A28 RFP 15DDHQ25R00000026 Amendment 0003.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

1 2

5. PROJECT NO. (If applicable)2. AMENDMENT/MODIFICATION NO.

Amendment 0003

3. EFFECTIVE DATE:

08/19/2025

4. REQUISITION/PURCHASE REQ.

NO.

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6)

CODE

DEA HQ

Office of Acquisition

8701 Morrissette Drive, Springfield, VA 22152

(X) 9A. AMENDMENT OF SOLICITATION NO.8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, state and ZIP Code)

Prospective Offeror(s)

CODE FACILITY CODE

15DDHQ25R00000026

9B. DATED (SEE ITEM 11)

07/07/2025

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 11)

11. THIS ITEM ONLY APPLIES TO AMENDENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Y. Davis Contracting Officer

15B. CONTRACTOR/OFFEROR 15C.DATE SIGNED 16B. UNITED STATES OF AMERICA 16C.DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

13.

X

N/A

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

See Continuation Page 1-2

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

x 1

8/19/2025 x

The purpose of amendment 0003 is to:

1) Revise Section B – Schedule of Supplies or Services;

2) Revise the Performance Work Statement (PWS) section 1.0 "Background";

3) Revise the PWS section 2.1 "Objectives - Medical Surveillance Exams";

4) Revise the PWS section 2.2 "Objectives - Psychiatric, Psychological and Suitability Assessments";

5) Revise the PWS section 2.3 "Partial Assessment";

6) Revise the PWS section 2.4 "Objectives - Adhoc and Fitness for Duty Examinations;

7) Revise the PWS section 3.1 "Medical Resources";

8) Revise the PWS section 3.2 "Psychiatric and Psychological Resources";

9) Revise the PWS section 3.3 "Central Administration and Records";

10) Revise the PWS section 4.1 "General Examinations Process";

11) Revise the PWS section 4.3 "Pre-Placement Medical Clearance Exam Process";

12) Revise the PWS section 4.4 “Pre-Placement/Baseline Exam Components”;

13) Revise the PWS section 4.5 “Periodic Medical Examination (PME) – Incumbent Process”;

14) Revise the PWS section 4.6 “Periodic Medical Examination Components”;

15) Revise the PWS section 4.7 “Psychiatric, Psychological and Suitability Process”;

16) Revise the PWS section 4.9 “Ad Hoc Medical Exam or Fitness for Duty Process”;

17) Revise the PWS section 4.10 “Ad Hoc Medical Exam or Fitness for Duty Components”;

18) Revise the PWS section 4.12 “Overseas Travel Examinations and Immunizations”;

19) Revise the PWS section 4.13 “Hepatitis B Immunizations;

20) Revise the PWS section 6.0 “Place of Performance – Exams”;

21) Revise the PWS section 7.0 “Schedule of Deliverables – Exams”;

22) Revise the PWS section 10.2 “Command, Control, Communications, and Coordination”;

23) Revise the PWS section 11.0 “Quality Control Plan”;

24) Revise the PWS section 12.0 “Key Personnel Positions”;

25) Revise the Request for Proposal (RFP) section F3 “Deliverables”;

26) Revise the RFP section I “Contract Clauses”,52.219-6, Notice of Total Small business Set-Aside (NOV 2020);

27) Revise the RFP section L.10 “Proposal Submission – Date, Time & Location”;

28) Revise the RFP section M.1 “Evaluation of Proposals”;

Changes are indicated by a vertical line in the right margin. Potential offerors shall make a complete page substitution(s).

The due Date for proposals is 09/02/2025, Time 10:00am EDT, via email at:

FACN.Proposal.Submission@dea.gov.

15DDHQ25R00000026 Page 2

Base Period

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

0010 Litigation Support - NTE: $1,000

Time and Materials

Base Period

1,000 LT $1.00 $________$________$1,000.00

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

0011 TRAVEL - NTE: $1,000

Time and Materials Base

Period

1,000 LT

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

0012 Other Direct Costs (ODC) - NTE:$30,000

Time and Materials

Base Period

1 LT $30,000.00 $________$________$_30,000.00

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1001 Program Manager

Labor Hours

Unexercised Option

1,920 HR $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1002 Applicant Exams

Firm Fixed Price

Unexercised Option

1,000 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1003 Incumbent Exams

Firm Fixed Price

Unexercised Option

1,500 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1004 State Department Exams

Firm Fixed Price

Unexercised Option

225 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1005 Travel Immunizations to include Material, Equipment, etc.

Firm Fixed Price

Unexercised Option

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1006 Influenza vaccinations to include Material, Equipment, etc.

