; and (2) recommendations for such action as the Secretary considers necessary to reduce the veteran-to-staff ratio for each such program. 249. Amounts made available for the Veterans Health Administration, Medical Community Care account in this or any other Act for fiscal years 2024 and 2025 may be used for expenses that would otherwise be payable from the Veterans Choice Fund established by section 802 of the Veterans Access, Choice, and Accountability Act, as amended ( 38 U.S.C. 1701 note). 250. Obligations and expenditures applicable to the Medical Services account in fiscal years 2017 through 2019 for aid to state homes (as authorized by section 1741 of title 38, United States Code) shall remain in the Medical Community Care account for such fiscal years. 251. Of the amounts made available for the Department of Veterans Affairs for fiscal year 2024, in this or any other Act, under the Veterans Health Administration—Medical Services , Veterans Health Administration—Medical Community Care , Veterans Health Administration—Medical Support and Compliance , and Veterans Health Administration—Medical Facilities accounts, $990,446,000 shall be made available for gender-specific care and programmatic efforts to deliver care for women veterans. 252. Of the unobligated balances available in fiscal year 2024 in the Recurring Expenses Transformational Fund established in section 243 of division J of Public Law 114–113 , and in addition to any funds otherwise made available for such purposes in this, prior, or subsequent fiscal years, $646,000,000 shall be available for constructing, altering, extending, and improving medical facilities of the Veterans Health Administration, including all supporting activities and required contingencies, during the period of availability of the Fund: Provided , That prior to obligation of any of the funds provided in this section, the Secretary of Veterans Affairs must provide a plan for the execution of the funds appropriated in this section to the Committees on Appropriations of both