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; $497,468,000, which shall be in addition to funds previously appropriated under this heading that became available on October 1, 2020; and, in addition, $58,897,219,000, plus reimbursements, shall become available on October 1, 2021, and shall remain available until September 30, 2022: Provided, That, of the amount made available on October 1, 2021, under this heading, $1,500,000,000 shall remain available until September 30, 2023: 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, 2020.)

Special and Trust Fund Receipts (in millions of dollars)


Identification code 036–0160–0–1–703 2019 actual 2020 est. 2021 est.

0100 Balance, start of year 284 338 338
Receipts:
Current law:
1130 Pharmaceutical Co-payments, MCCF 466 440 460
1130 Medical Care Collections Fund, Third Party Prescription Claims 129 127 151
1130 Enhanced-use Lease Proceeds, MCCF 1 1 1
1130 Fee Basis 3rd Party MCCF 487 446 784
1130 First Party Collections, MCCF 215 185 226
1130 Third Party Collections, MCCF 2,602 2,638 2,829
1130 Parking Fees, MCCF 4 4 4
1130 Compensated Work Therapy, MCCF 59 66 66
1130 MCCF, Long-term Care Copayments 3 3 2
1140 Payments from Compensation and Pension, MCCF 3 2 2



1199 Total current law receipts 3,969 3,912 4,525



1999 Total receipts 3,969 3,912 4,525



2000 Total: Balances and receipts 4,253 4,250 4,863
Appropriations:
Current law:
2101 Medical Care Collections Fund –3,915 –3,912 –4,527



5099 Balance, end of year 338 338 336

Program and Financing (in millions of dollars)


Identification code 036–0160–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Outpatient care 18,456 17,939 22,441
0002 Inpatient care 7,670 8,884 8,214
0004 Mental health care 6,756 7,325 7,732
0005 Long-term care 3,710 4,510 3,929
0006 Pharmacy 8,116 8,618 9,250
0007 Prosthetics care 3,464 3,764 4,073
0008 Dental care 679 888 812
0009 Rehabilitation 760 771 815
0010 Homeless Grants 544 603 604
0011 Readjustment Counseling 210 222 236
0012 Caregivers (Title I) P.L. 111–163 431 707 1,192
0013 Prior-Year Recoveries 129



0091 Total operating expenses 50,925 54,231 59,298
0101 Outpatient care 882 1,332 527
0102 Inpatient care 317 479 189
0103 Mental health care 61 92 36
0104 Long-term care 106 160 63
0107 Dental care 38 57 23
0108 Rehabilitation 20 30 12
0109 Readjustment Counseling 6 9 4



0191 Total Capital Investment 1,430 2,159 854



0799 Total direct obligations 52,355 56,390 60,152
0801 Medical Services (Reimbursable) 114 137 137



0900 Total new obligations, unexpired accounts 52,469 56,527 60,289

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1,388 2,106 1
1021 Recoveries of prior year unpaid obligations 129



1050 Unobligated balance (total) 1,517 2,106 1
Budget authority:
Appropriations, discretionary:
1100 Appropriation 750 497
1121 Appropriations transferred from other acct [036–5287] 3,412 3,449 3,725
1131 Unobligated balance of appropriations permanently reduced –350



1160 Appropriation, discretionary (total) 4,162 3,099 4,222
Advance appropriations, discretionary:
1170 Advance appropriation 49,161 51,411 56,158
1172 Advance appropriations transferred to other accounts [036–0165] –15 –15 –15
1172 Advance appropriations transferred to other accounts [036–0169] –205 –210 –216
1172 Advance appropriations transferred to other accounts [036–0162] –125
1172 Advance appropriations transferred to other accounts [036–0167] –27



1180 Advanced appropriation, discretionary (total) 48,789 51,186 55,927
Spending authority from offsetting collections, discretionary:
1700 Collected 112 135 137
1701 Change in uncollected payments, Federal sources 1 2 2



1750 Spending auth from offsetting collections, disc (total) 113 137 139
1900 Budget authority (total) 53,064 54,422 60,288
1930 Total budgetary resources available 54,581 56,528 60,289
Memorandum (non-add) entries:
1940 Unobligated balance expiring –6
1941 Unexpired unobligated balance, end of year 2,106 1

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 6,623 6,110 9,094
3010 New obligations, unexpired accounts 52,469 56,527 60,289
3011 Obligations ("upward adjustments"), expired accounts 383
3020 Outlays (gross) –52,683 –53,543 –58,789
3040 Recoveries of prior year unpaid obligations, unexpired –129
3041 Recoveries of prior year unpaid obligations, expired –553



3050 Unpaid obligations, end of year 6,110 9,094 10,594
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –6 –4 –6
3070 Change in uncollected pymts, Fed sources, unexpired –1 –2 –2
3071 Change in uncollected pymts, Fed sources, expired 3



3090 Uncollected pymts, Fed sources, end of year –4 –6 –8
Memorandum (non-add) entries:
3100 Obligated balance, start of year 6,617 6,106 9,088
3200 Obligated balance, end of year 6,106 9,088 10,586

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 53,064 54,422 60,288
Outlays, gross:
4010 Outlays from new discretionary authority 45,984 46,945 52,078
4011 Outlays from discretionary balances 6,674 6,579 6,711



4020 Outlays, gross (total) 52,658 53,524 58,789
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –77 –41 –42
4033 Non-Federal sources –218 –94 –95



4040 Offsets against gross budget authority and outlays (total) –295 –135 –137
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired –1 –2 –2
4052 Offsetting collections credited to expired accounts 183



4060 Additional offsets against budget authority only (total) 182 –2 –2



4070 Budget authority, net (discretionary) 52,951 54,285 60,149
4080 Outlays, net (discretionary) 52,363 53,389 58,652
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 25 19
4180 Budget authority, net (total) 52,951 54,285 60,149
4190 Outlays, net (total) 52,388 53,408 58,652

In 2021, the Administration requests an additional $2.3 billion over the 2021 advance appropriation of $87.6 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 health care utilization rates, actual program experience, and other factors, such as economic trends in unemployment and inflation. As a result of these updates, the adjusted budget estimates more accurately reflect the projected medical demands of veterans enrolled in the VA health care system.

In 2021, the Budget makes robust investments in VA Medical Care programs, including: $1.2 billion for expansion of the Caregivers program; $313 million for veteran suicide prevention initiatives; and, $504 million for opioid prevention and treatment. The Budget continues to support ongoing implementation of MISSION Act requirements that provide veterans greater choice in their health care decisions.

For 2022, the Budget requests $94.2 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 2021 and 2022, VA will provide the highest quality health care services for veterans. VA estimates it will treat 7.2 million patients in 2021 and 7.3 million patients in 2022. Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND) veterans are expected to be 1,160,656 in 2021 (16.1 percent of the total) and 1,230,705 in 2022 (17.0 percent of the total).

Medical Care Collections Fund (MCCF).—VA estimates collections of nearly $3.9 billion in 2020 and $4.5 billion in 2021, representing about five percent of available Medical Care resources in both years. VA has the authority to collect inpatient and outpatient co-payments, medication co-payments, and nursing home co-payments; authority for certain income verification; authority to recover third-party insurance payments from veterans for nonservice-connected conditions; and authority to collect revenue from enhanced use leases. These collections also include those collected from the Compensated Work Therapy Program, Compensation and Living Expenses Program, and the Parking Program.

Medical Services.—For Medical Services, the Budget reflects the following discretionary appropriation funding: the 2020 enacted advance appropriation of $51.4 billion, together with a $350 million rescission included in the Further Consolidated Appropriations Act, 2020 (P.L. 116–94); the 2021 advance appropriation of $56.2 billion, together with the annual appropriation request of $497 million; and the 2022 advance appropriation request of $58.9 billion. This appropriation provides for a comprehensive, integrated health care delivery system that addresses the needs of eligible veterans and beneficiaries in VA facilities and through non-VA, or community care, providers, including medical centers, outpatient clinic facilities, contract hospitals, and outpatient programs on a fee basis. Hospital and outpatient care is also provided by the private sector for certain dependents and survivors of veterans under the Civilian Health and Medical Programs for the Department of Veterans Affairs (CHAMPVA). In addition to this funding, the Budget reflects balances from mandatory funding provided in section 801 of the Veterans Choice Act (P.L. 113–146): $47 million in unobligated balances remained available at the start of 2020.

WORKLOAD

Estimated obligations and workload for seven categories of health care services are shown below: outpatient care, inpatient care, mental health care, long term services and supports, prosthetics care, dental care, and rehabilitation care. In addition, estimated obligations and workload are also shown for six programs: CHAMPVA and other dependent programs, readjustment counseling, Caregivers, pharmacy, and the Camp Lejeune Family Member.

Ambulatory Care (Outpatient) Outpatient care.—Obligations for 2021 are estimated to be $22,968 million in the Medical Services account and $6,149 million in the Medical Community Care account for this health service category, which includes funding for ambulatory care in VA hospital-based and community-based clinics.

Estimated operating levels are:


Visits 2019 actual 2020 est. 2021 est.

VA 88,944,370 90,361,882 91,731,386
Community Care 29,335,871 31,597,370 32,829,352



Total 118,280,241 121,959,252 124,560,738

Inpatient care.—Obligations for 2021 are estimated to be $8,403 million in the Medical Services account, and $4,381 million in the Medical Community Care account.

Estimated operating levels are:


Patients Treated 2019 actual 2020 est. 2021 est.

Acute Hospital, Medicine 341,238 340,010 338,408
Acute Hospital, Neurology 4,743 4,400 4,022
Acute Hospital, Surgery 87,914 84,402 80,818
Acute Hospital (Community Care) 203,125 215,543 227,882
Subacute (Intermediate) 1,168 1,017 859



Total 638,188 645,372 651,989

Mental health care.—Obligations for 2021 are estimated to be $7,768 million in the Medical Services account and $443 million in the Medical Community Care account for the inpatient, residential, and outpatient care of veterans with conditions related to mental illness, including alcohol and drug problems. Mental health services and operations ensure the availability of a range of services, from treatment of a variety of common mental health conditions in primary care to more intensive interventions in specialty mental health programs for more severe and persisting mental health conditions. Specialty services such as evidence-based psychotherapies, intensive outpatient programs, residential rehabilitation treatment, and inpatient care are available to meet the range of veterans' needs.

Estimated operating levels are:


Average Daily Census 2019 actual 2020 est. 2021 est.

Acute Psychiatry 2,216 2,136 2,074
Acute Psychiatry (Community Care) 557 572 585
Residential Recovery Programs 5,631 5,527 5,488



Total 8,404 8,235 8.147

Long term services and supports (LTSS).—Obligations for 2021 are estimated to be $3,992 million in the Medical Services account and $3,259 million in the Medical Community Care account for the care of veteran residents in VA- and community-operated long-term care programs. VA offers a spectrum of geriatric and extended care services to veterans enrolled in its health care system. The spectrum of long-term care services includes non-institutional and institutional services. All VA medical centers provide home- and community-based long-term care programs. The patient-focused approach supports veterans who wish to live safely at home in their own communities for as long as possible.

Estimated operating levels are:


LTSS Facility-Based Services: Average Daily Census 2019 actual 2020 est. 2021 est.

VA Community Living Center (Nursing Home) 8,817 8,702 8,635
Community Nursing Home 10,430 10,913 11,479



Total 19,427 19,615 20,114


LTSS Home & Community-Based Services: Visits/Procedures 2019 actual 2020 est. 2021 est.

Community Adult Day Health Care 836,161 771,934 702,613
Community Residential Care 96,963 91,285 86,342
Home Hospice Care 578,744 588,091 595,536
Home Respite Care 291,772 284,273 281,473
Home Telehealth 856,693 822,441 794,408
Home-Based Primary Care 1,832,578 1,863,135 1,885,009
Homemaker/Home Health Aide Programs 13,278,245 13,953,457 14,504,304
Purchased Skilled Home Care 2,084,280 2,137,463 2,339,597
Spinal Cord Injury Home Care 22,225 22,545 22,910
State Adult Day Health Care 14,075 13,795 13,595
VA Adult Day Health Care 117,933 104,728 95,710



Total 20,009,669 20,653,147 21,220,956

Prosthetics care.—Obligations in the Medical Services account for 2021 are estimated to be $4,073 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 2021 are estimated to be $835 million in the Medical Services account and $388 million in the Medical Community Care account for the treatment of veterans who require dental care. Dental care services are provided to eligible veterans with a "medical condition negatively impacted by poor dentition." These patients may include poorly controlled diabetic patients, patients with head or neck cancer, organ transplant patients, and others. Veterans with a 100-percent service-connected disability are eligible for comprehensive dental care as needed. In addition, homeless veterans enrolled in certain residential treatment programs are also eligible for dental treatment.

Estimated operating levels are:


Procedures 2019 actual 2020 est. 2021 est.

VA 5,026,000 5,257,000 5,486,000
Community Care 863,000 1,015,000 1,169,000



Total 5,889,000 6,272,000 6,655,000

Rehabilitation.—Obligations for 2021 are estimated to be $827 million in the Medical Services account and 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 2019 actual 2020 est. 2021 est.

Rehabilitative Medicine 166 165 165
Blind Rehabilitation 253 252 253
Spinal Cord Injury 739 737 739



Total 1,158 1,154 1,157

Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and other Dependent Programs.—Obligations for 2021 are estimated to be $337 million in the Medical Services account and $1,739 million in the Medical Community Care account for pharmacy and medical service personnel for CHAMPVA and other dependent programs.

Estimated operating levels are:


Unique Patients 2019 actual 2020 est. 2021 est.

CHAMPVA In-house Treatment Initiative (CITI) 12,116 11,100 10,000
CHAMPVA (excluding CITI) 395,354 391,316 413,617
Foreign Medical Program (medical only) 236 4,700 4,850
Foreign Compensation & Pension Exams 287 350 350
Spina Bifida Health Care Benefits Program 889 885 880



Total 408,882 408,351 429,697

Readjustment Counseling.—Obligations in the Medical Services account for 2021 are estimated to $236 million. This program provides readjustment counseling services at VA Vet Centers. Vet Centers are community-based counseling centers that provide a wide range of social and psychological services to include: professional readjustment counseling to veterans who have served in a combat zone, military sexual trauma counseling, bereavement counseling for families who experience an active duty death, substance abuse assessments and referral, medical referral, Veterans Benefits Administration (VBA) benefits explanation and referral, and employment counseling. Services are also extended to the family members of eligible veterans for issues related to military service and the readjustment of those veterans.

Estimated operating levels are:


Visits 2019 actual 2020 est. 2021 est.

Total 1,891,000 1,862,000 1,932,000

Caregivers (Title I) Programs.—Obligations in the Medical Services account for 2021 are estimated to be $1,192 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. This program provides a wide range of services for primary caregivers to include: a monthly personal caregiver stipend, respite care, access to mental health services, beneficiary travel, and health care benefits through the existing CHAMPVA Program.

Estimated operating levels are:


2019 actual 2020 est. 2021 est.

Caregiver Stipend (dollars in millions) $347 $442 $871
Participants in the Program of Comprehensive Assistance for Family Caregivers $22,145 $33,831 $56,666

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 health care today. VA's primary focus is on diagnosis and treatment in an ambulatory environment and home environment basis with institutional care as the modality of last resort.

Estimated operating levels are:


Number of 30-day Prescriptions (in millions) 2019 actual 2020 est. 2021 est.

Total 296 300 304

Camp Lejeune Family Member Program.—Obligations in the Medical Community Care account for 2021 are estimated to be $3 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 the Medical Community Care account for 2021 are estimated to be $1,639 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 2019 actual 2020 est. 2021 est.

State Home Nursing 30,470 30,427 30,306
State Home Domiciliary 4,013 3,901 3,725
Average Daily Census (ADHC) 52 74 88

Public Law 113–146, Veterans Choice Act, Section 801.— The Veterans Access, Choice, and Accountability Act of 2014 (P.L. 113–146) ("Veterans Choice Act") was enacted on August 7, 2014. The 2021 Budget supports continued implementation of the Veterans Choice Act and the Administration's goal of providing timely, high-quality health care for our Nation's veterans. The Veterans Choice Act provided $5 billion in mandatory funding in section 801 to increase veterans' access to health care by hiring more physicians and staff and improving the VA's physical infrastructure. Obligations in the Medical Services account for 2021 are estimated to be $1.5 million for section 301 activities.

Estimated obligations in the Medical Services account are:


2019 actual 2020 est. 2021 est.

FTE 25 25 0


Dollars in Millions 2019 actual 2020 est. 2021 est.

Prior Year Recoveries 2 0 0
Section 301 23 23 2



Total 25 23 2

Object Classification (in millions of dollars)


Identification code 036–0160–0–1–703 2019 actual 2020 est. 2021 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 20,956 22,452 23,941
11.3 Other than full-time permanent 445 476 508
11.5 Other personnel compensation 2,410 2,583 2,754



11.9 Total personnel compensation 23,811 25,511 27,203
12.1 Civilian personnel benefits 7,730 8,368 9,074
13.0 Benefits for former personnel 9 9 9
21.0 Travel & Transportation of Persons 1,099 1,114 1,157
22.0 Transportation of things 23 23 24
23.2 Rent, Communications & Utilities 532 541 562
24.0 Printing and reproduction 10 11 11
25.2 Other contractual services 4,723 5,038 6,840
26.0 Supplies & Materials 12,196 12,950 13,729
31.0 Equipment 1,430 2,159 854
41.0 Grants, Subsidies & Contributions 654 657 680
42.0 Insurance claims and indemnities 9 9 9
44.0 Prior-year Recoveries 129



99.0 Direct obligations 52,355 56,390 60,152
99.0 Reimbursable obligations 114 137 137



99.9 Total new obligations, unexpired accounts 52,469 56,527 60,289

Employment Summary


Identification code 036–0160–0–1–703 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 247,323 254,449 264,637
2001 Reimbursable civilian full-time equivalent employment 619 619 619

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, $1,380,800,000, which shall be in addition to funds previously appropriated under this heading that became available on October 1, 2020, and shall remain available until September 30, 2022; and, in addition, $20,148,244,000, plus reimbursements, shall become available on October 1, 2021, and shall remain available until September 30, 2023.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0140–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Outpatient Care 3,661 4,006 6,149
0002 Dental Care 148 361 388
0003 Inpatient Care 1,925 3,757 4,381
0004 LTSS: Facility Based Services 912 1,214 1,300
0005 LTSS: Home & Community Based Services 626 1,786 1,959
0006 Mental Health Care 16 362 443
0007 CHAMPVA & Other Dependent Programs 960 1,684 1,739
0008 State Home Programs 1,257 1,515 1,639
0009 Camp Lejeune, Veterans Families 2 1 3
0010 Network Development and Maintenance 109 1,154 1,267
0011 PC3 Admin 413
0013 Prior Year Recoveries 133



0900 Total new obligations, unexpired accounts 10,162 15,840 19,268

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 491 142
1021 Recoveries of prior year unpaid obligations 131
1033 Recoveries of prior year paid obligations 1



1050 Unobligated balance (total) 623 142
Budget authority:
Appropriations, discretionary:
1100 Appropriation 1,000 3,907 1,381
1121 Appropriations transferred from other acct [036–5287] 486 446 784
1121 Appropriations transferred from other acct [036–0172] 615



1160 Appropriation, discretionary (total) 1,486 4,968 2,165
Advance appropriations, discretionary:
1170 Advance appropriation 8,385 10,758 17,131
1172 Advance appropriations transferred to other accounts [036–0169] –27 –28 –28
1172 Advance appropriations transferred to other accounts [036–0167] –69
1172 Advance appropriations transferred to other accounts [036–0152] –94



1180 Advanced appropriation, discretionary (total) 8,195 10,730 17,103
1900 Budget authority (total) 9,681 15,698 19,268
1930 Total budgetary resources available 10,304 15,840 19,268
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 142

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 2,508 592 4,198
3010 New obligations, unexpired accounts 10,162 15,840 19,268
3011 Obligations ("upward adjustments"), expired accounts 690
3020 Outlays (gross) –12,196 –12,234 –17,221
3040 Recoveries of prior year unpaid obligations, unexpired –131
3041 Recoveries of prior year unpaid obligations, expired –441



3050 Unpaid obligations, end of year 592 4,198 6,245
Memorandum (non-add) entries:
3100 Obligated balance, start of year 2,508 592 4,198
3200 Obligated balance, end of year 592 4,198 6,245

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 9,681 15,698 19,268
Outlays, gross:
4010 Outlays from new discretionary authority 9,124 11,772 14,451
4011 Outlays from discretionary balances 3,072 462 2,770



4020 Outlays, gross (total) 12,196 12,234 17,221
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –31
4033 Non-Federal sources –269



4040 Offsets against gross budget authority and outlays (total) –300
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 299
4053 Recoveries of prior year paid obligations, unexpired accounts 1



4060 Additional offsets against budget authority only (total) 300



4070 Budget authority, net (discretionary) 9,681 15,698 19,268
4080 Outlays, net (discretionary) 11,896 12,234 17,221
4180 Budget authority, net (total) 9,681 15,698 19,268
4190 Outlays, net (total) 11,896 12,234 17,221

The Medical Community Care appropriation provides funding for community care services to eligible veterans, which has been an essential part of the Department of Veterans Affairs (VA) health care system for decades.

The Budget reflects the following discretionary appropriation funding from 2020 through 2022: the 2020 enacted advance appropriation of $10.8 billion, together with an additional $4.5 billion as provided by the Further Consolidated Appropriations Act, 2020 (Public Law 116–94); the 2021 advance appropriation request of $17.1 billion and additional funding of $1.4 billion; and the 2022 advance appropriation request of $20.1 billion.

The 2022 request for advance appropriation fulfills the Administration's commitment to provide reliable and timely resources to support the delivery of accessible and high-quality medical services for veterans.

Object Classification (in millions of dollars)


Identification code 036–0140–0–1–703 2019 actual 2020 est. 2021 est.

