,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ifeb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ac1 #bjbf,ms4  
,k+-,h9ds introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,vet]ans'    
,affairs  ,a ,,bill  ,to au?orize !     
,secret>y ( ,vet]ans ,affairs to c>ry   
out a m9or m$ical facility project 9    
,saipan1 ,commonweal? ( ! ,nor!rn       
,m>iana ,isl&s4  #a4 ,%ort title  ,?is  
,act may be cit$ z ! ,nor!rn ,m>ianas   
,,va ,community-,bas$ ,outpati5t ,cl9ic 
,au?orization ,act ( #bjbf4  #b4        
,au?orization ( m9or m$ical facility    
project = community-bas$ outpati5t cl9ic
 9 ,saipan1 ,commonweal? ( ! ,nor!rn    
,m>iana ,isl&s  7a7 ,9 g5]al ,!         
,secret>y ( ,vet]ans ,affairs may c>ry  
out a m9or m$ical facility project 9    
fiscal ye> #bjbg 9 ,saipan1 ,commonweal?
 ( ! ,nor!rn ,m>iana ,isl&s1 = !        
con/ruction1 lease1 build-to-lease1     
r5ovation1 alt]ation1 repair1 or retr(it
 ( a community-bas$ outpati5t cl9ic 9 an
 am\nt n to exce$ #c1fif1jjj4  7b7 ,use 

( exi/+ /ructures ,9 c>ry+ out ! project
 au?oriz$ "u subsection 7a71 ! ,secret>y
 may use am\nts au?oriz$ to be          
appropriat$ "u subsection 7e7 to conduct
 su* con/ruction activities z !         
,secret>y det]m9es appropriate = su*    
project4  7c7 ,flexibility 9 build+     
/&>ds ,9 c>ry+ out ! project au?oriz$ "u
 subsection 7a71 ! ,secret>y may apply  
su* alt]native build+1 design1 space1   
resili5cy1 or con/ruction /&>ds z !     
,secret>y det]m9es appropriate = !      
unique geographic1 logi/ical1 & m>ket   
conditions ( ! ,commonweal? ( ! ,nor!rn 
,m>iana ,isl&s1 if ! ,secret>y det]m9es 
su* /&>ds w ensure t ! facility is safe1
 accessible1 functional1 & suitable = ! 
deliv]y ( outpati5t c>e "u laws adm9i/]$
 by ! ,secret>y to vet]ans4  7d7        
,requir$ consid]ations ,9 det]m9+ !     
feasibility ( ! project "u subsection   
7a7 or 9 det]m9+ ! type ( facility at   
:i* to c>ry out ! project "u su*        
subsection 7a71 ! ,secret>y %all consid]
 ! elevat$ co/s & logi/ical *all5ges    

associat$ ) con/ruction1 leas+1         
r5ovation1 alt]ation1 repair1 & retr(it 
activities 9 ! ,commonweal? ( ! ,nor!rn 
,m>iana ,isl&s1 includ+--  7#a7 ! lack (
 a p]man5t ,dep>tm5t ( ,vet]ans ,affairs
 cl9ical pres5ce 9 ! ,commonweal?2  7#b7
 ! geographic di/ance ( exi/+ m$ical    
facilities f ! ,commonweal?2  7#c7 ! ne$
 to %ip con/ruction mat]ials = su*      
project by ocean transport2  7#d7 !     
limit$ availability (--  7,a7           
con/ruction contractors &               
subcontractors2 &  7,b7 contractor h\s+2
 &  7#e7 ! ne$ to r$uce ! burd5 (       
travel+ to m$ical facilities = vet]ans  
resid+ 9 ! ,commonweal?4  7e7           
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to !         
,secret>y = fiscal ye> #bjbg1 = !       
project au?oriz$ "u subsection 7a71     
#c1fif1jjj1 to be deposit$ 9 !          
,con/ruction1 m9or ,projects acc\nt ( ! 
,dep>tm5t4