Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2027, and for other purposes.

Appropriates an additional $500,000,000 through fiscal year 2031 for military construction unfunded priorities ($150,000,000 each for Army, Navy/Marine Corps, and Air Force, and $50,000,000 for defense-wide), requiring an expenditure plan within 60 days.

Prohibits using funds to close or realign the United States Naval Station at Guantánamo Bay, Cuba.

Authorizes the VA to use Medical Services funds to provide fertility counseling, assisted reproductive treatments (including in vitro fertilization and cryopreservation), and adoption reimbursements to veterans with service-connected infertility.

Requires the VA to stop using Social Security numbers to authenticate individuals in all department information systems by September 30, 2027, permitting limited use only when legally required or when no substitute exists.

Earmarks VA funding for designated priority programs, including $6,365,000,000 for telehealth, $3,500,000,000 for caregiver support, $3,459,121,000 for homelessness programs, $1,444,000,000 for women's healthcare, $709,573,000 for opioid treatment, and $700,000,000 for suicide prevention.

Allocates $1,450,000,000 from the Recurring Expenses Transformational Fund for constructing, altering, and improving VA medical facilities, subject to a 30-day congressional review plan.

Bans the VA from purchasing or contracting for computers, printers, and videoconferencing equipment made or sold by companies on U.S. sanctions or military lists related to the Chinese government or Uyghur forced labor.

Prohibits the VA from reporting veterans to the national gun background check database solely because they have a fiduciary appointed, absent a judicial finding of danger to self or others.

Prohibits the VA from enforcing directives that bar VA doctors and staff from recommending, referring, or completing forms for veterans to participate in state-approved medical marijuana programs.

Bars the Department of Defense from using funds for cost-plus-a-fixed-fee construction contracts exceeding $25,000 in the United States (except Alaska) without written approval from the Secretary of Defense.

Permits military construction funds to be used to hire passenger motor vehicles.

Allows military construction funds to be advanced to the Federal Highway Administration to build defense access roads certified as important to national defense.

Prohibits using funds to start building new military bases in the United States without a specific appropriation.

Prohibits spending funds to buy land or easements above 100 percent of appraised value, except under court orders, Attorney General negotiations, values under $25,000, or public interest waivers.

Prohibits using funds to acquire land, prepare sites, or install utilities for military family housing unless specifically funded in military construction appropriations laws.

Requires congressional defense committees to receive prior notice before minor construction funds are used to relocate activities from one military base to another.

Bans using funds to purchase steel for construction projects if American steel companies were denied the opportunity to compete for the contract.

Prohibits using Defense Department military construction or family housing funds to pay real estate taxes in foreign nations.

Requires advance notification to congressional Appropriations Committees before establishing any new overseas military installation.

Requires architectural and engineering contracts over $500,000 for projects in Japan, NATO countries, or Arabian Gulf nations to be awarded to U.S. firms or joint ventures with host nations.

Bars awarding military construction contracts over $1,000,000 in Pacific territories, Kwajalein Atoll, or Arabian Gulf nations to foreign contractors unless the lowest U.S. bid is over 20 percent higher, exempting Marshallese bidders on Kwajalein.

Requires 30 days prior notice to congressional committees before any military exercise involving construction costs exceeding $100,000.

Allows prior-year military construction funds to be used for newly authorized construction projects.

Permits expired or lapsed construction funds to cover supervision, inspection, engineering, design, overhead, and contractor claims for projects being completed.

Extends the availability of military project funds for obligation through the end of the fourth fiscal year after the funds were first made available.

Authorizes transfers of housing funds to DOD improvement funds for family and unaccompanied housing and loan programs, subject to congressional notification.

Authorizes transfers from the DOD Base Closure Account to fund the Homeowners Assistance Program for affected military personnel.

Caps annual maintenance and repair spending on any general or flag officer quarters at $20,000 without prior congressional notification, and makes family housing accounts the exclusive funding source for residential repairs.

Appropriates funds in the Ford Island Improvement Account until expended for authorized naval facility improvements in Hawaii.

Allows expired unobligated military construction and housing balances to be transferred within five years into the foreign currency fluctuation account.

Authorizes internal transfers among projects and activities within military construction accounts in accordance with Defense Department reprogramming rules.

Prohibits using funds in this title for planning, design, or construction projects at Arlington National Cemetery.

Makes fiscal year 2027 military construction funds immediately available to execute contracts for the full scope of authorized defense projects.

Permits obligation through September 30, 2028, of funds for active fiscal year 2017 through 2020 military construction projects that retain valid statutory authorization.

Appropriates an additional $15,000,000 through fiscal year 2031 ($5,000,000 each for the Army, Navy/Marine Corps, and Air Force) for military installation resilience design, subject to a 60-day expenditure plan.

Appropriates an additional $45,000,000 through fiscal year 2031 ($15,000,000 each for the Army, Navy/Marine Corps, and Air Force) for child development center design, subject to a 60-day expenditure plan.

Appropriates an additional $45,000,000 through fiscal year 2031 ($15,000,000 each for the Army, Navy/Marine Corps, and Air Force) for military barracks design, subject to a 60-day expenditure plan.

