The VA MISSION Act of 2018, enacted as Public Law 115-182 and signed by President Donald Trump on June 6, 2018, is a federal law that expands private healthcare options for veterans by establishing the permanent Veterans Community Care Program (VCCP). It consolidates and improves prior VA community care initiatives, including the Veterans Choice Program, to provide hospital care, medical services, and extended care services through eligible non-VA providers when VA facilities cannot ensure timely access, care continuity, or meet clinical standards. The VCCP's expanded eligibility criteria took effect on June 6, 2019, resulting in increased veteran utilization of private care options, virtual clinical resource hubs, and billions in additional federal spending. Key provisions include: expanding the family caregiver assistance program to pre-9/11 era veterans with stipends, counseling, training, and respite care; creating the Asset and Infrastructure Review Commission to recommend VA facility closures, realignments, or modernizations; enhancing recruitment and retention of VA health care professionals through loan repayments, scholarships, and education programs; requiring quarterly public reporting on VA personnel encumbrances and performance metrics; authorizing major VA medical facility projects and leases; implementing IT systems for seamless community care referrals; establishing pilot programs for medical scribes, mobile deployment teams, and graduate medical education in underserved areas; and prohibiting rehiring of previously removed VA providers while setting standards for community provider quality and prompt payments.