[Appendix]
[Detailed Budget Estimates by Agency]
[Department of Veterans Affairs]
[From the U.S. Government Publishing Office, www.gpo.gov]
<h1>DEPARTMENT OF VETERANS AFFAIRS</h1>
DEPARTMENT OF VETERANS AFFAIRS
Veterans Health Administration
Federal Funds
MEDICAL SERVICES
For necessary expenses for furnishing, as authorized by law, inpatient and outpatient care and treatment to beneficiaries
of the Department of Veterans Affairs and veterans described in section 1705(a) of title 38, United States Code, including
care and treatment in facilities not under the jurisdiction of the Department, and including medical supplies and equipment,
bioengineering services, food services, and salaries and expenses of healthcare employees hired under title 38, United States
Code, assistance and support services for caregivers as authorized by section 1720G of title 38, United States Code, loan
repayments authorized by section 604 of the Caregivers and Veterans Omnibus Health Services Act of 2010 (Public Law 111–163;
124 Stat. 1174; 38 U.S.C. 7681 note), monthly assistance allowances authorized by section 322(d) of title 38, United States
Code, grants authorized by section 521A of title 38, United States Code, and administrative expenses necessary to carry out
sections 322(d) and 521A of title 38, United States Code, and hospital care and medical services authorized by section 1787
of title 38, United States Code; $70,323,116,000, plus reimbursements, shall become available on October 1, 2022, and shall remain available until September 30, 2023: Provided, That, of the amount made available on October 1, 2022, under this heading, $1,500,000,000 shall remain available until September 30, 2024: 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, 2021.)
Special and Trust Fund Receipts (in millions of dollars)
Identification code 036–0160–0–1–703
2020 actual
2021 est.
2022 est.
0100
Balance, start of year
338
219
219
0198
Reconciliation adjustment
1
0199
Balance, start of year
339
219
219
Receipts:
Current law:
1130
Pharmaceutical Co-payments, MCCF
274
185
390
1130
Medical Care Collections Fund, Third Party Prescription Claims
144
151
191
1130
Enhanced-use Lease Proceeds, MCCF
1
1
1
1130
Fee Basis 3rd Party MCCF
552
476
602
1130
Fee Basis First Party Collections, Medical Care Collections Fund
13
11
21
1130
First Party Collections, MCCF
110
41
170
1130
Third Party Collections, MCCF
2,161
2,041
2,649
1130
Parking Fees, MCCF
4
3
3
1130
Compensated Work Therapy, MCCF
48
54
54
1130
MCCF, Long-term Care Copayments
1
1
2
1140
Payments from Compensation and Pension, MCCF
2
2
2
1199
Total current law receipts
3,310
2,966
4,085
1999
Total receipts
3,310
2,966
4,085
2000
Total: Balances and receipts
3,649
3,185
4,304
Appropriations:
Current law:
2101
Medical Care Collections Fund
–3,429
–2,966
–4,085
5098
Rounding adjustment
–1
5099
Balance, end of year
219
219
219
Program and Financing (in millions of dollars)
Identification code 036–0160–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Outpatient care
21,067
22,101
25,031
0002
Inpatient care
8,925
8,913
6,361
0004
Mental health care
6,429
9,428
10,701
0005
Long-term care
3,955
3,937
4,133
0006
Pharmacy
8,149
9,378
9,299
0007
Prosthetics care
3,154
3,963
4,934
0008
Dental care
691
481
919
0009
Rehabilitation
783
769
765
0010
Homeless Grants
1,165
974
704
0011
Readjustment Counseling
198
217
264
0012
Caregivers (Title I) P.L. 111–163
400
998
1,348
0013
Prior-Year Recoveries
86
0014
CHAMPVA
381
378
489
0015
Outpatient care (ARP P.L. 117–2, Section 8007)
628
0091
Total operating expenses
55,383
61,537
65,576
0101
Outpatient care
1,104
1,640
0102
Inpatient care
324
474
0103
Mental health care
60
61
0104
Long-term care
343
395
0105
Pharmacy
31
38
0107
Dental care
45
45
0108
Rehabilitation
8
8
0109
Readjustment Counseling
24
20
0113
Prior-Year Recoveries
11
0191
Total Capital Investment
1,950
2,681
0799
Total direct obligations
57,333
64,218
65,576
0801
Medical Services (Reimbursable)
124
124
124
0900
Total new obligations, unexpired accounts
57,457
64,342
65,700
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
2,107
12,485
3,473
1001
Discretionary unobligated balance brought fwd, Oct 1
2,082
12,460
1010
Unobligated balance transfer to other accts [036–0140]
–3,400
1010
Unobligated balance transfer to other accts [036–0152]
–75
1010
Unobligated balance transfer to other accts [036–0162]
–100
1021
Recoveries of prior year unpaid obligations
97
1050
Unobligated balance (total)
2,204
8,910
3,473
Budget authority:
Appropriations, discretionary:
1100
Appropriation
14,462
497
1120
Appropriations transferred to other acct [036–0152]
–150
1120
Appropriations transferred to other acct [036–0140]
–100
1120
Appropriations transferred to other acct [036–0151]
–338
1120
Appropriations transferred to other acct [036–1122]
–1
1120
Appropriations transferred to other acct [036–0129]
–12
1120
Appropriations transferred to other acct [036–4014]
–140
1120
Appropriations transferred to other acct [036–0167]
–45
1121
Appropriations transferred from other acct [036–5287]
2,846
2,465
3,445
1131
Unobligated balance of appropriations permanently reduced
–350
–100
1160
Appropriation, discretionary (total)
16,808
2,226
3,445
Advance appropriations, discretionary:
1170
Advance appropriation
51,411
56,158
58,897
1172
Advance appropriations transferred to other accounts [036–0165]
–15
–15
–15
1172
Advance appropriations transferred to other accounts [036–0169]
–210
–216
–204
1172
Advance appropriations transferred to other accounts [036–0152]
–375
1180
Advanced appropriation, discretionary (total)
50,811
55,927
58,678
Appropriations, mandatory:
1200
Appropriation [P.L. 117–2, Section 8007]
628
Spending authority from offsetting collections, discretionary:
1700
Collected
111
111
111
1701
Change in uncollected payments, Federal sources
13
13
13
1750
Spending auth from offsetting collections, disc (total)
124
124
124
1900
Budget authority (total)
67,743
58,905
62,247
1930
Total budgetary resources available
69,947
67,815
65,720
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–5
1941
Unexpired unobligated balance, end of year
12,485
3,473
20
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
6,111
7,542
13,316
3010
New obligations, unexpired accounts
57,457
64,342
65,700
3011
Obligations ("upward adjustments"), expired accounts
117
3020
Outlays (gross)
–55,655
–58,568
–64,951
3040
Recoveries of prior year unpaid obligations, unexpired
–97
3041
Recoveries of prior year unpaid obligations, expired
–391
3050
Unpaid obligations, end of year
7,542
13,316
14,065
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–4
–15
–28
3070
Change in uncollected pymts, Fed sources, unexpired
–13
–13
–13
3071
Change in uncollected pymts, Fed sources, expired
2
3090
Uncollected pymts, Fed sources, end of year
–15
–28
–41
Memorandum (non-add) entries:
3100
Obligated balance, start of year
6,107
7,527
13,288
3200
Obligated balance, end of year
7,527
13,288
14,024
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
67,743
58,277
62,247
Outlays, gross:
4010
Outlays from new discretionary authority
48,729
50,777
53,916
4011
Outlays from discretionary balances
6,919
7,787
10,466
4020
Outlays, gross (total)
55,648
58,564
64,382
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–106
–42
–42
4033
Non-Federal sources
–219
–69
–69
4040
Offsets against gross budget authority and outlays (total)
–325
–111
–111
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–13
–13
–13
4052
Offsetting collections credited to expired accounts
214
4060
Additional offsets against budget authority only (total)
201
–13
–13
4070
Budget authority, net (discretionary)
67,619
58,153
62,123
4080
Outlays, net (discretionary)
55,323
58,453
64,271
Mandatory:
4090
Budget authority, gross
628
Outlays, gross:
4101
Outlays from mandatory balances
7
4
569
4180
Budget authority, net (total)
67,619
58,781
62,123
4190
Outlays, net (total)
55,330
58,457
64,840
Summary of Budget Authority and Outlays (in millions of dollars)
2020 actual
2021 est.
2022 est.
Enacted/requested:
Budget Authority
67,619
58,781
62,123
Outlays
55,330
58,457
64,840
Legislative proposal, subject to PAYGO:
Budget Authority
260
Outlays
30
Total:
Budget Authority
67,619
58,781
62,383
Outlays
55,330
58,457
64,870
Medical Care.— In 2022, the Administration requests an additional $3.3 billion over the 2022 advance appropriation of $94.2 billion for
the Department of Veterans Affairs (VA) Medical Care programs, 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 healthcare 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 healthcare system.
In 2022, the Budget makes robust investments in VA Medical Care programs, including: $2.1 billion for veterans' homelessness
programs; $542 million for veteran suicide prevention initiatives; and over $500 million to begin implementing new and recently
expanded healthcare programs for veterans. The Budget also includes $621 million for VA's Opioid Prevention and Treatment
programs, including programs in support of the Jason Simcakoski Memorial and Promise Act.
For 2023, the Budget requests $111.3 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 2022 and 2023, VA will provide the highest quality healthcare services for veterans. VA estimates
it will treat 7.1 million patients in 2022 and 7.1 million patients in 2023. Operation Enduring Freedom, Operation Iraqi Freedom,
and Operation New Dawn (OEF/OIF/OND) veterans are expected to be 1,236,559 in 2022 (17.5 percent of the total) and 1,303,055
in 2023 (18.3 percent of the total).
Medical Care Collections Fund (MCCF).—VA estimates collections of nearly $3.0 billion in 2021 and $4.1 billion in 2022, representing about three percent of available
Medical Care resources in 2021 and four percent of available Medical Care resources in 2022. VA has the authority to collect
inpatient and outpatient co-payments, medication co-payments, and nursing home co-payments; authority for certain income verification;
authority to recover third-party insurance payments from veterans for nonservice-connected conditions; and authority to collect
revenue from enhanced use leases. These collections also include those collected from the Compensated Work Therapy Program,
Compensation and Living Expenses Program, and the Parking Program.
Medical Services.—For Medical Services, the Budget reflects the following discretionary appropriation funding: the 2021 advance appropriation
of $56.2 billion, together with an annual appropriation of $497.5 million and a $100 million rescission of unobligated balances
included in the Consolidated Appropriations Act, 2021 (Public Law 116–260); the 2022 enacted advance appropriation of $58.9
billion; and the 2023 advance appropriation request of $70.3 billion. This appropriation provides for the component of VA's
comprehensive, integrated healthcare delivery system that addresses the needs of eligible veterans and beneficiaries in VA
facilities.
WORKLOAD
Estimated obligations and workload for seven categories of healthcare services are shown below: outpatient care, inpatient
care, mental healthcare, 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, and the Camp Lejeune Family Member. Estimated obligations and workload reflect care in total provided
through the Medical Services and Medical Community Care appropriations, as applicable.
Ambulatory Care (Outpatient care) .—Obligations for 2022 are estimated to be $39,584 million for Medical Services and Medical Community Care for this health
service category, which includes funding for ambulatory care in VA facilities and in the community.
Estimated operating levels are:
Number of Outpatient Visits
2020 actual
2021 est.
2022 est.
VA
81,018,256
84,669,689
88,321,123
Community Care
31,253,539
28,215,494
28,601,659
Total
112,271,795
112,885,183
116,922,782
Inpatient care.—Obligations for 2022 are estimated to be $17,622 million for Medical Services and Medical Community Care.
Estimated operating levels are:
Number of Patients Treated, Inpatient
2020 actual
2021 est.
2022est.
Acute Hospital, Medicine
303,377
332,313
331,252
Acute Hospital, Neurology
3,349
3,772
3,320
Acute Hospital, Surgery
67,050
76,765
72,151
Acute Hospital (Community Care)
435,780
263,520
274,288
Subacute (Intermediate)
1,107
969
825
Total
810,663
677,339
681,836
Mental health care.—Obligations for 2022 are estimated to be $11,491 million for Medical Services and Medical Community Care for the inpatient,
residential, and outpatient care of veterans with conditions related to mental illness, including alcohol and other substance
use disorders. 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
2020 actual
2021 est.
2022 est.
Acute Psychiatry
1,876
1,816
1,758
Acute Psychiatry (Community Care)
194
186
174
Residential Recovery Programs
3,825
3,616
3,341
Total
5,896
5,618
5,273
Long term services and supports (LTSS).—Obligations for 2022 are estimated to be $8,090 million for Medical Services and Medical Community Care 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 healthcare 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
2020 actual
2021 est.
2022 est.
VA Community Living Center (Nursing Home)
7,808
8,480
8,374
Community Nursing Home
11,490
11,090
11,566
Total
19,298
19,570
19,940
LTSS Home & Community-Based Services: Number of Visits/Procedures
2020 actual
2021 est.
2022 est.
Community Adult Day Health Care
453,565
538,723
588,072
Community Residential Care
42,082
61,949
76,413
Home Hospice Care
329,206
421,571
526,361
Home Respite Care
16,077
19,134
21,574
Home Telehealth
823,999
796,992
773,112
Home-Based Primary Care
1,179,214
1,484,756
1,760,997
Homemaker/Home Health Aide Programs
7,496,511
11,376,922
14,535,236
Purchased Skilled Home Care
130,733
148,642
162,427
Spinal Cord Injury Home Care
18,385
20,734
23,248
State Adult Day Health Care
7,602
8,248
8,737
VA Adult Day Health Care
50,337
69,752
80,331
Total
10,547,711
14,947,423
18,556,508
Prosthetics care.—Obligations in Medical Services for 2022 are estimated to be $4,934 million for veterans. Prosthetic and Sensory Aids Service
is an integrated delivery system designed to provide medically prescribed prosthetic and sensory aids, medical devices, assistive
aids, repairs and services to eligible disabled veterans to maximize their independence and enhance their quality of life.
This includes, but is not limited to, artificial limbs, hearing aids, and home oxygen; items that improve accessibility such
as ramps and vehicle modifications, wheelchairs and mobility aids; and devices surgically placed in the veteran, such as stents.
Dental care.—Obligations for 2022 are estimated to be $1,374 million for Medical Services and Medical Community Care 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:
Number of Procedures
2020 actual
2021 est.
2022 est.
VA
3,120,000
4,303,000
5,486,000
Community Care
522,000
768,000
1,015,000
Total
3,641,000
5,071,000
6,501,000
Rehabilitation.—Obligations for 2022 are estimated to be $825 million for Medical Services 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
2020 actual
2021 est.
2022 est.
Rehabilitative Medicine
74
147
146
Blind Rehabilitation
192
241
240
Spinal Cord Injury
625
716
715
Total
891
1,104
1,101
Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and other Dependent Programs.—Obligations for 2022 are estimated to be $2,206 million for Medical Services and Medical Community Care for pharmacy and
medical service personnel for CHAMPVA and other dependent programs.
Estimated operating levels are:
Number of Unique Patients
2020 actual
2021 est.
2022 est.
CHAMPVA In-house Treatment Initiative (CITI)
10,335
9,835
9,335
CHAMPVA (excluding CITI)
390,754
408,060
453,820
Foreign Medical Program (medical only)
4,510
4,710
5,010
Foreign Compensation & Pension Exams
128
81
20
Spina Bifida Health Care Benefits Program
873
868
863
Total
386,137
395,113
404,175
Readjustment Counseling.—Obligations in Medical Services for 2022 are estimated to $263 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:
Number of Visits
2020 actual
2021 est.
2022 est.
Total
1,606,000
1,836,000
2,067,000
Caregivers Programs.—Obligations in Medical Services for 2022 are estimated to be $1,348 million. The Caregivers and Veterans Omnibus Health
Services Act of 2010 (P.L. 111–163), authorized VA to provide assistance and support services for Caregivers of eligible veterans.
The Program of Comprehensive Assistance for Family Caregivers 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 healthcare
benefits through the existing CHAMPVA program.
Estimated operating levels are:
2020 actual
2021 est.
2022 est.
Caregiver Stipend (dollars in millions)
$499
$1,050
$1,542
Participants in the Program of Comprehensive Assistance for Family Caregivers
21,113
43,328
51,645
Pharmacy.—Obligations in the Medical Services account for 2021 are estimated to be $9,250 million for pharmacy costs. VA's use of
medication therapies is a fundamental underpinning of how VA delivers healthcare 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)
2020 actual
2021 est.
2022 est.
Total
301
305
309
Camp Lejeune Family Member Program.—Obligations in Medical Community Care for 2022 are estimated to be $2.8 million for the Camp Lejeune Family Member program.
The Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012 (P.L. 112–154) extended eligibility for VA
hospital care and medical services to certain veterans who were stationed at Camp Lejeune, North Carolina, for at least 30
days between 1957 and 1987. Family members of such veterans who resided, or were in utero, at Camp Lejeune for at 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.—Obligations in Medical Community Care for 2022 are estimated to be $1,766 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
2020 actual
2021 est.
2022 est.
State Home Nursing
26,382
29,440
29,144
State Home Domiciliary
3,757
3,699
3,502
Average Daily Census (ADHC)
104
109
112
Object Classification (in millions of dollars)
Identification code 036–0160–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
22,435
23,941
23,517
11.3
Other than full-time permanent
485
517
508
11.5
Other personnel compensation
2,583
2,755
2,707
11.9
Total personnel compensation
25,503
27,213
26,732
12.1
Civilian personnel benefits
8,917
9,789
9,812
13.0
Benefits for former personnel
8
8
7
21.0
Travel & Transportation of Persons
956
1,058
1,107
22.0
Transportation of things
30
34
38
23.2
Rent, Communications & Utilities
588
638
733
24.0
Printing and reproduction
14
15
18
25.2
Other contractual services
4,918
6,740
9,380
25.2
Other contractual services (ARP P.L. 117–2, Section 8007)
628
26.0
Supplies & Materials
13,058
15,022
16,409
31.0
Equipment
1,938
2,680
32.0
Land and structures
1
1
41.0
Grants, Subsidies & Contributions
1,297
1,012
705
42.0
Insurance claims and indemnities
8
8
8
44.0
Prior-year Recoveries
97
99.0
Direct obligations
57,333
64,218
65,577
99.0
Reimbursable obligations
124
124
123
99.9
Total new obligations, unexpired accounts
57,457
64,342
65,700
Employment Summary
Identification code 036–0160–0–1–703
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
256,522
268,721
256,522
2001
Reimbursable civilian full-time equivalent employment
375
375
375
Medical Services
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 036–0160–4–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Outpatient care
30
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200
Appropriation
260
1930
Total budgetary resources available
260
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
230
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
30
3020
Outlays (gross)
–30
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
260
Outlays, gross:
4100
Outlays from new mandatory authority
30
4180
Budget authority, net (total)
260
4190
Outlays, net (total)
30
In 2022, the Budget includes $260 million to support the President's American Families Plan. With a growing population of
women veterans and younger veterans, the Department of Veterans Affairs (VA) is committed to providing additional support
to veterans who are parents in order to offer a holistic, family-friendly approach to care. The proposal would place a Family
Coordinator at each medical center, an expert in resources for children and families who would provide additional referrals,
supports, and connections for veteran parents.
Object Classification (in millions of dollars)
Identification code 036–0160–4–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
11.1
Personnel compensation: Full-time permanent
16
25.2
Other services from non-Federal sources
14
99.9
Total new obligations, unexpired accounts
30
Employment Summary
Identification code 036–0160–4–1–703
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
160
MEDICAL COMMUNITY CARE
For necessary expenses for furnishing health care to individuals pursuant to chapter 17 of title 38, United States Code, at
non-Department facilities, $3,269,000,000, which shall remain available until September 30, 2023, and shall be in addition to funds previously appropriated under this heading that became available on October 1, 2021; and, in addition, $24,156,659,000, plus reimbursements, shall become available on October 1, 2022, and shall remain available until September 30, 2024.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0140–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Ambulatory
8,036
6,836
6,483
0002
Dental Care
296
201
378
0003
Inpatient Care
4,442
7,341
8,071
0004
LTSS: Facility Based Services
1,242
1,359
1,671
0005
LTSS: Home & Community Based Services
1,215
1,732
1,901
0006
Mental Health Care
272
516
579
0007
CHAMPVA & Other Dependent Programs
136
1,660
1,717
0008
State Home Programs
1,425
1,988
1,766
0009
Camp Lejeune, Veterans Families
3
4
3
0010
Network Development and Maintenance
569
1,267
1,234
0013
Prior Year Recoveries
89
0014
Urgent Care
33
241
266
0015
Timing of Obligations Adjustment
5,008
0900
Total new obligations, unexpired accounts
22,766
23,145
24,069
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
143
424
72
1011
Unobligated balance transfer from other acct [036–0172]
615
1011
Unobligated balance transfer from other acct [036–0160]
3,400
1021
Recoveries of prior year unpaid obligations
81
1033
Recoveries of prior year paid obligations
8
1050
Unobligated balance (total)
847
3,824
72
Budget authority:
Appropriations, discretionary:
1100
Appropriation
6,036
1,381
3,269
1121
Appropriations transferred from other acct [036–5287]
569
487
623
1121
Appropriations transferred from other acct [036–0160]
100
1160
Appropriation, discretionary (total)
6,605
1,968
3,892
Advance appropriations, discretionary:
1170
Advance appropriation
10,758
17,131
20,148
1172
Advance appropriations transferred to other accounts [036–0169]
–28
–28
–44
1180
Advanced appropriation, discretionary (total)
10,730
17,103
20,104
Appropriations, mandatory:
1200
Appropriation [P.L. 117–2, Section 8004]
250
1200
Appropriation [P.L. 117–2, Section 8007]
72
1260
Appropriations, mandatory (total)
322
1900
Budget authority (total)
17,335
19,393
23,996
1930
Total budgetary resources available
18,182
23,217
24,068
Memorandum (non-add) entries:
1940
Unobligated balance expiring
5,008
1941
Unexpired unobligated balance, end of year
424
72
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
591
9,525
8,388
3001
Adjustments to unpaid obligations, brought forward, Oct 1
4,295
–9,303
3010
New obligations, unexpired accounts
22,766
23,145
24,069
3011
Obligations ("upward adjustments"), expired accounts
170
3020
Outlays (gross)
–18,124
–14,979
–21,270
3040
Recoveries of prior year unpaid obligations, unexpired
–81
3041
Recoveries of prior year unpaid obligations, expired
–92
3050
Unpaid obligations, end of year
9,525
8,388
11,187
Memorandum (non-add) entries:
3100
Obligated balance, start of year
4,886
222
8,388
3200
Obligated balance, end of year
9,525
8,388
11,187
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
17,335
19,071
23,996
Outlays, gross:
4010
Outlays from new discretionary authority
16,797
14,303
17,997
4011
Outlays from discretionary balances
1,327
488
3,168
4020
Outlays, gross (total)
18,124
14,791
21,165
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–1
4033
Non-Federal sources
–40
4040
Offsets against gross budget authority and outlays (total)
–41
Additional offsets against gross budget authority only:
4052
Offsetting collections credited to expired accounts
33
4053
Recoveries of prior year paid obligations, unexpired accounts
8
4060
Additional offsets against budget authority only (total)
41
4070
Budget authority, net (discretionary)
17,335
19,071
23,996
4080
Outlays, net (discretionary)
18,083
14,791
21,165
Mandatory:
4090
Budget authority, gross
322
Outlays, gross:
4100
Outlays from new mandatory authority
188
4101
Outlays from mandatory balances
105
4110
Outlays, gross (total)
188
105
4180
Budget authority, net (total)
17,335
19,393
23,996
4190
Outlays, net (total)
18,083
14,979
21,270
The Medical Community Care appropriation provides funding for community care services to eligible veterans and other beneficiaries,
which has been an essential part of the Department of Veterans Affairs (VA) healthcare system for decades.
The Budget reflects the following discretionary appropriation funding from 2021 through 2023: the 2021 advance appropriation
of $17.1 billion, together with an annual appropriation of $1.4 billion included in the Consolidated Appropriations Act, 2021
(Public Law 116–260); the 2022 enacted advance appropriation of $20.1 billion, together with an annual appropriation request
of $3.3 billion; and the 2023 advance appropriation request of $24.2 billion.
The 2023 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.
Section 8004 of the American Rescue Plan Act of 2021 (P.L. 117–2) provided $250 million in 2021 for a one-time only obligation
and expenditure to existing State extended care facilities for veterans in proportion to each State's share of the total resident
capacity in such facilities as of the date of enactment of this Act. Capacity includes only veterans on whose behalf the
Department pays a per diem payment pursuant to section 1741 or 1745 of title 38, United States Code. The period of availability
is from the date of the enactment of the Act, March 11, 2021, through September 30, 2022.
Prior to FY 2019, VA recorded obligations for Community Care at the time the care was authorized by a VA healthcare provider.
In FY 2019, VA started recording obligations for Community Care at the time VA issued payment to healthcare providers and
to third-party administrators. In September 2020, to comply with a VA General Counsel (OGC) opinion following significant
changes to VA's Community Care program, VA reverted to its old practice of recording obligations at the time of authorization
and recorded obligations of $5,008 million in FY 2020 in the Medical Community Care account. VA lacked sufficient funds within
the account to cover the full obligations recorded in FY 2020 consistent with VA OGC's opinion. Section 1601 of division FF
of the Consolidated Appropriations Act, 2021 (Public Law 116–260) authorized the practice of recording obligations at the
time of approval of payment to healthcare providers and contractors, and also made it retroactive to October 1, 2018, thereby
voiding an Antideficiency Act (ADA) violation that would have occurred in FY 2020 absent its enactment. To implement the law,
VA made an accounting adjustment in FY 2021, the year Public Law 116–260 was enacted.