Firm Fixed Price

Unexercised Option

50 EA $________ $_________________

$1.00 $________$________$1,000.00

15DDHQ25R00000026 Page 3

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1007 Missed Exam Fee

Firm Fixed Price

Unexercised Option

300 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1008 Psychological & Suitability Assessments

Firm Fixed Price

Unexercised Option

250 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1009 Partial Assessment

Firm Fixed Price

Unexercised Option

175 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

1010 Litigation Support - NTE: $1,000

Time and Materials

Unexercised Option

1,000 LT

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

1011 TRAVEL - NTE: $1,000

Time and Materials

Unexercised Option

1,000 LT

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

1012 Other Direct Costs (ODC) - NTE:$30,750

Time and Materials

Unexercised Option

1 LT $30,750.00 $________$________$_30,750.00

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2001 Program Manager

Labor Hours

Unexercised Option

1,920 HR $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2002 Applicant Exams

Firm Fixed Price

Unexercised Option

1,000 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2003 Incumbent Exams

Firm Fixed Price

Unexercised Option

1,500 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2004 State Department Exams

Firm Fixed Price

Unexercised Option

225 EA

15DDHQ25R00000026 Page 4

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2005 Travel Immunizations to include Material, Equipment, etc.

Firm Fixed Price

Unexercised Option

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2006 Influenza vaccinations to include Material, Equipment, etc.

Firm Fixed Price

Unexercised Option

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2007 Missed Exam Fee

Firm Fixed Price

Unexercised Option

300 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2008 Psychological & Suitability Assessments

Firm Fixed Price

Unexercised Option

250 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2009 Partial Assessment

Firm Fixed Price

Unexercised Option

175 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

2010 Litigation Support - NTE: $1,000

Time and Materials

Unexercised Option

1,000 LT $1.00 $________$________$_1,000.00

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

2011 TRAVEL - NTE: $1,000

Time and Materials

Unexercised Option

1,000 LT $_1.00 $________$________$1,000.00

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

2012 Other Direct Costs (ODC) - NTE: $31,518.75

Time and Materials

Unexercised Option

1 LT $31,518.75 $________$________$_31,518.75

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3001 Program Manager

Labor Hours

1,920 HR $________ $_________________

15DDHQ25R00000026 Page 5

Unexercised Option

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3002 Applicant Exams

Firm Fixed Price

Unexercised Option

1,000 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3003 Incumbent Exams

Firm Fixed Price

Unexercised Option

1,500 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3004 State Department Exams

Firm Fixed Price

Unexercised Option

225 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3005 Travel Immunizations to include Material, Equipment, etc.

Firm Fixed Price

Unexercised Option

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3006 Influenza vaccinations to include Material, Equipment, etc.

Firm Fixed Price

Unexercised Option

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3007 Missed Exam Fee

Firm Fixed Price

Unexercised Option

300 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3008 Psychological & Suitability Assessments

Firm Fixed Price

Unexercised Option

250 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3009 Partial Assessment

Firm Fixed Price

Unexercised Option

175 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

3010 Litigation Support - NTE: $1,000

Time and Materials

Unexercised Option

1,000 LT $1.00 $________$________$1,000.00

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

3011 TRAVEL - NTE: $1,000

Time and Materials

Unexercised Option

1,000 LT

15DDHQ25R00000026 Page 6

$1.00 $________$________$_1,000.00

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

3012 Other Direct Costs (ODC) - NTE: $32,306.72

Time and Materials

Unexercised Option

1 LT $32,306.72 $________$________$_32,306.72

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4001 Program Manager

Labor Hours

Unexercised Option

1,920 HR $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4002 Applicant Exams

Firm Fixed Price

Unexercised Option

1,000 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4003 Incumbent Exams

Firm Fixed Price

Unexercised Option

1,500 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4004 State Department Exams

Firm Fixed Price

Unexercised Option

225 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4005 Travel Immunizations to include Material, Equipment, etc.

Firm Fixed Price

Unexercised Option

100 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4006 Influenza vaccinations to include Material, Equipment, etc.

Firm Fixed Price

Unexercised Option

50 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4007 Missed Exam Fee

Firm Fixed Price

Unexercised Option

300 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4008 Psychological & Suitability Assessments

Firm Fixed Price

Unexercised Option

250 EA $________ $_________________

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4009 Partial Assessment

Firm Fixed Price

Unexercised Option

175 EA

15DDHQ25R00000026 Page 7

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

4010 Litigation Support - NTE: $1,000

Time and Materials

Unexercised Option

1 LT $1.00 $________$________$_1,000.00

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

4011 TRAVEL - NTE: $1,000

Time and Materials

Unexercised Option

1 LT $_1.00 $________$________$_1,000.00

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL

COSTS

TRAVEL

COSTS

AMOUNT

4012 Other Direct Costs (ODC) - NTE: $33,114.39

Time and Materials

Unexercised Option

1 LT $33,114.39 ~ ~ $________$________$33,114.39

BASE YEAR TOTAL: $____________________

ALL OPTION YEAR(s) TOTAL: $____________________

TOTAL (BASE AND OPTIONS): $____________________

NOTE: As referenced in Section L of the solicitation, the Offeror shall propose a single rate per contract line item number (CLIN). The offeror shall include and provide a breakdown of ALL costs associated with contract performance – labor categories, wages (Base & fully-burdened rates), supply costs, overhead, general and administrative expenses (G&A) and profit for each CLIN (Firm Fixed Price, Time and Material, Labor Hour and Cost type requirements).

