
113
Medical community care (MCC):
Budget year appropriations ......................................................................................................................................... 1,380,800 3,269,000 3,269,000 ∂1,888,200 ..........................
Advance from prior year appropriations ..................................................................................................................... 17,131,179 20,148,244 20,148,244 ∂3,017,065 ..........................
Subtotal, MCC available in fiscal year ......................................................................................................... 18,511,979 23,417,244 23,417,244 ∂4,905,265 ..........................
Advance appropriations, FY 2023 ............................................................................................................................... 20,148,244 24,156,659 24,156,659 ∂4,008,415 ..........................
Less appropriations from prior years .......................................................................................................................... ¥17,131,179 ¥20,148,244 ¥20,148,244 ¥3,017,065 ..........................
Total, MCC appropriated in this bill ...................................................................................................................... 21,529,044 27,425,659 27,425,659 ∂5,896,615 ..........................
Medical support and compliance (MSC):
Budget year appropriations ......................................................................................................................................... 300,000 .......................... .......................... ¥300,000 ..........................
Advance from prior year appropriations ..................................................................................................................... 7,914,191 8,403,117 8,403,117 ∂488,926 ..........................
Subtotal, MSC available in fiscal year .................................................................................................................. 8,214,191 8,403,117 8,403,117 ∂188,926 ..........................
Advance appropriations, FY 2023 ............................................................................................................................... 8,403,117 9,673,409 9,673,409 ∂1,270,292 ..........................
Less appropriations from prior years .......................................................................................................................... ¥7,914,191 ¥8,403,117 ¥8,403,117 ¥488,926 ..........................
COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2021 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL
FOR FISCAL YEAR 2022—Continued
[In thousands of dollars]
Senate Committee recommendation
compared with (∂ or ¥)
2021 Committee
Item Budget estimate
appropriation recommendation 2022 Budget estimate
appropriation
Total, MSC appropriated in this bill ...................................................................................................................... 8,703,117 9,673,409 9,673,409 ∂970,292 ..........................
Medical facilities (MF):
Budget year appropriations ......................................................................................................................................... 150,000 .......................... .......................... ¥150,000 ..........................
Advance from prior year appropriations ..................................................................................................................... 6,433,265 6,734,680 6,734,680 ∂301,415 ..........................
Subtotal, MF available in fiscal year ............................................................................................................ 6,583,265 6,734,680 6,734,680 ∂151,415 ..........................
Advance appropriations, FY 2023 ............................................................................................................................... 6,734,680 7,133,816 7,133,816 ∂399,136 ..........................
Less appropriations from prior years ............................................................................................... ¥6,433,265 ¥6,734,680 ¥6,734,680 ¥301,415 ..........................
114
Total, MF appropriated in this bill ......................................................................................................................... 6,884,680 7,133,816 7,133,816 ∂249,136 ..........................
Medical and prosthetic research ......................................................................................................................................... 815,000 882,000 882,000 ∂67,000 ..........................
Medical care cost recovery collections:
Offsetting collections .................................................................................................................................................. ¥4,403,000 ¥3,386,000 ¥3,386,000 ∂1,017,000 ..........................
Appropriations (indefinite) .......................................................................................................................................... 4,403,000 3,386,000 3,386,000 ¥1,017,000 ..........................
Subtotal .......................................................................................................................................................... .......................... .......................... .......................... .......................... ..........................
Medical Care Collections Fund (MCCF) (transfer out) (Sec 214) ....................................................................................... (¥784,000) (¥623,000) (¥623,000) (∂161,000) ..........................
Medical Community Care and Medical Services (by transfer) (Sec 214) ........................................................................... (784,000) (623,000) (623,000) (¥161,000) ..........................
VA medical funds (transfer out) (Sec 219) ......................................................................................................................... (¥322,932) (¥379,009) (¥379,009) (¥56,077) ..........................
DoD–VA Joint Medical Facility Demonstration Fund (by transfer) (Sec 219) ..................................................................... (322,932) (379,009) (379,009) (∂56,077) ..........................
MCCF to DoD–VA Joint Medical Facility Demonstration Fund (transfer out) (Sec 221) ..................................................... (¥18,000) (¥17,000) (¥17,000) (∂1,000) ..........................
DoD–VA Joint Medical Facility Demonstration Fund (by transfer) (Sec 221) ..................................................................... (18,000) (17,000) (17,000) (¥1,000) ..........................
