#aaeth ,,congress #ast ,session ,in the ,house of ,representatives1 ,u4 ,s41 ,july #bh1 #bjag ,,amendments3 ,that the bill from the ,senate 7,s4 #aad7 entitled ,an ,act to amend title #ch1 ,united ,states ,code1 to require the ,secretary of ,veterans ,affairs to submit an annual report regarding performance awards and bonuses awarded to certain high-level employees of the ,department of ,veterans ,affairs41 do pass with the following ,strike out all after the enacting clause and insert3 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,,va ,choice and ,quality ,employment ,act of #bjag4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4 ,title ,i--,appropriation of amounts for ,veterans ,choice ,program ,sec4 #aja4 ,appropriation of amounts for ,veterans ,choice ,program4 ,title ,,ii--,personnel matters ,sec4 #bja4 ,modification to annual determination of staffing shortages in ,veterans ,health ,administration4 ,sec4 #bjb4 ,establishment of ,department of ,veterans ,affairs ,executive ,management ,fellowship ,program4 ,sec4 #bjc4 ,accountability of leaders for managing the ,department of ,veterans ,affairs4 ,sec4 #bjd4 ,reemployment of former employees at ,department of ,veterans ,affairs4 ,sec4 #bje4 ,promotional opportunities for technical experts at ,department of ,veterans ,affairs4 ,sec4 #bjf4 ,employment of students and recent graduates by ,department of ,veterans ,affairs4 ,sec4 #bjg4 ,encouragement of transition of military medical professionals into employment with ,veterans ,health ,administration4 ,sec4 #bjh4 ,recruiting database at ,department of ,veterans ,affairs4 ,sec4 #bji4 ,training for human resources professionals of ,veterans ,health ,administration on recruitment and retention4 ,sec4 #baj4 ,plan to hire directors of medical centers of ,department of ,veterans ,affairs4 ,sec4 #baa4 ,exit surveys at ,department of ,veterans ,affairs4 ,sec4 #bab4 ,requirement that physician assistants employed by the ,department of ,veterans ,affairs receive competitive pay4 ,sec4 #bac4 ,expansion of direct-hiring authority for ,department of ,veterans ,affairs in case of shortage of highly qualified candidates4 ,sec4 #bad4 ,comptroller ,general of the ,united ,states assessment of succession planning at ,department of ,veterans ,affairs4 ,title ,,iii--,major medical facility leases ,sec4 #cja4 ,authorization of certain major medical facility leases of the ,department of ,veterans ,affairs4 ,sec4 #cjb4 ,authorization of appropriations for medical facility leases4 ,title ,,iv--,other matters ,sec4 #dja4 ,extension of reduction in amount of pension furnished by ,department of ,veterans ,affairs for certain veterans covered by medicaid plans for services furnished by nursing facilities4 ,sec4 #djb4 ,extension of requirement for collection of fees for housing loans guaranteed by ,secretary of ,veterans ,affairs4 ,sec4 #djc4 ,extension of authority to use income information4 ,i ,appropriation of amounts for ,veterans ,choice ,program #aja4 ,appropriation of amounts for ,veterans ,choice ,program 7a7 ,in general ,there is authorized to be appropriated1 and is appropriated1 to the ,secretary of ,veterans ,affairs1 out of any funds in the ,treasury not otherwise appropriated1 #b1ajj1jjj1jjj to be deposited in the ,veterans ,choice ,fund under section #hjb of the ,veterans ,access1 ,choice1 and ,accountability ,act of #bjad 7,public ,law #aac-adf2 #ch ,u4,s4,c4 #agja note74 7b7 ,availability ,the amount appropriated under subsection 7a7 shall remain available until expended4 ,,ii ,personnel matters #bja4 ,modification to annual determination of staffing shortages in ,veterans ,health ,administration ,section #gdab7;a7 of title #ch1 ,united ,states ,code1 is amended-- 7#a7 by striking the five occupations and inserting at a minimum1 the five clinical occupations and the five nonclinical occupations2 and 7#b7 by striking throughout the ,department and inserting with respect to each medical center of the ,department14 #bjb4 ,establishment of ,department of ,veterans ,affairs ,executive ,management ,fellowship ,program 7a7 ,fellowship program ,chapter #g of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new subchapter3 ,,iii ,executive ,management ,fellowship ,program #gda4 ,executive ,management ,fellowship ,program 7a7 ,fellowship program ,there is in the ,department an ,executive ,management ,fellowship ,program4 ,the purpose of the program shall be to provide-- 7#a7 eligible employees of the ,veterans ,benefits ,administration and the ,veterans ,health ,administration with training and experience in the private sector2 and 7#b7 eligible employees of a private-sector entity with training and experience in the ,department of ,veterans ,affairs4 7b7 ,fellowship 7#a7 ,a fellowship provided under this section is a #a-year fellowship during which-- 7,a7 with respect to a ,department participant1 the participant receives training and experience at a private-sector entity that is engaged in the administration and delivery of health care or other services similar to the benefits administered by the ,secretary2 and 7,b7 with respect to a private-sector participant1 the participant receives training and experience at the ,veterans ,benefits ,administration or the ,veterans ,health ,administration4 7#b7 ,the ,secretary shall enter into such agreements with private-sector entities as are necessary to carry out this section4 7c7 ,selection of recipients 7#a7 ,in ,august of each year1 the ,secretary shall select-- 7,a7 not fewer than #ah and not more than #cj eligible employees of the ,veterans ,benefits ,administration and the ,veterans ,health ,administration to receive a fellowship under this section2 and 7,b7 not fewer than #ah and not more than #cj eligible employees of private-sector entities to receive a fellowship under this section4 7#b7 ,to the extent practicable1 the ,secretary shall select eligible employees under subparagraphs 7,a7 and 7,b7 of paragraph 7#a7 from among eligible employees who are veterans in a manner that is reflective of the demographics of the veteran population of the ,united ,states and that whenever practicable provides a preference to such employees who represent or service rural areas4 7d7 ,eligible employees ,for the purposes of this section1 an eligible employee is-- 7#a7 with respect to an employee of the ,veterans ,benefits ,administration or the ,veterans ,health ,administration1 an employee who-- 7,a7 is compensated at a rate of basic pay not less than the minimum rate of basic pay payable for grade ,,gs-#ad of the ,general ,schedule and not more than either the minimum rate of basic pay payable to a member of the ,senior ,executive ,service under section #echb of title #e or the minimum rate of basic pay payable pursuant to chapter #gd of this title1 as the case may be2 7,b7 enters into an agreement with the ,secretary under subsection 7e72 and 7,c7 submits to the ,secretary an application containing such information and assurances as the ,secretary may require2 and 7#b7 with respect to an employee of a private-sector entity1 an employee who-- 7,a7 is employed in a position whose duties and responsibilities are commensurate with an employee of the ,department described in paragraph 7#a72 7,b7 enters into an agreement with the ,secretary under subsection 7e72 and 7,c7 submits to the ,secretary an application containing such information and assurances as the ,secretary may require4 7e7 ,agreements 7#a7 ,an agreement between the ,secretary and a ,department participant shall be in writing1 shall be signed by the participant1 and shall include the following provisions3 7,a7 ,the ,secretary's agreement to provide the participant with a fellowship under this section2 7,b7 ,the participant's agreement-- 7i7 to accept the fellowship2 7ii7 after completion of the fellowship1 to serve as a full-time employee in the ,veterans ,benefits ,administration or the ,veterans ,health ,administration for at least #b years as specified in the agreement2 and 7iii7 that1 during the #b-year period beginning on the last day of the fellowship1 the participant will not accept employment in the same industry as the industry of the private-sector entity at which the participant accepts the fellowship4 7,c7 ,a provision that any financial obligation of the ,united ,states arising out of an agreement entered into under this subchapter1 and any obligation of the participant which is conditioned on such agreement1 is contingent upon funds being appropriated4 7,d7 ,a statement of the damages to which the ,united ,states is entitled under this subchapter for the participant's breach of the agreement4 7,e7 ,such other terms as the ,secretary determines are required to be included in the agreement4 7#b7 ,an agreement between the ,secretary and a private-sector participant shall be in writing1 shall be signed by the participant1 and shall include the following provisions3 7,a7 ,the ,secretary's agreement to provide the participant with a fellowship under this section4 7,b7 ,the participant's agreement to accept the fellowship4 7,c7 ,such other terms as the ,secretary determines are required to be included in the agreement4 7f7 ,treatment of recipients 7#a7 ,a ,department participant shall be considered an employee of the ,department for all purposes1 including for purposes of receiving a salary and benefits1 and shall remain