Object Classification (in millions of dollars)
Identification code 036–0140–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
25.2
Other Contractual Services
16,240
20,772
21,890
26.0
Supplies and materials
4
382
413
41.0
State Homes
1,425
1,741
1,766
41.0
State Homes: ARP
250
44.0
Prior Year Recoveries
89
44.0
Timing of Obligations Fix
5,008
99.9
Total new obligations, unexpired accounts
22,766
23,145
24,069
MEDICAL SUPPORT AND COMPLIANCE
For necessary expenses in the administration of the medical, hospital, nursing home, domiciliary, construction, supply, and
research activities, as authorized by law; administrative expenses in support of capital policy activities; and administrative
and legal expenses of the Department for collecting and recovering amounts owed the Department as authorized under chapter
17 of title 38, United States Code, and the Federal Medical Care Recovery Act (42 U.S.C. 2651 et seq.), $9,673,409,000, plus reimbursements, shall become available on October 1, 2022, and shall remain available until September 30, 2023: Provided, That, of the amount made available on October 1, 2022, under this heading, $300,000,000 shall remain available until September 30, 2024.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0152–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
VAMCs & Other Field Activities
4,285
4,706
5,079
0002
VISN Headquarters
583
604
649
0003
VHA Central Office
1,038
0005
Office of Informatics and Information Governance
187
0008
Employee Education Service Center
81
0009
VHA Service Center
281
0013
Consolidated Mail Outpatient Pharmacies
20
0014
National Center for Patient Safety
8
0016
Community Care
935
1,023
1,038
0017
VHA Member Services
213
0019
Readjustment Counseling
4
0021
Clinical Services
144
172
0022
Operations
176
189
0023
Patient Care Services
181
194
0024
Quality and Patient Safety
428
454
0025
Support Services
494
0027
Discovery, Education and Affiliate Networks
46
44
0028
Human Capital Management
217
234
0029
Health Informatics
102
109
0030
All Other Support and Program Offices
251
262
0091
Total operating expenses
7,635
8,372
8,424
0101
VAMCs & Other Field Activities
34
43
49
0102
VISN Headquarters
1
1
1
0103
VHA Central Office
3
0110
Consolidated Mail Outpatient Pharmacies
1
0191
Total Capital Investment
39
44
50
0293
Total direct program
7,674
8,416
8,474
0799
Total direct obligations
7,674
8,416
8,474
0801
Medical Support and Compliance (Reimbursable)
48
48
48
0900
Total new obligations, unexpired accounts
7,722
8,464
8,522
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
36
285
113
1001
Discretionary unobligated balance brought fwd, Oct 1
22
271
1011
Unobligated balance transfer from other acct [036–0160]
75
1050
Unobligated balance (total)
36
360
113
Budget authority:
Appropriations, discretionary:
1100
Appropriation
199
300
1121
Appropriations transferred from other acct [036–0160]
150
1131
Unobligated balance of appropriations permanently reduced [Rescission P.L. 116–94]
–10
–15
1160
Appropriation, discretionary (total)
339
285
Advance appropriations, discretionary:
1170
Advance appropriation
7,239
7,914
8,403
1172
Advance appropriations transferred to other accounts [036–0169]
–29
–30
–31
1173
Advance appropriations transferred from other accounts [036–0160]
375
1180
Advanced appropriation, discretionary (total)
7,585
7,884
8,372
Spending authority from offsetting collections, discretionary:
1700
Collected
47
48
48
1701
Change in uncollected payments, Federal sources
1
1750
Spending auth from offsetting collections, disc (total)
48
48
48
1900
Budget authority (total)
7,972
8,217
8,420
1930
Total budgetary resources available
8,008
8,577
8,533
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–1
1941
Unexpired unobligated balance, end of year
285
113
11
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
1,277
1,249
1,546
3010
New obligations, unexpired accounts
7,722
8,464
8,522
3011
Obligations ("upward adjustments"), expired accounts
51
3020
Outlays (gross)
–7,633
–8,167
–8,391
3041
Recoveries of prior year unpaid obligations, expired
–168
3050
Unpaid obligations, end of year
1,249
1,546
1,677
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–1
–2
–2
3070
Change in uncollected pymts, Fed sources, unexpired
–1
3090
Uncollected pymts, Fed sources, end of year
–2
–2
–2
Memorandum (non-add) entries:
3100
Obligated balance, start of year
1,276
1,247
1,544
3200
Obligated balance, end of year
1,247
1,544
1,675
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
7,972
8,217
8,420
Outlays, gross:
4010
Outlays from new discretionary authority
6,585
7,295
7,456
4011
Outlays from discretionary balances
1,047
870
933
4020
Outlays, gross (total)
7,632
8,165
8,389
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–65
–19
–19
4033
Non-Federal sources
–12
–29
–29
4040
Offsets against gross budget authority and outlays (total)
–77
–48
–48
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–1
4052
Offsetting collections credited to expired accounts
30
4060
Additional offsets against budget authority only (total)
29
4070
Budget authority, net (discretionary)
7,924
8,169
8,372
4080
Outlays, net (discretionary)
7,555
8,117
8,341
Mandatory:
Outlays, gross:
4101
Outlays from mandatory balances
1
2
2
4180
Budget authority, net (total)
7,924
8,169
8,372
4190
Outlays, net (total)
7,556
8,119
8,343
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 2021 through
2023: the 2021 advance appropriation of $7.9 billion, together with an annual appropriation of $300 million and a $15 million
rescission of unobligated balances included in the Consolidated Appropriations Act, 2021 (Public Law 116–260); the 2022 enacted
advance appropriation of $8.4 billion; and the 2023 advance appropriation request of $9.7 billion.
The 2023 advance appropriation request continues 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 036–0152–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
3,720
3,920
4,087
11.3
Other than full-time permanent
80
84
88
11.5
Other personnel compensation
431
454
473
11.9
Total personnel compensation
4,231
4,458
4,648
12.1
Civilian personnel benefits
1,568
1,685
1,781
13.0
Benefits for former personnel
2
2
2
21.0
Travel & Transportation of Persons
34
38
43
22.0
Transportation of things
14
15
18
23.3
Communications, utilities, and miscellaneous charges
111
119
139
24.0
Printing and reproduction
16
18
20
25.2
Other contractual services
1,536
1,901
1,619
26.0
Medical supplies and materials
103
117
131
31.0
Equipment
39
43
50
42.0
Insurance claims and indemnities
20
20
23
99.0
Direct obligations
7,674
8,416
8,474
99.0
Reimbursable obligations
48
48
48
99.9
Total new obligations, unexpired accounts
7,722
8,464
8,522
Employment Summary
Identification code 036–0152–0–1–703
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
55,224
56,877
57,412
2001
Reimbursable civilian full-time equivalent employment
324
324
324
DOD-VA Health Care Sharing Incentive Fund
Program and Financing (in millions of dollars)
Identification code 036–0165–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
DOD-VA health care sharing incentive fund
13
13
13
0002
Capital Investment
1
0900
Total new obligations, unexpired accounts
14
13
13
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
80
81
98
1021
Recoveries of prior year unpaid obligations
1
1050
Unobligated balance (total)
81
81
98
Budget authority:
Appropriations, discretionary:
1121
Appropriations transferred from other acct [097–0130]
15
15
15
1131
Unobligated balance of appropriations permanently reduced
–16
1160
Appropriation, discretionary (total)
–1
15
15
Advance appropriations, discretionary:
1173
Advance appropriations transferred from other accounts [036–0160]
15
15
15
1900
Budget authority (total)
14
30
30
1930
Total budgetary resources available
95
111
128
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
81
98
115
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
22
20
21
3010
New obligations, unexpired accounts
14
13
13
3020
Outlays (gross)
–15
–12
–18
3040
Recoveries of prior year unpaid obligations, unexpired
–1
3050
Unpaid obligations, end of year
20
21
16
Memorandum (non-add) entries:
3100
Obligated balance, start of year
22
20
21
3200
Obligated balance, end of year
20
21
16
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
14
30
30
Outlays, gross:
4011
Outlays from discretionary balances
15
12
18
4180
Budget authority, net (total)
14
30
30
4190
Outlays, net (total)
15
12
18
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 107–314, established the fund and requires the Departments to establish
a joint incentive program. In 2022, each Secretary shall contribute a minimum of $15 million to the fund after the appropriation
is enacted.
Object Classification (in millions of dollars)
Identification code 036–0165–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
11.1
Personnel compensation: Full-time permanent
1
1
1
25.1
Advisory and assistance services
11
12
12
31.0
Equipment
1
44.0
Prior Year Recoveries
1
99.9
Total new obligations, unexpired accounts
14
13
13
Employment Summary
Identification code 036–0165–0–1–703
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
11
11
11
MEDICAL FACILITIES
For necessary expenses for the maintenance and operation of hospitals, nursing homes, domiciliary facilities, and other necessary
facilities of the Veterans Health Administration; for administrative expenses in support of planning, design, project management,
real property acquisition and disposition, construction, and renovation of any facility under the jurisdiction or for the
use of the Department; for oversight, engineering, and architectural activities not charged to project costs; for repairing,
altering, improving, or providing facilities in the several hospitals and homes under the jurisdiction of the Department,
not otherwise provided for, either by contract or by the hire of temporary employees and purchase of materials; for leases
of facilities; and for laundry services; $7,133,816,000, plus reimbursements, shall become available on October 1, 2022, and shall remain available until September 30, 2023: Provided, That, of the amount made available on October 1, 2022, under this heading, $500,000,000 shall remain available until September 30, 2024.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0162–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0002
Engineering & Environmental Management Services
749
832
1,013
0003
Engineering Service
990
1,026
1,154
0004
Grounds Maintenance & Fire Protection
109
115
128
0005
Leases
787
707
899
0007
Non-Recurring Maintenance
32
0008
Operating Equipment Maintenance & Repair
263
290
330
0009
Other Facilities Operation Support
68
101
117
0011
Plant Operation
798
798
904
0012
Recurring Maintenance & Repair
590
629
716
0013
Textile Care Processing & Management
170
172
202
0014
Transportation
204
206
232
0023
Prior-Year Recoveries
19
0091
Total operating expenses
4,779
4,876
5,695
0102
Engineering & Environmental Management Services
75
137
79
0103
Engineering Service
18
26
34
0104
Grounds Maintenance & Fire Protection
6
9
12
0105
Leases
386
347
401
0106
Non-Recurring Maintenance
1,395
2,097
491
0107
Operating Equipment Maintenance & Repair
17
20
20
0108
Other Facilities Operation Support
13
24
24
0109
Plant Operation
26
34
34
0110
Recurring Maintenance & Repair
42
52
52
0111
Textile Care Processing & Management
43
67
67
0122
Transportation
1
1
1
0191
Total capital investment
2,022
2,814
1,215
0799
Total direct obligations
6,801
7,690
6,910
0801
Medical Facilities (Reimbursable)
17
17
17
0900
Total new obligations, unexpired accounts
6,818
7,707
6,927
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
1,404
1,331
285
1001
Discretionary unobligated balance brought fwd, Oct 1
1,378
1011
Unobligated balance transfer from other acct [036–0160]
100
1021
Recoveries of prior year unpaid obligations
19
1050
Unobligated balance (total)
1,423
1,431
285
Budget authority:
Appropriations, discretionary:
1100
Appropriation
606
150
Advance appropriations, discretionary:
1170
Advance appropriation
6,142
6,433
6,735
1172
Advance appropriations transferred to other accounts [036–0169]
–39
–40
–93
1180
Advanced appropriation, discretionary (total)
6,103
6,393
6,642
Spending authority from offsetting collections, discretionary:
1700
Collected
18
18
18
1900
Budget authority (total)
6,727
6,561
6,660
1930
Total budgetary resources available
8,150
7,992
6,945
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–1
1941
Unexpired unobligated balance, end of year
1,331
285
18
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
4,120
4,430
5,568
3010
New obligations, unexpired accounts
6,818
7,707
6,927
3011
Obligations ("upward adjustments"), expired accounts
185
3020
Outlays (gross)
–6,505
–6,569
–7,453
3040
Recoveries of prior year unpaid obligations, unexpired
–19
3041
Recoveries of prior year unpaid obligations, expired
–169
3050
Unpaid obligations, end of year
4,430
5,568
5,042
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–1
3071
Change in uncollected pymts, Fed sources, expired
1
Memorandum (non-add) entries:
3100
Obligated balance, start of year
4,119
4,430
5,568
3200
Obligated balance, end of year
4,430
5,568
5,042
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
6,727
6,561
6,660
Outlays, gross:
4010
Outlays from new discretionary authority
4,154
4,941
5,156
4011
Outlays from discretionary balances
2,302
1,588
2,262
4020
Outlays, gross (total)
6,456
6,529
7,418
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–40
–8
–8
4033
Non-Federal sources
–21
–10
–10
4040
Offsets against gross budget authority and outlays (total)
–61
–18
–18
Additional offsets against gross budget authority only:
4052
Offsetting collections credited to expired accounts
43
4060
Additional offsets against budget authority only (total)
43
4070
Budget authority, net (discretionary)
6,709
6,543
6,642
4080
Outlays, net (discretionary)
6,395
6,511
7,400
Mandatory:
Outlays, gross:
4101
Outlays from mandatory balances
49
40
35
4180
Budget authority, net (total)
6,709
6,543
6,642
4190
Outlays, net (total)
6,444
6,551
7,435
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 2021 through 2023: the
2021 advance appropriation of $6.4 billion and annual appropriation of $150 million; the 2022 enacted advance appropriation
of $6.7 billion and the 2023 advance appropriation request of $7.1 billion.
The 2023 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 036–0162–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
1,309
1,354
1,417
11.3
Other than full-time permanent
28
29
30
11.5
Other personnel compensation
151
157
164
11.9
Total personnel compensation
1,488
1,540
1,611
12.1
Civilian personnel benefits
555
591
631
13.0
Benefits for former personnel
1
1
1
21.0
Travel & Transportation of Persons
47
47
54
22.0
Transportation of things
15
16
18
23.2
Rent, Communications & Utilities
1,346
1,307
1,585
25.2
Other Contractual Services
894
960
1,384
26.0
Supplies & Materials
412
412
408
31.0
Equipment
143
156
134
32.0
Lands & Structures
1,879
2,658
1,082
42.0
Insurance claims and indemnities
2
2
2
44.0
Prior Year Recoveries
19
99.0
Direct obligations
6,801
7,690
6,910
99.0
Reimbursable obligations
17
17
17
99.9
Total new obligations, unexpired accounts
6,818
7,707
6,927
Employment Summary
Identification code 036–0162–0–1–703
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
25,545
26,048
26,555
2001
Reimbursable civilian full-time equivalent employment
99
99
99
Veterans Medical Care and Health Fund
Program and Financing (in millions of dollars)
Identification code 036–0173–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Medical Services
7,274
0002
Medical Support and Compliance
979
0003
Medical Facilities
800
0004
Community Care
1,901
0005
Research
9
0091
Direct program activities, subtotal
9
10,954
0101
Medical Services
1,746
0103
Medical Facilities
1,773
0191
Direct program activities, subtotal
3,519
0900
Total new obligations, unexpired accounts
9
14,473
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
14,473
Budget authority:
Appropriations, mandatory:
1200
Appropriation
14,482
1930
Total budgetary resources available
14,482
14,473
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
14,473
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
3
3010
New obligations, unexpired accounts
9
14,473
3020
Outlays (gross)
–6
–13,183
3050
Unpaid obligations, end of year
3
1,293
Memorandum (non-add) entries:
3100
Obligated balance, start of year
3
3200
Obligated balance, end of year
3
1,293
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
14,482
Outlays, gross:
4100
Outlays from new mandatory authority
6
4101
Outlays from mandatory balances
13,183
4110
Outlays, gross (total)
6
13,183
4180
Budget authority, net (total)
14,482
4190
Outlays, net (total)
6
13,183
Section 8002 of the American Rescue Plan Act of 2021 (Public Law 117–2) provided $14.482 billion in 2021 to remain available
until September 30, 2023 for allocation under chapters 17, 20, 73, and 81 of title 38, United States Code, of which not more
than $4 billion shall be available pursuant to section 1703 of title 38, United States Code for healthcare furnished through
the Veterans Community Care program. The Veterans Medical Care and Health Fund was established to execute section 8002 of
the American Rescue Plan Act, and the Budget displays estimated allocations by categories of activity funded by section 8002.
Final funding allocations among categories may change based on 2021 actuals and in response to workload demand requirements
throughout 2022.
Object Classification (in millions of dollars)
Identification code 036–0173–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
3
2,565
11.3
Other than full-time permanent
55
11.5
Other personnel compensation
295
11.9
Total personnel compensation
3
2,915
12.1
Civilian personnel benefits
1
1,070
13.0
Benefits for former personnel
1
23.3
Communications, utilities, and miscellaneous charges
800
25.2
Other Contractual Services
5
4,630
26.0
Supplies and materials
1,000
31.0
Equipment
1,746
32.0
Land and structures
1,773
41.0
Grants, subsidies, and contributions
538
99.9
Total new obligations, unexpired accounts
9
14,473
Employment Summary
Identification code 036–0173–0–1–703
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
34
28,400
MEDICAL AND PROSTHETIC RESEARCH
For necessary expenses in carrying out programs of medical and prosthetic research and development as authorized by chapter
73 of title 38, United States Code, $882,000,000, plus reimbursements, shall remain available until September 30, 2023: Provided, That the Secretary of Veterans Affairs shall ensure that sufficient amounts appropriated under this heading are available
for prosthetic research specifically for female veterans, and for toxic exposure research.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0161–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Bio-medical laboratory science research
338
343
358
0002
Rehabilitation research
107
111
116
0003
Health services research
117
121
127
0004
Clinical science research
256
296
309
0091
Total operating expenses
818
871
910
0799
Total direct obligations
818
871
910
0801
Medical and Prosthetic Research (Reimbursable)
29
81
61
0900
Total new obligations, unexpired accounts
847
952
971
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
180
158
82
1021
Recoveries of prior year unpaid obligations
47
1050
Unobligated balance (total)
227
158
82
Budget authority:
Appropriations, discretionary:
1100
Appropriation
800
815
882
1131
Unobligated balance of appropriations permanently reduced
–50
–20
1160
Appropriation, discretionary (total)
750
795
882
Spending authority from offsetting collections, discretionary:
1700
Collected
27
81
61
1701
Change in uncollected payments, Federal sources
1
1750
Spending auth from offsetting collections, disc (total)
28
81
61
1900
Budget authority (total)
778
876
943
1930
Total budgetary resources available
1,005
1,034
1,025
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
158
82
54
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
356
342
451
3010
New obligations, unexpired accounts
847
952
971
3011
Obligations ("upward adjustments"), expired accounts
2
3020
Outlays (gross)
–806
–843
–918
3040
Recoveries of prior year unpaid obligations, unexpired
–47
3041
Recoveries of prior year unpaid obligations, expired
–10
3050
Unpaid obligations, end of year
342
451
504
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–1
–2
–2
3070
Change in uncollected pymts, Fed sources, unexpired
–1
3090
Uncollected pymts, Fed sources, end of year
–2
–2
–2
Memorandum (non-add) entries:
3100
Obligated balance, start of year
355
340
449
3200
Obligated balance, end of year
340
449
502
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
778
876
943
Outlays, gross:
4010
Outlays from new discretionary authority
401
623
669
4011
Outlays from discretionary balances
405
220
249
4020
Outlays, gross (total)
806
843
918
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–13
–37
–45
4033
Non-Federal sources
–15
–44
–16
4040
Offsets against gross budget authority and outlays (total)
–28
–81
–61
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–1
4052
Offsetting collections credited to expired accounts
1
4070
Budget authority, net (discretionary)
750
795
882
4080
Outlays, net (discretionary)
778
762
857
4180
Budget authority, net (total)
750
795
882
4190
Outlays, net (total)
778
762
857
For 2022, the total budgetary resources of over $2.2 billion is comprised of $882 million in direct appropriations, $749.7
million in medical care support such as physicians' pay, utilities and other overhead, $540 million in Federal grants and
other non-Federal resources, and $61 million in reimbursements. The Department of Veterans Affairs (VA) research program will
support 3,585 full time equivalents through direct appropriations and reimbursable resources. These combined resources will
support approximately 2,563 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. The 2022 request is the largest year-over-year increase in recent history for medical and prosthetic research.
This historic investment advances VA's research mission, including critical studies to understand the impact of traumatic
brain injury and toxic exposure on long-term health outcomes, while continuing to prioritize research focused on the needs
of disabled veterans.
SUMMARY OF PROGRAM RESOURCES [in millions of dollars]
2020 Actual
2021 Est.
2022 Est.
Medical and Prosthetic Research Appropriation1
750
795
882
American Rescue Plan Act (P.L. 117–2, Section 8002) (Mandatory)2
0
9
0
Medical Care Support3
648
669
750
Other Federal and Non-Federal Resources
523
540
540
Reimbursements
28
81
61
Total Program Resources
1,949
2,093
2,233
1 The appropriation amounts are net of rescissions of $50 million for FY 2020 in P.L. 116–94 and $20 million for FY 2021 in
P.L. 116–260. 2 VA plans to use $9 million of the funding provided in section 8002 of the American Rescue Plan Act for research, which will
be executed out of a new budget account, the Veterans Medical Care and Health Fund.3 Medical Care Support includes funding from the Medical Services, Medical Support and Compliance, and Medical Facilities appropriations
to support research activities.
FTE
2020 actual
2021 est.
2022 est.
3,418
3,420
3,585
Object Classification (in millions of dollars)
Identification code 036–0161–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
280
285
299
11.3
Other than full-time permanent
1
1
11.5
Other personnel compensation
2
1
11.9
Total personnel compensation
283
287
299
12.1
Civilian personnel benefits
111
111
115
21.0
Employee travel
2
1
2
23.3
Communications, utilities, and miscellaneous charges
1
1
1
25.2
Other services from non-Federal sources
339
370
405
26.0
Supplies and materials
45
47
44
31.0
Equipment
37
54
44
99.0
Direct obligations
818
871
910
99.0
Reimbursable obligations
29
81
61
99.9
Total new obligations, unexpired accounts
847
952
971
Employment Summary
Identification code 036–0161–0–1–703
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
3,311
3,282
3,447
2001
Reimbursable civilian full-time equivalent employment
107
138
138
Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund
Program and Financing (in millions of dollars)
Identification code 036–0169–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Joint DOD-VA Medical Facility Demonstration Fund (Direct)
458
481
533
0801
Joint DOD-VA Medical Facility Demonstration Fund (Reimbursable)
11
13
13
0900
Total new obligations, unexpired accounts
469
494
546
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
11
8
Budget authority:
Appropriations, discretionary:
1121
Appropriations transferred from other acct [036–0167]
8
8
8
1121
Appropriations transferred from other acct [097–0130]
127
137
137
1121
Appropriations transferred from other acct [036–5287]
14
14
17
1160
Appropriation, discretionary (total)
149
159
162
Advance appropriations, discretionary:
1173
Advance appropriations transferred from other accounts [036–0160]
210
216
204
1173
Advance appropriations transferred from other accounts [036–0140]
28
28
44
1173
Advance appropriations transferred from other accounts [036–0152]
29
30
31
1173
Advance appropriations transferred from other accounts [036–0162]
39
40
93
1180
Advanced appropriation, discretionary (total)
306
314
372
Spending authority from offsetting collections, discretionary:
1700
Collected
11
13
13
1900
Budget authority (total)
466
486
547
1930
Total budgetary resources available
477
494
547
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
8
1
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
72
55
73
3010
New obligations, unexpired accounts
469
494
546
3011
Obligations ("upward adjustments"), expired accounts
26
3020
Outlays (gross)
–490
–476
–543
3041
Recoveries of prior year unpaid obligations, expired
–22
3050
Unpaid obligations, end of year
55
73
76
Memorandum (non-add) entries:
3100
Obligated balance, start of year
72
55
73
3200
Obligated balance, end of year
55
73
76
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
466
486
547
Outlays, gross:
4010
Outlays from new discretionary authority
416
439
493
4011
Outlays from discretionary balances
74
37
50
4020
Outlays, gross (total)
490
476
543
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–16
–12
–12
4033
Non-Federal sources
–5
–1
–1
4040
Offsets against gross budget authority and outlays (total)
–21
–13
–13
Additional offsets against gross budget authority only:
4052
Offsetting collections credited to expired accounts
10
4070
Budget authority, net (discretionary)
455
473
534
4080
Outlays, net (discretionary)
469
463
530
4180
Budget authority, net (total)
455
473
534
4190
Outlays, net (total)
469
463
530
The Department of Veterans Affairs (VA) and the Department of Defense (DOD) will each contribute funding to the Joint Department
of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund, established by section 1704 of Public Law 111–84,
the National Defense Authorization Act for Fiscal Year 2010. This funding will support the continuing operations of the Captain
James A. Lovell Federal Health Care Center (FHCC), which opened on December 20, 2010. In 2022, VA expects to transfer funds
from the Medical Services, Medical Community Care, Medical Support and Compliance, Medical Facilities, and Information Technology
Systems accounts, while DOD expects to transfer funds from the Defense Health Program account.
