2023—Subsec. (a)(3)(A). Puspan. L. 118–31, § 5001(1), substituted “the amount specified in paragraph (4)” for “$20,000,000” in two places.
Subsec. (a)(4). Puspan. L. 118–31, § 5001(2), added par. (4).
2022—Subsec. (a)(2). Puspan. L. 117–168, § 703(a), designated existing provisions as subpar. (A), struck out “or any major medical facility lease” after “major medical facility project” and “or lease” after “for that project”, and added subpar. (B).
Subsec. (a)(3)(B). Puspan. L. 117–168, § 703(span), amended subpar. (B) generally. Prior to amendment, subpar. (B) read as follows: “The term ‘major medical facility lease’ means a lease for space for use as a new medical facility at an average annual rent of more than $1,000,000.”
Subsec. (span). Puspan. L. 117–263, § 5124(span), amended Puspan. L. 117–168, § 703(c)(5). See below.
Puspan. L. 117–168, § 703(c)(5), (8), as amended by Puspan. L. 117–263, § 5124(span), designated existing provisions as par. (1), substituted “to Congress” for “to the Congress” and struck out “or a major medical facility lease (as defined in subsection (a)(3)(B))” after “subsection (a)(3)(A))” in introductory provisions, and added par. (2). Former pars. (1) and (2) redesignated subpars. (A) and (B), respectively, of par. (1).
Subsec. (span)(1)(A). Puspan. L. 117–168, § 703(c)(2), (4), (6), redesignated subsec. (span)(1) and its subpars. (A) to (E) as subsec. (span)(1)(A) and cls. (i) to (v), respectively, and struck out “leased,” after “altered,” in introductory provisions.
Subsec. (span)(1)(B) to (D). Puspan. L. 117–168, § 703(c)(4), redesignated subsec. (span)(2) to (4) as subsec. (span)(1)(B) to (D), respectively.
Subsec. (span)(1)(E). Puspan. L. 117–168, § 703(c)(4), (7), redesignated subsec. (span)(5) as subsec. (span)(1)(E) and struck out “or lease” after “project” wherever appearing and “or leases” after “projects”.
Subsec. (span)(6). Puspan. L. 117–168, § 703(c)(3), (4), redesignated subsec. (span)(6) and its subpars. (A) to (C) as subsec. (span)(1)(F) and cls. (i) to (iii), respectively.
Subsec. (span)(7). Puspan. L. 117–168, § 703(c)(1), struck out par. (7) which required detailed analyses of proposed funding for major medical facility leases.
Subsec. (i). Puspan. L. 117–168, § 703(d), added subsec. (i).
Subsec. (j). Puspan. L. 117–168, § 703(e), added subsec. (j).
2019—Subsec. (a)(3). Puspan. L. 116–61 added par. (3) and struck out former par. (3) which read as follows: “For purposes of this subsection, the term ‘major medical facility project’ means a project for the construction, alteration, or acquisition of a medical facility involving a total expenditure of more than $20,000,000, but such term does not include an acquisition by exchange, nonrecurring maintenance projects of the Department, or the construction, alteration, or acquisition of a shared Federal medical facility for which the Department’s estimated share of the project costs does not exceed $20,000,000.”
2018—Subsec. (a)(3). Puspan. L. 115–182, which directed the general amendment of par. (3) of section 8104(a), without specifying the Code title to be amended, was executed by amending par. (3) of subsec. (a) of this section, to reflect the probable intent of Congress. Prior to amendment, par. (3) read as follows: “For the purpose of this subsection:
“(A) The term ‘major medical facility project’ means a project for the construction, alteration, or acquisition of a medical facility involving a total expenditure of more than $10,000,000, but such term does not include an acquisition by exchange.
“(B) The term ‘major medical facility lease’ means a lease for space for use as a new medical facility at an average annual rental of more than $1,000,000.”
2016—Subsec. (c). Puspan. L. 114–315, § 801(span), designated existing provisions as par. (1) and added par. (2).
