Appendix - Department of Veterans Affairs

For necessary expenses for furnishing, as authorized by law, inpatient and outpatient care and treatment to beneficiaries of the Department of Veterans Affairs and veterans described in section 1705(a) of title 38, United States Code, including care and treatment in facilities not under the jurisdiction of the Department, and including medical supplies and equipment, bioengineering services, food services, and salaries and expenses of healthcare employees hired under title 38, United States Code, aid to State homes as authorized by section 1741 of title 38, United States Code, assistance and support services for caregivers as authorized by section 1720G of title 38, United States Code, loan repayments authorized by section 604 of the Caregivers and Veterans Omnibus Health Services Act of 2010 (Public Law 111–163; 124 Stat. 1174; 38 U.S.C. 7681 note), and hospital care and medical services authorized by section 1787 of title 38, United States Code; [$2,369,158,000] $1,078,993,000, which shall be in addition to funds previously appropriated under this heading that became available on October 1, [2015] 2016; and, in addition, [$51,673,000,000] $44,886,554,000, plus reimbursements, shall become available on October 1, [2016] 2017, and shall remain available until September 30, [2017] 2018: Provided, That, of the amount made available on October 1, [2016] 2017, under this heading, $1,400,000,000 shall remain available until September 30, [2018] 2019: Provided further, That, notwithstanding any other provision of law, the Secretary of Veterans Affairs shall establish a priority for the provision of medical treatment for veterans who have service-connected disabilities, lower income, or have special needs: Provided further, That, notwithstanding any other provision of law, the Secretary of Veterans Affairs shall give priority funding for the provision of basic medical benefits to veterans in enrollment priority groups 1 through 6: Provided further, That, notwithstanding any other provision of law, the Secretary of Veterans Affairs may authorize the dispensing of prescription drugs from Veterans Health Administration facilities to enrolled veterans with privately written prescriptions based on requirements established by the Secretary: Provided further, That the implementation of the program described in the previous proviso shall incur no additional cost to the Department of Veterans Affairs [: Provided further, That, of the amount made available on October 1, 2016, under this heading, not less than $1,500,000,000 shall be available for Hepatitis C Virus (HCV) clinical treatments, including clinical treatments with modern medications that have significantly higher cure rates than older medications, are easier to prescribe, and have fewer and milder side effects: Provided further, That the Secretary of Veterans Affairs shall ensure that sufficient amounts appropriated under this heading for medical supplies and equipment are available for the acquisition of gender appropriate prosthetics]. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0160–0–1–703		2015 actual	2016 est.	2017 est.

0100	Balance, start of year	286	292	292
	Receipts:
	Current law:
1130	Pharmaceutical Co-payments, MCCF	647	642	530
1130	Medical Care Collections Fund, Third Party Prescription Claims	102	109	112
1130	Enhanced-use Lease Proceeds, MCCF	1	2	2
1130	First Party Collections, MCCF	201	199	200
1130	Third Party Collections, MCCF	2,424	2,509	2,660
1130	Parking Fees, MCCF	4	4	4
1130	Compensated Work Therapy, MCCF	67	67	67
1130	MCCF, Long-term Care Copayments	3	3	3
1140	Payments from Compensation and Pension, MCCF	2	2	2

1199	Total current law receipts	3,451	3,537	3,580

1999	Total receipts	3,451	3,537	3,580

2000	Total: Balances and receipts	3,737	3,829	3,872
	Appropriations:
	Current law:
2101	Medical Care Collections Fund	–3,445	–3,537	–3,580

5099	Balance, end of year	292	292	292


Identification code 036–0160–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Outpatient care	18,011	21,901	25,375
0002	Inpatient care	6,736	7,054	6,768
0004	Mental health care	5,020	5,436	5,811
0005	Long-term care	3,171	3,500	3,109
0006	Prosthetics care	2,727	2,851	3,646
0007	Dental care	580	759	1,057
0008	Rehabilitation	593	617	638
0009	CHAMPVA and Other dependent programs	1,394	1,708	300
0011	Readjustment Counseling	186	219	241
0012	Caregivers (Title I) P.L. 111–163	447	596	697
0013	Prior-Year Recoveries	574
0014	Non-VA Care (Payments)	7,815	7,688
0021	P.L. 113–146, Sec. 801 - FTE & Other Costs	579	1,286	733
0022	P.L. 113–146, Sec. 801 - Section 301/302 Activities	2	60	60
0025	P.L.113–146, Sec. 801 - Activations		30
0026	Audit Adjustment	–149	149

0091	Total operating expenses	47,686	53,854	48,435
0101	Outpatient care	1,683	548	653
0102	Inpatient care	184	192	185
0103	Mental health care	35	39	41
0104	Long-term care	58	65	57
0106	Dental care	17	23	32
0107	Rehabilitation	16	16	17
0109	Readjustment Counseling	2	2	2
0110	Caregivers (Title I) P.L. 111–163	3	3	3
0112	P.L. 113–146, Sec. 801 - FTE & Other Costs	29	29	29
0114	P.L. 113–146, Sec. 801 - Activations		10

0191	Total Capital Investment	2,027	927	1,019

0799	Total direct obligations	49,713	54,781	49,454
0801	Medical Services (Reimbursable)	146	150	153

0900	Total new obligations	49,859	54,931	49,607

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	5,228	1,881	361
1010	Unobligated balance transfer to other accts [036–0162]	–1,772
1010	Unobligated balance transfer to other accts [036–0152]	–27
1010	Unobligated balance transfer to other accts [036–0111]	–511
1010	Unobligated balance transfer to other accts [036–0167]	–377
1011	Unobligated balance transfer from other acct [036–0167]	14
1011	Unobligated balance transfer from other acct [036–0111]			195
1011	Unobligated balance transfer from other acct [036–0162]			324
1020	Adjustment of unobligated bal brought forward, Oct 1		–149
1021	Recoveries of prior year unpaid obligations	574	149

1050	Unobligated balance (total)	3,129	1,881	880
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	1,609	3,769	1,079
1120	Appropriations transferred to other accts [036–0169]	–190	–196	–202
1120	Appropriations transferred to other accts [036–0165]	–15	–15	–15
1120	Appropriations transferred to other acct [036–0110]	–6	–39
1121	Appropriations transferred from other acct [036–5287]	3,423	3,515	3,308
1121	Appropriations transferred from other acct [036–0152]	57

1160	Appropriation, discretionary (total)	4,878	7,034	4,170
	Advance appropriations, discretionary:
1170	Advance appropriation	45,016	47,603	51,673
1173	Advance appropriations permanently reduced	–1,429	–1,400
1173	Advance appropriations transferred to other accts [036–0140]			–7,246

1180	Advanced appropriation, discretionary (total)	43,587	46,203	44,427
	Spending authority from offsetting collections, discretionary:
1700	Collected	142	171	171
1701	Change in uncollected payments, Federal sources	4	3	3

1750	Spending auth from offsetting collections, disc (total)	146	174	174
1900	Budget authority (total)	48,611	53,411	48,771
1930	Total budgetary resources available	51,740	55,292	49,651
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1,881	361	44

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	8,587	7,090	8,477
3001	Adjustments to unpaid obligations, brought forward, Oct 1		149
3010	Obligations incurred, unexpired accounts	49,859	54,931	49,607
3011	Obligations incurred, expired accounts	811
3020	Outlays (gross)	–50,677	–53,544	–49,288
3040	Recoveries of prior year unpaid obligations, unexpired	–574	–149
3041	Recoveries of prior year unpaid obligations, expired	–916

3050	Unpaid obligations, end of year	7,090	8,477	8,796
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–5	–7	–10
3070	Change in uncollected pymts, Fed sources, unexpired	–4	–3	–3
3071	Change in uncollected pymts, Fed sources, expired	2

3090	Uncollected pymts, Fed sources, end of year	–7	–10	–13
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	8,582	7,232	8,467
3200	Obligated balance, end of year	7,083	8,467	8,783

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	48,611	53,411	48,771
	Outlays, gross:
4010	Outlays from new discretionary authority	40,478	46,051	42,341
4011	Outlays from discretionary balances	9,603	6,128	6,595

4020	Outlays, gross (total)	50,081	52,179	48,936
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–87	–63	–61
4033	Non-Federal sources	–245	–108	–110

4040	Offsets against gross budget authority and outlays (total)	–332	–171	–171
	Additional offsets against gross budget authority only:
4050	Change in uncollected pymts, Fed sources, unexpired	–4	–3	–3
4052	Offsetting collections credited to expired accounts	190

4060	Additional offsets against budget authority only (total)	186	–3	–3

4070	Budget authority, net (discretionary)	48,465	53,237	48,597
4080	Outlays, net (discretionary)	49,749	52,008	48,765
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	596	1,365	352
4180	Budget authority, net (total)	48,465	53,237	48,597
4190	Outlays, net (total)	50,345	53,373	49,117

For 2018, the Budget requests $66.4 billion in advance appropriations for the four medical care appropriations: Medical Services, Medical Community Care, Medical Support and Compliance, and Medical Facilities. This request for advance appropriations fulfills the Administration's commitment to provide reliable and timely resources to support the delivery of accessible and high-quality medical services for veterans. This funding enables timely and predictable funding for VA's medical care to prevent our Nation's veterans from being adversely affected by budget delays, and provides opportunities to more effectively use resources in a constrained fiscal environment.

For 2017, Medical Care appropriations are increased by $1.7 billion over the 2017 advance appropriations request of $63.3 billion. Each year, VA updates its budget estimates to incorporate the most recent data on health care utilization rates, actual program experience, and other factors, such as economic trends in unemployment and inflation. As a result of these updates, the adjusted budget estimates more accurately reflect the projected medical demands of veterans enrolled in the VA health care system.

The Veterans Access, Choice, and Accountability Act of 2014 ("Veterans Choice Act"), Public Law 113–146 provided $5 billion in mandatory funding to increase veterans' access to health care by hiring more physicians and staff and improving VA's physical infrastructure. It also provided $10 billion in mandatory funding through 2017 to establish a temporary program ("Veterans Choice Program") improving veterans' access to health care by allowing eligible veterans who meet certain wait-time or distance standards to use eligible health care providers outside the VA system.

With the resources requested for 2017 and 2018, VA will provide the highest quality health care services for veterans. VA estimates it will treat 7.0 million patients in 2017 and 7.1 million patients in 2018. Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND) veterans are expected to reach 922,664 in 2017 (13.2 percent of the total) and 995,196 in 2018 (14.0 percent of the total).

Medical Care Collections Fund (MCCF).—VA estimates collections of nearly $3.6 billion in 2017 and over $3.6 billion in 2018, representing over five percent of available Medical Care resources in both years. VA has the authority to collect inpatient and outpatient co-payments, medication co-payments, and nursing home co-payments; authority for certain income verification; authority to recover third-party insurance payments from veterans for nonservice-connected conditions; and authority to collect revenue from enhanced use leases. These collections also include those collected from the Compensated Work Therapy Program, Compensation and Living Expenses Program, and the Parking Program.

Medical Services.—For Medical Services, the Budget reflects the following discretionary appropriation funding: the 2016 enacted advance appropriation of $47.6 billion, augmented with $2.4 billion (as provided in Public Law 114–113); the 2017 enacted advance appropriation of $51.7 billion, together with an additional $1.1 billion as requested in this Budget; and the 2018 advance appropriation request of $44.9 billion. This appropriation provides for a comprehensive, integrated health care delivery system that addresses the needs of eligible veterans and beneficiaries in VA medical centers, outpatient clinic facilities, contract hospitals, State homes, and outpatient programs on a fee basis. Hospital and outpatient care is also provided by the private sector for certain dependents and survivors of veterans under the Civilian Health and Medical Programs for the Department of Veterans Affairs (CHAMPVA). In addition to this funding, the Budget reflects mandatory funding provided in section 801 of the Veterans Choice Act (Public Law 113–146): $1.7 billion remains in 2016.

Estimated obligations and workload for six categories of health care services are shown below: outpatient care, inpatient care, mental health care, long term services and supports, prosthetics care, and dental care. In addition, estimated obligations and workload are also shown for four programs: CHAMPVA and other dependent programs, readjustment counseling, Caregivers, and non-VA care. In each of the six categories of health care services, the obligations and workload shown reflect only the provision of care by VA providers; obligations and workload for all types of non-VA care are displayed separately in the section on non-VA care. Finally, the obligations for each of the six categories of health care services do not include the funding provided by section 801 of the Veterans Choice Act, but the estimated workload levels do include the additional workload associated with this funding.

Outpatient care.—Obligations in the Medical Services account for 2017 are estimated to be $26,028 million for this health service category, which includes funding for ambulatory care in VA hospital-based and community-based clinics.


Outpatient Visits (excludes Mental Health):	2015 actual	2016 est.	2017 est.

Staff	70,350,501	72,933,627	75,043,060

Inpatient care.—Obligations in the Medical Services account for 2017 are estimated to be $6,953 million, which includes funding for inpatient care in VA medical centers.


	2015 actual	2016 est.	2017 est.

Patients Treated	460,006	445,620	430,504

Mental health care.—Obligations in the Medical Services account for 2017 are estimated to be $5,852 million for the inpatient, residential, and outpatient care of veterans with conditions related to mental illness, including alcohol and drug problems. Mental health services and operations ensure the availability of a range of services, from treatment of a variety of common mental health conditions in primary care to more intensive interventions in specialty mental health programs for more severe and persisting mental health conditions. Specialty services such as evidence-based psychotherapies, intensive outpatient programs, residential rehabilitation treatment, and inpatient care are available to meet the range of veterans' needs.


	2015 actual	2016 est.	2017 est.

Average daily census (ADC)	8,849	8,729	8,605
Outpatient Visits/Encounters	12,918,336	13,487,534	13,979,398

Long term services and supports.—Obligations in the Medical Services account for 2017 are estimated to be $3,166 million for the care of veteran residents in VA-operated long-term care programs. VA offers a spectrum of geriatric and extended care services to veterans enrolled in its health care system. The spectrum of long-term care services includes non-institutional and institutional services. All VA medical centers provide home- and community-based long-term care programs. The patient-focused approach supports veterans who wish to live safely at home in their own communities for as long as possible. In addition, veterans receive institutional long-term care through one of four venues: VA Community Living Centers (CLCs); Community Nursing Homes; State Veterans Nursing Homes; and State Veterans Home Domiciliaries. The operating levels for institutional care below represent only VA CLCs.


	2015 actual	2016 est.	2017 est.

Institutional (ADC)	9,226	8,975	8,711
Non-Institutional Visits/Procedures	2,602,003	2,750,302	2,795,947

Prosthetics care.—Obligations in the Medical Services account for 2017 are estimated to be $3,646 million for veterans. Prosthetic and Sensory Aids Service is an integrated delivery system designed to provide medically prescribed prosthetic and sensory aids, medical devices, assistive aids, repairs and services to eligible disabled veterans to maximize the independence and enhance their quality of life. This includes, but is not limited to, artificial limbs, hearing aids, and home oxygen; items that improve accessibility such as ramps and vehicle modifications, wheelchairs and mobility aids; and devices surgically placed in the veteran, such as stents.

Dental care.—Obligations in the Medical Services account for 2017 are estimated to be $1,089 million for the treatment of veterans who require dental care. Dental care services are provided to eligible veterans with a "medical condition negatively impacted by poor dentition." These patients may include poorly controlled diabetic patients, patients with head or neck cancer, organ transplant patients, and others. Veterans with a 100 percent service-connected disability are eligible for comprehensive dental care as needed. In addition, homeless veterans enrolled in certain residential treatment programs are also eligible for dental treatment.


	2015 actual	2016 est.	2017 est.

Dental Procedures	4,261,946	4,467,837	4,636,882

Rehabilitation.—Obligations in the Medical Services account for 2017 are estimated to be $655 million for the provision of rehabilitative care, including Blind Rehabilitation and Spinal Cord Injury programs. These services include inpatient and outpatient blind and vision rehabilitation programs, adjustment to blindness counseling, patient and family education, and assistive technology. The mission of Spinal Cord Injury and Disorders (SCI/D) Services is to promote the health, independence, quality of life and productivity of individuals with spinal cord injury and disorders through efficient delivery of acute rehabilitation, psychological, social, vocational, medical and surgical care, professional training, as well as patient and family education.




	2015 actual	2016 est.	2017 est.
ADC	1,143	1,134	1,135

Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) Programs.—Obligations in the Medical Services account for 2017 are estimated to be $300 million (excludes care in the community portion found under the new Medical Community Care appropriation) for pharmacy and medical service personnel dealing with CHAMPVA matters.

Readjustment Counseling.—Obligations in the Medical Services account for 2017 are estimated to be $243 million. This program provides readjustment counseling services at VA Vet Centers. Vet Centers are community-based counseling centers that provide a wide range of social and psychological services to include: professional readjustment counseling to veterans who have served in a combat zone, military sexual trauma counseling, bereavement counseling for families who experience an active duty death, substance abuse assessments and referral, medical referral, VBA benefits explanation and referral, and employment counseling. Services are also extended to the family members of eligible veterans for issues related to military service and the readjustment of those veterans.


	2015 actual	2016 est.	2017 est.

Visits	1,661,145	1,710,979	1,762,309

Caregivers (Title I) Programs.—Obligations in the Medical Services account for 2017 are estimated to be $700 million. The Caregivers and Veterans Omnibus Health Services Act of 2010, Public Law 111–163, authorized VA to provide assistance and support services for Caregivers of eligible veterans. This program provides a wide range of services for primary caregivers to include: a monthly personal caregiver stipend, respite care, access to mental health services, beneficiary travel, and health care benefits through the existing CHAMPVA Program.


	2015 actual	2016 est.	2017 est.

Caregiver Stipend (dollars)	387,667,765	516,605,000	629,271,000
Caregiver Caseload	24,771	30,644	36,644

Public Law 113–146, Veterans Choice Act, Section 801.—On August 7, 2014, President Obama signed into law the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146) ("Veterans Choice Act"). The 2017 Budget supports implementation of the Veterans Choice Act and the Administration's goal of providing timely, high-quality health care for our Nation's veterans. The Veterans Choice Act provided $5 billion in mandatory funding in Section 801 to increase veterans' access to health care by hiring more physicians and staff and improving the VA's physical infrastructure. Obligations in the Medical Services account for 2017 are estimated to be $822 million for Section 301/302, hiring medical staff, and supplies and materials.


Dollars in Millions	2015 actual	2016 est.	2017 est.

FTE & Other Costs	$610	$1,315	$722
Section 301/302 Activities	$0	$60	$60
Activations	$0	$40	$0
Total	$610	$1,415	$822


Identification code 036–0160–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	16,150	16,990	18,587
11.1	Full-time permanent - P.L. 113–146, Sec. 801	438	1,037	604
11.3	Other than full-time permanent	339	357	392
11.3	Other than full-time permanent - P.L. 113–146, Sec. 801	9	22	13
11.5	Other personnel compensation	1,860	1,957	2,140
11.5	Other personnel compensation - P.L. 113–146, Sec. 801	50	119	69

11.9	Total personnel compensation	18,846	20,482	21,805
12.1	Civilian personnel benefits	5,883	6,203	6,819
12.1	Civilian personnel benefits - P.L. 113–146, Sec. 801	65	153	89
21.0	Travel & Transportation of Persons	915	927	962
22.0	Transportation of things	18	21	22
23.2	Rent, Communications & Utilities	323	345	358
24.0	Printing and reproduction	14	23	23
25.2	Other contractual services	10,820	11,678	4,470
25.2	Other contractual serv. - P.L. 113–146, Sec. 801	4	27
26.0	Supplies & Materials	10,253	12,083	13,354
26.0	Supplies & Materials - P.L. 113–146, Sec. 801	15	18	18
31.0	Equipment	844	888	990
31.0	Equipment - P.L. 113–146, Sec. 801	29	39	29
32.0	Land and structures	1
41.0	Grants, Subsidies & Contributions	1,682	1,745	515
44.0	Prior-year Recoveries	1
92.0	Audit Adjustment		149

99.0	Direct obligations	49,713	54,781	49,454
99.0	Reimbursable obligations	146	150	153

99.9	Total new obligations	49,859	54,931	49,607


Identification code 036–0160–0–1–703		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	214,465	225,486	234,648
2001	Reimbursable civilian full-time equivalent employment	1,872	1,872	1,872

For necessary expenses for furnishing health care to individuals pursuant to chapter 17 of title 38, United States Code, at non-Department facilities, $7,246,181,000, plus reimbursements, to be derived from amounts appropriated in title II of division J of Public Law 114–113 under the headings "Medical Services", "Medical Support and Compliance", or "Medical Facilities" which became available on October 1, 2016; and, in addition, $9,409,118,000 shall become available on October 1, 2017, and shall remain available until September 30, 2018: Provided, That, of the amount made available on October 1, 2017, $1,500,000,000 shall remain available until September 30, 2019.


Identification code 036–0140–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Medical Community Care			7,496

	Budgetary resources:
	Budget authority:
	Appropriations, discretionary:
1121	Appropriations transferred from other acct [036–5287]			250
	Advance appropriations, discretionary:
1170	Advance appropriation transferred from other accts [036–0160]			7,246
1900	Budget authority (total)			7,496
1930	Total budgetary resources available			7,496

	Change in obligated balance:
	Unpaid obligations:
3010	Obligations incurred, unexpired accounts			7,496
3020	Outlays (gross)			–6,593

3050	Unpaid obligations, end of year			903
	Memorandum (non-add) entries:
3200	Obligated balance, end of year			903

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross			7,496
	Outlays, gross:
4010	Outlays from new discretionary authority			6,593
4180	Budget authority, net (total)			7,496
4190	Outlays, net (total)			6,593

For 2018, the Budget requests $9.4 billion in advance appropriations for Medical Community Care. This request for advance appropriations fulfills the Administration's commitment to provide reliable and timely resources to support the delivery of accessible and high-quality medical services for veterans.

The Medical Community Care appropriation provides for the furnishing of Hospital Care and Medical Services to eligible veterans through agreements with certain eligible entities that have an agreement to provide such care and services for VA. Medical Community Care will be the source of funding for care that VA provides to veterans through community providers.