Direct obligations:
21.0 Travel and transportation of persons 11
25.2 Other Contractual Services 8,468 14,031 17,335
26.0 Supplies and materials 294 294 294
41.0 State Homes 1,256 1,515 1,639
44.0 Prior Year Recoveries 133



99.9 Total new obligations, unexpired accounts 10,162 15,840 19,268

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.), $300,000,000, which shall be in addition to funds previously appropriated under this heading that became available on October 1, 2020; and, in addition, $8,403,117,000, plus reimbursements, shall become available on October 1, 2021, and shall remain available until September 30, 2022: Provided, That, of the amount made available on October 1, 2021, under this heading, $300,000,000 shall remain available until September 30, 2023.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0152–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 VAMCs & Other Field Activities 4,378 4,407 5,204
0002 VISN Headquarters 194 197 202
0003 VHA Central Office 863 880 900
0005 Office of Informatics and Information Governance 195 199 204
0008 Employee Education Service Center 82 83 85
0009 VHA Service Center 267 272 278
0013 Consolidated Mail Outpatient Pharmacies 19 20 20
0014 National Center for Patient Safety 7 7 7
0016 Community Care 897 1,001 1,023
0017 VHA Member Services 212 216 221
0019 Readjustment Counseling 8 8 8
0020 Prior Year Recoveries 1
0026 P.L. 113–146, Section 301/302 Activities 2



0091 Total operating expenses 7,125 7,290 8,152
0101 VAMCs & Other Field Activities 41 30 30
0102 VISN Headquarters 1 1 1
0103 VHA Central Office 2 1 1
0108 Employee Education Service Center 1 1 1
0117 VHA Member Services 3 2 2



0191 Total Capital Investment 48 35 35



0293 Total direct program 7,173 7,325 8,187



0799 Total direct obligations 7,173 7,325 8,187
0801 Medical Support and Compliance (Reimbursable) 50 19 19



0900 Total new obligations, unexpired accounts 7,223 7,344 8,206

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 112 36 10
1021 Recoveries of prior year unpaid obligations 1



1050 Unobligated balance (total) 113 36 10
Budget authority:
Appropriations, discretionary:
1100 Appropriation 99 300
1131 Unobligated balance of appropriations permanently reduced [Rescission P.L. 116–94] –10



1160 Appropriation, discretionary (total) 89 300
Advance appropriations, discretionary:
1170 Advance appropriation 7,239 7,239 7,914
1172 Advance appropriations transferred to other accounts [036–0169] –29 –29 –30
1173 Advance appropriations transferred from other accounts [036–0140] 94
1173 Advance appropriations transferred from other accounts [036–0169] 5
1174 Advance appropriations permanently reduced –211



1180 Advanced appropriation, discretionary (total) 7,098 7,210 7,884
Spending authority from offsetting collections, discretionary:
1700 Collected 50 19 19
1900 Budget authority (total) 7,148 7,318 8,203
1930 Total budgetary resources available 7,261 7,354 8,213
Memorandum (non-add) entries:
1940 Unobligated balance expiring –2
1941 Unexpired unobligated balance, end of year 36 10 7

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 1,133 1,277 1,411
3010 New obligations, unexpired accounts 7,223 7,344 8,206
3011 Obligations ("upward adjustments"), expired accounts 79
3020 Outlays (gross) –7,015 –7,210 –8,023
3040 Recoveries of prior year unpaid obligations, unexpired –1
3041 Recoveries of prior year unpaid obligations, expired –142



3050 Unpaid obligations, end of year 1,277 1,411 1,594
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –2 –1 –1
3071 Change in uncollected pymts, Fed sources, expired 1



3090 Uncollected pymts, Fed sources, end of year –1 –1 –1
Memorandum (non-add) entries:
3100 Obligated balance, start of year 1,131 1,276 1,410
3200 Obligated balance, end of year 1,276 1,410 1,593

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 7,148 7,318 8,203
Outlays, gross:
4010 Outlays from new discretionary authority 6,016 6,496 7,272
4011 Outlays from discretionary balances 997 714 751



4020 Outlays, gross (total) 7,013 7,210 8,023
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –65 –19 –19
4033 Non-Federal sources –11



4040 Offsets against gross budget authority and outlays (total) –76 –19 –19
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 26



4060 Additional offsets against budget authority only (total) 26



4070 Budget authority, net (discretionary) 7,098 7,299 8,184
4080 Outlays, net (discretionary) 6,937 7,191 8,004
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 2
4180 Budget authority, net (total) 7,098 7,299 8,184
4190 Outlays, net (total) 6,939 7,191 8,004

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 2020 through 2022: the 2020 enacted advance appropriation of $7.2 billion, together with an annual appropriation of $98.8 million and a $10 million rescission of funds included in the Further Consolidated Appropriations Act, 2020 (Public Law 116–96); the 2021 advance appropriation request of $7.9 billion and additional funding of $300 million; and the 2022 advance appropriation request of $8.4 billion. In addition to this funding, the Budget reflects balances from mandatory funding provided in section 801 of the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146): $14.4 million in unobligated balances remained available at the start of 2020.

The 2022 advance appropriations 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 2019 actual 2020 est. 2021 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 3,483 3,812 4,090
11.1 Full-time permanent - Choice Act, P.L. 113–146, Sec. 801 2
11.3 Other than full-time permanent 75 83 89
11.5 Other personnel compensation 404 439 471



11.9 Total personnel compensation 3,964 4,334 4,650
12.1 Civilian personnel benefits 1,391 1,516 1,635
13.0 Benefits for former personnel 2 2 2
21.0 Travel & Transportation of Persons 69 76 78
22.0 Transportation of things 13 14 14
23.3 Communications, utilities, and miscellaneous charges 100 97 100
24.0 Printing and reproduction 29 30 30
25.2 Other contractual services 1,445 1,107 1,526
26.0 Medical supplies and materials 102 104 106
31.0 Equipment 48 35 36
42.0 Insurance claims and indemnities 10 10 10



99.0 Direct obligations 7,173 7,325 8,187
99.0 Reimbursable obligations 50 19 19



99.9 Total new obligations, unexpired accounts 7,223 7,344 8,206

Employment Summary


Identification code 036–0152–0–1–703 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 54,150 56,495 59,861
2001 Reimbursable civilian full-time equivalent employment 367 367 367

DOD-VA Health Care Sharing Incentive Fund

Program and Financing (in millions of dollars)


Identification code 036–0165–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 DOD-VA health care sharing incentive fund 13 13 16

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 62 79 80
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) 15 –1 15
Advance appropriations, discretionary:
1173 Advance appropriations transferred from other accounts [036–0160] 15 15 15
1900 Budget authority (total) 30 14 30
1930 Total budgetary resources available 92 93 110
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 79 80 94

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 23 23 6
3010 New obligations, unexpired accounts 13 13 16
3020 Outlays (gross) –13 –30 –22



3050 Unpaid obligations, end of year 23 6
Memorandum (non-add) entries:
3100 Obligated balance, start of year 23 23 6
3200 Obligated balance, end of year 23 6

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 30 14 30
Outlays, gross:
4011 Outlays from discretionary balances 13 30 22
4180 Budget authority, net (total) 30 14 30
4190 Outlays, net (total) 13 30 22

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 2021, 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 2019 actual 2020 est. 2021 est.

Direct obligations:
11.1 Personnel compensation: Full-time permanent 1 1 1
25.1 Advisory and assistance services 11 11 14
31.0 Equipment 1 1 1



99.9 Total new obligations, unexpired accounts 13 13 16

Employment Summary


Identification code 036–0165–0–1–703 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 7 22 22

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; $150,000,000, which shall be in addition to funds previously appropriated under this heading that became available on October 1, 2020; and, in addition, $6,734,680,000, plus reimbursements, shall become available on October 1, 2021, and shall remain available until September 30, 2022: Provided, That, of the amount made available on October 1, 2021, under this heading, $500,000,000 shall remain available until September 30, 2023.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0162–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0002 Engineering & Environmental Management Services 625 708 724
0003 Engineering Service 896 1,016 930
0004 Grounds Maintenance & Fire Protection 105 119 122
0005 Leases 761 992 845
0007 Non-Recurring Maintenance 26
0008 Operating Equipment Maintenance & Repair 236 267 273
0009 Other Facilities Operation Support 35 40 41
0011 Plant Operation 806 914 879
0012 Recurring Maintenance & Repair 551 625 639
0013 Textile Care Processing & Management 168 191 195
0014 Transportation 202 229 234
0023 Prior-Year Recoveries 75



0091 Total operating expenses 4,486 5,101 4,882
0102 Engineering & Environmental Management Services 54 28 57
0103 Engineering Service 10 5 5
0104 Grounds Maintenance & Fire Protection 3 2 2
0105 Leases 272 245 209
0106 Non-Recurring Maintenance 1,727 1,564 1,859
0107 Operating Equipment Maintenance & Repair 14 7 7
0108 Other Facilities Operation Support 2 1 1
0109 Plant Operation 18 9 9
0110 Recurring Maintenance & Repair 32 17 17
0111 Textile Care Processing & Management 19 10 10
0122 Transportation 4 2 2



0191 Total capital investment 2,155 1,890 2,178



0799 Total direct obligations 6,641 6,991 7,060
0801 Medical Facilities (Reimbursable) 19 18 18



0900 Total new obligations, unexpired accounts 6,660 7,009 7,078

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1,078 1,403 515
1021 Recoveries of prior year unpaid obligations 75



1050 Unobligated balance (total) 1,153 1,403 515
Budget authority:
Appropriations, discretionary:
1100 Appropriation 893 150
Advance appropriations, discretionary:
1170 Advance appropriation 5,914 6,142 6,433
1172 Advance appropriations transferred to other accounts [036–0169] –38 –39 –40
1173 Advance appropriations transferred from other accounts [036–0160] 125



1180 Advanced appropriation, discretionary (total) 6,001 6,103 6,393
Spending authority from offsetting collections, discretionary:
1700 Collected 18 18 20
1701 Change in uncollected payments, Federal sources 1



1750 Spending auth from offsetting collections, disc (total) 19 18 20
1900 Budget authority (total) 6,913 6,121 6,563
1930 Total budgetary resources available 8,066 7,524 7,078
Memorandum (non-add) entries:
1940 Unobligated balance expiring –3
1941 Unexpired unobligated balance, end of year 1,403 515

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 3,632 4,121 4,259
3010 New obligations, unexpired accounts 6,660 7,009 7,078
3011 Obligations ("upward adjustments"), expired accounts 198
3020 Outlays (gross) –6,121 –6,871 –6,954
3040 Recoveries of prior year unpaid obligations, unexpired –75
3041 Recoveries of prior year unpaid obligations, expired –173



3050 Unpaid obligations, end of year 4,121 4,259 4,383
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –2 –1 –1
3070 Change in uncollected pymts, Fed sources, unexpired –1
3071 Change in uncollected pymts, Fed sources, expired 2



3090 Uncollected pymts, Fed sources, end of year –1 –1 –1
Memorandum (non-add) entries:
3100 Obligated balance, start of year 3,630 4,120 4,258
3200 Obligated balance, end of year 4,120 4,258 4,382

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 6,913 6,121 6,563
Outlays, gross:
4010 Outlays from new discretionary authority 3,836 4,753 5,042
4011 Outlays from discretionary balances 2,200 2,055 1,877



4020 Outlays, gross (total) 6,036 6,808 6,919
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –42 –10 –10
4033 Non-Federal sources –34 –8 –10



4040 Offsets against gross budget authority and outlays (total) –76 –18 –20
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired –1
4052 Offsetting collections credited to expired accounts 58



4060 Additional offsets against budget authority only (total) 57



4070 Budget authority, net (discretionary) 6,894 6,103 6,543
4080 Outlays, net (discretionary) 5,960 6,790 6,899
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 85 63 35
4180 Budget authority, net (total) 6,894 6,103 6,543
4190 Outlays, net (total) 6,045 6,853 6,934

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 2020 through 2022: the 2020 advance appropriation of $6.1 billion; the 2021 advance appropriation of $6.4 billion and annual appropriation request of $150 million; and the 2022 advance appropriation request of $6.7 billion. In addition to this funding, the Budget reflects balances from mandatory funding provided in section 801 of the Veterans Access, Choice, and Accountability Act of 2014 (P.L. 113–146): $26 million in unobligated balances remained available at the start of 2020.

The 2022 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 2019 actual 2020 est. 2021 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 1,240 1,317 1,374
11.3 Other than full-time permanent 26 28 29
11.5 Other personnel compensation 143 152 158



11.9 Total personnel compensation 1,409 1,497 1,561
12.1 Civilian personnel benefits 497 531 563
13.0 Benefits for former personnel 1 1 1
21.0 Travel & Transportation of Persons 45 51 51
22.0 Transportation of things 16 18 18
23.2 Rent, Communications & Utilities 1,276 1,621 1,411
24.0 Printing and reproduction 1 1 1
25.2 Other Contractual Services 805 989 884
26.0 Supplies & Materials 357 387 387
31.0 Equipment 98 81 110
32.0 Lands & Structures 2,056 1,809 2,068
42.0 Insurance claims and indemnities 5 5 5
44.0 Prior Year Recoveries 75



99.0 Direct obligations 6,641 6,991 7,060
99.0 Reimbursable obligations 19 18 18



99.9 Total new obligations, unexpired accounts 6,660 7,009 7,078

Employment Summary


Identification code 036–0162–0–1–703 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 25,047 25,922 26,709
2001 Reimbursable civilian full-time equivalent employment 88

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, $787,000,000, plus reimbursements, to remain available until September 30, 2022: 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, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0161–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Bio-medical laboratory science research 345 363 356
0002 Rehabilitation research 110 115 113
0003 Health services research 110 116 113
0004 Clinical science research 219 231 227



0091 Total operating expenses 784 825 809



0799 Total direct obligations 784 825 809
0801 Medical and Prosthetic Research (Reimbursable) 35 55 55



0900 Total new obligations, unexpired accounts 819 880 864

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 146 179 104
1021 Recoveries of prior year unpaid obligations 37
1033 Recoveries of prior year paid obligations 1



1050 Unobligated balance (total) 184 179 104
Budget authority:
Appropriations, discretionary:
1100 Appropriation 779 800 787
1131 Unobligated balance of appropriations permanently reduced –50



1160 Appropriation, discretionary (total) 779 750 787
Spending authority from offsetting collections, discretionary:
1700 Collected 35 55 55
1900 Budget authority (total) 814 805 842
1930 Total budgetary resources available 998 984 946
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 179 104 82

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 305 357 425
3010 New obligations, unexpired accounts 819 880 864
3011 Obligations ("upward adjustments"), expired accounts 3
3020 Outlays (gross) –723 –812 –834
3040 Recoveries of prior year unpaid obligations, unexpired –37
3041 Recoveries of prior year unpaid obligations, expired –10



3050 Unpaid obligations, end of year 357 425 455
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –2 –1 –1
3071 Change in uncollected pymts, Fed sources, expired 1



3090 Uncollected pymts, Fed sources, end of year –1 –1 –1
Memorandum (non-add) entries:
3100 Obligated balance, start of year 303 356 424
3200 Obligated balance, end of year 356 424 454

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 814 805 842
Outlays, gross:
4010 Outlays from new discretionary authority 349 571 598
4011 Outlays from discretionary balances 374 241 236



4020 Outlays, gross (total) 723 812 834
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –22 –39 –39
4033 Non-Federal sources –16 –16 –16



4040 Offsets against gross budget authority and outlays (total) –38 –55 –55
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 2
4053 Recoveries of prior year paid obligations, unexpired accounts 1



4060 Additional offsets against budget authority only (total) 3



4070 Budget authority, net (discretionary) 779 750 787
4080 Outlays, net (discretionary) 685 757 779
4180 Budget authority, net (total) 779 750 787
4190 Outlays, net (total) 685 757 779

For 2021, the total budgetary resources of over $2 billion is comprised of $787 million in direct appropriations, $669 million in medical care support such as physicians' pay, utilities and other overhead, $540 million in Federal grants and other non-Federal resources, and $55 million in reimbursements. The Department of Veterans Affairs' (VA) research program will support 3,275 full time equivalents through direct appropriations and reimbursable resources. These combined resources will support approximately 2,200 research projects.

This account is an intramural research program with outstanding success leading to critical clinical achievements that improve the health and quality of life for veterans and the Nation. As a health research program focused exclusively on the needs of veterans, VA research continues to play a vital role in the care and rehabilitation of our men and women who have served in uniform. Building on more than 90 years of discovery and innovation engaging veterans as research volunteers, VA research has a proud track record of transforming VA healthcare by bringing new evidence-based treatments and technologies into everyday clinical care. In 2021, VA will continue to invest in several cross-cutting clinical priorities, including suicide prevention, opioid safety and pain management, post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), mental health, and Gulf War Illness. VA research has led the way in developing effective treatments, behavioral interventions, and devices in clinical trials. These investments support VA's strong track record of facilitating the implementation of research findings directly into clinical practice.

SUMMARY OF PROGRAM RESOURCES [in millions of dollars]


2019 actual 2020 est. 2021 est.

Medical and prosthetic research appropriation 779 800 787
Medical Care Support 618 648 669
Other Federal and Non-Federal Resources 528 540 540
Reimbursements 35 55 55



Total Program Resources 1,961 2,042 2,051


FTE 2019 a 2020 e. 2021 e.

3,248 3,275 3,275

The Further Consolidated Appropriations Act, 2020 (P.L. 116–94) rescinded $50 million in prior year unobligated balances. Medical Care Support includes funding from the Medical Services, Medical Support and Compliance, and Medical Facilities appropriations to support research.

Object Classification (in millions of dollars)


Identification code 036–0161–0–1–703 2019 actual 2020 est. 2021 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 250 264 264
11.3 Other than full-time permanent 3 3 3
11.5 Other personnel compensation 5 5 5



11.9 Total personnel compensation 258 272 272
12.1 Civilian personnel benefits 95 100 98
21.0 Employee travel 6 6 6
23.3 Communications, utilities, and miscellaneous charges 1 1 1
25.2 Other services from non-Federal sources 317 334 327
26.0 Supplies and materials 45 47 46
31.0 Equipment 62 65 59



99.0 Direct obligations 784 825 809
99.0 Reimbursable obligations 35 55 55



99.9 Total new obligations, unexpired accounts 819 880 864

Employment Summary


Identification code 036–0161–0–1–703 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 3,110 3,137 3,137
2001 Reimbursable civilian full-time equivalent employment 138 138 138

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 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Joint DOD-VA Medical Facility Demonstration Fund (Direct) 433 459 466
0801 Joint DOD-VA Medical Facility Demonstration Fund (Reimbursable) 11 17 17



0900 Total new obligations, unexpired accounts 444 476 483

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 11 10 3
Budget authority:
Appropriations, discretionary:
1121 Appropriations transferred from other acct [036–0167] 8 8 8
1121 Appropriations transferred from other acct [097–0130] 113 127 137
1121 Appropriations transferred from other acct [036–5287] 17 17 18



1160 Appropriation, discretionary (total) 138 152 163
Advance appropriations, discretionary:
1172 Advance appropriations transferred to other accounts [036–0152] –5
1173 Advance appropriations transferred from other accounts [036–0160] 205 210 216
1173 Advance appropriations transferred from other accounts [036–0140] 27 28 28
1173 Advance appropriations transferred from other accounts [036–0152] 29 29 30
1173 Advance appropriations transferred from other accounts [036–0162] 38 39 40



1180 Advanced appropriation, discretionary (total) 294 306 314
Spending authority from offsetting collections, discretionary:
1700 Collected 11 11 13
1900 Budget authority (total) 443 469 490
1930 Total budgetary resources available 454 479 493
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 10 3 10

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 83 73 90
3010 New obligations, unexpired accounts 444 476 483
3011 Obligations ("upward adjustments"), expired accounts 17
3020 Outlays (gross) –462 –459 –493
3041 Recoveries of prior year unpaid obligations, expired –9



3050 Unpaid obligations, end of year 73 90 80
Memorandum (non-add) entries:
3100 Obligated balance, start of year 83 73 90
3200 Obligated balance, end of year 73 90 80

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 443 469 490
Outlays, gross:
4010 Outlays from new discretionary authority 381 422 442
4011 Outlays from discretionary balances 81 37 51



4020 Outlays, gross (total) 462 459 493
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –12 –11 –12
4033 Non-Federal sources –10 –1



4040 Offsets against gross budget authority and outlays (total) –22 –11 –13
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 11



4070 Budget authority, net (discretionary) 432 458 477
4080 Outlays, net (discretionary) 440 448 480
4180 Budget authority, net (total) 432 458 477
4190 Outlays, net (total) 440 448 480

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 2020 and 2021, 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 2019 actual 2020 est. 2021 est.

Direct obligations:
11.1 Personnel compensation: Full-time permanent 186 197 200
12.1 Civilian personnel benefits 60 64 65
23.3 Communications, utilities, and miscellaneous charges 10 11 11
25.1 Advisory and assistance services 86 91 93
26.0 Supplies and materials 70 74 75
31.0 Equipment 2 2 2
32.0 Land and structures 19 20 20



99.0 Direct obligations 433 459 466
99.0 Reimbursable obligations 11 17 17



99.9 Total new obligations, unexpired accounts 444 476 483

Employment Summary


Identification code 036–0169–0–1–703 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 2,108 2,172 2,172

Medical Care Collections Fund

Program and Financing (in millions of dollars)


Identification code 036–5287–0–2–703 2019 actual 2020 est. 2021 est.

Budgetary resources:
Budget authority:
Appropriations, discretionary:
1101 Appropriation (special or trust) 3,915 3,912 4,527
1120 Appropriations transferred to other accts [036–0160] –3,412 –3,449 –3,725
1120 Appropriations transferred to other accts [036–0169] –17 –17 –18
1120 Appropriations transferred to other acct [036–0140] –486 –446 –784
4180 Budget authority, net (total)
4190 Outlays, net (total)

The Department of Veterans Affairs has the authority to collect co-payments, which are deposited into the Medical Care Collections Fund (MCCF) account. As allowed by the provisions of the appropriations Act, these receipts are transferred to Medical Services, Medical Community Care, and the Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund (Joint Demonstration Fund) where they remain available until expended for the purposes of the account. In 2019, over $3.9 billion was collected in the MCCF account and transferred to Medical Services, Medical Community Care, and the Joint Demonstration Fund to provide healthcare to our veterans. These collections consist of co-payments from veterans for inpatient, outpatient, and nursing home care, and prescribed medications; third-party insurance payments from veterans for nonservice-connected conditions; and collections from enhanced-use leases, the Compensated Work Therapy Program, Compensation and Living Expensed Program, and the Parking Program.

