The Veterans Health Administration, account by account.
VHA's four Medical Care appropriations from the FY2027 Budget-in-Brief — FY2025 enacted, FY2026, and the FY2027 request, $ in millions. The four sum to the published Subtotal, Medical Care, reconciled to the dollar. Community Care is the account to watch.
FY27 Medical Care
—
four accounts, reconciled
Community Care share
—
of Medical Care
Community Care growth
—
FY2025 → FY2027
Medical Services
—
FY2025 → FY2027 — direct care
Medical Care — the four discretionary accounts ($ in millions)
| Account | FY25 enacted | FY26 | FY27 request |
|---|
Medical Community Care is care VA purchases from private-sector providers under the MISSION Act. Its rise — and the offsetting fall in direct Medical Services — is the structural shift reshaping VHA's budget.
Shown separately — VHA-adjacent accounts & collections ($ in millions)
| Line | FY25 enacted | FY26 | FY27 request |
|---|
Medical & Prosthetic Research and Electronic Health Record Modernization are VHA-related but are their own accounts, outside the four Medical Care appropriations — so they are shown here, not inside the Medical Care subtotal.