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This justification and approval document describes a non-competitive procurement by the Department of Veterans Affairs for medical surgical supplies from the CMOP Leavenworth facility in Kansas. The procurement includes five line items: lancets, Contour Next glucose test strips in 100-count and 50-count packages, and OneTouch Ultra glucose test strips in 50-count and 100-count packages. The total combined value is over $700,000.

The justification cites FAR 6.302-1 for restricting competition to only one responsible source, as the attending physician has prescribed specific name brand items and neither the CMOP nor contracting officer can substitute other brands. Market research found potential small business vendors who could bid as authorized suppliers. The solicitation will be posted on BetaSam as other than full and open competition with a 10-day delivery requirement and no backorder bids accepted. The contracting officer anticipates fair and reasonable pricing based on historical data and the independent government cost estimate.

36C77020Q0371 P03 - JandA - NBO - MedSurg5 - Q0371_Redacted.pdf

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DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A)

For

Other Than Full and Open Competition (>SAT)

MedSurg 5 Line - Supplies – CMOP Leavenworth KS

Acquisition Plan Action ID: 36C770-20-AP-0520

1. Contracting Activity:

Department of Veterans Affairs

Network 15 Contracting Office (NCO 15)

3450 South 4th Street

Leavenworth, KS 66048

Department of Veterans Affairs, CMOP Leavenworth

5000 south 13th St

Leavenworth, KS 66048

Purchase request number: 760-20-3-050-1062

2. Nature and/or Description of the Action Being Processed:

- J&A supporting an RFQ for a - NAME BRAND ONLY - MedSurg Supply item, used in Patient Care.

- “Name Brand Only” meaning - no other like item will do.

- No Generic MedSurg Item from another manufacturer will be accepted.

- “Name Brand Only” originates with the VA Physician treating Veteran Patients

- A VA Physician has prescribed a specific Name Brand MedSurg item for Veteran use/treatment.

- Neither the CMOP nor Contracting Officer have the authority to change a Physician’s prescription.

- This limits the Bids to one manufacturer but does not limit all bids from one source. –

- One Manufacturer (Name Brand) – there are several different suppliers/sources.

FAR13.5 Simplified Procedures for Certain Commercial Items:

This procurement is for MedSurg Supply Item, in accordance with FAR 13.5 Simplified Procedures for

Certain Commercial Items and specifically FAR 13.501 Special Documentation Requirements, where acquisitions conducted under Simplified Acquisition Procedures are exempt from the requirements of FAR Part 6, but still require a justification using the format of FAR 6.303-2.

3. Description of Supplies/Services Required to Meet the Agency’s Needs:

4. Statutory Authority Permitting Other than Full and Open Competition:

(x) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy

Agency Requirements per FAR 6.302-1;

( ) (2) Unusual and Compelling Urgency per FAR 6.302-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or

Expert Services per FAR 6.302-3;

( ) (4) International Agreement per FAR 6.302-4

( ) (5) Authorized or Required by Statute FAR 6.302-5;

( ) (6) National Security per FAR 6.302-6;

( ) (7) Public Interest per FAR 6.302-7;

FAR13.5 Simplified Procedures for Certain Commercial Items: The authority for applying the

Simplified Procedures for Commercial Items of FAR 13.5 is 41 U.S.C. 1901 and is implemented by for restricting competition on this procurement via FAR 13.106-1(b)(2).

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

• This is not a J&A for a Sole Source procurement.

• This a J&A for a Name Brand Only Item - available from multiple suppliers.

• Name Brand Only is designated under Physician’s Orders.

• The attending Physician has prescribed 5 Name Brand MedSurg Items for Veteran Patient Use.

• The CMOP facility and CMOP contracting office do not have the authority to arbitrarily change or modify the Physician’s Prescription (i.e. substitute a generic brand for a name brand).

• Within the Veterans Health Administration Brand Name Drugs and Medical Surgical (MedSurg) products may be prescribed by Physicians when in their clinical judgment the Brand Name

Drug/MedSurg will provide a better therapeutic outcome for patients.

• Brand Name Drugs and MedSurg are requested when there is a clinical requirement for the drug/product, or there is history of clinical requirements for the drug/product and inventory must be maintained to meet anticipated requirements.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable:

• Solicitation 36C77020Q0371, MedSurg Supplies - will be posted to BetaSam as Other Than

Full and Open.