Canteen Service Revolving Fund

Program and Financing (in millions of dollars)


Identification code 036–4014–0–3–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0801 Reimbursable operating expenses 335 475 475
0802 Reimbursable direct operations 32 45 45
0810 Reimbursable capital investment: Sales program: Purchase of equipment and leasehold 12 17 17



0900 Total new obligations, unexpired accounts 379 537 537

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 5 15 17
1021 Recoveries of prior year unpaid obligations 3 2 2



1050 Unobligated balance (total) 8 17 19
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 386 537 537
1930 Total budgetary resources available 394 554 556
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 15 17 19

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 51 19 10
3010 New obligations, unexpired accounts 379 537 537
3020 Outlays (gross) –408 –544 –534
3040 Recoveries of prior year unpaid obligations, unexpired –3 –2 –2



3050 Unpaid obligations, end of year 19 10 11
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –2 –2 –2



3090 Uncollected pymts, Fed sources, end of year –2 –2 –2
Memorandum (non-add) entries:
3100 Obligated balance, start of year 49 17 8
3200 Obligated balance, end of year 17 8 9

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 386 537 537
Outlays, gross:
4100 Outlays from new mandatory authority 352 525 525
4101 Outlays from mandatory balances 56 19 9



4110 Outlays, gross (total) 408 544 534
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123 Non-Federal sources –386 –537 –537
4180 Budget authority, net (total)
4190 Outlays, net (total) 22 7 –3

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. Operations will be financed from current revenues.

Object Classification (in millions of dollars)


Identification code 036–4014–0–3–705 2019 actual 2020 est. 2021 est.

Reimbursable obligations:
Personnel compensation:
11.1 Full-time permanent 125 177 177
11.3 Other than full-time permanent 7 11 11



11.9 Total personnel compensation 132 188 188
12.1 Civilian personnel benefits 27 38 38
21.0 Travel and transportation of persons 2 5 5
22.0 Transportation of things 1
25.2 Other services from non-Federal sources 2 5 5
26.0 Supplies and materials 203 285 285
31.0 Equipment 12 16 16



99.9 Total new obligations, unexpired accounts 379 537 537

Employment Summary


Identification code 036–4014–0–3–705 2019 actual 2020 est. 2021 est.

2001 Reimbursable civilian full-time equivalent employment 3,285 3,285 3,285

Veterans Choice Fund

Program and Financing (in millions of dollars)


Identification code 036–0172–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Veterans Choice Fund - Administrative 224 176 20
0002 Veterans Choice Fund - Program 1,473 227 180
0004 Emergency Non-VA Care 2
0006 MCC (0140) Expenditure Transfers 400 413 899
0013 Prior Year Recoveries 1,191



0091 Direct program activities, subtotal 3,290 816 1,099
0109 Capital Investment 14



0900 Total new obligations, unexpired accounts 3,304 816 1,099

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 4,644 2,531 1,100
1021 Recoveries of prior year unpaid obligations 1,191



1050 Unobligated balance (total) 5,835 2,531 1,100
Budget authority:
Appropriations, mandatory:
1220 Appropriations transferred to other acct [036–0140] –615
1930 Total budgetary resources available 5,835 1,916 1,100
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 2,531 1,100 1

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 2,180 387 532
3010 New obligations, unexpired accounts 3,304 816 1,099
3020 Outlays (gross) –3,906 –671 –849
3040 Recoveries of prior year unpaid obligations, unexpired –1,191



3050 Unpaid obligations, end of year 387 532 782
Memorandum (non-add) entries:
3100 Obligated balance, start of year 2,180 387 532
3200 Obligated balance, end of year 387 532 782

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross –615
Outlays, gross:
4100 Outlays from new mandatory authority –615
4101 Outlays from mandatory balances 3,906 1,286 849



4110 Outlays, gross (total) 3,906 671 849
4180 Budget authority, net (total) –615
4190 Outlays, net (total) 3,906 671 849

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

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

Public Law 115–46, the VA Choice and Quality Employment Act of 2017, provided $2.1 billion in mandatory funding for the Veterans Choice Fund, to remain available until expended. 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 provides flexibility of Veterans Choice Fund dollars beginning on March 1, 2019, authorizing permanent authority for other uses. In addition, the MISSION Act sunset the Choice Program in June 2019 and established the new Veterans Community Care Program. 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.

Object Classification (in millions of dollars)


Identification code 036–0172–0–1–703 2019 actual 2020 est. 2021 est.

Direct obligations:
21.0 Travel and transportation of persons 10
25.2 Other contract services 2,006 748 1,051
26.0 Supplies and materials 83 68 48
31.0 Equipment 14
44.0 Prior-year Recoveries 1,191



99.9 Total new obligations, unexpired accounts 3,304 816 1,099

Trust Funds

General Post Fund, National Homes

Special and Trust Fund Receipts (in millions of dollars)


Identification code 036–8180–0–7–705 2019 actual 2020 est. 2021 est.

0100 Balance, start of year
Receipts:
Current law:
1130 General Post Fund, National Homes, Deposits 25 27 28
1140 General Post Fund, National Homes, Interest on Investments 2 1 1



1199 Total current law receipts 27 28 29



1999 Total receipts 27 28 29



2000 Total: Balances and receipts 27 28 29
Appropriations:
Current law:
2101 General Post Fund, National Homes –27 –28 –29



5099 Balance, end of year

Program and Financing (in millions of dollars)


Identification code 036–8180–0–7–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Religious, recreational, and entertainment activities 18 23 24
0003 Therapeutic residence maintenance 3 1 1



0900 Total new obligations, unexpired accounts 21 24 25

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 112 119 126
1021 Recoveries of prior year unpaid obligations 1 3 3



1050 Unobligated balance (total) 113 122 129
Budget authority:
Appropriations, mandatory:
1201 Appropriation (special or trust fund) 27 28 29
1930 Total budgetary resources available 140 150 158
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 119 126 133

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 2 2 1
3010 New obligations, unexpired accounts 21 24 25
3020 Outlays (gross) –20 –22 –23
3040 Recoveries of prior year unpaid obligations, unexpired –1 –3 –3



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

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 27 28 29
Outlays, gross:
4100 Outlays from new mandatory authority 22 23
4101 Outlays from mandatory balances 20



4110 Outlays, gross (total) 20 22 23
4180 Budget authority, net (total) 27 28 29
4190 Outlays, net (total) 20 22 23

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 90 119 91
5001 Total investments, EOY: Federal securities: Par value 119 91 91

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 2019 actual 2020 est. 2021 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 5 6 6
26.0 Supplies and materials 13 15 16
31.0 Equipment 1 1 1



99.9 Total new obligations, unexpired accounts 21 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, $2,813,922,000, which shall be in addition to funds previously appropriated under this heading that became available on October 1, 2020; and, $130,227,650,000 shall become available on October 1, 2021: Provided, That not to exceed $20,115,000 of the amount made available for fiscal year 2022 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, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0102–0–1–701 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0101 Veterans 87,647 96,501 105,219
0102 Survivors 7,283 8,496 8,094



0191 Compensation sub-total 94,930 104,997 113,313



0200 Other compensation expenses 94,930 104,997 113,313
0201 Chapter 18 21 24 24
0202 Clothing allowance 131 138 146
0203 Misc assistance (EAJ, SAFD) 28 33 38
0204 Medical exam pilot program 1,232 1,790 2,233
0205 OBRA payment to VBA and IT 2 7 7



0291 Total other compensation expenses 1,414 1,992 2,448



0293 Total compensation 96,344 106,989 115,761
0302 Veterans 3,187 3,207 3,280
0303 Survivors 1,717 1,627 1,654



0391 Pensions sub total 4,904 4,834 4,934
0401 Reimbursements to GOE, IT and VHA 6 11 11



0492 Total pensions 4,910 4,845 4,945
0502 Burial allowance 18 58 61
0503 Burial plots 27 23 23
0504 Service-connected deaths 67 109 115
0505 Burial flags 18 26 27
0506 Headstones and markers 95 90 91
0508 Graveliners 4 4 4
0509 Pre-Place Crypts 32 33 34



0591 Total burial program 261 343 355



0900 Total new obligations, unexpired accounts (object class 42.0) 101,515 112,177 121,061

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 2,098 1,720
1021 Recoveries of prior year unpaid obligations 27
1033 Recoveries of prior year paid obligations 348



1050 Unobligated balance (total) 2,473 1,720
Budget authority:
Appropriations, mandatory:
1200 Appropriation 2,994 1,440 2,814
Advance appropriations, mandatory:
1270 Advance appropriation 95,768 109,017 118,247
1273 Advance appropriations transferred from other accounts 2,000



1280 Advanced appropriation, mandatory (total) 97,768 109,017 118,247
1900 Budget authority (total) 100,762 110,457 121,061
1930 Total budgetary resources available 103,235 112,177 121,061
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 1,720

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 7,446 8,135 9,020
3010 New obligations, unexpired accounts 101,515 112,177 121,061
3020 Outlays (gross) –100,799 –111,292 –120,105
3040 Recoveries of prior year unpaid obligations, unexpired –27



3050 Unpaid obligations, end of year 8,135 9,020 9,976
Memorandum (non-add) entries:
3100 Obligated balance, start of year 7,446 8,135 9,020
3200 Obligated balance, end of year 8,135 9,020 9,976

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 100,762 110,457 121,061
Outlays, gross:
4100 Outlays from new mandatory authority 91,254 101,436 111,083
4101 Outlays from mandatory balances 9,545 9,856 9,022



4110 Outlays, gross (total) 100,799 111,292 120,105
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123 Non-Federal sources –348
Additional offsets against gross budget authority only:
4143 Recoveries of prior year paid obligations, unexpired accounts 348



4160 Budget authority, net (mandatory) 100,762 110,457 121,061
4170 Outlays, net (mandatory) 100,451 111,292 120,105
4180 Budget authority, net (total) 100,762 110,457 121,061
4190 Outlays, net (total) 100,451 111,292 120,105

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


2019 actual 2020 est. 2021 est.

Enacted/requested:
Budget Authority 100,762 110,457 121,061
Outlays 100,451 111,292 120,105
Legislative proposal, subject to PAYGO:
Outlays –789
Total:
Budget Authority 100,762 110,457 121,061
Outlays 100,451 111,292 119,316

WORKLOAD


2019 actual 2020 est. 2021 est.

Compensation Completed Claims:
Rating 1,322,139 1,360,290 1,420,084
Other Claims 2,709,114 2,715,030 2,766,002
Pension Completed Claims:
Rating 122,073 126,027 131,610
Other Non-Rating Claims 304,790 376,487 376,493

For 2022, the Budget requests $130,227,650,000 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, 2021, is expected to be 2.4 percent.

AVERAGE NUMBER OF COMPENSATION CASES AND PAYMENTS


2019 actual 2020 est. 2021 est.

Veterans:
Cases 4,852,077 5,089,328 5,267,797
Average payment per case, per year $18,064 $18,961 $19,974
Total obligations (in millions) $87,647 $96,501 $105,219
Survivors:
Cases 429,585 443,288 456,463
Average payment per case, per year $16,953 $19,166 $17,731
Total obligations (in millions) $7,283 $8,496 $8,094
Chapter 18:
Children 1,134 1,284 1,266
Average payment per case, per year $18,530 $18,895 $19,346
Total obligations (in millions) $21 $24 $24
Clothing allowance:
Number of veterans 160,774 166,331 172,116
Average payment per case, per year $814 $827 $847
Total obligations (in millions) $131 $138 $146
Special Allowance for Dependents:
Cases 18 16 15
Average benefit $4,457 $4,529 $4,638
Total obligations (in millions) $0 $0 $0
Equal Access to Justice Act:
Cases 5,334 6,159 6,984
Average benefit $5,231 $5,314 $5,442
Total Obligations (in millions) $28 $33 $38
REPS:
Cases 7 5 4
Average benefit $17,382 $17,868 $18,476
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, 2021, is expected to be 2.4 percent.

AVERAGE NUMBER OF PENSION CASES AND PAYMENTS


2019 actual 2020 est. 2021 est.

Veterans:
Cases 248,484 237,424 231,183
Average payment per case, per year $12,828 $13,508 $14,186
Total obligations (in millions) $3,187 $3,207 $3,280
Survivors:
Cases 185,379 166,882 161,325
Average payment per case, per year $9,259 $9,752 $10,252
Total obligations (in millions) $1,717 $1,627 $1,654

Burial benefits in 2020 provide for: (a) the payment of an allowance of $796 toward burial and funeral expenses if hospitalized by VA at the time of death (or $300 if not hospitalized by VA at time of death); (b) the payment of $796 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


2019 actual 2020 est. 2021 est.

Burial allowance 44,074 33,001 33,648
Burial allowances for deaths in Dept. facility 37,353 35,519 36,216
Burial plot 34,803 29,312 29,887
Service-connected deaths 38,323 41,620 43,524
Burial flags 440,554 455,515 450,500
Headstones and markers 345,780 346,113 344,577
Graveliners 10,832 10,842 10,794
Preplaced crypts 60,953 61,012 60,741
Caskets and Urns 354 334 333

Compensation and Pensions

(Legislative proposal, subject to PAYGO)

Program and Financing (in millions of dollars)


Identification code 036–0102–4–1–701 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0101 Limit Disability Evaluations to Criteria within VASRD –75
0105 Effective Date Simplification for Claims for Increased Evaluation –679
0108 Round Down COLA for Service-Connected and DIC five years –39
0114 Prohibition of entitlement to VA's Indivudual Unemployability benefit for individuals serviing in the Reserve Components –4



0191 Compensation sub-total –797



0293 Total compensation –797
0301 Reissue VA Benefit Payments to all Victims of Fiduciary Misuse 3
0307 Increase monetary burial benefit allowances according to increases in the Consumer Price Index 2
0309 Eliminate need for rating assignment of permanantly and total disability as it rates to higher max annual pension for Veterans considered housebound 1



0391 Pensions sub total 6



0492 Total pensions 6
0501 Spousal and Dependent Inscriptions on Veteran Headstones and Markers 1
0502 Authorization to Provide Outer Burial Receptacles for State and Tribal Organization Cemeteries 1



0591 Total burial program 2



0900 Total new obligations, unexpired accounts (object class 42.0) –789
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 789

Change in obligated balance:
Unpaid obligations:
3010 New obligations, unexpired accounts –789
3020 Outlays (gross) 789

Budget authority and outlays, net:
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances –789
4180 Budget authority, net (total)
4190 Outlays, net (total) –789

Limit Disability Evaluations to Criteria within the VA Schedule for Disabilities (VASRD): VA seeks to amend 38 U.S.C. 1155 so that disability evaluations can only be established based on criteria within the VASRD. Extra-schedular ratings were designed for Veterans with exceptional or unusual disability pictures that did not fall in line with the VASRD. However, since the VASRD generally compensates Veterans adequately, and VA has committed to reviewing each body system of the VASRD on a five-year cycle, there is no remaining need or justification for a disability rating outside the allowance of the VASRD. Veterans would still have several options to receive a higher rating and could continue to file claims if their disabilities become worse. Savings are estimated to be $74.7 million in 2021, $1.1 billion over five years, and $4.2 billion over ten years.

Repeal or Modify Certification Testing for VBA Employees and Managers Who Process Claims for Disability Benefits: VA seeks to modify 38 U.S.C. 7732A, which requires exceedingly specific and narrowly-focused certification testing for employees and managers who process claims for compensation and pension benefits. This proposal would allow VBA to use a diagnostic testing capability, administered on regularly defined intervals, to identify knowledge and technical competencies employees need to perform specific job functions, and to identify training deficiencies employees may have.

Reimbursement of Credentialing Costs: This proposal seeks to add a new section to Title 38 to recoup the costs of credentialing accredited attorneys and claims agents and their employees so that they can access the automated VBA claims records of claimants whom they represent. A reasonable fee would be used to offset the costs of performing background and other investigations to determine eligibility for access and issuing credentials for such access. No mandatory costs or savings are associated with this proposal. No mandatory costs or savings are associated with this proposal.

Extend the Authority for Operations of the Manila VA Regional Office: VA seeks to extend the authority currently provided by 38 U.S.C. 315(b) to maintain the operations of the Manila Regional Office December 31, 2024. No mandatory costs or savings are associated with this proposal.

Effective Date Simplification for Claims for Increased Evaluation: VA seeks to amend 38 U.S.C. 5110(b)(3) to make the date of receipt of a claim the effective date for an increased rating. This proposal would enable VA to provide more accurate and timely decisions to Veterans and their families by increasing the use of automation and decision assistance tools. VA would maintain exceptions to this rule to allow an effective date of the date of hospital admission or outpatient treatment where a Veteran is hospitalized for 21 days or more or requires convalescent care for a disability. Additionally, this amendment would not prohibit Veterans from filing an Intent to File, which allows up to a one-year retroactive effective date. Savings are estimated to be $678.8 million for 2021, $3.5 billion over five years, and $7.5 billion over ten years.

Elimination of Payment of Benefits to the Estates of Deceased Nehmer Class Members and to the Survivors of Certain Class Members: VA seeks to amend 38 U.S.C. 1116 to eliminate payment of benefits to the estates of deceased Nehmer class members and to Survivors of certain class members when such benefits are the result of presumptions of service connection established pursuant to section 1116 for diseases associated with exposure to certain herbicide agents. This proposal would prevent allocation of extensive resources to claims not contemplated by Congress and would avoid potential for substantially adding to VA's backlog. No mandatory costs or savings are associated with this proposal.

Using Transition Assistance Program Training, Telephone Contact by VA, or Digital Communication to Notify Veterans of VA Benefits and Services: VA seeks to amend 38 U.S.C. 6303(b) to authorize VA to use TAP training, telephone outreach, or digital communication to notify each transitioning Veteran of all VA benefits and services for which he or she may be eligible. Currently, the statute requires VA to send each Veteran a letter with benefits information and to contact in person or by telephone Veterans who do not have a high school education or equivalent at the time of discharge or release. Changes in technology now provide Servicemembers, Veterans, and their families with personalized access to benefit information, resources, and self-service capabilities through various digital technologies. No mandatory costs or savings are associated with this proposal.

Round-Down the Computation of the Annual Cost-of-Living Adjustment (COLA) for Service-Connected Compensation and DIC for 5 Years: This proposal seeks to amend the statutory language for 38 U.S.C. 1104(a) and 1303(a) to round-down COLA computations from 2021 through 2026. The purpose of the rounding-down provision is two-fold: to simplify the benefit payment computation and, at the same time, to work towards balancing the budget without substantial loss to VA beneficiaries. The round-down authority was first enacted in 1983 and last extended by public law 108–183 with a sunset date in 2013. Savings are estimated to be $39.1 million in 2021, $676.8 million over five years, and $2.2 billion over ten years.

Expanding the Contract Medical Disabilities Examination Authority: VA seeks to amend section 504(c) of the Veterans Benefits Improvement Act of 1996 and section 704(d) of the Veterans Benefits Act of 2003 to authorize VA to contract with non-physician healthcare providers to conduct examinations in connection with claims for disability benefits. Enabling non-physicians, such as audiologists and nurse practitioners, to perform contract examinations would greatly increase the population of examiners available for this important segment of the disability claims process. No mandatory costs or savings are associated with this proposal.

Extension of Contract for Medical Disability Examinations: This proposal seeks to amend section 704(c) of the Veterans Benefits Act of 2003 to provide a 5 year extension of the authority to use discretionary funds for contract disability examinations. This proposal is essential in maintaining flexibility in VA's mission to continue to provide thorough, accurate, and timely medical disability examinations to our Veterans, so they receive timely rating decisions. No mandatory costs or savings are associated with this proposal.

VA Schedule for Rating Disability (VASRD) Effective Dates: This proposal seeks to amend 38 U.S.C. 1155 so that, when the VASRD is readjusted, such changes would apply to any new or pending claims and may include action to decrease an existing evaluation. VA does not intend to adjust a Veterans ratings downward on its own initiative as a result of this proposal but would set ratings in accordance with the new criteria if it reviewed the case at the Veterans request. This proposed system would allow VA to more easily update and implement the rating criteria and be easier to understand and apply for Veterans and their representatives. Instead of having to review previous rating criteria and regulations, only the most current criteria in the VASRD would be applicable. No mandatory costs or savings are associated with this proposal.

Allow for Electronic Decision Notification, and Other Communications: VA seeks to amend 38 U.S.C. 5100, 5104B, and 7105 to specifically allow for electronic notification of benefits decisions and other communications in the course of adjudicating claims. These changes are necessary to allow VA, Veterans, and claimants to utilize modern electronic methods of communication to deliver timely and efficient decisions on claims. No mandatory costs or savings are associated with this proposal.

Dependency Pay Adjustments: VA seeks to amend 38 U.S.C. 1115 to pay a single, flat rate dependency allowance to Veterans. This proposal would result in a more streamlined system of paying dependency allowances and would reduce the amount of times Veterans have to report life changing events that will impact their benefits and reduce their chances of incurring an overpayment. This proposal would be consistent with DoDs basic allowance for housing and family separation allowance, which do not account for multiple dependents. No mandatory costs or savings are associated with this proposal.

Delimiting Entitlement to VA's Individual Unemployability (IU) Benefit: VA seeks to amend 38 U.S.C. 1163 to allow entitlement to total disability ratings based on IU for those individuals who have performed active military, naval, or air service, excepting those who are serving in the reserve components. If a Veteran is capable of performing the requirements for active or inactive duty training (drill pay) in the reserve components, such performance demonstrates that the Veteran has sufficient abilities for tasks relevant to employability and does not meet the requirements of VA's IU program. Veterans in this category would still be entitled to receive compensation for service-connected disabilities at the appropriate schedular evaluation (subject to 38 U.S.C. 5304(c)). Savings are estimated to be $3.6 million in 2021, $44.4 million over five years, and $163.8 million over ten years.

Reissue VA Benefit Payments to All Victims of Fiduciary Misuse: VA seeks to amend 38 U.S.C. 6107, which authorizes VA to reissue benefits to a beneficiary if the beneficiary's VA-appointed fiduciary misuses the beneficiary's benefits when the fiduciary is not an individual, or when the fiduciary is an individual who manages benefits for ten or more beneficiaries. In all other cases of fiduciary misuse, VA cannot reissue benefits unless it was negligent in appointing or overseeing the fiduciary. This amendment would extend VA's reissuance authority to misuse by individual fiduciaries who manage benefits for less than ten beneficiaries without regard to VA negligence in appointing or overseeing such fiduciaries. The costs are estimated to be $3.5 million in 2021, $19.2 million over five years, and $43.5 million over ten years.

