The Department of Veterans Affairs spends billions of dollars annually on contracts for goods and services without proper oversight and management, according to a government watchdog.

The VA spent roughly $20 billion during fiscal 2015—over a quarter of the agency’s discretionary budget—to procure goods and services for veterans’ health care, and at least $46 billion over a three-year period, according to a new audit by the Government Accountability Office that faults the agency for managing contracts using “outdated and fragmented” policies.

The audit is the latest evidence of mismanagement at the federal agency, which has been widely scrutinized since the secret wait list controversy at government-run hospitals more than two years ago.

The VA spends billions each year on contracts for a wide range of goods and services that include construction, information technology, medical services, and medical supplies.

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