To authorize major medical facility projects for the Department of Veterans Affairs in connection with the Capital Asset Realignment for Enhanced Services initiative and to satisfy Department of Veterans Affairs requirements on natural disasters, and for other purposes.

Authorizes the Secretary of Veterans Affairs to carry out the following major medical facility projects, in specified amounts: (1) construction of a health care facility at a location selected by the Secretary in East Central Florida, as part of the Capital Asset Realignment for Enhanced Services (CARES) initiative; (2) improvements at the Department of Veterans Affairs Medical Center in San Juan, Puerto Rico, to bring that facility into compliance with the CD-54 Natural Disasters Directive; and (3) construction of a health care facility in Las Vegas, Nevada, as part of the CARES initiative.