Object Classification (in millions of dollars)
Identification code 036–0169–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
175
186
186
11.3
Other than full-time permanent
4
4
4
11.5
Other personnel compensation
21
23
23
11.9
Total personnel compensation
200
213
213
12.1
Civilian personnel benefits
67
73
73
21.0
Travel and transportation of persons
4
4
4
23.3
Communications, utilities, and miscellaneous charges
3
3
3
25.1
Advisory and assistance services
97
98
98
26.0
Supplies and materials
72
71
71
31.0
Equipment
11
11
11
32.0
Land and structures
3
7
59
41.0
Grants, subsidies, and contributions
1
1
1
99.0
Direct obligations
458
481
533
99.0
Reimbursable obligations
11
13
13
99.9
Total new obligations, unexpired accounts
469
494
546
Employment Summary
Identification code 036–0169–0–1–703
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
2,178
2,290
2,308
Medical Care Collections Fund
Program and Financing (in millions of dollars)
Identification code 036–5287–0–2–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Refunds
300
0900
Total new obligations, unexpired accounts (object class 44.0)
300
Budgetary resources:
Budget authority:
Appropriations, discretionary:
1101
Appropriation (special or trust)
3,429
2,966
4,085
1120
Appropriations transferred to other accts [036–0160]
–2,846
–2,465
–3,445
1120
Appropriations transferred to other accts [036–0169]
–14
–14
–17
1120
Appropriations transferred to other acct [036–0140]
–569
–487
–623
Appropriations, mandatory:
1200
Appropriation
300
1900
Budget authority (total)
300
1930
Total budgetary resources available
300
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
3
3010
New obligations, unexpired accounts
300
3020
Outlays (gross)
–297
–3
3050
Unpaid obligations, end of year
3
Memorandum (non-add) entries:
3100
Obligated balance, start of year
3
3200
Obligated balance, end of year
3
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
300
Outlays, gross:
4100
Outlays from new mandatory authority
297
4101
Outlays from mandatory balances
3
4110
Outlays, gross (total)
297
3
4180
Budget authority, net (total)
300
4190
Outlays, net (total)
297
3
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 2022, VA anticipates
collecting $4.1 billion in the MCCF account, which will be transferred to Medical Services, Medical Community Care, and the
Joint Demonstration Fund to provide healthcare to 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.
Section 8007 of the American Rescue Plan Act of 2021 directed the Department of Veterans Affairs to provide for any copayment
or other cost sharing with respect to healthcare, and reimburse any veteran who paid a copayment or other cost sharing related
to healthcare, during the period beginning on April 6, 2020, and ending on September 30, 2021. The Department was appropriated
$1 billion, to remain available until expended, to carry out this section. Of that amount, VA estimates $300 million will
be executed from the MCCF account and used to reimburse veterans who paid a copayment or other cost sharing during the specified
period. The remaining $700 million will be used to supplement VA Medical Centers for lost collections revenue and will be
executed from the Medical Services and Medical Community Care accounts.
Canteen Service Revolving Fund
Program and Financing (in millions of dollars)
Identification code 036–4014–0–3–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Direct program activity
140
0801
Reimbursable operating expenses
297
178
337
0802
Reimbursable direct operations
6
6
10
0810
Reimbursable capital investment: Sales program: Purchase of equipment and leasehold
7
7
10
0899
Total reimbursable obligations
310
191
357
0900
Total new obligations, unexpired accounts
310
331
357
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
16
2
1021
Recoveries of prior year unpaid obligations
2
2
2
1050
Unobligated balance (total)
18
2
4
Budget authority:
Appropriations, mandatory:
1221
Appropriations transferred from other acct [036–0160]
140
Spending authority from offsetting collections, mandatory:
1800
Collected
293
191
364
1801
Change in uncollected payments, Federal sources
–1
1850
Spending auth from offsetting collections, mand (total)
292
191
364
1900
Budget authority (total)
292
331
364
1930
Total budgetary resources available
310
333
368
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
2
11
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
19
18
46
3010
New obligations, unexpired accounts
310
331
357
3020
Outlays (gross)
–309
–301
–388
3040
Recoveries of prior year unpaid obligations, unexpired
–2
–2
–2
3050
Unpaid obligations, end of year
18
46
13
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–2
–1
–1
3070
Change in uncollected pymts, Fed sources, unexpired
1
3090
Uncollected pymts, Fed sources, end of year
–1
–1
–1
Memorandum (non-add) entries:
3100
Obligated balance, start of year
17
17
45
3200
Obligated balance, end of year
17
45
12
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
292
331
364
Outlays, gross:
4100
Outlays from new mandatory authority
275
292
356
4101
Outlays from mandatory balances
34
9
32
4110
Outlays, gross (total)
309
301
388
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Non-Federal sources
–293
–191
–364
Additional offsets against gross budget authority only:
4140
Change in uncollected pymts, Fed sources, unexpired
1
4160
Budget authority, net (mandatory)
140
4170
Outlays, net (mandatory)
16
110
24
4180
Budget authority, net (total)
140
4190
Outlays, net (total)
16
110
24
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. In 2022, operations will
be financed from current revenues.
Object Classification (in millions of dollars)
Identification code 036–4014–0–3–705
2020 actual
2021 est.
2022 est.
11.1
Direct obligations: Personnel compensation: Full-time permanent
140
11.1
Reimbursable obligations: Personnel compensation: Full-time permanent
101
138
11.9
Total personnel compensation
101
138
12.1
Civilian personnel benefits
30
30
30
21.0
Travel and transportation of persons
1
1
1
22.0
Transportation of things
1
1
1
26.0
Supplies and materials
170
152
180
31.0
Equipment
7
7
7
99.0
Reimbursable obligations
310
191
357
99.9
Total new obligations, unexpired accounts
310
331
357
Employment Summary
Identification code 036–4014–0–3–705
2020 actual
2021 est.
2022 est.
2001
Reimbursable civilian full-time equivalent employment
2,977
3,285
3,500
Veterans Choice Fund
Program and Financing (in millions of dollars)
Identification code 036–0172–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Veterans Choice Fund - Administrative
1
36
3
0002
Veterans Choice Fund - Program
176
63
27
0004
Emergency Non-VA Care
2
5
0006
MCC (0140) Expenditure Transfers
1,932
15
0091
Direct program activities, subtotal
2,111
119
30
0900
Total new obligations, unexpired accounts
2,111
119
30
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
2,532
–248
30
1010
Unobligated balance transfer to other accts [036–0140]
–615
1020
Adjustment of unobligated bal brought forward, Oct 1
–397
397
1021
Recoveries of prior year unpaid obligations
334
1033
Recoveries of prior year paid obligations
9
1050
Unobligated balance (total)
1,863
149
30
1930
Total budgetary resources available
1,863
149
30
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
–248
30
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
387
453
340
3001
Adjustments to unpaid obligations, brought forward, Oct 1
397
3010
New obligations, unexpired accounts
2,111
119
30
3020
Outlays (gross)
–2,108
–232
–200
3040
Recoveries of prior year unpaid obligations, unexpired
–334
3050
Unpaid obligations, end of year
453
340
170
Memorandum (non-add) entries:
3100
Obligated balance, start of year
784
453
340
3200
Obligated balance, end of year
453
340
170
Budget authority and outlays, net:
Mandatory:
Outlays, gross:
4101
Outlays from mandatory balances
2,108
232
200
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Non-Federal sources
–9
Additional offsets against gross budget authority only:
4143
Recoveries of prior year paid obligations, unexpired accounts
9
4170
Outlays, net (mandatory)
2,099
232
200
4180
Budget authority, net (total)
4190
Outlays, net (total)
2,099
232
200
The Veterans Access, Choice, and Accountability Act of 2014 ("Veterans Choice Act"), Public Law 113–146, provided $10 billion
in mandatory funding to establish a temporary program ("Veterans Choice Program") improving veterans' access to health care
by allowing eligible veterans who met certain wait time or distance standards to use eligible healthcare 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 passed Public Law 114–41, the Surface Transportation and Veterans Health Care Choice Improvement
Act of 2015, which gave VA temporary authority, ending October 1, 2015, to use a certain level of Veterans Choice Fund dollars
for pharmaceutical expenses related to treatment of Hepatitis C and for Care in the Community.
Public Law 115–26 amended the Veterans Choice Act to eliminate the original August 7, 2017, sunset date for the Veterans Choice
Program and allowed the program to operate until all of the funds in the Veterans Choice Fund were expended.
Public Law 115–46, the VA Choice and Quality Employment Act of 2017, provided $2.1 billion in mandatory funding for the Veterans
Choice Fund, to remain available until expended. In 2018, Public Law 115–96 provided $2.1 billion more in mandatory funding,
to remain available until expended; and Public Law 115–182, the MISSION Act, provided an additional $5.2 billion in mandatory
funding, to remain available without fiscal year limitation. The MISSION Act provided VA with flexibility, beginning on March
1, 2019, to use Veterans Choice Fund dollars for community care. In addition, the MISSION Act sunset the Choice Program in
June 2019 and established the new Veterans Community Care Program. The Further Consolidated Appropriations Act, 2020 (Public
Law 116–94) transferred $615 million from the FY 2020 start of year unobligated balances in the Veterans Choice Fund account
to the Medical Community Care account.
Prior to FY 2019, VA recorded obligations for Community Care at the time the care was authorized by a VA healthcare provider.
In FY 2019, VA started recording obligations for Community Care at the time VA issued payment to healthcare providers and
to third-party administrators. In September 2020, to comply with a VA General Counsel (OGC) opinion following significant
changes to VA's Community Care program, VA reverted to its old practice of recording obligations at the time of authorization
and adjusted obligations upwards by $397 million in the Veterans Choice Fund account. VA lacked sufficient funds within the
account to cover the full obligations recorded consistent with VA OGC's opinion. Section 1601 of division FF of the Consolidated
Appropriations Act, 2021 (Public Law 116–260) authorized the practice of recording obligations at the time of approval of
payment to healthcare providers and contractors, and also made it retroactive to October 1, 2018, thereby voiding an Antideficiency
Act (ADA) violation that would have occurred in FY 2019 absent its enactment. To implement the law, VA made an accounting
adjustment in FY 2021, the year Public Law 116–260 was enacted.
Object Classification (in millions of dollars)
Identification code 036–0172–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
21.0
Travel and transportation of persons
11
25.2
Other contract services
1,774
119
30
26.0
Supplies and materials
326
99.9
Total new obligations, unexpired accounts
2,111
119
30
Emergency Department of Veterans Affairs Employee Leave Fund
Program and Financing (in millions of dollars)
Identification code 036–0131–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Employee reimbursement
80
0900
Total new obligations, unexpired accounts (object class 44.0)
80
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200
Appropriation [P.L. 117–2, Section 8008]
80
1930
Total budgetary resources available
80
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
80
3020
Outlays (gross)
–80
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
80
Outlays, gross:
4100
Outlays from new mandatory authority
80
4180
Budget authority, net (total)
80
4190
Outlays, net (total)
80
Section 8008 of the American Rescue Plan Act of 2021 (P.L. 117–2) provided $80 million to establish the Emergency Department
of Veterans Affairs Employee Leave Fund. The law directed that the funds be available for payment to the Department for the
use of paid leave by any employee appointed under chapter 74 of title 38, United States Code who is unable to work due to
certain circumstances resulting from the COVID-19 pandemic. The authorization for the paid leave under Section 8008 is from
the date of enactment of the Act, March 11, 2021, through September 30, 2021. The period of availability for Section 8008
funding is from the date of enactment of the Act, March 11, 2021, through September 20, 2022.
Trust Funds
General Post Fund, National Homes
Special and Trust Fund Receipts (in millions of dollars)
Identification code 036–8180–0–7–705
2020 actual
2021 est.
2022 est.
0100
Balance, start of year
35
Receipts:
Current law:
1130
General Post Fund, National Homes, Deposits
17
52
53
1140
General Post Fund, National Homes, Interest on Investments
2
3
3
1199
Total current law receipts
19
55
56
1999
Total receipts
19
55
56
2000
Total: Balances and receipts
19
55
91
Appropriations:
Current law:
2101
General Post Fund, National Homes
–19
–20
–21
5099
Balance, end of year
35
70
Program and Financing (in millions of dollars)
Identification code 036–8180–0–7–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Religious, recreational, and entertainment activities
16
23
24
0003
Therapeutic residence maintenance
1
1
1
0900
Total new obligations, unexpired accounts
17
24
25
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
118
120
119
1021
Recoveries of prior year unpaid obligations
3
3
1050
Unobligated balance (total)
118
123
122
Budget authority:
Appropriations, mandatory:
1201
Appropriation (special or trust fund)
19
20
21
1930
Total budgetary resources available
137
143
143
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
120
119
118
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
3
4
7
3010
New obligations, unexpired accounts
17
24
25
3020
Outlays (gross)
–16
–18
–19
3040
Recoveries of prior year unpaid obligations, unexpired
–3
–3
3050
Unpaid obligations, end of year
4
7
10
Memorandum (non-add) entries:
3100
Obligated balance, start of year
3
4
7
3200
Obligated balance, end of year
4
7
10
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
19
20
21
Outlays, gross:
4100
Outlays from new mandatory authority
18
19
4101
Outlays from mandatory balances
16
4110
Outlays, gross (total)
16
18
19
4180
Budget authority, net (total)
19
20
21
4190
Outlays, net (total)
16
18
19
Memorandum (non-add) entries:
5000
Total investments, SOY: Federal securities: Par value
119
112
85
5001
Total investments, EOY: Federal securities: Par value
112
85
85
This fund consists of gifts, bequests, and proceeds from the sale of property left in the care of the facilities by former
beneficiaries; patients' fund balances; and proceeds from the sale of effects of beneficiaries who die leaving no heirs or
without having otherwise disposed of their estate. Such funds are used to promote the comfort and welfare of veterans at hospitals,
nursing homes, and domiciliaries where no general appropriation is available. Public Law 102–54 authorizes compensation work
therapy and therapeutic transitional housing and loan programs to be funded from the General Post Fund (38 U.S.C. chapters
83 and 85).
Object Classification (in millions of dollars)
Identification code 036–8180–0–7–705
2020 actual
2021 est.
2022 est.
Direct obligations:
21.0
Travel and transportation of persons
1
1
1
23.3
Communications, utilities, and miscellaneous charges
1
1
1
25.2
Other services from non-Federal sources
4
6
6
26.0
Supplies and materials
9
14
15
31.0
Equipment
1
1
1
32.0
Land and structures
1
1
1
99.9
Total new obligations, unexpired accounts
17
24
25
Benefits Programs
Federal 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, $7,347,837,000, which shall be in addition to funds previously appropriated under this heading that became available on October 1, 2021, to remain available until expended; and, in addition, $147,569,474,000, which shall become available on October 1, 2022, to remain available until expended: Provided, That not to exceed $20,115,000 of the amount made available for fiscal year 2023 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, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0102–0–1–701
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0101
Veterans
97,129
107,027
120,017
0102
Survivors
7,698
8,574
10,268
0191
Compensation sub-total
104,827
115,601
130,285
0200
Other compensation expenses
104,827
115,601
130,285
0201
Chapter 18
21
25
25
0202
Clothing allowance
123
127
137
0203
Misc assistance (EAJ, SAFD)
39
48
58
0204
Medical exam pilot program
1,783
2,675
3,282
0205
OBRA payment to VBA and IT
4
4
8
0291
Total other compensation expenses
1,970
2,879
3,510
0293
Total compensation
106,797
118,480
133,795
0302
Veterans
3,028
2,964
3,011
0303
Survivors
1,719
1,730
1,749
0391
Pensions sub total
4,747
4,694
4,760
0401
Reimbursements to GOE, IT and VHA
14
15
13
0492
Total pensions
4,761
4,709
4,773
0502
Burial allowance
26
57
58
0503
Burial plots
44
46
48
0504
Service-connected deaths
88
143
149
0505
Burial flags
26
23
23
0506
Headstones and markers
106
95
98
0508
Graveliners
4
5
6
0509
Pre-Place Crypts
43
35
36
0591
Total burial program
337
404
418
0900
Total new obligations, unexpired accounts (object class 42.0)
111,895
123,593
138,986
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
1,721
646
1,410
1021
Recoveries of prior year unpaid obligations
30
1033
Recoveries of prior year paid obligations
578
1050
Unobligated balance (total)
2,329
646
1,410
Budget authority:
Appropriations, mandatory:
1200
Appropriation
1,440
6,110
7,348
Advance appropriations, mandatory:
1270
Advance appropriation
109,017
118,247
130,228
1900
Budget authority (total)
110,457
124,357
137,576
1930
Total budgetary resources available
112,786
125,003
138,986
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–245
1941
Unexpired unobligated balance, end of year
646
1,410
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
8,135
9,298
10,431
3010
New obligations, unexpired accounts
111,895
123,593
138,986
3020
Outlays (gross)
–110,702
–122,460
–148,344
3040
Recoveries of prior year unpaid obligations, unexpired
–30
3050
Unpaid obligations, end of year
9,298
10,431
1,073
Memorandum (non-add) entries:
3100
Obligated balance, start of year
8,135
9,298
10,431
3200
Obligated balance, end of year
9,298
10,431
1,073
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
110,457
124,357
137,576
Outlays, gross:
4100
Outlays from new mandatory authority
100,882
112,515
136,502
4101
Outlays from mandatory balances
9,820
9,945
11,842
4110
Outlays, gross (total)
110,702
122,460
148,344
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Non-Federal sources
–578
Additional offsets against gross budget authority only:
4143
Recoveries of prior year paid obligations, unexpired accounts
578
4160
Budget authority, net (mandatory)
110,457
124,357
137,576
4170
Outlays, net (mandatory)
110,124
122,460
148,344
4180
Budget authority, net (total)
110,457
124,357
137,576
4190
Outlays, net (total)
110,124
122,460
148,344
WORKLOAD
2020 actual
2021 est.
2022 est.
Compensation Completed Claims:
Rating
1,256,943
1,403,521
1,801,805
Other Claims
2,632,888
2,558,470
2,596,729
Pension Completed Claims:
Rating
134,858
128,752
133,902
Other Non-Rating Claims
395,695
355,575
335,478
For 2023, the Budget requests $147,569,474,000 in advance appropriations for Compensation and Pensions. This request satisfies
the requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (P.L. 113–235) and prevents our
Nation's veterans from being adversely affected by budget delays.
This appropriation provides for the payment of compensation, pension, and burial benefits to veterans and survivors.
Compensation is paid to veterans for disabilities incurred in or aggravated during active military service. Dependency and
Indemnity Compensation is paid to survivors of servicepersons or veterans whose death occurred while on active duty or as
a result of service-connected disabilities. Compensation and vocational rehabilitation is provided to the children of Vietnam
veterans who were born with certain birth defects. The Secretary may pay a clothing allowance to each veteran who uses a prescribed
medication for a service-connected skin condition or wears a prosthetic or orthopedic appliance (including a wheelchair) which,
in the judgment of the Secretary, tends to damage or tear the clothing of such veteran.
Miscellaneous benefits provided for are:
(a) payments for claims made pursuant to the provision of the World War Adjusted Compensation Act of 1924, as amended;
(b) a special allowance (38 U.S.C. 1312) to dependents of certain veterans who died after December 31, 1956, but who were
not fully and currently insured under the Social Security Act; and
(c) payments authorized by the Equal Access to Justice Act.
The appropriation also provides for a program to allow the Department of Veterans Affairs (VA) to perform income matches for
certain compensation recipients.
In accordance with Public Law 97–377, the Reinstated Entitlement Program for Survivors (REPS) program restores Social Security
benefits to certain surviving spouses or children of veterans who died of service-connected causes.
Legislation is proposed to provide a cost-of-living adjustment comparable to the annual Social Security increase to recipients
of disability compensation, dependency and indemnity compensation, and clothing allowances. The increase, effective with payments
made on January 1, 2022, is expected to be 2.3 percent.
AVERAGE NUMBER OF COMPENSATION CASES AND PAYMENTS
2020 actual
2021 est.
2022 est.
Veterans:
Cases
5,034,096
5,245,629
5,503,550
Average payment per case, per year
$19,294
$20,403
$21,807
Total obligations (in millions)
$97,130
$107,028
$120,016
Survivors:
Cases
439,543
455,456
475,146
Average payment per case, per year
$17,514
$18,826
$21,609
Total obligations (in millions)
$7,698
$8,574
$10,268
Chapter 18:
Children
1,128
1,288
1,281
Average payment per case, per year
$18,919
$19,246
$19,689
Total obligations (in millions)
$21
$25
$25
Clothing allowance:
Number of veterans
148,260
153,465
160,118
Average payment per case, per year
$829
$825
$859
Total obligations (in millions)
$123
$127
$137
Special Allowance for Dependents:
Cases
17
16
15
Average benefit
$2,786
$2,823
$2,888
Total obligations (in millions)
$0
$0
$0
Equal Access to Justice Act:
Cases
6,864
8,394
9,924
Average benefit
$5,637
$5,710
$5,841
Total obligations (in millions)
$39
$48
$58
REPS:
Cases
3
2
2
Average benefit
$13,148
$18,494
$18,938
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, 2022, is expected to be 2.3 percent.
AVERAGE NUMBER OF PENSION CASES AND PAYMENTS
2020 actual
2021 est.
2022 est.
Veterans:
Cases
229,830
215,382
209,355
Average payment per case, per year
$13,173
$13,760
$14,382
Total obligations (in millions)
$3,028
$2,964
$3,011
Survivors:
Cases
163,585
154,635
147,472
Average payment per case, per year
$10,507
$11,189
$11,861
Total obligations (in millions)
$1,719
$1,730
$1,749
Burial benefits in 2021 provide for: (a) the payment of an allowance of $807 toward burial and funeral expenses; (b) the
payment of $807 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
2020 actual
2021 est.
2022 est.
Burial allowance
40,659
41,271
42,011
Burial allowances for deaths in Dept. facility
21,389
21,711
22,100
Burial plot
56,443
57,293
58,320
Service-connected deaths
50,504
54,038
56,099
Burial flags
368,646
452,880
439,056
Headstones and markers
323,051
344,577
341,693
Graveliners
9,865
10,522
10,434
Preplaced crypts
90,091
96,094
95,290
Caskets and Urns
277
295
293
READJUSTMENT BENEFITS
For the payment of readjustment and rehabilitation benefits to or on behalf of veterans as authorized by chapters 21, 30,
31, 33, 34, 35, 36, 39, 41, 51, 53, 55, and 61 of title 38, United States Code, $8,906,851,000, which shall become available on October 1, 2022, to remain available until expended: 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, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0137–0–1–702
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0101
Sons and daughters
860
992
1,034
0102
Spouses
183
267
266
0191
Total education and training
1,043
1,259
1,300
0201
Vocational rehabilitation training
839
982
1,000
0202
Subsistence allowance
614
802
813
0203
Automobiles and adaptive equipment
127
148
171
0204
Housing Grants
127
182
188
0205
Housing Technology Grants
1
1
1
0291
Total special assistance to disabled veterans
1,708
2,115
2,173
0301
Work study
43
76
49
0302
Payments to States
24
24
25
0303
All-volunteer assistance: Basic benefits and all other
10,268
9,867
9,832
0305
Tuition Assistance
3
3
3
0306
Licensing and Certification
2
2
4
0307
Reporting fees
14
15
15
0308
Reimbursement to GOE
1
1
0309
Contract Counseling
1
6
6
0391
Total All-volunteer assistance and other
10,355
9,994
9,935
0799
Total direct obligations
13,106
13,368
13,408
0802
Veterans and servicepersons supplementary benefits
9
9
8
0803
Chapter 1606 reservists benefits
84
86
79
0804
Chapter 1606 reservists supplementary benefits
25
26
24
0805
Chapter 1607 reservists benefits
5
2
0807
Chapter 33 DoD Reimbursements
63
63
63
0899
Total reimbursable obligations
186
186
174
0900
Total new obligations, unexpired accounts
13,292
13,554
13,582
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
3,414
4,467
3,678
1021
Recoveries of prior year unpaid obligations
6
1033
Recoveries of prior year paid obligations
89
1050
Unobligated balance (total)
3,509
4,467
3,678
Budget authority:
Appropriations, mandatory:
Advance appropriations, mandatory:
1270
Advance appropriation
14,065
12,579
14,947
Spending authority from offsetting collections, mandatory:
1800
Collected
185
186
174
1900
Budget authority (total)
14,250
12,765
15,121
1930
Total budgetary resources available
17,759
17,232
18,799
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
4,467
3,678
5,217
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
679
767
932
3010
New obligations, unexpired accounts
13,292
13,554
13,582
3020
Outlays (gross)
–13,198
–13,389
–14,274
3040
Recoveries of prior year unpaid obligations, unexpired
–6
3050
Unpaid obligations, end of year
767
932
240
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–1
–1
–1
3090
Uncollected pymts, Fed sources, end of year
–1
–1
–1
Memorandum (non-add) entries:
3100
Obligated balance, start of year
678
766
931
3200
Obligated balance, end of year
766
931
239
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
14,250
12,765
15,121
Outlays, gross:
4100
Outlays from new mandatory authority
9,105
8,155
9,664
4101
Outlays from mandatory balances
4,093
5,234
4,610
4110
Outlays, gross (total)
13,198
13,389
14,274
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120
Federal sources
–185
–186
–174
4123
Non-Federal sources
–89
4130
Offsets against gross budget authority and outlays (total)
–274
–186
–174
Additional offsets against gross budget authority only:
4143
Recoveries of prior year paid obligations, unexpired accounts
89
4160
Budget authority, net (mandatory)
14,065
12,579
14,947
4170
Outlays, net (mandatory)
12,924
13,203
14,100
4180
Budget authority, net (total)
14,065
12,579
14,947
4190
Outlays, net (total)
12,924
13,203
14,100
WORKLOAD—Veteran Readiness and Employment
2020 actual
2021 est.
2022 est.