	2017 Est.

Outpatient Visits (Non-Mental Health, Non-Non-Institutional Care)	3,708,864
Mental Health Outpatient Visits	361,359
Contract Hospital Patients Treated (Non-Mental Health)	135,467
Contract Hospital Patients Treated (Psychiatry)	21,027
Community Nursing Home Patients Treated	31,093
State Nursing Home Patients Treated	31,619
State Home Domiciliary Patients Treated	4,905
State Adult Day Health Care ADC	47
Dental Procedures	379,050
Non-Institutional Care Visits/Procedures**	10,343,294


Identification code 036–0140–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
25.2	Other contractual services			6,145
41.0	Grants, subsidies, and contributions			1,351

99.9	Total new obligations			7,496

For necessary expenses in the administration of the medical, hospital, nursing home, domiciliary, construction, supply, and research activities, as authorized by law; administrative expenses in support of capital policy activities; and administrative and legal expenses of the Department for collecting and recovering amounts owed the Department as authorized under chapter 17 of title 38, United States Code, and the Federal Medical Care Recovery Act (42 U.S.C. 2651 et seq.), [$6,524,000,000] $6,654,480,000, plus reimbursements, shall become available on October 1, [2016] 2017, and shall remain available until September 30, [2017] 2018: Provided, That, of the amount made available on October 1, [2016] 2017, under this heading, $100,000,000 shall remain available until September 30, [2018] 2019. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0152–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	VA Medical Centers & Other Field Activities	3,692	3,850	4,130
0002	VISN Headquarters	171	174	163
0003	VHA Central Office	603	615	660
0004	Consolidated Patient Account Centers	309	349	375
0005	Office of Informatics & Analytics	188	239	257
0007	Chief Business Office Purchase Care	311	384	413
0008	Employee Education Service Center	60	69	74
0009	VHA Service Center	253	256	275
0011	Health Resource Center	56	66	71
0012	Health Eligibility Center	44	48	52
0013	Consolidated Mail Outpatient Pharmacies	17	18	19
0014	National Center for Patient Safety	6	8	9
0015	Prior-Year Recoveries	1
0024	P.L. 113–146, Sec. 801 - FTE & Other Costs		1	1
0025	P.L. 113–146, Section 301/302 Activities		16	15
0027	Activations		3

0091	Total operating expenses	5,711	6,096	6,514
0101	Capital investment			27
0102	VAMCs & Other Field Activities	20	24
0104	VHA Central Office	1	1	1

0191	Total Capital Investment	21	25	28

0293	Total direct program	5,732	6,121	6,542

0799	Total direct obligations	5,732	6,121	6,542
0801	Medical Support and Compliance (Reimbursable)	11	14	14

0900	Total new obligations	5,743	6,135	6,556

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	43	127	38
1010	Unobligated balance transfer to other accts [036–0110]		–85
1011	Unobligated balance transfer from other acct [036–0160]	27
1011	Unobligated balance transfer from other acct [036–0162]			9
1021	Recoveries of prior year unpaid obligations	1

1050	Unobligated balance (total)	71	42	47
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	100	100
1120	Appropriations transferred to other accts [036–0169]	–27	–27	–28
1120	Appropriations transferred to other accts [036–0160]	–57
1120	Appropriations transferred to other acct [036–0110]	–2

1160	Appropriation, discretionary (total)	14	73	–28
	Advance appropriations, discretionary:
1170	Advance appropriation	5,880	6,144	6,524
1173	Advance appropriations permanently reduced	–106	–100

1180	Advanced appropriation, discretionary (total)	5,774	6,044	6,524
	Spending authority from offsetting collections, discretionary:
1700	Collected	11	14	14
1900	Budget authority (total)	5,799	6,131	6,510
1930	Total budgetary resources available	5,870	6,173	6,557
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	127	38	1

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1,137	790	892
3010	Obligations incurred, unexpired accounts	5,743	6,135	6,556
3011	Obligations incurred, expired accounts	74
3020	Outlays (gross)	–5,841	–6,010	–6,405
3040	Recoveries of prior year unpaid obligations, unexpired	–1
3041	Recoveries of prior year unpaid obligations, expired	–322	–23

3050	Unpaid obligations, end of year	790	892	1,043
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–1
3071	Change in uncollected pymts, Fed sources, expired	1
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	1,136	790	892
3200	Obligated balance, end of year	790	892	1,043

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	5,799	6,131	6,510
	Outlays, gross:
4010	Outlays from new discretionary authority	5,100	5,434	5,795
4011	Outlays from discretionary balances	741	561	606

4020	Outlays, gross (total)	5,841	5,995	6,401
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–15	–14	–14
4033	Non-Federal sources	–7

4040	Offsets against gross budget authority and outlays (total)	–22	–14	–14
	Additional offsets against gross budget authority only:
4052	Offsetting collections credited to expired accounts	11

4060	Additional offsets against budget authority only (total)	11

4070	Budget authority, net (discretionary)	5,788	6,117	6,496
4080	Outlays, net (discretionary)	5,819	5,981	6,387
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances		15	4
4180	Budget authority, net (total)	5,788	6,117	6,496
4190	Outlays, net (total)	5,819	5,996	6,391

For 2018, the Budget requests $6.7 billion in advance appropriations for Medical Support and Compliance. This request for advance appropriations fulfills the Administration's commitment to provide reliable and timely resources to support the delivery of accessible and high-quality medical services for veterans.

For Medical Support and Compliance, the Budget reflects the following discretionary appropriation funding from 2016 through 2018: the 2016 enacted advance appropriation of $6.1 billion, the 2017 enacted advance appropriation of $6.5 billion, and the 2018 advance appropriation request of $6.7 billion. In addition to this funding, the Budget reflects mandatory funding provided in section 801 of the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146): $27 million remains available in 2016.

Medical Support and Compliance appropriation finances the expenses of management, security, and administration of the VA health care system through the operation of VA medical centers, other facilities, Veterans Integrated Service Network offices and facility director offices, chief of staff operations, quality of care oversight, legal services, billing and coding activities, procurement, financial management, and human resource management.


Identification code 036–0152–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	2,948	3,111	3,240
11.1	Full-time permanent - Choice Act, P.L. 113–146, Sec. 801		12	10
11.3	Other than full-time permanent	63	66	69
11.5	Other personnel compensation	339	358	372
11.5	Other personnel compensation/P.L. 113–146 Section 801		1	1

11.9	Total personnel compensation	3,350	3,548	3,692
12.1	Civilian personnel benefits	1,159	1,234	1,296
12.1	Civilian personnel benefits - Choice Act, P.L. 113–146, Sec. 801		5	4
21.0	Travel & Transportation of Persons	44	48	49
21.0	Travel and transportation of persons/P.L. 113–146 Section 801		1	1
22.0	Transportation of things	10	13	13
23.3	Communications, utilities, and miscellaneous charges	116	117	120
24.0	Printing and reproduction	12	15	15
25.2	Other contractual services	933	1,022	1,230
25.2	Other contractual services - Choice Act, P.L. 113–146, Section 801		1
26.0	Medical supplies and materials	85	92	94
31.0	Equipment	22	25	28
44.0	Prior Year Recoveries	1

99.0	Direct obligations	5,732	6,121	6,542
99.0	Reimbursable obligations	11	14	14

99.9	Total new obligations	5,743	6,135	6,556


Identification code 036–0152–0–1–703		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	48,610	50,181	55,591
1001	Direct civilian full-time equivalent employment		2
2001	Reimbursable civilian full-time equivalent employment	869	869	869


Identification code 036–0165–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	DOD-VA health care sharing incentive fund	85	60	74

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	196	138	91
1021	Recoveries of prior year unpaid obligations	12	13	14

1050	Unobligated balance (total)	208	151	105
	Budget authority:
	Appropriations, discretionary:
1121	Transferred from DOD account [097–0130]	15	15	15
1121	Appropriations transferred from other acct [036–0160]	15	15	15
1131	Unobligated balance of appropriations permanently reduced	–15	–30

1160	Appropriation, discretionary (total)	15		30
1930	Total budgetary resources available	223	151	135
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	138	91	61

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	73	70	94
3010	Obligations incurred, unexpired accounts	85	60	74
3020	Outlays (gross)	–76	–23	–8
3040	Recoveries of prior year unpaid obligations, unexpired	–12	–13	–14

3050	Unpaid obligations, end of year	70	94	146
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	73	70	94
3200	Obligated balance, end of year	70	94	146

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	15		30
	Outlays, gross:
4011	Outlays from discretionary balances	76	23	8
4180	Budget authority, net (total)	15		30
4190	Outlays, net (total)	76	23	8

The purpose of the Department of Defense-Veterans Affairs Health Care Sharing Incentive Fund, often referred to as the Joint Incentive Fund (JIF), is to enable the Departments to carry out a program to identify and provide incentives to implement creative sharing initiatives at the facility, intra-regional and nationwide levels. The JIF promotes collaboration and new approaches to problem solving to enable the Departments to improve the coordination of health care services. The Departments have established the fund and developed processes and criteria to solicit and select projects. Section 721 of the 2003 National Defense Authorization Act, Public Law 107–314, established the fund and requires VA and Department of Defense to establish a joint incentive program. In 2017, each Secretary shall contribute a minimum of $15 million to the fund after the appropriation is enacted.


Identification code 036–0165–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
11.1	Personnel compensation: Full-time permanent	6	6	6
12.1	Civilian personnel benefits	1	1	1
25.1	Advisory and assistance services	65	40	54
26.0	Supplies and materials	1	1	1
31.0	Equipment	5	5	5
32.0	Land and structures	7	7	7

99.9	Total new obligations	85	60	74


Identification code 036–0165–0–1–703		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	57	57	57

For necessary expenses for the maintenance and operation of hospitals, nursing homes, domiciliary facilities, and other necessary facilities of the Veterans Health Administration; for administrative expenses in support of planning, design, project management, real property acquisition and disposition, construction, and renovation of any facility under the jurisdiction or for the use of the Department; for oversight, engineering, and architectural activities not charged to project costs; for repairing, altering, improving, or providing facilities in the several hospitals and homes under the jurisdiction of the Department, not otherwise provided for, either by contract or by the hire of temporary employees and purchase of materials; for leases of facilities; and for laundry services; [$105,132,000] $649,000,000, which shall be in addition to funds previously appropriated under this heading that became available on October 1, [2015] 2016; and, in addition, [$5,074,000,000] $5,434,880,000, plus reimbursements, shall become available on October 1, [2016] 2017, and shall remain available until September 30, [2017] 2018: Provided, That, of the amount made available on October 1, [2016] 2017, under this heading, $250,000,000 shall remain available until September 30, [2018] 2019. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0162–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Engineering & Environmental Management Services	544	558	556
0002	Plant Operations	748	749	748
0003	Leases	498	569	872
0004	Transportation Services	158	163	163
0005	Grounds Maintenance & Fire Protection	92	98	98
0007	Recurring Maintenance & Repair	482	489	482
0008	Non-Recurring Maintenance	20
0009	Operating Equipment Maintenance & Repair	193	186	185
0011	Engineering Service	778	1,020	1,119
0012	Other Facilities Operation Support	27	25	25
0013	Textile Care Processing & Management	148	134	130
0014	Prior-Year Recoveries	11
0025	P.L. 113–146, Sec. 801 - Emergency Leases	13	22
0026	P.L. 113–146, Sec. 801 - Leases	18	262
0027	P.L. 113–146, Sec. 801 - Non-Recurring Maintenance	3
0028	P.L. 113–146, Sec. 801 - Activations		3

0091	Total operating expenses	3,733	4,278	4,378
0101	Engineering & Environmental Management Services	25	42	44
0102	Plant Operation	9	15	16
0103	Leases	54
0104	Transportation Services	1	2	2
0105	Grounds Maintenance & Fire Protection	3	5	5
0106	Recurring Maintenance & Repair	63	104	111
0107	Non-Recurring Maintenance & Repair	805	418	1,057
0108	Operating Equipment Maintenance & Repair	12	20	21
0109	Engineering Service	5	8	9
0110	Other Facilities Operation Support	4	7	7
0111	Textile Care Processing & Management	31	51	55
0122	P.L. 113–146, Sec. 801 - Section 301/302		16	16
0123	P.L. 113–146, Sec. 801 - Emergency Leases	6
0124	P.L. 113–146, Sec. 801 - Leases	21
0125	P.L. 113–146, Sec. 801 - Non-Recurring Maintenance	470	443
0126	P.L. 113–146, Sec. 801 - Legionella Prevention & Control	15	132

0191	Total capital investment	1,524	1,263	1,343

0799	Total direct obligations	5,257	5,541	5,721
0801	Medical Facilities (Reimbursable)	14	17	17

0900	Total new obligations	5,271	5,558	5,738

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	93	1,239	371
1010	Unobligated balance transfer to other accts [036–0110]		–313
1010	Unobligated balance transfer to other accts [036–0160]			–324
1010	Unobligated balance transfer to other accts [036–0152]			–9
1011	Unobligated balance transfer from other acct [036–0160]	1,772
1021	Recoveries of prior year unpaid obligations	11

1050	Unobligated balance (total)	1,876	926	38
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	250	355	649
1120	Appropriations transferred to other accts [036–0169]	–35	–37	–38
1120	Appropriations transferred to other acct [036–0110]	–81

1160	Appropriation, discretionary (total)	134	318	611
	Advance appropriations, discretionary:
1170	Advance appropriation	4,739	4,915	5,074
1173	Advance appropriations permanently reduced	–252	–250

1180	Advanced appropriation, discretionary (total)	4,487	4,665	5,074
	Spending authority from offsetting collections, discretionary:
1700	Collected	13	20	20
1900	Budget authority (total)	4,634	5,003	5,705
1930	Total budgetary resources available	6,510	5,929	5,743
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1,239	371	5

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	2,793	2,925	2,980
3010	Obligations incurred, unexpired accounts	5,271	5,558	5,738
3011	Obligations incurred, expired accounts	304
3020	Outlays (gross)	–5,108	–5,503	–5,890
3040	Recoveries of prior year unpaid obligations, unexpired	–11
3041	Recoveries of prior year unpaid obligations, expired	–324

3050	Unpaid obligations, end of year	2,925	2,980	2,828
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	2,793	2,925	2,980
3200	Obligated balance, end of year	2,925	2,980	2,828

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	4,634	5,003	5,705
	Outlays, gross:
4010	Outlays from new discretionary authority	3,245	3,746	4,324
4011	Outlays from discretionary balances	1,803	414	1,032

4020	Outlays, gross (total)	5,048	4,160	5,356
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–7	–11	–11
4033	Non-Federal sources	–23	–9	–9

4040	Offsets against gross budget authority and outlays (total)	–30	–20	–20
	Additional offsets against gross budget authority only:
4052	Offsetting collections credited to expired accounts	17

4070	Budget authority, net (discretionary)	4,621	4,983	5,685
4080	Outlays, net (discretionary)	5,018	4,140	5,336
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	60	1,343	534
4180	Budget authority, net (total)	4,621	4,983	5,685
4190	Outlays, net (total)	5,078	5,483	5,870

For 2018, the Budget requests advance appropriations of $5.4 billion for Medical Facilities. This request for advance appropriations fulfills the Administration's commitment to provide reliable and timely resources to support the delivery of accessible and high-quality medical services for veterans.

For Medical Facilities, the Budget reflects the following discretionary appropriation funding from 2016 through 2018: the 2016 enacted advance appropriation of $4.9 billion, together with an additional $105 million (as directed in Public Law 114–113); the 2017 enacted advance appropriation request of $5.1 billion, together with an additional $649 million as requested in this Budget; and the 2018 advance appropriation request of $5.4 billion. In addition to this funding, the Budget reflects mandatory funding provided in section 801 of the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146): $1.2 billion remains available in 2016.

Medical Facilities provides for the operations and maintenance of the capital infrastructure required to provide health care to the Nation's veterans. These costs include utilities, engineering, capital planning, leases, laundry services, grounds maintenance, trash removal, housekeeping, fire protection, pest management, facility repair and maintenance, and property disposition and acquisition.


Identification code 036–0162–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	1,078	1,123	1,134
11.1	Full-time permanent - P.L. 113–146, Sec. 801		1
11.3	Other than full-time permanent	22	23	24
11.5	Other personnel compensation	124	130	131

11.9	Total personnel compensation	1,224	1,277	1,289
12.1	Civilian personnel benefits	427	447	452
21.0	Travel & Transportation of Persons	33	34	34
22.0	Transportation of things	14	15	15
23.2	Rent, Communications & Utilities	1,058	1,094	1,415
23.2	Rent, Communications & Utilities - P.L. 113–146, Sec. 801	29	286
25.2	Other Contractual Services	626	816	852
25.2	Other Contractual Services - P.L. 113–146, Sec. 801	2
26.0	Supplies & Materials	306	309	321
26.0	Supplies & Materials - P.L. 113–146, Sec. 801	3
31.0	Equipment	69	74	83
31.0	Equipment - P.L. 113–146, Sec. 801			16
32.0	Lands & Structures	943	598	1,244
32.0	Lands & Structures - P.L. 113–146, Sec. 801	512	591
44.0	Prior-year Recoveries	11

99.0	Direct obligations	5,257	5,541	5,721
99.0	Reimbursable obligations	14	17	17

99.9	Total new obligations	5,271	5,558	5,738


Identification code 036–0162–0–1–703		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	23,154	23,166	23,719
2001	Reimbursable civilian full-time equivalent employment	490	490	490

For necessary expenses in carrying out programs of medical and prosthetic research and development as authorized by chapter 73 of title 38, United States Code, [$630,735,000] $663,366,000, plus reimbursements, shall remain available until September 30, [2017] 2018 [: Provided, That the Secretary of Veterans Affairs shall ensure that sufficient amounts appropriated under this heading are available for gender appropriate prosthetic research and toxic exposure research]. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0161–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Bio-medical laboratory science research	215	271	271
0002	Rehabilitation research	115	96	98
0003	Health services research	110	111	121
0004	Clinical science research	187	153	171

0091	Total operating expenses	627	631	661
0101	Bio-medical laboratory science research	2	2	2

0799	Total direct obligations	629	633	663
0801	Medical and Prosthetic Research (Reimbursable)	33	40	40

0900	Total new obligations	662	673	703

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	78	76	54
1010	Unobligated balance transfer to other accts [036–0110]		–20
1021	Recoveries of prior year unpaid obligations	38

1050	Unobligated balance (total)	116	56	54
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	589	631	663
	Spending authority from offsetting collections, discretionary:
1700	Collected	33	40	40
1900	Budget authority (total)	622	671	703
1930	Total budgetary resources available	738	727	757
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	76	54	54

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	245	220	243
3010	Obligations incurred, unexpired accounts	662	673	703
3011	Obligations incurred, expired accounts	5
3020	Outlays (gross)	–645	–650	–683
3040	Recoveries of prior year unpaid obligations, unexpired	–38
3041	Recoveries of prior year unpaid obligations, expired	–9

3050	Unpaid obligations, end of year	220	243	263
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–4	–4	–4

3090	Uncollected pymts, Fed sources, end of year	–4	–4	–4
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	241	216	239
3200	Obligated balance, end of year	216	239	259

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	622	671	703
	Outlays, gross:
4010	Outlays from new discretionary authority	371	478	501
4011	Outlays from discretionary balances	274	172	182

4020	Outlays, gross (total)	645	650	683
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–15	–20	–20
4033	Non-Federal sources	–18	–20	–20

4040	Offsets against gross budget authority and outlays (total)	–33	–40	–40

4070	Budget authority, net (discretionary)	589	631	663
4080	Outlays, net (discretionary)	612	610	643
4180	Budget authority, net (total)	589	631	663
4190	Outlays, net (total)	612	610	643

For 2017, the total budgetary resources of $1.9 billion is comprised of $663 million in direct appropriations, $564 million in medical care support such as physicians' pay, utilities and other overhead, $500 million in Federal grants, and $185 million in other non-federal resources. The research program will support 3,521 full time equivalents through direct appropriation.

This account is an intramural program that has had outstanding success performing research that has led to critical clinical achievements that improve the health and quality of life for veterans and the Nation. VA research transforms medicine by engaging veterans as research volunteers and utilizing the results of that research in clinical care. Through technology, advancements, innovations, and information, research helps transform VA's health care into a leading example of medicine in the twenty-first century.

In 2017, VA's research priorities focus on ensuring world-class care for veterans throughout their lives, emphasizing personalized precision medicine approaches to improve clinical outcomes, and developing a Learning Health Care System. Health services research will continue to advance implementation of improved treatments in the VA health care system and optimize systems approaches to care delivery. VA will advance engineering research and development to improve the lives of disabled veterans by personalizing prosthetic systems that replace lost limbs or activate remaining nerves and muscles.

Building on the Million Veteran Program (MVP) to advance the President's Precision Medicine initiative (PMI) is a major goal for VA Research in 2017 and 2018. MVP, a groundbreaking genomic research program, seeks to collect genetic samples and general health information from one million veterans. This program will use genetic analysis to show how to improve treatments by understanding individual patients, thus improving care for veterans and the Nation. MVP has enrolled more than 438,000 veterans. An initial genetic analysis is ongoing; some data are now available to investigators who are beginning studies on postraumatic stress disorder, schizophrenia, bipolar disorder, and Gulf War Illness. VA research is committed to ensuring the success of the PMI, and in FY 2017 will reprioritize program spending to provide additional support to this initiative.

Research to benefit Gulf War veterans remains a priority. Over the past several years, the number of projects funded and the level of funding have increased each year. As directed by Senate Report 111–40, the VA research program ensures that no less than $15 million is available for Gulf War research each year; the actual amount spent on such research depends on the quantity and quality of research proposals. VA has worked to develop Gulf War researchers to ensure that research proposals of high scientific merit are submitted. Funding increased from $9.7 million in 2014, to $10.5 million in 2015, $12.5 million in 2016, with a 2017 estimate of $15 million.

VA is expanding research efforts to improve women veterans' health, by studying how VA provides for women veterans' general and gender-specific health care needs, and understanding military experiences of women veterans as well as later health risk factors.

VA works closely with other federal agencies to assure effective use of scarce taxpayer resources in executing its research mission. We conduct joint programmatic reviews with the Department of Defense (DoD) and National Institutes of Health to ensure that our research efforts are well coordinated and Under the President's National Research action Plan (NRAP), VA and DoD created research consortia for traumatic brain injury and posttraumatic stress disorder, investing $107 million over five years. High level coordination has become routine for all three agencies, benefit veterans and the American public.

Veterans' health issues are addressed comprehensively in the following four program divisions and the medical care research support required for these programs:

Biomedical laboratory.—Supports preclinical research to understand life processes from a molecular, genomic, and physiological level in regard to diseases affecting veterans.

Clinical science.—Administers investigations (i.e., human subject research such as drug, surgical, single subject, pilot, and multi-center cooperative studies as well as feasibility trials) aimed at instituting new, more effective clinical care.

Health services.—Supports studies to identify and promote effective and efficient strategies to improve the delivery of health care to veterans.

Rehabilitation.—Develops novel approaches to restoring veterans with traumatic amputation, central nervous system injuries, loss of sight and/or hearing, or other physical and cognitive impairments to full and productive lives.

VA's Medical and Prosthetic Research programs are included in the Federal Research and Development (R&D) budget.


	2015 actual	2016 est.	2017 est.

