LegiStorm

Summary:

The Department of Veterans Affairs (VA) provides benefits to veterans who meet certain eligibility criteria. Benefits to veterans range from disability compensation and pensions to hospital and medical care. The VA provides these benefits through three major operating units: the Veterans Health Administration (VHA), the Veterans Benefits Administration (VBA), and the National Cemetery Administration (NCA). This report focuses on funding for the VHA. The VHA is primarily a direct service provider of primary care, specialized care, and related medical and social support services to veterans through the nations largest integrated health care system. Eligibility for VA health care is based primarily on previous military service, disability, and income. The Presidents FY2014 budget request was submitted to Congress on April 10, 2013. The Presidents budget requested $147.9 billion in budget authority for the VA as a whole. For FY2014, the Administration requested $55.2 billion for VHA. This included $43.7 billion for the medical services account, $6.0 billion for the medical support and compliance account, $4.9 billion for the medical facilities account, and nearly $586 million for the medical and prosthetic research account. Furthermore, as required by the Veterans Health Care Budget Reform and Transparency Act of 2009 (P.L. 111-81), the Presidents budget requested $55.6 billion in advance appropriations for the three medical care accounts (medical services, medical support and compliance, and medical facilities) for FY2015. On May 15, 2013, the House Military Construction and Veterans Affairs Subcommittee approved its version of a Military Construction and Veterans Affairs and Related Agencies Appropriations bill for FY2014 (MILCON-VA Appropriations bill). The full House Appropriations Committee voted to report the measure on May 21, 2013, and the House passed H.R. 2216 on June 4, 2013. The MILCON-VA Appropriations bill for FY2014 (H.R. 2216; H.Rept. 113-90) proposed a total of $147.6 billion for the VA as whole. For FY2014, H.R. 2216 proposed $54.9 billion for VHA. H.R. 2216 also included $55.6 billion in advance FY2015 funding for the medical services, medical support and compliance, and medical facilities accountsthe same level included in the House-passed FY2014 Budget Resolution, and the Presidents request. On June 18, 2013, the Senate Military Construction, Veterans Affairs, and Related Agencies Subcommittee approved its version of the MILCON-VA Appropriations bill. The full Senate Appropriations Committee voted to report the measure (H.R. 2216; S.Rept. 113-48) on June 20. H.R. 2216 (S.Rept. 113-48) proposed appropriations totaling $147.9 billion for FY2014 for the functions of the VA as a whole and $55.2 billion for VHA. Similar to the House version, the Senate committee-approved version included $55.6 billion in advance FY2015 funding for the medical services, medical support and compliance, and medical facilities accounts. Neither a MILCON-VA Appropriations bill, nor a continuing appropriations resolution (CR), including FY2014 funding for most of the VA (excluding the three medical care accounts: medical services, medical support and compliance, and medical facilities), was enacted prior to the beginning of FY2014. A funding gap resulted in a partial government shutdown. The funding gap was terminated by the enactment of a CR (P.L. 113-46) on October 17, 2013. The Consolidated Appropriations Act, 2014 (P.L. 113-76), was enacted on January 17, 2014, providing appropriations totaling $147.9 billion for FY2014 for the functions of the VA as a whole and $55.1 billion for VHA. P.L. 113-76 includes $55.6 billion in advance FY2015 funding for the medical services, medical support and compliance, and medical facilities accounts.