Sec. 233. None of the funds in this or any other Act may be used to close Department of Veterans Affairs (VA) hospitals, domiciliaries, or clinics, conduct an environmental assessment, or to diminish healthcare services at existing Veterans Health Administration medical facilities located in Veterans Integrated Service Network 23 as part of a planned realignment of VA services until the Secretary provides to the Committees on Appropriations of both Houses of Congress a report including the following elements:
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## SEC. 233 None of the funds in this or any other Act may be used to close Department of Veterans Affairs
(VA)hospitals, domiciliaries, or clinics, conduct an environmental assessment, or to diminish healthcare services at existing Veterans Health Administration medical facilities located in Veterans Integrated Service Network 23 as part of a planned realignment of VA services until the Secretary provides to the Committees on Appropriations of both Houses of Congress a report including the following elements: ####
(1)a national realignment strategy that includes a detailed description of realignment plans within each Veterans Integrated Services Network (VISN), including an updated Long Range Capital Plan to implement realignment requirements; ####
(2)an explanation of the process by which those plans were developed and coordinated within each VISN; ####
(3)a cost versus benefit analysis of each planned realignment, including the cost of replacing Veterans Health Administration services with contract care or other outsourced services; ####
(4)an analysis of how any such planned realignment of services will impact access to care for veterans living in rural or highly rural areas, including travel distances and transportation costs to access a VA medical facility and availability of local specialty and primary care; ####
(5)an inventory of VA buildings with historic designation and the methodology used to determine the buildings’ condition and utilization; ####
(6)a description of how any realignment will be consistent with requirements under the National Historic Preservation Act; and ####
(7)consideration given for reuse of historic buildings within newly identified realignment requirements: * Provided,* That, this provision shall not apply to capital projects in VISN 23, or any other VISN, which have been authorized or approved by Congress.