A19- RFQ 75D301-26-Q-79169 REQUEST FOR QUOTATIONS.pdf

RFQ 75D301-26-Q-79169 Page 1 of 38

REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER) THIS RFQ X IS IS NOT A SMALL BUSINESS SET-ASIDE.

PAGE OF PAGES

1 39

1. REQUEST NO.

75D301-26-Q-79169

2. DATE ISSUED

08/03/2026

3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY OFR - Office of Acquisition Services Chamblee Campus Building 108 4770 Buford Highway Atlanta GA 30341

6. DELIVERY BY (Date)

5b. FOR INFORMATION CALL (No collect calls)

NAME TELEPHONE NUMBER

AREA CODE NUMBER

Marquetta Taylor (770) 488-3295 x

8. TO: 9. DESTINATION

a. NAME b. COMPANY a. NAME OF CONSIGNEE

c. STREET ADDRESS b. STREET ADDRESS

c. CITY

d. CITY e. STATE f. ZIP CODE d. STATE e. ZIP CODE

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services.

Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Title: Electronic Case Reporting

Proposal Due Date and Point of Contact Proposals are due no later than 12:00 PM (Noon) EST on August 15, 2026 via email Questions are due 12:00 PM (Noon) EST on August 10, 2026 via email. The Government may not consider proposals received after the established closing date and time.

Point of Contact (POC):

Name: Marquetta Taylor Email: dwb7@cdc.gov

All questions regarding this solicitation shall be submitted in writing to the Point of Contact identified above.

12. DISCOUNT FOR PROMPT PAYMENT a. 10 CALENDAR DAYS

b. 20 CALENDAR DAYS

c. 30 CALENDAR DAYS

d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations are are not attached.

13. NAME AND ADDRESS OF QUOTER 14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF

QUOTATION

a. NAME OF QUOTER

b. STREET ADDRESS 16. SIGNER

a. NAME (Type or print) b. TELEPHONE

c. COUNTY AREA CODE

d. CITY e. STATE f. ZIP CODE c. TITLE (Type or print) NUMBER

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV. 6-95)

Previous edition not usable Prescribed by GSA

FAR (48 CFR) 53.215-1(a)

7. DELIVERY

FOB

DESTINATION

OTHER

(See Schedule)

RFQ 75D301-26-Q-79169 Page 2 of 38

Line Items

ITEM SUPPLIES / SERVICES QTY / UNIT UNIT PRICE EXTENDED PRICE

0001 Interim Report

PoP:09/01/2026 thru 08/31/2027

This is a Firm Fixed Price Line Item This is a Severable Services Line Item

1 Each $ __________ $ ____________

0002 Final Report & Webinar recording, slides and written implementation resource (digital copies)

PoP: 09/01/2026 thru 08/31/2027

This is a Firm Fixed Price This is a Severable Services

1 Each $ __________ $ ____________

The total aggregated amount

TOTAL

RFQ 75D301-26-Q-79169 Page 3 of 38

Section C- Statement of Work

Title: Implementing and validating electronic case reporting for priority occupational lung diseases and mesothelioma at a jurisdictional public health department to promote rapid case ascertainment

Period of performance: September 1, 2026 – August 31, 2027

SECTION 1 – BACKGROUND

Congress provides funding to NIOSH to continue its feasibility assessment for a U.S. mesothelioma patient registry. According to the original FY 2019 appropriations language, a future mesothelioma registry would describe incidence, prevalence, demographics, and risk factors; improve standards of care;

identify gaps in treatment options; and rapidly identify and track patients, treatments, and outcomes.

Since 2019, NIOSH has collaborated with partners on various activities to assess the feasibility of a mesothelioma registry. These activities include convening a workshop with experts, soliciting public feedback, piloting a patient questionnaire and clinical data tool, testing rapid case ascertainment using electronic pathology reporting and patient outreach, collecting structured work information from patients at academic medical centers, and developing methods to leverage electronic case reporting for case finding.

Rapid case ascertainment will be vital for any future mesothelioma registry that seeks to improve patient outcomes by connecting patients quickly with advanced care and clinical trials. Prior work in California demonstrated that rapid case ascertainment using electronic pathology reporting and patient outreach is feasible. However, it is resource-intensive and may miss patients diagnosed clinically without biopsy.

This finding highlights the need for additional resources and methods to ensure comprehensive case identification.

The California Department of Public Health (CDPH) recently piloted electronic case reports (eCR) to quickly identify silicosis cases and took steps toward readiness and implementation of eCR-based reporting of mesothelioma. CDPH’s Occupational Health Branch and the California eCR program developed silicosis reporting in the Reportable Conditions Knowledge Management System (RCKMS) and implemented pathways to route electronic initial case reports (eICRs) for occupational public health surveillance. This work demonstrated that silicosis reporting by eCR is feasible and acceptable to surveillance staff. It can identify many cases not captured by existing surveillance streams. Building and automating the data pathway was a time-consuming and highly technical task.

CDPH also authored asbestosis and coal workers’ pneumoconiosis (CWP) logic sets in RCKMS and began receiving eICRs for these conditions, expanding the use of eCR for occupational conditions. Across silicosis, asbestosis, and CWP, CDPH received more than 1400 case reports for over 400 individuals, many of which were not identified in traditional reporting streams. The need for additional record review due to inconsistent occupation and industry information in eICR messages underscores the challenges in implementing eCR-based reporting. Addressing these challenges is crucial for the successful

RFQ 75D301-26-Q-79169 Page 4 of 38 establishment of a comprehensive mesothelioma registry that can improve patient outcomes and advance research.

