[Appendix]
[Detailed Budget Estimates by Agency]
[Department of Veterans Affairs]
[From the U.S. Government Publishing Office, www.gpo.gov]



   
      
      
         <h1>DEPARTMENT OF VETERANS AFFAIRS                                                                                           
            
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DEPARTMENT OF VETERANS AFFAIRS

Veterans Health Administration

Federal Funds

Medical services

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; $1,031,808,000, which shall be in addition to funds previously appropriated under this heading that become available on October 1, 2017; and, in addition, $49,161,165,000, plus reimbursements, shall become available on October 1, 2018, and shall remain available until September 30, 2019: Provided, That, of the amount made available on October 1, 2018, under this heading, $1,400,000,000 shall remain available until September 30, 2020: 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.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Special and Trust Fund Receipts (in millions of dollars)


Identification code 036–0160–0–1–703 2016 actual 2017 est. 2018 est.

0100 Balance, start of year 292 1,723 9,305
Receipts:
Current law:
1130 Pharmaceutical Co-payments, MCCF 631 535 456
1130 Medical Care Collections Fund, Third Party Prescription Claims 100 109 115
1130 Enhanced-use Lease Proceeds, MCCF 1 2
1130 First Party Collections, MCCF 190 205 204
1130 Third Party Collections, MCCF 2,544 2,402 2,431
1130 Parking Fees, MCCF 4 4 4
1130 Compensated Work Therapy, MCCF 61 61 63
1130 MCCF, Long-term Care Copayments 2 3 2
1140 Payments from Compensation and Pension, MCCF 1 2 2



1199 Total current law receipts 3,534 3,323 3,277



1999 Total receipts 3,534 3,323 3,277



2000 Total: Balances and receipts 3,826 5,046 12,582
Appropriations:
Current law:
2101 Medical Care Collections Fund –3,503 –3,322 –3,271
2172 Medical Services
2172 Medical Services
2174 Medical Services 1,400 134
2174 Medical Services 7,246



2199 Total current law appropriations –2,103 4,259 –3,057



2999 Total appropriations –2,103 4,259 –3,057



5099 Balance, end of year 1,723 9,305 9,525

Program and Financing (in millions of dollars)


Identification code 036–0160–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Outpatient care 15,216 15,472 17,073
0002 Inpatient care 7,565 8,168 8,747
0004 Mental health care 5,361 5,793 6,296
0005 Long-term care 3,149 3,341 3,612
0006 Pharmacy 6,256 6,648 6,974
0007 Prosthetics care 2,908 3,414 3,689
0008 Dental care 614 752 808
0009 Rehabilitation 201 779 815
0011 Readjustment Counseling 203 195 196
0012 Caregivers (Title I) P.L. 111–163 487 494 571
0013 Prior-Year Recoveries 246
0014 Non-VA Care (Payments) 9,089
0015 CHAMPVA (VA Portion) 343 353
0022 P.L. 113–146, Hires 1,270 713
0023 P.L. 113–146, Sec. 301 13 17 32
0024 P.L. 113–146, Supplies/Equipment 16 23
0025 P.L. 113–146, Mobile Clinic Video 11 3
0026 P.L. 113–146, Activations 41
0029 P.L. 113–146, Prior Year Recoveries 1
0030 Audit Adjustment 149



0091 Total operating expenses 52,796 46,155 49,166
0101 Outpatient care 810 933 777
0102 Inpatient care 261 300 250
0103 Mental health care 40 46 38
0104 Long-term care 69 79 66
0105 Pharmacy 25 29 24
0106 Prosthetics care 28 32 27
0107 Dental care 25 29 24
0108 Rehabilitation 8 9 8
0109 Readjustment Counseling 8 9 8
0113 P.L. 113–146, Hires 1
0114 P.L. 113–146, Supplies/Equipment 26 26



0191 Total Capital Investment 1,301 1,492 1,222



0799 Total direct obligations 54,097 47,647 50,388
0801 Medical Services (Reimbursable) 119 153 153



0900 Total new obligations, unexpired accounts 54,216 47,800 50,541

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1,882 1,539 1,742
1001 Discretionary unobligated balance brought fwd, Oct 1 667
1011 Unobligated balance transfer from other acct [036–0111] 195
1011 Unobligated balance transfer from other acct [036–0162] 330
1011 Unobligated balance transfer from other acct [036–0152] 9
1020 Adjustment of unobligated bal brought forward, Oct 1 223
1021 Recoveries of prior year unpaid obligations 237
1033 Recoveries of prior year paid obligations 9



1050 Unobligated balance (total) 2,662 1,762 1,742
Budget authority:
Appropriations, discretionary:
1100 Appropriation 3,769 1,079 1,032
1120 Appropriations transferred to other accts [036–0169] –196
1120 Appropriations transferred to other accts [036–0165] –15
1120 Appropriations transferred to other acct [036–0110] –39
1120 Appropriations transferred to other acct [036–0181] –20
1121 Appropriations transferred from other acct [036–5287] 3,485 2,456 2,999
1121 Appropriations transferred from other acct [036–0169] 10



1160 Appropriation, discretionary (total) 6,994 3,535 4,031
Advance appropriations, discretionary:
1170 Advance appropriation 47,603 51,673 44,887
1172 Advance appropriations transferred to other accounts [036–0165] –15 –15
1172 Advance appropriations transferred to other accounts [036–0169] –186 –199
1174 Advance appropriations permanently reduced –1,400 –134
1174 Advance appropriations permanently reduced –7,246



1180 Advanced appropriation, discretionary (total) 46,203 44,092 44,673
Spending authority from offsetting collections, discretionary:
1700 Collected 116 150 150
1701 Change in uncollected payments, Federal sources 3 3 3



1750 Spending auth from offsetting collections, disc (total) 119 153 153
1900 Budget authority (total) 53,316 47,780 48,857
1930 Total budgetary resources available 55,978 49,542 50,599
Memorandum (non-add) entries:
1940 Unobligated balance expiring –223
1941 Unexpired unobligated balance, end of year 1,539 1,742 58

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 7,089 7,931 7,330
3001 Adjustments to unpaid obligations, brought forward, Oct 1 –868
3010 New obligations, unexpired accounts 54,216 47,800 50,541
3011 Obligations ("upward adjustments"), expired accounts 957
3020 Outlays (gross) –52,453 –48,401 –48,326
3040 Recoveries of prior year unpaid obligations, unexpired –237
3041 Recoveries of prior year unpaid obligations, expired –773



3050 Unpaid obligations, end of year 7,931 7,330 9,545
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –6 –6 –9
3070 Change in uncollected pymts, Fed sources, unexpired –3 –3 –3
3071 Change in uncollected pymts, Fed sources, expired 3



3090 Uncollected pymts, Fed sources, end of year –6 –9 –12
Memorandum (non-add) entries:
3100 Obligated balance, start of year 6,215 7,925 7,321
3200 Obligated balance, end of year 7,925 7,321 9,533

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 53,316 47,780 48,857
Outlays, gross:
4010 Outlays from new discretionary authority 45,651 41,394 42,168
4011 Outlays from discretionary balances 5,437 6,578 5,743



4020 Outlays, gross (total) 51,088 47,972 47,911
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –65 –50 –40
4033 Non-Federal sources –244 –100 –110



4040 Offsets against gross budget authority and outlays (total) –309 –150 –150
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired –3 –3 –3
4052 Offsetting collections credited to expired accounts 184
4053 Recoveries of prior year paid obligations, unexpired accounts 9



4060 Additional offsets against budget authority only (total) 190 –3 –3



4070 Budget authority, net (discretionary) 53,197 47,627 48,704
4080 Outlays, net (discretionary) 50,779 47,822 47,761
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 1,365 429 415
4180 Budget authority, net (total) 53,197 47,627 48,704
4190 Outlays, net (total) 52,144 48,251 48,176

For 2019, the Budget requests $70.7 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 2018, Medical Care appropriations are increased by $2.7 billion over the 2018 enacted advance appropriations of $66.4 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") to improve 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. Public Law 115–26, enacted April 19, 2017, amended the Veterans Choice Act to eliminate the August 7, 2017 sunset date for the Veterans Choice Program, thus allowing the program to operate until all of the money in the Veterans Choice Fund is expended. To further continue the program, the Budget requests $2.9 billion in mandatory budget authority in 2018 and $3.5 billion in 2019.

With the resources requested for 2018 and 2019, VA will provide the highest quality health care services for veterans. VA estimates it will treat 7.0 million patients in 2018 and 7.1 million patients in 2019. Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND) veterans are expected to be 858,552 in 2018 (12.2 percent of the total) and 887,098 in 2019 (12.4 percent of the total).

Medical Care Collections Fund (MCCF).—VA estimates collections of nearly $3.3 billion in both 2018 and 2019, representing nearly 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 2017 enacted advance appropriation of $51.7 billion, augmented with $1.1 billion (as provided in Public Law 114–223); the 2018 enacted advance appropriation of $44.9 billion, together with an additional $1.0 billion as requested in this Budget; and the 2019 advance appropriation request of $49.2 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): $874 million in unobligated balances remained available at the start of 2017.

WORKLOAD

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 three programs: CHAMPVA and other dependent programs, readjustment counseling, and Caregivers. 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 VA's Congressional Justification materials. 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 2018 are estimated to be $18,003 million for this health service category, which includes funding for ambulatory care in VA hospital-based and community-based clinics.

Estimated operating levels are:


Outpatient Visits (excludes Mental Health): 2016 actual 2017 est. 2018 est.

Staff 72,664,723 75,117,597 77,155,873

Inpatient care.—Obligations in the Medical Services account for 2018 are estimated to be $8,997 million, which includes funding for inpatient care in VA medical centers.

Estimated operating levels are:


2016 actual 2017 est. 2018 est.

Patients Treated 453,293 445,464 437,635

Mental health care.—Obligations in the Medical Services account for 2018 are estimated to be $6,334 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.

Estimated operating levels are:


2016 actual 2017 est. 2018 est.

Average daily census (ADC) 8,341 8,260 8,133
Outpatient Visits/Encounters 13,397,001 13,965,965 14,503,778

Long term services and supports.—Obligations in the Medical Services account for 2018 are estimated to be $3,678 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.

Estimated operating levels are:


2016 actual 2017 est. 2018 est.

Institutional (ADC) 9,084 8,889 8,645
Non-Institutional Visits/Procedures 2,633,814 2,790,072 2,895,940

Prosthetics care.—Obligations in the Medical Services account for 2018 are estimated to be $3,716 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 their 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 2018 are estimated to be $832 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.

Estimated operating levels are:


2016 actual 2017 est. 2018 est.

Dental Procedures 4,544,714 4,728,650 4,904,945

Rehabilitation.—Obligations in the Medical Services account for 2018 are estimated to be $823 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.

Estimated operating levels are:



2016 actual 2017 est. 2018 est.
ADC 1,163 1,165 1,162

Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) Programs.—Obligations in the Medical Services account for 2018 are estimated to be $353 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 2018 are estimated to be $204 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.

Estimated operating levels are:


2016 actual 2017 est. 2018 est.

Visits 1,797,663 1,887,546 1,981,923

Caregivers (Title I) Programs.—Obligations in the Medical Services account for 2018 are estimated to be $571 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.

Estimated operating levels are:


2016 actual 2017 est. 2018 est.

Caregiver Stipend (dollars) 421,839,000 424,618,000 489,244,000
Caregiver Caseload 26,989 33,345 37,144

Pharmacy.—Obligations in the Medical Services account for 2018 are estimated to be $6,998 million for pharmacy costs. VA's use of medication therapies is a fundamental underpinning of how VA delivers health care today. VA's primary focus is on diagnosis and treatment in an ambulatory environment and home environment basis with institutional care as the modality of last resort.

Estimated operating levels are:


2016 actual 2017 est. 2018 est.

Number of 30-day Prescriptions (millions) 278 283 294

Public Law 113–146, Veterans Choice Act, Section 801.— The Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146) ("Veterans Choice Act") was enacted on August 7, 2014. The 2018 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 2018 are estimated to be $32 million for Section 301/302, hiring medical staff, and supplies and materials.

Estimated obligations in the Medical Services account are:


Dollars in Millions 2016 actual 2017 est. 2018 est.

FTE & Other Costs $1,325 $782 $0
Section 301/302 Activities $13 $0 $32
Activations $41 $0 $0
Total $1,379 $782 $32

Object Classification (in millions of dollars)


Identification code 036–0160–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 16,738 17,758 19,250
11.1 Full-time permanent - P.L. 113–146, Sec. 801 1,020 554
11.3 Other than full-time permanent 353 374 406
11.3 Other than full-time permanent - P.L. 113–146, Sec. 801 22 12
11.5 Other personnel compensation 1,926 2,045 2,216
11.5 Other personnel compensation - P.L. 113–146, Sec. 801 117 64



11.9 Total personnel compensation 20,176 20,807 21,872
12.1 Civilian personnel benefits 6,414 6,916 7,644
12.1 Civilian personnel benefits - P.L. 113–146, Sec. 801 155 84
13.0 Benefits for former personnel 9 9 9
21.0 Travel & Transportation of Persons 975 1,025 1,066
22.0 Transportation of things 17 18 18
23.2 Rent, Communications & Utilities 417 450 487
23.2 Rent, Communications & Utilities - P.L. 113–146, Sec. 801 1
24.0 Printing and reproduction 9 9 9
25.2 Other contractual services 11,840 4,925 5,229
25.2 Other contractual serv. - P.L. 113–146, Sec. 801 22 21 32
26.0 Supplies & Materials 10,639 11,275 12,228
26.0 Supplies & Materials - P.L. 113–146, Sec. 801 15 23
31.0 Equipment 1,272 1,466 1,222
31.0 Equipment - P.L. 113–146, Sec. 801 26 24
32.0 Land and structures 2
41.0 Grants, Subsidies & Contributions 1,712 595 572
44.0 Prior-year Recoveries 246
44.0 Prior Year Recoveries - P.L. 113–146, Sec. 801 1
92.0 Audit Adjustment 149



99.0 Direct obligations 54,097 47,647 50,388
99.0 Reimbursable obligations 119 153 153



99.9 Total new obligations, unexpired accounts 54,216 47,800 50,541

Employment Summary


Identification code 036–0160–0–1–703 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 222,974 228,966 234,668
2001 Reimbursable civilian full-time equivalent employment 1,872 1,872 1,872

Medical community care

For necessary expenses for furnishing health care to individuals pursuant to chapter 17 of title 38, United States Code, at non-Department facilities, $254,000,000, which shall be in addition to funds previously appropriated under this heading that become available on October 1, 2017; and, in addition, $8,384,704,000, plus reimbursements, shall become available on October 1, 2018, and shall remain available until September 30, 2019: Provided, That of the amount made available on October 1, 2018, under this heading, $2,000,000,000 shall remain available until September 30, 2022.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0140–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Ambulatory 2,338 2,321
0002 Dental 67 101
0003 Inpatient 774 1,552
0004 LTSS: Facility Based Services 956 1,032
0005 LTSS: Home & Community Based Services 695 806
0006 Mental Health 274 315
0007 CHAMPVA & Other Dependent Programs 1,653 1,610
0008 State Home Programs 1,312 1,346
0009 Camp Lejeune, Veterans Families 6 7
0010 Indian Health Services 24
0011 Caregiver 29



0900 Total new obligations, unexpired accounts 8,075 9,143

Budgetary resources:
Budget authority:
Appropriations, discretionary:
1100 Appropriation 7,246 254
1120 Appropriations transferred to other acct [036–0169] –21
1121 Appropriations transferred from other acct [036–5287] 850 256



1160 Appropriation, discretionary (total) 8,075 510
Advance appropriations, discretionary:
1170 Advance appropriation 9,409
1172 Advance appropriations transferred to other accounts [036–0169] –26



1180 Advanced appropriation, discretionary (total) 9,383
1900 Budget authority (total) 8,075 9,893
1930 Total budgetary resources available 8,075 9,893
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 750

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 1,672
3010 New obligations, unexpired accounts 8,075 9,143
3020 Outlays (gross) –6,403 –9,822



3050 Unpaid obligations, end of year 1,672 993
Memorandum (non-add) entries:
3100 Obligated balance, start of year 1,672
3200 Obligated balance, end of year 1,672 993

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 8,075 9,893
Outlays, gross:
4010 Outlays from new discretionary authority 6,403 8,351
4011 Outlays from discretionary balances 1,471



4020 Outlays, gross (total) 6,403 9,822
4180 Budget authority, net (total) 8,075 9,893
4190 Outlays, net (total) 6,403 9,822

For 2019, the Budget requests $8.4 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 that is not provided through the Veterans Choice Program.

Object Classification (in millions of dollars)


Identification code 036–0140–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
25.2 Other Contractual Services 6,755 7,797
41.0 State Homes 1,320 1,346



99.9 Total new obligations, unexpired accounts 8,075 9,143

Medical support and compliance

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.), $284,397,000, which shall be in addition to funds previously appropriated under this heading that become available on October 1, 2017; and, in addition, $7,239,156,000, plus reimbursements, shall become available on October 1, 2018, and shall remain available until September 30, 2019: Provided, That, of the amount made available on October 1, 2018, under this heading, $100,000,000 shall remain available until September 30, 2020.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0152–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 VA Medical Centers & Other Field Activities 3,868 4,167 4,526
0002 VISN Headquarters 166 223 227
0003 VHA Central Office 608 653 666
0005 Office of Informatics & Analytics 240 236 232
0008 Employee Education Service Center 62 82 84
0009 VHA Service Center 257 245 250
0013 Consolidated Mail Outpatient Pharmacies 17 19 20
0014 National Center for Patient Safety 7 9 9
0016 Community Care 707 724 796
0017 VHA Member Services 88 114 116
0025 P.L. 113–146, Activations 5
0026 P.L. 113–146, Section 301/302 Activities 2 14



0091 Total operating expenses 6,027 6,472 6,940
0102 VAMCs & Other Field Activities 24 31 32
0109 VHA Service Center 1 1 1
0116 Community Care 2 2 2
0117 VHA Member Services 1 1 1



0191 Total Capital Investment 28 35 36



0293 Total direct program 6,055 6,507 6,976



0799 Total direct obligations 6,055 6,507 6,976
0801 Medical Support and Compliance (Reimbursable) 13 19 19



0900 Total new obligations, unexpired accounts 6,068 6,526 6,995

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 126 104 69
1001 Discretionary unobligated balance brought fwd, Oct 1 85
1010 Unobligated balance transfer to other accts [036–0160] –9
1011 Unobligated balance transfer from other acct [036–0162] 9



1050 Unobligated balance (total) 126 104 69
Budget authority:
Appropriations, discretionary:
1100 Appropriation 100 284
1120 Appropriations transferred to other accts [036–0169] –27
1120 Appropriations transferred to other acct [036–0110] –85
1121 Appropriations transferred from other acct [036–0169] 1



1160 Appropriation, discretionary (total) –11 284
Advance appropriations, discretionary:
1170 Advance appropriation 6,144 6,524 6,655
1172 Advance appropriations transferred to other accounts [036–0169] –26 –28
1174 Advance appropriations permanently reduced –100 –26



1180 Advanced appropriation, discretionary (total) 6,044 6,472 6,627
Spending authority from offsetting collections, discretionary:
1700 Collected 13 19 19
1900 Budget authority (total) 6,046 6,491 6,930
1930 Total budgetary resources available 6,172 6,595 6,999
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 104 69 4

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 791 883 1,049
3001 Adjustments to unpaid obligations, brought forward, Oct 1 –61
3010 New obligations, unexpired accounts 6,068 6,526 6,995
3011 Obligations ("upward adjustments"), expired accounts 40
3020 Outlays (gross) –5,898 –6,360 –6,790
3041 Recoveries of prior year unpaid obligations, expired –57



3050 Unpaid obligations, end of year 883 1,049 1,254
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 729 882 1,048
3200 Obligated balance, end of year 882 1,048 1,253

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 6,046 6,491 6,930
Outlays, gross:
4010 Outlays from new discretionary authority 5,285 5,760 6,151
4011 Outlays from discretionary balances 607 593 632



4020 Outlays, gross (total) 5,892 6,353 6,783
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –13 –19 –19
4033 Non-Federal sources –10



4040 Offsets against gross budget authority and outlays (total) –23 –19 –19
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 10



4060 Additional offsets against budget authority only (total) 10



4070 Budget authority, net (discretionary) 6,033 6,472 6,911
4080 Outlays, net (discretionary) 5,869 6,334 6,764
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 6 7 7
4180 Budget authority, net (total) 6,033 6,472 6,911
4190 Outlays, net (total) 5,875 6,341 6,771

For 2019, the Budget requests $7.2 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 2017 through 2019: the 2017 enacted advance appropriation of $6.5 billion; the 2018 enacted advance appropriation of $6.7 billion, together with an additional $284 million as requested in this Budget; and the 2019 advance appropriation request of $7.2 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): $20 million in unobligated balances remained available at the start of 2017.

