Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act

This bill authorizes the Department of Veterans Affairs to spend up to $3.7 billion on seven specific medical facility projects during fiscal year 2023. It directs the VA to construct new clinics and hospitals, renovate existing facilities, and make seismic upgrades at locations including El Paso, Texas ($700 million), Louisville, Kentucky ($1.013 billion), and Portland, Oregon ($523 million). The bill sets maximum funding limits for each project and provides the legal basis for the VA to proceed with these construction and renovation efforts. It directly affects veterans by enabling improvements to healthcare facilities they rely on, without changing VA policy or creating new benefits.