Medical and prosthetic research appropriation	589	631	663
VA Medical Care Support	519	536	564
Other Federal and Non-Federal Resources	563	685	685
Reimbursements	33	40	40

Total program resources	1,704	1,892	1,952


Identification code 036–0161–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	197	206	208
11.3	Other than full-time permanent	14	14	14
11.5	Other personnel compensation	42	42	42

11.9	Total personnel compensation	253	262	264
12.1	Civilian personnel benefits	92	92	92
21.0	Employee travel	4	5	5
23.3	Communications, utilities, and miscellaneous charges	4	4	4
24.0	Printing and reproduction	1	1	1
25.2	Other services from non-Federal sources	223	205	225
26.0	Supplies and materials	35	39	42
31.0	Equipment	17	25	30

99.0	Direct obligations	629	633	663
99.0	Reimbursable obligations	33	40	40

99.9	Total new obligations	662	673	703


Identification code 036–0161–0–1–703		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	3,380	3,410	3,465
2001	Reimbursable civilian full-time equivalent employment	141	141	141


Identification code 036–0169–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Joint DOD-VA Medical Facility Demonstration Fund (Direct)	389	411	419
0801	Joint DOD-VA Medical Facility Demonstration Fund (Reimbursable)	7	9	9

0900	Total new obligations	396	420	428

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	6	7	5
	Budget authority:
	Appropriations, discretionary:
1121	Appropriations transferred from other acct [036–0162]	35	37	38
1121	Appropriations transferred from other acct [036–0152]	27	27	28
1121	Appropriations transferred from other acct [036–0160]	190	196	202
1121	Appropriations transferred from other acct [036–0167]	7	7	7
1121	Appropriations transferred from other acct [097–0130]	117	120	122
1121	Appropriations transferred from other acct [036–5287]	22	22	22

1160	Appropriation, discretionary (total)	398	409	419
	Spending authority from offsetting collections, discretionary:
1700	Collected	7	9	9
1900	Budget authority (total)	405	418	428
1930	Total budgetary resources available	411	425	433
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–8
1941	Unexpired unobligated balance, end of year	7	5	5

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	86	92	94
3010	Obligations incurred, unexpired accounts	396	420	428
3011	Obligations incurred, expired accounts	14
3020	Outlays (gross)	–389	–418	–427
3041	Recoveries of prior year unpaid obligations, expired	–15

3050	Unpaid obligations, end of year	92	94	95
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	86	92	94
3200	Obligated balance, end of year	92	94	95

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	405	418	428
	Outlays, gross:
4010	Outlays from new discretionary authority	345	377	386
4011	Outlays from discretionary balances	44	41	41

4020	Outlays, gross (total)	389	418	427
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–7	–8	–8
4033	Non-Federal sources	–1	–1	–1

4040	Offsets against gross budget authority and outlays (total)	–8	–9	–9
	Additional offsets against gross budget authority only:
4052	Offsetting collections credited to expired accounts	1

4070	Budget authority, net (discretionary)	398	409	419
4080	Outlays, net (discretionary)	381	409	418
4180	Budget authority, net (total)	398	409	419
4190	Outlays, net (total)	381	409	418

The Department of Veterans Affairs (VA) and the Department of Defense (DOD) will each contribute funding to the Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund, established by section 1704 of Public Law 111–84, the National Defense Authorization Act for Fiscal Year 2010. This funding will support the continuing operations of the Captain James A. Lovell Federal Health Care Center (FHCC), which opened on December 20, 2010. In 2016 and 2017, VA expects to transfer funds from the Medical Services, Medical Support and Compliance, Medical Facilities, and Information Technology Systems accounts, while DOD expects to transfer funds from the Defense Health Program account.


Identification code 036–0169–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
11.1	Personnel compensation: Full-time permanent	218	211	219
12.1	Civilian personnel benefits	34	200	200
25.1	Advisory and assistance services	44
26.0	Supplies and materials	59
31.0	Equipment	14
32.0	Land and structures	19

99.0	Direct obligations	388	411	419
99.0	Reimbursable obligations	8	9	9

99.9	Total new obligations	396	420	428


Identification code 036–0169–0–1–703		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	2,127	2,167	2,172


Identification code 036–5287–0–2–703		2015 actual	2016 est.	2017 est.

	Budgetary resources:
	Budget authority:
	Appropriations, discretionary:
1101	Appropriation (special or trust fund)	3,445	3,537	3,580
1120	Appropriations transferred to other accts [036–0160]	–3,423	–3,515	–3,308
1120	Appropriations transferred to other accts [036–0169]	–22	–22	–22
1120	Appropriations transferred to other acct [036–0140]			–250
4180	Budget authority, net (total)
4190	Outlays, net (total)

VA has the authority to collect co-payments, which are deposited into the Medical Care Collections Fund (MCCF) receipt account. As allowed by the provisions of the appropriations Act, these receipts are transferred to Medical Services, Medical Community Care, and the Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund (Joint Demonstration Fund) appropriations where they remain available until expended for the purposes of this account. In 2015, nearly $3.5 billion was collected in the MCCF receipt account and transferred to the Medical Services appropriation and Joint Demonstration Fund to provide health care to our veterans. These collections consist of co-payments from veterans for inpatient, outpatient, and nursing home care, and prescribed medications; third-party insurance payments from veterans for nonservice-connected conditions; and collections from enhanced-use leases, the Compensated Work Therapy Program, Compensation and Living Expensed Program, and the Parking Program.


Identification code 036–4014–0–3–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0801	Reimbursable operating expenses	279	297	297
0802	Reimbursable direct operations	164	173	173
0810	Reimbursable capital investment: Sales program: Purchase of equipment and leasehold	27	20	20

0900	Total new obligations	470	490	490

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	4	16	22
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	481	493	493
1801	Change in uncollected payments, Federal sources	1	3	3

1850	Spending auth from offsetting collections, mand (total)	482	496	496
1930	Total budgetary resources available	486	512	518
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	16	22	28

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	61	62	56
3010	Obligations incurred, unexpired accounts	470	490	490
3020	Outlays (gross)	–469	–496	–502

3050	Unpaid obligations, end of year	62	56	44
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–3	–4	–7
3070	Change in uncollected pymts, Fed sources, unexpired	–1	–3	–3

3090	Uncollected pymts, Fed sources, end of year	–4	–7	–10
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	58	58	49
3200	Obligated balance, end of year	58	49	34

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	482	496	496
	Outlays, gross:
4100	Outlays from new mandatory authority	405	490	490
4101	Outlays from mandatory balances	64	6	12

4110	Outlays, gross (total)	469	496	502
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources		–1
4123	Non-Federal sources	–481	–492	–493

4130	Offsets against gross budget authority and outlays (total)	–481	–493	–493
	Additional offsets against gross budget authority only:
4140	Change in uncollected pymts, Fed sources, unexpired	–1	–3	–3
4170	Outlays, net (mandatory)	–12	3	9
4180	Budget authority, net (total)
4190	Outlays, net (total)	–12	3	9

The Veterans Canteen Service was established to furnish, at reasonable prices, meals, merchandise, and services necessary for the comfort and well-being of veterans in VA medical facilities.


Identification code 036–4014–0–3–705		2015 actual	2016 est.	2017 est.

	Reimbursable obligations:
	Personnel compensation:
11.1	Full-time permanent	125	133	133
11.3	Other than full-time permanent	2	3	3

11.9	Total personnel compensation	127	136	136
12.1	Civilian personnel benefits	40	45	45
21.0	Travel and transportation of persons	2	3	3
25.2	Other services from non-Federal sources	6	6	6
26.0	Supplies and materials	268	280	280
31.0	Equipment	27	20	20

99.9	Total new obligations	470	490	490


Identification code 036–4014–0–3–705		2015 actual	2016 est.	2017 est.

2001	Reimbursable civilian full-time equivalent employment	3,351	3,351	3,351


Identification code 036–4026–0–3–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0801	Operating expenses	245	253	253

	Budgetary resources:
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	245	253	253
1930	Total budgetary resources available	245	253	253

	Change in obligated balance:
	Unpaid obligations:
3010	Obligations incurred, unexpired accounts	245	253	253
3020	Outlays (gross)	–245	–253	–253

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	245	253	253
	Outlays, gross:
4100	Outlays from new mandatory authority	245	253	253
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources	–245	–253	–253
4180	Budget authority, net (total)
4190	Outlays, net (total)

These nonprofit corporations provide a flexible funding mechanism for the conduct of approved research at Department of Veterans Affairs medical centers. These organizations will derive funds to operate various research activities from Federal and non-Federal sources. No appropriation is required to support these activities.


Identification code 036–4026–0–3–703		2015 actual	2016 est.	2017 est.

	Reimbursable obligations:
21.0	Travel and transportation of persons	9	11	11
25.2	Other services from non-Federal sources	205	210	210
26.0	Supplies and materials	22	22	22
31.0	Equipment	9	10	10

99.9	Total new obligations	245	253	253


Identification code 036–0172–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Veterans Choice Fund - Adminstrative	340	671	1,620
0002	Veterans Choice Fund - Program	413	1,010	3,200
0003	Emergency Hep-C	407
0004	Emergency Non-VA Care	2,339
0005	Audit Adjustment	–1,700	1,700

0900	Total new obligations	1,799	3,381	4,820

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	10,000	8,201	4,820
1020	Adjustment of unobligated bal brought forward, Oct 1		–1,700
1021	Recoveries of prior year unpaid obligations		1,700

1050	Unobligated balance (total)	10,000	8,201	4,820
1930	Total budgetary resources available	10,000	8,201	4,820
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	8,201	4,820

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1		564	463
3001	Adjustments to unpaid obligations, brought forward, Oct 1		1,700
3010	Obligations incurred, unexpired accounts	1,799	3,381	4,820
3020	Outlays (gross)	–1,235	–3,482	–3,600
3040	Recoveries of prior year unpaid obligations, unexpired		–1,700

3050	Unpaid obligations, end of year	564	463	1,683
	Memorandum (non-add) entries:
3100	Obligated balance, start of year		2,264	463
3200	Obligated balance, end of year	564	463	1,683

	Budget authority and outlays, net:
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	1,235	3,482	3,600
4180	Budget authority, net (total)
4190	Outlays, net (total)	1,235	3,482	3,600

The Veterans Access, Choice, and Accountability Act of 2014 ("Veterans Choice Act"), Public Law 113–146, provided $10 billion in mandatory funding through 2017 to establish a temporary program ("Veterans Choice Program") improving veterans' access to health care by allowing eligible veterans who meet certain wait-time or distance standards to use eligible health care providers outside the VA system. The law directed that this funding be deposited in the Veterans Choice Fund. In July 2015, Congress provided emergency funding for Hepatitis C ($500,000,000) and Care in the Community ($2,848,500,000) by passing Public Law 114–41, the Surface Transportation and Veterans Health Care Choice Improvement Act of 2015, which gave VA temporary authority to use Veterans Choice Fund dollars on other programs. This authority ended on October 1, 2015 and does not extend into fiscal year 2016.


	2015 actual	2016 est.	2017 est.

Outpatient Visits (Non-Mental Health, Non-Non-Institutional Care)	1,180,767	1,224,696	2,515,929
Mental Health Outpatient Visits	36,221	37,569	77,179
Contract Hospital Patients Treated (Non-Mental Health)	22,464	23,745	49,770
Contract Hospital Patients Treated (Psychiatry)	3,634	3,841	8,051
Community Nursing Home Patients Treated	8,054	4,011	8,583
Dental Procedures	0	142,145	147,408
Non-Institutional Care Visits/Procedures**	3,432,405	2,515,691	5,312,431


Identification code 036–0172–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
11.1	Personnel compensation: Full-time permanent	3	4	4
12.1	Civilian personnel benefits	2	2	2
25.2	Other contract services	3,494	3,375	4,814
25.2	Audit Adjustment	–1,700

99.9	Total new obligations	1,799	3,381	4,820


Identification code 036–0172–0–1–703		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	30	40	40

Trust Funds


Identification code 036–8180–0–7–705		2015 actual	2016 est.	2017 est.

0100	Balance, start of year			6
	Receipts:
	Current law:
1130	General Post Fund, National Homes, Deposits	22	29	31
1140	General Post Fund, National Homes, Interest on Investments	1	1	2

1199	Total current law receipts	23	30	33

1999	Total receipts	23	30	33

2000	Total: Balances and receipts	23	30	39
	Appropriations:
	Current law:
2101	General Post Fund, National Homes	–23	–24	–25

5099	Balance, end of year		6	14


Identification code 036–8180–0–7–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Religious, recreational, and entertainment activities	20	21	22
0003	Therapeutic residence maintenance	1	1	1

0900	Total new obligations	21	22	23

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	103	105	107
	Budget authority:
	Appropriations, mandatory:
1201	Appropriation (special or trust fund)	23	24	25
1930	Total budgetary resources available	126	129	132
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	105	107	109

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	4	4	4
3010	Obligations incurred, unexpired accounts	21	22	23
3020	Outlays (gross)	–21	–22	–23

3050	Unpaid obligations, end of year	4	4	4
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	4	4	4
3200	Obligated balance, end of year	4	4	4

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	23	24	25
	Outlays, gross:
4100	Outlays from new mandatory authority		20	22
4101	Outlays from mandatory balances	21	2	1

4110	Outlays, gross (total)	21	22	23
4180	Budget authority, net (total)	23	24	25
4190	Outlays, net (total)	21	22	23

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	65	106	114
5001	Total investments, EOY: Federal securities: Par value	106	114	123

This fund consists of gifts, bequests, and proceeds from the sale of property left in the care of the facilities by former beneficiaries; patients' fund balances; and proceeds from the sale of effects of beneficiaries who die leaving no heirs or without having otherwise disposed of their estate. Such funds are used to promote the comfort and welfare of veterans at hospitals, nursing homes, and domiciliaries where no general appropriation is available. Public Law 102–54 authorizes compensation work therapy and therapeutic transitional housing and loan programs to be funded from the General Post Fund. (38 U.S.C. chs. 83 and 85.)


Identification code 036–8180–0–7–705		2015 actual	2016 est.	2017 est.

	Direct obligations:
25.2	Other services from non-Federal sources	6	6	6
26.0	Supplies and materials	12	13	14
31.0	Equipment	2	2	2
32.0	Land and structures	1	1	1

99.9	Total new obligations	21	22	23

Federal Funds

For the payment of compensation benefits to or on behalf of veterans and a pilot program for disability examinations as authorized by section 107 and chapters 11, 13, 18, 51, 53, 55, and 61 of title 38, United States Code; pension benefits to or on behalf of veterans as authorized by chapters 15, 51, 53, 55, and 61 of title 38, United States Code; and burial benefits, the Reinstated Entitlement Program for Survivors, emergency and other officers' retirement pay, adjusted-service credits and certificates, payment of premiums due on commercial life insurance policies guaranteed under the provisions of title IV of the Servicemembers Civil Relief Act (50 U.S.C. App. 541 et seq.) and for other benefits as authorized by sections 107, 1312, 1977, and 2106, and chapters 23, 51, 53, 55, and 61 of title 38, United States Code, [$162,948,673,000] $90,119,449,000, to remain available until expended [, of which $86,083,128,000 shall] and to become available on October 1, [2016] 2017: Provided, That not to exceed [$15,562,000 of the amount made available for fiscal year 2016 and $16,021,000] $17,224,000 of the amount made available for fiscal year [2017] 2018 under this heading shall be reimbursed to "General Operating Expenses, Veterans Benefits Administration", and "Information Technology Systems" for necessary expenses in implementing the provisions of chapters 51, 53, and 55 of title 38, United States Code, the funding source for which is specifically provided as the "Compensation and Pensions" appropriation: Provided further, That such sums as may be earned on an actual qualifying patient basis, shall be reimbursed to "Medical Care Collections Fund" to augment the funding of individual medical facilities for nursing home care provided to pensioners as authorized. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0102–0–1–701		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0101	Veterans	63,667	68,259	72,043
0102	Survivors	6,266	6,587	6,950

0191	Compensation sub-total	69,933	74,846	78,993

0200	Other compensation expenses	69,933	74,846	78,993
0201	Chapter 18	22	20	20
0202	Clothing allowance	102	111	116
0203	Misc assistance (EAJ, SAFD)	13	14	14
0204	Medical exam pilot program	258	346	528
0205	OBRA payment to VBA and IT	3	3	4
0206	Reinstated entitlement program for survivors	2	1	1

0291	Total other compensation expenses	400	495	683

0293	Total compensation	70,333	75,341	79,676
0302	Veterans	3,689	3,807	3,972
0303	Survivors	1,793	1,916	2,097

0391	Pensions sub total	5,482	5,723	6,069
0401	Reimbursements to GOE, IT and VHA	15	16	19

0492	Total pensions	5,497	5,739	6,088
0501	Caskets and Urns	1	1	1
0502	Burial allowance	29	30	32
0503	Burial plots	15	15	15
0504	Service-connected deaths	59	58	61
0505	Burial flags	18	22	22
0506	Headstones and markers	75	74	76
0508	Graveliners	3	5	5
0509	Pre-Place Crypts	9	15	14

0591	Total burial program	209	220	226

0900	Total new obligations (object class 42.0)	76,039	81,300	85,990

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2,477	5,818	1,384
1021	Recoveries of prior year unpaid obligations	7

1050	Unobligated balance (total)	2,484	5,818	1,384
	Budget authority:
	Appropriations, mandatory:
1200	Appropriation	79,070	76,866
	Advance appropriations, mandatory:
1270	Advance appropriation			86,083
	Spending authority from offsetting collections, mandatory:
1800	Collected	303
1900	Budget authority (total)	79,373	76,866	86,083
1930	Total budgetary resources available	81,857	82,684	87,467
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	5,818	1,384	1,477

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	5,540	6,038	764
3010	Obligations incurred, unexpired accounts	76,039	81,300	85,990
3020	Outlays (gross)	–75,534	–86,574	–85,113
3040	Recoveries of prior year unpaid obligations, unexpired	–7

3050	Unpaid obligations, end of year	6,038	764	1,641
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	5,540	6,038	764
3200	Obligated balance, end of year	6,038	764	1,641

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	79,373	76,866	86,083
	Outlays, gross:
4100	Outlays from new mandatory authority	67,517	74,717	82,965
4101	Outlays from mandatory balances	8,017	11,857	2,148

4110	Outlays, gross (total)	75,534	86,574	85,113
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Non-Federal sources	–303
4180	Budget authority, net (total)	79,070	76,866	86,083
4190	Outlays, net (total)	75,231	86,574	85,113


		2015 actual	2016 est.	2017 est.

Enacted/requested:
	Budget Authority	79,070	76,866	86,083
	Outlays	75,231	86,574	85,113
Legislative proposal, subject to PAYGO:
	Outlays			–133
Total:
	Budget Authority	79,070	76,866	86,083
	Outlays	75,231	86,574	84,980


	2015 actual	2016 est	2017 est.

Compensation Completed Claims:
Rating	1,233,907	1,171,741	1,206,892
Other Claims	2,386,826	2,309,126	2,402,125
Pension Completed Claims:
Rating	153,865	161,104	165,936
Other Non-Rating Claims	457,908	508,498	498,054

For 2018, the Budget requests $90,119,449,000 in advance appropriations for Compensation and Pensions. This request satisfies the requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (Public Law 113–235) and prevents our Nation's veterans from being adversely affected by budget delays.

This appropriation provides for the payment of compensation, pension, and burial benefits to veterans and survivors.

Compensation is paid to veterans for disabilities incurred in or aggravated during active military service. Dependency and Indemnity Compensation is paid to survivors of servicepersons or veterans whose death occurred while on active duty or as a result of service-connected disabilities. Compensation and vocational rehabilitation is provided to the children of Vietnam veterans who were born with certain birth defects. The Secretary may pay a clothing allowance to each veteran who uses a prescribed medication for a service-connected skin condition or wears a prosthetic or orthopedic appliance (including a wheelchair) which, in the judgment of the Secretary, tends to damage or tear the clothing of such veteran.

(a) payments for claims made pursuant to the provision of the World War Adjusted Compensation Act of 1924, as amended;

(b) a special allowance (38 U.S.C. 1312) to dependents of certain veterans who died after December 31, 1956, but who were not fully and currently insured under the Social Security Act; and

The appropriation also provides for a program to allow VA to perform income matches for certain compensation recipients.

In accordance with Public Law 97–377, the Reinstated Entitlement Program for Survivors (REPS) program restores Social Security benefits to certain surviving spouses or children of veterans who died of service-connected causes.

Legislation is proposed to provide a cost-of-living adjustment comparable to the annual social security increase to recipients of disability compensation, dependency and indemnity compensation, and clothing allowances. The increase, effective with payments made on January 1, 2017, is expected to be 0.8 percent.


	2015 actual	2016 est	2017 est.

Veterans:
Cases	4,061,973	4,245,279	4,427,225
Average payment per case, per year	$15,674	$16,079	$16,273
Total obligations (in millions)	$63,667	$68,258	$72,043
Survivors:
Cases	386,311	394,984	405,014
Average payment per case, per year	$16,221	$16,677	$17,160
Total obligations (in millions)	$6,266	$6,587	$6,950
Chapter 18:
Children	1,164	1,152	1,140
Average payment per case, per year	$17,664	$17,664	$17,805
Total obligations (in millions)	$21	$20	$20
Clothing allowance:
Number of veterans	132,050	138,009	143,924
Average payment per case, per year	$776	$803	$809
Total obligations (in millions)	$102	$111	$116
Special Allowance for Dependents:
Cases	40	38	36
Average benefit	$2,352	$2,352	$2,371
Total obligations (in millions)	$0	$0	$0
Equal Access to Justice Act:
Cases	2,917	3,025	3,132
Average benefit	$4,512	$4,512	$4,548
Total Obligations (in millions)	$13	$14	$14
REPS:
Cases	39	29	22
Average benefit	$42,374	$35,372	$38,928
Total Obligations (in millions)	$2	$1	$1

Pension benefits may be paid to veterans or their survivors. A veteran's entitlement is based on active duty service of a specific length (normally 90 days or more) during a designated war period, disabilities considered permanent and total, and countable income below established levels. There is no disability requirement for survivor cases or veterans age 65 or older. Income support is provided at established benefit levels.

An automatic annual cost-of-living increase comparable to the annual social security increase is provided for those pensioners in the improved program and to parents receiving dependency and indemnity compensation. The increase, effective with payments made on January 1, 2017, is expected to be 0.8 percent.


	2015 actual	2016 est.	2017 est.

Veterans:
Cases	297,992	295,910	297,093
Average payment per case, per year	$12,378	$12,864	$13,369
Total obligations (in millions)	$3,689	$3,807	$3,972
Survivors:
Cases	208,315	207,480	209,606
Average payment per case, per year	$8,607	$9,237	$10,005
Total obligations (in millions)	$1,793	$1,916	$2,097

Burial benefits in FY 2016 provide for: (a) the payment of an allowance of $747 (plus transportation charges where death occurs under VA care) to reimburse, in part, the burial and funeral expense of an eligible deceased veteran; (b) the payment of $747 for a plot allowance where an eligible veteran is not buried in a national cemetery or other cemetery under the jurisdiction of the United States; (c) the payment of a burial allowance of up to $2,000 when a veteran dies as a result of a service-connected disability; (d) furnishing a flag to drape the casket of each deceased veteran entitled thereto; (e) furnishing a headstone or marker for the grave of a veteran and, in certain cases, eligible dependents; and (f) authority to provide outer burial receptacles in the National Cemetery Administration.