In 2021, the Council of State and Territorial Epidemiologists (CSTE) considered adding malignant mesothelioma as a specific reportable condition within the RCKMS eCR infrastructure and developed a draft logic set and reporting specifications distinct from the broader all-cancer specifications. At that time, a small number of state occupational health programs provided feedback; the RCKMS content team decided that mesothelioma would be captured under the generic cancer reporting specifications to be implemented in June 2021, and the mesothelioma-specific proposal was not advanced. Recent experience in California suggests that relying solely on all-cancer eCR is operationally very challenging in large jurisdictions due to the volume of cancer cases, duplication with existing cancer registry activities, and incomplete RCKMS participation among healthcare organizations. Moreover, the all-cancer trigger codes are slated for removal in 2026. California’s implementation of RCKMS-based reporting for silicosis, asbestosis, and coal workers’ pneumoconiosis demonstrated that targeted noncommunicable conditions can be successfully implemented in RCKMS, with high acceptability to surveillance staff, low burden to healthcare organizations, and excellent timeliness. These findings indicate that a mesothelioma-specific RCKMS condition could be a practical and valuable approach to rapid case ascertainment, provided that jurisdictional cancer registries and CSTE support its development.

NIOSH is supporting intramural work to validate eCR trigger codes for occupational lung diseases, including silicosis and work-related asthma (WRA), to understand the validity, timeliness, and data quality of eCR-based surveillance compared with existing data sources. Additionally, NIOSH has longstanding efforts to promote collection of standardized patient work information in health information systems to enhance interoperability and ensure these data are available for clinical medicine, population health, and public health.

Building on these efforts, NIOSH seeks to support a jurisdictional public health department to (1) expand implementation of eCR for key occupational lung diseases—silicosis, asbestosis, WRA, and, where feasible, malignant mesothelioma as a reportable cancer; (2) validate eCR trigger performance for these conditions; and (3) strengthen the capture and use of standardized occupation and industry data. The findings will inform NIOSH’s ongoing evaluation of mesothelioma registry feasibility and contribute to rapid case ascertainment methods for work-related respiratory conditions more broadly.

SECTION 2 – PURPOSE / OBJECTIVE

This contract will provide support to a jurisdictional public health department for enhancing and evaluating electronic case reporting (eCR) with an emphasis on lung diseases predominantly caused by occupational exposures, which are underreported for public health purposes. Specifically, the objectives are to:

1. Implement and/or expand eCR for silicosis, asbestosis, work-related asthma, mesothelioma (where feasible), and additional optional occupational respiratory conditions using the HL7 CDA electronic initial case report (eICR) R3.1.1 standard, the Reportable Conditions Knowledge Management System (RCKMS), and the APHL AIMS platform.

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a. Optional respiratory conditions may include byssinosis, coal workers’ pneumoconiosis, and farmer’s lung (only this specific type of occupational hypersensitivity pneumonitis, ICD-10 code J67.0).

2. Validate eCR trigger codes and decision logic for these conditions by comparing eCR-identified cases with existing surveillance sources and estimating key performance metrics (e.g., case yield, timeliness, completeness, sensitivity where feasible, and positive predictive value).

3. Develop and pilot standardized occupation and industry (OI) data workflows that support routine capture, coding, and use of work information for these conditions, including in follow-up processes.

4. Advance mesothelioma rapid case ascertainment (RCA) planning by refining mesothelioma-focused logic sets, describing desired data elements for mesothelioma eCR, and outlining how eCR can contribute to a future mesothelioma registry.

5. Disseminate knowledge and tools (e.g., logic sets, workflows, implementation guidance) to support adoption of eCR for occupational respiratory conditions at other jurisdictional health departments and healthcare organizations.

SECTION 3 – SCOPE OF WORK

If necessary, the contractor will obtain human subjects’ permissions such as institutional review board approval and will adhere to relevant Health Insurance Portability and Accountability Act of 1996 (HIPAA) requirements. If applicable, the contractor will also collaborate with NIOSH to obtain required approvals from the Office of Management and Budget as required under the Paperwork Reduction Act

(PRA).

The contractor will ensure connectivity to the appropriate informatics messaging platforms for eCR (including the APHL AIMS platform and RCKMS), author reporting specifications and logic sets for the conditions listed in Section 4, receive electronic case reports, extract and analyze the data received, describe systems requirements for routine reporting of these cases to appropriate sections within the health department, and report to NIOSH on key aspects of the experience including challenges encountered, staff acceptability, data quality, timeliness, potential scalability, and implications for mesothelioma rapid case ascertainment. The contractor will also disseminate lessons learned to promote eCR uptake for occupational respiratory conditions at other jurisdictional health departments and by healthcare organizations.

SECTION 4 – TASKS TO BE PERFORMED

Task 1: Orientation and approvals

The contractor shall:

1. Meet with NIOSH within 30 days of award to discuss project expectations, refine the list of target conditions (silicosis, asbestosis, WRA, mesothelioma, other optional respiratory conditions), and review key outcomes and deliverables.