B.2 ITEMS TO BE ACQUIRED

The Contractor shall furnish the necessary services, materials, facilities and other items necessary for or incidental to the provision of the work described in the Performance Work Statement (PWS).

B.3 MAXIMUM VALUE AND MINIMUM GUARANTEE

The maximum value for this contract is the sum of Contract Line Items (CLIN) 0001 through 4009 for the Base Ordering Period and the remaining four (4) ordering periods. The guaranteed minimum under this contract is the amount of the first task order issued in the Base Period.

B.4 DELIVERY ORDERS

The Government will pay the fixed unit rate for supplies and services that are in effect on the effective date of the delivery/task order, even if the delivery/task order is later modified for any reason and/or performance under the delivery/task order crosses into another performance period or fiscal year.

[End of Section B]

RFP: 15DDHQ25R00000026 Section C

1.0 BACKGROUND

1.0.1 With more than 10,000 employees, The Drug Enforcement Administration (DEA) is charged with enforcing the controlled substances laws and regulations of the United States and bringing to the criminal and civil justice system of the United States, or any other competent jurisdiction, those organizations and principal members of organizations, involved in the growing, manufacture, or distribution of controlled substances appearing in or destined for illicit traffic in the United States; and to recommend and support non-enforcement programs aimed at reducing the availability of illicit controlled substances on the domestic and international markets.

1.0.2 Within DEA, specialized Federal Law Enforcement Officers and other Core series staff are hired and trained to perform vitally important activities such as investigating criminals and drug gangs that traffic in illegal drugs, regulating the manufacture and distribution of controlled pharmaceuticals (such as scheduled prescription drugs) and listed chemicals through DEA’s Diversion Control Division, providing and coordinating for DEA and other enforcement organizations the collection, analysis and dissemination of world class drug-related intelligence through DEA’s Intelligence Division, and analyzing evidence and providing science-based research that supports drug-related investigations and the U.S.

criminal justice system at-large through DEA’s Office of Forensic Sciences.

1.0.3 Since the duties of these positions are exacting and involve the responsibility for the safety of others under potentially dangerous and stressful conditions, all applicants and incumbents shall possess physical, emotional, and mental stability. Therefore, all applicants and incumbents shall meet the medical standards outlined in the DEA medical qualification standards approved by the Office of Personnel Management (OPM).

1.0.4 [Removed]

Section C RFP: 15DDHQ25R00000026

2.0 OBJECTIVES/SCOPE

DEA is seeking medical exams and evaluations of its identified applicants and employees (approximately 2,500 medical exams and 300 ad hoc/psych exams annually) in accordance with the specifications within this PWS.

2.1 OBJECTIVES – MEDICAL SURVEILLANCE EXAMS

2.1.1 The Drug Enforcement Administration (DEA) is seeking a medical contractor to provide medical surveillance services for identified applicant and incumbent employees (“incumbents”) across the United States, Guam, the Virgin Islands, and Puerto Rico. The Contractor shall be required to evaluate applicants to determine if they meet the DEA medical qualification standards. The Contractor shall also conduct mandatory periodic medical examinations of incumbents to determine if they continue to meet the DEA medical qualification standards and can safely carry out law enforcement duties.

2.1.2 The Contractor shall provide the necessary facilities, staff, materials and equipment to administer an all-inclusive medical examination program and comply with current policies and programs. The Contractor shall sub-contract medical specialists as needed. The Contractor shall work with DEA personnel to update forms and reports as needed to reflect changes in DEA medical policies. The Contractor shall provide Quality Assurance reviews of exams prior to transmitting exams to DEA for review and clearance determination. In the instance that the DEA Reviewing Medical Officer finds inadequate or Missing Exam Information (MEI), the Contractor shall complete the MEI and return the exam to DEA within specified time period as referenced in Section 7 at no additional cost.

2.2 OBJECTIVES – PSYCHIATRIC, PSYCHOLOGICAL AND SUITABILITY

ASSESSMENTS

2.2.1 The Drug Enforcement Administration (DEA) is seeking a medical contractor to provide an effective, repeatable process that is in place for both applicants and employees. DEA utilizes a provider of psychiatric and psychological assessments. For applicants, psychiatric and psychological assessments are ordered by DEA Section clinical personnel when medically indicated to identify candidates with the appropriate mental ability to pass law enforcement training programs, emotional stability to withstand the stress associated with positions in law enforcement and the maturity to work within the DEA. For employees, to ensure that an effective mechanism exists within the agency for utilization by DEA’s managers and supervisors to make a referral of an employee for a psychiatric/psychological assessment when that employee has engaged in behavior that may negatively affect the employee’s suitability to perform his/her duties reliably, safely or effectively. Employees may also be referred for psychiatric and psychological assessment based on behavior that raises concerns regarding judgment, stability, reliability, and trustworthiness as it relates to protection and proper handling of National Security Information (NSI).

