Appendix - Department of Veterans Affairs

For necessary expenses for furnishing, as authorized by law, inpatient and outpatient care and treatment to beneficiaries of the Department of Veterans Affairs and veterans described in section 1705(a) of title 38, United States Code, including care and treatment in facilities not under the jurisdiction of the Department, and including medical supplies and equipment, bioengineering services, food services, and salaries and expenses of healthcare employees hired under title 38, United States Code, aid to State homes as authorized by section 1741 of title 38, United States Code, assistance and support services for caregivers as authorized by section 1720G of title 38, United States Code, loan repayments authorized by section 604 of the Caregivers and Veterans Omnibus Health Services Act of 2010 (Public Law 111–163; 124 Stat. 1174; 38 U.S.C. 7681 note), monthly assistance allowances authorized by section 322(d) of title 38, United States Code, grants authorized by section 521A of title 38, United States Code, and administrative expenses necessary to carry out sections 322(d) and 521A of title 38, United States Code, and hospital care and medical services authorized by section 1787 of title 38, United States Code; $63,167,774,000, plus reimbursements, shall become available on October 1, 2019, and shall remain available until September 30, 2020: Provided, That not to exceed 5 percent of such amount shall remain available until September 30, 2021: 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.

Note.—A full-year 2018 appropriation for this account was not enacted at the time the budget was prepared; therefore, the budget assumes this account is operating under the Continuing Appropriations Act, 2018 (Division D of P.L. 115–56, as amended). The amounts included for 2018 reflect the annualized level provided by the continuing resolution.


Identification code 036–0160–0–1–703		2017 actual	2018 est.	2019 est.

0100	Balance, start of year	1,723	7,868	8,082
0198	Reconciliation adjustment	–1,398

0199	Balance, start of year	325	7,868	8,082
	Receipts:
	Current law:
1130	Pharmaceutical Co-payments, MCCF	539	456	438
1130	Medical Care Collections Fund, Third Party Prescription Claims	105	104	105
1130	Enhanced-use Lease Proceeds, MCCF	1	1	2
1130	Fee Basis 3rd Party MCCF	44	236	251
1130	First Party Collections, MCCF	187	204	204
1130	Third Party Collections, MCCF	2,558	2,201	2,386
1130	Parking Fees, MCCF	4	4	4
1130	Compensated Work Therapy, MCCF	66	66	66
1130	MCCF, Long-term Care Copayments	2	2	3
1140	Payments from Compensation and Pension, MCCF	2	2	2

1199	Total current law receipts	3,508	3,276	3,461

1999	Total receipts	3,508	3,276	3,461

2000	Total: Balances and receipts	3,833	11,144	11,543
	Appropriations:
	Current law:
2101	Medical Care Collections Fund	–3,562	–3,276	–3,461
2172	Medical Services
2172	Medical Services
2172	Medical Services
2174	Medical Services	7,380

2199	Total current law appropriations	4,035	–3,062	–3,179

2999	Total appropriations	4,035	–3,062	–3,179

5099	Balance, end of year	7,868	8,082	8,364


Identification code 036–0160–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Outpatient care	16,974	19,202	20,429
0002	Inpatient care	7,223	7,677	9,630
0004	Mental health care	5,700	5,940	6,664
0005	Long-term care	3,347	3,530	6,630
0006	Pharmacy	6,444	6,740	6,784
0007	Prosthetics care	3,157	3,556	3,842
0008	Dental care	653	716	1,002
0009	Rehabilitation	660	677	716
0011	Readjustment Counseling	206	200	223
0012	Caregivers (Title I) P.L. 111–163	458	482	492
0013	Prior-Year Recoveries	147
0015	CHAMPVA (VA Portion)			1,764
0022	P.L. 113–146, Hires	719
0023	P.L. 113–146, Sec. 301	27	29	39
0024	P.L. 113–146, Supplies/Equipment	23
0025	P.L. 113–146, Mobile Clinic Video	3
0029	P.L. 113–146, Prior Year Recoveries	1
0031	State Home Programs			1,309
0032	Camp Lejeune, Veterans Families			1

0091	Total operating expenses	45,742	48,749	59,525
0101	Outpatient care	989	1,062	925
0102	Inpatient care	361	388	337
0103	Mental health care	67	72	63
0104	Long-term care	104	112	97
0105	Pharmacy	24	26	22
0106	Prosthetics care			27
0107	Dental care	42	45	39
0108	Rehabilitation	19	20	18
0109	Readjustment Counseling	2	2	2
0114	P.L. 113–146, Supplies/Equipment	20

0191	Total Capital Investment	1,628	1,727	1,530

0799	Total direct obligations	47,370	50,476	61,055
0801	Medical Services (Reimbursable)	121	111	133

0900	Total new obligations, unexpired accounts	47,491	50,587	61,188

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	1,540	2,055	53
1011	Unobligated balance transfer from other acct [036–0140]			1,000
1020	Adjustment of unobligated bal brought forward, Oct 1	223
1021	Recoveries of prior year unpaid obligations	137
1033	Recoveries of prior year paid obligations	12

1050	Unobligated balance (total)	1,912	2,055	1,053
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	1,129	1,102
1121	Appropriations transferred from other acct [036–5287]	2,293	3,004	3,443

1160	Appropriation, discretionary (total)	3,422	4,106	3,443
	Advance appropriations, discretionary:
1170	Advance appropriation	51,673	44,582	49,161
1172	Advance appropriations transferred to other accounts [036–0165]	–15	–15	–15
1172	Advance appropriations transferred to other accounts [036–0169]	–202	–199	–228
1172	Advance appropriations transferred to other accounts [036–0162]			–39
1173	Advance appropriations transferred from other accounts [036–0169]	16
1173	Advance appropriations transferred from other accounts [036–0140]			8,385
1174	Advance appropriations permanently reduced	–7,380

1180	Advanced appropriation, discretionary (total)	44,092	44,368	57,264
	Spending authority from offsetting collections, discretionary:
1700	Collected	118	109	130
1701	Change in uncollected payments, Federal sources	2	2	3

1750	Spending auth from offsetting collections, disc (total)	120	111	133
1900	Budget authority (total)	47,634	48,585	60,840
1930	Total budgetary resources available	49,546	50,640	61,893
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	2,055	53	705

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	7,932	6,969	9,541
3010	New obligations, unexpired accounts	47,491	50,587	61,188
3011	Obligations ("upward adjustments"), expired accounts	690
3020	Outlays (gross)	–48,368	–48,015	–60,277
3040	Recoveries of prior year unpaid obligations, unexpired	–137
3041	Recoveries of prior year unpaid obligations, expired	–639

3050	Unpaid obligations, end of year	6,969	9,541	10,452
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–6	–5	–7
3070	Change in uncollected pymts, Fed sources, unexpired	–2	–2	–3
3071	Change in uncollected pymts, Fed sources, expired	3

3090	Uncollected pymts, Fed sources, end of year	–5	–7	–10
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	7,926	6,964	9,534
3200	Obligated balance, end of year	6,964	9,534	10,442

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	47,634	48,585	60,840
	Outlays, gross:
4010	Outlays from new discretionary authority	40,346	41,927	54,284
4011	Outlays from discretionary balances	7,220	5,673	5,993

4020	Outlays, gross (total)	47,566	47,600	60,277
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–51	–40	–40
4033	Non-Federal sources	–297	–69	–90

4040	Offsets against gross budget authority and outlays (total)	–348	–109	–130
	Additional offsets against gross budget authority only:
4050	Change in uncollected pymts, Fed sources, unexpired	–2	–2	–3
4052	Offsetting collections credited to expired accounts	218
4053	Recoveries of prior year paid obligations, unexpired accounts	12

4060	Additional offsets against budget authority only (total)	228	–2	–3

4070	Budget authority, net (discretionary)	47,514	48,474	60,707
4080	Outlays, net (discretionary)	47,218	47,491	60,147
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	802	415
4180	Budget authority, net (total)	47,514	48,474	60,707
4190	Outlays, net (total)	48,020	47,906	60,147

For 2020, the Budget requests $75.6 billion in advance appropriations for the three medical care appropriations: Medical Services, 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.

In 2019, the Administration proposes combining the Medical Community Care and Medical Services accounts to streamline operational service delivery. Additionally, in 2019, no additional appropriations are requested over the 2019 advance appropriation request of $70.7 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. In 2019, the Budget proposes to transfer funds among the three medical care appropriations to align with the adjusted budget estimates.

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. Public Law 115–46 provided an additional $2.1 billion in mandatory appropriations in 2017 for the Veterans Choice Fund, and, in 2018, Public Law 115–96 provided $2.1 billion more in mandatory appropriations.

The Budget includes the Administration's Veteran Coordinated Access & Rewarding Experiences (CARE) proposal, designed to consolidate and reform VA's community care programs, improve veterans' choice of healthcare providers, and make other improvements to the VA healthcare system. To ensure a smooth transition to the new, consolidated community care program, the Budget requests $1.9 billion in mandatory budget authority in 2018.

With the resources requested for 2019 and 2020, VA will provide the highest quality health care services for veterans. VA estimates it will treat 7.0 million patients in 2019 and 7.1 million patients in 2020. Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND) veterans are expected to be 1,035,215 in 2019 (14.8 percent of the total) and 1,105,476 in 2020 (15.6 percent of the total).

Medical Care Collections Fund (MCCF).—VA estimates collections of nearly $3.3 billion in 2018 and $3.5 billion in 2019, representing about 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 2018 enacted advance appropriation of $44.9 billion, together with $1.1 billion to reflect the annualized level provided by the Continuing Appropriations Act, 2018 (Division D of P.L. 115–56, as amended); the 2019 advance appropriation request of $49.2 billion; and the 2020 advance appropriation request of $63.2 billion. This appropriation provides for a comprehensive, integrated health care delivery system that addresses the needs of eligible veterans and beneficiaries in VA facilities and through non-VA, or community care, providers, including 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 balances from mandatory funding provided in section 801 of the Veterans Choice Act (P.L. 113–146): $82 million in unobligated balances remained available at the start of 2018.

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, dental care, and rehabilitation care. In addition, estimated obligations and workload are also shown for three programs: CHAMPVA and other dependent programs, readjustment counseling, Caregivers, pharmacy, and the Camp Lejeune Family Member program.

Outpatient care.—Obligations in the Medical Services account for 2019 are estimated to be $21,514 million for this health service category, which includes funding for ambulatory care in VA hospital-based and community-based clinics.


Visits	2017 actual	2018 est.	2019 est.

VA	85,127,998	85,964,620	86,702,872
Community Care	N/A	N/A	27,496,808

Total	85,127,998	85,964,620	114,199,680

Inpatient care.—Obligations in the Medical Services account for 2019 are estimated to be $9,967 million, which includes funding for inpatient care in VA medical centers and in the community.


Patients Treated	2017 actual	2018 est.	2019 est.

Acute Hospital, Medicine	346,091	341,147	336,203
Acute Hospital, Neurology	5,676	5,405	5,134
Acute Hospital, Surgery	94,428	91,814	89,200
Acute Hospital (Community Care)	N/A	N/A	203,176
Subacute (Intermediate)	1,527	1,490	1,408

Total	447,722	439,856	635,121

Mental health care.—Obligations in the Medical Services account for 2019 are estimated to be $6,727 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.


Average Daily Census	2017 actual	2018 est.	2019 est.

Acute Psychiatry	2,353	2,280	2,207
Acute Psychiatry (Community Care)	N/A	N/A	598
Residential Recovery Programs	5,846	5,815	5,784

Total	8,199	8,095	8,589

Long term services and supports (LTSS).—Obligations in the Medical Services account for 2019 are estimated to be $6,727 million for the care of veteran residents in VA- and community-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.


LTSS Facility-Based Services: Average Daily Census	2017 actual	2018 est.	2019 est.

VA Community Living Center (Nursing Home)	9,047	8,983	8,877
Community Nursing Home	N/A	N/A	10,090

Total	9,047	8,983	18,967


LTSS Home & Community-Based Services: Visits/Procedures	2017 actual	2018 est.	2019 est.

Community Adult Day Health Care	987,283	1,026,878	1,067,038
Community Residential Care	66,957	66,107	64,873
Home Hospice Care	561,566	582,756	614,619
Home Respite Care	289,727	294,219	292,245
Home Telehealth	989,340	983,674	971,063
Home-Based Primary Care	1,335,087	1,389,120	1,432,932
Homemaker/Home Health Aide Programs	11,262,426	11,538,085	11,888,405
Purchased Skilled Home Care	2,215,309	2,217,102	2,192,025
Spinal Cord Injury Home Care	20,059	19,897	19,865
State Adult Day Health Care	427	507	591
VA Adult Day Health Care	126,550	118,914	109,606

Total	17,854,731	18,237,258	18,653,261


State Home Programs	2017 actual	2018 est.	2019 est.

State Home Nursing, Patients Treated	N/A	N/A	33,053
State Home Domiciliary, Patients Treated	N/A	N/A	5,326
State Home Adult Day Health Care, Average Daily Census	N/A	N/A	51

Prosthetics care.—Obligations in the Medical Services account for 2019 are estimated to be $3,842 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 2019 are estimated to be $1,041 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.


Procedures	2017 actual	2018 est.	2019 est.

VA	4,722,187	4,917,156	5,100,800
Community Care	N/A	N/A	508,544

Total	4,722,187	4,917,156	5,609,344

Rehabilitation.—Obligations in the Medical Services account for 2019 are estimated to be $734 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.


Average Daily Census	2017 actual	2018 est.	2019 est.

Rehabilitative Medicine	166	165	165
Blind Rehabilitation	254	254	254
Spinal Cord Injury	748	748	748

Total	1,168	1,167	1,167

Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and other Dependent Programs.—Obligations in the Medical Services account for 2019 are estimated to be $1,764 million for pharmacy and medical service personnel for CHAMPVA and other dependent programs.


Unique Patients	2017 actual	2018 est.	2019 est.

CHAMPVA In-house Treatment Initiative (CITI)	N/A	N/A	13,246
CHAMPVA (excluding CITI)	N/A	N/A	384,831
Foreign Medical Program (medical only)	N/A	N/A	2,789
Foreign Compensation & Pension Exams	N/A	N/A	600
Spina Bifida Health Care Benefits Program	N/A	N/A	925

Total	N/A	N/A	402,391

Readjustment Counseling.—Obligations in the Medical Services account for 2019 are estimated to be $225 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.


Visits	2017 actual	2018 est.	2019 est.

Total	1,961,000	2,118,000	2,287,000

Caregivers (Title I) Programs.—Obligations in the Medical Services account for 2019 are estimated to be $492 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.


	2017 actual	2018 est.	2019 est.

Caregiver Stipend (dollars in millions)	$485	$433	$413
Participants in the Program of Comprehensive Assistance for Family Caregivers	26,522	27,000	27,000

Pharmacy.—Obligations in the Medical Services account for 2019 are estimated to be $6,806 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.


Number of 30-day Prescriptions (in millions)	2017 actual	2018 est.	2019 est.

Total	280	286	291

Camp Lejeune Family Member Program.—Obligations in the Medical Services account for 2019 are estimated to be $1 million for the Camp Lejeune Family Member program. The Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012 (P.L. 112–154) extended eligibility for VA hospital care and medical services to certain veterans who were stationed at Camp Lejeune, North Carolina, for at least 30 days between 1957 and 1987. Family members of such veterans who resided, or were in utero, at Camp Lejeune for at leaste 30 days during that period are eligible for reimbursement of hospital care and medical services for 15 specified illnesses and conditions, and VA is the payer of last resort.

Public Law 113–146, Veterans Choice Act, Section 801.— The Veterans Access, Choice, and Accountability Act of 2014 (P.L. 113–146) ("Veterans Choice Act") was enacted on August 7, 2014. The 2019 Budget supports continued 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 2019 are estimated to be $39 million for Section 301 activities.


Dollars in Millions	2017 actual	2018 est.	2019 est.

FTE	719	0	0
Supplies and Equipment	43	0	0
Mobile Clinic Video	3	0	0
Prior Year Recoveries	1	0	0
Section 301	27	29	39

Total	793	29	39


Identification code 036–0160–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	17,827	19,440	20,242
11.1	Full-time permanent - P.L. 113–146, Sec. 801	572
11.3	Other than full-time permanent	377	412	428
11.3	Other than full-time permanent - P.L. 113–146, Sec. 801	12
11.5	Other personnel compensation	2,051	2,233	2,329
11.5	Other personnel compensation - P.L. 113–146, Sec. 801	66

11.9	Total personnel compensation	20,905	22,085	22,999
12.1	Civilian personnel benefits	6,835	7,380	7,826
12.1	Civilian personnel benefits - P.L. 113–146, Sec. 801	79
13.0	Benefits for former personnel	8	8	8
21.0	Travel & Transportation of Persons	1,021	1,099	868
22.0	Transportation of things	17	18	19
23.2	Rent, Communications & Utilities	439	460	490
23.2	Rent, Communications & Utilities - P.L. 113–146, Sec. 801	1
24.0	Printing and reproduction	10	10	11
25.2	Other contractual services	4,409	5,402	13,298
25.2	Other contractual serv. - P.L. 113–146, Sec. 801	24	29	39
26.0	Supplies & Materials	11,269	11,666	12,099
26.0	Supplies & Materials - P.L. 113–146, Sec. 801	17
31.0	Equipment	1,608	1,727	1,503
31.0	Equipment - P.L. 113–146, Sec. 801	21
41.0	Grants, Subsidies & Contributions	559	592	1,895
44.0	Prior-year Recoveries	147
44.0	Prior Year Recoveries - P.L. 113–146, Sec. 801	1

99.0	Direct obligations	47,370	50,476	61,055
99.0	Reimbursable obligations	121	111	133

99.9	Total new obligations, unexpired accounts	47,491	50,587	61,188


Identification code 036–0160–0–1–703		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	227,728	232,549	238,341
2001	Reimbursable civilian full-time equivalent employment	1,872	1,872	1,872


Identification code 036–0140–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Ambulatory	2,374	1,744
0002	Dental	102	152
0003	Inpatient	1,565	2,135
0004	LTSS: Facility Based Services	897
0005	LTSS: Home & Community Based Services	592	2,226
0006	Mental Health	19	198
0007	CHAMPVA & Other Dependent Programs	1,267	1,350
0008	State Home Programs	1,253	1,237
0009	Camp Lejeune, Veterans Families	1	1

0900	Total new obligations, unexpired accounts	8,070	9,043

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1		470	1,000
1010	Unobligated balance transfer to other accts [036–0160]			–1,000

1050	Unobligated balance (total)		470
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	7,246
1120	Appropriations transferred to other acct [036–0169]	–21
1121	Appropriations transferred from other acct [036–5287]	1,250	256
1130	Appropriations permanently reduced		–2

1160	Appropriation, discretionary (total)	8,475	254
	Advance appropriations, discretionary:
1170	Advance appropriation		9,345	8,385
1172	Advance appropriations transferred to other accounts [036–0169]		–26
1172	Advance appropriations transferred to other accounts [036–0160]			–8,385
1173	Advance appropriations transferred from other accounts [036–0152]	65

1180	Advanced appropriation, discretionary (total)	65	9,319
1900	Budget authority (total)	8,540	9,573
1930	Total budgetary resources available	8,540	10,043
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	470	1,000

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1		1,796	2,342
3010	New obligations, unexpired accounts	8,070	9,043
3020	Outlays (gross)	–6,274	–8,497

3050	Unpaid obligations, end of year	1,796	2,342	2,342
	Memorandum (non-add) entries:
3100	Obligated balance, start of year		1,796	2,342
3200	Obligated balance, end of year	1,796	2,342	2,342

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	8,540	9,573
	Outlays, gross:
4010	Outlays from new discretionary authority	6,274	7,231	–1,593
4011	Outlays from discretionary balances		1,266	1,593

4020	Outlays, gross (total)	6,274	8,497
4180	Budget authority, net (total)	8,540	9,573
4190	Outlays, net (total)	6,274	8,497

In 2019, the Administration proposes combining the Medical Community Care and Medical Services accounts to streamline operational service delivery. For 2020, the advance appropriation request for Medical Services includes the funding that would previously have been requested in the Medical Community Care account.


Identification code 036–0140–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
25.2	Other Contractual Services	6,817	7,806
41.0	State Homes	1,253	1,237

99.9	Total new obligations, unexpired accounts	8,070	9,043

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.), $7,106,150,000, plus reimbursements, shall become available on October 1, 2019, and shall remain available until September 30, 2020: Provided, That not to exceed 5 percent of such amount shall remain available until September 30, 2021.


