Offices of Physicians (Except Mental Health Specialists) Government Contracts

Solicitation FA448426D0012 for Holistic Health and Fitness Support published by DEPT OF DEFENSE. Contractors must submit responses conforming to the requirements in the official SAM.gov solicitation notice and associated attachments.

This requirement is for non-personal health care services contract to perform Occupational Health Medical Surveillance Exams and Laboratory Support Services in accordance with the Occupational Safety and Health Administration (OSHA) and other Department of Defense (DoD) regulations. The contractor(s) will be required to provide preplacement, baseline, periodic, fit for duty, exposure, respiratory medical clearance and exit exams as required by OSHA law and DoD regulation to Federal Employees of the CAARNG.

The Department of Veterans Affairs, Network Contracting Office (NCO) 22, located at 4811 Airport Plaza Drive, Long Beach, CA 90815 is issuing this Notice of Intent (NOI) to inform industry contractors of the Government s intent to execute a Sole Source Award under FAR Part 6.302-1 only one responsible source for a base plus 2 years, firm-fixed-price contract, to Loma Linda University Pathology Medical Group located at 11234 Anderson St. Room 2151 Loma Linda, CA 92354 . The nephrologists at Veterans Affairs Medical Center (VAMC) Loma Linda (LL) have requested to have a local nephropathologist interpret kidney biopsies to ensure rapid turnaround time as an increasing number of cases have been deemed unsatisfactory by the Joint Pathology Center (JPC). JPC requires an increased number of glomeruli present for adequacy evaluation compared to Loma Linda University Pathology Medical Group and has required rebiopsy of multiple patients which resulted in a delay in treatment. Some of the rebiopsies were also deemed inadequate in additional rebiopsies. Rapid turnaround time allows VAMC LL nephrologists to treat patients who are critically ill in a timelier fashion. Utilizing a reference laboratory with a reduced glomeruli adequacy requirement reduces the need for rebiopsy while maintaining a high level of quality due to multiple kidney pathology specialists performing evaluations. VAMC LL performs approximately 30 autopsies per year and when the clinical history indicates that the patient may have brain pathology, VAMC LL also requires a brain histology examination. VAMC LL currently has no staff neuropathologists, and need interpretation by a neuropathologist for brain examinations will be incorporated into the autopsy reports. The specimen can be transported same day for processing without incurring excessive transportation fees for shipping whole organs in formalin. It is imperative brains are shipped intact for proper grossing to be of diagnostic value which will delay cause of death determinations if excessive time for shipping, processing, and evaluation are seen. Neuropathologists are extremely specialized subsets and who can perform the grossing on site to eliminate the need for immediate sample transport. The Contractor shall furnish all labor, materials, supplies, tools, equipment, pick up and delivery to perform the professional component of brain examination and kidney biopsy testing. Turn around time will be 24 hours. Services performed shall conform to industry standards. Kidney biopsy interpretation will include the immunofluorescence and interpretation of the H&E slides evaluated, in order to arrive at a working clinical diagnosis. Brain examination will include dissecting the brain and interpreting the H&E and any other stains needed to evaluate the brain. A determination not to compete this proposed contract was made pursuant to the Federal Acquisition Regulation (FAR) Part 12 and FAR Part 6, specifically Part 6.302-1 only one responsible source The North American Industry Classification System (NAICS) for this requirement is, 621111 Offices of Physicians (except Mental Health Specialists). Product of Service Code for this requirement is Q999 Medical - Other. The Small Business Administration (SBA) size standard for this sector is 1,000 Employees. This notice of intent is neither a formal solicitation nor a request for competitive proposals. No solicitation document is available and telephone requests will not be honored. No award will be made on the basis of unsolicited quotations or offers received in response to this notice. Any response to this notice must show clear, compelling and convincing evidence that competition will be advantageous to the Government. The intent of this synopsis is for informational purposes only. Information received will normally be considered solely for the purpose of determining whether to conduct a competitive procurement. A determination by the Government not to compete this action based on this notice is solely within the discretion of the Government. All inquiries and concerns must be addressed in writing via e-mail to Joanne Woo at [email protected] with the following information referenced in the subject line, 36C26227Q0039 Kidney Biopsies Interpretation and Brain Autopsy. A determination by the Government not to compete this proposed procurement based on the responses to this notice is solely within the discretion of the Government. Information received will be considered solely for the purpose of determining whether to conduct a competitive procurement. All interested parties who are responsible, certified, and capable may identify their interest and may submit capability statement which shall be considered by the agency no later than 10:00 AM Pacific Time on October 16, 2026 to Joanne Woo at [email protected]. The interested parties bear full responsibility to ensure complete transmission and timely receipt. SDVOSB/VOSB respondents. If respondent is or SDVOSB or VOSB, respondent is encouraged to provide proof of Veteran Small Business Certification (sba.gov) certification. In addition, SDVOSB/VOSB Contractors are asked to acknowledge that they understand the limitations on sub-contracting pursuant to FAR 52.219-14, Limitations on Sub-Contracting, which will be included in the impending solicitation. Further SDVOSB/VOSB contractors are asked to respond that they are capable of providing the requested services keeping within the parameters of this clause. Please provide the information below: Company Name: SAM UEI Number: Address: Point of Contact Name: Phone No: Email: Business size information Select all that applies: o Small Business o Emerging Small Business o Small Disadvantaged Business o Certified under Section 8(a) of the Small Business Act o HubZone o Woman Owned o Certified Service-Disabled Veteran Owned Small Business (registered in VetBiz.gov) o Veteran Owned Small Business (registered in VetBiz.gov) FSS/ GSA Contract Holder Yes No FSS/ GSA Contract Number Effective Date / Expiration Date NASA SEWP Contract Holder Yes No NASA SEWP Contract Number Effective Date / Expiration Date