2.2.2 The Contractor shall provide mental health assessments in support of the Drug Enforcement Administration (DEA) Pre-Employment Assessments, Fitness for Duty Examination, and to assess fitness for employees that have had their security clearances suspended. These services incorporate both psychological and psychiatric examinations that meet practice and ethical requirements for the assessment of law enforcement personnel. These practices address the essential issues regarding effective and reliable law enforcement performance and are proven to adhere to requirements stipulated by the Adjudicative Guidelines for 32CFR Part 147 (Adjudicative Guidelines for determining eligibility for Access to Classified Information), Americans with Disabilities Act (ADA)/ Americans with Disabilities Act Amendments Act of 2008 (ADAAA), Genetic Information Nondiscrimination Act of 2008 (GINA) and Equal Employment Opportunity Commission (EEOC) requirements. The procedures used in deriving recommendations shall be consistent with professional and legal standards (e.g. Standards of Educational and Psychological Testing; General Guidelines for providers of Psychological services; the Uniform Guidelines on Employee Selection; American Psychological Associated (APA) Ethical Standards for Interviewers.

2.3 PARTIAL ASSESSMENT

At the request of the Reviewing Medical Officer (RMO) or Chief Medical Officer (CMO), by way of the COR, the Contractor shall provide partial psychiatric and psychological assessments as a supplement to an ordered psychiatric and psychological assessment in the instance that new information comes to light following initial tests, examinations, or reports.

Partial services shall be requested only in connection with an initial assessment and to allow for a complete review and determination of fitness for duty.

2.4 OBJECTIVES – ADHOC AND FITNESS FOR DUTY

EXAMINATIONS

2.4.1 The Drug Enforcement Administration (DEA) is seeking a medical contractor to provide an effective, repeatable process that is in place for both applicants and employees to conduct ad hoc or Fitness for Duty assessments.

2.4.2 Employees may be directed to undergo a fitness for duty examination when an employee has engaged in violent, threatening, or other inappropriate behavior, whether stemming from subtle or sudden incapacitation, that may negatively affect the employee’s suitability to perform their duties reliably, safely, or effectively.

SECTION I – MEDICAL EXAMS

3.0 RESOURCE REQUIREMENTS

The Contractor is responsible for all tasks and resource requirements in accordance with this section of the PWS. The Contractor shall ensure all activities outlined above and throughout this PWS are completed and accounted for.

3.1 MEDICAL RESOURCES

3.1.1 The Contractor shall be required to evaluate applicants to determine if they meet the DEA medical qualification standards. The Contractor shall also conduct mandatory periodic medical examinations of incumbents to determine if they continue to meet the DEA medical qualification standards and can safely carry out law enforcement duties.

3.1.2 The Contractor shall provide the necessary facilities, staff, materials and equipment to effectively administer an all-inclusive medical surveillance examination program and comply with current and prospective policies and programs. The Contractor shall work with DEA personnel to revise forms and reports as DEA necessary to align with changes in DEA policies and industry trends. The Contractor shall provide Quality Assurance reviews of exams prior to transmitting exams to DEA for review and clearance determination. In the instance that the DEA Reviewing Medical Officer (RMO) finds Missing Exam Information (MEI), the Contractor shall reconcile the MEI and return the exam to DEA COR within the period specified in this PWS at no additional cost.

3.1.3 The Contractor shall ensure a fully operational organization comprising licensed/credentialed full-time and/or part-time staff, including physicians, nurse practitioner, registered nurse, or physician assistants, and other relevant qualified personnel, at all examination locations."

3.1.4 The Contractor shall perform all examination components within one visit, with the exception of lab

3.1.5 [Removed]

3.1.6 The Contractor shall ensure all facilities provide quality care and are knowledgeable and capable of accurately performing the full scope of the DEA medical examination. Facility personnel are expected to be qualified and proficient at performing the services requested in a timely and professional manner, in accordance with all applicable Occupational Safety and Health Administration (OSHA) requirements. The services shall be conducted in bona-fide medical facilities and are expected to have a sanitary environment within a in safe location.

3.1.7 The Contractor shall provide the ability for all medical exams to be scheduled via appointment on

A physician Doctor of Medicine (MD) Osteopathic of Medicine (DO) shall conduct the physical exam and sign the exam. Support personnel who conduct ancillary testing (such as an RN who performs vision testing) shall sign the portions of the documentation package that they have completed as indicated on the paperwork.

specimen collection, which can be performed at an off-site laboratory prior to the date of examination.

Facilities shall have access to providers in audiometric testing, spectrometry, vision testing, and be located within 100 miles of a DEA office, by zip code, located in Appendix A. If examination locations are outside the prescribed distance, the Contractor shall notify DEA HRU and be able to perform out of network examination services within ten (10) calendar days of agency notification.

future dates.

3.1.8 The Contractor shall have sufficient full-time medical staff to supervise and audit the providers and facilities and maintain a system for quality control. This staff shall include, at a minimum, physicians that are Board Certified in Internal medicine, Family Medicine, and/or Occupational Medicine, with the ability to exercise perceptive judgment with respect to agency medical standards.