Appropriates an additional $60,000,000 through fiscal year 2031 ($20,000,000 each for the Army, Navy/Marine Corps, and Air Force) for minor construction demolition projects, subject to a 60-day expenditure plan.

Requires an updated life-cycle cost estimate for the Department of Veterans Affairs Electronic Health Record Modernization program reflecting accelerated deployments.

Requires an updated facility-by-facility deployment schedule for all Department of Veterans Affairs facilities scheduled to receive the new electronic health record system.

Requires certification that all VA facilities operating the new electronic health record system on or before April 1, 2024, have restored healthcare service delivery to pre-deployment baseline levels.

Requires updated projections of federal staffing, contract support, and required funding needed to carry out electronic health record deployments scheduled for 2027 and 2028.

Authorizes transfers among VA mandatory funding accounts for disability compensation and pensions, readjustment benefits, and insurance, subject to congressional committee approval.

Authorizes transfers of up to 3 percent among VA medical care accounts upon written notice to and approval from congressional Appropriations Committees.

Authorizes VA administrative funds to be used for consultant services, vehicle rentals, facility and land leases, and staff uniform allowances.

Prohibits using VA funds, other than designated major and minor construction appropriations, to purchase land for or build new hospitals or homes.

Restricts VA medical treatment and examinations to eligible veterans and authorized emergency cases unless the costs are reimbursed to the Medical Services account.

Authorizes VA compensation, pension, and benefit funds to pay prior-year obligations incurred in late fiscal year 2026.

Permits VA appropriations to pay prior-year obligations resulting from cancelled checks and unnegotiated claims.

Requires VA life insurance funds to reimburse the department's operating and IT accounts for the administrative costs of running the insurance programs using surplus earnings.

Makes funds deducted from enhanced-use lease proceeds available until expended to reimburse administrative costs incurred in prior years.

Authorizes funding to reimburse internal VA offices for employment discrimination, alternative dispute resolution, and resolution management services, subject to statutory dollar caps.

Prohibits providing VA healthcare for non-service-connected conditions unless the patient discloses third-party health insurance coverage, and allows the VA to collect reasonable charges as federal debts if information is withheld.

Directs proceeds from enhanced-use leasing of VA properties into major and minor construction accounts for medical facility improvements.

Authorizes VA Medical Services funds to be used for patient recreational equipment and supplies and for funeral and burial expenses of patients dying under VA care.

Authorizes transfers of third-party collections from the Medical Care Collections Fund to Medical Services and Medical Community Care accounts until expended.

Authorizes the VA to partner with community health centers and Alaska Native health organizations to deliver medical, dental, and mental healthcare to veterans in rural Alaska.

Authorizes transferring proceeds from the VA Capital Asset Fund into major and minor construction accounts.

Requires the Secretary of Veterans Affairs to submit quarterly financial status reports to congressional Appropriations Committees.

Authorizes transfers between various VA operating accounts and the Information Technology Systems account, capped at a 10 percent net increase and subject to congressional approval.

Authorizes transferring up to $710,778,000 from fiscal year 2027 VA medical and IT accounts to operate joint Department of Defense–VA medical facilities.

Authorizes transferring up to $760,767,000 from advance fiscal year 2028 VA medical appropriations to the joint DOD–VA medical facility fund.

Directs healthcare collections at joint DOD–VA medical facilities into the joint operating fund to remain available until expended.

Requires a minimum transfer of $15,000,000 from VA medical accounts to the DOD–VA Health Care Sharing Incentive Fund.

Prohibits changing the current regional contracting process used by Veterans Integrated Service Networks to procure diabetes monitoring supplies and equipment.

Requires the VA to notify congressional committees within 14 days of major construction bid savings exceeding $5,000,000 or 5 percent of project costs, and 14 days before spending those savings.

Prohibits using major construction funds to expand a project beyond its congressionally justified scope without prior approval from Appropriations Committees.

Requires quarterly reports to Congress detailing regional disability claims backlogs and pending appeals at the Veterans Benefits Administration and Board of Veterans Appeals.

Requires 15 days advance notice to Congress before transferring 25 or more full-time equivalent staff between VA divisions.

Requires quarterly reports to Congress on any national VA outreach and awareness advertising campaign costing more than $1,000,000.

Authorizes transferring up to 3 percent of VA discretionary funds to Medical Services for emergent healthcare needs, subject to congressional approval.

Authorizes transfers between the Board of Veterans Appeals and the Veterans Benefits Administration general operating account upon congressional approval.

Prohibits shifting more than $7,000,000 cumulatively among major VA construction projects without approval from congressional Appropriations Committees.

Requires the VA suicide prevention hotline to provide callers immediate assistance from trained professionals and comply with American Association of Suicidology standards.

Prohibits enforcing any executive hiring freeze or restriction on filling civil service positions related to the VA suicide hotline.

Directs the VA to conduct a study evaluating the effectiveness of the suicide prevention hotline over a five-year period based on national suicide data and caller follow-up.