Eliminate the Time Limitation for Appointment of a Temporary Fiduciary and Bar Fiduciary Appeal of a Misuse Determination: VA proposes to amend 38 U.S.C. 5507(d) to remove the 120-day limit a temporary fiduciary may serve and to bar a fiduciary from appealing a VA determination that the fiduciary has misused a beneficiary's funds. Temporary appointments are disruptive for beneficiaries in the program and redirect limited fiduciary program resources to successor appointments. This proposal would ensure these vulnerable beneficiaries are provided a stable, consistent fiduciary environment. No mandatory costs or savings are associated with this proposal.

Amend 38 U.S.C. 5502(a)(1) to Preempt the Applicability of State Laws to VA-Appointed Fiduciaries: VA proposes to amend 38 U.S.C. 5502(a)(1) to preempt the applicability of State law regarding guardianships and other matters to ensure a national standard of practice for payment of benefits to or on behalf of VA beneficiaries who cannot manage their benefits. This language would clarify the statutes impacting VA beneficiaries who may be subject to state guardianship laws, create a concise national standard of practice for VA beneficiaries, and reduce the challenge to VA's authority in state courts forcing VA to defend Congress intent to preempt state laws in guardianship matters as they relate to VA benefits. No mandatory costs or savings are associated with this proposal.

Extend the Statutory Marriage Delimiting Date for Surviving Spouses of Gulf War Veterans: VA seeks to amend the statutory marriage delimiting date in 38 U.S.C. 1541(f)(1)(E) for surviving spouses of Gulf War Veterans for purposes of determining entitlement to Survivors pension. Due to the ongoing Gulf War, VA proposes to replace the outdated prescribed delimiting date of January 1, 2001, with a date that is ten years and one day following the future prescribed ending date of the Gulf War. No mandatory costs or savings are associated with this proposal.

Allow VA Contractors and Vendors Access to Federal Tax Return Information for Purposes of Assisting in the Administration of Certain VA Benefit Programs and Maintaining the Systems VA Uses to Administer These Programs: VA seeks to amend 26 U.S.C. 6103(l)(7)(A) and (B) to allow VA contractors and vendors access to tax return information that is disclosed to VA pursuant to 26 U.S.C. 6103(l)(7)(D)(viii). This authority would be similar to the authority relating to administration of the Medicare, Medicaid, and other Health and Human Services benefit programs, which authorize disclosure of such information to contractors of the Department of Health and Human Services or contractors of the Social Security Administration. No mandatory costs or savings are associated with this proposal.

Authorize VA to Rely on Unearned and Earned Income Information Supplied by IRS and the Earned Income Information Available from SSA Under Section 6103(i)(7)(D)(viii) for Purposes of Determining Eligibility for VA's Needs-Based Pension Program and Eliminate the Need for VA to Independently Verify Such Income Information: VA seeks to amend 38 U.S.C. 5317(b) and (e), to authorize VA to rely on information it obtains from the IRS and SSA when making initial pension eligibility determinations and remove the requirement that VA independently verify the information before terminating, denying, suspending, or reducing a claimants or beneficiaries needs-based pension benefits. This proposal would reduce the burden on claimants to submit additional information after their original submission and allow claimants to receive faster decisions. This proposal would also reduce the number of improper payments. No mandatory costs or savings are associated with this proposal.

Increase Monetary Burial Benefit Allowances According to Increases in the Consumer Price Index (CPI): VA seeks to amend 38 U.S.C. 2302 and 2307 to authorize annual burial benefit increases based upon CPI increases. This proposal would give VA the authority to pay burial benefit allowances that would provide Veterans the dignified burial they deserve. The costs are estimated to be $1.6 million in 2021, $34.1 million over five years, and $151 million over ten years.

Authorize VA to Pay a Flat Rate for the Costs of Domestic Transportation of a Deceased Veteran to a National Cemetery: VA seeks to amend 38 U.S.C. 2308 to authorize VA to pay a one-time, inflation-indexed, flat-rate benefit for the domestic transportation of a deceased Veteran to a national cemetery, or upon the qualifying death of a Veteran. Current statute only allows the strict reimbursement of actual transportation costs. This proposal would allow VA to automate adjudication and payment of these claims and would remove the burden on Survivors to prove their actual expenses during a difficult and vulnerable period of transition. No mandatory costs or savings are associated with this proposal.

Eliminate Entitlement to Increased Pension for Veterans Who Are Permanently and Totally Disabled and Have Additional Disability or Disabilities Rated 60 Percent or More and Eliminate the Requirement for a Permanent and Total Disability Rating for Entitlement to a Higher Maximum Annual Pension Rate for Veterans Who Are Permanently Housebound: VA seeks to amend 38 U.S.C. 1521(e) by: (1) eliminating entitlement to additional pension for Veterans who are permanently and totally disabled and have additional disability or disabilities rated 60 percent or more; and (2) removing the requirement that Veterans who are permanently housebound be rated permanently and totally disabled to be eligible to increased pension. This proposal would enable VA to realize increased efficiency in the pension adjudication process, eliminate unnecessary disability exams, and eliminate the current disparity between Veterans and Survivors eligibility for housebound rates. The costs are estimated to be $585 thousand in 2021, $3.0 million over five years, and $6.5 million over ten years.

Remove Annual Income from Net-Worth Calculation: VA seeks to amend 38 U.S.C. 1522 and 1543 to remove the requirement that VA consider annual income in its net-worth determinations. VA's intent is to allow more fair and consistent net-worth calculations and to promote pension automation with respect to net worth calculations. The costs are estimated to be $39 thousand for 2021, $537 thousand over five years, and $1.9 million over ten years.

Extension of Reduced Pension for Certain Veterans and Survivors Covered by Medicaid Plans for Services: This proposal would amend 38 U.S.C. 5503(d)(7) to extend through September 30, 2030, the provisions of 38 U.S.C. 5503(d), which limit to $90 the pension payable to certain recipients of Medicaid-covered nursing home care and protects that pension payment from being applied to the cost of the beneficiary's nursing-home care. Public law 115–182, section 509, last extended this authority to September 30, 2028. The savings are estimated to be $307 thousand over ten years.

Modernizing VA's Records Management Program: This proposal would amend 38 U.S.C. by creating a new section to codify VBA's procedures with respect to imaged source paper files, input records, reports, or other documents under the Records Control Schedule required by 44 U.S.C. Over the past eight years, VBA has transformed its paper-based claims process to a nearly 100 percent electronic process. Digitization of paper allows for dynamic electronic routing and automated processing, which has contributed directly to the reduction of the overall claims inventory and Veterans waiting far less days to receive their benefits. VA's official eFolder is the only complete collection of benefits-related documents and evidence, and, in accordance with VA's NARA-approved Records Control Schedule, is therefore the official record for VBA's disability compensation and pension claims processing. No mandatory costs or savings are associated with this proposal.

Spousal and Dependent Inscriptions on Veteran Headstones and Markers: VA seeks to amend 38 U.S.C. 2306 to allow the inscription, if feasible and upon request, on a government-furnished headstone and marker for placement on a gravesite in a non-VA cemetery, information about the Veterans spouse or dependent child. The proposed applicability date would be to add such an inscription for the headstones and markers of Veterans whose date of death is on or after January 1, 2016. The costs estimated are $1.3 million in 2021, $5.8 million over five years, and $10.8 million over ten years.

Authorization to Provide Outer Burial Receptacles for State and Tribal Organization Cemeteries: VA proposes to amend 38 U.S.C. 2306 to provide an outer burial receptacle (OBR) benefit for any casketed gravesite for eligible Veterans and their family members interred in state and tribal Veterans cemeteries that received grant funding through VA's Veterans Cemetery Grants Program. This would ensure parity for the OBR benefit for eligible individuals in any cemetery that has a mission to provide burial for Veterans and their eligible dependents and would alleviate the additional financial burden on the families of Veterans to purchase an OBR if they choose to bury the Veteran or an eligible family member in a State or tribal Veterans cemetery. The costs estimated are $469 thousand in 2021, $9.5 million over five years, and $30.4 million over ten years.

Provide Group Burial Markers: VA proposes to amend 38 U.S.C. 2306 to clearly authorize the National Cemetery Administration (NCA) to provide a single appropriate headstone or marker for certain groups of individuals who are eligible for individual headstones or markers, but who are buried in a mass grave. No costs or savings are associated with this proposal.

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

Authorization to Pay Cost of Transporting Unclaimed Remains of Veterans to a VA-funded State or Tribal Organization Cemetery: VA seeks to amend 38 U.S.C. 2308 to expand the provision of the transportation allowance to cover those unclaimed remains of Veterans transported to a VA-funded Veterans cemetery owned by a State or tribal organization. Currently, VA is only authorized to provide an allowance for the cost of transporting the remains to the nearest VA national cemetery. The costs estimated are $52 thousand in 2021, $263 thousand over five years, and $536 thousand over ten years.

Expansion of Eligibility for Government-Furnished Headstone, Marker or Medallion for Medal of Honor Recipients: VA seeks to amend 38 U.S.C. 2306 to allow VA to furnish or replace a headstone, marker, or medallion for the grave of an eligible Medal of Honor recipient, regardless of the recipients dates of service, date of death, or location. Because the Medal of Honor represents extraordinary and distinctive service, it should be permanently and distinctly memorialized for all recipients, regardless of the individuals dates of service. This proposal would eliminate the April 6, 1917 limitation to allow VA to furnish a Government headstone or marker for the already marked gravesite of any Medal of Honor recipient in a private cemetery, regardless of the dates of the recipients service. The costs estimated are $50 thousand in 2021, $253 thousand over five years, and $518 thousand over ten years.

Readjustment benefits

For the payment of readjustment and rehabilitation benefits to or on behalf of veterans as authorized by chapters 21, 30, 31, 33, 34, 35, 36, 39, 41, 51, 53, 55, and 61 of title 38, United States Code, $14,946,618,000, to remain available until expended and to become available on October 1, 2021: 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, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0137–0–1–702 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0101 Sons and daughters 710 855 976
0102 Spouses 151 175 201



0191 Total education and training 861 1,030 1,177
0201 Vocational rehabilitation training 762 773 815
0202 Subsistence allowance 626 674 727
0203 Automobiles and adaptive equipment 138 143 149
0204 Housing Grants 122 139 149
0205 Housing Technology Grants 1 1



0291 Total special assistance to disabled veterans 1,649 1,730 1,840
0301 Work study 46 50 52
0302 Payments to States 24 24 25
0303 All-volunteer assistance: Basic benefits and all other 10,878 11,719 11,873
0305 Tuition Assistance 4 4 4
0306 Licensing and Certification 2 2 2
0307 Reporting fees 14 15 16
0308 Reimbursement to GOE 1 1
0309 Contract Counseling 2 6 6



0391 Total All-volunteer assistance and other 10,970 11,821 11,979



0799 Total direct obligations 13,480 14,581 14,996
0802 Veterans and servicepersons supplementary benefits 12 11 9
0803 Chapter 1606 reservists benefits 87 85 84
0804 Chapter 1606 reservists supplementary benefits 23 23 23
0805 Chapter 1607 reservists benefits 1
0807 Chapter 33 DoD Reimbursements 76 66 58



0899 Total reimbursable obligations 199 185 174



0900 Total new obligations, unexpired accounts 13,679 14,766 15,170

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 6,824 3,413 2,906
1021 Recoveries of prior year unpaid obligations 4
1033 Recoveries of prior year paid obligations 233



1050 Unobligated balance (total) 7,061 3,413 2,906
Budget authority:
Appropriations, mandatory:
Advance appropriations, mandatory:
1270 Advance appropriation 11,832 14,065 12,579
1272 Advance appropriations transferred to other accounts –2,000



1280 Advanced appropriation, mandatory (total) 9,832 14,065 12,579
Spending authority from offsetting collections, mandatory:
1800 Collected 199 194 191
1900 Budget authority (total) 10,031 14,259 12,770
1930 Total budgetary resources available 17,092 17,672 15,676
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 3,413 2,906 506

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 641 679 859
3010 New obligations, unexpired accounts 13,679 14,766 15,170
3020 Outlays (gross) –13,637 –14,586 –14,985
3040 Recoveries of prior year unpaid obligations, unexpired –4



3050 Unpaid obligations, end of year 679 859 1,044
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 640 678 858
3200 Obligated balance, end of year 678 858 1,043

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 10,031 14,259 12,770
Outlays, gross:
4100 Outlays from new mandatory authority 6,171 10,494 11,220
4101 Outlays from mandatory balances 7,466 4,092 3,765



4110 Outlays, gross (total) 13,637 14,586 14,985
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120 Federal sources –199 –194 –191
4123 Non-Federal sources –233



4130 Offsets against gross budget authority and outlays (total) –432 –194 –191
Additional offsets against gross budget authority only:
4143 Recoveries of prior year paid obligations, unexpired accounts 233



4160 Budget authority, net (mandatory) 9,832 14,065 12,579
4170 Outlays, net (mandatory) 13,205 14,392 14,794
4180 Budget authority, net (total) 9,832 14,065 12,579
4190 Outlays, net (total) 13,205 14,392 14,794

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


2019 actual 2020 est. 2021 est.

Enacted/requested:
Budget Authority 9,832 14,065 12,579
Outlays 13,205 14,392 14,794
Legislative proposal, subject to PAYGO:
Outlays –5
Total:
Budget Authority 9,832 14,065 12,579
Outlays 13,205 14,392 14,789

WORKLOAD—Vocational Rehabilitation and Employment


2019 actual 2020 est. 2021 est.

Evaluation and planning 79,529 83,505 86,011
Rehabilitation services 105,709 110,994 114,324
Employment services status 26,868 28,211 29,058
Vocational/educational counseling 6,356 6,420 6,484

WORKLOAD—Education


2019 actual 2020 est. 2021 est.

Original claims 339,007 412,108 355,345
Adjustments/supplemental claims 3,309,323 4,022,387 3,465,574

For 2022, the Budget requests $14,946,618,000 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.

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


2019 actual 2020 est. 2021 est.

Chapter 33:
Number of trainees 714,346 727,519 724,610
Average cost per trainee $15,047 $15,910 $16,230



Total cost (in millions) $10,749 $11,575 $11,761



Chapter 35 Sons and Daughters:
Number of trainees 104,165 122,889 137,106
Average cost per trainee (in dollars) $6,815 $6,959 $7,120



Total cost (in millions) $710 $855 $976
Chapter 35 Wives and Widow(ers):
Number of trainees 23,910 27,042 30,411
Average cost per trainee (in dollars) $6,327 $6,463 $6,613



Total cost (in millions) $151 $175 $201



Chapter 30:
Number of trainees 22,166 18,625 15,687
Average cost per trainee $9,744 $10,354 $10,490



Total cost (in millions) $216 $193 $165



Chapter 1606:
Number of trainees 44,356 42,868 41,431
Average cost per trainee $2,416 $2,466 $2,523



Total cost (in millions) $107 $106 $105



Chapter 1607:
Number of trainees 299 0 0
Average cost per trainee $4,890 $0 $0



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






Veteran Employment Through Technology Education Courses (VET TEC):
Total cost (in millions) $1 $29 $15




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

CASELOAD AND AVERAGE COST DATA


2019 actual 2020 est. 2021 est.

Chapter 31:
Rehabilitation, Evaluation, Planning and Service cases 26,753 28,038 28,751
Number of trainees 95,491 100,044 102,583
Average cost per trainee (in dollars) $14,531 $14,866 $15,524



Total cost (in millions) $1,388 $1,447 $1,542




Specially Adapted Housing Grants.—Specially adapted housing grants are provided to certain severely disabled veterans. In 2020, the maximum grant amount is $90,364. Veterans who suffer service-connected blindness or who have lost the use of both upper extremities can receive up to $18,074.

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 aggregate amount of such grants VA may award in any fiscal year.

Automobile Grants and Adaptive Equipment.—Certain disabled veterans are provided with automobile grants with the associated approved adaptive equipment. An allowance is provided to certain service-disabled veterans and servicemembers toward the purchase price of an automobile. The maximum allowance increased to $21,488.29 in 2020 under The Veterans Benefits Act of 2010 (P.L. 111–275) and will continue to increase based on the CPI-U. Adaptive equipment and the maintenance and replacement of such equipment is also provided.

CASELOAD AND AVERAGE COST DATA


2019 actual 2020 est. 2021 est.

Housing grants:
Number of housing grants 2,795 3,064 3,127
Average cost per grant $43,786 $45,522 $47,662



Total cost (in millions) $122 $139 $149



Number of housing technology grants 4 5 0
Average cost per grant $199,938 $200,000 $0



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



Automobiles or other conveyances:
Number of conveyances 1,969 1,969 1,969
Average benefit $20,518 $20,998 $21,490



Obligations (in millions) $40 $41 $42



Adaptive equipment (including maintenance, repair, and installation for automobiles):
Number of items 7,039 7,039 7,039
Average benefit $13,813 $14,451 $15,118



Obligations (in millions) $97 $102 $106




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 2019 actual 2020 est. 2021 est.

41.0 Direct obligations: Grants, subsidies, and contributions 13,480 14,581 14,996
99.0 Reimbursable obligations 199 185 174



99.9 Total new obligations, unexpired accounts 13,679 14,766 15,170

Readjustment Benefits

(Legislative proposal, subject to PAYGO)

Program and Financing (in millions of dollars)


Identification code 036–0137–4–1–702 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0109 Prevent VA from providing unlimited amounts of payment for flight training at public schools –7
0110 Approve preparatory courses for licensing and certification exams for GI Bill benefits 2
0111 Round-down of the computation of the cost of living adjustment (COLA) for certain education programs for 10 years –2
0112 Restoration of entitlement to VR&E chapter 31 assistance for Servicemembers/Veterans with service-connected disabilities affected by a school closure or disapproval 1
0115 Extension of Authority for the Specially Adapted Housing (SAH) Assistive Technology Grant Program 1



0191 Total education and training –5



0799 Total direct obligations –5



0900 Total new obligations, unexpired accounts (object class 41.0) –5
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 5

Change in obligated balance:
Unpaid obligations:
3010 New obligations, unexpired accounts –5
3020 Outlays (gross) 5

Budget authority and outlays, net:
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances –5
4180 Budget authority, net (total)
4190 Outlays, net (total) –5

Require an Individual to Make an Election to Receive Educational Assistance under the Montgomery GI Bill Active Duty (MGIB-AD) Program. Currently an individual may elect to decline educational assistance under MGIB-AD and has a one-time opportunity to make this election within 14 days of entering active duty service. If the individual does not decline the MGIB-AD program, DoD will automatically enroll the individual in the program, and his or her pay will be reduced by $100 for each of the first 12 months of active duty service. VA proposes to require an individual to make an election, or opt-in, to receive MGIB-AD educational assistance before DoD can begin the $100 pay reduction. This proposal would decrease the amount withheld from basic pay of Servicemembers and deposited into the general fund of the Treasury as a miscellaneous/proprietary receipt. VA estimates this proposal would create $31.9 million in savings to VA over ten years and decrease Treasury collections by $110.8 million in 2021, $415.4 million over five years, and $610.7 million over ten years.

Permit Full Allocation of State Approving Agency (SAA) Funding Including the COLA at the Beginning of the Fiscal Year. VA proposes to amend 38 U.S.C. 3674(a)(5)(B) to authorize the Secretary to increase the amount made available for reimbursement to SAAs by the same percentage as the annual increase in the benefit amounts payable under title II of the Social Security Act that was in effect the preceding calendar year. Utilizing the COLA from the preceding calendar year rather than the current calendar year would significantly reduce VA's administrative burden of amending agreements with more than 50 SAAs each year. Benefits savings associated with this proposal are insignificant.

Prevent VA from Providing Unlimited Amounts of Payment for Flight Training at Public Schools. VA seeks to amend 38 U.S.C. section 3313(c) and add a new section to impose tuition and fee payment caps at institutions of higher learning with flight training programs and establish a maximum allowable fee structure for all VA-funded flight programs. Based on a high ratio of Veteran to non-Veteran students within these programs currently, it appears some flight schools may be targeting VA beneficiaries because VA will pay 100 percent of the charges to eligible individuals. This proposal would eliminate further targeting of Veteran students for enrollment in these programs and would promote greater consistency in program administration. Benefit savings are estimated to be $7.2 million in 2021, $37.6 million over five years, and $81.0 million over ten years.

Forfeiture of GI Bill Benefits After Veteran/Beneficiary Colludes in Fraud: VA seeks to amend 38 U.S.C. 6103 to authorize VA to view GI Bill education benefits as forfeited when the beneficiary has been convicted of fraud concerning using their GI Bill benefits. VA believes the current law regarding fraud is not in the best interest of ensuring strong fiscal stewardship of the money entrusted to VA while advocating on behalf of Veterans. VA is unable to estimate costs or savings associated with this proposal because the number of individuals who commit this type of fraud is unavailable.

Approve Preparatory Courses of Licensing and Certification Exams for GI Bill Benefits. VA seeks to amend 38 U.S.C. section 3002(3)(B) to add a preparatory course for a test that is required to enter into, maintain, or advance in a given vocation or profession. Currently, VA educational assistance can be paid to reimburse the costs of fees associated with licensing and certification exams that are required to enter into, maintain, or advance in a given vocation or profession (e.g., State bar exams, medical board exams, electrician exams, Microsoft certifications, etc.). However, benefits cannot be paid for the costs of classes designed to prepare individuals to take exams. This stands in stark contrast with tests for admission to an institution of higher learning (e.g., SAT, ACT, GRE, LSAT, etc.) for which VA educational assistance can be paid for both preparatory courses and reimbursement of test fees. Benefit costs are estimated to be $1.8 million in 2021, $12.4 million over five years, and $37.9 million over ten years.

Authorization of VA to Approve Interstate Commerce Carrier Apprenticeship Programs. VA seeks to amend 38 U.S.C 3672 to authorize the Secretary of VA to approve apprenticeship programs operated by interstate commerce carriers that operate in more than one state. This proposal would restore authority VA previously had that was unintentionally eliminated by P.L. 115–89. No mandatory costs or savings are associated with this proposal.