3.1.9 The Contractor shall establish and detail a viable process to verify training on clinical assessments which correlate to the medical standards of the agency, as well as a method to assess the proficiency and adequacy of training to perform DEA medical evaluations.

3.2 PSYCHIATRIC AND PSYCHOLOGICAL RESOURCES

3.2.1 The psychiatric evaluation shall expose any factors that may be of risk to the welfare of the examinee and address his/her ability to perform duties on which the safety of the individual or others would rely. The contractor shall make an earnest attempt to obtain and review pertinent/related historical records (with consent from the examinee), obtain information from the managing mental health provider as needed, and shall conduct a detailed psychiatric interview to determine the nature, extent and cause of any potential emotional or psychopathic symptoms. Psychiatric and psychological assessment and resources services incorporate both psychological and psychiatric examinations that meet practice and ethical requirements for the assessment of law enforcement personnel.

3.2.2 The psychological portion shall assess cognitive functioning and emotional adjustment by a diagnosis-based approach that determines suitability/fitness for duty in a law enforcement position and/or fitness to hold a required security clearance. Relevant Agency medical standards and practice guidelines will be provided.

3.2.3 Due to the geographic dispersion of DEA applicants and staff, the Contractor shall have the capability to perform remote psychiatric and psychological assessments via compliant, high-resolution video recording, playing and scoring elements.

3.3 CENTRAL ADMINISTRATION AND RECORDS

3.3.1 The Contractor shall use technology and processes consistent with DEA’s Rules of Behavior to safeguard, transmit, and store DEA employee information related to this contract and consistent with the Privacy Act of 1974.

3.3.2 The Contractor shall maintain and store electronic copy applicant/incumbent examination/medical records and have appropriate security to safeguard these records for the life of the contract.

3.3.3 Within 60 calendar days of an option renewal and/or contract award, the contractor shall return all employee related files to the DEA to be retired. The contractor shall also provide a listing of employee files contained in each box. The electronic alphabetical listing shall include Name, SSN, and date of birth of each employee.

3.1.10 The Contractor shall audit providers to affirm the ability to exercise perceptive judgment with respect to agency medical standards and available medical facilities and are committed to ensuring high standards of quality and safety through stringent controls.

3.3.4 The Contractor shall have establish operating procedures that allow for secure and effective communication between the examination locations, the Contractor’s staff, and DEA personnel as designated by DEA’s Chief Medical Officer, Health Services Unit Chiefs or Section Chief, by way of the COR.

3.3.5 The Contractor shall provide a secure database to track exam status and medical clearance determinations.

3.3.6 The Contractor shall provide a secure electronic process to request medical exams.

3.3.7 Agency personnel shall have access to the Contractor’s tracking database as delineated by the DEA Health Services Unit Chiefs or Section Chief by way of the COR.

3.3.8 The Contractor shall not breach the confidential nature of the medical records generated under this contract. A breach typically involves unauthorized access, acquisition, use or disclosure of personal information and requires immediate notification to the DEA COR to determine appropriate next steps.

4.0 EXAMINATIONS

The Contractor shall be responsible for all tasks and examination requirements in accordance with this section of the PWS. The Contractor shall ensure all activities outlined above and throughout this PWS are completed and accounted for.

4.1 GENERAL EXAMINATIONS PROCESS

4.1.1 The Contractor shall have the ability to transmit information (examinations, lab results, assessments, etc.) to DEA using secure send and/or utilization of an Electronic Health Record (EHR) as available by DEA. In the event the system is unavailable, the contractor shall provide a secure sent platform. DEA reserves the right to specify the preferred method of receiving secure information if more than one option is available.

4.1.2 Examiners shall have access to and be familiar with DEA medical qualification standards.

Pertinent positives and negatives in the examinee's medical history and physical examination shall be documented with respect to the current, published medical standards.

In the event of periodic updates made to said standards, DEA will electronically provide the contractor with the latest version for prompt dissemination to its medical providers. The Contractor shall detail a plan to verify providers’ receipt and understanding of updated medical standards and/or Agency forms to ensure consistent exam quality.

4.1.3 All exams shall be completed by an examining provider licensed as a Doctor of Medicine (MD),

4.1.4 The Contractor shall schedule and track examinations and appointments via a secure database through which designated DEA personnel may verify examinations and appointments. The database shall have the ability, at a minimum, to track exam status, progression, and medical clearance status.

4.1.5 Any printed communication to incumbents or applicants containing Personally Identifiable Information (PII) (i.e., social security numbers, date of birth (DOB), etc.) shall be double packaged. Double packaged is defined as information sealed within an envelope and then placed in suitable mail carrier packaging.

Doctor of Osteopathic Medicine (DO), or Nurse Practitioner (NP) credentialed to perform occupational health examinations in the state in which they practice and have active certification as an Occupational Health Nurse Specialist (COHN-S) from the American Board of Occupational Health Nurses (ABOHN) is preferred.

4.1.6 Facilities shall perform all examination components within one visit with exception

4.1.7 The Contractor shall have a Quality Assurance (QA) process in place to ensure examination completeness prior to forwarding to DEA for review and clearance determination.

