; and (C) by striking PODIATRIST, CHIROPRACTOR, AND and inserting CHIROPRACTOR AND . (2) Application The amendments made by paragraph (1) shall apply with respect to a pay period of the Department of Veterans Affairs beginning on or after the date that is 30 days after the date of the enactment of this Act. 503. Definition of major medical facility project (a) Modification of definition of medical facility Section 8101(3) is amended by striking Secretary and all that follows through nursing home, and inserting Secretary, or as otherwise authorized by law, for the provision of health-care services (including hospital, outpatient clinic, nursing home, . (b) Modification of definition of major medical facility project Paragraph (3) of section 8104(a) is amended to read as follows: (3) For purposes of this subsection, the term major medical facility project means a project for the construction, alteration, or acquisition of a medical facility involving a total expenditure of more than $20,000,000, but such term does not include an acquisition by exchange, nonrecurring maintenance projects of the Department, or the construction, alteration, or acquisition of a shared Federal medical facility for which the Department’s estimated share of the project costs does not exceed $20,000,000. . 504. Authorization of certain major medical facility projects of the Department of Veterans Affairs (a) Authorization The Secretary of Veterans Affairs may carry out the following major medical facility project, to be carried out in an amount not to exceed the amount specified for that project: Construction of the new East Bay Community Based Outpatient Clinic and all associated site work, utilities, parking, and landscaping, construction of the Central Valley Engineering and Logistics support facility, and enhanced flood plain mitigation at the Central Valley and East Bay Community Based Outpatient Clinics as part of the realignment of medical facilities in Livermore, California, in an amount not to exceed $117,300,000. (b)