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.

Object Classification (in millions of dollars)


Identification code 036–0152–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 3,085 3,250 3,384
11.1 Full-time permanent - Choice Act, P.L. 113–146, Sec. 801 4
11.3 Other than full-time permanent 66 69 72
11.5 Other personnel compensation 355 374 389



11.9 Total personnel compensation 3,510 3,693 3,845
12.1 Civilian personnel benefits 1,217 1,288 1,352
12.1 Civilian personnel benefits - Choice Act, P.L. 113–146, Sec. 801 1
13.0 Benefits for former personnel 2 2 2
21.0 Travel & Transportation of Persons 52 53 60
22.0 Transportation of things 11 12 12
23.3 Communications, utilities, and miscellaneous charges 126 130 133
24.0 Printing and reproduction 17 18 18
25.2 Other contractual services 1,004 1,195 1,421
25.2 Other contractual services - Choice Act, P.L. 113–146, Section 801 2 14
26.0 Medical supplies and materials 86 81 83
31.0 Equipment 27 35 36



99.0 Direct obligations 6,055 6,507 6,976
99.0 Reimbursable obligations 13 19 19



99.9 Total new obligations, unexpired accounts 6,068 6,526 6,995

Employment Summary


Identification code 036–0152–0–1–703 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 49,685 51,353 52,230
2001 Reimbursable civilian full-time equivalent employment 869 869 869

DOD-VA Health Care Sharing Incentive Fund

Program and Financing (in millions of dollars)


Identification code 036–0165–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 DOD-VA health care sharing incentive fund 63 56 66

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 138 82 23
1021 Recoveries of prior year unpaid obligations 7 7 13



1050 Unobligated balance (total) 145 89 36
Budget authority:
Appropriations, discretionary:
1121 Transferred from DOD account [097–0130] 15 15 15
1121 Appropriations transferred from VA account [036–0160] 15
1131 Unobligated balance of appropriations permanently reduced –30 –40



1160 Appropriation, discretionary (total) –25 15
Advance appropriations, discretionary:
1173 Advance appropriations transferred from VA account [036–0160] 15 15
1900 Budget authority (total) –10 30
1930 Total budgetary resources available 145 79 66
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 82 23

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 70 59 100
3010 New obligations, unexpired accounts 63 56 66
3020 Outlays (gross) –67 –8 –16
3040 Recoveries of prior year unpaid obligations, unexpired –7 –7 –13



3050 Unpaid obligations, end of year 59 100 137
Memorandum (non-add) entries:
3100 Obligated balance, start of year 70 59 100
3200 Obligated balance, end of year 59 100 137

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross –10 30
Outlays, gross:
4011 Outlays from discretionary balances 67 8 16
4180 Budget authority, net (total) –10 30
4190 Outlays, net (total) 67 8 16

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 2018, each Secretary shall contribute a minimum of $15 million to the fund after the appropriation is enacted.

Object Classification (in millions of dollars)


Identification code 036–0165–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
11.1 Personnel compensation: Full-time permanent 5 5 5
25.1 Advisory and assistance services 49 42 52
26.0 Supplies and materials 1 1 1
31.0 Equipment 8 8 8



99.9 Total new obligations, unexpired accounts 63 56 66

Employment Summary


Identification code 036–0165–0–1–703 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 47 47 57

Medical facilities

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; $1,079,795,000, which shall be in addition to funds previously appropriated under this heading that become available on October 1, 2017; and, in addition, $5,914,288,000, plus reimbursements, shall become available on October 1, 2018, and shall remain available until September 30, 2019: Provided, That, of the amount made available on October 1, 2018, under this heading, $250,000,000 shall remain available until September 30, 2020.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0162–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Energy & Green Management 3 39 12
0002 Engineering & Environmental Management Services 578 613 651
0003 Engineering Service 797 811 859
0004 Grounds Maintenance & Fire Protection 91 94 100
0005 Leases 346 658 710
0008 Operating Equipment Maintenance & Repair 207 213 225
0009 Other Facilities Operation Support 31 72 32
0011 Plant Operation 723 666 734
0012 Recurring Maintenance & Repair 489 488 517
0013 Textile Care Processing & Management 155 187 198
0014 Transportation 170 166 176
0023 Prior-Year Recoveries 16
0025 P.L. 113–146, Activations 2
0026 P.L. 113–146, Leases 169 24
0028 P.L. 113–146, Non-Recurring Maintenance 4
0029 P.L. 113–146, Sec. 301 12 4
0030 P.L. 113–146, Prior year Recoveries 30



0091 Total operating expenses 3,811 4,043 4,218
0101 Energy & Green Management 18
0102 Engineering & Environmental Management Services 61 15 18
0103 Engineering Service 9 18 21
0104 Grounds Maintenance & Fire Protection 4 3 3
0105 Leases 47 83 244
0106 Non-Recurring Maintenance 867 1,060 1,870
0107 Operating Equipment Maintenance & Repair 16 12 14
0108 Other Facilities Operation Support 4 5
0109 Plant Operation 13 49 57
0110 Recurring Maintenance & Repair 12 18 21
0111 Textile Care Processing & Management 37 7 8
0122 Transportation 1 7 8
0124 P.L. 113–146, Activations 1
0125 P.L. 113–146, Leases 33
0126 P.L. 113–146, Legionella 31 93
0127 P.L. 113–146, Non-Recurring Maintenance 504 10



0191 Total capital investment 1,654 1,379 2,269



0799 Total direct obligations 5,465 5,422 6,487
0801 Medical Facilities (Reimbursable) 13 17 17



0900 Total new obligations, unexpired accounts 5,478 5,439 6,504

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1,239 155 11
1001 Discretionary unobligated balance brought fwd, Oct 1 10
1010 Unobligated balance transfer to other accts [036–0160] –330
1010 Unobligated balance transfer to other accts [036–0152] –9
1021 Recoveries of prior year unpaid obligations 46
1033 Recoveries of prior year paid obligations 1



1050 Unobligated balance (total) 947 155 11
Budget authority:
Appropriations, discretionary:
1100 Appropriation 355 248 1,080
1120 Appropriations transferred to other accts [036–0169] –37
1120 Appropriations transferred to other acct [036–0110] –313
1121 Appropriations transferred from other acct [036–0169] 2



1160 Appropriation, discretionary (total) 7 248 1,080
Advance appropriations, discretionary:
1170 Advance appropriation 4,915 5,074 5,435
1172 Advance appropriations transferred to other accounts [036–0169] –35 –37
1174 Advance appropriations permanently reduced –250 –9



1180 Advanced appropriation, discretionary (total) 4,665 5,030 5,398
Spending authority from offsetting collections, discretionary:
1700 Collected 13 17 17
1701 Change in uncollected payments, Federal sources 1



1750 Spending auth from offsetting collections, disc (total) 14 17 17
1900 Budget authority (total) 4,686 5,295 6,495
1930 Total budgetary resources available 5,633 5,450 6,506
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 155 11 2

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 2,927 2,996 2,935
3001 Adjustments to unpaid obligations, brought forward, Oct 1 –171
3010 New obligations, unexpired accounts 5,478 5,439 6,504
3011 Obligations ("upward adjustments"), expired accounts 241
3020 Outlays (gross) –5,256 –5,500 –6,257
3040 Recoveries of prior year unpaid obligations, unexpired –46
3041 Recoveries of prior year unpaid obligations, expired –177



3050 Unpaid obligations, end of year 2,996 2,935 3,182
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –1 –1 –1
3070 Change in uncollected pymts, Fed sources, unexpired –1
3071 Change in uncollected pymts, Fed sources, expired 1



3090 Uncollected pymts, Fed sources, end of year –1 –1 –1
Memorandum (non-add) entries:
3100 Obligated balance, start of year 2,755 2,995 2,934
3200 Obligated balance, end of year 2,995 2,934 3,181

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 4,686 5,295 6,495
Outlays, gross:
4010 Outlays from new discretionary authority 3,231 3,966 4,875
4011 Outlays from discretionary balances 1,557 1,061 1,167



4020 Outlays, gross (total) 4,788 5,027 6,042
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –10 –10 –10
4033 Non-Federal sources –39 –7 –7



4040 Offsets against gross budget authority and outlays (total) –49 –17 –17
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired –1
4052 Offsetting collections credited to expired accounts 36



4060 Additional offsets against budget authority only (total) 35



4070 Budget authority, net (discretionary) 4,672 5,278 6,478
4080 Outlays, net (discretionary) 4,739 5,010 6,025
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 468 473 215
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123 Non-Federal sources –1
Additional offsets against gross budget authority only:
4143 Recoveries of prior year paid obligations, unexpired accounts 1
4170 Outlays, net (mandatory) 467 473 215
4180 Budget authority, net (total) 4,672 5,278 6,478
4190 Outlays, net (total) 5,206 5,483 6,240

For 2019, the Budget requests advance appropriations of $5.9 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 2017 through 2019: the 2017 enacted advance appropriation of $5.1 billion, together with an additional $248 million (as directed in Public Law 114–223); the 2018 enacted advance appropriation of $5.4 billion, together with an additional $1.1 billion as requested in this Budget; and the 2019 advance appropriation request of $5.9 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): $144 million in unobligated balances remained available at the start of2017.

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.

Object Classification (in millions of dollars)


Identification code 036–0162–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 1,112 1,163 1,206
11.3 Other than full-time permanent 23 24 25
11.5 Other personnel compensation 128 134 139



11.9 Total personnel compensation 1,263 1,321 1,370
12.1 Civilian personnel benefits 452 480 503
13.0 Benefits for former personnel 1 1 1
21.0 Travel & Transportation of Persons 37 38 39
22.0 Transportation of things 14 15 15
23.2 Rent, Communications & Utilities 876 1,172 1,239
23.2 Rent, Communications & Utilities - P.L. 113–146, Sec. 801 169 24
24.0 Printing and reproduction 1 1
25.2 Other Contractual Services 637 661 719
25.2 Other Contractual Services - P.L. 113–146, Sec. 801 5 12 4
26.0 Supplies & Materials 310 318 327
26.0 Supplies & Materials - P.L. 113–146, Sec. 801 1
31.0 Equipment 104 68 110
31.0 Equipment - P.L. 113–146, Sec. 801 1
32.0 Lands & Structures 981 1,208 2,159
32.0 Lands & Structures - P.L. 113–146, Sec. 801 568 103
44.0 P.L. 113–146, Non Section 801 - Prior Year Recoveries 16
44.0 P.L. 113–146, Section 801 - Prior Year Recoveries 30



99.0 Direct obligations 5,465 5,422 6,487
99.0 Reimbursable obligations 13 17 17



99.9 Total new obligations, unexpired accounts 5,478 5,439 6,504

Employment Summary


Identification code 036–0162–0–1–703 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 23,434 24,253 24,699
2001 Reimbursable civilian full-time equivalent employment 490 490 490

Medical and prosthetic research

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, $640,000,000, plus reimbursements, shall remain available until September 30, 2019.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0161–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Bio-medical laboratory science research 211 198 186
0002 Rehabilitation research 112 109 102
0003 Health services research 112 109 102
0004 Clinical science research 225 266 250



0091 Total operating expenses 660 682 640



0799 Total direct obligations 660 682 640
0801 Medical and Prosthetic Research (Reimbursable) 35 40 40



0900 Total new obligations, unexpired accounts 695 722 680

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 75 62 53
1021 Recoveries of prior year unpaid obligations 35



1050 Unobligated balance (total) 110 62 53
Budget authority:
Appropriations, discretionary:
1100 Appropriation 631 675 640
1120 Appropriations transferred to other acct [036–0110] –20
1130 Appropriations permanently reduced –2



1160 Appropriation, discretionary (total) 611 673 640
Spending authority from offsetting collections, discretionary:
1700 Collected 36 40 40
1900 Budget authority (total) 647 713 680
1930 Total budgetary resources available 757 775 733
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 62 53 53

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 219 247 284
3010 New obligations, unexpired accounts 695 722 680
3011 Obligations ("upward adjustments"), expired accounts 3
3020 Outlays (gross) –620 –685 –677
3040 Recoveries of prior year unpaid obligations, unexpired –35
3041 Recoveries of prior year unpaid obligations, expired –15



3050 Unpaid obligations, end of year 247 284 287
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 215 243 280
3200 Obligated balance, end of year 243 280 283

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 647 713 680
Outlays, gross:
4010 Outlays from new discretionary authority 378 508 484
4011 Outlays from discretionary balances 242 177 193



4020 Outlays, gross (total) 620 685 677
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –22 –24 –24
4033 Non-Federal sources –15 –16 –16



4040 Offsets against gross budget authority and outlays (total) –37 –40 –40
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 1



4060 Additional offsets against budget authority only (total) 1



4070 Budget authority, net (discretionary) 611 673 640
4080 Outlays, net (discretionary) 583 645 637
4180 Budget authority, net (total) 611 673 640
4190 Outlays, net (total) 583 645 637

For 2018, the total budgetary resources of $ 1.8 billion is comprised of $640 million in direct appropriations, $544 million in medical care support such as physicians' pay, utilities and other overhead, $400 million in Federal grants, and $170 million in other non-federal resources. The research program will support 3,040 full time equivalents through direct appropriation.

This account is an intramural research program that has had outstanding success that has led to critical clinical achievements that improve the health and quality of life for Veterans and the Nation. As a health research program focused exclusively on the needs of Veterans, VA Research continues to play a vital role in the care and rehabilitation of our men and women who have served in uniform. Building on more than 90 years of discovery and innovation engaging Veterans as research volunteers, VA Research has a proud track record of transforming VA health care by bringing new evidence-based treatments and technologies into everyday clinical care.

In 2018, VA will invest in research that expands prevention and treatment possibilities for Veterans at risk for suicide. VA is currently undertaking and awaiting the results of a cooperative study on Lithium (an oral medication), the largest such trial on suicide prevention to date. Other interventions must also be evaluated and those first studies will be starting early in 2018.

A particular goal for VA Research in 2018 is to use the Million Veteran Program (MVP) to advance precision medicine. MVP is a groundbreaking genomic research program that is collecting genetic samples and general health information from 1 million Veterans. MVP will use genetic analysis to improve treatments, thus improving care for Veterans and all Americans. Currently, MVP has enrolled more than 544,000 Veterans. Investigators have already completed initial analyses of MVP genetic data in studies on Post Traumatic Stress Disorder (PTSD), schizophrenia, bipolar disorder, and Gulf War Illness, and further analyses are underway.

Research to benefit Gulf War Veterans remains a priority. 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 for 2017 is estimated at $15 million.

The opioid addiction epidemic is a major clinical and public health problem. Opioids are used to treat chronic pain, but they are associated with dangerous side effects including depressed breathing, cognitive impairment, and the potential for addiction. In 2018, VA will expand pain management research in two areas, one nearer term and the other longer term: testing and implementing complementary approaches, and working other drug models and current drugs in the market to test their efficacy for treating pain.

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. VA conducts joint programmatic reviews with the Department of Defense (DoD) and National Institutes of Health (NIH) to ensure that research efforts are well coordinated, benefiting 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.

SUMMARY OF PROGRAM RESOURCES [in millions of dollars]


2016 actual 2017 est. 2018 est.

Medical and prosthetic research appropriation 631 673 640
VA Medical Care Support 526 572 544
Other Federal and Non-Federal Resources 581 595 570
Reimbursements 36 40 40



Total program resources 1,774 1,880 1,794




Object Classification (in millions of dollars)


Identification code 036–0161–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 248 249 248
11.3 Other than full-time permanent 1 1 2
11.5 Other personnel compensation 5 5 4



11.9 Total personnel compensation 254 255 254
12.1 Civilian personnel benefits 89 90 87
21.0 Employee travel 5 6 4
23.3 Communications, utilities, and miscellaneous charges 3 2 2
24.0 Printing and reproduction 1 1 1
25.2 Other services from non-Federal sources 234 254 229
26.0 Supplies and materials 37 39 33
31.0 Equipment 37 35 30



99.0 Direct obligations 660 682 640
99.0 Reimbursable obligations 35 40 40



99.9 Total new obligations, unexpired accounts 695 722 680

Employment Summary


Identification code 036–0161–0–1–703 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 2,997 3,059 3,040
2001 Reimbursable civilian full-time equivalent employment 141 141 115

Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund

Program and Financing (in millions of dollars)


Identification code 036–0169–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Joint DOD-VA Medical Facility Demonstration Fund (Direct) 391 412 428
0801 Joint DOD-VA Medical Facility Demonstration Fund (Reimbursable) 7 9 16



0900 Total new obligations, unexpired accounts 398 421 444

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 8 6 5
Budget authority:
Appropriations, discretionary:
1120 Appropriations transferred to other acct [036–0160] –10
1120 Appropriations transferred to other acct [036–0152] –1
1120 Appropriations transferred to other acct [036–0162] –2
1121 Appropriations transferred from other acct [036–0162] 37
1121 Appropriations transferred from other acct [036–0152] 27
1121 Appropriations transferred from other acct [036–0160] 196
1121 Appropriations transferred from other acct [036–0167] 7 7 8
1121 Appropriations transferred from other acct [097–0130] 120 120 116
1121 Appropriations transferred from other acct [036–5287] 18 16 16
1121 Appropriations transferred from other acct [036–0140] 21



1160 Appropriation, discretionary (total) 392 164 140
Advance appropriations, discretionary:
1173 Advance appropriations transferred from other accounts [036–0140] 26
1173 Advance appropriations transferred from other accounts [036–0152] 26 28
1173 Advance appropriations transferred from other accounts [036–0160] 186 199
1173 Advance appropriations transferred from other accounts [036–0162] 35 37



1180 Advanced appropriation, discretionary (total) 247 290
Spending authority from offsetting collections, discretionary:
1700 Collected 7 9 16
1900 Budget authority (total) 399 420 446
1930 Total budgetary resources available 407 426 451
Memorandum (non-add) entries:
1940 Unobligated balance expiring –3
1941 Unexpired unobligated balance, end of year 6 5 7

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 92 86 89
3010 New obligations, unexpired accounts 398 421 444
3011 Obligations ("upward adjustments"), expired accounts 16
3020 Outlays (gross) –396 –418 –443
3041 Recoveries of prior year unpaid obligations, expired –24



3050 Unpaid obligations, end of year 86 89 90
Memorandum (non-add) entries:
3100 Obligated balance, start of year 92 86 89
3200 Obligated balance, end of year 86 89 90

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 399 420 446
Outlays, gross:
4010 Outlays from new discretionary authority 330 378 402
4011 Outlays from discretionary balances 66 40 41



4020 Outlays, gross (total) 396 418 443
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –7 –8 –15
4033 Non-Federal sources –1 –1 –1



4040 Offsets against gross budget authority and outlays (total) –8 –9 –16
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 1



4070 Budget authority, net (discretionary) 392 411 430
4080 Outlays, net (discretionary) 388 409 427
4180 Budget authority, net (total) 392 411 430
4190 Outlays, net (total) 388 409 427

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 2017 and 2018, VA expects to transfer funds from the Medical Services, Medical Community Care, Medical Support and Compliance, Medical Facilities, and Information Technology Systems accounts, while DOD expects to transfer funds from the Defense Health Program account.