Incomplete examinations shall be returned to the clinic for completion and DEA HRU staff shall be notified of delay.

4.1.8 Network providers are actively licensed and duly credentialed in accordance with (IAW) Section (3.1.3 - 3.1.5) and are sufficient in number, capacity, and specialty to deliver medical exams and evaluations, considering approximately 2,500 exams annually, patient characteristics, medical needs including frequency of access within the prescribed geographic distance, i.e., 100 miles radius of domestic DEA offices.

4.1.9 Standard components of medical examinations which coincide with agency medical standards shall not be substituted for alternative testing (i.e., Cambridge color vision test shall not be substituted for Ishihara, etc.)

4.2 EXAMINATION REQUIREMENTS

The Contractor shall have the ability to complete applicant and incumbent examinations based on requirements specified by DEA. The examination components are listed below:

LEGEND: Y = YES, N = NO, MI = MEDICALLY INDICATED

RFP: 15DDHQ25R00000026 Section C of lab specimen collection which can be performed at an off-site laboratory prior to the date of the examination.

4.3 PRE-PLACEMENT MEDICAL CLEARANCE EXAM PROCESS

4.3.1 DEA will provide the Applicant Medical Examination Forms and documentation that provide the specifics of this process.

4.3.2 DEA will provide the Contractor with contact information of applicants that require pre-placement examinations.

4.3.3 The Contractor shall assign a facility within 100 miles of the closest DEA office, by zip code, see (Appendix A) within five (5) calendar days of exam request from DEA personnel. The Contractor shall ensure that initial exam appointments are available to the applicant within ten (10) calendar days of the exam request. If examination locations are outside the prescribed distance, the Contractor shall notify DEA COR and be able to perform out of network examination services for an applicant within ten (10) calendar days of agency notification.

4.3.4 The Contractor shall schedule and electronically transmit the pre-placement exam forms, instructions, appointment details and related information directly to the applicant within three (3) calendar days of examination request, and courtesy copy (cc) the DEA Applicant Exam Program Manager (PM).

4.3.5 The Contractor shall facilitate the applicant medical exam process and provide DEA-designated personnel with access to a secure database to track the examination progression.

Tracking information shall be updated no less frequently than one (1) business day.

4.3.6 The Contractor shall ensure that the exam undergoes quality assurance (QA) review for completeness. Incomplete exams will be returned to examining clinic for completion at the Contractor’s expense. The Contractor shall reschedule the applicant to complete missing items and return the updated exam within five (5) calendar days of the original date of examination completion.

4.4 PRE-PLACEMENT/BASELINE EXAM COMPONENTS

4.4.1 The Contractor shall have the ability to complete applicant examinations based on requirements specified by DEA. The examination components include but not limited to:

• Medical history review / interview

• Physical examination

• Blood pressure measurement

• Height / weight

• Vision (corrected and uncorrected, near and far visual acuity; color vision, peripheral vision- agents and chemists; depth perception)

• Audiogram (as directed by DEA)

• Resting electrocardiogram

• Spirometry (as directed by DEA)

• CBC

• Routine urinalysis

RFP: 15DDHQ25R00000026

Section C

• Blood chemistry -CMP

• QuantiFERON Gold Plus

• Lipid Profile

*If a positive tuberculosis (TB) test result is indicated, Contractor shall set applicant as a “further evaluation” required. The Contractor shall send the applicant a letter including the test results, and notify DEA of the delay. A chest x-ray may be necessary for positive QuantiFERON-TB Gold Plus tests.

*The applicant is responsible for obtaining a chest x-ray, at their own expense and providing it to DEA to obtain a medical clearance.

4.4.2 Specific exam components are subject to routine and regular update by DEA depending on interpretation of standards and program improvements. While this section is current at the time of offering, the Contractor shall update examination components upon notification by DEA. The Contractor shall submit the effective, itemized work order to DEA/COR for confirmation of accuracy prior to initiation of applicant examinations under this contract.

4.5 PERIODIC MEDICAL EXAMINATION (PME) – INCUMBENTS PROCESS

4.5.1 A PME is mandatory for agency identified incumbents. The Contractor shall assign a clinic within 100 miles of the incumbent’s DEA office, by zip code (Appendix A), within five (5) calendar days of exam request from DEA personnel. The Contractor shall ensure that initial exam appointments are available to the incumbent within ten (10) calendar days of the exam request. If examination locations are outside of the proscribed distance, the Contractor shall notify DEA HRU/COR and be able to perform out of network examination services within ten (10) calendar days of agency notification.

4.5.2 The Contractor shall facilitate the incumbent exam process.

4.5.3 [Removed]

4.5.4 The Contractor shall ensure that the exam undergoes quality assurance (QA) review for completeness. Incomplete exams will be returned to examining clinic for completion. The Contractor shall reschedule the applicant to complete missing items and return the updated exam within five (5) calendar days of the original date of examination completion.

