by $1,700,000) shall be for gender-specific care for women as described in the report accompanying this Act. Medical community care For necessary expenses for furnishing health care to individuals pursuant to chapter 17 of title 38, United States Code, at non-Department facilities, $4,521,400,000 (reduced by $5,000,000) (increased by $1) (reduced by $1), which shall be in addition to funds previously appropriated under this heading that become available on October 1, 2019