Positive Airway Pressure Devices and Accessories

The Department of Veterans Affairs awarded a Master IDIQ on June 3, 2019, for the procurement of brand name or equal Positive Airway Pressure devices and accessories (CPAP, BiPAP, VPAP) for in-home use by Veteran patients across the VA healthcare system, but the ordering period closed on June 2, 2021, and the vehicle is no longer accepting new orders.

The portfolio executed 552 task orders between July 2019 and September 2021, with peak ordering activity in 2020 (240 orders) and a sharp deceleration thereafter. The vehicle obligated $57.7 million of its $59.1 million combined potential value—98% utilization—indicating the contract has been substantially exhausted. Most recent task orders are dated September 2021, nearly five years ago, and many carry zero or near-zero obligated amounts against their ceiling values, suggesting wind-down activity only.

First Nation Group LLC dominates the supply base with 464 of 552 orders and $49.2 million in combined potential value—83% of all awards and 84% of financial activity on the vehicle. Medical Place Inc. holds 76 orders ($9.1 million), while Veterans Medical Supply Inc. and Congressional Medical Supply LLC account for minimal volume. This extreme concentration in a single prime severely constrains win opportunity for new entrants.

Ordering is concentrated within the VA's Veterans Integrated Service Network structure, with VISN 22, VISN 6, and VISN 9 collectively accounting for approximately one-quarter of all task orders. Roughly 80% of orders were unrestricted competitive, with Service-Disabled Veteran-Owned Small Business set-asides covering 18–20% of volume; only 2% were sole-source SDVOSB awards. Task-order values ranged widely, from under $12 thousand to over $474 thousand, typically for quarterly or semi-annual stock replenishment. Typical completion timeframes ran 30–90 days.

This vehicle is closed to new pursuits and substantially depleted. The original solicitation indicated intent to establish multiple-award contracts set aside for veteran-owned small businesses, but awarded orders show no such set-aside at the vehicle level, and the dominant supplier operates without restriction. No successor contract has been identified in the source material.

The Department of Veterans Affairs (VA) has awarded a Maste IDIQ for the procurement of brand name or equal Positive Airway Pressure (PAP) devices and accessories for in home use. The VA requires a continuous supply of brand name or equal Continuous Positive Airway Pressure (CPAP), Bi-Level Positive Airway Pressure (BiPAP), Variable Positive Airway Pressure (VPAP) devices and accessories to meet the needs of Veteran patients across the VA healthcare system.