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



   
      
      
         DEPARTMENT OF VETERANS AFFAIRS
      
      
   
   
      DEPARTMENT OF VETERANS AFFAIRS
         Veterans Health AdministrationFederal Funds
         Medical servicesFor 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 111â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;  $56,158,015,000, plus reimbursements, shall become available on October 1,  2020, and shall remain available until September 30,  2021: Provided, That, of  such amount , $1,500,000,000 shall remain available until September 30,  2022: Provided further, That, notwithstanding any other provision of law, the Secretary of Veterans Affairs shall establish a priority for the provision
            of medical treatment for veterans who have service-connected disabilities, lower income, or have special needs: Provided further, That, notwithstanding any other provision of law, the Secretary of Veterans Affairs shall give priority funding for the
            provision of basic medical benefits to veterans in enrollment priority groups 1 through 6: Provided further, That, notwithstanding any other provision of law, the Secretary of Veterans Affairs may authorize the dispensing of prescription
            drugs from Veterans Health Administration facilities to enrolled veterans with privately written prescriptions based on requirements
            established by the Secretary: Provided further, That the implementation of the program described in the previous proviso shall incur no additional cost to the Department
            of Veterans Affairs: Provided further, That the Secretary of Veterans Affairs shall ensure that sufficient amounts appropriated under this heading for medical
            supplies and equipment are available for the acquisition of prosthetics designed specifically for female veterans.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Special and Trust Fund Receipts (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0160â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  0100
                  Balance, start of year
                  7,868
                  284
                  284
               
               
                  0198
                  Permanent reduction adjustment
                  â7,380
                  
                  
               
               
                  0198
                  Reconciliation adjustment
                  â216
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0199
                  Balance, start of year
                  272
                  284
                  284
               
               
                  
                  Receipts:
               
               
                  
                  Current law:
               
               
                  1130
                  Pharmaceutical Co-payments, MCCF
                  433
                  436
                  440
               
               
                  1130
                  Medical Care Collections Fund, Third Party Prescription Claims
                  112
                  122
                  127
               
               
                  1130
                  Enhanced-use Lease Proceeds, MCCF
                  1
                  1
                  1
               
               
                  1130
                  Fee Basis 3rd Party MCCF
                  293
                  354
                  446
               
               
                  1130
                  First Party Collections, MCCF
                  174
                  180
                  185
               
               
                  1130
                  Third Party Collections, MCCF
                  2,446
                  2,459
                  2,638
               
               
                  1130
                  Parking Fees, MCCF
                  4
                  4
                  4
               
               
                  1130
                  Compensated Work Therapy, MCCF
                  60
                  66
                  66
               
               
                  1130
                  MCCF, Long-term Care Copayments
                  2
                  3
                  3
               
               
                  1140
                  Payments from Compensation and Pension, MCCF
                  3
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1199
                  Total current law receipts
                  3,528
                  3,627
                  3,912
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total receipts
                  3,528
                  3,627
                  3,912
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2000
                  Total: Balances and receipts
                  3,800
                  3,911
                  4,196
               
               
                  
                  Appropriations:
               
               
                  
                  Current law:
               
               
                  2101
                  Medical Care Collections Fund
                  â3,515
                  â3,627
                  â3,912
               
               
                  5098
                  Rounding adjustment
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  5099
                  Balance, end of year
                  284
                  284
                  284
               
               
                  
                     
                  
               
            
         
      
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0160â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Outpatient care
                  18,252
                  19,005
                  20,940
               
               
                  0002
                  Inpatient care
                  7,397
                  7,619
                  7,703
               
               
                  0004
                  Mental health care
                  5,537
                  6,822
                  7,249
               
               
                  0005
                  Long-term care
                  3,573
                  3,641
                  3,815
               
               
                  0006
                  Pharmacy
                  7,182
                  7,508
                  7,969
               
               
                  0007
                  Prosthetics care
                  3,347
                  3,609
                  3,901
               
               
                  0008
                  Dental care
                  655
                  697
                  765
               
               
                  0009
                  Rehabilitation
                  697
                  706
                  735
               
               
                  0010
                  Homeless Grants
                  541
                  601
                  599
               
               
                  0011
                  Readjustment Counseling
                  205
                  221
                  229
               
               
                  0012
                  Caregivers (Title I) P.L. 111â163
                  476
                  489
                  700
               
               
                  0013
                  Prior-Year Recoveries
                  66
                  
                  
               
               
                  0015
                  CHAMPVA (VA Portion)
                  
                  329
                  337
               
               
                  0023
                  P.L. 113â146, Sec. 301
                  35
                  31
                  14
               
               
                  0029
                  P.L. 113â146, Prior Year Recoveries
                  2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0091
                  Total operating expenses
                  47,965
                  51,278
                  54,956
               
               
                  0101
                  Outpatient care
                  1,008
                  1,181
                  402
               
               
                  0102
                  Inpatient care
                  443
                  467
                  158
               
               
                  0103
                  Mental health care
                  84
                  89
                  30
               
               
                  0104
                  Long-term care
                  160
                  169
                  57
               
               
                  0105
                  Pharmacy
                  50
                  53
                  18
               
               
                  0107
                  Dental care
                  48
                  51
                  17
               
               
                  0108
                  Rehabilitation
                  27
                  28
                  10
               
               
                  0109
                  Readjustment Counseling
                  4
                  4
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0191
                  Total Capital Investment
                  1,824
                  2,042
                  693
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  49,789
                  53,320
                  55,649
               
               
                  0801
                  Medical Services (Reimbursable)
                  108
                  137
                  137
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  49,897
                  53,457
                  55,786
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  2,055
                  1,387
                  1,014
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  67
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  2,122
                  1,387
                  1,014
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  1,974
                  750
                  
               
               
                  1121
                  Appropriations transferred from other acct [036â5287]
                  3,226
                  3,256
                  3,449
               
               
                  1131
                  Unobligated balance of appropriations permanently reduced
                  â751
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1160
                  Appropriation, discretionary (total)
                  4,449
                  4,006
                  3,449
               
               
                  
                  Advance appropriations, discretionary:
               
               
                  1170
                  Advance appropriation
                  44,887
                  49,161
                  51,411
               
               
                  1172
                  Advance appropriations transferred to other accounts [036â0165]
                  â15
                  â15
                  â15
               
               
                  1172
                  Advance appropriations transferred to other accounts [036â0169]
                  â199
                  â205
                  â210
               
               
                  1172
                  Advance appropriations transferred to other accounts [036â0162]
                  â68
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1180
                  Advanced appropriation, discretionary  (total)
                  44,605
                  48,941
                  51,186
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  106
                  135
                  135
               
               
                  1701
                  Change in uncollected payments, Federal sources
                  2
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1750
                  Spending auth from offsetting collections, disc (total)
                  108
                  137
                  137
               
               
                  1900
                  Budget authority (total)
                  49,162
                  53,084
                  54,772
               
               
                  1930
                  Total budgetary resources available
                  51,284
                  54,471
                  55,786
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  1,387
                  1,014
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  6,969
                  6,623
                  8,064
               
               
                  3010
                  New obligations, unexpired accounts
                  49,897
                  53,457
                  55,786
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  333
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â49,138
                  â52,016
                  â53,793
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â67
                  
                  
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â1,371
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  6,623
                  8,064
                  10,057
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â6
                  â6
                  â8
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  â2
                  â2
                  â2
               
               
                  3071
                  Change in uncollected pymts, Fed sources, expired
                  2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â6
                  â8
                  â10
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  6,963
                  6,617
                  8,056
               
               
                  3200
                  Obligated balance, end of year
                  6,617
                  8,056
                  10,047
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  49,162
                  53,084
                  54,772
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  43,067
                  45,844
                  47,282
               
               
                  4011
                  Outlays from discretionary balances
                  6,030
                  6,143
                  6,482
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  49,097
                  51,987
                  53,764
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â41
                  â41
                  â41
               
               
                  4033
                  Non-Federal sources
                  â155
                  â94
                  â94
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â196
                  â135
                  â135
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4050
                  Change in uncollected pymts, Fed sources, unexpired
                  â2
                  â2
                  â2
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  90
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4060
                  Additional offsets against budget authority only (total)
                  88
                  â2
                  â2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  49,054
                  52,947
                  54,635
               
               
                  4080
                  Outlays, net (discretionary)
                  48,901
                  51,852
                  53,629
               
               
                  
                  Mandatory:
               
               
                  
                  Outlays, gross:
               
               
                  4101
                  Outlays from mandatory balances
                  41
                  29
                  29
               
               
                  4180
                  Budget authority, net (total)
                  49,054
                  52,947
                  54,635
               
               
                  4190
                  Outlays, net (total)
                  48,942
                  51,881
                  53,658
               
               
                  
                     
                  
               
            
         
      
      
         In 2020, the Administration requests an additional $4.6 billion over the 2020 advance appropriation of $75.6 billion for the
            Department of Veterans Affairs (VA) Medical Care program, consisting of four appropriations: Medical Services, Medical Community
            Care, Medical Support and Compliance, and Medical Facilities. 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 2020, the Budget supports implementation of the VA Maintaining
            Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018 (P.L. 115â182) and provides veterans
            greater choice on where they receive their healthcareâwhether at VA or through a private healthcare provider. The Budget consolidates
            all veterans' community care programs into a single program, reducing bureaucracy and making it easier for veterans to navigate
            their healthcare needs. As part of the MISSION Act, the Budget supports VA's brand new urgent care benefit and expansion of
            the Caregivers program to include eligible veterans who incurred or aggravated a serious injury in the line of duty before
            September 11, 2001. Expansion of the Caregivers program would coincide with new information technology (IT) updates necessary
            to effectively manage the program.
         
         For 2021, the Budget requests $87.6 billion in advance appropriations for VA Medical Care. This request for advance appropriations
            fulfills the Administration's commitment to provide reliable and timely resources to support the delivery of accessible and
            high-quality medical services for veterans.
         
         With the resources requested for 2020 and 2021, VA will provide the highest quality health care services for veterans. VA
            estimates it will treat 7.1 million patients in 2020 and 7.1 million patients in 2021. Operation Enduring Freedom, Operation
            Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND) veterans are expected to be 1,102,752 in 2020 (15.6 percent of the total)
            and 1,174,404 in 2021 (16.5 percent of the total).
         
         Medical Care Collections Fund (MCCF).âVA estimates collections of nearly $3.6 billion in 2019 and $3.9 billion in 2020, 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.âFor Medical Services, the Budget reflects the following discretionary appropriation funding: the 2019 enacted advance appropriation
            of $49.2 billion, together with $750 million provided by the Energy and Water, Legislative Branch, and Military Construction
            and Veterans Affairs Appropriations Act, 2019 (P.L. 115â244); the 2020 advance appropriation of $51.4 billion; and the 2021
            advance appropriation request of $56.2 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. 113â146):
            $47 million in unobligated balances remained available at the start of 2019.
         
            WORKLOADEstimated obligations and workload for seven 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 six programs: CHAMPVA and other dependent programs, readjustment counseling,
            Caregivers, pharmacy, the Camp Lejeune Family Member program, and State Home programs.
         
         Outpatient care.âObligations for 2020 are estimated to be $21,342 million in the Medical Services account and $6,629 million in the Medical
            Community Care account for this health service category, which includes funding for ambulatory care in VA hospital-based and
            community-based clinics.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                     Visits
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     VA
                     86,115,777
                     87,126,007
                     88,300,776
                  
                  
                     Community Care
                     24,310,319
                     27,340,917
                     27,124,437
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total
                     110,426,096
                     114,466,924
                     117,425,213
                  
                  
                     
                        
                     
                  
               
            
         
         Inpatient care.âObligations for 2020 are estimated to be $7,861 million in the Medical Services account, and $3,167 million in the Medical
            Community Care account.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                     Patients Treated
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Acute Hospital, Medicine
                     350,586
                     350,470
                     350,482
                  
                  
                     Acute Hospital, Neurology
                     5,142
                     4,763
                     4,424
                  
                  
                     Acute Hospital, Surgery
                     92,723
                     89,322
                     86,122
                  
                  
                     Acute Hospital (Community Care)
                     177,761
                     183,074
                     187,152
                  
                  
                     Subacute (Intermediate)
                     1,333
                     1,212
                     1,069
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total
                     627,545
                     628,841
                     629,249
                  
                  
                     
                        
                     
                  
               
            
         
         Mental health care.âObligations for 2020 are estimated to be $7,279 million in the Medical Services account and $249 million in the Medical
            Community Care account for the inpatient, residential, and outpatient care of veterans with conditions related to mental illness,
            including alcohol and drug problems. Mental health services and operations ensure the availability of a range of services,
            from treatment of a variety of common mental health conditions in primary care to more intensive interventions in specialty
            mental health programs for more severe and persisting mental health conditions. Specialty services such as evidence-based
            psychotherapies, intensive outpatient programs, residential rehabilitation treatment, and inpatient care are available to
            meet the range of veterans' needs.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                     Average Daily Census
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Acute Psychiatry
                     2,248
                     2,159
                     2,068
                  
                  
                     Acute Psychiatry (Community Care)
                     496
                     527
                     537
                  
                  
                     Residential Recovery Programs
                     5,701
                     5,703
                     5,699
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total
                     8,445
                     8,389
                     8,304
                  
                  
                     
                        
                     
                  
               
            
         
         Long term services and supports (LTSS).âObligations for 2020 are estimated to be $3,872 million in the Medical Services account and $2,724 million in the Medical
            Community Care account 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.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                     LTSS Facility-Based Services: Average Daily Census
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     VA Community Living Center (Nursing Home)
                     8,929
                     8,814
                     8,699
                  
                  
                     Community Nursing Home
                     9,809
                     10,297
                     10,754
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total
                     18,738
                     19,111
                     19,453
                  
                  
                     
                     
                     
                     
                  
                  
                     
                        
                     
                  
               
            
         
         
            
               
                  
                     
                        
                     
                  
                  
                     LTSS Home & Community-Based Services: Visits/Procedures
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Community Adult Day Health Care
                     945,237
                     920,725
                     894,102
                  
                  
                     Community Residential Care
                     103,643
                     97,777
                     92,128
                  
                  
                     Home Hospice Care
                     563,974
                     576,136
                     584,308
                  
                  
                     Home Respite Care
                     282,244
                     274,395
                     264,556
                  
                  
                     Home Telehealth
                     1,830,065
                     1,739,313
                     1,643,579
                  
                  
                     Home-Based Primary Care
                     1,798,749
                     1,840,637
                     1,870,686
                  
                  
                     Homemaker/Home Health Aide Programs
                     12,523,524
                     13,408,764
                     14,065,141
                  
                  
                     Purchased Skilled Home Care
                     1,901,229
                     1,906,193
                     1,927,753
                  
                  
                     Spinal Cord Injury Home Care
                     20,339
                     20,278
                     20,267
                  
                  
                     State Adult Day Health Care
                     14,625
                     15,583
                     16,838
                  
                  
                     VA Adult Day Health Care
                     122,005
                     107,023
                     92,849
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total
                     20,105,634
                     20,906,823
                     21,472,208
                  
                  
                     
                        
                     
                  
               
            
         
         Prosthetics care.âObligations in the Medical Services account for 2020 are estimated to be $3,901 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.âObligations for 2020 are estimated to be $782 million in the Medical Services account and $248 million in the Medical Community
            Care account for the treatment of veterans who require dental care. Dental care services are provided to eligible veterans
            with a "medical condition negatively impacted by poor dentition." These patients may include poorly controlled diabetic patients,
            patients with head or neck cancer, organ transplant patients, and others. Veterans with a 100-percent service-connected disability
            are eligible for comprehensive dental care as needed. In addition, homeless veterans enrolled in certain residential treatment
            programs are also eligible for dental treatment.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                     Procedures
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     VA
                     4,776,921
                     4,916,245
                     5,013,772
                  
                  
                     Community Care
                     594,052
                     679,137
                     738,697
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total
                     5,370,973
                     5,595,382
                     5,752,469
                  
                  
                     
                        
                     
                  
               
            
         
         Rehabilitation.âObligations for 2020 are estimated to be $782 million in the Medical Services account and $248 million in the Medical Community
            Care account for the provision of rehabilitative care, including Blind Rehabilitation and Spinal Cord Injury programs. These
            services include inpatient and outpatient blind and vision rehabilitation programs, adjustment to blindness counseling, patient
            and family education, and assistive technology. The mission of Spinal Cord Injury and Disorders (SCI/D) services is to promote
            the health, independence, quality of life and productivity of individuals with spinal cord injury and disorders through efficient
            delivery of acute rehabilitation, psychological, social, vocational, medical and surgical care, professional training, as
            well as patient and family education.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                     Average Daily Census
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Rehabilitative Medicine
                     161
                     160
                     159
                  
                  
                     Blind Rehabilitation
                     252
                     251
                     251
                  
                  
                     Spinal Cord Injury
                     760
                     761
                     759
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total
                     1,173
                     1,172
                     1,172
                  
                  
                     
                        
                     
                  
               
            
         
         Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and other Dependent Programs.âObligations for 2020 are estimated to be $337 million in the Medical Services account and $1,465 million in the Medical
            Community Care account for pharmacy and medical service personnel for CHAMPVA and other dependent programs.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                     Unique Patients
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     CHAMPVA In-house Treatment Initiative (CITI)
                     13,236
                     12,300
                     11,700
                  
                  
                     CHAMPVA (excluding CITI)
                     364,664
                     379,700
                     412,000
                  
                  
                     Foreign Medical Program (medical only)
                     3,259
                     3,700
                     3,900
                  
                  
                     Foreign Compensation & Pension Exams
                     223
                     250
                     250
                  
                  
                     Spina Bifida Health Care Benefits Program
                     904
                     905
                     905
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total
                     382,286
                     396,855
                     428,755
                  
                  
                     
                        
                     
                  
               
            
         
         Readjustment Counseling.âObligations in the Medical Services account for 2020 are estimated to be $230 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, Veterans Benefits Administration (VBA) benefits explanation and referral, and
            employment counseling. Services are also extended to the family members of eligible veterans for issues related to military
            service and the readjustment of those veterans.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                     Visits
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Total
                     2,118,000
                     2,287,000
                     2,470,000
                  
                  
                     
                        
                     
                  
               
            
         
         Caregivers (Title I) Programs.âObligations in the Medical Services account for 2020 are estimated to be $700 million. The Caregivers and Veterans Omnibus
            Health Services Act of 2010 (P.L. 111â163), authorized VA to provide assistance and support services for Caregivers of eligible
            veterans. This program provides a wide range of services for primary caregivers to include: a monthly personal caregiver stipend,
            respite care, access to mental health services, beneficiary travel, and health care benefits through the existing CHAMPVA
            Program.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Caregiver Stipend (dollars in millions)
                     $385
                     $436
                     $583
                  
                  
                     Participants in the Program of Comprehensive Assistance for Family Caregivers
                     24,412
                     26,901
                     35,140
                  
                  
                     
                        
                     
                  
               
            
         
         Pharmacy.âObligations in the Medical Services account for 2020 are estimated to be $7,987 million for pharmacy costs. VA's use of
            medication therapies is a fundamental underpinning of how VA delivers health care today. VA's primary focus is on diagnosis
            and treatment in an ambulatory environment and home environment basis with institutional care as the modality of last resort.
         
         Estimated operating levels are:
         
            
               
                  
                     
                        
                     
                  
                  
                     Number of 30-day Prescriptions (in millions)
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Total
                     288
                     291
                     295
                  
                  
                     
                        
                     
                  
               
            
         
         Camp Lejeune Family Member Program.âObligations in the Medical Community Care account for 2020 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. 112â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 least
            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.
         
         State Home Programs.âObligations in the Medical Community Care account for 2020 are estimated to be $1,514 million for State Home Programs. State
            Veterans Homes are facilities approved by VA that a State has established primarily for the care of Veterans disabled by age,
            disease, or otherwise, who, because of such disability, are incapable of earning a living. VA pays a per diem to States for
            the care of eligible veterans, but the per diem rates are different for each of the three levels of care offered: Nursing
            Home Care, Domiciliary Care, or Adult Day Health Care (ADHC).
         
         
            
               
                  
                     
                        
                     
                  
                  
                     Patients Treated
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     State Home Nursing
                     32,528
                     32,805
                     33,086
                  
                  
                     State Home Domiciliary
                     5,275
                     5,292
                     5,326
                  
                  
                     Average Daily Census (ADHC)
                     48
                     49
                     50
                  
                  
                     
                        
                     
                  
               
            
         
         Public Law 113â146, Veterans Choice Act, Section 801.â The Veterans Access, Choice, and Accountability Act of 2014 (P.L. 113â146) ("Veterans Choice Act") was enacted on August
            7, 2014. The 2020 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 2020 are estimated to be $14 million for section 301 activities.
         
         Estimated obligations in the Medical Services account are:
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     FTE
                     37
                     37
                     37
                  
                  
                     
                        
                     
                  
               
            
         
         
            
               
                  
                     
                        
                     
                  
                  
                     Dollars in Millions
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Prior Year Recoveries
                     2
                     0
                     0
                  
                  
                     Section 301
                     35
                     31
                     14
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total
                     37
                     31
                     14
                  
                  
                     
                        
                     
                  
               
            
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0160â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  19,690
                  20,932
                  22,222
               
               
                  11.1
                  Full-time permanent - P.L. 113â146, Sec. 801
                  6
                  6
                  6
               
               
                  11.3
                  Other than full-time permanent
                  418
                  443
                  471
               
               
                  11.5
                  Other personnel compensation
                  2,265
                  2,409
                  2,557
               
               
                  11.5
                  Other personnel compensation - P.L. 113â146, Sec. 801
                  1
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  22,380
                  23,791
                  25,257
               
               
                  12.1
                  Civilian personnel benefits
                  7,285
                  7,828
                  8,442
               
               
                  12.1
                  Civilian personnel benefits - P.L. 113â146, Sec. 801
                  1
                  1
                  1
               
               
                  21.0
                  Travel & Transportation of Persons
                  1,076
                  1,120
                  1,165
               
               
                  22.0
                  Transportation of things
                  21
                  22
                  23
               
               
                  23.2
                  Rent, Communications & Utilities
                  477
                  514
                  539
               
               
                  24.0
                  Printing and reproduction
                  7
                  10
                  10
               
               
                  25.2
                  Other contractual services
                  4,489
                  5,036
                  6,079
               
               
                  25.2
                  Other contractual serv. - P.L. 113â146, Sec. 801
                  27
                  23
                  6
               
               
                  26.0
                  Supplies & Materials
                  11,526
                  12,285
                  12,786
               
               
                  31.0
                  Equipment
                  1,823
                  2,041
                  692
               
               
                  32.0
                  Land and structures
                  1
                  1
                  1
               
               
                  41.0
                  Grants, Subsidies & Contributions
                  600
                  640
                  640
               
               
                  42.0
                  Insurance claims and indemnities
                  8
                  8
                  8
               
               
                  44.0
                  Prior-year Recoveries
                  66
                  
                  
               
               
                  44.0
                  Prior Year Recoveries - P.L. 113â146, Sec. 801
                  2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  49,789
                  53,320
                  55,649
               
               
                  99.0
                  Reimbursable obligations
                  108
                  137
                  137
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  49,897
                  53,457
                  55,786
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0160â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  238,664
                  249,570
                  261,433
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  484
                  613
                  613
               
               
                  
                     
                  
               
            
         
      
         Medical community careFor necessary expenses for furnishing health care to individuals pursuant to chapter 17 of title 38, United States Code, at
            non-Department facilities,  $4,521,400,000, which shall be in addition to funds previously appropriated under this heading that become available on October 1,  2019, and shall remain available until September 30, 2021; and, in addition,  $17,131,179,000, plus reimbursements, shall become available on October 1,  2020, and shall remain available until September 30,  2022 .
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0140â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Ambulatory
                  3,278
                  2,428
                  6,629
               
               
                  0002
                  Dental
                  150
                  134
                  248
               
               
                  0003
                  Inpatient
                  2,088
                  2,439
                  3,167
               
               
                  0004
                  LTSS: Facility Based Services
                  1,031
                  997
                  1,052
               
               
                  0005
                  LTSS: Home & Community Based Services
                  819
                  898
                  1,672
               
               
                  0006
                  Mental Health
                  30
                  200
                  249
               
               
                  0007
                  CHAMPVA & Other Dependent Programs
                  1,345
                  1,387
                  1,465
               
               
                  0008
                  State Home Programs
                  1,312
                  1,419
                  1,514
               
               
                  0009
                  Camp Lejeune, Veterans Families
                  1
                  1
                  1
               
               
                  0013
                  Prior Year Recoveries
                  256
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  10,310
                  9,903
                  15,997
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  470
                  491
                  300
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  256
                  
                  
               
               
                  1033
                  Recoveries of prior year paid obligations
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  727
                  491
                  300
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  419
                  1,000
                  4,521
               
               
                  1121
                  Appropriations transferred from other acct [036â5287]
                  272
                  354
                  446
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1160
                  Appropriation, discretionary (total)
                  691
                  1,354
                  4,967
               
               
                  
                  Advance appropriations, discretionary:
               
               
                  1170
                  Advance appropriation
                  9,409
                  8,385
                  10,758
               
               
                  1172
                  Advance appropriations transferred to other accounts [036â0169]
                  â26
                  â27
                  â28
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1180
                  Advanced appropriation, discretionary  (total)
                  9,383
                  8,358
                  10,730
               
               
                  1900
                  Budget authority (total)
                  10,074
                  9,712
                  15,697
               
               
                  1930
                  Total budgetary resources available
                  10,801
                  10,203
                  15,997
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  491
                  300
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  1,795
                  2,508
                  3,065
               
               
                  3010
                  New obligations, unexpired accounts
                  10,310
                  9,903
                  15,997
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  687
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â9,440
                  â9,346
                  â14,263
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â256
                  
                  
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â588
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  2,508
                  3,065
                  4,799
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  1,795
                  2,508
                  3,065
               
               
                  3200
                  Obligated balance, end of year
                  2,508
                  3,065
                  4,799
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  10,074
                  9,712
                  15,697
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  7,293
                  7,151
                  11,702
               
               
                  4011
                  Outlays from discretionary balances
                  2,147
                  2,195
                  2,561
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  9,440
                  9,346
                  14,263
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â1
                  
                  
               
               
                  4033
                  Non-Federal sources
                  â131
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â132
                  
                  
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  131
                  
                  
               
               
                  4053
                  Recoveries of prior year paid obligations, unexpired accounts
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4060
                  Additional offsets against budget authority only (total)
                  132
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  10,074
                  9,712
                  15,697
               
               
                  4080
                  Outlays, net (discretionary)
                  9,308
                  9,346
                  14,263
               
               
                  4180
                  Budget authority, net (total)
                  10,074
                  9,712
                  15,697
               
               
                  4190
                  Outlays, net (total)
                  9,308
                  9,346
                  14,263
               
               
                  
                     
                  
               
            
         
      
      
         The Medical Community Care appropriation provides funding for community care services to eligible veterans, which has been
            an essential part of the Department of Veterans Affairs (VA) health care system for decades.
         
         The Budget reflects the following discretionary appropriation funding from 2019 through 2021: the 2019 enacted advance appropriation
            of $8.4 billion, together with an additional $1.0 billion as provided by the Energy and Water, Legislative Branch, and Military
            Construction and Veterans Affairs Appropriations Act, 2019 (Public Law 115â244); the 2020 advance appropriation request of
            $10.8 billion and additional funding of $4.5 billion in support of the VA Maintaining Internal Systems and Strengthening Integrated
            Outside Networks (MISSION) Act of 2018 (Public Law 115â182); and the 2021 advance appropriation request of $17.1 billion.
            The VA MISSION Act of 2018 provides eligible veterans greater choice in where they receive their care.
         
