,,ii  #aaith ,,congress  #b;d ,session  
,s4 #ciib  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #d1     
#bjbf,mr4 ,banks 7for himself1 ,ms4     
,hirono1 and ,mr4 ,sullivan7 introduced 
the following bill2 which was read twice
 and referred to the ,committee on      
,veterans' ,affairs  ,a ,,bill  ,to     
amend title #aj1 ,united ,states ,code1 
to codify authority for the ,joint      
,medical ,facility ,fund of the         
,department of ,defense and the         
,department of ,veterans ,affairs1 and  
for other purposes4  #a4 ,short title   
,this ,act may be cited as the ,joint   
,medical ,facilities ,fund ,act of      
#bjbf4  #b4 ,codification of authority  
for ,joint ,medical ,facility ,fund of  
,department of ,defense and ,department 
of ,veterans ,affairs  7a7 ,in general  
,chapter #ee of title #aj1 ,united      
,states ,code1 is amended by adding at  
the end the following new section3      
#aaaj;c4 ,joint ,medical ,facility ,fund
  7a7 ,establishment ,there is          

established on the books of the         
,treasury under the ,department of      
,veterans ,affairs a fund to be known as
 the ,joint ,medical ,facility ,fund 7in
 this section referred to as the ,fund74
  7b7 ,purpose ,the purpose of the ,fund
 shall be to facilitate the joint       
funding of designated combined ,federal 
medical facilities of the ,department of
 ,defense and the ,department of        
,veterans ,affairs4  7c7 ,transfers to  
fund  7#a7 ,in general ,amounts may be  
transferred to the ,fund by the         
,secretary of ,defense from amounts     
authorized and appropriated for the     
,department of ,defense and by the      
,secretary of ,veterans ,affairs from   
amounts authorized and appropriated for 
the ,department of ,veterans ,affairs1  
as determined by a methodology jointly  
established by the ,secretary of        
,defense and the ,secretary of ,veterans
 ,affairs that reflects the             
mission-specific activities1 workload1  
and costs of provision of health care at

 the facilities of the ,department of   
,defense and the ,department of         
,veterans ,affairs1 respectively4  7#b7 
,transfers of amounts from medical care 
collections  ,amounts may be transferred
 to the ,fund from medical care         
collections under the following         
authorities for health care provided at 
designated combined ,federal medical    
facilities of the ,department of        
,defense and the ,department of         
,veterans ,affairs3  7,a7 ,section #ajie
 of this title4  7,b7 ,section #agbi of 
title #ch4  7,c7 ,the ,act entitled ,an 
,act to provide for the recovery from   
tortiously liable third persons of the  
cost of hospital and medical care and   
treatment furnished by the ,united      
,states 7,public ,law #hg-fic2 #db      
,u4,s4,c4 #bfea et seq42 commonly known 
as the ,federal ,medical ,care ,recovery
 ,act74  7d7 ,availability of amounts in
 fund  7#a7 ,in general ,amounts        
transferred to the ,fund under          
subsection 7c7 shall be available to    

fund the operations of designated       
combined ,federal medical facilities of 
the ,department of ,defense and the     
,department of ,veterans ,affairs1      
including capital equipment1 real       
property maintenance1 and minor         
construction projects that are not      
required to be specifically authorized  
by law under section #bhje of this title
 or section #hajd of title #ch4  7#b7   
,captain ,james ,a4 ,lovell ,federal    
,health ,care ,center ,amounts          
transferred to the ,fund by the         
,secretary of ,defense under subsection 
7c7 may be used for facility operations 
of the ,captain ,james ,a4 ,lovell      
,federal ,health ,care ,center1         
consisting of the ,north ,chicago       
,veterans ,affairs ,medical ,center1 the
 ,navy ,ambulatory ,care ,center1 and   
supporting facilities designated as a   
combined ,federal medical facility under
 an operational agreement covered by    
section #gjf of the ,duncan ,hunter     
,national ,defense ,authorization ,act  

for ,fiscal ,year #bjji 7,public ,law   
#aaj-dag2 #abb ,stat4 #dejj74  7#c7     
,limitation ,the availability of amounts
 transferred to the ,fund under         
subsection 7c77#b7 shall be subject to  
the provisions of section #agbi;,a of   
title #ch4  7#d7 ,period of availability
  7,a7 ,in general ,except as provided  
in subparagraph 7,b71 amounts           
transferred to the ,fund under          
subsection 7c7 shall remain available   
under this subsection until the end of  
the first fiscal year beginning after   
the date of the transfer4  7,b7         
,exception ,of the amount transferred to
 the ,fund under subsection 7c7 in a    
fiscal year1 an amount not to exceed two
 percent of such amount shall remain    
available under this subsection until   
the end of the second fiscal year       
beginning after the date of the         
transfer4  7e7 ,executive agreement     
7#a7 ,fund administration  7,a7 ,in     
general ,the ,fund shall be administered
 in accordance with an executive        

agreement between the ,secretary of     
,defense and the ,secretary of ,veterans
 ,affairs4  7,b7 ,guidelines ,the       
executive agreement under subparagraph  
7,a7 shall be consistent with section   
#gjf of the ,duncan ,hunter ,national   
,defense ,authorization ,act for ,fiscal
 ,year #bjji 7,public ,law #aaj-dag2    
#abb ,stat4 #dejj7 and shall provide for
 an independent review of the           
methodology established under subsection
 7c77#a74  7#b7 ,financial              
reconciliation  7,a7 ,in general ,the   
executive agreement between the         
,secretary of ,defense and the          
,secretary of ,veterans ,affairs under  
paragraph 7#a77;,a7 shall provide for   
the development and implementation of an
 integrated financial reconciliation    
process that meets the fiscal           
reconciliation requirements of the      
,department of ,defense and the         
,department of ,veterans ,affairs4  7,b7
 ,identification of contributions ,the  
process under subparagraph 7,a7 shall   

permit the ,department of ,defense and  
the ,department of ,veterans ,affairs to
 identify their fiscal contributions to 
the ,fund1 taking into consideration    
accounting1 workload1 and financial     
management differences4  4  7b7         
,conforming repeal ,section #agjd of the
 ,national ,defense ,authorization ,act 
for ,fiscal ,year #bjaj 7,public ,law   
#aaa-hd2 #abc ,stat4 #bega71 as most    
recently amended by section #adba of the
 ,servicemember ,quality of ,life       
,improvement and ,national ,defense     
,authorization ,act for ,fiscal ,year   
#bjbe 7,public ,law #aah-aei71 is       
repealed4  7c7 ,report ,not later than  
#ahj days after the date of the         
enactment of this ,act1 the ,secretary  
of ,defense and the ,secretary of       
,veterans ,affairs shall jointly submit 
to the ,committee on ,veterans' ,affairs
 and the ,committee on ,appropriations  
of the ,senate and the ,committee on    
,veterans' ,affairs and the ,committee  
on ,appropriations of the ,house of     

,representatives a report indicating    
medical facilities of the ,department of
 ,defense or the ,department of         
,veterans ,affairs that either          
,secretary1 or both1 considers          
appropriate to be designated as combined
 ,federal medical facilities of the     
,department of ,defense and the         
,department of ,veterans ,affairs4