eligible for all promotion and incentive programs otherwise available to such an employee4 7#b7 ,a private-sector participant shall be considered an employee of the private-sector entity that employs the participant for all purposes1 including for purposes of receiving a salary and benefits1 and during the fellowship shall be treated as a contractor of the ,department4 7g7 ,reports 7#a7 ,not later than #fj days after completing a fellowship under this section1 a recipient of the fellowship shall submit to the ,secretary a report on the fellowship4 7#b7 ,each such report shall describe the duties of the recipient during the fellowship and any recommendations of the recipient for the application by the ,secretary of industry processes1 technologies1 and best practices4 7#c7 ,not later than #g days after receiving each such report1 the ,secretary shall submit to the ,committees on ,veterans' ,affairs of the ,senate and ,house of ,representatives such report without change4 7h7 ,definitions ,in this section3 7#a7 ,the term ,department participant means an employee of the ,veterans ,benefits ,administration or the ,veterans ,health ,administration who is participating in the fellowship under this section4 7#b7 ,the term private-sector entity includes an entity operating under a public-private partnership4 7#c7 ,the term private-sector participant means an employee of a private-sector entity who is participating in the fellowship under this section4 4 7b7 ,deadline for implementation ,not later than #a year after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs shall implement the ,executive ,management ,fellowship ,program required under section #gda of title #ch1 ,united ,states ,code1 as added by subsection 7a74 7c7 ,clerical amendment ,the table of sections at the beginning of chapter #g of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new items3 ,subchapter ,,iii--,executive ,management ,fellowship ,program #gda4 ,executive ,management ,fellowship ,program4 4 #bjc4 ,accountability of leaders for managing the ,department of ,veterans ,affairs 7a7 ,in general ,subchapter ,i of chapter #g of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new section3 #gbe4 ,annual performance plan for political appointees 7a7 ,in general ,the ,secretary shall conduct an annual performance plan for each political appointee of the ,department that is similar to the annual performance plan conducted for an employee of the ,department who is appointed as a career appointee 7as that term is defined in section #cacb7;a7 of title #e7 within the ,senior ,executive ,service at the ,department4 7b7 ,elements of plan ,each annual performance plan conducted under subsection 7a7 with respect to a political appointee of the ,department shall include an assessment of whether the appointee is meeting the following goals3 7#a7 ,recruiting1 selecting1 and retaining well-qualified individuals for employment at the ,department4 7#b7 ,engaging and motivating employees4 7#c7 ,training and developing employees and preparing those employees for future leadership roles within the ,department4 7#d7 ,holding each employee of the ,department that is a manager accountable for addressing issues relating to performance1 in particular issues relating to the performance of employees that report to the manager4 7c7 ,definition of political appointee ,in this section1 the term political appointee means an employee of the ,department who holds-- 7#a7 a position which has been excepted from the competitive service by reason of its confidential1 policy-determining1 policy-making1 or policy-advocating character2 or 7#b7 a position in the ,senior ,executive ,service as a noncareer appointee 7as such term is defined in section #cacb7;a7 of title #e74 4 7b7 ,clerical amendment ,the table of sections at the beginning of chapter #g of such title is amended by inserting after the item relating to section #gbc the following new item3 #gbe4 ,annual performance plan for political appointees4 4 #bjd4 ,reemployment of former employees at ,department of ,veterans ,affairs 7a7 ,in general ,notwithstanding sections #ccji through #ccah of title #e1 ,united ,states ,code1 the ,secretary of ,veterans ,affairs may noncompetitively appoint a qualified former career or career conditional employee to any position within the competitive service at the ,department of ,veterans ,affairs that is one grade or equivalent higher than the grade or equivalent of the position at the ,department most recently occupied by the employee4 7b7 ,limitation ,the ,secretary may not appoint a qualified former employee to a position that is more than one grade 7or equivalent7 higher than the position