         The 2021 request for 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.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0140â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  25.2
                  Other Contractual Services
                  8,742
                  8,475
                  14,483
               
               
                  41.0
                  State Homes
                  1,312
                  1,428
                  1,514
               
               
                  44.0
                  Prior Year Recoveries
                  256
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  10,310
                  9,903
                  15,997
               
               
                  
                     
                  
               
            
         
      
         Medical support and complianceFor 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.), $98,800,000, which shall be in addition to funds previously appropriated under this heading that become available on October
               1, 2019; and, in addition,  $7,914,191,000, plus reimbursements, shall become available on October 1,  2020, and shall remain available until September 30,  2021: Provided, That, of the amount made available on October 1,  2020, under this heading,  $300,000,000 shall remain available until September 30,  2022.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0152â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  VA Medical Centers & Other Field Activities
                  4,219
                  4,466
                  4,578
               
               
                  0002
                  VISN Headquarters
                  182
                  192
                  203
               
               
                  0003
                  VHA Central Office
                  785
                  859
                  940
               
               
                  0004
                  Consolidated Patient Account Centers
                  19
                  
                  
               
               
                  0005
                  Office of Informatics & Analytics
                  171
                  175
                  179
               
               
                  0008
                  Employee Education Service Center
                  66
                  86
                  88
               
               
                  0009
                  VHA Service Center
                  277
                  254
                  260
               
               
                  0013
                  Consolidated Mail Outpatient Pharmacies
                  
                  20
                  20
               
               
                  0014
                  National Center for Patient Safety
                  7
                  9
                  9
               
               
                  0016
                  Community Care
                  745
                  763
                  850
               
               
                  0017
                  VHA Member Services
                  187
                  173
                  177
               
               
                  0019
                  Readjustment Counseling
                  5
                  8
                  8
               
               
                  0026
                  P.L. 113â146, Section 301/302 Activities
                  
                  3
                  3
               
               
                  0030
                  P.L. 113â146   Prior Year Recoveries
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0091
                  Total operating expenses
                  6,664
                  7,008
                  7,315
               
               
                  0102
                  VAMCs & Other Field Activities
                  42
                  43
                  45
               
               
                  0109
                  VHA Service Center
                  1
                  1
                  1
               
               
                  0117
                  VHA Member Services
                  1
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0191
                  Total Capital Investment
                  44
                  45
                  47
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0293
                  Total direct program
                  6,708
                  7,053
                  7,362
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  6,708
                  7,053
                  7,362
               
               
                  0801
                  Medical Support and Compliance (Reimbursable)
                  30
                  19
                  19
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  6,738
                  7,072
                  7,381
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  91
                  111
                  62
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  103
                  
                  99
               
               
                  1120
                  Appropriations transferred to other accts [036â0142]
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1160
                  Appropriation, discretionary (total)
                  102
                  
                  99
               
               
                  
                  Advance appropriations, discretionary:
               
               
                  1170
                  Advance appropriation
                  6,654
                  7,239
                  7,239
               
               
                  1172
                  Advance appropriations transferred to other accounts [036â0169]
                  â28
                  â24
                  â29
               
               
                  1174
                  Advance appropriations permanently reduced
                  
                  â211
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1180
                  Advanced appropriation, discretionary  (total)
                  6,626
                  7,004
                  7,210
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  29
                  19
                  19
               
               
                  1701
                  Change in uncollected payments, Federal sources
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1750
                  Spending auth from offsetting collections, disc (total)
                  30
                  19
                  19
               
               
                  1900
                  Budget authority (total)
                  6,758
                  7,023
                  7,328
               
               
                  1930
                  Total budgetary resources available
                  6,849
                  7,134
                  7,390
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  111
                  62
                  9
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  1,043
                  1,132
                  1,306
               
               
                  3010
                  New obligations, unexpired accounts
                  6,738
                  7,072
                  7,381
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  63
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â6,588
                  â6,898
                  â7,189
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â124
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  1,132
                  1,306
                  1,498
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â2
                  â3
                  â3
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â3
                  â3
                  â3
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  1,041
                  1,129
                  1,303
               
               
                  3200
                  Obligated balance, end of year
                  1,129
                  1,303
                  1,495
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  6,758
                  7,023
                  7,328
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  5,716
                  6,234
                  6,505
               
               
                  4011
                  Outlays from discretionary balances
                  871
                  658
                  684
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  6,587
                  6,892
                  7,189
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â30
                  â19
                  â19
               
               
                  4033
                  Non-Federal sources
                  â8
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â38
                  â19
                  â19
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4050
                  Change in uncollected pymts, Fed sources, unexpired
                  â1
                  
                  
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  9
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4060
                  Additional offsets against budget authority only (total)
                  8
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  6,728
                  7,004
                  7,309
               
               
                  4080
                  Outlays, net (discretionary)
                  6,549
                  6,873
                  7,170
               
               
                  
                  Mandatory:
               
               
                  
                  Outlays, gross:
               
               
                  4101
                  Outlays from mandatory balances
                  1
                  6
                  
               
               
                  4180
                  Budget authority, net (total)
                  6,728
                  7,004
                  7,309
               
               
                  4190
                  Outlays, net (total)
                  6,550
                  6,879
                  7,170
               
               
                  
                     
                  
               
            
         
      
      
         Medical Support and Compliance finances the expenses of management, security, and administration of the Department of Veterans
            Affairs (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.
         
         For Medical Support and Compliance, the Budget reflects the following discretionary appropriation funding from 2019 through
            2021: the 2019 enacted advance appropriation of $7.2 billion, together with a reduction of $211 million to reflect the rescission
            of funds provided by the Energy and Water, Legislative Branch, and Military Construction and Veterans Affairs Appropriations
            Act, 2019 (Public Law 115â244); the 2020 advance appropriation request of $7.2 billion and additional funding of $98.8 million
            in support of the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018 (Public
            Law 115â182); and the 2021 advance appropriation request of $7.9 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 (Public
            Law 113â146): $16 million in unobligated balances remained available at the start of 2019.
         
         The 2021 advance appropriations 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.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0152â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  3,327
                  3,473
                  3,554
               
               
                  11.1
                  Full-time permanent - Choice Act, P.L. 113â146, Sec. 801
                  1
                  1
                  1
               
               
                  11.3
                  Other than full-time permanent
                  60
                  74
                  76
               
               
                  11.5
                  Other personnel compensation
                  382
                  399
                  409
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  3,770
                  3,947
                  4,040
               
               
                  12.1
                  Civilian personnel benefits
                  1,332
                  1,409
                  1,464
               
               
                  21.0
                  Travel & Transportation of Persons
                  59
                  61
                  63
               
               
                  22.0
                  Transportation of things
                  14
                  14
                  14
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  102
                  105
                  108
               
               
                  24.0
                  Printing and reproduction
                  22
                  23
                  23
               
               
                  25.2
                  Other contractual services
                  1,261
                  1,340
                  1,491
               
               
                  25.2
                  Other contractual services - Choice Act, P.L. 113â146, Section 801
                  
                  2
                  2
               
               
                  26.0
                  Medical supplies and materials
                  96
                  99
                  102
               
               
                  31.0
                  Equipment
                  43
                  44
                  46
               
               
                  32.0
                  Land and structures
                  1
                  1
                  1
               
               
                  42.0
                  Insurance claims and indemnities
                  8
                  8
                  8
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  6,708
                  7,053
                  7,362
               
               
                  99.0
                  Reimbursable obligations
                  30
                  19
                  19
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  6,738
                  7,072
                  7,381
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0152â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  52,273
                  54,113
                  54,722
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  170
                  170
                  170
               
               
                  
                     
                  
               
            
         
      
         DOD-VA Health Care Sharing Incentive FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0165â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  DOD-VA health care sharing incentive fund
                  14
                  22
                  22
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  44
                  62
                  70
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  46
                  62
                  70
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1121
                  Appropriations transferred from other acct [097â0130]
                  15
                  15
                  15
               
               
                  
                  Advance appropriations, discretionary:
               
               
                  1173
                  Advance appropriations transferred from other accounts [036â0160]
                  15
                  15
                  15
               
               
                  1900
                  Budget authority (total)
                  30
                  30
                  30
               
               
                  1930
                  Total budgetary resources available
                  76
                  92
                  100
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  62
                  70
                  78
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  35
                  23
                  15
               
               
                  3010
                  New obligations, unexpired accounts
                  14
                  22
                  22
               
               
                  3020
                  Outlays (gross)
                  â24
                  â30
                  â30
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  23
                  15
                  7
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  35
                  23
                  15
               
               
                  3200
                  Obligated balance, end of year
                  23
                  15
                  7
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  30
                  30
                  30
               
               
                  
                  Outlays, gross:
               
               
                  4011
                  Outlays from discretionary balances
                  24
                  30
                  30
               
               
                  4180
                  Budget authority, net (total)
                  30
                  30
                  30
               
               
                  4190
                  Outlays, net (total)
                  24
                  30
                  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 National
            Defense Authorization Act for Fiscal Year 2003, Public Law 107â314, established the fund and requires the Departments to establish
            a joint incentive program. In 2020, each Secretary shall contribute a minimum of $15 million to the fund after the appropriation
            is enacted.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0165â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  11.1
                  Personnel compensation: Full-time permanent
                  3
                  3
                  3
               
               
                  25.1
                  Advisory and assistance services
                  7
                  12
                  12
               
               
                  26.0
                  Supplies and materials
                  1
                  3
                  3
               
               
                  31.0
                  Equipment
                  3
                  4
                  4
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  14
                  22
                  22
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0165â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  23
                  20
                  20
               
               
                  
                     
                  
               
            
         
      
         Medical facilitiesFor 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;  $6,433,265,000, plus reimbursements, shall become available on October 1,  2020, and shall remain available until September 30,  2021: Provided, That, of  such amount , $250,000,000 shall remain available until September 30,  2022.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0162â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0002
                  Engineering & Environmental Management Services
                  663
                  739
                  824
               
               
                  0003
                  Engineering Service
                  858
                  867
                  1,256
               
               
                  0004
                  Grounds Maintenance & Fire Protection
                  108
                  124
                  142
               
               
                  0005
                  Leases
                  901
                  752
                  802
               
               
                  0007
                  Non-Recurring Maintenance
                  30
                  
                  
               
               
                  0008
                  Operating Equipment Maintenance & Repair
                  233
                  233
                  233
               
               
                  0009
                  Other Facilities Operation Support
                  36
                  36
                  36
               
               
                  0011
                  Plant Operation
                  761
                  762
                  1,151
               
               
                  0012
                  Recurring Maintenance & Repair
                  523
                  523
                  523
               
               
                  0013
                  Textile Care Processing & Management
                  163
                  163
                  163
               
               
                  0014
                  Transportation
                  190
                  201
                  213
               
               
                  0023
                  Prior-Year Recoveries
                  7
                  
                  
               
               
                  0026
                  P.L. 113â146, Leases
                  
                  13
                  
               
               
                  0029
                  P.L. 113â146, Sec. 301
                  
                  1
                  2
               
               
                  0030
                  P.L. 113â146, Prior year Recoveries
                  15
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0091
                  Total operating expenses
                  4,488
                  4,414
                  5,345
               
               
                  0102
                  Engineering & Environmental Management Services
                  27
                  35
                  23
               
               
                  0103
                  Engineering Service
                  18
                  24
                  15
               
               
                  0104
                  Grounds Maintenance & Fire Protection
                  5
                  7
                  4
               
               
                  0105
                  Leases
                  
                  281
                  117
               
               
                  0106
                  Non-Recurring Maintenance
                  1,589
                  1,760
                  1,176
               
               
                  0107
                  Operating Equipment Maintenance & Repair
                  14
                  18
                  12
               
               
                  0108
                  Other Facilities Operation Support
                  6
                  8
                  5
               
               
                  0109
                  Plant Operation
                  30
                  39
                  25
               
               
                  0110
                  Recurring Maintenance & Repair
                  13
                  17
                  11
               
               
                  0111
                  Textile Care Processing & Management
                  38
                  49
                  32
               
               
                  0122
                  Transportation
                  6
                  8
                  5
               
               
                  0125
                  P.L. 113â146, Leases
                  1
                  
                  
               
               
                  0127
                  P.L. 113â146, Non-Recurring Maintenance
                  9
                  
                  
               
               
                  0128
                  P.L. 113â146, Section 301
                  
                  2
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0191
                  Total capital investment
                  1,756
                  2,248
                  1,425
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  6,244
                  6,662
                  6,770
               
               
                  0801
                  Medical Facilities (Reimbursable)
                  17
                  18
                  18
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  6,261
                  6,680
                  6,788
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  52
                  1,078
                  1,182
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  21
                  
                  
               
               
                  1033
                  Recoveries of prior year paid obligations
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  74
                  1,078
                  1,182
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  1,782
                  890
                  
               
               
                  
                  Advance appropriations, discretionary:
               
               
                  1170
                  Advance appropriation
                  5,435
                  5,914
                  6,142
               
               
                  1172
                  Advance appropriations transferred to other accounts [036â0169]
                  â37
                  â38
                  â39
               
               
                  1173
                  Advance appropriations transferred from other accounts [036â0160]
                  68
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1180
                  Advanced appropriation, discretionary  (total)
                  5,466
                  5,876
                  6,103
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  15
                  18
                  18
               
               
                  1701
                  Change in uncollected payments, Federal sources
                  2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1750
                  Spending auth from offsetting collections, disc (total)
                  17
                  18
                  18
               
               
                  1900
                  Budget authority (total)
                  7,265
                  6,784
                  6,121
               
               
                  1930
                  Total budgetary resources available
                  7,339
                  7,862
                  7,303
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  1,078
                  1,182
                  515
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  2,946
                  3,633
                  3,465
               
               
                  3010
                  New obligations, unexpired accounts
                  6,261
                  6,680
                  6,788
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  173
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â5,541
                  â6,848
                  â6,407
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â21
                  
                  
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â185
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  3,633
                  3,465
                  3,846
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â1
                  â2
                  â2
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  â2
                  
                  
               
               
                  3071
                  Change in uncollected pymts, Fed sources, expired
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â2
                  â2
                  â2
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  2,945
                  3,631
                  3,463
               
               
                  3200
                  Obligated balance, end of year
                  3,631
                  3,463
                  3,844
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  7,265
                  6,784
                  6,121
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  3,750
                  4,568
                  4,591
               
               
                  4011
                  Outlays from discretionary balances
                  1,584
                  2,151
                  1,756
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  5,334
                  6,719
                  6,347
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â8
                  â10
                  â10
               
               
                  4033
                  Non-Federal sources
                  â20
                  â8
                  â8
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â28
                  â18
                  â18
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4050
                  Change in uncollected pymts, Fed sources, unexpired
                  â2
                  
                  
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  13
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4060
                  Additional offsets against budget authority only (total)
                  11
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  7,248
                  6,766
                  6,103
               
               
                  4080
                  Outlays, net (discretionary)
                  5,306
                  6,701
                  6,329
               
               
                  
                  Mandatory:
               
               
                  
                  Outlays, gross:
               
               
                  4101
                  Outlays from mandatory balances
                  207
                  129
                  60
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4123
                  Non-Federal sources
                  â1
                  
                  
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4143
                  Recoveries of prior year paid obligations, unexpired accounts
                  1
                  
                  
               
               
                  4170
                  Outlays, net (mandatory)
                  206
                  129
                  60
               
               
                  4180
                  Budget authority, net (total)
                  7,248
                  6,766
                  6,103
               
               
                  4190
                  Outlays, net (total)
                  5,512
                  6,830
                  6,389
               
               
                  
                     
                  
               
            
         
      
      
         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.
         
         For Medical Facilities, the Budget reflects the following discretionary appropriation funding from 2019 through 2021: the
            2019 advance appropriation of $5.9 billion and an annual appropriation of $890 million provided in the Energy and Water, Legislative
            Branch, and Military Construction and Veterans Affairs Appropriations Act, 2019 (P.L. 115â244); the 2020 advance appropriationof
            $6.1 billion; and the 2021 advance appropriation request of $6.4 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.
            113â146): $21 million in unobligated balances remained available at the start of 2019.
         
         The 2021 advance appropriation 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.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0162â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  1,197
                  1,262
                  1,298
               
               
                  11.3
                  Other than full-time permanent
                  25
                  26
                  27
               
               
                  11.5
                  Other personnel compensation
                  138
                  146
                  150
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  1,360
                  1,434
                  1,475
               
               
                  12.1
                  Civilian personnel benefits
                  486
                  514
                  539
               
               
                  21.0
                  Travel & Transportation of Persons
                  42
                  45
                  48
               
               
                  22.0
                  Transportation of things
                  17
                  18
                  18
               
               
                  23.2
                  Rent, Communications & Utilities
                  1,276
                  1,370
                  1,422
               
               
                  23.2
                  Rent, Communications & Utilities - P.L. 113â146, Sec. 801
                  
                  13
                  
               
               
                  25.2
                  Other Contractual Services
                  728
                  652
                  1,461
               
               
                  25.2
                  Other Contractual Services - P.L. 113â146, Sec. 801
                  
                  1
                  2
               
               
                  26.0
                  Supplies & Materials
                  339
                  348
                  361
               
               
                  31.0
                  Equipment
                  109
                  112
                  41
               
               
                  32.0
                  Lands & Structures
                  1,836
                  2,134
                  1,384
               
               
                  32.0
                  Lands & Structures - P.L. 113â146, Sec. 801
                  10
                  2
                  
               
               
                  42.0
                  Insurance claims and indemnities
                  19
                  19
                  19
               
               
                  44.0
                  Prior Year Recoveries
                  7
                  
                  
               
               
                  44.0
                  P.L. 113â146, Section 801 - Prior Year Recoveries
                  15
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  6,244
                  6,662
                  6,770
               
               
                  99.0
                  Reimbursable obligations
                  17
                  18
                  18
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  6,261
                  6,680
                  6,788
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0162â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  24,389
                  25,008
                  25,602
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  133
                  107
                  107
               
               
                  
                     
                  
               
            
         
      
         Medical and prosthetic researchFor necessary expenses in carrying out programs of medical and prosthetic research and development as authorized by chapter
            73 of title 38, United States Code,  $762,000,000, plus reimbursements,  to remain available until September 30,  2021 .
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0161â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Bio-medical laboratory science research
                  289
                  303
                  298
               
               
                  0002
                  Rehabilitation research
                  106
                  114
                  117
               
               
                  0003
                  Health services research
                  99
                  123
                  118
               
               
                  0004
                  Clinical science research
                  212
                  278
                  251
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0091
                  Total operating expenses
                  706
                  818
                  784
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  706
                  818
                  784
               
               
                  0801
                  Medical and Prosthetic Research (Reimbursable)
                  27
                  56
                  55
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  733
                  874
                  839
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  96
                  145
                  105
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  32
                  
                  
               
               
                  1033
                  Recoveries of prior year paid obligations
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  129
                  145
                  105
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  722
                  779
                  762
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  26
                  55
                  55
               
               
                  1701
                  Change in uncollected payments, Federal sources
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1750
                  Spending auth from offsetting collections, disc (total)
                  27
                  55
                  55
               
               
                  1900
                  Budget authority (total)
                  749
                  834
                  817
               
               
                  1930
                  Total budgetary resources available
                  878
                  979
                  922
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  145
                  105
                  83
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  282
                  304
                  387
               
               
                  3010
                  New obligations, unexpired accounts
                  733
                  874
                  839
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  2
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â672
                  â791
                  â801
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â32
                  
                  
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â9
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  304
                  387
                  425
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â2
                  â2
                  â2
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  â1
                  
                  
               
               
                  3071
                  Change in uncollected pymts, Fed sources, expired
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â2
                  â2
                  â2
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  280
                  302
                  385
               
               
                  3200
                  Obligated balance, end of year
                  302
                  385
                  423
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  749
                  834
                  817
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  352
                  578
                  580
               
               
                  4011
                  Outlays from discretionary balances
                  320
                  213
                  221
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  672
                  791
                  801
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â12
                  â39
                  â39
               
               
                  4033
                  Non-Federal sources
                  â16
                  â16
                  â16
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â28
                  â55
                  â55
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4050
                  Change in uncollected pymts, Fed sources, unexpired
                  â1
                  
                  
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  1
                  
                  
               
               
                  4053
                  Recoveries of prior year paid obligations, unexpired accounts
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4060
                  Additional offsets against budget authority only (total)
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  722
                  779
                  762
               
               
                  4080
                  Outlays, net (discretionary)
                  644
                  736
                  746
               
               
                  4180
                  Budget authority, net (total)
                  722
                  779
                  762
               
               
                  4190
                  Outlays, net (total)
                  644
                  736
                  746
               
               
                  
                     
                  
               
            
         
      
      
         For 2020, the total budgetary resources of over $2 billion is comprised of $762 million in direct appropriations, $648 million
            in medical care support such as physicians' pay, utilities and other overhead, $570 million in Federal grants and other non-Federal
            resources, and $55 million in reimbursements. The Department of Veterans Affairs' (VA) research program will support 3,165
            full time equivalents through direct appropriations and reimbursable resources. These combined resources will support 2,200
            research projects.
         
         This account is an intramural research program with outstanding success leading 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 healthcare by bringing new evidence-based treatments and technologies into everyday
            clinical care. In 2020, VA will continue to invest in several cross-cutting clinical priorities, including suicide prevention,
            opioid safety and pain management, post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), mental health, and
            Gulf War Illness. VA research has led the way in developing effective treatments, behavioral interventions, and devices in
            clinical trials. These investments support VA's strong track record of facilitating the implementation of research findings
            directly into clinical practice.
         
         SUMMARY OF PROGRAM RESOURCES [in millions of dollars]
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Medical and prosthetic research appropriation
                     722
                     779
                     762
                  
                  
                     VA Medical Care Support
                     544
                     618
                     648
                  
                  
                     Other Federal and Non-Federal Resources
                     570
                     570
                     570
                  
                  
                     Reimbursements
                     27
                     56
                     55
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total program resources
                     1,863
                     2,023
                     2,035
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     
                        
                     
                  
               
            
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0161â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  233
                  243
                  248
               
               
                  11.3
                  Other than full-time permanent
                  7
                  8
                  8
               
               
                  11.5
                  Other personnel compensation
                  4
                  5
                  5
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  244
                  256
                  261
               
               
                  12.1
                  Civilian personnel benefits
                  88
                  95
                  96
               
               
                  21.0
                  Employee travel
                  5
                  5
                  5
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  1
                  1
                  1
               
               
                  24.0
                  Printing and reproduction
                  
                  1
                  1
               
               
                  25.2
                  Other services from non-Federal sources
                  281
                  362
                  343
               
               
                  26.0
                  Supplies and materials
                  37
                  39
                  37
               
               
                  31.0
                  Equipment
                  50
                  59
                  40
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  706
                  818
                  784
               
               
                  99.0
                  Reimbursable obligations
                  27
                  56
                  55
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  733
                  874
                  839
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0161â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  2,972
                  3,052
                  3,052
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  113
                  113
                  113
               
               
                  
                     
                  
               
            
         
      
         Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0169â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Joint DOD-VA Medical Facility Demonstration Fund (Direct)
                  427
                  437
                  459
               
               
                  0801
                  Joint DOD-VA Medical Facility Demonstration Fund (Reimbursable)
                  15
                  17
                  17
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  442
                  454
                  476
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  8
                  12
                  8
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1121
                  Appropriations transferred from other acct [036â0167]
                  8
                  8
                  8
               
               
                  1121
                  Appropriations transferred from other acct [097â0130]
                  116
                  113
                  127
               
               
                  1121
                  Appropriations transferred from other acct [036â5287]
                  17
                  17
                  17
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1160
                  Appropriation, discretionary (total)
                  141
                  138
                  152
               
               
                  
                  Advance appropriations, discretionary:
               
               
                  1173
                  Advance appropriations transferred from other accounts [036â0160]
                  199
                  205
                  210
               
               
                  1173
                  Advance appropriations transferred from other accounts [036â0140]
                  26
                  27
                  28
               
               
                  1173
                  Advance appropriations transferred from other accounts [036â0152]
                  28
                  24
                  29
               
               
                  1173
                  Advance appropriations transferred from other accounts [036â0162]
                  37
                  38
                  39
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1180
                  Advanced appropriation, discretionary  (total)
                  290
                  294
                  306
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  15
                  18
                  16
               
               
                  1900
                  Budget authority (total)
                  446
                  450
                  474
               
               
                  1930
                  Total budgetary resources available
                  454
                  462
                  482
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  12
                  8
                  6
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  89
                  83
                  88
               
               
                  3010
                  New obligations, unexpired accounts
                  442
                  454
                  476
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  12
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â431
                  â449
                  â472
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â29
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  83
                  88
                  92
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  89
                  83
                  88
               
               
                  3200
                  Obligated balance, end of year
                  83
                  88
                  92
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  446
                  450
                  474
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  366
                  407
                  427
               
               
                  4011
                  Outlays from discretionary balances
                  65
                  42
                  45
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  431
                  449
                  472
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â15
                  â17
                  â15
               
               
                  4033
                  Non-Federal sources
                  â1
                  â1
                  â1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â16
                  â18
                  â16
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  431
                  432
                  458
               
               
                  4080
                  Outlays, net (discretionary)
                  415
                  431
                  456
               
               
                  4180
                  Budget authority, net (total)
                  431
                  432
                  458
               
               
                  4190
                  Outlays, net (total)
                  415
                  431
                  456
               
               
                  
                     
                  
               
            
         
      
      
         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 111â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 2019 and 2020, VA expects to transfer
            funds from the Medical Services, Medical Community Care, Medical Support and Compliance, Medical Facilities, and Information
            Technology Systems accounts, while DOD expects to transfer funds from the Defense Health Program account.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0169â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  11.1
                  Personnel compensation: Full-time permanent
                  177
                  186
                  195
               
               
                  12.1
                  Civilian personnel benefits
                  60
                  60
                  60
               
               
                  21.0
                  Travel and transportation of persons
                  4
                  
                  
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  10
                  10
                  10
               
               
                  25.1
                  Advisory and assistance services
                  83
                  90
                  90
               
               
                  26.0
                  Supplies and materials
                  66
                  70
                  79
               
               
                  31.0
                  Equipment
                  9
                  2
                  9
               
               
                  32.0
                  Land and structures
                  18
                  19
                  20
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  427
                  437
                  463
               
               
                  99.0
                  Reimbursable obligations
                  15
                  17
                  13
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  442
                  454
                  476
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0169â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  2,113
                  2,172
                  2,172
               
               
                  
                     
                  
               
            
         
      
         Medical Care Collections FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â5287â0â2â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1101
                  Appropriation (special or trust fund)
                  3,515
                  3,627
                  3,912
               
               
                  1120
                  Appropriations transferred to other accts [036â0160]
                  â3,226
                  â3,256
                  â3,449
               
               
                  1120
                  Appropriations transferred to other accts [036â0169]
                  â17
                  â17
                  â17
               
               
                  1120
                  Appropriations transferred to other acct [036â0140]
                  â272
                  â354
                  â446
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  
                  
                  
               
               
                  
                     
                  
               
            
         
      
      
         The Department of Veterans Affairs 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 2018, 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.
         
      
         Canteen Service Revolving FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4014â0â3â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0801
                  Reimbursable operating expenses
                  356
                  331
                  345
               
               
                  0802
                  Reimbursable direct operations
                  177
                  165
                  171
               
               
                  0810
                  Reimbursable capital investment: Sales program: Purchase of equipment and leasehold
                  11
                  10
                  11
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  544
                  506
                  527
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  37
                  4
                  17
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  37
                  6
                  19
               
               
                  
                  Budget authority:
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  512
                  517
                  537
               
               
                  1801
                  Change in uncollected payments, Federal sources
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1850
                  Spending auth from offsetting collections, mand (total)
                  511
                  517
                  537
               
               
                  1930
                  Total budgetary resources available
                  548
                  523
                  556
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  4
                  17
                  29
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  29
                  52
                  38
               
               
                  3010
                  New obligations, unexpired accounts
                  544
                  506
                  527
               
               
                  3020
                  Outlays (gross)
                  â521
                  â518
                  â538
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  
                  â2
                  â2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  52
                  38
                  25
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â3
                  â2
                  â2
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â2
                  â2
                  â2
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  26
                  50
                  36
               
               
                  3200
                  Obligated balance, end of year
                  50
                  36
                  23
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  511
                  517
                  537
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  455
                  506
                  525
               
               
                  4101
                  Outlays from mandatory balances
                  66
                  12
                  13
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  521
                  518
                  538
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4123
                  Non-Federal sources
                  â512
                  â517
                  â537
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4140
                  Change in uncollected pymts, Fed sources, unexpired
                  1
                  
                  
               
               
                  4170
                  Outlays, net (mandatory)
                  9
                  1
                  1
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  9
                  1
                  1
               
               
                  
                     
                  
               
            
         
      
      
         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 Department of Veterans Affairs medical facilities.
         
         Financing.âOperations will be financed from current revenues.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4014â0â3â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Reimbursable obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  221
                  205
                  213
               
               
                  11.3
                  Other than full-time permanent
                  5
                  5
                  5
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  226
                  210
                  218
               
               
                  12.1
                  Civilian personnel benefits
                  49
                  46
                  46
               
               
                  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
                  260
                  241
                  251
               
               
                  31.0
                  Equipment
                  
                  
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  544
                  506
                  527
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4014â0â3â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  3,420
                  3,500
                  3,550
               
               
                  
                     
                  
               
            
         
      
         Veterans Choice FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0172â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Veterans Choice Fund - Administrative
                  63
                  250
                  227
               
               
                  0002
                  Veterans Choice Fund - Program
                  4,493
                  3,608
                  355
               
               
                  0004
                  Emergency Non-VA Care
                  3
                  5
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0091
                  Direct program activities, subtotal
                  4,559
                  3,863
                  582
               
               
                  0109
                  Capital Investment
                  124
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  4,683
                  3,863
                  582
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  1,732
                  4,645
                  782
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  295
                  
                  
               
               
                  1033
                  Recoveries of prior year paid obligations
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  2,028
                  4,645
                  782
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, mandatory:
               
               
                  1200
                  Appropriation
                  7,300
                  
                  
               
               
                  1900
                  Budget authority (total)
                  7,300
                  
                  
               
               
                  1930
                  Total budgetary resources available
                  9,328
                  4,645
                  782
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  4,645
                  782
                  200
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  1,784
                  2,180
                  2,483
               
               
                  3010
                  New obligations, unexpired accounts
                  4,683
                  3,863
                  582
               
               
                  3020
                  Outlays (gross)
                  â3,992
                  â3,560
                  â2,317
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â295
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  2,180
                  2,483
                  748
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  1,784
                  2,180
                  2,483
               
               
                  3200
                  Obligated balance, end of year
                  2,180
                  2,483
                  748
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  7,300
                  
                  
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  476
                  
                  
               
               
                  4101
                  Outlays from mandatory balances
                  3,516
                  3,560
                  2,317
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  3,992
                  3,560
                  2,317
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4123
                  Non-Federal sources
                  â1
                  
                  
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4143
                  Recoveries of prior year paid obligations, unexpired accounts
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4160
                  Budget authority, net (mandatory)
                  7,300
                  
                  
               
               
                  4170
                  Outlays, net (mandatory)
                  3,991
                  3,560
                  2,317
               
               
                  4180
                  Budget authority, net (total)
                  7,300
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  3,991
                  3,560
                  2,317
               
               
                  
                     
                  
               
            
         
      
      
         The Veterans Access, Choice, and Accountability Act of 2014 ("Veterans Choice Act"), Public Law 113â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 Department of Veterans Affairs (VA) system. The law directed that this funding be deposited in the Veterans
            Choice Fund. In July 2015, the Congress provided emergency funding for Hepatitis C ($500,000,000) and Care in the Community
            ($2,848,500,000) by passing Public Law 114â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 2016.
         