Evaluation and planning
71,025
71,792
72,582
Rehabilitation services
109,106
110,284
111,497
Employment services status
29,994
30,318
30,651
Vocational/educational counseling
3,260
3,293
3,457
WORKLOAD—Education
2020 actual
2021 est.
2022 est.
Original claims
314,553
355,345,
372,047
Adjustments/supplemental claims
3,283,793
3,465,574
3,628,455
For 2023, the Budget requests $8,906,851,000 in advance appropriations for Readjustment Benefits. This request satisfies the
requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (P.L. 113–235) and prevents our Nation's
veterans from being adversely affected by budget delays.
This appropriation finances educational assistance allowances for certain servicemembers, veterans, and for eligible dependents
of those: (a) veterans who died from service-connected causes or have a total and permanent rated service-connected disability;
and (b) servicemembers who were captured or missing in action. In addition, certain disabled veterans are provided with vocational
rehabilitation, specially adapted housing grants, and automobile grants with the associated approved adaptive equipment. Voluntary
contributions by eligible servicemembers and matching contributions provided by the Department of Defense are included in
the Post-Vietnam Era Veterans Education Account.
The Post-9/11 GI Bill (Chapter 33).—P.L. 110–252 greatly expanded education benefits beginning on August 1, 2009. Based on length of active duty service and
training rate, trainees may be entitled to benefits including: tuition and fees, housing allowance, books and supplies stipend,
kickers, and Yellow Ribbon matching payments. Certain active duty members of the Armed Forces may transfer benefits to a spouse
or children.
Survivors and Dependents Educational Assistance (Chapter 35).—Benefits are provided to children and spouses of veterans who died of a service-connected disability or whose service-connected
disability is rated permanent and total. In addition, dependents of servicemembers missing in action or interred by a hostile
foreign government for more than 90 days are also eligible. The table below provides a comparison of trainees and costs for
the Dependents Educational Assistance.
All volunteer force educational assistance (Montgomery GI Bill).—P.L. 98–525, enacted October 19, 1984, established two new educational programs: an assistance program for veterans who
enter active duty during the period beginning July 1, 1985; and an assistance program for certain members of the Selected
Reserve. P.L. 108–375 established a program to provide educational assistance to members of the reserve components called
or ordered to active service in response to a war or national emergency declared by the President or the Congress, in recognition
of the sacrifices that those members make in answering the call to duty. The Readjustment Benefit appropriation pays the basic
benefit allowance for veterans, except for certain Post-Vietnam Era Veterans Education participants who transferred to the
Montgomery GI Bill program. Supplementary educational assistance, Post-Vietnam Era Veterans Education converters, reservists,
and the National Call to Service Program are financed by payments from the Department of Defense. Due to P.L. 116–315, the
Montgomery GI Bill will be phased out starting in 2030.
Veteran Employment Through Technology Education Courses (VET TEC).—P.L. 115–48 established a high technology pilot program to provide eligible Veterans who are entitled to educational assistance
under chapter 30, 32, 33, 34, or 35 of title 38, United States Code, or chapter 1606 or 1607 of title 10, United States Code,
with the opportunity to enroll in high technology programs of education that VA determines provide training and skills sought
by employers in a relevant field or industry.
The following table shows a caseload and cost comparison for these beneficiaries under existing legislation.
CASELOAD AND AVERAGE COST DATA
2020 actual
2021 est.
2022 est.
Chapter 33:
Number of trainees
657,927
613,877
624,686
Average cost per trainee
$15,364
$15,783
$15,483
Total cost (in millions)
$10,108
$9,689
$9,672
Chapter 35 Sons and Daughters:
Number of trainees
119,506
133,578
139,991
Average cost per trainee (in dollars)
$7,198
$7,424
$7,389
Total cost (in millions)
$860
$992
$1,034
Chapter 35 Wives and Widow(ers):
Number of trainees
32,319
43,724
46,405
Average cost per trainee (in dollars)
$5,652
$6,096
$5,733
Total cost (in millions)
$183
$267
$266
Chapter 30:
Number of trainees
23,712
22,960
21,615
Average cost per trainee
$8,656
$8,862
$8,589
Total cost (in millions)
$205
$203
$186
Chapter 1606:
Number of trainees
41,488
39,854
38,278
Average cost per trainee
$2,581
$2,718
$2,643
Total cost (in millions)
$107
$108
$101
Chapter 1607:
Number of trainees
84
0
0
Average cost per trainee
$0
$0
$0
Total cost (in millions)
$5
$2
$0
Veteran Employment Through Technology Education Courses (VET TEC):
Total cost (in millions)
$27
$47
$45
Veteran Readiness and Employment (Chapter 31).—Servicemembers and veterans with service-connected disabilities receive the assistance necessary to help them prepare for,
obtain, and maintain suitable employment. Comprehensive assessments may include interest and aptitude testing as well as specialized
assessments such as functional capacity examinations. During the training phase of the program, eligible servicemembers and
veterans are provided assistance for necessary training such as tuition, fees, books and supplies at colleges, technical schools
and other training programs. A veteran enrolled in training receives a monthly subsistence allowance. Eligible veterans may
also receive specialized or adaptive equipment to help them overcome a disability or enable them to compete with non-disabled
individuals. At the completion of training, veterans are provided with employment and placement services, including supplies
and equipment needed to enter employment, adaptive equipment and workplace accommodations, incentives to employers to reimburse
them for hiring and training veterans with disabilities, and two final months of subsistence allowance.
CASELOAD AND AVERAGE COST DATA
2020 actual
2021 est.
2022 est.
Chapter 31:
Rehabilitation, Evaluation, Planning and Service cases
27,825
29,877
30,449
Number of trainees
95,665
102,912
104,745
Average cost per trainee (in dollars)
$15,184
$17,333
$17,303
Total cost (in millions)
$1,453
$1,784
$1,812
Specially Adapted Housing Grants.—Specially adapted housing grants are provided to certain severely disabled veterans. In 2021, the maximum grant amount is
$100,896. Veterans who suffer service-connected blindness or who have lost the use of both upper extremities can receive up
to $20,215.
Specially Adapted Housing Assistive Technology Grants.—Under the Veterans Benefits Act of 2010 (P.L. 111–275), VA may provide grants of up to $200,000 per fiscal year to individuals
or entities for the development of specially adapted housing assistive technologies and limits to $1 million the authorized
amount available for such grants VA may award in any fiscal year.
Automobile Grants and Adaptive Equipment.—Certain disabled veterans are provided with automobile grants with the associated approved adaptive equipment. An allowance
is provided to certain service-disabled veterans and servicemembers toward the purchase price of an automobile. The maximum
allowance increased to $21,795.57 in 2021 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
2020 actual
2021 est.
2022 est.
Housing grants:
Number of housing grants
2,796
3,610
3,671
Average cost per grant
$45,058
$50,431
$51,326
Total cost (in millions)
$126
$182
$188
Number of housing technology grants
4
6
5
Average cost per grant
$199,716
$200,000
$200,000
Total cost (in millions)
$1
$1
$1
Automobiles or other conveyances:
Number of conveyances
1,534
1,534
1,534
Average benefit
$19,831
$20,235
$20,648
Obligations (in millions)
$30
$31
$32
Adaptive equipment (including maintenance, repair, and installation for automobiles):
Number of items
4,268
4,268
4,268
Average benefit
$22,841
$27,313
$32,661
Obligations (in millions)
$97
$117
$139
Tuition Assistance.—Public Law 106–398, enacted October 30, 2000, allows the military services to pay up to 100 percent of tuition and expenses
charged by a school for servicemembers. If a service department pays less than 100 percent, a servicemember eligible for the
Montgomery GI Bill Active-duty (MGIB) or the Post-9/11 GI Bill (Chapter 33) can elect to receive VA benefits for all or a
portion of the remaining expenses. Public Law 108–454 established a program that provides availability of education benefits
for payment for national admissions exams and national exams for credit at institutions of higher education.
The National Exams.—The benefit allows VA to reimburse for the fee charged for national tests for admission to institutions of higher learning
and national tests providing an opportunity for course credit at institutions of higher learning.
Licensing and Certification Test Payments.—Under Public Law 106–419, veterans and other eligible persons may receive up to $2,000 to pay fees required for civilian
occupational licensing and certification examinations needed to enter, maintain, or advance in employment in a vocation or
profession, effective March 1, 2001.
National Call to Service.—The 2003 National Defense Authorization Act directs the Department of Defense to offer an active duty enlistment option
of 15 months plus training time to facilitate interest in National Service. Program participants will be given the opportunity
to select one of the following incentives: a $5,000 enlistment bonus, repayment of student loans up to $18,000, or one of
two education allowances.
Work-Study.—Certain veterans, reservists, and dependents pursuing a program of rehabilitation, education or training, who are enrolled
as full-time students, can work up to 250 hours per semester, receiving the Federal ($7.25 as of July 24, 2009) or State minimum
wage rate, whichever is higher.
Payments to States.—State approving agencies are reimbursed for the costs of inspecting, approving, and supervising programs of education and
training offered by educational institutions and training establishments in which veterans, dependents, and reservists are
enrolled or are about to enter.
Reporting Fees.—Reporting fees are paid to education and training institutions to help defray the costs of certifying education enrollment
for veterans enrolled in training during a calendar year.
Object Classification (in millions of dollars)
Identification code 036–0137–0–1–702
2020 actual
2021 est.
2022 est.
41.0
Direct obligations: Grants, subsidies, and contributions
13,107
13,368
13,408
99.0
Reimbursable obligations
185
186
174
99.9
Total new obligations, unexpired accounts
13,292
13,554
13,582
VETERANS INSURANCE AND INDEMNITIES
For military and naval insurance, national service life insurance, servicemen's indemnities, service-disabled veterans insurance,
and veterans mortgage life insurance as authorized by chapters 19 and 21 of title 38, United States Code, $109,865,000, which shall become available on October 1, 2022, to remain available until expended.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0120–0–1–701
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0011
VMLI Death Claims
40
45
43
0012
Payment to Service-Disabled Veterans Insurance
94
90
105
0100
Total direct expenses
134
135
148
0900
Total new obligations, unexpired accounts
134
135
148
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
1
3
5
Budget authority:
Appropriations, mandatory:
1200
Appropriation
18
2
Advance appropriations, mandatory:
1270
Advance appropriation
111
129
137
Spending authority from offsetting collections, mandatory:
1800
Collected
7
6
6
1900
Budget authority (total)
136
137
143
1930
Total budgetary resources available
137
140
148
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
3
5
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
5
6
3010
New obligations, unexpired accounts
134
135
148
3020
Outlays (gross)
–133
–141
–148
3050
Unpaid obligations, end of year
6
Memorandum (non-add) entries:
3100
Obligated balance, start of year
5
6
3200
Obligated balance, end of year
6
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
136
137
143
Outlays, gross:
4100
Outlays from new mandatory authority
126
135
143
4101
Outlays from mandatory balances
7
6
5
4110
Outlays, gross (total)
133
141
148
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Non-Federal sources
–7
–6
–6
4180
Budget authority, net (total)
129
131
137
4190
Outlays, net (total)
126
135
142
WORKLOAD
2020 actual
2021 est.
2022 est.
Policy service actions
600,918
630,100
608,500
Collections
279,108
236,400
201,800
Disability claims
27,390
31,340
31,340
Insurance awards
110,550
110,040
106,000
For 2023, the Budget requests $109,865,000 in advance appropriations for Veterans Insurance and Indemnities (VI&I). This request
satisfies the requirement created by the Consolidated and Further Continuing Appropriations Act, 2015 (P.L. 113–235) and prevents
our Nation's veterans from being adversely affected by budget delays.
Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously
shown for this account have been discontinued.
The insurance business line administers six life insurance programs, including two trust funds, two public enterprise funds,
a trust revolving fund, and Veterans' Mortgage Life Insurance (VMLI); and supervises four additional programs for the benefit
of servicepersons, veterans, and their beneficiaries through contracts with a commercial company. All programs are operated
on a commercial basis, to the extent possible, consistent with all applicable statutes. The insurance appropriation is the
supplemental funding mechanism for the following Government life insurance activities: National Service Life Insurance (NSLI);
Service-Disabled Veterans Insurance Fund (S-DVI); and VMLI.
National Service Life Insurance (NSLI).—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 NSLI; 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).—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 (VMLI).—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
2020 actual
2021 est.
2022 est.
Number of Policies
2,570
2,580
2,610
Amount of Insurance (dollars in millions)
$360
$372
$381
Object Classification (in millions of dollars)
Identification code 036–0120–0–1–701
2020 actual
2021 est.
2022 est.
42.0
Direct obligations: Insurance claims and indemnities
132
133
146
99.0
Reimbursable obligations
2
2
2
99.9
Total new obligations, unexpired accounts
134
135
148
Filipino Veterans Equity Compensation Fund
Program and Financing (in millions of dollars)
Identification code 036–1121–0–1–701
2020 actual
2021 est.
2022 est.
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
56
56
56
1930
Total budgetary resources available
56
56
56
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
56
56
56
4180
Budget authority, net (total)
4190
Outlays, net (total)
This fund was established under the Consolidated Security, Disaster Assistance, and Continuing Appropriations Act of 2009
(P.L. 110–329), to make payments to eligible persons who served in the Philippines during World War II. Payments were subsequently
authorized by the Congress in the American Recovery and Reinvestment Act of 2009 (P.L. 111–5). Original funding of $198,000,000
was supplemented by a transfer of $67,000,000 authorized by Public Law 111–212 that remains available until expended. Payments
to citizens of the United States are $15,000. Payments to non-U.S. citizens are $9,000.
GENERAL OPERATING EXPENSES, VETERANS BENEFITS ADMINISTRATION
For necessary operating expenses of the Veterans Benefits Administration, not otherwise provided for, including hire of passenger
motor vehicles, reimbursement of the General Services Administration for security guard services, and reimbursement of the
Department of Defense for the cost of overseas employee mail, $3,423,000,000: 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,
2023.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0151–0–1–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0010
Compensation and pensions
2,532
2,547
2,663
0011
Education
255
842
267
0012
VRE
253
281
334
0013
Insurance
1
2
2
0014
Housing
24
29
39
0015
Transition and Economic Development
73
111
118
0799
Total direct obligations
3,138
3,812
3,423
0801
Compensation and pensions
1,800
2,698
3,310
0802
Education
2
2
0804
Insurance
31
36
41
0805
Housing
139
158
167
0806
Transition and Economic Development
10
0807
VRE
2
2
0899
Total reimbursable obligations
1,980
2,896
3,522
0900
Total new obligations, unexpired accounts
5,118
6,708
6,945
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
14
38
1012
Unobligated balance transfers between expired and unexpired accounts
77
28
1050
Unobligated balance (total)
77
42
38
Budget authority:
Appropriations, discretionary:
1100
Appropriation
3,138
3,180
3,423
1121
Appropriations transferred from other acct [036–0160]
338
1131
Unobligated balance of appropriations permanently reduced
–16
1160
Appropriation, discretionary (total)
3,138
3,502
3,423
Appropriations, mandatory:
1200
Appropriation [P.L. 117–2, Section 8001]
262
1200
Appropriation [P.L. 117–2, Section 8006]
386
1260
Appropriations, mandatory (total)
648
Spending authority from offsetting collections, discretionary:
1700
Collected
1,986
2,554
3,522
1900
Budget authority (total)
5,124
6,704
6,945
1930
Total budgetary resources available
5,201
6,746
6,983
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–69
1941
Unexpired unobligated balance, end of year
14
38
38
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
886
1,532
1,337
3010
New obligations, unexpired accounts
5,118
6,708
6,945
3011
Obligations ("upward adjustments"), expired accounts
7
3020
Outlays (gross)
–4,422
–6,903
–7,263
3041
Recoveries of prior year unpaid obligations, expired
–57
3050
Unpaid obligations, end of year
1,532
1,337
1,019
Memorandum (non-add) entries:
3100
Obligated balance, start of year
886
1,532
1,337
3200
Obligated balance, end of year
1,532
1,337
1,019
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
5,124
6,056
6,945
Outlays, gross:
4010
Outlays from new discretionary authority
3,642
5,349
6,283
4011
Outlays from discretionary balances
780
1,411
598
4020
Outlays, gross (total)
4,422
6,760
6,881
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–1,990
–2,554
–3,522
4040
Offsets against gross budget authority and outlays (total)
–1,990
–2,554
–3,522
Additional offsets against gross budget authority only:
4052
Offsetting collections credited to expired accounts
4
4070
Budget authority, net (discretionary)
3,138
3,502
3,423
4080
Outlays, net (discretionary)
2,432
4,206
3,359
Mandatory:
4090
Budget authority, gross
648
Outlays, gross:
4100
Outlays from new mandatory authority
143
4101
Outlays from mandatory balances
382
4110
Outlays, gross (total)
143
382
4180
Budget authority, net (total)
3,138
4,150
3,423
4190
Outlays, net (total)
2,432
4,349
3,741
General Operating Expenses, Veterans Benefits Administration.—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. The total cost of administering veterans
insurance programs is funded through direct appropriations to this account and through reimbursements from the insurance trust
fund.
Note.—Reflects FTE treated as reimbursements in all years and the effects of Credit Reform, per Public Law 101–508.
Object Classification (in millions of dollars)
Identification code 036–0151–0–1–705
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
1,488
1,535
1,560
11.5
Other personnel compensation
463
465
470
11.9
Total personnel compensation
1,951
2,000
2,030
12.1
Civilian personnel benefits
566
568
570
13.0
Benefits for former personnel
1
1
1
21.0
Travel and transportation of persons
15
20
20
22.0
Transportation of things
2
2
2
23.1
Rent
134
144
145
23.2
Rental payments to others
21
21
21
23.3
Communications, utilities, and miscellaneous charges
17
17
17
24.0
Printing and reproduction
2
2
2
25.2
Other services from non-Federal sources
412
617
593
26.0
Supplies and materials
4
8
6
31.0
Equipment
12
25
15
41.0
Grants, subsidies, and contributions
386
42.0
Insurance claims and indemnities
1
1
1
99.0
Direct obligations
3,138
3,812
3,423
99.0
Reimbursable obligations
1,980
2,896
3,522
99.9
Total new obligations, unexpired accounts
5,118
6,708
6,945
Employment Summary
Identification code 036–0151–0–1–705
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
23,807
23,241
23,670
2001
Reimbursable civilian full-time equivalent employment
1,406
1,502
1,633
Service-disabled Veterans Insurance Fund
Program and Financing (in millions of dollars)
Identification code 036–4012–0–3–701
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0801
Capital investment
25
31
32
0802
Death claims
119
128
132
0803
All other
6
8
7
0804
Payments to GOE and IT
22
31
33
0900
Total new obligations, unexpired accounts
172
198
204
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
22
50
46
Budget authority:
Spending authority from offsetting collections, mandatory:
1800
Collected
200
194
207
1930
Total budgetary resources available
222
244
253
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
50
46
49
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
34
33
43
3010
New obligations, unexpired accounts
172
198
204
3020
Outlays (gross)
–173
–188
–207
3050
Unpaid obligations, end of year
33
43
40
Memorandum (non-add) entries:
3100
Obligated balance, start of year
34
33
43
3200
Obligated balance, end of year
33
43
40
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
200
194
207
Outlays, gross:
4100
Outlays from new mandatory authority
118
154
204
4101
Outlays from mandatory balances
55
34
3
4110
Outlays, gross (total)
173
188
207
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120
Federal sources
–94
–91
–105
4123
Non-Federal sources
–6
–6
–6
4123
Non-Federal sources
–73
–70
–69
4123
Non-Federal sources
–27
–27
–27
4130
Offsets against gross budget authority and outlays (total)
–200
–194
–207
4170
Outlays, net (mandatory)
–27
–6
4180
Budget authority, net (total)
4190
Outlays, net (total)
–27
–6
The Insurance Act of 1951 established the Service-Disabled Veterans Insurance (S-DVI) program for veterans with service-connected
disabilities. S-DVI is open to veterans who separated from the service on or after April 25, 1951. This fund finances the
payment of claims on existing life insurance policies and remains open for new issues at standard rates to veterans having
service-connected disabilities.
Operating costs
Death claims.—Represents payments to designated beneficiaries.
All other.—Represents payments to policyholders who surrender their policies for their cash value and hold endowment policies which
have matured.
Capital investment.—A policyholder may borrow up to 94 percent of the value of his or her policy.
Administration.—Represents the administrative costs of claims processing and account maintenance.
The trend in the number and amount of policies in force is indicated in the following table.
POLICIES AND INSURANCE IN FORCE
2020 actual
2021 est.
2022 est.
Number of policies (EOY)
278,709
282,360
285,447
Insurance in force (dollars in millions) (EOY)
$2,934
$2,989
$3,021
Financing.—Operations are financed from premiums and other receipts. Additional funds are received by transfer from the Veterans Insurance
and Indemnities appropriation, instead of direct appropriations to this fund.
Operating results and financial condition.—Since premium and other receipts are insufficient to cover operations, the fund continues to project liabilities in excess
of assets. The deficit is expected to reach an estimated $1,452 million by September 30, 2021. The expected deficit is financed
by additional funds from the above-mentioned Veterans Insurance and Indemnities appropriations.
Object Classification (in millions of dollars)
Identification code 036–4012–0–3–701
2020 actual
2021 est.
2022 est.
Reimbursable obligations:
33.0
Investments and loans
25
31
32
42.0
Insurance claims and indemnities
147
167
172
99.9
Total new obligations, unexpired accounts
172
198
204
Veterans Reopened Insurance Fund
Program and Financing (in millions of dollars)
Identification code 036–4010–0–3–701
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0801
Death claims
13
11
9
0802
Dividends
1
1
1
0803
All other
4
4
3
0900
Total new obligations, unexpired accounts
18
16
13
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
64
50
38
Budget authority:
Spending authority from offsetting collections, mandatory:
1800
Collected
4
4
3
1930
Total budgetary resources available
68
54
41
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
50
38
28
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
21
17
14
3010
New obligations, unexpired accounts
18
16
13
3020
Outlays (gross)
–22
–19
–15
3050
Unpaid obligations, end of year
17
14
12
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–1
–1
–1
3090
Uncollected pymts, Fed sources, end of year
–1
–1
–1
Memorandum (non-add) entries:
3100
Obligated balance, start of year
20
16
13
3200
Obligated balance, end of year
16
13
11
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
4
4
3
Outlays, gross:
4100
Outlays from new mandatory authority
4
4
3
4101
Outlays from mandatory balances
18
15
12
4110
Outlays, gross (total)
22
19
15
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4121
Interest on Federal securities
–3
–2
–2
4123
Non-Federal sources
–1
–1
–1
4123
Non-Federal sources
–1
4130
Offsets against gross budget authority and outlays (total)
–4
–4
–3
4170
Outlays, net (mandatory)
18
15
12
4180
Budget authority, net (total)
4190
Outlays, net (total)
18
15
12
Memorandum (non-add) entries:
5000
Total investments, SOY: Federal securities: Par value
84
66
51
5001
Total investments, EOY: Federal securities: Par value
66
51
39
Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously
shown for this account have been discontinued.
This fund pays claims and administrative costs on participating life insurance policies issued during the period May 1, 1965,
through May 2, 1966, under three life insurance programs: 1) service-disabled standard insurance; 2) service-disabled rated
insurance; and 3) nonservice-disabled insurance availing disabled World War II and Korean conflict veterans an opportunity
to acquire life insurance coverage who were no longer eligible for other government insurance.
Budget program:
Death claims.—Represents payments to designated beneficiaries.
Dividends.—Policyholders participate in the distribution of annual dividends.
All other.—This represents resources for the administrative costs of processing claims and maintaining the accounts, and to those policyholders
who: (a) surrender their policies for cash value; (b) hold endowment policies which have matured; and (c) have purchased total
disability income coverage and subsequently become disabled.
Policy loans made.—A policyholder may borrow up to 94 percent of the cash value of his policy at an interest rate adjusted to reflect private
sector borrowing costs.
The following table reflects the decrease in the number of policies and the amount of insurance in force:
POLICIES AND INSURANCE IN FORCE
2020 actual
2021 est.
2022 est.
Number of policies
4,881
3,795
2,907
Insurance in force (dollars in millions)
$50
$51
$38
Financing.—Operations are financed from premiums collected from policyholders and interest on investments. Excess earnings of the fund
are distributed to the policyholders in the form of an annual dividend.
Object Classification (in millions of dollars)
Identification code 036–4010–0–3–701
2020 actual
2021 est.
2022 est.
Reimbursable obligations:
42.0
Insurance claims and indemnities
17
15
12
43.0
Interest and dividends
1
1
1
99.9
Total new obligations, unexpired accounts
18
16
13
Servicemembers' Group Life Insurance Fund
Program and Financing (in millions of dollars)
Identification code 036–4009–0–3–701
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0801
Premium payments
597
210
660
0802
Payments to carrier
1
0803
Payment to GOE
2
3
3
0900
Total new obligations, unexpired accounts (object class 41.0)
600
213
663
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
301
1,263
2,525
Budget authority:
Spending authority from offsetting collections, mandatory:
1800
Collected
1,561
1,475
1,293
1801
Change in uncollected payments, Federal sources
1
1850
Spending auth from offsetting collections, mand (total)
1,562
1,475
1,293
1930
Total budgetary resources available
1,863
2,738
3,818
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
1,263
2,525
3,155
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
600
213
663
3020
Outlays (gross)
–600
–213
–663
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–1
–2
–2
3070
Change in uncollected pymts, Fed sources, unexpired
–1
3090
Uncollected pymts, Fed sources, end of year
–2
–2
–2
Memorandum (non-add) entries:
3100
Obligated balance, start of year
–1
–2
–2
3200
Obligated balance, end of year
–2
–2
–2
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
1,562
1,475
1,293
Outlays, gross:
4100
Outlays from new mandatory authority
600
213
663
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4121
Interest on Federal securities
–10
–12
–30
4123
Non-Federal sources
–1,551
–663
–663
4124
Offsetting governmental collections
–800
–600
4130
Offsets against gross budget authority and outlays (total)
–1,561
–1,475
–1,293
Additional offsets against gross budget authority only:
4140
Change in uncollected pymts, Fed sources, unexpired
–1
4170
Outlays, net (mandatory)
–961
–1,262
–630
4180
Budget authority, net (total)
4190
Outlays, net (total)
–961
–1,262
–630
Memorandum (non-add) entries:
5000
Total investments, SOY: Federal securities: Par value
301
1,262
2,524
5001
Total investments, EOY: Federal securities: Par value
1,262
2,524
3,154
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 Affairs Life Insurance
Public Law 116–135 replaces Service-Disabled Veterans Insurance (S-DVI) with a new insurance program Veterans Affairs Life
Insurance (VALI) of guaranteed issue whole life coverage that will be effective January 1, 2023. The new program will provide
Veterans with assurance that their families will be taken care of financially after their death in coverage amounts from $10,000
to $40,000. The new program will expand insurance eligibility to all service-disabled Veterans under age 81 without medical
underwriting.