Identification code 036–0152–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	VA Medical Centers & Other Field Activities	4,112	4,092	4,375
0002	VISN Headquarters	171	167	175
0003	VHA Central Office	679	656	689
0005	Office of Informatics & Analytics	228	271	234
0008	Employee Education Service Center	67	78	82
0009	VHA Service Center	270	262	275
0013	Consolidated Mail Outpatient Pharmacies	18	20	20
0014	National Center for Patient Safety	8	8	9
0016	Community Care	632	878	913
0017	VHA Member Services	188	183	192
0019	Readjustment Counseling	2	6	6
0026	P.L. 113–146, Section 301/302 Activities	3	9	9

0091	Total operating expenses	6,378	6,630	6,979
0102	VAMCs & Other Field Activities	41	31	28
0104	VHA Central Office	1	1	1
0116	Community Care		1
0117	VHA Member Services	1	1	1

0191	Total Capital Investment	43	34	30

0293	Total direct program	6,421	6,664	7,009

0799	Total direct obligations	6,421	6,664	7,009
0801	Medical Support and Compliance (Reimbursable)	14	19	19

0900	Total new obligations, unexpired accounts	6,435	6,683	7,028

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	105	91	8
	Budget authority:
	Appropriations, discretionary:
	Advance appropriations, discretionary:
1170	Advance appropriation	6,524	6,609	7,239
1172	Advance appropriations transferred to other accounts [036–0169]	–28	–28	–28
1172	Advance appropriations transferred to other accounts [036–0140]	–65
1172	Advance appropriations transferred to other accounts [036–0162]			–211
1173	Advance appropriations transferred from other accounts [036–0169]	2
1174	Advance appropriations permanently reduced	–26

1180	Advanced appropriation, discretionary (total)	6,407	6,581	7,000
	Spending authority from offsetting collections, discretionary:
1700	Collected	13	19	20
1701	Change in uncollected payments, Federal sources	1

1750	Spending auth from offsetting collections, disc (total)	14	19	20
1900	Budget authority (total)	6,421	6,600	7,020
1930	Total budgetary resources available	6,526	6,691	7,028
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	91	8

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	883	1,043	1,242
3010	New obligations, unexpired accounts	6,435	6,683	7,028
3011	Obligations ("upward adjustments"), expired accounts	68
3020	Outlays (gross)	–6,246	–6,484	–6,876
3041	Recoveries of prior year unpaid obligations, expired	–97

3050	Unpaid obligations, end of year	1,043	1,242	1,394
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–1	–2	–2
3070	Change in uncollected pymts, Fed sources, unexpired	–1

3090	Uncollected pymts, Fed sources, end of year	–2	–2	–2
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	882	1,041	1,240
3200	Obligated balance, end of year	1,041	1,240	1,392

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	6,421	6,600	7,020
	Outlays, gross:
4010	Outlays from new discretionary authority	5,445	5,857	6,231
4011	Outlays from discretionary balances	798	620	639

4020	Outlays, gross (total)	6,243	6,477	6,870
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–13	–19	–20
4033	Non-Federal sources	–19

4040	Offsets against gross budget authority and outlays (total)	–32	–19	–20
	Additional offsets against gross budget authority only:
4050	Change in uncollected pymts, Fed sources, unexpired	–1
4052	Offsetting collections credited to expired accounts	19

4060	Additional offsets against budget authority only (total)	18

4070	Budget authority, net (discretionary)	6,407	6,581	7,000
4080	Outlays, net (discretionary)	6,211	6,458	6,850
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	3	7	6
4180	Budget authority, net (total)	6,407	6,581	7,000
4190	Outlays, net (total)	6,214	6,465	6,856

For 2020, the Budget requests $7.1 billion in advance appropriations for Medical Support and Compliance. This request 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 2018 through 2020: the 2018 enacted advance appropriation of $6.7 billion, together with a reduction of $45 million to reflect the annualized level provided by the Continuing Appropriations Act, 2018 (Division D of P.L. 115–56, as amended); the 2019 advance appropriation request of $7.2 billion; and the 2020 advance appropriation request of $7.1 billion. In addition to this funding, the Budget reflects balances from mandatory funding provided in section 801 of the Veterans Access, Choice, and Accountability Act of 2014 (P.L. 113–146): $18 million in unobligated balances remained available at the start of 2018.

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


Identification code 036–0152–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	3,176	3,264	3,317
11.1	Full-time permanent - Choice Act, P.L. 113–146, Sec. 801	3	3	3
11.3	Other than full-time permanent	68	70	71
11.5	Other personnel compensation	365	375	381

11.9	Total personnel compensation	3,612	3,712	3,772
12.1	Civilian personnel benefits	1,265	1,309	1,351
13.0	Benefits for former personnel	2	2	2
21.0	Travel & Transportation of Persons	58	56	60
22.0	Transportation of things	14	15	19
23.3	Communications, utilities, and miscellaneous charges	129	128	142
24.0	Printing and reproduction	17	16	18
25.2	Other contractual services	1,181	1,307	1,524
25.2	Other contractual services - Choice Act, P.L. 113–146, Section 801		6	6
26.0	Medical supplies and materials	98	79	85
31.0	Equipment	41	34	30
32.0	Land and structures	4

99.0	Direct obligations	6,421	6,664	7,009
99.0	Reimbursable obligations	14	19	19

99.9	Total new obligations, unexpired accounts	6,435	6,683	7,028


Identification code 036–0152–0–1–703		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	50,070	50,228	50,228
2001	Reimbursable civilian full-time equivalent employment	869	869	869


Identification code 036–0165–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	DOD-VA health care sharing incentive fund	32	32	32

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	81	44	2
1021	Recoveries of prior year unpaid obligations	5

1050	Unobligated balance (total)	86	44	2
	Budget authority:
	Appropriations, discretionary:
1121	Appropriations transferred from other acct [097–0130]	15	15	15
1131	Unobligated balance of appropriations permanently reduced	–40	–40

1160	Appropriation, discretionary (total)	–25	–25	15
	Advance appropriations, discretionary:
1173	Advance appropriations transferred from other accounts [036–0160]	15	15	15
1900	Budget authority (total)	–10	–10	30
1930	Total budgetary resources available	76	34	32
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	44	2

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	59	34	51
3010	New obligations, unexpired accounts	32	32	32
3020	Outlays (gross)	–52	–15	–30
3040	Recoveries of prior year unpaid obligations, unexpired	–5

3050	Unpaid obligations, end of year	34	51	53
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	59	34	51
3200	Obligated balance, end of year	34	51	53

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	–10	–10	30
	Outlays, gross:
4011	Outlays from discretionary balances	52	15	30
4180	Budget authority, net (total)	–10	–10	30
4190	Outlays, net (total)	52	15	30

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 2019, each Secretary shall contribute a minimum of $15 million to the fund after the appropriation is enacted.


Identification code 036–0165–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
11.1	Personnel compensation: Full-time permanent	4	4	4
25.1	Advisory and assistance services	19	19	19
26.0	Supplies and materials	1	1	1
31.0	Equipment	8	8	8

99.9	Total new obligations, unexpired accounts	32	32	32


Identification code 036–0165–0–1–703		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	33	33	33

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; $5,276,676,000, plus reimbursements, shall become available on October 1, 2019, and shall remain available until September 30, 2020: Provided, That not to exceed 5 percent of such amount shall remain available until September 30, 2021.


Identification code 036–0162–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0002	Engineering & Environmental Management Services	584	408	527
0003	Engineering Service	824	755	887
0004	Grounds Maintenance & Fire Protection	95	87	103
0005	Leases	575	615	743
0008	Operating Equipment Maintenance & Repair	238	220	259
0009	Other Facilities Operation Support	38	38	45
0011	Plant Operation	738	673	791
0012	Recurring Maintenance & Repair	519	492	580
0013	Textile Care Processing & Management	169	187	221
0014	Transportation	184	164	193
0023	Prior-Year Recoveries	14
0026	P.L. 113–146, Leases	4	3
0027	P.L. 113–146, Legionella	87
0029	P.L. 113–146, Sec. 301		9	5
0030	P.L. 113–146, Prior year Recoveries	48

0091	Total operating expenses	4,117	3,651	4,354
0102	Engineering & Environmental Management Services	35	127	101
0103	Engineering Service	13	1	1
0104	Grounds Maintenance & Fire Protection	4
0105	Leases	56	211	220
0106	Non-Recurring Maintenance	1,069	1,638	1,445
0107	Operating Equipment Maintenance & Repair	12	1	1
0108	Other Facilities Operation Support	4
0109	Plant Operation	22	2	2
0110	Recurring Maintenance & Repair	40	4	3
0111	Textile Care Processing & Management	47	5	4
0122	Transportation	1
0125	P.L. 113–146, Leases	10
0126	P.L. 113–146, Legionella	3
0127	P.L. 113–146, Non-Recurring Maintenance	9	14

0191	Total capital investment	1,325	2,003	1,777

0799	Total direct obligations	5,442	5,654	6,131
0801	Medical Facilities (Reimbursable)	14	18	18

0900	Total new obligations, unexpired accounts	5,456	5,672	6,149

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	154	52	5
1021	Recoveries of prior year unpaid obligations	57
1033	Recoveries of prior year paid obligations	5

1050	Unobligated balance (total)	216	52	5
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	248	246
	Advance appropriations, discretionary:
1170	Advance appropriation	5,074	5,398	5,914
1172	Advance appropriations transferred to other accounts [036–0169]	–38	–37	–38
1173	Advance appropriations transferred from other accounts [036–0169]	3
1173	Advance appropriations transferred from other accounts [036–0160]			39
1173	Advance appropriations transferred from other accounts [036–0152]			211
1174	Advance appropriations permanently reduced	–9

1180	Advanced appropriation, discretionary (total)	5,030	5,361	6,126
	Spending authority from offsetting collections, discretionary:
1700	Collected	13	18	18
1701	Change in uncollected payments, Federal sources	1

1750	Spending auth from offsetting collections, disc (total)	14	18	18
1900	Budget authority (total)	5,292	5,625	6,144
1930	Total budgetary resources available	5,508	5,677	6,149
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	52	5

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	2,996	2,946	3,019
3010	New obligations, unexpired accounts	5,456	5,672	6,149
3011	Obligations ("upward adjustments"), expired accounts	227
3020	Outlays (gross)	–5,453	–5,599	–5,984
3040	Recoveries of prior year unpaid obligations, unexpired	–57
3041	Recoveries of prior year unpaid obligations, expired	–223

3050	Unpaid obligations, end of year	2,946	3,019	3,184
	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	2,995	2,945	3,018
3200	Obligated balance, end of year	2,945	3,018	3,183

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	5,292	5,625	6,144
	Outlays, gross:
4010	Outlays from new discretionary authority	3,543	4,216	4,610
4011	Outlays from discretionary balances	1,484	1,168	1,245

4020	Outlays, gross (total)	5,027	5,384	5,855
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–9	–10	–10
4033	Non-Federal sources	–32	–8	–8

4040	Offsets against gross budget authority and outlays (total)	–41	–18	–18
	Additional offsets against gross budget authority only:
4050	Change in uncollected pymts, Fed sources, unexpired	–1
4052	Offsetting collections credited to expired accounts	27
4053	Recoveries of prior year paid obligations, unexpired accounts	1

4060	Additional offsets against budget authority only (total)	27

4070	Budget authority, net (discretionary)	5,278	5,607	6,126
4080	Outlays, net (discretionary)	4,986	5,366	5,837
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	426	215	129
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources	–1
4123	Non-Federal sources	–3

4130	Offsets against gross budget authority and outlays (total)	–4
	Additional offsets against gross budget authority only:
4143	Recoveries of prior year paid obligations, unexpired accounts	4
4170	Outlays, net (mandatory)	422	215	129
4180	Budget authority, net (total)	5,278	5,607	6,126
4190	Outlays, net (total)	5,408	5,581	5,966

For 2020, the Budget requests an advance appropriation of $5.3 billion for Medical Facilities. This request for an advance appropriation 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 2018 through 2020: the 2018 enacted advance appropriation of $5.4 billion, together with $209 million to reflect the annualized level provided by the Continuing Appropriations Act, 2018 (Division D of P.L. 115–56, as amended); the 2019 advance appropriation request of $5.9 billion; and the 2020 advance appropriation request of $5.3 billion. In addition to this funding, the Budget reflects balances from mandatory funding provided in section 801 of the Veterans Access, Choice, and Accountability Act of 2014 (P.L. 113–146): $31 million in unobligated balances remained available at the start of 2018.

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


Identification code 036–0162–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	1,154	1,182	1,193
11.3	Other than full-time permanent	24	25	25
11.5	Other personnel compensation	133	137	138

11.9	Total personnel compensation	1,311	1,344	1,356
12.1	Civilian personnel benefits	471	488	502
13.0	Benefits for former personnel	1	1	1
21.0	Travel & Transportation of Persons	39	34	39
22.0	Transportation of things	16	14	17
23.2	Rent, Communications & Utilities	1,106	1,097	1,316
23.2	Rent, Communications & Utilities - P.L. 113–146, Sec. 801	4	3
25.2	Other Contractual Services	695	632	772
25.2	Other Contractual Services - P.L. 113–146, Sec. 801	85	9	5
26.0	Supplies & Materials	321	289	345
31.0	Equipment	113	96	62
32.0	Lands & Structures	1,189	1,633	1,716
32.0	Lands & Structures - P.L. 113–146, Sec. 801	24	14
41.0	Grants, subsidies, and contributions	5
44.0	Prior Year Recoveries	14
44.0	P.L. 113–146, Section 801 - Prior Year Recoveries	48

99.0	Direct obligations	5,442	5,654	6,131
99.0	Reimbursable obligations	14	18	18

99.9	Total new obligations, unexpired accounts	5,456	5,672	6,149


Identification code 036–0162–0–1–703		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	23,661	23,888	23,888
2001	Reimbursable civilian full-time equivalent employment	490	490	490

For necessary expenses in carrying out programs of medical and prosthetic research and development as authorized by chapter 73 of title 38, United States Code, $727,369,000, plus reimbursements, shall remain available until September 30, 2020: Provided, That of the amount made available under this heading, $27,000,000 shall remain available until September 30, 2023.


Identification code 036–0161–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Bio-medical laboratory science research	270	287	284
0002	Rehabilitation research	89	93	93
0003	Health services research	89	94	93
0004	Clinical science research	225	238	236

0091	Total operating expenses	673	712	706

0799	Total direct obligations	673	712	706
0801	Medical and Prosthetic Research (Reimbursable)	44	55	55

0900	Total new obligations, unexpired accounts	717	767	761

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	61	95	52
1021	Recoveries of prior year unpaid obligations	34

1050	Unobligated balance (total)	95	95	52
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	673	669	727
	Spending authority from offsetting collections, discretionary:
1700	Collected	44	55	55
1900	Budget authority (total)	717	724	782
1930	Total budgetary resources available	812	819	834
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	95	52	73

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	247	283	338
3010	New obligations, unexpired accounts	717	767	761
3011	Obligations ("upward adjustments"), expired accounts	4
3020	Outlays (gross)	–640	–712	–741
3040	Recoveries of prior year unpaid obligations, unexpired	–34
3041	Recoveries of prior year unpaid obligations, expired	–11

3050	Unpaid obligations, end of year	283	338	358
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–4	–2	–2
3071	Change in uncollected pymts, Fed sources, expired	2

3090	Uncollected pymts, Fed sources, end of year	–2	–2	–2
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	243	281	336
3200	Obligated balance, end of year	281	336	356

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	717	724	782
	Outlays, gross:
4010	Outlays from new discretionary authority	371	514	541
4011	Outlays from discretionary balances	269	198	200

4020	Outlays, gross (total)	640	712	741
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–33	–39	–39
4033	Non-Federal sources	–13	–16	–16

4040	Offsets against gross budget authority and outlays (total)	–46	–55	–55
	Additional offsets against gross budget authority only:
4052	Offsetting collections credited to expired accounts	2

4060	Additional offsets against budget authority only (total)	2

4070	Budget authority, net (discretionary)	673	669	727
4080	Outlays, net (discretionary)	594	657	686
4180	Budget authority, net (total)	673	669	727
4190	Outlays, net (total)	594	657	686

For 2019, the total budgetary resources of $ 1.97 billion is comprised of $727 million in direct appropriations, $618 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 3,099 full time equivalents through direct appropriations.

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 2019, 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 2019.

A particular goal for VA Research in 2019 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 612,000 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 2018 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 2019, 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.

VA requests includes $27 million to collaborate with the Department of Energy (DOE) through its ACTIV ($7 million) and MVP-CHAMPION ($20 million) efforts through an inter-agency agreement to leverage DOE's next generation artificial intelligence (AI), big data (BD) and high-performance computing (HPC) technologies and tools, as well as multimodal diagnostics and data integration to develop specific precision medicine applications for veterans health. Funds would be available until 2023.


	2017 actual	2018 est.	2019 est.

Medical and prosthetic research appropriation	673	669	727
VA Medical Care Support	535	569	618
Other Federal and Non-Federal Resources	595	570	570
Reimbursements	43	55	55

Total program resources	1,847	1,862	1,970


Identification code 036–0161–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	235	264	255
11.3	Other than full-time permanent	1	1	1
11.5	Other personnel compensation	2	2	2

11.9	Total personnel compensation	238	267	258
12.1	Civilian personnel benefits	87	86	91
21.0	Employee travel	5	6	5
23.3	Communications, utilities, and miscellaneous charges	1	1	2
24.0	Printing and reproduction		1	1
25.2	Other services from non-Federal sources	279	276	279
26.0	Supplies and materials	34	37	37
31.0	Equipment	29	38	33

99.0	Direct obligations	673	712	706
99.0	Reimbursable obligations	44	55	55

99.9	Total new obligations, unexpired accounts	717	767	761


Identification code 036–0161–0–1–703		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	2,977	3,134	3,099
2001	Reimbursable civilian full-time equivalent employment	94	115	115


Identification code 036–0169–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Joint DOD-VA Medical Facility Demonstration Fund (Direct)	412	431	439
0801	Joint DOD-VA Medical Facility Demonstration Fund (Reimbursable)	7	17	17

0900	Total new obligations, unexpired accounts	419	448	456

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	7	9	7
	Budget authority:
	Appropriations, discretionary:
1121	Appropriations transferred from other acct [036–0140]	21
1121	Appropriations transferred from other acct [036–0167]	7	8	8
1121	Appropriations transferred from other acct [097–0130]	122	116	113
1121	Appropriations transferred from other acct [036–5287]	19	16	18

1160	Appropriation, discretionary (total)	169	140	139
	Advance appropriations, discretionary:
1172	Advance appropriations transferred to other accounts [036–0160]	–16
1172	Advance appropriations transferred to other accounts [036–0152]	–2
1172	Advance appropriations transferred to other accounts [036–0162]	–3
1173	Advance appropriations transferred from other accounts [036–0160]	202	199	228
1173	Advance appropriations transferred from other accounts [036–0140]		26
1173	Advance appropriations transferred from other accounts [036–0152]	28	28	28
1173	Advance appropriations transferred from other accounts [036–0162]	38	37	38

1180	Advanced appropriation, discretionary (total)	247	290	294
	Spending authority from offsetting collections, discretionary:
1700	Collected	7	16	16
1900	Budget authority (total)	423	446	449
1930	Total budgetary resources available	430	455	456
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–2
1941	Unexpired unobligated balance, end of year	9	7

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	86	88	93
3010	New obligations, unexpired accounts	419	448	456
3011	Obligations ("upward adjustments"), expired accounts	9
3020	Outlays (gross)	–415	–443	–448
3041	Recoveries of prior year unpaid obligations, expired	–11

3050	Unpaid obligations, end of year	88	93	101
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	86	88	93
3200	Obligated balance, end of year	88	93	101

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	423	446	449
	Outlays, gross:
4010	Outlays from new discretionary authority	351	402	406
4011	Outlays from discretionary balances	64	41	42

4020	Outlays, gross (total)	415	443	448
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–7	–15	–15
4033	Non-Federal sources	–1	–1	–1

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

4070	Budget authority, net (discretionary)	416	430	433
4080	Outlays, net (discretionary)	407	427	432
4180	Budget authority, net (total)	416	430	433
4190	Outlays, net (total)	407	427	432

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 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. In 2019, VA expects to transfer funds from the Medical Services, Medical Support and Compliance, Medical Facilities, and Information Technology Systems accounts, while DOD expects to transfer funds from the Defense Health Program account.