• A Pre-Solicitation notice will be posted to BetaSam on 31Mar20

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable:

The CO anticipates the cost will be considered fair and reasonable based on the following:

• Comparison will be made against historical purchases.

• Comparison to the IGCE.

• Internet searches of commercial product prices, which are listed.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted:

• Vip.Vetbiz.Va.Gov search NAICS Code 325413 shows 22 SDVOSB’s capable of bidding.

• CO has a reasonable expectation that two or more SDVOSB authorized vendors who can provide the product or can get the product from an authorized source, will submit Bids.

• These MedSurg, 5 Line Item Supplies, are made by Large Businesses/Manufacturers who do not respond to these RFQs

• Procurement exceeds the SAT threshold; Non-manufacturer rules therefore prohibiting the use of a Set-Aside.

• Per the Code of Federal Regulations §121.406, the performance requirements (limitations on subcontracting) and the Non-manufacturer rule, provides an exception to small business set-aside acquisitions with an estimated value between the micro-purchase threshold and the simplified acquisition threshold (SAT). This allows for a SB set-aside MedSurg procurement, which solicits from SB vendors who are authorized suppliers but are not the manufacturer of the MedSurg Item .

• There is no Waiver to the Non-manufacturer rule for these MedSurg, NAICS 325413, procurements. Therefore, without a Waiver in place, the solicitation (RFQ) must be released as Open Market with limited competition.

• SDVOSB vendors who are authorized suppliers but not the manufacturer of the product may provide a quote along with other authorized business size classes.

• In order to request a Waiver to the Non-manufacturer rule for a Pharmaceutical/MedSurg procurements over the SAT, the Code of Federal Regulations §121.1203, (a), states, “Where appropriate, SBA will generally grant Waivers for an individual contract or order prior to the issuance of a solicitation, or, where a solicitation has been issued, when the contracting officer provides all potential offerers additional time to respond.” In addition, §121.1203, (a)(4)(i), requires a public notice to be issued on the Commerce Business Daily and the Federal Register seeking information on small business manufacturers or processors, announcing a notice of intent to Waive the Nonmanufacturer Rule for that class of products and affording the public a

15-day comment period is required.

• In order to avoid Pharmaceutical/MedSurg supply shortages at the CMOP facilities, the facilities require an average of 10 days delivery of the pharmaceutical after the receipt of the order.

• The SBA Waiver processing timeline exceeds the CMOPs required delivery timelines.

• Due to these time frames, Contracting is not afforded the time to process a request for an individual waiver for it could possibly delay and negatively affect Veteran patient care.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition:

• These are reoccurring “Name Brand Only” MedSurg procurements.

• SB MedSurg Vendors have submitted bids in the past on these Name Brand Only RFQs.

• SB MedSurg Vendors understand/agree on the reasoning behind Name Brand Only items.

• At no time have any RFQs with Name Brand Only Items been Protested based on restricting competition.

• Historically Name Brand Only MedSurg RFQs are awarded to SDVOSB Suppliers.

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition:

• 3T Federal Solutions – SDVOSB

• Veterans Healthcare Supplies – SDVOSB

• Marathon Medical Corp – SDVOSB

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to

Competition before Making subsequent acquisitions for the supplies or services required:

None.

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide

Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Diane Nolting 3/28/20 Supervisory IMS Date CMOP Leavenworth

13. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer or Designee’s Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Julian Lake Date

Contracting Officer

CMOP Team 2

b. One Level Above the Contracting Officer (Required over SAT but not exceeding $700K):

I certify the justification meets requirements for other than full and open competition.

Ralph Crum Date

Supervisory Contract Specialist

CMOP Team 2

Scott Fiscus Date Director of Contracting

NCO 15

c. VHA SAO HCA Review and Approval: I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and recommend approval (if over $68 million) or approve ($700K to $68 million) for other than full and open competition.

Terry L. Spitzmiller Date Executive Director Regional Procurement Office Central (VHA) http://vaww.pclo.infoshare.va.gov/PMWeb/VHAPM_Part_806.3.aspx http://vaww.pclo.infoshare.va.gov/PMWeb/VHAPM_Part_806.3.aspx

File details come from the government source that posted it. Updated .