RFQ 75D301-26-Q-79169 Page 6 of 38

2. Map current eCR infrastructure and surveillance systems relevant to the target conditions, including:

a. Existing eCR implementation (e.g., conditions currently authored in RCKMS, participating healthcare organizations and EHR vendors, use of HL7 CDA eICR R3.1.1).

b. Current surveillance systems for silicosis, asbestosis, WRA, and mesothelioma/cancer (e.g., registries, reportable condition systems, workers’ compensation, hospital discharge data, vital records).

3. If necessary, obtain required human subjects-related determinations from the contractor’s institutional review board (IRB) or equivalent body.

4. In collaboration with NIOSH, determine whether PRA clearance is needed and contribute relevant information for any PRA packages.

Deliverables (Task 1)

• Project plan summarizing scope, participating programs, target healthcare organizations, analytic approach, and timeline for each task.

• Documentation of IRB/human subjects determinations, if applicable.

Task 2: Establish connectivity, authoring, and occupation/industry data strategy

The contractor shall:

1. Ensure and/or expand technical connectivity for eCR

a. Confirm or establish connectivity to the APHL AIMS platform to enable receipt of eICR R3.1.1 messages from healthcare organizations.

b. Confirm the jurisdiction’s participation in RCKMS and current RCKMS configuration for existing authored conditions.

c. Identify priority healthcare organizations and EHR vendors expected to contribute most cases for the target conditions and incorporate them into the implementation plan.

2. Author and/or refine RCKMS content for priority conditions

Using the RCKMS authoring interface and prior work as references, and in coordination with the jurisdiction’s RCKMS program, author or refine RCKMS reporting specifications and logic sets for:

a. Silicosis and asbestosis: Implement or refine logic sets that detect these conditions as diagnoses or active problems and, where appropriate, use related SNOMED/ICD-10 codes and optional logic for pneumoconiosis not otherwise specified.

b. Work-related asthma (WRA): Implement or refine RCKMS logic set for WRA (e.g., asthma diagnosis codes plus indicators of work-relatedness or specific occupational exposures), with options to adjust sensitivity and specificity.

c. Mesothelioma: In consultation with the jurisdiction’s cancer registry and using the 2021 draft mesothelioma logic set developed within CSTE as a reference, the contractor shall refine

RFQ 75D301-26-Q-79169 Page 7 of 38 proposed RCKMS criteria for malignant mesothelioma as a diagnosis or active problem, pathology‑confirmed mesothelioma, and death certificate mentions of malignant mesothelioma.

The contractor shall document any recommended modifications to the draft logic set to improve feasibility and clarity for eCR implementation.

3. Develop an occupation and industry (OI) data strategy

a. Define a minimum standardized set of OI data elements for the target conditions; at a minimum, include employment status, usual occupation and usual industry, using current Occupational Data for Health (ODH) standards.

b. Assess opportunities to receive OI data directly within eICRs (e.g., via EHR OI fields) and/or through follow-up processes consistent with existing surveillance practices and legal authority of the public health agency (e.g., provider query, patient questionnaire).

c. Specify the value sets(s) to be used for coding OI and whether automated coding tools will be used. Where feasible, use current ODH data standards and the NIOSH Industry and Occupation Computerized Coding System (NIOCCS).

d. Describe workflows for capturing, coding, and storing OI data in linkage with eCR-identified cases.

Deliverables (Task 2)

• Documentation of eCR connectivity status and participating healthcare organizations/EHRs.

• Draft RCKMS content (value sets, logic sets, and reporting specifications) for silicosis, asbestosis, WRA, and mesothelioma (where feasible), in the standard RCKMS format.

• Occupation/industry data elements and workflow plan (including capture pathways and coding approach).

Task 3: Receive and process case reports; document workflows and requirements

The contractor shall:

1. Consume and route eCR data

a. Develop or confirm an existing workflow approach for receipt and processing of eICRs into your surveillance system(s).

b. Receive electronic initial case reports (eICR R3.1.1) for silicosis, asbestosis, WRA, and, if feasible, mesothelioma for a period of at least nine (9) months post-award.

c. Ensure messages are available in both human-readable (e.g., HTML) and machine-readable (e.g., XML) formats, and implement or adapt a process to import and parse the XML into an analyzable database.

d. Implement or confirm existing methods to de-duplicate and update records if redundant or related eICRs are received.

2. Integrate with surveillance programs and OI workflows

RFQ 75D301-26-Q-79169 Page 8 of 38

a. Route case reports and associated data to the appropriate health department program(s), such as occupational health, chronic disease, or cancer registry, following agreed workflows.

b. Implement OI data capture according to the plan developed in Task 2, including any follow-up with providers or patients, consistent with jurisdictional public health authority.

3. Assess data quality and timeliness and workflow challenges

a. Assess data for quality, usability, timeliness, and completeness, including:

i. Demographic and clinical fields;

ii. Key condition-specific fields (e.g., diagnostic codes);

iii. OI elements (number and percent of cases with OI data fields available, complete, and coded correctly);

iv. Conduct descriptive analyses of case data (e.g., counts by condition, year, demographic characteristics, and region).

b. Gather information from surveillance staff, providers, and informatics teams to understand workflow challenges (i.e., barriers to the receipt or consumption of eICRs, lapses in sending).