at the ,department most recently occupied by the employee4 7c7 ,definition of qualified former employee ,for purposes of this section1 the term qualified former employee means any individual who-- 7#a7 formerly occupied any career or career conditional position at the ,department of ,veterans ,affairs within #b years before applying for reemployment at the ,department2 7#b7 voluntarily left such position1 or was subject to a reduction in force1 and had a satisfactory performance record while occupying such position2 and 7#c7 since leaving such position has maintained licensing requirements1 related to the position1 if any1 and gained skill1 knowledge1 or other factors related to the position4 #bje4 ,promotional opportunities for technical experts at ,department of ,veterans ,affairs ,not later than one year after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs shall establish a promotional track system for employees of the ,department of ,veterans ,affairs that the ,secretary determines are technical experts pursuant to regulations prescribed by the ,secretary for purposes of carrying out this section4 ,such system shall-- 7#a7 provide any such employee the opportunity to advance within the ,department without being required to transition to a management position2 and 7#b7 for purposes of achieving career advancement-- 7,a7 provide for the establishment of new positions within the ,department2 and 7,b7 notwithstanding any other provision of law1 provide for increases in pay for any such employee4 #bjf4 ,employment of students and recent graduates by ,department of ,veterans ,affairs 7a7 ,in general ,the ,secretary of ,veterans ,affairs shall prescribe regulations to allow for excepted service appointments of students and recent graduates leading to conversion to career or career conditional employment of a student or recent graduate of a qualifying educational institution1 as defined by the ,department4 7b7 ,applicability ,the conversion authority described in subsection 7a7 shall be applicable to individuals in good standing who-- 7#a7 are employed in a qualifying internship or fellowship program at the ,department2 7#b7 are employed in the ,department in a volunteer capacity and performing substantive duties comparable to those of individuals in internship or fellowship programs and meet the required number of hours for conversion2 7#c7 are employed in the ,department under a contract or agreement with an external nonprofit organization and performing substantive duties comparable to those of individuals in internship or fellowship programs2 7#d7 have received educational assistance under chapter #cc of title #ch1 ,united ,states ,code2 or 7#e7 graduated from a qualifying educational institution1 as defined by the ,department1 and have not reached #cj years of age4 7c7 ,uniformity ,for the purposes of paragraphs 7#b7 and 7#c7 of subsection 7b71 hours of work performed by an individual employed shall be considered equal to those performed by an individual employed in a qualifying internship or fellowship program by the ,department4 #bjg4 ,encouragement of transition of military medical professionals into employment with ,veterans ,health ,administration ,the ,secretary of ,veterans ,affairs shall establish a program to encourage an individual who serves in the ,armed ,forces with a military occupational specialty relating to the provision of health care to seek employment with the ,veterans ,health ,administration when the individual has been discharged or released from service in the ,armed ,forces or is contemplating separating from such service4 #bjh4 ,recruiting database at ,department of ,veterans ,affairs 7a7 ,establishment ,the ,secretary of ,veterans ,affairs shall establish a single database that lists-- 7#a7 each vacant position in the ,department of ,veterans ,affairs that the ,secretary determines is critical to the mission of the ,department1 difficult to fill1 or both2 and 7#b7 each vacant position in the ,department of ,veterans ,affairs for a mental health professional4 7b7 ,qualified applicant ,if the ,secretary determines that an applicant for a vacant position listed in the database established under subsection 7a7 is qualified for such position but does not select the applicant for such position1 the ,secretary1 at the election of the applicant1 may consider the applicant for other similar vacant positions listed in the database for which the applicant is qualified4 7c7 ,prolonged vacancies ,if the ,secretary does not fill a vacant position listed in the database established under subsection 7a7 after a period determined appropriate by the ,secretary1 the ,secretary-- 7#a7 may ensure that