Spending · subcategory

Hospital and medical care for veterans

The Veterans Health Administration, including community care. Part of Veterans benefits & services. FY2025 net outlays: $149B, 39% of the category and 2.12% of all federal spending. The largest program is VA medical services ($73.9B).

$149B
FY2025 net outlays
39%
of Veterans benefits & services
+7.4%
change from FY2024 ($139B)
13
programs (accounts) with FY2025 spending

Every program

13 accounts with FY2025 spending in Hospital and medical care for veterans, largest first. Hover or tap a bar for details.

Mandatory (set by standing law)Discretionary (set by yearly appropriations)
VA medical servicesMedical Services · Veterans Health Administration
$73.9B
Toxic Exposures Fund (PACT Act)Cost of War Toxic Exposures Fund · Departmental Administration
$31.2B
VA community careMedical Community Care · Veterans Health Administration
$23.0B
Medical Support and ComplianceVeterans Health Administration
$11.3B
Medical FacilitiesVeterans Health Administration
$8.98B
Veterans Electronic Health Care RecordDepartmental Administration
$1.39B
Medical and Prosthetic ResearchVeterans Health Administration
$909M
Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration FundVeterans Health Administration
$750M
Construction, Minor ProjectsDepartmental Administration
$586M
Construction, Major ProjectsDepartmental Administration
$541M
Grants for Construction of State Extended Care FacilitiesDepartmental Administration
$302M
Veterans Medical Care and Health FundVeterans Health Administration
$271M
DOD-VA Health Care Sharing Incentive FundVeterans Health Administration
$21M

How the total adds up

Programs (the 13 accounts above)$153B
Offsets: premiums, fees, loan repayments, and other collections (11 accounts)−$4.47B
Net outlays, matching OMB Historical Table 3.2$149B
The largest offsets
Third Party Collections, MCCF
Department of Veterans Affairs
−$2.78B
Fee Basis 3rd Party MCCF
Department of Veterans Affairs
−$993M
Pharmaceutical Co-payments, MCCF
Department of Veterans Affairs
−$343M
Medical Care Collections Fund, Third Party Prescription Claims
Department of Veterans Affairs
−$172M
First Party Collections, MCCF
Department of Veterans Affairs
−$115M
Compensated Work Therapy, MCCF
Department of Veterans Affairs
−$46M
Fee Basis First Party Collections, Medical Care Collections Fund
Department of Veterans Affairs
−$8M
Parking Fees, MCCF
Department of Veterans Affairs
−$5M
Payments from Compensation and Pension, MCCF
Department of Veterans Affairs
−$2M
Enhanced-use Lease Proceeds, MCCF
Department of Veterans Affairs
−$1M
MCCF, Long-term Care Copayments
Department of Veterans Affairs
−$1M

All programs, sortable

Sparklines show each program in 2025 dollars, FY2000–2025.

ProgramTypeFY2024FY2025ChangeFY2000–2025
VA medical services
Veterans Health Administration
Discretionary$70.5B$73.9B+4.9%
Toxic Exposures Fund (PACT Act)
Departmental Administration
Mandatory$16.3B$31.2B+92%
VA community care
Veterans Health Administration
Discretionary$31.4B$23.0B−27%
Medical Support and Compliance
Veterans Health Administration
Discretionary$10.4B$11.3B+9.3%
Medical Facilities
Veterans Health Administration
Discretionary$8.89B$8.98B+1.1%
Veterans Electronic Health Care Record
Departmental Administration
Discretionary$1.28B$1.39B+8.4%
Medical and Prosthetic Research
Veterans Health Administration
Discretionary$950M$909M−4.3%
Joint Department of Defense-Department of Veterans Affairs Medical Facility Demonstration Fund
Veterans Health Administration
Discretionary$680M$750M+10%
Construction, Minor Projects
Departmental Administration
Discretionary$462M$586M+27%
Construction, Major Projects
Departmental Administration
Discretionary$422M$541M+28%
Grants for Construction of State Extended Care Facilities
Departmental Administration
Discretionary$254M$302M+19%
Veterans Medical Care and Health Fund
Veterans Health Administration
Mandatory$1.04B$271M−74%
DOD-VA Health Care Sharing Incentive Fund
Veterans Health Administration
Discretionary$29M$21M−28%

Hospital and medical care for veterans since 1993

Net outlays in 2025 dollars, fiscal years 1993–2025.

$0 $50B $100B $150B Clinton Bush Obama Trump I Biden 1995 2000 2005 2010 2015 2020 2025
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