Sponsors
The bill invests a large federal sum to expand and modernize the St. Louis VA medical center—improving veteran access, facility function, and local jobs—while imposing substantial federal cost and attendant risks of overruns and temporary construction disruptions.
Veterans will gain increased access to care through a new bed tower and expanded clinical space at the St. Louis VA medical center, improving availability of inpatient and outpatient services.
Hospitals and VA health systems will receive modernized infrastructure and consolidated administrative space, improving service delivery, operational efficiency, and long‑term facility functionality.
Local communities will see short‑term economic benefits from construction and related jobs created by the project, supporting the St. Louis area economy during the build period.
Taxpayers face a $1.7627 billion federal appropriation cost, which could increase deficits or crowd out other federal spending priorities.
Veterans and VA facilities risk service interruptions or delayed benefits if the large construction project experiences cost overruns or schedule delays that require additional funding or extend work timelines.
Veterans and nearby residents may face temporary disruptions to facility access and local traffic due to construction activity and site work during the project.
Based on analysis of 2 sections of legislative text.
Authorizes the VA to build a major medical facility in St. Louis and provides up to $1,762,668,000 for construction in fiscal year 2026 (or when appropriated).
Introduced December 15, 2025 by Mike Bost · Last progress December 15, 2025
Authorizes the Department of Veterans Affairs to carry out a major medical facility construction project in St. Louis, Missouri, including a new bed tower, expanded clinical space, administrative and warehouse space, a utility plant, and parking garages. Appropriates up to $1,762,668,000 to the VA's Construction, Major Projects account for fiscal year 2026 (or the year funds are appropriated) to pay for the project.