VHA Under Secretary for Health

The Department of Veterans Affairs Veterans Health Administration Under Secretary for Health is a civilian sub-agency within the Department of Veterans Affairs that administers federal grant funding for veteran health and social services programs, including housing, employment, mental health, and community reintegration initiatives. The Under Secretary for Health sets policy and funding priorities for the Veterans Health Administration's grant portfolio across the VA system and affiliated veteran-serving organizations.

The agency has distributed $74.47 billion in federal grant dollars across 7,008 awards since 2009, with annual award volume of 923 in 2021, 819 in 2022, 822 in 2023, 361 in 2024, and 426 in 2025. The most recent grant award closed on October 1, 2025. The combined federal and non-federal obligated total reaches $75.59 billion across 988 distinct grant recipients.

Grant recipient concentration is highly fragmented. The top five recipients by award count — United States Veterans Initiative (32 awards, $96.4 million), Veterans Leadership Program Of Western Pennsylvania Inc. (20 awards, $31 million), Veterans Inc. (19 awards, $34.2 million), Nation's Finest (18 awards, $112.6 million), and The Salvation Army (18 awards, $58.9 million) — account for only 4 percent of recent awards. By federal dollars, the top five are Vincentian Cares, Inc. ($133.4 million across 12 awards), Nation's Finest ($112.6 million across 18 awards), United States Veterans Initiative ($96.4 million across 32 awards), The Salvation Army ($58.9 million across 18 awards), and Volunteers Of America Of LOS Angeles ($56.5 million across 11 awards), representing just 1 percent of total federal dollars obligated. The remaining 983 recipients are dispersed across the portfolio.

The grant assistance-type mix is heavily skewed toward Project Grants, which account for 6,754 awards (96 percent), with Formula Grants comprising the remaining 254 awards (4 percent). This structure reflects the agency's reliance on competitive, project-specific funding mechanisms to support diverse veteran-serving initiatives rather than standardized allocation formulas.

No recent contract opportunities or grant opportunities are recorded against the agency in the source data.