Object Classification (in millions of dollars)


Identification code 036–0169–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
11.1 Personnel compensation: Full-time permanent 171 177 184
12.1 Civilian personnel benefits 56 61 63
25.1 Advisory and assistance services 78 80 82
26.0 Supplies and materials 58 62 65
31.0 Equipment 14 16 17
32.0 Land and structures 14 16 17



99.0 Direct obligations 391 412 428
99.0 Reimbursable obligations 7 9 16



99.9 Total new obligations, unexpired accounts 398 421 444

Employment Summary


Identification code 036–0169–0–1–703 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 2,038 2,172 2,172

Medical Care Collections Fund

Program and Financing (in millions of dollars)


Identification code 036–5287–0–2–703 2016 actual 2017 est. 2018 est.

Budgetary resources:
Budget authority:
Appropriations, discretionary:
1101 Appropriation (special or trust fund) 3,503 3,322 3,271
1120 Appropriations transferred to other accts [036–0160] –3,485 –2,456 –2,999
1120 Appropriations transferred to other accts [036–0169] –18 –16 –16
1120 Appropriations transferred to other acct [036–0140] –850 –256
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 2016, over $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.

Canteen Service Revolving Fund

Program and Financing (in millions of dollars)


Identification code 036–4014–0–3–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0801 Reimbursable operating expenses 260 257 275
0802 Reimbursable direct operations 164 173 173
0810 Reimbursable capital investment: Sales program: Purchase of equipment and leasehold 9 20 20



0900 Total new obligations, unexpired accounts 433 450 468

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 15 25 34
1021 Recoveries of prior year unpaid obligations 1



1050 Unobligated balance (total) 16 25 34
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 441 458 477
1801 Change in uncollected payments, Federal sources 1 1 1



1850 Spending auth from offsetting collections, mand (total) 442 459 478
1930 Total budgetary resources available 458 484 512
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 25 34 44

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 61 48 36
3010 New obligations, unexpired accounts 433 450 468
3020 Outlays (gross) –445 –462 –481
3040 Recoveries of prior year unpaid obligations, unexpired –1



3050 Unpaid obligations, end of year 48 36 23
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –4 –5 –6
3070 Change in uncollected pymts, Fed sources, unexpired –1 –1 –1



3090 Uncollected pymts, Fed sources, end of year –5 –6 –7
Memorandum (non-add) entries:
3100 Obligated balance, start of year 57 43 30
3200 Obligated balance, end of year 43 30 16

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 442 459 478
Outlays, gross:
4100 Outlays from new mandatory authority 368 449 467
4101 Outlays from mandatory balances 77 13 14



4110 Outlays, gross (total) 445 462 481
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120 Federal sources –1 –1
4123 Non-Federal sources –441 –457 –476



4130 Offsets against gross budget authority and outlays (total) –441 –458 –477
Additional offsets against gross budget authority only:
4140 Change in uncollected pymts, Fed sources, unexpired –1 –1 –1
4170 Outlays, net (mandatory) 4 4 4
4180 Budget authority, net (total)
4190 Outlays, net (total) 4 4 4

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.

Financing.— Operations will be financed from current revenues.

Object Classification (in millions of dollars)


Identification code 036–4014–0–3–705 2016 actual 2017 est. 2018 est.

Reimbursable obligations:
Personnel compensation:
11.1 Full-time permanent 133 133 143
11.3 Other than full-time permanent 3 3 3



11.9 Total personnel compensation 136 136 146
12.1 Civilian personnel benefits 45 45 45
21.0 Travel and transportation of persons 3 3 3
25.2 Other services from non-Federal sources 6 6 6
26.0 Supplies and materials 223 240 248
31.0 Equipment 20 20 20



99.9 Total new obligations, unexpired accounts 433 450 468

Employment Summary


Identification code 036–4014–0–3–705 2016 actual 2017 est. 2018 est.

2001 Reimbursable civilian full-time equivalent employment 3,410 3,450 3,500

Veterans Choice Fund

Program and Financing (in millions of dollars)


Identification code 036–0172–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Veterans Choice Fund - Administrative 117 406
0002 Veterans Choice Fund - Program 2,645 3,441 626
0003 Emergency Hep-C 1
0004 Emergency Non-VA Care 470



0091 Direct program activities, subtotal 3,233 3,847 626
0109 Capital Investment 30



0900 Total new obligations, unexpired accounts 3,233 3,877 626

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 8,201 4,503 626
1020 Adjustment of unobligated bal brought forward, Oct 1 –1,100
1021 Recoveries of prior year unpaid obligations 635



1050 Unobligated balance (total) 7,736 4,503 626
1930 Total budgetary resources available 7,736 4,503 626
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 4,503 626

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 564 1,745 3,105
3001 Adjustments to unpaid obligations, brought forward, Oct 1 1,100
3010 New obligations, unexpired accounts 3,233 3,877 626
3020 Outlays (gross) –2,517 –2,517 –1,900
3040 Recoveries of prior year unpaid obligations, unexpired –635



3050 Unpaid obligations, end of year 1,745 3,105 1,831
Memorandum (non-add) entries:
3100 Obligated balance, start of year 1,664 1,745 3,105
3200 Obligated balance, end of year 1,745 3,105 1,831

Budget authority and outlays, net:
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 2,517 2,517 1,900
4180 Budget authority, net (total)
4190 Outlays, net (total) 2,517 2,517 1,900

Summary of Budget Authority and Outlays (in millions of dollars)


2016 actual 2017 est. 2018 est.

Enacted/requested:
Outlays 2,517 2,517 1,900
Legislative proposal, subject to PAYGO:
Budget Authority 2,874
Outlays 718
Total:
Budget Authority 2,874
Outlays 2,517 2,517 2,618

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 did not extend into fiscal year 2016.

Public Law 115–26 amended the Veterans Choice Act to eliminate the August 7, 2017 sunset date for the Veterans Choice Program, thus allowing the program to operate until all of the money in the Veterans Choice Fund is expended.

Object Classification (in millions of dollars)


Identification code 036–0172–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 4 9
11.3 Other than full-time permanent 1



11.9 Total personnel compensation 4 10
12.1 Civilian personnel benefits 1 2
21.0 Travel and transportation of persons 10
25.2 Other contract services 2,535 3,855 626
25.2 Audit Adjustment 693



99.9 Total new obligations, unexpired accounts 3,233 3,877 626

Employment Summary


Identification code 036–0172–0–1–703 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 58 131

Veterans Choice Fund

(Legislative proposal, subject to PAYGO)

Program and Financing (in millions of dollars)


Identification code 036–0172–4–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Veterans Choice Fund - Adminstrative 31
0002 Veterans Choice Fund - Program 2,843



0091 Direct program activities, subtotal 2,874



0900 Total new obligations, unexpired accounts 2,874

Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200 Appropriation 2,874
1930 Total budgetary resources available 2,874

Change in obligated balance:
Unpaid obligations:
3010 New obligations, unexpired accounts 2,874
3020 Outlays (gross) –718



3050 Unpaid obligations, end of year 2,156
Memorandum (non-add) entries:
3200 Obligated balance, end of year 2,156

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 2,874
Outlays, gross:
4100 Outlays from new mandatory authority 718
4180 Budget authority, net (total) 2,874
4190 Outlays, net (total) 718

To continue the Veterans Choice Program, the Budget requests $2.9 billion in mandatory budget authority in 2018 and $3.5 billion in 2019 and each subsequent outyear.

Object Classification (in millions of dollars)


Identification code 036–0172–4–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 9
11.3 Other than full-time permanent 1



11.9 Total personnel compensation 10
12.1 Civilian personnel benefits 2
21.0 Travel and transportation of persons 12
25.2 Other contract services 2,814
26.0 Supplies and materials 36



99.9 Total new obligations, unexpired accounts 2,874

Employment Summary


Identification code 036–0172–4–1–703 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 131

Trust Funds

General Post Fund, National Homes

Special and Trust Fund Receipts (in millions of dollars)


Identification code 036–8180–0–7–705 2016 actual 2017 est. 2018 est.

0100 Balance, start of year 9
Receipts:
Current law:
1130 General Post Fund, National Homes, Deposits 21 31 31
1140 General Post Fund, National Homes, Interest on Investments 2 2 2



1199 Total current law receipts 23 33 33



1999 Total receipts 23 33 33



2000 Total: Balances and receipts 23 33 42
Appropriations:
Current law:
2101 General Post Fund, National Homes –23 –24 –25



5099 Balance, end of year 9 17

Program and Financing (in millions of dollars)


Identification code 036–8180–0–7–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Religious, recreational, and entertainment activities 21 22 23
0003 Therapeutic residence maintenance 1 1 1



0900 Total new obligations, unexpired accounts 22 23 24

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 106 107 108
Budget authority:
Appropriations, mandatory:
1201 Appropriation (special or trust fund) 23 24 25
1930 Total budgetary resources available 129 131 133
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 107 108 109

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 3 3 3
3010 New obligations, unexpired accounts 22 23 24
3020 Outlays (gross) –22 –23 –24



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

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 23 24 25
Outlays, gross:
4100 Outlays from new mandatory authority 20 21
4101 Outlays from mandatory balances 22 3 3



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

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 106 106 107
5001 Total investments, EOY: Federal securities: Par value 106 107 108

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.)

Object Classification (in millions of dollars)


Identification code 036–8180–0–7–705 2016 actual 2017 est. 2018 est.

Direct obligations:
25.2 Other services from non-Federal sources 7 8 8
26.0 Supplies and materials 13 13 14
31.0 Equipment 1 1 1
32.0 Land and structures 1 1 1



99.9 Total new obligations, unexpired accounts 22 23 24

Benefits Programs

Federal Funds

Veterans benefits administration

Compensation and pensions

(including transfer of 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, $95,768,462,000, to remain available until expended and to become available on October 1, 2018: Provided, That not to exceed $17,882,000 of the amount made available for fiscal year 2019 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: Provided further, That, of the funds made available under this heading in this Act and in Public Law 114–223, such sums as may be necessary shall be reimbursed to "General Operating Expenses, Veterans Benefits Administration" and "Information Technology Systems" for necessary expenses in carrying out the pilot program for disability examinations authorized by section 504 of Public Law 104–275, as amended (38 U.S.C. 5101 note), to include associated expenses authorized by section 111 of title 38, United States Code.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0102–0–1–701 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0101 Veterans 67,483 71,440 77,485
0102 Survivors 6,443 6,767 7,113



0191 Compensation sub-total 73,926 78,207 84,598



0200 Other compensation expenses 73,926 78,207 84,598
0201 Chapter 18 20 20 21
0202 Clothing allowance 103 107 115
0203 Misc assistance (EAJ, SAFD) 13 13 13
0204 Medical exam pilot program 308 765 778
0205 OBRA payment to VBA and IT 3 3 4
0206 Reinstated entitlement program for survivors 1 1 1



0291 Total other compensation expenses 448 909 932



0293 Total compensation 74,374 79,116 85,530
0302 Veterans 3,645 3,743 3,901
0303 Survivors 1,808 1,938 2,089



0391 Pensions sub total 5,453 5,681 5,990
0401 Reimbursements to GOE, IT and VHA 15 13 14



0492 Total pensions 5,468 5,694 6,004
0501 Caskets and Urns 1 1 1
0502 Burial allowance 27 28 29
0503 Burial plots 20 20 21
0504 Service-connected deaths 61 62 65
0505 Burial flags 19 23 24
0506 Headstones and markers 81 80 77
0508 Graveliners 6 6 4
0509 Pre-Place Crypts 16 16 22



0591 Total burial program 231 236 243



0900 Total new obligations (object class 42.0) 80,073 85,046 91,777

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 5,818 2,842 3,879
1021 Recoveries of prior year unpaid obligations 9
1033 Recoveries of prior year paid obligations 222



1050 Unobligated balance (total) 6,049 2,842 3,879
Budget authority:
Appropriations, mandatory:
1200 Appropriation 76,866
Advance appropriations, mandatory:
1270 Advance appropriation 86,083 90,119
1900 Budget authority (total) 76,866 86,083 90,119
1930 Total budgetary resources available 82,915 88,925 93,998
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 2,842 3,879 2,221

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 6,038 143 1,008
3010 New obligations, unexpired accounts 80,073 85,046 91,777
3020 Outlays (gross) –85,959 –84,181 –84,173
3040 Recoveries of prior year unpaid obligations, unexpired –9



3050 Unpaid obligations, end of year 143 1,008 8,612
Memorandum (non-add) entries:
3100 Obligated balance, start of year 6,038 143 1,008
3200 Obligated balance, end of year 143 1,008 8,612

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 76,866 86,083 90,119
Outlays, gross:
4100 Outlays from new mandatory authority 74,103 81,196 79,285
4101 Outlays from mandatory balances 11,856 2,985 4,888



4110 Outlays, gross (total) 85,959 84,181 84,173
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123 Non-Federal sources –222
Additional offsets against gross budget authority only:
4143 Recoveries of prior year paid obligations, unexpired accounts 222



4160 Budget authority, net (mandatory) 76,866 86,083 90,119
4170 Outlays, net (mandatory) 85,737 84,181 84,173
4180 Budget authority, net (total) 76,866 86,083 90,119
4190 Outlays, net (total) 85,737 84,181 84,173

Summary of Budget Authority and Outlays (in millions of dollars)


2016 actual 2017 est. 2018 est.

Enacted/requested:
Budget Authority 76,866 86,083 90,119
Outlays 85,737 84,181 84,173
Legislative proposal, subject to PAYGO:
Budget Authority –3,225
Outlays –3,225
Total:
Budget Authority 76,866 86,083 86,894
Outlays 85,737 84,181 80,948

WORKLOAD


2016 actual 2017 est 2018 est.

Compensation Completed Claims:
Rating 1,122,718 1,165,759 1,208,699
Other Claims 2,367,585 2,488,251 2,500,458
Pension Completed Claims:
Rating 150,089 155,843 161,583
Other Non-Rating Claims 394,467 434,776 425,762

For 2019, the Budget requests $95,768,462,000 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.

Miscellaneous benefits provided for are:

(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

(c) payments authorized by the Equal Access to Justice Act.

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, 2018, is expected to be 2.8 percent.

AVERAGE NUMBER OF COMPENSATION CASES AND PAYMENTS


2016 actual 2017 est 2018 est.

Veterans:
Cases 4,269,523 4,446,347 4,616,764
Average payment per case, per year $15,805 $16,067 $16,784
Total obligations (in millions) $67,482 $71,439 $77,486
Survivors:
Cases 394,813 408,013 419,948
Average payment per case, per year $16,320 $16,586 $16,938
Total obligations (in millions) $6,443 $6,767 $7,113
Chapter 18:
Children 1,155 1,146 1,137
Average payment per case, per year $17,704 $17,757 $18,254
Total obligations (in millions) $20 $20 $21
Clothing allowance:
Number of veterans 132,575 137,858 143,070
Average payment per case, per year $777 $780 $801
Total obligations (in millions) $103 $107 $115
Special Allowance for Dependents:
Cases 37 34 31
Average benefit $2,394 $2,401 $2,468
Total obligations (in millions) $0 $0 $0
Equal Access to Justice Act:
Cases 2,858 2,799 2,740
Average benefit $4,688 $4,702 $4,820
Total Obligations (in millions) $13 $13 $13
REPS:
Cases 18 14 11
Average benefit $38,564 $48,448 $54,505
Total Obligations (in millions) $1 $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, 2018, is expected to be 2.8 percent.

AVERAGE NUMBER OF PENSION CASES AND PAYMENTS


2016 actual 2017 est. 2018 est.

Veterans:
Cases 291,904 288,630 289,178
Average payment per case, per year $12,485 $12,970 $13,488
Total obligations (in millions) $3,644 $3,743 $3,901
Survivors:
Cases 203,771 203,194 204,006
Average payment per case, per year $8,874 $9,536 $10,241
Total obligations (in millions) $1,808 $1,938 $2,089

Burial benefits in 2017 provide for: (a) the payment of an allowance of $749 (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 $749 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.

NUMBER OF BURIAL BENEFITS


2016 actual 2017 est. 2018 est.

Burial allowance 34,993 36,057 37,212
Burial plot 25,142 25,907 26,737
Service-connected deaths 19,147 20,294 21,222
Burial flags 481,164 497,644 497,644
Headstones and markers 365,179 369,511 373,895
Graveliners 11,210 11,343 11,478
Preplaced crypts 29,575 29,926 30,281
Caskets and Urns 298 302 305

Compensation and Pensions

(Legislative proposal, subject to PAYGO)

Program and Financing (in millions of dollars)


Identification code 036–0102–4–1–701 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0101 COLA Round Down –20
0102 Individual Unemployability (IU) Program Modernization –3,205



0900 Total new obligations (object class 42.0) –3,225

Budgetary resources:
Budget authority:
Appropriations, mandatory:
Advance appropriations, mandatory:
1270 Advance appropriation –3,225
1900 Budget authority (total) –3,225
1930 Total budgetary resources available –3,225

Change in obligated balance:
Unpaid obligations:
3010 New obligations, unexpired accounts –3,225
3020 Outlays (gross) 3,225

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross –3,225
Outlays, gross:
4100 Outlays from new mandatory authority –3,225
4180 Budget authority, net (total) –3,225
4190 Outlays, net (total) –3,225

Round-Down of the Computation of the Cost of Living Adjustment (COLA) for Service-Connected Compensation and Dependency and Indemnity Compensation (DIC) for Ten Years.—VA proposes to amend title 38, U.S. Code (U.S.C.), sections 1104(a) and 1303(a) to provide a ten-year round-down provision of the computation of the COLA for service-connected compensation and DIC. Public Law 108–183 extended the ending date of this provision from 2011 to 2013, but the provision has now expired. The COLA round-down provision for ten years, beginning in 2018, results in cost savings. Benefit savings to the Compensation and Pensions account are estimated to be $19.8 million in 2018, $65.5 million in 2019, $627.2 million over five years, and $2.7 billion over ten years.

Modernization of the Individual Unemployability (IU) Program.—VA currently provides additional disability compensation benefits to Veterans, irrespective of age, who it deems unable to obtain or maintain gainful employment due to their service-connected disabilities through a program called Individual Unemployability (IU). The IU program is a part of VA's disability compensation program that allows VA to pay certain Veterans disability compensation at the 100 percent rate, even though VA has not rated their service-connected disabilities at the total level. These Veterans have typically received an original disability ratings between 60 and 100 percent. Under this proposal, Veterans eligible for Social Security retirement benefits would have their IU terminated upon reaching the minimum retirement age for Social Security purposes, or upon enactment of the proposal if the Veteran is already in receipt of Social Security retirement benefits. These Veterans would continue to receive VA disability benefits based on their original disability rating, at the scheduler evaluation level. IU benefits would not be terminated for Veterans who are ineligible for Social Security retirement benefits, thus allowing them to continue to receive IU past minimum retirement age. Savings to the Compensation and Pensions account are estimated to be $3.2 billion in 2018, $17.9 billion over five years, and $40.8 billion over ten years.