Presolicitation Notice Presolicitation Notice Page 4 of 4 Presolicitation Notice *=Required Field Presolicitation Notice Page 1 of 4 The Department of Veterans Affairs, VISN 08, Orlando VA Healthcare System (OVAHCS), 13800 Veteran s Way, Orlando, FL 32827, intends to solicit an unrestricted full and open competitive Request for Proposals (RFP), to provide services necessary to perform two (2) Full Time Employee Equivalent (FTEE) on-site Board-Certified/Board-Eligible Diagnostic Radiology Physician Services (body imaging, Muscoskeletal (MSK) or Neuroradiology qualified) to eligible beneficiaries of the OVAHCS. The VA Radiology Services follow the standards & guidelines set forth by American College of Radiology (ACR). A contractor providing Diagnostic Radiology Physician Services shall provide services that meet or exceed the American College of Radiology Guidelines https://www.acr.org/-/media/ACR/Files/Practice-Parameters/IRClin-Prac-Mgmt.pdf.pdf. Two (2) Diagnostic Radiologists of differing subspecialties (one (1) Neuro and one (1) MSK; (1) Neuro and one (1) body; or one (1) MSK and one (1) body) are required to be onsite Monday Friday from 8:00am 4:30pm (30-minute lunch) excluding Federal Holidays (full-time basis). No off-hours coverage, on-call duties, or overtime are required. Each Diagnostic Radiologists must produce 9000 work Relative Value Units (wRVUs)/year (4.3 wRVUs/hour; 34.6 wRVUs/day). Qualified substitute personnel with credentials including board-certification/board-eligibility, comparable to designated key personnel must be fully credentialed and privileged and readily available to provide services in the event key personnel are unavailable. Given the importance of continuity of care to the Facility s medical services, the Contractor must maintain a contingency plan to ensure uninterrupted services if a physician departs employment or becomes unable to perform services and provide coverage. Contractor physicians must possess a minimum of three (3) years of continuous Board-Certified/Board-Eligible Diagnostic Radiologist experience within the last four (4) years, including demonstrated proficiency in interpreting Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Ultrasound, and Diagnostic X-ray imaging. QUALIFICATIONS: License: The Contractor s physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed onsite on VA property. All licenses held by the key personnel working on this contract shall be full and unrestricted licenses. Contractor s physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract. Board Certification: All contractor s physician(s) shall be Board-Certified /Board-Eligible per the American Board of Radiology (http://www.theabr.org/). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive 1100.21 referenced above. The Contractor is responsible for ensuring that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor s physician(s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director. The period of performance is expected to be from February 1, 2027, through January 31, 2032. The authority of for this procurement is Title 38 USC 8153, Health Care Resources (HCR) Sharing Authority, Revolutionary Federal Acquisition Regulation (FAR) Overhaul (RFO) Part 12 Acquisition of Commercial Products and Commercial Services, and RFO 15, Contracting by Negotiation. The solicitation document will be issued as Request for Proposals (RFP) 36C24827R0006 as an unrestricted open and competitive solicitation on or about November 2, 2026. Interested contractors will be responsible for downloading copies of the solicitation and any subsequent amendments from this website. No hard copies will be made available. The solicitation will provide instructions to contractors about the response to the RFP submission process. Prospective contractors are encouraged to register their interest in the solicitation on the SAM.gov | Contract Opportunities website so that they are notified of the issuance of the solicitation and any amendments. In accordance with RFO 52.204-7, System for Award Management (SAM), prospective contractors must be registered in SAM to be eligible for award. Contractors may obtain SAM information at https://sam.gov/. Registration is free and potential offerors are encouraged to visit the SAM website (SAM.gov | Entity Information). The NAICS Code for this procurement is 621111 Offices of Physicians (except Mental Health Specialists); Product/Service Code: Q522 Medical-Radiology. The Business Size Standard is $16 million. Any questions concerning this announcement should be directed to Jayne Messer, Contracting Officer, via electronic mail (email) at [email protected] and include the solicitation number on subject line (i.e., RFP 36C24827R0006).

