36C26126R0014 0004.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

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:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication 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 is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, 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.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

0004 05-01-2026

MSO-2026-COM-0013

Department of Veterans Affairs

Network Contracting Office (NCO) 21

Department of Veterans Affairs

Network Contracting Office (NCO) 21

To all Offerors/Bidders

36C26126R0014

X

X X

X

THE PURPOSE OF THIS MODIFICATION IS TO:

a. PROVIDE REVISED PERFORMANCE WORK STATEMENT

SEE ATTACHED CONTINUATION PAGE

MARICELA BERRONES-GAUGER

CONTRACTING OFFICER

The following are sections has been added with in the Performance Work Statement. The full document is included with the revisions highlighted in red font.

Abortion and Abortion Counseling

Abortion: The contractor shall not provide abortions or abortion counseling. These exclusions do not prohibit the contractor from providing life-saving treatment to pregnant women. VA regulations permit VA to provide care to pregnant women in life-threatening circumstances, including treatment for ectopic pregnancies or miscarriages. VA guidance defines live-saving services that are not considered abortion and may be provided under the medical benefits package under 38 CFR 17.38. Consistent with this VA guidance, the contractor is authorized to provide life-saving treatment to pregnant women in the following circumstances:

• Ectopic Pregnancy. An ectopic pregnancy is any pregnancy occurring outside the uterine cavity. These are never viable;

care for ectopic pregnancies continues to be covered under the Medical Benefits Package.

• Spontaneous Abortion. A spontaneous abortion (SAB), also known as a miscarriage, is the spontaneous loss of a fetus before the 20th week of pregnancy. Medically necessary procedures for the management of spontaneous abortion continues to be covered medical benefits.

• Other Life-Saving Treatment. Pregnant Veterans may experience serious medical conditions requiring treatment to save the Veteran’s life. The exclusion on abortion does not bar care necessary to save a Veteran’s life when a Veteran’s clinician determines that the care is necessary to save the Veteran’s life, even if this requires an intervention that would end the pregnancy. Care in these circumstances is covered under the medical benefits package and should not be delayed. If the contractor is unable to provide life-saving treatment at the contractor’s site of care the contractor shall provide practicable monitoring and intervention until the patient is transported to a higher level of care. See the

Emergency Response Requirements section of this PWS for additional contractor requirements for patients with urgent or emergent needs.

Informed Consent: The bar on abortion counseling does not bar obtaining informed consent from a patient when life-saving treatment is necessary.