	2015 actual	2016 est.	2017 est.

Burial allowance	40,535	43,327	45,065
Burial plot	22,316	22,258	23,138
Service-connected deaths	20,083	23,544	24,810
Burial flags	488,912	497,644	497,644
Headstones and markers	348,164	368,309	368,059
Graveliners	12,151	12,031	12,113
Preplaced crypts	13,457	36,050	31,950
Caskets and Urns	87	646	635


Identification code 036–0102–4–1–701		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0101	Adjustments to the Compensation Program			–136
0102	Expand Burial Benefits			3

0900	Total new obligations (object class 42.0)			–133
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year			133

	Change in obligated balance:
	Unpaid obligations:
3010	Obligations incurred, unexpired accounts			–133
3020	Outlays (gross)			133

	Budget authority and outlays, net:
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances			–133
4180	Budget authority, net (total)
4190	Outlays, net (total)			–133

For the payment of readjustment and rehabilitation benefits to or on behalf of veterans as authorized by chapters 21, 30, 31, 33, 34, 35, 36, 39, 41, 51, 53, 55, and 61 of title 38, United States Code, [$30,654,185,000] $13,708,648,000, to remain available until expended [, of which $16,340,828,000 shall] and to become available on October 1, [2016] 2017: Provided, That expenses for rehabilitation program services and assistance which the Secretary is authorized to provide under subsection (a) of section 3104 of title 38, United States Code, other than under paragraphs (1), (2), (5), and (11) of that subsection, shall be charged to this account. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0137–0–1–702		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0101	Sons and daughters	418	437	448
0102	Spouses	75	75	76

0191	Total education and training	493	512	524
0201	Vocational rehabilitation training	702	751	815
0202	Subsistence allowance	441	604	632
0203	Automobiles and adaptive equipment	136	151	167
0204	Housing grants	101	118	125
0205	Housing Technology Grants		1

0291	Total special assistance to disabled veterans	1,380	1,625	1,739
0301	Work study	41	48	50
0302	Payments to States	19	19	19
0303	All-volunteer assistance: Basic benefits and all other	11,524	12,572	13,236
0304	Veterans Retraining Assistance Program	3
0305	Tuition Assistance	5	4	3
0306	Licensing and Certification	2	2	2
0307	Reporting fees	10	14	14
0308	Reimbursement to GOE		1	1
0309	Contract Counseling	6	6	6

0391	Total All-volunteer assistance and other	11,610	12,666	13,331

0799	Total direct obligations	13,483	14,803	15,594
0801	Veterans and servicepersons basic benefits	1
0802	Veterans and servicepersons supplementary benefits	23	21	20
0803	Chapter 1606 reservists benefits	109	107	104
0804	Chapter 1606 reservists supplementary benefits	34	33	32
0805	Chapter 1607 reservists benefits	41	33	28
0807	Chapter 33 DoD Reimbursements	129	148	136

0899	Total reimbursable obligations	337	342	320

0900	Total new obligations	13,820	15,145	15,914

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	584	2,320	1,830
1021	Recoveries of prior year unpaid obligations	4

1050	Unobligated balance (total)	588	2,320	1,830
	Budget authority:
	Appropriations, mandatory:
1200	Appropriation	14,997	14,313
	Advance appropriations, mandatory:
1270	Advance appropriation			16,341
	Spending authority from offsetting collections, mandatory:
1800	Collected	555	342	321
1900	Budget authority (total)	15,552	14,655	16,662
1930	Total budgetary resources available	16,140	16,975	18,492
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	2,320	1,830	2,578

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	690	716	727
3010	Obligations incurred, unexpired accounts	13,820	15,145	15,914
3020	Outlays (gross)	–13,790	–15,134	–15,322
3040	Recoveries of prior year unpaid obligations, unexpired	–4

3050	Unpaid obligations, end of year	716	727	1,319
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–1	–1	–1

3090	Uncollected pymts, Fed sources, end of year	–1	–1	–1
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	689	715	726
3200	Obligated balance, end of year	715	726	1,318

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	15,552	14,655	16,662
	Outlays, gross:
4100	Outlays from new mandatory authority	12,517	12,101	12,768
4101	Outlays from mandatory balances	1,273	3,033	2,554

4110	Outlays, gross (total)	13,790	15,134	15,322
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources	–337	–342	–321
4123	Non-Federal sources	–218

4130	Offsets against gross budget authority and outlays (total)	–555	–342	–321

4160	Budget authority, net (mandatory)	14,997	14,313	16,341
4170	Outlays, net (mandatory)	13,235	14,792	15,001
4180	Budget authority, net (total)	14,997	14,313	16,341
4190	Outlays, net (total)	13,235	14,792	15,001


		2015 actual	2016 est.	2017 est.

Enacted/requested:
	Budget Authority	14,997	14,313	16,341
	Outlays	13,235	14,792	15,001
Legislative proposal, subject to PAYGO:
	Outlays			–28
Total:
	Budget Authority	14,997	14,313	16,341
	Outlays	13,235	14,792	14,973


	2015 actual	2016 est.	2017 est.

Evaluation and planning	76,859	77,628	78,404
Rehabilitation services	105,113	106,164	107,226
Employment services status	38.134	38,515	38,900
Vocational/educational counseling	15,173	15,325	15,478


	2015 actual	2016 est.	2017 est.

Original claims	366,364	415,895	425,421
Adjustments/supplemental claims	3,811,042	4,205,161	4,301,475

For 2018, the Budget requests $13,708,648,000 in advance appropriations for Readjustment Benefits. This request satisfies the requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (Public Law 113–235) and prevents our Nation's Veterans from being adversely affected by budget delays.

This appropriation finances educational assistance allowances for certain servicemembers, veterans, and for eligible dependents of those: (a) veterans who died from service-connected causes or have a total and permanent rated service-connected disability; and (b) servicemembers who were captured or missing in action. In addition, certain disabled veterans are provided with vocational rehabilitation, specially adapted housing grants, and automobile grants with the associated approved adaptive equipment. Voluntary contributions by eligible servicemembers and matching contributions provided by the Department of Defense are included in the Post-Vietnam Era Veterans Education Account.

The Post 9–11 GI Bill (Chapter 33).—Public Law 110–252 greatly expanded education benefits beginning on August 1, 2009. Based on length of active duty service and training rate, trainees may be entitled to benefits including: tuition and fees, housing allowance, books and supplies stipend, kickers, and Yellow Ribbon matching payments. Certain active duty members of the Armed Forces may transfer benefits to a spouse or children.

All volunteer force educational assistance (Montgomery GI Bill).—Public Law 98–525, enacted October 19, 1984, established two new educational programs: an assistance program for veterans who enter active duty during the period beginning July 1, 1985; and an assistance program for certain members of the Selected Reserve. Public Law 108–375 established a program to provide educational assistance to members of the reserve components called or ordered to active service in response to a war or national emergency declared by the President or the Congress, in recognition of the sacrifices that those members make in answering the call to duty. The Readjustment Benefit appropriation pays the basic benefit allowance for veterans, except for certain Post-Vietnam Era Veterans Education participants who transferred to the Montgomery GI Bill program. Supplementary educational assistance, Post-Vietnam Era Veterans Education converters, reservists, and the National Call to Service Program are financed by payments from Department of Defense.

Survivors and Dependents Educational Assistance (Chapter 35).—Benefits are provided to children and spouses of veterans who died of a service-connected disability or whose service-connected disability is rated permanent and total. In addition, dependents of servicemembers missing in action or interred by a hostile foreign government for more than 90 days are also eligible. The following table provides a comparison of trainees and costs for the Dependents Educational Assistance.

The Veterans Retraining Assistance Program.—Established under Public Law 112–56, is a program that, from July 1, 2012 through March 31, 2014, provides up to 12 months of retraining assistance to veterans at least 35 years of age but not more than 60 years of age, who are unemployed, received an honorable discharge and have no eligibility remaining for other education benefits. Veterans participating in this program would receive monthly payments equal to the three-year payment rate under the Montgomery GI Bill (MGIB) chapter 30.

The following table shows a caseload and cost comparison for these beneficiaries under existing legislation.


	2015 actual	2016 est.	2017 est.

Chapter 33:
Number of trainees	790,507	847,875	877,525
Average cost per trainee	$14,167	$14,490	$14,803

Total cost (in millions)	$11,199	$12,285	$12,990

Chapter 30:
Number of trainees	61,403	52,716	43,980
Average cost per trainee	$7,201	$7,277	$7,670

Total cost (in millions)	$442	$384	$337

Chapter 1606:
Number of trainees	63,030	59,863	57,837
Average cost per trainee	$2,243	$2,299	$2,313

Total cost (in millions)	$141	$138	$134

Chapter 1607:
Number of trainees	9,965	7,884	6,747
Average cost per trainee	$4,066	$4,168	$4,193

Total cost (in millions)	$41	$33	$28




Chapter 35 Sons and Daughters:
Number of trainees	76,931	78,471	80,119
Average cost per trainee (in dollars)	$5,431	$5,567	$5,600

Total cost (in millions)	$418	$437	$449

Chapter 35 Wives and Widow(ers):
Number of trainees	14,824	14,349	14,584
Average cost per trainee (in dollars)	$5,086	$5,212	$5,243

Total cost (in millions)	$75	$75	$76

Veterans Retraining Assistance Program:
Number of trainees	0
Average cost per trainee	$0

Total cost (in millions)	$3,016	$0	$0

Vocational Rehabilitation and Employment (Chapter 31).—Servicemembers and veterans with service-connected disabilities receive the assistance necessary to help them prepare for, obtain, and maintain suitable employment. Comprehensive assessments may include interest and aptitude testing as well as specialized assessments such as functional capacity examinations. During the training phase of the program, eligible servicemembers and veterans are provided assistance for necessary training such as tuition, fees, books and supplies at colleges, technical schools and other training programs. A veteran enrolled in training receives a monthly subsistence allowance. Eligible veterans may also receive specialized or adaptive equipment to help them overcome a disability or enable them to compete with non-disabled individuals. At the completion of training, veterans are provided with employment and placement services, including supplies and equipment needed to enter employment, adaptive equipment and workplace accommodations, incentives to employers to reimburse them for hiring and training veterans with disabilities, and two final months of subsistence allowance.


	2015 actual	2016 est.	2017 est.

Chapter 31:
Rehabilitation, Evaluation, Planning and Service cases	26,919	27,629	28,771
Number of trainees	104,728	107,491	111,933
Average cost per trainee (in dollars)	$10,920	$12,603	$12,930

Total cost (in millions)	$1,144	$1,355	$1,447

Specially Adapted Housing Grants.—Specially adapted housing grants are provided to certain severely disabled veterans. In 2016, the maximum grant amount was $73,768. Veterans who suffer service-connected blindness or who have lost the use of both upper extremities can receive up to $14,754 in 2016.

Specially Adapted Housing Assistive Technology Grants.—Under the Veterans Benefits Act of 2010, (Public Law 111–275), VA may provide grants of up to $200,000 per fiscal year to individuals or entities for the development of specially adapted housing assistive technologies and limits to $1 million the aggregate amount of such grants VA may award in any fiscal year.

Automobile Grants and Adaptive Equipment.—Certain disabled veterans are provided with automobile grants with the associated approved adaptive equipment. An allowance is provided to certain service-disabled veterans and servicemembers toward the purchase price of an automobile. The maximum allowance increased to $20,114.34 in 2015, under The Veterans Benefits Act of 2010, (Public Law 111–275) and will continue to increase based on the CPI-U. Adaptive equipment and the maintenance and replacement of such equipment is also provided.


	2015 actual	2016 est.	2017 est.

Housing grants:
Number of housing grants	2,037	2,366	2,389
Average cost per grant	$49,620	$49,815	$52,177

Total cost (in millions)	$101	$118	$125


Number of housing technology grants	0	5	0
Average cost per grant	$0	$200,000	$0

Total cost (in millions)	$0	$1	$0

Automobiles or other conveyances:
Number of conveyances	2,406	2,426	2,426
Average benefit	$19,688	$21,984	$24,547

Obligations (in millions)	$47	$53	$60

Adaptive equipment (including maintenance, repair, and installation for automobiles):
Number of items	8,524	8,950	9,398
Average benefit	$10,398	$10,896	$11,417

Obligations (in millions)	$89	$98	$107

Tuition Assistance.—Public Law 106–398, enacted October 30, 2000, allows the military services to pay up to 100 percent of tuition and expenses charged by a school for servicemembers. If a service department pays less than 100 percent, a servicemember eligible for the Montgomery GI Bill Active-duty (MGIB) or the Post 9–11 GI Bill (Chapter 33) can elect to receive VA benefits for all or a portion of the remaining expenses. Public Law 108–454 established a program that provides availability of education benefits for payment for national admissions exams and national exams for credit at institutions of higher education.

The National Exams.—The benefit allows VA to reimburse for the fee charged for national tests for admission to institutions of higher learning and national tests providing an opportunity for course credit at institutions of higher learning.

Licensing and Certification Test Payments.—Under Public Law 106–419, veterans and other eligible persons may receive up to $2,000 to pay fees required for civilian occupational licensing and certification examinations needed to enter, maintain, or advance in employment in a vocation or profession, effective March 1, 2001.

National Call to Service.—The 2003 National Defense Authorization Act directs the Department of Defense to offer an active duty enlistment option of 15 months plus training time to facilitate interest in National Service. Program participants will be given the opportunity to select one of the following incentives: a $5,000 enlistment bonus, repayment of student loans up to $18,000, or one of two education allowances.

Work-Study.—Certain veterans, reservists, and dependents pursuing a program of rehabilitation, education or training, who are enrolled as full-time students, can work up to 250 hours per semester, receiving the Federal ($7.25 as of July 24, 2009) or state minimum wage rate, whichever is higher.

Payments to States.—State approving agencies are reimbursed for the costs of inspecting, approving, and supervising programs of education and training offered by educational institutions and training establishments in which veterans, dependents, and reservists are enrolled or are about to enter.

Reporting Fees.—Reporting fees are paid to education and training institutions to help defray the costs of certifying education enrollment for veterans enrolled in training during a calendar year.


Identification code 036–0137–0–1–702		2015 actual	2016 est.	2017 est.

41.0	Direct obligations: Grants, subsidies, and contributions	13,483	14,803	15,593
99.0	Reimbursable obligations	337	342	321

99.9	Total new obligations	13,820	15,145	15,914


Identification code 036–0137–4–1–702		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0101	Adjustments to the Education Program			–3
0102	Improvements to the Vocational Rehabilitation Program			–40
0103	Improvements to the Housing Grant Program			2
0104	Adjustments to the Adaptive Equipment Program			13

0900	Total new obligations (object class 41.0)			–28
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year			28

	Change in obligated balance:
	Unpaid obligations:
3010	Obligations incurred, unexpired accounts			–28
3020	Outlays (gross)			28

	Budget authority and outlays, net:
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances			–28
4180	Budget authority, net (total)
4190	Outlays, net (total)			–28

For military and naval insurance, national service life insurance, servicemen's indemnities, service-disabled veterans insurance, and veterans mortgage life insurance as authorized by chapters 19 and 21, title 38, United States Code, [$169,080,000] $124,504,000, to remain available until expended, of which [$91,920,000] $107,899,000 shall become available on October 1, [2016] 2017. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0120–0–1–701		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0011	VMLI Death Claims	32	36	36
0012	Payment to Service-Disabled Veterans Insurance	36	48	78

0100	Total direct expenses	68	84	114

0900	Total new obligations	68	84	114

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2	2
	Budget authority:
	Appropriations, mandatory:
1200	Appropriation	63	77	17
	Advance appropriations, mandatory:
1270	Advance appropriation			92
	Spending authority from offsetting collections, mandatory:
1800	Collected	5	5	5
1900	Budget authority (total)	68	82	114
1930	Total budgetary resources available	70	84	114
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	2

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	2	2	1
3010	Obligations incurred, unexpired accounts	68	84	114
3020	Outlays (gross)	–68	–85	–114

3050	Unpaid obligations, end of year	2	1	1
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	2	2	1
3200	Obligated balance, end of year	2	1	1

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	68	82	114
	Outlays, gross:
4100	Outlays from new mandatory authority	65	82	114
4101	Outlays from mandatory balances	3	3

4110	Outlays, gross (total)	68	85	114
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Non-Federal sources	–5	–5	–5
4180	Budget authority, net (total)	63	77	109
4190	Outlays, net (total)	63	80	109


	2015 actual	2016 est.	2017 est.

Policy service actions	932,461	916,989	885,051
Collections	599,860	528,000	467,300
Disability claims	36,220	53,270	48,200
Insurance awards	207,551	206,400	195,190

For military and naval insurance, national service life insurance, servicemen's indemnities, service-disabled veterans insurance, and veterans mortgage life insurance as authorized by chapters 19 and 21, title 38, United States Code $124,504,000, to remain available until expended, of which $107,899,000 shall become available on October 1, 2017. Public Law 114–113, Consolidated Appropriations Act, 2016 on December 18, 2015, enacted associated advance 2017 appropriations of $91,920,000 that shall become available on October 1, 2016.

Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously shown for this account have been discontinued.

The insurance business line administers six life insurance programs, including two trust funds, two public enterprise funds, a trust revolving fund, and Veterans' Mortgage Life Insurance (VMLI), and supervises four additional programs for the benefit of servicepersons, veterans, and their beneficiaries through contracts with a commercial company. All programs are operated on a commercial basis, to the extent possible, consistent with all applicable statutes. The insurance appropriation is the supplemental funding mechanism for the following Government life insurance activities: National Service Life Insurance (NSLI); Service-Disabled Veterans Insurance Fund (S-DVI); and Veterans' Mortgage Life Insurance.

National Service Life Insurance.—Payments are made to the NSLI fund for certain World War II veterans for: (a) extra hazards of service; (b) gratuitous insurance granted to certain persons unable to apply for National Service Life Insurance; and (c) death claims on policies under the waiver of a premium while the insured was on active duty.

Payment to Service-Disabled Veterans Insurance Fund.—Payments are made to the S-DVI fund to supplement the premiums and other receipts of the fund in amounts necessary to pay claims on insurance policies issued to veterans with service-connected disabilities.

Veterans' Mortgage Life Insurance.—Payments are made to mortgage holders under this program, which provides mortgage protection life insurance to veterans who have received a grant for specially adapted housing due to severe disabilities. The trend in the number and amount of insurance policies in force appears in the following table.


VMLI Policies	2015 actual	2016 est.	2017 est.

Number of Policies	2,567	2,590	2,610
Amount of Insurance (dollars in millions)	$332	$346	$358


Identification code 036–0120–0–1–701		2015 actual	2016 est.	2017 est.

42.0	Direct obligations: Insurance claims and indemnities	68	81	111
99.0	Reimbursable obligations		3	3

99.9	Total new obligations	68	84	114


Identification code 036–1121–0–1–701		2015 actual	2016 est.	2017 est.

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	56	56	56
1930	Total budgetary resources available	56	56	56
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	56	56	56
4180	Budget authority, net (total)
4190	Outlays, net (total)

This fund was established under the Consolidated Security, Disaster Assistance, and Continuing Appropriations Act of 2009 (Public Law 110–329), to make payments to eligible persons who served in the Philippines during World War II. Payments were subsequently authorized by Congress in the American Recovery and Reinvestment Act of 2009 (Public Law 111–5). Original funding of $198,000,000 was supplemented by a transfer of $67,000,000 authorized by Public Law 111–212 that remains available until expended. Payments to citizens of the United States are $15,000. Payments to non-U.S. citizens are $9,000.


Identification code 036–4012–0–3–701		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0801	Capital investment	24	25	26
0802	Death claims	104	111	117
0803	All other	7	7	7
0804	Payments to GOE and IT	11	14	15

0900	Total new obligations	146	157	165

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	50	30	11
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	126	138	165
1930	Total budgetary resources available	176	168	176
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	30	11	11

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	17	18	17
3010	Obligations incurred, unexpired accounts	146	157	165
3020	Outlays (gross)	–145	–158	–159

3050	Unpaid obligations, end of year	18	17	23
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	17	18	17
3200	Obligated balance, end of year	18	17	23

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	126	138	165
	Outlays, gross:
4100	Outlays from new mandatory authority	90	138	165
4101	Outlays from mandatory balances	55	20	–6

4110	Outlays, gross (total)	145	158	159
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources	–36	–48	–78
4123	Non-Federal sources	–90	–5	–5
4123	Non-Federal sources		–65	–61
4123	Non-Federal sources		–20	–21

4130	Offsets against gross budget authority and outlays (total)	–126	–138	–165
4170	Outlays, net (mandatory)	19	20	–6
4180	Budget authority, net (total)
4190	Outlays, net (total)	19	20	–6

The Insurance Act of 1951 established the Service-Disabled Veterans Insurance (S-DVI) program for veterans with service-connected disabilities. S-DVI is open to veterans who separated from the service on or after April 25, 1951. This fund finances the payment of claims on existing life insurance policies and remains open for new issues at standard rates to veterans having service-connected disabilities.

All other.—Represents payments to policyholders who surrender their policies for their cash value and hold endowment policies which have matured.

Capital investment.—A policyholder may borrow up to 94 percent of the value of his or her policy.

Administration.—Represents the administrative costs of claims processing and account maintenance.

The trend in the number and amount of policies in force is indicated in the following table.


	2015 actual	2016 est.	2017 est.

Number of policies (EOY)	266,840	273,120	278,780
Insurance in force (dollars in millions) (EOY)	$2,794	$2,865	$2,945

Financing.—Operations are financed from premiums and other receipts. Additional funds are received by transfer from the Veterans Insurance and Indemnities appropriation, instead of direct appropriations to this fund.

Operating results and financial condition.—Since premium and other receipts are insufficient to cover operations, the fund continues to project liabilities in excess of assets. The deficit is expected to reach an estimated $ 1,399 million by September 30, 2017. The expected deficit is financed by additional funds from the above-mentioned Veterans Insurance and Indemnities appropriations.


Identification code 036–4012–0–3–701		2015 actual	2016 est.	2017 est.

	Reimbursable obligations:
33.0	Investments and loans	42	46	50
42.0	Insurance claims and indemnities	104	111	115

99.9	Total new obligations	146	157	165


Identification code 036–4010–0–3–701		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0801	Death claims	28	26	22
0802	Dividends	3	2	2
0803	All other	3	4	4
0804	Capital investment: policy loans	1	1	1

0900	Total new obligations	35	33	29

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	164	139	116
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	10	10	8
1930	Total budgetary resources available	174	149	124
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	139	116	95

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	37	33	28
3010	Obligations incurred, unexpired accounts	35	33	29
3020	Outlays (gross)	–39	–38	–33

3050	Unpaid obligations, end of year	33	28	24
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–2	–2	–2

3090	Uncollected pymts, Fed sources, end of year	–2	–2	–2
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	35	31	26
3200	Obligated balance, end of year	31	26	22

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	10	10	8
	Outlays, gross:
4100	Outlays from new mandatory authority	10	10	8
4101	Outlays from mandatory balances	29	28	25

4110	Outlays, gross (total)	39	38	33
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4121	Interest on Federal securities	–9	–7	–5
4123	Non-Federal sources	–1	–3	–3

4130	Offsets against gross budget authority and outlays (total)	–10	–10	–8
4170	Outlays, net (mandatory)	29	28	25
4180	Budget authority, net (total)
4190	Outlays, net (total)	29	28	25

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	199	170	142
5001	Total investments, EOY: Federal securities: Par value	170	142	117

Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously shown for this account have been discontinued.

