Interesting, a week or so ago I posted a thread concerning VA Policy And Transgender Medical Services, no one posted. Per their lastest directive HRT, Speech, Therapy, Medical and Pre-Op and Post Op Medical care services are covered/provided. Plus the directive is specific as to how the patient is addressed, restrooms, etc.
SRS and Cosmetic/FFS is not authorized by the VA/VHA.
Epi is right about going to the TAVAUSA site, you will be able to find the latest info. Also, believe the Transgender Clinics are now part of Women's Services.