VA Medical Care Funds (transfer out) (Sec 222) ................................................................................................................ (¥15,000) (¥15,000) (¥15,000) .......................... ..........................
DoD–VA Health Care Sharing Incentive Fund (by transfer) (Sec 222) ............................................................................... (15,000) (15,000) (15,000) .......................... ..........................
Total, Veterans Health Administration ................................................................................................................... 97,326,528 115,438,000 115,438,000 ∂18,111,472 ..........................
Budget year appropriations ........................................................................................................................... (3,143,268) (4,151,000) (4,151,000) (∂1,007,732) ..........................
Advance appropriations (FY 2023) ................................................................................................................ (94,183,260) (111,287,000) (111,287,000) (∂17,103,740) ..........................
Advances from prior year appropriations ................................................................................................................... (87,636,650) (94,183,260) (94,183,260) (∂6,546,610) ..........................
(By transfer) ................................................................................................................................................................ (1,139,932) (1,034,009) (1,034,009) (¥105,923) ..........................
(Transfer out) .............................................................................................................................................................. (¥1,139,932) (¥1,034,009) (¥1,034,009) (∂105,923) ..........................
National Cemetery Administration
National Cemetery Administration ....................................................................................................................................... 352,000 394,000 394,000 ∂42,000 ..........................
Departmental Administration
General administration ......................................................................................................................................................... 365,911 401,200 401,200 ∂35,289 ..........................
Board of Veterans Appeals .................................................................................................................................................. 196,000 228,000 228,000 ∂32,000 ..........................
Information Technology Systems (IT Systems) ..................................................................................................................... 4,912,000 4,842,800 4,842,800 ¥69,200 ..........................
Veterans Electronic Health Record (EHR) ............................................................................................................................ 2,627,000 2,663,000 2,500,000 ¥127,000 ¥163,000
Office of Inspector General .................................................................................................................................................. 228,000 239,000 239,000 ∂11,000 ..........................
Construction, major projects ................................................................................................................................................ 1,316,000 1,611,000 1,611,000 ∂295,000 ..........................
Construction, minor projects ................................................................................................................................................ 390,000 553,000 553,000 ∂163,000 ..........................
Grants for construction of State extended care facilities ................................................................................................... 90,000 .......................... 50,000 ¥40,000 ∂50,000
Grants for the construction of Veterans cemeteries ........................................................................................................... 45,000 45,000 50,000 ∂5,000 ∂5,000
Asset Infrastructure Review Commission ............................................................................................................................ .......................... 5,000 5,000 ∂5,000 ..........................
115
Total, Departmental Administration ....................................................................................................................... 10,169,911 10,588,000 10,480,000 ∂310,089 ¥108,000
Administrative Provisions
Recurring Expenses Transformational Fund (Sec 255) (rescission) .................................................................................... .......................... .......................... ¥820,000 ¥820,000 ¥820,000
Information Technology Systems (Sec 255) (appropriations) .............................................................................................. .......................... .......................... 670,000 ∂670,000 ∂670,000
Construction, Minor Projects (Sec 255) (appropriations) .................................................................................................... .......................... .......................... 150,000 ∂150,000 ∂150,000
Medical Support and Compliance (rescission) (Sec 254) ................................................................................................... ¥15,000 .......................... .......................... ∂15,000 ..........................
DOD–VA Health Care Sharing Incentive Fund (Sec 253) (rescission) .......................... .......................... .......................... .......................... ..........................
Veterans Electronic Health Record (Sec 254) (rescission) .................................................................................................. ¥20,000 .......................... .......................... ∂20,000 ..........................
Medical and Prosthetic Research (Sec 254) (rescission) .................................................................................................... ¥20,000 .......................... .......................... ∂20,000 ..........................
Board of Veterans Appeals (Sec 253) (rescission) .............................................................................................................. .......................... .......................... .......................... .......................... ..........................
National Cemetery Administration (Sec 253) (rescission) .......................... .......................... .......................... .......................... ..........................
Medical Services (Sec 254) (rescission) .............................................................................................................................. ¥100,000 .......................... .......................... ∂100,000 ..........................
Information Technology Systems (Sec 254) (rescission) ..................................................................................................... ¥37,500 .......................... .......................... ∂37,500 ..........................
General Administration (Sec 254) (rescission) .................................................................................................................... ¥12,000 .......................... .......................... ∂12,000 ..........................
