
From the U.S. Code Online via GPO Access
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[Laws in effect as of January 23, 2000]
[Document not affected by Public Laws enacted between
  January 23, 2000 and December 4, 2001]
[CITE: 38USC8107]

 
                      TITLE 38--VETERANS' BENEFITS
 
            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
 
Sec. 8107. Operational and construction plans for medical 
        facilities
        
    (a) In order to promote effective planning for the efficient 
provision of care to eligible veterans, the Secretary, based on the 
analysis and recommendations of the Under Secretary for Health, shall 
submit to each committee an annual report regarding long-range health 
planning of the Department. The report shall be submitted each year not 
later than the date on which the budget for the next fiscal year is 
submitted to the Congress under section 1105 of title 31.
    (b) Each report under subsection (a) shall include the following:
        (1) A five-year strategic plan for the provision of care under 
    chapter 17 of this title to eligible veterans through coordinated 
    networks of medical facilities operating within prescribed 
    geographic service-delivery areas, such plan to include provision of 
    services for the specialized treatment and rehabilitative needs of 
    disabled veterans (including veterans with spinal cord dysfunction, 
    blindness, amputations, and mental illness) through distinct 
    programs or facilities of the Department dedicated to the 
    specialized needs of those veterans.
        (2) A description of how planning for the networks will be 
    coordinated.
        (3) A profile regarding each such network of medical facilities 
    which identifies--
            (A) the mission of each existing or proposed medical 
        facility in the network;
            (B) any planned change in the mission for any such facility 
        and the rationale for such planned change;
            (C) the population of veterans to be served by the network 
        and anticipated changes over a five-year period and a ten-year 
        period, respectively, in that population and in the health-care 
        needs of that population;
            (D) information relevant to assessing progress toward the 
        goal of achieving relative equivalency in the level of resources 
        per patient distributed to each network, such information to 
        include the plans for and progress toward lowering the cost of 
        care-delivery in the network (by means such as changes in the 
        mix in the network of physicians, nurses, physician assistants, 
        and advance practice nurses);
            (E) the capacity of non-Federal facilities in the network to 
        provide acute, long-term, and specialized treatment and 
        rehabilitative services (described in section 7306(f)(1)(A) of 
        this title), and determinations regarding the extent to which 
        services to be provided in each service-delivery area and each 
        facility in such area should be provided directly through 
        facilities of the Department or through contract or other 
        arrangements, including arrangements authorized under sections 
        8111 and 8153 of this title; and
            (F) a five-year plan for construction, replacement, or 
        alteration projects in support of the approved mission of each 
        facility in the network and a description of how those projects 
        will improve access to care, or quality of care, for patients 
        served in the network.

        (4) A status report for each facility on progress toward--
            (A) instituting planned mission changes identified under 
        paragraph (3)(B);
            (B) implementing principles of managed care of eligible 
        veterans; and
            (C) developing and instituting cost-effective alternatives 
        to provision of institutional care.

    (c) The Secretary shall submit to each committee not later than 
January 31 of each year a report showing the location, space, cost, and 
status of each medical facility (1) the construction, alteration, lease, 
or other acquisition of which has been approved under section 8104(a) of 
this title, and (2) which was uncompleted as of the date of the last 
preceding report made under this subsection.
    (d)(1) The Secretary shall submit to each committee, not later than 
January 31 of each year, a report showing the current priorities of the 
Department for proposed major medical construction projects. Each such 
report shall identify the 20 projects, from within all the projects in 
the Department's inventory of proposed projects, that have the highest 
priority and, for those 20 projects, the relative priority and rank 
scoring of each such project and the projected cost of such project 
(including the projected operating costs, including both recurring and 
nonrecurring costs). The 20 projects shall be compiled, and their 
relative rankings shall be shown, by category of project (including the 
categories of ambulatory care projects, nursing home care projects, and 
such other categories as the Secretary determines).
    (2) The Secretary shall include in each report, for each project 
listed, a description of the specific factors that account for the 
relative ranking of that project in relation to other projects within 
the same category.
    (3) In a case in which the relative ranking of a proposed project 
has changed since the last report under this subsection was submitted, 
the Secretary shall also include in the report a description of the 
reasons for the change in the ranking, including an explanation of any 
change in the scoring of the project under the Department's scoring 
system for proposed major medical construction projects.

