S. 3373 — Honoring our PACT Act of 2022
Official title: Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022
Expands VA health care and benefits for veterans exposed to toxics in service. Most of its cost is the expanded eligibility itself, which appears in CBO estimates rather than as dollar lines in the text.
What the tracked text contains
Of the money itself: $6.9B across 11 tracked line-items, all of it veterans. The largest single line: $1,880,000,000 for Mandatory appropriation to the Medical Facilities account for the 31 FY2023 major medical facility leases. Beyond the cash, the text also sets $998.1M of authorizations (a ceiling on future spending) and $746.8M of set-asides (already counted above) — disclosed beside the total, never summed into it. The dated money runs fiscal 2022–2031 — 86% of tracked dollars carry a year in the text.
If the title matched the money, it would be the “Veterans' Toxic-Exposure Health Care Act of 2022”.
117th Congress · Enrolled (enacted, Public Law) · sponsor not yet verified for this record · signed into law Aug. 10, 2022 · read the full bill text →
Where the money goes
$6.9B across 11 tracked items · compare against another law →This pie is the $6.9B the text appropriates line by line. The PACT Act's dominant cost is not in it: expanded eligibility and toxic-exposure presumptions, which CBO scored at $667.0B of direct-spending outlays over 2022–2031, appear nowhere in the operative text as a dollar figure and are deliberately not itemized here — adding them as a line-item would have double-counted the appropriations below and inflated this pie about a hundredfold. CBO's later compilation of enacted laws puts the same law's mandatory-outlay increase at $797 billion over 2022–2032; both figures are CBO on different bases — the bill-stage estimate versus the enacted-law compilation — and the deficit section below carries the enacted-law figure with its sources.
The largest verified line-items. This pie breaks down the biggest spending items in the bill — appropriations and mandatory (direct) spending — by category. Every dollar is quoted from the text; click any slice to read them. It is not necessarily every dollar in the bill, and the gaps are not always small ones — where an account was left out, How this was built at the foot of this page says so and why, and a large omission can change which category ranks first. Figures that aren’t spending — authorizations, guarantee ceilings, pay-fors, and carve-outs already counted — are deliberately left out and disclosed below.
The money map
blocks sized by dollars — open one for the law’s own wordsArea is dollars. Each block is one category of tracked spending in S. 3373, sized by its share of the $6.9B this page tracks. Open a block and it lists the line-items inside it, each with the passage of the enacted text that carries the dollar figure, quoted word for word, and the section it sits in. Category names are the extraction’s own labels, printed as they come — nothing here calls a category worthwhile or wasteful. The quote is the argument.
This map divides the same tracked total the pie above divides — money the text writes as exact dollar lines. It is not the bill’s total fiscal effect: what the extraction leaves out is stated above the pie and in How this was built at the foot of this page, and the dollars deliberately kept out of the count are listed under the map.