         Public Law 115â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 115â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. In 2018, Public Law 115â96 provided $2.1 billion more in mandatory funding,
            to remain available until expended; and Public Law 115â182, the MISSION Act, provided an additional $5.2 billion in mandatory
            funding, to remain available without fiscal year limitation. The MISSION Act provides flexibility of Veterans Choice Fund
            dollars beginning on March 1, 2019, authorizing permanent authority for other uses. In addition, the MISSION Act sunset the
            Choice Program in June 2019 and established the new Veterans Community Care Program.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0172â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  22.0
                  Transportation of things
                  24
                  18
                  
               
               
                  25.2
                  Other contract services
                  4,124
                  3,665
                  582
               
               
                  26.0
                  Supplies and materials
                  116
                  87
                  
               
               
                  31.0
                  Equipment
                  124
                  93
                  
               
               
                  44.0
                  Prior-year Recoveries
                  295
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  4,683
                  3,863
                  582
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0172â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  1
                  
                  
               
               
                  
                     
                  
               
            
         
      
      Trust Funds
         General Post Fund, National HomesSpecial and Trust Fund Receipts (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8180â0â7â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  0100
                  Balance, start of year
                  
                  
                  2
               
               
                  
                  Receipts:
               
               
                  
                  Current law:
               
               
                  1130
                  General Post Fund, National Homes, Deposits
                  22
                  25
                  26
               
               
                  1140
                  General Post Fund, National Homes, Interest on Investments
                  3
                  3
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1199
                  Total current law receipts
                  25
                  28
                  29
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total receipts
                  25
                  28
                  29
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2000
                  Total: Balances and receipts
                  25
                  28
                  31
               
               
                  
                  Appropriations:
               
               
                  
                  Current law:
               
               
                  2101
                  General Post Fund, National Homes
                  â25
                  â26
                  â27
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  5099
                  Balance, end of year
                  
                  2
                  4
               
               
                  
                     
                  
               
            
         
      
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8180â0â7â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Religious, recreational, and entertainment activities
                  19
                  23
                  24
               
               
                  0003
                  Therapeutic residence maintenance
                  1
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  20
                  24
                  25
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  106
                  112
                  114
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  107
                  112
                  114
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, mandatory:
               
               
                  1201
                  Appropriation (special or trust fund)
                  25
                  26
                  27
               
               
                  1930
                  Total budgetary resources available
                  132
                  138
                  141
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  112
                  114
                  116
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  3
                  2
                  4
               
               
                  3010
                  New obligations, unexpired accounts
                  20
                  24
                  25
               
               
                  3020
                  Outlays (gross)
                  â20
                  â22
                  â22
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  2
                  4
                  7
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  3
                  2
                  4
               
               
                  3200
                  Obligated balance, end of year
                  2
                  4
                  7
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  25
                  26
                  27
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  
                  22
                  22
               
               
                  4101
                  Outlays from mandatory balances
                  20
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  20
                  22
                  22
               
               
                  4180
                  Budget authority, net (total)
                  25
                  26
                  27
               
               
                  4190
                  Outlays, net (total)
                  20
                  22
                  22
               
               
                  
                     
                  
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  5000
                  Total investments, SOY: Federal securities: Par value
                  108
                  90
                  71
               
               
                  5001
                  Total investments, EOY: Federal securities: Par value
                  90
                  71
                  52
               
               
                  
                     
                  
               
            
         
      
      
         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 102â54 authorizes compensation work
            therapy and therapeutic transitional housing and loan programs to be funded from the General Post Fund (38 U.S.C. chapters
            83 and 85).
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8180â0â7â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  21.0
                  Travel and transportation of persons
                  1
                  1
                  1
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  
                  1
                  1
               
               
                  25.2
                  Other services from non-Federal sources
                  6
                  6
                  6
               
               
                  26.0
                  Supplies and materials
                  12
                  14
                  15
               
               
                  31.0
                  Equipment
                  1
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  20
                  24
                  25
               
               
                  
                     
                  
               
            
         
      
         Benefits ProgramsFederal Funds
         Compensation and pensions
         (including transfer of funds)For the payment of compensation benefits to or on behalf of veterans and a pilot program for disability examinations as authorized
            by section 107 and chapters 11, 13, 18, 51, 53, 55, and 61 of title 38, United States Code; pension benefits to or on behalf
            of veterans as authorized by chapters 15, 51, 53, 55, and 61 of title 38, United States Code; and burial benefits, the Reinstated
            Entitlement Program for Survivors, emergency and other officers' retirement pay, adjusted-service credits and certificates,
            payment of premiums due on commercial life insurance policies guaranteed under the provisions of title IV of the Servicemembers
            Civil Relief Act (50 U.S.C. App. 541 et seq.) and for other benefits as authorized by sections 107, 1312, 1977, and 2106,
            and chapters 23, 51, 53, 55, and 61 of title 38, United States Code,  $116,801,316,000,  to become available on October 1,  2020, and shall remain available until expended: Provided, That not to exceed  $18,147,000 of the amount made available  under this heading shall be reimbursed to "General Operating Expenses, Veterans Benefits Administration", and "Information
            Technology Systems" for necessary expenses in implementing the provisions of chapters 51, 53, and 55 of title 38, United States
            Code, the funding source for which is specifically provided as the "Compensation and Pensions" appropriation: Provided further, That such sums as may be earned on an actual qualifying patient basis, shall be reimbursed to "Medical Care Collections
            Fund" to augment the funding of individual medical facilities for nursing home care provided to pensioners as authorized.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0102â0â1â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0101
                  Veterans
                  78,862
                  86,949
                  95,043
               
               
                  0102
                  Survivors
                  6,925
                  7,333
                  7,746
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0191
                  Compensation sub-total
                  85,787
                  94,282
                  102,789
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0200
                  Other compensation expenses
                  85,787
                  94,282
                  102,789
               
               
                  0201
                  Chapter 18
                  21
                  22
                  22
               
               
                  0202
                  Clothing allowance
                  123
                  131
                  138
               
               
                  0203
                  Misc assistance (EAJ, SAFD)
                  16
                  17
                  17
               
               
                  0204
                  Medical exam pilot program
                  896
                  1,180
                  1,549
               
               
                  0205
                  OBRA payment to VBA and IT
                  3
                  7
                  7
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0291
                  Total other compensation expenses
                  1,059
                  1,357
                  1,733
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0293
                  Total compensation
                  86,846
                  95,639
                  104,522
               
               
                  0302
                  Veterans
                  3,373
                  3,384
                  3,492
               
               
                  0303
                  Survivors
                  1,844
                  1,845
                  1,896
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0391
                  Pensions sub total
                  5,217
                  5,229
                  5,388
               
               
                  0401
                  Reimbursements to GOE, IT and VHA
                  13
                  11
                  11
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0492
                  Total pensions
                  5,230
                  5,240
                  5,399
               
               
                  0501
                  Caskets and Urns
                  1
                  1
                  1
               
               
                  0502
                  Burial allowance
                  26
                  48
                  50
               
               
                  0503
                  Burial plots
                  21
                  21
                  22
               
               
                  0504
                  Service-connected deaths
                  76
                  110
                  116
               
               
                  0505
                  Burial flags
                  19
                  22
                  22
               
               
                  0506
                  Headstones and markers
                  96
                  61
                  75
               
               
                  0508
                  Graveliners
                  11
                  5
                  7
               
               
                  0509
                  Pre-Place Crypts
                  31
                  57
                  39
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0591
                  Total burial program
                  281
                  325
                  332
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts (object class 42.0)
                  92,357
                  101,204
                  110,253
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  3,830
                  2,098
                  1,656
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  13
                  
                  
               
               
                  1033
                  Recoveries of prior year paid obligations
                  493
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  4,336
                  2,098
                  1,656
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, mandatory:
               
               
                  1200
                  Appropriation
                  
                  2,994
                  
               
               
                  
                  Advance appropriations, mandatory:
               
               
                  1270
                  Advance appropriation
                  90,119
                  95,768
                  109,017
               
               
                  1273
                  Advance appropriations transferred from other accounts
                  
                  2,000
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1280
                  Advanced appropriation, mandatory (total)
                  90,119
                  97,768
                  109,017
               
               
                  1900
                  Budget authority (total)
                  90,119
                  100,762
                  109,017
               
               
                  1930
                  Total budgetary resources available
                  94,455
                  102,860
                  110,673
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  2,098
                  1,656
                  420
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  163
                  7,446
                  8,426
               
               
                  3010
                  New obligations, unexpired accounts
                  92,357
                  101,204
                  110,253
               
               
                  3020
                  Outlays (gross)
                  â85,061
                  â100,224
                  â109,184
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â13
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  7,446
                  8,426
                  9,495
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  163
                  7,446
                  8,426
               
               
                  3200
                  Obligated balance, end of year
                  7,446
                  8,426
                  9,495
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  90,119
                  100,762
                  109,017
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  81,068
                  90,680
                  99,101
               
               
                  4101
                  Outlays from mandatory balances
                  3,993
                  9,544
                  10,083
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  85,061
                  100,224
                  109,184
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4123
                  Non-Federal sources
                  â493
                  
                  
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4143
                  Recoveries of prior year paid obligations, unexpired accounts
                  493
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4160
                  Budget authority, net (mandatory)
                  90,119
                  100,762
                  109,017
               
               
                  4170
                  Outlays, net (mandatory)
                  84,568
                  100,224
                  109,184
               
               
                  4180
                  Budget authority, net (total)
                  90,119
                  100,762
                  109,017
               
               
                  4190
                  Outlays, net (total)
                  84,568
                  100,224
                  109,184
               
               
                  
                     
                  
               
            
         
      
      Summary of Budget Authority and Outlays (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  Enacted/requested:
               
               
                  
                  Budget Authority
                  90,119
                  100,762
                  109,017
               
               
                  
                  Outlays
                  84,568
                  100,224
                  109,184
               
               
                  Legislative proposal, subject to PAYGO:
               
               
                  
                  Outlays
                  
                  
                  â265
               
               
                  Total:
               
               
                  
                  Budget Authority
                  90,119
                  100,762
                  109,017
               
               
                  
                  Outlays
                  84,568
                  100,224
                  108,919
               
               
                  
                     
                  
               
            
         
      
      
         WORKLOAD
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Compensation Completed Claims:
                     
                     
                     
                  
                  
                     Rating
                     1,241,821
                     1,277,701
                     1,322,134
                  
                  
                     Other Claims
                     2,559,352
                     2,370,265
                     2,283,849
                  
                  
                     Pension Completed Claims:
                     
                     
                     
                  
                  
                     Rating
                     134,977
                     134,709
                     133,831
                  
                  
                     Other Non-Rating Claims
                     379,348
                     344,268
                     353,386
                  
                  
                     
                        
                     
                  
               
            
         
         For 2021, the Budget requests $116,801,316,000 in advance appropriations for Compensation and Pensions. This request satisfies
            the requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (P.L. 113â235) and prevents our
            Nation's veterans from being adversely affected by budget delays.
         
         This appropriation provides for the payment of compensation, pension, and burial benefits to veterans and survivors.
         Compensation is paid to veterans for disabilities incurred in or aggravated during active military service. Dependency and
            Indemnity Compensation is paid to survivors of servicepersons or veterans whose death occurred while on active duty or as
            a result of service-connected disabilities. Compensation and vocational rehabilitation is provided to the children of Vietnam
            veterans who were born with certain birth defects. The Secretary may pay a clothing allowance to each veteran who uses a prescribed
            medication for a service-connected skin condition or wears a prosthetic or orthopedic appliance (including a wheelchair) which,
            in the judgment of the Secretary, tends to damage or tear the clothing of such veteran.
         
         Miscellaneous benefits provided for are:
         (a) payments for claims made pursuant to the provision of the World War Adjusted Compensation Act of 1924, as amended;
         (b) a special allowance (38 U.S.C. 1312) to dependents of certain veterans who died after December 31, 1956, but who were
            not fully and currently insured under the Social Security Act; and
         
         (c) payments authorized by the Equal Access to Justice Act.
         The appropriation also provides for a program to allow the Department of Veterans Affairs (VA) to perform income matches for
            certain compensation recipients.
         
         In accordance with Public Law 97â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, 2020, is expected to be 2.2 percent.
         
         AVERAGE NUMBER OF COMPENSATION CASES AND PAYMENTS
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Veterans:
                     
                     
                     
                  
                  
                     Cases
                     4,652,973
                     4,849,174
                     5,033,113
                  
                  
                     Average payment per case, per year
                     $16,949
                     $17,931
                     $18,883
                  
                  
                     Total obligations (in millions)
                     $78,862
                     $86,949
                     $95,042
                  
                  
                     Survivors:
                     
                     
                     
                  
                  
                     Cases
                     417,532
                     431,839
                     443,407
                  
                  
                     Average payment per case, per year
                     $16,585
                     $16,981
                     $17,469
                  
                  
                     Total obligations (in millions)
                     $6,925
                     $7,333
                     $7,746
                  
                  
                     Chapter 18:
                     
                     
                     
                  
                  
                     Children
                     1,151
                     1,145
                     1,139
                  
                  
                     Average payment per case, per year
                     $18,417
                     $18,933
                     $19,349
                  
                  
                     Total obligations (in millions)
                     $21
                     $22
                     $22
                  
                  
                     Clothing allowance:
                     
                     
                     
                  
                  
                     Number of veterans
                     155,108
                     160,614
                     165,993
                  
                  
                     Average payment per case, per year
                     $793
                     $815
                     $833
                  
                  
                     Total obligations (in millions)
                     $123
                     $131
                     $138
                  
                  
                     Special Allowance for Dependents:
                     
                     
                     
                  
                  
                     Cases
                     21
                     21
                     21
                  
                  
                     Average benefit
                     $2,981
                     $3,065
                     $3,132
                  
                  
                     Total obligations (in millions)
                     $0
                     $0
                     $0
                  
                  
                     Equal Access to Justice Act:
                     
                     
                     
                  
                  
                     Cases
                     3,033
                     3,120
                     3,207
                  
                  
                     Average benefit
                     $5,168
                     $5,312
                     $5,429
                  
                  
                     Total Obligations (in millions)
                     $16
                     $17
                     $17
                  
                  
                     REPS:
                     
                     
                     
                  
                  
                     Cases
                     8
                     6
                     5
                  
                  
                     Average benefit
                     $11,465
                     $11,466
                     $11,467
                  
                  
                     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, 2020, is expected to be 2.2 percent.
         
         AVERAGE NUMBER OF PENSION CASES AND PAYMENTS
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Veterans:
                     
                     
                     
                  
                  
                     Cases
                     267,261
                     258,434
                     256,470
                  
                  
                     Average payment per case, per year
                     $12,619
                     $13,096
                     $13,619
                  
                  
                     Total obligations (in millions)
                     $3,373
                     $3,384
                     $3,493
                  
                  
                     Survivors:
                     
                     
                     
                  
                  
                     Cases
                     195,588
                     189,371
                     187,362
                  
                  
                     Average payment per case, per year
                     $9,428
                     $9,742
                     $10,117
                  
                  
                     Total obligations (in millions)
                     $1,844
                     $1,845
                     $1,896
                  
                  
                     
                        
                     
                  
               
            
         
         Burial benefits in 2019 provided for: (a) the payment of an allowance of $780 (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 $780
            for a plot allowance where an eligible veteran is not buried in a national cemetery or other cemetery under the jurisdiction
            of the United States; (c) the payment of a burial allowance of up to $2,000 when a veteran dies as a result of a service-connected
            disability; (d) furnishing a flag to drape the casket of each deceased veteran entitled thereto; (e) furnishing a headstone
            or marker for the grave of a veteran and, in certain cases, eligible dependents; and (f) authority to provide outer burial
            receptacles in the National Cemetery Administration.
         
         NUMBER OF BURIAL BENEFITS
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Burial allowance
                     26,702
                     26,958
                     27,572
                  
                  
                     Burial allowances for deaths in Dept. facility
                     28,384
                     29,015
                     29,677
                  
                  
                     Burial plot
                     23,594
                     26,486
                     27,090
                  
                  
                     Service-connected deaths
                     40,148
                     41,908
                     43,774
                  
                  
                     Burial flags
                     477,005
                     461,805
                     455,515
                  
                  
                     Headstones and markers
                     344,245
                     359,336
                     358,221
                  
                  
                     Graveliners
                     10,521
                     10,982
                     10,948
                  
                  
                     Preplaced crypts
                     77,692
                     102,754
                     42,932
                  
                  
                     Caskets and Urns
                     370
                     390
                     411
                  
                  
                     
                        
                     
                  
               
            
         
      
         Compensation and Pensions
         (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0102â4â1â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0101
                  Prohibition of entitlement to VA's IU benefit for individuals serving in the Reserve Components
                  
                  
                  â7
               
               
                  0104
                  Clarify evidentiary threshold for ordering VA examinations
                  
                  
                  â233
               
               
                  0109
                  Round-down the computation of the annual COLA for service-connected compensation and DIC for five years
                  
                  
                  â34
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0191
                  Compensation sub-total
                  
                  
                  â274
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0293
                  Total compensation
                  
                  
                  â274
               
               
                  0301
                  Reissue VA Benefit Payments to all Victims of Fiducaiary Misuse
                  
                  
                  6
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0391
                  Pensions sub total
                  
                  
                  6
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0492
                  Total pensions
                  
                  
                  6
               
               
                  0501
                  Spousal and Dependent Inscriptions on Veteran Headstones and Markers
                  
                  
                  1
               
               
                  0505
                  VA to provide OBR's for each new casketed gravesite in VA cemetary that receives grant from VCGP
                  
                  
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0591
                  Total burial program
                  
                  
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts (object class 42.0)
                  
                  
                  â265
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  
                  
                  265
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3010
                  New obligations, unexpired accounts
                  
                  
                  â265
               
               
                  3020
                  Outlays (gross)
                  
                  
                  265
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  
                  Outlays, gross:
               
               
                  4101
                  Outlays from mandatory balances
                  
                  
                  â265
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  
                  
                  â265
               
               
                  
                     
                  
               
            
         
      
      
         Prohibition of Entitlement to VA's Individual Unemployability Benefit for Individuals Serving in the Reserve Components. VA seeks to amend 38 U.S.C. section 1163 to prohibit entitlement to total disability ratings for compensation based on individual
            unemployability if the individual is concurrently performing duties in the reserve components and receiving active service
            pay from such duty. Benefit savings are estimated to be $6.7 million in 2020, $81.8 million over five years, and $302.7 million
            over ten years.
         
         Allow for Electronic Decision Notification, and Other Communications. VA seeks to amend provisions in 38 U.S.C. sections 7105 and 5104 to specifically allow for electronic notification of result
            of initial benefits review/determinations. VA also seeks to amend 38 U.S.C. section 101, updating definitions to allow for
            electronic communication between VA, veterans, claimants, and other entities, where practicable, in the course of adjudicating
            claims. These changes are necessary to allow VA, veterans, and claimants to utilize modern electronic methods of communication
            to deliver timely and efficient decisions on claims. No benefits costs are associated with this proposal.
         
         VA Schedule for Rating Disability (VASRD) Effective Dates. VA seeks to amend 38 U.S.C. section 1155 so that, when VASRD is readjusted, such changes would apply to any new or pending
            claims and may include action to decrease an existing evaluation. VA's current practice is that, when there are changes to
            VASRD, an increased evaluation for a disability cannot be granted under the old rating criteria; in addition, a disability
            evaluation cannot be decreased under the new rating criteria unless there has been a demonstrated improvement in the condition.
            This proposal would reduce the administrative burden of having adjudicators apply the old and new sets of criteria to claims
            and make VASRD easier to understand and apply for veterans and their representatives. VA would not adjust veterans' ratings
            downward on its own initiative, but would adjust ratings accordingly upon the veteran's request. This proposal would result
            in savings; however, insufficient data are available to estimate if savings would be significant.
         
         Modernize VA's Records Management Program. VA seeks to amend title 38, U.S.C. by creating a new section 5707 to codify VBA's procedures with respect to imaged source
            paper files, input records, reports, or other documents under the Records Control Schedule required by title 44, U.S.C. No
            benefit costs are associated with this proposal.
         
         Clarify Evidentiary Threshold for Ordering VA Examinations. VA seeks to amend 38 U.S.C. section 5103A(d)(2) to clarify the evidentiary threshold at which VA, under its duty to assist
            obligation in section 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. section 5103(A)(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. section 5103(A)(d)(2). Benefit savings are estimated to be $233.1 million in 2020, $1.3 billion
            over five years, and $2.8 billion over 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. section 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
            pursuant to section 1116 for diseases associated with exposure to certain herbicide agents. This proposal would prevent the
            allocation of extensive resources to claims not contemplated by Congress and avoids potential for creating or substantially
            adding to VA's backlog. No benefits 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. VA seeks to amend 38 U.S.C. section 6303(b) to authorize VA to use TAP and eBenefits to notify each transitioning veteran
            by the most effective means available, including electronic communication or notification in writing, 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
            and to contact in-person or by telephone veterans who do not have a high school education or equivalent at the time of discharge
            or release. 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.
         
         Automatic Annual Cost-of-Living Adjustments (COLA) for Disability Compensation and Dependency and Indemnity Compensation (DIC). VA seeks to amend 38 U.S.C. sections 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 benefits costs are associated with this proposal.
         
         Extend the Authority for Operations of the Manila VA Regional Office. VA seeks to extend the authority currently provided by 38 U.S.C. section 315(b) to maintain the operations of the Manila
            Regional Office to December 31, 2023. 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. VA seeks to amend 38 U.S.C. sections 1104(a) and 1303(a) to round-down COLA computations from 2020 to 2024. Savings are
            estimated to be $34.3 million in 2020 and $637.6 million over 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 $2.0 billion in savings over ten
            years.
         
         Reimbursement of Credentialing Costs. VA seeks to amend 38 U.S.C. section 5729 to collect a reasonable fee necessary to offset the costs of performing background
            and other investigations needed for credentialing accredited attorneys and claims agents before they can access the automated
            VBA records of claimants whom they represent. No benefit costs are associated with this proposal.
         
         Reissue VA Benefit Payments to all Victims of Fiduciary Misuse. VA seeks to amend 38 U.S.C. section 6107, which authorizes VA to reissue benefits to a beneficiary if the beneficiary's
            VA-appointed fiduciary misuses the beneficiary's benefits. This proposal would ensure equal treatment of all beneficiaries
            who are victims of misuse regardless of the nature and scope of the fiduciary's business or the fiduciary's relationship with
            the beneficiary. Benefit costs are estimated to be $6.2 million in 2020, $34.0 million over five years, and $77.0 million
            over ten years.
         
         Allow VA Contractors and Vendors Access to Federal Tax Return Information for Purposes of Assisting in the Administration
               of Certain VA Benefit Programs and Maintaining the Systems that VA uses to Administer these Programs. VA seeks to amend 26 U.S.C. 6103(l)(7)(A) and (B) in order to allow VA contractors and vendors access to tax return information
            that is disclosed to VA. Under this proposal, VA personnel would continue to make determinations of entitlement for income-based
            programs and other discretionary decisions based upon the Federal tax information. However, VA could rely on contractors and
            vendors to help develop and maintain the information technology systems VA uses to administer needs-based programs. This proposal
            would eliminate the need for VA to create a complex information technology solution to mitigate contractor access to VA systems
            and benefits-related documents that contain tax information. No benefits costs are associated with this proposal.
         
         Remove Annual Income from Net Worth Calculation. VA seeks to amend 38 U.S.C. sections 1522 and 1543 to remove the requirement that VA consider annual income in its 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 insignificant.
         
         Authorize VA to Rely on Unearned and Earned Income Information Supplied by the IRS and Earned Income Information Available
               from the 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. 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. section 2308 to authorize VA to pay a one-time, inflation-indexed, flat-rate benefit for the
            domestic transportation of a deceased veteran to a national cemetery. This would allow VA to automate adjudication and payment
            of these claims, providing more timely benefits to survivors without requiring them to prove their actual expenses during
            a difficult and vulnerable period of transition. No benefit costs are associated with this proposal.
         
         Extension of Reduced Pension for Certain Veterans and Survivors Covered by Medicaid Plans for Services. VA seeks to amend 38 U.S.C. section 5503(d) to extend through September 30, 2029, the limit to $90 in pension payable to
            certain recipients of Medicaid-covered nursing home care. This authority protects pension payments from being applied to the
            cost of the recipient's nursing home care. Public Law 115â182, section 509, last extended this authority to September 30,
            2028. Benefit savings would not occur until 2029; therefore, savings would be $0 over the first five years. Estimated savings
            over ten years are $245.1 million.
         
         Spousal and Dependent Inscriptions on Veteran Headstones and Markers. VA seeks to amend 38 U.S.C. section 2306 to allow VA to inscribe, if feasible and upon request, on a Government-furnished
            headstone or marker for placement on a gravesite in a non-VA cemetery 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, 2015. Benefit costs are estimated to be $868 thousand in 2020, $4.0 million over five
            years, and $7.8 million over ten years.
         
         Authorization to Provide Outer Burial Receptacles (OBR) for State and Tribal Organization Cemeteries. VA proposes to amend 38 U.S.C. 2306 to provide an outer burial receptacle (OBR) benefit for any casketed gravesite for eligible
            veterans and their family members interred in State and tribal veterans cemeteries that received grant funding through VA's
            Veterans Cemetery Grants Program. This would ensure parity for the OBR benefit for eligible individuals in any cemetery that
            has a mission to provide burial for veterans and their eligible dependents, and would alleviate the additional financial burden
            on the families of veterans to purchase an OBR if they choose to bury the veteran or an eligible family member in a State
            or tribal veterans cemetery. Mandatory costs are estimated to be $1.9 million in 2020, $13.5 million over five years, and
            $36.2 million over ten years.
         
         Authorization to Pay Cost of Transporting Unclaimed Remains of Veterans to a VA-funded State or Tribal Organization Cemetery. VA seeks to amend title 38 U.S.C. section 2308 to expand the provision of the transportation allowance to cover those unclaimed
            remains of veterans transported to a VA-funded veterans cemetery owned by a State or Tribal organization. Currently, VA is
            only authorized to provide an allowance for the cost of transporting the remains to the nearest VA national cemetery. Benefit
            costs are estimated to be insignificant.
         
         Burial Benefit Eligibility Requirement for Other-Than-Dishonorable Service for Deaths in Active Service. VA seeks to amend title 38 U.S.C. section 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. This proposal would
            also amend title 38 U.S.C. section 2306(b)(4)(A) and (g)(2) to impose the same requirement for eligibility for a memorial
            headstone or marker and amend title 38 U.S.C. section 2301(d) to do the same for eligibility for a burial flag. No benefit
            costs are associated with this proposal.
         
         Expansion of Eligibility for Government-Furnished Headstone, Marker or Medallion for Medal of Honor Recipients. VA seeks to amend 38 U.S.C. section 2306 to allow VA to furnish or replace a headstone, marker, or medallion for the grave
            of an eligible Medal of Honor recipient, regardless of the recipient's dates of service, date of death, or location. Benefit
            costs are estimated to be insignificant.
         