Readjustment benefits

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, $11,832,175,000, to remain available until expended and to become available on October 1, 2018: 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, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0137–0–1–702 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0101 Sons and daughters 441 459 478
0102 Spouses 79 78 81



0191 Total education and training 520 537 559
0201 Vocational rehabilitation training 742 783 842
0202 Subsistence allowance 573 722 752
0203 Automobiles and adaptive equipment 135 177 185
0204 Housing Grants 103 111 116
0205 Housing Technology Grants 1 1



0291 Total special assistance to disabled veterans 1,554 1,794 1,895
0301 Work study 42 48 50
0302 Payments to States 19 19 19
0303 All-volunteer assistance: Basic benefits and all other 11,810 12,064 12,313
0305 Tuition Assistance 6 5 5
0306 Licensing and Certification 2 3 3
0307 Reporting fees 10 9 10
0308 Reimbursement to GOE 1 1
0309 Contract Counseling 4 6 6



0391 Total All-volunteer assistance and other 11,893 12,155 12,407



0799 Total direct obligations 13,967 14,486 14,861
0802 Veterans and servicepersons supplementary benefits 17 18 19
0803 Chapter 1606 reservists benefits 110 106 101
0804 Chapter 1606 reservists supplementary benefits 30 29 28
0805 Chapter 1607 reservists benefits 21 21 21
0807 Chapter 33 DoD Reimbursements 120 128 133



0899 Total reimbursable obligations 298 302 302



0900 Total new obligations, unexpired accounts 14,265 14,788 15,163

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 2,320 2,914 4,769
1021 Recoveries of prior year unpaid obligations 4
1033 Recoveries of prior year paid obligations 244



1050 Unobligated balance (total) 2,568 2,914 4,769
Budget authority:
Appropriations, mandatory:
1200 Appropriation 14,313
Advance appropriations, mandatory:
1270 Advance appropriation 16,341 13,709
Spending authority from offsetting collections, mandatory:
1800 Collected 298 302 302
1900 Budget authority (total) 14,611 16,643 14,011
1930 Total budgetary resources available 17,179 19,557 18,780
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 2,914 4,769 3,617

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 714 183 245
3010 New obligations, unexpired accounts 14,265 14,788 15,163
3020 Outlays (gross) –14,792 –14,726 –14,872
3040 Recoveries of prior year unpaid obligations, unexpired –4



3050 Unpaid obligations, end of year 183 245 536
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 713 182 244
3200 Obligated balance, end of year 182 244 535

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 14,611 16,643 14,011
Outlays, gross:
4100 Outlays from new mandatory authority 11,758 11,630 9,858
4101 Outlays from mandatory balances 3,034 3,096 5,014



4110 Outlays, gross (total) 14,792 14,726 14,872
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120 Federal sources –298 –302 –302
4123 Non-Federal sources –244



4130 Offsets against gross budget authority and outlays (total) –542 –302 –302
Additional offsets against gross budget authority only:
4143 Recoveries of prior year paid obligations, unexpired accounts 244



4160 Budget authority, net (mandatory) 14,313 16,341 13,709
4170 Outlays, net (mandatory) 14,250 14,424 14,570
4180 Budget authority, net (total) 14,313 16,341 13,709
4190 Outlays, net (total) 14,250 14,424 14,570

Summary of Budget Authority and Outlays (in millions of dollars)


2016 actual 2017 est. 2018 est.

Enacted/requested:
Budget Authority 14,313 16,341 13,709
Outlays 14,250 14,424 14,570
Legislative proposal, subject to PAYGO:
Budget Authority –42
Outlays –42
Total:
Budget Authority 14,313 16,341 13,667
Outlays 14,250 14,424 14,528

WORKLOAD - Vocational Rehabilitation and Employment


2016 actual 2017 est. 2018 est.

Evaluation and planning 80,229 81,031 81,842
Rehabilitation services 120,112 121,333 122,547
Employment services status 24,595 24,841 25,089
Vocational/educational counseling 15,239 15,391 15,545

WORKLOAD - Education


2016 actual 2017 est. 2018 est.

Original claims 358,001 347,893 338,152
Adjustments/supplemental claims 3,756,960 3,650,878 3,548,654

For 2019, the Budget requests $11,832,175,000 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.

CASELOAD AND AVERAGE COST DATA


2016 actual 2017 est. 2018 est.

Chapter 33:
Number of trainees 790,090 793,235 796,389
Average cost per trainee $14,661 $14,984 $15,292



Total cost (in millions) $11,583 $11,886 $12,178



Chapter 30:
Number of trainees 47,307 39,869 33,394
Average cost per trainee $7,717 $8,116 $8,578



Total cost (in millions) $365 $324 $286



Chapter 1606:
Number of trainees 61,388 60,981 60,577
Average cost per trainee $2,228 $2,202 $2,137



Total cost (in millions) $137 $131 $127



Chapter 1607:
Number of trainees 4,538 4,538 4,538
Average cost per trainee $4,561 $4,588 $4,611



Total cost (in millions) $21 $21 $21






Chapter 35 Sons and Daughters:
Number of trainees 81,118 83,932 86,847
Average cost per trainee (in dollars) $5,439 $5,471 $5,498



Total cost (in millions) $441 $459 $478



Chapter 35 Wives and Widow(ers):
Number of trainees 15,644 15,332 15,723
Average cost per trainee (in dollars) $5,067 $5,097 $5,123



Total cost (in millions) $79 $78 $81



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



Total cost (in millions) $0.1 $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.

CASELOAD AND AVERAGE COST DATA


2016 actual 2017 est. 2018 est.

Chapter 31:
Rehabilitation, Evaluation, Planning and Service cases 21,418 21,796 22,585
Number of trainees 115,703 117,742 122,009
Average cost per trainee (in dollars) $11,363 $12,782 $13,065



Total cost (in millions) $1,314 $1,504 $1,594




Specially Adapted Housing Grants.—Specially adapted housing grants are provided to certain severely disabled veterans. In 2017, the maximum grant amount was $77,307. Veterans who suffer service-connected blindness or who have lost the use of both upper extremities can receive up to $15,462.

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 $20,235 in 2017, 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.

CASELOAD AND AVERAGE COST DATA


2016 actual 2017 est. 2018 est.

Housing grants:
Number of housing grants 2,678 2,735 2,732
Average cost per grant $38,559 $40,617 $42,347



Total cost (in millions) $103 $111 $116



Number of housing technology grants 4 5 0
Average cost per grant $195,855 $200,000 $0



Total cost (in millions) $.8 $1 $0



Automobiles or other conveyances:
Number of conveyances 2,413 3,147 2,675
Average benefit $19,034 $18,401 $17,790



Obligations (in millions) $46 $58 $48



Adaptive equipment (including maintenance, repair, and installation for automobiles):
Number of items 7,323 8,322 8,236
Average benefit $12,187 $14,284 $16,741



Obligations (in millions) $89 $119 $138




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.

Object Classification (in millions of dollars)


Identification code 036–0137–0–1–702 2016 actual 2017 est. 2018 est.

41.0 Direct obligations: Grants, subsidies, and contributions 13,967 14,486 14,861
99.0 Reimbursable obligations 298 302 302



99.9 Total new obligations, unexpired accounts 14,265 14,788 15,163

Readjustment Benefits

(Legislative proposal, subject to PAYGO)

Program and Financing (in millions of dollars)


Identification code 036–0137–4–1–702 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0102 VA Cap for Flight Training at Public Schools –42



0900 Total new obligations, unexpired accounts (object class 41.0) –42

Budgetary resources:
Budget authority:
Appropriations, mandatory:
Advance appropriations, mandatory:
1270 Advance appropriation –42
1900 Budget authority (total) –42
1930 Total budgetary resources available –42

Change in obligated balance:
Unpaid obligations:
3010 New obligations, unexpired accounts –42
3020 Outlays (gross) 42

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross –42
Outlays, gross:
4100 Outlays from new mandatory authority –42
4180 Budget authority, net (total) –42
4190 Outlays, net (total) –42

Rounding Down of Certain Cost-of-Living Adjustments.—VA proposes to amend title 38 U.S.C. sections 3015(h) and 3564 to round-down benefit rates from 2018 to 2027. P.L. 108–183, the Veteran Benefits Act of 2003, last extended a previous authority in title 38 that authorized VA to round-down the yearly cost-of-living adjustments for basic educational assistance to the next lower whole dollar amount through fiscal year 2013. Previously, under chapter 30 and 35, the yearly increase in educational assistance was rounded-down to the next lower dollar. When this legislation expired, these monthly rate increases for educational assistance were rounded to the nearest whole dollar. Savings to VA are estimated to be $0 in 2018, $2.7 million for five years, and $21.4 million over ten years.

Prevent VA from Providing Unlimited Amounts of Payments for Flight Training at Public Schools.—VA proposes to amend title 38 U.S.C. section 3313(c) and add new section (j) to impose tuition and fee payment caps at Institutions of Higher Learning (IHLs) with flight training programs and establish a maximum allowable fee structure for all VA-funded flight programs. Savings are estimated to be $42.0 million in 2018, $228.8 million for five years, and $511.2 million over ten years.

Veterans insurance and indemnities

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, $121,529,000, to remain available until expended, which shall be in addition to funds previously appropriated under this heading that became available on October 1, 2017, of which $109,090,000 shall become available on October 1, 2018.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0120–0–1–701 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0011 VMLI Death Claims 39 41 42
0012 Payment to Service-Disabled Veterans Insurance 44 73 86



0100 Total direct expenses 83 114 128



0900 Total new obligations, unexpired accounts 83 114 128

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 2 2 3
Budget authority:
Appropriations, mandatory:
1200 Appropriation 77
Advance appropriations, mandatory:
1270 Advance appropriation 109 120
Spending authority from offsetting collections, mandatory:
1800 Collected 6 6 6
1900 Budget authority (total) 83 115 126
1930 Total budgetary resources available 85 117 129
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 2 3 1

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 1 1
3010 New obligations, unexpired accounts 83 114 128
3020 Outlays (gross) –83 –115 –128



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

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 83 115 126
Outlays, gross:
4100 Outlays from new mandatory authority 81 114 126
4101 Outlays from mandatory balances 2 1 2



4110 Outlays, gross (total) 83 115 128
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123 Non-Federal sources –6 –6 –6
4180 Budget authority, net (total) 77 109 120
4190 Outlays, net (total) 77 109 122

WORKLOAD


2016 actual 2017 est. 2018 est.

Policy service actions 899,790 867,107 823,900
Collections 541,120 471,000 405,000
Disability claims 35,600 43,790 42,040
Insurance awards 178,479 186,530 173,980

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 $121,529,000, to remain available until expended, of which $109,090,000 shall become available on October 1, 2018. Public Law 114–113, Consolidated Appropriations Act, 2016 on December 18, 2015, enacted associated advance 2018 appropriations of $107,899,000 that shall become available on October 1, 2017.

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.

POLICIES AND INSURANCE IN FORCE


VMLI Policies 2016 actual 2017 est. 2018 est.

Number of Policies 2,654 2,790 2,870
Amount of Insurance (dollars in millions) $345 $382 $401

Object Classification (in millions of dollars)


Identification code 036–0120–0–1–701 2016 actual 2017 est. 2018 est.

42.0 Direct obligations: Insurance claims and indemnities 79 111 126
99.0 Reimbursable obligations 4 3 2



99.9 Total new obligations, unexpired accounts 83 114 128

Filipino Veterans Equity Compensation Fund

Program and Financing (in millions of dollars)


Identification code 036–1121–0–1–701 2016 actual 2017 est. 2018 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.

Service-disabled Veterans Insurance Fund

Program and Financing (in millions of dollars)


Identification code 036–4012–0–3–701 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0801 Capital investment 26 26 27
0802 Death claims 107 116 119
0803 All other 5 6 6
0804 Payments to GOE and IT 13 15 16



0900 Total new obligations, unexpired accounts 151 163 168

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 30 10 13
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 131 166 182
1930 Total budgetary resources available 161 176 195
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 10 13 27

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 18 18 3
3010 New obligations, unexpired accounts 151 163 168
3020 Outlays (gross) –151 –178 –151



3050 Unpaid obligations, end of year 18 3 20
Memorandum (non-add) entries:
3100 Obligated balance, start of year 18 18 3
3200 Obligated balance, end of year 18 3 20

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 131 166 182
Outlays, gross:
4100 Outlays from new mandatory authority 87 163 168
4101 Outlays from mandatory balances 64 15 –17



4110 Outlays, gross (total) 151 178 151
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120 Federal sources –44 –73 –86
4123 Non-Federal sources –4 –5 –5
4123 Non-Federal sources –62 –67 –69
4123 Non-Federal sources –21 –21 –22



4130 Offsets against gross budget authority and outlays (total) –131 –166 –182
4170 Outlays, net (mandatory) 20 12 –31
4180 Budget authority, net (total)
4190 Outlays, net (total) 20 12 –31

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.

Operating costs

Death claims.—Represents payments to designated beneficiaries.

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.

POLICIES AND INSURANCE IN FORCE


2016 actual 2017 est. 2018 est.

Number of policies (EOY) 272,112 276,682 280,752
Insurance in force (dollars in millions) (EOY) $2,854 $2,923 $2,975

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 $1,448 million by September 30, 2018. The expected deficit is financed by additional funds from the above-mentioned Veterans Insurance and Indemnities appropriations.

Object Classification (in millions of dollars)


Identification code 036–4012–0–3–701 2016 actual 2017 est. 2018 est.

Reimbursable obligations:
33.0 Investments and loans 26 26 27
42.0 Insurance claims and indemnities 125 137 141



99.9 Total new obligations, unexpired accounts 151 163 168

Veterans Reopened Insurance Fund

Program and Financing (in millions of dollars)


Identification code 036–4010–0–3–701 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0801 Death claims 23 23 19
0802 Dividends 2 2 2
0803 All other 3 4 4
0804 Capital investment: policy loans 1 1 1



0900 Total new obligations, unexpired accounts 29 30 26

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 139 118 95
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 8 7 6
1930 Total budgetary resources available 147 125 101
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 118 95 75

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 33 28 24
3010 New obligations, unexpired accounts 29 30 26
3020 Outlays (gross) –34 –34 –29



3050 Unpaid obligations, end of year 28 24 21
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 31 26 22
3200 Obligated balance, end of year 26 22 19

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 8 7 6
Outlays, gross:
4100 Outlays from new mandatory authority 8 7 6
4101 Outlays from mandatory balances 26 27 23



4110 Outlays, gross (total) 34 34 29
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120 Federal sources –1
4121 Interest on Federal securities –7 –5 –4
4123 Non-Federal sources –2 –2



4130 Offsets against gross budget authority and outlays (total) –8 –7 –6
4170 Outlays, net (mandatory) 26 27 23
4180 Budget authority, net (total)
4190 Outlays, net (total) 26 27 23

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 170 144 117
5001 Total investments, EOY: Federal securities: Par value 144 117 94

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.

Budget program:

Death claims.—Represents payments to designated beneficiaries.

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:

POLICIES AND INSURANCE IN FORCE


2016 actual 2017 est. 2018 est.

Number of policies 12,015 9,685 7,698
Insurance in force (dollars in millions) $127 $90 $73

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.

Object Classification (in millions of dollars)


Identification code 036–4010–0–3–701 2016 actual 2017 est. 2018 est.

Reimbursable obligations:
33.0 Investments and loans 1 1 1
42.0 Insurance claims and indemnities 25 26 22
43.0 Interest and dividends 3 3 3



99.9 Total new obligations, unexpired accounts 29 30 26

Servicemembers' Group Life Insurance Fund

Program and Financing (in millions of dollars)


Identification code 036–4009–0–3–701 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0801 Premium payments 784 793 793
0803 Payment to GOE 3 3 3



0900 Total new obligations (object class 41.0) 787 796 796

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1 1 1
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 787 796 796
1930 Total budgetary resources available 788 797 797
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 1 1 1

Change in obligated balance:
Unpaid obligations:
3010 New obligations, unexpired accounts 787 796 796
3020 Outlays (gross) –787 –796 –796

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 787 796 796
Outlays, gross:
4100 Outlays from new mandatory authority 786 795 795
4101 Outlays from mandatory balances 1 1 1



4110 Outlays, gross (total) 787 796 796
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123 Non-Federal sources –787 –796 –796
4180 Budget authority, net (total)
4190 Outlays, net (total)

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.

Veterans housing benefit program fund

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 2018, 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, $178,626,365.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–1119–0–1–704 2016 actual 2017 est. 2018 est.

Obligations by program activity:
Credit program obligations:
0702 Loan guarantee subsidy 455 802 384
0705 Reestimates of direct loan subsidy 24 5
0706 Interest on reestimates of direct loan subsidy 12 6
0707 Reestimates of loan guarantee subsidy 382 54
0708 Interest on reestimates of loan guarantee subsidy 91 16
0709 Administrative expenses 162 199 179



0900 Total new obligations, unexpired accounts 1,126 1,082 563

Budgetary resources:
Budget authority:
Appropriations, discretionary:
1100 Appropriation 165 199 179
Appropriations, mandatory:
1200 Appropriation 964 883 384
1900 Budget authority (total) 1,129 1,082 563
1930 Total budgetary resources available 1,129 1,082 563
Memorandum (non-add) entries:
1940 Unobligated balance expiring –3

Change in obligated balance:
Unpaid obligations:
3010 New obligations, unexpired accounts 1,126 1,082 563
3020 Outlays (gross) –1,126 –1,082 –563

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 165 199 179
Outlays, gross:
4010 Outlays from new discretionary authority 162 199 179
Mandatory:
4090 Budget authority, gross 964 883 384
Outlays, gross:
4100 Outlays from new mandatory authority 964 883 384
4180 Budget authority, net (total) 1,129 1,082 563
4190 Outlays, net (total) 1,126 1,082 563

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


Identification code 036–1119–0–1–704 2016 actual 2017 est. 2018 est.

Direct loan levels supportable by subsidy budget authority:
115001 Acquired Direct Loans 8 10 12
115004 Vendee Direct Loans 378 442



115999 Total direct loan levels 8 388 454
Direct loan subsidy (in percent):
132001 Acquired Direct Loans 1.71 1.92 7.94
132004 Vendee Direct Loans –25.58 –23.58 –26.49



132999 Weighted average subsidy rate 1.71 –22.92 –25.58
Direct loan subsidy budget authority:
133001 Acquired Direct Loans 1
133004 Vendee Direct Loans –89 –117



133999 Total subsidy budget authority –89 –116
Direct loan subsidy outlays:
134001 Acquired Direct Loans 1
134004 Vendee Direct Loans –89 –117



134999 Total subsidy outlays –89 –116
Direct loan reestimates:
135001 Acquired Direct Loans 11 1
135004 Vendee Direct Loans 9 2
135005 Acquired and Vendee Loan Reestimates 16 5



135999 Total direct loan reestimates 36 8

Guaranteed loan levels supportable by subsidy budget authority:
215001 Housing Guaranteed Loans 181,786 157,226 141,929



215999 Total loan guarantee levels 181,786 157,226 141,929
Guaranteed loan subsidy (in percent):
232001 Housing Guaranteed Loans 0.25 0.51 0.27



232999 Weighted average subsidy rate 0.25 0.51 0.27
Guaranteed loan subsidy budget authority:
233001 Housing Guaranteed Loans 454 802 383



233999 Total subsidy budget authority 454 802 383
Guaranteed loan subsidy outlays:
234001 Housing Guaranteed Loans 455 802 383



234999 Total subsidy outlays 455 802 383
Guaranteed loan reestimates:
235001 Housing Guaranteed Loans 186 –1,624
235002 Guaranteed Loan Sale Securities—Vendee –24 –4



235999 Total guaranteed loan reestimates 162 –1,628

Administrative expense data:
3510 Budget authority 165 199 179
3590 Outlays from new authority 161 199 179

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:

(a) 50 percent for loans of $45,000 or less;

(b) $22,500 for loans greater than $45,000, but no more than $56,250;

(c) The lesser of $36,000 or 40 percent of the loan amount for loans greater than $56,250, but not more than $144,000;

(d) 25 percent of the loan amount for loans of $144,001 to $417,000; or

(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.