Identification code 036–0169–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
11.1	Personnel compensation: Full-time permanent	182	192	192
12.1	Civilian personnel benefits	54	60	60
25.1	Advisory and assistance services	84	88	96
26.0	Supplies and materials	60	60	60
31.0	Equipment	6	7	7
32.0	Land and structures	24	24	24

99.0	Direct obligations	410	431	439
99.0	Reimbursable obligations	9	17	17

99.9	Total new obligations, unexpired accounts	419	448	456


Identification code 036–0169–0–1–703		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	2,096	2,172	2,172


Identification code 036–5287–0–2–703		2017 actual	2018 est.	2019 est.

	Budgetary resources:
	Budget authority:
	Appropriations, discretionary:
1101	Appropriation (special or trust fund)	3,562	3,276	3,461
1120	Appropriations transferred to other accts [036–0160]	–2,293	–3,004	–3,443
1120	Appropriations transferred to other accts [036–0169]	–19	–16	–18
1120	Appropriations transferred to other acct [036–0140]	–1,250	–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) 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) where they remain available until expended for the purposes of the account. In 2017, over $3.5 billion was collected in the MCCF account and transferred to Medical Services, Medical Community Care, and the Joint Demonstration Fund to provide healthcare to our veterans. These collections consist of co-payments from veterans for inpatient, outpatient, and nursing home care, and prescribed medications; third-party insurance payments from veterans for nonservice-connected conditions; and collections from enhanced-use leases, the Compensated Work Therapy Program, Compensation and Living Expensed Program, and the Parking Program.


Identification code 036–4014–0–3–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0801	Reimbursable operating expenses	293	305	305
0802	Reimbursable direct operations	185	192	192
0810	Reimbursable capital investment: Sales program: Purchase of equipment and leasehold	22	23	23

0900	Total new obligations, unexpired accounts	500	520	520

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	25	37	39
1021	Recoveries of prior year unpaid obligations	2	2	2

1050	Unobligated balance (total)	27	39	41
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	512	522	522
1801	Change in uncollected payments, Federal sources	–2	–2	–1

1850	Spending auth from offsetting collections, mand (total)	510	520	521
1930	Total budgetary resources available	537	559	562
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	37	39	42

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	49	28	23
3010	New obligations, unexpired accounts	500	520	520
3020	Outlays (gross)	–519	–523	–528
3040	Recoveries of prior year unpaid obligations, unexpired	–2	–2	–2

3050	Unpaid obligations, end of year	28	23	13
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–5	–3	–1
3070	Change in uncollected pymts, Fed sources, unexpired	2	2	1

3090	Uncollected pymts, Fed sources, end of year	–3	–1
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	44	25	22
3200	Obligated balance, end of year	25	22	13

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	510	520	521
	Outlays, gross:
4100	Outlays from new mandatory authority	445	509	510
4101	Outlays from mandatory balances	74	14	18

4110	Outlays, gross (total)	519	523	528
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources		–1	–1
4123	Non-Federal sources	–512	–521	–521

4130	Offsets against gross budget authority and outlays (total)	–512	–522	–522
	Additional offsets against gross budget authority only:
4140	Change in uncollected pymts, Fed sources, unexpired	2	2	1
4170	Outlays, net (mandatory)	7	1	6
4180	Budget authority, net (total)
4190	Outlays, net (total)	7	1	6

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


Identification code 036–4014–0–3–705		2017 actual	2018 est.	2019 est.

	Reimbursable obligations:
	Personnel compensation:
11.1	Full-time permanent	193	201	201
11.3	Other than full-time permanent	3	3	3

11.9	Total personnel compensation	196	204	204
12.1	Civilian personnel benefits	45	47	47
21.0	Travel and transportation of persons	3	3	3
22.0	Transportation of things	1	1	1
25.2	Other services from non-Federal sources	5	5	5
26.0	Supplies and materials	250	260	260

99.9	Total new obligations, unexpired accounts	500	520	520


Identification code 036–4014–0–3–705		2017 actual	2018 est.	2019 est.

2001	Reimbursable civilian full-time equivalent employment	3,455	3,586	3,586


Identification code 036–0172–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Veterans Choice Fund - Administrative	49	48
0002	Veterans Choice Fund - Program	5,418	3,626
0004	Emergency Non-VA Care	23	15

0091	Direct program activities, subtotal	5,490	3,689
0109	Capital Investment	84	143

0900	Total new obligations, unexpired accounts	5,574	3,832

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	4,504	1,732
1021	Recoveries of prior year unpaid obligations	701
1033	Recoveries of prior year paid obligations	1

1050	Unobligated balance (total)	5,206	1,732
	Budget authority:
	Appropriations, mandatory:
1200	Appropriation	2,100	2,100
1930	Total budgetary resources available	7,306	3,832
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1,732

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1,744	1,784	3,457
3010	New obligations, unexpired accounts	5,574	3,832
3020	Outlays (gross)	–4,833	–2,159	–1,616
3040	Recoveries of prior year unpaid obligations, unexpired	–701

3050	Unpaid obligations, end of year	1,784	3,457	1,841
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	1,744	1,784	3,457
3200	Obligated balance, end of year	1,784	3,457	1,841

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	2,100	2,100
	Outlays, gross:
4101	Outlays from mandatory balances	4,833	2,159	1,616
	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

4160	Budget authority, net (mandatory)	2,100	2,100
4170	Outlays, net (mandatory)	4,832	2,159	1,616
4180	Budget authority, net (total)	2,100	2,100
4190	Outlays, net (total)	4,832	2,159	1,616


		2017 actual	2018 est.	2019 est.

Enacted/requested:
	Budget Authority	2,100	2,100
	Outlays	4,832	2,159	1,616
Legislative proposal, subject to PAYGO:
	Budget Authority		1,900
	Outlays			236
Total:
	Budget Authority	2,100	4,000
	Outlays	4,832	2,159	1,852

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.

Public Law 115–46, the VA Choice and Quality Employment Act of 2017, provided $2.1 billion in mandatory funding for the Veterans Choice Fund, to remain available until expended; and Public Law 115–96 provided an additional $2.1 billion in mandatory funding, to remain available until expended.


Identification code 036–0172–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	12
11.3	Other than full-time permanent	1

11.9	Total personnel compensation	13
12.1	Civilian personnel benefits	1
21.0	Travel and transportation of persons	19
22.0	Transportation of things		21
25.2	Other contract services	4,667	3,540
26.0	Supplies and materials	88	128
31.0	Equipment	84	143
44.0	Prior-year Recoveries	702

99.9	Total new obligations, unexpired accounts	5,574	3,832


Identification code 036–0172–0–1–703		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	159


Identification code 036–0172–4–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0002	Veterans Choice Fund - Program			1,900

0091	Direct program activities, subtotal			1,900

0900	Total new obligations, unexpired accounts (object class 25.2)			1,900

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1			1,900
	Budget authority:
	Appropriations, mandatory:
1200	Appropriation		1,900
1930	Total budgetary resources available		1,900	1,900
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year		1,900

	Change in obligated balance:
	Unpaid obligations:
3010	New obligations, unexpired accounts			1,900
3020	Outlays (gross)			–236

3050	Unpaid obligations, end of year			1,664
	Memorandum (non-add) entries:
3200	Obligated balance, end of year			1,664

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross		1,900
	Outlays, gross:
4101	Outlays from mandatory balances			236
4180	Budget authority, net (total)		1,900
4190	Outlays, net (total)			236

The FY 2019 Budget includes the Administration's Veteran Coordinated Access & Rewarding Experiences (CARE) proposal, designed to improve veterans' experiences accessing healthcare and to provide veterans more choice in selecting their healthcare providers. To ensure a smooth transition to the new, consolidated community care program in FY 2019, the Budget requests $1.9 billion in mandatory budget authority in 2018.

Trust Funds


Identification code 036–8180–0–7–705		2017 actual	2018 est.	2019 est.

0100	Balance, start of year
	Receipts:
	Current law:
1130	General Post Fund, National Homes, Deposits	20	22	22
1140	General Post Fund, National Homes, Interest on Investments	1	3	3
1198	Rounding adjustment	1

1199	Total current law receipts	22	25	25

1999	Total receipts	22	25	25

2000	Total: Balances and receipts	22	25	25
	Appropriations:
	Current law:
2101	General Post Fund, National Homes	–22	–25	–25

5099	Balance, end of year


Identification code 036–8180–0–7–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Religious, recreational, and entertainment activities	22	23	24
0003	Therapeutic residence maintenance	1	1	1

0900	Total new obligations, unexpired accounts	23	24	25

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	107	106	107
	Budget authority:
	Appropriations, mandatory:
1201	Appropriation (special or trust fund)	22	25	25
1930	Total budgetary resources available	129	131	132
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	106	107	107

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	3	4	4
3010	New obligations, unexpired accounts	23	24	25
3020	Outlays (gross)	–22	–24	–21

3050	Unpaid obligations, end of year	4	4	8
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	3	4	4
3200	Obligated balance, end of year	4	4	8

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

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

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	106	108	109
5001	Total investments, EOY: Federal securities: Par value	108	109	109

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


Identification code 036–8180–0–7–705		2017 actual	2018 est.	2019 est.

	Direct obligations:
11.1	Personnel compensation: Full-time permanent	1	1	1
21.0	Travel and transportation of persons	1	1	1
23.3	Communications, utilities, and miscellaneous charges	1	1	1
25.2	Other services from non-Federal sources	6	6	6
26.0	Supplies and materials	12	13	14
31.0	Equipment	2	2	2

99.9	Total new obligations, unexpired accounts	23	24	25


Identification code 036–8180–0–7–705		2017 actual	2018 est.	2019 est.

2001	Reimbursable civilian full-time equivalent employment	8	8	8

Federal Funds

For the payment of compensation benefits to or on behalf of veterans and a pilot program for disability examinations as authorized by section 107 and chapters 11, 13, 18, 51, 53, 55, and 61 of title 38, United States Code; pension benefits to or on behalf of veterans as authorized by chapters 15, 51, 53, 55, and 61 of title 38, United States Code; and burial benefits, the Reinstated Entitlement Program for Survivors, emergency and other officers' retirement pay, adjusted-service credits and certificates, payment of premiums due on commercial life insurance policies guaranteed under the provisions of title IV of the Servicemembers Civil Relief Act (50 U.S.C. App. 541 et seq.) and for other benefits as authorized by sections 107, 1312, 1977, and 2106, and chapters 23, 51, 53, 55, and 61 of title 38, United States Code, $108,530,139,000, to remain available until expended, of which $107,119,807,000 shall become available on October 1, 2019: Provided, That not to exceed $18,047,000 of the amount made available for fiscal year 2020 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.


Identification code 036–0102–0–1–701		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0101	Veterans	72,440	78,253	85,138
0102	Survivors	6,612	6,965	7,317

0191	Compensation sub-total	79,052	85,218	92,455

0200	Other compensation expenses	79,052	85,218	92,455
0201	Chapter 18	22	23	23
0202	Clothing allowance	120	127	135
0203	Misc assistance (EAJ, SAFD)	16	17	18
0204	Medical exam pilot program	765	778	791
0205	OBRA payment to VBA and IT	3	3	4

0291	Total other compensation expenses	926	948	971

0293	Total compensation	79,978	86,166	93,426
0302	Veterans	3,523	3,524	3,587
0303	Survivors	1,850	1,904	1,974

0391	Pensions sub total	5,373	5,428	5,561
0401	Reimbursements to GOE, IT and VHA	13	14	14

0492	Total pensions	5,386	5,442	5,575
0501	Caskets and Urns	1
0502	Burial allowance	29	30	31
0503	Burial plots	25	25	26
0504	Service-connected deaths	75	75	79
0505	Burial flags	20	24	24
0506	Headstones and markers	68	77	77
0508	Graveliners	9	4	4
0509	Pre-Place Crypts	24	23	20

0591	Total burial program	251	258	261

0900	Total new obligations (object class 42.0)	85,615	91,866	99,262

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2,842	3,831	2,084
1021	Recoveries of prior year unpaid obligations	3
1033	Recoveries of prior year paid obligations	518

1050	Unobligated balance (total)	3,363	3,831	2,084
	Budget authority:
	Appropriations, mandatory:
1200	Appropriation			1,410
	Advance appropriations, mandatory:
1270	Advance appropriation	86,083	90,119	95,768
1900	Budget authority (total)	86,083	90,119	97,178
1930	Total budgetary resources available	89,446	93,950	99,262
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	3,831	2,084

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	143	162	7,772
3010	New obligations, unexpired accounts	85,615	91,866	99,262
3020	Outlays (gross)	–85,593	–84,256	–98,302
3040	Recoveries of prior year unpaid obligations, unexpired	–3

3050	Unpaid obligations, end of year	162	7,772	8,732
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	143	162	7,772
3200	Obligated balance, end of year	162	7,772	8,732

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	86,083	90,119	97,178
	Outlays, gross:
4100	Outlays from new mandatory authority	82,607	80,263	87,982
4101	Outlays from mandatory balances	2,986	3,993	10,320

4110	Outlays, gross (total)	85,593	84,256	98,302
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Non-Federal sources	–518
	Additional offsets against gross budget authority only:
4143	Recoveries of prior year paid obligations, unexpired accounts	518

4160	Budget authority, net (mandatory)	86,083	90,119	97,178
4170	Outlays, net (mandatory)	85,075	84,256	98,302
4180	Budget authority, net (total)	86,083	90,119	97,178
4190	Outlays, net (total)	85,075	84,256	98,302


		2017 actual	2018 est.	2019 est.

Enacted/requested:
	Budget Authority	86,083	90,119	97,178
	Outlays	85,075	84,256	98,302
Legislative proposal, subject to PAYGO:
	Budget Authority			–110
	Outlays			–110
Total:
	Budget Authority	86,083	90,119	97,068
	Outlays	85,075	84,256	98,192


	2017 actual	2018 est	2019 est.

Compensation Completed Claims:
Rating	1,237,834	1,263,286	1,309,556
Other Claims	2,603,616	2,554,194	2,593,950
Pension Completed Claims:
Rating	148,560	146,399	147,760
Other Non-Rating Claims	465,166	445,994	450,736

The Budget requests $1,410,332,000 in appropriations for 2019 and $107,119,807,000 in advance appropriations for 2020 for Compensation and Pensions. This request satisfies the requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (P.L. 113–235) and prevents our Nation's veterans from being adversely affected by budget delays.

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

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

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

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

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

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

Legislation is proposed to provide a cost-of-living adjustment comparable to the annual Social Security increase to recipients of disability compensation, dependency and indemnity compensation, and clothing allowances. The increase, effective with payments made on January 1, 2019, is expected to be 2.4 percent.


	2017 actual	2018 est	2019 est.

Veterans:
Cases	4,455,661	4,655,629	4,850,289
Average payment per case, per year	$16,258	$16,808	$17,553
Total obligations (in millions)	$72,439	$78,252	$85,138
Survivors:
Cases	406,043	421,021	432,353
Average payment per case, per year	$16,284	$16,544	$16,924
Total obligations (in millions)	$6,612	$6,965	$7,317
Chapter 18:
Children	1,148	1,141	1,134
Average payment per case, per year	$19,358	$19,745	$20,219
Total obligations (in millions)	$22	$23	$23
Clothing allowance:
Number of veterans	153,630	160,033	166,166
Average payment per case, per year	$779	$795	$814
Total obligations (in millions)	$120	$127	$135
Special Allowance for Dependents:
Cases	22	22	22
Average benefit	$4,845	$4,942	$5,061
Total obligations (in millions)	$0	$0	$0
Equal Access to Justice Act:
Cases	2,946	3,034	3,122
Average benefit	$5,451	$5,560	$5,693
Total Obligations (in millions)	$16	$17	$18
REPS:
Cases	4	3	3
Average benefit	$15,968	$14,336	$14,346
Total Obligations (in millions)	$0	$0	$0

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, 2019, is expected to be 2.4 percent.


	2017 actual	2018 est.	2019 est.

Veterans:
Cases	281,776	273,642	268,729
Average payment per case, per year	$12,506	$12,879	$13,345
Total obligations (in millions)	$3,524	$3,524	$3,586
Survivors:
Cases	201,565	200,679	199,972
Average payment per case, per year	$9,176	$9,489	$9,873
Total obligations (in millions)	$1,850	$1,904	$1,974

Burial benefits in 2018 provide for: (a) the payment of an allowance of $762 (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 $762 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.


	2017 actual	2018 est.	2019 est.

Burial allowance	61,328	61,060	62,184
Burial plot	33,620	33,473	34,089
Service-connected deaths	42,860	39,884	41,855
Burial flags	447,426	497,644	497,644
Headstones and markers	365,892	373,895	378,701
Graveliners	12,536	11,478	11,625
Preplaced crypts	21,528	30,281	30,670
Caskets and Urns	314	305	310


Identification code 036–0102–4–1–701		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0101	Clarify Evidentiary Threshold for Ordering VA Exams			–78
0111	Round Down COLA Service-Connected DIC Five years			–34
0112	Reissue VA Payments fo all Victims of Fiduciary Misuse			1
0116	VA to Pay Flat Rate Domestic Transp. to National Cemetery			–1
0118	Spousal and Dependent Inscriptions Headstones/Markers			1
0120	Pay Transport Costs to State or Tribal Organization Cemetery			1

0191	Compensation sub-total			–110

0200	Other compensation expenses			–110

0293	Total compensation			–110

0900	Total new obligations (object class 42.0)			–110

	Budgetary resources:
	Budget authority:
	Appropriations, mandatory:
	Advance appropriations, mandatory:
1270	Advance appropriation			–110
1900	Budget authority (total)			–110
1930	Total budgetary resources available			–110

	Change in obligated balance:
	Unpaid obligations:
3010	New obligations, unexpired accounts			–110
3020	Outlays (gross)			110

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross			–110
	Outlays, gross:
4100	Outlays from new mandatory authority			–110
4180	Budget authority, net (total)			–110
4190	Outlays, net (total)			–110

Extension of reduction in amount of pension furnished by the Department for certain veterans covered by Medicaid plans for services furnished by nursing facilities: To provide an extension of the current policy to limit to $90 the pension payable to certain recipients of Medicaid-covered nursing home care, and to protect that pension payment from being applied to the cost of the recipient's nursing-home care. This proposal would extend the current authorization from 2027 to 2028, resulting in a cost savings of $296 million in 2028.

Clarify Evidentiary Threshold for Ordering VA Examinations. VA seeks to amend 38 U.S.C. 5103A(d)(2) to clarify the evidentiary threshold at which VA, under its duty to assist obligation in 5103A, is required to request a medical examination for compensation claims. This proposal aims to eliminate delays in claims processing by establishing a more reasonable policy in determining when a VA examination is warranted in connection with a claim for compensation. In recent years, the courts have held that evidence necessary to satisfy the requirements of 38 U.S.C. 5103A(d)(2) is much lower than VA or Congress contemplated. This proposed change would require, in general, the existence of objective evidence of an in-service event, injury, or disease to trigger VA's duty to request an examination under 38 U.S.C. 5103A(d)(2)(B). Mandatory savings are estimated to be $79.3 million in 2019, $421.1 million for five years, and $909.3 million for ten years.

Elimination of Payment of Benefits to the Estates of Deceased Nehmer Class Members and to the Survivors of Certain Class Members. VA seeks to amend 38 U.S.C. 1116 to eliminate payment of benefits to the estates of deceased Nehmer class members and to survivors of certain class members when such benefits are the result of presumptions of service connection established for diseases associated with exposure to certain herbicide agents. The Agent Orange Act of 1991 expired on September 30, 2015. As a result, VA currently is not compelled to abide by the judicially imposed Nehmer readjudication requirements for any presumptive conditions that may be added in the future. Unless courts decide otherwise, VA would not be obligated to make retroactive payments associated with new Agent Orange presumptions. No mandatory costs are associated with this proposal.

Clarify Chemicals at Issue for Purposes of Presumptive Service Connection for Veterans Serving in the Republic of Vietnam. VA seeks to amend 38 U.S.C. 1116 to define the harmful chemicals, specifically Tetrachlorodibenzo-p-dioxin (TCDD), used in herbicides. Defining the harmful chemical (TCDD) used in herbicides within the Republic of Vietnam would allow VA to clarify complex rules for exposure claims outside Vietnam. TCDD was not used in commercial herbicides on bases outside of Vietnam. IOM has determined that the only chemical in herbicides for which there are adverse health effects is TCDD. Thus, based on program knowledge of use of the herbicides, VA would be able to clarify rules for claiming exposure. No benefit costs are associated with this proposal.