applicants described in subsection 7b7 are considered for such position2 and 7#b7 may use the database established under subsection 7a7 to assist in filling such position4 7d7 ,report ,not later than one year after the date of the enactment of this ,act1 the ,secretary shall submit to ,congress a report on the use and efficacy of the database established under subsection 7a74 #bji4 ,training for human resources professionals of ,veterans ,health ,administration on recruitment and retention 7a7 ,in general ,the ,secretary of ,veterans ,affairs shall provide to human resources professionals of the ,veterans ,health ,administration training on how to best recruit and retain employees of the ,veterans ,health ,administration1 including with respect to any recruitment and retention matters that are unique to the ,veterans ,health ,administration pursuant to chapter #gd of title #ch1 ,united ,states ,code1 or other provisions of law4 7b7 ,virtual training ,training provided under this section shall be provided virtually4 7c7 ,amount of training ,the ,secretary shall ensure that each human resources professional of the ,veterans ,health ,administration receives the training described in subsection 7a7-- 7#a7 as soon as practicable after being hired by the ,secretary as a human resources professional2 and 7#b7 annually thereafter4 7d7 ,certification ,the ,secretary shall require that each human resources professional of the ,veterans ,health ,administration1 upon the completion of the training described in subsection 7a71 certifies that the professional received the training and understands the information provided by the training4 7e7 ,annual report ,not less frequently than annually1 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report on the training described in subsection 7a71 including the cost of providing such training and the number of human resources professionals who received such training during the year covered by the report4 #baj4 ,plan to hire directors of medical centers of ,department of ,veterans ,affairs 7a7 ,plan ,not later than #abj days after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs shall develop and implement a plan to hire highly qualified directors for each medical center of the ,department of ,veterans ,affairs that lacks a permanent director as of the date of the plan4 7b7 ,priority ,the ,secretary shall prioritize under the plan developed under subsection 7a7 the hiring of directors for medical centers that have not had a permanent director for the longest periods4 7c7 ,matters included ,the plan developed under subsection 7a7 shall include the following3 7#a7 ,a deadline to hire directors of medical centers of the ,department as described in such subsection4 7#b7 ,identification of the possible impediments to such hiring4 7#c7 ,identification of opportunities to promote and train candidates from within the ,department to senior executive positions in the ,department1 including as directors of medical centers4 7d7 ,submittal of plan ,not later than #abj days after the date of the enactment of this ,act1 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives the plan developed under subsection 7a74 7e7 ,semiannual reports ,not later than #ahj days after the date of the enactment of this ,act1 and not later than #ahj days thereafter1 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report containing a list of each medical center of the ,department that lacks a permanent director as of the date of the report4 #baa4 ,exit surveys at ,department of ,veterans ,affairs 7a7 ,exit surveys required 7#a7 ,in general ,the ,secretary of ,veterans ,affairs shall develop and carry out a standardized exit survey to be voluntarily completed by career and noncareer employees and executives of the ,department of ,veterans ,affairs who voluntarily separate from the ,department4 7#b7 ,consultation ,such exit survey shall be developed in consultation with an appropriate non-,department entity with experience developing such surveys4 7b7 ,survey content ,the survey shall include1 at a minimum1 the following3 7#a7 ,reasons for leaving the ,department4 7#b7 ,efforts made by the supervisor of the employee to retain the individual4 7#c7 ,the extent of job satisfaction and engagement during the employment4 7#d7 ,the intent of employee to either remain employed within the ,federal ,government or to leave employment with the ,federal ,government4 7#e7 ,such other matters as the ,secretary determines appropriate4 7c7 ,anonymity of survey content ,the ,secretary shall ensure that data collected under subsection 7a7-- 7#a7 is anonymized1 including through the use of a location that allows for privacy2 