WORKLOAD [In thousands]


2016 actual 2017 est. 2018 est.

Construction and valuation 623 450 446
Loan processing 1,095 1,050 1,071
Loan service and claims 214 235 254

Object Classification (in millions of dollars)


Identification code 036–1119–0–1–704 2016 actual 2017 est. 2018 est.

Direct obligations:
25.2 Other services from non-Federal sources 162 199 179
41.0 Grants, subsidies, and contributions 964 883 384



99.9 Total new obligations, unexpired accounts 1,126 1,082 563

Housing Direct Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4127–0–3–704 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0003 Property sales expense 1
0004 Property management/other expense 3 3 2



0091 Direct program activities, subtotal 4 3 2
Credit program obligations:
0710 Direct loan obligations 8 388 454
0713 Payment of interest to Treasury 23 248 286
0740 Negative subsidy obligations 89 117
0742 Downward reestimates paid to receipt accounts 1
0743 Interest on downward reestimates 1 2



0791 Direct program activities, subtotal 32 728 857



0900 Total new obligations, unexpired accounts 36 731 859

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 94 60
1023 Unobligated balances applied to repay debt –88 –60



1050 Unobligated balance (total) 6
Financing authority:
Borrowing authority, mandatory:
1400 Borrowing authority 57 731 859
1422 Borrowing authority applied to repay debt –49



1440 Borrowing authority, mandatory (total) 8 731 859
Spending authority from offsetting collections, mandatory:
1800 Collected 108 60 74
1825 Spending authority from offsetting collections applied to repay debt –26 –60 –74



1850 Spending auth from offsetting collections, mand (total) 82
1900 Budget authority (total) 90 731 859
1930 Total budgetary resources available 96 731 859
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 60

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 1 7
3010 New obligations, unexpired accounts 36 731 859
3020 Outlays (gross) –37 –724 –857



3050 Unpaid obligations, end of year 7 9
Memorandum (non-add) entries:
3100 Obligated balance, start of year 1 7
3200 Obligated balance, end of year 7 9

Financing authority and disbursements, net:
Mandatory:
4090 Budget authority, gross 90 731 859
Financing disbursements:
4110 Outlays, gross (total) 37 724 857
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4120 Federal sources: Payments from program account –36 –11 –1
4122 Interest on uninvested funds –6
4123 Interest and principal received on loans –66 –45 –70
4123 Cash sale of properties –4 –3



4130 Offsets against gross budget authority and outlays (total) –108 –60 –74



4160 Budget authority, net (mandatory) –18 671 785
4170 Outlays, net (mandatory) –71 664 783
4180 Budget authority, net (total) –18 671 785
4190 Outlays, net (total) –71 664 783

Status of Direct Loans (in millions of dollars)


Identification code 036–4127–0–3–704 2016 actual 2017 est. 2018 est.

Position with respect to appropriations act limitation on obligations:
1111 Direct loan obligations from current-year authority 8 388 454



1150 Total direct loan obligations 8 388 454

Cumulative balance of direct loans outstanding:
1210 Outstanding, start of year 409 377 743
1231 Disbursements: Direct loan disbursements 8 388 454
1251 Repayments: Repayments and prepayments –39 –19 –25
1263 Write-offs for default: Direct loans –1 –3 –2



1290 Outstanding, end of year 377 743 1,170

Balance Sheet (in millions of dollars)


Identification code 036–4127–0–3–704 2015 actual 2016 actual

ASSETS:
Federal assets:
1101 Fund balances with Treasury 94 59
Investments in US securities:
1106 Receivables, net 16 9
1206 Non-Federal assets: Receivables, net 4 6
Net value of assets related to post-1991 direct loans receivable:
1401 Direct loans receivable, gross 409 377
1402 Interest receivable 19 20
1404 Foreclosed property 25 15
1405 Allowance for subsidy cost 57 23


1499 Net present value of assets related to direct loans 510 435
1901 Other Federal assets: Other assets 1 1


1999 Total assets 625 510
LIABILITIES:
Federal liabilities:
2103 Debt 605 500
2105 Other 13 10
Non-Federal liabilities:
2201 Accounts payable 1
2207 Other 6


2999 Total liabilities 625 510


4999 Total liabilities and net position 625 510

Housing Guaranteed Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4129–0–3–704 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0002 Losses on defaulted loans 756 968 1,691
0005 Payment to trustee reserve 17 19 17
0009 Property sales expense 123 112 195
0010 Property management expense 121 92 160
0011 Property improvement expense 3 3 5
0012 Loans acquired 9 12 13



0091 Direct program activities, subtotal 1,029 1,206 2,081
Credit program obligations:
0711 Default claim payments on principal 1,589 1,601 2,791
0742 Downward reestimates paid to receipt accounts 252 1,526
0743 Interest on downward reestimates 58 173



0791 Direct program activities, subtotal 1,899 3,300 2,791



0900 Total new obligations, unexpired accounts 2,928 4,506 4,872

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 8,727 10,469 10,478
1033 Recoveries of prior year paid obligations 8



1050 Unobligated balance (total) 8,735 10,469 10,478
Financing authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 4,662 4,515 5,342
1930 Total budgetary resources available 13,397 14,984 15,820
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 10,469 10,478 10,948

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 316 361 57
3010 New obligations, unexpired accounts 2,928 4,506 4,872
3020 Outlays (gross) –2,883 –4,810 –4,831



3050 Unpaid obligations, end of year 361 57 98
Memorandum (non-add) entries:
3100 Obligated balance, start of year 316 361 57
3200 Obligated balance, end of year 361 57 98

Financing authority and disbursements, net:
Mandatory:
4090 Budget authority, gross 4,662 4,515 5,342
Financing disbursements:
4110 Outlays, gross (total) 2,883 4,810 4,831
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4120 Payments from program account –927 –872 –383
4120 Recoveries from DLFA –9 –266 –456
4122 Interest on uninvested funds –213 –20 –22
4123 Funding fees –2,039 –1,921 –1,974
4123 Cash sale of properties –1,502 –1,436 –2,507
4123 Redemption of Properties/Other income and receivables –12
4123 Transferred Collections to the U.S. Treasury 32



4130 Offsets against gross budget authority and outlays (total) –4,670 –4,515 –5,342
Additional offsets against financing authority only (total):
4143 Recoveries of prior year paid obligations, unexpired accounts 8
4170 Outlays, net (mandatory) –1,787 295 –511
4180 Budget authority, net (total)
4190 Outlays, net (total) –1,787 295 –511

Status of Guaranteed Loans (in millions of dollars)


Identification code 036–4129–0–3–704 2016 actual 2017 est. 2018 est.

Position with respect to appropriations act limitation on commitments:
2111 Guaranteed loan commitments from current-year authority 181,786 157,226 141,928



2150 Total guaranteed loan commitments 181,786 157,226 141,928
2199 Guaranteed amount of guaranteed loan commitments 50,173 43,395 39,173

Cumulative balance of guaranteed loans outstanding:
2210 Outstanding, start of year 462,079 524,913 630,573
2231 Disbursements of new guaranteed loans 181,786 157,226 141,928
2251 Repayments and prepayments –116,581 –48,968 –56,720
Adjustments:
2262 Terminations for default that result in acquisition of property –1,589 –1,601 –2,790
2263 Terminations for default that result in claim payments –782 –997 –1,721



2290 Outstanding, end of year 524,913 630,573 711,270

Memorandum:
2299 Guaranteed amount of guaranteed loans outstanding, end of year 140,561 167,257 187,517

Balance Sheet (in millions of dollars)


Identification code 036–4129–0–3–704 2015 actual 2016 actual

ASSETS:
Federal assets:
1101 Fund balances with Treasury 9,043 10,830
Investments in US securities:
1106 Receivables, net 406 27
Net value of assets related to post-1991 acquired defaulted guaranteed loans receivable:
1504 Accounts receivable from foreclosed property 14 13
1504 Foreclosed property 866 845


1599 Net present value of assets related to defaulted guaranteed loans 880 858


1999 Total assets 10,329 11,715
LIABILITIES:
Federal liabilities:
2103 Debt
2105 Other liabilities 333 1,586
Non-Federal liabilities:
2201 Accounts payable 317 361
2204 Non-federal liabilities for loan guarantees 9,679 9,768


2999 Total liabilities 10,329 11,715


4999 Total liabilities and net position 10,329 11,715

Housing Liquidating Account

Program and Financing (in millions of dollars)


Identification code 036–4025–0–3–704 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0105 Capital investments, guaranteed claims payment and other operating expenses 1 2 1

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1 1
1022 Capital transfer of unobligated balances to general fund –1 –2
1033 Recoveries of prior year paid obligations –1 1



1050 Unobligated balance (total) –1
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 13 10 7
1820 Capital transfer of spending authority from offsetting collections to general fund –10 –8 –6



1850 Spending auth from offsetting collections, mand (total) 3 2 1
1930 Total budgetary resources available 2 2 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 New obligations, unexpired accounts 1 2 1
3020 Outlays (gross) –1 –4 –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 3 2 1
Outlays, gross:
4100 Outlays from new mandatory authority 2 1
4101 Outlays from mandatory balances 1 2



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



4130 Offsets against gross budget authority and outlays (total) –13 –11 –7
Additional offsets against gross budget authority only:
4143 Recoveries of prior year paid obligations, unexpired accounts –1 1



4160 Budget authority, net (mandatory) –11 –8 –6
4170 Outlays, net (mandatory) –12 –7 –6
4180 Budget authority, net (total) –11 –8 –6
4190 Outlays, net (total) –12 –7 –6

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

Status of Direct Loans (in millions of dollars)


Identification code 036–4025–0–3–704 2016 actual 2017 est. 2018 est.

Cumulative balance of direct loans outstanding:
1210 Outstanding, start of year 4 3 2
1251 Repayments: Repayments and prepayments –1 –1 –1



1290 Outstanding, end of year 3 2 1

Status of Guaranteed Loans (in millions of dollars)


Identification code 036–4025–0–3–704 2016 actual 2017 est. 2018 est.

Cumulative balance of guaranteed loans outstanding:
2210 Outstanding, start of year 148 81 44
2251 Repayments and prepayments –66 –36 –19
2262 Adjustments: Terminations for default that result in acquisition of property –1 –1 –1



2290 Outstanding, end of year 81 44 24

Memorandum:
2299 Guaranteed amount of guaranteed loans outstanding, end of year 33 18 9

Addendum:
Cumulative balance of defaulted guaranteed loans that result in loans receivable:
2310 Outstanding, start of year 22 23 17
2331 Disbursements for guaranteed loan claims 2
2351 Repayments of loans receivable –1 –6 –4
2364 Other adjustments, net



2390 Outstanding, end of year 23 17 13

Balance Sheet (in millions of dollars)


Identification code 036–4025–0–3–704 2015 actual 2016 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 4 3
1602 Interest receivable 38 9
1603 Allowance for estimated uncollectible loans and interest (-) –26 –31


1699 Value of assets related to direct loans 16 –19
1701 Defaulted guaranteed loans, gross 22 23
1703 Allowance for estimated uncollectible loans and interest (-) –1 –1


1704 Defaulted guaranteed loans and interest receivable, net 21 22
1706 Foreclosed property 2 1


1799 Value of assets related to loan guarantees 23 23


1999 Total assets 183 148
LIABILITIES:
Non-Federal liabilities:
2201 Accounts payable 2 2
2204 Liabilities for loan guarantees 181 146


2999 Total liabilities 183 148


4999 Total liabilities and net position 183 148

Object Classification (in millions of dollars)


Identification code 036–4025–0–3–704 2016 actual 2017 est. 2018 est.

Direct obligations:
32.0 Land and structures 1 1 1
33.0 Investments and loans 1



99.9 Total new obligations, unexpired accounts 1 2 1

Native american veteran housing loan program account

For administrative expenses to carry out the direct loan program authorized by subchapter V of chapter 37 of title 38, United States Code, $1,163,000.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Vocational rehabilitation loans program account

For the cost of direct loans, $29,680, 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 $2,355,547.

In addition, for administrative expenses necessary to carry out the direct loan program, $395,000, which may be paid to the appropriation for "General Operating Expenses, Veterans Benefits Administration".

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–1120–0–1–704 2016 actual 2017 est. 2018 est.

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



0900 Total new obligations, unexpired accounts 3 3 2

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 3 3 3
Budget authority:
Appropriations, discretionary:
1100 Appropriation 2 1 2
Appropriations, mandatory:
1200 Appropriation 1 2
1900 Budget authority (total) 3 3 2
1930 Total budgetary resources available 6 6 5
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 3 3 3

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

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

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


Identification code 036–1120–0–1–704 2016 actual 2017 est. 2018 est.

Direct loan levels supportable by subsidy budget authority:
115002 Native American Direct Loans 2 9 9
115003 Vocational Rehabilitation 2 3 3



115999 Total direct loan levels 4 12 12
Direct loan subsidy (in percent):
132002 Native American Direct Loans –18.08 –18.62 –20.22
132003 Vocational Rehabilitation 1.05 1.43 1.26



132999 Weighted average subsidy rate –8.51 –13.61 –14.85
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 –1 –2 –1



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



135999 Total direct loan reestimates 1 1

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

Object Classification (in millions of dollars)


Identification code 036–1120–0–1–704 2016 actual 2017 est. 2018 est.

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



99.9 Total new obligations, unexpired accounts 3 3 2

Native American Direct Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4130–0–3–704 2016 actual 2017 est. 2018 est.

Obligations by program activity:
Credit program obligations:
0710 Direct loan obligations 2 9 9
0713 Payment of interest to Treasury 2 3 4
0740 Negative subsidy obligations 1 2 2



0900 Total new obligations, unexpired accounts 5 14 15

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 4 2 1
1023 Unobligated balances applied to repay debt –3



1050 Unobligated balance (total) 1 2 1
Financing authority:
Borrowing authority, mandatory:
1400 Borrowing authority 5 12 13
1422 Borrowing authority applied to repay debt –4



1440 Borrowing authority, mandatory (total) 1 12 13
Spending authority from offsetting collections, mandatory:
1800 Collected 6 9 9
1825 Spending authority from offsetting collections applied to repay debt –1 –8 –7



1850 Spending auth from offsetting collections, mand (total) 5 1 2
1900 Budget authority (total) 6 13 15
1930 Total budgetary resources available 7 15 16
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 2 1 1

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 1 1 1
3010 New obligations, unexpired accounts 5 14 15
3020 Outlays (gross) –5 –14 –15



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

Financing authority and disbursements, net:
Mandatory:
4090 Budget authority, gross 6 13 15
Financing disbursements:
4110 Outlays, gross (total) 5 14 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 –4 –5 –6
4123 Non-Federal sources - Interest received on loans –1 –3 –3



4130 Offsets against gross budget authority and outlays (total) –6 –9 –9



4160 Budget authority, net (mandatory) 4 6
4170 Outlays, net (mandatory) –1 5 6
4180 Budget authority, net (total) 4 6
4190 Outlays, net (total) –1 5 6

Status of Direct Loans (in millions of dollars)


Identification code 036–4130–0–3–704 2016 actual 2017 est. 2018 est.

Position with respect to appropriations act limitation on obligations:
1111 Direct loan obligations from current-year authority 2 9 9



1150 Total direct loan obligations 2 9 9

Cumulative balance of direct loans outstanding:
1210 Outstanding, start of year 60 60 64
1231 Disbursements: Direct loan disbursements 3 9 9
1251 Repayments: Repayments and prepayments –3 –5 –5



1290 Outstanding, end of year 60 64 68

Balance Sheet (in millions of dollars)


Identification code 036–4130–0–3–704 2015 actual 2016 actual

ASSETS:
Federal assets:
1101 Fund balances with Treasury 5 3
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 60 60
1402 Interest receivable 2 2
1405 Other assets 3 3


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


1999 Total assets 71 69
LIABILITIES:
Federal liabilities:
2103 Federal liabilities debt 70 67
2105 Other liabilities 1 2


2999 Total liabilities 71 69


4999 Total liabilities and net position 71 69

Transitional Housing Direct Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4258–0–3–704 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Direct program activity 1 1 1



0900 Total new obligations, unexpired accounts 1 1 1

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 5 5 5
Financing authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 1 1 1
1930 Total budgetary resources available 6 6 6
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 5 5 5

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

Financing authority and disbursements, net:
Mandatory:
4090 Budget authority, gross 1 1 1
Financing disbursements:
4110 Outlays, gross (total) 1 1 1
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4123 Non-Federal sources –1 –1 –1
4180 Budget authority, net (total)
4190 Outlays, net (total)

Status of Direct Loans (in millions of dollars)


Identification code 036–4258–0–3–704 2016 actual 2017 est. 2018 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

Balance Sheet (in millions of dollars)


Identification code 036–4258–0–3–704 2015 actual 2016 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

Vocational Rehabilitation Direct Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4112–0–3–702 2016 actual 2017 est. 2018 est.

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



0900 Total new obligations, unexpired accounts 2 3 3

Budgetary resources:
Financing authority:
Borrowing authority, mandatory:
1400 Authority to borrow (indefinite) 3 3 3
1422 Borrowing authority applied to repay debt –1



1440 Borrowing authority, mandatory (total) 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 New obligations, 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)

Status of Direct Loans (in millions of dollars)


Identification code 036–4112–0–3–702 2016 actual 2017 est. 2018 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 1
1231 Disbursements: Direct loan disbursements 2 2 2
1251 Repayments: Repayments and prepayments –2 –3 –2



1290 Outstanding, end of year 2 1 1

Balance Sheet (in millions of dollars)


Identification code 036–4112–0–3–702 2015 actual 2016 actual

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


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


4999 Total liabilities and net position 3 2

Trust Funds

Post-Vietnam Era Veterans Education Account

Program and Financing (in millions of dollars)


Identification code 036–8133–0–7–702 2016 actual 2017 est. 2018 est.

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 62 62 62
1930 Total budgetary resources available 62 62 62
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 62 62 62

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 was established under Public Law 94–502, Veterans' Education and Employment Assistance Act, 1976. This program consists of voluntary contributions by eligible servicemembers and matching contributions provided by the Department of Defense and provides educational assistance payments to participants who entered the service after December 31, 1976. 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. The estimated activity in the fund follows:

CONTRIBUTIONS, PARTICIPANTS, DISENROLLMENTS, REFUNDS AND TRAINEES


2016 actual 2017 est. 2018 est.

Total program obligations (in thousands) $223 $212 $201
Number of disenrollments 92 87 83
Total refunds (in thousands) $201 $191 $181
Average Refund $2,180 $2,180 $2,180
Total trainees 8 8 7
Total trainee cost (in thousands) $14 $13 $13
Average trainee cost $1,767 $1,791 $1,825
Section 901 trainees 2 2 2
Total Section 901 trainee cost (in thousands) $8 $8 $7
Average Section 901 trainee cost $4,132 $3,925 $3,500

National Service Life Insurance Fund

Special and Trust Fund Receipts (in millions of dollars)


Identification code 036–8132–0–7–701 2016 actual 2017 est. 2018 est.