Attendance at Transition Assistant Program (TAP) or Access to eBenefits Meets the Requirements to Notify Veterans by Letter of VA Benefits and Services. This proposal will amend 38 U.S.C. 6303(b) to authorize VA to use TAP or eBenefits to notify each transitioning veteran of all VA benefits and services for which they may be eligible. Currently, statute requires VA to send each veteran a letter with benefits information. For those veterans discharged or separated without a high-school diploma, this proposal would also eliminate the requirement for VA to make in-person or telephone contact regarding their eligibility for benefits, except in instances where they did not attend a TAP briefing or were not receiving information through eBenefits. No benefit costs are associated with this proposal.

Extend the Time for Medical Examinations for Certain Veterans with Mental Disorders. This legislative proposal would amend title 38 U.S.C. 1156(a)(3) to require VA to schedule a medical examination for veterans discharged from the military due to a mental disorder no later than 18 months (rather than 6 months) after separation or discharge of such veteran from active duty. Performing the examination no later than eighteen months after discharge allows the clinician to more accurately evaluate the condition and would better align with VA's and DoD's current practice of scheduling review examinations. No benefit costs are associated with this proposal.

Automatic Annual Cost-of-Living Adjustments (COLA) for Disability Compensation and Dependency and Indemnity Compensation (DIC). This proposal would amend 38 U.S.C. 1104, 1303, and 5312 to provide for the annual COLA to be made automatically by law each year in the rates of disability compensation and DIC. The amendment would also provide for automatic COLA for clothing allowance and the additional compensation for dependents. No benefit costs are associated with this proposal.

Eliminate the Direct Payment of Fees from VA to Accredited Agents and Attorneys. This proposal seeks to amend 38 U.S.C. 5904(d) to eliminate the authority for VA to make direct payments of fees to agents or attorneys. This proposal seeks to eliminate VA authority to make direct payments to agents or attorneys because this function is time consuming for VA claims processing employees. No benefits costs are associated with this proposal.

Extend the Authority for Operations of the Manila VA Regional Office. VA proposes to extend the authority currently provided by 38 U.S.C. 315(b) to maintain the operations of the Manila RO to December 31, 2022. No benefit costs are associated with this proposal.

Reimbursement of Credentialing Costs. VA seeks to amend 38 U.S.C. 5906 to allow VA to collect, from private attorneys and claims agents, a reasonable fee necessary to offset the costs of performing necessary background and other investigations and issuing credentials allowing access to sensitive electronic claims processing systems. It would also eliminate the need for appropriation act authority to retain and use fees authorized to be collected under this section. In addition, it would permit VA to use collections within two fiscal years, ensuring that fees collected near the end of a fiscal year would not expire before they could be obligated. No benefit costs are associated with this proposal.

Round-Down of the Computation of the Cost of Living Adjustment (COLA) for Service-Connected Compensation and Dependency and Indemnity Compensation (DIC) for Five Years. This proposal would amend title 38, U.S.C. 1303(a) and 1104(a) to provide a five-year round-down provision of the computation of the cost of living adjustment (COLA) for service-connected compensation and dependency and indemnity compensation (DIC). Benefit savings are estimated to be $34.1 million in 2019 and $749.2 million for five years. This proposal would reinstate the round-down for five years; however, the cumulative effect of rounding-down COLAs for five years will total $2.3 billion in savings over ten years.

Reissue VA Benefit Payments to all Victims of Fiduciary Misuse. VA seeks to amend 38 U.S.C. 6107, which authorizes VA to reissue benefits to a beneficiary if the beneficiary's VA-appointed fiduciary misuses the beneficiary's benefits. This amendment would extend VA's reissuance authority to allow the reissuance of benefits to a beneficiary in cases of misuse by individual fiduciaries, who manage benefits for less than 10 beneficiaries, without regard to VA negligence in appointing or overseeing such fiduciaries. The amendment would prescribe that VA would pay the beneficiary or the beneficiary's successor fiduciary an amount equal to the amount of the misused benefits in any case in which a fiduciary misuses a beneficiary's VA benefits. Benefit costs are estimated to be $1.3 million in 2019, $7.0 million over five years, and $15.9 million over 10 years.

Provide a Fixed Net Worth Limit and Remove Annual Income from Net Worth Calculation. VA seeks to amend 38 U.S.C. 1522 and 1543 to remove the requirement that VA consider annual income in its net worth determinations. VA believes that removing annual income as a component of net worth would simplify and render more consistent net worth determinations. VA's intent with this proposal is to allow more fair and consistent net worth calculations and to promote pension automation with respect to net worth calculations. Benefit costs are estimated to be $56 thousand during the first year, $729 thousand for five years, and $2.5 million over ten years.

Authorize VA to Rely on Unearned and Earned Income Information Supplied by IRS and SSA for Purposes of Determining Eligibility for its Needs-Based Pension Program, and Eliminate the Need for VA to Independently Verify the Information. VA seeks to amend 38 U.S.C. 5317(b) and (e) to authorize VA to rely on information it obtains from the Internal Revenue Service (IRS) and Social Security Administration (SSA) when making initial pension eligibility determinations. VA also proposes to remove the requirement that VA independently verify the information before terminating, denying, suspending, or reducing a claimant's or beneficiary's needs-based pension benefits. No benefits costs are associated with this proposal.

Allow VBA to Pay a Flat Rate for Non-Service-Connected Burial for Veterans Who Die in a VHA or VA Facility. VA seeks to amend 38 U.S.C. 2303(a)(1) to authorize payment of a flat-rate, non-service-connected, burial allowance for veterans who die in a qualifying VHA or VA facility. This one-time allowance would be equal to the maximum payment authorized under current law. This amendment would allow VA to expedite delivery of benefits to surviving spouses through automation and to all other claimants through streamlined processing of flat rate payments. No benefits costs are associated with this proposal.

Authorize VA to Pay a Flat Rate for the Costs of Domestic Transportation of a Deceased Veteran to a National Cemetery. VA seeks to amend 38 U.S.C. 2308 to authorize VA to pay claimants a one-time, flat-rate benefit of $600 for the domestic transportation of a deceased veteran to a national cemetery, or upon the qualifying death of a veteran. After the first year, the flat rate fee would be adjusted annually by the Consumer Price Index. Benefit savings are estimated to be $541 thousand in 2019, $2.2 million for five years, and $2.2 million over ten years.

Modernizing VA's Records Management Program. This proposal would amend title 38 U.S.C. by creating a new section 5707 to codify VBA's procedures under the Records Control Schedule required by title 44 U.S.C. No benefits costs are associated with this proposal.

Spousal and Dependent Inscriptions on Veteran Headstones and Markers. VA seeks to amend title 38 U.S.C. 2306(g) to allow the inscription, if feasible and upon request, on a government-furnished headstone and marker for placement on a gravesite in a non-VA cemetery, of information about the veteran's spouse or dependent child. The proposed applicability date would be to add such an inscription for the headstones and markers of veterans whose date of death is on or after January 1, 2014. Benefit costs to the mandatory C&P appropriation are estimated to be $1.1 million in 2019, $4.7 million over five years, and $9 million over 10 years.

Burial of Dependents Who Predecease Active Duty Servicemembers. VA seeks to amend title 38 U.S.C. 2306 and 2402 to authorize VA to inter in a VA national cemetery and mark the gravesite of the spouse and dependent child of a member of the Armed Forces serving on active duty at the time of the spouse's or child's death. Benefit costs associated with this proposal are insignificant.

Authorization to Pay Cost of Transporting Certain Deceased Veterans to a State or Tribal Organization Cemetery. VA seeks to amend title 38 U.S.C., to authorize the Secretary of Veterans Affairs (VA) to pay costs relating to the transportation of certain deceased veterans to veterans' cemeteries owned by a State or tribal organization. Benefit costs to the mandatory C&P appropriation are estimated to be $1.3 million in FY 2019, $7.3 million over five years, and $16.7 million over ten years.

Authorization to Provide Headstone or Marker for Unmarked Grave of Spouse or Child in Tribal Organization Cemetery. VA seeks to amend title 38 U.S.C. 2306, to provide headstones and markers for burial and memorialization of veterans' eligible spouses and dependent children interred at tribal veterans cemeteries. Under current law, spouses and dependents are eligible for a headstone or marker for placement in a national and state veterans cemetery, but not a tribal veterans cemetery. Benefit costs associated with this proposal are insignificant.

Burial Benefit Eligibility Requirement for Other-Than-Dishonorable Service for Deaths in Active Service. VA seeks to amend title 38 U.S.C. 2402(a)(1) to require that a servicemember who dies in active service must have been serving under conditions other than dishonorable to be eligible for burial in a national cemetery. In addition, VA seeks to amend title 38 U.S.C. 2306(b)(4) and (g)(2) to impose the same requirement for eligibility for a memorial headstone or marker; and to amend title 38 U.S.C. 2301(d) to do the same for eligibility for a burial flag. No benefits costs are associated with this proposal.

Establish a Consistent Applicability Date for Provision of Memorial Headstones and Markers for Eligible Non-Veteran Individuals. VA seeks to amend 38 U.S.C. 2306(b) to establish a consistent applicability date of "after November 11, 1998," for the provision of memorial headstones and markers for all eligible non-veteran individuals. As a result of this proposal, all eligible non-veteran individuals will have the same applicability date for the memorial headstone and marker benefit for placement in national and state veterans cemeteries. It would not expand eligibility for placement in private cemeteries for non-veterans. Benefit costs associated with this proposal are insignificant.

Expansion of Eligibility for Government-Furnished Headstone, Marker or Medallion for Medal of Honor Recipients. VA seeks to amend 38 U.S.C. 2306(d) to allow VA to furnish a headstone, marker or medallion for the privately marked graves of all eligible Medal of Honor (MOH) recipients, regardless of a recipient's date of death. This proposal would allow VA to provide a headstone, marker, or medallion for the historic gravesite of a Medal of Honor recipient who served in the Armed Forces prior to 1917 and whose gravesite is already marked by a privately-furnished or a government-furnished headstone or maker. Benefit costs associated with this proposal are insignificant.

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, $14,065,282,000, to remain available until expended and to become available on October 1, 2019: 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.


Identification code 036–0137–0–1–702		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0101	Sons and daughters	467	494	650
0102	Spouses	86	90	124

0191	Total education and training	553	584	774
0201	Vocational rehabilitation training	786	893	959
0202	Subsistence allowance	621	842	893
0203	Automobiles and adaptive equipment	120	132	136
0204	Housing Grants	97	113	118
0205	Housing Technology Grants	1	1

0291	Total special assistance to disabled veterans	1,625	1,981	2,106
0301	Work study	46	57	59
0302	Payments to States	19	21	24
0303	All-volunteer assistance: Basic benefits and all other	11,237	11,877	12,280
0305	Tuition Assistance	4	5	5
0306	Licensing and Certification	1	2	2
0307	Reporting fees	6	10	12
0308	Reimbursement to GOE		1	1
0309	Contract Counseling	3	6	6

0391	Total All-volunteer assistance and other	11,316	11,979	12,389

0799	Total direct obligations	13,494	14,544	15,269
0802	Veterans and servicepersons supplementary benefits	14	15	16
0803	Chapter 1606 reservists benefits	104	104	105
0804	Chapter 1606 reservists supplementary benefits	27	27	27
0805	Chapter 1607 reservists benefits	8	7	8
0807	Chapter 33 DoD Reimbursements	105	110	114

0899	Total reimbursable obligations	258	263	270

0900	Total new obligations, unexpired accounts	13,752	14,807	15,539

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2,914	6,081	5,246
1021	Recoveries of prior year unpaid obligations	5
1033	Recoveries of prior year paid obligations	315

1050	Unobligated balance (total)	3,234	6,081	5,246
	Budget authority:
	Appropriations, mandatory:
	Advance appropriations, mandatory:
1270	Advance appropriation	16,341	13,709	11,832
	Spending authority from offsetting collections, mandatory:
1800	Collected	258	263	269
1900	Budget authority (total)	16,599	13,972	12,101
1930	Total budgetary resources available	19,833	20,053	17,347
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	6,081	5,246	1,808

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	182	130	1,007
3010	New obligations, unexpired accounts	13,752	14,807	15,539
3020	Outlays (gross)	–13,799	–13,930	–15,385
3040	Recoveries of prior year unpaid obligations, unexpired	–5

3050	Unpaid obligations, end of year	130	1,007	1,161
	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	181	129	1,006
3200	Obligated balance, end of year	129	1,006	1,160

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	16,599	13,972	12,101
	Outlays, gross:
4100	Outlays from new mandatory authority	10,703	7,719	9,133
4101	Outlays from mandatory balances	3,096	6,211	6,252

4110	Outlays, gross (total)	13,799	13,930	15,385
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources	–258	–263	–269
4123	Non-Federal sources	–315

4130	Offsets against gross budget authority and outlays (total)	–573	–263	–269
	Additional offsets against gross budget authority only:
4143	Recoveries of prior year paid obligations, unexpired accounts	315

4160	Budget authority, net (mandatory)	16,341	13,709	11,832
4170	Outlays, net (mandatory)	13,226	13,667	15,116
4180	Budget authority, net (total)	16,341	13,709	11,832
4190	Outlays, net (total)	13,226	13,667	15,116


		2017 actual	2018 est.	2019 est.

Enacted/requested:
	Budget Authority	16,341	13,709	11,832
	Outlays	13,226	13,667	15,116
Legislative proposal, subject to PAYGO:
	Budget Authority			29
	Outlays			29
Total:
	Budget Authority	16,341	13,709	11,861
	Outlays	13,226	13,667	15,145


	2017 actual	2018 est.	2019 est.

Evaluation and planning	78,159	78,941	79,730
Rehabilitation services	111,215	112,327	113,450
Employment services status	26,232	26,494	26,759
Vocational/educational counseling	9,231	9,323	9,417


	2017 actual	2018 est.	2019 est.

Original claims	339,150	372,023	403,568
Adjustments/supplemental claims	3,443,938	3,761,565	4,080,520

For 2020 , the Budget requests $14,065,282,000 in advance appropriations for Readjustment Benefits. This request satisfies the requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (P.L. 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.


	2017 actual	2018 est.	2019 est.

Chapter 33:
Number of trainees	755,476	766,740	766,056
Average cost per trainee	$14,636	$15,310	$15,891

Total cost (in millions)	$11,057	$11,739	$12,174

Chapter 30:
Number of trainees	34,582	28,887	22,898
Average cost per trainee	$8,641	$9,136	$9,669

Total cost (in millions)	$299	$264	$221

Chapter 1606:
Number of trainees	54,909	53,943	52,994
Average cost per trainee	$2,333	$2,422	$2,489

Total cost (in millions)	$130	$131	$132

Chapter 1607:
Number of trainees	1,586	1,586	1,586
Average cost per trainee	$4,548	$4,721	$4,853

Total cost (in millions)	$7	$7	$8




Chapter 35 Sons and Daughters:
Number of trainees	83,545	86,384	89,303
Average cost per trainee (in dollars)	$5,594	$5,716	$7,281

Total cost (in millions)	$467	$494	$650

Chapter 35 Wives and Widow(ers):
Number of trainees	16,730	17,261	18,556
Average cost per trainee (in dollars)	$5,127	$5,240	$6,675

Total cost (in millions)	$86	$90	$124

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

Total cost (in millions)	$0	$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.


	2017 actual	2018 est.	2019 est.

Chapter 31:
Rehabilitation, Evaluation, Planning and Service cases	11,399	12,472	12,910
Number of trainees	120,819	132,189	136,836
Average cost per trainee (in dollars)	$11,649	$13,121	$13,536

Total cost (in millions)	$1,407	$1,734	$1,852

Specially Adapted Housing Grants.—Specially adapted housing grants are provided to certain severely disabled veterans. In 2018, the maximum grant amount is $81,080. Veterans who suffer service-connected blindness or who have lost the use of both upper extremities can receive up to $16,217.

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 $20,577 in 2018, under The Veterans Benefits Act of 2010, (P.L. 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.


	2017 actual	2018 est.	2019 est.

Housing grants:
Number of housing grants	3,047	4,013	4,013
Average cost per grant	$31,805	$28,150	$29,464

Total cost (in millions)	$97	$113	$118


Number of housing technology grants	4	5	0
Average cost per grant	$134,192	$200,000	$0

Total cost (in millions)	$.5	$1	$0

Automobiles or other conveyances:
Number of conveyances	1,875	2,037	2,037
Average benefit	$18,861	$19,207	$19,559

Obligations (in millions)	$35	$39	$40

Adaptive equipment (including maintenance, repair, and installation for automobiles):
Number of items	6,931	7,440	7,440
Average benefit	$12,171	$12,554	$12,949

Obligations (in millions)	$84	$93	$96

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

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

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

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

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

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

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


Identification code 036–0137–0–1–702		2017 actual	2018 est.	2019 est.

41.0	Direct obligations: Grants, subsidies, and contributions	13,494	14,544	15,269
99.0	Reimbursable obligations	258	263	270

99.9	Total new obligations, unexpired accounts	13,752	14,807	15,539


Identification code 036–0137–4–1–702		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0102	VA Cap for Flight Training at Public Schools			–43
0103	Approve Prep of Courses Licensing and Certification Exams			1
0104	Vocational Rehabilitation for Servicemembers			92
0106	Extend In-State Tuition and Fee Requirements to Voc Rehab			–25
0107	Expand Eligibility for Special Adapted Housing Grants			1
0109	Authority for Home Mods to Special Adapted Housing Program			–1
0111	Authority for Special Adapted Housing Assistive Tech Grants			1
0112	Extension SAH Assistance Certain Veterans Disabilities			3

0191	Total education and training			29

0799	Total direct obligations			29

0900	Total new obligations, unexpired accounts (object class 41.0)			29

	Budgetary resources:
	Budget authority:
	Appropriations, mandatory:
	Advance appropriations, mandatory:
1270	Advance appropriation			29
1900	Budget authority (total)			29
1930	Total budgetary resources available			29

	Change in obligated balance:
	Unpaid obligations:
3010	New obligations, unexpired accounts			29
3020	Outlays (gross)			–29

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross			29
	Outlays, gross:
4100	Outlays from new mandatory authority			29
4180	Budget authority, net (total)			29
4190	Outlays, net (total)			29

Prevent VA from Providing Unlimited Amounts of Payments for Flight Training at Public Schools. VA proposes to amend title 38 U.S.C. 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 $43 million in FY 2019, $239.0 million over five years, and $504.4 million over 10 years.

Approve Preparatory Courses of Licensing and Certification Exams. This proposals seeks to amend 3002(3)(B) of title 38 U.S.C. to add a preparatory course for a test that is required to enter into, maintain, or advance in a given vocation or profession. Costs are estimated to be $1.4 million in 2019, $7.3 million over five years, and $16.0 million over 10 years.

Vocational Rehabilitation for Servicemembers. This proposal seeks to extend for five years the sunset date in section 1631(b)(2) of Public Law 110–181 (The National Defense Authorization Act (NDAA) of 2008), as amended by section 231 of Public Law 112–56, section 724 of Public Law 113–291, and Public Law 115–62 by amending title 38 U.S.C. 3102(a). Benefit costs represent a shift in expected obligations over a ten-year period. Costs are estimated to be $91.6 million in the 2019, $92.5 million over five years, and $92.5 million over 10 years.

Allow for Extension of a Period of Employment Services under chapter 31. Amend 38 U.S.C. 3105(b)(1) to allow the period of employment services to be extended in not more than two three-month increments if needed to accomplish rehabilitation. This would ensure veterans with service-connected disabilities would be able to receive the services necessary to obtain and maintain suitable employment. No costs are associated with this proposal.

Extend In-State Tuition and Fee Requirements to Vocational Rehabilitation. This proposal seeks to extend in-state tuition and fee requirements of the Veterans Access, Choice, and Accountability Act of 2014 (VACAA), or "Choice Act", to apply to vocational rehabilitation programs provided under title 38 U.S.C. chapter 31. Savings are estimated to be $25.0 million in 2019, $143.4 million over five years, and $339.0 million over 10 years.