VETERANS HOUSING BENEFIT PROGRAM FUND
For the cost of direct and guaranteed loans, such sums as may be necessary to carry out the program, as authorized by subchapters
I through III of chapter 37 of title 38, United States Code: Provided, That such costs, including the cost of modifying such loans, shall be as defined in section 502 of the Congressional Budget
Act of 1974: Provided further, That, during fiscal year 2022, 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, $229,500,000.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–1119–0–1–704
2020 actual
2021 est.
2022 est.
Obligations by program activity:
Credit program obligations:
0701
Direct loan subsidy
4
0704
Subsidy for modifications of loan guarantees
68
0705
Reestimates of direct loan subsidy
5
5
0706
Interest on reestimates of direct loan subsidy
5
5
0707
Reestimates of loan guarantee subsidy
34
544
0708
Interest on reestimates of loan guarantee subsidy
27
45
0709
Administrative expenses
200
204
230
0900
Total new obligations, unexpired accounts
275
871
230
Budgetary resources:
Budget authority:
Appropriations, discretionary:
1100
Appropriation
200
204
230
Appropriations, mandatory:
1200
Appropriation
75
599
1200
Appropriation
68
1260
Appropriations, mandatory (total)
75
667
1900
Budget authority (total)
275
871
230
1930
Total budgetary resources available
275
871
230
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
11
43
3010
New obligations, unexpired accounts
275
871
230
3020
Outlays (gross)
–243
–914
–230
3050
Unpaid obligations, end of year
43
Memorandum (non-add) entries:
3100
Obligated balance, start of year
11
43
3200
Obligated balance, end of year
43
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
200
204
230
Outlays, gross:
4010
Outlays from new discretionary authority
157
204
230
4011
Outlays from discretionary balances
11
43
4020
Outlays, gross (total)
168
247
230
Mandatory:
4090
Budget authority, gross
75
667
Outlays, gross:
4100
Outlays from new mandatory authority
75
667
4180
Budget authority, net (total)
275
871
230
4190
Outlays, net (total)
243
914
230
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in millions of dollars)
Identification code 036–1119–0–1–704
2020 actual
2021 est.
2022 est.
Direct loan levels supportable by subsidy budget authority:
115001
Acquired Direct Loans
1
26
28
115004
Vendee Direct Loans
50
15
16
115999
Total direct loan levels
51
41
44
Direct loan subsidy (in percent):
132001
Acquired Direct Loans
17.77
–1.57
–1.91
132004
Vendee Direct Loans
8.51
–22.54
–27.09
132999
Weighted average subsidy rate
8.69
–9.24
–11.07
Direct loan subsidy budget authority:
133001
Acquired Direct Loans
–1
133004
Vendee Direct Loans
4
–3
–4
133999
Total subsidy budget authority
4
–3
–5
Direct loan subsidy outlays:
134001
Acquired Direct Loans
–1
134004
Vendee Direct Loans
4
–3
–4
134999
Total subsidy outlays
4
–3
–5
Direct loan reestimates:
135001
Acquired Direct Loans
–3
4
135004
Vendee Direct Loans
–14
–27
135005
Acquired and Vendee Loan Reestimates
2
–23
135999
Total direct loan reestimates
–15
–46
Guaranteed loan levels supportable by subsidy budget authority:
215001
Housing Guaranteed Loans
362,210
391,280
301,013
215999
Total loan guarantee levels
362,210
391,280
301,013
Guaranteed loan subsidy (in percent):
232001
Housing Guaranteed Loans
-.30
-.50
-.08
232999
Weighted average subsidy rate
-.30
-.50
-.08
Guaranteed loan subsidy budget authority:
233001
Housing Guaranteed Loans
–1,087
–1,969
–241
233999
Total subsidy budget authority
–1,087
–1,969
–241
Guaranteed loan subsidy outlays:
234001
Housing Guaranteed Loans
–1,087
–1,969
–241
234002
Guaranteed Loan Sale Securities—Vendee
–3
234999
Total subsidy outlays
–1,090
–1,969
–241
Guaranteed loan reestimates:
235001
Housing Guaranteed Loans
–2,462
–1,298
235002
Guaranteed Loan Sale Securities—Vendee
–19
–80
235999
Total guaranteed loan reestimates
–2,481
–1,378
Administrative expense data:
3510
Budget authority
200
204
230
3590
Outlays from new authority
157
204
230
Veterans Affairs (VA) Housing Program Account.—The housing program helps eligible veterans, active duty personnel, surviving spouses, and members of the Reserves and National
Guard purchase, retain, and adapt homes in recognition of their service to the Nation. When a borrower purchases a home, the
program operates by substituting the Federal Government's guaranty for a down payment that might otherwise be required.
Under 38 U.S.C. 3703, the guaranty amount for a borrower with full entitlement (first-time users of the program or users whose
entitlement is fully restored) is as follows:
(a) 50 percent for loans of $45,000 or less;
(b) $22,500 for loans greater than $45,000, but no more than $56,250;
(c) the lesser of $36,000 or 40 percent of the loan amount for loans greater than $56,250, but not more than $144,000; or
(d) 25 percent of the loan amount for loans of $144,001 or greater.
This appropriation provides for the corporate leadership and operational support to VA's Housing business line. The Housing
Program facilitates the extension of private capital, on more liberal terms than generally available to nonveterans, to assist
veterans and servicemembers in obtaining housing credit, and assist veterans in retaining their homes during periods of temporary
economic difficulty through intensive supplemental mortgage loan servicing.
Guaranteed transitional housing loans for homeless veterans.—Established as a pilot project by the Veterans Benefits Improvement Act of 1998 (Public Law 105–368), this program does
not require any new loan subsidy funding. The program has originated no new loans since 2009. The program was canceled in
2012. The existing loan will continue to be serviced within the program's financing account.
WORKLOAD [in thousands]
2020 actual
2021 est.
2022 est.
Construction and valuation
675
671
648
Loan processing
600
545
489
Loan service and claims
90
99
101
Object Classification (in millions of dollars)
Identification code 036–1119–0–1–704
2020 actual
2021 est.
2022 est.
Direct obligations:
25.2
Other services from non-Federal sources
200
204
230
41.0
Grants, subsidies, and contributions
75
667
99.9
Total new obligations, unexpired accounts
275
871
230
Housing Direct Loan Financing Account
Program and Financing (in millions of dollars)
Identification code 036–4127–0–3–704
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0004
Property management/other expense
3
1
1
0091
Direct program activities, subtotal
3
1
1
Credit program obligations:
0710
Direct loan obligations
51
41
45
0713
Payment of interest to Treasury
20
26
28
0740
Negative subsidy obligations
4
5
0742
Downward reestimates paid to receipt accounts
21
36
0743
Interest on downward reestimates
3
18
0791
Direct program activities, subtotal
95
125
78
0900
Total new obligations, unexpired accounts
98
126
79
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
93
92
1
1023
Unobligated balances applied to repay debt
–92
1050
Unobligated balance (total)
93
1
Financing authority:
Borrowing authority, mandatory:
1400
Borrowing authority
64
127
79
1422
Borrowing authority applied to repay debt
–2
1440
Borrowing authority, mandatory (total)
62
127
79
Spending authority from offsetting collections, mandatory:
1800
Collected
86
49
26
1825
Spending authority from offsetting collections applied to repay debt
–51
–49
–26
1850
Spending auth from offsetting collections, mand (total)
35
1900
Budget authority (total)
97
127
79
1930
Total budgetary resources available
190
127
80
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
92
1
1
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
10
5
1
3010
New obligations, unexpired accounts
98
126
79
3020
Outlays (gross)
–103
–130
–79
3050
Unpaid obligations, end of year
5
1
1
Memorandum (non-add) entries:
3100
Obligated balance, start of year
10
5
1
3200
Obligated balance, end of year
5
1
1
Financing authority and disbursements, net:
Mandatory:
4090
Budget authority, gross
97
127
79
Financing disbursements:
4110
Outlays, gross (total)
103
130
79
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4120
Federal sources: Payments from program account
–14
–10
4122
Interest on uninvested funds
–5
4123
Interest and principal received on loans
–56
–37
–25
4123
Fees
–2
4123
Cash sale of properties
–4
–2
–1
4123
Other
–5
4130
Offsets against gross budget authority and outlays (total)
–86
–49
–26
4160
Budget authority, net (mandatory)
11
78
53
4170
Outlays, net (mandatory)
17
81
53
4180
Budget authority, net (total)
11
78
53
4190
Outlays, net (total)
17
81
53
Status of Direct Loans (in millions of dollars)
Identification code 036–4127–0–3–704
2020 actual
2021 est.
2022 est.
Position with respect to appropriations act limitation on obligations:
1111
Direct loan obligations from current-year authority
51
41
45
1150
Total direct loan obligations
51
41
45
Cumulative balance of direct loans outstanding:
1210
Outstanding, start of year
341
347
366
1231
Disbursements: Direct loan disbursements
50
41
45
1251
Repayments: Repayments and prepayments
–43
–21
–10
1263
Write-offs for default: Direct loans
–1
–1
–1
1290
Outstanding, end of year
347
366
400
Balance Sheet (in millions of dollars)
Identification code 036–4127–0–3–704
2019 actual
2020 actual
ASSETS:
Federal assets:
1101
Fund balances with Treasury
102
97
Investments in U.S. securities:
1106
Receivables, net
20
9
1206
Non-Federal assets: Receivables, net
5
5
Net value of assets related to post-1991 direct loans receivable:
1401
Direct loans receivable, gross
341
347
1402
Interest receivable
18
16
1404
Foreclosed property
2
1
1405
Allowance for subsidy cost (-)
22
49
1499
Net present value of assets related to direct loans
383
413
1901
Other Federal assets: Other assets
1999
Total assets
510
524
LIABILITIES:
Federal liabilities:
2101
Accounts payable
6
18
2103
Debt
492
503
2105
Other
6
3
Non-Federal liabilities:
2201
Accounts payable
2207
Other
2999
Total liabilities
504
524
NET POSITION:
3300
Cumulative results of operations
6
4999
Total liabilities and net position
510
524
Housing Guaranteed Loan Financing Account
Program and Financing (in millions of dollars)
Identification code 036–4129–0–3–704
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0002
Losses on defaulted loans
429
753
810
0005
Payment to trustee reserve
2
4
4
0009
Property sales expense
101
103
110
0010
Property management expense
60
90
97
0011
Property improvement expense
3
3
0012
Loans acquired
1
28
32
0013
Refunds
108
183
214
0091
Direct program activities, subtotal
701
1,164
1,270
Credit program obligations:
0711
Default claim payments on principal
872
1,356
1,469
0740
Negative subsidy obligations
1,087
1,969
241
0742
Downward reestimates paid to receipt accounts
2,371
1,703
0743
Interest on downward reestimates
172
264
0791
Direct program activities, subtotal
4,502
5,292
1,710
0900
Total new obligations, unexpired accounts
5,203
6,456
2,980
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
8,867
8,004
6,691
1033
Recoveries of prior year paid obligations
6
1050
Unobligated balance (total)
8,873
8,004
6,691
Financing authority:
Borrowing authority, mandatory:
1400
Borrowing authority
1,969
241
Spending authority from offsetting collections, mandatory:
1800
Collected
4,336
5,143
4,698
1801
Change in uncollected payments, Federal sources
–2
1825
Spending authority from offsetting collections applied to repay debt
–1,969
–241
1850
Spending auth from offsetting collections, mand (total)
4,334
3,174
4,457
1900
Budget authority (total)
4,334
5,143
4,698
1930
Total budgetary resources available
13,207
13,147
11,389
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
8,004
6,691
8,409
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
342
137
54
3010
New obligations, unexpired accounts
5,203
6,456
2,980
3020
Outlays (gross)
–5,408
–6,539
–3,034
3050
Unpaid obligations, end of year
137
54
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–6
–4
–4
3070
Change in uncollected pymts, Fed sources, unexpired
2
3090
Uncollected pymts, Fed sources, end of year
–4
–4
–4
Memorandum (non-add) entries:
3100
Obligated balance, start of year
336
133
50
3200
Obligated balance, end of year
133
50
–4
Financing authority and disbursements, net:
Mandatory:
4090
Budget authority, gross
4,334
5,143
4,698
Financing disbursements:
4110
Outlays, gross (total)
5,408
6,539
3,034
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4120
Payments from program account
–61
–589
4120
Recoveries from DLFA
–51
–45
–51
4122
Interest on uninvested funds
–174
–179
–189
4123
Funding fees
–2,787
–2,920
–2,929
4123
Cash sale of properties
–1,255
–1,410
–1,529
4123
Redemption of Properties/Other income and receivables
–14
4130
Offsets against gross budget authority and outlays (total)
–4,342
–5,143
–4,698
Additional offsets against financing authority only (total):
4140
Change in uncollected pymts, Fed sources, unexpired
2
4143
Recoveries of prior year paid obligations, unexpired accounts
6
4150
Additional offsets against budget authority only (total)
8
4170
Outlays, net (mandatory)
1,066
1,396
–1,664
4180
Budget authority, net (total)
4190
Outlays, net (total)
1,066
1,396
–1,664
Status of Guaranteed Loans (in millions of dollars)
Identification code 036–4129–0–3–704
2020 actual
2021 est.
2022 est.
Position with respect to appropriations act limitation on commitments:
2111
Guaranteed loan commitments from current-year authority
362,210
391,280
301,012
2150
Total guaranteed loan commitments
362,210
391,280
301,012
2199
Guaranteed amount of guaranteed loan commitments
99,970
107,994
83,080
Cumulative balance of guaranteed loans outstanding:
2210
Outstanding, start of year
712,907
816,524
1,152,989
2231
Disbursements of new guaranteed loans
362,210
391,280
301,012
2251
Repayments and prepayments
–257,290
–52,678
–65,543
Adjustments:
2262
Terminations for default that result in acquisition of property
–871
–1,356
–1,469
2263
Terminations for default that result in claim payments
–432
–781
–842
2290
Outstanding, end of year
816,524
1,152,989
1,386,147
Memorandum:
2299
Guaranteed amount of guaranteed loans outstanding, end of year
206,819
291,405
350,358
Balance Sheet (in millions of dollars)
Identification code 036–4129–0–3–704
2019 actual
2020 actual
ASSETS:
Federal assets:
1101
Fund balances with Treasury
9,203
8,137
Investments in U.S. securities:
1106
Receivables, net
147
615
1206
Non-Federal assets: Receivables, net
10
9
Net value of assets related to post-1991 acquired defaulted guaranteed loans receivable:
1504
Accounts receivable from foreclosed property
11
1504
Foreclosed property
721
280
1599
Net present value of assets related to defaulted guaranteed loans
732
280
1999
Total assets
10,092
9,041
LIABILITIES:
Federal liabilities:
2103
Debt
2105
Other liabilities
2,393
1,787
Non-Federal liabilities:
2201
Accounts payable
342
137
2204
Non-federal liabilities for loan guarantees
7,357
7,117
2999
Total liabilities
10,092
9,041
NET POSITION:
3300
Cumulative results of operations
4999
Total liabilities and net position
10,092
9,041
Housing Liquidating Account
Program and Financing (in millions of dollars)
Identification code 036–4025–0–3–704
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0105
Capital investments, guaranteed claims payment and other operating expenses
1
1
1
0900
Total new obligations, unexpired accounts (object class 33.0)
1
1
1
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
1
1022
Capital transfer of unobligated balances to general fund
–2
1033
Recoveries of prior year paid obligations
1
Budget authority:
Spending authority from offsetting collections, mandatory:
1800
Collected
8
7
6
1820
Capital transfer of spending authority from offsetting collections to general fund
–7
–6
–5
1850
Spending auth from offsetting collections, mand (total)
1
1
1
1930
Total budgetary resources available
1
1
1
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)
–1
–2
–1
3050
Unpaid obligations, end of year
1
Memorandum (non-add) entries:
3100
Obligated balance, start of year
1
1
3200
Obligated balance, end of year
1
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
1
1
1
Outlays, gross:
4100
Outlays from new mandatory authority
1
1
4101
Outlays from mandatory balances
1
1
4110
Outlays, gross (total)
1
2
1
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Sale of homes, cash
–1
–1
–1
4123
Interest collection on Veteran liability debts
–3
–3
–3
4123
Principal collection on Veteran liability debts
–5
–3
–2
4130
Offsets against gross budget authority and outlays (total)
–9
–7
–6
Additional offsets against gross budget authority only:
4143
Recoveries of prior year paid obligations, unexpired accounts
1
4160
Budget authority, net (mandatory)
–7
–6
–5
4170
Outlays, net (mandatory)
–8
–5
–5
4180
Budget authority, net (total)
–7
–6
–5
4190
Outlays, net (total)
–8
–5
–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 036–4025–0–3–704
2020 actual
2021 est.
2022 est.
Cumulative balance of direct loans outstanding:
1210
Outstanding, start of year
37
37
37
1290
Outstanding, end of year
37
37
37
Status of Guaranteed Loans (in millions of dollars)
Identification code 036–4025–0–3–704
2020 actual
2021 est.
2022 est.
Cumulative balance of guaranteed loans outstanding:
2210
Outstanding, start of year
9
3
1
2251
Repayments and prepayments
–6
–2
2262
Adjustments: Terminations for default that result in acquisition of property
2290
Outstanding, end of year
3
1
1
Memorandum:
2299
Guaranteed amount of guaranteed loans outstanding, end of year
1
Addendum:
Cumulative balance of defaulted guaranteed loans that result in loans receivable:
2310
Outstanding, start of year
1
1
1
2331
Disbursements for guaranteed loan claims
2351
Repayments of loans receivable
2364
Other adjustments, net
2390
Outstanding, end of year
1
1
1
Balance Sheet (in millions of dollars)
Identification code 036–4025–0–3–704
2019 actual
2020 actual
ASSETS:
1101
Federal assets: Fund balances with Treasury
2
2
Non-Federal assets:
1201
Investments in non-Federal securities, net
140
106
1206
Receivables, net
1
1
1601
Direct loans, gross
10
37
1602
Interest receivable
36
31
1603
Allowance for estimated uncollectible loans and interest (-)
–44
–31
1604
Direct loans and interest receivable, net
2
37
1605
Accounts receivable from foreclosed property
1
1699
Value of assets related to direct loans
3
37
1701
Defaulted guaranteed loans, gross
1
1
1703
Allowance for estimated uncollectible loans and interest (-)
1704
Defaulted guaranteed loans and interest receivable, net
1
1
1706
Foreclosed property
1799
Value of assets related to loan guarantees
1
1
1999
Total assets
147
147
LIABILITIES:
Non-Federal liabilities:
2201
Accounts payable
1
1
2204
Liabilities for loan guarantees
143
146
2207
Other Deferred Revenue
3
2999
Total liabilities
147
147
NET POSITION:
3300
Cumulative results of operations
4999
Total liabilities and net position
147
147
NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM ACCOUNT
For administrative expenses to carry out the direct loan program authorized by subchapter V of chapter 37 of title 38, United
States Code, $1,186,000.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT
For the cost of direct loans, $2,838, 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 $1,662,758.
In addition, for administrative expenses necessary to carry out the direct loan program, $429,467, which may be paid to the appropriation for "General Operating Expenses, Veterans Benefits Administration".
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–1120–0–1–704
2020 actual
2021 est.
2022 est.
Obligations by program activity:
Credit program obligations:
0705
Reestimates of direct loan subsidy
1
1
0709
Administrative expenses
2
2
2
0900
Total new obligations, unexpired accounts
3
3
2
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
2
2
2
Budget authority:
Appropriations, discretionary:
1100
Appropriation
2
2
1
Appropriations, mandatory:
1200
Appropriation
1
1
1
1900
Budget authority (total)
3
3
2
1930
Total budgetary resources available
5
5
4
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
2
2
2
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
3
3
2
3020
Outlays (gross)
–3
–3
–2
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
2
2
1
Outlays, gross:
4010
Outlays from new discretionary authority
2
2
1
Mandatory:
4090
Budget authority, gross
1
1
1
Outlays, gross:
4100
Outlays from new mandatory authority
1
1
1
4180
Budget authority, net (total)
3
3
2
4190
Outlays, net (total)
3
3
2
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in millions of dollars)
Identification code 036–1120–0–1–704
2020 actual
2021 est.
2022 est.
Direct loan levels supportable by subsidy budget authority:
115002
Native American Direct Loans
7
12
13
115003
Vocational Rehabilitation
1
2
1
115999
Total direct loan levels
8
14
14
Direct loan subsidy (in percent):
132002
Native American Direct Loans
–5.23
–20.25
–17.62
132003
Vocational Rehabilitation
2.87
1.37
0.17
132999
Weighted average subsidy rate
–4.22
–17.16
–16.35
Direct loan subsidy budget authority:
133002
Native American Direct Loans
–1
–2
–2
133999
Total subsidy budget authority
–1
–2
–2
Direct loan subsidy outlays:
134002
Native American Direct Loans
–2
–2
134999
Total subsidy outlays
–2
–2
Administrative expense data:
3510
Budget authority
2
2
2
3590
Outlays from new authority
2
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 109–233.
The Vocational Rehabilitation Loan Program provides temporary loans to cover the costs of subsistence, tuition, books, supplies,
and equipment in conjunction with service-connected disability benefits provided to veterans participating in the Department
of Veterans Affairs' Veteran Readiness and Employment Program as authorized by chapter 31 of title 38, United States Code.
Repayment of these loans is made in monthly installments, without interest, through deductions from future payments of compensation,
pension, subsistence allowance, educational assistance allowance, or retired pay.
Object Classification (in millions of dollars)
Identification code 036–1120–0–1–704
2020 actual
2021 est.
2022 est.
Direct obligations:
25.2
Other services from non-Federal sources
2
2
2
41.0
Grants, subsidies, and contributions
1
1
99.9
Total new obligations, unexpired accounts
3
3
2
Native American Direct Loan Financing Account
Program and Financing (in millions of dollars)
Identification code 036–4130–0–3–704
2020 actual
2021 est.
2022 est.
Obligations by program activity:
Credit program obligations:
0710
Direct loan obligations
7
12
13
0713
Payment of interest to Treasury
3
3
3
0740
Negative subsidy obligations
1
3
2
0742
Downward reestimates paid to receipt accounts
1
0900
Total new obligations, unexpired accounts
11
19
18
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
4
9
9
1023
Unobligated balances applied to repay debt
–3
1050
Unobligated balance (total)
1
9
9
Financing authority:
Borrowing authority, mandatory:
1400
Borrowing authority
13
15
15
Spending authority from offsetting collections, mandatory:
1800
Collected
9
9
8
1825
Spending authority from offsetting collections applied to repay debt
–3
–5
–5
1850
Spending auth from offsetting collections, mand (total)
6
4
3
1900
Budget authority (total)
19
19
18
1930
Total budgetary resources available
20
28
27
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
9
9
9
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
1
2
2
3010
New obligations, unexpired accounts
11
19
18
3020
Outlays (gross)
–10
–19
–18
3050
Unpaid obligations, end of year
2
2
2
Memorandum (non-add) entries:
3100
Obligated balance, start of year
1
2
2
3200
Obligated balance, end of year
2
2
2
Financing authority and disbursements, net:
Mandatory:
4090
Budget authority, gross
19
19
18
Financing disbursements:
4110
Outlays, gross (total)
10
19
18
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4120
Federal sources
–1
–1
4122
Interest on uninvested funds
–1
4123
Non-federal sources - Repayments and prepayments of principal
–4
–5
–5
4123
Non-Federal sources - Interest received on loans
–3
–3
–3
4130
Offsets against gross budget authority and outlays (total)
–9
–9
–8
4160
Budget authority, net (mandatory)
10
10
10
4170
Outlays, net (mandatory)
1
10
10
4180
Budget authority, net (total)
10
10
10
4190
Outlays, net (total)
1
10
10
Status of Direct Loans (in millions of dollars)
Identification code 036–4130–0–3–704
2020 actual
2021 est.
2022 est.