General Operating Expenses, VBA (Sec 254) (rescission) ................................................................................................... ¥16,000 .......................... .......................... ∂16,000 ..........................
Construction, Minor Projects (Sec 254) (rescission) ........................................................................................................... ¥35,700 .......................... .......................... ∂35,700 ..........................
COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2021 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL
FOR FISCAL YEAR 2022—Continued
[In thousands of dollars]
Senate Committee recommendation
compared with (∂ or ¥)
2021 Committee
Item Budget estimate
appropriation recommendation 2022 Budget estimate
appropriation
Total, Administrative Provisions ............................................................................................................................. ¥256,200 .......................... .......................... ∂256,200 ..........................
Total, title II, Department of Veterans Affairs ....................................................................................................... 264,064,901 296,789,145 296,744,259 ∂32,679,358 ¥44,886
Budget year appropriations ........................................................................................................................... (24,826,623) (28,915,955) (29,691,069) (∂4,864,446) (∂775,114)
Rescissions .................................................................................................................................................... (¥256,200) .......................... (¥820,000) (¥563,800) (¥820,000)
Advance Appropriations, FY23:
(Mandatory) ........................................................................................................................................................ (145,311,218) (156,586,190) (156,586,190) (∂11,274,972) ..........................
(Discretionary) .................................................................................................................................................... (94,183,260) (111,287,000) (111,287,000) (∂17,103,740) ..........................
(By transfer) ................................................................................................................................................................ (1,139,932) (1,034,009) (1,034,009) (¥105,923) ..........................
(Transfer out) .............................................................................................................................................................. (¥1,139,932) (¥1,034,009) (¥1,034,009) (∂105,923) ..........................
(Limitation on direct loans) ........................................................................................................................................ (2,970) (2,163) (2,163) (-807) .......................... 116
Advances from prior year appropriations:
(Mandatory) ........................................................................................................................................................ (130,955,164) (145,311,218) (145,311,218) (∂14,356,054) ..........................
(Discretionary) .................................................................................................................................................... (87,636,650) (94,183,260) (94,183,260) (∂6,546,610) ..........................
Total, available this fiscal year ............................................................................................................................. 243,162,237 268,410,433 268,365,547 ∂25,203,310 ¥44,886
(Mandatory) ............................................................................................................................................................. (138,730,564) (155,440,055) (155,440,055) (∂16,709,491) ..........................
(Discretionary) ......................................................................................................................................................... (104,431,673) (112,970,378) (112,925,492) (∂8,493,819) (¥44,886)
TITLE III—RELATED AGENCIES
American Battle Monuments Commission
Salaries and expenses ......................................................................................................................................................... 84,100 84,800 87,500 ∂3,400 ∂2,700
US Court of Appeals for Veterans Claims
Salaries and expenses ......................................................................................................................................................... 37,100 41,700 41,700 ∂4,600 ..........................
Department of Defense—Civil
Cemeterial Expenses, Army
Salaries and expenses ......................................................................................................................................................... 81,815 87,000 87,000 ∂5,185 ..........................
Construction ......................................................................................................................................................................... .......................... 141,000 141,000 ∂141,000 ..........................
Total, Cemeterial Expenses, Army .......................................................................................................................... 81,815 228,000 228,000 ∂146,185 ..........................
Armed Forces Retirement Home—Trust Fund
Operation and maintenance ................................................................................................................................................. 44,300 43,000 43,000 ¥1,300 ..........................
Capital program ................................................................................................................................................................... 9,000 7,300 8,300 ¥700 ∂1,000
Payment from General Fund ................................................................................................................................................ 22,000 25,000 25,000 ∂3,000 ..........................
Total, Armed Forces Retirement Home ................................................................................................................... 75,300 75,300 76,300 ∂1,000 ∂1,000
Total, title III, Related Agencies ............................................................................................................................. 278,315 429,800 433,500 ∂155,185 ∂3,700
TITLE IV—OVERSEAS CONTINGENCY OPERATIONS
Overseas Contingency Operations
European Deterrence / Reassurance Initiative:
Military Construction, Army .................................................................................................................................................. 16,111 .......................... .......................... ¥16,111 ..........................
Military Construction, Navy and Marine Corps .................................................................................................................... 70,020 .......................... .......................... ¥70,020 ..........................
Military Construction, Air Force ............................................................................................................................................ 263,869 .......................... .......................... ¥263,869 .......................... 117
Military Construction, Defense-Wide
Subtotal, European Deterrence/Reassurance Initiative .......................................................................................... 350,000 .......................... .......................... ¥350,000 ..........................