Expand Eligibility for Specially Adapted Housing (SAH) Grants under 38 U.S.C. 2101(b). This proposal would add certain severe injuries and dismemberment disabilities that affect ambulation and loss or loss of use of an upper extremity to the eligibility criteria for the SAH program under 38 U.S.C. 2101(b). Costs are estimated to be $1.2 million in 2019, $5.3 million over five years, and $10.0 million over ten years.

Eliminate Certain Provisions Which Limit the Amount of Specially Adapted Housing (SAH) Assistance Which May be Used to Pay for the Veteran Acquisition. VA seeks to amend 38 U.S.C. 2101 to eliminate the dollar use restrictions on the use of SAH grant funds for home acquisition. These restrictions require a proposed housing unit to be more than double the available grant amount. As a result, veterans are often prohibited from taking advantage of low-cost adapted homes or from using grant funds to pay off an outstanding lien. Costs are estimated to be insignificant.

Move the Authority for Home Modifications Under a Rehabilitation Program to the Specially Adapted Housing (SAH) program. Amend chapters 21 and 31 of title 38, U.S.C., so that housing modifications required under a rehabilitation program would be provided as SAH assistance. Savings to the VA are estimated to be $538 thousand in 2019, $3.0 million over five years, and $6.7 million over ten years.

Establish Debts for Breaching Specially Adapted Housing Contractual Obligations. Amend 38 U.S.C. 2102 to authorize the Secretary to establish debts against any veteran or responsible party in connection with the acquisition of Specially Adapted Housing (SAH). This change is consistent with the authority of the Department of Veterans Affairs (VA) under 38 U.S.C. 3685(a) to collect overpayments made in connection with its education programs. Savings associated with this proposal are estimated to be insignificant.

Extension of Authority for Specially Adapted Housing (SAH-AT) Assistive Technology Grant Program. This proposal would extend the authority of the Secretary to administer the Specially Adapted Housing Assistive Technology Grant (SAH-AT) program through September 30, 2023. Section 203 of Public Law 111–275 (Veterans Benefits Act of 2010), codified at 38 U.S.C. 2108, established the SAH-AT grant program through September 30, 2016. Section 409 of Public Law 114–228 extended this authority through September 30, 2017 and section 408 of Public Law 115–62 extended this authority thought September 30, 2018. Costs associated with this proposal are estimated to be $1 million in 2019 and $5 million over five years.

Extension of Specially Adapted Housing Assistance for Certain Veterans with Disabilities. This proposal seeks to extend the authority established in Public Law 112–154, Honoring American's Veterans and Caring for Camp Lejeune Families Act, expanding eligibility for Specially Adapted Housing (SAH) assistance for certain veterans with disabilities that cause difficulty ambulating. Public Law 115–62 extended this authority though September 30, 2018; this proposal would extend the authority through September 30, 2023. Costs are estimated to be $2.6 million in FY 2019 and $14.1 million over five years.

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, $111,340,000, which shall become available on October 1, 2019, and shall remain available until expended.


Identification code 036–0120–0–1–701		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0011	VMLI Death Claims	114	42	41
0012	Payment to Service-Disabled Veterans Insurance		87	72

0100	Total direct expenses	114	129	113

0900	Total new obligations, unexpired accounts	114	129	113

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2	3	1
	Budget authority:
	Appropriations, mandatory:
1200	Appropriation	17	12
	Advance appropriations, mandatory:
1270	Advance appropriation	92	108	106
	Spending authority from offsetting collections, mandatory:
1800	Collected	6	7	6
1900	Budget authority (total)	115	127	112
1930	Total budgetary resources available	117	130	113
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	3	1

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1	1	1
3010	New obligations, unexpired accounts	114	129	113
3020	Outlays (gross)	–114	–129	–112

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

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	115	127	112
	Outlays, gross:
4100	Outlays from new mandatory authority	112	127	112
4101	Outlays from mandatory balances	2	2

4110	Outlays, gross (total)	114	129	112
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Non-Federal sources	–6	–7	–6
4180	Budget authority, net (total)	109	120	106
4190	Outlays, net (total)	108	122	106


	2017 actual	2018 est.	2019 est.

Policy service actions	914,241	808,130	784,030
Collections	466,860	406,500	349,400
Disability claims	30,790	36,600	36,072
Insurance awards	174,601	173,620	160,190

Public Law 114–113, Consolidated Appropriations Act, 2016 on December 18, 2015, enacted associated advance 2019 appropriations of $106,372,000 that shall become available on October 1, 2018.

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

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

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

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

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


VMLI Policies	2017 actual	2018 est.	2019 est.

Number of Policies	2,632	2,800	2,860
Amount of Insurance (dollars in millions)	$351	$366	$378


Identification code 036–0120–0–1–701		2017 actual	2018 est.	2019 est.

42.0	Direct obligations: Insurance claims and indemnities	111	125	110
99.0	Reimbursable obligations	3	4	3

99.9	Total new obligations, unexpired accounts	114	129	113


Identification code 036–1121–0–1–701		2017 actual	2018 est.	2019 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 (P.L. 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 (P.L. 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.

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, $2,868,909,000: 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, 2020.


Identification code 036–0151–0–1–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0010	Compensation and pensions	2,454	2,280	2,377
0011	Education	212	209	215
0012	Vocational rehabilitation and counseling	231	317	258
0013	Insurance	1	1	1
0014	Housing	15	18	18

0799	Total direct obligations	2,913	2,825	2,869
0801	Compensation and pensions	782	796	810
0802	Education		1	1
0804	Insurance	29	33	33
0805	Housing	154	155	156

0899	Total reimbursable obligations	965	985	1,000

0900	Total new obligations, unexpired accounts	3,878	3,810	3,869

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	100	60	63
1012	Unobligated balance transfers between expired and unexpired accounts	30

1050	Unobligated balance (total)	130	60	63
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	2,844	2,825	2,869
1121	Appropriations transferred from other acct [036–1122]	10

1160	Appropriation, discretionary (total)	2,854	2,825	2,869
	Spending authority from offsetting collections, discretionary:
1700	Collected	965	988	988
1900	Budget authority (total)	3,819	3,813	3,857
1930	Total budgetary resources available	3,949	3,873	3,920
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–11
1941	Unexpired unobligated balance, end of year	60	63	51

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	501	780	669
3010	New obligations, unexpired accounts	3,878	3,810	3,869
3011	Obligations ("upward adjustments"), expired accounts	103
3020	Outlays (gross)	–3,599	–3,921	–3,791
3041	Recoveries of prior year unpaid obligations, expired	–103

3050	Unpaid obligations, end of year	780	669	747
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	501	780	669
3200	Obligated balance, end of year	780	669	747

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	3,819	3,813	3,857
	Outlays, gross:
4010	Outlays from new discretionary authority	3,060	3,222	3,284
4011	Outlays from discretionary balances	539	699	507

4020	Outlays, gross (total)	3,599	3,921	3,791
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–967	–988	–988

4040	Offsets against gross budget authority and outlays (total)	–967	–988	–988
	Additional offsets against gross budget authority only:
4052	Offsetting collections credited to expired accounts	2

4070	Budget authority, net (discretionary)	2,854	2,825	2,869
4080	Outlays, net (discretionary)	2,632	2,933	2,803
4180	Budget authority, net (total)	2,854	2,825	2,869
4190	Outlays, net (total)	2,632	2,933	2,803

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 Public Law 101–508.


Identification code 036–0151–0–1–705		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	1,245	1,178	1,275
11.5	Other personnel compensation	383	383	393

11.9	Total personnel compensation	1,628	1,561	1,668
12.1	Civilian personnel benefits	538	538	547
13.0	Benefits for former personnel	1	1	1
21.0	Travel and transportation of persons	33	32	33
22.0	Transportation of things	1	2	2
23.1	Rent	121	121	124
23.2	Rental payments to others	20	20	20
23.3	Communications, utilities, and miscellaneous charges	20	20	20
24.0	Printing and reproduction	2	4	4
25.2	Other services from non-Federal sources	536	503	427
26.0	Supplies and materials	7	5	5
31.0	Equipment	5	16	16
42.0	Insurance claims and indemnities	1	2	2

99.0	Direct obligations	2,913	2,825	2,869
99.0	Reimbursable obligations	965	985	1,000

99.9	Total new obligations, unexpired accounts	3,878	3,810	3,869


Identification code 036–0151–0–1–705		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	21,196	21,500	22,381
2001	Reimbursable civilian full-time equivalent employment	1,212	1,312	1,311


Identification code 036–4012–0–3–701		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0801	Capital investment	27	28	29
0802	Death claims	109	118	122
0803	All other	7	6	6
0804	Payments to GOE and IT	14	17	19

0900	Total new obligations, unexpired accounts	157	169	176

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	9	12	26
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	160	183	171
1930	Total budgetary resources available	169	195	197
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	12	26	21

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	19	22	43
3010	New obligations, unexpired accounts	157	169	176
3020	Outlays (gross)	–154	–148	–176

3050	Unpaid obligations, end of year	22	43	43
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	19	22	43
3200	Obligated balance, end of year	22	43	43

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	160	183	171
	Outlays, gross:
4100	Outlays from new mandatory authority	126	127	171
4101	Outlays from mandatory balances	28	21	5

4110	Outlays, gross (total)	154	148	176
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources	–70	–87	–72
4123	Non-Federal sources	–4	–5	–5
4123	Non-Federal sources	–64	–68	–69
4123	Non-Federal sources	–22	–23	–25

4130	Offsets against gross budget authority and outlays (total)	–160	–183	–171
4170	Outlays, net (mandatory)	–6	–35	5
4180	Budget authority, net (total)
4190	Outlays, net (total)	–6	–35	5

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

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

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

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

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


	2017 actual	2018 est.	2019 est.

Number of policies (EOY)	275,208	278,401	281,104
Insurance in force (dollars in millions) (EOY)	$2,889	$2,955	$3,000

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.


Identification code 036–4012–0–3–701		2017 actual	2018 est.	2019 est.

	Reimbursable obligations:
33.0	Investments and loans	27	28	29
42.0	Insurance claims and indemnities	130	141	147

99.9	Total new obligations, unexpired accounts	157	169	176


Identification code 036–4010–0–3–701		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0801	Death claims	20	19	16
0802	Dividends	2	1	1
0803	All other	5	3	2
0804	Capital investment: policy loans		1	1

0900	Total new obligations, unexpired accounts	27	24	20

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	117	98	80
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	8	6	5
1930	Total budgetary resources available	125	104	85
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	98	80	65

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	29	26	21
3010	New obligations, unexpired accounts	27	24	20
3020	Outlays (gross)	–30	–29	–24

3050	Unpaid obligations, end of year	26	21	17
	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	27	24	19
3200	Obligated balance, end of year	24	19	15

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	8	6	5
	Outlays, gross:
4100	Outlays from new mandatory authority	8	6	5
4101	Outlays from mandatory balances	22	23	19

4110	Outlays, gross (total)	30	29	24
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4121	Interest on Federal securities	–6	–4	–3
4123	Non-Federal sources	–1	–1	–1
4123	Non-Federal sources	–1	–1	–1

4130	Offsets against gross budget authority and outlays (total)	–8	–6	–5
4170	Outlays, net (mandatory)	22	23	19
4180	Budget authority, net (total)
4190	Outlays, net (total)	22	23	19

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	144	123	99
5001	Total investments, EOY: Federal securities: Par value	123	99	80

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

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

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

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

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

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


	2017 actual	2018 est.	2019 est.

Number of policies	9,854	8,002	6,410
Insurance in force (dollars in millions)	$105	$85	$67

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


Identification code 036–4010–0–3–701		2017 actual	2018 est.	2019 est.

	Reimbursable obligations:
33.0	Investments and loans		1	1
42.0	Insurance claims and indemnities	24	21	17
43.0	Interest and dividends	3	2	2

99.9	Total new obligations, unexpired accounts	27	24	20


Identification code 036–4009–0–3–701		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0801	Premium payments	766	791	791
0802	Payments to carrier	1
0803	Payment to GOE	3	3	3

0900	Total new obligations (object class 41.0)	770	794	794

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	1	1	1
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	770	794	794
1930	Total budgetary resources available	771	795	795
	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	770	794	794
3020	Outlays (gross)	–770	–794	–794

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	770	794	794
	Outlays, gross:
4100	Outlays from new mandatory authority	769	793	793
4101	Outlays from mandatory balances	1	1	1

4110	Outlays, gross (total)	770	794	794
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Non-Federal sources	–770	–794	–794
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.

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 2019, 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, $200,611,969.


Identification code 036–1119–0–1–704		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
	Credit program obligations:
0702	Loan guarantee subsidy	891	435	111
0705	Reestimates of direct loan subsidy	5	5
0706	Interest on reestimates of direct loan subsidy	6	4
0707	Reestimates of loan guarantee subsidy	54	470
0708	Interest on reestimates of loan guarantee subsidy	16	147
0709	Administrative expenses	195	198	200

0900	Total new obligations, unexpired accounts	1,167	1,259	311

	Budgetary resources:
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	199	198	200
	Appropriations, mandatory:
1200	Appropriation	973	1,061	111
1900	Budget authority (total)	1,172	1,259	311
1930	Total budgetary resources available	1,172	1,259	311
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–5

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1		1	1
3010	New obligations, unexpired accounts	1,167	1,259	311
3020	Outlays (gross)	–1,166	–1,259	–311

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

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	199	198	200
	Outlays, gross:
4010	Outlays from new discretionary authority	193	198	200
	Mandatory:
4090	Budget authority, gross	973	1,061	111
	Outlays, gross:
4100	Outlays from new mandatory authority	973	1,061	111
4180	Budget authority, net (total)	1,172	1,259	311
4190	Outlays, net (total)	1,166	1,259	311


		2017 actual	2018 est.	2019 est.

Enacted/requested:
	Budget Authority	1,172	1,259	311
	Outlays	1,166	1,259	311
Legislative proposal, subject to PAYGO:
	Budget Authority			118
	Outlays			118
Total:
	Budget Authority	1,172	1,259	429
	Outlays	1,166	1,259	429

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


Identification code 036–1119–0–1–704		2017 actual	2018 est.	2019 est.

	Direct loan levels supportable by subsidy budget authority:
115001	Acquired Direct Loans	6	9	10
115004	Vendee Direct Loans		267	323

115999	Total direct loan levels	6	276	333
	Direct loan subsidy (in percent):
132001	Acquired Direct Loans	1.92	7.94	6.33
132004	Vendee Direct Loans	–23.58	–26.49	–5.47

132999	Weighted average subsidy rate	1.92	–25.37	–5.12
	Direct loan subsidy budget authority:
133001	Acquired Direct Loans		1	1
133004	Vendee Direct Loans		–71	–17

133999	Total subsidy budget authority		–70	–16
	Direct loan subsidy outlays:
134001	Acquired Direct Loans		1	1
134004	Vendee Direct Loans		–71	–18

134999	Total subsidy outlays		–70	–17
	Direct loan reestimates:
135001	Acquired Direct Loans	1	2
135004	Vendee Direct Loans	2	2
135005	Acquired and Vendee Loan Reestimates	5

135999	Total direct loan reestimates	8	4

	Guaranteed loan levels supportable by subsidy budget authority:
215001	Housing Guaranteed Loans	174,746	160,620	156,824

215999	Total loan guarantee levels	174,746	160,620	156,824
	Guaranteed loan subsidy (in percent):
232001	Housing Guaranteed Loans	0.51	0.27	0.07

232999	Weighted average subsidy rate	0.51	0.27	0.07
	Guaranteed loan subsidy budget authority:
233001	Housing Guaranteed Loans	891	434	110

233999	Total subsidy budget authority	891	434	110
	Guaranteed loan subsidy outlays:
234001	Housing Guaranteed Loans	891	434	110

234999	Total subsidy outlays	891	434	110
	Guaranteed loan reestimates:
235001	Housing Guaranteed Loans	–1,624	–1,853
235002	Guaranteed Loan Sale Securities—Vendee	–4

235999	Total guaranteed loan reestimates	–1,628	–1,853

	Administrative expense data:
3510	Budget authority	199	179	200
3590	Outlays from new authority	194	179	200

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

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

(e) for certain loans in excess of $453,100, 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.


	2017 actual	2018 est.	2019 est.

Construction and valuation	666	711	760
Loan processing	1,137	1,180	1,220
Loan service and claims	206	198	190


Identification code 036–1119–0–1–704		2017 actual	2018 est.	2019 est.

	Direct obligations:
25.2	Other services from non-Federal sources	195	198	200
41.0	Grants, subsidies, and contributions	972	1,061	111

99.9	Total new obligations, unexpired accounts	1,167	1,259	311


Identification code 036–1119–4–1–704		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
	Credit program obligations:
0702	Loan guarantee subsidy			73
0703	Subsidy for modifications of direct loans			45

0900	Total new obligations, unexpired accounts (object class 41.0)			118

	Budgetary resources:
	Budget authority:
	Appropriations, mandatory:
1200	Appropriation			118
1930	Total budgetary resources available			118

	Change in obligated balance:
	Unpaid obligations:
3010	New obligations, unexpired accounts			118
3020	Outlays (gross)			–118

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross			118
	Outlays, gross:
4100	Outlays from new mandatory authority			118
4180	Budget authority, net (total)			118
4190	Outlays, net (total)			118

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


Identification code 036–1119–4–1–704		2017 actual	2018 est.	2019 est.

	Guaranteed loan levels supportable by subsidy budget authority:
215002	Guaranteed Loan Sale Securities—Vendee			634

215999	Total loan guarantee levels			634
	Guaranteed loan subsidy (in percent):
232002	Guaranteed Loan Sale Securities—Vendee	0.00	0.00	10.72

232999	Weighted average subsidy rate	0.00	0.00	0.00
	Guaranteed loan subsidy budget authority:
233001	Housing Guaranteed Loans			5
233002	Guaranteed Loan Sale Securities—Vendee			68

233999	Total subsidy budget authority			73

Extension of Net Value Authority. This proposal would extend VA's authority for calculating the net value of a property and using that calculation to determine VA's liability to pay claims at the time of foreclosure through the end of fiscal year 2022. P.L. 115–62 extended the requirements to September 30, 2018. This proposal would also provide the Secretary with the discretion to determine what costs should be included in the net value calculation, based on prevailing economic conditions. Mandatory benefits loan subsidy costs associated with this proposal are insignificant. The tangible benefits gained by this proposal are predictability of foreclosure liabilities for VA.

Extend Vendee Loan Securitization Authority. This proposal would extend, through September 30, 2028, the Secretary's authority to issue and guarantee the timely payment of principal and interest on certificates or other securities evidencing an interest in a pool of mortgage loans made in connection with the sale of VA-acquired properties. Currently, section 409 of Public Law 115–62 amended 38 U.S.C. 3720(h) (2) to extend this authority through September 30, 2018. The proposal is estimated to incur loan subsidy costs of $89.1 million in 2019, $213.4 million over 5 years, and $333.4 million over 10 years.

Extend Housing Assistance for Homeless Veterans Under 38 U.S.C. 2041 to Include Permanent Housing Options. The proposal would extend the Secretary's authority to use homes acquired through the guaranteed loan program to assist homeless veterans, including through the Homeless Shelter Program (HSP), through September 30, 2023. Without extension of the proposal, the Secretary would stop using HSP, but would continue to sell already acquired properties and to acquire new properties and sell them. The acquired properties that were already sold using HSP would continue serving homeless veterans. Conditional on approval, the proposal would amend 38 U.S.C. 2041 by adding that properties acquired under this section may also be used to provide permanent housing. This change would better reflect current Federal housing policy regarding homelessness. Section 304 of the Department of Veterans Affairs Expiring Authorities Act of 2016, P.L. 114–228 extended the requirements through September 30, 2017. This authority was not extended for 2018 and the VA subsequently suspended the Homeless Service Provider program. The proposal is estimated to incur loan subsidy costs of $29.1 million in 2019.

Extend Loan Funding Fee Rates. This proposal would extend the current loan funding fee schedule through September 30, 2028. The existing statutory requirement, set forth with P.L. 115–46, VA Choice and Quality Employment Act of 2017, section 402 extended the funding fee rates through September 30, 2027. Savings are estimated at $356.0 million in 2028.


Identification code 036–4127–0–3–704		2017 actual	2018 est.	2019 est.