Position with respect to appropriations act limitation on obligations:
1111
Direct loan obligations from current-year authority
7
12
13
1150
Total direct loan obligations
7
12
13
Cumulative balance of direct loans outstanding:
1210
Outstanding, start of year
64
65
74
1231
Disbursements: Direct loan disbursements
6
14
12
1251
Repayments: Repayments and prepayments
–5
–5
–5
1290
Outstanding, end of year
65
74
81
Balance Sheet (in millions of dollars)
Identification code 036–4130–0–3–704
2019 actual
2020 actual
ASSETS:
Federal assets:
1101
Fund balances with Treasury
5
12
Investments in U.S. securities:
1106
Receivables, net
Net value of assets related to post-1991 direct loans receivable:
1401
Direct loans receivable, gross
64
65
1402
Interest receivable
3
2
1405
Other assets
2
2
1499
Net present value of assets related to direct loans
69
69
1999
Total assets
74
81
LIABILITIES:
Federal liabilities:
2103
Federal liabilities debt
72
81
2105
Other liabilities
2
2999
Total liabilities
74
81
NET POSITION:
3300
Cumulative results of operations
4999
Total liabilities and net position
74
81
Transitional Housing Direct Loan Financing Account
Program and Financing (in millions of dollars)
Identification code 036–4258–0–3–704
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Direct program activity
1
1
0900
Total new obligations, unexpired accounts
1
1
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
4
4
4
Financing authority:
Spending authority from offsetting collections, mandatory:
1800
Collected
1
1
1930
Total budgetary resources available
4
5
5
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
4
4
4
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
1
1
3020
Outlays (gross)
–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
–1
–1
4180
Budget authority, net (total)
4190
Outlays, net (total)
Status of Direct Loans (in millions of dollars)
Identification code 036–4258–0–3–704
2020 actual
2021 est.
2022 est.
Position with respect to appropriations act limitation on obligations:
1121
Limitation available from carry-forward
95
95
95
1143
Unobligated limitation carried forward
–95
–95
–95
Cumulative balance of direct loans outstanding:
1210
Outstanding, start of year
4
4
4
1290
Outstanding, end of year
4
4
4
Balance Sheet (in millions of dollars)
Identification code 036–4258–0–3–704
2019 actual
2020 actual
ASSETS:
1101
Federal assets: Fund balances with Treasury
4
5
1401
Net value of assets related to post-1991 direct loans receivable: Direct loans receivable, gross
4
4
1999
Total assets
8
9
LIABILITIES:
Federal liabilities:
2103
Debt
4
5
2105
Loan Guaranty/Other Liabilities
4
4
2999
Total liabilities
8
9
4999
Total liabilities and net position
8
9
Vocational Rehabilitation Direct Loan Financing Account
Program and Financing (in millions of dollars)
Identification code 036–4112–0–3–702
2020 actual
2021 est.
2022 est.
Obligations by program activity:
Credit program obligations:
0710
Direct loan obligations
1
2
2
0900
Total new obligations, unexpired accounts
1
2
2
Budgetary resources:
Financing authority:
Borrowing authority, mandatory:
1400
Authority to borrow (indefinite)
2
2
2
1422
Borrowing authority applied to repay debt
–1
1440
Borrowing authority, mandatory (total)
1
2
2
Spending authority from offsetting collections, mandatory:
1800
Collected
1
2
2
1825
Spending authority from offsetting collections applied to repay debt
–1
–2
–2
1900
Budget authority (total)
1
2
2
1930
Total budgetary resources available
1
2
2
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
1
2
2
3020
Outlays (gross)
–1
–2
–2
Financing authority and disbursements, net:
Mandatory:
4090
Budget authority, gross
1
2
2
Financing disbursements:
4110
Outlays, gross (total)
1
2
2
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4123
Repayments and prepayments of principal
–1
–2
–2
4180
Budget authority, net (total)
4190
Outlays, net (total)
Status of Direct Loans (in millions of dollars)
Identification code 036–4112–0–3–702
2020 actual
2021 est.
2022 est.
Position with respect to appropriations act limitation on obligations:
1111
Direct loan obligations from current-year authority
1
2
2
1150
Total direct loan obligations
1
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
–1
–2
–2
1290
Outstanding, end of year
1
1
1
Balance Sheet (in millions of dollars)
Identification code 036–4112–0–3–702
2019 actual
2020 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 Account
Program and Financing (in millions of dollars)
Identification code 036–8133–0–7–702
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Disenrollments
1
0900
Total new obligations, unexpired accounts (object class 44.0)
1
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
62
62
61
1930
Total budgetary resources available
62
62
61
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
62
61
61
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
1
1
2
3010
New obligations, unexpired accounts
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
4180
Budget authority, net (total)
4190
Outlays, net (total)
This account was established under Public Law 94–502, Veterans' Education and Employment Assistance Act, 1976. This program
consists of voluntary contributions by eligible servicemembers and matching contributions provided by the Department of Defense
and provides educational assistance payments to participants who entered the service after December 31, 1976. Chapter 32,
title 38, U.S.C. Section 901 is a non-contributory program with educational assistance provided by the Department of Defense.
Public Law 99–576, enacted October 28, 1986, closed the program permanently for new enrollments effective March 31, 1987.
The estimated activity in the fund follows:
CONTRIBUTIONS, PARTICIPANTS, DISENROLLMENTS, REFUNDS AND TRAINEES
2020 actual
2021 est.
2022 est.
Total program obligations (in thousands)
$69
$67
$64
Number of disenrollments
24
23
22
Total refunds (in thousands)
$69
$67
$64
Average Refund
$2,893
$2,893
$2,893
Total trainees
0
0
0
Total trainee cost (in thousands)
$0
$0
$0
Average trainee cost
$0
$0
$0
Section 901 trainees
0
0
0
Total Section 901 trainee cost (in thousands)
$0
$0
$0
Average Section 901 trainee cost
$0
$0
$0
National Service Life Insurance Fund
Special and Trust Fund Receipts (in millions of dollars)
Identification code 036–8132–0–7–701
2020 actual
2021 est.
2022 est.
0100
Balance, start of year
1,873
1,461
1,093
0198
Reconciliation adjustment
2
0199
Balance, start of year
1,875
1,461
1,093
Receipts:
Current law:
1130
NSLI Fund, Premium and Other Receipts
27
31
23
1140
NSLI Fund, Interest
84
57
39
1199
Total current law receipts
111
88
62
1999
Total receipts
111
88
62
2000
Total: Balances and receipts
1,986
1,549
1,155
Appropriations:
Current law:
2101
National Service Life Insurance Fund
–112
–88
–62
2103
National Service Life Insurance Fund
–414
–368
–301
2199
Total current law appropriations
–526
–456
–363
2999
Total appropriations
–526
–456
–363
5098
Rounding adjustment
1
5099
Balance, end of year
1,461
1,093
792
Program and Financing (in millions of dollars)
Identification code 036–8132–0–7–701
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Death claims
345
293
224
0002
Disability claims
1
1
1
0003
Matured endowments
111
103
94
0004
Cash surrenders
21
18
13
0005
Dividends
28
17
12
0006
Interest paid on dividend credits and deposits
11
10
7
0007
Payment to general operating expenses
10
10
8
0091
Total operating expenses
527
452
359
0201
Capital investment: Policy loans
4
4
4
0799
Total direct obligations
531
456
363
0801
Death claims
18
18
17
0803
Matured endowments
6
6
7
0804
Cash surrenders
1
1
1
0805
Dividends
2
1
1
0806
Interest paid on dividend credits and deposits
1
1
0807
Payment to general operating expenses
1
1
1
0899
Total reimbursable obligations
29
28
27
0900
Total new obligations, unexpired accounts
560
484
390
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
1
1
1021
Recoveries of prior year unpaid obligations
6
1050
Unobligated balance (total)
6
1
1
Budget authority:
Appropriations, mandatory:
1201
Appropriation (special or trust fund)
112
88
62
1203
Appropriation (previously unavailable)(special or trust)
414
368
301
1260
Appropriations, mandatory (total)
526
456
363
Spending authority from offsetting collections, mandatory:
1800
Collected
29
28
27
1900
Budget authority (total)
555
484
390
1930
Total budgetary resources available
561
485
391
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
1
1
1
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
592
492
397
3010
New obligations, unexpired accounts
560
484
390
3020
Outlays (gross)
–654
–579
–494
3040
Recoveries of prior year unpaid obligations, unexpired
–6
3050
Unpaid obligations, end of year
492
397
293
Memorandum (non-add) entries:
3100
Obligated balance, start of year
592
492
397
3200
Obligated balance, end of year
492
397
293
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
555
484
390
Outlays, gross:
4100
Outlays from new mandatory authority
140
86
192
4101
Outlays from mandatory balances
514
493
302
4110
Outlays, gross (total)
654
579
494
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Non-Federal sources
–29
–28
–27
4180
Budget authority, net (total)
526
456
363
4190
Outlays, net (total)
625
551
467
Memorandum (non-add) entries:
5000
Total investments, SOY: Federal securities: Par value
2,456
1,946
1,448
5001
Total investments, EOY: Federal securities: Par value
1,946
1,448
1,043
Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously
shown for this account have been discontinued.
This fund was established in 1940. It is for the World War II servicemembers' and veterans' insurance program. Over 22 million
policies were issued under this program. Activity of the fund reflects a declining claim workload. The trend in the number
and amount of policies in force is shown as follows:
POLICIES AND INSURANCE IN FORCE
2020 actual
2021 est.
2022 est.
Number of policies
122,845
92,565
68,195
Insurance in force (dollars in millions)
$1,565
$1,171
$840
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 $1,527 million as of September 30, 2021 to $1,129 million as of September 30, 2022. The actuarial
estimate of policy obligations as of September 30, 2022, totals $1,067 million, leaving a balance of $62 million for contingency
reserves.
Status of Funds (in millions of dollars)
Identification code 036–8132–0–7–701
2020 actual
2021 est.
2022 est.
Unexpended balance, start of year:
0100
Balance, start of year
2,466
1,953
1,490
0999
Total balance, start of year
2,466
1,953
1,490
Cash income during the year:
Current law:
Receipts:
1130
NSLI Fund, Premium and Other Receipts
27
31
23
1130
National Service Life Insurance Fund
29
28
27
1150
NSLI Fund, Interest
84
57
39
1199
Income under present law
140
116
89
1999
Total cash income
140
116
89
Cash outgo during year:
Current law:
2100
National Service Life Insurance Fund [Budget Acct]
–654
–579
–494
2199
Outgo under current law
–654
–579
–494
2999
Total cash outgo (-)
–654
–579
–494
Surplus or deficit:
3110
Excluding interest
–598
–520
–444
3120
Interest
84
57
39
3199
Subtotal, surplus or deficit
–514
–463
–405
3298
Reconciliation adjustment
1
3299
Total adjustments
1
3999
Total change in fund balance
–513
–463
–405
Unexpended balance, end of year:
4100
Uninvested balance (net), end of year
7
42
42
4200
National Service Life Insurance Fund
1,946
1,448
1,043
4999
Total balance, end of year
1,953
1,490
1,085
Object Classification (in millions of dollars)
Identification code 036–8132–0–7–701
2020 actual
2021 est.
2022 est.
Direct obligations:
33.0
Investments and loans
4
4
4
42.0
Insurance claims and indemnities
478
415
331
43.0
Interest and dividends
49
37
28
99.0
Direct obligations
531
456
363
99.0
Reimbursable obligations
29
28
27
99.9
Total new obligations, unexpired accounts
560
484
390
United States Government Life Insurance Fund
Special and Trust Fund Receipts (in millions of dollars)
Identification code 036–8150–0–7–701
2020 actual
2021 est.
2022 est.
0100
Balance, start of year
1
1
1
2000
Total: Balances and receipts
1
1
1
5099
Balance, end of year
1
1
1
Program and Financing (in millions of dollars)
Identification code 036–8150–0–7–701
2020 actual
2021 est.
2022 est.
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)
Memorandum (non-add) entries:
5000
Total investments, SOY: Federal securities: Par value
2
2
1
5001
Total investments, EOY: Federal securities: Par value
2
1
1
Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously
shown for this account have been discontinued.
This fund was established in 1919 to receive premiums and pay claims on insurance issued under the provisions of the War Risk
Insurance Act. The general decline in the activity of the fund is indicated in the following table:
POLICIES AND INSURANCE IN FORCE
2020 actual
2021 est.
2022 est.
Number of policies
4
0
0
Insurance in force (dollars in millions)
$.014
$0
$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 $1.4 million as of September 30, 2021, to $1.2 million as of September 30, 2022, as an increasing number of policies
mature through death or disability. The actuarial evaluation of policy obligations as of September 30, 2022, totals $0.8 million,
leaving a balance of $0.4 million for contingency reserves.
Status of Funds (in millions of dollars)
Identification code 036–8150–0–7–701
2020 actual
2021 est.
2022 est.
Unexpended balance, start of year:
0100
Balance, start of year
2
2
2
0999
Total balance, start of year
2
2
2
Unexpended balance, end of year:
4100
Uninvested balance (net), end of year
1
1
4200
United States Government Life Insurance Fund
2
1
1
4999
Total balance, end of year
2
2
2
Veterans Special Life Insurance Fund
Program and Financing (in millions of dollars)
Identification code 036–8455–0–8–701
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0801
Death claims
135
133
127
0802
Cash surrenders
11
13
11
0803
Dividends
16
11
8
0804
All other
13
13
11
0805
Payments to insurance account
7
8
9
0806
Capital investment
3
3
3
0900
Total new obligations, unexpired accounts
185
181
169
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
992
885
775
Budget authority:
Spending authority from offsetting collections, mandatory:
1800
Collected
80
71
60
1801
Change in uncollected payments, Federal sources
–2
1850
Spending auth from offsetting collections, mand (total)
78
71
60
1930
Total budgetary resources available
1,070
956
835
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
885
775
666
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
382
351
306
3010
New obligations, unexpired accounts
185
181
169
3020
Outlays (gross)
–216
–226
–206
3050
Unpaid obligations, end of year
351
306
269
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–14
–12
–12
3070
Change in uncollected pymts, Fed sources, unexpired
2
3090
Uncollected pymts, Fed sources, end of year
–12
–12
–12
Memorandum (non-add) entries:
3100
Obligated balance, start of year
368
339
294
3200
Obligated balance, end of year
339
294
257
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
78
71
60
Outlays, gross:
4100
Outlays from new mandatory authority
78
71
60
4101
Outlays from mandatory balances
138
155
146
4110
Outlays, gross (total)
216
226
206
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4121
Interest on Federal securities
–53
–46
–39
4123
Non-Federal sources
–2
–1
–1
4123
Non-Federal sources
–15
–15
–12
4123
Non-Federal sources
–10
–9
–8
4130
Offsets against gross budget authority and outlays (total)
–80
–71
–60
Additional offsets against gross budget authority only:
4140
Change in uncollected pymts, Fed sources, unexpired
2
4170
Outlays, net (mandatory)
136
155
146
4180
Budget authority, net (total)
4190
Outlays, net (total)
136
155
146
Memorandum (non-add) entries:
5000
Total investments, SOY: Federal securities: Par value
1,357
1,222
1,066
5001
Total investments, EOY: Federal securities: Par value
1,222
1,066
920
Note.—Department of Veterans Affairs insurance policy loans are not an extension of Federal credit. Credit schedules previously
shown for this account have been discontinued.
This fund finances the payment of claims on life insurance policies issued before January 3, 1957, to veterans who served
in the Armed Forces subsequent to April 1, 1951. No new policies can be issued.
Benefit program:
Death claims.—Represents payments to designated beneficiaries.
Cash surrenders.—A policyholder may terminate his or her insurance by cashing in the policy for its cash value.
Dividends.—Policyholders participate in the distribution of annual dividends.
All other.—Classified in this category are payments to policyholders who: (a) hold endowment policies which have matured; (b) have
purchased total disability income coverage and subsequently become disabled; and (c) are paid interest on dividend credits
and deposits.
The following table reflects the decrease in the number of policies and the amounts of insurance in force:
POLICIES AND INSURANCE IN FORCE
2020 actual
2021 est.
2022 est.
Number of policies
70,113
60,808
51,955
Insurance in force (dollars in millions)
$1,045
$914
$783
Financing.—Payments from this fund are financed primarily from premium receipts and interest on investments.
Object Classification (in millions of dollars)
Identification code 036–8455–0–8–701
2020 actual
2021 est.
2022 est.
Reimbursable obligations:
33.0
Investments and loans
3
4
3
42.0
Insurance claims and indemnities
155
155
149
43.0
Interest and dividends
27
22
17
99.9
Total new obligations, unexpired accounts
185
181
169
Departmental Administration
Federal Funds
CONSTRUCTION, MAJOR PROJECTS
For constructing, altering, extending, and improving any of the facilities, including parking projects, under the jurisdiction
or for the use of the Department of Veterans Affairs, or for any of the purposes set forth in sections 316, 2404, 2406 and
chapter 81 of title 38, United States Code, not otherwise provided for, including planning, architectural and engineering
services, construction management services, maintenance or guarantee period services costs associated with equipment guarantees
provided under the project, services of claims analysts, offsite utility and storm drainage system construction costs, and
site acquisition, where the estimated cost of a project is more than the amount set forth in section 8104(a)(3)(A) of title
38, United States Code, or where funds for a project were made available in a previous major project appropriation, $1,611,000,000, of which $657,326,000 shall remain available until September 30, 2026, and of which $953,674,000 shall remain available until expended, of which $100,000,000 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 planning, cost estimating, and design for major medical facility projects and major medical facility leases and investment strategy studies funded through the advance planning fund and the planning and design activities funded through
the design fund, staffing expenses, and funds provided for the purchase, security, and maintenance of land for the National Cemetery Administration through the
land acquisition line item, none of the funds made available under this heading shall be used for any project that has not
been notified to Congress through the budgetary process or that has not been approved by the Congress through statute, joint
resolution, or in the explanatory statement accompanying such Act and presented to the President at the time of enrollment:
Provided further, That 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 2022, for each approved project shall be obligated: (1) by the awarding of a construction documents contract by September 30,
2022; and (2) by the awarding of a construction contract by September 30, 2023: 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, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0110–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Medical programs
1,368
1,344
1,586
0002
National cemeteries
158
143
163
0005
Staff offices
9
8
10
0799
Total direct obligations
1,535
1,495
1,759
0900
Total new obligations, unexpired accounts
1,535
1,495
1,759
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
2,798
2,684
2,505
1020
Adjustment of unobligated bal brought forward, Oct 1
35
1021
Recoveries of prior year unpaid obligations
52
1033
Recoveries of prior year paid obligations
100
1050
Unobligated balance (total)
2,985
2,684
2,505
Budget authority:
Appropriations, discretionary:
1100
Appropriation
1,235
1,316
1,611
1900
Budget authority (total)
1,235
1,316
1,611
1930
Total budgetary resources available
4,220
4,000
4,116
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–1
1941
Unexpired unobligated balance, end of year
2,684
2,505
2,357
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
751
806
1,111
3010
New obligations, unexpired accounts
1,535
1,495
1,759
3011
Obligations ("upward adjustments"), expired accounts
2
7
3020
Outlays (gross)
–1,430
–1,190
–1,250
3040
Recoveries of prior year unpaid obligations, unexpired
–52
3050
Unpaid obligations, end of year
806
1,111
1,627
Memorandum (non-add) entries:
3100
Obligated balance, start of year
751
806
1,111
3200
Obligated balance, end of year
806
1,111
1,627
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
1,235
1,316
1,611
Outlays, gross:
4010
Outlays from new discretionary authority
548
564
691
4011
Outlays from discretionary balances
882
626
559
4020
Outlays, gross (total)
1,430
1,190
1,250
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–100
4040
Offsets against gross budget authority and outlays (total)
–100
Additional offsets against gross budget authority only:
4053
Recoveries of prior year paid obligations, unexpired accounts
100
4060
Additional offsets against budget authority only (total)
100
4070
Budget authority, net (discretionary)
1,235
1,316
1,611
4080
Outlays, net (discretionary)
1,330
1,190
1,250
4180
Budget authority, net (total)
1,235
1,316
1,611
4190
Outlays, net (total)
1,330
1,190
1,250
Summary of Budget Authority and Outlays (in millions of dollars)
2020 actual
2021 est.
2022 est.
Enacted/requested:
Budget Authority
1,235
1,316
1,611
Outlays
1,330
1,190
1,250
Legislative proposal, subject to PAYGO:
Budget Authority
15,000
Outlays
622
Total:
Budget Authority
1,235
1,316
16,611
Outlays
1,330
1,190
1,872
The Construction, Major Projects appropriation funds construction projects currently costing more than $20 million. Funding
is requested for twelve on-going projects in Biloxi, MS; Portland, OR; Louisville, KY; San Francisco, CA; West Los Angeles,
CA; Long Beach, CA; Canandaigua, NY; San Diego, CA; Dallas, TX; Oklahoma City, OK; St Louis, MO; and El Paso, TX. In addition,
two expansion projects at existing national cemeteries in Denver, CO and Annville, PA 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.
Object Classification (in millions of dollars)
Identification code 036–0110–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
25.2
Other services from non-Federal sources
70
67
79
25.3
Other goods and services from Federal sources
116
112
132
32.0
Land and structures
1,349
1,316
1,548
99.0
Direct obligations
1,535
1,495
1,759
99.9
Total new obligations, unexpired accounts
1,535
1,495
1,759
Construction, Major Projects
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 036–0110–4–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Medical programs
1,000
0799
Total direct obligations
1,000
0900
Total new obligations, unexpired accounts (object class 25.3)
1,000
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200
Appropriation
15,000
1900
Budget authority (total)
15,000
1930
Total budgetary resources available
15,000
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
14,000
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
1,000
3020
Outlays (gross)
–622
3050
Unpaid obligations, end of year
378
Memorandum (non-add) entries:
3200
Obligated balance, end of year
378
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
15,000
Outlays, gross:
4100
Outlays from new mandatory authority
622
4180
Budget authority, net (total)
15,000
4190
Outlays, net (total)
622
The Budget requests $18 billion in VA's Construction accounts to support the American Jobs Plan (AJP). $3 billion of these
funds will be used for short to medium-term upgrades to facilities, providing for targeted investment in areas such as green
energy, sustainability, women Veterans improvements, and lessons learned from the pandemic focusing on our aging Veteran population.
$15 billion will be used for long-term facility improvements to deliver much needed recapitalization and modernization to
existing VA medical centers and new facilities to support the evolving healthcare needs of Veterans. The Administration will
continue to work with Congressional partners and other key stakeholders to further develop the full details of the AJP proposal
to enhance VA's capital programs.
CONSTRUCTION, MINOR PROJECTS
For constructing, altering, extending, and improving any of the facilities, including parking projects, under the jurisdiction
or for the use of the Department of Veterans Affairs, including planning and assessments of needs which may lead to capital
investments, architectural and engineering services, maintenance or guarantee period services costs associated with equipment
guarantees provided under the project, services of claims analysts, offsite utility and storm drainage system construction
costs, and site acquisition, or for any of the purposes set forth in sections 316, 2404, 2406 and chapter 81 of title 38,
United States Code, not otherwise provided for, where the estimated cost of a project is equal to or less than the amount
set forth in section 8104(a)(3)(A) of title 38, United States Code, $553,000,000, of which $497,700,000 shall remain available until September 30, 2026, and of which $55,300,000 shall remain available until expended, 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, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0111–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Medical programs
469
526
351
0002
National cemeteries
113
93
111
0003
Regional offices
38
41
40
0004
Staff offices
54
49
60
0005
Choice Act, P.L. 113–146, Sec. 801
5
0900
Total new obligations, unexpired accounts
679
709
562
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
946
710
355
1001
Discretionary unobligated balance brought fwd, Oct 1
944
1021
Recoveries of prior year unpaid obligations
55
1050
Unobligated balance (total)
1,001
710
355
Budget authority:
Appropriations, discretionary:
1100
Appropriation
400
390
553
1131
Unobligated balance of appropriations permanently reduced
–36
1160
Appropriation, discretionary (total)
400
354
553
1900
Budget authority (total)
400
354
553
1930
Total budgetary resources available
1,401
1,064
908
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–12
1941
Unexpired unobligated balance, end of year
710
355
346
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
1,117
1,147
1,401
3010
New obligations, unexpired accounts
679
709
562
3011
Obligations ("upward adjustments"), expired accounts
8
4
4
3020
Outlays (gross)
–597
–456
–388
3040
Recoveries of prior year unpaid obligations, unexpired
–55
3041
Recoveries of prior year unpaid obligations, expired
–5
–3
3050
Unpaid obligations, end of year
1,147
1,401
1,579
Memorandum (non-add) entries:
3100
Obligated balance, start of year
1,117
1,147
1,401
3200
Obligated balance, end of year
1,147
1,401
1,579
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
400
354
553
Outlays, gross:
4010
Outlays from new discretionary authority
4
71
100
4011
Outlays from discretionary balances
567
354
237
4020
Outlays, gross (total)
571
425
337
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–1
4033
Non-Federal sources
–1
4040
Offsets against gross budget authority and outlays (total)
–2
Additional offsets against gross budget authority only:
4052
Offsetting collections credited to expired accounts
2
4060
Additional offsets against budget authority only (total)
2
4070
Budget authority, net (discretionary)
400
354
553
4080
Outlays, net (discretionary)
569
425
337
Mandatory:
Outlays, gross:
4101
Outlays from mandatory balances
26
31
51
4180
Budget authority, net (total)
400
354
553
4190
Outlays, net (total)
595
456
388
Summary of Budget Authority and Outlays (in millions of dollars)
2020 actual
2021 est.
2022 est.
