To direct the Secretary of Veterans Affairs to establish the Task Force on Medical Facility Improvements in Puerto Rico, and for other purposes.

Residents of Puerto Rico have served with honor and distinction in the Armed Forces of the United States in every major war and conflict the Nation has fought since 1917.

Puerto Rico consistently ranks alongside the top five States in per capita military service.

Numerous residents of Puerto Rico have won the Bronze Star with valor device, the Silver Star, the Distinguished Flying Cross, and the Distinguished Service Medal.

Four residents of Puerto Rico have received the Medal of Honor, the highest award given for valor on the battlefield.

18,000 residents of Puerto Rico served in World War I.

65,000 residents of Puerto Rico served in World War II, including 200 Puerto Rican women.

61,000 residents of Puerto Rico served in the Korean War, during which the 65th Infantry Regiment, comprised mostly of Puerto Rican soldiers and known as the Borinqueneers, particularly distinguished itself for bravery.

48,000 residents of Puerto Rico served in Vietnam, with 430 killed and over 3,000 wounded.

2,600 residents of Puerto Rico were mobilized for Operation Desert Shield and Operation Desert Storm.

3,400 residents of Puerto Rico have served, and over 230 have been killed or wounded, in the Nation’s current war on terrorism, as part of Operation Enduring Freedom and Operation Iraqi Freedom.

Residents of Puerto Rico have always proudly answered the call to defend this nation and to sacrifice for the cause of liberty, notwithstanding the fact that they cannot vote for their commander-in-chief.

In section 821 of the Veterans Benefits, Health Care, and Information Technology Act of 2006 (Public Law 109–461; 120 Stat. 3448), Congress expressed its sense that the need for medical facility improvements in San Juan, Puerto Rico was not being adequately addressed and directed the Secretary of Veterans Affairs to take steps to explore all options for addressing that concern, including the option of a public/private partnership to construct and operate a facility that would replace the current Department of Veterans Affairs medical center in San Juan, Puerto Rico.

Congress directed the Secretary of Veterans Affairs to submit a report to the Committees on Veterans’ Affairs of the Senate and House of Representatives “identifying and outlining the various options available to the Department” for retrofitting and renovating or replacing the current Veterans Affairs medical center in San Juan.

On June 26, 2007, the Department of Veterans Affairs submitted its Report to Congress on Options for Medical Facility Improvements in San Juan, Puerto Rico, in which it identified and outlined four potential options available to the Department for medical facility improvements in Puerto Rico and analyzed the medical, legal, and financial implications associated with each option.

In that report, the Department of Veterans Affairs affirmed that medical facility improvements in Puerto Rico would support the Department’s strategic goals, including improving the quality of life for veterans with disabilities, ensuring a smooth transition for veterans from active military service to civilian life, and improving the health and socioeconomic well-being of veterans.

In that report, the Department also stated that upgrades to the existing medical facility in San Juan were necessary to ensure the long-term safety of patients and staff.