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

0091	Direct program activities, subtotal	4	1	1
	Credit program obligations:
0710	Direct loan obligations	6	276	333
0713	Payment of interest to Treasury	21	7	16
0740	Negative subsidy obligations		71	17
0742	Downward reestimates paid to receipt accounts	1	2
0743	Interest on downward reestimates	2	3

0791	Direct program activities, subtotal	30	359	366

0900	Total new obligations, unexpired accounts	34	360	367

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	59	87
1023	Unobligated balances applied to repay debt	–48	–87

1050	Unobligated balance (total)	11
	Financing authority:
	Borrowing authority, mandatory:
1400	Borrowing authority	76	360	367
1422	Borrowing authority applied to repay debt	–17

1440	Borrowing authority, mandatory (total)	59	360	367
	Spending authority from offsetting collections, mandatory:
1800	Collected	72	49	53
1825	Spending authority from offsetting collections applied to repay debt	–21	–49	–53

1850	Spending auth from offsetting collections, mand (total)	51
1900	Budget authority (total)	110	360	367
1930	Total budgetary resources available	121	360	367
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	87

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1			6
3010	New obligations, unexpired accounts	34	360	367
3020	Outlays (gross)	–34	–354	–366

3050	Unpaid obligations, end of year		6	7
	Memorandum (non-add) entries:
3100	Obligated balance, start of year			6
3200	Obligated balance, end of year		6	7

	Financing authority and disbursements, net:
	Mandatory:
4090	Budget authority, gross	110	360	367
	Financing disbursements:
4110	Outlays, gross (total)	34	354	366
	Offsets against gross financing authority and disbursements:
	Offsetting collections (collected) from:
4120	Federal sources: Payments from program account	–11	–10	–1
4122	Interest on uninvested funds	–5
4123	Interest and principal received on loans	–56	–36	–50
4123	Cash sale of properties		–3	–2

4130	Offsets against gross budget authority and outlays (total)	–72	–49	–53

4160	Budget authority, net (mandatory)	38	311	314
4170	Outlays, net (mandatory)	–38	305	313
4180	Budget authority, net (total)	38	311	314
4190	Outlays, net (total)	–38	305	313


Identification code 036–4127–0–3–704		2017 actual	2018 est.	2019 est.

	Position with respect to appropriations act limitation on obligations:
1111	Direct loan obligations from current-year authority	6	276	333

1150	Total direct loan obligations	6	276	333

	Cumulative balance of direct loans outstanding:
1210	Outstanding, start of year	377	342	599
1231	Disbursements: Direct loan disbursements	6	276	333
1251	Repayments: Repayments and prepayments	–41	–17	–23
1263	Write-offs for default: Direct loans		–2	–2

1290	Outstanding, end of year	342	599	907


Identification code 036–4127–0–3–704		2016 actual	2017 actual

	ASSETS:
	Federal assets:
1101	Fund balances with Treasury	59	88
	Investments in US securities:
1106	Receivables, net	9	7
1206	Non-Federal assets: Receivables, net	6	5
	Net value of assets related to post-1991 direct loans receivable:
1401	Direct loans receivable, gross	377	342
1402	Interest receivable	20	21
1404	Foreclosed property	15	3
1405	Allowance for subsidy cost (-)	23	33

1499	Net present value of assets related to direct loans	435	399
1901	Other Federal assets: Other assets	1	1

1999	Total assets	510	500
	LIABILITIES:
	Federal liabilities:
2103	Debt	500	489
2105	Other	10	10
	Non-Federal liabilities:
2201	Accounts payable
2207	Other		1

2999	Total liabilities	510	500

4999	Total liabilities and net position	510	500


Identification code 036–4129–0–3–704		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0002	Losses on defaulted loans	785	1,002	1,211
0005	Payment to trustee reserve	15	17	16
0009	Property sales expense	120	132	159
0010	Property management expense	79	79	98
0011	Property improvement expense	2	4	4
0012	Loans acquired	6	10	11
0013	Refunds	32	27	30
0014	Other Expenses	9

0091	Direct program activities, subtotal	1,048	1,271	1,529
	Credit program obligations:
0711	Default claim payments on principal	1,469	1,681	2,033
0742	Downward reestimates paid to receipt accounts	1,526	2,327
0743	Interest on downward reestimates	173	142

0791	Direct program activities, subtotal	3,168	4,150	2,033

0900	Total new obligations, unexpired accounts	4,216	5,421	3,562

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	10,468	11,086	10,568
1033	Recoveries of prior year paid obligations	8

1050	Unobligated balance (total)	10,476	11,086	10,568
	Financing authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	4,826	4,903	4,241
1930	Total budgetary resources available	15,302	15,989	14,809
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	11,086	10,568	11,247

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	361	307	58
3010	New obligations, unexpired accounts	4,216	5,421	3,562
3020	Outlays (gross)	–4,270	–5,670	–3,550

3050	Unpaid obligations, end of year	307	58	70
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	361	307	58
3200	Obligated balance, end of year	307	58	70

	Financing authority and disbursements, net:
	Mandatory:
4090	Budget authority, gross	4,826	4,903	4,241
	Financing disbursements:
4110	Outlays, gross (total)	4,270	5,670	3,550
	Offsets against gross financing authority and disbursements:
	Offsetting collections (collected) from:
4120	Payments from program account	–961	–1,051	–110
4120	Recoveries from DLFA	–6	–277	–333
4122	Interest on uninvested funds	–206	–226	–183
4123	Funding fees	–2,155	–1,837	–1,788
4123	Cash sale of properties	–1,493	–1,512	–1,827
4123	Redemption of Properties/Other income and receivables	–13

4130	Offsets against gross budget authority and outlays (total)	–4,834	–4,903	–4,241
	Additional offsets against financing authority only (total):
4143	Recoveries of prior year paid obligations, unexpired accounts	8
4170	Outlays, net (mandatory)	–564	767	–691
4180	Budget authority, net (total)
4190	Outlays, net (total)	–564	767	–691


Identification code 036–4129–0–3–704		2017 actual	2018 est.	2019 est.

	Position with respect to appropriations act limitation on commitments:
2111	Guaranteed loan commitments from current-year authority	174,746	160,620	156,824

2150	Total guaranteed loan commitments	174,746	160,620	156,824
2199	Guaranteed amount of guaranteed loan commitments	48,230	44,341	43,283

	Cumulative balance of guaranteed loans outstanding:
2210	Outstanding, start of year	524,915	603,631	701,092
2231	Disbursements of new guaranteed loans	174,746	160,620	156,824
2251	Repayments and prepayments	–93,398	–60,446	–60,248
	Adjustments:
2262	Terminations for default that result in acquisition of property	–1,469	–1,680	–2,033
2263	Terminations for default that result in claim payments	–1,163	–1,033	–1,238

2290	Outstanding, end of year	603,631	701,092	794,397

	Memorandum:
2299	Guaranteed amount of guaranteed loans outstanding, end of year	159,100	179,147	202,859


Identification code 036–4129–0–3–704		2016 actual	2017 actual

	ASSETS:
	Federal assets:
1101	Fund balances with Treasury	10,830	11,393
	Investments in US securities:
1106	Receivables, net	27	350
	Net value of assets related to post-1991 acquired defaulted guaranteed loans receivable:
1504	Accounts receivable from foreclosed property	13	14
1504	Foreclosed property	845	726

1599	Net present value of assets related to defaulted guaranteed loans	858	740

1999	Total assets	11,715	12,483
	LIABILITIES:
	Federal liabilities:
2103	Debt
2105	Other liabilities	1,586	1,871
	Non-Federal liabilities:
2201	Accounts payable	361	307
2204	Non-federal liabilities for loan guarantees	9,768	10,305

2999	Total liabilities	11,715	12,483

4999	Total liabilities and net position	11,715	12,483


Identification code 036–4025–0–3–704		2017 actual	2018 est.	2019 est.

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

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

1050	Unobligated balance (total)	1
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	13	10	8
1820	Capital transfer of spending authority from offsetting collections to general fund	–12	–9	–7

1850	Spending auth from offsetting collections, mand (total)	1	1	1
1930	Total budgetary resources available	2	1	1

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

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

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

4110	Outlays, gross (total)	2	1	1
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Loan repayments and prepayments	–14	–1	–1
4123	Sale of homes, cash		–1	–1
4123	Interest collection on Veteran liability debts		–3	–2
4123	Principal collection on Veteran liability debts		–5	–4

4130	Offsets against gross budget authority and outlays (total)	–14	–10	–8
	Additional offsets against gross budget authority only:
4143	Recoveries of prior year paid obligations, unexpired accounts	1

4160	Budget authority, net (mandatory)	–12	–9	–7
4170	Outlays, net (mandatory)	–12	–9	–7
4180	Budget authority, net (total)	–12	–9	–7
4190	Outlays, net (total)	–12	–9	–7

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


Identification code 036–4025–0–3–704		2017 actual	2018 est.	2019 est.

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

1290	Outstanding, end of year	2	1


Identification code 036–4025–0–3–704		2017 actual	2018 est.	2019 est.

	Cumulative balance of guaranteed loans outstanding:
2210	Outstanding, start of year	81	45	25
2251	Repayments and prepayments	–35	–19	–11
2262	Adjustments: Terminations for default that result in acquisition of property	–1	–1	–1

2290	Outstanding, end of year	45	25	13

	Memorandum:
2299	Guaranteed amount of guaranteed loans outstanding, end of year	19	10	6

	Addendum:
	Cumulative balance of defaulted guaranteed loans that result in loans receivable:
2310	Outstanding, start of year	23	20	14
2331	Disbursements for guaranteed loan claims
2351	Repayments of loans receivable	–3	–6	–4
2364	Other adjustments, net

2390	Outstanding, end of year	20	14	10


Identification code 036–4025–0–3–704		2016 actual	2017 actual

	ASSETS:
1101	Federal assets: Fund balances with Treasury	3	1
	Non-Federal assets:
1201	Investments in non-Federal securities, net	140	139
1206	Receivables, net	1	1
1601	Direct loans, gross	3	2
1602	Interest receivable	9	35
1603	Allowance for estimated uncollectible loans and interest (-)	–31	–35

1699	Value of assets related to direct loans	–19	2
1701	Defaulted guaranteed loans, gross	23	20
1703	Allowance for estimated uncollectible loans and interest (-)	–1	–18

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

1799	Value of assets related to loan guarantees	23	3

1999	Total assets	148	146
	LIABILITIES:
	Non-Federal liabilities:
2201	Accounts payable	2	1
2204	Liabilities for loan guarantees	146	259

2999	Total liabilities	148	260
	NET POSITION:
3300	Cumulative results of operations		–114

4999	Total liabilities and net position	148	146


Identification code 036–4025–0–3–704		2017 actual	2018 est.	2019 est.

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

99.9	Total new obligations, unexpired accounts	2	1	1

For administrative expenses to carry out the direct loan program authorized by subchapter V of chapter 37 of title 38, United States Code, $1,149,143.

For the cost of direct loans, $38,775, 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 $2,037,366.

In addition, for administrative expenses necessary to carry out the direct loan program, $396,457, which may be paid to the appropriation for "General Operating Expenses, Veterans Benefits Administration".


Identification code 036–1120–0–1–704		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
	Credit program obligations:
0705	Reestimates of direct loan subsidy	1	1
0709	Administrative expenses	2	3	2

0900	Total new obligations, unexpired accounts	3	4	2

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2	2	2
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	2	2	2
	Appropriations, mandatory:
1200	Appropriation	1	2
1900	Budget authority (total)	3	4	2
1930	Total budgetary resources available	5	6	4
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	2	2	2

	Change in obligated balance:
	Unpaid obligations:
3010	New obligations, unexpired accounts	3	4	2
3020	Outlays (gross)	–3	–4	–2

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	2	2	2
	Outlays, gross:
4010	Outlays from new discretionary authority	2	2	2
	Mandatory:
4090	Budget authority, gross	1	2
	Outlays, gross:
4100	Outlays from new mandatory authority	1	2
4180	Budget authority, net (total)	3	4	2
4190	Outlays, net (total)	3	4	2

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


Identification code 036–1120–0–1–704		2017 actual	2018 est.	2019 est.

	Direct loan levels supportable by subsidy budget authority:
115002	Native American Direct Loans	5	11	12
115003	Vocational Rehabilitation	2	2	2

115999	Total direct loan levels	7	13	14
	Direct loan subsidy (in percent):
132002	Native American Direct Loans	–18.62	–20.22	–11.89
132003	Vocational Rehabilitation	1.43	1.26	1.90

132999	Weighted average subsidy rate	–12.89	–16.92	–9.92
	Direct loan subsidy budget authority:
133002	Native American Direct Loans	–1	–2	–1

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

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

135999	Total direct loan reestimates	1	2

	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.


Identification code 036–1120–0–1–704		2017 actual	2018 est.	2019 est.

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

99.9	Total new obligations, unexpired accounts	3	4	2


Identification code 036–4130–0–3–704		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
	Credit program obligations:
0710	Direct loan obligations	5	11	12
0713	Payment of interest to Treasury	1	3	2
0740	Negative subsidy obligations	1	2	1

0900	Total new obligations, unexpired accounts	7	16	15

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	1	3	3
	Financing authority:
	Borrowing authority, mandatory:
1400	Borrowing authority	6	13	13
	Spending authority from offsetting collections, mandatory:
1800	Collected	6	9	8
1825	Spending authority from offsetting collections applied to repay debt	–3	–6	–6

1850	Spending auth from offsetting collections, mand (total)	3	3	2
1900	Budget authority (total)	9	16	15
1930	Total budgetary resources available	10	19	18
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	3	3	3

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	2	2	2
3010	New obligations, unexpired accounts	7	16	15
3020	Outlays (gross)	–7	–16	–15

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

	Financing authority and disbursements, net:
	Mandatory:
4090	Budget authority, gross	9	16	15
	Financing disbursements:
4110	Outlays, gross (total)	7	16	15
	Offsets against gross financing authority and disbursements:
	Offsetting collections (collected) from:
4120	Federal sources	–1	–2
4123	Non-federal sources - Repayments and prepayments of principal	–3	–5	–5
4123	Non-Federal sources - Interest received on loans	–2	–2	–3

4130	Offsets against gross budget authority and outlays (total)	–6	–9	–8

4160	Budget authority, net (mandatory)	3	7	7
4170	Outlays, net (mandatory)	1	7	7
4180	Budget authority, net (total)	3	7	7
4190	Outlays, net (total)	1	7	7


Identification code 036–4130–0–3–704		2017 actual	2018 est.	2019 est.

	Position with respect to appropriations act limitation on obligations:
1111	Direct loan obligations from current-year authority	5	11	12

1150	Total direct loan obligations	5	11	12

	Cumulative balance of direct loans outstanding:
1210	Outstanding, start of year	60	60	66
1231	Disbursements: Direct loan disbursements	5	11	12
1251	Repayments: Repayments and prepayments	–5	–5	–6

1290	Outstanding, end of year	60	66	72


Identification code 036–4130–0–3–704		2016 actual	2017 actual

	ASSETS:
	Federal assets:
1101	Fund balances with Treasury	3	4
	Investments in US securities:
1106	Receivables, net	1	2
	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	69	71
	LIABILITIES:
	Federal liabilities:
2103	Federal liabilities debt	67	69
2105	Other liabilities	2	2

2999	Total liabilities	69	71

4999	Total liabilities and net position	69	71


Identification code 036–4258–0–3–704		2017 actual	2018 est.	2019 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:
3010	New obligations, unexpired accounts	1	1	1
3020	Outlays (gross)	–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)


Identification code 036–4258–0–3–704		2017 actual	2018 est.	2019 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	4	4	4

1290	Outstanding, end of year	4	4	4


Identification code 036–4258–0–3–704		2016 actual	2017 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	4

1999	Total assets	10	9
	LIABILITIES:
	Federal liabilities:
2103	Debt	5	5
2105	Loan Guaranty/Other Liabilities	5	4

2999	Total liabilities	10	9

4999	Total liabilities and net position	10	9


Identification code 036–4112–0–3–702		2017 actual	2018 est.	2019 est.

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

0900	Total new obligations, unexpired accounts	2	2	2

	Budgetary resources:
	Financing authority:
	Borrowing authority, mandatory:
1400	Authority to borrow (indefinite)	2	2	2
1422	Borrowing authority applied to repay debt	–1

1440	Borrowing authority, mandatory (total)	1	2	2
	Spending authority from offsetting collections, mandatory:
1800	Collected	2	2	2
1825	Spending authority from offsetting collections applied to repay debt	–1	–2	–2

1850	Spending auth from offsetting collections, mand (total)	1
1900	Budget authority (total)	2	2	2
1930	Total budgetary resources available	2	2	2

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

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


Identification code 036–4112–0–3–702		2017 actual	2018 est.	2019 est.

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

1150	Total direct loan obligations	2	2	2

	Cumulative balance of direct loans outstanding:
1210	Outstanding, start of year	1	1	1
1231	Disbursements: Direct loan disbursements	2	2	2
1251	Repayments: Repayments and prepayments	–2	–2	–2

1290	Outstanding, end of year	1	1	1


Identification code 036–4112–0–3–702		2016 actual	2017 actual

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

1999	Total assets	2	1
	LIABILITIES:
2103	Federal liabilities: Debt	2	1

4999	Total liabilities and net position	2	1

Trust Funds


Identification code 036–8133–0–7–702		2017 actual	2018 est.	2019 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:


	2017 actual	2018 est.	2019 est.

Total program obligations (in thousands)	$161	$154	$147
Number of disenrollments	81	77	73
Total refunds (in thousands)	$159	$151	$144
Average Refund	$1,968	$1,968	$1,968
Total trainees	1	1	1
Total trainee cost (in thousands)	$1	$1	$1
Average trainee cost	$1,922	$1,798	$1,893
Section 901 trainees	0	1	1
Total Section 901 trainee cost (in thousands)	$0	$1	$1
Average Section 901 trainee cost	$0	$1,033	$1,000


Identification code 036–8132–0–7–701		2017 actual	2018 est.	2019 est.

0100	Balance, start of year	3,400	2,851	2,345
	Receipts:
	Current law:
1130	NSLI Fund, Premium and Other Receipts	58	43	35
1140	NSLI Fund, Interest	153	127	104

1199	Total current law receipts	211	170	139

1999	Total receipts	211	170	139

2000	Total: Balances and receipts	3,611	3,021	2,484
	Appropriations:
	Current law:
2101	National Service Life Insurance Fund	–211	–170	–139
2103	National Service Life Insurance Fund	–549	–506	–454

2199	Total current law appropriations	–760	–676	–593

2999	Total appropriations	–760	–676	–593

5099	Balance, end of year	2,851	2,345	1,891


Identification code 036–8132–0–7–701		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Death claims	531	462	396
0002	Disability claims	3	2	2
0003	Matured endowments	98	112	109
0004	Cash surrenders	40	18	16
0005	Dividends	42	33	28
0006	Interest paid on dividend credits and deposits	23	22	18
0007	Payment to general operating expenses	12	13	12

0091	Total operating expenses	749	662	581
0201	Capital investment: Policy loans	10	14	13

0799	Total direct obligations	759	676	594
0801	Death claims	36	42	35
0803	Matured endowments	6	10	9
0804	Cash surrenders	3	2	1
0805	Dividends	3	3	2
0806	Interest paid on dividend credits and deposits	2	2	2
0807	Payment to general operating expenses	1	1	1

0899	Total reimbursable obligations	51	60	50

0900	Total new obligations, unexpired accounts	810	736	644

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1		1	1
	Budget authority:
	Appropriations, mandatory:
1201	Appropriation (special or trust fund)	211	170	139
1203	Appropriation (previously unavailable)	549	506	454

1260	Appropriations, mandatory (total)	760	676	593
	Spending authority from offsetting collections, mandatory:
1800	Collected	51	60	51
1900	Budget authority (total)	811	736	644
1930	Total budgetary resources available	811	737	645
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1	1	1

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	854	761	642
3010	New obligations, unexpired accounts	810	736	644
3020	Outlays (gross)	–903	–855	–749

3050	Unpaid obligations, end of year	761	642	537
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	854	761	642
3200	Obligated balance, end of year	761	642	537

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	811	736	644
	Outlays, gross:
4100	Outlays from new mandatory authority	262	132	296
4101	Outlays from mandatory balances	641	723	453

4110	Outlays, gross (total)	903	855	749
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4123	Non-Federal sources	–51	–60	–51
4180	Budget authority, net (total)	760	676	593
4190	Outlays, net (total)	852	795	698

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	4,246	3,604	2,901
5001	Total investments, EOY: Federal securities: Par value	3,604	2,901	2,341

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:


	2017 actual	2018 est.	2019 est.