Deliverables (Task 3)

• Operational description and diagrams of data flows from healthcare organizations through AIMS and RCKMS to the health department program(s).

• Summaries of case counts and basic descriptive characteristics for each condition, with attention to OI data metrics.

Task 4: Validate eCR trigger codes and evaluate performance

The contractor shall:

1. Define evaluation framework

a. In collaboration with NIOSH, define the case definitions, specific performance metrics, and comparison data sources (e.g., existing surveillance databases, registry data, hospital discharge or claims data) for silicosis, asbestosis, WRA, mesothelioma (where feasible), and any additional optional conditions.

2. Conduct trigger validation and performance analyses

For each condition, the contractor shall:

a. Confirm cases obtained from eCR and comparison data sources using medical records review or other appropriate confirmation methods.

i. Use NIOSH surveillance definitions or CSTE position statements, where available, for case confirmation.

b. Compare eCR-identified cases to cases from existing surveillance sources to estimate:

RFQ 75D301-26-Q-79169 Page 9 of 38

i. Case yield and proportion of cases uniquely identified by eCR;

ii. Timeliness (time from diagnosis to eICR generation, receipt at health department, and entry into program databases);

iii. Validity of eCR cases using metrics such as sensitivity, positive predictive value (PPV), or capture proportion, where feasible;

iv. Quality and completeness of data fields, with emphasis on occupation and industry fields and key risk factor information;

v. Factors associated with false positives/negatives (e.g., diagnosis code patterns, missing occupational history, ambiguous clinical documentation);

vi. For WRA, assess misclassification patterns (e.g., non-work-related asthma captured by WRA logic) and recommend refinements to RCKMS logic and/or EHR trigger codes.

3. Recommend revisions

a. Based on the validation results, recommend specific revisions to RCKMS reporting specifications, EHR trigger codes, and workflows to improve performance (e.g., proposed criteria changes, additional codes, or removal of low-yield criteria).

Deliverables (Task 4)

• Analytic summary of trigger performance and data quality for each condition, including tables and figures suitable for inclusion in peer-reviewed publications or technical reports.

• Recommended revisions to RCKMS default and optional logic sets and implementation guidance for healthcare organizations and health departments.

Task 5: Mesothelioma rapid case ascertainment (RCA) concept and planning

The contractor shall:

1. Map mesothelioma case pathways

a. Describe current pathways by which mesothelioma cases are identified and reported within the jurisdiction (e.g., cancer registry, pathology reporting, eCR, vital records, other surveillance systems).

2. Assess potential eCR contributions to mesothelioma RCA

a. Using the logic set(s) and experience from Tasks 2–4, evaluate the potential role of eCR in mesothelioma RCA, including:

i. Estimated number of mesothelioma cases that could be captured via eCR;

ii. Technical and operational barriers (e.g., volume and duplication with existing cancer reporting, incomplete HCO participation in eCR, cancer registry constraints).

3. Develop a mesothelioma RCA concept brief describing:

RFQ 75D301-26-Q-79169 Page 10 of 38

a. A proposed eCR-supported RCA framework for mesothelioma in the jurisdiction;

b. Desired data elements to support mesothelioma eCR, including, as appropriate, detailed demographics (age, gender, ethnicity), comprehensive clinical and diagnostic information (symptoms, diagnosis date), imaging results (CT scans, X-rays), pathology reports (biopsy results including immunohistochemistry results as available), vital status (alive, deceased), and detailed occupation and industry information;

c. Opportunities to integrate eCR with ePath, cancer registry reporting, and other data sources;

d. Resource and infrastructure needs (personnel, IT, governance) to implement and sustain such an approach;

e. Presents a recommended mesothelioma logic set (based on the 2021 CSTE draft and local input) and associated data elements needed to support RCA and future mesothelioma registry activities.

Deliverables (Task 5)

• The Mesothelioma RCA concept brief should include a detailed description of a proposed eCR-supported RCA framework for mesothelioma, a comprehensive list of desired data elements, opportunities for integration with other data sources, resource and infrastructure needs, and a recommended mesothelioma logic set based on the 2021 CSTE draft and local input.

Task 6: Reporting and dissemination

The contractor shall:

1. Prepare written reports

a. Interim report (due approximately 120 days after award) summarizing:

i. Status of eCR infrastructure, RCKMS connectivity, and condition authoring;

ii. Early experience receiving eCRs for the targeted conditions;

iii. Initial data quality, completeness, and timeliness observations;

iv. Challenges encountered and any solutions implemented.

b. Final report (due by end of contract) describing:

i. Overall implementation experience, including acceptability to staff (occupational health, RCKMS program, informatics, IT, cancer registry, and other engaged staff), resource requirements (staff time, IT support), scalability considerations, and challenges identified;

ii. Operational description and diagrams of data flows from healthcare organizations through AIMS and RCKMS to the health department program(s);

iii. Adequacy of the data received for surveillance and reporting, including summaries of case counts and basic descriptive characteristics for each condition, with attention to OI data metrics;

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iv. Analytic summary of trigger performance and data quality for each condition, including tables and figures suitable for inclusion in peer-reviewed publications or technical reports;

v. Recommended revisions to RCKMS default and optional logic sets and implementation guidance for healthcare organizations and health departments;

vi. Mesothelioma RCA concept plan, including proposed mesothelioma-specific RCKMS logic set(s) and recommended data elements.