0100 Balance, start of year 3,964 3,400 2,833
Receipts:
Current law:
1130 NSLI Fund, Premium and Other Receipts 69 55 45
1140 NSLI Fund, Interest 188 153 129



1199 Total current law receipts 257 208 174



1999 Total receipts 257 208 174



2000 Total: Balances and receipts 4,221 3,608 3,007
Appropriations:
Current law:
2101 National Service Life Insurance Fund –257 –208 –175
2103 National Service Life Insurance Fund –564 –567 –506



2199 Total current law appropriations –821 –775 –681



2999 Total appropriations –821 –775 –681



5099 Balance, end of year 3,400 2,833 2,326

Program and Financing (in millions of dollars)


Identification code 036–8132–0–7–701 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Death claims 603 535 461
0002 Disability claims 3 3 2
0003 Matured endowments 88 116 112
0004 Cash surrenders 24 20 18
0005 Dividends 55 48 41
0006 Interest paid on dividend credits and deposits 20 24 20
0007 Payment to general operating expenses 14 15 13



0091 Total operating expenses 807 761 667
0201 Capital investment: Policy loans 14 14 14



0799 Total direct obligations 821 775 681
0801 Death claims 19 51 43
0803 Matured endowments 3 11 10
0804 Cash surrenders 1 2 2
0805 Dividends 2 5 4
0806 Interest paid on dividend credits and deposits 1 2 2
0807 Payment to general operating expenses 1 1



0899 Total reimbursable obligations 26 72 62



0900 Total new obligations, unexpired accounts 847 847 743

Budgetary resources:
Budget authority:
Appropriations, mandatory:
1201 Appropriation (special or trust fund) 257 208 175
1203 Appropriation (previously unavailable) 564 567 506



1260 Appropriations, mandatory (total) 821 775 681
Spending authority from offsetting collections, mandatory:
1800 Collected 26 72 62
1900 Budget authority (total) 847 847 743
1930 Total budgetary resources available 847 847 743

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 947 853 774
3010 New obligations, unexpired accounts 847 847 743
3020 Outlays (gross) –941 –926 –826



3050 Unpaid obligations, end of year 853 774 691
Memorandum (non-add) entries:
3100 Obligated balance, start of year 947 853 774
3200 Obligated balance, end of year 853 774 691

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 847 847 743
Outlays, gross:
4100 Outlays from new mandatory authority 283 359 412
4101 Outlays from mandatory balances 658 567 414



4110 Outlays, gross (total) 941 926 826
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123 Non-Federal sources –26 –72 –62
4180 Budget authority, net (total) 821 775 681
4190 Outlays, net (total) 915 854 764

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 4,903 4,246 3,599
5001 Total investments, EOY: Federal securities: Par value 4,246 3,599 3,010

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:

POLICIES AND INSURANCE IN FORCE


2016 actual 2017 est. 2018 est.

Number of policies 309,658 254,707 206,647
Insurance in force (dollars in millions) $3,914 $3,181 $2,577

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 $3,687 million as of September 30, 2017 to $3,059 million as of September 30, 2018. The actuarial estimate of policy obligations as of September 30, 2018, totals $2,992 million, leaving a balance of $67 million for contingency reserves.

Status of Funds (in millions of dollars)


Identification code 036–8132–0–7–701 2016 actual 2017 est. 2018 est.

Unexpended balance, start of year:
0100 Balance, start of year 4,912 4,254 3,608



0999 Total balance, start of year 4,912 4,254 3,608
Cash income during the year:
Current law:
Receipts:
1130 NSLI Fund, Premium and Other Receipts 69 55 45
1130 National Service Life Insurance Fund 26 72 62
1150 NSLI Fund, Interest 188 153 129



1199 Income under present law 283 280 236



1999 Total cash income 283 280 236
Cash outgo during year:
Current law:
2100 National Service Life Insurance Fund [029–25–8132–0] –941 –926 –826



2199 Outgo under current law –941 –926 –826



2999 Total cash outgo (-) –941 –926 –826
Surplus or deficit::
3110 Excluding interest –846 –799 –719
3120 Interest 188 153 129



3199 Subtotal, surplus or deficit –658 –646 –590



3999 Total change in fund balance –658 –646 –590
Unexpended balance, end of year::
4100 Uninvested balance (net), end of year 8 9 8
4200 National Service Life Insurance Fund 4,246 3,599 3,010



4999 Total balance, end of year 4,254 3,608 3,018

Object Classification (in millions of dollars)


Identification code 036–8132–0–7–701 2016 actual 2017 est. 2018 est.

Direct obligations:
33.0 Investments and loans 14 14 14
42.0 Insurance claims and indemnities 718 674 593
43.0 Interest and dividends 89 87 74



99.0 Direct obligations 821 775 681
99.0 Reimbursable obligations 26 72 62



99.9 Total new obligations, unexpired accounts 847 847 743

United States Government Life Insurance Fund

Special and Trust Fund Receipts (in millions of dollars)


Identification code 036–8150–0–7–701 2016 actual 2017 est. 2018 est.

0100 Balance, start of year 3 3 2
0198 Rounding adjustment 1



0199 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



5099 Balance, end of year 3 2 2

Program and Financing (in millions of dollars)


Identification code 036–8150–0–7–701 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Death claims 1
0007 Other costs 1



0900 Total new obligations, unexpired accounts 1 1

Budgetary resources:
Budget authority:
Appropriations, mandatory:
1203 Appropriation (previously unavailable) 1 1
1900 Budget authority (total) 1 1
1930 Total budgetary resources available 1 1

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



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

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 1 1
Outlays, gross:
4101 Outlays from mandatory balances 2 2
4180 Budget authority, net (total) 1 1
4190 Outlays, net (total) 2 2

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 6 4 3
5001 Total investments, EOY: Federal securities: Par value 4 3 2

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:

POLICIES AND INSURANCE IN FORCE


2016 actual 2017 est. 2018 est.

Number of policies 348 151 14
Insurance in force (dollars in millions) $.7 $.2 $.04

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 $2.9 million as of September 30, 2017, to $2.2 million as of September 30, 2018, as an increasing number of policies mature through death or disability. The actuarial evaluation of policy obligations as of September 30, 2018, totals $1.8 million, leaving a balance of $.04 million for contingency reserves.

Status of Funds (in millions of dollars)


Identification code 036–8150–0–7–701 2016 actual 2017 est. 2018 est.

Unexpended balance, start of year:
0100 Balance, start of year 6 4 2



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



2199 Outgo under current law –2 –2



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



3199 Subtotal, surplus or deficit –2 –2



3999 Total change in fund balance –2 –2
Unexpended balance, end of year::
4100 Uninvested balance (net), end of year –1
4200 United States Government Life Insurance Fund 4 3 2



4999 Total balance, end of year 4 2 2

Object Classification (in millions of dollars)


Identification code 036–8150–0–7–701 2016 actual 2017 est. 2018 est.

Direct obligations:
42.0 Insurance claims and indemnities 1
43.0 Interest and dividends 1



99.9 Total new obligations, unexpired accounts 1 1

Veterans Special Life Insurance Fund

Program and Financing (in millions of dollars)


Identification code 036–8455–0–8–701 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0801 Death claims 124 139 141
0802 Cash surrenders 6 6 6
0803 Dividends 34 30 24
0804 All other 21 20 18
0805 Payments to insurance account 6 8 7
0806 Capital investment 7 8 8



0900 Total new obligations, unexpired accounts 198 211 204

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1,367 1,293 1,196
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 126 114 102
1801 Change in uncollected payments, Federal sources –2



1850 Spending auth from offsetting collections, mand (total) 124 114 102
1930 Total budgetary resources available 1,491 1,407 1,298
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 1,293 1,196 1,094

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 442 429 403
3010 New obligations, unexpired accounts 198 211 204
3020 Outlays (gross) –211 –237 –246



3050 Unpaid obligations, end of year 429 403 361
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –22 –20 –20
3070 Change in uncollected pymts, Fed sources, unexpired 2



3090 Uncollected pymts, Fed sources, end of year –20 –20 –20
Memorandum (non-add) entries:
3100 Obligated balance, start of year 420 409 383
3200 Obligated balance, end of year 409 383 341

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 124 114 102
Outlays, gross:
4100 Outlays from new mandatory authority 124 114 102
4101 Outlays from mandatory balances 87 123 144



4110 Outlays, gross (total) 211 237 246
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4121 Interest on Federal securities –86 –75 –67
4123 Non-Federal sources –14 –14 –12
4123 Non-Federal sources –23 –22 –20
4123 Non-Federal sources –3 –3 –3



4130 Offsets against gross budget authority and outlays (total) –126 –114 –102
Additional offsets against gross budget authority only:
4140 Change in uncollected pymts, Fed sources, unexpired 2
4170 Outlays, net (mandatory) 85 123 144
4180 Budget authority, net (total)
4190 Outlays, net (total) 85 123 144

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 1,785 1,700 1,577
5001 Total investments, EOY: Federal securities: Par value 1,700 1,577 1,433

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.

Benefit program:

Death claims.—Represents payments to designated beneficiaries.

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:

POLICIES AND INSURANCE IN FORCE


2016 actual 2017 est. 2018 est.

Number of policies 110,943 100,880 90,788
Insurance in force (dollars in millions) $1,608 $1,475 $1,340

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

Object Classification (in millions of dollars)


Identification code 036–8455–0–8–701 2016 actual 2017 est. 2018 est.

Reimbursable obligations:
33.0 Investments and loans 7 8 8
42.0 Insurance claims and indemnities 138 155 156
43.0 Interest and dividends 53 48 40



99.9 Total new obligations, unexpired accounts 198 211 204

Departmental Administration

Federal Funds

Construction, major projects

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, $512,430,000, of which $432,430,000 shall remain available until September 30, 2022, 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 that has not been notified to Congress through the budgetary process or that has not been approved by the Congress 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 2018, for each approved project shall be obligated: (1) by the awarding of a construction documents contract by September 30, 2018; and (2) by the awarding of a construction contract by September 30, 2019: 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, $117,300,000 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, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0110–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Medical programs 1,312 679 988
0002 National cemeteries 20 167 183
0005 Staff offices 8 8 8



0799 Total direct obligations 1,340 854 1,179



0900 Total new obligations, unexpired accounts 1,340 854 1,179

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 2,145 2,064 1,738
1021 Recoveries of prior year unpaid obligations 38



1050 Unobligated balance (total) 2,183 2,064 1,738
Budget authority:
Appropriations, discretionary:
1100 Appropriation 595 528 512
1121 Appropriations transferred from other acct [036–0142] 4
1121 Appropriations transferred from other acct [036–0160] 39
1121 Appropriations transferred from other acct [036–0162] 313
1121 Appropriations transferred from other acct [036–0152] 85
1121 Appropriations transferred from other acct [036–0151] 4
1121 Appropriations transferred from other acct [036–0111] 85
1121 Appropriations transferred from other acct [036–0167] 76
1121 Appropriations transferred from other acct [036–0161] 20



1160 Appropriation, discretionary (total) 1,221 528 512
1900 Budget authority (total) 1,221 528 512
1930 Total budgetary resources available 3,404 2,592 2,250
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 2,064 1,738 1,071

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 930 880 1,020
3010 New obligations, unexpired accounts 1,340 854 1,179
3020 Outlays (gross) –1,352 –714 –847
3040 Recoveries of prior year unpaid obligations, unexpired –38



3050 Unpaid obligations, end of year 880 1,020 1,352
Memorandum (non-add) entries:
3100 Obligated balance, start of year 930 880 1,020
3200 Obligated balance, end of year 880 1,020 1,352

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 1,221 528 512
Outlays, gross:
4010 Outlays from new discretionary authority 645 4 4
4011 Outlays from discretionary balances 707 710 843



4020 Outlays, gross (total) 1,352 714 847
4180 Budget authority, net (total) 1,221 528 512
4190 Outlays, net (total) 1,352 714 847

The Construction, Major Projects appropriation funds construction projects costing more than $10 million. Funding is to complete a new outpatient clinic for the realignment and closure of a campus project in Livermore, CA, as well as gravesite expansions at six national cemeteries in Sacramento, CA; Bushnell, FL; Ellwood, IL; Calverton, NY; Phoenix, AZ; and Bridgeville, PA. 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, and also fund asbestos and hazardous waste abatement projects.

$649 million of funds appropriated in 2016 are not reflected in the available balance in the tables. These funds will become available for use once VA meets the specific conditions required by law (P.L. 114–113) and the funds are apportioned.

Object Classification (in millions of dollars)


Identification code 036–0110–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
21.0 Travel and transportation of persons 3 3 3
25.2 Other services from non-Federal sources 1 1 1
25.3 Other goods and services from Federal sources 39 39 39
26.0 Supplies and materials 1 1 1
31.0 Equipment 2 2 2
32.0 Land and structures 1,293 808 1,133



99.0 Direct obligations 1,339 854 1,179
99.0 Reimbursable obligations 1



99.9 Total new obligations, unexpired accounts 1,340 854 1,179

Construction, minor projects

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, $342,570,000, to remain available until September 30, 2022, 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, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0111–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Medical programs 385 600 358
0002 National cemeteries 72 87 90
0003 Regional offices 15 47 40
0004 Staff offices 18 27 23
0005 Choice Act, P.L. 113–146, Sec. 801 101 116



0900 Total new obligations, unexpired accounts 591 877 511

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1,033 673 168
1010 Unobligated balance transfer to other accts [036–0160] –195
1021 Recoveries of prior year unpaid obligations 95
1033 Recoveries of prior year paid obligations 10



1050 Unobligated balance (total) 943 673 168
Budget authority:
Appropriations, discretionary:
1100 Appropriation 406 372 343
1120 Appropriations transferred to other acct [036–0110] –85



1160 Appropriation, discretionary (total) 321 372 343
1900 Budget authority (total) 321 372 343
1930 Total budgetary resources available 1,264 1,045 511
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 673 168

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 1,087 1,000 1,414
3010 New obligations, unexpired accounts 591 877 511
3020 Outlays (gross) –583 –463 –451
3040 Recoveries of prior year unpaid obligations, unexpired –95



3050 Unpaid obligations, end of year 1,000 1,414 1,474
Memorandum (non-add) entries:
3100 Obligated balance, start of year 1,087 1,000 1,414
3200 Obligated balance, end of year 1,000 1,414 1,474

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 321 372 343
Outlays, gross:
4010 Outlays from new discretionary authority 1 67 62
4011 Outlays from discretionary balances 534 358 351



4020 Outlays, gross (total) 535 425 413
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4033 Non-Federal sources –10
Additional offsets against gross budget authority only:
4053 Recoveries of prior year paid obligations, unexpired accounts 10



4070 Budget authority, net (discretionary) 321 372 343
4080 Outlays, net (discretionary) 525 425 413
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 48 38 38
4180 Budget authority, net (total) 321 372 343
4190 Outlays, net (total) 573 463 451

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.

Object Classification (in millions of dollars)


Identification code 036–0111–0–1–703 2016 actual 2017 est. 2018 est.

Direct obligations:
25.2 Other services from non-Federal sources 18 18 18
31.0 Equipment 1 1 1
32.0 Land and structures 572 858 492



99.9 Total new obligations, unexpired accounts 591 877 511

Grants for construction of state extended care facilities

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, $90,000,000, to remain available until expended.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0181–0–1–703 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Grants for construction of state extended care facilities 130 106 100



0900 Total new obligations (object class 41.0) 130 106 100

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 11 23 9
1021 Recoveries of prior year unpaid obligations 2 2 18



1050 Unobligated balance (total) 13 25 27
Budget authority:
Appropriations, discretionary:
1100 Appropriation 120 90 90
1121 Appropriations transferred from other acct [036–0160] 20



1160 Appropriation, discretionary (total) 140 90 90
1930 Total budgetary resources available 153 115 117
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 23 9 17

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 261 312 323
3010 New obligations, unexpired accounts 130 106 100
3020 Outlays (gross) –77 –93 –109
3040 Recoveries of prior year unpaid obligations, unexpired –2 –2 –18



3050 Unpaid obligations, end of year 312 323 296
Memorandum (non-add) entries:
3100 Obligated balance, start of year 261 312 323
3200 Obligated balance, end of year 312 323 296

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 140 90 90
Outlays, gross:
4010 Outlays from new discretionary authority 2 2
4011 Outlays from discretionary balances 77 91 107



4020 Outlays, gross (total) 77 93 109
4180 Budget authority, net (total) 140 90 90
4190 Outlays, net (total) 77 93 109

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.

Grants for construction of veterans cemeteries

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, $45,000,000, to remain available until expended.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0183–0–1–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Grants for construction of state veterans cemeteries 49 45 45



0900 Total new obligations (object class 41.0) 49 45 45

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 11 9 9
1021 Recoveries of prior year unpaid obligations 1



1050 Unobligated balance (total) 12 9 9
Budget authority:
Appropriations, discretionary:
1100 Appropriation 46 45 45
1930 Total budgetary resources available 58 54 54
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 9 9 9

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 79 87 68
3010 New obligations, unexpired accounts 49 45 45
3020 Outlays (gross) –40 –64 –44
3040 Recoveries of prior year unpaid obligations, unexpired –1



3050 Unpaid obligations, end of year 87 68 69
Memorandum (non-add) entries:
3100 Obligated balance, start of year 79 87 68
3200 Obligated balance, end of year 87 68 69

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 46 45 45
Outlays, gross:
4010 Outlays from new discretionary authority 24 24
4011 Outlays from discretionary balances 40 40 20



4020 Outlays, gross (total) 40 64 44
4180 Budget authority, net (total) 46 45 45
4190 Outlays, net (total) 40 64 44

General administration

(Including transfer of funds)

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, $346,891,000, of which not to exceed 5 percent shall remain available until September 30, 2019: 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, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0142–0–1–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0014 General administration 326 355 347
0806 General administration, reimbursable program 391 326 421



0900 Total new obligations, unexpired accounts 717 681 768

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 5 7
1012 Unobligated balance transfers between expired and unexpired accounts 5 3



1050 Unobligated balance (total) 10 10
Budget authority:
Appropriations, discretionary:
1100 Appropriation 337 345 347
1120 Appropriations transferred to other acct [036–0110] –4



1160 Appropriation, discretionary (total) 333 345 347
Spending authority from offsetting collections, discretionary:
1700 Collected 392 326 421
1900 Budget authority (total) 725 671 768
1930 Total budgetary resources available 735 681 768
Memorandum (non-add) entries:
1940 Unobligated balance expiring –11
1941 Unexpired unobligated balance, end of year 7

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 181 205 74
3010 New obligations, unexpired accounts 717 681 768
3011 Obligations ("upward adjustments"), expired accounts 11
3020 Outlays (gross) –674 –812 –751
3041 Recoveries of prior year unpaid obligations, expired –30



3050 Unpaid obligations, end of year 205 74 91
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 180 204 73
3200 Obligated balance, end of year 204 73 90

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 725 671 768
Outlays, gross:
4010 Outlays from new discretionary authority 532 604 694
4011 Outlays from discretionary balances 142 208 57



4020 Outlays, gross (total) 674 812 751
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –392 –326 –421



4040 Offsets against gross budget authority and outlays (total) –392 –326 –421
4180 Budget authority, net (total) 333 345 347
4190 Outlays, net (total) 282 486 330

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.