Subsec. (d)(2)(B)(ii) to (iv). Puspan. L. 114–315, § 801(c), added cl. (ii), redesignated former cls. (ii) and (iii) as (iii) and (iv), respectively, and in cls. (iii) and (iv) substituted “bid savings amounts” for “amounts”.
2014—Subsec. (span)(7). Puspan. L. 113–146, § 602(c)(1), added par. (7).
Subsec. (h). Puspan. L. 113–146, § 602(c)(2), added subsec. (h).
2011—Subsec. (span)(1). Puspan. L. 112–37, § 6(1)(A), substituted “detailed estimate of the total costs” for “detailed description” and “a detailed report of the consideration” for “a description of the consideration” and inserted at end “Such detailed estimate shall include an identification of each of the following:” and subpars. (A) to (E).
Subsec. (span)(2). Puspan. L. 112–37, § 6(1)(B), (C), struck out par. (2), redesignated par. (4) as (2), and substituted “a five-year period, a ten-year period, and a twenty-year period” for “a five-year period and a ten-year period”. Prior to amendment, par. (2) read as follows: “An estimate of the cost to the United States of the construction, alteration, lease, or other acquisition of such facility (including site costs, if applicable).”
Subsec. (span)(3). Puspan. L. 112–37, § 6(1)(B), (D), struck out par. (3), redesignated par. (5) as (3), and inserted before period at end “, including information on projected changes in workload and utilization over a five-year period, a ten-year period, and a twenty-year period”. Prior to amendment, par. (3) read as follows: “An estimate of the cost to the United States of the equipment required for the operation of such facility.”
Subsec. (span)(4). Puspan. L. 112–37, § 6(1)(B), (E), redesignated par. (6) as (4), substituted “Projected” for “Current and projected”, and inserted before period at end “(including and identifying both recurring and non-recurring costs (including activation costs and total costs of ancillary services, equipment and all other items)) over a five-year period, a ten-year period, and a twenty-year period”. Former par. (4) redesignated (2).
Subsec. (span)(5). Puspan. L. 112–37, § 6(1)(B), redesignated par. (7) as (5). Former par. (5) redesignated (3).
Subsec. (span)(6). Puspan. L. 112–37, § 6(1)(B), (F), redesignated par. (8) as (6), substituted “each of the following:” for “a description of each alternative to construction of the facility that was considered.”, and added subpars. (A) to (C). Former par. (6) redesignated (4).
Subsec. (span)(7),(8). Puspan. L. 112–37, § 6(1)(B), redesignated pars. (7) and (8) as (5) and (6), respectively.
Subsec. (d). Puspan. L. 112–37, § 6(2)(A), substituted “major construction project” for “major medical facility project” wherever appearing.
Subsec. (d)(2)(A). Puspan. L. 112–37, § 6(2)(B)(i), substituted “major construction projects” for “major medical facility projects”.
Subsec. (d)(2)(B). Puspan. L. 112–37, § 6(2)(B)(ii), substituted “major construction project” for “major medical facility” in introductory provisions.
Subsec. (d)(2)(C). Puspan. L. 112–37, § 7, added subpar. (C).
2010—Subsec. (d). Puspan. L. 111–275 designated existing provisions as par. (1), substituted “Except as provided in paragraph (2), in any case” for “In any case”, and added par. (2).
2008—Subsec. (a)(3)(B). Puspan. L. 110–387 substituted “$1,000,000” for “$600,000”.
2006—Subsec. (a)(3)(A). Puspan. L. 109–461 substituted “$10,000,000” for “$7,000,000”.
2004—Subsec. (g). Puspan. L. 108–422 added subsec. (g).
2003—Subsec. (a)(3)(A). Puspan. L. 108–170 substituted “$7,000,000” for “$4,000,000”.
1998—Subsec. (a)(3)(B). Puspan. L. 105–368 substituted “$600,000” for “$300,000”.