2. Develop dissemination products

a. In coordination with NIOSH, develop and host at least one webinar and develop a written implementation resource from the public health department perspective to support adoption of eCR for these conditions. These resources shall cover, at a minimum:

i. Ensuring and testing connectivity to messaging platforms (AIMS, RCKMS);

ii. Authoring and refining conditions in RCKMS;

iii. Encouraging and supporting implementation of eCR trigger criteria by healthcare organizations;

iv. Receiving, processing, and integrating eCR data into occupational and cancer surveillance systems;

v. Approaches for capturing and coding occupation and industry information;

vi. Evaluating performance of trigger codes and reporting specifications;

vii. Lessons learned that may inform mesothelioma registry feasibility;

viii. FAQs for any technical troubleshooting necessary for successful implementation of eCR.

Deliverables (Task 6)

• Interim report.

• Final report.

• Webinar recording, slides, and written implementation resource (digital copies).

Item Description Quantity or No. of Copies

Delivery Date Deliver To

1 Interim report summarizing (1) the status of eCR infrastructure, RCKMS connectivity, and condition authoring; (2) early experience receiving eCRs for the

1 Due approximately 120 days after award

Project Officer

(PO)

and

RFQ 75D301-26-Q-79169 Page 12 of 38 targeted conditions; (3) initial data quality, completeness, and timeliness observations;

(4) challenges encountered and any solutions implemented.

COR by email

2 Final report summarizing (1) overall implementation experience, including acceptability to staff (occupational health, RCKMS program, informatics, IT, cancer registry, and other engaged staff), resource requirements (staff time, IT support), scalability considerations, and challenges identified;

(2) operational description and diagrams of data flows from healthcare organizations through AIMS and RCKMS to the health department program(s); (3) adequacy of the data received for surveillance and reporting, including summaries of case counts and basic descriptive characteristics for each condition, with attention to OI data metrics;

(4) analytic summary of trigger performance and data quality for each condition, including tables and figures suitable for inclusion in peer-reviewed publications or technical reports; (5) recommended revisions to RCKMS default and optional logic sets and implementation guidance for healthcare organizations and health departments; (6) mesothelioma RCA concept plan, including proposed mesothelioma-specific RCKMS logic set(s) and recommended data elements.

1 Due on or before contract end date

Project Officer

(PO)

and COR by email

3 Webinar recording, slides, and written implementation resource (digital copies) developed from the public health department perspective to support adoption of eCR for these conditions. These resources shall cover, at a minimum:

(1) ensuring and testing connectivity to messaging platforms (AIMS, RCKMS); (2) authoring and refining conditions in

1 Due on or before contract end date

Project Officer

(PO)

and COR by email

RFQ 75D301-26-Q-79169 Page 13 of 38

RCKMS; (3) encouraging and supporting implementation of eCR trigger criteria by healthcare organizations; (4) receiving, processing, and integrating eCR data into occupational and cancer surveillance systems; (5) approaches for capturing and coding occupation and industry information; (6) evaluating performance of trigger codes and reporting specifications;

(7) lessons learned that may inform mesothelioma registry feasibility.

SECTION 5 – GOVERNMENT FURNISHED PROPERTY

None.

SECTION 6 – PLACE OF PERFORMANCE

Contract work will be performed at the contractor’s facilities.

SECTION 7 – TRAVEL

No travel is anticipated under this contract. Any required travel must be pre-approved by the Contracting Officer’s Representative (COR) and will be conducted in accordance with applicable federal travel regulations.

SECTION 8 – DELIVERABLES / REPORTING SCHEDULE

Items:

1. Project plan and documentation of IRB/human subjects determinations (if applicable).

2. Interim report summarizing early implementation (Tasks 1–3).

3. Trigger validation and data quality summary (Task 4) – may be submitted as standalone technical memo or as part of final report draft.

4. Mesothelioma RCA concept plan (Task 5).

5. Final report covering all tasks.

6. Knowledge dissemination products (webinar recording, slides, implementation resource).

SECTION 9 – REFERENCE MATERIALS

• Relevant Statements of Work and reports.

• Association of Public Health Laboratories (APHL) electronic case reporting implementation guidance for public health agencies.

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• RCKMS content repository hosts available reporting specifications documents for:

• Asbestosis

• Byssinosis

• Coal Worker’s Pneumoconiosis

• Farmer’s Lung

• Silicosis

• Work-related Asthma

• Applicable CDC/NIOSH and APHL eCR technical guidance.

• CDA® R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report Release 2, STU Release 3.1.1 - US Realm (eICR R3.1.1) standard

• NIOSH surveillance case definitions:

• Work-related asthma

• Silicosis

• NIOSH Industry and Occupation Computerized Coding System (NIOCCS)

SECTION 10 – MINIMUM VENDOR QUALIFICATIONS

The contractor must be a jurisdictional public health agency (e.g., state, territorial, or large local health department) with:

1. Demonstrated capacity to implement and operate electronic case reporting, including:

a. Existing or rapidly attainable connectivity to the APHL AIMS platform and participation in

RCKMS;

b. Experience receiving and processing eICR messages in HL7 CDA R3.1.1 format.