This fund pays claims and administrative costs on participating life insurance policies issued during the period May 1, 1965, through May 2, 1966, under three life insurance programs: 1) service-disabled standard insurance; 2) service-disabled rated insurance; and 3) nonservice-disabled insurance availing disabled World War II and Korean conflict veterans an opportunity to acquire life insurance coverage who were no longer eligible for other government insurance.

Dividends.—Policyholders participate in the distribution of annual dividends.

All other.—This represents resources for the administrative costs of processing claims and maintaining the accounts, and to those policyholders who: (a) surrender their policies for cash value; (b) hold endowment policies which have matured; and (c) have purchased total disability income coverage and subsequently become disabled.

Policy loans made.—A policyholder may borrow up to 94 percent of the cash value of his policy at an interest rate adjusted to reflect private sector borrowing costs.

The following table reflects the decrease in the number of policies and the amount of insurance in force:


	2015 actual	2016 est.	2017 est.

Number of policies	14,515	11,935	9,705
Insurance in force (dollars in millions)	$154	$130	$106

Financing.—Operations are financed from premiums collected from policyholders and interest on investments. Excess earnings of the fund are distributed to the policyholders in the form of an annual dividend.


Identification code 036–4010–0–3–701		2015 actual	2016 est.	2017 est.

	Reimbursable obligations:
33.0	Investments and loans	4	1	1
42.0	Insurance claims and indemnities	28	29	25
43.0	Interest and dividends	3	3	3

99.9	Total new obligations	35	33	29


Identification code 036–4009–0–3–701		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0801	Premium payments	765	796	792
0802	Payments to carrier	9	6
0803	Payment to GOE	3	3	3

0900	Total new obligations (object class 41.0)	777	805	795

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	1	1	1
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	777	805	795
1930	Total budgetary resources available	778	806	796
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1	1	1

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	6
3010	Obligations incurred, unexpired accounts	777	805	795
3020	Outlays (gross)	–783	–805	–795
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	6

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	777	805	795
	Outlays, gross:
4100	Outlays from new mandatory authority	777	805	795
4101	Outlays from mandatory balances	6

4110	Outlays, gross (total)	783	805	795
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Non-Federal sources	–777	–805	–795
4180	Budget authority, net (total)
4190	Outlays, net (total)	6

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	1	1	1
5001	Total investments, EOY: Federal securities: Par value	1	1	1

This fund finances the payment of group life insurance premiums to private insurance companies under the Servicemembers' Group Life Insurance (SGLI) Act of 1965, as amended. SGLI is a program for Servicemembers on active duty, ready reservists, members of the National Guard, members of the Commissioned Corps of the National Oceanic and Atmospheric Administration and the Public Health Service, cadets and midshipmen of the four service academies, and members of the Reserve Officer Training Corps. SGLI coverage is available in $50,000 increments up to the maximum of $400,000. Veterans' Group Life Insurance (VGLI) is a program of post-separation insurance which allows Servicemembers to convert their SGLI coverage to renewable term insurance. Family Servicemembers' Group Life Insurance (FSGLI) is a program extended to the spouses and dependent children of members insured under the SGLI program. FSGLI provides up to a maximum of $100,000 of insurance coverage for spouses, not to exceed the amount of SGLI the insured member has in force, and $10,000 of free coverage for dependent children. Spousal coverage is issued in increments of $10,000.

The Servicemembers' Group Life Insurance Traumatic Injury Protection Program (TSGLI) became effective December 1, 2005. TSGLI provides for payment between $25,000 and $100,000 (depending on the type of injury) to any member of the uniformed services covered by SGLI who sustains a traumatic injury that results in certain serious losses.

For the cost of direct and guaranteed loans, such sums as may be necessary to carry out the program, as authorized by subchapters I through III of chapter 37 of title 38, United States Code: Provided, That such costs, including the cost of modifying such loans, shall be as defined in section 502 of the Congressional Budget Act of 1974: Provided further, That, during fiscal year [2016] 2017, within the resources available, not to exceed $500,000 in gross obligations for direct loans are authorized for specially adapted housing loans.

In addition, for administrative expenses to carry out the direct and guaranteed loan programs, [$164,558,000] $198,856,400. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–1119–0–1–704		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
	Credit program obligations:
0702	Loan guarantee subsidy	405	346	584
0705	Reestimates of direct loan subsidy	4	24
0706	Interest on reestimates of direct loan subsidy	3	12
0707	Reestimates of loan guarantee subsidy	390	382
0708	Interest on reestimates of loan guarantee subsidy	63	91
0709	Administrative expenses	159	165	199

0900	Total new obligations	1,024	1,020	783

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1		1
1022	Capital transfer of unobligated balances to general fund		–1
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	161	165	199
	Appropriations, mandatory:
1200	Appropriation	864	855	584
1900	Budget authority (total)	1,025	1,020	783
1930	Total budgetary resources available	1,025	1,020	783
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1

	Change in obligated balance:
	Unpaid obligations:
3010	Obligations incurred, unexpired accounts	1,024	1,020	783
3020	Outlays (gross)	–1,024	–1,020	–783

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	161	165	199
	Outlays, gross:
4010	Outlays from new discretionary authority	160	165	199
	Mandatory:
4090	Budget authority, gross	864	855	584
	Outlays, gross:
4100	Outlays from new mandatory authority	864	855	584
4180	Budget authority, net (total)	1,025	1,020	783
4190	Outlays, net (total)	1,024	1,020	783

Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in millions of dollars)


Identification code 036–1119–0–1–704		2015 actual	2016 est.	2017 est.

	Direct loan levels supportable by subsidy budget authority:
115001	Acquired Direct Loans	7	7	9
115004	Vendee Direct Loans	1	291	392

115999	Total direct loan levels	8	298	401
	Direct loan subsidy (in percent):
132001	Acquired Direct Loans	–5.06	1.71	1.92
132004	Vendee Direct Loans	–20.79	–25.58	–23.58

132999	Weighted average subsidy rate	–7.03	–24.94	–23.01
	Direct loan subsidy budget authority:
133004	Vendee Direct Loans		–74	–92

133999	Total subsidy budget authority		–74	–92
	Direct loan subsidy outlays:
134004	Vendee Direct Loans		–74	–92

134999	Total subsidy outlays		–74	–92
	Direct loan reestimates:
135001	Acquired Direct Loans	–9	11
135004	Vendee Direct Loans	3	9
135005	Acquired and Vendee Loan Reestimates	–16	16

135999	Total direct loan reestimates	–22	36

	Guaranteed loan levels supportable by subsidy budget authority:
215001	Housing Guaranteed Loans	149,822	138,275	114,493

215999	Total loan guarantee levels	149,822	138,275	114,493
	Guaranteed loan subsidy (in percent):
232001	Housing Guaranteed Loans	0.27	0.25	0.51

232999	Weighted average subsidy rate	0.27	0.25	0.51
	Guaranteed loan subsidy budget authority:
233001	Housing Guaranteed Loans	405	346	584

233999	Total subsidy budget authority	405	346	584
	Guaranteed loan subsidy outlays:
234001	Housing Guaranteed Loans	405	345	584

234999	Total subsidy outlays	405	345	584
	Guaranteed loan reestimates:
235001	Housing Guaranteed Loans	218	186
235002	Guaranteed Loan Sale Securities—Vendee	–3	–24

235999	Total guaranteed loan reestimates	215	162

	Administrative expense data:
3510	Budget authority	161	165	199
3590	Outlays from new authority	161	165	199

Veterans Affairs (VA) Housing Program Account.—The housing program helps eligible veterans, active duty personnel, surviving spouses, and members of the Reserves and National Guard purchase, retain, and adapt homes in recognition of their service to the Nation. When a borrower purchases a home, the program operates by substituting the Federal Government's guaranty for a down payment that might otherwise be required.

Under 38 U.S.C. 3703, the guaranty amount for a borrower with full entitlement (first-time users of the program or users whose entitlement is fully restored) is as follows:

(e) For certain loans in excess of $417,000, the guaranty will be the lesser of: 25 percent of the county loan limit, or 25 percent of the loan.

This appropriation provides for the corporate leadership and operational support to VA's Housing business line. The Housing Program facilitates the extension of private capital, on more liberal terms than generally available to nonveterans, to assist veterans and servicemembers in obtaining housing credit, and assist veterans in retaining their homes during periods of temporary economic difficulty through intensive supplemental mortgage loan servicing.

Guaranteed transitional housing loans for homeless veterans.—Established as a pilot project by the Veterans Benefits Improvement Act of 1998, Public Law 105–368, this program does not require any new loan subsidy funding. The program has originated no new loans since 2009. The program was canceled in 2012. The existing loan will continue to be serviced within the program's financing account.


	2015 actual	2016 est.	2017 est.

Construction and valuation	567	487	386
Loan processing	1,573	1,350	1,071
Loan service and claims	140	155	171


Identification code 036–1119–0–1–704		2015 actual	2016 est.	2017 est.

	Direct obligations:
25.2	Other services from non-Federal sources	160	165	199
41.0	Grants, subsidies, and contributions	864	855	584

99.9	Total new obligations	1,024	1,020	783


Identification code 036–4127–0–3–704		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0003	Property sales expense	1	1	1
0004	Property management/other expense	4	3	3

0091	Direct program activities, subtotal	5	4	4
	Credit program obligations:
0710	Direct loan obligations	8	298	401
0713	Payment of interest to Treasury	39	216	248
0740	Negative subsidy obligations		74	92
0742	Downward reestimate paid to receipt account	18
0743	Interest on downward reestimates	12	1

0791	Direct program activities, subtotal	77	589	741

0900	Total new obligations	82	593	745

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	93	94
1023	Unobligated balances applied to repay debt	–87	–94

1050	Unobligated balance (total)	6
	Financing authority:
	Borrowing authority, mandatory:
1400	Borrowing authority	457	593	745
1422	Borrowing authority applied to repay debt	–360

1440	Borrowing authority, mandatory (total)	97	593	745
	Spending authority from offsetting collections, mandatory:
1800	Collected	101	90	74
1825	Spending authority from offsetting collections applied to repay debt	–28	–90	–74

1850	Spending auth from offsetting collections, mand (total)	73
1900	Budget authority (total)	170	593	745
1930	Total budgetary resources available	176	593	745
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	94

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1	1	6
3010	Obligations incurred, unexpired accounts	82	593	745
3020	Outlays (gross)	–82	–588	–743

3050	Unpaid obligations, end of year	1	6	8
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	1	1	6
3200	Obligated balance, end of year	1	6	8

	Financing authority and disbursements, net:
	Mandatory:
4090	Budget authority, gross	170	593	745
	Financing disbursements:
4110	Outlays, gross (total)	82	588	743
	Offsets against gross financing authority and disbursements:
	Offsetting collections (collected) from:
4120	Federal sources: Payments from program account	–7	–36
4120	Reimbursements from DLFA		–1	–1
4122	Interest on uninvested funds	–18
4123	Interest and principal received on loans	–67	–46	–67
4123	Cash sale of properties	–9	–7	–6

4130	Offsets against gross budget authority and outlays (total)	–101	–90	–74

4160	Budget authority, net (mandatory)	69	503	671
4170	Outlays, net (mandatory)	–19	498	669
4180	Budget authority, net (total)	69	503	671
4190	Outlays, net (total)	–19	498	669


Identification code 036–4127–0–3–704		2015 actual	2016 est.	2017 est.

	Position with respect to appropriations act limitation on obligations:
1111	Direct loan obligations from current-year authority	8	298	401

1150	Total direct loan obligations	8	298	401

	Cumulative balance of direct loans outstanding:
1210	Outstanding, start of year	452	409	681
1231	Disbursements: Direct loan disbursements	8	298	401
1251	Repayments: Repayments and prepayments	–49	–20	–24
1263	Write-offs for default: Direct loans	–2	–6	–4

1290	Outstanding, end of year	409	681	1,054


Identification code 036–4127–0–3–704		2014 actual	2015 actual

	ASSETS:
	Federal assets:
1101	Fund balances with Treasury	93	94
	Investments in US securities:
1106	Receivables, net	5	16
1206	Non-Federal assets: Receivables, net	4	4
	Net value of assets related to post-1991 direct loans receivable:
1401	Direct loans receivable, gross	452	409
1402	Interest receivable	17	19
1404	Foreclosed property	27	25
1405	Allowance for subsidy cost	57	57

1499	Net present value of assets related to direct loans	553	510
1901	Other Federal assets: Other assets	1	1

1999	Total assets	656	625
	LIABILITIES:
	Federal liabilities:
2103	Debt	624	605
2105	Other	27	13
	Non-Federal liabilities:
2201	Accounts payable		1
2207	Other	5	6

2999	Total liabilities	656	625

4999	Total liabilities and net position	656	625


Identification code 036–4129–0–3–704		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0002	Losses on defaulted loans	965	1,366	1,575
0005	Payment to trustee reserve	23	20	19
0009	Property sales expense	119	153	176
0010	Property management expense	118	142	163
0011	Property improvement expense	14	5	5
0012	Loans acquired	7	9	10

0091	Direct program activities, subtotal	1,246	1,695	1,948
	Credit program obligations:
0711	Default claim payments on principal	1,515	2,058	2,371
0742	Downward reestimate paid to receipt account	190	252
0743	Interest on downward reestimates	48	58

0791	Direct program activities, subtotal	1,753	2,368	2,371

0900	Total new obligations	2,999	4,063	4,319

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	7,429	8,726	9,655
	Financing authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	4,296	4,992	5,298
1900	Budget authority (total)	4,296	4,992	5,298
1930	Total budgetary resources available	11,725	13,718	14,953
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	8,726	9,655	10,634

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	340	317	76
3010	Obligations incurred, unexpired accounts	2,999	4,063	4,319
3020	Outlays (gross)	–3,022	–4,304	–4,307

3050	Unpaid obligations, end of year	317	76	88
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	340	317	76
3200	Obligated balance, end of year	317	76	88

	Financing authority and disbursements, net:
	Mandatory:
4090	Budget authority, gross	4,296	4,992	5,298
	Financing disbursements:
4110	Outlays, gross (total)	3,022	4,304	4,307
	Offsets against gross financing authority and disbursements:
	Offsetting collections (collected) from:
4120	Payments from program account	–857	–819	–584
4120	Recoveries from DLFA	–8	–300	–403
4122	Interest on uninvested funds	–189	–642	–690
4123	Funding fees	–1,821	–1,581	–1,397
4123	Cash sale of properties	–1,404	–1,650	–2,224
4123	Redemption of Properties/Other income and receivables	–17

4130	Offsets against gross budget authority and outlays (total)	–4,296	–4,992	–5,298
4170	Outlays, net (mandatory)	–1,274	–688	–991
4180	Budget authority, net (total)
4190	Outlays, net (total)	–1,274	–688	–991


Identification code 036–4129–0–3–704		2015 actual	2016 est.	2017 est.

	Position with respect to appropriations act limitation on commitments:
2111	Guaranteed loan commitments from current-year authority	149,822	138,275	114,493

2150	Total guaranteed loan commitments	149,822	138,275	114,493
2199	Guaranteed amount of guaranteed loan commitments	41,351	38,164	31,600

	Cumulative balance of guaranteed loans outstanding:
2210	Outstanding, start of year	397,893	462,079	553,888
2231	Disbursements of new guaranteed loans	149,822	138,275	114,493
2251	Repayments and prepayments	–83,130	–43,013	–49,311
	Adjustments:
2262	Terminations for default that result in acquisition of property	–1,515	–2,058	–2,371
2263	Terminations for default that result in claim payments	–991	–1,395	–1,604

2290	Outstanding, end of year	462,079	553,888	615,095

	Memorandum:
2299	Guaranteed amount of guaranteed loans outstanding, end of year	125,664	149,001	164,401


Identification code 036–4129–0–3–704		2014 actual	2015 actual

	ASSETS:
	Federal assets:
1101	Fund balances with Treasury	7,769	9,043
	Investments in US securities:
1106	Receivables, net	633	406
	Net value of assets related to post-1991 acquired defaulted guaranteed loans receivable:
1504	Accounts receivable from foreclosed property	20	14
1504	Foreclosed property	817	866

1599	Net present value of assets related to defaulted guaranteed loans	837	880

1999	Total assets	9,239	10,329
	LIABILITIES:
	Federal liabilities:
2103	Debt
2105	Other liabilities	219	333
	Non-Federal liabilities:
2201	Accounts payable	340	317
2204	Non-federal liabilities for loan guarantees	8,680	9,679

2999	Total liabilities	9,239	10,329

4999	Total liabilities and net position	9,239	10,329


Identification code 036–4025–0–3–704		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0105	Capital investments, guaranteed claims payment and other operating expenses	1	1	1

0900	Total new obligations (object class 32.0)	1	1	1

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	1	1
1022	Capital transfer of unobligated balances to general fund	–1	–1
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	15	13	11
1820	Capital transfer of spending authority from offsetting collections to general fund	–13	–12	–10

1850	Spending auth from offsetting collections, mand (total)	2	1	1
1930	Total budgetary resources available	2	1	1
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	2	2
3010	Obligations incurred, unexpired accounts	1	1	1
3020	Outlays (gross)	–1	–3	–1

3050	Unpaid obligations, end of year	2
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	2	2
3200	Obligated balance, end of year	2

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	2	1	1
	Outlays, gross:
4100	Outlays from new mandatory authority		1	1
4101	Outlays from mandatory balances	1	2

4110	Outlays, gross (total)	1	3	1
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Loan repayments and prepayments	–2	–1	–1
4123	Sale of homes, cash	–2	–2	–1
4123	Interest collection on Veteran liability debts	–4
4123	Principal collection on Veteran liability debts	–7	–3	–3
4123	Non-Federal sources		–7	–6

4130	Offsets against gross budget authority and outlays (total)	–15	–13	–11

4160	Budget authority, net (mandatory)	–13	–12	–10
4170	Outlays, net (mandatory)	–14	–10	–10
4180	Budget authority, net (total)	–13	–12	–10
4190	Outlays, net (total)	–14	–10	–10

	Memorandum (non-add) entries:
5010	Total investments, SOY: non-Fed securities: Market value	140	140	140
5011	Total investments, EOY: non-Fed securities: Market value	140	140	140


Identification code 036–4025–0–3–704		2015 actual	2016 est.	2017 est.

	Cumulative balance of direct loans outstanding:
1210	Outstanding, start of year	5	4	3
1251	Repayments: Repayments and prepayments	–1	–1	–1

1290	Outstanding, end of year	4	3	2


Identification code 036–4025–0–3–704		2015 actual	2016 est.	2017 est.

	Cumulative balance of guaranteed loans outstanding:
2210	Outstanding, start of year	237	148	92
2251	Repayments and prepayments	–88	–55	–34
2262	Adjustments: Terminations for default that result in acquisition of property	–1	–1	–1

2290	Outstanding, end of year	148	92	57

	Memorandum:
2299	Guaranteed amount of guaranteed loans outstanding, end of year	147	38	24

	Addendum:
	Cumulative balance of defaulted guaranteed loans that result in loans receivable:
2310	Outstanding, start of year	28	22	15
2351	Repayments of loans receivable	–6	–7	–7
2364	Other adjustments, net

2390	Outstanding, end of year	22	15	8


Identification code 036–4025–0–3–704		2014 actual	2015 actual

	ASSETS:
1101	Federal assets: Fund balances with Treasury	3	3
	Non-Federal assets:
1201	Investments in non-Federal securities, net	140	140
1206	Receivables, net	1	1
1601	Direct loans, gross	5	4
1602	Interest receivable	39	38
1603	Allowance for estimated uncollectible loans and interest (-)	–28	–26

1699	Value of assets related to direct loans	16	16
1701	Defaulted guaranteed loans, gross	28	22
1703	Allowance for estimated uncollectible loans and interest (-)	–1	–1

1704	Defaulted guaranteed loans and interest receivable, net	27	21
1706	Foreclosed property	3	2

1799	Value of assets related to loan guarantees	30	23

1999	Total assets	190	183
	LIABILITIES:
	Non-Federal liabilities:
2201	Accounts payable	2	2
2204	Liabilities for loan guarantees	188	181

2999	Total liabilities	190	183

4999	Total liabilities and net position	190	183

For administrative expenses to carry out the direct loan program authorized by subchapter V of chapter 37 of title 38, United States Code, [$1,134,000] $1,162,800. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)

For the cost of direct loans, [$31,000] $36,000, as authorized by chapter 31 of title 38, United States Code: Provided, That such costs, including the cost of modifying such loans, shall be as defined in section 502 of the Congressional Budget Act of 1974: Provided further, That funds made available under this heading are available to subsidize gross obligations for the principal amount of direct loans not to exceed [$2,952,000] $2,517,000.

In addition, for administrative expenses necessary to carry out the direct loan program, [$367,000] $388,800, which may be paid to the appropriation for "General Operating Expenses, Veterans Benefits Administration". (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–1120–0–1–704		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
	Credit program obligations:
0705	Reestimates of direct loan subsidy	1	1
0709	Administrative expenses	1	2	2

0900	Total new obligations	2	3	2

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2	2	2
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	1	2	2
	Appropriations, mandatory:
1200	Appropriation	1	1
1900	Budget authority (total)	2	3	2
1930	Total budgetary resources available	4	5	4
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	2	2	2

	Change in obligated balance:
	Unpaid obligations:
3010	Obligations incurred, unexpired accounts	2	3	2
3020	Outlays (gross)	–2	–3	–2

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	1	2	2
	Outlays, gross:
4010	Outlays from new discretionary authority	1	2	2
	Mandatory:
4090	Budget authority, gross	1	1
	Outlays, gross:
4100	Outlays from new mandatory authority	1	1
4180	Budget authority, net (total)	2	3	2
4190	Outlays, net (total)	2	3	2

Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in millions of dollars)


Identification code 036–1120–0–1–704		2015 actual	2016 est.	2017 est.

	Direct loan levels supportable by subsidy budget authority:
115002	Native American Direct Loans	4	13	13
115003	Vocational Rehabilitation	2	3	3

115999	Total direct loan levels	6	16	16
	Direct loan subsidy (in percent):
132002	Native American Direct Loans	–17.04	–18.08	–18.62
132003	Vocational Rehabilitation	0.36	1.05	1.43

132999	Weighted average subsidy rate	–11.24	–14.49	–14.86
	Direct loan subsidy budget authority:
133002	Native American Direct Loans	–1	–2	–2

133999	Total subsidy budget authority	–1	–2	–2
	Direct loan subsidy outlays:
134002	Native American Direct Loans	–2	–2	–2

134999	Total subsidy outlays	–2	–2	–2
	Direct loan reestimates:
135002	Native American Direct Loans	1	1

135999	Total direct loan reestimates	1	1

	Administrative expense data:
3510	Budget authority	1	2	2
3590	Outlays from new authority	1	2	2

The Native American Veterans Housing Loan program provides direct loans to veterans living on trust lands under 38 U.S.C. chapter 37, section 3761. These loans are available to purchase, construct, or improve homes to be occupied as the veteran's residence. This program began as a pilot in 1993 and was made permanent on June 15, 2006, through Public Law 109–233.

