,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ceba  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ah1 #bjac   
,mr4 ,mill] ( ,florida introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to au?orize ,dep>tm5t (        
,vet]ans ,affairs major m$ical facility 
leases1 & = o!r purposes4  #a4 ,%ort    
title ,?is ,act may be cit$ z !         
,dep>tm5t ( ,vet]ans ,affairs ,major    
,m$ical ,facility ,lease ,au?orization  
,act ( #bjac4  #b4 ,au?orization ( major
 m$ical facility leases ,! ,secret>y (  
,vet]ans ,affairs may c>ry out ! foll[+ 
major m$ical facility leases at !       
locations specifi$1 & 9 an am\nt = ea*  
lease n to exce$ ! am\nt %[n = su*      
location 7n includ+ any e/imat$         
cancellation co/s73  7#a7 ,= a cl9ical  
rese>* & ph>macy coord9at+ c5t]1        
,albuqu]que1 ,new ,mexico1 an am\nt n to
 exce$ #i1efj1jjj4  7#b7 ,= a           
community-bas$ outpati5t cl9ic1 ,brick1 
,new ,j]sey1 an am\nt n to exce$        

#g1bhj1jjj4  7#c7 ,= a new prim>y c>e & 
d5tal cl9ic annex1 ,*>le/on1 ,s\?       
,c>ol9a1 an am\nt n to exce$ #g1jgj1bej4
  7#d7 ,= ! ,cobb ,c\nty community-bas$ 
,outpati5t ,cl9ic1 ,cobb ,c\nty1        
,georgia1 an am\nt n to exce$           
#f1dji1jjj4  7#e7 ,= ! ,leew>d          
,outpati5t ,heal?c>e ,access ,c5t]1     
,honolulu1 ,hawaii1 includ+ a co-locat$ 
cl9ic ) ! ,dep>tm5t ( ,def5se & !       
co-location ( ! ,honolulu ,regional     
,(fice ( ! ,vet]ans ,b5efits            
,adm9i/ration & ! ,kapolei ,vet ,c5t] ( 
! ,dep>tm5t ( ,vet]ans ,affairs1 an     
am\nt n to exce$ #ae1hhg1cgj4  7#f7 ,= a
 community-bas$ outpati5t cl9ic1        
,johnson ,c\nty1 ,kansas1 an am\nt n to 
exce$ #b1bfc1jjj4  7#g7 ,= a replacem5t 
community-bas$ outpati5t cl9ic1         
,lafayette1 ,l\isiana1 an am\nt n to    
exce$ #b1iif1jjj4  7#h7 ,= a            
community-bas$ outpati5t cl9ic1 ,lake   
,*>les1 ,l\isiana1 an am\nt n to exce$  
#b1fbf1jjj4  7#i7 ,= outpati5t cl9ic    
consolidation1 ,new ,port ,ri*ey1       

,florida1 an am\nt n to exce$           
#aa1ibg1jjj4  7#aj7 ,= an outpati5t     
cl9ic1 ,ponce1 ,pu]to ,rico1 an am\nt n 
to exce$ #aa1ece1jjj4  7#aa7 ,= lease   
consolidation1 ,san ,antonio1 ,texas1 an
 am\nt n to exce$ #ai1dbf1jjj4  7#ab7 ,=
 a community-bas$ outpati5t cl9ic1 ,san 
,diego1 ,cali=nia1 an am\nt n to exce$  
#aa1idf1ajj4  7#ac7 ,= an outpati5t     
cl9ic1 ,tyl]1 ,texas1 an am\nt n to     
exce$ #d1cbg1jjj4  7#ad7 ,= ! ,err]a    
,community ,c>e ,c5t]1 ,we/ ,hav51      
,connecticut1 an am\nt n to exce$       
#d1hhc1jjj4  7#ae7 ,= ! ,worce/]        
community-bas$ ,outpati5t ,cl9ic1       
,worce/]1 ,massa*usetts1 an am\nt n to  
exce$ #d1hee1jjj4  7#af7 ,= ! expansion 
( a community-bas$ outpati5t cl9ic1     
,cape ,gir>deau1 ,miss\ri1 an am\nt n to
 exce$ #d1bcb1jfj4  7#ag7 ,= a          
multispecialty cl9ic1 ,*attanooga1      
,t5nessee1 an am\nt n to exce$          
#g1jfi1jjj4  7#ah7 ,= ! expansion ( a   
community-bas$ outpati5t cl9ic1 ,*ico1  
,cali=nia1 an am\nt n to exce$          

#d1ecd1jjj4  7#ai7 ,= a community-bas$  
outpati5t cl9ic1 ,*ula ,vi/a1 ,cali=nia1
 an am\nt n to exce$ #c1gad1jjj4  7#bj7 
,= a new rese>* lease1 ,h9es1 ,ill9ois1 
an am\nt n to exce$ #bb1jcb1jjj4  7#ba7 
,= a replacem5t rese>* lease1 ,h\/on1   
,texas1 an am\nt n to exce$ #f1adb1jjj4 
7#bb7 ,= a community-bas$ outpati5t     
cl9ic1 ,l9coln1 ,nebraska1 an am\nt n to
 exce$ #g1agh1djj4  7#bc7 ,= a          
community-bas$ outpati5t cl9ic1         
,lubbock1 ,texas1 an am\nt n to exce$   
#h1eed1jjj4  7#bd7 ,= a community-bas$  
outpati5t cl9ic consolidation1 ,myrtle  
,bea*1 ,s\? ,c>ol9a1 an am\nt n to exce$
 #h1jbb1jjj4  7#be7 ,= a community-bas$ 
outpati5t cl9ic1 ,pho5ix1 ,arizona1 an  
am\nt n to exce$ #bj1geg1jjj4  7#bf7 ,= 
! expansion ( a community-bas$ outpati5t
 cl9ic1 ,r$d+1 ,cali=nia1 an am\nt n to 
exce$ #h1aed1jjj4  7#bg7 ,= ! expansion 
( a community-bas$ outpati5t cl9ic1     
,tulsa1 ,oklahoma1 an am\nt n to exce$  
#ac1bfi1bjj4  #c4 ,budget>y treatm5t (  
,dep>tm5t ( ,vet]ans ,affairs major     