Round-Down of the Computation of the Cost-of-Living Adjustment (COLA) for Certain Education Programs for Ten Years. VA seeks to amend 38 U.S.C. sections 3015(h) and 3564 to round-down COLA computations from 2021 to 2030. This proposal would require that such increases be rounded down to the next lower whole dollar. The purpose of the rounding-down provision is two-fold: to simplify the benefit payment computation and, at the same time, to work towards balancing the budget without substantial loss to VA beneficiaries. Benefit savings are estimated to be $1.5 million in 2021, $12.7 million over five years, and $51.1 million over ten years.

Allow VA to Contract with Another State Approving Agency (SAA) to Fulfill SAA Duties. VA seeks to amend 38 U.S.C. 3674 to authorize VA to contract with another SAA in order to fulfill SAA duties when VA is unable to use the SAA with an agency in the State to perform the duties of Title 38. Currently when there is no SAA in the State, VA employees must be trained to perform these duties as well as manage their regular duties. This amendment would assist VA in ensuring that appropriate approval and oversight activities are performed for the state by a seasoned SAA and will benefit Veterans, Servicemembers, dependents, and taxpayers. No mandatory costs or savings are associated with this proposal.

Restoration of Entitlement to Vocational Rehabilitation and Employment (VR&E) (Chapter 31) Assistance for Veterans with Service-Connected Disabilities Affected by School Closure or Disapproval. This proposal would extend the restoration of entitlement to educational assistance for veterans affected by school closure or disapproval, implemented by section 109 of the Howard W. Colmery Veterans Educational Assistance Act of 2017 (Forever GI Bill), to apply to vocational rehabilitation programs provided under chapter 31. Benefit costs are estimated to be $657 thousand in 2021, $1.7 million over five years, and $3.5 million over ten years.

Reallocation of State Approving Agency (SAA) Funds. VA seeks to amend of 38 U.S.C. 3674 to include the provision/option to reallocate to VA a portion of the fiscal year funding authorization available to SAAs when VA is not contracting with an agency in the State to perform the duties of Title 38. This amendment would provide the option to utilize funding for contract support, as well as assist in supporting the designated VA employee in fulfilling the role of the SAA. This would also ensure that appropriate approval and oversight activities are performed for the state, and benefit Veterans, Servicemembers, dependents, and taxpayers. No mandatory costs or savings associated with this proposal.

Eliminate Certain Provisions that Limit the Amount of Specially Adapted Housing (SAH) Assistance Available to Pay for Construction of an Adapted Home. VA seeks to amend 38 U.S.C. section 2102(a) to eliminate an element of the statutory formula that reduces the amount of grant funds otherwise available to an eligible Veteran to construct an adapted housing unit. This amendment would allow grant recipients to apply more grant funds against their cost to construct an adapted home and purchase the land upon which the home is or will be situated. Benefit costs are estimated to be insignificant.

Authorize VA to Collect Overpayments of Grant Funds Made under Chapter 21. This proposal would amend 38 U.S.C. section 2102 to explicitly authorize the Secretary to collect overpayments made to any Veteran or other person in connection with the acquisition or delivery of Specially Adapted Housing (SAH). This proposed authority is consistent with VA's authority under 38 U.S.C. section 3685 to collect overpayments made in connection with its education programs. Benefit savings are estimated to be insignificant.

Eliminate the Requirement to Submit a Signed Training Agreement for On-the-Job Training Programs. VA seeks to amend 38 U.S.C. 3677(c)(8) to eliminate the requirement for a training facility to submit a signed training agreement to VA for on-the-job training and apprenticeship programs. The current requirement often delays claims processing since VA is prohibited from processing an on-the-job training claim until the training agreement is received. VA instead proposes that the training agreement be kept on file at the training facility. No mandatory costs or savings are associated with this proposal.

Extension of Authority for Specially Adapted Housing Assistive Technology (SAH-AT) Grant Program. This proposal would extend the authority of the Secretary to award the SAH Assistive Technology (SAH-AT) grant program and administer the program through September 30, 2025. Section 203 of Public Law 111–275 (Veterans Benefits Act of 2010) established the SAH-AT grant program with a sunset date of September 30, 2016. Congress has since extended the sunset date three times. Most recently, Congress extended the authority, via Section 122 of Public Law 115–251 through September 30, 2020. Benefit costs associated with this proposal are $1 million in 2021, $5 million over five years, and $5 million over ten years.

Prevent Improper Payments by Barring Payment to Any Approved Programs of Education Which Fail to Meet Any Statutory Requirements. VA seeks to amend 38 U.S.C. 3523 and 3680A to state that the Secretary shall not approve the enrollment of an eligible person in any course that fails to meet any requirements of chapters 35 or 36. This proposal would continue with the tradition of allowing the Secretary to control payments while not interfering with the SAA's authority to approve programs. No mandatory costs or savings are associated with this proposal.

Simplify Accounting for VA Education Benefits. VA proposes to pay all education benefits from one account by moving the Post-Vietnam Era Veterans Education Assistance Program (VEAP) account within the Readjustment Benefits (RB) account, which is used to pay for all other VA education benefit programs. Consolidating VEAP under the RB account would make the budget justification and accounting statements clearer and more concise and would allow budget and accounting staffs to focus more on larger benefit programs. No mandatory costs or savings are associated with this proposal.

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, $2,148,000, which shall be in addition to funds previously appropriated under this heading that became available on October 1, 2020, to remain available until expended; and, in addition, $136,950,000, shall become available on October 1, 2021, and shall remain available until expended.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0120–0–1–701 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0011 VMLI Death Claims 40 45 43
0012 Payment to Service-Disabled Veterans Insurance 75 89 96



0100 Total direct expenses 115 134 139



0900 Total new obligations, unexpired accounts 115 134 139

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 2
Budget authority:
Appropriations, mandatory:
1200 Appropriation 18 2
Advance appropriations, mandatory:
1270 Advance appropriation 109 111 129
Spending authority from offsetting collections, mandatory:
1800 Collected 6 7 6
1900 Budget authority (total) 115 136 137
1930 Total budgetary resources available 115 136 139
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 2

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 7 6
3010 New obligations, unexpired accounts 115 134 139
3020 Outlays (gross) –116 –140 –139



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

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 115 136 137
Outlays, gross:
4100 Outlays from new mandatory authority 109 134 137
4101 Outlays from mandatory balances 7 6 2



4110 Outlays, gross (total) 116 140 139
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123 Non-Federal sources –6 –7 –6
4180 Budget authority, net (total) 109 129 131
4190 Outlays, net (total) 110 133 133

WORKLOAD


2019 actual 2020 est. 2021 est.

Policy service actions 671,641 749,870 680,350
Collections 324,822 293,700 243,900
Disability claims 29,547 31,850 31,360
Insurance awards 125,659 148,680 129,200

For 2022, the Budget requests $136,950,000 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 2019 actual 2020 est. 2021 est.

Number of Policies 2,592 2,600 2,630
Amount of Insurance (dollars in millions) $358 $369 $379

Object Classification (in millions of dollars)


Identification code 036–0120–0–1–701 2019 actual 2020 est. 2021 est.

42.0 Direct obligations: Insurance claims and indemnities 113 132 137
99.0 Reimbursable obligations 2 2 2



99.9 Total new obligations, unexpired accounts 115 134 139

Filipino Veterans Equity Compensation Fund

Program and Financing (in millions of dollars)


Identification code 036–1121–0–1–701 2019 actual 2020 est. 2021 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, $3,207,000,000: 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, 2022.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0151–0–1–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0010 Compensation and pensions 2,421 2,523 2,531
0011 Education 230 233 256
0012 Vocational rehabilitation and counseling 241 256 280
0013 Insurance 1 2 2
0014 Housing 25 28 27
0015 Transition and Economic Development 65 83 111



0799 Total direct obligations 2,983 3,125 3,207
0801 Compensation and pensions 1,248 1,832 2,253
0802 Education 1 1
0804 Insurance 30 33 33
0805 Housing 139 154 158



0899 Total reimbursable obligations 1,417 2,020 2,445



0900 Total new obligations, unexpired accounts 4,400 5,145 5,652

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 28
1012 Unobligated balance transfers between expired and unexpired accounts 66



1050 Unobligated balance (total) 94
Budget authority:
Appropriations, discretionary:
1100 Appropriation 2,956 3,125 3,207
Spending authority from offsetting collections, discretionary:
1700 Collected 1,433 2,020 2,445
1900 Budget authority (total) 4,389 5,145 5,652
1930 Total budgetary resources available 4,483 5,145 5,652
Memorandum (non-add) entries:
1940 Unobligated balance expiring –83

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 806 885 731
3010 New obligations, unexpired accounts 4,400 5,145 5,652
3011 Obligations ("upward adjustments"), expired accounts 46
3020 Outlays (gross) –4,310 –5,299 –5,574
3041 Recoveries of prior year unpaid obligations, expired –57



3050 Unpaid obligations, end of year 885 731 809
Memorandum (non-add) entries:
3100 Obligated balance, start of year 806 885 731
3200 Obligated balance, end of year 885 731 809

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 4,389 5,145 5,652
Outlays, gross:
4010 Outlays from new discretionary authority 3,606 4,501 5,025
4011 Outlays from discretionary balances 704 798 549



4020 Outlays, gross (total) 4,310 5,299 5,574
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –1,440 –2,020 –2,445
4033 Non-Federal sources –7



4040 Offsets against gross budget authority and outlays (total) –1,447 –2,020 –2,445
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 14



4070 Budget authority, net (discretionary) 2,956 3,125 3,207
4080 Outlays, net (discretionary) 2,863 3,279 3,129
4180 Budget authority, net (total) 2,956 3,125 3,207
4190 Outlays, net (total) 2,863 3,279 3,129

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 2019 actual 2020 est. 2021 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 1,323 1,488 1,495
11.5 Other personnel compensation 388 450 453



11.9 Total personnel compensation 1,711 1,938 1,948
12.1 Civilian personnel benefits 594 600 601
13.0 Benefits for former personnel 1 1 1
21.0 Travel and transportation of persons 26 38 39
22.0 Transportation of things 2 1 2
23.1 Rent 129 134 136
23.2 Rental payments to others 21 21 22
23.3 Communications, utilities, and miscellaneous charges 17 17 18
24.0 Printing and reproduction 3 3 3
25.2 Other services from non-Federal sources 466 339 404
26.0 Supplies and materials 6 8 8
31.0 Equipment 6 24 24
42.0 Insurance claims and indemnities 1 1 1



99.0 Direct obligations 2,983 3,125 3,207
99.0 Reimbursable obligations 1,417 2,020 2,445



99.9 Total new obligations, unexpired accounts 4,400 5,145 5,652

Employment Summary


Identification code 036–0151–0–1–705 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 22,111 23,184 23,320
2001 Reimbursable civilian full-time equivalent employment 1,036 1,406 1,397

Service-disabled Veterans Insurance Fund

Program and Financing (in millions of dollars)


Identification code 036–4012–0–3–701 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0801 Capital investment 29 31 33
0802 Death claims 114 126 128
0803 All other 8 8 8
0804 Payments to GOE and IT 22 24 24



0900 Total new obligations, unexpired accounts 173 189 193

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 22 21 18
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 172 186 193
1930 Total budgetary resources available 194 207 211
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 21 18 18

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 27 34 34
3010 New obligations, unexpired accounts 173 189 193
3020 Outlays (gross) –166 –189 –192



3050 Unpaid obligations, end of year 34 34 35
Memorandum (non-add) entries:
3100 Obligated balance, start of year 27 34 34
3200 Obligated balance, end of year 34 34 35

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 172 186 193
Outlays, gross:
4100 Outlays from new mandatory authority 117 157 193
4101 Outlays from mandatory balances 49 32 –1



4110 Outlays, gross (total) 166 189 192
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120 Federal sources –75 –89 –97
4123 Non-Federal sources –97 –6 –5
4123 Non-Federal sources –66 –65
4123 Non-Federal sources –25 –26



4130 Offsets against gross budget authority and outlays (total) –172 –186 –193
4170 Outlays, net (mandatory) –6 3 –1
4180 Budget authority, net (total)
4190 Outlays, net (total) –6 3 –1

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


2019 actual 2020 est. 2021 est.

Number of policies (EOY) 279,112 281,664 283,108
Insurance in force (dollars in millions) (EOY) $2,934 $2,986 $3,016

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 $1,412 million by September 30, 2020. 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 2019 actual 2020 est. 2021 est.

Reimbursable obligations:
33.0 Investments and loans 30 31 33
42.0 Insurance claims and indemnities 143 158 160



99.9 Total new obligations, unexpired accounts 173 189 193

Veterans Reopened Insurance Fund

Program and Financing (in millions of dollars)


Identification code 036–4010–0–3–701 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0801 Death claims 14 14 11
0802 Dividends 1 1 1
0803 All other 5 5 4



0900 Total new obligations, unexpired accounts 20 20 16

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 79 64 49
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 5 5 4
1930 Total budgetary resources available 84 69 53
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 64 49 37

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 23 20 19
3010 New obligations, unexpired accounts 20 20 16
3020 Outlays (gross) –23 –21 –20



3050 Unpaid obligations, end of year 20 19 15
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 22 19 18
3200 Obligated balance, end of year 19 18 14

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 5 5 4
Outlays, gross:
4100 Outlays from new mandatory authority 5 5 4
4101 Outlays from mandatory balances 18 16 16



4110 Outlays, gross (total) 23 21 20
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4121 Interest on Federal securities –4 –3 –2
4123 Non-Federal sources –1 –1 –1
4123 Non-Federal sources –1 –1



4130 Offsets against gross budget authority and outlays (total) –5 –5 –4
4170 Outlays, net (mandatory) 18 16 16
4180 Budget authority, net (total)
4190 Outlays, net (total) 18 16 16

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 101 84 67
5001 Total investments, EOY: Federal securities: Par value 84 67 51

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


2019 actual 2020 est. 2021 est.

Number of policies 6,299 4,966 3,846
Insurance in force (dollars in millions) $66 $53 $41

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 2019 actual 2020 est. 2021 est.

Reimbursable obligations:
42.0 Insurance claims and indemnities 18 18 15
43.0 Interest and dividends 2 2 1



99.9 Total new obligations, unexpired accounts 20 20 16

Servicemembers' Group Life Insurance Fund

Program and Financing (in millions of dollars)


Identification code 036–4009–0–3–701 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0801 Premium payments 742 671 671
0803 Payment to GOE 2 3 3



0900 Total new obligations, unexpired accounts (object class 41.0) 744 674 674

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1 302 1,101
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 1,044 1,474 1,474
1801 Change in uncollected payments, Federal sources 1 –1



1850 Spending auth from offsetting collections, mand (total) 1,045 1,473 1,474
1930 Total budgetary resources available 1,046 1,775 2,575
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 302 1,101 1,901

Change in obligated balance:
Unpaid obligations:
3010 New obligations, unexpired accounts 744 674 674
3020 Outlays (gross) –744 –674 –674
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –1
3070 Change in uncollected pymts, Fed sources, unexpired –1 1



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

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 1,045 1,473 1,474
Outlays, gross:
4100 Outlays from new mandatory authority 744 674 674
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120 Federal sources –1
4123 Non-Federal sources –744 –674 –674
4124 Offsetting governmental collections –300 –799 –800



4130 Offsets against gross budget authority and outlays (total) –1,044 –1,474 –1,474
Additional offsets against gross budget authority only:
4140 Change in uncollected pymts, Fed sources, unexpired –1 1
4170 Outlays, net (mandatory) –300 –800 –800
4180 Budget authority, net (total)
4190 Outlays, net (total) –300 –800 –800

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 1 301 1,112
5001 Total investments, EOY: Federal securities: Par value 301 1,112 1,948

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

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

Veterans housing benefit program fund

For the cost of direct and guaranteed loans, such sums as may be necessary to carry out the program, as authorized by subchapters I through III of chapter 37 of title 38, United States Code: Provided, That such costs, including the cost of modifying such loans, shall be as defined in section 502 of the Congressional Budget Act of 1974: Provided further, That, during fiscal year 2021, 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, $204,400,000.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–1119–0–1–704 2019 actual 2020 est. 2021 est.

Obligations by program activity:
Credit program obligations:
0701 Direct loan subsidy 7
0702 Loan guarantee subsidy 130
0705 Reestimates of direct loan subsidy 10 5
0706 Interest on reestimates of direct loan subsidy 8 5
0707 Reestimates of loan guarantee subsidy 37 34
0708 Interest on reestimates of loan guarantee subsidy 33 27
0709 Administrative expenses 185 200 204



0900 Total new obligations, unexpired accounts 403 278 204

Budgetary resources:
Budget authority:
Appropriations, discretionary:
1100 Appropriation 201 200 204
Appropriations, mandatory:
1200 Appropriation 218 78
1900 Budget authority (total) 419 278 204
1930 Total budgetary resources available 419 278 204
Memorandum (non-add) entries:
1940 Unobligated balance expiring –16

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 11 1
3010 New obligations, unexpired accounts 403 278 204
3020 Outlays (gross) –392 –288 –204



3050 Unpaid obligations, end of year 11 1 1
Memorandum (non-add) entries:
3100 Obligated balance, start of year 11 1
3200 Obligated balance, end of year 11 1 1

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 201 200 204
Outlays, gross:
4010 Outlays from new discretionary authority 185 200 204
Mandatory:
4090 Budget authority, gross 218 78
Outlays, gross:
4100 Outlays from new mandatory authority 118 78
4101 Outlays from mandatory balances 89 10



4110 Outlays, gross (total) 207 88
4180 Budget authority, net (total) 419 278 204
4190 Outlays, net (total) 392 288 204

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


Identification code 036–1119–0–1–704 2019 actual 2020 est. 2021 est.

Direct loan levels supportable by subsidy budget authority:
115001 Acquired Direct Loans 1 2 2
115004 Vendee Direct Loans 70 86 97



115999 Total direct loan levels 71 88 99
Direct loan subsidy (in percent):
132001 Acquired Direct Loans 6.33 17.77 –1.57
132004 Vendee Direct Loans –5.47 8.51 –22.54



132999 Weighted average subsidy rate –5.30 8.72 –22.12
Direct loan subsidy budget authority:
133004 Vendee Direct Loans –4 7 –22



133999 Total subsidy budget authority –4 7 –22
Direct loan subsidy outlays:
134004 Vendee Direct Loans 7



134999 Total subsidy outlays 7
Direct loan reestimates:
135001 Acquired Direct Loans 7 –3
135004 Vendee Direct Loans 2 –14
135005 Acquired and Vendee Loan Reestimates 7 2



135999 Total direct loan reestimates 16 –15

Guaranteed loan levels supportable by subsidy budget authority:
215001 Housing Guaranteed Loans 187,409 170,737 142,877



215999 Total loan guarantee levels 187,409 170,737 142,877
Guaranteed loan subsidy (in percent):
232001 Housing Guaranteed Loans 0.07 -.30 -.50



232999 Weighted average subsidy rate 0.07 -.30 -.50
Guaranteed loan subsidy budget authority:
233001 Housing Guaranteed Loans 131 –512 –714



233999 Total subsidy budget authority 131 –512 –714
Guaranteed loan subsidy outlays:
234001 Housing Guaranteed Loans 119 –512 –714



234999 Total subsidy outlays 119 –512 –714
Guaranteed loan reestimates:
235001 Housing Guaranteed Loans –3,417 –2,462
235002 Guaranteed Loan Sale Securities—Vendee –7 –19



235999 Total guaranteed loan reestimates –3,424 –2,481

Administrative expense data:
3510 Budget authority 201 203 203
3590 Outlays from new authority 185 203 203

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]


2019 actual 2020 est. 2021 est.

Construction and valuation 666 634 619
Loan processing 1178 1147 1111
Loan service and claims 109 107 100

Object Classification (in millions of dollars)


Identification code 036–1119–0–1–704 2019 actual 2020 est. 2021 est.

Direct obligations:
25.2 Other services from non-Federal sources 185 200 204
41.0 Grants, subsidies, and contributions 218 78



99.9 Total new obligations, unexpired accounts 403 278 204

Veterans Housing Benefit Program Fund

(Legislative proposal, subject to PAYGO)

Program and Financing (in millions of dollars)


Identification code 036–1119–4–1–704 2019 actual 2020 est. 2021 est.

Obligations by program activity:
Credit program obligations:
0704 Subsidy for modifications of loan guarantees 12



0900 Total new obligations, unexpired accounts (object class 41.0) 12
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year –12

Change in obligated balance:
Unpaid obligations:
3010 New obligations, unexpired accounts 12



3050 Unpaid obligations, end of year 12
Memorandum (non-add) entries:
3200 Obligated balance, end of year 12
4180 Budget authority, net (total)
4190 Outlays, net (total)

Housing Assistance for Homeless Veterans Under 38 U.S.C. Section 2041 and Update to Include Permanent Housing Options. This proposal would authorize, through September 30, 2025, the Secretary to use homes acquired through the guaranteed loan program to assist homeless Veterans through the Homeless Shelter Program. This proposal would also amend 38 U.S.C. 38 section 2041 by adding that properties acquired under this section may be used to provide permanent housing. This change would better reflect Federal housing policy regarding homelessness. Mandatory costs of $12.0 million over five years are associated with this proposal.

Extend Vendee Loan Program and Change Mandatory Vendee Origination Thresholds to Marketing Requirements. This proposal would extend through September 30, 2025 the Secretary's requirement to sell a certain percentage of properties that VA acquires through foreclosure with vendee financing. The existing statutory requirement, set forth in 38 U.S.C. section 3733 (a)(7), expires on September 30, 2020. This proposal would change the current mandatory vendee loan origination thresholds to a requirement that the Secretary market a certain percentage of acquired properties with vendee loan financing. The proposal would not affect market demand for vendee loan financing, and no loan subsidy costs are associated with this proposal.

