Sponsors (2)
The bill directs a large federal investment to build and modernize a VA medical facility in St. Louis—bringing significant improvements in local veteran care and construction jobs—while imposing a sizable immediate cost on taxpayers and carrying risks of overruns and reduced funding for other VA needs.
Veterans in the St. Louis area will receive expanded and modernized VA hospital capacity and services (new bed tower, clinical expansion, administrative and utility upgrades), improving care delivery and operations.
Local workers and businesses will gain short-term construction jobs and economic activity from building the new facilities.
All taxpayers will bear an immediate federal cost of $1,762,668,000 to fund the project.
Veterans and taxpayers face the risk of cost overruns or construction delays that could increase total costs or delay improved care.
Concentrating a large share of VA construction funding on a single major facility could limit availability of funds for other regional or national veteran needs, disadvantaging some veterans elsewhere.
Based on analysis of 4 sections of legislative text.
Authorizes a St. Louis VA major medical facility project and authorizes up to $1,762,668,000 to be appropriated for its construction.
Authorizes the Department of Veterans Affairs to build a major medical facility project in St. Louis, Missouri, including a new bed tower, expanded clinical space, a consolidated administrative building and warehouse, utility plant, and parking garages. Sets a cost cap of $1,762,668,000 and authorizes that amount to be provided to the VA’s Construction, Major Projects account for fiscal year 2026 (or the year in which the funds are appropriated). Also establishes an official short title for the Act; that provision does not change substantive law or impose new duties.
Official title: Authorize a major medical facility project for the Department of Veterans Affairs for fiscal year 2026 in St. Louis, Missouri, and for other purposes.
Introduced July 23, 2025 by Jerry Moran · Last progress June 9, 2026