Enrollment of Veterans in Priority Groups 5, 7, and 8 is based on income of the Veteran and the Veteran's spouse. For Veterans in these priority groups, the impact of VA recognizing a same-sex spouse and including spousal income will vary. For example, inclusion of a spouse's income may result in the Veteran being moved to a lower priority group (e.g. 5 to 8) and being required to pay copayments for care the Veteran receives.
Recognition of a same-sex spouse could also result in the Veteran being moved to a higher priority group, for example, if the spouse does not have income to report. The inclusion of spousal income would not result in a Veteran who is currently enrolled in VA health care being disenrolled. Information on income thresholds is available here .