Housing Direct Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4127–0–3–704 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0004 Property management/other expense 6 8 1



0091 Direct program activities, subtotal 6 8 1
Credit program obligations:
0710 Direct loan obligations 71 88 99
0713 Payment of interest to Treasury 22 24 26
0740 Negative subsidy obligations 4 22
0742 Downward reestimates paid to receipt accounts 21
0743 Interest on downward reestimates 2 3



0791 Direct program activities, subtotal 99 136 147



0900 Total new obligations, unexpired accounts 105 144 148

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 90 92 1
1023 Unobligated balances applied to repay debt –77 –92



1050 Unobligated balance (total) 13 1
Financing authority:
Borrowing authority, mandatory:
1400 Borrowing authority 188 137 148
1422 Borrowing authority applied to repay debt –5



1440 Borrowing authority, mandatory (total) 183 137 148
Spending authority from offsetting collections, mandatory:
1800 Collected 78 56 39
1825 Spending authority from offsetting collections applied to repay debt –77 –48 –39



1850 Spending auth from offsetting collections, mand (total) 1 8
1900 Budget authority (total) 184 145 148
1930 Total budgetary resources available 197 145 149
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 1 10 1
3010 New obligations, unexpired accounts 105 144 148
3020 Outlays (gross) –96 –153 –148



3050 Unpaid obligations, end of year 10 1 1
Memorandum (non-add) entries:
3100 Obligated balance, start of year 1 10 1
3200 Obligated balance, end of year 10 1 1

Financing authority and disbursements, net:
Mandatory:
4090 Budget authority, gross 184 145 148
Financing disbursements:
4110 Outlays, gross (total) 96 153 148
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4120 Federal sources: Payments from program account –18 –18
4122 Interest on uninvested funds –7
4123 Interest and principal received on loans –53 –33 –35
4123 Fees –2 –2
4123 Cash sale of properties –3 –2



4130 Offsets against gross budget authority and outlays (total) –78 –56 –39



4160 Budget authority, net (mandatory) 106 89 109
4170 Outlays, net (mandatory) 18 97 109
4180 Budget authority, net (total) 106 89 109
4190 Outlays, net (total) 18 97 109

Status of Direct Loans (in millions of dollars)


Identification code 036–4127–0–3–704 2019 actual 2020 est. 2021 est.

Position with respect to appropriations act limitation on obligations:
1111 Direct loan obligations from current-year authority 71 88 99



1150 Total direct loan obligations 71 88 99

Cumulative balance of direct loans outstanding:
1210 Outstanding, start of year 307 341 411
1231 Disbursements: Direct loan disbursements 72 88 99
1251 Repayments: Repayments and prepayments –36 –16 –17
1263 Write-offs for default: Direct loans –2 –2 –1



1290 Outstanding, end of year 341 411 492

Balance Sheet (in millions of dollars)


Identification code 036–4127–0–3–704 2018 actual 2019 actual

ASSETS:
Federal assets:
1101 Fund balances with Treasury 91 102
Investments in U.S. securities:
1106 Receivables, net 20 20
1206 Non-Federal assets: Receivables, net 5 5
Net value of assets related to post-1991 direct loans receivable:
1401 Direct loans receivable, gross 307 341
1402 Interest receivable 19 18
1404 Foreclosed property 2 2
1405 Allowance for subsidy cost (-) 30 22


1499 Net present value of assets related to direct loans 358 383
1901 Other Federal assets: Other assets 1


1999 Total assets 475 510
LIABILITIES:
Federal liabilities:
2101 Accounts payable 1 6
2103 Debt 463 492
2105 Other 6 6
Non-Federal liabilities:
2201 Accounts payable
2207 Other 5


2999 Total liabilities 475 504
NET POSITION:
3300 Cumulative results of operations 6


4999 Total liabilities and net position 475 510

Housing Guaranteed Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4129–0–3–704 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0002 Losses on defaulted loans 592 671 760
0005 Payment to trustee reserve 5 15 14
0009 Property sales expense 103 105 119
0010 Property management expense 76 133 92
0011 Property improvement expense 3 3 4
0012 Loans acquired 1 2 3
0013 Refunds 300



0091 Direct program activities, subtotal 1,080 929 992
Credit program obligations:
0711 Default claim payments on principal 1,426 1,393 1,561
0740 Negative subsidy obligations 512 714
0742 Downward reestimates paid to receipt accounts 3,182 2,371
0743 Interest on downward reestimates 312 172



0791 Direct program activities, subtotal 4,920 4,448 2,275



0900 Total new obligations, unexpired accounts 6,000 5,377 3,267

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 11,044 8,868 7,724
1033 Recoveries of prior year paid obligations 6



1050 Unobligated balance (total) 11,050 8,868 7,724
Financing authority:
Borrowing authority, mandatory:
1400 Borrowing authority 512 719
Spending authority from offsetting collections, mandatory:
1800 Collected 3,812 4,233 4,087
1801 Change in uncollected payments, Federal sources 6
1825 Spending authority from offsetting collections applied to repay debt –512 –719



1850 Spending auth from offsetting collections, mand (total) 3,818 3,721 3,368
1900 Budget authority (total) 3,818 4,233 4,087
1930 Total budgetary resources available 14,868 13,101 11,811
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 8,868 7,724 8,544

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 291 343 52
3010 New obligations, unexpired accounts 6,000 5,377 3,267
3020 Outlays (gross) –5,948 –5,668 –3,267



3050 Unpaid obligations, end of year 343 52 52
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –1 –7 –7
3070 Change in uncollected pymts, Fed sources, unexpired –6



3090 Uncollected pymts, Fed sources, end of year –7 –7 –7
Memorandum (non-add) entries:
3100 Obligated balance, start of year 290 336 45
3200 Obligated balance, end of year 336 45 45

Financing authority and disbursements, net:
Mandatory:
4090 Budget authority, gross 3,818 4,233 4,087
Financing disbursements:
4110 Outlays, gross (total) 5,948 5,668 3,267
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4120 Payments from program account –201 –61
4120 Recoveries from DLFA –64 –90 –100
4122 Interest on uninvested funds –180 –815 –827
4123 Funding fees –2,107 –2,005 –1,772
4123 Cash sale of properties –1,256 –1,262 –1,388
4123 Redemption of Properties/Other income and receivables –10



4130 Offsets against gross budget authority and outlays (total) –3,818 –4,233 –4,087
Additional offsets against financing authority only (total):
4140 Change in uncollected pymts, Fed sources, unexpired –6
4143 Recoveries of prior year paid obligations, unexpired accounts 6
4170 Outlays, net (mandatory) 2,130 1,435 –820
4180 Budget authority, net (total)
4190 Outlays, net (total) 2,130 1,435 –820

Status of Guaranteed Loans (in millions of dollars)


Identification code 036–4129–0–3–704 2019 actual 2020 est. 2021 est.

Position with respect to appropriations act limitation on commitments:
2111 Guaranteed loan commitments from current-year authority 187,409 170,737 142,877



2150 Total guaranteed loan commitments 187,409 170,737 142,877
2199 Guaranteed amount of guaranteed loan commitments 51,725 47,123 39,434

Cumulative balance of guaranteed loans outstanding:
2210 Outstanding, start of year 664,358 712,907 824,214
2231 Disbursements of new guaranteed loans 187,409 170,737 142,877
2251 Repayments and prepayments –136,837 –57,349 –54,337
Adjustments:
2262 Terminations for default that result in acquisition of property –1,426 –1,393 –1,561
2263 Terminations for default that result in claim payments –597 –688 –778



2290 Outstanding, end of year 712,907 824,214 910,415

Memorandum:
2299 Guaranteed amount of guaranteed loans outstanding, end of year 180,276 208,310 230,009

Balance Sheet (in millions of dollars)


Identification code 036–4129–0–3–704 2018 actual 2019 actual

ASSETS:
Federal assets:
1101 Fund balances with Treasury 11,334 9,203
Investments in U.S. securities:
1106 Receivables, net 73 147
1206 Non-Federal assets: Receivables, net 10
Net value of assets related to post-1991 acquired defaulted guaranteed loans receivable:
1504 Accounts receivable from foreclosed property 13 11
1504 Foreclosed property 667 721


1599 Net present value of assets related to defaulted guaranteed loans 680 732


1999 Total assets 12,087 10,092
LIABILITIES:
Federal liabilities:
2103 Debt
2105 Other liabilities 3,354 2,393
Non-Federal liabilities:
2201 Accounts payable 291 342
2204 Non-federal liabilities for loan guarantees 8,442 7,357


2999 Total liabilities 12,087 10,092
NET POSITION:
3300 Cumulative results of operations


4999 Total liabilities and net position 12,087 10,092

Housing Liquidating Account

Program and Financing (in millions of dollars)


Identification code 036–4025–0–3–704 2019 actual 2020 est. 2021 est.

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



0900 Total new obligations, unexpired accounts (object class 33.0) 2 2 2

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1
1022 Capital transfer of unobligated balances to general fund –1
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 11 9 7
1820 Capital transfer of spending authority from offsetting collections to general fund –9 –7 –5



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

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



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

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



4110 Outlays, gross (total) 1 3 2
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 –4 –3 –3
4123 Principal collection on Veteran liability debts –6 –5 –3



4130 Offsets against gross budget authority and outlays (total) –11 –9 –7



4160 Budget authority, net (mandatory) –9 –7 –5
4170 Outlays, net (mandatory) –10 –6 –5
4180 Budget authority, net (total) –9 –7 –5
4190 Outlays, net (total) –10 –6 –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 2019 actual 2020 est. 2021 est.

Cumulative balance of direct loans outstanding:
1210 Outstanding, start of year 16 10 10
1251 Repayments: Repayments and prepayments –6



1290 Outstanding, end of year 10 10 10

Status of Guaranteed Loans (in millions of dollars)


Identification code 036–4025–0–3–704 2019 actual 2020 est. 2021 est.

Cumulative balance of guaranteed loans outstanding:
2210 Outstanding, start of year 16 9 4
2251 Repayments and prepayments –7 –5 –2
2262 Adjustments: Terminations for default that result in acquisition of property



2290 Outstanding, end of year 9 4 2

Memorandum:
2299 Guaranteed amount of guaranteed loans outstanding, end of year 1 1

Addendum:
Cumulative balance of defaulted guaranteed loans that result in loans receivable:
2310 Outstanding, start of year 16 1 4
2331 Disbursements for guaranteed loan claims 8
2351 Repayments of loans receivable –15 –5 –3
2364 Other adjustments, net



2390 Outstanding, end of year 1 4 1

Balance Sheet (in millions of dollars)


Identification code 036–4025–0–3–704 2018 actual 2019 actual

ASSETS:
1101 Federal assets: Fund balances with Treasury 1 2
Non-Federal assets:
1201 Investments in non-Federal securities, net 140 140
1206 Receivables, net 1 1
1601 Direct loans, gross 1 10
1602 Interest receivable 37 36
1603 Allowance for estimated uncollectible loans and interest (-) –28 –44


1604 Direct loans and interest receivable, net 10 2
1605 Accounts receivable from foreclosed property 1


1699 Value of assets related to direct loans 10 3
1701 Defaulted guaranteed loans, gross 16 1
1703 Allowance for estimated uncollectible loans and interest (-) –15


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 153 147
LIABILITIES:
Non-Federal liabilities:
2201 Accounts payable 1 1
2204 Liabilities for loan guarantees 275 275
2207 Other Deferred Revenue 3


2999 Total liabilities 276 279
NET POSITION:
3300 Cumulative results of operations –123 –132


4999 Total liabilities and net position 153 147

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, $1,163,000.

Vocational rehabilitation loans program account

For the cost of direct loans, $33,826, as authorized by chapter 31 of title 38, United States Code: Provided, That such costs, including the cost of modifying such loans, shall be as defined in section 502 of the Congressional Budget Act of 1974: Provided further, That funds made available under this heading are available to subsidize gross obligations for the principal amount of direct loans not to exceed $2,469,522.

In addition, for administrative expenses necessary to carry out the direct loan program, $424,272, which may be paid to the appropriation for "General Operating Expenses, Veterans Benefits Administration".

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–1120–0–1–704 2019 actual 2020 est. 2021 est.

Obligations by program activity:
Credit program obligations:
0705 Reestimates of direct loan subsidy 2 1
0706 Interest on reestimates of direct loan subsidy 1
0709 Administrative expenses 1 2 2



0900 Total new obligations, unexpired accounts 4 3 2

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 2 2 2
Budget authority:
Appropriations, discretionary:
1100 Appropriation 2 2 2
Appropriations, mandatory:
1200 Appropriation 2 1
1900 Budget authority (total) 4 3 2
1930 Total budgetary resources available 6 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 4 3 2
3020 Outlays (gross) –4 –3 –2

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

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


Identification code 036–1120–0–1–704 2019 actual 2020 est. 2021 est.

Direct loan levels supportable by subsidy budget authority:
115002 Native American Direct Loans 5 12 13
115003 Vocational Rehabilitation 1 2 2



115999 Total direct loan levels 6 14 15
Direct loan subsidy (in percent):
132002 Native American Direct Loans –11.89 –5.23 –20.25
132003 Vocational Rehabilitation 1.90 2.87 1.37



132999 Weighted average subsidy rate –9.59 –4.07 –17.37
Direct loan subsidy budget authority:
133002 Native American Direct Loans –1 –1 –3



133999 Total subsidy budget authority –1 –1 –3
Direct loan subsidy outlays:
134002 Native American Direct Loans –1 –2 –2



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



135999 Total direct loan reestimates 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' Vocational Rehabilitation and Counseling Program as authorized by chapter 31 of title 38, United States Code. Repayment of these loans is made in monthly installments, without interest, through deductions from future payments of compensation, pension, subsistence allowance, educational assistance allowance, or retired pay.

Object Classification (in millions of dollars)


Identification code 036–1120–0–1–704 2019 actual 2020 est. 2021 est.

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



99.9 Total new obligations, unexpired accounts 4 3 2

Native American Direct Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4130–0–3–704 2019 actual 2020 est. 2021 est.

Obligations by program activity:
Credit program obligations:
0710 Direct loan obligations 5 12 13
0713 Payment of interest to Treasury 3 3 3
0740 Negative subsidy obligations 1 1 3



0900 Total new obligations, unexpired accounts 9 16 19

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



1050 Unobligated balance (total) 2 4 4
Financing authority:
Borrowing authority, mandatory:
1400 Borrowing authority 8 12 15
1422 Borrowing authority applied to repay debt –2



1440 Borrowing authority, mandatory (total) 6 12 15
Spending authority from offsetting collections, mandatory:
1800 Collected 8 7 6
1825 Spending authority from offsetting collections applied to repay debt –3 –3 –3



1850 Spending auth from offsetting collections, mand (total) 5 4 3
1900 Budget authority (total) 11 16 18
1930 Total budgetary resources available 13 20 22
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 4 4 3

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 2 1
3010 New obligations, unexpired accounts 9 16 19
3020 Outlays (gross) –10 –17 –18



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

Financing authority and disbursements, net:
Mandatory:
4090 Budget authority, gross 11 16 18
Financing disbursements:
4110 Outlays, gross (total) 10 17 18
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4120 Federal sources –2 –1
4123 Non-federal sources - Repayments and prepayments of principal –4 –3 –3
4123 Non-Federal sources - Interest received on loans –2 –3 –3



4130 Offsets against gross budget authority and outlays (total) –8 –7 –6



4160 Budget authority, net (mandatory) 3 9 12
4170 Outlays, net (mandatory) 2 10 12
4180 Budget authority, net (total) 3 9 12
4190 Outlays, net (total) 2 10 12

Status of Direct Loans (in millions of dollars)


Identification code 036–4130–0–3–704 2019 actual 2020 est. 2021 est.

Position with respect to appropriations act limitation on obligations:
1111 Direct loan obligations from current-year authority 5 12 13



1150 Total direct loan obligations 5 12 13

Cumulative balance of direct loans outstanding:
1210 Outstanding, start of year 61 64 74
1231 Disbursements: Direct loan disbursements 6 13 12
1251 Repayments: Repayments and prepayments –3 –3 –3



1290 Outstanding, end of year 64 74 83

Balance Sheet (in millions of dollars)


Identification code 036–4130–0–3–704 2018 actual 2019 actual

ASSETS:
Federal assets:
1101 Fund balances with Treasury 5 5
Investments in U.S. securities:
1106 Receivables, net 1
Net value of assets related to post-1991 direct loans receivable:
1401 Direct loans receivable, gross 63 64
1402 Interest receivable 2 3
1405 Other assets 2 2


1499 Net present value of assets related to direct loans 67 69


1999 Total assets 73 74
LIABILITIES:
Federal liabilities:
2103 Federal liabilities debt 71 72
2105 Other liabilities 2 2


2999 Total liabilities 73 74
NET POSITION:
3300 Cumulative results of operations


4999 Total liabilities and net position 73 74

Transitional Housing Direct Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4258–0–3–704 2019 actual 2020 est. 2021 est.

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



0900 Total new obligations, unexpired accounts 1 1 1

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 4 3 3
Financing authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 1 1
1930 Total budgetary resources available 4 4 4
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 3 3 3

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



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

Financing authority and disbursements, net:
Mandatory:
4090 Budget authority, gross 1 1
Financing disbursements:
4110 Outlays, gross (total) 1 1
Offsets against gross financing authority and disbursements:
Offsetting collections (collected) from:
4123 Non-Federal sources –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 2019 actual 2020 est. 2021 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 2018 actual 2019 actual

ASSETS:
1101 Federal assets: Fund balances with Treasury 5 5
1401 Net value of assets related to post-1991 direct loans receivable: Direct loans receivable, gross 4 4


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


2999 Total liabilities 9 9


4999 Total liabilities and net position 9 9

Vocational Rehabilitation Direct Loan Financing Account

Program and Financing (in millions of dollars)


Identification code 036–4112–0–3–702 2019 actual 2020 est. 2021 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 2019 actual 2020 est. 2021 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 2018 actual 2019 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 2019 actual 2020 est. 2021 est.

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

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



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

This account was established under Public Law 94–502, Veterans' Education and Employment Assistance Act, 1976. This program consists of voluntary contributions by eligible servicemembers and matching contributions provided by the Department of Defense and provides educational assistance payments to participants who entered the service after December 31, 1976. Chapter 32, title 38, U.S.C. Section 901 is a non-contributory program with educational assistance provided by the Department of Defense. Public Law 99–576, enacted October 28, 1986, closed the program permanently for new enrollments effective March 31, 1987. The estimated activity in the fund follows:

CONTRIBUTIONS, PARTICIPANTS, DISENROLLMENTS, REFUNDS AND TRAINEES


2019 actual 2020 est. 2021 est.

Total program obligations (in thousands) $106 $101 $96
Number of disenrollments 78 74 70
Total refunds (in thousands) $106 $101 $96
Average Refund $1,363 $1,363 $1,363
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 2019 actual 2020 est. 2021 est.

0100 Balance, start of year 2,324 1,873 1,489
Receipts:
Current law:
1130 NSLI Fund, Premium and Other Receipts 34 45 36
1140 NSLI Fund, Interest 106 104 76
1140 NSLI Fund, Payments from General and Special Funds 1



1199 Total current law receipts 141 149 112



1999 Total receipts 141 149 112



2000 Total: Balances and receipts 2,465 2,022 1,601
Appropriations:
Current law:
2101 National Service Life Insurance Fund –142 –149 –113
2103 National Service Life Insurance Fund –450 –384 –335



2199 Total current law appropriations –592 –533 –448



2999 Total appropriations –592 –533 –448



5099 Balance, end of year 1,873 1,489 1,153

Program and Financing (in millions of dollars)


Identification code 036–8132–0–7–701 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Death claims 389 353 286
0002 Disability claims 2 1 1
0003 Matured endowments 110 90 82
0004 Cash surrenders 28 25 23
0005 Dividends 31 31 30
0006 Interest paid on dividend credits and deposits 20 14 10
0007 Payment to general operating expenses 11 11 9



0091 Total operating expenses 591 525 441
0201 Capital investment: Policy loans 6 8 7



0799 Total direct obligations 597 533 448
0801 Death claims 22 25 19
0802 Disability claims 1
0803 Matured endowments 6 6 5
0804 Cash surrenders 1 2 1
0805 Dividends 2 2 2
0806 Interest paid on dividend credits and deposits 1 1 1
0807 Payment to general operating expenses 1 1



0899 Total reimbursable obligations 33 37 29



0900 Total new obligations, unexpired accounts 630 570 477

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) 142 149 113
1203 Appropriation (previously unavailable)(special or trust) 450 384 335



1260 Appropriations, mandatory (total) 592 533 448
Spending authority from offsetting collections, mandatory:
1800 Collected 33 37 29
1900 Budget authority (total) 625 570 477
1930 Total budgetary resources available 631 571 478
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 1 694 591 505
3010 New obligations, unexpired accounts 630 570 477
3020 Outlays (gross) –727 –656 –569
3040 Recoveries of prior year unpaid obligations, unexpired –6



3050 Unpaid obligations, end of year 591 505 413
Memorandum (non-add) entries:
3100 Obligated balance, start of year 694 591 505
3200 Obligated balance, end of year 591 505 413

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 625 570 477
Outlays, gross:
4100 Outlays from new mandatory authority 175 95 234
4101 Outlays from mandatory balances 552 561 335



4110 Outlays, gross (total) 727 656 569
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123 Non-Federal sources –33 –37 –29
4180 Budget authority, net (total) 592 533 448
4190 Outlays, net (total) 694 619 540

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 3,015 2,456 1,823
5001 Total investments, EOY: Federal securities: Par value 2,456 1,823 1,396

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


2019 actual 2020 est. 2021 est.

Number of policies 160,992 127,172 97,612
Insurance in force (dollars in millions) $2,056 $1,589 $1,193

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

Assets of the fund, which are largely invested in special interest-bearing Treasury securities and in policy loans, are expected to decrease from an estimated $2,009 million as of September 30, 2020 to $1,548 million as of September 30, 2021. The actuarial estimate of policy obligations as of September 30, 2021, totals $1,483 million, leaving a balance of $65 million for contingency reserves.

Status of Funds (in millions of dollars)


Identification code 036–8132–0–7–701 2019 actual 2020 est. 2021 est.

Unexpended balance, start of year:
0100 Balance, start of year 3,019 2,466 1,996
0298 Adjustment to reconcile to proprietary accounting –1



0999 Total balance, start of year 3,018 2,466 1,996
Cash income during the year:
Current law:
Receipts:
1130 NSLI Fund, Premium and Other Receipts 34 45 36
1130 National Service Life Insurance Fund 33 37 29
1150 NSLI Fund, Interest 106 104 76
1160 NSLI Fund, Payments from General and Special Funds 1



1199 Income under present law 174 186 141



1999 Total cash income 174 186 141
Cash outgo during year:
Current law:
2100 National Service Life Insurance Fund [Budget Acct] –727 –656 –569



2199 Outgo under current law –727 –656 –569



2999 Total cash outgo (-) –727 –656 –569
Surplus or deficit:
3110 Excluding interest –659 –574 –504
3120 Interest 106 104 76



3199 Subtotal, surplus or deficit –553 –470 –428
3298 Adjustment to reconcile to proprietary accounting 1



3299 Total adjustments 1



3999 Total change in fund balance –552 –470 –428
Unexpended balance, end of year:
4100 Uninvested balance (net), end of year 10 173 172
4200 National Service Life Insurance Fund 2,456 1,823 1,396



4999 Total balance, end of year 2,466 1,996 1,568

Object Classification (in millions of dollars)


Identification code 036–8132–0–7–701 2019 actual 2020 est. 2021 est.