7#b7 is not directly visible by another employee2 and 7#c7 does not require the departing employee to input any personally identifiable data4 7d7 ,sharing of survey data ,the ,secretary shall ensure that the results of the survey required by subsection 7a7 are-- 7#a7 aggregated at the ,veterans ,integrated ,service ,network level2 and 7#b7 shared on an annual basis with directors and managers of facilities of the ,department and the ,veterans ,integrated ,service ,networks4 7e7 ,annual report 7#a7 ,in general ,not later than one year after the date of the enactment of this ,act and not less frequently than once each year thereafter1 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report containing the aggregate results of the exit survey under subsection 7a7 covering the year prior to the report4 7#b7 ,contents ,each report submitted under paragraph 7#a7 shall include1 for the period covered by the report1 the following3 7,a7 ,an analysis of the most common reasons employees choose to leave the ,department4 7,b7 ,the steps the ,secretary is taking to improve retention1 particularly for mission-critical occupations4 7,c7 ,the demographic characteristics of employees choosing to leave the ,department4 7,d7 ,any legislative barriers to improving employee retention4 7,e7 ,the total number of employees who voluntarily separated from the ,department and the number and percentage of whom took the exit survey under subsection 7a74 #bab4 ,requirement that physician assistants employed by the ,department of ,veterans ,affairs receive competitive pay ,section #gdea7;a77#b7 of title #ch1 ,united ,states ,code1 is amended-- 7#a7 by redesignating subparagraph 7,b7 as subparagraph 7,c72 7#b7 by inserting after subparagraph 7,a7 the following new subparagraph 7,b73 7,b7 ,physician assistant4 2 and 7#c7 in subparagraph 7,c71 as redesignated by paragraph 7#a71 by striking and registered nurse and inserting registered nurse1 and physician assistant4 #bac4 ,expansion of direct-hiring authority for ,department of ,veterans ,affairs in case of shortage of highly qualified candidates ,section #ccjd7;a77#c77;,b7 of title #e1 ,united ,states ,code1 is amended by inserting 7or1 with respect to the ,department of ,veterans ,affairs1 that there exists a severe shortage of highly qualified candidates7 after severe shortage of candidates4 #bad4 ,comptroller ,general of the ,united ,states assessment of succession planning at ,department of ,veterans ,affairs 7a7 ,assessment 7#a7 ,in general ,the ,comptroller ,general of the ,united ,states shall assess the extent to which key succession planning policies and guidance at the ,department of ,veterans ,affairs1 including the ,veterans ,health ,administration1 the ,veterans ,benefits ,administration1 and the ,national ,cemetery ,administration1 are consistent with leading practices for succession and workforce planning identified by ,comptroller ,general4 7#b7 ,additional matters ,in carrying out the assessment required by paragraph 7#a71 the ,comptroller ,general may assess such other matters as the ,comptroller ,general considers appropriate4 7b7 ,report ,not later than two years after the date of the enactment of this ,act1 the ,comptroller ,general shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report on the assessment carried out under subsection 7a74 7c7 ,sense of ,congress on study on compliance with policies and guidance ,it is the sense of ,congress that-- 7#a7 the ,comptroller ,general should conduct a study to examine the extent to which a sampling of installations of the ,department of ,veterans ,affairs are complying with policies and guidance of the ,department1 as well as applicable leading practices2 and 7#b7 the scope and timeframe of a study conducted as described in paragraph 7#a7 may be dependent upon the findings of the ,comptroller ,general with respect to the assessment carried out under subsection 7a74 ,,iii ,major medical facility leases #cja4 ,authorization of certain major medical facility leases of the ,department of ,veterans ,affairs ,the ,secretary of ,veterans ,affairs may carry out the following major medical facility leases at the locations specified and in an amount for each lease not to exceed the amount specified for such location 7not including any estimated cancellation costs73 7#a7 ,for a replacement outpatient clinic1 ,ann ,arbor1 ,michigan1 an amount not to exceed #d1bdg1jjj4 7#b7 ,for a new outpatient mental health clinic1 ,birmingham1 ,alabama1 an amount not to exceed #f1fdi1jjj4 7#c7 ,for new research space1 ,boston1 ,massachusetts1 an amount not to exceed #f1bbd1jjj4 7#d7 ,for a replacement research space1 ,charleston1 ,south ,carolina1 