veterans$6.9B
$6,932,000,000 · 100% of the $6,932,000,000 this page tracks · 11 tracked line-items, largest first
- Mandatory appropriation to the Medical Facilities account for the 31 FY2023 major medical facility leases$1,880,000,000→ Department of Veterans Affairs (Medical Facilities account)
“…not otherwise appropriated, $1,880,000,000 for an additional amount for the Medical…”
Title VII, Sec. 707(a) (Appropriation of amounts for major medical facility leases; FY2023) - Mandatory appropriation to enter into enhanced-use leases of VA property (FY2022)$922,000,000→ Department of Veterans Affairs
“…not otherwise appropriated, $922,000,000 for an additional amount for…”
Title VII, Sec. 705(e) (Modifications to enhanced-use lease authority) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2031)$650,000,000→ Department of Veterans Affairs (Medical Facilities account)
“…$650,000,000 for fiscal year 2031…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2030)$620,000,000→ Department of Veterans Affairs (Medical Facilities account)
“…$620,000,000 for fiscal year 2030…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2029)$610,000,000→ Department of Veterans Affairs (Medical Facilities account)
“…$610,000,000 for fiscal year 2029…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2028)$600,000,000→ Department of Veterans Affairs (Medical Facilities account)
“…$600,000,000 for fiscal year 2028…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Initial mandatory appropriation seeding the Cost of War Toxic Exposures Fund (FY2022)$500,000,000→ Cost of War Toxic Exposures Fund
“…not otherwise appropriated, $500,000,000 for the Cost of War Toxic…”
Title VIII, Sec. 806 (Appropriation for fiscal year 2022) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2027)$450,000,000→ Department of Veterans Affairs (Medical Facilities account)
“…$450,000,000 for fiscal year 2027…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2026)$400,000,000→ Department of Veterans Affairs (Medical Facilities account)
“…$400,000,000 for fiscal year 2026…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2025)$200,000,000→ Department of Veterans Affairs (Medical Facilities account)
“…$200,000,000 for fiscal year 2025…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2024)$100,000,000→ Department of Veterans Affairs (Medical Facilities account)
“…$100,000,000 for fiscal year 2024…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years)
These same line-items appear in the full cited ledger lower on this page, where each one also carries the fiscal year the text gives it, when it gives one.
- Authorizations (a ceiling on future spending) · 1 tracked item$998.1M
- Set-asides (already counted above) · 18 tracked items$746.8M
None of these are added to the map. They are ceilings, borrowing limits, carve-outs of dollars already counted inside a block above, or pay-fors — summing them into the map would count the same money twice and draw permission to spend as spending. Each is itemized further down this page.
| Category | Tracked dollars | Share of $6,932,000,000 | Line-items |
|---|---|---|---|
| veterans | $6,932,000,000 | 100% | 11 |
| Tracked total | $6,932,000,000 | 100% | 11 |
What’s in this bill
every mechanism we could extract, at one scaleA law can move money four different ways, and only one of them is cash. This compares what S. 3373 actually spends against what it authorizes, caps, guarantees or pays for. Every bar is a sample. Each one sums the tracked line-items in that mechanism — the largest figures that appear in the text as an exact dollar string — so a bar is a floor, not a mechanism total, and on some laws it is a small fraction of one. Each bar carries its item count and, where the items carry years, the span it covers and where those years came from.
These bars are not added together. Only the top bar is money leaving the Treasury. The rest are ceilings, borrowing limits, carve-outs of money already counted above, or pay-fors — summing them would count the same dollars twice and treat permission to spend as spending. How this was built says what each extraction left out.
What CBO says it does to the deficit
verified estimate, quoted with its basisCBO put its deficit increase at $797 billion over 2022–2032 (mandatory outlays, per CBO's compilation of laws enacted in the second session of the 117th Congress; the law deliberately reclassified toxic-exposure care from discretionary to mandatory spending.) Source: CBO, Legislation Enacted in the Second Session of the 117th Congress · CBO, Estimated Budgetary Effects of H.R. 3967 (PACT Act)
This same estimate sits beside each member’s recorded vote on their page and feeds the grade’s fiscal-conduct block — see the methodology.
The terms on this page, in plain English
What these things actually are — and what this bill does to each of them. Written for readers, not staffers; every figure in the “in this bill” lines appears elsewhere on this page.
Authorization (“authorized to be appropriated”)
Permission, not money. “There is authorized to be appropriated $X” sets a ceiling on what a future spending bill may provide — and if that later bill never passes, not a dollar moves. Much of a landmark law's famous headline number is this kind of permission, which is why this site never adds it to the spending total.
Mandatory vs. discretionary spending
Discretionary money must be re-approved every year in appropriations bills — if Congress does nothing, it stops. Mandatory (also called direct) spending is written into permanent law and flows automatically until Congress changes the law itself. Benefit programs mostly work the mandatory way, which is why they don't show up in the yearly funding fights.
Set-aside (carve-out)
A floor inside money already counted: “of the amounts above, at least $X shall go to Y.” It steers the money rather than adding to it — counting a carve-out again would double-count — so it is disclosed beside the total, never summed into it.