Enacted/requested:
Budget Authority
400
354
553
Outlays
595
456
388
Legislative proposal, subject to PAYGO:
Budget Authority
3,000
Outlays
6
Total:
Budget Authority
400
354
3,553
Outlays
595
456
394
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 036–0111–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
25.2
Other services from non-Federal sources
7
7
6
25.3
Other goods and services from Federal sources
36
38
30
32.0
Land and structures
636
664
526
99.9
Total new obligations, unexpired accounts
679
709
562
Construction, Minor Projects
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 036–0111–4–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Medical programs
700
0900
Total new obligations, unexpired accounts (object class 25.2)
700
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200
Appropriation
3,000
1930
Total budgetary resources available
3,000
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
2,300
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
700
3020
Outlays (gross)
–6
3050
Unpaid obligations, end of year
694
Memorandum (non-add) entries:
3200
Obligated balance, end of year
694
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
3,000
Outlays, gross:
4100
Outlays from new mandatory authority
6
4180
Budget authority, net (total)
3,000
4190
Outlays, net (total)
6
The Budget requests $18 billion in VA's Construction accounts to support the American Jobs Plan (AJP). $3 billion of these
funds will be used for short to medium-term upgrades to facilities, providing for targeted investment in areas such as green
energy, sustainability, women Veterans improvements, and lessons learned from the pandemic focusing on our aging Veteran population.
$15 billion will be used for long-term facility improvements to deliver much needed recapitalization and modernization to
existing VA medical centers and new facilities to support the evolving healthcare needs of Veterans. The Administration will
continue to work with Congressional partners and other key stakeholders to further develop the full details of the AJP proposal
to enhance VA's capital programs.
GRANTS FOR CONSTRUCTION OF STATE EXTENDED CARE FACILITIES
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0181–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Grants for construction of state extended care facilities
161
90
0900
Total new obligations, unexpired accounts (object class 41.0)
161
90
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
159
266
766
1021
Recoveries of prior year unpaid obligations
28
1050
Unobligated balance (total)
187
266
766
Budget authority:
Appropriations, discretionary:
1100
Appropriation
240
90
Appropriations, mandatory:
1200
Appropriation
500
1900
Budget authority (total)
240
590
1930
Total budgetary resources available
427
856
766
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
266
766
766
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
767
686
371
3010
New obligations, unexpired accounts
161
90
3020
Outlays (gross)
–214
–405
–230
3040
Recoveries of prior year unpaid obligations, unexpired
–28
3050
Unpaid obligations, end of year
686
371
141
Memorandum (non-add) entries:
3100
Obligated balance, start of year
767
686
371
3200
Obligated balance, end of year
686
371
141
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
240
90
Outlays, gross:
4010
Outlays from new discretionary authority
2
4011
Outlays from discretionary balances
214
393
172
4020
Outlays, gross (total)
214
395
172
Mandatory:
4090
Budget authority, gross
500
Outlays, gross:
4100
Outlays from new mandatory authority
10
4101
Outlays from mandatory balances
58
4110
Outlays, gross (total)
10
58
4180
Budget authority, net (total)
240
590
4190
Outlays, net (total)
214
405
230
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.
Section 8004 of the American Rescue Plan Act of 2021 (Public Law 117–2) provided $500 million in 2021 to remain available
until expended, for allocation under section 8131 through 8137 of title 38, United States Code.
GRANTS FOR CONSTRUCTION OF VETERANS CEMETERIES
For grants to assist States and tribal organizations in establishing, expanding, or improving veterans cemeteries as authorized
by section 2408 of title 38, United States Code, $45,000,000, to remain available until expended.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0183–0–1–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Grants for construction of state veterans cemeteries
47
48
49
0900
Total new obligations, unexpired accounts (object class 41.0)
47
48
49
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
6
6
4
1021
Recoveries of prior year unpaid obligations
2
1
1
1050
Unobligated balance (total)
8
7
5
Budget authority:
Appropriations, discretionary:
1100
Appropriation
45
45
45
1930
Total budgetary resources available
53
52
50
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
6
4
1
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
89
90
44
3010
New obligations, unexpired accounts
47
48
49
3020
Outlays (gross)
–44
–93
–45
3040
Recoveries of prior year unpaid obligations, unexpired
–2
–1
–1
3050
Unpaid obligations, end of year
90
44
47
Memorandum (non-add) entries:
3100
Obligated balance, start of year
89
90
44
3200
Obligated balance, end of year
90
44
47
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
44
69
21
4020
Outlays, gross (total)
44
93
45
4180
Budget authority, net (total)
45
45
45
4190
Outlays, net (total)
44
93
45
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, $401,200,000, of which not to exceed 10 percent shall remain available until September 30, 2023: 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, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0142–0–1–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0014
General administration
347
365
401
0806
General administration, reimbursable program
363
427
433
0900
Total new obligations, unexpired accounts
710
792
834
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
8
7
1
1012
Unobligated balance transfers between expired and unexpired accounts
5
5
1050
Unobligated balance (total)
13
12
1
Budget authority:
Appropriations, discretionary:
1100
Appropriation
362
366
401
1131
Unobligated balance of appropriations permanently reduced
–12
1160
Appropriation, discretionary (total)
362
354
401
Spending authority from offsetting collections, discretionary:
1700
Collected
364
427
433
1900
Budget authority (total)
726
781
834
1930
Total budgetary resources available
739
793
835
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–22
1941
Unexpired unobligated balance, end of year
7
1
1
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
195
220
114
3010
New obligations, unexpired accounts
710
792
834
3011
Obligations ("upward adjustments"), expired accounts
7
3020
Outlays (gross)
–673
–898
–816
3041
Recoveries of prior year unpaid obligations, expired
–19
3050
Unpaid obligations, end of year
220
114
132
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–12
–10
–10
3071
Change in uncollected pymts, Fed sources, expired
2
3090
Uncollected pymts, Fed sources, end of year
–10
–10
–10
Memorandum (non-add) entries:
3100
Obligated balance, start of year
183
210
104
3200
Obligated balance, end of year
210
104
122
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
726
781
834
Outlays, gross:
4010
Outlays from new discretionary authority
526
695
738
4011
Outlays from discretionary balances
147
203
78
4020
Outlays, gross (total)
673
898
816
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–368
–427
–433
4033
Non-Federal sources
–1
4040
Offsets against gross budget authority and outlays (total)
–369
–427
–433
Additional offsets against gross budget authority only:
4052
Offsetting collections credited to expired accounts
5
4060
Additional offsets against budget authority only (total)
5
4070
Budget authority, net (discretionary)
362
354
401
4080
Outlays, net (discretionary)
304
471
383
4180
Budget authority, net (total)
362
354
401
4190
Outlays, net (total)
304
471
383
General Administration.—Includes departmental executive direction, departmental support offices, the Office of General Counsel, and the Office of
Accountability and Whistleblower Protection. Also included in this account is the Pershing Hall Revolving Fund which operates
and manages Pershing Hall, an asset of the United States, located in Paris, France. All operating expenses for Pershing Hall
are borne by the revolving fund and all receipts generated by the operation of Pershing Hall are deposited in the revolving
fund.
Object Classification (in millions of dollars)
Identification code 036–0142–0–1–705
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
199
214
229
11.5
Other personnel compensation
4
4
4
11.9
Total personnel compensation
203
218
233
12.1
Civilian personnel benefits
69
77
83
21.0
Travel and transportation of persons
2
2
5
23.1
Rent
19
16
22
23.2
Rental payments to others
5
5
23.3
Communications, utilities, and miscellaneous charges
4
3
25.2
Other services from non-Federal sources
46
47
49
26.0
Supplies and materials
1
1
31.0
Equipment
2
1
99.0
Direct obligations
347
365
401
99.0
Reimbursable obligations
363
427
433
99.9
Total new obligations, unexpired accounts
710
792
834
Employment Summary
Identification code 036–0142–0–1–705
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
1,600
1,700
1,807
2001
Reimbursable civilian full-time equivalent employment
1,012
1,200
1,564
Asset Infrastructure Review Commission
For carrying out the VA Asset and Infrastructure Review Act of 2018 (subtitle A of title II of Public Law 115–182), $5,000,000,
to remain available until September 30, 2023: Provided, That amounts made available under the headings "Construction, Major
Projects", "Construction, Minor Projects", "Medical Facilities", and "General Administration" in this Act or prior Acts that
remain available for obligation in fiscal year 2022 may be transferred to and merged with the amounts made available under
this heading: Provided further, That in advance of any such transfer, the Secretary of Veterans Affairs shall notify the Committees
on Appropriations of both Houses of Congress of the amount and purpose of the transfer: Provided further, That the transfer
authority provided under this heading is in addition to any other transfer authority provided by law.
Program and Financing (in millions of dollars)
Identification code 036–1130–0–1–551
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0014
Direct program activity
5
Budgetary resources:
Budget authority:
Appropriations, discretionary:
1100
Appropriation
5
1930
Total budgetary resources available
5
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
5
3020
Outlays (gross)
–4
3050
Unpaid obligations, end of year
1
Memorandum (non-add) entries:
3200
Obligated balance, end of year
1
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
5
Outlays, gross:
4010
Outlays from new discretionary authority
4
4180
Budget authority, net (total)
5
4190
Outlays, net (total)
4
VA MISSION Act of 2018 (P.L. 115–182), Title II, section 202 established an independent commission, the "Asset and Infrastructure
Review Commission" (the Commission) with members appointed by the President with the consent of the Senate. The President
shall transmit to the Senate the nominations for appointment to the Commission no later than May 31, 2021. The Commission
shall meet only during calendar years 2022 and 2023, and those meetings shall be open to the public. The Commission will review
recommendations made by the Secretary of the Department of Veterans Affairs (VA) to modernize or realign Veterans Health Administration
(VHA) facilities, including leased facilities, on the basis of criteria published in the Federal Register in accordance with
Title II. The Commission shall, no later than January 31, 2023, transmit to the President a report containing the Commissions
findings and conclusions based on a review and analysis of the recommendations made by the Secretary, together with the Commissions
recommendations, for modernizations and realignments of VHA facilities. The Budget request for this account provides funding
for support staff to conduct in-depth field hearings and receive input from Veterans, Veterans Service Organizations, local
VA providers, local governments, and the public.
Object Classification (in millions of dollars)
Identification code 036–1130–0–1–551
2020 actual
2021 est.
2022 est.
11.1
Direct obligations: Personnel compensation: Full-time permanent
2
11.9
Total personnel compensation
2
12.1
Civilian personnel benefits
1
25.2
Other services from non-Federal sources
2
99.9
Total new obligations, unexpired accounts
5
Employment Summary
Identification code 036–1130–0–1–551
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
20
BOARD OF VETERANS APPEALS
For necessary operating expenses of the Board of Veterans Appeals, $228,000,000, of which not to exceed 10 percent shall remain available until September 30, 2023.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–1122–0–1–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0014
Board of Veterans' Appeals
186
204
233
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
16
8
1012
Unobligated balance transfers between expired and unexpired accounts
1
5
1050
Unobligated balance (total)
17
5
8
Budget authority:
Appropriations, discretionary:
1100
Appropriation
182
196
228
1121
Appropriations transferred from other acct [036–0160]
1
1131
Unobligated balance of appropriations permanently reduced
–8
1160
Appropriation, discretionary (total)
174
197
228
Appropriations, mandatory:
1200
Appropriation
10
1900
Budget authority (total)
174
207
228
1930
Total budgetary resources available
191
212
236
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–5
1941
Unexpired unobligated balance, end of year
8
3
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
15
11
39
3010
New obligations, unexpired accounts
186
204
233
3011
Obligations ("upward adjustments"), expired accounts
1
3020
Outlays (gross)
–186
–176
–223
3041
Recoveries of prior year unpaid obligations, expired
–5
3050
Unpaid obligations, end of year
11
39
49
Memorandum (non-add) entries:
3100
Obligated balance, start of year
15
11
39
3200
Obligated balance, end of year
11
39
49
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
174
197
228
Outlays, gross:
4010
Outlays from new discretionary authority
166
167
193
4011
Outlays from discretionary balances
20
8
24
4020
Outlays, gross (total)
186
175
217
Mandatory:
4090
Budget authority, gross
10
Outlays, gross:
4100
Outlays from new mandatory authority
1
4101
Outlays from mandatory balances
6
4110
Outlays, gross (total)
1
6
4180
Budget authority, net (total)
174
207
228
4190
Outlays, net (total)
186
176
223
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, memorial benefits, 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 036–1122–0–1–705
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
128
137
154
11.5
Other personnel compensation
2
1
4
11.9
Total personnel compensation
130
138
158
12.1
Civilian personnel benefits
43
46
54
23.2
Rental payments to others
5
10
11
23.3
Communications, utilities, and miscellaneous charges
6
25.2
Other services from non-Federal sources
2
10
10
99.9
Total new obligations, unexpired accounts
186
204
233
Employment Summary
Identification code 036–1122–0–1–705
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
1,157
1,194
1,356
OFFICE OF INSPECTOR GENERAL
For necessary expenses of the Office of Inspector General, to include information technology, in carrying out the provisions
of the Inspector General Act of 1978 (5 U.S.C. App.), $239,000,000, of which not to exceed 10 percent shall remain available until September 30, 2023.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0170–0–1–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0101
Office of Inspector General (Direct)
218
233
259
0192
Total direct program
218
233
259
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
8
3
21
1012
Unobligated balance transfers between expired and unexpired accounts
2
13
1050
Unobligated balance (total)
10
16
21
Budget authority:
Appropriations, discretionary:
1100
Appropriation
223
228
239
Appropriations, mandatory:
1200
Appropriation
10
1900
Budget authority (total)
223
238
239
1930
Total budgetary resources available
233
254
260
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–12
1941
Unexpired unobligated balance, end of year
3
21
1
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
23
26
66
3010
New obligations, unexpired accounts
218
233
259
3011
Obligations ("upward adjustments"), expired accounts
1
3020
Outlays (gross)
–214
–193
–236
3041
Recoveries of prior year unpaid obligations, expired
–2
3050
Unpaid obligations, end of year
26
66
89
Memorandum (non-add) entries:
3100
Obligated balance, start of year
23
26
66
3200
Obligated balance, end of year
26
66
89
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
223
228
239
Outlays, gross:
4010
Outlays from new discretionary authority
187
170
179
4011
Outlays from discretionary balances
27
23
49
4020
Outlays, gross (total)
214
193
228
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–1
Additional offsets against gross budget authority only:
4052
Offsetting collections credited to expired accounts
1
4070
Budget authority, net (discretionary)
223
228
239
4080
Outlays, net (discretionary)
213
193
228
Mandatory:
4090
Budget authority, gross
10
Outlays, gross:
4101
Outlays from mandatory balances
8
4180
Budget authority, net (total)
223
238
239
4190
Outlays, net (total)
213
193
236
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 036–0170–0–1–705
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
121
130
142
11.5
Other personnel compensation
9
12
11
11.9
Total personnel compensation
130
142
153
12.1
Civilian personnel benefits
50
54
59
21.0
Employee Travel
4
1
7
23.1
Rental payments to GSA
7
8
9
23.3
Communications, utilities, and miscellaneous charges
4
5
5
25.2
Other services from non-Federal sources
18
19
21
26.0
Supplies and materials
1
31.0
Equipment
4
4
5
99.0
Direct obligations
218
233
259
99.9
Total new obligations, unexpired accounts
218
233
259
Employment Summary
Identification code 036–0170–0–1–705
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
1,001
1,041
1,100
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, $4,842,800,000, plus reimbursements: Provided, That $1,414,215,000 shall be for pay and associated costs, of which not to exceed 3 percent shall remain available until September 30, 2023: Provided further, That $3,131,585,000 shall be for operations and maintenance, of which not to exceed 5 percent shall remain available until September 30, 2023: Provided further, That $297,000,000 shall be for information technology systems development, and shall remain available until September 30, 2023: 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, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–0167–0–1–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Development
398
525
297
0002
Operations and maintenance
2,702
3,308
3,128
0003
Administrative and salaries
1,172
1,241
1,410
0004
P.L. 113–146, Sec. 801 - IT Support
2
2
0005
P.L. 116–136, CARES Act - Dev
10
57
0006
P.L. 116–136, CARES Act - OM
1,016
744
0007
P.L. 116–136, CARES Act - Pay
151
218
0008
P.L. 117–2, ARP, Section 8003
100
0799
Total direct obligations
5,451
6,095
4,935
0804
IT Systems, Reimbursable obligations
89
105
88
0900
Total new obligations, unexpired accounts
5,540
6,200
5,023
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
118
1,184
100
1001
Discretionary unobligated balance brought fwd, Oct 1
114
1021
Recoveries of prior year unpaid obligations
3
1050
Unobligated balance (total)
121
1,184
100
Budget authority:
Appropriations, discretionary:
1100
Appropriation
6,522
4,912
4,843
1120
Appropriations transferred to other accts [036–0169]
–8
–8
–8
1121
Appropriations transferred from other acct [036–0160]
45
1131
Unobligated balance of appropriations permanently reduced
–38
1160
Appropriation, discretionary (total)
6,514
4,911
4,835
Appropriations, mandatory:
1200
Appropriation [P.L. 117–2 Section 8003]
100
Spending authority from offsetting collections, discretionary:
1700
Collected
38
105
88
1701
Change in uncollected payments, Federal sources
51
1750
Spending auth from offsetting collections, disc (total)
89
105
88
1900
Budget authority (total)
6,603
5,116
4,923
1930
Total budgetary resources available
6,724
6,300
5,023
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
1,184
100
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
1,756
2,204
2,578
3010
New obligations, unexpired accounts
5,540
6,200
5,023
3011
Obligations ("upward adjustments"), expired accounts
21
3020
Outlays (gross)
–5,033
–5,826
–5,109
3040
Recoveries of prior year unpaid obligations, unexpired
–3
3041
Recoveries of prior year unpaid obligations, expired
–77
3050
Unpaid obligations, end of year
2,204
2,578
2,492
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–24
–52
–52
3070
Change in uncollected pymts, Fed sources, unexpired
–51
3071
Change in uncollected pymts, Fed sources, expired
23
3090
Uncollected pymts, Fed sources, end of year
–52
–52
–52
Memorandum (non-add) entries:
3100
Obligated balance, start of year
1,732
2,152
2,526
3200
Obligated balance, end of year
2,152
2,526
2,440
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
6,603
5,016
4,923
Outlays, gross:
4010
Outlays from new discretionary authority
3,390
3,603
3,643
4011
Outlays from discretionary balances
1,620
2,223
1,376
4020
Outlays, gross (total)
5,010
5,826
5,019
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–64
–105
–88
4033
Non-Federal sources
–6
4040
Offsets against gross budget authority and outlays (total)
–70
–105
–88
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–51
4052
Offsetting collections credited to expired accounts
32
4060
Additional offsets against budget authority only (total)
–19
4070
Budget authority, net (discretionary)
6,514
4,911
4,835
4080
Outlays, net (discretionary)
4,940
5,721
4,931
Mandatory:
4090
Budget authority, gross
100
Outlays, gross:
4101
Outlays from mandatory balances
23
90
4180
Budget authority, net (total)
6,514
5,011
4,835
4190
Outlays, net (total)
4,963
5,721
5,021
The Information Technology (IT) Systems appropriation funds IT services such as systems development and performance, operations
and maintenance, information security, and customer support. This appropriation enables the effective and efficient delivery
of services to the Nation's largest healthcare network, as well as the veterans benefits and corporate business lines within
the Department of Veterans Affairs (VA).
Development.—The Office of Information & Technology invests in projects designed to improve the delivery of VA services and benefits
for veterans and their families. This account also supports improvements in the Community Care Program, modernizations to
veterans benefits and appeals processing, as well as the divestiture of legacy IT systems.
Operations and Maintenance.—The Office of Information & Technology purchases, maintains, manages, and supports all the computer, phone, telecommunication,
and data systems equipment and infrastructure for all VA facilities.
Object Classification (in millions of dollars)
Identification code 036–0167–0–1–705
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
748
910
943
11.1
Full-time permanent - CARES Act, P.L. 116–136
58
144
11.9
Total personnel compensation
806
1,054
943
12.1
Civilian personnel benefits
293
303
314
12.1
Civilian personnel benefits - CARES Act, P.L. 116–136
3
48
21.0
Travel and transportation of persons
4
14
13
23.3
Communications, utilities, and miscellaneous charges
1,062
1,057
979
23.3
Communications, utilities, and miscellaneous charges - CARES Act, P.L. 116–136
1
1
25.2
Other services from non-Federal sources
1,715
2,112
1,956
25.2
Other services from non-Federal -Choice Act, P.L. 113–146, Sec. 801
3
2
25.2
Other services from non-Federal sources - CARES Act, P.L. 116–136
751
563
25.2
Other services from non-Federal sources - ARP, P.L. 117–2, Section 8003
100
26.0
Supplies and materials
10
21
20
31.0
Equipment
440
657
609
31.0
Equipment - CARES Act, P.L. 116–136
363
263
42.0
Insurance claims and indemnities
1
99.0
Direct obligations
5,451
6,095
4,935
99.0
Reimbursable obligations
89
105
88
99.9
Total new obligations, unexpired accounts
5,540
6,200
5,023
Employment Summary
Identification code 036–0167–0–1–705
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
7,757
9,071
8,668
2001
Reimbursable civilian full-time equivalent employment
71
83
98
VETERANS ELECTRONIC HEALTH RECORD
For activities related to implementation, preparation, development, interface, management, rollout, and maintenance of a Veterans
Electronic Health Record system, including contractual costs associated with operations authorized by section 3109 of title
5, United States Code, and salaries and expenses of employees hired under titles 5 and 38, United States Code, $2,663,000,000, to remain available until September 30, 2024: Provided, That the Secretary of Veterans Affairs shall submit to the Committees on Appropriations of both Houses of Congress quarterly
reports detailing obligations, expenditures, and deployment implementation by facility, including any changes from the deployment
plan or schedule: Provided further, That the funds provided in this account shall only be available to the Office of the Deputy Secretary, to be administered
by that Office.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Program and Financing (in millions of dollars)
Identification code 036–1123–0–1–703
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
EHR Contract
1,003
1,191
1,425
0002
PMO Support
332
259
286
0003
Infrastructure Readiness
175
1,181
952
0900
Total new obligations, unexpired accounts
1,510
2,631
2,663
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
94
24
1021
Recoveries of prior year unpaid obligations
10
1050
Unobligated balance (total)
104
24
Budget authority:
Appropriations, discretionary:
1100
Appropriation
1,500
2,627
2,663
1131
Unobligated balance of appropriations permanently reduced
–70
–20
1160
Appropriation, discretionary (total)
1,430
2,607
2,663
1930
Total budgetary resources available
1,534
2,631
2,663
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
24
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
1,144
1,653
1,463
3010
New obligations, unexpired accounts
1,510
2,631
2,663
3020
Outlays (gross)
–991
–2,821
–2,634
3040
Recoveries of prior year unpaid obligations, unexpired
–10
3050
Unpaid obligations, end of year
1,653
1,463
1,492
Memorandum (non-add) entries:
3100
Obligated balance, start of year
1,144
1,653
1,463
3200
Obligated balance, end of year
1,653
1,463
1,492
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
1,430
2,607
2,663
Outlays, gross:
4010
Outlays from new discretionary authority
255
1,251
1,278
4011
Outlays from discretionary balances
736
1,570
1,356
4020
Outlays, gross (total)
991
2,821
2,634
4180
Budget authority, net (total)
1,430
2,607
2,663
4190
Outlays, net (total)
991
2,821
2,634
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 036–1123–0–1–703
2020 actual
2021 est.
2022 est.
Direct obligations:
11.1
Personnel compensation: Full-time permanent
15
30
42
12.1
Civilian personnel benefits
5
9
14
21.0
Travel and transportation of persons
1
1
5
23.1
Rental payments to GSA
2
3
3
23.3
Communications, utilities, and miscellaneous charges
71
123
119
25.2
Other services from non-Federal sources
1,299
2,008
2,082
25.3
Other goods and services from Federal sources (FTE to OIT)
1
25.3
Other goods and services from Federal sources (FTE to VHA)
6
16
33
25.3
Other goods and services from Federal sources
51
51
31.0
Equipment
110
390
314
99.0
Direct obligations
1,510
2,631
2,663
99.9
Total new obligations, unexpired accounts
1,510
2,631
2,663
Employment Summary
Identification code 036–1123–0–1–703
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
114
226
337
National cemetery administration
For necessary expenses of the National Cemetery Administration for operations and maintenance, not otherwise provided for,
including uniforms or allowances therefor; cemeterial expenses as authorized by law; purchase of one passenger motor vehicle
for use in cemeterial operations; hire of passenger motor vehicles; and repair, alteration or improvement of facilities under
the jurisdiction of the National Cemetery Administration, $394,000,000 of which not to exceed 10 percent shall remain available until September 30, 2023.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
Special and Trust Fund Receipts (in millions of dollars)
Identification code 036–0129–0–1–705
2020 actual
2021 est.
2022 est.