Bars the VA from spending funds through January 1, 2028, in violation of its clinical guidance on breast cancer screening.

Prohibits spending funds to privatize VA jobs in violation of federal statutory sourcing restrictions.

Exempts businesses majority-owned by Indian Tribes or Native Hawaiian Organizations from certain statutory restrictions on converting VA functions to private contractor performance.

Applies section 239 of division A of Public Law 114–223 to fiscal year 2027 and 2028 Medical Services appropriations.

Prohibits transferring any money out of the Filipino Veterans Equity Compensation Fund to other VA accounts.

Authorizes the VA to use medical funds to operate and expand child care assistance programs for veterans receiving healthcare in fiscal years 2027 and 2028.

Prohibits the VA from using settlement or dispute resolution agreements to restrict individuals from communicating with Members of Congress or congressional staff.

Prohibits denying the Inspector General timely access to agency records and requires reporting any access denial to Congress within five days.

Prohibits spending funds in any manner that increases wait times for veterans seeking care at VA medical facilities.

Prohibits converting dedicated-purpose healthcare programs to general-purpose funding without 30 days prior notice to and approval from Congress.

Applies section 248 of division A of Public Law 114–223 to fiscal year 2027 and 2028 Department of Veterans Affairs appropriations.

Prohibits VA animal research using dogs, cats, or non-human primates unless personally certified in writing by the Secretary under strict scientific necessity criteria, subject to USDA inspections and reporting.

Authorizes funds to maintain a staffing ratio not exceeding 125 veterans per full-time staff member in vocational rehabilitation programs and mandates a staffing report to Congress.

Authorizes Medical Community Care funds to cover healthcare costs otherwise payable from the Veterans Choice Fund in fiscal years 2027 and 2028.

Retains fiscal year 2017 through 2019 state veterans home obligations within the Medical Community Care account.

Requires the VA to submit a detailed spending plan within 30 days and provide quarterly updates on all healthcare and research obligations.

Extends the availability of funds administered by VA nonprofit research and education corporations to settle valid contractual obligations.

Prohibits closing VA hospitals or clinics, conducting environmental reviews, or cutting local healthcare services under a planned realignment until the VA submits a rural access impact report to Congress.

Authorizes using unobligated major and minor construction balances to fund cost escalation clauses for public-private partnership facilities under the CHIP IN for Vets Act, subject to congressional approval.

Suspends through September 30, 2027, implementation of the VA's 2023 final rule altering reimbursement rates for special modes of medical transportation.

Prohibits paying bonus or incentive fees to contractors who perform poorly, fall behind schedule, or exceed budgets, unless caused by government modifications or unforeseen events.

Directs the VA to maintain staffing levels adequate to meet its 125-day claims adjudication target and statutory timeliness standards for healthcare appointments.

Directs the VA to begin building a new Community Based Outpatient Clinic in Bakersfield, California, or move services to suitable temporary space by September 30, 2027.

Prohibits spending funds to reduce staffing, hours of operation, or services at the Veterans Crisis Line or any other VA suicide prevention program.

Appropriates funds in the Army National Military Cemeteries special account until expended to support cemetery operations.

Limits the availability of all appropriations under this Act to the current fiscal year unless expressly stated otherwise.

Prohibits spending funds on any activity known to violate federal laws regarding risk assessment, private property protections, or unfunded mandates.

Encourages funded agencies to expand their use of electronic commerce technologies for business and public operations.

Directs that all reports and notifications required by this Act be submitted to the House and Senate Military Construction and Veterans Affairs Appropriations subcommittees.

Prohibits transferring funds to any other federal department or agency except as specifically authorized by law.

Bans using funds for any project or program named after a sitting Member or Delegate of the U.S. House of Representatives.

Directs agencies to publish congressionally mandated reports on public websites after a 45-day congressional review period, unless withholding is required for national security or confidentiality.

Prohibits maintaining or establishing agency computer networks that do not block viewing or downloading pornography, exempting official law enforcement operations.

Prohibits using funds to pay for first-class air travel by executive branch employees in violation of federal travel regulations.

Prohibits executing contracts with vendors who fail to comply with federal employment eligibility verification requirements.

Prohibits spending funds in violation of armed forces statutory definitions and standards.

Prohibits using Defense Department funds to construct, renovate, or expand facilities in the United States or its territories to house detainees from Naval Station Guantánamo Bay.

Prohibits using funds to influence or lobby Members of Congress regarding pending legislation or appropriations outside authorized official communications.

Directs the VA to keep in effect its smoke-free policy for employees at all VA healthcare facilities.

Specifies a net zero dollar appropriation.

Restricts the Defense Department from preparing more than one environmental impact statement for any single military construction project unless ordered by a federal court.

Prohibits spending Medical Community Care funds in violation of federal regulations governing non-VA healthcare provider payment and eligibility terms.

Prohibits using Navy and Marine Corps funds for design of administrative buildings unless designated for operations, training, production, housing, or utilities.

Prohibits spending funds to close the Port Charlotte VA Clinic in Florida.