2. Demonstrated capacity and legal authority to conduct surveillance for occupational and/or chronic respiratory diseases (e.g., silicosis, asbestosis, WRA) and to receive and analyze case report data.

3. Access to informatics and IT support sufficient to:

a. Configure and test data flows from AIMS and RCKMS;

b. Parse, store, and analyze XML eICRs in an electronic database;

c. Implement basic deduplication and linkage processes.

4. Capacity to disseminate findings to external stakeholders via digital formats, including interactive online sessions (e.g., webinars).

SECTION 11 – SPECIAL CONSIDERATIONS

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Standard HHS and CDC/NIOSH requirements regarding Section 508 accessibility, information security, Covered Contractor Information Systems, HIPAA compliance (if applicable), and secure data transfer (e.g., CDC SFTP and SAMS) shall apply and may be incorporated consistent with Office of Acquisition Services guidance.

SECTION D- PURCHASE ORDER CLAUSES AND PROVISIONS

The following provisions and clauses are applicable to this purchase order:

FAR 52.252-2 Clauses Incorporated by Reference (Feb 1998) This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://www.acquisition.gov/browse/index/far https://www.acquisition.gov/hhsar

RFQ 75D301-26-Q-79169 Page 16 of 38

FAR SOURCE TITLE AND DATE

FAR 52.203-17 Contractor Employee Whistleblower Rights (NOV 2023) FAR 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or

Statements (JAN 2017) FAR 52.204-9 Personal Identity Verification of Contractor Personnel (JAN 2011) FAR 52.204-13 System for Award Management Maintenance (DEVIATION) (RFO AUG

2025) FAR 52.209-6 Protecting the Government's Interest When Subcontracting With Contractors

Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded

(DEVIATION) (RFO APR 2026)

FAR 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations (DEVIATION) (RFO APR 2026)

FAR 52.212-4 Contract Terms and Conditions—Commercial Products and Commercial Services (DEVIATION) (RFO APRIL 2026)

FAR 52.222-3 Convict Labor (DEVIATION) (RFO APR 2026) FAR 52.222-19 Child Labor-Cooperation with Authorities and Remedies (RFO APR 2026) FAR 52.222-35 Equal Opportunity for Veterans (DEVIATION) (RFO APR 2026) FAR 52.222-36 Equal Opportunity for Workers with Disabilities (DEVIATION) (RFO APR

2026) FAR 52.222-37 Employment Reports on Veterans (DEVIATION) (RFO APR 2026) FAR 52.222-50 Combating Trafficking in Persons (DEVIATION) (RFO APR 2026) FAR 52.222-54 Employment Eligibility Verification (DEVIATION) (RFO APR 2026) FAR 52.222-90 Addressing DEI Discrimination by Federal Contractors (DEVIATION) (RFO

APR 2026)

FAR 52.223-23 Sustainable Products and Services (DEVIATION) (RFO APR 2026) FAR 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving

(MAY 2024)

FAR 52.232-33 Payment by Electronic Funds Transfer-System for Award Management (OCT

2018) FAR 52.232-40 Providing Accelerated Payments to Small Business Subcontractors

(DEVIATION) (RFO APR 2026)

FAR 52.233-3 Protest after Award (DEVIATION) (RFO APR 2026) FAR 52.233-4 Applicable Law for Breach of Contract Claim (DEVIATION) (RFO APR 2026)

FAR 52.240-91 Security Prohibitions and Exclusions (DEVIATION) (RFO NOV 2025) FAR 52.244-6 Subcontracts for Commercial Products and Commercial Services

(DEVIATION) (RFO NOV 2025)

RFQ 75D301-26-Q-79169 Page 17 of 38

FAR 52.217-8 Option to Extend Services (Nov 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(End of Clause)

52.222-54 Employment Eligibility Verification (JAN 2025)

(a) Definitions. As used in this clause- Commercially available off-the-shelf (COTS) item—

(1) Means any item of supply that is—

(i) A commercial product (as defined in paragraph (1) of the definition of “commercial product” at Federal Acquisition Regulation (FAR) 2.101);

(ii) Sold in substantial quantities in the commercial marketplace; and

(iii) Offered to the Government, without modification, in the same form in which it is sold in the commercial marketplace; and

(2) Does not include bulk cargo, as defined in 46 U.S.C. 40102(4), such as agricultural products and petroleum products. Per 46 CFR 525.1 (c)(2), "bulk cargo" means cargo that is loaded and carried in bulk onboard ship without mark or count, in a loose unpackaged form, having homogenous characteristics. Bulk cargo loaded into intermodal equipment, except LASH or Seabee barges, is subject to mark and count and, therefore, ceases to be bulk cargo.

Employee assigned to the contract means an employee who was hired after November 6, 1986 (after

November 27, 2009 in the Commonwealth of the Northern Mariana Islands), who is directly performing work, in the United States, under a contract that is required to include the clause prescribed at 22.1803.

An employee is not considered to be directly performing work under a contract if the employee-

(1) Normally performs support work, such as indirect or overhead functions; and

(2) Does not perform any substantial duties applicable to the contract.

Subcontract means any contract, as defined in 2.101, entered into by a subcontractor to furnish supplies or services for performance of a prime contract or a subcontract. It includes but is not limited to purchase orders, and changes and modifications to purchase orders.