Number of policies	253,731	208,811	167,261
Insurance in force (dollars in millions)	$3,218	$2,646	$2,110

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 $3,114 million as of September 30, 2018 to $2,549 million as of September 30, 2019. The actuarial estimate of policy obligations as of September 30, 2019, totals $2,494 million, leaving a balance of $55 million for contingency reserves.


Identification code 036–8132–0–7–701		2017 actual	2018 est.	2019 est.

	Unexpended balance, start of year:
0100	Balance, start of year	4,254	3,613	2,988

0999	Total balance, start of year	4,254	3,613	2,988
	Cash income during the year:
	Current law:
	Receipts:
1130	NSLI Fund, Premium and Other Receipts	58	43	35
1130	National Service Life Insurance Fund	51	60	51
1150	NSLI Fund, Interest	153	127	104

1199	Income under present law	262	230	190

1999	Total cash income	262	230	190
	Cash outgo during year:
	Current law:
2100	National Service Life Insurance Fund [029–25–8132–0]	–903	–855	–749

2199	Outgo under current law	–903	–855	–749

2999	Total cash outgo (-)	–903	–855	–749
	Surplus or deficit::
3110	Excluding interest	–794	–752	–663
3120	Interest	153	127	104

3199	Subtotal, surplus or deficit	–641	–625	–559

3999	Total change in fund balance	–641	–625	–559
	Unexpended balance, end of year::
4100	Uninvested balance (net), end of year	9	87	88
4200	National Service Life Insurance Fund	3,604	2,901	2,341

4999	Total balance, end of year	3,613	2,988	2,429


Identification code 036–8132–0–7–701		2017 actual	2018 est.	2019 est.

	Direct obligations:
33.0	Investments and loans	10	14	13
42.0	Insurance claims and indemnities	672	594	522
43.0	Interest and dividends	77	68	58

99.0	Direct obligations	759	676	593
99.0	Reimbursable obligations	51	60	51

99.9	Total new obligations, unexpired accounts	810	736	644


Identification code 036–8150–0–7–701		2017 actual	2018 est.	2019 est.

0100	Balance, start of year	3	2	2

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

5099	Balance, end of year	2	2	2


Identification code 036–8150–0–7–701		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Death claims	1

0900	Total new obligations, unexpired accounts (object class 43.0)	1

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

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

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

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

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


	2017 actual	2018 est.	2019 est.

Number of policies	124	36	0
Insurance in force (dollars in millions)	$.3	$.04	$.003

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 $2.2 million as of September 30, 2018, to $1.8 million as of September 30, 2019, as an increasing number of policies mature through death or disability. The actuarial evaluation of policy obligations as of September 30, 2019, totals $1.4 million, leaving a balance of $.4 million for contingency reserves.


Identification code 036–8150–0–7–701		2017 actual	2018 est.	2019 est.

	Unexpended balance, start of year:
0100	Balance, start of year	4	3	2

0999	Total balance, start of year	4	3	2
	Cash outgo during year:
	Current law:
2100	United States Government Life Insurance Fund [029–25–8150–0]	–1	–1

2199	Outgo under current law	–1	–1

2999	Total cash outgo (-)	–1	–1
	Surplus or deficit::
3110	Excluding interest	–1	–1

3199	Subtotal, surplus or deficit	–1	–1

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

4999	Total balance, end of year	3	2	2


Identification code 036–8455–0–8–701		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0801	Death claims	130	141	140
0802	Cash surrenders	13	6	6
0803	Dividends	29	25	20
0804	All other	18	18	16
0805	Payments to insurance account	6	7	8
0806	Capital investment	6	6	6

0900	Total new obligations, unexpired accounts	202	203	196

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	1,294	1,210	1,106
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	120	99	87
1801	Change in uncollected payments, Federal sources	–2

1850	Spending auth from offsetting collections, mand (total)	118	99	87
1930	Total budgetary resources available	1,412	1,309	1,193
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1,210	1,106	997

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	428	413	418
3010	New obligations, unexpired accounts	202	203	196
3020	Outlays (gross)	–217	–198	–174

3050	Unpaid obligations, end of year	413	418	440
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–20	–18	–18
3070	Change in uncollected pymts, Fed sources, unexpired	2

3090	Uncollected pymts, Fed sources, end of year	–18	–18	–18
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	408	395	400
3200	Obligated balance, end of year	395	400	422

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	118	99	87
	Outlays, gross:
4100	Outlays from new mandatory authority	118	99	87
4101	Outlays from mandatory balances	99	99	87

4110	Outlays, gross (total)	217	198	174
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4121	Interest on Federal securities	–78	–68	–60
4123	Non-Federal sources	–13	–11	–10
4123	Non-Federal sources	–26	–17	–15
4123	Non-Federal sources	–3	–3	–2

4130	Offsets against gross budget authority and outlays (total)	–120	–99	–87
	Additional offsets against gross budget authority only:
4140	Change in uncollected pymts, Fed sources, unexpired	2
4170	Outlays, net (mandatory)	97	99	87
4180	Budget authority, net (total)
4190	Outlays, net (total)	97	99	87

	Memorandum (non-add) entries:
5000	Total investments, SOY: Federal securities: Par value	1,700	1,603	1,465
5001	Total investments, EOY: Federal securities: Par value	1,603	1,465	1,328

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.

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:


	2017 actual	2018 est.	2019 est.

Number of policies	101,004	91,099	81,313
Insurance in force (dollars in millions)	$1,476	$1,345	$1,210

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


Identification code 036–8455–0–8–701		2017 actual	2018 est.	2019 est.

	Reimbursable obligations:
33.0	Investments and loans	6	6	6
42.0	Insurance claims and indemnities	151	156	155
43.0	Interest and dividends	45	41	35

99.9	Total new obligations, unexpired accounts	202	203	196

Federal Funds

For constructing, altering, extending, and improving any of the facilities, including parking projects, under the jurisdiction or for the use of the Department of Veterans Affairs, or for any of the purposes set forth in sections 316, 2404, 2406 and chapter 81 of title 38, United States Code, not otherwise provided for, including planning, architectural and engineering services, construction management services, maintenance or guarantee period services costs associated with equipment guarantees provided under the project, services of claims analysts, offsite utility and storm drainage system construction costs, and site acquisition, where the estimated cost of a project is more than the amount set forth in section 8104(a)(3)(A) of title 38, United States Code, or where funds for a project were made available in a previous major project appropriation, $1,127,486,000; of which $647,486,000 shall remain available until September 30, 2023; and of which $480,000,000 shall remain available until expended, of which $400,000,000 shall be available for seismic improvement projects and seismic program management activities regardless of the estimated costs of the project: 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, and construction funds for gravesite expansion projects at existing National Cemeteries, and seismic improvement projects and program management activities of any amount, 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 2019, for each approved project shall be obligated: (1) by the awarding of a construction documents contract by September 30, 2019; and (2) by the awarding of a construction contract by September 30, 2020: 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 notwithstanding the requirements of section 8104(a) of title 38, United States Code, amounts made available under this heading for seismic improvement projects and seismic program management activities shall be available for the completion of both new and existing seismic projects of the Department: Provided further, That, of the amount made available under this heading, $190,000,000 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.


Identification code 036–0110–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Medical programs	600	914	940
0002	National cemeteries	154	207	269
0005	Staff offices	8	8	8

0799	Total direct obligations	762	1,129	1,217

0900	Total new obligations, unexpired accounts	762	1,129	1,217

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	2,062	1,654	1,049
1021	Recoveries of prior year unpaid obligations	48

1050	Unobligated balance (total)	2,110	1,654	1,049
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	326	524	1,127
1131	Unobligated balance of appropriations permanently reduced	–20

1160	Appropriation, discretionary (total)	306	524	1,127
1900	Budget authority (total)	306	524	1,127
1930	Total budgetary resources available	2,416	2,178	2,176
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	1,654	1,049	959

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	880	856	486
3010	New obligations, unexpired accounts	762	1,129	1,217
3011	Obligations ("upward adjustments"), expired accounts	1
3020	Outlays (gross)	–738	–1,499	–1,410
3040	Recoveries of prior year unpaid obligations, unexpired	–48
3041	Recoveries of prior year unpaid obligations, expired	–1

3050	Unpaid obligations, end of year	856	486	293
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	880	856	486
3200	Obligated balance, end of year	856	486	293

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	306	524	1,127
	Outlays, gross:
4010	Outlays from new discretionary authority	21	366	788
4011	Outlays from discretionary balances	717	1,133	622

4020	Outlays, gross (total)	738	1,499	1,410
4180	Budget authority, net (total)	306	524	1,127
4190	Outlays, net (total)	738	1,499	1,410

The Construction, Major Projects appropriation funds construction projects currently costing more than $10 million. Proposed legislation would raise this threshold to $20 million. Funding is requested to complete a new spinal cord injury unit in Dallas, TX; construction of a community based outpatient clinic and renovation of the domiciliary in Canandaigua, NY; and a cemetery expansion at the St. Louis, MO medical facility. In addition, three expansions at existing national cemeteries in Rittman, OH; Mims, FL; and Holly, MI will be funded. Funds are also requested for 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 to fund seismic correction, asbestos and hazardous waste abatement projects.

$244 million of funds appropriated in 2017 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 made available by the Treasury.


Identification code 036–0110–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
25.2	Other services from non-Federal sources	30	40	40
25.3	Other goods and services from Federal sources	26	26	26
32.0	Land and structures	706	1,063	1,151

99.0	Direct obligations	762	1,129	1,217

99.9	Total new obligations, unexpired accounts	762	1,129	1,217

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, $706,889,000, to remain available until September 30, 2023, 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.


Identification code 036–0111–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Medical programs	390	296	385
0002	National cemeteries	81	88	155
0003	Regional offices	40	97	65
0004	Staff offices	24	23	41
0005	Choice Act, P.L. 113–146, Sec. 801	72	82

0900	Total new obligations, unexpired accounts	607	586	646

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	673	535	318
1021	Recoveries of prior year unpaid obligations	96
1033	Recoveries of prior year paid obligations	1

1050	Unobligated balance (total)	770	535	318
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	372	369	707
1900	Budget authority (total)	372	369	707
1930	Total budgetary resources available	1,142	904	1,025
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	535	318	379

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	999	947	1,168
3010	New obligations, unexpired accounts	607	586	646
3020	Outlays (gross)	–563	–365	–417
3040	Recoveries of prior year unpaid obligations, unexpired	–96

3050	Unpaid obligations, end of year	947	1,168	1,397
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	999	947	1,168
3200	Obligated balance, end of year	947	1,168	1,397

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	372	369	707
	Outlays, gross:
4010	Outlays from new discretionary authority	18	67	128
4011	Outlays from discretionary balances	457	260	251

4020	Outlays, gross (total)	475	327	379
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4033	Non-Federal sources	–1
	Additional offsets against gross budget authority only:
4053	Recoveries of prior year paid obligations, unexpired accounts	1

4070	Budget authority, net (discretionary)	372	369	707
4080	Outlays, net (discretionary)	474	327	379
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	88	38	38
4180	Budget authority, net (total)	372	369	707
4190	Outlays, net (total)	562	365	417

The Construction, Minor Projects appropriation, which funds construction projects costing equal to or less than $10 million. Pending legislation will raise the dollar threshold for this account to projects costing $20 million or less. This account is used to improve the infrastructure of medical facilities and other Department-owned facilities to reduce the risk to patient life and safety, correct code deficiencies, and improve national cemeteries and regional and staff offices.


Identification code 036–0111–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
25.2	Other services from non-Federal sources	20	20	20
31.0	Equipment	10	10	10
32.0	Land and structures	577	556	616

99.9	Total new obligations, unexpired accounts	607	586	646

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, $150,000,000, to remain available until expended.


Identification code 036–0181–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Grants for construction of state extended care facilities	32	197	155

0900	Total new obligations (object class 41.0)	32	197	155

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	23	92	10
1021	Recoveries of prior year unpaid obligations	11	26	10

1050	Unobligated balance (total)	34	118	20
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	90	89	150
1930	Total budgetary resources available	124	207	170
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	92	10	15

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	312	194	256
3010	New obligations, unexpired accounts	32	197	155
3020	Outlays (gross)	–139	–109	–105
3040	Recoveries of prior year unpaid obligations, unexpired	–11	–26	–10

3050	Unpaid obligations, end of year	194	256	296
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	312	194	256
3200	Obligated balance, end of year	194	256	296

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	90	89	150
	Outlays, gross:
4010	Outlays from new discretionary authority		2	3
4011	Outlays from discretionary balances	139	107	102

4020	Outlays, gross (total)	139	109	105
4180	Budget authority, net (total)	90	89	150
4190	Outlays, net (total)	139	109	105

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

For grants to assist States and tribal organizations in establishing, expanding, or improving veterans cemeteries as authorized by section 2408 of title 38, United States Code, $45,000,000, to remain available until expended.


Identification code 036–0183–0–1–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Grants for construction of state veterans cemeteries	53	45	45

0900	Total new obligations (object class 41.0)	53	45	45

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	9	4	7
1021	Recoveries of prior year unpaid obligations	3	3	3

1050	Unobligated balance (total)	12	7	10
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	45	45	45
1930	Total budgetary resources available	57	52	55
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	4	7	10

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	87	96	114
3010	New obligations, unexpired accounts	53	45	45
3020	Outlays (gross)	–41	–24	–68
3040	Recoveries of prior year unpaid obligations, unexpired	–3	–3	–3

3050	Unpaid obligations, end of year	96	114	88
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	87	96	114
3200	Obligated balance, end of year	96	114	88

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	45	45	45
	Outlays, gross:
4010	Outlays from new discretionary authority		24	24
4011	Outlays from discretionary balances	41		44

4020	Outlays, gross (total)	41	24	68
4180	Budget authority, net (total)	45	45	45
4190	Outlays, net (total)	41	24	68

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, $367,629,000, of which not to exceed 5 percent shall remain available until September 30, 2020: Provided, That funds provided under this heading may be transferred to "General Operating Expenses, Veterans Benefits Administration".


Identification code 036–0142–0–1–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0014	General administration	334	352	368
0806	General administration, reimbursable program	297	390	406

0900	Total new obligations, unexpired accounts	631	742	774

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	9	11	2
1012	Unobligated balance transfers between expired and unexpired accounts	3

1050	Unobligated balance (total)	12	11	2
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	345	343	368
	Spending authority from offsetting collections, discretionary:
1700	Collected	283	390	406
1701	Change in uncollected payments, Federal sources	14

1750	Spending auth from offsetting collections, disc (total)	297	390	406
1900	Budget authority (total)	642	733	774
1930	Total budgetary resources available	654	744	776
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–12
1941	Unexpired unobligated balance, end of year	11	2	2

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	204	128	87
3010	New obligations, unexpired accounts	631	742	774
3011	Obligations ("upward adjustments"), expired accounts	15
3020	Outlays (gross)	–688	–783	–757
3041	Recoveries of prior year unpaid obligations, expired	–34

3050	Unpaid obligations, end of year	128	87	104
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–1	–15	–15
3070	Change in uncollected pymts, Fed sources, unexpired	–14

3090	Uncollected pymts, Fed sources, end of year	–15	–15	–15
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	203	113	72
3200	Obligated balance, end of year	113	72	89

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	642	733	774
	Outlays, gross:
4010	Outlays from new discretionary authority	522	666	697
4011	Outlays from discretionary balances	166	117	60

4020	Outlays, gross (total)	688	783	757
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–283	–390	–406
4033	Non-Federal sources	–2

4040	Offsets against gross budget authority and outlays (total)	–285	–390	–406
	Additional offsets against gross budget authority only:
4050	Change in uncollected pymts, Fed sources, unexpired	–14
4052	Offsetting collections credited to expired accounts	2

4060	Additional offsets against budget authority only (total)	–12

4070	Budget authority, net (discretionary)	345	343	368
4080	Outlays, net (discretionary)	403	393	351
4180	Budget authority, net (total)	345	343	368
4190	Outlays, net (total)	403	393	351

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


Identification code 036–0142–0–1–705		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	189	205	219
11.5	Other personnel compensation	3	2	3

11.9	Total personnel compensation	192	207	222
12.1	Civilian personnel benefits	65	66	70
21.0	Travel and transportation of persons	4	6	6
23.2	Rental payments to others	8	21	21
23.3	Communications, utilities, and miscellaneous charges	2
25.2	Other services from non-Federal sources	62	49	47
26.0	Supplies and materials	1	1	1
31.0	Equipment		2	1

99.0	Direct obligations	334	352	368
99.0	Reimbursable obligations	297	390	406

99.9	Total new obligations, unexpired accounts	631	742	774


Identification code 036–0142–0–1–705		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	1,662	1,816	1,933
2001	Reimbursable civilian full-time equivalent employment	862	1,121	1,102

For necessary operating expenses of the Board of Veterans Appeals, $174,748,000, of which not to exceed 10 percent shall remain available until September 30, 2020.


Identification code 036–1122–0–1–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0014	Board of Veterans' Appeals	131	170	175

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	3	15
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	156	155	175
1120	Appropriations transferred to other acct [036–0151]	–10

1160	Appropriation, discretionary (total)	146	155	175
1930	Total budgetary resources available	149	170	175
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–3
1941	Unexpired unobligated balance, end of year	15

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	10	10	30
3010	New obligations, unexpired accounts	131	170	175
3020	Outlays (gross)	–129	–150	–169
3041	Recoveries of prior year unpaid obligations, expired	–2

3050	Unpaid obligations, end of year	10	30	36
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	10	10	30
3200	Obligated balance, end of year	10	30	36

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	146	155	175
	Outlays, gross:
4010	Outlays from new discretionary authority	118	131	148
4011	Outlays from discretionary balances	11	19	21

4020	Outlays, gross (total)	129	150	169
4180	Budget authority, net (total)	146	155	175
4190	Outlays, net (total)	129	150	169

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. On August 23, 2017, the Veterans Appeals Improvement and Modernization Act of 2017 became law. This act reformed the current appeals process by moving away from a complex system with no predicable end and replacing it with a transparent, understandable process that provides veterans with clear options on their appeal after receiving their initial decision on a claim.


Identification code 036–1122–0–1–705		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	85	113	112
11.5	Other personnel compensation	2	2	2

11.9	Total personnel compensation	87	115	114
12.1	Civilian personnel benefits	27	36	37
21.0	Travel and transportation of persons		1	1
23.2	Rental payments to others	11	9	4
25.2	Other services from non-Federal sources	6	8	18
41.0	Grants, subsidies, and contributions		1	1

99.9	Total new obligations, unexpired accounts	131	170	175


Identification code 036–1122–0–1–705		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	840	1,105	1,025

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.), $172,054,000, of which not to exceed 10 percent shall remain available until September 30, 2020.


Identification code 036–0170–0–1–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0101	Office of Inspector General (Direct)	155	174	173

0192	Total direct program	155	174	173

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	9	16	1
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	160	159	172
	Spending authority from offsetting collections, discretionary:
1700	Collected	2
1900	Budget authority (total)	162	159	172
1930	Total budgetary resources available	171	175	173
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	16	1

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	17	20	41
3010	New obligations, unexpired accounts	155	174	173
3011	Obligations ("upward adjustments"), expired accounts	5
3020	Outlays (gross)	–150	–153	–165
3041	Recoveries of prior year unpaid obligations, expired	–7

3050	Unpaid obligations, end of year	20	41	49
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	17	20	41
3200	Obligated balance, end of year	20	41	49

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	162	159	172
	Outlays, gross:
4010	Outlays from new discretionary authority	131	118	129
4011	Outlays from discretionary balances	19	35	36

4020	Outlays, gross (total)	150	153	165
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–2
4180	Budget authority, net (total)	160	159	172
4190	Outlays, net (total)	148	153	165

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


Identification code 036–0170–0–1–705		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	81	98	95
11.5	Other personnel compensation	7	8	8

11.9	Total personnel compensation	88	106	103
12.1	Civilian personnel benefits	33	40	39
21.0	Employee Travel	7	7	7
23.1	Rental payments to GSA	5	5	9
23.3	Communications, utilities, and miscellaneous charges	4
25.2	Other services from non-Federal sources	14	13	12
31.0	Equipment	2	3	3

99.0	Direct obligations	153	174	173
99.0	Reimbursable obligations	2

99.9	Total new obligations, unexpired accounts	155	174	173


Identification code 036–0170–0–1–705		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	732	855	827
2001	Reimbursable civilian full-time equivalent employment	13

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, $4,184,571,000, plus reimbursements: Provided, That $1,243,220,000 shall be for pay and associated costs, of which not to exceed $36,100,000 shall remain available until September 30, 2020: Provided further, That $2,560,780,000 shall be for operations and maintenance, of which not to exceed $179,000,000 shall remain available until September 30, 2020: Provided further, That $380,571,000 shall be for information technology systems development, and shall remain available until September 30, 2020: 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.