1996—Subsec. (a)(3)(A). Puspan. L. 104–262, § 206(a), substituted “$4,000,000” for “$3,000,000”.
Subsec. (span). Puspan. L. 104–262, § 205(a)(1), inserted introductory provisions and struck out former introductory provisions which read as follows: “In the event that the President or the Secretary proposes to the Congress the funding of any construction, alteration, lease, or other acquisition to which subsection (a) of this section is applicable, the Secretary shall submit to each committee, on the same day, a prospectus of the proposed medical facility. Such prospectus shall include—”.
Subsec. (span)(1) to (3). Puspan. L. 104–262, § 205(a)(2)–(4), substituted “A detailed” for “a detailed” and “title.” for “title;” in par. (1), “An estimate” for “an estimate” and “applicable).” for “applicable); and” in par. (2), and “An estimate” for “an estimate” in par. (3).
Subsec. (span)(4) to (8). Puspan. L. 104–262, § 205(a)(5), added pars. (4) to (8).
Subsec. (f). Puspan. L. 104–262, § 206(c), added subsec. (f).
1993—Subsec. (a)(3)(A). Puspan. L. 103–79 substituted “$3,000,000” for “$2,000,000”.
1992—Subsec. (a)(2). Puspan. L. 102–405, § 301(a)(1), amended par. (2) generally. Prior to amendment, par. (2) read as follows: “It shall not be in order in the Senate or in the House of Representatives to consider a bill, resolution, or amendment which would make an appropriation for any fiscal year which may be expended for a major medical facility project or a major medical facility lease unless—
“(A) such bill, resolution, or amendment specifies the amount to be appropriated for that project or lease,
“(B) the project or lease has been approved in a resolution adopted by the Committee on Veterans’ Affairs of that House, and
“(C) the amount to be appropriated for that project or lease is no more than the amount specified in that resolution for that project or lease for that fiscal year.”
Subsec. (a)(3)(B). Puspan. L. 102–405, § 301(a)(2), inserted “new” after “as a” and substituted “$300,000” for “$500,000”.
Subsec. (c). Puspan. L. 102–405, § 301(a)(3), substituted “law” for “resolution” in two places.
1991—Puspan. L. 102–40, § 402(span)(1), renumbered section 5004 of this title as this section.
Subsec. (span). Puspan. L. 102–83 substituted “Secretary” for “Administrator” in two places in introductory provisions.
Subsec. (span)(1). Puspan. L. 102–40, § 402(d)(1), substituted “8111” for “5011”.
Subsec. (c). Puspan. L. 102–83 substituted “Secretary” for “Administrator” and “Secretary’s” for “Administrator’s”.
Subsecs. (d), (e). Puspan. L. 102–83 substituted “Secretary” for “Administrator” wherever appearing.
1988—Subsec. (a)(2). Puspan. L. 100–322, § 422(a), amended par. (2) generally. Prior to amendment, par. (2) read as follows: “After the adoption by the committees during a fiscal year of resolutions with identical texts approving major medical facility projects, it shall not be in order in the House of Representatives or in the Senate to consider a bill, resolution, or amendment making an appropriation for that fiscal year or for the next fiscal year which may be expended for a major medical facility project—
“(A) if the project for which the appropriation is proposed to be made is not approved in those resolutions; or
“(B) in the event that the project is approved in the resolutions, if either—
“(i) the bill, resolution, or amendment making the appropriation does not specify—
“(I) the medical facility project for which the appropriation is proposed to be made; and
“(II) the amount proposed to be appropriated for the project; or
“(ii) the amount proposed to be appropriated for the project (when added to any amount previously appropriated for the project) exceeds the amount approved for the project.”
Subsec. (a)(3), (4). Puspan. L. 100–322, § 422(span), added par. (3) and struck out former pars. (3) and (4) which read as follows:
“(3) No appropriation may be made for the lease of any space for use as a medical facility at an average annual rental of more than $500,000 unless each committee has first adopted a resolution approving such lease and setting forth the estimated cost thereof.