Object Classification (in millions of dollars)


Identification code 036–0142–0–1–705 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 180 198 203
11.5 Other personnel compensation 3 4 3



11.9 Total personnel compensation 183 202 206
12.1 Civilian personnel benefits 63 64 65
21.0 Travel and transportation of persons 3 7 6
23.1 Rent 1
23.2 Rental payments to others 5 20 21
23.3 Communications, utilities, and miscellaneous charges 3 8 5
24.0 Printing and reproduction 1
25.2 Other services from non-Federal sources 63 52 41
26.0 Supplies and materials 1 1 1
31.0 Equipment 3 1 2



99.0 Direct obligations 326 355 347
99.0 Reimbursable obligations 391 326 421



99.9 Total new obligations, unexpired accounts 717 681 768

Employment Summary


Identification code 036–0142–0–1–705 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 1,632 1,703 1,828
2001 Reimbursable civilian full-time equivalent employment 927 941 1,188

Board of Veterans Appeals

For necessary operating expenses of the Board of Veterans Appeals, $155,596,000, of which not to exceed 10 percent shall remain available until September 30, 2019.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–1122–0–1–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0014 Board of Veterans' Appeals 110 143 171

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 3 3 16
Budget authority:
Appropriations, discretionary:
1100 Appropriation 110 156 156
1930 Total budgetary resources available 113 159 172
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 3 16 1

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 7 10 7
3010 New obligations, unexpired accounts 110 143 171
3020 Outlays (gross) –106 –146 –151
3041 Recoveries of prior year unpaid obligations, expired –1



3050 Unpaid obligations, end of year 10 7 27
Memorandum (non-add) entries:
3100 Obligated balance, start of year 7 10 7
3200 Obligated balance, end of year 10 7 27

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 110 156 156
Outlays, gross:
4010 Outlays from new discretionary authority 97 132 132
4011 Outlays from discretionary balances 9 14 19



4020 Outlays, gross (total) 106 146 151
4180 Budget authority, net (total) 110 156 156
4190 Outlays, net (total) 106 146 151

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.

Object Classification (in millions of dollars)


Identification code 036–1122–0–1–705 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 70 91 110
11.5 Other personnel compensation 2 4 6



11.9 Total personnel compensation 72 95 116
12.1 Civilian personnel benefits 22 29 36
23.2 Rental payments to others 10 11 9
25.2 Other services from non-Federal sources 6 8 10



99.9 Total new obligations, unexpired accounts 110 143 171

Employment Summary


Identification code 036–1122–0–1–705 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 660 886 1,050

General operating expenses, Veterans Benefits Administration

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, $2,844,000,000: 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 5 percent shall remain available until September 30, 2019.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0151–0–1–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0010 Compensation and pensions 2,197 2,306 2,291
0011 Education 213 203 201
0012 Vocational rehabilitation and counseling 217 331 333
0013 Insurance 1 1 1
0014 Housing 15 18



0799 Total direct obligations 2,628 2,856 2,844
0801 Compensation and pensions 331 782 796
0802 Education 1 1
0804 Insurance 29 35 33
0805 Housing 139 170 155



0899 Total reimbursable obligations 499 988 985



0900 Total new obligations, unexpired accounts 3,127 3,844 3,829

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 10 101 89
1012 Unobligated balance transfers between expired and unexpired accounts 38



1050 Unobligated balance (total) 48 101 89
Budget authority:
Appropriations, discretionary:
1100 Appropriation 2,708 2,856 2,844
1120 Appropriations transferred to other acct [036–0110] –4
1130 Appropriations permanently reduced –12



1160 Appropriation, discretionary (total) 2,704 2,844 2,844
Spending authority from offsetting collections, discretionary:
1700 Collected 499 988 988
1900 Budget authority (total) 3,203 3,832 3,832
1930 Total budgetary resources available 3,251 3,933 3,921
Memorandum (non-add) entries:
1940 Unobligated balance expiring –23
1941 Unexpired unobligated balance, end of year 101 89 92

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 346 501 626
3010 New obligations, unexpired accounts 3,127 3,844 3,829
3011 Obligations ("upward adjustments"), expired accounts 36
3020 Outlays (gross) –2,953 –3,719 –3,767
3041 Recoveries of prior year unpaid obligations, expired –55



3050 Unpaid obligations, end of year 501 626 688
Memorandum (non-add) entries:
3100 Obligated balance, start of year 346 501 626
3200 Obligated balance, end of year 501 626 688

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 3,203 3,832 3,832
Outlays, gross:
4010 Outlays from new discretionary authority 2,645 3,240 3,263
4011 Outlays from discretionary balances 308 479 504



4020 Outlays, gross (total) 2,953 3,719 3,767
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –499 –988 –988
4033 Non-Federal sources –1



4040 Offsets against gross budget authority and outlays (total) –500 –988 –988
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 1



4070 Budget authority, net (discretionary) 2,704 2,844 2,844
4080 Outlays, net (discretionary) 2,453 2,731 2,779
4180 Budget authority, net (total) 2,704 2,844 2,844
4190 Outlays, net (total) 2,453 2,731 2,779

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.

Object Classification (in millions of dollars)


Identification code 036–0151–0–1–705 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 1,394 1,414 1,481
11.5 Other personnel compensation 117 125 130



11.9 Total personnel compensation 1,511 1,539 1,611
12.1 Civilian personnel benefits 505 515 520
13.0 Benefits for former personnel 1 1 1
21.0 Travel and transportation of persons 22 42 32
22.0 Transportation of things 2 2 2
23.1 Rent 115 125 124
23.2 Rental payments to others 18 19 19
23.3 Communications, utilities, and miscellaneous charges 17 18 18
24.0 Printing and reproduction 3 4 4
25.2 Other services from non-Federal sources 415 563 490
26.0 Supplies and materials 7 8 7
31.0 Equipment 10 18 14
42.0 Insurance claims and indemnities 2 2 2



99.0 Direct obligations 2,628 2,856 2,844
99.0 Reimbursable obligations 499 988 985



99.9 Total new obligations, unexpired accounts 3,127 3,844 3,829

Employment Summary


Identification code 036–0151–0–1–705 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 20,227 21,310 21,399
2001 Reimbursable civilian full-time equivalent employment 1,331 1,411 1,322

Office of inspector general

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.), $159,606,000, of which not to exceed 10 percent shall remain available until September 30, 2019.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0170–0–1–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0101 Office of Inspector General (Direct) 128 158 170



0192 Total direct program 128 158 170
0801 Office of Inspector General (Reimbursable) 4 3



0900 Total new obligations, unexpired accounts 132 161 170

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1 9 10
Budget authority:
Appropriations, discretionary:
1100 Appropriation 137 160 160
Spending authority from offsetting collections, discretionary:
1700 Collected 4 3
1900 Budget authority (total) 141 163 160
1930 Total budgetary resources available 142 172 170
Memorandum (non-add) entries:
1940 Unobligated balance expiring –1 –1
1941 Unexpired unobligated balance, end of year 9 10

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 26 17 40
3010 New obligations, unexpired accounts 132 161 170
3020 Outlays (gross) –138 –138 –155
3041 Recoveries of prior year unpaid obligations, expired –3



3050 Unpaid obligations, end of year 17 40 55
Memorandum (non-add) entries:
3100 Obligated balance, start of year 26 17 40
3200 Obligated balance, end of year 17 40 55

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 141 163 160
Outlays, gross:
4010 Outlays from new discretionary authority 119 123 120
4011 Outlays from discretionary balances 19 15 35



4020 Outlays, gross (total) 138 138 155
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –4 –3
4180 Budget authority, net (total) 137 160 160
4190 Outlays, net (total) 134 135 155

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.

Object Classification (in millions of dollars)


Identification code 036–0170–0–1–705 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 73 85 93
11.5 Other personnel compensation 6 4 6



11.9 Total personnel compensation 79 89 99
12.1 Civilian personnel benefits 30 35 38
21.0 Employee Travel 5 6 6
23.1 Rental payments to GSA 6 6
23.3 Communications, utilities, and miscellaneous charges 2 2 3
25.2 Other services from non-Federal sources 10 16 14
31.0 Equipment 2 4 4



99.0 Direct obligations 128 158 170
99.0 Reimbursable obligations 4 3



99.9 Total new obligations, unexpired accounts 132 161 170

Employment Summary


Identification code 036–0170–0–1–705 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 680 760 820
2001 Reimbursable civilian full-time equivalent employment 26 13

Information technology systems

(including transfer of funds)

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, $4,055,500,000, plus reimbursements: Provided, That $1,230,320,000 shall be for pay and associated costs, of which not to exceed $35,869,000 shall remain available until September 30, 2019: Provided further, That $2,466,650,000 shall be for operations and maintenance, of which not to exceed $172,666,000 shall remain available until September 30, 2019: Provided further, That $358,530,000 shall be for information technology systems development, and shall remain available until September 30, 2019: Provided further, That amounts made available for information technology systems development 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 may be transferred among the three subaccounts after the Secretary of Veterans Affairs submits notice thereof to the Committees on Appropriations of both Houses of Congress: Provided further, That amounts made available for the "Information Technology Systems" account for development may be transferred among projects or to newly defined projects: Provided further, That no project may be increased or decreased by more than $3,000,000 of cost prior to submitting notice thereof to the Committees on Appropriations of both Houses of Congress.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Program and Financing (in millions of dollars)


Identification code 036–0167–0–1–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0001 Development 464 590 359
0002 Operations and maintenance 2,531 2,552 2,463
0003 Administrative and salaries 1,069 1,281 1,226
0004 P.L. 113–146, Sec. 801 - IT Support 81 139



0799 Total direct obligations 4,145 4,562 4,048
0801 Development 4
0802 Operations and maintenance 22 40 40
0803 Administrative and salaries 12 13 13



0899 Total reimbursable obligations 38 53 53



0900 Total new obligations, unexpired accounts 4,183 4,615 4,101

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 463 389 90
1001 Discretionary unobligated balance brought fwd, Oct 1 161
1021 Recoveries of prior year unpaid obligations 35



1050 Unobligated balance (total) 498 389 90
Budget authority:
Appropriations, discretionary:
1100 Appropriation 4,133 4,278 4,056
1120 Appropriations transferred to other accts [036–0169] –7 –7 –8
1120 Appropriations transferred to other acct [036–0110] –76
1130 Appropriations permanently reduced –8



1160 Appropriation, discretionary (total) 4,050 4,263 4,048
Spending authority from offsetting collections, discretionary:
1700 Collected 37 53 53
1701 Change in uncollected payments, Federal sources 1



1750 Spending auth from offsetting collections, disc (total) 38 53 53
1900 Budget authority (total) 4,088 4,316 4,101
1930 Total budgetary resources available 4,586 4,705 4,191
Memorandum (non-add) entries:
1940 Unobligated balance expiring –14
1941 Unexpired unobligated balance, end of year 389 90 90

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 1,952 2,110 2,336
3010 New obligations, unexpired accounts 4,183 4,615 4,101
3011 Obligations ("upward adjustments"), expired accounts 75
3020 Outlays (gross) –3,869 –4,389 –4,266
3040 Recoveries of prior year unpaid obligations, unexpired –35
3041 Recoveries of prior year unpaid obligations, expired –196



3050 Unpaid obligations, end of year 2,110 2,336 2,171
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –4 –1
3070 Change in uncollected pymts, Fed sources, unexpired –1
3071 Change in uncollected pymts, Fed sources, expired 4 1



3090 Uncollected pymts, Fed sources, end of year –1
Memorandum (non-add) entries:
3100 Obligated balance, start of year 1,948 2,109 2,336
3200 Obligated balance, end of year 2,109 2,336 2,171

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 4,088 4,316 4,101
Outlays, gross:
4010 Outlays from new discretionary authority 2,302 2,458 2,377
4011 Outlays from discretionary balances 1,507 1,822 1,835



4020 Outlays, gross (total) 3,809 4,280 4,212
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –41 –53 –53
4033 Non-Federal sources –1



4040 Offsets against gross budget authority and outlays (total) –42 –53 –53
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired –1
4052 Offsetting collections credited to expired accounts 5



4060 Additional offsets against budget authority only (total) 4



4070 Budget authority, net (discretionary) 4,050 4,263 4,048
4080 Outlays, net (discretionary) 3,767 4,227 4,159
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 60 109 54
4180 Budget authority, net (total) 4,050 4,263 4,048
4190 Outlays, net (total) 3,827 4,336 4,213

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.

Object Classification (in millions of dollars)


Identification code 036–0167–0–1–705 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 668 724 747
11.1 Full-time permanent - Choice Act, P.L. 113–146, Sec. 801 10 12



11.9 Total personnel compensation 678 736 747
12.1 Civilian personnel benefits 219 242 245
12.1 Civilian personnel benefits -Choice Act, P.L. 113–146, Sec. 801 3 4
21.0 Travel and transportation of persons 8 11 10
23.3 Communications, utilities, and miscellaneous charges 782 830 813
23.3 Communications/utilities - Choice Act, P.L. 113–146, Sec. 801 20 22
25.2 Other services from non-Federal sources 1,653 1,917 1,554
25.2 Other services from non-Federal -Choice Act, P.L. 113–146, Sec. 801 4 51
26.0 Supplies and materials 20 22 24
31.0 Equipment 708 668 647
31.0 Equipment - Choice Act, P.L. 113–146, Sec. 801 42 47
32.0 Land and structures 6 7 7
32.0 Land and structures - Choice Act, P.L. 113–146, Sec. 801 2 3
42.0 Insurance claims and indemnities 2 1



99.0 Direct obligations 4,145 4,562 4,048
99.0 Reimbursable obligations 38 53 53



99.9 Total new obligations, unexpired accounts 4,183 4,615 4,101

Employment Summary


Identification code 036–0167–0–1–705 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 7,314 7,802 7,795
2001 Reimbursable civilian full-time equivalent employment 73 104 104

National cemetery administration

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, $306,193,000, of which not to exceed 10 percent shall remain available until September 30, 2019.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

Special and Trust Fund Receipts (in millions of dollars)


Identification code 036–0129–0–1–705 2016 actual 2017 est. 2018 est.

0100 Balance, start of year 1 1
Receipts:
Current law:
1130 Gifts and Donations, National Cemetery Gift Fund 1



2000 Total: Balances and receipts 1 1 1



5099 Balance, end of year 1 1 1

Program and Financing (in millions of dollars)


Identification code 036–0129–0–1–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0201 Administrative expenses 269 292 307

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 4 3 2
1012 Unobligated balance transfers between expired and unexpired accounts 2 5



1050 Unobligated balance (total) 6 8 2
Budget authority:
Appropriations, discretionary:
1100 Appropriation 271 286 306
1930 Total budgetary resources available 277 294 308
Memorandum (non-add) entries:
1940 Unobligated balance expiring –5
1941 Unexpired unobligated balance, end of year 3 2 1

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 73 65 78
3010 New obligations, unexpired accounts 269 292 307
3011 Obligations ("upward adjustments"), expired accounts 2
3020 Outlays (gross) –275 –279 –298
3041 Recoveries of prior year unpaid obligations, expired –4



3050 Unpaid obligations, end of year 65 78 87
Memorandum (non-add) entries:
3100 Obligated balance, start of year 73 65 78
3200 Obligated balance, end of year 65 78 87

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 271 286 306
Outlays, gross:
4010 Outlays from new discretionary authority 221 221 238
4011 Outlays from discretionary balances 54 58 60



4020 Outlays, gross (total) 275 279 298
4180 Budget authority, net (total) 271 286 306
4190 Outlays, net (total) 275 279 298

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.

Object Classification (in millions of dollars)


Identification code 036–0129–0–1–705 2016 actual 2017 est. 2018 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 106 112 114
11.3 Other than full-time permanent 5 5 5



11.9 Total personnel compensation 111 117 119
12.1 Civilian personnel benefits 40 42 43
21.0 Travel and transportation of persons 3 4 3
22.0 Transportation of things 2 2 2
23.1 Rent 3 4 4
23.3 Communications, utilities, and miscellaneous charges 9 7 7
24.0 Printing and reproduction 1 2 2
25.2 Other services from non-Federal sources 76 89 101
26.0 Supplies and materials 12 11 12
31.0 Equipment 9 11 11
32.0 Land and structures 3 3 3



99.9 Total new obligations, unexpired accounts 269 292 307

Employment Summary


Identification code 036–0129–0–1–705 2016 actual 2017 est. 2018 est.

1001 Direct civilian full-time equivalent employment 1,814 1,851 1,881

Supply Fund

Program and Financing (in millions of dollars)


Identification code 036–4537–0–4–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0801 Reimbursable program-COGS-Merchandizing 453 320 320
0802 Reimbursable program-Other-Operations 239 345 345
0803 Reimbursable program-COGS-Printing and publications 10 20 20
0804 Reimbursable program-Other 56 437 437
0805 Reimbursable program-Equipment-Procurement services and distribution 540 978 978



0900 Total new obligations, unexpired accounts 1,298 2,100 2,100

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 161 227 227
1021 Recoveries of prior year unpaid obligations 89



1050 Unobligated balance (total) 250 227 227
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 1,403 2,100 2,100
1801 Change in uncollected payments, Federal sources –128



1850 Spending auth from offsetting collections, mand (total) 1,275 2,100 2,100
1930 Total budgetary resources available 1,525 2,327 2,327
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 227 227 227

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 1,406 1,229 1,873
3010 New obligations, unexpired accounts 1,298 2,100 2,100
3020 Outlays (gross) –1,386 –1,456 –2,100
3040 Recoveries of prior year unpaid obligations, unexpired –89



3050 Unpaid obligations, end of year 1,229 1,873 1,873
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –1,416 –1,288 –1,288
3070 Change in uncollected pymts, Fed sources, unexpired 128



3090 Uncollected pymts, Fed sources, end of year –1,288 –1,288 –1,288
Memorandum (non-add) entries:
3100 Obligated balance, start of year –10 –59 585
3200 Obligated balance, end of year –59 585 585

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 1,275 2,100 2,100
Outlays, gross:
4101 Outlays from mandatory balances 1,386 1,456 2,100
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120 Federal sources –1,279 –2,100 –2,100
4123 Non-Federal sources –124



4130 Offsets against gross budget authority and outlays (total) –1,403 –2,100 –2,100
Additional offsets against gross budget authority only:
4140 Change in uncollected pymts, Fed sources, unexpired 128
4170 Outlays, net (mandatory) –17 –644
4180 Budget authority, net (total)
4190 Outlays, net (total) –17 –644

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.

Object Classification (in millions of dollars)


Identification code 036–4537–0–4–705 2016 actual 2017 est. 2018 est.

Reimbursable obligations:
11.1 Personnel compensation: Full-time permanent 102 111 111
12.1 Civilian personnel benefits 32 35 35
21.0 Travel and transportation of persons 9 7 7
23.1 Rental payments to GSA 6 6 6
23.3 Communications, utilities, and miscellaneous charges 6 6 6
24.0 Printing and reproduction 10 20 20
25.2 Other services from non-Federal sources 228 437 437
26.0 Supplies and materials 417 500 500
31.0 Equipment 488 978 978



99.9 Total new obligations, unexpired accounts 1,298 2,100 2,100

Employment Summary


Identification code 036–4537–0–4–705 2016 actual 2017 est. 2018 est.

2001 Reimbursable civilian full-time equivalent employment 1,045 1,150 1,150

Franchise Fund

Program and Financing (in millions of dollars)


Identification code 036–4539–0–4–705 2016 actual 2017 est. 2018 est.

Obligations by program activity:
0801 Franchise Fund (Reimbursable) 820 892 900

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 137 157 157
1021 Recoveries of prior year unpaid obligations 95



1050 Unobligated balance (total) 232 157 157
Budget authority:
Spending authority from offsetting collections, discretionary:
1700 Collected 738 892 900
1701 Change in uncollected payments, Federal sources 7



1750 Spending auth from offsetting collections, disc (total) 745 892 900
1930 Total budgetary resources available 977 1,049 1,057
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 157 157 157

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 314 289 237
3010 New obligations, unexpired accounts 820 892 900
3020 Outlays (gross) –750 –944 –898
3040 Recoveries of prior year unpaid obligations, unexpired –95



3050 Unpaid obligations, end of year 289 237 239
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –210 –217 –217
3070 Change in uncollected pymts, Fed sources, unexpired –7



3090 Uncollected pymts, Fed sources, end of year –217 –217 –217
Memorandum (non-add) entries:
3100 Obligated balance, start of year 104 72 20
3200 Obligated balance, end of year 72 20 22

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 745 892 900
Outlays, gross:
4010 Outlays from new discretionary authority 299 669 675
4011 Outlays from discretionary balances 451 275 223



4020 Outlays, gross (total) 750 944 898
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –738 –892 –900
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired –7
4080 Outlays, net (discretionary) 12 52 –2
4180 Budget authority, net (total)
4190 Outlays, net (total) 12 52 –2

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 billings of about $907 million and employ 1,754 in 2018. The Franchise Fund concept is intended to increase competition for government administrative services, resulting in lower costs and higher quality.

