SECTION 1. AUTHORIZATION OF FISCAL YEAR 2009 MAJOR MEDICAL FACILITY 
              PROJECTS.

    The Secretary of Veterans Affairs may carry out the following major 
medical facility projects in fiscal year 2009, with each project to be 
carried out in the amount specified for each project:
            (1) Construction of an 80-bed replacement facility in Palo 
        Alto, California, to replace a seismically unsafe acute 
        psychiatric inpatient building, in an amount not to exceed 
        $54,000,000.
            (2) Construction of an outpatient clinic to meet the 
        increased demand for diagnostic procedures, ambulatory surgery, 
        and specialty care in Lee County, Florida, in an amount not to 
        exceed $131,800,000.
            (3) Seismic corrections to Building 1 at the Department of 
        Veterans Affairs Medical Center in San Juan, Puerto Rico, in an 
        amount not to exceed $225,900,000.
            (4) Construction of a facility for a state-of-the-art 
        polytrauma healthcare and rehabilitation center in San Antonio, 
        Texas, in an amount not to exceed $66,000,000.

SEC. 2. EXTENSION OF AUTHORIZATION FOR MAJOR MEDICAL FACILITY 
              CONSTRUCTION PROJECTS PREVIOUSLY AUTHORIZED.

    The Secretary of Veterans Affairs may carry out the following major 
medical facility projects in fiscal year 2009, as originally authorized 
by section 801 of the Veterans Benefits, Health Care, and Information 
Technology Act of 2006 (Public Law 109-461; 120 Stat. 3442) and as 
follows with each project to be carried out in the amount specified for 
that project:
            (1) Replacement of the Department of Veterans Affairs 
        Medical Center, Denver, Colorado, in an amount not to exceed 
        $769,200,000.
            (2) Restoration, new construction, or replacement of the 
        medical center facility for the Department of Veterans Affairs 
        Medical Center, New Orleans, Louisiana, due to damage from 
        Hurricane Katrina, in an amount not to exceed $625,000,000.

SEC. 3. AUTHORIZATION OF FISCAL YEAR 2009 MAJOR MEDICAL FACILITY 
              LEASES.

    The Secretary of Veterans Affairs may carry out the following major 
medical facility leases in fiscal year 2009 at the locations specified, 
and in an amount for each lease not to exceed the amount shown for each 
such location:
            (1) For an outpatient clinic, Brandon, Florida, $4,326,000.
            (2) For a community-based outpatient clinic, Colorado 
        Springs, Colorado, $3,995,000.
            (3) For an outpatient clinic, Eugene, Oregon, $5,826,000.
            (4) For expansion of an outpatient clinic, Green Bay, 
        Wisconsin, $5,891,000.
            (5) For an outpatient clinic, Greenville, South Carolina, 
        $3,731,000.
            (6) For a community-based outpatient clinic, Mansfield, 
        Ohio, $2,212,000.
            (7) For a satellite outpatient clinic, Mayaguez, Puerto 
        Rico, $6,276,000.
            (8) For a community-based outpatient clinic for Southeast 
        Phoenix, Mesa, Arizona, $5,106,000.
            (9) For interim research space, Palo Alto, California, 
        $8,636,000.
            (10) For expansion of a community-based outpatient clinic, 
        Savannah, Georgia, $3,168,000.
            (11) For a community-based outpatient clinic for Northwest 
        Phoenix, Sun City, Arizona, $2,295,000.
            (12) For a primary care annex, Tampa, Florida, $8,652,000.

SEC. 4. AUTHORIZATION OF APPROPRIATIONS.

    (a) Authorization of Appropriations for Major Medical Facility 
Projects.--There is authorized to be appropriated to the Secretary of 
Veterans Affairs for fiscal year 2009 for the Construction, Major 
Projects, account--
            (1) $477,700,000 for the projects authorized in section 1; 
        and
            (2) $1,394,200,000 for projects whose authorization is 
        extended by section 2.
    (b) Authorization of Appropriations for Medical Facility Leases.--
There is authorized to be appropriated to the Secretary of Veterans 
Affairs for fiscal year 2009 for the Medical Facilities account, 
$60,114,000 for the leases authorized in section 3.
    (c) Limitation.--The projects authorized in sections 1 and 2 may 
only be carried out using--
            (1) funds appropriated for fiscal year 2009 pursuant to the 
        authorization of appropriations in subsection (a) of this 
        section;
            (2) funds available for Construction, Major Projects, for a 
        fiscal year before fiscal year 2009 that remain available for 
        obligation;
            (3) funds available for Construction, Major Projects, for a 
        fiscal year after fiscal year 2009 that remain available for 
        obligation;
            (4) funds appropriated for Construction, Major Projects, 
        for fiscal year 2009 for a category of activity not specific to 
        a project;
            (5) funds appropriated for Construction, Major Projects, 
        for a fiscal year before 2009 for a category of activity not 
        specific to a project; and
            (6) funds appropriated for Construction, Major Projects, 
        for a fiscal year after 2009 for a category of activity not 
        specific to a project.
Authorizes the Secretary of Veterans Affairs to carry out major medical facility projects (projects) in FY2009 in: (1) Palo Alto, California; (2) Lee County, Florida; (3) San Juan, Puerto Rico; and (4) San Antonio, Texas.

Authorizes the Secretary to carry out projects in FY2009, as originally authorized under the Veterans Benefits, Health Care, and Information Technology Act of 2006, for Department of Veterans Affairs (VA) medical centers in Denver, Colorado, and New Orleans, Louisiana.

Authorizes the Secretary to carry out specified major medical facility leases (leases) in Arizona, California, Colorado, Florida, Georgia, Ohio, Oregon, Puerto Rico, South Carolina, and Wisconsin.

Authorizes appropriations for projects and leases authorized under this Act.
A bill to authorize major medical facility projects and major medical facility leases for the Department of Veterans Affairs for fiscal year 2009, and for other purposes.