Subcontractor means any supplier, distributor, vendor, or firm that furnishes supplies or services to or for a prime Contractor or another subcontractor.

RFQ 75D301-26-Q-79169 Page 18 of 38

United States, as defined in 8 U.S.C. 1101(a)(38), means the 50 States, the District of Columbia, Puerto Rico, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands.

(b) Enrollment and verification requirements.

(1) If the Contractor is not enrolled as a Federal Contractor in E-Verify at time of contract award, the Contractor shall-

(i) Enroll. Enroll as a Federal Contractor in the E-Verify program within 30 calendar days of contract award;

(ii) Verify all new employees. Within 90 calendar days of enrollment in the E-Verify program, begin to use E-Verify to initiate verification of employment eligibility of all new hires of the Contractor, who are working in the United States, whether or not assigned to the contract, within 3 business days after the date of hire (but see paragraph (b)(3) of this section); and

(iii) Verify employees assigned to the contract. For each employee assigned to the contract, initiate verification within 90 calendar days after date of enrollment or within 30 calendar days of the employee’s assignment to the contract, whichever date is later (but see paragraph (b)(4) of this section).

(2) If the Contractor is enrolled as a Federal Contractor in E-Verify at time of contract award, the

Contractor shall use E-Verify to initiate verification of employment eligibility of-

(i) All new employees.

(A) Enrolled 90 calendar days or more. The Contractor shall initiate verification of all new hires of the Contractor, who are working in the United States, whether or not assigned to the contract, within 3 business days after the date of hire (but see paragraph (b)(3) of this section); or

(B) Enrolled less than 90 calendar days. Within 90 calendar days after enrollment as a

Federal Contractor in E-Verify, the Contractor shall initiate verification of all new hires of the Contractor, who are working in the United States, whether or not assigned to the contract, within 3 business days after the date of hire (but see paragraph (b)(3) of this section); or

(ii) Employees assigned to the contract. For each employee assigned to the contract, the Contractor shall initiate verification within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever date is later (but see paragraph (b)(4) of this section).

(3) If the Contractor is an institution of higher education (as defined at 20 U.S.C. 1001(a)); a State or local government or the government of a Federally recognized Indian tribe; or a surety performing under a takeover agreement entered into with a Federal agency pursuant to a performance bond, the Contractor may choose to verify only employees assigned to the contract, whether existing employees or new hires. The Contractor shall follow the applicable verification requirements at (b)(1) or (b)(2) respectively, except that any requirement for verification of new employees applies only to new employees assigned to the contract.

(4) Option to verify employment eligibility of all employees. The Contractor may elect to verify all existing employees hired after November 6, 1986 (after November 27, 2009, in the Commonwealth of the Northern Mariana Islands), rather than just those employees assigned to the contract. The Contractor shall initiate verification for each existing employee working in the United States who was hired after November 6, 1986 (after November 27, 2009, in the Commonwealth of the Northern Mariana Islands), within 180 calendar days of-

RFQ 75D301-26-Q-79169 Page 19 of 38

(i) Enrollment in the E-Verify program; or

(ii) Notification to E-Verify Operations of the Contractor’s decision to exercise this option, using the contact information provided in the E-Verify program Memorandum of Understanding (MOU).

(5) The Contractor shall comply, for the period of performance of this contract, with the requirements of the E-Verify program MOU.

(i) The Department of Homeland Security (DHS) or the Social Security Administration

(SSA) may terminate the Contractor’s MOU and deny access to the E-Verify system in accordance with the terms of the MOU. In such case, the Contractor will be referred to a suspending and debarring official.

(ii) During the period between termination of the MOU and a decision by the suspending and debarring official whether to suspend or debar, the Contractor is excused from its obligations under paragraph (b) of this clause. If the Contractor is not suspended, debarred, or subject to a voluntary exclusion, then the Contractor must reenroll in E-Verify.

(c) Web site. Information on registration for and use of the E-Verify program can be obtained via the

Internet at the Department of Homeland Security Web site: https://www.e-Verify.gov.

(d) Individuals previously verified. The Contractor is not required by this clause to perform additional employment verification using E-Verify for any employee-

(1) Whose employment eligibility was previously verified by the Contractor through the E-Verify program;

(2) Who has been granted and holds an active U.S. Government security clearance for access to confidential, secret, or top secret information in accordance with the National Industrial Security Program Operating Manual; or

(3) Who has undergone a completed background investigation and been issued credentials pursuant to Homeland Security Presidential Directive (HSPD)-12, Policy for a Common Identification Standard for Federal Employees and Contractors.

(e) Subcontracts. The Contractor shall include the requirements of this clause, including this paragraph (e) (appropriately modified for identification of the parties), in each subcontract that-

(1) Is for—

(i) Services (except for commercial services that are part of the purchase of a COTS item (or an item that would be a COTS item, but for minor modifications), performed by the COTS provider, and are normally provided for that COTS item); or

(ii) Construction;

(2) Has a value of more than $3,500; and

(3) Includes work performed in the United States.

(End of clause)

RFQ 75D301-26-Q-79169 Page 20 of 38

52.222-90 Addressing DEI Discrimination by Federal Contractors.

(a) Definitions. As used in this clause— Program participation means membership or participation in, or access or admission to: training, mentoring, or leadership development programs; educational opportunities; clubs; associations; or similar opportunities that are sponsored or established by the contractor or subcontractor.

