; and (2) recommendations for such action as the Secretary considers necessary to reduce the veteran-to-staff ratio for each such program. 248. Amounts made available for the Veterans Health Administration, Medical Community Care account in this or any other Act for fiscal years 2025 and 2026 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). 249. 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. 250. 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, $1,323,444,000 shall be made available for gender-specific care and programmatic efforts to deliver care for women veterans. 251. Notwithstanding any other law, unless prevented by an order issued by a federal or state court, by no later than September 30, 2025, the Secretary shall commence construction of the Community Based Outpatient Clinic in Bakersfield, California authorized in section 1(a)(3) of Public Law 111–82 and in accordance with Lease No.36C10F20L0008 or successor lease. 252. Not later than 30 days after the end of each fiscal quarter, the Secretary of Veterans Affairs shall submit to the Committees on Appropriations of both Houses of Congress a quarterly report on the status of the Veterans Medical Care and Health Fund , established to execute section 8002 of the American Rescue Plan Act of 2021 ( Public Law 117–2 ): Provided, That, at a minimum, the report shall include an update on