(Added Pub. L. 96-22, title III, Sec. 301(a), June 13, 1979, 93 Stat. 
58, Sec. 5007; amended Pub. L. 99-166, title III, Sec. 302(a)-(c)(1), 
Dec. 3, 1985, 99 Stat. 955; Pub. L. 99-576, title II, Sec. 222, Oct. 28, 
1986, 100 Stat. 3259; renumbered Sec. 8107 and amended Pub. L. 102-40, 
title IV, Sec. 402(b)(1), (d)(1), May 7, 1991, 105 Stat. 238, 239; Pub. 
L. 102-54, Sec. 14(f)(3), June 13, 1991, 105 Stat. 287; Pub. L. 102-83, 
Sec. 4(b)(1), (2)(E), Aug. 6, 1991, 105 Stat. 404, 405; Pub. L. 102-405, 
title III, Sec. 302(c)(1), Oct. 9, 1992, 106 Stat. 1984; Pub. L. 104-
262, title II, Sec. 204, Oct. 9, 1996, 110 Stat. 3188; Pub. L. 105-368, 
title X, Sec. 1005(b)(18), Nov. 11, 1998, 112 Stat. 3365.)


                               Amendments

    1998--Subsec. (b)(3)(E). Pub. L. 105-368 substituted ``section 
7306(f)(1)(A)'' for ``section 7305''.
    1996--Subsec. (a). Pub. L. 104-262, Sec. 204(2), added subsec. (a) 
and struck out former subsec. (a) which directed the Secretary to submit 
an annual report on the construction, replacement, alteration, and 
operation of medical facilities.
    Subsecs. (b), (c). Pub. L. 104-262, Sec. 204(1), (2), added subsec. 
(b) and redesignated former subsec. (b) as (c).
    Subsec. (d). Pub. L. 104-262, Sec. 204(3), added subsec. (d).
    1992--Subsec. (a)(1), (2)(B). Pub. L. 102-405 substituted ``Under 
Secretary for Health'' for ``Chief Medical Director''.
    1991--Pub. L. 102-40, Sec. 402(b)(1), renumbered section 5007 of 
this title as this section.
    Subsec. (a)(1). Pub. L. 102-83 substituted ``Secretary'' for 
``Administrator''.
    Subsec. (a)(2)(B). Pub. L. 102-83, Sec. 4(b)(1), (2)(E), substituted 
``Secretary'' for ``Administrator''.
    Pub. L. 102-54 amended subsec. (a)(2)(B) as in effect immediately 
before the enactment of Pub. L. 102-40 by striking out the second comma 
before ``are most in need of''.
    Subsec. (b). Pub. L. 102-83 substituted ``Secretary'' for 
``Administrator''.
    Pub. L. 102-40, Sec. 402(d)(1), substituted ``8104(a)'' for 
``5004(a)''.
    1986--Subsec. (a). Pub. L. 99-576 inserted ``, after considering the 
analysis and recommendations of the Chief Medical Director,'' after 
``Administrator'' in pars. (1) and (2)(B).
    1985--Pub. L. 99-166, Sec. 302(c)(1), substituted ``Operational and 
construction plans for medical facilities'' for ``Reports to 
congressional committees'' in section catchline.
    Subsec. (a)(1). Pub. L. 99-166, Sec. 302(a)(1)-(3), designated 
existing provisions as par. (1), substituted ``an annual report on the 
construction, replacement, alteration, and operation of medical 
facilities'' for ``an annual report on the construction, replacement, 
and alteration of medical facilities'', and struck out provisions 
relating to the content of the reports to be submitted to congressional 
committees and the time such reports were to be submitted.
    Subsec. (a)(2), (3). Pub. L. 99-166, Sec. 302(a)(4), added pars. (2) 
and (3).
    Subsec. (b). Pub. L. 99-166, Sec. 302(b), struck out ``(beginning in 
1981)'' before ``a report'', designated existing provisions as cl. (1), 
and substituted cl. (2) designation for ``, in the case of the second 
and each succeeding report made under this subsection,''.
