How the Veterans Health Administration's money came to work this way.

VHA has no separate multi-decade budget series — the department-wide budget-authority arc lives on /va/history. What is distinct to VHA is the mechanism: Medical Care funded a year ahead, and a steady shift of care to the private sector. This is that arc — with the reconciled Medical Care trajectory we do carry.

FY2027 Medical Care

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four accounts, reconciled

Growth FY2025→FY2027

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roughly flat topline

FY2028 advance

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Medical Care — funded a year ahead

Shield since

2009

advance appropriations (P.L. 111-81)

Medical Care — the reconciled trajectory

$ in millions · published “Subtotal, Medical Care” · FY28 = advance request

The FY2025–FY2027 bars are the published Medical Care subtotal, same basis, reconciled to the dollar (million). The FY2028 bar is the Medical Care advance appropriation request — a forward commitment on a different basis (discretionary advance), shown for context, not charted as a same-basis actual.

Medical Care — the reconciled trajectory

The arc — how the money works