m$ical facilities leases  7a7 ,f9d+s    
,congress f9ds ! foll[+3  7#a7 ,title   
#ca1 ,unit$ ,/ates ,code1 requires !    
,dep>tm5t ( ,vet]ans ,affairs to record 
! full co/ ( its contractual obligation 
aga9/ funds available at ! "t a contract
 is execut$4  7#b7 ,(fice ( ,managem5t &
 ,budget ,circul> ,a-#aa provides       
guidance to ag5cies 9 meet+ ! /atutory  
requirem5ts "u title #ca1 ,unit$ ,/ates 
,code1 ) respect to leases4  7#c7 ,=    
op]at+ leases1 ,(fice ( ,managem5t &    
,budget ,circul> ,a-#aa requires !      
,dep>tm5t ( ,vet]ans ,affairs to record 
up-front budget au?ority 9 an am\nt     
equal to total paym5ts "u ! full t]m ( !
 lease or an am\nt suffici5t to cov]    
fir/ ye> lease paym5ts plus cancellation
 co/s4  7b7 ,requirem5t = obligation (  
full co/ ,subject to ! availability (   
appropriations provid$ 9 advance1 9     
ex]cis+ ! au?ority ( ! ,secret>y (      
,vet]ans ,affairs to ent] into leases   
provid$ 9 ?is ,act1 ! ,secret>y %all    
record1 pursuant to section #aeja (     

title #ca1 ,unit$ ,/ates ,code1 z ! full
 co/ ( ! contractual obligation at ! "t 
a contract is execut$ ei!r--  7#a7 an   
am\nt equal to total paym5ts "u ! full  
t]m ( ! lease2 or  7#b7 if ! lease      
specifies paym5ts to be made 9 ! ev5t ! 
lease is t]m9at$ be=e its full t]m1 an  
am\nt suffici5t to cov] ! fir/ ye> lease
 paym5ts plus ! specifi$ cancellation   
co/s4  7c7 ,transp>5cy  7#a7 ,compliance
 ,subsection 7b7 ( section #hajd ( title
 #ch1 ,unit$ ,/ates ,code1 is am5d$ by  
add+ at ! end ! foll[+ new p>agraph3    
7#g7 ,9 ! case ( a prospectus propos+   
fund+ = a major m$ical facility lease1 a
 detail$ analysis ( h[ ! lease is       
expect$ to comply ) ,(fice ( ,managem5t 
& ,budget ,circul> ,a-#aa & section     
#acda ( title #ca 7commonly ref]r$ to z 
! ,anti-,defici5cy ,act74 ,any su*      
analysis %all include--  7,a7 an        
analysis ( ! classification ( ! lease z 
a lease-pur*ase1 capital lease1 or      
op]at+ lease z ^? t]ms are def9$ 9      
,(fice ( ,managem5t & ,budget ,circul>  

,a-#aa2  7,b7 an analysis ( ! obligation
 ( budget>y res\rces associat$ ) !      
lease2 &  7,c7 an analysis ( !          
me?odology us$ 9 det]m9+ ! asset co/1   
fair m>ket value1 & cancellation co/s ( 
! lease4  4  7#b7 ,submittal to         
,congress ,su* section #hajd is fur!r   
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7h7  7#a7 ,n less ?an #cj  
days be=e ent]+ into a major m$ical     
facility lease1 ! ,secret>y %all submit 
to ! ,committees on ,vet]ans' ,affairs (
 ! ,s5ate & ! ,h\se ( ,repres5tatives-- 
7,a7 notice ( ! ,secret>y's int5tion to 
ent] into ! lease2  7,b7 a copy ( !     
propos$ lease2  7,c7 a description &    
analysis ( any diff]5ces betwe5 !       
prospectus submitt$ pursuant to         
subsection 7b7 & ! propos$ lease2 &     
7,d7 a scor+ analysis demon/rat+ t !    
propos$ lease fully complies ) ,(fice ( 
,managem5t & ,budget ,circul> ,a-#aa4   
7#b7 ,ea* committee describ$ 9 p>agraph 
7#a7 %all ensure t any in=mation        
submitt$ to ! committee "u su* p>agraph 

is treat$ by ! committee ) ! same level 
( confid5tiality z is requir$ by law ( !
 ,secret>y & subject to ! same /atutory 
p5alties = unau?oriz$ disclosure or use 
z ! ,secret>y4  7#c7 ,n m ?an #cj days  
aft] ent]+ into a major m$ical facility 
lease1 ! ,secret>y %all submit to ea*   
committee describ$ 9 p>agraph 7#a7 a    
report on any mat]ial diff]5ces betwe5 !
 lease t 0 ent]$ into & ! propos$ lease 
describ$ "u su* p>agraph1 includ+ h[ !  
lease t 0 ent]$ into *anges ! previ\sly 
submitt$ scor+ analysis describ$ 9      
subp>agraph 7,d7 ( su* p>agraph4  4  7d7
 ,rule ( con/ruction ,no?+ 9 ?is        
section1 or ! am5dm5ts made by ?is      
section1 %all be con/ru$ to 9 any way   
relieve ! ,dep>tm5t ( ,vet]ans ,affairs 
f any /atutory or regulatory obligations
 or requirem5ts exi/+ prior to !        
enactm5t ( ?is section & su* am5dm5ts4