      
         Readjustment benefitsFor 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,  $12,578,965,000, to remain available until expended and to become available on October 1,  2020: Provided, That expenses for rehabilitation program services and assistance which the Secretary is authorized to provide under subsection
            (a) of section 3104 of title 38, United States Code, other than under paragraphs (1), (2), (5), and (11) of that subsection,
            shall be charged to this account.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0137â0â1â702
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0101
                  Sons and daughters
                  515
                  695
                  744
               
               
                  0102
                  Spouses
                  102
                  141
                  159
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0191
                  Total education and training
                  617
                  836
                  903
               
               
                  0201
                  Vocational rehabilitation training
                  790
                  793
                  810
               
               
                  0202
                  Subsistence allowance
                  641
                  695
                  750
               
               
                  0203
                  Automobiles and adaptive equipment
                  136
                  154
                  164
               
               
                  0204
                  Housing Grants
                  107
                  122
                  129
               
               
                  0205
                  Housing Technology Grants
                  1
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0291
                  Total special assistance to disabled veterans
                  1,675
                  1,765
                  1,854
               
               
                  0301
                  Work study
                  47
                  61
                  63
               
               
                  0302
                  Payments to States
                  21
                  24
                  24
               
               
                  0303
                  All-volunteer assistance:  Basic benefits and all other
                  10,835
                  11,323
                  11,541
               
               
                  0305
                  Tuition Assistance
                  4
                  4
                  4
               
               
                  0306
                  Licensing and Certification
                  1
                  1
                  1
               
               
                  0307
                  Reporting fees
                  7
                  11
                  14
               
               
                  0308
                  Reimbursement to GOE
                  
                  1
                  1
               
               
                  0309
                  Contract Counseling
                  3
                  6
                  6
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0391
                  Total All-volunteer assistance and other
                  10,918
                  11,431
                  11,654
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  13,210
                  14,032
                  14,411
               
               
                  0802
                  Veterans and servicepersons supplementary benefits
                  12
                  10
                  9
               
               
                  0803
                  Chapter 1606 reservists benefits
                  94
                  87
                  85
               
               
                  0804
                  Chapter 1606 reservists supplementary benefits
                  23
                  21
                  20
               
               
                  0805
                  Chapter 1607 reservists benefits
                  3
                  3
                  
               
               
                  0807
                  Chapter 33 DoD Reimbursements
                  88
                  91
                  93
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0899
                  Total reimbursable obligations
                  220
                  212
                  207
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  13,430
                  14,244
                  14,618
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  6,081
                  6,825
                  2,625
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  3
                  
                  
               
               
                  1033
                  Recoveries of prior year paid obligations
                  241
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  6,325
                  6,825
                  2,625
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, mandatory:
               
               
                  
                  Advance appropriations, mandatory:
               
               
                  1270
                  Advance appropriation
                  13,709
                  11,832
                  14,065
               
               
                  1272
                  Advance appropriations transferred to other accounts
                  
                  â2,000
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1280
                  Advanced appropriation, mandatory (total)
                  13,709
                  9,832
                  14,065
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  221
                  212
                  207
               
               
                  1900
                  Budget authority (total)
                  13,930
                  10,044
                  14,272
               
               
                  1930
                  Total budgetary resources available
                  20,255
                  16,869
                  16,897
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  6,825
                  2,625
                  2,279
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  131
                  641
                  813
               
               
                  3010
                  New obligations, unexpired accounts
                  13,430
                  14,244
                  14,618
               
               
                  3020
                  Outlays (gross)
                  â12,917
                  â14,072
                  â14,441
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â3
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  641
                  813
                  990
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â1
                  â1
                  â1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â1
                  â1
                  â1
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  130
                  640
                  812
               
               
                  3200
                  Obligated balance, end of year
                  640
                  812
                  989
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  13,930
                  10,044
                  14,272
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  6,705
                  6,607
                  11,003
               
               
                  4101
                  Outlays from mandatory balances
                  6,212
                  7,465
                  3,438
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  12,917
                  14,072
                  14,441
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4120
                  Federal sources
                  â221
                  â212
                  â207
               
               
                  4123
                  Non-Federal sources
                  â241
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4130
                  Offsets against gross budget authority and outlays (total)
                  â462
                  â212
                  â207
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4143
                  Recoveries of prior year paid obligations, unexpired accounts
                  241
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4160
                  Budget authority, net (mandatory)
                  13,709
                  9,832
                  14,065
               
               
                  4170
                  Outlays, net (mandatory)
                  12,455
                  13,860
                  14,234
               
               
                  4180
                  Budget authority, net (total)
                  13,709
                  9,832
                  14,065
               
               
                  4190
                  Outlays, net (total)
                  12,455
                  13,860
                  14,234
               
               
                  
                     
                  
               
            
         
      
      Summary of Budget Authority and Outlays (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  Enacted/requested:
               
               
                  
                  Budget Authority
                  13,709
                  9,832
                  14,065
               
               
                  
                  Outlays
                  12,455
                  13,860
                  14,234
               
               
                  Legislative proposal, subject to PAYGO:
               
               
                  
                  Outlays
                  
                  
                  â27
               
               
                  Total:
               
               
                  
                  Budget Authority
                  13,709
                  9,832
                  14,065
               
               
                  
                  Outlays
                  12,455
                  13,860
                  14,207
               
               
                  
                     
                  
               
            
         
      
      
         WORKLOADâVocational Rehabilitation and Employment
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Evaluation and planning
                     79,975
                     78,376
                     79,159
                  
                  
                     Rehabilitation services
                     105,841
                     103,724
                     104,761
                  
                  
                     Employment services status
                     26,468
                     25,939
                     26,198
                  
                  
                     Vocational/educational counseling
                     11,978
                     12,098
                     12,219
                  
                  
                     
                        
                     
                  
               
            
         
         WORKLOADâEducation
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Original claims
                     314,621
                     373,667
                     381,140
                  
                  
                     Adjustments/supplemental claims
                     3,171,356
                     3,778,184
                     3,853,748
                  
                  
                     
                        
                     
                  
               
            
         
         For 2021, the Budget requests $12,578,965,000 in advance appropriations for Readjustment Benefits. This request satisfies
            the requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (P.L. 113â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).âPublic Law 110â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).âPublic Law 98â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 108â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 the Department of Defense.
         
         Survivors and Dependents Educational Assistance (Chapter 35).â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.âEstablished under Public Law 112â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. Although
            veterans are no longer training under this program, the Department of Veterans Affairs (VA) is still required to issue equitable
            relief payments when approved by the Secretary.
         
         The following table shows a caseload and cost comparison for these beneficiaries under existing legislation.
         CASELOAD AND AVERAGE COST DATA
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Chapter 33:
                     
                     
                     
                  
                  
                     Number of trainees
                     708,069
                     699,162
                     691,821
                  
                  
                     Average cost per trainee
                     $15,074
                     $15,994
                     $16,522
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $10,674
                     $11,182
                     $11,431
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Chapter 30:
                     
                     
                     
                  
                  
                     Number of trainees
                     26,441
                     22,545
                     19,282
                  
                  
                     Average cost per trainee
                     $9,876
                     $10,065
                     $10,242
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $261
                     $227
                     $197
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Chapter 1606:
                     
                     
                     
                  
                  
                     Number of trainees
                     48,690
                     44,716
                     42,581
                  
                  
                     Average cost per trainee
                     $2,369
                     $2,421
                     $2,474
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $115
                     $106
                     $103
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Chapter 1607:
                     
                     
                     
                  
                  
                     Number of trainees
                     696
                     696
                     0
                  
                  
                     Average cost per trainee
                     $4,498
                     $4,651
                     $0
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $3
                     $3
                     $0
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     
                        
                     
                  
               
            
         
         
            
               
                  
                     
                        
                     
                  
                  
                      
                      
                      
                      
                  
                  
                     
                        
                     
                  
                  
                     Chapter 35 Sons and Daughters:
                     
                     
                     
                  
                  
                     Number of trainees
                     90,263
                     95,322
                     99,776
                  
                  
                     Average cost per trainee (in dollars)
                     $5,701
                     $7,292
                     $7,460
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $515
                     $695
                     $744
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Chapter 35 Wives and Widow(ers):
                     
                     
                     
                  
                  
                     Number of trainees
                     19,497
                     21,185
                     23,283
                  
                  
                     Average cost per trainee (in dollars)
                     $5,214
                     $6,663
                     $6,811
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $102
                     $141
                     $159
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Veterans Retraining Assistance Program:
                     
                     
                     
                  
                  
                     Number of trainees
                     0
                     
                     
                  
                  
                     Average cost per trainee
                     $0
                     
                     
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $206
                     $0
                     $0
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     
                        
                     
                  
               
            
         
         Vocational Rehabilitation and Employment (Chapter 31).âServicemembers and veterans with service-connected disabilities receive the assistance necessary to help them prepare for,
            obtain, and maintain suitable employment. Comprehensive assessments may include interest and aptitude testing as well as specialized
            assessments such as functional capacity examinations. During the training phase of the program, eligible servicemembers and
            veterans are provided assistance for necessary training such as tuition, fees, books and supplies at colleges, technical schools
            and other training programs. A veteran enrolled in training receives a monthly subsistence allowance. Eligible veterans may
            also receive specialized or adaptive equipment to help them overcome a disability or enable them to compete with non-disabled
            individuals. At the completion of training, veterans are provided with employment and placement services, including supplies
            and equipment needed to enter employment, adaptive equipment and workplace accommodations, incentives to employers to reimburse
            them for hiring and training veterans with disabilities, and two final months of subsistence allowance.
         
         CASELOAD AND AVERAGE COST DATA
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Chapter 31:
                     
                     
                     
                  
                  
                     Rehabilitation, Evaluation, Planning and Service cases
                     27,738
                     27,073
                     27,344
                  
                  
                     Number of trainees
                     97,770
                     95,427
                     96,381
                  
                  
                     Average cost per trainee (in dollars)
                     $14,642
                     $15,590
                     $16,177
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $1,432
                     $1,488
                     $1,559
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     
                        
                     
                  
               
            
         
         Specially Adapted Housing Grants.âSpecially adapted housing grants are provided to certain severely disabled veterans. In 2019, the maximum grant amount is
            $85,645. Veterans who suffer service-connected blindness or who have lost the use of both upper extremities can receive up
            to $17,130.
         
         Specially Adapted Housing Assistive Technology Grants.âUnder the Veterans Benefits Act of 2010 (P.L. 111â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.â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 $21,058.69 in 2019 under The Veterans Benefits Act of 2010 (P.L. 111â275) and will continue to increase
            based on the CPI-U. Adaptive equipment and the maintenance and replacement of such equipment is also provided.
         
         CASELOAD AND AVERAGE COST DATA
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Housing grants:
                     
                     
                     
                  
                  
                     Number of housing grants
                     2,609
                     2,850
                     2,875
                  
                  
                     Average cost per grant
                     $41,027
                     $42,895
                     $44,926
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $107
                     $122
                     $129
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     
                     
                     
                     
                  
                  
                     Number of housing technology grants
                     3
                     5
                     5
                  
                  
                     Average cost per grant
                     $199,936
                     $200,000
                     $200,000
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Total cost (in millions)
                     $.6
                     $1
                     $1
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Automobiles or other conveyances:
                     
                     
                     
                  
                  
                     Number of conveyances
                     2,057
                     2,425
                     2,425
                  
                  
                     Average benefit
                     $20,431
                     $20,909
                     $21,398
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Obligations (in millions)
                     $42
                     $51
                     $52
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Adaptive equipment (including maintenance, repair, and installation for automobiles):
                     
                     
                     
                  
                  
                     Number of items
                     7,085
                     7,247
                     7,247
                  
                  
                     Average benefit
                     $13,203
                     $14,323
                     $15,538
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     Obligations (in millions)
                     $94
                     $104
                     $113
                  
                  
                     
                     
                        
                     
                     
                        
                     
                     
                        
                     
                  
                  
                     
                        
                     
                  
               
            
         
         Tuition Assistance.âPublic Law 106â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 108â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.â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.âUnder Public Law 106â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.â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.â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.â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.âReporting fees are paid to education and training institutions to help defray the costs of certifying education enrollment
            for veterans enrolled in training during a calendar year.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0137â0â1â702
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  41.0
                  Direct obligations: Grants, subsidies, and contributions
                  13,209
                  14,032
                  14,411
               
               
                  99.0
                  Reimbursable obligations
                  221
                  212
                  207
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  13,430
                  14,244
                  14,618
               
               
                  
                     
                  
               
            
         
      
         Readjustment Benefits
         (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0137â4â1â702
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0102
                  VA Cap for Flight Training at Public Schools
                  
                  
                  â28
               
               
                  0103
                  Approve Prep Courses for License and Certification Exams
                  
                  
                  1
               
               
                  0104
                  COLA Round-Down
                  
                  
                  â1
               
               
                  0106
                  Restore Entitlement
                  
                  
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0191
                  Direct program activities, subtotal
                  
                  
                  â27
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  
                  
                  â27
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts (object class 41.0)
                  
                  
                  â27
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  
                  
                  27
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3010
                  New obligations, unexpired accounts
                  
                  
                  â27
               
               
                  3020
                  Outlays (gross)
                  
                  
                  27
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  
                  Outlays, gross:
               
               
                  4101
                  Outlays from mandatory balances
                  
                  
                  â27
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  
                  
                  â27
               
               
                  
                     
                  
               
            
         
      
      
         Require an Individual to Make an Election to Receive Educational Assistance under the Montgomery GI Bill Active Duty (MGIB-AD)
               Program. VA seeks to amend 38 U.S.C. section 3011(c)(1) to require an individual to make an election to receive MGIB-AD educational
            assistance before the Department of Defense (DoD) can begin the $100 pay reduction. Although this proposal would not directly
            impact VA's mandatory Readjustment Benefits account, it would decrease the amount withheld from basic pay of servicemembers
            and deposited into the general fund of the Treasury as a miscellaneous/proprietary receipt. Treasury's receipts are counted
            as a negative outlay; therefore, reduced collections results in an increase in Federal outlays. VA estimates this proposal
            would increase Federal outlays by $50.7 million in 2020, $196.8 million over five years, and $300.3 million over ten years.
         
         Prevent VA from Providing Unlimited Amounts of Payment for Flight Training at Public Schools. VA seeks to amend 38 U.S.C. section 3313(c) to add a new section (j) to impose tuition and fee payment caps at institutions
            of higher learning with flight training programs and establish a maximum allowable fee structure for all VA-funded flight
            programs. Benefit savings are estimated to be $27.9 million in 2020, $148.6 million over five years, and $326.9 million over
            ten years.
         
         Approve Preparatory Courses of Licensing and Certification Exams for GI Bill Benefits. VA seeks to amend 38 U.S.C. section 3002(3)(B) to add a preparatory course for a test that is required to enter into, maintain,
            or advance in a given vocation or profession. Benefit costs are estimated to be $1.2 million in 2020, $5.8 million over five
            years, and $11.4 million over ten years.
         
         Round-Down of the Computation of the Cost-of-Living Adjustment (COLA) for Certain Education Programs for Ten Years. VA seeks to amend 38 U.S.C. sections 3015(h) and 3564 to round-down COLA computations from 2020 to 2029. This proposal would
            require that such increases be rounded down to the next lower whole dollar. Benefit savings are estimated to be $1.3 million
            in 2020, $13.2 million over five years, and $54.3 million over ten years.
         
         Allow for Extension of a Period of Employment Services under Chapter 31. VA seeks to amend 38 U.S.C. section 3105(b)(1) to allow a period of employment services to be extended for up to six months
            for a total of 24 months, if needed, to accomplish rehabilitation. The extended period of service would increase the veteran's
            marketability and employment options. No benefit costs are associated with this proposal.
         
         Restoration of Entitlement to Chapter 31 Assistance for Veterans Affected by School Closure or Disapproval. VA seeks to amend 38 U.S.C. 3699 to extend the restoration of entitlement to educational assistance for veterans affected
            by school closure or disapproval, implemented by section 109 of the Howard W. Colmery Veterans Educational Assistance Act
            of 2017 (Forever GI Bill), to apply to vocational rehabilitation programs provided under chapter 31. Benefit costs are estimated
            to be $571 thousand in 2020, $1.8 million over five years, and $3.6 million over ten years.
         
         Eliminate Certain Provisions that Limit the Amount of Specially Adapted Housing (SAH) Assistance to Pay for Construction of
               an Adapted Home. VA seeks to amend 38 U.S.C. section 2102(a) to eliminate an element of the statutory formula that reduces the amount of
            grant funds otherwise available to an eligible veteran to construct an adapted housing unit. Benefit costs are estimated to
            be insignificant.
         
         Authorize the Secretary to Collect Overpayments of Grant Funds Made under Chapter 21. VA seeks to amend 38 U.S.C. section 2102 to explicitly authorize the Secretary to collect overpayments made to any veteran
            or other entity in connection with the acquisition or delivery of Specially Adapted Housing (SAH). This proposed authority
            is consistent with VA's authority under 38 U.S.C. section 3685 to collect overpayments made in connection with its education
            programs. Benefit savings are estimated to be insignificant.
         
         Extension of Authority for Specially Adapted Housing Assistive Technology (SAH-AT) Grant Program. VA seeks to amend 38 U.S.C. section 2108(g) to extend the authority of the Secretary to administer the SAH Assistive Technology
            (SAH-AT) grant program through September 30, 2024. Section 203 of Public Law 111â275 (Veterans Benefits Act of 2010) established
            the SAH-AT grant program with a sunset date of September 30, 2016. Section 122 of Public Law 115â251 last extended this authority
            through September 30, 2020. Benefit costs associated with this proposal are $0 in 2020, $4 million over five years, and $4
            million over ten years.
         
      
         Veterans insurance and indemnitiesFor 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  of title 38, United States Code,  $146,844,000, to remain available until expended, of which $129,224,000  shall become available on October 1,  2020 .
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0120â0â1â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0011
                  VMLI Death Claims
                  42
                  44
                  43
               
               
                  0012
                  Payment to Service-Disabled Veterans Insurance
                  88
                  71
                  92
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0100
                  Total direct expenses
                  130
                  115
                  135
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  130
                  115
                  135
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  3
                  
                  
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, mandatory:
               
               
                  1200
                  Appropriation
                  12
                  
                  18
               
               
                  
                  Advance appropriations, mandatory:
               
               
                  1270
                  Advance appropriation
                  108
                  109
                  111
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  7
                  6
                  6
               
               
                  1900
                  Budget authority (total)
                  127
                  115
                  135
               
               
                  1930
                  Total budgetary resources available
                  130
                  115
                  135
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  1
                  7
                  1
               
               
                  3010
                  New obligations, unexpired accounts
                  130
                  115
                  135
               
               
                  3020
                  Outlays (gross)
                  â124
                  â121
                  â135
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  7
                  1
                  1
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  1
                  7
                  1
               
               
                  3200
                  Obligated balance, end of year
                  7
                  1
                  1
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  127
                  115
                  135
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  120
                  115
                  135
               
               
                  4101
                  Outlays from mandatory balances
                  4
                  6
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  124
                  121
                  135
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4123
                  Non-Federal sources
                  â7
                  â6
                  â6
               
               
                  4180
                  Budget authority, net (total)
                  120
                  109
                  129
               
               
                  4190
                  Outlays, net (total)
                  117
                  115
                  129
               
               
                  
                     
                  
               
            
         
      
      
         WORKLOAD
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Policy service actions
                     772,305
                     780,350
                     749,870
                  
                  
                     Collections
                     399,615
                     342,400
                     293,700
                  
                  
                     Disability claims
                     28,791
                     31,860
                     31,850
                  
                  
                     Insurance awards
                     155,905
                     158,540
                     148,680
                  
                  
                     
                        
                     
                  
               
            
         
         For 2021, the Budget requests $129,224,000 in advance appropriations for Veterans Insurance and Indemnities. This request
            satisfies the requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (P.L. 113â235) and prevents
            our Nation's veterans from being adversely affected by budget delays.
         
         Note.â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 (NSLI).â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 (S-DVI).â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.âPayments are made to mortgage holders under this program, which provides mortgage protection life insurance to veterans
            who have received a grant for specially adapted housing due to severe disabilities. The trend in the number and amount of
            insurance policies in force appears in the following table.
         
         POLICIES AND INSURANCE IN FORCE
         
            
               
                  
                     
                        
                     
                  
                  
                     VMLI Policies
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Number of Policies
                     2,614
                     2,670
                     2,730
                  
                  
                     Amount of Insurance (dollars in millions)
                     $354
                     $370
                     $381
                  
                  
                     
                        
                     
                  
               
            
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0120â0â1â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  42.0
                  Direct obligations: Insurance claims and indemnities
                  126
                  113
                  132
               
               
                  99.0
                  Reimbursable obligations
                  4
                  2
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  130
                  115
                  135
               
               
                  
                     
                  
               
            
         
      
         Filipino Veterans Equity Compensation FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1121â0â1â701
                  2018 actual
                  2019 est.
                  2020 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. 110â329), to make payments to eligible persons who served in the Philippines during World War II. Payments were subsequently
            authorized by the Congress in the American Recovery and Reinvestment Act of 2009 (P.L. 111â5). Original funding of $198,000,000
            was supplemented by a transfer of $67,000,000 authorized by Public Law 111â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.
         
      
         General operating expenses, Veterans Benefits AdministrationFor 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,  $3,000,000,000: Provided, That expenses for services and assistance authorized under paragraphs (1), (2), (5), and (11) of section 3104(a) of title
            38, United States Code, that the Secretary of Veterans Affairs determines are necessary to enable entitled veterans: (1) to
            the maximum extent feasible, to become employable and to obtain and maintain suitable employment; or (2) to achieve maximum
            independence in daily living, shall be charged to this account: Provided further, That, of the funds made available under this heading, not to exceed 10 percent shall remain available until September 30,
             2021.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0151â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0010
                  Compensation and pensions
                  2,419
                  2,409
                  2,427
               
               
                  0011
                  Education
                  227
                  230
                  224
               
               
                  0012
                  Vocational rehabilitation and counseling
                  231
                  225
                  245
               
               
                  0013
                  Insurance
                  1
                  1
                  1
               
               
                  0014
                  Housing
                  15
                  20
                  21
               
               
                  0015
                  Transition and Economic Development
                  
                  71
                  82
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  2,893
                  2,956
                  3,000
               
               
                  0801
                  Compensation and pensions
                  915
                  1,206
                  1,568
               
               
                  0802
                  Education
                  
                  1
                  1
               
               
                  0804
                  Insurance
                  29
                  33
                  32
               
               
                  0805
                  Housing
                  125
                  156
                  156
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0899
                  Total reimbursable obligations
                  1,069
                  1,396
                  1,757
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  3,962
                  4,352
                  4,757
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  60
                  28
                  28
               
               
                  1012
                  Unobligated balance transfers between expired and unexpired accounts
                  26
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  86
                  28
                  28
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  2,910
                  2,956
                  3,000
               
               
                  1121
                  Appropriations transferred from other acct [036â1122]
                  7
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1160
                  Appropriation, discretionary (total)
                  2,917
                  2,956
                  3,000
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  1,069
                  1,396
                  1,757
               
               
                  1900
                  Budget authority (total)
                  3,986
                  4,352
                  4,757
               
               
                  1930
                  Total budgetary resources available
                  4,072
                  4,380
                  4,785
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1940
                  Unobligated balance expiring
                  â82
                  
                  
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  28
                  28
                  28
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  780
                  806
                  697
               
               
                  3010
                  New obligations, unexpired accounts
                  3,962
                  4,352
                  4,757
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  25
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â3,889
                  â4,461
                  â4,689
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â72
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  806
                  697
                  765
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  780
                  806
                  697
               
               
                  3200
                  Obligated balance, end of year
                  806
                  697
                  765
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  3,986
                  4,352
                  4,757
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  3,288
                  3,737
                  4,163
               
               
                  4011
                  Outlays from discretionary balances
                  601
                  724
                  526
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  3,889
                  4,461
                  4,689
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â1,075
                  â1,396
                  â1,757
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â1,075
                  â1,396
                  â1,757
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  6
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  2,917
                  2,956
                  3,000
               
               
                  4080
                  Outlays, net (discretionary)
                  2,814
                  3,065
                  2,932
               
               
                  4180
                  Budget authority, net (total)
                  2,917
                  2,956
                  3,000
               
               
                  4190
                  Outlays, net (total)
                  2,814
                  3,065
                  2,932
               
               
                  
                     
                  
               
            
         
      
      
         General Operating Expenses, Veterans Benefits Administration.â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.âReflects FTE treated as reimbursements in all years and the effects of Credit Reform, per Public Law 101â508.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0151â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  1,303
                  1,329
                  1,298
               
               
                  11.5
                  Other personnel compensation
                  388
                  398
                  408
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  1,691
                  1,727
                  1,706
               
               
                  12.1
                  Civilian personnel benefits
                  540
                  550
                  559
               
               
                  13.0
                  Benefits for former personnel
                  1
                  1
                  1
               
               
                  21.0
                  Travel and transportation of persons
                  30
                  25
                  32
               
               
                  22.0
                  Transportation of things
                  2
                  5
                  5
               
               
                  23.1
                  Rent
                  124
                  131
                  135
               
               
                  23.2
                  Rental payments to others
                  20
                  21
                  21
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  16
                  17
                  17
               
               
                  24.0
                  Printing and reproduction
                  2
                  3
                  3
               
               
                  25.2
                  Other services from non-Federal sources
                  445
                  448
                  489
               
               
                  26.0
                  Supplies and materials
                  7
                  8
                  8
               
               
                  31.0
                  Equipment
                  14
                  19
                  23
               
               
                  42.0
                  Insurance claims and indemnities
                  1
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  2,893
                  2,956
                  3,000
               
               
                  99.0
                  Reimbursable obligations
                  1,069
                  1,396
                  1,757
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  3,962
                  4,352
                  4,757
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0151â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  21,761
                  22,489
                  22,501
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  1,200
                  1,410
                  1,398
               
               
                  
                     
                  
               
            
         
      
         Service-disabled Veterans Insurance FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4012â0â3â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0801
                  Capital investment
                  28
                  30
                  30
               
               
                  0802
                  Death claims
                  117
                  124
                  125
               
               
                  0803
                  All other
                  6
                  7
                  7
               
               
                  0804
                  Payments to GOE and IT
                  15
                  20
                  21
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  166
                  181
                  183
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  12
                  22
                  10
               
               
                  
                  Budget authority:
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  176
                  169
                  190
               
               
                  1930
                  Total budgetary resources available
                  188
                  191
                  200
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  22
                  10
                  17
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  22
                  27
                  27
               
               
                  3010
                  New obligations, unexpired accounts
                  166
                  181
                  183
               
               
                  3020
                  Outlays (gross)
                  â161
                  â181
                  â183
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  27
                  27
                  27
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  22
                  27
                  27
               
               
                  3200
                  Obligated balance, end of year
                  27
                  27
                  27
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  176
                  169
                  190
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  127
                  155
                  169
               
               
                  4101
                  Outlays from mandatory balances
                  34
                  26
                  14
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  161
                  181
                  183
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4120
                  Federal sources
                  â88
                  â71
                  â92
               
               
                  4123
                  Non-Federal sources
                  â88
                  â5
                  â5
               
               
                  4123
                  Non-Federal sources
                  
                  â68
                  â67
               
               
                  4123
                  Non-Federal sources
                  
                  â25
                  â26
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4130
                  Offsets against gross budget authority and outlays (total)
                  â176
                  â169
                  â190
               
               
                  4170
                  Outlays, net (mandatory)
                  â15
                  12
                  â7
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  â15
                  12
                  â7
               
               
                  
                     
                  
               
            
         
      
      
         The Insurance Act of 1951 established the Service-Disabled Veterans Insurance (S-DVI) program for veterans with service-connected
            disabilities. S-DVI is open to veterans who separated from the service on or after April 25, 1951. This fund finances the
            payment of claims on existing life insurance policies and remains open for new issues at standard rates to veterans having
            service-connected disabilities.
         
            Operating costsDeath claims.âRepresents payments to designated beneficiaries.
         
         All other.âRepresents payments to policyholders who surrender their policies for their cash value and hold endowment policies which
            have matured.
         
         Capital investment.âA policyholder may borrow up to 94 percent of the value of his or her policy.
         
         Administration.âRepresents the administrative costs of claims processing and account maintenance.
         
         The trend in the number and amount of policies in force is indicated in the following table.
         POLICIES AND INSURANCE IN FORCE
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Number of policies (EOY)
                     277,063
                     277,881
                     278,159
                  
                  
                     Insurance in force (dollars in millions) (EOY)
                     $2,911
                     $2,946
                     $2,967
                  
                  
                     
                        
                     
                  
               
            
         
         Financing.â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.â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 $1,450 million by September 30, 2019. The expected deficit is financed
            by additional funds from the above-mentioned Veterans Insurance and Indemnities appropriations.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4012â0â3â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Reimbursable obligations:
               
               
                  33.0
                  Investments and loans
                  28
                  30
                  30
               
               
                  42.0
                  Insurance claims and indemnities
                  138
                  151
                  153
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  166
                  181
                  183
               
               
                  
                     
                  
               
            
         
      
         Veterans Reopened Insurance FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4010â0â3â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0801
                  Death claims
                  19
                  17
                  14
               
               
                  0802
                  Dividends
                  1
                  1
                  1
               
               
                  0803
                  All other
                  5
                  4
                  4
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  25
                  22
                  19
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  98
                  80
                  64
               
               
                  
                  Budget authority:
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  7
                  6
                  5
               
               
                  1930
                  Total budgetary resources available
                  105
                  86
                  69
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  80
                  64
                  50
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  26
                  23
                  19
               
               
                  3010
                  New obligations, unexpired accounts
                  25
                  22
                  19
               
               
                  3020
                  Outlays (gross)
                  â28
                  â26
                  â20
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  23
                  19
                  18
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â1
                  â1
                  â1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â1
                  â1
                  â1
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  25
                  22
                  18
               
               
                  3200
                  Obligated balance, end of year
                  22
                  18
                  17
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  7
                  6
                  5
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  7
                  6
                  5
               
               
                  4101
                  Outlays from mandatory balances
                  21
                  20
                  15
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  28
                  26
                  20
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4121
                  Interest on Federal securities
                  â5
                  â4
                  â3
               
               
                  4123
                  Non-Federal sources
                  â1
                  â1
                  â1
               
               
                  4123
                  Non-Federal sources
                  â1
                  â1
                  â1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4130
                  Offsets against gross budget authority and outlays (total)
                  â7
                  â6
                  â5
               
               
                  4170
                  Outlays, net (mandatory)
                  21
                  20
                  15
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  21
                  20
                  15
               
               
                  
                     
                  
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  5000
                  Total investments, SOY: Federal securities: Par value
                  123
                  101
                  81
               
               
                  5001
                  Total investments, EOY: Federal securities: Par value
                  101
                  81
                  66
               
               
                  
                     
                  
               
            
         
      
      
         Note.âDepartment of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously
            shown for this account have been discontinued.
         