The Vocational Rehabilitation Loan Program provides temporary loans to cover the costs of subsistence, tuition, books, supplies, and equipment in conjunction with service-connected disability benefits provided to veterans participating in VA's Vocational Rehabilitation and Counseling Program as authorized by chapter 31 of title 38, United States Code. Repayment of these loans is made in monthly installments, without interest, through deductions from future payments of compensation, pension, subsistence allowance, educational assistance allowance, or retired pay.


Identification code 036–1120–0–1–704		2015 actual	2016 est.	2017 est.

	Direct obligations:
25.2	Other services from non-Federal sources	1	2	2
41.0	Grants, subsidies, and contributions	1	1

99.9	Total new obligations	2	3	2


Identification code 036–4130–0–3–704		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
	Credit program obligations:
0710	Direct loan obligations	4	12	13
0713	Payment of interest to Treasury	3
0740	Negative subsidy obligations	1	2	2

0900	Total new obligations	8	14	15

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2	3	2
1023	Unobligated balances applied to repay debt	–1	–3	–2

1050	Unobligated balance (total)	1
	Financing authority:
	Borrowing authority, mandatory:
1400	Borrowing authority	9	11	11
1422	Borrowing authority applied to repay debt	–2

1440	Borrowing authority, mandatory (total)	7	11	11
	Spending authority from offsetting collections, mandatory:
1800	Collected	6	10	10
1825	Spending authority from offsetting collections applied to repay debt	–3	–5	–6

1850	Spending auth from offsetting collections, mand (total)	3	5	4
1900	Budget authority (total)	10	16	15
1930	Total budgetary resources available	11	16	15
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	3	2

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1	1
3010	Obligations incurred, unexpired accounts	8	14	15
3020	Outlays (gross)	–8	–15	–15

3050	Unpaid obligations, end of year	1
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	1	1
3200	Obligated balance, end of year	1

	Financing authority and disbursements, net:
	Mandatory:
4090	Budget authority, gross	10	16	15
	Financing disbursements:
4110	Outlays, gross (total)	8	15	15
	Offsets against gross financing authority and disbursements:
	Offsetting collections (collected) from:
4120	Federal sources	–1	–1
4123	Non-federal sources - Repayments and prepayments of principal	–3	–6	–7
4123	Non-Federal sources - Interest received on loans	–2	–3	–3

4130	Offsets against gross budget authority and outlays (total)	–6	–10	–10

4160	Budget authority, net (mandatory)	4	6	5
4170	Outlays, net (mandatory)	2	5	5
4180	Budget authority, net (total)	4	6	5
4190	Outlays, net (total)	2	5	5


Identification code 036–4130–0–3–704		2015 actual	2016 est.	2017 est.

	Position with respect to appropriations act limitation on obligations:
1111	Direct loan obligations from current-year authority	4	12	13

1150	Total direct loan obligations	4	12	13

	Cumulative balance of direct loans outstanding:
1210	Outstanding, start of year	59	60	66
1231	Disbursements: Direct loan disbursements	4	12	13
1251	Repayments: Repayments and prepayments	–3	–6	–7

1290	Outstanding, end of year	60	66	72


Identification code 036–4130–0–3–704		2014 actual	2015 actual

	ASSETS:
	Federal assets:
1101	Fund balances with Treasury	3	5
	Investments in US securities:
1106	Receivables, net	1	1
	Net value of assets related to post-1991 direct loans receivable:
1401	Direct loans receivable, gross	59	60
1402	Interest receivable	2	2
1405	Other assets	3	3

1499	Net present value of assets related to direct loans	64	65

1999	Total assets	68	71
	LIABILITIES:
	Federal liabilities:
2103	Federal liabilities debt	67	70
2105	Other liabilities	1	1

2999	Total liabilities	68	71

4999	Total liabilities and net position	68	71


Identification code 036–4258–0–3–704		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Direct program activity	1	1

0900	Total new obligations	1	1

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	5	4	3
1930	Total budgetary resources available	5	4	3
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	4	3	3

	Change in obligated balance:
	Unpaid obligations:
3010	Obligations incurred, unexpired accounts	1	1
3020	Outlays (gross)	–1	–1

	Financing authority and disbursements, net:
	Mandatory:
	Financing disbursements:
4110	Outlays, gross (total)	1	1
4180	Budget authority, net (total)
4190	Outlays, net (total)	1	1


Identification code 036–4258–0–3–704		2015 actual	2016 est.	2017 est.

	Position with respect to appropriations act limitation on obligations:
1121	Limitation available from carry-forward	95	95	95
1143	Unobligated limitation carried forward	–95	–95	–95

	Cumulative balance of direct loans outstanding:
1210	Outstanding, start of year	5	5	5

1290	Outstanding, end of year	5	5	5


Identification code 036–4258–0–3–704		2014 actual	2015 actual

	ASSETS:
1101	Federal assets: Fund balances with Treasury	5	5
1401	Net value of assets related to post-1991 direct loans receivable: Direct loans receivable, gross	5	5

1999	Total assets	10	10
	LIABILITIES:
	Federal liabilities:
2103	Debt	5	5
2105	Loan Guaranty/Other Liabilities	5	5

2999	Total liabilities	10	10

4999	Total liabilities and net position	10	10


Identification code 036–4112–0–3–702		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
	Credit program obligations:
0710	Direct loan obligations	2	3	3

0900	Total new obligations	2	3	3

	Budgetary resources:
	Financing authority:
	Borrowing authority, mandatory:
1400	Authority to borrow (indefinite)	2	3	3
	Spending authority from offsetting collections, mandatory:
1800	Collected	2	3	3
1825	Spending authority from offsetting collections applied to repay debt	–2	–3	–3
1900	Budget authority (total)	2	3	3
1930	Total budgetary resources available	2	3	3

	Change in obligated balance:
	Unpaid obligations:
3010	Obligations incurred, unexpired accounts	2	3	3
3020	Outlays (gross)	–2	–3	–3

	Financing authority and disbursements, net:
	Mandatory:
4090	Budget authority, gross	2	3	3
	Financing disbursements:
4110	Outlays, gross (total)	2	3	3
	Offsets against gross financing authority and disbursements:
	Offsetting collections (collected) from:
4123	Repayments and prepayments of principal	–2	–3	–3
4180	Budget authority, net (total)
4190	Outlays, net (total)


Identification code 036–4112–0–3–702		2015 actual	2016 est.	2017 est.

	Position with respect to appropriations act limitation on obligations:
1111	Direct loan obligations from current-year authority	2	3	3

1150	Total direct loan obligations	2	3	3

	Cumulative balance of direct loans outstanding:
1210	Outstanding, start of year	2	2	2
1231	Disbursements: Direct loan disbursements	2	3	3
1251	Repayments: Repayments and prepayments	–2	–3	–3

1290	Outstanding, end of year	2	2	2


Identification code 036–4112–0–3–702		2014 actual	2015 actual

	ASSETS:
	Federal assets:
	Investments in US securities:
1104	Investments US Securities	1	1
1401	Net value of assets related to post-1991 direct loans receivable: Direct loans receivable, gross	1	2

1999	Total assets	2	3
	LIABILITIES:
2103	Federal liabilities: Debt	2	3

4999	Total liabilities and net position	2	3

Trust Funds


Identification code 036–8133–0–7–702		2015 actual	2016 est.	2017 est.

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	63	63	63
1930	Total budgetary resources available	63	63	63
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	63	63	63

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1	1	1

3050	Unpaid obligations, end of year	1	1	1
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	1	1	1
3200	Obligated balance, end of year	1	1	1
4180	Budget authority, net (total)
4190	Outlays, net (total)

This account consists of voluntary contributions by eligible servicemembers and matching contributions provided by the Department of Defense. The fund provides educational assistance payments to participants who entered the service after December 31, 1976, and are pursuing training under chapter 32, title 38, U.S.C. Section 901 is a non-contributory program with educational assistance provided by the Department of Defense. Public Law 99–576, enacted October 28, 1986, closed the program permanently for new enrollments effective March 31, 1987. Public Law 106–419, enacted November 1, 2000, provides qualified participants in this program another opportunity (through October 31, 2001) to convert to the All-Volunteer Force Educational Assistance program (Montgomery GI Bill). The estimated activity in the fund follows:


	2015 actual	2016 est.	2017 est.

Total program obligations (in thousands)	$275	$262	$249
Number of disenrollments	177	169	160
Total refunds (in thousands)	$240	$228	$217
Average Refund	$1,353	$1,353	$1,353
Total trainees	4	3	3
Total trainee cost (in thousands)	$8	$7	$7
Average trainee cost	$1,949	$2,468	$2,814
Section 901 trainees	2	2	2
Total Section 901 trainee cost (in thousands)	$27	$26	$25
Average Section 901 trainee cost	$13,705	$13,020	$12,369


Identification code 036–8132–0–7–701		2015 actual	2016 est.	2017 est.

0100	Balance, start of year	4,564	3,964	3,367
	Receipts:
	Current law:
1130	NSLI Fund, Premium and Other Receipts	78	61	52
1140	NSLI Fund, Interest	229	188	155

1199	Total current law receipts	307	249	207

1999	Total receipts	307	249	207

2000	Total: Balances and receipts	4,871	4,213	3,574
	Appropriations:
	Current law:
2101	National Service Life Insurance Fund	–307	–249	–207
2103	National Service Life Insurance Fund	–600	–597	–549

2199	Total current law appropriations	–907	–846	–756

2999	Total appropriations	–907	–846	–756

5099	Balance, end of year	3,964	3,367	2,818


Identification code 036–8132–0–7–701		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Death claims	671	612	537
0002	Disability claims	4	3	3
0003	Matured endowments	73	89	95
0004	Cash surrenders	26	24	20
0005	Dividends	72	57	48
0006	Interest paid on dividend credits and deposits	29	29	24
0007	Payment to general operating expenses	16	17	15

0091	Total operating expenses	891	831	742
0201	Capital investment: Policy loans	16	15	14

0799	Total direct obligations	907	846	756
0801	Death claims	36	46	61
0803	Matured endowments	4	7	11
0804	Cash surrenders	1	2	2
0805	Dividends	4	4	5
0806	Interest paid on dividend credits and deposits	2	2	3
0807	Payment to general operating expenses	1	1	2

0899	Total reimbursable obligations	48	62	84

0900	Total new obligations	955	908	840

	Budgetary resources:
	Budget authority:
	Appropriations, mandatory:
1201	Appropriation (special or trust fund)	307	249	207
1203	Appropriation (previously unavailable)	600	597	549

1260	Appropriations, mandatory (total)	907	846	756
	Spending authority from offsetting collections, mandatory:
1800	Collected	48	62	84
1900	Budget authority (total)	955	908	840
1930	Total budgetary resources available	955	908	840

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1,053	947	876
3010	Obligations incurred, unexpired accounts	955	908	840
3020	Outlays (gross)	–1,061	–979	–973

3050	Unpaid obligations, end of year	947	876	743
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	1,053	947	876
3200	Obligated balance, end of year	947	876	743

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	955	908	840
	Outlays, gross:
4100	Outlays from new mandatory authority	355	382	424
4101	Outlays from mandatory balances	706	597	549

4110	Outlays, gross (total)	1,061	979	973
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Non-Federal sources	–48	–62	–84
4180	Budget authority, net (total)	907	846	756
4190	Outlays, net (total)	1,013	917	889

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	5,629	4,903	4,297
5001	Total investments, EOY: Federal securities: Par value	4,903	4,297	3,615

Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously shown for this account have been discontinued.

This fund was established in 1940. It is for the World War II servicemembers' and veterans' insurance program. Over 22 million policies were issued under this program. Activity of the fund reflects a declining claim workload. The trend in the number and amount of policies in force is shown as follows:


	2015 actual	2016 est.	2017 est.

Number of policies	370,281	308,655	252,815
Insurance in force (dollars in millions)	$4,655	$3,810	$3,236

This fund is operated on a commercial basis to the extent possible. The income of the fund is derived from premium receipts, interest on investments, and payments which are made to the fund from the Veterans Insurance and Indemnities appropriation.

Assets of the fund, which are largely invested in special interest-bearing Treasury securities and in policy loans, are expected to decrease from an estimated $4,410 million as of September 30, 2016 to $3,742 million as of September 30, 2017. The actuarial estimate of policy obligations as of September 30, 2017, totals $3,667 million, leaving a balance of $75 million for contingency reserves.


Identification code 036–8132–0–7–701		2015 actual	2016 est.	2017 est.

	Unexpended balance, start of year:
0100	Balance, start of year	5,618	4,912	4,244

0999	Total balance, start of year	5,618	4,912	4,244
	Cash income during the year:
	Current law:
	Receipts:
1130	NSLI Fund, Premium and Other Receipts	78	61	52
1130	National Service Life Insurance Fund	48	62	84
1150	NSLI Fund, Interest	229	188	155

1199	Income under present law	355	311	291

1999	Total cash income	355	311	291
	Cash outgo during year:
	Current law:
2100	National Service Life Insurance Fund [029–25–8132–0]	–1,061	–979	–973

2199	Outgo under current law	–1,061	–979	–973

2999	Total cash outgo (-)	–1,061	–979	–973
	Surplus or deficit::
3110	Excluding interest	–935	–856	–837
3120	Interest	229	188	155

3199	Subtotal, surplus or deficit	–706	–668	–682
	Unexpended balance, end of year::
4100	Uninvested balance (net), end of year	9	–53	–53
4200	National Service Life Insurance Fund	4,903	4,297	3,615

4999	Total balance, end of year	4,912	4,244	3,562


Identification code 036–8132–0–7–701		2015 actual	2016 est.	2017 est.

	Direct obligations:
33.0	Investments and loans	131	15	14
42.0	Insurance claims and indemnities	675	727	655
43.0	Interest and dividends	101	103	87

99.0	Direct obligations	907	845	756
99.0	Reimbursable obligations	48	63	84

99.9	Total new obligations	955	908	840


Identification code 036–8150–0–7–701		2015 actual	2016 est.	2017 est.

0100	Balance, start of year	4	3	2

2000	Total: Balances and receipts	4	3	2
	Appropriations:
	Current law:
2103	United States Government Life Insurance Fund	–1	–1	–1

5099	Balance, end of year	3	2	1


Identification code 036–8150–0–7–701		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Death claims	1	1	1

0900	Total new obligations (object class 42.0)	1	1	1

	Budgetary resources:
	Budget authority:
	Appropriations, mandatory:
1203	Appropriation (previously unavailable)	1	1	1
1930	Total budgetary resources available	1	1	1

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	3	2	1
3010	Obligations incurred, unexpired accounts	1	1	1
3020	Outlays (gross)	–2	–2	–2

3050	Unpaid obligations, end of year	2	1
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	3	2	1
3200	Obligated balance, end of year	2	1

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	1	1	1
	Outlays, gross:
4100	Outlays from new mandatory authority		1	1
4101	Outlays from mandatory balances	2	1	1

4110	Outlays, gross (total)	2	2	2
4180	Budget authority, net (total)	1	1	1
4190	Outlays, net (total)	2	2	2

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	7	6	4
5001	Total investments, EOY: Federal securities: Par value	6	4	3

Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously shown for this account have been discontinued.

This fund was established in 1919 to receive premiums and pay claims on insurance issued under the provisions of the War Risk Insurance Act. The general decline in the activity of the fund is indicated in the following table:


	2015 actual	2016 est.	2017 est.

Number of policies	672	325	150
Insurance in force (dollars in millions)	$1	$.7	$.2

The fund is operated on a commercial basis to the extent possible. The income of the fund is derived from interest on investments. Effective January 1, 1983, premiums were discontinued because reserves held in the fund were adequate to meet future liabilities of the program.

Assets of the fund, which are largely invested in interest-bearing securities and policy loans, are estimated to decrease from $3.7 million as of September 30, 2016, to $2.4 million as of September 30, 2017, as an increasing number of policies mature through death or disability. The actuarial evaluation of policy obligations as of September 30, 2017, totals $2.1 million, leaving a balance of $0.3 million for contingency reserves.


Identification code 036–8150–0–7–701		2015 actual	2016 est.	2017 est.

	Unexpended balance, start of year:
0100	Balance, start of year	8	6	4

0999	Total balance, start of year	8	6	4
	Cash outgo during year:
	Current law:
2100	United States Government Life Insurance Fund [029–25–8150–0]	–2	–2	–2

2199	Outgo under current law	–2	–2	–2

2999	Total cash outgo (-)	–2	–2	–2
	Surplus or deficit::
3110	Excluding interest	–2	–2	–2

3199	Subtotal, surplus or deficit	–2	–2	–2
	Unexpended balance, end of year::
4100	Uninvested balance (net), end of year			–1
4200	United States Government Life Insurance Fund	6	4	3

4999	Total balance, end of year	6	4	2


Identification code 036–8455–0–8–701		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0801	Death claims	126	136	139
0802	Cash surrenders	6	6	5
0803	Dividends	41	35	28
0804	All other	21	22	20
0805	Payments to insurance account	6	8	8
0806	Capital investment	8	8	8

0900	Total new obligations	208	215	208

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	1,435	1,367	1,278
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	142	126	113
1801	Change in uncollected payments, Federal sources	–2

1850	Spending auth from offsetting collections, mand (total)	140	126	113
1930	Total budgetary resources available	1,575	1,493	1,391
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1,367	1,278	1,183

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	448	442	423
3010	Obligations incurred, unexpired accounts	208	215	208
3020	Outlays (gross)	–214	–234	–231

3050	Unpaid obligations, end of year	442	423	400
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–24	–22	–22
3070	Change in uncollected pymts, Fed sources, unexpired	2

3090	Uncollected pymts, Fed sources, end of year	–22	–22	–22
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	424	420	401
3200	Obligated balance, end of year	420	401	378

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	140	126	113
	Outlays, gross:
4100	Outlays from new mandatory authority	140	126	113
4101	Outlays from mandatory balances	74	108	118

4110	Outlays, gross (total)	214	234	231
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4121	Interest on Federal securities	–94	–84	–76
4123	Non-Federal sources	–48	–13	–12
4123	Non-Federal sources		–26	–22
4123	Non-Federal sources		–3	–3

4130	Offsets against gross budget authority and outlays (total)	–142	–126	–113
	Additional offsets against gross budget authority only:
4140	Change in uncollected pymts, Fed sources, unexpired	2
4170	Outlays, net (mandatory)	72	108	118
4180	Budget authority, net (total)
4190	Outlays, net (total)	72	108	118

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	1,863	1,785	1,678
5001	Total investments, EOY: Federal securities: Par value	1,785	1,678	1,560

Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously shown for this account have been discontinued.

This fund finances the payment of claims on life insurance policies issued before January 3, 1957, to veterans who served in the Armed Forces subsequent to April 1, 1951. No new policies can be issued. Policyholders may elect to purchase total disability income coverage with the payment of additional premiums.

Cash surrenders.—A policyholder may terminate his or her insurance by cashing in the policy for its cash value.

Dividends.—Policyholders participate in the distribution of annual dividends.

All other.—Classified in this category are payments to policyholders who: (a) hold endowment policies which have matured; (b) have purchased total disability income coverage and subsequently become disabled; and (c) are paid interest on dividend credits and deposits.

The following table reflects the decrease in the number of policies and the amounts of insurance in force:


	2015 actual	2016 est.	2017 est.

Number of policies	120,466	110,503	100,390
Insurance in force (dollars in millions)	$1,730	$1,611	$1,482

Financing.—Payments from this fund are financed primarily from premium receipts and interest on investments.


Identification code 036–8455–0–8–701		2015 actual	2016 est.	2017 est.

