38 U.S.C. § 8111B: Shared medical facilities…

§8111B Shared Medical Facilities with Department of Defense

Title 38 › 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

Last updated Sep 22, 2026|Official source

Summary

Allows the Secretary of Veterans Affairs to work with the Secretary of Defense to plan, design, build, or lease medical facilities that both agencies will use. The VA can send money to DoD from its construction or medical facilities accounts for those projects. Whether the money comes from the VA’s "Construction, minor projects" account, "Construction, major projects" account, or "Medical Facilities" account depends on how large the VA’s share is and on the rules in section 8104 (including the amounts in 8104(a)(3)(A) and 8104(a)(3)(B)). The DoD can also send money to the VA into those same accounts under the same conditions. Any transferred funds become part of the receiving account and must be used for the same purpose and time period. Transfers can only happen if Congress provides the money in advance in appropriations Acts. A shared medical facility means a building or campus used by both VA and DoD for health care and includes the needed nearby buildings, parking, equipment, sidewalks, and space for staff.

Title 38, §8111B

Veterans' Benefits, Source: USLM XML via OLRC

(a)Agreements.—

The Secretary of Veterans Affairs may enter into agreements with the Secretary of Defense for the planning, design, and construction, or the leasing, of facilities to be operated as shared medical facilities.

(b)Transfer of Funds by Secretary of Veterans Affairs.—

(1)The Secretary of Veterans Affairs may transfer to the Department 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 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.

(2)The Secretary of Veterans Affairs may transfer to the Department 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 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; and

(B)the other requirements of section 8104 of this title have been met with respect to amounts identified for transfer.

(3)The Secretary of Veterans Affairs may transfer to the Department of Defense amounts appropriated to the “Medical Facilities” account of the Department of Veterans Affairs for the purpose of leasing space for a shared medical facility 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.

(c)Transfer of Funds to Secretary of Veterans Affairs.—

(1)Any amount transferred to the Secretary of Veterans Affairs by the Secretary of Defense for necessary expenses for the planning, design, or construction of a shared medical facility, 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, 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.

(2)Any amount transferred to the Secretary of Veterans Affairs by the Secretary of Defense for necessary expenses for the planning, design, or construction of a shared medical facility, 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, 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 if the other requirements of section 8104 of this title have been met with respect to amounts identified for transfer.

(3)Any amount transferred to the Secretary of Veterans Affairs by the Secretary of Defense for the purpose of leasing space for a shared medical facility may be credited to the “Medical Facilities” 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 of Defense under subsection (b) and any amount transferred to the Secretary of Veterans Affairs under subsection (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”—

(1)means a building or buildings, or a campus, intended to be used by both the Department of Veterans Affairs and the Department of Defense for the provision of health care services, whether under the jurisdiction of the Secretary of Veterans Affairs or the Secretary of Defense, and whether or not located on a military installation or on real property under the jurisdiction of the Secretary of Veterans Affairs; and

(2)includes any necessary building and auxiliary structure, garage, parking facility, mechanical equipment, abutting and covered sidewalks, and accommodations for attending personnel.

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).