         This fund pays claims and administrative costs on participating life insurance policies issued during the period May 1, 1965,
            through May 2, 1966, under three life insurance programs: 1) service-disabled standard insurance; 2) service-disabled rated
            insurance; and 3) nonservice-disabled insurance availing disabled World War II and Korean conflict veterans an opportunity
            to acquire life insurance coverage who were no longer eligible for other government insurance.
         
         Budget program:
         
         Death claims.âRepresents payments to designated beneficiaries.
         
         Dividends.âPolicyholders participate in the distribution of annual dividends.
         
         All other.â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.âA policyholder may borrow up to 94 percent of the cash value of his policy at an interest rate adjusted to reflect private
            sector borrowing costs.
         
         The following table reflects the decrease in the number of policies and the amount of insurance in force:
         POLICIES AND INSURANCE IN FORCE
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Number of policies
                     7,902
                     6,268
                     4,877
                  
                  
                     Insurance in force (dollars in millions)
                     $84
                     $61
                     $48
                  
                  
                     
                        
                     
                  
               
            
         
         Financing.âOperations are financed from premiums collected from policyholders and interest on investments. Excess earnings of the fund
            are distributed to the policyholders in the form of an annual dividend.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4010â0â3â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Reimbursable obligations:
               
               
                  42.0
                  Insurance claims and indemnities
                  23
                  20
                  17
               
               
                  43.0
                  Interest and dividends
                  2
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  25
                  22
                  19
               
               
                  
                     
                  
               
            
         
      
         Servicemembers' Group Life Insurance FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4009â0â3â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0801
                  Premium payments
                  759
                  782
                  782
               
               
                  0802
                  Payments to carrier
                  2
                  
                  
               
               
                  0803
                  Payment to GOE
                  2
                  3
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts (object class 41.0)
                  763
                  785
                  785
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  1
                  1
                  1
               
               
                  
                  Budget authority:
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  763
                  785
                  785
               
               
                  1930
                  Total budgetary resources available
                  764
                  786
                  786
               
               
                  
                  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
                  763
                  785
                  785
               
               
                  3020
                  Outlays (gross)
                  â763
                  â785
                  â785
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  763
                  785
                  785
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  763
                  784
                  784
               
               
                  4101
                  Outlays from mandatory balances
                  
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  763
                  785
                  785
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4123
                  Non-Federal sources
                  â763
                  â785
                  â785
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  5000
                  Total investments, SOY: Federal securities: Par value
                  1
                  1
                  1
               
               
                  5001
                  Total investments, EOY: Federal securities: Par value
                  1
                  1
                  1
               
               
                  
                     
                  
               
            
         
      
      
         This fund finances the payment of group life insurance premiums to private insurance companies under the Servicemembers' Group
            Life Insurance (SGLI) Act of 1965, as amended. SGLI is a program for servicemembers on active duty, ready reservists, members
            of the National Guard, members of the Commissioned Corps of the National Oceanic and Atmospheric Administration and the Public
            Health Service, cadets and midshipmen of the four service academies, and members of the Reserve Officer Training Corps. SGLI
            coverage is available in $50,000 increments up to the maximum of $400,000. Veterans' Group Life Insurance (VGLI) is a program
            of post-separation insurance which allows servicemembers to convert their SGLI coverage to renewable term insurance. Family
            Servicemembers' Group Life Insurance (FSGLI) is a program extended to the spouses and dependent children of members insured
            under the SGLI program. FSGLI provides up to a maximum of $100,000 of insurance coverage for spouses, not to exceed the amount
            of SGLI the insured member has in force, and $10,000 of free coverage for dependent children. Spousal coverage is issued in
            increments of $10,000.
         
         The Servicemembers' Group Life Insurance Traumatic Injury Protection Program (TSGLI) became effective December 1, 2005. TSGLI
            provides for payment between $25,000 and $100,000 (depending on the type of injury) to any member of the uniformed services
            covered by SGLI who sustains a traumatic injury that results in certain serious losses.
         
      
         Veterans housing benefit program fundFor 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  2020, 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,  $200,377,391.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1119â0â1â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  
                  Credit program obligations:
               
               
                  0701
                  Direct loan subsidy
                  
                  1
                  6
               
               
                  0702
                  Loan guarantee subsidy
                  416
                  108
                  
               
               
                  0705
                  Reestimates of direct loan subsidy
                  5
                  10
                  
               
               
                  0706
                  Interest on reestimates of direct loan subsidy
                  4
                  8
                  
               
               
                  0707
                  Reestimates of loan guarantee subsidy
                  470
                  37
                  
               
               
                  0708
                  Interest on reestimates of loan guarantee subsidy
                  147
                  33
                  
               
               
                  0709
                  Administrative expenses
                  149
                  201
                  201
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  1,191
                  398
                  207
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  179
                  201
                  201
               
               
                  
                  Appropriations, mandatory:
               
               
                  1200
                  Appropriation
                  1,042
                  197
                  6
               
               
                  1900
                  Budget authority (total)
                  1,221
                  398
                  207
               
               
                  1930
                  Total budgetary resources available
                  1,221
                  398
                  207
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1940
                  Unobligated balance expiring
                  â30
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  1
                  
                  
               
               
                  3010
                  New obligations, unexpired accounts
                  1,191
                  398
                  207
               
               
                  3020
                  Outlays (gross)
                  â1,192
                  â398
                  â207
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  1
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  179
                  201
                  201
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  149
                  201
                  201
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4033
                  Non-Federal sources
                  â5
                  
                  
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  5
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  179
                  201
                  201
               
               
                  4080
                  Outlays, net (discretionary)
                  144
                  201
                  201
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  1,042
                  197
                  6
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  416
                  197
                  6
               
               
                  4101
                  Outlays from mandatory balances
                  627
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  1,043
                  197
                  6
               
               
                  4180
                  Budget authority, net (total)
                  1,221
                  398
                  207
               
               
                  4190
                  Outlays, net (total)
                  1,187
                  398
                  207
               
               
                  
                     
                  
               
            
         
      
      Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1119â0â1â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct loan levels supportable by subsidy budget authority:
               
               
                  115001
                  Acquired Direct Loans
                  5
                  16
                  18
               
               
                  115004
                  Vendee Direct Loans
                  1
                  31
                  36
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  115999
                  Total direct loan levels
                  6
                  47
                  54
               
               
                  
                  Direct loan subsidy (in percent):
               
               
                  132001
                  Acquired Direct Loans
                  7.94
                  6.33
                  17.77
               
               
                  132004
                  Vendee Direct Loans
                  â26.49
                  â5.47
                  8.51
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  132999
                  Weighted average subsidy rate
                  2.20
                  â1.45
                  11.60
               
               
                  
                  Direct loan subsidy budget authority:
               
               
                  133001
                  Acquired Direct Loans
                  
                  1
                  3
               
               
                  133004
                  Vendee Direct Loans
                  
                  â2
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  133999
                  Total subsidy budget authority
                  
                  â1
                  6
               
               
                  
                  Direct loan subsidy outlays:
               
               
                  134001
                  Acquired Direct Loans
                  
                  1
                  3
               
               
                  134004
                  Vendee Direct Loans
                  
                  â2
                  3
               
               
                  134005
                  Acquired and Vendee Loan Reestimates
                  
                  18
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  134999
                  Total subsidy outlays
                  
                  17
                  6
               
               
                  
                  Direct loan reestimates:
               
               
                  135001
                  Acquired Direct Loans
                  2
                  7
                  
               
               
                  135004
                  Vendee Direct Loans
                  2
                  2
                  
               
               
                  135005
                  Acquired and Vendee Loan Reestimates
                  
                  7
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  135999
                  Total direct loan reestimates
                  4
                  16
                  
               
               
                  
                     
                  
               
               
                  
                  Guaranteed loan levels supportable by subsidy budget authority:
               
               
                  215001
                  Housing Guaranteed Loans
                  153,866
                  153,753
                  158,024
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  215999
                  Total loan guarantee levels
                  153,866
                  153,753
                  158,024
               
               
                  
                  Guaranteed loan subsidy (in percent):
               
               
                  232001
                  Housing Guaranteed Loans
                  0.27
                  0.07
                  -.30
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  232999
                  Weighted average subsidy rate
                  0.27
                  0.07
                  -.30
               
               
                  
                  Guaranteed loan subsidy budget authority:
               
               
                  233001
                  Housing Guaranteed Loans
                  415
                  108
                  â474
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  233999
                  Total subsidy budget authority
                  415
                  108
                  â474
               
               
                  
                  Guaranteed loan subsidy outlays:
               
               
                  234001
                  Housing Guaranteed Loans
                  415
                  108
                  â475
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  234999
                  Total subsidy outlays
                  415
                  108
                  â475
               
               
                  
                  Guaranteed loan reestimates:
               
               
                  235001
                  Housing Guaranteed Loans
                  â1,853
                  â3,417
                  
               
               
                  235002
                  Guaranteed Loan Sale SecuritiesâVendee
                  
                  â7
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  235999
                  Total guaranteed loan reestimates
                  â1,853
                  â3,424
                  
               
               
                  
                     
                  
               
               
                  
                  Administrative expense data:
               
               
                  3510
                  Budget authority
                  179
                  201
                  201
               
               
                  3590
                  Outlays from new authority
                  149
                  201
                  201
               
               
                  
                     
                  
               
            
         
      
      
         Veterans Affairs (VA) Housing Program Account.âThe housing program helps eligible veterans, active duty personnel, surviving spouses, and members of the Reserves and National
            Guard purchase, retain, and adapt homes in recognition of their service to the Nation. When a borrower purchases a home, the
            program operates by substituting the Federal Government's guaranty for a down payment that might otherwise be required.
         
         Under 38 U.S.C. 3703, the guaranty amount for a borrower with full entitlement (first-time users of the program or users whose
            entitlement is fully restored) is as follows:
         
         (a) 50 percent for loans of $45,000 or less;
         (b) $22,500 for loans greater than $45,000, but no more than $56,250;
         (c) the lesser of $36,000 or 40 percent of the loan amount for loans greater than $56,250, but not more than $144,000;
         (d) 25 percent of the loan amount for loans of $144,001 to $453,100; or
         (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.âEstablished as a pilot project by the Veterans Benefits Improvement Act of 1998 (Public Law 105â368), this program does
            not require any new loan subsidy funding. The program has originated no new loans since 2009. The program was canceled in
            2012. The existing loan will continue to be serviced within the program's financing account.
         
         WORKLOAD [In thousands]
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Construction and valuation
                     648
                     630
                     613
                  
                  
                     Loan processing
                     1204
                     1274
                     1350
                  
                  
                     Loan service and claims
                     231
                     259
                     290
                  
                  
                     
                        
                     
                  
               
            
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1119â0â1â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  25.2
                  Other services from non-Federal sources
                  149
                  201
                  201
               
               
                  41.0
                  Grants, subsidies, and contributions
                  1,042
                  197
                  6
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  1,191
                  398
                  207
               
               
                  
                     
                  
               
            
         
      
         Veterans Housing Benefit Program Fund
         (Legislative proposal, subject to PAYGO)
         Expansion of the Assets Included in the Veterans Housing Benefit Program Fund. This proposal would revise 38 U.S.C. 3722 to authorize the Department of Veterans Affairs (VA) to deposit into the Veterans
            Housing Benefit Program Fund fees collected from lenders that use VA's automated underwriting system (AUS). Revised section
            3722 would further allow those collected fees to be used to help offset VA's AUS maintenance and enhancement cost. The proposal
            would increase Federal fee collections from lenders by $22.5 million in 2020 and $224.7 million over 10 years. The fee collections
            are based on a new $50 fee per loan and 449,461 new loan guarantees annually. No benefit costs are associated with this proposal.
         
         Extend Vendee Loan Program and Change Mandatory Vendee Thresholds to Discretionary Targets. This proposal would extend through September 30, 2024, the Secretary's requirement to sell properties VA acquires through
            foreclosure with vendee financing and change the current mandatory financing thresholds to non-mandatory performance targets.
            Public Law 115â251, Section 125, extended VA's mandatory requirement to sell between 50 to 85 percent of its VA-owned foreclosed
            homes with vendee lending through September 30, 2019. VA seeks to extend its authority to sell optionally between 50 and 85
            percent of VA-owned foreclosed homes with vendee lending by changing the current mandatory vendee lending thresholds to non-mandatory
            performance targets. The proposal would not affect market demand for vendee loan financing and no loan subsidy costs are associated
            with this proposal.
         
      
         Housing Direct Loan Financing AccountProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4127â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0003
                  Property sales expense
                  1
                  
                  
               
               
                  0004
                  Property management/other expense
                  7
                  3
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0091
                  Direct program activities, subtotal
                  8
                  3
                  1
               
               
                  
                  Credit program obligations:
               
               
                  0710
                  Direct loan obligations
                  6
                  47
                  54
               
               
                  0713
                  Payment of interest to Treasury
                  21
                  21
                  23
               
               
                  0740
                  Negative subsidy obligations
                  
                  2
                  
               
               
                  0742
                  Downward reestimates paid to receipt accounts
                  2
                  
                  
               
               
                  0743
                  Interest on downward reestimates
                  3
                  2
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0791
                  Direct program activities, subtotal
                  32
                  72
                  77
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  40
                  75
                  78
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  88
                  90
                  
               
               
                  1023
                  Unobligated balances applied to repay debt
                  â74
                  â90
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  14
                  
                  
               
               
                  
                  Financing authority:
               
               
                  
                  Borrowing authority, mandatory:
               
               
                  1400
                  Borrowing authority
                  106
                  74
                  72
               
               
                  1422
                  Borrowing authority applied to repay debt
                  â8
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1440
                  Borrowing authority, mandatory (total)
                  98
                  74
                  72
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  69
                  51
                  37
               
               
                  1825
                  Spending authority from offsetting collections applied to repay debt
                  â51
                  â50
                  â31
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1850
                  Spending auth from offsetting collections, mand (total)
                  18
                  1
                  6
               
               
                  1900
                  Budget authority (total)
                  116
                  75
                  78
               
               
                  1930
                  Total budgetary resources available
                  130
                  75
                  78
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  90
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  
                  1
                  1
               
               
                  3010
                  New obligations, unexpired accounts
                  40
                  75
                  78
               
               
                  3020
                  Outlays (gross)
                  â39
                  â75
                  â78
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  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
               
               
                  
                     
                  
               
               
                  
                  Financing authority and disbursements, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  116
                  75
                  78
               
               
                  
                  Financing disbursements:
               
               
                  4110
                  Outlays, gross (total)
                  39
                  75
                  78
               
               
                  
                  Offsets against gross financing authority and disbursements:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4120
                  Federal sources: Payments from program account
                  â9
                  â19
                  â6
               
               
                  4122
                  Interest on uninvested funds
                  â6
                  
                  
               
               
                  4123
                  Interest and principal received on loans
                  â51
                  â29
                  â29
               
               
                  4123
                  Cash sale of properties
                  â3
                  â3
                  â2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4130
                  Offsets against gross budget authority and outlays (total)
                  â69
                  â51
                  â37
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4160
                  Budget authority, net (mandatory)
                  47
                  24
                  41
               
               
                  4170
                  Outlays, net (mandatory)
                  â30
                  24
                  41
               
               
                  4180
                  Budget authority, net (total)
                  47
                  24
                  41
               
               
                  4190
                  Outlays, net (total)
                  â30
                  24
                  41
               
               
                  
                     
                  
               
            
         
      
      Status of Direct Loans (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4127â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Position with respect to appropriations act limitation on obligations:
               
               
                  1111
                  Direct loan obligations from current-year authority
                  6
                  47
                  54
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1150
                  Total direct loan obligations
                  6
                  47
                  54
               
               
                  
                     
                  
               
               
                  
                  Cumulative balance of direct loans outstanding:
               
               
                  1210
                  Outstanding, start of year
                  342
                  307
                  337
               
               
                  1231
                  Disbursements: Direct loan disbursements
                  6
                  47
                  54
               
               
                  1251
                  Repayments: Repayments and prepayments
                  â41
                  â16
                  â16
               
               
                  1263
                  Write-offs for default: Direct loans
                  
                  â1
                  â1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1290
                  Outstanding, end of year
                  307
                  337
                  374
               
               
                  
                     
                  
               
            
         
      
      Balance Sheet (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4127â0â3â704
                  2017 actual
                  2018 actual
               
               
                  
                     
                  
               
               
                  
                  ASSETS:
               
               
                  
                  Federal assets:
               
               
                  1101
                  Fund balances with Treasury
                  88
                  91
               
               
                  
                  Investments in U.S. securities:
               
               
                  1106
                  Receivables, net
                  7
                  20
               
               
                  1206
                  Non-Federal assets: Receivables, net
                  5
                  5
               
               
                  
                  Net value of assets related to post-1991 direct loans receivable:
               
               
                  1401
                  Direct loans receivable, gross
                  342
                  307
               
               
                  1402
                  Interest receivable
                  21
                  20
               
               
                  1404
                  Foreclosed property
                  3
                  2
               
               
                  1405
                  Allowance for subsidy cost (-)
                  33
                  30
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1499
                  Net present value of assets related to direct loans
                  399
                  359
               
               
                  1901
                  Other Federal assets: Other assets
                  1
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total assets
                  500
                  475
               
               
                  
                  LIABILITIES:
               
               
                  
                  Federal liabilities:
               
               
                  2101
                  Accounts payable
                  
                  1
               
               
                  2103
                  Debt
                  489
                  463
               
               
                  2105
                  Other
                  10
                  6
               
               
                  
                  Non-Federal liabilities:
               
               
                  2201
                  Accounts payable
                  
                  
               
               
                  2207
                  Other
                  1
                  5
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  2999
                  Total liabilities
                  500
                  475
               
               
                  
                  NET POSITION:
               
               
                  3300
                  Cumulative results of operations
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  4999
                  Total liabilities and net position
                  500
                  475
               
               
                  
                     
                  
               
            
         
      
         Housing Guaranteed Loan Financing AccountProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4129â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0002
                  Losses on defaulted loans
                  657
                  844
                  974
               
               
                  0005
                  Payment to trustee reserve
                  9
                  17
                  16
               
               
                  0009
                  Property sales expense
                  110
                  123
                  143
               
               
                  0010
                  Property management expense
                  84
                  93
                  108
               
               
                  0011
                  Property improvement expense
                  1
                  3
                  4
               
               
                  0012
                  Loans acquired
                  6
                  18
                  20
               
               
                  0013
                  Refunds
                  29
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0091
                  Direct program activities, subtotal
                  896
                  1,098
                  1,265
               
               
                  
                  Credit program obligations:
               
               
                  0711
                  Default claim payments on principal
                  1,367
                  1,592
                  1,820
               
               
                  0740
                  Negative subsidy obligations
                  
                  
                  474
               
               
                  0742
                  Downward reestimates paid to receipt accounts
                  2,327
                  3,182
                  
               
               
                  0743
                  Interest on downward reestimates
                  142
                  312
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0791
                  Direct program activities, subtotal
                  3,836
                  5,086
                  2,294
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  4,732
                  6,184
                  3,559
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  11,086
                  11,044
                  9,392
               
               
                  1033
                  Recoveries of prior year paid obligations
                  8
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  11,094
                  11,044
                  9,392
               
               
                  
                  Financing authority:
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  4,681
                  4,532
                  4,655
               
               
                  1801
                  Change in uncollected payments, Federal sources
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1850
                  Spending auth from offsetting collections, mand (total)
                  4,682
                  4,532
                  4,655
               
               
                  1930
                  Total budgetary resources available
                  15,776
                  15,576
                  14,047
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  11,044
                  9,392
                  10,488
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  307
                  291
                  53
               
               
                  3010
                  New obligations, unexpired accounts
                  4,732
                  6,184
                  3,559
               
               
                  3020
                  Outlays (gross)
                  â4,748
                  â6,422
                  â3,551
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  291
                  53
                  61
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  
                  â1
                  â1
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â1
                  â1
                  â1
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  307
                  290
                  52
               
               
                  3200
                  Obligated balance, end of year
                  290
                  52
                  60
               
               
                  
                     
                  
               
               
                  
                  Financing authority and disbursements, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  4,682
                  4,532
                  4,655
               
               
                  
                  Financing disbursements:
               
               
                  4110
                  Outlays, gross (total)
                  4,748
                  6,422
                  3,551
               
               
                  
                  Offsets against gross financing authority and disbursements:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4120
                  Payments from program account
                  â1,032
                  â178
                  
               
               
                  4120
                  Recoveries from DLFA
                  â7
                  â49
                  â56
               
               
                  4122
                  Interest on uninvested funds
                  â227
                  â817
                  â834
               
               
                  4123
                  Funding fees
                  â2,021
                  â1,978
                  â2,031
               
               
                  4123
                  Cash sale of properties
                  â1,391
                  â1,510
                  â1,734
               
               
                  4123
                  Redemption of Properties/Other income and receivables
                  â11
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4130
                  Offsets against gross budget authority and outlays (total)
                  â4,689
                  â4,532
                  â4,655
               
               
                  
                  Additional offsets against financing authority only (total):
               
               
                  4140
                  Change in uncollected pymts, Fed sources, unexpired
                  â1
                  
                  
               
               
                  4143
                  Recoveries of prior year paid obligations, unexpired accounts
                  8
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4150
                  Additional offsets against budget authority only (total)
                  7
                  
                  
               
               
                  4170
                  Outlays, net (mandatory)
                  59
                  1,890
                  â1,104
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  59
                  1,890
                  â1,104
               
               
                  
                     
                  
               
            
         
      
      Status of Guaranteed Loans (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4129â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Position with respect to appropriations act limitation on commitments:
               
               
                  2111
                  Guaranteed loan commitments from current-year authority
                  153,866
                  153,753
                  158,024
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2150
                  Total guaranteed loan commitments
                  153,866
                  153,753
                  158,024
               
               
                  2199
                  Guaranteed amount of guaranteed loan commitments
                  42,467
                  42,436
                  43,615
               
               
                  
                     
                  
               
               
                  
                  Cumulative balance of guaranteed loans outstanding:
               
               
                  2210
                  Outstanding, start of year
                  603,631
                  664,358
                  758,061
               
               
                  2231
                  Disbursements of new guaranteed loans
                  153,866
                  153,753
                  158,024
               
               
                  2251
                  Repayments and prepayments
                  â91,056
                  â57,579
                  â62,670
               
               
                  
                  Adjustments:
               
               
                  2262
                  Terminations for default that result in acquisition of property
                  â1,367
                  â1,592
                  â1,820
               
               
                  2263
                  Terminations for default that result in claim payments
                  â716
                  â879
                  â1,010
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2290
                  Outstanding, end of year
                  664,358
                  758,061
                  850,585
               
               
                  
                     
                  
               
               
                  
                  Memorandum:
               
               
                  2299
                  Guaranteed amount of guaranteed loans outstanding, end of year
                  168,656
                  192,320
                  215,686
               
               
                  
                     
                  
               
            
         
      
      Balance Sheet (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4129â0â3â704
                  2017 actual
                  2018 actual
               
               
                  
                     
                  
               
               
                  
                  ASSETS:
               
               
                  
                  Federal assets:
               
               
                  1101
                  Fund balances with Treasury
                  11,393
                  11,334
               
               
                  
                  Investments in U.S. securities:
               
               
                  1106
                  Receivables, net
                  350
                  74
               
               
                  1206
                  Non-Federal assets: Receivables, net
                  
                  13
               
               
                  
                  Net value of assets related to post-1991 acquired defaulted guaranteed loans receivable:
               
               
                  1504
                  Accounts receivable from foreclosed property
                  14
                  
               
               
                  1504
                  Foreclosed property
                  726
                  666
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1599
                  Net present value of assets related to defaulted guaranteed loans
                  740
                  666
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total assets
                  12,483
                  12,087
               
               
                  
                  LIABILITIES:
               
               
                  
                  Federal liabilities:
               
               
                  2103
                  Debt
                  
                  
               
               
                  2105
                  Other liabilities
                  1,871
                  3,354
               
               
                  
                  Non-Federal liabilities:
               
               
                  2201
                  Accounts payable
                  307
                  291
               
               
                  2204
                  Non-federal liabilities for loan guarantees
                  10,305
                  8,442
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  2999
                  Total liabilities
                  12,483
                  12,087
               
               
                  
                  NET POSITION:
               
               
                  3300
                  Cumulative results of operations
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  4999
                  Total liabilities and net position
                  12,483
                  12,087
               
               
                  
                     
                  
               
            
         
      
         Housing Liquidating AccountProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4025â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0105
                  Capital investments, guaranteed claims payment and other operating expenses
                  4
                  3
                  3
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  
                  1
                  
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  1
                  
                  
               
               
                  1022
                  Capital transfer of unobligated balances to general fund
                  
                  â1
                  
               
               
                  1033
                  Recoveries of prior year paid obligations
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  2
                  
                  
               
               
                  
                  Budget authority:
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  12
                  10
                  8
               
               
                  1820
                  Capital transfer of spending authority from offsetting collections to general fund
                  â9
                  â7
                  â5
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1850
                  Spending auth from offsetting collections, mand (total)
                  3
                  3
                  3
               
               
                  1930
                  Total budgetary resources available
                  5
                  3
                  3
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  1
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  1
                  
                  
               
               
                  3010
                  New obligations, unexpired accounts
                  4
                  3
                  3
               
               
                  3020
                  Outlays (gross)
                  â4
                  â3
                  â3
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â1
                  
                  
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  1
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  3
                  3
                  3
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  
                  3
                  3
               
               
                  4101
                  Outlays from mandatory balances
                  4
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  4
                  3
                  3
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4123
                  Loan repayments and prepayments
                  â1
                  â1
                  â1
               
               
                  4123
                  Sale of homes, cash
                  â1
                  â1
                  â1
               
               
                  4123
                  Interest collection on Veteran liability debts
                  â3
                  â3
                  â2
               
               
                  4123
                  Principal collection on Veteran liability debts
                  â7
                  â5
                  â4
               
               
                  4123
                  Non-Federal sources
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4130
                  Offsets against gross budget authority and outlays (total)
                  â13
                  â10
                  â8
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4143
                  Recoveries of prior year paid obligations, unexpired accounts
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4160
                  Budget authority, net (mandatory)
                  â9
                  â7
                  â5
               
               
                  4170
                  Outlays, net (mandatory)
                  â9
                  â7
                  â5
               
               
                  4180
                  Budget authority, net (total)
                  â9
                  â7
                  â5
               
               
                  4190
                  Outlays, net (total)
                  â9
                  â7
                  â5
               
               
                  
                     
                  
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  5010
                  Total investments, SOY: non-Fed securities: Market value
                  140
                  140
                  140
               
               
                  5011
                  Total investments, EOY: non-Fed securities: Market value
                  140
                  140
                  140
               
               
                  
                     
                  
               
            
         
      
      Status of Direct Loans (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4025â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Cumulative balance of direct loans outstanding:
               
               
                  1210
                  Outstanding, start of year
                  2
                  1
                  
               
               
                  1251
                  Repayments: Repayments and prepayments
                  â1
                  â1
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1290
                  Outstanding, end of year
                  1
                  
                  
               
               
                  
                     
                  
               
            
         
      
      Status of Guaranteed Loans (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4025â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Cumulative balance of guaranteed loans outstanding:
               
               
                  2210
                  Outstanding, start of year
                  45
                  23
                  12
               
               
                  2251
                  Repayments and prepayments
                  â21
                  â11
                  â6
               
               
                  2262
                  Adjustments: Terminations for default that result in acquisition of property
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2290
                  Outstanding, end of year
                  23
                  12
                  6
               
               
                  
                     
                  
               
               
                  
                  Memorandum:
               
               
                  2299
                  Guaranteed amount of guaranteed loans outstanding, end of year
                  10
                  5
                  2
               
               
                  
                     
                  
               
               
                  
                  Addendum:
               
               
                  
                  Cumulative balance of defaulted guaranteed loans that result in loans receivable:
               
               
                  2310
                  Outstanding, start of year
                  20
                  16
                  12
               
               
                  2331
                  Disbursements for guaranteed loan claims
                  
                  
                  
               
               
                  2351
                  Repayments of loans receivable
                  â4
                  â4
                  â4
               
               
                  2364
                  Other adjustments, net
                  
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2390
                  Outstanding, end of year
                  16
                  12
                  8
               
               
                  