	Reimbursable obligations:
33.0	Investments and loans	35	8	7
42.0	Insurance claims and indemnities	126	153	156
43.0	Interest and dividends	47	54	45

99.9	Total new obligations	208	215	208

Federal Funds

For constructing, altering, extending, and improving any of the facilities, including parking projects, under the jurisdiction or for the use of the Department of Veterans Affairs, or for any of the purposes set forth in sections 316, 2404, 2406 and chapter 81 of title 38, United States Code, not otherwise provided for, including planning, architectural and engineering services, construction management services, maintenance or guarantee period services costs associated with equipment guarantees provided under the project, services of claims analysts, offsite utility and storm drainage system construction costs, and site acquisition, where the estimated cost of a project is more than the amount set forth in section 8104(a)(3)(A) of title 38, United States Code, or where funds for a project were made available in a previous major project appropriation, [$1,243,800,000] $528,110,000, of which [$1,163,800,000] $448,110,000 shall remain available until September 30, [2020] 2021, and of which $80,000,000 shall remain available until expended: Provided, That except for advance planning activities, including needs assessments which may or may not lead to capital investments, and other capital asset management related activities, including portfolio development and management activities, and investment strategy studies funded through the advance planning fund and the planning and design activities funded through the design fund, including needs assessments which may or may not lead to capital investments, and salaries and associated costs of the resident engineers who oversee those capital investments funded through this account and contracting officers who manage specific major construction projects, and funds provided for the purchase, security, and maintenance of land for the National Cemetery Administration through the land acquisition line item, none of the funds made available under this heading shall be used for any project [which] that has not been notified to Congress through the budgetary process or that has not been approved by the Congress [in the budgetary process] through statute, joint resolution, or in the explanatory statement accompanying such Act and presented to the President at the time of enrollment: Provided further, That funds made available under this heading for fiscal year [2016] 2017, for each approved project shall be obligated: (1) by the awarding of a construction documents contract by September 30, [2016] 2017; and (2) by the awarding of a construction contract by September 30, [2017] 2018: Provided further, That the Secretary of Veterans Affairs shall promptly submit to the Committees on Appropriations of both Houses of Congress a written report on any approved major construction project for which obligations are not incurred within the time limitations established above: Provided further, That, of the amount made available under this heading, [$649,000,000] $222,620,000 for Veterans Health Administration major construction projects shall not be available until the Department of Veterans Affairs—

(1) enters into an agreement with an appropriate non-Department of Veterans Affairs Federal entity to serve as the design and/or construction agent for any Veterans Health Administration major construction project with a Total Estimated Cost of $100,000,000 or above by providing full project management services, including management of the project design, acquisition, construction, and contract changes, consistent with section 502 of Public Law 114–58; and

(2) certifies in writing that such an agreement is executed and intended to minimize or prevent subsequent major construction project cost overruns and provides a copy of the agreement entered into and any required supplementary information to the Committees on Appropriations of both Houses of Congress. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0110–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Medical programs	428	1,769	999
0002	National cemeteries	41	169	190
0005	Staff offices		6	8

0799	Total direct obligations	469	1,944	1,197
0801	Reimbursable program activity - Medical Program	56

0900	Total new obligations	525	1,944	1,197

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	1,921	2,145	2,071
1001	Discretionary unobligated balance brought fwd, Oct 1	692
1011	Unobligated balance transfer from other acct [036–0142]		4
1011	Unobligated balance transfer from other acct [036–0152]		85
1011	Unobligated balance transfer from other acct [036–0151]		4
1011	Unobligated balance transfer from other acct [036–0111]		85
1011	Unobligated balance transfer from other acct [036–0167]		76
1011	Unobligated balance transfer from other acct [036–0161]		20
1011	Unobligated balance transfer from other acct [036–0162]		313
1021	Recoveries of prior year unpaid obligations	37

1050	Unobligated balance (total)	1,958	2,732	2,071
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	562	1,244	528
1121	Appropriations transferred from other acct [036–0142]	1
1121	Appropriations transferred from other acct [036–0160]	6	39
1121	Appropriations transferred from other acct [036–0162]	81
1121	Appropriations transferred from other acct [036–0152]	2
1121	Appropriations transferred from other acct [036–0151]	1
1121	Appropriations transferred from other acct [036–0111]	3

1160	Appropriation, discretionary (total)	656	1,283	528
	Spending authority from offsetting collections, discretionary:
1711	Spending authority from offsetting collections transferred from other accounts [036–4539]	36
	Spending authority from offsetting collections, mandatory:
1811	Spending authority from offsetting collections transferred from other accounts [036–4537]	20
1900	Budget authority (total)	712	1,283	528
1930	Total budgetary resources available	2,670	4,015	2,599
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	2,145	2,071	1,402

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1,651	930	2,024
3010	Obligations incurred, unexpired accounts	525	1,944	1,197
3020	Outlays (gross)	–1,209	–850	–740
3040	Recoveries of prior year unpaid obligations, unexpired	–37

3050	Unpaid obligations, end of year	930	2,024	2,481
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	1,651	930	2,024
3200	Obligated balance, end of year	930	2,024	2,481

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	692	1,283	528
	Outlays, gross:
4010	Outlays from new discretionary authority	35	9	4
4011	Outlays from discretionary balances	1,172	841	736

4020	Outlays, gross (total)	1,207	850	740
	Mandatory:
4090	Budget authority, gross	20
	Outlays, gross:
4100	Outlays from new mandatory authority	2
4180	Budget authority, net (total)	712	1,283	528
4190	Outlays, net (total)	1,209	850	740

The Construction, Major Projects appropriation funds construction projects costing more than $10 million. Funding is included that will complete the seismic project in Long Beach, CA; correct seismic and life safety issues in Reno, NV; expand gravesite projects in Jacksonville, FL, and Lake Worth, FL; and establish new cemeteries in Western New York and Southern Colorado. Additional funds are provided to fund salaries and associated expenses of resident engineers and contracting officers who oversee the Department's capital investments and to support advance planning and design activities.


Identification code 036–0110–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
25.2	Other services from non-Federal sources	3	5	5
25.3	Other goods and services from Federal sources	21	32	33
26.0	Supplies and materials	3	5	5
31.0	Equipment	3	5	5
32.0	Land and structures	439	1,897	1,149

99.0	Direct obligations	469	1,944	1,197
99.0	Reimbursable obligations	56

99.9	Total new obligations	525	1,944	1,197

For constructing, altering, extending, and improving any of the facilities, including parking projects, under the jurisdiction or for the use of the Department of Veterans Affairs, including planning and assessments of needs which may lead to capital investments, architectural and engineering services, maintenance or guarantee period services costs associated with equipment guarantees provided under the project, services of claims analysts, offsite utility and storm drainage system construction costs, and site acquisition, or for any of the purposes set forth in sections 316, 2404, 2406 and chapter 81 of title 38, United States Code, not otherwise provided for, where the estimated cost of a project is equal to or less than the amount set forth in section 8104(a)(3)(A) of title 38, United States Code, [$406,200,000] $372,069,000, to remain available until September 30, [2020] 2021, along with unobligated balances of previous "Construction, Minor Projects" appropriations which are hereby made available for any project where the estimated cost is equal to or less than the amount set forth in such section: Provided, That funds made available under this heading shall be for: (1) repairs to any of the nonmedical facilities under the jurisdiction or for the use of the Department which are necessary because of loss or damage caused by any natural disaster or catastrophe; and (2) temporary measures necessary to prevent or to minimize further loss by such causes. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0111–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Medical programs	434	442	525
0002	National cemeteries	81	126	61
0003	Regional offices	31	64	39
0004	Staff offices	20	31	35
0005	Choice Act, P.L. 113–146, Sec. 801	97

0900	Total new obligations	663	663	660

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	602	1,033	691
1010	Unobligated balance transfer to other accts [036–0110]		–85
1010	Unobligated balance transfer to other accts [036–0160]			–195
1011	Unobligated balance transfer from other acct [036–0160]	511
1021	Recoveries of prior year unpaid obligations	91

1050	Unobligated balance (total)	1,204	948	496
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	495	406	372
1120	Appropriations transferred to other acct [036–0110]	–3

1160	Appropriation, discretionary (total)	492	406	372
1930	Total budgetary resources available	1,696	1,354	868
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1,033	691	208

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1,024	1,087	792
3010	Obligations incurred, unexpired accounts	663	663	660
3020	Outlays (gross)	–509	–958	–736
3040	Recoveries of prior year unpaid obligations, unexpired	–91

3050	Unpaid obligations, end of year	1,087	792	716
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	1,024	1,087	792
3200	Obligated balance, end of year	1,087	792	716

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	492	406	372
	Outlays, gross:
4010	Outlays from new discretionary authority		73	67
4011	Outlays from discretionary balances	507	507	553

4020	Outlays, gross (total)	507	580	620
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	2	378	116
4180	Budget authority, net (total)	492	406	372
4190	Outlays, net (total)	509	958	736

The Construction, Minor Projects appropriation, which funds construction projects costing equal to or less than $10 million, is used to improve the infrastructure of medical facilities and other Department-owned facilities to reduce the risk to patient life and safety, correct code deficiencies, and improve national cemeteries and regional and staff offices.


Identification code 036–0111–0–1–703		2015 actual	2016 est.	2017 est.

	Direct obligations:
25.2	Other services from non-Federal sources	20	25	25
26.0	Supplies and materials	6	7	7
31.0	Equipment	6	7	7
32.0	Land and structures	631	624	621

99.9	Total new obligations	663	663	660

For grants to assist States to acquire or construct State nursing home and domiciliary facilities and to remodel, modify, or alter existing hospital, nursing home, and domiciliary facilities in State homes, for furnishing care to veterans as authorized by sections 8131 through 8137 of title 38, United States Code, [$120,000,000] $80,000,000, to remain available until expended. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0181–0–1–703		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Grants for construction of state extended care facilities	118	126	109

0900	Total new obligations (object class 41.0)	118	126	109

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	26	12	20
1021	Recoveries of prior year unpaid obligations	14	14	18

1050	Unobligated balance (total)	40	26	38
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	90	120	80
1930	Total budgetary resources available	130	146	118
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	12	20	9

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	251	260	286
3010	Obligations incurred, unexpired accounts	118	126	109
3020	Outlays (gross)	–95	–86	–91
3040	Recoveries of prior year unpaid obligations, unexpired	–14	–14	–18

3050	Unpaid obligations, end of year	260	286	286
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	251	260	286
3200	Obligated balance, end of year	260	286	286

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	90	120	80
	Outlays, gross:
4010	Outlays from new discretionary authority		2	2
4011	Outlays from discretionary balances	95	84	89

4020	Outlays, gross (total)	95	86	91
4180	Budget authority, net (total)	90	120	80
4190	Outlays, net (total)	95	86	91

The Grants for Construction of State Extended Care Facilities program is authorized by sections 8131 through 8137 of title 38, United States Code. It is a shared program between states and the VA, whereby VA provides 65 percent of the funding for new construction of State home facilities, furnishing of domiciliary or nursing home care to veterans, and expansion, remodeling, or alteration of existing State home facilities. The State is responsible for providing the remaining 35 percent of funding.

For grants to assist States and tribal organizations in establishing, expanding, or improving veterans cemeteries as authorized by section 2408 of title 38, United States Code, [$46,000,000] $45,000,000, to remain available until expended. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0183–0–1–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Grants for construction of state veterans cemeteries	47	58	45

0900	Total new obligations (object class 41.0)	47	58	45

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	11	12
1021	Recoveries of prior year unpaid obligations	2

1050	Unobligated balance (total)	13	12
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	46	46	45
1930	Total budgetary resources available	59	58	45
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	12

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	78	79	98
3010	Obligations incurred, unexpired accounts	47	58	45
3020	Outlays (gross)	–44	–39	–44
3040	Recoveries of prior year unpaid obligations, unexpired	–2

3050	Unpaid obligations, end of year	79	98	99
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	78	79	98
3200	Obligated balance, end of year	79	98	99

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	46	46	45
	Outlays, gross:
4010	Outlays from new discretionary authority		25	24
4011	Outlays from discretionary balances	44	14	20

4020	Outlays, gross (total)	44	39	44
4180	Budget authority, net (total)	46	46	45
4190	Outlays, net (total)	44	39	44

For necessary operating expenses of the Department of Veterans Affairs, not otherwise provided for, including administrative expenses in support of Department-wide capital planning, management and policy activities, uniforms, or allowances therefor; not to exceed $25,000 for official reception and representation expenses; hire of passenger motor vehicles; and reimbursement of the General Services Administration for security guard services, [$336,659,000] $417,959,000, of which not to exceed [$10,000,000] $21,000,000 shall remain available until September 30, [2017] 2018: Provided, That funds provided under this heading may be transferred to "General Operating Expenses, Veterans Benefits Administration". (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0142–0–1–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0014	General administration	323	338	418
0806	General administration, reimbursable program	352	423	364

0900	Total new obligations	675	761	782

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	10	5
1010	Unobligated balance transfer to other accts [036–0110]		–4
1012	Unobligated balance transfers between expired and unexpired accounts	6

1050	Unobligated balance (total)	16	1
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	322	337	418
1120	Appropriations transferred to other acct [036–0110]	–1
1131	Unobligated balance of appropriations permanently reduced	–1

1160	Appropriation, discretionary (total)	320	337	418
	Spending authority from offsetting collections, discretionary:
1700	Collected	352	423	364
1900	Budget authority (total)	672	760	782
1930	Total budgetary resources available	688	761	782
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–8
1941	Unexpired unobligated balance, end of year	5

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	179	180	112
3010	Obligations incurred, unexpired accounts	675	761	782
3011	Obligations incurred, expired accounts	33
3020	Outlays (gross)	–666	–829	–789
3041	Recoveries of prior year unpaid obligations, expired	–41

3050	Unpaid obligations, end of year	180	112	105
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	179	180	112
3200	Obligated balance, end of year	180	112	105

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	672	760	782
	Outlays, gross:
4010	Outlays from new discretionary authority	515	700	700
4011	Outlays from discretionary balances	151	129	89

4020	Outlays, gross (total)	666	829	789
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–352	–423	–364

4040	Offsets against gross budget authority and outlays (total)	–352	–423	–364
4180	Budget authority, net (total)	320	337	418
4190	Outlays, net (total)	314	406	425

General Administration.—Includes departmental executive direction, departmental support offices and the General Counsel. The Pershing Hall Revolving Fund was created to operate and manage Pershing Hall, an asset of the United States, located in Paris, France. All operating expenses for Pershing Hall are borne by the revolving fund and all receipts generated by the operation of Pershing Hall are deposited in the revolving fund.


Identification code 036–0142–0–1–705		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	183	192	242
11.5	Other personnel compensation	3	8	8

11.9	Total personnel compensation	186	200	250
12.1	Civilian personnel benefits	59	53	55
21.0	Travel and transportation of persons	3	5	12
23.1	Rent		22	24
23.2	Rental payments to others	6	3	3
23.3	Communications, utilities, and miscellaneous charges	4	1	1
24.0	Printing and reproduction		1	1
25.2	Other services from non-Federal sources	63	42	69
26.0	Supplies and materials	1	1	2
31.0	Equipment	1	2	1
41.0	Grants, subsidies, and contributions		8

99.0	Direct obligations	323	338	418
99.0	Reimbursable obligations	352	423	364

99.9	Total new obligations	675	761	782


Identification code 036–0142–0–1–705		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	1,648	1,792	2,039
2001	Reimbursable civilian full-time equivalent employment	938	1,256	1,114

For necessary operating expenses of the Board of Veterans Appeals, [$109,884,000] $156,096,000, of which not to exceed [$10,788,000] $15,609,600 shall remain available until September 30, [2017] 2018. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–1122–0–1–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0014	Board of Veterans' Appeals	96	113	156

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1		3
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	99	110	156
1930	Total budgetary resources available	99	113	156
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	3

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1		7	21
3010	Obligations incurred, unexpired accounts	96	113	156
3020	Outlays (gross)	–89	–99	–146

3050	Unpaid obligations, end of year	7	21	31
	Memorandum (non-add) entries:
3100	Obligated balance, start of year		7	21
3200	Obligated balance, end of year	7	21	31

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	99	110	156
	Outlays, gross:
4010	Outlays from new discretionary authority	89	93	132
4011	Outlays from discretionary balances		6	14

4020	Outlays, gross (total)	89	99	146
4180	Budget authority, net (total)	99	110	156
4190	Outlays, net (total)	89	99	146

The mission of the Board of Veterans' Appeals (Board or BVA), as set forth in 38 U.S.C. § 7101(a) is to conduct hearings and consider and dispose of appeals properly before the Board in a timely manner. The Board's goal is to issue quality decisions in compliance with the requirements of the law, including the precedential decisions of the United States Court of Appeals for Veterans Claims (CAVC) and other federal courts. The Board makes final decisions on behalf of the Secretary on appeals from decisions of the agencies of original jurisdiction with the Department of Veterans Affairs (VA) Offices. The Board reviews all appeals for entitlement to Veterans' benefits, including claims for service connection, increased disability ratings, total disability ratings, pension, insurance benefits, educational benefits, home loan guaranties, vocational rehabilitation, dependency and indemnity compensation, and healthcare delivery.


Identification code 036–1122–0–1–705		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	62	72	100
11.5	Other personnel compensation	2	2	3

11.9	Total personnel compensation	64	74	103
12.1	Civilian personnel benefits	17	23	31
23.2	Rental payments to others	9	10	14
25.2	Other services from non-Federal sources	6	6	8

99.9	Total new obligations	96	113	156


Identification code 036–1122–0–1–705		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	646	680	922

For necessary operating expenses of the Veterans Benefits Administration, not otherwise provided for, including hire of passenger motor vehicles, reimbursement of the General Services Administration for security guard services, and reimbursement of the Department of Defense for the cost of overseas employee mail, [$2,707,734,000] $2,826,160,000: Provided, That expenses for services and assistance authorized under paragraphs (1), (2), (5), and (11) of section 3104(a) of title 38, United States Code, that the Secretary of Veterans Affairs determines are necessary to enable entitled veterans: (1) to the maximum extent feasible, to become employable and to obtain and maintain suitable employment; or (2) to achieve maximum independence in daily living, shall be charged to this account: Provided further, That, of the funds made available under this heading, not to exceed [$160,000,000] $141,000,000 shall remain available until September 30, [2017] 2018. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0151–0–1–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0010	Compensation and pensions	2,144	2,177	2,281
0011	Education	188	208	213
0012	Vocational rehabilitation and counseling	257	324	331
0013	Insurance	1	1	1

0799	Total direct obligations	2,590	2,710	2,826
0801	Compensation and pensions	276	364	551
0802	Education	1	1	1
0804	Insurance	29	34	35
0805	Housing	138	140	170

0899	Total reimbursable obligations	444	539	757

0900	Total new obligations	3,034	3,249	3,583

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	53	11	7
1010	Unobligated balance transfer to other accts [036–0110]		–4
1012	Unobligated balance transfers between expired and unexpired accounts	29

1050	Unobligated balance (total)	82	7	7
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	2,534	2,708	2,826
1120	Appropriations transferred to other acct [036–0110]	–1
1130	Appropriations permanently reduced	–2

1160	Appropriation, discretionary (total)	2,531	2,708	2,826
	Spending authority from offsetting collections, discretionary:
1700	Collected	444	541	787
1900	Budget authority (total)	2,975	3,249	3,613
1930	Total budgetary resources available	3,057	3,256	3,620
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–12
1941	Unexpired unobligated balance, end of year	11	7	37

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	403	345	592
3010	Obligations incurred, unexpired accounts	3,034	3,249	3,583
3011	Obligations incurred, expired accounts	84
3020	Outlays (gross)	–3,048	–3,002	–3,528
3041	Recoveries of prior year unpaid obligations, expired	–128

3050	Unpaid obligations, end of year	345	592	647
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	403	345	592
3200	Obligated balance, end of year	345	592	647

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	2,975	3,249	3,613
	Outlays, gross:
4010	Outlays from new discretionary authority	2,608	2,682	3,049
4011	Outlays from discretionary balances	440	320	479

4020	Outlays, gross (total)	3,048	3,002	3,528
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–444	–541	–787
4033	Non-Federal sources	–1

4040	Offsets against gross budget authority and outlays (total)	–445	–541	–787
	Additional offsets against gross budget authority only:
4052	Offsetting collections credited to expired accounts	1

4070	Budget authority, net (discretionary)	2,531	2,708	2,826
4080	Outlays, net (discretionary)	2,603	2,461	2,741
4180	Budget authority, net (total)	2,531	2,708	2,826
4190	Outlays, net (total)	2,603	2,461	2,741

General Operating Expenses, Veterans Benefits Administration.—The total cost of administering veterans insurance programs is funded through direct appropriations to this account and through reimbursements from the insurance trust fund. This appropriation provides for the Department's top management direction and administrative support, including fiscal, personnel, and legal services, as well as for the administration of veteran benefits.

Note.—Reflects FTE treated as reimbursements in all years and the effects of Credit Reform, per P.L. 101–508.


Identification code 036–0151–0–1–705		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	1,298	1,340	1,422
11.5	Other personnel compensation	99	102	110

11.9	Total personnel compensation	1,397	1,442	1,532
12.1	Civilian personnel benefits	460	465	475
13.0	Benefits for former personnel	2	2	3
21.0	Travel and transportation of persons	39	40	41
22.0	Transportation of things	2	2	3
23.1	Rent	119	125	126
23.2	Rental payments to others	26	30	31
23.3	Communications, utilities, and miscellaneous charges	37	40	41
24.0	Printing and reproduction	6	7	8
25.2	Other services from non-Federal sources	475	524	530
26.0	Supplies and materials	10	12	15
31.0	Equipment	16	18	20
42.0	Insurance claims and indemnities	1	1	1

99.0	Direct obligations	2,590	2,708	2,826
99.0	Reimbursable obligations	444	541	757

99.9	Total new obligations	3,034	3,249	3,583


Identification code 036–0151–0–1–705		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	20,145	20,421	20,721
2001	Reimbursable civilian full-time equivalent employment	1,377	1,450	1,450

For necessary expenses of the Office of Inspector General, to include information technology, in carrying out the provisions of the Inspector General Act of 1978 (5 U.S.C. App.), [$136,766,000] $160,106,000, of which not to exceed [$12,676,000] $20,106,000 shall remain available until September 30, [2017] 2018. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0170–0–1–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0101	Office of Inspector General (Direct)	128	138	160

0192	Total direct program	128	138	160
0801	Office of Inspector General (Reimbursable)	4	6	6

0900	Total new obligations	132	144	166

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	3	1
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	127	137	160
	Spending authority from offsetting collections, discretionary:
1700	Collected	4	6	6
1900	Budget authority (total)	131	143	166
1930	Total budgetary resources available	134	144	166
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–1
1941	Unexpired unobligated balance, end of year	1

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	26	27	36
3010	Obligations incurred, unexpired accounts	132	144	166
3011	Obligations incurred, expired accounts	1
3020	Outlays (gross)	–130	–135	–152
3041	Recoveries of prior year unpaid obligations, expired	–2

3050	Unpaid obligations, end of year	27	36	50
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	26	27	36
3200	Obligated balance, end of year	27	36	50

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	131	143	166
	Outlays, gross:
4010	Outlays from new discretionary authority	110	110	122
4011	Outlays from discretionary balances	20	25	30

4020	Outlays, gross (total)	130	135	152
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–4	–6	–6
4180	Budget authority, net (total)	127	137	160
4190	Outlays, net (total)	126	129	146

This appropriation provides for carrying out the independent oversight responsibilities of the Inspector General Act of 1978. This oversight includes VA-wide audit, investigation, health care inspection, and management support functions to identify and report weaknesses and deficiencies that create conditions for actual or potential fraud and other criminal activity, mismanagement, and waste in VA programs and operations. The audit function plans and conducts internal programmatic and financial audits and evaluations of all facets of VA operations. The health care inspection function performs legislatively mandated medical care quality assurance reviews and oversight of VA health care programs. The investigative function performs criminal and administrative investigations of improper and illegal activities involving VA operations, personnel, beneficiaries, and other parties.