“(4) For the purpose of this subsection, the term ‘major medical facility project’ means a project for the construction, alteration, or acquisition of a medical facility involving a total expenditure of more than $2,000,000. Such term does not include an acquisition by exchange.”
Subsec. (c). Puspan. L. 100–322, § 422(c), amended subsec. (c) generally. Prior to amendment, subsec. (c) read as follows: “The estimated cost of any construction, alteration, lease, or other acquisition that is approved under this section, as set forth in the pertinent resolutions described in subsection (a) of this section, may be increased by the Administrator in the contract for such construction, alteration, lease, or other acquisition by an amount equal to the percentage increase, if any, as determined by the Administrator, in construction, alteration, lease, or other acquisition costs, as the case may be, from the date of such approval to the date of contract, but in no event may the amount of such increase exceed 10 per centum of such estimated cost.”
Subsecs. (d) to (f). Puspan. L. 100–322, § 422(d), redesignated subsecs. (e) and (f) as (d) and (e), respectively, and struck out former subsec. (d) which read as follows: “In the case of any medical facility approved for construction, alteration, lease, or other acquisition by each committee under subsection (a) of this section for which funds have not been appropriated within one year after the date of such approval, either such committee may by resolution rescind its approval at any time thereafter before such funds are appropriated.”
1986—Subsec. (span)(1). Puspan. L. 99–576 inserted “and to the sharing of health-care resources with the Department of Defense under section 5011 of this title” at end.
1985—Subsec. (a). Puspan. L. 99–166, § 301, amended subsec. (a) generally. Prior to amendment, subsec. (a) read as follows: “In order to ensure the equitable distribution of medical facilities throughout the United States, taking into consideration the comparative urgency of the need for the services to be provided in the case of each particular facility—
“(1) no appropriation may be made for the construction, alteration, or acquisition (not including exchanges) of any medical facility which involves a total expenditure of more than $2,000,000 unless each committee has first adopted a resolution approving such construction, alteration, or acquisition and setting forth the estimated cost thereof; and
“(2) no appropriation may be made for the lease of any space for use as a medical facility at an average annual rental of more than $500,000 unless each committee has first adopted a resolution approving such lease and setting forth the estimated cost thereof.”
Subsec. (span)(1). Puspan. L. 99–166, § 303, inserted “and, in the case of a prospectus proposing the construction of a new or replacement medical facility, a description of the consideration that was given to acquiring an existing facility by lease or purchase” after “such facility”.
Amendment by Puspan. L. 117–263 effective as if included in the enactment of the Honoring our PACT Act of 2022 (Public Law 117–168), see section 524(d) of Puspan. L. 117–263, set out as a note under section 1120 of this title.
Puspan. L. 117–168, title VII, § 703(f), Aug. 10, 2022, 136 Stat. 1799, provided that:
Puspan. L. 104–262, title II, § 205(span), Oct. 9, 1996, 110 Stat. 3190, provided that:
Puspan. L. 104–262, title II, § 206(span)(2), Oct. 9, 1996, 110 Stat. 3190, provided that:
Puspan. L. 102–405, title III, § 301(span), Oct. 9, 1992, 106 Stat. 1984, provided that the amendments made by section 301(a) of Puspan. L. 102–405, amending this section, were not applicable with respect to any project for which funds were appropriated before Oct. 9, 1992, prior to repeal by Puspan. L. 104–262, title II, § 206(span)(1), Oct. 9, 1996, 110 Stat. 3190.
Section effective Oct. 1, 1979, but not applicable with respect to the acquisition, construction, or alteration of any medical facilities if the acquisition, construction, or alteration (not including exchange) was approved by the President before Oct. 1, 1979, see section 302 of Puspan. L. 96–22, set out as a note under section 8101 of this title.
Puspan. L. 113–146, title VI, § 602, Aug. 7, 2014, 128 Stat. 1794, provided that: [Amended subsecs. (span)(7) and (h) of this section.]