                     
                  
               
            
         
      
      Balance Sheet (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4025â0â3â704
                  2017 actual
                  2018 actual
               
               
                  
                     
                  
               
               
                  
                  ASSETS:
               
               
                  1101
                  Federal assets: Fund balances with Treasury
                  1
                  1
               
               
                  
                  Non-Federal assets:
               
               
                  1201
                  Investments in non-Federal securities, net
                  139
                  140
               
               
                  1206
                  Receivables, net
                  1
                  1
               
               
                  1601
                  Direct loans, gross
                  2
                  1
               
               
                  1602
                  Interest receivable
                  35
                  37
               
               
                  1603
                  Allowance for estimated uncollectible loans and interest (-)
                  â35
                  â28
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1699
                  Value of assets related to direct loans
                  2
                  10
               
               
                  1701
                  Defaulted guaranteed loans, gross
                  20
                  16
               
               
                  1703
                  Allowance for estimated uncollectible loans and interest (-)
                  â18
                  â15
               
               
                  1706
                  Foreclosed property
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1799
                  Value of assets related to loan guarantees
                  3
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total assets
                  146
                  154
               
               
                  
                  LIABILITIES:
               
               
                  
                  Non-Federal liabilities:
               
               
                  2201
                  Accounts payable
                  1
                  1
               
               
                  2204
                  Liabilities for loan guarantees
                  259
                  276
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  2999
                  Total liabilities
                  260
                  277
               
               
                  
                  NET POSITION:
               
               
                  3300
                  Cumulative results of operations
                  â114
                  â123
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  4999
                  Total liabilities and net position
                  146
                  154
               
               
                  
                     
                  
               
            
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4025â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  32.0
                  Land and structures
                  1
                  1
                  1
               
               
                  33.0
                  Investments and loans
                  3
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  4
                  3
                  3
               
               
                  
                     
                  
               
            
         
      
         Native american veteran housing loan program accountFor administrative expenses to carry out the direct loan program authorized by subchapter V of chapter 37 of title 38, United
            States Code,  $1,163,000.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
         Vocational rehabilitation loans program accountFor the cost of direct loans,  $57,729, 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  $2,008,232.
      In addition, for administrative expenses necessary to carry out the direct loan program,  $401,880, which may be paid to the appropriation for "General Operating Expenses, Veterans Benefits Administration".
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1120â0â1â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  
                  Credit program obligations:
               
               
                  0705
                  Reestimates of direct loan subsidy
                  1
                  2
                  
               
               
                  0706
                  Interest on reestimates of direct loan subsidy
                  
                  1
                  
               
               
                  0709
                  Administrative expenses
                  2
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  3
                  5
                  2
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  2
                  2
                  1
               
               
                  
                  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
                  3
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  2
                  1
                  1
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  
                  
                  1
               
               
                  3010
                  New obligations, unexpired accounts
                  3
                  5
                  2
               
               
                  3020
                  Outlays (gross)
                  â3
                  â4
                  â2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  
                  1
                  1
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  
                  
                  1
               
               
                  3200
                  Obligated balance, end of year
                  
                  1
                  1
               
               
                  
                     
                  
               
               
                  
                  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 036â1120â0â1â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct loan levels supportable by subsidy budget authority:
               
               
                  115002
                  Native American Direct Loans
                  4
                  9
                  9
               
               
                  115003
                  Vocational Rehabilitation
                  1
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  115999
                  Total direct loan levels
                  5
                  11
                  11
               
               
                  
                  Direct loan subsidy (in percent):
               
               
                  132002
                  Native American Direct Loans
                  â20.22
                  â11.89
                  â5.23
               
               
                  132003
                  Vocational Rehabilitation
                  1.26
                  1.90
                  2.87
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  132999
                  Weighted average subsidy rate
                  â15.92
                  â9.38
                  â3.76
               
               
                  
                  Direct loan subsidy budget authority:
               
               
                  133002
                  Native American Direct Loans
                  â1
                  â1
                  â1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  133999
                  Total subsidy budget authority
                  â1
                  â1
                  â1
               
               
                  
                  Direct loan subsidy outlays:
               
               
                  134002
                  Native American Direct Loans
                  â1
                  â1
                  â1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  134999
                  Total subsidy outlays
                  â1
                  â1
                  â1
               
               
                  
                  Direct loan reestimates:
               
               
                  135002
                  Native American Direct Loans
                  2
                  2
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  135999
                  Total direct loan reestimates
                  2
                  2
                  
               
               
                  
                     
                  
               
               
                  
                  Administrative expense data:
               
               
                  3510
                  Budget authority
                  1
                  2
                  2
               
               
                  3590
                  Outlays from new authority
                  1
                  2
                  2
               
               
                  
                     
                  
               
            
         
      
      
         The Native American Veteran 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 109â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 the Department
            of Veterans Affairs' Vocational Rehabilitation and Counseling Program as authorized by chapter 31 of title 38, United States
            Code. Repayment of these loans is made in monthly installments, without interest, through deductions from future payments
            of compensation, pension, subsistence allowance, educational assistance allowance, or retired pay.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1120â0â1â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  25.2
                  Other services from non-Federal sources
                  1
                  2
                  2
               
               
                  41.0
                  Grants, subsidies, and contributions
                  2
                  3
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  3
                  5
                  2
               
               
                  
                     
                  
               
            
         
      
         Native American Direct Loan Financing AccountProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4130â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  
                  Credit program obligations:
               
               
                  0710
                  Direct loan obligations
                  4
                  9
                  9
               
               
                  0713
                  Payment of interest to Treasury
                  3
                  3
                  2
               
               
                  0715
                  Property Expenses
                  1
                  
                  
               
               
                  0740
                  Negative subsidy obligations
                  1
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  9
                  13
                  12
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  3
                  4
                  4
               
               
                  1023
                  Unobligated balances applied to repay debt
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  2
                  4
                  4
               
               
                  
                  Financing authority:
               
               
                  
                  Borrowing authority, mandatory:
               
               
                  1400
                  Borrowing authority
                  7
                  9
                  8
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  8
                  8
                  7
               
               
                  1825
                  Spending authority from offsetting collections applied to repay debt
                  â4
                  â4
                  â3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1850
                  Spending auth from offsetting collections, mand (total)
                  4
                  4
                  4
               
               
                  1900
                  Budget authority (total)
                  11
                  13
                  12
               
               
                  1930
                  Total budgetary resources available
                  13
                  17
                  16
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  4
                  4
                  4
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  1
                  1
                  1
               
               
                  3010
                  New obligations, unexpired accounts
                  9
                  13
                  12
               
               
                  3020
                  Outlays (gross)
                  â9
                  â13
                  â12
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  1
                  1
                  1
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  1
                  1
                  1
               
               
                  3200
                  Obligated balance, end of year
                  1
                  1
                  1
               
               
                  
                     
                  
               
               
                  
                  Financing authority and disbursements, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  11
                  13
                  12
               
               
                  
                  Financing disbursements:
               
               
                  4110
                  Outlays, gross (total)
                  9
                  13
                  12
               
               
                  
                  Offsets against gross financing authority and disbursements:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4120
                  Federal sources
                  â2
                  â2
                  
               
               
                  4123
                  Non-federal sources - Repayments and prepayments of principal
                  â4
                  â3
                  â4
               
               
                  4123
                  Non-Federal sources - Interest received on loans
                  â2
                  â3
                  â3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4130
                  Offsets against gross budget authority and outlays (total)
                  â8
                  â8
                  â7
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4160
                  Budget authority, net (mandatory)
                  3
                  5
                  5
               
               
                  4170
                  Outlays, net (mandatory)
                  1
                  5
                  5
               
               
                  4180
                  Budget authority, net (total)
                  3
                  5
                  5
               
               
                  4190
                  Outlays, net (total)
                  1
                  5
                  5
               
               
                  
                     
                  
               
            
         
      
      Status of Direct Loans (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4130â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Position with respect to appropriations act limitation on obligations:
               
               
                  1111
                  Direct loan obligations from current-year authority
                  4
                  9
                  9
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1150
                  Total direct loan obligations
                  4
                  9
                  9
               
               
                  
                     
                  
               
               
                  
                  Cumulative balance of direct loans outstanding:
               
               
                  1210
                  Outstanding, start of year
                  60
                  61
                  66
               
               
                  1231
                  Disbursements: Direct loan disbursements
                  4
                  9
                  9
               
               
                  1251
                  Repayments: Repayments and prepayments
                  â3
                  â4
                  â3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1290
                  Outstanding, end of year
                  61
                  66
                  72
               
               
                  
                     
                  
               
            
         
      
      Balance Sheet (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4130â0â3â704
                  2017 actual
                  2018 actual
               
               
                  
                     
                  
               
               
                  
                  ASSETS:
               
               
                  
                  Federal assets:
               
               
                  1101
                  Fund balances with Treasury
                  4
                  5
               
               
                  
                  Investments in U.S. securities:
               
               
                  1106
                  Receivables, net
                  2
                  2
               
               
                  
                  Net value of assets related to post-1991 direct loans receivable:
               
               
                  1401
                  Direct loans receivable, gross
                  60
                  61
               
               
                  1402
                  Interest receivable
                  2
                  2
               
               
                  1405
                  Other assets
                  3
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1499
                  Net present value of assets related to direct loans
                  65
                  66
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total assets
                  71
                  73
               
               
                  
                  LIABILITIES:
               
               
                  
                  Federal liabilities:
               
               
                  2103
                  Federal liabilities debt
                  69
                  71
               
               
                  2105
                  Other liabilities
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  2999
                  Total liabilities
                  71
                  73
               
               
                  
                  NET POSITION:
               
               
                  3300
                  Cumulative results of operations
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  4999
                  Total liabilities and net position
                  71
                  73
               
               
                  
                     
                  
               
            
         
      
         Transitional Housing Direct Loan Financing AccountProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4258â0â3â704
                  2018 actual
                  2019 est.
                  2020 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
                  4
                  4
               
               
                  
                  Financing authority:
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  
                  1
                  1
               
               
                  1930
                  Total budgetary resources available
                  5
                  5
                  5
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  4
                  4
                  4
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  
                  1
                  1
               
               
                  3010
                  New obligations, unexpired accounts
                  1
                  1
                  1
               
               
                  3020
                  Outlays (gross)
                  
                  â1
                  â1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  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
               
               
                  
                     
                  
               
               
                  
                  Financing authority and disbursements, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  
                  1
                  1
               
               
                  
                  Financing disbursements:
               
               
                  4110
                  Outlays, gross (total)
                  
                  1
                  1
               
               
                  
                  Offsets against gross financing authority and disbursements:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4123
                  Non-Federal sources
                  
                  â1
                  â1
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  
                  
                  
               
               
                  
                     
                  
               
            
         
      
      Status of Direct Loans (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4258â0â3â704
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Position with respect to appropriations act limitation on obligations:
               
               
                  1121
                  Limitation available from carry-forward
                  95
                  95
                  95
               
               
                  1143
                  Unobligated limitation carried forward
                  â95
                  â95
                  â95
               
               
                  
                     
                  
               
               
                  
                  Cumulative balance of direct loans outstanding:
               
               
                  1210
                  Outstanding, start of year
                  4
                  4
                  4
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1290
                  Outstanding, end of year
                  4
                  4
                  4
               
               
                  
                     
                  
               
            
         
      
      Balance Sheet (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4258â0â3â704
                  2017 actual
                  2018 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
                  4
                  4
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total assets
                  9
                  9
               
               
                  
                  LIABILITIES:
               
               
                  
                  Federal liabilities:
               
               
                  2103
                  Debt
                  5
                  5
               
               
                  2105
                  Loan Guaranty/Other Liabilities
                  4
                  4
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  2999
                  Total liabilities
                  9
                  9
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  4999
                  Total liabilities and net position
                  9
                  9
               
               
                  
                     
                  
               
            
         
      
         Vocational Rehabilitation Direct Loan Financing AccountProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4112â0â3â702
                  2018 actual
                  2019 est.
                  2020 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)
                  1
                  2
                  2
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  2
                  2
                  2
               
               
                  1825
                  Spending authority from offsetting collections applied to repay debt
                  â1
                  â2
                  â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)
                  â2
                  â2
                  â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
                  â2
                  â2
                  â2
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  
                  
                  
               
               
                  
                     
                  
               
            
         
      
      Status of Direct Loans (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4112â0â3â702
                  2018 actual
                  2019 est.
                  2020 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
                  1
                  2
                  2
               
               
                  1251
                  Repayments: Repayments and prepayments
                  â1
                  â2
                  â2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1290
                  Outstanding, end of year
                  1
                  1
                  1
               
               
                  
                     
                  
               
            
         
      
      Balance Sheet (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4112â0â3â702
                  2017 actual
                  2018 actual
               
               
                  
                     
                  
               
               
                  
                  ASSETS:
               
               
                  
                  Federal assets:
               
               
                  
                  Investments in U.S. securities:
               
               
                  1104
                  Investments US Securities
                  
                  
               
               
                  1401
                  Net value of assets related to post-1991 direct loans receivable: Direct loans receivable, gross
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total assets
                  1
                  1
               
               
                  
                  LIABILITIES:
               
               
                  2103
                  Federal liabilities: Debt
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
               
               
                  4999
                  Total liabilities and net position
                  1
                  1
               
               
                  
                     
                  
               
            
         
      
      Trust Funds
         Post-Vietnam Era Veterans Education AccountProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8133â0â7â702
                  2018 actual
                  2019 est.
                  2020 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 94â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 99â576, enacted October 28, 1986, closed the program permanently for new enrollments effective March 31, 1987.
            The estimated activity in the fund follows:
         
         CONTRIBUTIONS, PARTICIPANTS, DISENROLLMENTS, REFUNDS AND TRAINEES  
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Total program obligations (in thousands)
                     $157
                     $150
                     $143
                  
                  
                     Number of disenrollments
                     67
                     64
                     60
                  
                  
                     Total refunds (in thousands)
                     $147
                     $140
                     $133
                  
                  
                     Average Refund
                     $2,194
                     $2,194
                     $2,194
                  
                  
                     Total trainees
                     2
                     2
                     2
                  
                  
                     Total trainee cost (in thousands)
                     $10
                     $9
                     $9
                  
                  
                     Average trainee cost
                     $4,904
                     $4,792
                     $5,044
                  
                  
                     Section 901 trainees
                     0
                     1
                     1
                  
                  
                     Total Section 901 trainee cost (in thousands)
                     $0
                     $1
                     $1
                  
                  
                     Average Section 901 trainee cost
                     $0
                     $1,000
                     $1,000
                  
                  
                     
                        
                     
                  
               
            
         
      
         National Service Life Insurance FundSpecial and Trust Fund Receipts (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8132â0â7â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  0100
                  Balance, start of year
                  2,851
                  2,324
                  1,870
               
               
                  
                  Receipts:
               
               
                  
                  Current law:
               
               
                  1130
                  NSLI Fund, Premium and Other Receipts
                  52
                  66
                  52
               
               
                  1140
                  NSLI Fund, Interest
                  130
                  123
                  96
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1199
                  Total current law receipts
                  182
                  189
                  148
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total receipts
                  182
                  189
                  148
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2000
                  Total: Balances and receipts
                  3,033
                  2,513
                  2,018
               
               
                  
                  Appropriations:
               
               
                  
                  Current law:
               
               
                  2101
                  National Service Life Insurance Fund
                  â182
                  â189
                  â148
               
               
                  2103
                  National Service Life Insurance Fund
                  â527
                  â454
                  â403
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2199
                  Total current law appropriations
                  â709
                  â643
                  â551
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2999
                  Total appropriations
                  â709
                  â643
                  â551
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  5099
                  Balance, end of year
                  2,324
                  1,870
                  1,467
               
               
                  
                     
                  
               
            
         
      
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8132â0â7â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Death claims
                  491
                  447
                  372
               
               
                  0002
                  Disability claims
                  2
                  2
                  1
               
               
                  0003
                  Matured endowments
                  97
                  82
                  83
               
               
                  0004
                  Cash surrenders
                  35
                  35
                  27
               
               
                  0005
                  Dividends
                  37
                  37
                  35
               
               
                  0006
                  Interest paid on dividend credits and deposits
                  30
                  17
                  13
               
               
                  0007
                  Payment to general operating expenses
                  11
                  14
                  11
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0091
                  Total operating expenses
                  703
                  634
                  542
               
               
                  0201
                  Capital investment: Policy loans
                  8
                  9
                  8
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  711
                  643
                  550
               
               
                  0801
                  Death claims
                  29
                  26
                  21
               
               
                  0803
                  Matured endowments
                  6
                  5
                  5
               
               
                  0804
                  Cash surrenders
                  2
                  2
                  1
               
               
                  0805
                  Dividends
                  2
                  2
                  2
               
               
                  0806
                  Interest paid on dividend credits and deposits
                  1
                  1
                  1
               
               
                  0807
                  Payment to general operating expenses
                  1
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0899
                  Total reimbursable obligations
                  41
                  37
                  31
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  752
                  680
                  581
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  2
                  
                  
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, mandatory:
               
               
                  1201
                  Appropriation (special or trust fund)
                  182
                  189
                  148
               
               
                  1203
                  Appropriation (previously unavailable)
                  527
                  454
                  403
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1260
                  Appropriations, mandatory (total)
                  709
                  643
                  551
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  41
                  37
                  30
               
               
                  1900
                  Budget authority (total)
                  750
                  680
                  581
               
               
                  1930
                  Total budgetary resources available
                  752
                  680
                  581
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  761
                  694
                  615
               
               
                  3010
                  New obligations, unexpired accounts
                  752
                  680
                  581
               
               
                  3020
                  Outlays (gross)
                  â817
                  â759
                  â701
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  694
                  615
                  495
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  761
                  694
                  615
               
               
                  3200
                  Obligated balance, end of year
                  694
                  615
                  495
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  750
                  680
                  581
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  223
                  100
                  298
               
               
                  4101
                  Outlays from mandatory balances
                  594
                  659
                  403
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  817
                  759
                  701
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4123
                  Non-Federal sources
                  â41
                  â37
                  â30
               
               
                  4180
                  Budget authority, net (total)
                  709
                  643
                  551
               
               
                  4190
                  Outlays, net (total)
                  776
                  722
                  671
               
               
                  
                     
                  
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  5000
                  Total investments, SOY: Federal securities: Par value
                  3,604
                  3,015
                  2,376
               
               
                  5001
                  Total investments, EOY: Federal securities: Par value
                  3,015
                  2,376
                  1,853
               
               
                  
                     
                  
               
            
         
      
      
         Note.âDepartment of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously
            shown for this account have been discontinued.
         
         This fund was established in 1940. It is for the World War II servicemembers' and veterans' insurance program. Over 22 million
            policies were issued under this program. Activity of the fund reflects a declining claim workload. The trend in the number
            and amount of policies in force is shown as follows:
         
         POLICIES AND INSURANCE IN FORCE
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Number of policies
                     203,807
                     163,997
                     127,397
                  
                  
                     Insurance in force (dollars in millions)
                     $2,598
                     $2,077
                     $1,604
                  
                  
                     
                        
                     
                  
               
            
         
         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 $2,531 million as of September 30, 2019 to $2,012 million as of September 30, 2020. The actuarial
            estimate of policy obligations as of September 30, 2020, totals $1,948 million, leaving a balance of $64 million for contingency
            reserves.
         
      
      Status of Funds (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8132â0â7â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Unexpended balance, start of year:
               
               
                  0100
                  Balance, start of year
                  3,613
                  3,019
                  2,486
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0999
                  Total balance, start of year
                  3,613
                  3,019
                  2,486
               
               
                  
                  Cash income during the year:
               
               
                  
                  Current law:
               
               
                  
                  Receipts:
               
               
                  1130
                  NSLI Fund, Premium and Other Receipts
                  52
                  66
                  52
               
               
                  1130
                  National Service Life Insurance Fund
                  41
                  37
                  30
               
               
                  1150
                  NSLI Fund, Interest
                  130
                  123
                  96
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1199
                  Income under present law
                  223
                  226
                  178
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1999
                  Total cash income
                  223
                  226
                  178
               
               
                  
                  Cash outgo during year:
               
               
                  
                  Current law:
               
               
                  2100
                  National Service Life Insurance Fund [029â25â8132â0]
                  â817
                  â759
                  â701
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2199
                  Outgo under current law
                  â817
                  â759
                  â701
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2999
                  Total cash outgo (-)
                  â817
                  â759
                  â701
               
               
                  
                  Surplus or deficit:
               
               
                  3110
                  Excluding interest
                  â724
                  â656
                  â619
               
               
                  3120
                  Interest
                  130
                  123
                  96
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3199
                  Subtotal, surplus or deficit
                  â594
                  â533
                  â523
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3999
                  Total change in fund balance
                  â594
                  â533
                  â523
               
               
                  
                  Unexpended balance, end of year:
               
               
                  4100
                  Uninvested balance (net), end of year
                  4
                  110
                  110
               
               
                  4200
                  National Service Life Insurance Fund
                  3,015
                  2,376
                  1,853
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4999
                  Total balance, end of year
                  3,019
                  2,486
                  1,963
               
               
                  
                     
                  
               
            
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8132â0â7â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  33.0
                  Investments and loans
                  8
                  9
                  8
               
               
                  42.0
                  Insurance claims and indemnities
                  625
                  566
                  484
               
               
                  43.0
                  Interest and dividends
                  78
                  68
                  59
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  711
                  643
                  551
               
               
                  99.0
                  Reimbursable obligations
                  41
                  37
                  30
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  752
                  680
                  581
               
               
                  
                     
                  
               
            
         
      
         United States Government Life Insurance FundSpecial and Trust Fund Receipts (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8150â0â7â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  0100
                  Balance, start of year
                  2
                  1
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2000
                  Total: Balances and receipts
                  2
                  1
                  
               
               
                  
                  Appropriations:
               
               
                  
                  Current law:
               
               
                  2103
                  United States Government Life Insurance Fund
                  â1
                  â1
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  5099
                  Balance, end of year
                  1
                  
                  
               
               
                  
                     
                  
               
            
         
      
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8150â0â7â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Death claims
                  
                  1
                  
               
               
                  0007
                  Other costs
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  1
                  1
                  
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, mandatory:
               
               
                  1203
                  Appropriation (previously unavailable)
                  1
                  1
                  
               
               
                  1900
                  Budget authority (total)
                  1
                  1
                  
               
               
                  1930
                  Total budgetary resources available
                  1
                  1
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  1
                  1
                  2
               
               
                  3010
                  New obligations, unexpired accounts
                  1
                  1
                  
               
               
                  3020
                  Outlays (gross)
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  1
                  2
                  2
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  1
                  1
                  2
               
               
                  3200
                  Obligated balance, end of year
                  1
                  2
                  2
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  1
                  1
                  
               
               
                  
                  Outlays, gross:
               
               
                  4101
                  Outlays from mandatory balances
                  1
                  
                  
               
               
                  4180
                  Budget authority, net (total)
                  1
                  1
                  
               
               
                  4190
                  Outlays, net (total)
                  1
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  5000
                  Total investments, SOY: Federal securities: Par value
                  3
                  2
                  2
               
               
                  5001
                  Total investments, EOY: Federal securities: Par value
                  2
                  2
                  2
               
               
                  
                     
                  
               
            
         
      
      
         Note.âDepartment of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously
            shown for this account have been discontinued.
         
         This fund was established in 1919 to receive premiums and pay claims on insurance issued under the provisions of the War Risk
            Insurance Act. The general decline in the activity of the fund is indicated in the following table:
         
         POLICIES AND INSURANCE IN FORCE
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Number of policies
                     20
                     0
                     0
                  
                  
                     Insurance in force (dollars in millions)
                     $.1
                     $.016
                     $0
                  
                  
                     
                        
                     
                  
               
            
         
         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 $2.0 million as of September 30, 2019, to $1.7 million as of September 30, 2020, as an increasing number of policies
            mature through death or disability. The actuarial evaluation of policy obligations as of September 30, 2020, totals $1.2 million,
            leaving a balance of $.4 million for contingency reserves.
         
      
      Status of Funds (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8150â0â7â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Unexpended balance, start of year:
               
               
                  0100
                  Balance, start of year
                  3
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0999
                  Total balance, start of year
                  3
                  2
                  2
               
               
                  
                  Cash outgo during year:
               
               
                  
                  Current law:
               
               
                  2100
                  United States Government Life Insurance Fund [029â25â8150â0]
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2199
                  Outgo under current law
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2999
                  Total cash outgo (-)
                  â1
                  
                  
               
               
                  
                  Surplus or deficit:
               
               
                  3110
                  Excluding interest
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3199
                  Subtotal, surplus or deficit
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3999
                  Total change in fund balance
                  â1
                  
                  
               
               
                  
                  Unexpended balance, end of year:
               
               
                  4100
                  Uninvested balance (net), end of year
                  
                  
                  
               
               
                  4200
                  United States Government Life Insurance Fund
                  2
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4999
                  Total balance, end of year
                  2
                  2
                  2
               
               
                  
                     
                  
               
            
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8150â0â7â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  42.0
                  Insurance claims and indemnities
                  
                  1
                  
               
               
                  43.0
                  Interest and dividends
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  1
                  1
                  
               
               
                  
                     
                  
               
            
         
      
         Veterans Special Life Insurance FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8455â0â8â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0801
                  Death claims
                  147
                  146
                  143
               
               
                  0802
                  Cash surrenders
                  13
                  12
                  11
               
               
                  0803
                  Dividends
                  24
                  19
                  15
               
               
                  0804
                  All other
                  18
                  18
                  17
               
               
                  0805
                  Payments to insurance account
                  6
                  8
                  7
               
               
                  0806
                  Capital investment
                  5
                  5
                  4
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  213
                  208
                  197
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  1,210
                  1,101
                  984
               
               
                  
                  Budget authority:
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  106
                  91
                  80
               
               
                  1801
                  Change in uncollected payments, Federal sources
                  â2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1850
                  Spending auth from offsetting collections, mand (total)
                  104
                  91
                  80
               
               
                  1930
                  Total budgetary resources available
                  1,314
                  1,192
                  1,064
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  1,101
                  984
                  867
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  413
                  403
                  391
               
               
                  3010
                  New obligations, unexpired accounts
                  213
                  208
                  197
               
               
                  3020
                  Outlays (gross)
                  â223
                  â220
                  â196
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  403
                  391
                  392
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â18
                  â16
                  â16
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â16
                  â16
                  â16
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  395
                  387
                  375
               
               
                  3200
                  Obligated balance, end of year
                  387
                  375
                  376
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  104
                  91
                  80
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  104
                  91
                  80
               
               
                  4101
                  Outlays from mandatory balances
                  119
                  129
                  116
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  223
                  220
                  196
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4121
                  Interest on Federal securities
                  â70
                  â60
                  â52
               
               
                  4123
                  Non-Federal sources
                  â12
                  â10
                  â9
               
               
                  4123
                  Non-Federal sources
                  â22
                  â19
                  â17
               
               
                  4123
                  Non-Federal sources
                  â2
                  â2
                  â2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4130
                  Offsets against gross budget authority and outlays (total)
                  â106
                  â91
                  â80
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4140
                  Change in uncollected pymts, Fed sources, unexpired
                  2
                  
                  
               
               
                  4170
                  Outlays, net (mandatory)
                  117
                  129
                  116
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  117
                  129
                  116
               
               
                  
                     
                  
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  5000
                  Total investments, SOY: Federal securities: Par value
                  1,603
                  1,487
                  1,357
               
               
                  5001
                  Total investments, EOY: Federal securities: Par value
                  1,487
                  1,357
                  1,242
               
               
                  
                     
                  
               
            
         
      
      
         Note.âDepartment of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously
            shown for this account have been discontinued.
         
         This fund finances the payment of claims on life insurance policies issued before January 3, 1957, to veterans who served
            in the Armed Forces subsequent to April 1, 1951. No new policies can be issued.
         
         Benefit program:
         
         Death claims.âRepresents payments to designated beneficiaries.
         
         Cash surrenders.âA policyholder may terminate his or her insurance by cashing in the policy for its cash value.
         
         Dividends.âPolicyholders participate in the distribution of annual dividends.
         
         All other.âClassified in this category are payments to policyholders who: (a) hold endowment policies which have matured; (b) have
            purchased total disability income coverage and subsequently become disabled; and (c) are paid interest on dividend credits
            and deposits.
         
         The following table reflects the decrease in the number of policies and the amounts of insurance in force:
         POLICIES AND INSURANCE IN FORCE
         
            
               
                  
                     
                        
                     
                  
                  
                      
                     2018 actual
                     2019 est.
                     2020 est.
                  
