---
kind: "section"
citation: "38 U.S.C. § 8111B"
title: "38"
title_heading: "Veterans’ Benefits"
number: "8111B"
heading: "Shared medical facilities with Department of Defense"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/38/8111B"
units:
  - "Part VI — Acquisition and Disposition of Property"
  - "Chapter 81 — Acquisition and Operation of Hospital and Domiciliary Facilities; Procurement and Supply; Enhanced-Use Leases of Real Property"
  - "Subchapter I — Acquisition and Operation of Medical Facilities"
---

# §8111B. Shared medical facilities with Department of Defense

- (a) **Agreements.—** The [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs may enter into agreements with the [Secretary](/usc/38/101.md?p=1) of Defense for the planning, design, and construction, or the leasing, of facilities to be operated as shared [medical facilities](/usc/38/8101.md?p=3).
- (b) **Transfer of Funds by Secretary of Veterans Affairs.—**
  - (1) The [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs may transfer to the [Department](/usc/38/101.md?p=1) of Defense amounts appropriated to the Department of Veterans Affairs for “Construction, minor projects” for use for the planning, design, or construction of a shared [medical facility](/usc/38/8101.md?p=3) if the estimated share of the project costs of the Department of Veterans Affairs does not exceed the amount specified in [section 8104(a)(3)(A) of this title](/usc/38/8104.md?p=a-3-A).
  - (2) The [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs may transfer to the [Department](/usc/38/101.md?p=1) of Defense amounts appropriated to the Department of Veterans Affairs for “Construction, major projects” for use for the planning, design, or construction of a shared [medical facility](/usc/38/8101.md?p=3) if—
    - (A) the estimated share of the project costs of the Department of Veterans Affairs exceeds the amount specified in [section 8104(a)(3)(A) of this title](/usc/38/8104.md?p=a-3-A); and
    - (B) the other requirements of [section 8104 of this title](/usc/38/8104.md) have been met with respect to amounts identified for transfer.
  - (3) The [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs may transfer to the [Department](/usc/38/101.md?p=1) of Defense amounts appropriated to the “[Medical Facilities](/usc/38/8101.md?p=3)” account of the Department of Veterans Affairs for the purpose of leasing space for a shared [medical facility](/usc/38/8101.md?p=3) if the estimated share of the Department of Veterans Affairs for the lease costs does not exceed the amount specified in [section 8104(a)(3)(B) of this title](/usc/38/8104.md?p=a-3-B).
- (c) **Transfer of Funds to Secretary of Veterans Affairs.—**
  - (1) Any amount transferred to the [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs by the [Secretary](/usc/38/101.md?p=1) of Defense for necessary expenses for the planning, design, or construction of a shared [medical facility](/usc/38/8101.md?p=3), if the estimated share of the project costs of the Department of Veterans Affairs does not exceed the amount specified in [section 8104(a)(3)(A) of this title](/usc/38/8104.md?p=a-3-A), may be credited to the “Construction, minor projects” account of the Department of Veterans Affairs and used for the necessary expenses of constructing such shared [medical facility](/usc/38/8101.md?p=3).
  - (2) Any amount transferred to the [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs by the [Secretary](/usc/38/101.md?p=1) of Defense for necessary expenses for the planning, design, or construction of a shared [medical facility](/usc/38/8101.md?p=3), if the estimated share of the project costs of the Department of Veterans Affairs exceeds the amount specified in [section 8104(a)(3)(A) of this title](/usc/38/8104.md?p=a-3-A), may be credited to the “Construction, major projects” account of the Department of Veterans Affairs and used for the necessary expenses of constructing such shared [medical facility](/usc/38/8101.md?p=3) if the other requirements of [section 8104 of this title](/usc/38/8104.md) have been met with respect to amounts identified for transfer.
  - (3) Any amount transferred to the [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs by the [Secretary](/usc/38/101.md?p=1) of Defense for the purpose of leasing space for a shared [medical facility](/usc/38/8101.md?p=3) may be credited to the “[Medical Facilities](/usc/38/8101.md?p=3)” account of the Department of Veterans Affairs and may be used for such purpose.
- (d) **Merger of Amounts Transferred.—** Any amount transferred to the [Secretary](/usc/38/101.md?p=1) of Defense under [subsection (b)](#b) and any amount transferred to the [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs under [subsection (c)](#c) shall be merged with and available for the same purposes and the same period as the appropriation or fund to which transferred.
- (e) **Appropriation in Advance.—** Amounts may be transferred pursuant to the authority under this section only to the extent and in the amounts provided in advance in appropriations Acts.
- (f) **Shared Medical Facility Defined.—** In this section, the term “shared [medical facility](/usc/38/8101.md?p=3)”—
  - (1) means a building or buildings, or a campus, intended to be used by both the Department of Veterans Affairs and the [Department](/usc/38/101.md?p=1) of Defense for the provision of health care services, whether under the jurisdiction of the [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs or the [Secretary](/usc/38/101.md?p=1) of Defense, and whether or not located on a military installation or on real property under the jurisdiction of the [Secretary](/usc/38/101.md?p=1) of [Veterans](/usc/38/101.md?p=2) Affairs; and
  - (2) includes any necessary building and auxiliary structure, garage, parking facility, mechanical equipment, abutting and covered sidewalks, and accommodations for attending personnel.

## Source credit

(Added Pub. L. 117–81, div. A, title VII, § 714(b)(1), Dec. 27, 2021, 135 Stat. 1786; amended Pub. L. 117–168, title VII, § 706(b), Aug. 10, 2022, 136 Stat. 1800.)

## Notes

### Editorial Notes

### Amendments

2022—Subsec. (a). Pub. L. 117–168, § 706(b)(1), inserted “, or the leasing,” after “design, and construction”.

Subsec. (b)(3). Pub. L. 117–168, § 706(b)(2), added par. (3).

Subsec. (c)(3). Pub. L. 117–168, § 706(b)(3), added par. (3).