,,ii  #aad? ,,congress  #a/ ,session    
,h4 ,r4 #bdif  ,,9 ,,! ,,s5ate ,,( ,,!  
,,unit$ ,,/ates  ,may #ba1 #bjae,receiv$
  ,,an ,,act  ,to ext5d ! au?orization =
 ! replacem5t ( ! exi/+ ,dep>tm5t (     
,vet]ans ,affairs ,m$ical ,c5t] 9 ,d5v]1
 ,colorado1 to make c]ta9 improvem5ts 9 
! ,vet]ans ,access1 ,*oice1 &           
,acc\ntability ,act ( #bjad1 & = o!r    
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,con/ruction ,au?orization 
& ,*oice ,improvem5t ,act4  #b4         
,ext5sion ( au?orization = major m$ical 
facility con/ruction project previ\sly  
au?oriz$  7a7 ,9 g5]al ,! ,secret>y (   
,vet]ans ,affairs may c>ry out !        
replacem5t ( ! exi/+ ,dep>tm5t (        
,vet]ans ,affairs ,m$ical ,c5t] 9 ,d5v]1
 ,colorado1 9 fiscal ye> #bjae1 9 an    
am\nt n to exce$ #ijj1jjj1jjj4  7b7     
,limitation on obligation ( funds       
,not)/&+ section #hajd7;c7 ( title #ch1 
,unit$ ,/ates ,code1 or any o!r         
provision ( law1 funds may n be obligat$
 or exp5d$ = ! project describ$ 9       

subsection 7a7 9 an am\nt t w\ld cause !
 total am\nt obligat$ = t project to    
exce$ ! am\nt specifi$ 9 ! law = t      
project 7or w\ld add to total           
obligations exce$+ su* specifi$ am\nt74 
#c4 ,cl>ification ( di/ance requirem5t =
 exp&$ availability ( hospital c>e &    
m$ical s]vices = vet]ans ?r\gh ! use (  
agreem5ts ) non-,dep>tm5t ( ,vet]ans    
,affairs entities  7a7 ,9 g5]al ,section
 #aja7;b77#b7 ( ! ,vet]ans ,access1     
,*oice1 & ,acc\ntability ,act ( #bjad   
7,public ,law #aac-adf2 #ch ,u4,s4,c4   
#agja note7 is am5d$--  7#a7 9          
subp>agraph 7,b71 by ins]t+ 7z calculat$
 bas$ on di/ance travel$7 aft] #dj      
miles2 &  7#b7 9 subp>agraph 7,d77ii71  
by /rik+ subclause 7,,ii71 & ins]t+ !   
foll[+ new subclause 7,,ii73  7,,ii7    
faces an unusual or excessive burd5 9   
travel+ to su* a m$ical facility ( !    
,dep>tm5t bas$ on--  7aa7 geographical  
*all5ges2  7bb7 environm5tal factors1   
su* z roads t are n accessible to !     
g5]al public1 traffic1 or haz>d\s wea!r2

  7cc7 a m$ical condition t impacts !   
ability to travel2 or  7dd7 o!r factors1
 z det]m9$ by ! ,secret>y4  4  7b7      
,effective date ,! am5dm5ts made by     
subsection 7a7 %all take effect on !    
date ( ! enactm5t ( ?is ,act & apply )  
respect to c>e or s]vices provid$ on or 
aft] su* date4  ,pass$ ! ,h\se (        
,repres5tatives ,may #ba1 #bjae4,k>5 ,l4
 ,haas1,cl]k