                  
                     
                        
                     
                  
                  
                     Number of policies
                     90,488
                     80,677
                     70,882
                  
                  
                     Insurance in force (dollars in millions)
                     $1,336
                     $1,206
                     $1,070
                  
                  
                     
                        
                     
                  
               
            
         
         Financing.âPayments from this fund are financed primarily from premium receipts and interest on investments.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â8455â0â8â701
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Reimbursable obligations:
               
               
                  33.0
                  Investments and loans
                  5
                  5
                  4
               
               
                  42.0
                  Insurance claims and indemnities
                  169
                  169
                  164
               
               
                  43.0
                  Interest and dividends
                  39
                  34
                  29
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  213
                  208
                  197
               
               
                  
                     
                  
               
            
         
      
         Departmental AdministrationFederal Funds
         Construction, major projectsFor 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,  $1,235,200,000, of which  $1,036,600,000 shall remain available until September 30,  2024, and of which  $198,600,000 shall remain available until expended, of which  $35,000,000 shall be available for seismic improvement projects and seismic program management activities, including for projects that
            would otherwise be funded by the Construction, Minor Projects, Medical Facilities or National Cemetery Administration accounts:
            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,  funds provided for the purchase, security, and maintenance of land for the National Cemetery Administration through the land
            acquisition line item, funds provided for construction of gravesite expansion projects at existing National Cemeteries, and legal expenses incurred
               for programs and activities funded by this account, 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 such sums as may be necessary shall be available to reimburse the "General Administration" account
               for payment of salaries and expenses of all Office of Construction and Facilities Management employees to support the full
               range of capital infrastructure services provided, including minor construction and leasing services: Provided further, That funds made available under this heading for fiscal year  2020, for each approved project shall be obligated: (1) by the awarding of a construction documents contract by September 30,
             2020; and (2) by the awarding of a construction contract by September 30,  2021: 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.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0110â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Medical programs
                  1,150
                  1,211
                  1,820
               
               
                  0002
                  National cemeteries
                  168
                  256
                  187
               
               
                  0005
                  Staff offices
                  11
                  13
                  10
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  1,329
                  1,480
                  2,017
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  1,329
                  1,480
                  2,017
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  1,655
                  1,486
                  2,183
               
               
                  1020
                  Adjustment of unobligated bal brought forward, Oct 1
                  628
                  
                  
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  137
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  2,420
                  1,486
                  2,183
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  815
                  2,177
                  1,235
               
               
                  1131
                  Unobligated balance of appropriations permanently reduced
                  â420
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1160
                  Appropriation, discretionary (total)
                  395
                  2,177
                  1,235
               
               
                  1900
                  Budget authority (total)
                  395
                  2,177
                  1,235
               
               
                  1930
                  Total budgetary resources available
                  2,815
                  3,663
                  3,418
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  1,486
                  2,183
                  1,401
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  855
                  685
                  853
               
               
                  3010
                  New obligations, unexpired accounts
                  1,329
                  1,480
                  2,017
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  1
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â1,360
                  â1,312
                  â2,055
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â137
                  
                  
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â3
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  685
                  853
                  815
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  855
                  685
                  853
               
               
                  3200
                  Obligated balance, end of year
                  685
                  853
                  815
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  395
                  2,177
                  1,235
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  244
                  412
                  234
               
               
                  4011
                  Outlays from discretionary balances
                  1,116
                  900
                  1,821
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  1,360
                  1,312
                  2,055
               
               
                  4180
                  Budget authority, net (total)
                  395
                  2,177
                  1,235
               
               
                  4190
                  Outlays, net (total)
                  1,360
                  1,312
                  2,055
               
               
                  
                     
                  
               
            
         
      
      
         The Construction, Major Projects appropriation funds construction projects currently costing more than $20 million.  Funding
            is requested to complete seven previously funded projects in San Juan, PR; Bay Pines, FL; Manhattan, NY; Louisville, KY; Riverside,
            CA; Western New York; and Bayamon, PR and four ongoing projects in Alameda, CA; San Diego, CA; West Los Angeles, CA; and Reno,
            NV. In addition, three expansions at existing national cemeteries in Dallas, TX; Houston, TX; and Bourne, MA will be funded.
            Funds are also requested for salaries and associated expenses for staff for the Office of Construction and Facilities Management
            and to support advance planning and design activities, seismic correction, and asbestos abatement.
         
         $244 million of funds appropriated in 2016 and $117.3 million of funds appropriated in 2018 are not reflected in the available
            balance in the tables. These funds will become available for use once the Department of Veterans Affairs meets the specific
            conditions required by law (P.L. 114â113 and 115â141) and the funds are made available by the Treasury.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0110â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  25.2
                  Other services from non-Federal sources
                  24
                  24
                  24
               
               
                  25.3
                  Other goods and services from Federal sources
                  24
                  24
                  24
               
               
                  32.0
                  Land and structures
                  1,281
                  1,432
                  1,969
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  1,329
                  1,480
                  2,017
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  1,329
                  1,480
                  2,017
               
               
                  
                     
                  
               
            
         
      
         Construction, minor projectsFor 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,  $398,800,000, to remain available until September 30,  2024, along with unobligated balances of previous "Construction, Minor Projects" appropriations which are hereby made available
            for any project where the estimated cost is equal to or less than the amount set forth in such section: Provided, That funds made available under this heading shall be for: (1) repairs to any of the nonmedical facilities under the jurisdiction
            or for the use of the Department which are necessary because of loss or damage caused by any natural disaster or catastrophe;
            and (2) temporary measures necessary to prevent or to minimize further loss by such causes.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0111â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Medical programs
                  269
                  699
                  456
               
               
                  0002
                  National cemeteries
                  88
                  176
                  106
               
               
                  0003
                  Regional offices
                  48
                  48
                  35
               
               
                  0004
                  Staff offices
                  33
                  35
                  43
               
               
                  0005
                  Choice Act, P.L. 113â146, Sec. 801
                  48
                  11
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  486
                  969
                  640
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  534
                  864
                  695
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  46
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  580
                  864
                  695
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  772
                  800
                  399
               
               
                  1900
                  Budget authority (total)
                  772
                  800
                  399
               
               
                  1930
                  Total budgetary resources available
                  1,352
                  1,664
                  1,094
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1940
                  Unobligated balance expiring
                  â2
                  
                  
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  864
                  695
                  454
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  948
                  904
                  1,232
               
               
                  3010
                  New obligations, unexpired accounts
                  486
                  969
                  640
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  1
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â480
                  â641
                  â678
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â46
                  
                  
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â5
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  904
                  1,232
                  1,194
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  948
                  904
                  1,232
               
               
                  3200
                  Obligated balance, end of year
                  904
                  1,232
                  1,194
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  772
                  800
                  399
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  2
                  151
                  72
               
               
                  4011
                  Outlays from discretionary balances
                  411
                  452
                  568
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  413
                  603
                  640
               
               
                  
                  Mandatory:
               
               
                  
                  Outlays, gross:
               
               
                  4101
                  Outlays from mandatory balances
                  67
                  38
                  38
               
               
                  4180
                  Budget authority, net (total)
                  772
                  800
                  399
               
               
                  4190
                  Outlays, net (total)
                  480
                  641
                  678
               
               
                  
                     
                  
               
            
         
      
      
         The Construction, Minor Projects appropriation funds construction projects costing equal to or less than $20 million. 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.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0111â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  25.2
                  Other services from non-Federal sources
                  18
                  20
                  15
               
               
                  32.0
                  Land and structures
                  468
                  949
                  625
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  486
                  969
                  640
               
               
                  
                     
                  
               
            
         
      
         Grants for construction of state extended care facilitiesFor grants to assist States to acquire or construct State nursing home and domiciliary facilities and to remodel, modify,
            or alter existing hospital, nursing home, and domiciliary facilities in State homes, for furnishing care to veterans as authorized
            by sections 8131 through 8137 of title 38, United States Code,  $90,000,000, to remain available until expended.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0181â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Grants for construction of state extended care facilities
                  346
                  501
                  135
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts (object class 41.0)
                  346
                  501
                  135
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  92
                  459
                  113
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  28
                  5
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  120
                  464
                  113
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  685
                  150
                  90
               
               
                  1930
                  Total budgetary resources available
                  805
                  614
                  203
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  459
                  113
                  68
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  193
                  408
                  727
               
               
                  3010
                  New obligations, unexpired accounts
                  346
                  501
                  135
               
               
                  3020
                  Outlays (gross)
                  â103
                  â177
                  â333
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â28
                  â5
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  408
                  727
                  529
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  193
                  408
                  727
               
               
                  3200
                  Obligated balance, end of year
                  408
                  727
                  529
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  685
                  150
                  90
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  
                  3
                  2
               
               
                  4011
                  Outlays from discretionary balances
                  103
                  174
                  331
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  103
                  177
                  333
               
               
                  4180
                  Budget authority, net (total)
                  685
                  150
                  90
               
               
                  4190
                  Outlays, net (total)
                  103
                  177
                  333
               
               
                  
                     
                  
               
            
         
      
      
         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 Department of Veterans Affairs (VA), whereby VA provides
            no more than 65 percent of the funding for new construction of State home facilities, furnishing of domiciliary or nursing
            home care to veterans, and expansion, remodeling, or alteration of existing State home facilities. The State is responsible
            for providing the remaining 35 percent of funding.
         
      
         Grants for construction of veterans cemeteriesFor grants to assist States and tribal organizations in establishing, expanding, or improving veterans cemeteries as authorized
            by section 2408 of title 38, United States Code, $45,000,000, to remain available until expended.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0183â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Grants for construction of state veterans cemeteries
                  50
                  45
                  45
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts (object class 41.0)
                  50
                  45
                  45
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  5
                  4
                  7
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  4
                  3
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  9
                  7
                  10
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  45
                  45
                  45
               
               
                  1930
                  Total budgetary resources available
                  54
                  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
                  96
                  96
                  91
               
               
                  3010
                  New obligations, unexpired accounts
                  50
                  45
                  45
               
               
                  3020
                  Outlays (gross)
                  â46
                  â47
                  â94
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â4
                  â3
                  â3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  96
                  91
                  39
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  96
                  96
                  91
               
               
                  3200
                  Obligated balance, end of year
                  96
                  91
                  39
               
               
                  
                     
                  
               
               
                  
                  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
                  46
                  23
                  70
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  46
                  47
                  94
               
               
                  4180
                  Budget authority, net (total)
                  45
                  45
                  45
               
               
                  4190
                  Outlays, net (total)
                  46
                  47
                  94
               
               
                  
                     
                  
               
            
         
      
         General administration
         (Including transfer of funds)For necessary operating expenses of the Department of Veterans Affairs, not otherwise provided for, including administrative
            expenses in support of Department-wide capital planning, management and policy activities, uniforms, or allowances therefor;
            not to exceed $25,000 for official reception and representation expenses; hire of passenger motor vehicles; and reimbursement
            of the General Services Administration for security guard services,  $369,200,000, of which not to exceed 10 percent shall remain available until September 30,  2021: Provided, That funds provided under this heading may be transferred to "General Operating Expenses, Veterans Benefits Administration".
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0142â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0014
                  General administration
                  344
                  361
                  369
               
               
                  0806
                  General administration, reimbursable program
                  338
                  382
                  424
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  682
                  743
                  793
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  12
                  5
                  
               
               
                  1012
                  Unobligated balance transfers between expired and unexpired accounts
                  8
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  20
                  5
                  
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  336
                  356
                  369
               
               
                  1121
                  Appropriations transferred from other acct [036â0152]
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1160
                  Appropriation, discretionary (total)
                  337
                  356
                  369
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  308
                  382
                  424
               
               
                  1701
                  Change in uncollected payments, Federal sources
                  30
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1750
                  Spending auth from offsetting collections, disc (total)
                  338
                  382
                  424
               
               
                  1900
                  Budget authority (total)
                  675
                  738
                  793
               
               
                  1930
                  Total budgetary resources available
                  695
                  743
                  793
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1940
                  Unobligated balance expiring
                  â8
                  
                  
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  5
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  128
                  169
                  103
               
               
                  3010
                  New obligations, unexpired accounts
                  682
                  743
                  793
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  25
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â640
                  â809
                  â791
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â26
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  169
                  103
                  105
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â15
                  â34
                  â34
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  â30
                  
                  
               
               
                  3071
                  Change in uncollected pymts, Fed sources, expired
                  11
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â34
                  â34
                  â34
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  113
                  135
                  69
               
               
                  3200
                  Obligated balance, end of year
                  135
                  69
                  71
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  675
                  738
                  793
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  517
                  653
                  715
               
               
                  4011
                  Outlays from discretionary balances
                  123
                  156
                  76
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  640
                  809
                  791
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â324
                  â382
                  â424
               
               
                  4033
                  Non-Federal sources
                  â3
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â327
                  â382
                  â424
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4050
                  Change in uncollected pymts, Fed sources, unexpired
                  â30
                  
                  
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  19
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4060
                  Additional offsets against budget authority only (total)
                  â11
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  337
                  356
                  369
               
               
                  4080
                  Outlays, net (discretionary)
                  313
                  427
                  367
               
               
                  4180
                  Budget authority, net (total)
                  337
                  356
                  369
               
               
                  4190
                  Outlays, net (total)
                  313
                  427
                  367
               
               
                  
                     
                  
               
            
         
      
      
         General Administration.â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.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0142â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  187
                  208
                  219
               
               
                  11.5
                  Other personnel compensation
                  5
                  4
                  8
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  192
                  212
                  227
               
               
                  12.1
                  Civilian personnel benefits
                  63
                  67
                  70
               
               
                  21.0
                  Travel and transportation of persons
                  5
                  5
                  7
               
               
                  23.2
                  Rental payments to others
                  20
                  18
                  19
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  3
                  4
                  4
               
               
                  25.2
                  Other services from non-Federal sources
                  59
                  53
                  38
               
               
                  26.0
                  Supplies and materials
                  1
                  1
                  3
               
               
                  31.0
                  Equipment
                  1
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  344
                  361
                  369
               
               
                  99.0
                  Reimbursable obligations
                  338
                  382
                  424
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  682
                  743
                  793
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0142â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  1,634
                  1,764
                  1,927
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  886
                  1,054
                  1,209
               
               
                  
                     
                  
               
            
         
      
         Board of Veterans AppealsFor necessary operating expenses of the Board of Veterans Appeals,  $182,000,000, of which not to exceed 10 percent shall remain available until September 30,  2021.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1122â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0014
                  Board of Veterans' Appeals
                  152
                  181
                  188
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  15
                  15
                  9
               
               
                  1012
                  Unobligated balance transfers between expired and unexpired accounts
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  16
                  15
                  9
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  161
                  175
                  182
               
               
                  1120
                  Appropriations transferred to other acct [036â0151]
                  â7
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1160
                  Appropriation, discretionary (total)
                  154
                  175
                  182
               
               
                  1930
                  Total budgetary resources available
                  170
                  190
                  191
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1940
                  Unobligated balance expiring
                  â3
                  
                  
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  15
                  9
                  3
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  10
                  19
                  30
               
               
                  3010
                  New obligations, unexpired accounts
                  152
                  181
                  188
               
               
                  3020
                  Outlays (gross)
                  â143
                  â170
                  â177
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  19
                  30
                  41
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  10
                  19
                  30
               
               
                  3200
                  Obligated balance, end of year
                  19
                  30
                  41
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  154
                  175
                  182
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  121
                  148
                  154
               
               
                  4011
                  Outlays from discretionary balances
                  22
                  22
                  23
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  143
                  170
                  177
               
               
                  4180
                  Budget authority, net (total)
                  154
                  175
                  182
               
               
                  4190
                  Outlays, net (total)
                  143
                  170
                  177
               
               
                  
                     
                  
               
            
         
      
      
         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 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 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. The Veterans Appeals Improvement and Modernization Act of 2017, enacted on
            August 23, 2017, became effective on February 19, 2019. This law reformed the current appeals process and replaced it with
            a new, simpler process that uses easy to understand language and gives veterans choice and control of their appeal.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1122â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  96
                  126
                  124
               
               
                  11.5
                  Other personnel compensation
                  2
                  2
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  98
                  128
                  127
               
               
                  12.1
                  Civilian personnel benefits
                  30
                  35
                  39
               
               
                  21.0
                  Travel and transportation of persons
                  1
                  1
                  1
               
               
                  23.2
                  Rental payments to others
                  8
                  3
                  5
               
               
                  25.2
                  Other services from non-Federal sources
                  14
                  14
                  16
               
               
                  41.0
                  Grants, subsidies, and contributions
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  152
                  181
                  188
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1122â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  920
                  1,125
                  1,125
               
               
                  
                     
                  
               
            
         
      
         Office of inspector generalFor 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.),  $207,000,000,  of which not to exceed 10 percent shall remain available until September 30,  2021.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0170â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0101
                  Office of Inspector General (Direct)
                  171
                  199
                  207
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0192
                  Total direct program
                  171
                  199
                  207
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  15
                  7
                  
               
               
                  1012
                  Unobligated balance transfers between expired and unexpired accounts
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  16
                  7
                  
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  164
                  192
                  207
               
               
                  1900
                  Budget authority (total)
                  164
                  192
                  207
               
               
                  1930
                  Total budgetary resources available
                  180
                  199
                  207
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1940
                  Unobligated balance expiring
                  â2
                  
                  
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  7
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  19
                  21
                  55
               
               
                  3010
                  New obligations, unexpired accounts
                  171
                  199
                  207
               
               
                  3020
                  Outlays (gross)
                  â167
                  â165
                  â204
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â2
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  21
                  55
                  58
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  19
                  21
                  55
               
               
                  3200
                  Obligated balance, end of year
                  21
                  55
                  58
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  164
                  192
                  207
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  143
                  137
                  156
               
               
                  4011
                  Outlays from discretionary balances
                  24
                  28
                  48
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  167
                  165
                  204
               
               
                  4180
                  Budget authority, net (total)
                  164
                  192
                  207
               
               
                  4190
                  Outlays, net (total)
                  167
                  165
                  204
               
               
                  
                     
                  
               
            
         
      
      
         This appropriation provides for carrying out the independent oversight responsibilities of the Inspector General Act of 1978. This oversight includes Department of Veterans Affairs (VA)-wide audit, investigation, health care inspection, and management
            support functions to identify and report weaknesses and deficiencies that create conditions for actual or potential fraud
            and other criminal activity, mismanagement, and waste in VA programs and operations. The audit function plans and conducts
            internal programmatic and financial audits and evaluations of all facets of VA operations. The health care inspection function
            performs legislatively mandated medical care quality assurance reviews and oversight of VA health care programs. The investigative
            function performs criminal and administrative investigations of improper and illegal activities involving VA operations, personnel,
            beneficiaries, and other parties.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0170â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  95
                  112
                  117
               
               
                  11.5
                  Other personnel compensation
                  7
                  9
                  9
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  102
                  121
                  126
               
               
                  12.1
                  Civilian personnel benefits
                  37
                  44
                  45
               
               
                  21.0
                  Employee Travel
                  6
                  7
                  7
               
               
                  23.1
                  Rental payments to GSA
                  3
                  8
                  7
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  2
                  1
                  3
               
               
                  25.2
                  Other services from non-Federal sources
                  15
                  14
                  13
               
               
                  26.0
                  Supplies and materials
                  1
                  1
                  1
               
               
                  31.0
                  Equipment
                  5
                  3
                  5
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  171
                  199
                  207
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  171
                  199
                  207
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0170â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  849
                  975
                  1,000
               
               
                  
                     
                  
               
            
         
      
         Information technology systems
         (including transfer of funds)For necessary expenses for information technology systems and telecommunications support, including developmental information
            systems and operational information systems; for pay and associated costs; and for the capital asset acquisition of information
            technology systems, including management and related contractual costs of said acquisitions, including contractual costs associated
            with operations authorized by section 3109 of title 5, United States Code,  $4,343,000,000, plus reimbursements: Provided, That  $1,204,238,000 shall be for pay and associated costs, of which not to exceed 3 percent shall remain available until September 30,  2021: Provided further, That  $2,737,482,000 shall be for operations and maintenance, of which not to exceed 5 percent shall remain available until September 30,  2021: Provided further, That  $401,280,000 shall be for information technology systems development, and shall remain available until September 30,  2021: Provided further, That amounts made available for salaries and expenses, operations and maintenance, and information technology systems development
            may be transferred among the three subaccounts after the Secretary of Veterans Affairs submits notice thereof to  the Committees on Appropriations of both Houses of Congress  : Provided further, That amounts made available for the "Information Technology Systems" account for development may be transferred among projects
            or to newly defined projects: Provided further, That no project may be increased or decreased by more than  $3,000,000 of cost prior to submitting notice thereof  to the Committees on Appropriations of both Houses of Congress .
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0167â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  Development
                  420
                  427
                  401
               
               
                  0002
                  Operations and maintenance
                  2,398
                  2,622
                  2,734
               
               
                  0003
                  Administrative and salaries
                  1,167
                  1,228
                  1,200
               
               
                  0004
                  P.L. 113â146, Sec. 801 - IT Support
                  94
                  25
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0799
                  Total direct obligations
                  4,079
                  4,302
                  4,335
               
               
                  0801
                  Development
                  11
                  
                  
               
               
                  0802
                  Operations and maintenance
                  16
                  
                  
               
               
                  0803
                  Administrative and salaries
                  19
                  
                  
               
               
                  0804
                  IT Systems, Reimbursable obligations
                  
                  63
                  73
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0899
                  Total reimbursable obligations
                  46
                  63
                  73
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  4,125
                  4,365
                  4,408
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  221
                  207
                  
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  17
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  238
                  207
                  
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  4,056
                  4,103
                  4,343
               
               
                  1120
                  Appropriations transferred to other accts [036â0169]
                  â8
                  â8
                  â8
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1160
                  Appropriation, discretionary (total)
                  4,048
                  4,095
                  4,335
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  46
                  63
                  73
               
               
                  1900
                  Budget authority (total)
                  4,094
                  4,158
                  4,408
               
               
                  1930
                  Total budgetary resources available
                  4,332
                  4,365
                  4,408
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  207
                  
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  2,097
                  1,904
                  2,109
               
               
                  3010
                  New obligations, unexpired accounts
                  4,125
                  4,365
                  4,408
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  18
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â4,225
                  â4,160
                  â4,059
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â17
                  
                  
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â94
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  1,904
                  2,109
                  2,458
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â1
                  â1
                  â1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â1
                  â1
                  â1
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  2,096
                  1,903
                  2,108
               
               
                  3200
                  Obligated balance, end of year
                  1,903
                  2,108
                  2,457
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  4,094
                  4,158
                  4,408
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  2,384
                  2,429
                  2,578
               
               
                  4011
                  Outlays from discretionary balances
                  1,730
                  1,668
                  1,408
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  4,114
                  4,097
                  3,986
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â51
                  â63
                  â73
               
               
                  4033
                  Non-Federal sources
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â52
                  â63
                  â73
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4052
                  Offsetting collections credited to expired accounts
                  6
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4060
                  Additional offsets against budget authority only (total)
                  6
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4070
                  Budget authority, net (discretionary)
                  4,048
                  4,095
                  4,335
               
               
                  4080
                  Outlays, net (discretionary)
                  4,062
                  4,034
                  3,913
               
               
                  
                  Mandatory:
               
               
                  
                  Outlays, gross:
               
               
                  4101
                  Outlays from mandatory balances
                  111
                  63
                  73
               
               
                  4180
                  Budget authority, net (total)
                  4,048
                  4,095
                  4,335
               
               
                  4190
                  Outlays, net (total)
                  4,173
                  4,097
                  3,986
               
               
                  
                     
                  
               
            
         
      
      
         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.â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.âThe Office of Information & Technology purchases, maintains, manages, and supports all the computer, phone, telecommunication,
            and data systems equipment and infrastructure for all VA facilities.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0167â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  687
                  761
                  736
               
               
                  11.1
                  Full-time permanent - Choice Act, P.L. 113â146, Sec. 801
                  6
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  693
                  761
                  736
               
               
                  12.1
                  Civilian personnel benefits
                  231
                  256
                  248
               
               
                  12.1
                  Civilian personnel benefits -Choice Act, P.L. 113â146, Sec. 801
                  2
                  
                  
               
               
                  21.0
                  Travel and transportation of persons
                  9
                  7
                  7
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  963
                  1,046
                  1,150
               
               
                  23.3
                  Communications/utilities - Choice Act, P.L. 113â146, Sec. 801
                  17
                  4
                  
               
               
                  25.2
                  Other services from non-Federal sources
                  1,594
                  1,661
                  1,618
               
               
                  25.2
                  Other services from non-Federal -Choice Act, P.L. 113â146, Sec. 801
                  14
                  3
                  
               
               
                  26.0
                  Supplies and materials
                  28
                  31
                  35
               
               
                  26.0
                  Supplies and materials - Choice Act, P.L. 113â146, Sec. 801
                  4
                  1
                  
               
               
                  31.0
                  Equipment
                  473
                  515
                  541
               
               
                  31.0
                  Equipment - Choice Act, P.L. 113â146, Sec. 801
                  50
                  17
                  
               
               
                  32.0
                  Land and structures - Choice Act, P.L. 113â146, Sec. 801
                  1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  4,079
                  4,302
                  4,335
               
               
                  99.0
                  Reimbursable obligations
                  46
                  63
                  73
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  4,125
                  4,365
                  4,408
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0167â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  6,995
                  7,435
                  7,435
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  157
                  154
                  140
               
               
                  
                     
                  
               
            
         
      
         Veterans Electronic Health RecordFor 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, and salaries and expenses of employees hired under titles 5 and 38, United States Code,  $1,603,000,000, to remain available until September 30,  2022 .
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1123â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0001
                  EHR Contract
                  487
                  720
                  1,106
               
               
                  0002
                  PMO Support
                  51
                  155
                  187
               
               
                  0003
                  Infrastructure Readiness
                  39
                  412
                  335
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  577
                  1,287
                  1,628
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  
                  205
                  25
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  782
                  1,107
                  1,603
               
               
                  1930
                  Total budgetary resources available
                  782
                  1,312
                  1,628
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  205
                  25
                  
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  
                  437
                  756
               
               
                  3010
                  New obligations, unexpired accounts
                  577
                  1,287
                  1,628
               
               
                  3020
                  Outlays (gross)
                  â140
                  â968
                  â1,345
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  437
                  756
                  1,039
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  
                  437
                  756
               
               
                  3200
                  Obligated balance, end of year
                  437
                  756
                  1,039
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  782
                  1,107
                  1,603
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  140
                  531
                  769
               
               
                  4011
                  Outlays from discretionary balances
                  
                  437
                  576
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  140
                  968
                  1,345
               
               
                  4180
                  Budget authority, net (total)
                  782
                  1,107
                  1,603
               
               
                  4190
                  Outlays, net (total)
                  140
                  968
                  1,345
               
               
                  
                     
                  
               
            
         
      
      
         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 the Department of Veterans Affairs (VA) to
            move toward a single common health record that has full integration between the Department of Defense 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.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1123â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  11.1
                  Personnel compensation: Full-time permanent
                  
                  5
                  30
               
               
                  12.1
                  Civilian personnel benefits
                  
                  3
                  8
               
               
                  21.0
                  Travel and transportation of persons
                  1
                  6
                  4
               
               
                  23.1
                  Rental payments to GSA
                  
                  3
                  
               
               
                  25.2
                  Other services from non-Federal sources
                  556
                  1,156
                  1,455
               
               
                  25.3
                  Other goods and services from Federal sources (FTE to OIT)
                  9
                  10
                  1
               
               
                  25.3
                  Other goods and services from Federal sources (FTE to VHA)
                  5
                  12
                  7
               
               
                  25.3
                  Other goods and services from Federal sources
                  
                  91
                  120
               
               
                  31.0
                  Equipment
                  6
                  1
                  
               
               
                  32.0
                  Land and structures
                  
                  
                  3
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.0
                  Direct obligations
                  577
                  1,287
                  1,628
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  577
                  1,287
                  1,628
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â1123â0â1â703
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  
                  170
                  231
               
               
                  
                     
                  
               
            
         
      
         National cemetery administrationFor 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,  $329,000,000, of which not to exceed 10 percent shall remain available until September 30,  2021.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
      Special and Trust Fund Receipts (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0129â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  0100
                  Balance, start of year
                  2
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  2000
                  Total: Balances and receipts
                  2
                  2
                  2
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  5099
                  Balance, end of year
                  2
                  2
                  2
               
               
                  
                     
                  
               
            
         
      
      Program and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0129â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0201
                  Operations and maintenance
                  309
                  319
                  329
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  5
                  5
                  2
               
               
                  1012
                  Unobligated balance transfers between expired and unexpired accounts
                  7
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  12
                  6
                  3
               
               
                  
                  Budget authority:
               
               
                  
                  Appropriations, discretionary:
               
               
                  1100
                  Appropriation
                  306
                  315
                  329
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  1
                  
                  
               
               
                  1900
                  Budget authority (total)
                  307
                  315
                  329
               
               
                  1930
                  Total budgetary resources available
                  319
                  321
                  332
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1940
                  Unobligated balance expiring
                  â5
                  
                  
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  5
                  2
                  3
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  63
                  70
                  58
               
               
                  3010
                  New obligations, unexpired accounts
                  309
                  319
                  329
               
               
                  3011
                  Obligations ("upward adjustments"), expired accounts
                  6
                  
                  
               
               
                  3020
                  Outlays (gross)
                  â296
                  â331
                  â293
               
               
                  3041
                  Recoveries of prior year unpaid obligations, expired
                  â12
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  70
                  58
                  94
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  63
                  70
                  58
               
               
                  3200
                  Obligated balance, end of year
                  70
                  58
                  94
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  307
                  315
                  329
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  241
                  266
                  249
               