Identification code 036–0170–0–1–705		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	69	75	87
11.5	Other personnel compensation	6	6	8

11.9	Total personnel compensation	75	81	95
12.1	Civilian personnel benefits	27	29	34
21.0	Employee Travel	5	6	6
23.1	Rental payments to GSA	5	6	7
23.3	Communications, utilities, and miscellaneous charges	2	2	2
25.2	Other services from non-Federal sources	13	13	14
31.0	Equipment	1	1	2

99.0	Direct obligations	128	138	160
99.0	Reimbursable obligations	4	6	6

99.9	Total new obligations	132	144	166


Identification code 036–0170–0–1–705		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	650	690	790
2001	Reimbursable civilian full-time equivalent employment	26	31	31

For necessary expenses for information technology systems and telecommunications support, including developmental information systems and operational information systems; for pay and associated costs; and for the capital asset acquisition of information technology systems, including management and related contractual costs of said acquisitions, including contractual costs associated with operations authorized by section 3109 of title 5, United States Code, [$4,133,363,000] $4,278,259,000, plus reimbursements: Provided, That [$1,115,757,000] $1,272,548,000 shall be for pay and associated costs, of which not to exceed [$34,800,000] $37,100,000 shall remain available until September 30, [2017] 2018: Provided further, That [$2,512,863,000] $2,534,442,000 shall be for operations and maintenance, of which not to exceed [$175,000,000] $180,200,000 shall remain available until September 30, [2017] 2018: Provided further, That [$504,743,000] $471,269,000 shall be for information technology systems development, modernization, and enhancement, and shall remain available until September 30, [2017] 2018: Provided further, That amounts made available for information technology systems development, modernization, and enhancement may not be obligated or expended until the Secretary of Veterans Affairs or the Chief Information Officer of the Department of Veterans Affairs submits to the Committees on Appropriations of both Houses of Congress a certification of the amounts, in parts or in full, to be obligated and expended for each development project: Provided further, That amounts made available for salaries and expenses, operations and maintenance, and information technology systems development, modernization, and enhancement may be transferred among the three subaccounts after the Secretary of Veterans Affairs [requests from] submits notice thereof to the Committees on Appropriations of both Houses of Congress [the authority to make the transfer and an approval is issued]: Provided further, That amounts made available for the "Information Technology Systems" account for development, modernization, and enhancement may be transferred among projects or to newly defined projects: Provided further, That no project may be increased or decreased by more than [$1,000,000] $3,000,000 of cost prior to submitting [a request] notice thereof to the Committees on Appropriations of both Houses of Congress [to make the transfer and an approval is issued, or absent a response, a period of 30 days has elapsed: Provided further, That funds under this heading may be used by the Interagency Program Office through the Department of Veterans Affairs to define data standards, code sets, and value sets used to enable interoperability: Provided further, That, of the funds made available for information technology systems development, modernization, and enhancement for VistA Evolution, not more than 25 percent may be obligated or expended until the Secretary of Veterans Affairs submits to the Committees on Appropriations of both Houses of Congress, and such Committees approve, a report that describes: (1) the status of and changes to the VistA Evolution program plan dated March 24, 2014 (hereinafter referred to as the "Plan"), the VistA 4 product roadmap dated February 26, 2015 ("Roadmap"), and the VistA 4 Incremental Life Cycle Cost Estimate, dated October 26, 2014; (2) any changes to the scope or functionality of projects within the VistA Evolution program as established in the Plan; (3) actual program costs incurred to date; (4) progress in meeting the schedule milestones that have been established in the Plan; (5) a Project Management Accountability System (PMAS) Dashboard Progress report that identifies each VistA Evolution project being tracked through PMAS, what functionality it is intended to provide, and what evaluation scores it has received throughout development; (6) the definition being used for interoperability between the electronic health record systems of the Department of Defense and the Department of Veterans Affairs, the metrics to measure the extent of interoperability, the milestones and timeline associated with achieving interoperability, and the baseline measurements associated with interoperability; (7) progress toward developing and implementing all components and levels of interoperability, including semantic interoperability; (8) the change management tools in place to facilitate the implementation of VistA Evolution and interoperability; and (9) any changes to the governance structure for the VistA Evolution program and its chain of decisionmaking authority: Provided further, That the funds made available under this heading for information technology systems development, modernization, and enhancement, shall be for the projects, and in the amounts, specified under this heading in the explanatory statement described in section 4 (in the matter preceding division A of this consolidated Act)]. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0167–0–1–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0001	Development	636	530	471
0002	Operations and maintenance	2,257	2,557	2,527
0003	Administrative and salaries	1,028	1,116	1,273
0004	P.L. 113–146, Sec. 801 - IT Support	53	310

0799	Total direct obligations	3,974	4,513	4,271
0802	Operations and maintenance	21	23	27
0803	Administrative and salaries	18	41	46

0899	Total reimbursable obligations	39	64	73

0900	Total new obligations	4,013	4,577	4,344

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	168	463
1010	Unobligated balance transfer to other accts [036–0160]	–14
1010	Unobligated balance transfer to other accts [036–0110]		–76
1011	Unobligated balance transfer from other acct [036–0160]	377
1021	Recoveries of prior year unpaid obligations	13

1050	Unobligated balance (total)	544	387
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	3,903	4,133	4,278
1120	Appropriations transferred to other accts [036–0169]	–7	–7	–7
1130	Appropriations permanently reduced	–1

1160	Appropriation, discretionary (total)	3,895	4,126	4,271
	Spending authority from offsetting collections, discretionary:
1700	Collected	35	64	73
1701	Change in uncollected payments, Federal sources	4

1750	Spending auth from offsetting collections, disc (total)	39	64	73
1900	Budget authority (total)	3,934	4,190	4,344
1930	Total budgetary resources available	4,478	4,577	4,344
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–2
1941	Unexpired unobligated balance, end of year	463

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1,899	1,952	2,431
3010	Obligations incurred, unexpired accounts	4,013	4,577	4,344
3011	Obligations incurred, expired accounts	132
3020	Outlays (gross)	–3,856	–4,098	–4,346
3040	Recoveries of prior year unpaid obligations, unexpired	–13
3041	Recoveries of prior year unpaid obligations, expired	–223

3050	Unpaid obligations, end of year	1,952	2,431	2,429
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–5	–4	–4
3070	Change in uncollected pymts, Fed sources, unexpired	–4
3071	Change in uncollected pymts, Fed sources, expired	5

3090	Uncollected pymts, Fed sources, end of year	–4	–4	–4
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	1,894	1,948	2,427
3200	Obligated balance, end of year	1,948	2,427	2,425

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	3,934	4,190	4,344
	Outlays, gross:
4010	Outlays from new discretionary authority	2,245	2,451	2,573
4011	Outlays from discretionary balances	1,587	1,473	1,721

4020	Outlays, gross (total)	3,832	3,924	4,294
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–40	–64	–73
	Additional offsets against gross budget authority only:
4050	Change in uncollected pymts, Fed sources, unexpired	–4
4052	Offsetting collections credited to expired accounts	5

4060	Additional offsets against budget authority only (total)	1

4070	Budget authority, net (discretionary)	3,895	4,126	4,271
4080	Outlays, net (discretionary)	3,792	3,860	4,221
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	24	174	52
4180	Budget authority, net (total)	3,895	4,126	4,271
4190	Outlays, net (total)	3,816	4,034	4,273

The Information Technology (IT) Systems appropriation funds IT services such as systems development and performance, operations and maintenance, information security, and customer support. This appropriation enables the effective and efficient delivery of services to the nation's largest healthcare network, as well as the veterans benefits and corporate business lines within the Department of Veterans Affairs (VA).

Development.—The Office of Information & Technology invests in projects designed to improve the delivery of VA services and benefits for veterans and their families. This account also supports improvements in the Electronic Health Record and modernizations to veterans benefits and appeals processing.

Operations and Maintenance.—The Office of Information & Technology purchases, maintains, manages, and supports all the computer, phone, telecommunication, and data systems equipment and infrastructure for all VA facilities.


Identification code 036–0167–0–1–705		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	650	704	773
11.1	Full-time permanent - Choice Act, P.L. 113–146, Sec. 801	1	18

11.9	Total personnel compensation	651	722	773
12.1	Civilian personnel benefits	211	222	263
12.1	Civilian personnel benefits -Choice Act, P.L. 113–146, Sec. 801		6
21.0	Travel and transportation of persons	7	9	10
23.3	Communications, utilities, and miscellaneous charges	847	842	844
25.2	Other services from non-Federal sources	1,330	1,978	1,941
25.2	Other services from non-Federal -Choice Act, P.L. 113–146, Sec. 801	13	203
26.0	Supplies and materials	5	7	17
31.0	Equipment	860	432	411
31.0	Equipment - Choice Act, P.L. 113–146, Sec. 801	39	80
32.0	Land and structures	9	10	10
42.0	Insurance claims and indemnities	2	2	2

99.0	Direct obligations	3,974	4,513	4,271
99.0	Reimbursable obligations	39	64	73

99.9	Total new obligations	4,013	4,577	4,344


Identification code 036–0167–0–1–705		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	7,231	7,517	8,156
2001	Reimbursable civilian full-time equivalent employment	78	114	178

For necessary expenses of the National Cemetery Administration for operations and maintenance, not otherwise provided for, including uniforms or allowances therefor; cemeterial expenses as authorized by law; purchase of one passenger motor vehicle for use in cemeterial operations; hire of passenger motor vehicles; and repair, alteration or improvement of facilities under the jurisdiction of the National Cemetery Administration, [$271,220,000] $286,193,000, of which not to exceed [$26,600,000] $28,620,000 shall remain available until September 30, [2017] 2018. (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2016.)


Identification code 036–0129–0–1–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0201	Administrative expenses	260	274	286

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2	5	2
1012	Unobligated balance transfers between expired and unexpired accounts	6

1050	Unobligated balance (total)	8	5	2
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	257	271	286
1930	Total budgetary resources available	265	276	288
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	5	2	2

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	87	72	75
3010	Obligations incurred, unexpired accounts	260	274	286
3011	Obligations incurred, expired accounts	1
3020	Outlays (gross)	–270	–271	–279
3041	Recoveries of prior year unpaid obligations, expired	–6

3050	Unpaid obligations, end of year	72	75	82
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	87	72	75
3200	Obligated balance, end of year	72	75	82

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	257	271	286
	Outlays, gross:
4010	Outlays from new discretionary authority	211	206	221
4011	Outlays from discretionary balances	59	65	58

4020	Outlays, gross (total)	270	271	279
4180	Budget authority, net (total)	257	271	286
4190	Outlays, net (total)	270	271	279

The mission of the National Cemetery Administration is to honor veterans with final resting places in national shrines and with lasting tributes that commemorate their service to our Nation. The National Cemetery Administration's vision is to serve all veterans and their families with the utmost dignity, respect, and compassion. Every national cemetery will be a place that inspires visitors to understand and appreciate the service and sacrifice of our Nation's veterans. There are six related programs managed by the National Cemetery Administration including: 1) burying eligible veterans and their family members in national cemeteries and maintaining the graves and their environs as national shrines; 2) administering grants to States and Tribal organizations in establishing, expanding, improving, or operating veterans cemeteries; 3) providing headstones and markers for the graves of eligible veterans; 4) providing presidential memorial certificates to family and friends of deceased veterans, recognizing the veterans' contribution and service to the Nation; 5) providing graveliners or partial reimbursement for a privately purchased outer burial receptacle for each new grave in open national cemeteries administered by the National Cemetery Administration; and 6) recording First Notice of Veteran Deaths into VA electronic files to ensure timely termination of benefits and next-of-kin notification of possible entitlement to survivor benefits.

The National Cemetery Administration also reflects budget information for the National Cemetery Gift Fund and the National Cemetery Administration Facilities Operation Fund. Through the Gift Fund, the Secretary is authorized to accept gifts and bequests which are made for the purpose of beautifying national cemeteries or are determined to be beneficial to such cemeteries, or are made for the purpose of the operation, maintenance, or improvement of the National Memorial Cemetery of Arizona. Through the Facilities Operation Fund, the Secretary is authorized to lease any undeveloped land and unused or underutilized buildings of the National Cemetery Administration, or parts or parcels thereof, for a term not to exceed 10 years. Proceeds from such leases are deposited in the Facilities Operation Fund, and are available to cover costs incurred by the National Cemetery Administration in the operation and maintenance of property of the Administration.


Identification code 036–0129–0–1–705		2015 actual	2016 est.	2017 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	101	106	109
11.3	Other than full-time permanent	4	5	5

11.9	Total personnel compensation	105	111	114
12.1	Civilian personnel benefits	37	41	41
21.0	Travel and transportation of persons	3	3	3
22.0	Transportation of things	2	7	2
23.1	Rent	3	3	3
23.3	Communications, utilities, and miscellaneous charges	9
24.0	Printing and reproduction	2	4	7
25.2	Other services from non-Federal sources	73	3	1
26.0	Supplies and materials	11	78	88
31.0	Equipment	11	10	11
32.0	Land and structures	4	14	16

99.9	Total new obligations	260	274	286


Identification code 036–0129–0–1–705		2015 actual	2016 est.	2017 est.

1001	Direct civilian full-time equivalent employment	1,730	1,789	1,809


Identification code 036–4537–0–4–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0801	Reimbursable program-COGS-Merchandizing	423	370	375
0802	Reimbursable program-Other-Operations	284	290	290
0803	Reimbursable program-COGS-Printing and publications	10	20	20
0804	Reimbursable program-Other	33	437	437
0805	Reimbursable program-Equipment-Procurement services and distribution	655	983	978

0900	Total new obligations	1,405	2,100	2,100

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	248	162	162
1021	Recoveries of prior year unpaid obligations	175

1050	Unobligated balance (total)	423	162	162
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	1,467	2,100	2,100
1801	Change in uncollected payments, Federal sources	–303
1810	Spending authority from offsetting collections transferred to other accounts [036–0110]	–20

1850	Spending auth from offsetting collections, mand (total)	1,144	2,100	2,100
1930	Total budgetary resources available	1,567	2,262	2,262
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	162	162	162

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1,567	1,406	1,939
3010	Obligations incurred, unexpired accounts	1,405	2,100	2,100
3020	Outlays (gross)	–1,391	–1,567	–2,100
3040	Recoveries of prior year unpaid obligations, unexpired	–175

3050	Unpaid obligations, end of year	1,406	1,939	1,939
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–1,720	–1,417	–1,417
3070	Change in uncollected pymts, Fed sources, unexpired	303

3090	Uncollected pymts, Fed sources, end of year	–1,417	–1,417	–1,417
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	–153	–11	522
3200	Obligated balance, end of year	–11	522	522

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	1,144	2,100	2,100
	Outlays, gross:
4101	Outlays from mandatory balances	1,391	1,567	2,100
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources	–1,363	–2,100	–2,100
4123	Non-Federal sources	–104

4130	Offsets against gross budget authority and outlays (total)	–1,467	–2,100	–2,100
	Additional offsets against gross budget authority only:
4140	Change in uncollected pymts, Fed sources, unexpired	303

4160	Budget authority, net (mandatory)	–20
4170	Outlays, net (mandatory)	–76	–533
4180	Budget authority, net (total)	–20
4190	Outlays, net (total)	–76	–533

Under the provisions of 38 U.S.C. 8121, the Supply Fund is responsible for the operation and maintenance of a supply system for VA. In this capacity, it provides policy and oversight to VA's acquisition and logistics programs, and provides best value acquisition of goods and services through its National Acquisition Center, Denver Acquisition and Logistics Center, Service and Distribution Center, Technology Acquisition Center and Strategic Acquisition Center. Operating as an intra-governmental revolving fund without fiscal year limitations, the Supply Fund is financed by revenue from fees on acquisitions of supplies, equipment, and services for both VA and other Government agency (OGA) customers.


Identification code 036–4537–0–4–705		2015 actual	2016 est.	2017 est.

	Reimbursable obligations:
11.1	Personnel compensation: Full-time permanent	103	109	113
12.1	Civilian personnel benefits	31	31	32
21.0	Travel and transportation of persons	7	8	8
23.1	Rental payments to GSA	6	6	6
23.3	Communications, utilities, and miscellaneous charges	5	6	6
24.0	Printing and reproduction	4	20	20
25.2	Other services from non-Federal sources	255	437	437
26.0	Supplies and materials	439	500	500
31.0	Equipment	555	983	978

99.9	Total new obligations	1,405	2,100	2,100


Identification code 036–4537–0–4–705		2015 actual	2016 est.	2017 est.

2001	Reimbursable civilian full-time equivalent employment	1,048	1,120	1,150


Identification code 036–4539–0–4–705		2015 actual	2016 est.	2017 est.

	Obligations by program activity:
0801	Franchise Fund (Reimbursable)	776	903	965

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	139	137	137
1021	Recoveries of prior year unpaid obligations	30

1050	Unobligated balance (total)	169	137	137
	Budget authority:
	Spending authority from offsetting collections, discretionary:
1700	Collected	709	903	965
1701	Change in uncollected payments, Federal sources	71
1710	Spending authority from offsetting collections transferred to other accounts [036–0110]	–36

1750	Spending auth from offsetting collections, disc (total)	744	903	965
1900	Budget authority (total)	744	903	965
1930	Total budgetary resources available	913	1,040	1,102
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	137	137	137

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	255	314	242
3010	Obligations incurred, unexpired accounts	776	903	965
3020	Outlays (gross)	–687	–975	–950
3040	Recoveries of prior year unpaid obligations, unexpired	–30

3050	Unpaid obligations, end of year	314	242	257
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–139	–210	–210
3070	Change in uncollected pymts, Fed sources, unexpired	–71

3090	Uncollected pymts, Fed sources, end of year	–210	–210	–210
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	116	104	32
3200	Obligated balance, end of year	104	32	47

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	744	903	965
	Outlays, gross:
4010	Outlays from new discretionary authority	293	677	724
4011	Outlays from discretionary balances	394	298	226

4020	Outlays, gross (total)	687	975	950
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–709	–903	–965
	Additional offsets against gross budget authority only:
4050	Change in uncollected pymts, Fed sources, unexpired	–71

4070	Budget authority, net (discretionary)	–36
4080	Outlays, net (discretionary)	–22	72	–15
4180	Budget authority, net (total)	–36
4190	Outlays, net (total)	–22	72	–15

The VA Franchise Fund was established under the authority of the Government Management Reform Act of 1994 and the VA and Housing and Urban Development and Independent Agencies Act of 1997. VA was selected by the Office of Management and Budget (OMB) in 1996 as one of the six executive branch agencies to establish a franchise fund pilot program. Created as a revolving fund, the VA Franchise Fund began providing common administrative support services to the VA and other government agencies in 1997 on a fee-for-service basis. In 2006, under the Military Quality of Life and Veterans Affairs Appropriations Act, Public Law 109–114, permanent status was conferred upon the VA Franchise Fund. VA Enterprise Centers are the lines of business within the VA Franchise Fund and are expected to have net billings of about $965 million and employ 1,769 in 2017. The Franchise Fund concept is intended to increase competition for government administrative services, resulting in lower costs and higher quality.


Identification code 036–4539–0–4–705		2015 actual	2016 est.	2017 est.

	Reimbursable obligations:
11.1	Personnel compensation: Full-time permanent	98	212	262
12.1	Civilian personnel benefits	31	68	84
21.0	Travel and transportation of persons	2	3	3
23.1	Rental payments to GSA	13	14	14
23.3	Communications, utilities, and miscellaneous charges	86	90	96
24.0	Printing and reproduction	5	6	6
25.2	Other services from non-Federal sources	479	445	443
26.0	Supplies and materials	3	8	11
31.0	Equipment	59	57	46

99.9	Total new obligations	776	903	965


Identification code 036–4539–0–4–705		2015 actual	2016 est.	2017 est.

2001	Reimbursable civilian full-time equivalent employment	1,217	1,708	1,769

(2) for funeral expenses, burial expenses, and other expenses incidental to funerals and burials for beneficiaries receiving care in the Department.

(2) "Department of Veterans Affairs, Medical Support and Compliance", $100,000,000.

(b) In addition to amounts provided elsewhere in this Act, an additional amount is appropriated to the following accounts in the amounts specified to remain available until September 30, 2017:

(2) "Department of Veterans Affairs, Medical Support and Compliance", $100,000,000.

"(1) Whenever the Inspector General, in carrying out the duties and responsibilities established under the Inspector General Act of 1978 (5 U.S.C. App.), issues a work product that makes a recommendation or otherwise suggests corrective action, the Inspector General shall—

"(ii) the Committee on Veterans' Affairs, the Committee on Homeland Security and Governmental Affairs, and the Committee on Appropriations of the Senate;

"(iii) the Committee on Veterans' Affairs, the Committee on Oversight and Government Reform, and the Committee on Appropriations of the House of Representatives;

"(iv) if the work product was initiated upon request by an individual or entity other than the Inspector General, that individual or entity; and

"(i) if the work product was initiated upon request by an individual or entity other than the Inspector General, that individual or entity; and

"(C) not later than 3 days after the work product is submitted in final form to the Secretary, post the work product on the Internet website of the Inspector General.


		2015 actual	2016 est.	2017 est.

Offsetting receipts from the public:
036–273330	Housing Downward Reestimates	268	312
036–275110	Native American Veteran Housing Loans, Negative Subsidies	1	2	2
036–143500	General Fund Proprietary Interest Receipts, not Otherwise Classified	5	10	11
036–322000	All Other General Fund Proprietary Receipts Including Budget Clearing Accounts	24	40	40
036–247300	Contributions from Military Personnel, Veteran's Educational Assistance Act of 1984	145	125	110
036–275510	Housing Negative Subsidies		74	92
General Fund Offsetting receipts from the public		443	563	255


Intragovernmental payments:
036–388500	Undistributed Intragovernmental Payments and Receivables from Cancelled Accounts	4	5	5

General Fund Intragovernmental payments		4	5	5

(c) The head of the agency posting such report shall do so only after such report has been made available to the requesting Committee or Committees of Congress for no less than 45 days.

(b) Nothing in subsection (a) shall limit the use of funds necessary for any Federal, State, tribal, or local law enforcement agency or any other entity carrying out criminal investigations, prosecution, or adjudication activities.

(b) The prohibition in subsection (a) shall not apply to any modification of facilities at United States Naval Station, Guantanamo Bay, Cuba.

(c) An individual described in this subsection is any individual who, as of June 24, 2009, is located at United States Naval Station, Guantanamo Bay, Cuba, and who—

(1) is not a citizen of the United States or a member of the Armed Forces of the United States; and

(A) in the custody or under the effective control of the Department of Defense; or

(B) otherwise under detention at United States Naval Station, Guantanamo Bay, Cuba.]

DEPARTMENT OF VETERANS AFFAIRS

Veterans Health Administration

Federal Funds

Medical services

WORKLOAD

Medical Community Care

Medical support and compliance

DOD-VA Health Care Sharing Incentive Fund

Medical facilities

Medical and prosthetic research

Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund

Medical Care Collections Fund

Canteen Service Revolving Fund

Medical Center Research Organizations

Veterans Choice Fund

Trust Funds

General Post Fund, National Homes

Benefits Programs

Federal Funds

Compensation and pensions

(including transfer of funds)

Compensation and Pensions

(Legislative proposal, subject to PAYGO)

Readjustment benefits

Readjustment Benefits

(Legislative proposal, subject to PAYGO)

Veterans insurance and indemnities

Filipino Veterans Equity Compensation Fund

Service-disabled Veterans Insurance Fund

Operating costs

Veterans Reopened Insurance Fund

Servicemembers' Group Life Insurance Fund

Veterans housing benefit program fund

Housing Direct Loan Financing Account

Housing Guaranteed Loan Financing Account

Housing Liquidating Account

Native american veteran housing loan program account

Vocational rehabilitation loans program account

Native American Direct Loan Financing Account

Transitional Housing Direct Loan Financing Account

Vocational Rehabilitation Direct Loan Financing Account

Trust Funds

Post-Vietnam Era Veterans Education Account

National Service Life Insurance Fund

United States Government Life Insurance Fund

Veterans Special Life Insurance Fund

Departmental Administration

Federal Funds

Construction, major projects

Construction, minor projects

Grants for construction of state extended care facilities

Grants for construction of veterans cemeteries

General administration

(Including transfer of funds)

Board of Veterans Appeals

General operating expenses, Veterans Benefits Administration

Office of inspector general

Information technology systems

(including transfer of funds)

National cemetery administration

Supply Fund

Franchise Fund

ADMINISTRATIVE PROVISIONS

Administrative provisions

General and Administrative Provisions

GENERAL FUND RECEIPT ACCOUNTS

TITLE IV—GENERAL PROVISIONS