Direct obligations:
33.0 Investments and loans 6 8 7
42.0 Insurance claims and indemnities 529 470 392
43.0 Interest and dividends 63 55 49



99.0 Direct obligations 598 533 448
99.0 Reimbursable obligations 32 37 29



99.9 Total new obligations, unexpired accounts 630 570 477

United States Government Life Insurance Fund

Special and Trust Fund Receipts (in millions of dollars)


Identification code 036–8150–0–7–701 2019 actual 2020 est. 2021 est.

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



0199 Balance, start of year 2 1



2000 Total: Balances and receipts 2 1
Appropriations:
Current law:
2101 United States Government Life Insurance Fund –1
2103 United States Government Life Insurance Fund –1



2199 Total current law appropriations –1 –1



2999 Total appropriations –1 –1



5099 Balance, end of year 1

Program and Financing (in millions of dollars)


Identification code 036–8150–0–7–701 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Death claims 1 1



0100 Direct program activities, subtotal 1 1



0900 Total new obligations, unexpired accounts (object class 42.0) 1 1

Budgetary resources:
Budget authority:
Appropriations, mandatory:
1201 Appropriation (special or trust fund) 1
1203 Appropriation (previously unavailable)(special or trust) 1



1260 Appropriations, mandatory (total) 1 1
1930 Total budgetary resources available 1 1

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

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



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

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


2019 actual 2020 est. 2021 est.

Number of policies 6 0 0
Insurance in force (dollars in millions) $.017 $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 $1.5 million as of September 30, 2020, to $1.3 million as of September 30, 2021, as an increasing number of policies mature through death or disability. The actuarial evaluation of policy obligations as of September 30, 2021, totals $0.9 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 2019 actual 2020 est. 2021 est.

Unexpended balance, start of year:
0100 Balance, start of year 2 2 1



0999 Total balance, start of year 2 2 1
Cash outgo during year:
Current law:
2100 United States Government Life Insurance Fund [Budget Acct] –1 –1



2199 Outgo under current law –1 –1



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



3199 Subtotal, surplus or deficit –1 –1
3298 Adjustment to reconcile to proprietary accounting 1



3299 Total adjustments 1



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



4999 Total balance, end of year 2 1 1

Veterans Special Life Insurance Fund

Program and Financing (in millions of dollars)


Identification code 036–8455–0–8–701 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0801 Death claims 140 143 139
0802 Cash surrenders 11 13 11
0803 Dividends 21 17 14
0804 All other 17 15 14
0805 Payments to insurance account 7 8 7
0806 Capital investment 5 4 4



0900 Total new obligations, unexpired accounts 201 200 189

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1,101 991 875
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 93 84 73
1801 Change in uncollected payments, Federal sources –2



1850 Spending auth from offsetting collections, mand (total) 91 84 73
1930 Total budgetary resources available 1,192 1,075 948
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 991 875 759

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 403 383 351
3010 New obligations, unexpired accounts 201 200 189
3020 Outlays (gross) –221 –232 –247



3050 Unpaid obligations, end of year 383 351 293
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –16 –14 –14
3070 Change in uncollected pymts, Fed sources, unexpired 2



3090 Uncollected pymts, Fed sources, end of year –14 –14 –14
Memorandum (non-add) entries:
3100 Obligated balance, start of year 387 369 337
3200 Obligated balance, end of year 369 337 279

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 91 84 73
Outlays, gross:
4100 Outlays from new mandatory authority 91 84 73
4101 Outlays from mandatory balances 130 148 174



4110 Outlays, gross (total) 221 232 247
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4121 Interest on Federal securities –61 –55 –48
4123 Non-Federal sources –2 –2 –1
4123 Non-Federal sources –20 –19 –17
4123 Non-Federal sources –10 –8 –7



4130 Offsets against gross budget authority and outlays (total) –93 –84 –73
Additional offsets against gross budget authority only:
4140 Change in uncollected pymts, Fed sources, unexpired 2
4170 Outlays, net (mandatory) 128 148 174
4180 Budget authority, net (total)
4190 Outlays, net (total) 128 148 174

Memorandum (non-add) entries:
5000 Total investments, SOY: Federal securities: Par value 1,487 1,357 1,209
5001 Total investments, EOY: Federal securities: Par value 1,357 1,209 1,035

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


2019 actual 2020 est. 2021 est.

Number of policies 80,504 71,175 61,982
Insurance in force (dollars in millions) $1,189 $1,074 $944

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 2019 actual 2020 est. 2021 est.

Reimbursable obligations:
33.0 Investments and loans 5 4 4
42.0 Insurance claims and indemnities 161 165 159
43.0 Interest and dividends 35 31 26



99.9 Total new obligations, unexpired accounts 201 200 189

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, $1,373,000,000, of which $980,638,000 shall remain available until September 30, 2025, and of which $392,362,000 shall remain available until expended, of which $237,198,000 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, including needs assessments which may or may not lead to capital investments, and funds provided for the purchase, security, and maintenance of land for the National Cemetery Administration through the land acquisition line item, funds provided for construction of gravesite expansion projects at existing National Cemeteries, and legal expenses incurred for programs and activities funded by this account, none of the funds made available under this heading shall be used for any project that has not been notified to Congress through the budgetary process or that has not been approved by the Congress through statute, joint resolution, or in the explanatory statement accompanying such Act and presented to the President at the time of enrollment: Provided further, That such sums as may be necessary shall be available to reimburse the "General Administration" account for payment of salaries and expenses of all Office of Construction and Facilities Management employees to support the full range of capital infrastructure services provided, including minor construction and leasing services: Provided further, That funds made available under this heading for fiscal year 2021, for each approved project shall be obligated: (1) by the awarding of a construction documents contract by September 30, 2021; and (2) by the awarding of a construction contract by September 30, 2022: 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, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0110–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Medical programs 1,013 1,603 1,519
0002 National cemeteries 189 190 113
0005 Staff offices 5 10 10



0799 Total direct obligations 1,207 1,803 1,642



0900 Total new obligations, unexpired accounts 1,207 1,803 1,642

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 1,487 2,798 2,230
1020 Adjustment of unobligated bal brought forward, Oct 1 326
1021 Recoveries of prior year unpaid obligations 15



1050 Unobligated balance (total) 1,828 2,798 2,230
Budget authority:
Appropriations, discretionary:
1100 Appropriation 2,177 1,235 1,373
1900 Budget authority (total) 2,177 1,235 1,373
1930 Total budgetary resources available 4,005 4,033 3,603
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 2,798 2,230 1,961

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 683 750 1,207
3010 New obligations, unexpired accounts 1,207 1,803 1,642
3011 Obligations ("upward adjustments"), expired accounts 9
3020 Outlays (gross) –1,118 –1,346 –1,381
3040 Recoveries of prior year unpaid obligations, unexpired –15
3041 Recoveries of prior year unpaid obligations, expired –16



3050 Unpaid obligations, end of year 750 1,207 1,468
Memorandum (non-add) entries:
3100 Obligated balance, start of year 683 750 1,207
3200 Obligated balance, end of year 750 1,207 1,468

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 2,177 1,235 1,373
Outlays, gross:
4010 Outlays from new discretionary authority 265 234 260
4011 Outlays from discretionary balances 853 1,112 1,121



4020 Outlays, gross (total) 1,118 1,346 1,381
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4033 Non-Federal sources –1
Additional offsets against gross budget authority only:
4052 Offsetting collections credited to expired accounts 1



4070 Budget authority, net (discretionary) 2,177 1,235 1,373
4080 Outlays, net (discretionary) 1,117 1,346 1,381
4180 Budget authority, net (total) 2,177 1,235 1,373
4190 Outlays, net (total) 1,117 1,346 1,381

The Construction, Major Projects appropriation funds construction projects currently costing more than $20 million. Funding is requested to complete two previously funded projects in American Lake, WA and Long Beach, CA; and five on-going projects in Alameda, CA; San Diego, CA; Canandaigua, NY; Livermore, CA; Dallas, TX, and for the CHIP IN project in Tulsa, OK. In addition, two expansions at existing national cemeteries in San Antonio, TX and San Diego, CA 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.

$35 million of funds appropriated in 2016 are not reflected in the available balance in the tables. These funds will become available for use once the Department of Veterans Affairs meets the specific conditions required by law (P.L. 114–113) and the funds are made available by the Treasury.

Object Classification (in millions of dollars)


Identification code 036–0110–0–1–703 2019 actual 2020 est. 2021 est.

Direct obligations:
25.2 Other services from non-Federal sources 52 78 78
25.3 Other goods and services from Federal sources 41 61 61
32.0 Land and structures 1,114 1,664 1,503



99.0 Direct obligations 1,207 1,803 1,642



99.9 Total new obligations, unexpired accounts 1,207 1,803 1,642

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, $400,000,000, to remain available until September 30, 2025, 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, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0111–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Medical programs 516 475 529
0002 National cemeteries 192 111 106
0003 Regional offices 44 61 41
0004 Staff offices 24 45 55
0005 Choice Act, P.L. 113–146, Sec. 801 10



0900 Total new obligations, unexpired accounts 786 692 731

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 866 946 654
1021 Recoveries of prior year unpaid obligations 66



1050 Unobligated balance (total) 932 946 654
Budget authority:
Appropriations, discretionary:
1100 Appropriation 800 400 400
1900 Budget authority (total) 800 400 400
1930 Total budgetary resources available 1,732 1,346 1,054
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 946 654 323

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 903 1,116 1,079
3010 New obligations, unexpired accounts 786 692 731
3011 Obligations ("upward adjustments"), expired accounts 7
3020 Outlays (gross) –502 –729 –464
3040 Recoveries of prior year unpaid obligations, unexpired –66
3041 Recoveries of prior year unpaid obligations, expired –12



3050 Unpaid obligations, end of year 1,116 1,079 1,346
Memorandum (non-add) entries:
3100 Obligated balance, start of year 903 1,116 1,079
3200 Obligated balance, end of year 1,116 1,079 1,346

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 800 400 400
Outlays, gross:
4010 Outlays from new discretionary authority 13 79 72
4011 Outlays from discretionary balances 424 612 354



4020 Outlays, gross (total) 437 691 426
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4033 Non-Federal sources –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) 800 400 400
4080 Outlays, net (discretionary) 435 691 426
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 65 38 38
4180 Budget authority, net (total) 800 400 400
4190 Outlays, net (total) 500 729 464

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 2019 actual 2020 est. 2021 est.

Direct obligations:
25.2 Other services from non-Federal sources 20 20 20
32.0 Land and structures 766 672 711



99.9 Total new obligations, unexpired accounts 786 692 731

Grants for construction of state extended care facilities

For grants to assist States to acquire or construct State nursing home and domiciliary facilities and to remodel, modify, or alter existing hospital, nursing home, and domiciliary facilities in State homes, for furnishing care to veterans as authorized by sections 8131 through 8137 of title 38, United States Code, $90,000,000, to remain available until expended.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0181–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Grants for construction of state extended care facilities 502 250 90



0900 Total new obligations, unexpired accounts (object class 41.0) 502 250 90

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 459 160
1021 Recoveries of prior year unpaid obligations 53



1050 Unobligated balance (total) 512 160
Budget authority:
Appropriations, discretionary:
1100 Appropriation 150 90 90
1930 Total budgetary resources available 662 250 90
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 160

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 409 767 684
3010 New obligations, unexpired accounts 502 250 90
3020 Outlays (gross) –91 –333 –320
3040 Recoveries of prior year unpaid obligations, unexpired –53



3050 Unpaid obligations, end of year 767 684 454
Memorandum (non-add) entries:
3100 Obligated balance, start of year 409 767 684
3200 Obligated balance, end of year 767 684 454

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 150 90 90
Outlays, gross:
4010 Outlays from new discretionary authority 2 2
4011 Outlays from discretionary balances 91 331 318



4020 Outlays, gross (total) 91 333 320
4180 Budget authority, net (total) 150 90 90
4190 Outlays, net (total) 91 333 320

The Grants for Construction of State Extended Care Facilities program is authorized by sections 8131 through 8137 of title 38, United States Code. It is a shared program between States and the Department of Veterans Affairs (VA), whereby VA provides no more than 65 percent of the funding for new construction of State home facilities, furnishing of domiciliary or nursing home care to veterans, and expansion, remodeling, or alteration of existing State home facilities. The State is responsible for providing the remaining 35 percent of funding.

Grants for construction of veterans 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, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0183–0–1–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Grants for construction of state veterans cemeteries 45 51 46



0900 Total new obligations, unexpired accounts (object class 41.0) 45 51 46

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 4 6
1021 Recoveries of prior year unpaid obligations 2 3



1050 Unobligated balance (total) 6 6 3
Budget authority:
Appropriations, discretionary:
1100 Appropriation 45 45 45
1930 Total budgetary resources available 51 51 48
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 6 2

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 95 89 49
3010 New obligations, unexpired accounts 45 51 46
3020 Outlays (gross) –49 –91 –58
3040 Recoveries of prior year unpaid obligations, unexpired –2 –3



3050 Unpaid obligations, end of year 89 49 34
Memorandum (non-add) entries:
3100 Obligated balance, start of year 95 89 49
3200 Obligated balance, end of year 89 49 34

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 49 67 34



4020 Outlays, gross (total) 49 91 58
4180 Budget authority, net (total) 45 45 45
4190 Outlays, net (total) 49 91 58

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, $413,000,000, of which not to exceed 10 percent shall remain available until September 30, 2022: 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, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0142–0–1–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0014 General administration 355 361 413
0806 General administration, reimbursable program 307 388 488



0900 Total new obligations, unexpired accounts 662 749 901

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 6 9 4
1012 Unobligated balance transfers between expired and unexpired accounts 6



1050 Unobligated balance (total) 12 9 4
Budget authority:
Appropriations, discretionary:
1100 Appropriation 356 356 413
Spending authority from offsetting collections, discretionary:
1700 Collected 305 388 488
1701 Change in uncollected payments, Federal sources 3



1750 Spending auth from offsetting collections, disc (total) 308 388 488
1900 Budget authority (total) 664 744 901
1930 Total budgetary resources available 676 753 905
Memorandum (non-add) entries:
1940 Unobligated balance expiring –5
1941 Unexpired unobligated balance, end of year 9 4 4

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 170 194 106
3010 New obligations, unexpired accounts 662 749 901
3011 Obligations ("upward adjustments"), expired accounts 23
3020 Outlays (gross) –632 –837 –893
3041 Recoveries of prior year unpaid obligations, expired –29



3050 Unpaid obligations, end of year 194 106 114
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –33 –11 –11
3070 Change in uncollected pymts, Fed sources, unexpired –3
3071 Change in uncollected pymts, Fed sources, expired 25



3090 Uncollected pymts, Fed sources, end of year –11 –11 –11
Memorandum (non-add) entries:
3100 Obligated balance, start of year 137 183 95
3200 Obligated balance, end of year 183 95 103

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 664 744 901
Outlays, gross:
4010 Outlays from new discretionary authority 503 659 803
4011 Outlays from discretionary balances 129 178 90



4020 Outlays, gross (total) 632 837 893
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –330 –388 –488
4033 Non-Federal sources –2



4040 Offsets against gross budget authority and outlays (total) –332 –388 –488
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired –3
4052 Offsetting collections credited to expired accounts 27



4060 Additional offsets against budget authority only (total) 24



4070 Budget authority, net (discretionary) 356 356 413
4080 Outlays, net (discretionary) 300 449 405
4180 Budget authority, net (total) 356 356 413
4190 Outlays, net (total) 300 449 405

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

Object Classification (in millions of dollars)


Identification code 036–0142–0–1–705 2019 actual 2020 est. 2021 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 197 210 237
11.5 Other personnel compensation 3 6 7



11.9 Total personnel compensation 200 216 244
12.1 Civilian personnel benefits 64 70 75
21.0 Travel and transportation of persons 6 6 7
23.2 Rental payments to others 18 17 20
23.3 Communications, utilities, and miscellaneous charges 5 3 3
25.2 Other services from non-Federal sources 59 45 60
26.0 Supplies and materials 1 3 3
31.0 Equipment 2 1 1



99.0 Direct obligations 355 361 413
99.0 Reimbursable obligations 307 388 488



99.9 Total new obligations, unexpired accounts 662 749 901

Employment Summary


Identification code 036–0142–0–1–705 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 1,624 1,792 2,018
2001 Reimbursable civilian full-time equivalent employment 899 1,268 1,385

Board of Veterans Appeals

For necessary operating expenses of the Board of Veterans Appeals, $198,000,000, of which not to exceed 10 percent shall remain available until September 30, 2022.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–1122–0–1–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0014 Board of Veterans' Appeals 166 182 198

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 15 16 8
1012 Unobligated balance transfers between expired and unexpired accounts 1



1050 Unobligated balance (total) 16 16 8
Budget authority:
Appropriations, discretionary:
1100 Appropriation 175 182 198
1120 Appropriations transferred to other acct [036–0167] –8
1131 Unobligated balance of appropriations permanently reduced –8



1160 Appropriation, discretionary (total) 167 174 198
1930 Total budgetary resources available 183 190 206
Memorandum (non-add) entries:
1940 Unobligated balance expiring –1
1941 Unexpired unobligated balance, end of year 16 8 8

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 19 15 27
3010 New obligations, unexpired accounts 166 182 198
3011 Obligations ("upward adjustments"), expired accounts 2
3020 Outlays (gross) –171 –170 –191
3041 Recoveries of prior year unpaid obligations, expired –1



3050 Unpaid obligations, end of year 15 27 34
Memorandum (non-add) entries:
3100 Obligated balance, start of year 19 15 27
3200 Obligated balance, end of year 15 27 34

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 167 174 198
Outlays, gross:
4010 Outlays from new discretionary authority 141 147 168
4011 Outlays from discretionary balances 30 23 23



4020 Outlays, gross (total) 171 170 191
4180 Budget authority, net (total) 167 174 198
4190 Outlays, net (total) 171 170 191

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 2019 actual 2020 est. 2021 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 113 129 131
11.5 Other personnel compensation 4 3 3



11.9 Total personnel compensation 117 132 134
12.1 Civilian personnel benefits 36 42 43
21.0 Travel and transportation of persons 1 1
23.2 Rental payments to others 4
23.3 Communications, utilities, and miscellaneous charges 8 5 11
25.2 Other services from non-Federal sources 1 2 9



99.9 Total new obligations, unexpired accounts 166 182 198

Employment Summary


Identification code 036–1122–0–1–705 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 1,077 1,190 1,161

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.), $228,000,000, of which not to exceed 10 percent shall remain available until September 30, 2022.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0170–0–1–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0101 Office of Inspector General (Direct) 192 218 228



0192 Total direct program 192 218 228

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 7 8
1012 Unobligated balance transfers between expired and unexpired accounts 2



1050 Unobligated balance (total) 9 8
Budget authority:
Appropriations, discretionary:
1100 Appropriation 192 210 228
1900 Budget authority (total) 192 210 228
1930 Total budgetary resources available 201 218 228
Memorandum (non-add) entries:
1940 Unobligated balance expiring –1
1941 Unexpired unobligated balance, end of year 8

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 22 23 60
3010 New obligations, unexpired accounts 192 218 228
3011 Obligations ("upward adjustments"), expired accounts 1
3020 Outlays (gross) –190 –181 –218
3041 Recoveries of prior year unpaid obligations, expired –2



3050 Unpaid obligations, end of year 23 60 70
Memorandum (non-add) entries:
3100 Obligated balance, start of year 22 23 60
3200 Obligated balance, end of year 23 60 70

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 192 210 228
Outlays, gross:
4010 Outlays from new discretionary authority 165 157 170
4011 Outlays from discretionary balances 25 24 48



4020 Outlays, gross (total) 190 181 218
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) 192 210 228
4080 Outlays, net (discretionary) 189 181 218
4180 Budget authority, net (total) 192 210 228
4190 Outlays, net (total) 189 181 218

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 2019 actual 2020 est. 2021 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 106 123 129
11.5 Other personnel compensation 8 10 10



11.9 Total personnel compensation 114 133 139
12.1 Civilian personnel benefits 41 48 49
21.0 Employee Travel 7 8 8
23.1 Rental payments to GSA 7 7 7
23.3 Communications, utilities, and miscellaneous charges 2 2 3
25.2 Other services from non-Federal sources 16 17 18
26.0 Supplies and materials 1 1 1
31.0 Equipment 4 2 3



99.0 Direct obligations 192 218 228



99.9 Total new obligations, unexpired accounts 192 218 228

Employment Summary


Identification code 036–0170–0–1–705 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 908 1,020 1,048

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, $4,912,000,000, plus reimbursements: Provided, That $1,211,238,000 shall be for pay and associated costs, of which not to exceed 3 percent shall remain available until September 30, 2022: Provided further, That $3,205,216,000 shall be for operations and maintenance, of which not to exceed 5 percent shall remain available until September 30, 2022: Provided further, That $495,546,000 shall be for information technology systems development, and shall remain available until September 30, 2022: 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, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–0167–0–1–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 Development 451 463 496
0002 Operations and maintenance 2,597 2,808 3,201
0003 Administrative and salaries 1,221 1,207 1,207
0004 P.L. 113–146, Sec. 801 - IT Support 22 4



0799 Total direct obligations 4,291 4,482 4,904
0804 IT Systems, Reimbursable obligations 60 71 76



0900 Total new obligations, unexpired accounts 4,351 4,553 4,980

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 206 119 1
1021 Recoveries of prior year unpaid obligations 6



1050 Unobligated balance (total) 212 119 1
Budget authority:
Appropriations, discretionary:
1100 Appropriation 4,103 4,372 4,912
1120 Appropriations transferred to other accts [036–0169] –8 –8 –8
1121 Appropriations transferred from other acct [036–1122] 8



1160 Appropriation, discretionary (total) 4,103 4,364 4,904
Advance appropriations, discretionary:
1173 Advance appropriations transferred from other accounts [036–0140] 69
1173 Advance appropriations transferred from other accounts [036–0160] 27



1180 Advanced appropriation, discretionary (total) 96
Spending authority from offsetting collections, discretionary:
1700 Collected 37 71 76
1701 Change in uncollected payments, Federal sources 23



1750 Spending auth from offsetting collections, disc (total) 60 71 76
1900 Budget authority (total) 4,259 4,435 4,980
1930 Total budgetary resources available 4,471 4,554 4,981
Memorandum (non-add) entries:
1940 Unobligated balance expiring –1
1941 Unexpired unobligated balance, end of year 119 1 1

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 1,905 1,755 1,678
3010 New obligations, unexpired accounts 4,351 4,553 4,980
3011 Obligations ("upward adjustments"), expired accounts 33
3020 Outlays (gross) –4,459 –4,630 –4,848
3040 Recoveries of prior year unpaid obligations, unexpired –6
3041 Recoveries of prior year unpaid obligations, expired –69



3050 Unpaid obligations, end of year 1,755 1,678 1,810
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –1 –24 –24
3070 Change in uncollected pymts, Fed sources, unexpired –23



3090 Uncollected pymts, Fed sources, end of year –24 –24 –24
Memorandum (non-add) entries:
3100 Obligated balance, start of year 1,904 1,731 1,654
3200 Obligated balance, end of year 1,731 1,654 1,786

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 4,259 4,435 4,980
Outlays, gross:
4010 Outlays from new discretionary authority 2,739 3,183 3,563
4011 Outlays from discretionary balances 1,673 1,447 1,285



4020 Outlays, gross (total) 4,412 4,630 4,848
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –44 –71 –76



4040 Offsets against gross budget authority and outlays (total) –44 –71 –76
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired –23
4052 Offsetting collections credited to expired accounts 7



4060 Additional offsets against budget authority only (total) –16



4070 Budget authority, net (discretionary) 4,199 4,364 4,904
4080 Outlays, net (discretionary) 4,368 4,559 4,772
Mandatory:
Outlays, gross:
4101 Outlays from mandatory balances 47
4180 Budget authority, net (total) 4,199 4,364 4,904
4190 Outlays, net (total) 4,415 4,559 4,772

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 2019 actual 2020 est. 2021 est.