Cost of War Toxic Exposures Fund
A dedicated account for veterans' toxic-exposure health care and benefits, created by the PACT Act. It is funded as mandatory money precisely so this care never has to compete with the rest of the VA budget in each year's funding fight.
In this bill: This is the PACT Act — the law that created the fund.
What it should actually be called
“The Does What It Says on the Tin: Veterans' Care Act”
Light-hearted, but earned — every word of it is accounted for in the figures and terms above.
When the money is for
fiscal years the tracked line-items carry10 of 11 tracked line-items carry a fiscal year — 8 named in the quoted text, 2 taken from the account heading the line is cited to, which is a hand-written annotation rather than a string-checked quote — 86% of the tracked dollars. The no year column is money the text appropriates without naming a year in the quoted passage; it is shown so the dated columns aren’t mistaken for the whole schedule.
How they voted
| For | Against | Abstained | Did not vote | Total | |
|---|---|---|---|---|---|
| House | 219 77% | 65 23% | — | — | 284 |
| Democrats | 140 100% | — | — | — | 140 |
| Republicans | 79 55% | 65 45% | — | — | 144 |
| Senate | 76 87% | 9 10% | — | 2 2% | 87 |
| Democrats | 42 98% | — | — | 1 2% | 43 |
| Republicans | 32 76% | 9 21% | — | 1 2% | 42 |
| Independents | 2 100% | — | — | — | 2 |
“Did not vote” is not the same as “absent.” The record distinguishes Present — there, and formally declining to take a side — from Not Voting, where no vote was cast. That is usually absence, but the roll call does not say so, so this table does not either.
Did not vote (2): Jeff Merkley (D-OR), John Cornyn (R-TX).
A member is recorded as not voting for many ordinary reasons — illness, a death in the family, official travel, or a paired vote arranged with a colleague on the other side. The roll call gives no reason, so neither does this page, and nothing here is counted against anyone’s grade. This site tracks a small number of major bills, so a single absence is a large share of what is shown here and a very small share of the hundreds of votes a member actually casts.
These tallies count the 371 members sitting today who have a recorded position, not the historical result. Several of these bills passed in earlier Congresses, and members who have since left are not in the roster — so the totals here are smaller than the 435 + 100 that voted at the time. Where both chambers held a recorded vote, a member is grouped by the chamber they sit in now; anyone who has switched chambers since then appears in their current row.
Authorizations (a ceiling on future spending) — $998.1M
“There are authorized to be appropriated $X” sets a CAP on what a future appropriations bill may provide — it is permission, not money. Much of a landmark law’s headline figure is this. It is disclosed here, never summed into the pie, because the cash only exists if a later bill actually appropriates it.
- Authorization of appropriations for the 31 major medical facility leases (ceiling on future appropriations)$998.1M
Set-asides (already counted above) — $746.8M
A carve-out or reservation WITHIN a larger line-item already in the pie (e.g. a share of a fund reserved for a specific use). Shown for detail but NOT summed in — its dollars are part of the parent, and counting both would double-count.