Object Classification (in millions of dollars)


Identification code 036–4539–0–4–705 2016 actual 2017 est. 2018 est.

Reimbursable obligations:
11.1 Personnel compensation: Full-time permanent 143 166 166
12.1 Civilian personnel benefits 1 1 1
21.0 Travel and transportation of persons 2 3 3
23.3 Communications, utilities, and miscellaneous charges 99 110 110
24.0 Printing and reproduction 7 6 6
25.2 Other services from non-Federal sources 529 566 574
26.0 Supplies and materials 5 4 4
31.0 Equipment 30 31 31
32.0 Land and structures 4 5 5



99.9 Total new obligations, unexpired accounts 820 892 900

Employment Summary


Identification code 036–4539–0–4–705 2016 actual 2017 est. 2018 est.

2001 Reimbursable civilian full-time equivalent employment 1,397 1,628 1,754

ADMINISTRATIVE PROVISIONS

Administrative provisions

'

(including transfer of funds)

SEC. 201. Any appropriation for fiscal year 2018 for "Compensation and Pensions", "Readjustment Benefits", and "Veterans Insurance and Indemnities" may be transferred as necessary to any other of the mentioned appropriations: Provided, That, before a transfer may take place, the Secretary of Veterans Affairs shall submit notice thereof to the Committees on Appropriations of both Houses of Congress .'

(including transfer of funds)

SEC. 202. Amounts made available for the Department of Veterans Affairs for fiscal year 2018, in this or any other Act, under the "Medical Services", "Medical Community Care", "Medical Support and Compliance", and "Medical Facilities" accounts may be transferred among the accounts: Provided, That any transfers among the "Medical Services", "Medical Community Care", and "Medical Support and Compliance" accounts of 1 percent or less of the total amount appropriated to the account in this or any other Act may take place subject to notification from the Secretary of Veterans Affairs to the Committees on Appropriations of both Houses of Congress of the amount and purpose of the transfer: Provided further, That before a transfer may take place, the Secretary of Veterans Affairs shall submit notice thereof to the Committees on Appropriations of both Houses of Congress.SEC. 203. Appropriations available in this title for salaries and expenses shall be available for services authorized by section 3109 of title 5, United States Code; hire of passenger motor vehicles; lease of a facility or land or both; and uniforms or allowances therefore, as authorized by sections 5901 through 5902 of title 5, United States Code.SEC. 204. No appropriations in this title (except the appropriations for "Construction, Major Projects", and "Construction, Minor Projects") shall be available for the purchase of any site for or toward the construction of any new hospital or home.SEC. 205. No appropriations in this title shall be available for hospitalization or examination of any persons (except beneficiaries entitled to such hospitalization or examination under the laws providing such benefits to veterans, and persons receiving such treatment under sections 7901 through 7904 of title 5, United States Code, or the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 et seq.)), unless reimbursement of the cost of such hospitalization or examination is made to the "Medical Services" account at such rates as may be fixed by the Secretary of Veterans Affairs.SEC. 206. Appropriations available in this title for "Compensation and Pensions", "Readjustment Benefits", and "Veterans Insurance and Indemnities" shall be available for payment of prior year accrued obligations required to be recorded by law against the corresponding prior year accounts within the last quarter of fiscal year 2017.SEC. 207. Appropriations available in this title shall be available to pay prior year obligations of corresponding prior year appropriations accounts resulting from sections 3328(a), 3334, and 3712(a) of title 31, United States Code, except that if such obligations are from trust fund accounts they shall be payable only from "Compensation and Pensions".'

(including transfer of funds)

SEC. 208. Notwithstanding any other provision of law, during fiscal year 2018, the Secretary of Veterans Affairs shall, from the National Service Life Insurance Fund under section 1920 of title 38, United States Code, the Veterans' Special Life Insurance Fund under section 1923 of title 38, United States Code, and the United States Government Life Insurance Fund under section 1955 of title 38, United States Code, reimburse the "General Operating Expenses, Veterans Benefits Administration" and "Information Technology Systems" accounts for the cost of administration of the insurance programs financed through those accounts: Provided, That reimbursement shall be made only from the surplus earnings accumulated in such an insurance program during fiscal year 2018 that are available for dividends in that program after claims have been paid and actuarially determined reserves have been set aside: Provided further, That if the cost of administration of such an insurance program exceeds the amount of surplus earnings accumulated in that program, reimbursement shall be made only to the extent of such surplus earnings: Provided further, That the Secretary shall determine the cost of administration for fiscal year 2018 which is properly allocable to the provision of each such insurance program and to the provision of any total disability income insurance included in that insurance program.SEC. 209. Amounts deducted from enhanced-use lease proceeds to reimburse an account for expenses incurred by that account during a prior fiscal year for providing enhanced-use lease services, may be obligated during the fiscal year in which the proceeds are received.'

(including transfer of funds)

SEC. 210. Funds available in this title or funds for salaries and other administrative expenses shall also be available to reimburse the Office of Resolution Management , the Office of Employment Discrimination Complaint Adjudication , the Office of Accountability Review, the Central Whistleblower Office, the Office of Diversity and Inclusion, and the Office of the Executive Director of Accountability and Whistleblower Protection for all services provided at rates which will recover actual costs but not to exceed $47,668,000 for the Office of Resolution Management , $3,932,000 for the Office of Employment Discrimination Complaint Adjudication, $10,057,000 for the Office of Accountability Review, $6,646,000 for the Central Whistleblower Office, $2,973,000 for the Office of Diversity and Inclusion, and $917,000 for the Office of the Executive Director of Accountability and Whistleblower Protection: Provided, That payments may be made in advance for services to be furnished based on estimated costs: Provided further, That amounts received shall be credited to the "General Administration" and "Information Technology Systems" accounts for use by the office that provided the service.SEC. 211. No funds of the Department of Veterans Affairs shall be available for hospital care, nursing home care, or medical services provided to any person under chapter 17 of title 38, United States Code, for a non-service-connected disability described in section 1729(a)(2) of such title, unless that person has disclosed to the Secretary of Veterans Affairs, in such form as the Secretary may require, current, accurate third-party reimbursement information for purposes of section 1729 of such title: Provided, That the Secretary may recover, in the same manner as any other debt due the United States, the reasonable charges for such care or services from any person who does not make such disclosure as required: Provided further, That any amounts so recovered for care or services provided in a prior fiscal year may be obligated by the Secretary during the fiscal year in which amounts are received.'

(including transfer of funds)

SEC. 212. Notwithstanding any other provision of law, proceeds or revenues derived from enhanced-use leasing activities (including disposal) may be deposited into the "Construction, Major Projects" and "Construction, Minor Projects" accounts and be used for construction (including site acquisition and disposition), alterations, and improvements of any medical facility under the jurisdiction or for the use of the Department of Veterans Affairs. Such sums as realized are in addition to the amount provided for in "Construction, Major Projects" and "Construction, Minor Projects".SEC. 213. Amounts made available under "Medical Services" are available—

(1) for furnishing recreational facilities, supplies, and equipment; and

(2) for funeral expenses, burial expenses, and other expenses incidental to funerals and burials for beneficiaries receiving care in the Department.

'

(including transfer of funds)

SEC. 214. Such sums as may be deposited to the Medical Care Collections Fund pursuant to section 1729A of title 38, United States Code, may be transferred to the "Medical Services" and "Medical Community Care" accounts to remain available until expended for the purposes of these accounts.SEC. 215. The Secretary of Veterans Affairs may enter into agreements with Federally Qualified Health Centers in the State of Alaska and Indian tribes and tribal organizations which are party to the Alaska Native Health Compact with the Indian Health Service, to provide healthcare, including behavioral health and dental care, to veterans in rural Alaska. The Secretary shall require participating veterans and facilities to comply with all appropriate rules and regulations, as established by the Secretary. The term "rural Alaska" shall mean those lands which are not within the boundaries of the municipality of Anchorage or the Fairbanks North Star Borough.'

(including transfer of funds)

SEC. 216. Such sums as may be deposited to the Department of Veterans Affairs Capital Asset Fund pursuant to section 8118 of title 38, United States Code, may be transferred to the "Construction, Major Projects" and "Construction, Minor Projects" accounts, to remain available until expended for the purposes of these accounts.'

'

(including transfer of funds)

SEC. 217. Amounts made available under the "Medical Services", "Medical Community Care", "Medical Support and Compliance", "Medical Facilities", "General Operating Expenses, Veterans Benefits Administration", "Board of Veterans Appeals", "General Administration", and "National Cemetery Administration" accounts for fiscal year 2018 may be transferred to or from the "Information Technology Systems" account: Provided, That, before a transfer may take place, the Secretary of Veterans Affairs shall submit notice thereof to the Committees on Appropriations of both Houses of Congress .'

(including transfer of funds)

SEC. 218. Of the amounts appropriated to the Department of Veterans Affairs for fiscal year 2018 for "Medical Services", "Medical Community Care", "Medical Support and Compliance", "Medical Facilities", "Construction, Minor Projects", and "Information Technology Systems", up to $297,137,000, plus reimbursements, may be transferred to the Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund, established by section 1704 of the National Defense Authorization Act for Fiscal Year 2010 (Public Law 111–84; 123 Stat. 3571) and may be used for operation of the facilities designated as combined Federal medical facilities as described by section 706 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110–417; 122 Stat. 4500): Provided, That additional funds may be transferred from accounts designated in this section to the Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund upon written notification by the Secretary of Veterans Affairs to the Committees on Appropriations of both Houses of Congress: Provided further, That section 222 of title II of division A of Public Law 114–223 is repealed.'

(including transfer of funds)

SEC. 219. Of the amounts appropriated to the Department of Veterans Affairs which become available on October 1, 2018, for "Medical Services", "Medical Community Care", "Medical Support and Compliance", and "Medical Facilities", up to $306,378,000, plus reimbursements, may be transferred to the Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund, established by section 1704 of the National Defense Authorization Act for Fiscal Year 2010 (Public Law 111–84; 123 Stat. 3571) and may be used for operation of the facilities designated as combined Federal medical facilities as described by section 706 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110–417; 122 Stat. 4500): Provided, That additional funds may be transferred from accounts designated in this section to the Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund upon written notification by the Secretary of Veterans Affairs to the Committees on Appropriations of both Houses of Congress.'

(including transfer of funds)

SEC. 220. Such sums as may be deposited to the Medical Care Collections Fund pursuant to section 1729A of title 38, United States Code, for healthcare provided at facilities designated as combined Federal medical facilities as described by section 706 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110–417; 122 Stat. 4500) shall also be available: (1) for transfer to the Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund, established by section 1704 of the National Defense Authorization Act for Fiscal Year 2010 (Public Law 111–84; 123 Stat. 3571); and (2) for operations of the facilities designated as combined Federal medical facilities as described by section 706 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110–417; 122 Stat. 4500): Provided, That, notwithstanding section 1704(b)(3) of the National Defense Authorization Act for Fiscal Year 2010 (Public Law 111–84; 123 Stat. 2573), amounts transferred to the Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund shall remain available until expended.'

(including transfer of funds)

SEC. 221. Of the amounts available in this title for "Medical Services", "Medical Community Care", "Medical Support and Compliance", and "Medical Facilities", a minimum of $15,000,000 shall be transferred to the DOD-VA Health Care Sharing Incentive Fund, as authorized by section 8111(d) of title 38, United States Code, to remain available until expended, for any purpose authorized by section 8111 of title 38, United States Code.'

(including transfer of funds)

SEC. 222. The Secretary of Veterans Affairs, upon determination that such action is necessary to address needs of the Veterans Health Administration, may transfer to the "Medical Services" account any discretionary appropriations made available for fiscal year 2018 in this title or any discretionary unobligated balances within the Department of Veterans Affairs, including those appropriated for fiscal year 2018, that were provided in advance by appropriations Acts: Provided, That transfers shall be made only with the approval of the Office of Management and Budget: Provided further, That the transfer authority provided in this section is in addition to any other transfer authority provided by law: Provided further, That no amounts may be transferred from amounts that were designated by Congress as an emergency requirement pursuant to a concurrent resolution on the budget or the Balanced Budget and Emergency Deficit Control Act of 1985: Provided further, That such authority to transfer may not be used unless for higher priority items, based on emergent healthcare requirements, than those for which originally appropriated and in no case where the item for which funds are requested has been denied by Congress: Provided further, That, upon determination that all or part of the funds transferred from an appropriation are not necessary, such amounts may be transferred back to that appropriation and shall be available for the same purposes as originally appropriated: Provided further, That before a transfer may take place, the Secretary of Veterans Affairs shall request from the Committees on Appropriations of both Houses of Congress the authority to make the transfer and receive approval of that request.'

(including transfer of funds)

SEC. 223. Amounts made available for the Department of Veterans Affairs for fiscal year 2018, under the "Board of Veterans Appeals" and the "General Operating Expenses, Veterans Benefits Administration" accounts may be transferred between such accounts: Provided, That before a transfer may take place, the Secretary of Veterans Affairs shall submit notice thereof to the Committees on Appropriations of both Houses of Congress .'

'

'

SEC. 224. (a) Notwithstanding any other provision of law, the amounts appropriated or otherwise made available to the Department of Veterans Affairs for the "Medical Services" account may be used to provide—

(1) fertility counseling and treatment using assisted reproductive technology to a covered veteran or the spouse of a covered veteran; or

(2) adoption reimbursement to a covered veteran.

(b) In this section:

(1) The term "service-connected" has the meaning given such term in section 101 of title 38, United States Code.

(2) The term "covered veteran" means a veteran, as such term is defined in section 101 of title 38, United States Code, who has a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment.

(3) The term "assisted reproductive technology" means benefits relating to reproductive assistance provided to a member of the Armed Forces who incurs a serious injury or illness on active duty pursuant to section 1074(c)(4)(A) of title 10, United States Code, as described in the memorandum on the subject of "Policy for Assisted Reproductive Services for the Benefit of Seriously or Severely Ill/Injured (Category II or III) Active Duty Service Members" issued by the Assistant Secretary of Defense for Health Affairs on April 3, 2012, and the guidance issued to implement such policy, including any limitations on the amount of such benefits available to such a member.

(4) The term "adoption reimbursement" means reimbursement for the adoption-related expenses for an adoption that is finalized after the date of the enactment of this Act under the same terms as apply under the adoption reimbursement program of the Department of Defense, as authorized in Department of Defense Instruction 1341.09, including the reimbursement limits and requirements set forth in such instruction.

(c) Amounts made available for the purposes specified in subsection (a) of this section are subject to the requirements for funds contained in section 508 of division H of the Consolidated Appropriations Act, 2016 (Public Law 114–113).

SEC. 225. The 6th proviso under the heading "Department of Veterans Affairs—Veterans Health Administration—Medical Services" in title II of division J of the Consolidated Appropriations Act, 2016 (Public Law 114–113) shall not apply to the unexpired balances of the funds made available under such heading by such Act. '

(INCLUDING TRANSFER OF FUNDS)

SEC. 226. Upon determination by the Secretary of Veterans Affairs that such action is necessary for providing health care, benefits and other services, the Secretary may transfer amounts made available to the Department of Veterans Affairs for fiscal year 2018 by this Act between any discretionary appropriations accounts for fiscal year 2018: Provided, That amounts so transferred shall be merged with the account to which transferred: Provided further, That the total amount the Secretary may transfer under this section may not exceed two percent of the total discretionary appropriations made available to the Department for fiscal year 2018 by this Act: Provided further, That a transfer of funds between the "Medical Services", "Medical Community Care", "Medical Support and Compliance", and "Medical Facilities" accounts shall not be counted toward the two percent limitation in the previous proviso: Provided further, That the transfer authority provided by this section may be exercised only to support activities in an appropriations account that have higher priority than those undertaken in the appropriations account from which the budget authority is transferred, as determined by the Secretary: Provided further, That such transfer authority may not be used to provide budget authority for an activity that the Secretary lacks the authority to carry out: Provided further, That the transfer authority provided in this section is in addition to any other transfer authority provided by law.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)

General and Administrative Provisions

GENERAL FUND RECEIPT ACCOUNTS

(in millions of dollars)


2016 actual 2017 est. 2018 est.

Offsetting receipts from the public:
036–143500 General Fund Proprietary Interest Receipts, not Otherwise Classified 4 11 13
036–247300 Contributions from Military Personnel, Veteran's Educational Assistance Act of 1984 153 147 129
036–273330 Housing Downward Reestimates 312 1,702
036–275110 Native American Veteran Housing Loans, Negative Subsidies 1 2 2
036–275510 Housing Negative Subsidies 89 117
036–322000 All Other General Fund Proprietary Receipts Including Budget Clearing Accounts 39 40 40
General Fund Offsetting receipts from the public 509 1,991 301

Intragovernmental payments:
036–388500 Undistributed Intragovernmental Payments and Receivables from Cancelled Accounts –4 –5 –5



General Fund Intragovernmental payments –4 –5 –5

TITLE IV—GENERAL PROVISIONS

general provisions

SEC. 501. No part of any appropriation contained in this Act shall remain available for obligation beyond the current fiscal year unless expressly so provided herein.SEC. 502. None of the funds made available in this Act may be used for any program, project, or activity, when it is made known to the Federal entity or official to which the funds are made available that the program, project, or activity is not in compliance with any Federal law relating to risk assessment, the protection of private property rights, or unfunded mandates.SEC. 503. Unless stated otherwise, all reports and notifications required by this Act shall be submitted to the Subcommittee on Military Construction and Veterans Affairs, and Related Agencies of the Committee on Appropriations of the House of Representatives and the Subcommittee on Military Construction and Veterans Affairs, and Related Agencies of the Committee on Appropriations of the Senate.SEC. 504. None of the funds made available in this Act may be transferred to any department, agency, or instrumentality of the United States Government except pursuant to a transfer made by, or transfer authority provided in, this or any other appropriations Act.SEC. 505. None of the funds made available in this Act may be used for a project or program named for an individual serving as a Member, Delegate, or Resident Commissioner of the United States House of Representatives.SEC. 506. (a) None of the funds made available in this Act may be used to maintain or establish a computer network unless such network blocks the viewing, downloading, and exchanging of pornography.

(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.

SEC. 507. None of the funds made available in this Act may be used by an agency of the executive branch to pay for first-class travel by an employee of the agency in contravention of sections 301–10.122 through 301–10.124 of title 41, Code of Federal Regulations.SEC. 508. None of the funds made available in this Act may be used to execute a contract for goods or services, including construction services, where the contractor has not complied with Executive Order No. 12989.SEC. 509. (a) In General.—None of the funds appropriated or otherwise made available to the Department of Defense in this Act may be used to construct, renovate, or expand any facility in the United States, its territories, or possessions to house any individual detained at United States Naval Station, Guantnamo Bay, Cuba, for the purposes of detention or imprisonment in the custody or under the control of the Department of Defense.

(b) The prohibition in subsection (a) shall not apply to any modification of facilities at United States Naval Station, Guantnamo 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, Guantnamo 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

(2) is—

(A) in the custody or under the effective control of the Department of Defense; or

(B) otherwise under detention at United States Naval Station, Guantnamo Bay, Cuba.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017.)