4.6 PERIODIC MEDICAL EXAMINATION COMPONENTS

4.6.1 The Contractor shall have the ability to complete periodic medical examinations based on requirements specified by DEA. The examination components include but are not limited to:

• Review of medical history

• Performance of physical examination and review of test results

• Vision (corrected and uncorrected, near and far visual acuity; depth perception; visual field- agents and chemists)

• Lipid profile

• Blood pressure

• Height / weight

• Resting electrocardiogram (EKG)

• Spirometry (Illicit Hazardous Environment Certified, Chemist)

• Blood lead and ZPP (firearms instructors)

• Complete Blood Count (CBC)

• Routine urinalysis

• Blood chemistry (CMP)

• Audiogram (as directed by DEA)

• QuantiFERON Gold Plus (as indicated by positive TB screening questionnaire)

*If a positive TB test result is indicated, Contractor shall annotate as a “further evaluation” is required. The Contractor shall send the incumbent a letter including the test results, and notify DEA/ COR of the delay. A chest x-ray may be necessary for positive Quanti-FERON Gold Plus tests.

4.6.2 Specific exam components are subject to routine and regular update by DEA depending on interpretation of standards and program improvements. While this section is current at the time of offering, the Contractor shall update examination components upon notification by DEA.

The Contractor shall submit the effective, itemized work order to DEA for confirmation of accuracy prior to initiation of incumbent examinations under this contract.

4.7 PSYCHIATRIC, PSYCHOLOGICAL AND SUITABILITY PROCESS

The Government will accept virtual evaluations for psychiatric and psychological assessments.

4.7.1 The Contractor shall be familiar with the Diagnostic and Statistical Manual of Mental

Disorders (DSM-V) and psychological testing (such as The Shipley Institute of Living Scale, Fundamental Interpersonal Relations Orientation-Behavior (FIRO-B), Sixteen Personality Factor Questionnaire (16PF), Minnesota Multiphasic Personality Inventory-2 (MMPI-2), Million Clinical Multiaxial Inventory-IV (MCMI-IV), and Sentence Completion personality assessment tests etc.). Review of the objective psychological testing (with provided interpretation of the results), and an interview addressing pertinent history and reasons for referral shall be used to formulate the psychological assessment. The completed examination shall facilitate the agency’s ability to determine fitness for duty in the employee’s current occupational capacity.

4.7.2 Contractor shall endeavor to ensure that the final product/assessment rendered to DEA is based on substantiated information/data. The contractor shall clearly address the question of fitness for duty in law enforcement and/or fitness to hold a high-level security clearance within the specific medical/mental health specialty addressing the current status and/or concern. The final delivered product shall also include the following information: any past or present diagnoses, prognosis, the need for additional or ongoing treatment, any applicable treatment suggestions, and restrictions or limitations to the examinee’s function based on the current status and/or concern.

4.7.3 The Contractor shall schedule an appointment within ten (10) calendar days of exam request from DEA personnel. The Contractor shall ensure that initial exam appointments are available to the examinee within thirty (30) calendar days of the exam request. The Contractor shall prioritize the use of secure, HIPPA compliant telehealth platforms for the delivery of psychiatric and psychological medical examinations. All telehealth services shall meet federal privacy and security standards and be conducted by clinical psychologists or psychiatrists with active licensure to practice within the state where the examinee is located at the time of the telehealth service.

4.8 PSYCHIATRIC, PSYCHOLOGICAL AND SUITABILITY COMPONENTS

The Contractor shall have the ability to complete psychological and suitability examinations based on requirements specified by DEA. The examination components include but are not limited to:

1. Background:

• Chief complaint/reason for referral according to examinee

• Chief complaint/reason for referral according to DEA

2. Review of relevant history:

• Occupational History

• Educational History

• Social History

• Prior psych pathology

3. Evaluation results:

• Review of findings and interpretation of objective testing

• Review and interpretation of subjective findings identified during psych interview

4. Conclusion: Summary of clinical impression

5. Recommendation:

• Completion of any applicable physician or mental health provider questionnaire as to the ability of the employee to fully perform the duties of position.

• Statement of whether examinee is currently fit for duty based on this evaluation.

4.9 AD HOC MEDICAL EXAM OR FITNESS FOR DUTY PROCESS

4.9.1 The DEA may request a Specialty Consultant examination whenever there is a question regarding the employee’s fitness for duty, which requires the training and experience of a particular type of specialty consultant, such as:

o Orthopedics o Cardiology o Neurology o Ophthalmology o Nephrology o Pulmonology o Endocrinology o Gastroenterology o Otolaryngology (ENT)

4.9.2 The contractor shall have the ability to obtain a board-certified physician-level specialist to perform both required components and specific assessment as medically indicated. The specialist assessments are likely to vary and will be dependent on the incumbent or applicant’s specific medical concern(s) and/or issue(s). This level of service specialty consultation will be requested by DEA when there are specific questions concerning an employee’s injury or fitness for duty.

4.9.3 The Contractor shall assign a facility within 100 miles of the examinee’s DEA office, by zip code (Appendix A), within twenty (20) calendar days of exam request from DEA personnel.