               
                  4011
                  Outlays from discretionary balances
                  55
                  65
                  44
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  296
                  331
                  293
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â1
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4040
                  Offsets against gross budget authority  and outlays (total)
                  â1
                  
                  
               
               
                  4180
                  Budget authority, net (total)
                  306
                  315
                  329
               
               
                  4190
                  Outlays, net (total)
                  295
                  331
                  293
               
               
                  
                     
                  
               
            
         
      
      
         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 a number
            of 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 medallions commemorating the veterans's service that may be
            affixed to the privately purchased headstones or markers for veterans interred in private cemeteries; 5) providing presidential
            memorial certificates to family and friends of deceased veterans, recognizing the veterans' contribution and service to the
            Nation; 6) 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; 7) providing reimbursement caskets and urns
            for veterans' remains when there are no next of kin and insufficient resources; and 8) recording First Notice of Veteran Deaths
            into the Department of Veterans Affairs 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. 
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0129â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Direct obligations:
               
               
                  
                  Personnel compensation:
               
               
                  11.1
                  Full-time permanent
                  115
                  121
                  126
               
               
                  11.3
                  Other than full-time permanent
                  5
                  5
                  5
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  11.9
                  Total personnel compensation
                  120
                  126
                  131
               
               
                  12.1
                  Civilian personnel benefits
                  44
                  47
                  48
               
               
                  21.0
                  Travel and transportation of persons
                  3
                  4
                  4
               
               
                  22.0
                  Transportation of things
                  2
                  2
                  2
               
               
                  23.1
                  Rent
                  3
                  3
                  3
               
               
                  23.2
                  Rental payments to others
                  1
                  1
                  1
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  12
                  11
                  12
               
               
                  24.0
                  Printing and reproduction
                  1
                  2
                  2
               
               
                  25.2
                  Other services from non-Federal sources
                  99
                  102
                  105
               
               
                  26.0
                  Supplies and materials
                  12
                  13
                  13
               
               
                  31.0
                  Equipment
                  11
                  7
                  7
               
               
                  32.0
                  Land and structures
                  1
                  1
                  1
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  309
                  319
                  329
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â0129â0â1â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  1001
                  Direct civilian full-time equivalent employment
                  1,865
                  1,941
                  2,008
               
               
                  
                     
                  
               
            
         
      
         Supply FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4537â0â4â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0801
                  Reimbursable program-COGS-Merchandizing
                  535
                  320
                  320
               
               
                  0802
                  Reimbursable program-Other-Operations
                  243
                  345
                  345
               
               
                  0803
                  Reimbursable program-COGS-Printing and publications
                  8
                  20
                  20
               
               
                  0804
                  Reimbursable program-Other
                  29
                  437
                  437
               
               
                  0805
                  Reimbursable program-Equipment-Procurement services and distribution
                  717
                  934
                  916
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  0900
                  Total new obligations, unexpired accounts
                  1,532
                  2,056
                  2,038
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  496
                  200
                  244
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  118
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  614
                  200
                  244
               
               
                  
                  Budget authority:
               
               
                  
                  Spending authority from offsetting collections, mandatory:
               
               
                  1800
                  Collected
                  1,200
                  2,100
                  2,100
               
               
                  1801
                  Change in uncollected payments, Federal sources
                  â82
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1850
                  Spending auth from offsetting collections, mand (total)
                  1,118
                  2,100
                  2,100
               
               
                  1930
                  Total budgetary resources available
                  1,732
                  2,300
                  2,344
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  200
                  244
                  306
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  836
                  957
                  151
               
               
                  3010
                  New obligations, unexpired accounts
                  1,532
                  2,056
                  2,038
               
               
                  3020
                  Outlays (gross)
                  â1,293
                  â2,862
                  â2,079
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â118
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  957
                  151
                  110
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â1,005
                  â923
                  â923
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  82
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â923
                  â923
                  â923
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  â169
                  34
                  â772
               
               
                  3200
                  Obligated balance, end of year
                  34
                  â772
                  â813
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Mandatory:
               
               
                  4090
                  Budget authority, gross
                  1,118
                  2,100
                  2,100
               
               
                  
                  Outlays, gross:
               
               
                  4100
                  Outlays from new mandatory authority
                  
                  1,995
                  1,995
               
               
                  4101
                  Outlays from mandatory balances
                  1,293
                  867
                  84
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4110
                  Outlays, gross (total)
                  1,293
                  2,862
                  2,079
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4120
                  Federal sources
                  â1,090
                  â2,100
                  â2,100
               
               
                  4123
                  Non-Federal sources
                  â110
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4130
                  Offsets against gross budget authority and outlays (total)
                  â1,200
                  â2,100
                  â2,100
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4140
                  Change in uncollected pymts, Fed sources, unexpired
                  82
                  
                  
               
               
                  4170
                  Outlays, net (mandatory)
                  93
                  762
                  â21
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  93
                  762
                  â21
               
               
                  
                     
                  
               
            
         
      
      
         Under the provisions of 38 U.S.C. 8121, the Supply Fund is responsible for the operation and maintenance of a supply system
            for the Department of Veterans Affairs (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 customers.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4537â0â4â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Reimbursable obligations:
               
               
                  11.1
                  Personnel compensation: Full-time permanent
                  98
                  134
                  134
               
               
                  12.1
                  Civilian personnel benefits
                  32
                  
                  
               
               
                  21.0
                  Travel and transportation of persons
                  11
                  15
                  15
               
               
                  23.1
                  Rental payments to GSA
                  7
                  10
                  
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  13
                  18
                  10
               
               
                  24.0
                  Printing and reproduction
                  8
                  11
                  11
               
               
                  25.2
                  Other services from non-Federal sources
                  229
                  314
                  314
               
               
                  26.0
                  Supplies and materials
                  462
                  633
                  633
               
               
                  31.0
                  Equipment
                  672
                  921
                  921
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  1,532
                  2,056
                  2,038
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4537â0â4â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  957
                  1,115
                  1,135
               
               
                  
                     
                  
               
            
         
      
         Franchise FundProgram and Financing (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4539â0â4â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Obligations by program activity:
               
               
                  0801
                  Franchise Fund (Reimbursable)
                  1,062
                  1,079
                  1,094
               
               
                  
                     
                  
               
               
                  
                  Budgetary resources:
               
               
                  
                  Unobligated balance:
               
               
                  1000
                  Unobligated balance brought forward, Oct 1
                  115
                  24
                  24
               
               
                  1021
                  Recoveries of prior year unpaid obligations
                  38
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1050
                  Unobligated balance (total)
                  153
                  24
                  24
               
               
                  
                  Budget authority:
               
               
                  
                  Spending authority from offsetting collections, discretionary:
               
               
                  1700
                  Collected
                  891
                  1,079
                  1,094
               
               
                  1701
                  Change in uncollected payments, Federal sources
                  42
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  1750
                  Spending auth from offsetting collections, disc (total)
                  933
                  1,079
                  1,094
               
               
                  1930
                  Total budgetary resources available
                  1,086
                  1,103
                  1,118
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  1941
                  Unexpired unobligated balance, end of year
                  24
                  24
                  24
               
               
                  
                     
                  
               
               
                  
                  Change in obligated balance:
               
               
                  
                  Unpaid obligations:
               
               
                  3000
                  Unpaid obligations, brought forward, Oct 1
                  362
                  480
                  495
               
               
                  3010
                  New obligations, unexpired accounts
                  1,062
                  1,079
                  1,094
               
               
                  3020
                  Outlays (gross)
                  â906
                  â1,064
                  â1,090
               
               
                  3040
                  Recoveries of prior year unpaid obligations, unexpired
                  â38
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3050
                  Unpaid obligations, end of year
                  480
                  495
                  499
               
               
                  
                  Uncollected payments:
               
               
                  3060
                  Uncollected pymts, Fed sources, brought forward, Oct 1
                  â208
                  â250
                  â250
               
               
                  3070
                  Change in uncollected pymts, Fed sources, unexpired
                  â42
                  
                  
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  3090
                  Uncollected pymts, Fed sources, end of year
                  â250
                  â250
                  â250
               
               
                  
                  Memorandum (non-add) entries:
               
               
                  3100
                  Obligated balance, start of year
                  154
                  230
                  245
               
               
                  3200
                  Obligated balance, end of year
                  230
                  245
                  249
               
               
                  
                     
                  
               
               
                  
                  Budget authority and outlays, net:
               
               
                  
                  Discretionary:
               
               
                  4000
                  Budget authority, gross
                  933
                  1,079
                  1,094
               
               
                  
                  Outlays, gross:
               
               
                  4010
                  Outlays from new discretionary authority
                  429
                  809
                  820
               
               
                  4011
                  Outlays from discretionary balances
                  477
                  255
                  270
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  4020
                  Outlays, gross (total)
                  906
                  1,064
                  1,090
               
               
                  
                  Offsets against gross budget authority and outlays:
               
               
                  
                  Offsetting collections (collected) from:
               
               
                  4030
                  Federal sources
                  â891
                  â1,079
                  â1,094
               
               
                  
                  Additional offsets against gross budget authority only:
               
               
                  4050
                  Change in uncollected pymts, Fed sources, unexpired
                  â42
                  
                  
               
               
                  4080
                  Outlays, net (discretionary)
                  15
                  â15
                  â4
               
               
                  4180
                  Budget authority, net (total)
                  
                  
                  
               
               
                  4190
                  Outlays, net (total)
                  15
                  â15
                  â4
               
               
                  
                     
                  
               
            
         
      
      
         The Department of Veterans Affairs (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 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 109â114), permanent status was conferred upon the VA Franchise Fund.  The Franchise Fund concept is intended
            to increase competition for Government administrative services, resulting in lower costs and higher quality.
         
      
      Object Classification (in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4539â0â4â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  
                  Reimbursable obligations:
               
               
                  11.1
                  Personnel compensation: Full-time permanent
                  109
                  135
                  150
               
               
                  12.1
                  Civilian personnel benefits
                  36
                  44
                  49
               
               
                  21.0
                  Travel and transportation of persons
                  3
                  3
                  2
               
               
                  23.1
                  Rental payments to GSA
                  9
                  9
                  9
               
               
                  23.3
                  Communications, utilities, and miscellaneous charges
                  119
                  128
                  128
               
               
                  24.0
                  Printing and reproduction
                  6
                  6
                  6
               
               
                  25.2
                  Other services from non-Federal sources
                  692
                  716
                  717
               
               
                  26.0
                  Supplies and materials
                  3
                  9
                  8
               
               
                  31.0
                  Equipment
                  85
                  29
                  25
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  99.9
                  Total new obligations, unexpired accounts
                  1,062
                  1,079
                  1,094
               
               
                  
                     
                  
               
            
         
      
      Employment Summary
      
         
            
               
                  
                     
                  
               
               
                  Identification code 036â4539â0â4â705
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  2001
                  Reimbursable civilian full-time equivalent employment
                  1,383
                  1,928
                  2,140
               
               
                  
                     
                  
               
            
         
      
         ADMINISTRATIVE PROVISIONS'
      			
      (including transfer of funds)SEC. 201. Any appropriation for fiscal year  2020 for "Compensation and Pensions", "Readjustment Benefits", and "Veterans Insurance and Indemnities" may be transferred as necessary
      to any other of the mentioned appropriations: Provided, That, before a transfer may take place, the Secretary of Veterans Affairs shall  submit notice thereof to the Committees on Appropriations of both Houses of Congress .'
      			
      (including transfer of funds)SEC. 202. Amounts made available for the Department of Veterans Affairs for fiscal year  2020, in this or any other Act, under the "Medical Services", "Medical Community Care", "Medical Support and Compliance", and
      "Medical Facilities" accounts may be transferred among the accounts: Provided, That  before a transfer may take place, the Secretary of Veterans Affairs shall submit notice thereof to the Committees on Appropriations
         of both Houses of Congress of the amount and purpose of the transfer.SEC. 203. Appropriations available in this title for salaries and expenses shall be available for services authorized by section 3109
      of title 5, United States Code; hire of passenger motor vehicles; lease of a facility or land or both; and uniforms or allowances
      therefore, as authorized by sections 5901 through 5902 of title 5, United States Code.SEC. 204. No appropriations in this title (except the appropriations for "Construction, Major Projects", and "Construction, Minor Projects")
      shall be available for the purchase of any site for or toward the construction of any new hospital or home.SEC. 205. No appropriations in this title shall be available for hospitalization or examination of any persons (except beneficiaries
      entitled to such hospitalization or examination under the laws providing such benefits to veterans, and persons receiving
      such treatment under sections 7901 through 7904 of title 5, United States Code, or the Robert T. Stafford Disaster Relief
      and Emergency Assistance Act (42 U.S.C. 5121 et seq.)), unless reimbursement of the cost of such hospitalization or examination
      is made to the "Medical Services" account at such rates as may be fixed by the Secretary of Veterans Affairs.SEC. 206. Appropriations available in this title for "Compensation and Pensions", "Readjustment Benefits", and "Veterans Insurance and
      Indemnities" shall be available for payment of prior year accrued obligations required to be recorded by law against the corresponding
      prior year accounts within the last quarter of fiscal year  2019.SEC. 207. Appropriations available in this title shall be available to pay prior year obligations of corresponding prior year appropriations
      accounts resulting from sections 3328(a), 3334, and 3712(a) of title 31, United States Code, except that if such obligations
      are from trust fund accounts they shall be payable only from "Compensation and Pensions".'
      			
      (including transfer of funds)SEC. 208. Notwithstanding any other provision of law, during fiscal year  2020, the Secretary of Veterans Affairs shall, from the National Service Life Insurance Fund under section 1920 of title 38, United
      States Code, the Veterans' Special Life Insurance Fund under section 1923 of title 38, United States Code, and the United
      States Government Life Insurance Fund under section 1955 of title 38, United States Code, reimburse the "General Operating
      Expenses, Veterans Benefits Administration" and "Information Technology Systems" accounts for the cost of administration of
      the insurance programs financed through those accounts: Provided, That reimbursement shall be made only from the surplus earnings accumulated in such an insurance program during fiscal year
       2020 that are available for dividends in that program after claims have been paid and actuarially determined reserves have been
      set aside: Provided further, That if the cost of administration of such an insurance program exceeds the amount of surplus earnings accumulated in that
      program, reimbursement shall be made only to the extent of such surplus earnings: Provided further, That the Secretary shall determine the cost of administration for fiscal year  2020 which is properly allocable to the provision of each such insurance program and to the provision of any total disability
      income insurance included in that insurance program.SEC. 209. Amounts deducted from enhanced-use lease proceeds to reimburse an account for expenses incurred by that account during a prior
      fiscal year for providing enhanced-use lease services, may be obligated during the fiscal year in which the proceeds are received.'
      			
      (INCLUDING TRANSFER OF FUNDS)SEC. 210. Funds available in this title or funds for salaries and other administrative expenses shall also be available to reimburse
      the Office of Resolution Management, the Office of Employment Discrimination Complaint Adjudication,  and the Office of Diversity and Inclusion for all services provided at rates which will recover actual costs but not to exceed
       $57,263,000 for the Office of Resolution Management,  $6,000,000 for the Office of Employment Discrimination Complaint Adjudication, , and  $4,628,000 for the Office of Diversity and Inclusion: Provided, That payments may be made in advance for services to be furnished based on estimated costs: Provided further, That amounts received shall be credited to the "General Administration" and "Information Technology Systems" accounts for
      use by the office that provided the service.SEC. 211. No funds of the Department of Veterans Affairs shall be available for hospital care, nursing home care, or medical services
      provided to any person under chapter 17 of title 38, United States Code, for a non-service-connected disability described
      in section 1729(a)(2) of such title, unless that person has disclosed to the Secretary of Veterans Affairs, in such form as
      the Secretary may require, current, accurate third-party reimbursement information for purposes of section 1729 of such title:
      Provided, That the Secretary may recover, in the same manner as any other debt due the United States, the reasonable charges for such
      care or services from any person who does not make such disclosure as required: Provided further, That any amounts so recovered for care or services provided in a prior fiscal year may be obligated by the Secretary during
      the fiscal year in which amounts are received.'
      			
      (including transfer of funds)SEC. 212. Notwithstanding any other provision of law, proceeds or revenues derived from enhanced-use leasing activities (including disposal)
      may be deposited into the "Construction, Major Projects" and "Construction, Minor Projects" accounts and be used for construction
      (including site acquisition and disposition), alterations, and improvements of any medical facility under the jurisdiction
      or for the use of the Department of Veterans Affairs. Such sums as realized are in addition to the amount provided for in
      "Construction, Major Projects" and "Construction, Minor Projects".SEC. 213. Amounts made available under "Medical Services" are availableâ
      (1) for furnishing recreational facilities, supplies, and equipment; and
      (2) for funeral expenses, burial expenses, and other expenses incidental to funerals and burials for beneficiaries receiving care
         in the Department.
      '
      			
      (including transfer of funds)SEC. 214. Such sums as may be deposited  in the Medical Care Collections Fund pursuant to section 1729A of title 38, United States Code, may be transferred to the "Medical
      Services" and "Medical Community Care" accounts to remain available until expended for the purposes of these accounts.SEC. 215. The Secretary of Veterans Affairs may enter into agreements with Federally Qualified Health Centers in the State of Alaska
      and Indian tribes and tribal organizations which are party to the Alaska Native Health Compact with the Indian Health Service,
      to provide healthcare, including behavioral health and dental care, to veterans in rural Alaska. The Secretary shall require
      participating veterans and facilities to comply with all appropriate rules and regulations, as established by the Secretary.
      The term "rural Alaska" shall mean those lands which are not within the boundaries of the municipality of Anchorage or the
      Fairbanks North Star Borough.'
      			
      (including transfer of funds)SEC. 216. Such sums as may be deposited to the Department of Veterans Affairs Capital Asset Fund pursuant to section 8118 of title 38,
      United States Code, may be transferred to the "Construction, Major Projects" and "Construction, Minor Projects" accounts,
      to remain available until expended for the purposes of these accounts.SEC. 217. Not later than 30 days after the end of each fiscal quarter, the Secretary of Veterans Affairs shall submit to the Committees
      on Appropriations of both Houses of Congress a report on the financial status of the Department of Veterans Affairs for the
      preceding quarter: Provided, That, at a minimum, the report shall include the direction contained in the paragraph entitled "Quarterly reporting", under
      the heading "General Administration" in the joint explanatory statement accompanying Public Law 114â223.'
      			
      (including transfer of funds)SEC. 218. Amounts made available under the "Medical Services", "Medical Community Care", "Medical Support and Compliance", "Medical
      Facilities", "General Operating Expenses, Veterans Benefits Administration", "Board of Veterans Appeals", "General Administration",
      and "National Cemetery Administration" accounts for fiscal year  2020 may be transferred to or from the "Information Technology Systems" account: Provided, That such transfers may not result in a more than 10 percent aggregate increase in the total amount made available by this
      Act for the "Information Technology Systems" account: Provided further, That, before a transfer may take place, the Secretary of Veterans Affairs shall  submit notice thereof to the Committees on Appropriations of both Houses of Congress .'
      			
      (including transfer of funds)SEC. 219. Of the amounts appropriated to the Department of Veterans Affairs for fiscal year  2020 for "Medical Services", "Medical Community Care", "Medical Support and Compliance", "Medical Facilities", "Construction,
      Minor Projects", and "Information Technology Systems", up to  $314,409,000, plus reimbursements, may be transferred to the Joint Department of DefenseâDepartment of Veterans Affairs Medical Facility
      Demonstration Fund, established by section 1704 of the National Defense Authorization Act for Fiscal Year 2010 (Public Law
      111â84; 123 Stat.  2571) and may be used for operation of the facilities designated as combined Federal medical facilities as described by section
      706 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110â417; 122 Stat. 4500): Provided, That additional funds may be transferred from accounts designated in this section to the Joint Department of DefenseâDepartment
      of Veterans Affairs Medical Facility Demonstration Fund upon written notification by the Secretary of Veterans Affairs to
      the Committees on Appropriations of both Houses of Congress: Provided further, That section 220 of title II of division  C of Public Law  115â244 is repealed.'
      			
      (including transfer of funds)SEC. 220. Of the amounts appropriated to the Department of Veterans Affairs which become available on October 1,  2020, for "Medical Services", "Medical Community Care", "Medical Support and Compliance", and "Medical Facilities", up to  $322,931,000, plus reimbursements, may be transferred to the Joint Department of DefenseâDepartment of Veterans Affairs Medical Facility
      Demonstration Fund, established by section 1704 of the National Defense Authorization Act for Fiscal Year 2010 (Public Law
      111â84; 123 Stat. 3571) and may be used for operation of the facilities designated as combined Federal medical facilities
      as described by section 706 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110â417;
      122 Stat. 4500): Provided, That additional funds may be transferred from accounts designated in this section to the Joint Department of DefenseâDepartment
      of Veterans Affairs Medical Facility Demonstration Fund upon written notification by the Secretary of Veterans Affairs to
      the Committees on Appropriations of both Houses of Congress.'
      			
      (including transfer of funds)SEC. 221. Such sums as may be deposited to the Medical Care Collections Fund pursuant to section 1729A of title 38, United States Code,
      for healthcare provided at facilities designated as combined Federal medical facilities as described by section 706 of the
      Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110â417; 122 Stat. 4500) shall also be available:
      (1) for transfer to the Joint Department of DefenseâDepartment of Veterans Affairs Medical Facility Demonstration Fund, established
      by section 1704 of the National Defense Authorization Act for Fiscal Year 2010 (Public Law 111â84; 123 Stat. 3571); and (2)
      for operations of the facilities designated as combined Federal medical facilities as described by section 706 of the Duncan
      Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110â417; 122 Stat. 4500): Provided, That, notwithstanding section 1704(b)(3) of the National Defense Authorization Act for Fiscal Year 2010 (Public Law 111â84;
      123 Stat. 2573), amounts transferred to the Joint Department of DefenseâDepartment of Veterans Affairs Medical Facility Demonstration
      Fund shall remain available until expended.'
      			
      (including transfer of funds)SEC. 222. Of the amounts available in this title for "Medical Services", "Medical Community Care", "Medical Support and Compliance",
      and "Medical Facilities", a minimum of $15,000,000 shall be transferred to the DOD-VA Health Care Sharing Incentive Fund,
      as authorized by section 8111(d) of title 38, United States Code, to remain available until expended, for any purpose authorized
      by section 8111 of title 38, United States Code.'
      			
      (including transfer of funds)SEC. 223. The Secretary of Veterans Affairs, upon determination that such action is necessary to address needs of the Veterans Health
      Administration, may transfer to the "Medical Services" account any discretionary appropriations made available for fiscal
      year  2020 in this title (except appropriations made to the "General Operating Expenses, Veterans Benefits Administration" account)
      or any discretionary unobligated balances within the Department of Veterans Affairs, including those appropriated for fiscal
      year  2020, that were provided in advance by appropriations Acts: Provided, That transfers shall be made only with the approval of the Office of Management and Budget: Provided further, That the transfer authority provided in this section is in addition to any other transfer authority provided by law: Provided further, That no amounts may be transferred from amounts that were designated by Congress as an emergency requirement pursuant to
      a concurrent resolution on the budget or the Balanced Budget and Emergency Deficit Control Act of 1985: Provided further, That such authority to transfer may not be used unless for higher priority items, based on emergent healthcare requirements,
      than those for which originally appropriated and in no case where the item for which funds are requested has been denied by
      Congress: Provided further, That, upon determination that all or part of the funds transferred from an appropriation are not necessary, such amounts
      may be transferred back to that appropriation and shall be available for the same purposes as originally appropriated: Provided further, That before a transfer may take place, the Secretary of Veterans Affairs shall  submit notice thereof to the Committees on Appropriations of both Houses of Congress .'
      			
      (including transfer of funds)SEC. 224. Amounts made available for the Department of Veterans Affairs for fiscal year  2020, under the "Board of Veterans Appeals" and the "General Operating Expenses, Veterans Benefits Administration" accounts may
      be transferred between such accounts: Provided, That before a transfer may take place, the Secretary of Veterans Affairs shall  submit notice thereof to the Committees on Appropriations of both Houses of Congress .SEC. 225. (a) Notwithstanding any other provision of law, the amounts appropriated or otherwise made available to the Department of Veterans
      Affairs for the "Medical Services" account may be used to provideâ
      (1) fertility counseling and treatment using assisted reproductive technology to a covered veteran or the spouse of a covered
         veteran; or
      
      (2) adoption reimbursement to a covered veteran.
      (b) In this section:
         (1) The term "service-connected" has the meaning given such term in section 101 of title 38, United States Code.
         (2) The term "covered veteran" means a veteran, as such term is defined in section 101 of title 38, United States Code, who has
            a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment.
         
         (3) The term "assisted reproductive technology" means benefits relating to reproductive assistance provided to a member of the
            Armed Forces who incurs a serious injury or illness on active duty pursuant to section 1074(c)(4)(A) of title 10, United States
            Code, as described in the memorandum on the subject of "Policy for Assisted Reproductive Services for the Benefit of Seriously
            or Severely Ill/Injured (Category II or III) Active Duty Service Members" issued by the Assistant Secretary of Defense for
            Health Affairs on April 3, 2012, and the guidance issued to implement such policy, including any limitations on the amount
            of such benefits available to such a member except thatâ
            (A) the time periods regarding embryo cryopreservation and storage set forth in part III(G) and in part IV(H) of such memorandum
               shall not apply; and
            
            (B) such term includes embryo cryopreservation and storage without limitation on the duration of such cryopreservation and storage.
         
         (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, 2018 (Public Law 115â141).
      SEC. 226. Of the funds provided to the Department of Veterans Affairs for each of fiscal year  2020 and fiscal year  2021 for "Medical Services", funds may be used in each year to carry out and expand the child care program authorized by section
      205 of Public Law 111â163, notwithstanding subsection (e) of such section.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)
         General and Administrative Provisions
         GENERAL FUND RECEIPT ACCOUNTS(in millions of dollars)
      
         
            
               
                  
                     
                  
               
               
                  
                  2018 actual
                  2019 est.
                  2020 est.
               
               
                  
                     
                  
               
               
                  Offsetting receipts from the public:
               
               
                  036â143500
                  General Fund Proprietary Interest Receipts, not Otherwise Classified
                  4
                  6
                  7
               
               
                  036â247300
                  Contributions from Military Personnel, Veteran's Educational Assistance Act of 1984
                  134
                  116
                  101
               
               
                  036â273330
                  Housing Downward Reestimates
                  2,475
                  3,496
                  
               
               
                  036â275110
                  Native American Veteran Housing Loans, Negative Subsidies
                  1
                  1
                  1
               
               
                  036â275510
                  Housing Negative Subsidies
                  
                  2
                  475
               
               
                  036â322000
                  All Other General Fund Proprietary Receipts Including Budget Clearing Accounts
                  48
                  50
                  51
               
               
                  General Fund Offsetting receipts from the public
                  2,662
                  3,671
                  635
               
               
                  
                     
                  
               
               
                  
               
               
                  Intragovernmental payments:
               
               
                  036â388500
                  Undistributed Intragovernmental Payments and Receivables from Cancelled Accounts
                  1
                  3
                  5
               
               
                  
                  
                  
                     
                  
                  
                     
                  
                  
                     
                  
               
               
                  General Fund Intragovernmental payments
                  1
                  3
                  5
               
               
                  
                     
                  
               
            
         
      
      
          
      
         TITLE IVâGENERAL PROVISIONS
         General provisionsSEC. 501. No part of any appropriation contained in this Act shall remain available for obligation beyond the current fiscal year unless
      expressly so provided herein.SEC. 502. None of the funds made available in this Act may be used for any program, project, or activity, when it is made known to the
      Federal entity or official to which the funds are made available that the program, project, or activity is not in compliance
      with any Federal law relating to risk assessment, the protection of private property rights, or unfunded mandates.SEC. 503. Unless stated otherwise, all reports and notifications required by this Act shall be submitted to the Subcommittee on Military
      Construction and Veterans Affairs, and Related Agencies of the Committee on Appropriations of the House of Representatives
      and the Subcommittee on Military Construction and Veterans Affairs, and Related Agencies of the Committee on Appropriations
      of the Senate.SEC. 504. None of the funds made available in this Act may be transferred to any department, agency, or instrumentality of the United
      States Government except pursuant to a transfer made by, or transfer authority provided in, this or any other appropriations
      Act.SEC. 505. None of the funds made available in this Act may be used for a project or program named for an individual serving as a Member,
      Delegate, or Resident Commissioner of the United States House of Representatives.SEC. 506. (a) None of the funds made available in this Act may be used to maintain or establish a computer network unless such network blocks
      the viewing, downloading, and exchanging of pornography.
      (b) Nothing in subsection (a) shall limit the use of funds necessary for any Federal, State, tribal, or local law enforcement
         agency or any other entity carrying out criminal investigations, prosecution, or adjudication activities.
      SEC. 507. None of the funds made available in this Act may be used by an agency of the executive branch to pay for first-class travel
      by an employee of the agency in contravention of sections 301â10.122 through 301â10.124 of title 41, Code of Federal Regulations.SEC. 508. None of the funds made available in this Act may be used to execute a contract for goods or services, including construction
      services, where the contractor has not complied with Executive Order No. 12989.
      (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2019.)