Total, Overseas Contingency Operations ................................................................................................................ 350,000 .......................... .......................... ¥350,000 ..........................
TITLE V—GENERAL PROVISIONS
Medical Services (Sec 514) (transfer out) (emergency) ...................................................................................................... (¥167,000) .......................... .......................... (∂167,000) ..........................
Veterans Benefits Administration, General Operating Expenses (Sec 514) (by transfer) (emergency) .............................. (140,000) .......................... .......................... (¥140,000) ..........................
National Cemetery Administration (Sec 514) (by transfer) (emergency) ............................................................................ (26,000) .......................... .......................... (¥26,000) ..........................
Board of Veterans Appeals (Sec 514) (by transfer) (emergency) ....................................................................................... (1,000) .......................... .......................... (¥1,000) ..........................
Medical Services transfer out (Sec515) (emergency) .......................................................................................................... (¥243,000) .......................... .......................... (∂243,000) ..........................
Veterans Benefits Administration, General Operating Expenses (Sec 515) (by transfer) (emergency) .............................. (198,000) .......................... .......................... (¥198,000) ..........................
Information Technology Systems (Sec515) (by transfer) (emergency) ................................................................................ (45,000) .......................... .......................... (¥45,000) ..........................
Medical Services transfer out (Sec 517) (emergency) ........................................................................................................ (¥100,000) .......................... .......................... (∂100,000) ..........................
Medical Community Care (Sec 517) (by transfer) (emergency) .......................................................................................... (100,000) .......................... .......................... (¥100,000) ..........................
Total, title V, General Provisions ............................................................................................................................ .......................... .......................... .......................... .......................... ..........................
COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2021 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL
FOR FISCAL YEAR 2022—Continued
[In thousands of dollars]
Senate Committee recommendation
compared with (∂ or ¥)
2021 Committee
Item Budget estimate
appropriation recommendation 2022 Budget estimate
appropriation
OTHER APPROPRIATIONS
CONTINUING APPROPRIATIONS ACT, 2021 AND OTHER EXTENSIONS ACT (PL 116–159 DIV A)
Medical Services transfer to Canteen Service Revolving Fund (transfer out) (emergency) ............................................... (¥140,000) .......................... .......................... (∂140,000) ..........................
Canteen Service Revolving Fund (by transfer) (emergency) ............................................................................................... (140,000) .......................... .......................... (¥140,000) ..........................
Total, Continuing Appropriations Act, 2021 and Other Extensions ....................................................................... .......................... .......................... .......................... .......................... ..........................
Total, Other Appropriations ..................................................................................................................................... .......................... .......................... .......................... .......................... ..........................
Grand total .............................................................................................................................................................. 272,757,216 307,065,976 308,177,759 ∂35,420,543 ∂1,111,783 118
Budget year appropriations ........................................................................................................................... (33,437,751) (39,192,786) (41,255,569) (∂7,817,818) (∂2,062,783)
Rescissions .................................................................................................................................................... (¥525,013) .......................... (¥951,000) (¥425,987) (¥951,000)
Advance appropriations, FY23 ....................................................................................................................... (239,494,478) (267,873,190) (267,873,190) (∂28,378,712) ..........................
Overseas contingency operations .................................................................................................................. (350,000) .......................... .......................... (¥350,000) ..........................
Advances from prior year appropriations ............................................................................................................... (218,591,814) (239,494,478) (239,494,478) (∂20,902,664) ..........................
(By transfer) ............................................................................................................................................................ (1,139,932) (1,034,009) (1,034,009) (¥105,923) ..........................
(Transfer out) .......................................................................................................................................................... (¥1,139,932) (¥1,034,009) (¥1,034,009) (∂105,923) ..........................
(By transfer) (emergency) ....................................................................................................................................... (650,000) .......................... .......................... (¥650,000) ..........................
(Transfer out) (emergency) ..................................................................................................................................... (¥650,000) .......................... .......................... (∂650,000) ..........................
(Limitation on direct loans) .................................................................................................................................... (2,970) (2,163) (2,163) (¥807) ..........................
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File and source
- File
- CRPT_crpt-117srpt35_crpt-117srpt35.pdf
- Size
- 672,473 bytes
- SHA-256
- a63821f1709fa732d064060142b616a8aec3a81dced65ef19c0fe2cea72c020d
- Original
- www.govinfo.gov