11.1 Direct obligations: Personnel compensation: Full-time permanent 746 792 792



11.9 Total personnel compensation 746 792 792
12.1 Civilian personnel benefits 252 262 262
21.0 Travel and transportation of persons 9 14 14
23.3 Communications, utilities, and miscellaneous charges 977 971 1,062
23.3 Communications/utilities - Choice Act, P.L. 113–146, Sec. 801 8
25.2 Other services from non-Federal sources 1,918 1,845 2,093
25.2 Other services from non-Federal -Choice Act, P.L. 113–146, Sec. 801 14 4
26.0 Supplies and materials 6 25 17
31.0 Equipment 360 569 664
42.0 Insurance claims and indemnities 1



99.0 Direct obligations 4,291 4,482 4,904
99.0 Reimbursable obligations 60 71 76



99.9 Total new obligations, unexpired accounts 4,351 4,553 4,980

Employment Summary


Identification code 036–0167–0–1–705 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 7,376 7,772 7,772
2001 Reimbursable civilian full-time equivalent employment 93 118 113

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, $2,627,000,000, to remain available until September 30, 2023.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Program and Financing (in millions of dollars)


Identification code 036–1123–0–1–703 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0001 EHR Contract 697 1,003 1,191
0002 PMO Support 150 193 255
0003 Infrastructure Readiness 371 341 1,181



0900 Total new obligations, unexpired accounts 1,218 1,537 2,627

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 205 94
Budget authority:
Appropriations, discretionary:
1100 Appropriation 1,107 1,500 2,627
1131 Unobligated balance of appropriations permanently reduced –57



1160 Appropriation, discretionary (total) 1,107 1,443 2,627
1930 Total budgetary resources available 1,312 1,537 2,627
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 94

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 438 1,144 844
3010 New obligations, unexpired accounts 1,218 1,537 2,627
3020 Outlays (gross) –512 –1,837 –2,011



3050 Unpaid obligations, end of year 1,144 844 1,460
Memorandum (non-add) entries:
3100 Obligated balance, start of year 438 1,144 844
3200 Obligated balance, end of year 1,144 844 1,460

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 1,107 1,443 2,627
Outlays, gross:
4010 Outlays from new discretionary authority 112 693 1,261
4011 Outlays from discretionary balances 400 1,144 750



4020 Outlays, gross (total) 512 1,837 2,011
4180 Budget authority, net (total) 1,107 1,443 2,627
4190 Outlays, net (total) 512 1,837 2,011

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 2019 actual 2020 est. 2021 est.

Direct obligations:
11.1 Personnel compensation: Full-time permanent 3 20 38
12.1 Civilian personnel benefits 1 7 12
21.0 Travel and transportation of persons 5 9 11
23.1 Rental payments to GSA 2 5 5
23.3 Communications, utilities, and miscellaneous charges 10 9 21
25.2 Other services from non-Federal sources 1,066 1,334 2,291
25.3 Other goods and services from Federal sources (FTE to OIT) 5 3 5
25.3 Other goods and services from Federal sources (FTE to VHA) 5 8 15
25.3 Other goods and services from Federal sources 18
26.0 Supplies and materials 1
31.0 Equipment 103 142 228



99.0 Direct obligations 1,218 1,537 2,627



99.9 Total new obligations, unexpired accounts 1,218 1,537 2,627

Employment Summary


Identification code 036–1123–0–1–703 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 24 152 256

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, $360,000,000, of which not to exceed 10 percent shall remain available until September 30, 2022.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

Special and Trust Fund Receipts (in millions of dollars)


Identification code 036–0129–0–1–705 2019 actual 2020 est. 2021 est.

0100 Balance, start of year 2 2 2



2000 Total: Balances and receipts 2 2 2



5099 Balance, end of year 2 2 2

Program and Financing (in millions of dollars)


Identification code 036–0129–0–1–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0201 Operations and maintenance 323 332 361

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 4 5 2
1012 Unobligated balance transfers between expired and unexpired accounts 10 1 1



1050 Unobligated balance (total) 14 6 3
Budget authority:
Appropriations, discretionary:
1100 Appropriation 316 329 360
1131 Unobligated balance of appropriations permanently reduced –1



1160 Appropriation, discretionary (total) 316 328 360
Spending authority from offsetting collections, discretionary:
1700 Collected 1
1900 Budget authority (total) 317 328 360
1930 Total budgetary resources available 331 334 363
Memorandum (non-add) entries:
1940 Unobligated balance expiring –3
1941 Unexpired unobligated balance, end of year 5 2 2

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 70 66 59
3010 New obligations, unexpired accounts 323 332 361
3011 Obligations ("upward adjustments"), expired accounts 3
3020 Outlays (gross) –323 –339 –294
3041 Recoveries of prior year unpaid obligations, expired –7



3050 Unpaid obligations, end of year 66 59 126
Memorandum (non-add) entries:
3100 Obligated balance, start of year 70 66 59
3200 Obligated balance, end of year 66 59 126

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 317 328 360
Outlays, gross:
4010 Outlays from new discretionary authority 257 277 249
4011 Outlays from discretionary balances 66 62 45



4020 Outlays, gross (total) 323 339 294
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –1



4040 Offsets against gross budget authority and outlays (total) –1
4180 Budget authority, net (total) 316 328 360
4190 Outlays, net (total) 322 339 294

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 2019 actual 2020 est. 2021 est.

Direct obligations:
Personnel compensation:
11.1 Full-time permanent 125 128 138
11.5 Other personnel compensation 4 5 5



11.9 Total personnel compensation 129 133 143
12.1 Civilian personnel benefits 47 49 50
21.0 Travel and transportation of persons 4 4 5
22.0 Transportation of things 2 2 2
23.1 Rent 3 3 3
23.3 Communications, utilities, and miscellaneous charges 11 12 12
24.0 Printing and reproduction 2 2 2
25.2 Other services from non-Federal sources 102 106 118
26.0 Supplies and materials 13 13 14
31.0 Equipment 8 7 11
32.0 Land and structures 2 1 1



99.9 Total new obligations, unexpired accounts 323 332 361

Employment Summary


Identification code 036–0129–0–1–705 2019 actual 2020 est. 2021 est.

1001 Direct civilian full-time equivalent employment 1,947 2,008 2,085

Supply Fund

Program and Financing (in millions of dollars)


Identification code 036–4537–0–4–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0801 Reimbursable program-COGS-Merchandizing 540 810 810
0802 Reimbursable program-Other-Operations 252 378 378
0803 Reimbursable program-COGS-Printing and publications 16 16 16
0804 Reimbursable program-Other 21 32 32
0805 Reimbursable program-Equipment-Procurement services and distribution 571 864 864



0900 Total new obligations, unexpired accounts 1,400 2,100 2,100

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 200 378 378
1021 Recoveries of prior year unpaid obligations 100



1050 Unobligated balance (total) 300 378 378
Budget authority:
Spending authority from offsetting collections, mandatory:
1800 Collected 1,381 2,100 2,100
1801 Change in uncollected payments, Federal sources 97



1850 Spending auth from offsetting collections, mand (total) 1,478 2,100 2,100
1930 Total budgetary resources available 1,778 2,478 2,478
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 378 378 378

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 957 973 105
3010 New obligations, unexpired accounts 1,400 2,100 2,100
3020 Outlays (gross) –1,284 –2,968 –2,058
3040 Recoveries of prior year unpaid obligations, unexpired –100



3050 Unpaid obligations, end of year 973 105 147
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –923 –1,020 –1,020
3070 Change in uncollected pymts, Fed sources, unexpired –97



3090 Uncollected pymts, Fed sources, end of year –1,020 –1,020 –1,020
Memorandum (non-add) entries:
3100 Obligated balance, start of year 34 –47 –915
3200 Obligated balance, end of year –47 –915 –873

Budget authority and outlays, net:
Mandatory:
4090 Budget authority, gross 1,478 2,100 2,100
Outlays, gross:
4100 Outlays from new mandatory authority 127 1,995 1,995
4101 Outlays from mandatory balances 1,157 973 63



4110 Outlays, gross (total) 1,284 2,968 2,058
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120 Federal sources –1,227 –2,100 –2,100
4123 Non-Federal sources –154



4130 Offsets against gross budget authority and outlays (total) –1,381 –2,100 –2,100
Additional offsets against gross budget authority only:
4140 Change in uncollected pymts, Fed sources, unexpired –97
4170 Outlays, net (mandatory) –97 868 –42
4180 Budget authority, net (total)
4190 Outlays, net (total) –97 868 –42

Under the provisions of 38 U.S.C. 8121, the Supply Fund is responsible for the operation and maintenance of a supply system for 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 2019 actual 2020 est. 2021 est.

Reimbursable obligations:
11.1 Personnel compensation: Full-time permanent 105 104 107
12.1 Civilian personnel benefits 34 36 38
21.0 Travel and transportation of persons 15 16 13
23.1 Rental payments to GSA 6 6 6
23.3 Communications, utilities, and miscellaneous charges 14 18 18
24.0 Printing and reproduction 16 15 15
25.2 Other services from non-Federal sources 219 324 324
26.0 Supplies and materials 470 616 615
31.0 Equipment 521 965 964



99.9 Total new obligations, unexpired accounts 1,400 2,100 2,100

Employment Summary


Identification code 036–4537–0–4–705 2019 actual 2020 est. 2021 est.

2001 Reimbursable civilian full-time equivalent employment 1,002 1,115 1,115

Franchise Fund

Program and Financing (in millions of dollars)


Identification code 036–4539–0–4–705 2019 actual 2020 est. 2021 est.

Obligations by program activity:
0801 Franchise Fund (Reimbursable) 1,055 1,128 1,130

Budgetary resources:
Unobligated balance:
1000 Unobligated balance brought forward, Oct 1 23 33 78
1021 Recoveries of prior year unpaid obligations 51



1050 Unobligated balance (total) 74 33 78
Budget authority:
Spending authority from offsetting collections, discretionary:
1700 Collected 1,123 1,173 1,190
1701 Change in uncollected payments, Federal sources –109



1750 Spending auth from offsetting collections, disc (total) 1,014 1,173 1,190
1930 Total budgetary resources available 1,088 1,206 1,268
Memorandum (non-add) entries:
1941 Unexpired unobligated balance, end of year 33 78 138

Change in obligated balance:
Unpaid obligations:
3000 Unpaid obligations, brought forward, Oct 1 481 392 636
3010 New obligations, unexpired accounts 1,055 1,128 1,130
3020 Outlays (gross) –1,093 –884 –1,325
3040 Recoveries of prior year unpaid obligations, unexpired –51



3050 Unpaid obligations, end of year 392 636 441
Uncollected payments:
3060 Uncollected pymts, Fed sources, brought forward, Oct 1 –250 –141 –141
3070 Change in uncollected pymts, Fed sources, unexpired 109



3090 Uncollected pymts, Fed sources, end of year –141 –141 –141
Memorandum (non-add) entries:
3100 Obligated balance, start of year 231 251 495
3200 Obligated balance, end of year 251 495 300

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 1,014 1,173 1,190
Outlays, gross:
4010 Outlays from new discretionary authority 589 880 892
4011 Outlays from discretionary balances 504 4 433



4020 Outlays, gross (total) 1,093 884 1,325
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –1,123 –1,173 –1,190
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired 109
4080 Outlays, net (discretionary) –30 –289 135
4180 Budget authority, net (total)
4190 Outlays, net (total) –30 –289 135

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 2019 actual 2020 est. 2021 est.

Reimbursable obligations:
11.1 Personnel compensation: Full-time permanent 121 157 158
12.1 Civilian personnel benefits 41 50 50
21.0 Travel and transportation of persons 3 5 3
23.1 Rental payments to GSA 2 6 5
23.3 Communications, utilities, and miscellaneous charges 125 138 140
24.0 Printing and reproduction 9 10 10
25.2 Other services from non-Federal sources 701 705 709
26.0 Supplies and materials 3 5 5
31.0 Equipment 50 52 50



99.9 Total new obligations, unexpired accounts 1,055 1,128 1,130

Employment Summary


Identification code 036–4539–0–4–705 2019 actual 2020 est. 2021 est.

2001 Reimbursable civilian full-time equivalent employment 1,473 2,282 2,318

Recurring Expenses Transformational Fund

The Consolidated Appropriations Act of 2016 (Public Law 114–133) authorized the Recurring Expenses Transformational Fund. This fund is a no-year account that captures expired unobligated balances from discretionary accounts appropriated to the Department of Veterans Affairs prior to cancellation. This fund shall be available 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, subject to approval by the Office of Management and Budget. Beginning with 2016 appropriations, transfers will occur at the end of the fifth fiscal year after the last fiscal year for which such funds are available, when it is certain that original obligations have been fully paid and closed out. Proposed use of the fund will be submitted to the relevant Committees on Appropriations of the House of Representatives and the Senate for approval, or absent a response, a period of 30 days has elapsed.

ADMINISTRATIVE PROVISIONS

'

(including transfer of funds)

SEC. 201. Any appropriation for fiscal year 2021 for "Compensation and Pensions", "Readjustment Benefits", and "Veterans Insurance and Indemnities" may be transferred as necessary to any other of the mentioned appropriations: Provided, That, before a transfer may take place, the Secretary of Veterans Affairs shall submit notice thereof to the Committees on Appropriations of both Houses of Congress .'

(including transfer of funds)

SEC. 202. Amounts made available for the Department of Veterans Affairs for fiscal year 2021, in this or any other Act, under the "Medical Services", "Medical Community Care", "Medical Support and Compliance", and "Medical Facilities" accounts may be transferred among the accounts: Provided, That before a transfer may take place, the Secretary of Veterans Affairs shall submit notice thereof to the Committees on Appropriations of both Houses of Congress of the amount and purpose of the transfer.SEC. 203. Appropriations available in this title for salaries and expenses shall be available for services authorized by section 3109 of title 5, United States Code; hire of passenger motor vehicles; lease of a facility or land or both; and uniforms or allowances therefore, as authorized by sections 5901 through 5902 of title 5, United States Code.SEC. 204. No appropriations in this title (except the appropriations for "Construction, Major Projects", and "Construction, Minor Projects") shall be available for the purchase of any site for or toward the construction of any new hospital or home.SEC. 205. No appropriations in this title shall be available for hospitalization or examination of any persons (except beneficiaries entitled to such hospitalization or examination under the laws providing such benefits to veterans, and persons receiving such treatment under sections 7901 through 7904 of title 5, United States Code, or the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 et seq.)), unless reimbursement of the cost of such hospitalization or examination is made to the "Medical Services" account at such rates as may be fixed by the Secretary of Veterans Affairs.SEC. 206. Appropriations available in this title for "Compensation and Pensions", "Readjustment Benefits", and "Veterans Insurance and Indemnities" shall be available for payment of prior year accrued obligations required to be recorded by law against the corresponding prior year accounts within the last quarter of fiscal year 2020.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 2021, 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 2021 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 2021 which is properly allocable to the provision of each such insurance program and to the provision of any total disability income insurance included in that insurance program.SEC. 209. Amounts deducted from enhanced-use lease proceeds to reimburse an account for expenses incurred by that account during a prior fiscal year for providing enhanced-use lease services, may be obligated during the fiscal year in which the proceeds are received.'

(INCLUDING TRANSFER OF FUNDS)

SEC. 210. Funds available in this title or funds for salaries and other administrative expenses shall also be available to reimburse the Office of Resolution Management, the Office of Employment Discrimination Complaint Adjudication, and the Office of Diversity and Inclusion for all services provided at rates which will recover actual costs but not to exceed $60,096,000 for the Office of Resolution Management, $6,100,000 for the Office of Employment Discrimination Complaint Adjudication, and $5,294,000 for the Office of Diversity and Inclusion: Provided, That payments may be made in advance for services to be furnished based on estimated costs: Provided further, That amounts received shall be credited to the "General Administration" and "Information Technology Systems" accounts for use by the office that provided the service.SEC. 211. No funds of the Department of Veterans Affairs shall be available for hospital care, nursing home care, or medical services provided to any person under chapter 17 of title 38, United States Code, for a non-service-connected disability described in section 1729(a)(2) of such title, unless that person has disclosed to the Secretary of Veterans Affairs, in such form as the Secretary may require, current, accurate third-party reimbursement information for purposes of section 1729 of such title: Provided, That the Secretary may recover, in the same manner as any other debt due the United States, the reasonable charges for such care or services from any person who does not make such disclosure as required: Provided further, That any amounts so recovered for care or services provided in a prior fiscal year may be obligated by the Secretary during the fiscal year in which amounts are received.'

(including transfer of funds)

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

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

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

'

(including transfer of funds)

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

(including transfer of funds)

SEC. 216. Such sums as may be deposited to the Department of Veterans Affairs Capital Asset Fund pursuant to section 8118 of title 38, United States Code, may be transferred to the "Construction, Major Projects" and "Construction, Minor Projects" accounts, to remain available until expended for the purposes of these accounts.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 2021 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 2021 for "Medical Services", "Medical Community Care", "Medical Support and Compliance", "Medical Facilities", "Construction, Minor Projects", and "Information Technology Systems", up to $322,932,000, 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. 2571) and may be used for operation of the facilities designated as combined Federal medical facilities as described by section 706 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (Public Law 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 219 of title II of division F of Public Law 115–244 is repealed.'

(including transfer of funds)

SEC. 220. Of the amounts appropriated to the Department of Veterans Affairs which become available on October 1, 2021, for "Medical Services", "Medical Community Care", "Medical Support and Compliance", and "Medical Facilities", up to $327,126,000, 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 2021 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 2021, 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 2021, under the "Board of Veterans Appeals" and the "General Operating Expenses, Veterans Benefits Administration" accounts may be transferred between such accounts: Provided, That before a transfer may take place, the Secretary of Veterans Affairs shall submit notice thereof to the Committees on Appropriations of both Houses of Congress SEC. 225.

(a) Notwithstanding any other provision of law, the amounts appropriated or otherwise made available to the Department of Veterans Affairs for the "Medical Services" account may be used to 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. 226. Of the funds provided to the Department of Veterans Affairs for each of fiscal year 2021 and fiscal year 2022 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. 227. For funds provided to the Department of Veterans Affairs for each of fiscal year 2021 and 2022, section 248 of Division A of Public Law 114–223 shall apply.SEC. 228. Amounts made available for the "Veterans Health Administration, "Medical Community Care" account in this or any other Act for fiscal years 2021 and 2022 may be used for expenses that would have otherwise been 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. 229. 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.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)

General and Administrative Provisions

GENERAL FUND RECEIPT ACCOUNTS

(in millions of dollars)


2019 actual 2020 est. 2021 est.

Offsetting receipts from the public:
036–143500 General Fund Proprietary Interest Receipts, not Otherwise Classified 3 7 8
036–247300 Contributions from Military Personnel, Veteran's Educational Assistance Act of 1984 151 137 117
036–247300 Contributions from Military Personnel, Veteran's Educational Assistance Act of 1984: Legislative proposal, subject to PAYGO –111
036–273330 Housing Downward Reestimates 3,496 2,567
036–275110 Native American Veteran Housing Loans, Negative Subsidies 1 2 2
036–275130 Native American Direct Loans, Downward Reestimate of Subsidies 1
036–275510 Housing Negative Subsidies 512 714
036–322000 All Other General Fund Proprietary Receipts Including Budget Clearing Accounts 161 51 52
General Fund Offsetting receipts from the public 3,812 3,277 782

Intragovernmental payments:
036–388500 Undistributed Intragovernmental Payments and Receivables from Cancelled Accounts 22 5 6



General Fund Intragovernmental payments 22 5 6

TITLE VI—GENERAL PROVISIONS

SEC. 601. 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. 602. 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. 603. 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. 604. 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. 605. 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. 606.

(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. 607. 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. 608. None of the funds made available in this Act may be used to execute a contract for goods or services, including construction services, where the contractor has not complied with Executive Order No. 12989.SEC. 609. Except as expressly provided otherwise, any reference to 'this Act' contained in this division shall be treated as referring only to the provisions of this division.

(Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2020.)