This legislation requires the Department of Veterans Affairs (VA) to establish a comprehensive Prosthetic and Rehabilitative Items and Services Formulary . This formulary will standardize the provision of medical services, ensuring that all included items and services are readily available across all VA facilities. The Secretary must solicit input from veterans and the public during its development and rely on the best available evidence to identify necessary items for inclusion. The bill mandates that the VA publish and periodically update this formulary on its website, while also communicating its contents and appeal processes to veterans. It also requires the VA to establish a clear process for clinicians to prescribe and furnish medically necessary items and services not yet on the formulary. The VA will monitor these exceptions to ensure consistent and appropriate provision and to determine if such items should be added to the formulary in the future, adapting formulary management approaches from pharmacy services.