The Contractor shall ensure that initial exam appointments are available to the examinee within thirty (30) calendar days of the exam request. If a medical examination is required outside of this distance, the Contractor shall notify DEA of the delay and be able to procure medical examination services for the examinee within twenty (20) calendar days of notification.

4.10 AD HOC MEDICAL EXAM OR FITNESS FOR DUTY COMPONENTS

1. Background:

• Chief complaint/reason for referral

2. Review of relevant history:

• Occupational History

• Social History

• Prior physical injury

3. Evaluation results:

• Review of findings and interpretation of objective testing

• Review and interpretation of subjective findings

4. Conclusion: Summary of clinical impression

5. Recommendation:

• Completion of any applicable health provider questionnaire as to the ability of the employee to fully perform the duties of position.

• Statement of whether examinee is currently fit for full duty based on this evaluation.

4.11 HEARING CONSERVATION PROGRAM

Incumbents which meet the standard for inclusion in the Hearing Conservation Program (HCP) shall receive an annual audiogram, as requested by DEA HR Division personnel. These incumbents will require specialized testing for functional hearing. All tests shall be performed utilizing accurate, properly calibrated and maintained testing equipment by properly trained and credentialed (by the Council of Accreditation in Occupational Hearing Conservation (CAOHC)) personnel familiar with the required Occupational Safety and Health Administration (OSHA) standards for testing and services. The tests and exams shall be reviewed for the quality and accuracy of examination and testing, and shall include accurate, legible, and complete documentation. The contractor shall be responsible for ensuring that necessary training and instructions are given to all staff providing testing and services. Tests may be requested individually or included as part of customized physical exam requests.

4.12 OVERSEAS TRAVEL EXAMINATIONS AND IMMUNIZATIONS

4.12.1 The Contractor shall have the ability to complete overseas travel examinations based on requirements specified by DEA. The examination components include but are not limited to:

DEA will provide the Contractor with contact information of incumbents that require ad-hoc or fit-for-duty examinations.

• Review of medical history

• Performance of physical examination and review of test results

• CMP (fasting)

• Hemoglobin A1C (MI)

• Blood pressure

• Height / weight

• Hearing History

• Resting EKG (over 50)

• Blood lead and ZPP (firearms instructors)

• CBC

• Routine urinalysis

• Hepatitis B Surface Antigen

• Hepatitis C Antibody

• Rapid Plasma Reagin (RPR)/ Venereal Disease Research Laboratory

(VDRL)

• Human Immunodeficiency Virus (HIV) I/II Antibody

• Purified Protein Derivative (PPD)

• Lipid Panel

4.12.2 Vaccinations may include but are not limited to:

• Yellow Fever

• Oral Polio Vaccine [OPV]

• Inactivated Polio Vaccine [IPV]

• Immune Globulin [IG]

• Typhoid

• Rabies

• Influenza Vaccine

• Meningitis Vaccine

• Japanese Encephalitis

• Tickborne Encephalitis

*If a positive TB test result is indicated, Contractor shall set incumbent as a “further evaluation” is required. The Contractor shall send the incumbent a letter including the test results, and notify DEA/ COR of the delay. A chest x-ray may be necessary for positive PPD tests.

*The incumbent is responsible for obtaining a chest x-ray, to obtain a medical clearance and provide it to DEA.

4.12.3 Incumbents assigned to work in foreign locations are required to have a current medical clearance and also required to obtain proper medical clearance from the Department of State (DoS) prior to leaving the United States. The contractor shall schedule required medical examinations/ immunizations upon notice from the DEA COR, DEA Foreign Medical Program Manager (FMPM) or other HRU designee.

4.12.4 Employee medical examinations for an overseas assignment are conducted using the Medical History and Examination for Foreign Service form, DS-1843, and are in addition to the PME (if required). The Department of State Medical Examination consists of Medical History, Clinical Evaluation, and Laboratory testing (Hematology, Chemistry, Serology, Tuberculin Skin Test). Additional testing may include Lipid Profile and electrocardiogram (ECG) if over 50 years of age, and a chest x-ray if clinically indicated.

4.12.5 The Contractor assign a facility within 100 miles of the incumbent's DEA office, by zip code (Appendix A), within five (5) calendar days of exam request from DEA personnel. The Contractor shall ensure that initial exam appointments are available to the incumbent within ten

(10) calendar days of the exam request. If a medical examination is required outside this distance, the Contractor shall notify DEA HRU/COR of the delay and be able to perform the outside of network examination services within ten (10) calendar days of notification.

4.12.6 Department of State dictates examination requirements, however exams are facilitated through DEA. As such, the contractor shall have the ability to modify the DoS exam process as directed by the DoS or DEA.

4.13 HEPATITIS B IMMUNIZATIONS

4.13.1 Upon graduation from the DEA Training Academy and arrival to the duty station, the Contractor shall offer Hepatitis B immunizations to incumbents if the pre-employment exam shows no immunity.

4.13.2 If the Hepatitis B immunization is…