0100
Balance, start of year
2
0198
Reconciliation adjustment
–2
0199
Balance, start of year
2000
Total: Balances and receipts
Appropriations:
Current law:
2101
National Cemetery Administration
–1
5098
Rounding adjustment
1
5099
Balance, end of year
Program and Financing (in millions of dollars)
Identification code 036–0129–0–1–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0201
Operations and maintenance
333
371
394
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
5
3
1
1001
Discretionary unobligated balance brought fwd, Oct 1
2
1012
Unobligated balance transfers between expired and unexpired accounts
6
5
1050
Unobligated balance (total)
11
8
1
Budget authority:
Appropriations, discretionary:
1100
Appropriation
329
352
394
1121
Appropriations transferred from other acct [036–0160]
12
1131
Unobligated balance of appropriations permanently reduced
–1
1160
Appropriation, discretionary (total)
328
364
394
Appropriations, mandatory:
1201
Appropriation (special or trust fund)
1
Spending authority from offsetting collections, discretionary:
1700
Collected
1
1900
Budget authority (total)
330
364
394
1930
Total budgetary resources available
341
372
395
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–5
1941
Unexpired unobligated balance, end of year
3
1
1
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
66
73
79
3010
New obligations, unexpired accounts
333
371
394
3011
Obligations ("upward adjustments"), expired accounts
3
3020
Outlays (gross)
–323
–365
–338
3041
Recoveries of prior year unpaid obligations, expired
–6
3050
Unpaid obligations, end of year
73
79
135
Memorandum (non-add) entries:
3100
Obligated balance, start of year
66
73
79
3200
Obligated balance, end of year
73
79
135
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
329
364
394
Outlays, gross:
4010
Outlays from new discretionary authority
265
297
278
4011
Outlays from discretionary balances
58
68
60
4020
Outlays, gross (total)
323
365
338
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–2
4040
Offsets against gross budget authority and outlays (total)
–2
Additional offsets against gross budget authority only:
4052
Offsetting collections credited to expired accounts
1
4070
Budget authority, net (discretionary)
328
364
394
4080
Outlays, net (discretionary)
321
365
338
Mandatory:
4090
Budget authority, gross
1
4180
Budget authority, net (total)
329
364
394
4190
Outlays, net (total)
321
365
338
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' 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.
Object Classification (in millions of dollars)
Identification code 036–0129–0–1–705
2020 actual
2021 est.
2022 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
132
140
154
11.5
Other personnel compensation
4
4
4
11.9
Total personnel compensation
136
144
158
12.1
Civilian personnel benefits
52
55
60
21.0
Travel and transportation of persons
2
3
3
22.0
Transportation of things
2
2
23.1
Rent
3
3
3
23.3
Communications, utilities, and miscellaneous charges
12
13
13
24.0
Printing and reproduction
2
2
2
25.2
Other services from non-Federal sources
97
115
120
26.0
Supplies and materials
14
15
13
31.0
Equipment
10
16
19
32.0
Land and structures
3
3
3
99.9
Total new obligations, unexpired accounts
333
371
394
Employment Summary
Identification code 036–0129–0–1–705
2020 actual
2021 est.
2022 est.
1001
Direct civilian full-time equivalent employment
2,026
2,120
2,217
Supply Fund
Program and Financing (in millions of dollars)
Identification code 036–4537–0–4–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0801
Reimbursable program-Merchandizing
479
822
770
0802
Reimbursable program-Operations
651
1,278
1,330
0900
Total new obligations, unexpired accounts
1,130
2,100
2,100
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
378
430
430
1021
Recoveries of prior year unpaid obligations
79
1050
Unobligated balance (total)
457
430
430
Budget authority:
Spending authority from offsetting collections, mandatory:
1800
Collected
1,079
2,100
2,100
1801
Change in uncollected payments, Federal sources
24
1850
Spending auth from offsetting collections, mand (total)
1,103
2,100
2,100
1930
Total budgetary resources available
1,560
2,530
2,530
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
430
430
430
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
973
947
194
3010
New obligations, unexpired accounts
1,130
2,100
2,100
3020
Outlays (gross)
–1,077
–2,853
–2,079
3040
Recoveries of prior year unpaid obligations, unexpired
–79
3050
Unpaid obligations, end of year
947
194
215
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–1,020
–1,044
–1,044
3070
Change in uncollected pymts, Fed sources, unexpired
–24
3090
Uncollected pymts, Fed sources, end of year
–1,044
–1,044
–1,044
Memorandum (non-add) entries:
3100
Obligated balance, start of year
–47
–97
–850
3200
Obligated balance, end of year
–97
–850
–829
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
1,103
2,100
2,100
Outlays, gross:
4100
Outlays from new mandatory authority
1,995
1,995
4101
Outlays from mandatory balances
1,077
858
84
4110
Outlays, gross (total)
1,077
2,853
2,079
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120
Federal sources
–951
–2,100
–2,100
4123
Non-Federal sources
–128
4130
Offsets against gross budget authority and outlays (total)
–1,079
–2,100
–2,100
Additional offsets against gross budget authority only:
4140
Change in uncollected pymts, Fed sources, unexpired
–24
4170
Outlays, net (mandatory)
–2
753
–21
4180
Budget authority, net (total)
4190
Outlays, net (total)
–2
753
–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 036–4537–0–4–705
2020 actual
2021 est.
2022 est.
Reimbursable obligations:
11.1
Personnel compensation: Full-time permanent
105
115
130
12.1
Civilian personnel benefits
41
45
50
21.0
Travel and transportation of persons
6
6
11
23.1
Rental payments to GSA
5
5
5
23.3
Communications, utilities, and miscellaneous charges
25
24
24
24.0
Printing and reproduction
11
15
15
25.2
Other services from non-Federal sources
190
323
323
26.0
Supplies and materials
406
602
577
31.0
Equipment
341
965
965
99.9
Total new obligations, unexpired accounts
1,130
2,100
2,100
Employment Summary
Identification code 036–4537–0–4–705
2020 actual
2021 est.
2022 est.
2001
Reimbursable civilian full-time equivalent employment
981
1,135
1,276
Franchise Fund
Program and Financing (in millions of dollars)
Identification code 036–4539–0–4–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0801
Franchise Fund (Reimbursable)
1,163
1,261
1,415
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
33
178
154
1021
Recoveries of prior year unpaid obligations
78
1050
Unobligated balance (total)
111
178
154
Budget authority:
Spending authority from offsetting collections, discretionary:
1700
Collected
1,140
1,237
1,322
1701
Change in uncollected payments, Federal sources
90
1750
Spending auth from offsetting collections, disc (total)
1,230
1,237
1,322
1930
Total budgetary resources available
1,341
1,415
1,476
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
178
154
61
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
392
439
518
3010
New obligations, unexpired accounts
1,163
1,261
1,415
3020
Outlays (gross)
–1,038
–1,182
–1,297
3040
Recoveries of prior year unpaid obligations, unexpired
–78
3050
Unpaid obligations, end of year
439
518
636
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–141
–231
–231
3070
Change in uncollected pymts, Fed sources, unexpired
–90
3090
Uncollected pymts, Fed sources, end of year
–231
–231
–231
Memorandum (non-add) entries:
3100
Obligated balance, start of year
251
208
287
3200
Obligated balance, end of year
208
287
405
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
1,230
1,237
1,322
Outlays, gross:
4010
Outlays from new discretionary authority
613
928
992
4011
Outlays from discretionary balances
425
254
305
4020
Outlays, gross (total)
1,038
1,182
1,297
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–1,140
–1,237
–1,322
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–90
4080
Outlays, net (discretionary)
–102
–55
–25
4180
Budget authority, net (total)
4190
Outlays, net (total)
–102
–55
–25
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 109–114), 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 036–4539–0–4–705
2020 actual
2021 est.
2022 est.
Reimbursable obligations:
11.1
Personnel compensation: Full-time permanent
150
186
220
12.1
Civilian personnel benefits
56
69
85
21.0
Travel and transportation of persons
2
3
4
23.1
Rental payments to GSA
8
10
15
23.3
Communications, utilities, and miscellaneous charges
94
126
140
24.0
Printing and reproduction
10
11
12
25.2
Other services from non-Federal sources
766
802
885
26.0
Supplies and materials
3
6
6
31.0
Equipment
74
48
48
99.9
Total new obligations, unexpired accounts
1,163
1,261
1,415
Employment Summary
Identification code 036–4539–0–4–705
2020 actual
2021 est.
2022 est.
2001
Reimbursable civilian full-time equivalent employment
1,821
2,341
2,481
Recurring Expenses Transformational Fund
Program and Financing (in millions of dollars)
Identification code 036–1124–0–1–705
2020 actual
2021 est.
2022 est.
Obligations by program activity:
0001
Direct program activity
820
0900
Total new obligations, unexpired accounts (object class 25.2)
820
Budgetary resources:
Unobligated balance:
1012
Unobligated balance transfers between expired and unexpired accounts - OIT
670
1012
Unobligated balance transfers between expired and unexpired accounts - Construction
150
1050
Unobligated balance (total)
820
1930
Total budgetary resources available
820
Change in obligated balance:
Unpaid obligations:
3010
New obligations, unexpired accounts
820
3050
Unpaid obligations, end of year
820
Memorandum (non-add) entries:
3200
Obligated balance, end of year
820
4180
Budget authority, net (total)
4190
Outlays, net (total)
The Consolidated Appropriations Act of 2016 (Public Law 114–113) authorized the Recurring Expenses Transformational Fund (Transformational
Fund). Unobligated balances of expired discretionary funds appropriated in 2016 or any succeeding fiscal year from the General
Fund of the Treasury to the Department of Veterans Affairs may be transferred to the Transformational Fund at the end of the
fifth fiscal year after the last fiscal year for which such funds are available for the purposes for which appropriated. Balances
available in the Transformational Fund shall be available until expended for facilities infrastructure improvements, including
nonrecurring maintenance, at existing hospitals and clinics of the Veterans Health Administration, and for information technology
systems improvements and sustainment. The 2022 Budget anticipates a transfer of $820 million in unobligated balances into
the Transformational Fund at the end of FY 2021, of which $670 million will be obligated in FY 2022 for information technology
systems improvements and sustainment and $150 million will be obligated in FY 2022 for minor construction projects that improve
Veterans Health Administration facilities infrastructure.
ADMINISTRATIVE PROVISIONS
'
(INCLUDING TRANSFER OF FUNDS)
SEC. 201. Any appropriation for fiscal year 2022 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 any such 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 2022, 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 any such transfer may take place, the Secretary of Veterans Affairs shall submit notice thereof to the Committees
on Appropriations of both Houses of Congress.SEC. 203. Appropriations available in this title for salaries and expenses shall be available for services authorized by section 3109
of title 5, United States Code; hire of passenger motor vehicles; lease of a facility or land or both; and uniforms or allowances
therefore, as authorized by sections 5901 through 5902 of title 5, United States Code.SEC. 204. No appropriations in this title (except the appropriations for "Construction, Major Projects", and "Construction, Minor Projects")
shall be available for the purchase of any site for or toward the construction of any new hospital or home. SEC. 205. No appropriations in this title shall be available for hospitalization or examination of any persons (except beneficiaries
entitled to such hospitalization or examination under the laws providing such benefits to veterans, and persons receiving
such treatment under sections 7901 through 7904 of title 5, United States Code, or the Robert T. Stafford Disaster Relief
and Emergency Assistance Act (42 U.S.C. 5121 et seq.)), unless reimbursement of the cost of such hospitalization or examination
is made to the "Medical Services" account at such rates as may be fixed by the Secretary of Veterans Affairs. SEC. 206. Appropriations available in this title for "Compensation and Pensions", "Readjustment Benefits", and "Veterans Insurance and
Indemnities" shall be available for payment of prior year accrued obligations required to be recorded by law against the corresponding
prior year accounts within the last quarter of fiscal year 2021.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 2022, 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
2022 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 2022 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 shall be available until expended.'
(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, Diversity and Inclusion, the Office of Employment Discrimination Complaint Adjudication, and the Alternative Dispute Resolution function within the Office of Human Resources and Administration for all services provided at rates which will recover actual costs but not to exceed $78,417,225 for the Office of Resolution Management, Diversity and Inclusion, $6,609,000 for the Office of Employment Discrimination Complaint Adjudication, and $3,822,000 for the Alternative Dispute Resolution function within the Office of Human Resources and Administration: Provided, That payments may be made in advance for services to be furnished based on estimated costs: Provided further, That amounts received shall be credited to the "General Administration" and "Information Technology Systems" accounts for
use by the office that provided the service. SEC. 211. No funds of the Department of Veterans Affairs shall be available for hospital care, nursing home care, or medical services
provided to any person under chapter 17 of title 38, United States Code, for a non-service-connected disability described
in section 1729(a)(2) of such title, unless that person has disclosed to the Secretary of Veterans Affairs, in such form as
the Secretary may require, current, accurate third-party reimbursement information for purposes of section 1729 of such title:
Provided, That the Secretary may recover, in the same manner as any other debt due the United States, the reasonable charges for such
care or services from any person who does not make such disclosure as required: Provided further, That any amounts so recovered for care or services provided in a prior fiscal year may be obligated by the Secretary during
the fiscal year in which amounts are received. '
(INCLUDING TRANSFER OF FUNDS)
SEC. 212. Notwithstanding any other provision of law, proceeds or revenues derived from enhanced-use leasing activities (including disposal)
may be deposited into the "Construction, Major Projects" and "Construction, Minor Projects" accounts and be used for construction
(including site acquisition and disposition), alterations, and improvements of any medical facility under the jurisdiction
or for the use of the Department of Veterans Affairs. Such sums as realized are in addition to the amount provided for in
"Construction, Major Projects" and "Construction, Minor Projects".SEC. 213. Amounts made available under "Medical Services" are available—
(1) for furnishing recreational facilities, supplies, and equipment; and
(2) for funeral expenses, burial expenses, and other expenses incidental to funerals and burials for beneficiaries receiving care
in the Department.
'
(INCLUDING TRANSFER OF FUNDS)
SEC. 214. Such sums as may be deposited 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 114–223. '
(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 2022 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 2022 for "Medical Services", "Medical Community Care", "Medical Support and Compliance", "Medical Facilities", "Construction, Minor
Projects", and "Information Technology Systems", up to $379,009,000, plus reimbursements, may be transferred to the Joint Department of Defense—Department of Veterans Affairs Medical Facility
Demonstration Fund, established by section 1704 of the National Defense Authorization Act for Fiscal Year 2010 (Public Law
111–84; 123 Stat. 3571) and may be used for operation of the facilities designated as combined Federal medical facilities
as described by section 706 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110–417;
122 Stat. 4500): Provided, That additional funds may be transferred from accounts designated in this section to the Joint Department of Defense—Department
of Veterans Affairs Medical Facility Demonstration Fund upon written notification by the Secretary of Veterans Affairs to
the Committees on Appropriations of both Houses of Congress: Provided further, That section 220 of title II of division J of Public Law 116–260 is repealed. '
(INCLUDING TRANSFER OF FUNDS)
SEC. 220. Of the amounts appropriated to the Department of Veterans Affairs which become available on October 1, 2022, for "Medical Services", "Medical Community Care", "Medical Support and Compliance", and "Medical Facilities", up to $323,242,000, plus reimbursements, may be transferred to the Joint Department of Defense—Department of Veterans Affairs Medical Facility
Demonstration Fund, established by section 1704 of the National Defense Authorization Act for Fiscal Year 2010 (Public Law
111–84; 123 Stat. 3571) and may be used for operation of the facilities designated as combined Federal medical facilities
as described by section 706 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110–417;
122 Stat. 4500): Provided, That additional funds may be transferred from accounts designated in this section to the Joint Department of Defense—Department
of Veterans Affairs Medical Facility Demonstration Fund upon written notification by the Secretary of Veterans Affairs to
the Committees on Appropriations of both Houses of Congress. '
(INCLUDING TRANSFER OF FUNDS)
SEC. 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 110–417; 122 Stat. 4500) shall also be available:
(1) for transfer to the Joint Department of Defense—Department of Veterans Affairs Medical Facility Demonstration Fund, established
by section 1704 of the National Defense Authorization Act for Fiscal Year 2010 (Public Law 111–84; 123 Stat. 3571); and (2)
for operations of the facilities designated as combined Federal medical facilities as described by section 706 of the Duncan
Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 110–417; 122 Stat. 4500): Provided, That, notwithstanding section 1704(b)(3) of the National Defense Authorization Act for Fiscal Year 2010 (Public Law 111–84;
123 Stat. 2573), amounts transferred to the Joint Department of Defense—Department of Veterans Affairs Medical Facility Demonstration
Fund shall remain available until expended. '
(INCLUDING TRANSFER OF FUNDS)
SEC. 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 2022 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 2022, 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 2022, 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. The Secretary of Veterans Affairs may not reprogram funds among major construction projects or programs if such instance of
reprogramming will exceed $7,000,000, unless the Secretary of Veterans Affairs submits notice thereof to the Committees on Appropriations of both Houses of Congress. SEC. 226.
(a) Notwithstanding any other provision of law, the amounts appropriated or otherwise made available to the Department of Veterans
Affairs for the "Medical Services" account may be used to provide—
(1) fertility counseling and treatment using assisted reproductive technology to a covered veteran or the spouse of a covered
veteran; or
(2) adoption reimbursement to a covered veteran.
(b) In this section:
(1) The term "service-connected" has the meaning given such term in section 101 of title 38, United States Code.
(2) The term "covered veteran" means a veteran, as such term is defined in section 101 of title 38, United States Code, who has
a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment.
(3) The term "assisted reproductive technology" means benefits relating to reproductive assistance provided to a member of the
Armed Forces who incurs a serious injury or illness on active duty pursuant to section 1074(c)(4)(A) of title 10, United States
Code, as described in the memorandum on the subject of "Policy for Assisted Reproductive Services for the Benefit of Seriously
or Severely Ill/Injured (Category II or III) Active Duty Service Members" issued by the Assistant Secretary of Defense for
Health Affairs on April 3, 2012, and the guidance issued to implement such policy, including any limitations on the amount
of such benefits available to such a member except that—
(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 115–141).
SEC. 227. None of the funds appropriated or otherwise made available by this Act or any other Act for the Department of Veterans Affairs
may be used in a manner that is inconsistent with: (1) section 842 of the Transportation, Treasury, Housing and Urban Development,
the Judiciary, the District of Columbia, and Independent Agencies Appropriations Act, 2006 (Public Law 109–115; 119 Stat.
2506); or (2) section 8110(a)(5) of title 38, United States Code. SEC. 228. Section 842 of Public Law 109–115 shall not apply to conversion of an activity or function of the Veterans Health Administration,
Veterans Benefits Administration, or National Cemetery Administration to contractor performance by a business concern that
is at least 51 percent owned by one or more Indian tribes as defined in section 5304(e) of title 25, United States Code, or
one or more Native Hawaiian Organizations as defined in section 637(a)(15) of title 15, United States Code. SEC. 229.
(a) Except as provided in subsection (b), the Secretary of Veterans Affairs, in consultation with the Secretary of Defense and
the Secretary of Labor, shall discontinue using Social Security account numbers to identify individuals in all information
systems of the Department of Veterans Affairs as follows:
(1) For all veterans submitting to the Secretary of Veterans Affairs new claims for benefits under laws administered by the Secretary,
not later than March 23, 2023.
(2) For all individuals not described in paragraph (1), not later than March 23, 2026.
(b) The Secretary of Veterans Affairs may use a Social Security account number to identify an individual in an information system
of the Department of Veterans Affairs if and only if the use of such number is required to obtain information the Secretary
requires from an information system that is not under the jurisdiction of the Secretary.
(c) The matter in subsections (a) and (b) shall supersede section 238 of Public Law 116–94.
SEC. 230. Of the funds provided to the Department of Veterans Affairs for each of fiscal year 2022 and fiscal year 2023 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 111–163, notwithstanding subsection (e) of such section. SEC. 231.
(a) No funds provided in this Act shall be used to deny an Inspector General funded under this Act timely access to any records, documents, or other materials available
to the department or agency over which that Inspector General has responsibilities under the Inspector General Act of 1978 , or to prevent or impede that Inspector General's access to such records, documents, or other materials, under any provision of law, except a provision of law that expressly refers
to the Inspector General and expressly limits the Inspector General's right of access .
(b) A department or agency covered by this section shall provide its Inspector General access to all records, documents, and other
materials in a timely manner.
(c) Each Inspector General shall ensure compliance with statutory limitations on disclosure relevant to the information provided by the establishment over which that Inspector General has responsibilities under the Inspector General Act of 1978 .
(d) Each Inspector General covered by this section shall report to the Committee on Appropriations of the Senate and the Committee
on Appropriations of the House of Representatives within 5 calendar days of any failure by any department or agency covered
by this section to comply with this requirement.
SEC. 232. For funds provided to the Department of Veterans Affairs for each of fiscal year 2022 and 2023, section 248 of division A of Public Law 114–223 shall apply. SEC. 233.
(a) None of the funds appropriated or otherwise made available by this Act may be used to conduct research commencing on or after
October 1, 2019, that uses any canine, feline, or non-human primate unless the Secretary of Veterans Affairs approves such
research specifically and in writing pursuant to subsection (b).
(b)
(1) The Secretary of Veterans Affairs may approve the conduct of research commencing on or after October 1, 2019, using canines,
felines, or non-human primates if the Secretary determines that—
(A) the scientific objectives of the research can only be met by using such canines, felines, or non-human primates;
(B) such scientific objectives are directly related to an illness or injury that is combat-related; and
(C) the research is consistent with the revised Department of Veterans Affairs canine research policy document dated December
15, 2017, including any subsequent revisions to such document.
(2) The Secretary may not delegate the authority under this subsection.
(c) If the Secretary approves any new research pursuant to subsection (b), not later than 30 days before the commencement of such
research, the Secretary shall submit to the Committees on Appropriations of the Senate and House of Representatives a report
describing—
(1) the nature of the research to be conducted using canines, felines, or non-human primates;
(2) the date on which the Secretary approved the research;
(3) the justification for the determination of the Secretary that the scientific objectives of such research could only be met
using canines, felines, or non-human primates;
(4) the frequency and duration of such research; and
(5) the protocols in place to ensure the necessity, safety, and efficacy of the research; and
(d) Not later than 180 days after the date of the enactment of this Act, and biannually thereafter, the Secretary shall submit
to such Committees a report describing—
(1) any research being conducted by the Department of Veterans Affairs using canines, felines, or non-human primates as of the
date of the submittal of the report;
(2) the circumstances under which such research was conducted using canines, felines, or non-human primates;
(3) the justification for using canines, felines, or non-human primates to conduct such research; and
(4) the protocols in place to ensure the necessity, safety, and efficacy of such research.
(e) Not later than December 31, 2021, the Secretary shall submit to such Committees an updated plan under which the Secretary
will eliminate or reduce the research conducted using canines, felines, or non-human primates by not later than 5 years after
the date of enactment of Public Law 116–94.
SEC. 234. Amounts made available for the "Veterans Health Administration, Medical Community Care" account in this or any other Act for
fiscal years 2022 and 2023 may be used for expenses that would otherwise be payable from the Veterans Choice Fund established by section 802 of the Veterans
Access, Choice, and Accountability Act, as amended (38 U.S.C. 1701 note).SEC. 235. Obligations and expenditures applicable to the "Medical Services" account in fiscal years 2017 through 2019 for aid to state
homes (as authorized by section 1741 of title 38, United States Code) shall remain in the "Medical Community Care" account
for such fiscal years.SEC. 236. Section 7364(b)(1) of title 38, United States Code, is amended by striking the last sentence and inserting the following:
"Any amounts so transferred after September 30, 2016, and before October 1, 2021, shall be available without regard to fiscal
year limitations, notwithstanding section 1535(d) of title 31. Any amounts so transferred after September 30, 2021, shall
be deemed to be obligations for purposes of the second sentence of section 1535(d) of title 31.". (Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)
General and Administrative Provisions
GENERAL FUND RECEIPT ACCOUNTS
(in millions of dollars)
2020 actual
2021 est.
2022 est.
Offsetting receipts from the public:
036–143500
General Fund Proprietary Interest Receipts, not Otherwise Classified
3
5
6
036–247300
Contributions from Military Personnel, Veteran's Educational Assistance Act of 1984
131
140
128
036–273330
Housing Downward Reestimates
2,567
2,022
036–275110
Native American Veteran Housing Loans, Negative Subsidies
2
2
036–275130
Native American Direct Loans, Downward Reestimate of Subsidies
1
1
036–275510
Housing Negative Subsidies
1,090
1,972
246
036–322000
All Other General Fund Proprietary Receipts Including Budget Clearing Accounts
–29
52
53
General Fund Offsetting receipts from the public
3,763
4,194
435
Intragovernmental payments:
036–388500
Undistributed Intragovernmental Payments and Receivables from Cancelled Accounts
–13
6
7
General Fund Intragovernmental payments
–13
6
7
GENERAL PROVISIONS
SEC. 501. No part of any appropriation contained in this Act shall remain available for obligation beyond the current fiscal year unless
expressly so provided herein. SEC. 502. None of the funds made available in this Act may be used for any program, project, or activity, when it is made known to the
Federal entity or official to which the funds are made available that the program, project, or activity is not in compliance
with any Federal law relating to risk assessment, the protection of private property rights, or unfunded mandates.SEC. 503. Unless stated otherwise, all reports and notifications required by this Act shall be submitted to the Subcommittee on Military
Construction and Veterans Affairs, and Related Agencies of the Committee on Appropriations of the House of Representatives
and the Subcommittee on Military Construction and Veterans Affairs, and Related Agencies of the Committee on Appropriations
of the Senate.SEC. 504. None of the funds made available in this Act may be transferred to any department, agency, or instrumentality of the United
States Government except pursuant to a transfer made by, or transfer authority provided in, this or any other appropriations
Act.SEC. 505. None of the funds made available in this Act may be used for a project or program named for an individual serving as a Member,
Delegate, or Resident Commissioner of the United States House of Representatives.SEC. 506.
(a) None of the funds made available in this Act may be used to maintain or establish a computer network unless such network blocks
the viewing, downloading, and exchanging of pornography.
(b) Nothing in subsection (a) shall limit the use of funds necessary for any Federal, State, tribal, or local law enforcement
agency or any other entity carrying out criminal investigations, prosecution, or adjudication activities.
SEC. 507. None of the funds made available in this Act may be used by an agency of the executive branch to pay for first-class travel
by an employee of the agency in contravention of sections 301–10.122 through 301–10.124 of title 41, Code of Federal Regulations.SEC. 508. None of the funds made available in this Act may be used to execute a contract for goods or services, including construction
services, where the contractor has not complied with Executive Order No. 12989.
(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021.)