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$75.1MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$63.1MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$61.5MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$61.0MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$58.0MFY2023, from the account heading
- Authorization of a major medical facility lease (community living center) in FY2023$51.7MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$48.3MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$43.0MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$40.0MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$36.5MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$36.1MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$32.8MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$31.8MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$30.9MFY2023, from the account heading
- Authorization of a major medical facility lease (outpatient clinic) in FY2023$29.5MFY2023, from the account heading
- Authorization of a major medical facility lease (facility for the Veterans Health Administration) in FY2023$27.1MFY2023, from the account heading
- Authorization of a major medical facility lease (facility for research) in FY2023$11.1MFY2023, from the account heading
- Authorization of a major medical facility lease (residential treatment facility) in FY2023$9.1MFY2023, from the account heading
Every tracked dollar, cited
11 spending line-items · 10 carry a fiscal yearveterans$6.9B · 100%
- Mandatory appropriation to the Medical Facilities account for the 31 FY2023 major medical facility leases$1,880,000,000FY2023, from the account heading→ Department of Veterans Affairs (Medical Facilities account)
“…not otherwise appropriated, $1,880,000,000 for an additional amount for the Medical…”
Title VII, Sec. 707(a) (Appropriation of amounts for major medical facility leases; FY2023) - Mandatory appropriation to enter into enhanced-use leases of VA property (FY2022)$922,000,000→ Department of Veterans Affairs
“…not otherwise appropriated, $922,000,000 for an additional amount for…”
Title VII, Sec. 705(e) (Modifications to enhanced-use lease authority) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2031)$650,000,000FY2031→ Department of Veterans Affairs (Medical Facilities account)
“…$650,000,000 for fiscal year 2031…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2030)$620,000,000FY2030→ Department of Veterans Affairs (Medical Facilities account)
“…$620,000,000 for fiscal year 2030…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2029)$610,000,000FY2029→ Department of Veterans Affairs (Medical Facilities account)
“…$610,000,000 for fiscal year 2029…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2028)$600,000,000FY2028→ Department of Veterans Affairs (Medical Facilities account)
“…$600,000,000 for fiscal year 2028…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Initial mandatory appropriation seeding the Cost of War Toxic Exposures Fund (FY2022)$500,000,000FY2022, from the account heading→ Cost of War Toxic Exposures Fund
“…not otherwise appropriated, $500,000,000 for the Cost of War Toxic…”
Title VIII, Sec. 806 (Appropriation for fiscal year 2022) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2027)$450,000,000FY2027→ Department of Veterans Affairs (Medical Facilities account)
“…$450,000,000 for fiscal year 2027…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2026)$400,000,000FY2026→ Department of Veterans Affairs (Medical Facilities account)
“…$400,000,000 for fiscal year 2026…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2025)$200,000,000FY2025→ Department of Veterans Affairs (Medical Facilities account)
“…$200,000,000 for fiscal year 2025…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years) - Mandatory appropriation to the Medical Facilities account for major medical facility leases (FY2024)$100,000,000FY2024→ Department of Veterans Affairs (Medical Facilities account)
“…$100,000,000 for fiscal year 2024…”
Title VII, Sec. 707(b) (Appropriation of amounts for major medical facility leases; additional years)
How this was built
XML itertext parse of the GovInfo enrolled bill (each dollar mapped to its enclosing title/section); place-specific leases and mandatory appropriations taken verbatim from the text. Big-ticket direct-spending totals taken from the CBO cost estimate table of the enacted Senate-amended version (billions, $0.1B precision), verified as table-cell substrings after whitespace normalization. 30 of 30 sampled figures were re-located as exact strings in the source text. Source: mixed. Full bill text.
