119 
authorized by chapters 19 and 21 of title 38, United States 
Code, $97,893,000, which shall become available on October 
1, 2026, to remain available until expended. 
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 sec-
tion 502 of the Congressional Budget Act of 1974: Provided 
further, That, during fiscal year 2026, 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, $266,736,842. 
VOCATIONAL REHABILITATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $45,428, 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 obliga-
tions for the principal amount of direct loans not to exceed 
$1,394,442.
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In addition, for administrative expenses necessary to 
carry out the direct loan program, $507,254, which may 
be paid to the appropriation for ‘‘General Operating Ex-
penses, Veterans Benefits Administration’’. 
NATIVE AMERICAN VETERAN HOUSING LOAN PROGRAM 
ACCOUNT 
For the cost of direct loans, $6,865,235, as authorized 
by subchapter V of chapter 37 of title 38, United States 
Code: Provided, That such costs, including the cost of modi-
fying 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 di-
rect loans not to exceed $75,000,000. 
In addition, for administrative expenses to carry out 
the direct loan program authorized by subchapter V of chap-
ter 37 of title 38, United States Code, $5,845,241. 
GENERAL OPERATING EXPENSES, VETERANS BENEFITS 
ADMINISTRATION 
For necessary operating expenses of the Veterans Bene-
fits Administration, not otherwise provided for, including 
hire of passenger motor vehicles, reimbursement of the Gen-
eral Services Administration for security guard services, 
and reimbursement of the Department of Defense for the 
cost of overseas employee mail, $3,879,000,000: Provided,
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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 Af-
fairs 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, 2027. 
VETERANS HEALTH ADMINISTRATION 
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 vet-
erans 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 serv-
ices, 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 au-
thorized by section 604 of the Caregivers and Veterans Om-
nibus Health Services Act of 2010 (Public Law 111–163;
122 
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 author-
ized by section 1787 of title 38, United States Code; 
$59,858,000,000, plus reimbursements, which shall become 
available on October 1, 2026, and shall remain available 
until September 30, 2027: Provided, That, of the amount 
made available on October 1, 2026, under this heading, 
$2,000,000,000 shall remain available until September 30, 
2028: Provided further, That of the $75,039,000,000 to be-
come available on October 1, 2025, previously appropriated 
under this heading in the Full-Year Continuing Appropria-
tions Act, 2025 (division A of Public Law 119–4), 
$15,889,000,000 is hereby rescinded: Provided further, 
That, notwithstanding any other provision of law, the Sec-
retary of Veterans Affairs shall establish a priority for the 
provision of medical treatment for veterans who have serv-
ice-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: Pro-
123 
vided further, That, notwithstanding any other provision 
of law, the Secretary of Veterans Affairs may authorize the 
dispensing of prescription drugs from Veterans Health Ad-
ministration 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 avail-
able for the acquisition of prosthetics designed specifically 
for female veterans: Provided further, That nothing in sec-
tion 2044(e) of title 38, United States Code, may be con-
strued as limiting amounts that may be made available 
under this heading for fiscal years 2026 and 2027 in this 
or prior Acts. 
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, $38,700,000,000, 
plus reimbursements, which shall become available on Octo-
ber 1, 2026, and shall remain available until September 
30, 2027: Provided, That, of the amount made available on
124 
October 1, 2026, under this heading, $2,000,000,000 shall 
remain available until September 30, 2028. 
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; ad-
ministrative 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.), $12,000,000,000, plus reimbursements, 
which shall become available on October 1, 2026, and shall 
remain available until September 30, 2027: Provided, That, 
of the amount made available on October 1, 2026, under 
this heading, $350,000,000 shall remain available until 
September 30, 2028: Provided further, That, of the 
$12,700,000,000 to become available on October 1, 2025, 
previously appropriated under this heading in the Full- 
Year Continuing Appropriations Act, 2025 (division A of 
Public Law 119–4), $610,000,000 is hereby rescinded. 
MEDICAL FACILITIES 
For necessary expenses for the maintenance and oper-
ation of hospitals, nursing homes, domiciliary facilities, 
and other necessary facilities of the Veterans Health Admin-