This bill requires the Department of Veterans Affairs to submit detailed quarterly reports to Congress about abortion services provided through the VA system. The first report must be submitted within 30 days of the bill's enactment, with subsequent reports due every quarter thereafter. Each report must include information about the total number of abortions performed, broken down by factors such as whether they occurred at VA medical centers or outside providers, the method used, whether the patient was a veteran or dependent, gestational age, and the specific legal exception under which the procedure was authorized. The reports must also detail all spending related to abortion services, including costs for staff training, facility improvements, and which budget accounts fund these procedures, though all patient-identifying information must be excluded. The legislation affects VA medical facilities nationwide and applies to both veteran patients and their dependents who receive abortion services through the VA system.