an amount not to exceed #g1bgd1jjj4 7#e7 ,for a replacement outpatient clinic1 ,corpus ,christi1 ,texas1 an amount not to exceed #f1eef1jjj4 7#f7 ,for a replacement outpatient clinic1 ,daytona ,beach1 ,florida1 an amount not to exceed #ab1aih1jjj4 7#g7 ,for a replacement ,chief ,business ,office ,purchased ,care office space1 ,denver1 ,colorado1 an amount not to exceed #ad1ghd1jjj4 7#h7 ,for a replacement outpatient clinic1 ,fredericksburg1 ,virginia1 an amount not to exceed #de1jae1jjj4 7#i7 ,for a new outpatient clinic1 ,gainesville1 ,florida1 an amount not to exceed #g1hia1jjj4 7#aj7 ,for an outpatient mental health clinic1 ,gainesville1 ,florida1 an amount not to exceed #d1cbj1jjj4 7#aa7 ,for a replacement outpatient clinic1 ,hampton ,roads1 ,virginia1 an amount not to exceed #ah1ada1jjj4 7#ab7 ,for a replacement outpatient clinic1 ,indianapolis1 ,indiana1 an amount not to exceed #g1hgf1jjj4 7#ac7 ,for a replacement outpatient clinic1 ,jacksonville1 ,florida1 an amount not to exceed #ah1fbc1jjj4 7#ad7 ,for a replacement outpatient clinic1 ,missoula1 ,montana1 an amount not to exceed #f1idb1jjj4 7#ae7 ,for a replacement outpatient mental health clinic1 ,northern ,colorado1 ,colorado1 an amount not to exceed #h1ijd1jjj4 7#af7 ,for a replacement outpatient clinic1 ,ocala1 ,florida1 an amount not to exceed #e1jbf1jjj4 7#ag7 ,for a new outpatient clinic1 ,oxnard1 ,california1 an amount not to exceed #e1bgd1jjj4 7#ah7 ,for a new outpatient clinic1 ,pike ,county1 ,georgia1 an amount not to exceed #e1efe1jjj4 7#ai7 ,for a new outpatient clinic1 ,pittsburgh1 ,pennsylvania1 an amount not to exceed #f1bdg1jjj4 7#bj7 ,for a replacement outpatient clinic1 ,portland1 ,maine1 an amount not to exceed #f1hjh1jjj4 7#ba7 ,for a replacement outpatient clinic1 ,raleigh1 ,north ,carolina1 an amount not to exceed #ba1hgj1jjj4 7#bb7 ,for a replacement outpatient clinic1 phase ,,ii1 ,rochester1 ,new ,york1 an amount not to exceed #c1fde1jjj4 7#bc7 ,for a replacement research space1 ,san ,diego1 ,california1 an amount not to exceed #d1heb1jjj4 7#bd7 ,for a new outpatient clinic1 ,santa ,rosa1 ,california1 an amount not to exceed #f1ibb1jjj4 7#be7 ,for a replacement mental health clinic1 ,tampa1 ,florida1 an amount not to exceed #ac1chg1jjj4 7#bf7 ,for a replacement outpatient clinic1 ,lakeland1 ,tampa1 ,florida1 an amount not to exceed #aj1gfj1jjj4 7#bg7 ,for a replacement outpatient clinic1 ,terre ,haute1 ,indiana1 an amount not to exceed #d1ajb1jjj4 7#bh7 ,for a replacement outpatient clinic1 ,rapid ,city1 ,south ,dakota1 an amount not to exceed #d1ecb1jjj4 #cjb4 ,authorization of appropriations for medical facility leases ,there is authorized to be appropriated to the ,secretary of ,veterans ,affairs for fiscal year #bjah or the year in which funds are appropriated for the ,medical ,facilities account #bgd1fcd1jjj for the major medical facility leases authorized in section #cja4 ,,iv ,other matters #dja4 ,extension of reduction in amount of pension furnished by ,department of ,veterans ,affairs for certain veterans covered by medicaid plans for services furnished by nursing facilities ,section #eejc7;d77#g7 of title #ch1 ,united ,states ,code1 is amended by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg4 #djb4 ,extension of requirement for collection of fees for housing loans guaranteed by ,secretary of ,veterans ,affairs ,section #cgbi7;b77#b7 of title #ch1 ,united ,states ,code1 is amended-- 7#a7 in subparagraph 7,a7-- 7,a7 in clause 7iii71 by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg2 and 7,b7 in clause 7iv71 by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg2 7#b7 in subparagraph 7,b7-- 7,a7 in clause 7i71 by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg2 and 7,b7 in clause 7ii71 by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg2 7#c7 in subparagraph 7,c7-- 7,a7 in clause 7i71 by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg2 and 7,b7 in clause 7ii71 by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg2 and 7#d7 in subparagraph 7,d7-- 7,a7 in clause 7i71 by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg2 and 7,b7 in clause 7ii71 by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg4 #djc4 ,extension of authority to use income information ,section #ecag7;g7 of title #ch1 ,united ,states ,code1 is amended by striking ,september #cj1 #bjbd and inserting ,september #cj1 #bjbg4 ,amend the title so as to read3 ,an ,act to authorize appropriations and to appropriate amounts for the ,veterans ,choice ,program of the ,department of ,veterans ,affairs1 to improve hiring authorities of the ,department1 to authorize major medical facility leases1 and for other purposes44 ,clerk4