This bill authorizes the Secretary of Veterans Affairs to undertake a significant medical facility project in St. Louis, Missouri, during fiscal year 2026. The project aims to enhance veteran healthcare infrastructure in the region by expanding and modernizing existing facilities. Specifically, the authorized project encompasses the construction of a new bed tower , an expansion of the existing clinical building , and the development of a consolidated administrative building and warehouse . It also includes a new utility plant and parking garages to support the expanded facilities. The total cost for this major medical facility project is capped at $1,762,668,000 . The legislation explicitly authorizes the appropriation of this amount to the Department of Veterans Affairs for fiscal year 2026 to fund the construction.