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119-S-2393 Journalist Public Summary

119 · S 2393 Fiscal Year 2025 Veterans Affairs Major Medical Facility Authorization Act

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Fiscal Year 2025 Veterans Affairs Major Medical Facility Authorization ActThis bill authorizes the Department of Veterans Affairs to carry out a major medical facility project in St. Louis, Missouri,...

A bipartisan Senate bill would let VA undertake a major upgrade of the St. Louis VA medical campus—authorizing up to $1.76 billion for a new inpatient bed tower and related facilities—so the project can proceed in FY2026. [1]Congress.gov — Text of S.2393 — 119th Congress (2025–2026)

Published
03 Dec 2025
Updated
03 Dec 2025
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Veterans Affairs · St. Louis · Congress
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Public Summary: S. 2393 — Fiscal Year 2025 VA Major Medical Facility Authorization Act (St. Louis)

Headline Summary: A VA construction bill that green-lights up to $1.76 billion to replace and expand key parts of the St. Louis VA hospital campus, including a new bed tower and parking. [1]Congress.gov — Text of S.2393 — 119th Congress (2025–2026)

What It Does: The bill authorizes the Department of Veterans Affairs to carry out a major medical facility project in St. Louis—building a new inpatient bed tower, expanding clinical space, consolidating admin/warehouse functions, adding a utility plant, and constructing parking garages. It sets a not-to-exceed project cost of $1,762,668,000 and authorizes that amount to be appropriated; appropriators would still need to provide the actual funding. [1]Congress.gov — Text of S.2393 — 119th Congress (2025–2026)

Not-to-exceed project cap
1762668000USD
Project fiscal year window (authorization)
2026
Senate Calendar number (as of Dec 2, 2025)
278

Why It Matters: For veterans and staff, a modern tower and upgraded infrastructure are meant to improve safety, privacy, and access to care on a campus that is preparing for major construction phases beginning in 2026 (with some site work already underway). Local VA planning documents also anticipate expanded services and new parking to reduce congestion. [2]U.S. Department of Veterans Affairs — VA St. Louis Health Care — John Cochran M…

  • Sen. Jerry Moran (R‑KS), the sponsor and chair of the Senate Veterans’ Affairs Committee, and Sen. Richard Blumenthal (D‑CT), the lead cosponsor and ranking member, framing upgrades as necessary to modernize aging VA infrastructure. [3]Congress.gov — All Information (Except Text) for S.2393 — sponsors, actions
  • Regional advocates: House Veterans’ Affairs Chair Mike Bost (R‑IL) and Rep. Ann Wagner (R‑MO) have publicly pressed for replacing the St. Louis bed tower and modernizing the campus. [4]House.gov — Rep. Mike Bost press release — funding for St. Louis VA renovations…[5]House.gov — Reps. Bost & Wagner press release — call to prioritize St. Louis ho…

Who’s For It:

  • No organized opposition has been prominent so far. Typical concerns with large VA builds are the $1.76B price tag, the risk of construction delays or overruns, and whether funds should be prioritized differently across the VA system.

Who’s Against It:

What’s Next: The bill has been placed on the Senate’s Legislative Calendar under General Orders (Calendar No. 278) and awaits possible floor debate and a vote; if it passes the Senate, it would then need House approval and the President’s signature to become law. Note that public trackers can lag daily calendar updates. [6]GovInfo (GPO) — Senate Calendar of Business — General Orders (Dec. 2, 2025)[3]Congress.gov — All Information (Except Text) for S.2393 — sponsors, actions

Sources cited
  1. [1] Text of S.2393 — 119th Congress (2025–2026) Congress.gov
  2. [2] VA St. Louis Health Care — John Cochran Major Program (project overview and timeline) U.S. Department of Veterans Affairs
  3. [3] All Information (Except Text) for S.2393 — sponsors, actions Congress.gov
  4. [4] Rep. Mike Bost press release — funding for St. Louis VA renovations (Nov. 15, 2024) House.gov
  5. [5] Reps. Bost & Wagner press release — call to prioritize St. Louis hospital modernization (Sept. 17, 2024) House.gov
  6. [6] Senate Calendar of Business — General Orders (Dec. 2, 2025) GovInfo (GPO)

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