The Department of Veterans Affairs (VA) is issuing the attached Draft Request for Proposals (RFP) for MDE- NG for industry and stakeholder review and feedback. Purpose of the Draft RFP The purpose of releasing this Draft RFP is to provide industry and other interested stakeholders an opportunity to review the Government’s contemplated acquisition approach and solicitation requirements prior to issuance of the final solicitation anticipated for release in November 2026. The Government is seeking constructive feedback to help identify areas that may require clarification, present potential barriers, create performance risk, or otherwise benefit from refinement. The Government encourages respondents to provide specific, actionable feedback regarding the Draft RFP, including the clarity and completeness of the requirements, feasibility of the proposed approach, solicitation terms and conditions, proposal instructions, evaluation methodology, and other matters that respondents believe the Government should consider before finalizing the solicitation. Submission of Feedback All feedback must be submitted using the feedback template, identified as "MDE-NG - DRAFT RFP FEEDBACK, provided with this notice. Respondents should clearly identify the applicable Draft RFP section, page number, paragraph, or other reference associated with each comment or recommendation and provide sufficient rationale to support the proposed change or consideration. Completed feedback templates must be submitted through SAM.gov no later than 4:00 p.m. Eastern Time (ET) on October 26, 2026. Respondents are requested not to submit feedback through other channels unless specifically directed by the Contracting Officer. The Government may consider feedback received in developing the final solicitation but is under no obligation to incorporate any recommendation or proposed change. Important Notice This Draft RFP is issued for planning and feedback purposes only and does not constitute a solicitation, request for proposals, invitation for bids, or request for quotations. The Government is not requesting proposals in response to this notice and will not accept unsolicited proposals based on the Draft RFP. Responses to this notice are voluntary and shall not be construed as a commitment by the Government to enter into a contract or other agreement. The Government will not reimburse respondents for any costs incurred in reviewing the Draft RFP, preparing feedback, or otherwise responding to this notice. The Government reserves the right to use information received in response to this notice to refine the acquisition strategy, requirements, solicitation, or related acquisition documentation. The Government may elect to address industry and stakeholder feedback through revisions to the final solicitation, amendments or updates to this notice, responses to frequently asked questions, or other means, as appropriate. The Government may not provide individual responses to each comment received. Interested parties are encouraged to monitor SAM.gov for subsequent notices, updates, and the issuance of the final solicitation, if issued.

1. PURPOSE: This amendment is being issued to reference an additional industry NAICS code that is closely associated with the specific communities of interest (COI), as a means of overcoming a functional limitation of SAM.gov, and maximize the reach of this announcement. All other information remains unchanged by this amendment.