Extraction notes (technical)
S. 3373 is an AUTHORIZING law (bill-type 'olc'), not an appropriations act, so it contains ZERO discretionary 'appropriation'-mechanism line items -> appropriated_total = 0. Its money takes two verbatim, bill-text forms. (1) DIRECT (mandatory) appropriations written into the text with 'there is appropriated ... out of any funds in the Treasury not otherwise appropriated': the $500M Toxic Exposures Fund seed (Sec 806), $922M enhanced-use leases (Sec 705e), $1.88B FY2023 lease appropriation (Sec 707a), and the FY2024-2031 ramp $100M->$650M (Sec 707b) totalling $6.932B. CBO classifies all of these as DIRECT SPENDING (mandatory), not discretionary appropriations, so they are tagged direct_spending and are the pie. (2) AUTHORIZATIONS: the Sec 702(c) $998,137,000 authorization of appropriations for the 31 major medical facility leases (tagged authorization, disclosed not spent). The 31 individual Sec 702(a) lease estimated-amounts sum EXACTLY to that $998,137,000, so the 18 largest shown here are tagged set_aside (a subset of the $998,137,000 parent, disclosed for detail, NEVER summed again) to prevent double-counting. (3) The bill's DOMINANT fiscal impact does NOT appear as a '$X for Y' line in the operative text: expanded health-care eligibility plus toxic-exposure presumptions. Per the nonpartisan CBO cost estimate of the enacted (Senate-amended) version (June 6, 2022; CBO publication 58177; hr3967_senate_version.pdf), this is $667.0B of direct-spending OUTLAYS over 2022-2031, of which $390.3B is current-law VA discretionary health spending merely RECLASSIFIED as mandatory via the Toxic Exposures Fund (a budget reclassification, not net-new money, and a SUBSET of the $667.0B). Following the project convention used for the IRA and H.R. 3746 (whose CBO headline figures are described in the notes, not added as line-items), these two CBO aggregate figures are DESCRIBED here but are NOT itemized as line_items: the $667.0B total ENCOMPASSES the bill-text mandatory appropriations above and the $390.3B is a subset of it, so adding either as a direct_spending line-item would have double-counted and inflated the pie ~100x (to ~$1.06T). CBO source canonical https://www.cbo.gov/publication/58177 (cbo.gov blocks automated fetch, HTTP 403; the PDF is reachable via the keyless Wayback archive and the $667.0B / $390.3B cells were confirmed as exact substrings). All 30 line_items below are exact substrings of the GovInfo enrolled XML (verification: 30/30).
How this lands in a state
three layers, in order: reported, read, shownPick a state and this section gives you three different things, and keeps them apart. First, what the government itself reports — obligations Treasury tags to this law, where such a tag exists. Second, an AI assessment written from this page’s verified record and that state’s published statistics, and checked against both before it was published here. Third, the state’s own numbers — the same rows the assessment was given, with their sources and vintages, so you can check the reading against the record it came from. Every state is treated identically.
1. What the government reports
no official per-state breakdown exists for this lawNo official source breaks S. 3373 down by state, so this page publishes no per-state dollar figure for it. No Disaster Emergency Fund Code maps to this law, so no reported obligation can be traced to it. Treasury tags money to a public law through DEFC; without one there is no audit trail from an award back to this bill, and any per-state figure would be modelled rather than derived.
Two of the 31 laws tracked on this site can be broken down honestly — the Infrastructure Investment and Jobs Act and the American Rescue Plan Act — because Treasury tags their money with a Disaster Emergency Fund Code that maps to one public law and no other. Where no such code exists, a per-state figure would be modelled rather than derived, and this site does not publish modelled numbers.
The route we refuse to take, and why (technical)
USAspending's award SEARCH endpoints accept the same def_codes filter but select AWARDS, not DOLLARS: they return an award's entire obligation if any part of it touched the law's money. That route reported a single Sandia National Laboratories contract as $42.8B of IIJA money in New Mexico against a true DEFC-apportioned $64.5M, and overstated ARPA nationally by about 80%. It is not used here and must not be.
2. The assessment
AI-written, checked before publication — not the site’s voiceClaude (an AI model) read S. 3373’s verified line items and their quoted statutory text against each state’s published statistics, and reported how much of the law turns on anything measured there. Every reading was generated and checked before this page was published — against the same two records, by the same check the site applies — and one that failed the check was discarded rather than shown to anyone. It is not this site’s editorial voice. It is not a prediction and it is not advice. Every figure in it traces to the record below, and every provision it names carries statutory language quoted word for word. If it ever disagrees with a number on this page, the page is right. “Little connection” is a normal and expected answer.
Choose a state above to read it.
3. The state’s own numbers
the rows the assessment was givenChoose a state above to see the measured profile the assessment reads from — its industry mix, its concentrations, and its energy consumption, each with its source and vintage.
Ask about this bill
Ask a question and Claude (an AI model) answers it from this page’s verified record only — the line items, disclosures and CBO estimate shown above. Answers are AI-generated at your request, are not this site’s editorial voice, and will say so when the record doesn’t cover your question. If an answer ever disagrees with a number on the page, the page is right.