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H.R. 8469 — what changed

Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2027, and for other purposes.

From Reported in House to Engrossed in House. 1 section amended and 5 added between Reported in House and Engrossed in House.

Sec. 250

changed Of the amounts made available for the Department of Veterans Affairs for fiscal year 2027, in this or any other Act, under the “Veterans Health Administration—Medical Services”, “Veterans Health Administration—Medical Community Care”, “Veterans Health Administration—Medical Support and Compliance”, “Veterans Health Administration—Medical Facilities”, and “Cost of War Toxic Exposures Fund” accounts, $1,444,000,000 shall be made available for gender-specific care and programmatic efforts to deliver care for women veterans; $700,000,000 shall be made available for suicide prevention outreach programs; $3,500,000,000 shall be made available for the Caregivers program; $42,000,000 shall be made available for the National Center for Post-Traumatic Stress Disorder; $80,000,000 shall be made available for the Neurology Centers of Excellence; $349,000,000 (increased by $5,000,000) shall be made available for rural health care; $3,459,121,000 shall be made available for veterans’ homelessness programs; $6,365,000,000 shall be made available for telehealth for veterans; $709,573,000 shall be made available for opioid prevention and treatment programs; and, $31,997,000 shall be made available for the Intimate Partner Violence Assistance Program.

Sec. 417

added

added None of the funds made available by this Act may be used to prepare more than one environmental impact statement under section 102(2)(C) of the National Environmental Policy Act of 1969 (42 U.S.C. 4331) for a military construction project bearing the same project number listed in Block 7 of Department of Defense Form 1391, unless the preparation of more than one such environmental impact statement is required under an order of a court of competent jurisdiction.

Sec. 418

added

added None of the funds made available by this Act under the heading “Medical Community Care” may be used in contravention of section 17.4040(a)(2) of title 38, Code of Federal Regulations.

Sec. 419

added

added None of the funds made available by this Act under the heading “Military Construction, Navy and Marine Corps” may be used for architectural and engineering services or construction design for a facility classified as Administrative under the Department of Defense Real Property Categorization System unless such architectural and engineering services or construction design is for a facility classified under such categorization system as—

(1)
added Operation and Training;
(2)
added Maintenance and Production;
(3)
added Housing and Community; or
(4)
added Utility and Ground Improvements.

Sec. 420

added

added None of the funds appropriated or otherwise made available to the Department of Veterans Affairs in this Act may be used to enforce Veterans Health Directive 1315 as it relates to—

(1)
added the policy stating that “VHA providers are prohibited from completing forms or registering Veterans for participation in a State-approved marijuana program”;
(2)
added the directive for the “Deputy Under Secretary for Health for Operations and Management” to ensure that “medical facility Directors are aware that it is VHA policy for providers to assess Veteran use of marijuana but providers are prohibited from recommending, making referrals to or completing paperwork for Veteran participation in State marijuana programs”; and
(3)
added the directive for the “VA Medical Facility Director” to ensure that “VA facility staff are aware of the following”“[t]he prohibition on recommending, making referrals to or completing forms and registering Veterans for participation in State-approved marijuana programs”.

Sec. 421

added

added None of the funds made available by this Act may be used to close the Port Charlotte VA Clinic in Port Charlotte, Florida.