This bill authorizes the Secretary of Veterans Affairs to carry out a significant medical facility project in St. Louis, Missouri, during fiscal year 2026. The primary goal is to enhance and expand healthcare infrastructure for veterans in the region. The authorized project encompasses several key components, including the construction of a new bed tower , a clinical building expansion , and a consolidated administrative building and warehouse . Additionally, it provides for a new utility plant and parking garages to support the expanded facilities. The total cost for this comprehensive development is authorized not to exceed $1,762,668,000 , with appropriations specifically authorized for fiscal year 2026 to fund these improvements.