Racially discriminatory diversity, equity, and inclusion (DEI) activities means disparate treatment based on race or ethnicity in the recruitment, employment (e.g., hiring, promotions), contracting (e.g., vendor agreements), program participation, or allocation or deployment of an entity's resources.

(b) In connection with the performance of work under this contract, the Contractor agrees as follows:

(1) The Contractor will not engage in any racially discriminatory DEI activities;

(2) The Contractor will furnish all information and reports, including providing access to books, records, and accounts, as required by the Contracting Officer, for purposes of ascertaining compliance with this clause;

(3) In the event of the Contractor's or a subcontractor's noncompliance with this clause, this contract may be canceled, terminated, or suspended in whole or in part, and the Contractor or subcontractor may be declared ineligible for further Government contracts;

(4) The Contractor will report any subcontractor's known or reasonably knowable conduct that may violate this clause to the Contracting Officer and take any appropriate remedial actions directed by the Contracting Officer; and

(5) The Contractor will inform the Contracting Officer if a subcontractor sues the Contractor and the suit puts at issue, in any way, the validity of this clause.

(6) The Contractor recognizes that compliance with the requirements of this clause are material to the Government's payment decisions for purposes of 31 U.S.C. 3729(b)(4).

(c) The Contractor must include the substance of this clause, including this paragraph (c), in subcontracts at any tier, including those for commercial products and commercial services, except those where the place of delivery or performance is outside the United States.

HHSAR 352.203-70 Anti-Lobbying (Jun 2026)

Pursuant to the HHS annual appropriations acts, except for normal and recognized executive-legislative relationships, the Contractor must not use any HHS contract funds for:

(a) Publicity or propaganda purposes;

(b) The preparation, distribution, or use of any kit, pamphlet, booklet, publication, electronic communication, radio, television, or video presentation designed to support or defeat the enactment of legislation before the Congress or any State or local legislature or legislative body, except in presentation to the Congress or any state or local legislature itself; or designed to support or defeat any proposed or pending regulation, administrative action, or order issued by the executive branch of any state or local government, except in presentation to the executive branch of any state or local government itself; or

RFQ 75D301-26-Q-79169 Page 21 of 38

(c) Payment of salary or expenses of the Contractor, or any agent acting for the Contractor, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before the Congress or any state government, state legislature or local legislature or legislative body, other than for normal and recognized executive-legislative relationships or participation by an agency or officer of a state, local, or tribal government in policymaking and administrative processes within the executive branch of that government.

(d) The prohibitions in paragraphs (a), (b), and (c) of this clause include any activity to advocate or promote any proposed, pending, or future federal, state, or local tax increase, or any proposed, pending, or future requirement for, or restriction on, any legal consumer product, including its sale or marketing, including, but not limited to, the advocacy or promotion of gun control.

HHSAR 352.232-71 Electronic submission of payment requests (Apr 2026)(RFO Deviation)

Electronic Submission of Payment Requests

(a) Definitions. As used in this clause – Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements in FAR 32.905(b) and the applicable payment clause included in this contract.

(b) Submission instructions. Except as provided in paragraph (c) of this clause, the Contractor must submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) Alternate submission procedures. The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing.

(d) Submission of alternate payment procedures authorization. If alternate payment procedures are authorized, the Contractor must include a copy of the Contracting Officer's written authorization with each payment request.

HHSAR 352.239-78 Information and Communication Technology Accessibility Notice.

(Deviation)(Feb 2024)

(a) Any offeror responding to this solicitation must comply with established HHS Information and Communication Technology (ICT) accessibility standards. Information about Section 508 is available at https://www.hhs.gov/web/section-508/index.html.

(b) The Section 508 accessibility standards applicable to this solicitation are stated in the clause at

352.239-79 Information and Communication Technology Accessibility. In order to facilitate the Government’s determination whether proposed ICT supplies, products, platforms, information, and documentation meet applicable Section 508 accessibility standards, offerors must submit an appropriate HHS Section 508 Accessibility Conformance Checklist (see https://www.hhs.gov/web/section- 508/accessibility-checklists/index.html) or an Accessibility Conformance Report (ACR) (based on the Voluntary Product Accessibility Template (VPAT) see https://www.itic.org/policy/accessibility/vpat), in

RFQ 75D301-26-Q-79169 Page 22 of 38 accordance with the completion instructions. The purpose of the checklists and conformance reports are to assist HHS acquisition and program officials in determining whether proposed ICT supplies, products, platforms, information, and documentation conform to applicable Section 508 accessibility standards.

Checklists and ACRs evaluate—in detail—whether the ICT conforms to specific Section 508 accessibility standards and identifies remediation efforts needed to address conformance issues.

(c) If an offeror claims its supplies or services meet applicable Section 508 accessibility standards, and it is later determined by the Government, i.e., after award of a contract or order, that supplies, products, platforms, information, documentation, or services support delivered do not conform to the described accessibility standards, remediation of the supplies, products, platforms, information, documentation, or services support to the level of conformance specified in the contract will be the responsibility of the Contractor at its expense.

(d) In order to facilitate the Government's determination whether proposed ICT supplies meet applicable Section 508 accessibility standards, offerors must submit an Accessibility Conformance…