Identification code 036–0167–0–1–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	Development	533	538	381
0002	Operations and maintenance	2,569	2,523	2,557
0003	Administrative and salaries	1,233	1,276	1,239
0004	P.L. 113–146, Sec. 801 - IT Support	114	118

0799	Total direct obligations	4,449	4,455	4,177
0802	Operations and maintenance	44	37	36
0803	Administrative and salaries	9	12	13

0899	Total reimbursable obligations	53	49	49

0900	Total new obligations, unexpired accounts	4,502	4,504	4,226

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	390	222
1021	Recoveries of prior year unpaid obligations	15
1033	Recoveries of prior year paid obligations	2

1050	Unobligated balance (total)	407	222
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	4,271	4,241	4,185
1120	Appropriations transferred to other accts [036–0169]	–7	–8	–8

1160	Appropriation, discretionary (total)	4,264	4,233	4,177
	Spending authority from offsetting collections, discretionary:
1700	Collected	54	49	49
1900	Budget authority (total)	4,318	4,282	4,226
1930	Total budgetary resources available	4,725	4,504	4,226
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–1
1941	Unexpired unobligated balance, end of year	222

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	2,110	2,098	2,282
3010	New obligations, unexpired accounts	4,502	4,504	4,226
3011	Obligations ("upward adjustments"), expired accounts	93
3020	Outlays (gross)	–4,377	–4,320	–4,227
3040	Recoveries of prior year unpaid obligations, unexpired	–15
3041	Recoveries of prior year unpaid obligations, expired	–215

3050	Unpaid obligations, end of year	2,098	2,282	2,281
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–2	–1	–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	2,108	2,097	2,281
3200	Obligated balance, end of year	2,097	2,281	2,280

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	4,318	4,282	4,226
	Outlays, gross:
4010	Outlays from new discretionary authority	2,457	2,437	2,442
4011	Outlays from discretionary balances	1,825	1,834	1,736

4020	Outlays, gross (total)	4,282	4,271	4,178
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–56	–49	–49
4033	Non-Federal sources	–19

4040	Offsets against gross budget authority and outlays (total)	–75	–49	–49
	Additional offsets against gross budget authority only:
4052	Offsetting collections credited to expired accounts	19
4053	Recoveries of prior year paid obligations, unexpired accounts	2

4060	Additional offsets against budget authority only (total)	21

4070	Budget authority, net (discretionary)	4,264	4,233	4,177
4080	Outlays, net (discretionary)	4,207	4,222	4,129
	Mandatory:
	Outlays, gross:
4101	Outlays from mandatory balances	95	49	49
4180	Budget authority, net (total)	4,264	4,233	4,177
4190	Outlays, net (total)	4,302	4,271	4,178

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 Community Care Program, modernizations to veterans benefits and appeals processing, as well as the divestiture of legacy IT systems.

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


Identification code 036–0167–0–1–705		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	683	704	701
11.1	Full-time permanent - Choice Act, P.L. 113–146, Sec. 801	13	5

11.9	Total personnel compensation	696	709	701
12.1	Civilian personnel benefits	227	351	349
12.1	Civilian personnel benefits -Choice Act, P.L. 113–146, Sec. 801	4	2
21.0	Travel and transportation of persons	9	8	10
23.3	Communications, utilities, and miscellaneous charges	912	884	833
23.3	Communications/utilities - Choice Act, P.L. 113–146, Sec. 801	24	28
25.2	Other services from non-Federal sources	1,822	1,796	1,561
25.2	Other services from non-Federal -Choice Act, P.L. 113–146, Sec. 801	2
26.0	Supplies and materials	14	12	25
31.0	Equipment	666	579	690
31.0	Equipment - Choice Act, P.L. 113–146, Sec. 801	71	83
32.0	Land and structures	2	2	7
42.0	Insurance claims and indemnities		1	1

99.0	Direct obligations	4,449	4,455	4,177
99.0	Reimbursable obligations	53	49	49

99.9	Total new obligations, unexpired accounts	4,502	4,504	4,226


Identification code 036–0167–0–1–705		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	7,159	7,795	8,045
2001	Reimbursable civilian full-time equivalent employment	82	94	93

For activities related to implementation, preparation, development, interface, management, rollout, and maintenance of a veterans electronic health record system, including contractual costs associated with operations authorized by section 3109 of title 5, United States Code, $1,207,000,000, to remain available until expended: Provided, That amounts made available for the "Medical Services", "Medical Support and Compliance", "Medical Facilities", and "Information Technology Systems" accounts in this Act may be transferred to and merged with this account.


Identification code 036–1123–0–1–703		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0001	EHR Contract			675
0002	PMO Support			120
0003	Infrastructure Readiness			412

0900	Total new obligations, unexpired accounts			1,207

	Budgetary resources:
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation			1,207
1930	Total budgetary resources available			1,207

	Change in obligated balance:
	Unpaid obligations:
3010	New obligations, unexpired accounts			1,207
3020	Outlays (gross)			–579

3050	Unpaid obligations, end of year			628
	Memorandum (non-add) entries:
3200	Obligated balance, end of year			628

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross			1,207
	Outlays, gross:
4010	Outlays from new discretionary authority			579
4180	Budget authority, net (total)			1,207
4190	Outlays, net (total)			579

The Veterans Electronic Health Care Record appropriation funds necessary expenses related to the development and deployment of a new veterans electronic health record (EHR) system. This new EHR will allow VA to move toward a single common health record that has full interoperability between DoD and VA, as well as community providers. From the veteran perspective, the new system will provide a single, accurate, lifetime health record while improving patient care and safety.


Identification code 036–1123–0–1–703		2017 actual	2018 est.	2019 est.

	Direct obligations:
25.2	Other services from non-Federal sources			1,107
31.0	Equipment			100

99.9	Total new obligations, unexpired accounts			1,207

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, $315,836,000, of which not to exceed 10 percent shall remain available until September 30, 2020.


Identification code 036–0129–0–1–705		2017 actual	2018 est.	2019 est.

0100	Balance, start of year	1	2	2
	Receipts:
	Current law:
1130	Gifts and Donations, National Cemetery Gift Fund	1

2000	Total: Balances and receipts	2	2	2

5099	Balance, end of year	2	2	2


Identification code 036–0129–0–1–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0201	Administrative expenses	288	288	317

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	4	4
1012	Unobligated balance transfers between expired and unexpired accounts	6		1

1050	Unobligated balance (total)	10	4	1
	Budget authority:
	Appropriations, discretionary:
1100	Appropriation	286	284	316
1900	Budget authority (total)	286	284	316
1930	Total budgetary resources available	296	288	317
	Memorandum (non-add) entries:
1940	Unobligated balance expiring	–4
1941	Unexpired unobligated balance, end of year	4

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	64	63	54
3010	New obligations, unexpired accounts	288	288	317
3011	Obligations ("upward adjustments"), expired accounts	3
3020	Outlays (gross)	–284	–297	–279
3041	Recoveries of prior year unpaid obligations, expired	–8

3050	Unpaid obligations, end of year	63	54	92
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	64	63	54
3200	Obligated balance, end of year	63	54	92

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	286	284	316
	Outlays, gross:
4010	Outlays from new discretionary authority	229	240	238
4011	Outlays from discretionary balances	55	57	41

4020	Outlays, gross (total)	284	297	279
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–1
4033	Non-Federal sources	–1

4040	Offsets against gross budget authority and outlays (total)	–2
	Additional offsets against gross budget authority only:
4052	Offsetting collections credited to expired accounts	2

4070	Budget authority, net (discretionary)	286	284	316
4080	Outlays, net (discretionary)	282	297	279
4180	Budget authority, net (total)	286	284	316
4190	Outlays, net (total)	282	297	279

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

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


Identification code 036–0129–0–1–705		2017 actual	2018 est.	2019 est.

	Direct obligations:
	Personnel compensation:
11.1	Full-time permanent	109	109	115
11.3	Other than full-time permanent	5	5	4
11.5	Other personnel compensation			6

11.9	Total personnel compensation	114	114	125
12.1	Civilian personnel benefits	42	42	45
21.0	Travel and transportation of persons	4	4	3
22.0	Transportation of things	2	2	2
23.1	Rent	4	4	3
23.2	Rental payments to others			1
23.3	Communications, utilities, and miscellaneous charges	10	10	12
24.0	Printing and reproduction	2	2	2
25.2	Other services from non-Federal sources	91	91	102
26.0	Supplies and materials	11	11	14
31.0	Equipment	7	7	7
32.0	Land and structures	1	1	1

99.9	Total new obligations, unexpired accounts	288	288	317


Identification code 036–0129–0–1–705		2017 actual	2018 est.	2019 est.

1001	Direct civilian full-time equivalent employment	1,851	1,881	1,903


Identification code 036–4537–0–4–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0801	Reimbursable program-COGS-Merchandizing	477	320	320
0802	Reimbursable program-Other-Operations	272	345	345
0803	Reimbursable program-COGS-Printing and publications	9	20	20
0804	Reimbursable program-Other	60	437	437
0805	Reimbursable program-Equipment-Procurement services and distribution	346	978	978

0900	Total new obligations, unexpired accounts	1,164	2,100	2,100

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	228	497	497
1021	Recoveries of prior year unpaid obligations	179

1050	Unobligated balance (total)	407	497	497
	Budget authority:
	Spending authority from offsetting collections, mandatory:
1800	Collected	1,537	2,100	2,100
1801	Change in uncollected payments, Federal sources	–283

1850	Spending auth from offsetting collections, mand (total)	1,254	2,100	2,100
1930	Total budgetary resources available	1,661	2,597	2,597
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	497	497	497

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	1,229	836	147
3010	New obligations, unexpired accounts	1,164	2,100	2,100
3020	Outlays (gross)	–1,378	–2,789	–2,058
3040	Recoveries of prior year unpaid obligations, unexpired	–179

3050	Unpaid obligations, end of year	836	147	189
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–1,288	–1,005	–1,005
3070	Change in uncollected pymts, Fed sources, unexpired	283

3090	Uncollected pymts, Fed sources, end of year	–1,005	–1,005	–1,005
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	–59	–169	–858
3200	Obligated balance, end of year	–169	–858	–816

	Budget authority and outlays, net:
	Mandatory:
4090	Budget authority, gross	1,254	2,100	2,100
	Outlays, gross:
4100	Outlays from new mandatory authority		1,995	1,995
4101	Outlays from mandatory balances	1,378	794	63

4110	Outlays, gross (total)	1,378	2,789	2,058
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4120	Federal sources	–1,348	–2,100	–2,100
4123	Non-Federal sources	–189

4130	Offsets against gross budget authority and outlays (total)	–1,537	–2,100	–2,100
	Additional offsets against gross budget authority only:
4140	Change in uncollected pymts, Fed sources, unexpired	283
4170	Outlays, net (mandatory)	–159	689	–42
4180	Budget authority, net (total)
4190	Outlays, net (total)	–159	689	–42

Under the provisions of 38 U.S.C. 8121, the Supply Fund is responsible for the operation and maintenance of a supply system for VA. In this capacity, it provides policy and oversight to VA's acquisition and logistics programs, and provides best value acquisition of goods and services through its National Acquisition Center, Denver Acquisition and Logistics Center, Service and Distribution Center, Technology Acquisition Center and Strategic Acquisition Center. Operating as an intra-governmental revolving fund without fiscal year limitations, the Supply Fund is financed by revenue from fees on acquisitions of supplies, equipment, and services for both VA and other Government agency (OGA) customers.


Identification code 036–4537–0–4–705		2017 actual	2018 est.	2019 est.

	Reimbursable obligations:
11.1	Personnel compensation: Full-time permanent	105	105	106
12.1	Civilian personnel benefits	33	35	35
21.0	Travel and transportation of persons	15	10	10
23.1	Rental payments to GSA	7	7	7
23.3	Communications, utilities, and miscellaneous charges	5	5	5
24.0	Printing and reproduction	9	20	20
25.2	Other services from non-Federal sources	263	444	443
26.0	Supplies and materials	423	500	500
31.0	Equipment	303	974	974
32.0	Land and structures	1

99.9	Total new obligations, unexpired accounts	1,164	2,100	2,100


Identification code 036–4537–0–4–705		2017 actual	2018 est.	2019 est.

2001	Reimbursable civilian full-time equivalent employment	1,145	1,150	1,150


Identification code 036–4539–0–4–705		2017 actual	2018 est.	2019 est.

	Obligations by program activity:
0801	Franchise Fund (Reimbursable)	950	924	956

	Budgetary resources:
	Unobligated balance:
1000	Unobligated balance brought forward, Oct 1	156	114	127
1021	Recoveries of prior year unpaid obligations	41

1050	Unobligated balance (total)	197	114	127
	Budget authority:
	Spending authority from offsetting collections, discretionary:
1700	Collected	876	937	969
1701	Change in uncollected payments, Federal sources	–9

1750	Spending auth from offsetting collections, disc (total)	867	937	969
1930	Total budgetary resources available	1,064	1,051	1,096
	Memorandum (non-add) entries:
1941	Unexpired unobligated balance, end of year	114	127	140

	Change in obligated balance:
	Unpaid obligations:
3000	Unpaid obligations, brought forward, Oct 1	289	363	239
3010	New obligations, unexpired accounts	950	924	956
3020	Outlays (gross)	–835	–1,048	–961
3040	Recoveries of prior year unpaid obligations, unexpired	–41

3050	Unpaid obligations, end of year	363	239	234
	Uncollected payments:
3060	Uncollected pymts, Fed sources, brought forward, Oct 1	–216	–207	–207
3070	Change in uncollected pymts, Fed sources, unexpired	9

3090	Uncollected pymts, Fed sources, end of year	–207	–207	–207
	Memorandum (non-add) entries:
3100	Obligated balance, start of year	73	156	32
3200	Obligated balance, end of year	156	32	27

	Budget authority and outlays, net:
	Discretionary:
4000	Budget authority, gross	867	937	969
	Outlays, gross:
4010	Outlays from new discretionary authority	390	703	727
4011	Outlays from discretionary balances	445	345	234

4020	Outlays, gross (total)	835	1,048	961
	Offsets against gross budget authority and outlays:
	Offsetting collections (collected) from:
4030	Federal sources	–876	–937	–969
	Additional offsets against gross budget authority only:
4050	Change in uncollected pymts, Fed sources, unexpired	9
4080	Outlays, net (discretionary)	–41	111	–8
4180	Budget authority, net (total)
4190	Outlays, net (total)	–41	111	–8

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 $969 million and employ 1,849 in 2019. The Franchise Fund concept is intended to increase competition for government administrative services, resulting in lower costs and higher quality.


Identification code 036–4539–0–4–705		2017 actual	2018 est.	2019 est.

	Reimbursable obligations:
11.1	Personnel compensation: Full-time permanent	175	176	178
12.1	Civilian personnel benefits	4	3	4
21.0	Travel and transportation of persons	2	2	2
23.1	Rental payments to GSA	11	10	10
23.3	Communications, utilities, and miscellaneous charges	100	100	100
24.0	Printing and reproduction	6	6	5
25.2	Other services from non-Federal sources	600	580	610
26.0	Supplies and materials	4	4	4
31.0	Equipment	45	40	40
32.0	Land and structures	3	3	3

99.9	Total new obligations, unexpired accounts	950	924	956


Identification code 036–4539–0–4–705		2017 actual	2018 est.	2019 est.

2001	Reimbursable civilian full-time equivalent employment	1,314	1,750	1,849

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

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

(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).

(1) unobligated and obligated balances in 36–17–0140 shall be transferred to and merged with 36–17–0160, and any adjustments to obligations incurred in 36–17–0140 may be made from 36–17–0160;

(2) unobligated and obligated balances in 36–18–0140 shall be transferred to and merged with 36–18–0160, and any adjustments to obligations incurred in 36–18–0140 may be made from 36–18–0160;

(3) unobligated and obligated balances in 36–1720–0140 shall be transferred to and merged with 36–1819–0160, and any adjustments to obligations incurred in 36–1720–0140 may be made from 36–1819–0160;

(4) unobligated and obligated balances in 36–1821–0140 shall be transferred to and merged with 36–1920–0160, and any adjustments to obligations incurred in 36–1821–0140 may be made from 36–1920–0160;

(5) any amounts appropriated to "Medical Community Care" in a prior appropriations Act that become available on October 1, 2018 and are available through September 30, 2019 shall be warranted to 36–19–0160, and available for the purposes of such account; and

(6) any amounts appropriated to "Medical Community Care" in a prior appropriations Act that become available on October 1, 2018 and are available through September 30, 2022 shall be available through September 30, 2020, and warranted to 36–1920–0160, and available for the purposes of such account.

(b) Following the transfer of balances in 36–17–0140, 36–18–0140, 36–1720–0140, and 36–1821–0140, such accounts shall be closed. Any collections authorized or required to be credited to these accounts that are not received before the closing of such accounts shall be credited to the accounts to which such balances are transferred and merged.


		2017 actual	2018 est.	2019 est.

Offsetting receipts from the public:
036–143500	General Fund Proprietary Interest Receipts, not Otherwise Classified	4	13	15
036–247300	Contributions from Military Personnel, Veteran's Educational Assistance Act of 1984	156	136	113
036–273330	Housing Downward Reestimates	1,702	2,475
036–275110	Native American Veteran Housing Loans, Negative Subsidies	1	2	1
036–275510	Housing Negative Subsidies		71	18
036–322000	All Other General Fund Proprietary Receipts Including Budget Clearing Accounts	29	40	40
General Fund Offsetting receipts from the public		1,892	2,737	187


Intragovernmental payments:
036–388500	Undistributed Intragovernmental Payments and Receivables from Cancelled Accounts	9	–5	–5

General Fund Intragovernmental payments		9	–5	–5

(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.

DEPARTMENT OF VETERANS AFFAIRS

Veterans Health Administration

Federal Funds

Medical services

WORKLOAD

Medical community care

Medical support and compliance

DOD-VA Health Care Sharing Incentive Fund

Medical facilities

Medical and prosthetic research

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

Medical Care Collections Fund

Canteen Service Revolving Fund

Veterans Choice Fund

Veterans Choice Fund

(Legislative proposal, subject to PAYGO)

Trust Funds

General Post Fund, National Homes

Benefits Programs

Federal Funds

Veterans benefits administration

Compensation and pensions

(including transfer of funds)

Compensation and Pensions

(Legislative proposal, subject to PAYGO)

Readjustment benefits

Readjustment Benefits

(Legislative proposal, subject to PAYGO)

Veterans insurance and indemnities

Filipino Veterans Equity Compensation Fund

General operating expenses, Veterans Benefits Administration

Service-disabled Veterans Insurance Fund

Operating costs

Veterans Reopened Insurance Fund

Servicemembers' Group Life Insurance Fund

Veterans housing benefit program fund

Veterans Housing Benefit Program Fund

(Legislative proposal, subject to PAYGO)

Housing Direct Loan Financing Account

Housing Guaranteed Loan Financing Account

Housing Liquidating Account

Native american veteran housing loan program account

Vocational rehabilitation loans program account

Native American Direct Loan Financing Account

Transitional Housing Direct Loan Financing Account

Vocational Rehabilitation Direct Loan Financing Account

Trust Funds

Post-Vietnam Era Veterans Education Account

National Service Life Insurance Fund

United States Government Life Insurance Fund

Veterans Special Life Insurance Fund

Departmental Administration

Federal Funds

Construction, major projects

Construction, minor projects

Grants for construction of state extended care facilities

Grants for construction of veterans cemeteries

General administration

(Including transfer of funds)

Board of Veterans Appeals

Office of inspector general

Information technology systems

(including transfer of funds)

Veterans Electronic Health Care Record

(including transfer of funds)

National cemetery administration

Supply Fund

Franchise Fund

ADMINISTRATIVE PROVISIONS

Administrative provisions

General and Administrative Provisions

GENERAL FUND RECEIPT ACCOUNTS

TITLE IV—GENERAL PROVISIONS

general provisions