HSHQEH-16-R-00001_Amendment_0002.pdf

(x)

HSHQEH-16-R-00001

x x

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 ACKNOWLEDGEMENT 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.

x

Philadelphia PA 19106 701 Market Street, Suite 3200

OPO/FPS/EACCG/HQ/NC

Office of Procurement Operations Federal Protective Service U.S. Dept. of Homeland Security NPPD/FPS/East CCG/HQ-Natl Contracts

04/27/20160002

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

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

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

03/11/2016

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

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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

ORDER NO. IN ITEM 10A.

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

The Department of Homeland Security (DHS), Office of Procurement Operations (OPO), Federal

Protective Service (FPS) is issuing this competitive request for proposals (RFP) to solicit offers for the purpose of awarding a contract to provide medical, psychological, and drug testing services for NPPD/FPS employees throughout all 50 states, plus locations in Puerto

Rico, the Virgin Islands, and the Mariana Islands to include Guam.

1. The purpose of this Amendment is update the Performance Work Statement (PWS) with the attached PWS and extend the date of proposal submission to Wednesday, May 4, 2016 5 P.M.

EST. The following sections have been changed on the updated PWS:

3.2 - Changes timeline for submission of cases from 5 days to 9 days

Continued ...

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

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

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

Todd M. Wanner

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 26

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HSHQEH-16-R-00001/0002

3.6.8 - This section has been added to the PWS

3.7.1.d - Changes timeline for submission of cases from 5 days to 9 days

3.7.1.e - Corrects typographical errors

3.8 - This section has been added to the PWS

9.1 - Removes Hazmat exams from the PWS

9.3 - This section has been added to the PWS

15 - Adds due date for submission of the transition plan

16 - Removes ABMS requirement

17.3 - Changes access to sensitive information to access to DHS facilities, IT systems or sensitive information

17.4 - Changes entry on duty information to:

Contractors requiring access to DHS facilities, IT systems, or sensitive information may NOT commence work on a contract until they have been approved by DHS PSD to Enter on Duty (EOD).

Prior to the EOD decision, only limited access to

Government buildings is allowed, for the purpose of attending briefings and non-recurring meetings to facilitate transition of a contract. In these instances, the Contractor must be escorted by a

Government employee.

17.8 - Changes POC information

2. All other terms and conditions remain unchanged.

DO/DPAS Rating: NONE

Period of Performance: 09/01/2016 to 02/28/2021

Points of Contact:

Contract Specialist, Jessica Rodriguez, 215-521-2276, Jessica.Rodriguez@hq.dhs.gov

Contracting Officer, Todd Wanner, 215-521-2251, Todd.M.Wanner@hq.dhs.gov

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NPPD/FPS Medical Services

DEPARTMENT OF HOMELAND SECURITY (DHS)

NATIONAL PROTECTION AND PROGRAMS DIRECTORATE (NPPD)

FEDERAL PROTECTIVE SERVICE (FPS)

PERFORMANCE WORK STATEMENT (PSW) FOR

NPPD/FPS Medical, Psychological, and Drug Testing Services

1. AUTHORITY

The following authorities affect the services the contractor shall deliver under this SOW: Per Section 503 of Public Law 10071, 5 U.S.C. Section 730 I, A. An agency may establish medical standards for positions that predominate in that agency. Such standards must be justified on the basis that duties of the position are arduous or hazardous, or require a certain level of health status or fitness because the nature of the positions involves a high degree of responsibility toward the public or sensitive national security concerns.

B. Executive Order 12564, dated September 15, 1985, Drug Free Workplace (DFW), requires agencies to establish drug free federal workplace programs, to include drug testing and substance abuse education for federal employees.

C. Public Law 100-71, dated July 11, 1987, requires HHS to do the following: (1) certify that each agency has developed a plan for achieving a drug free workplace in accordance with Executive Order 12564 and applicable provisions of law, and (2) publish mandatory guidelines that establish scientific and technical standards for Federal drug testing programs and standards for certification of laboratories engaged in urine drug testing for Federal agencies.

1.1. BACKGROUND

The goal of the National Protection and Programs Directorate (NPPD) is to advance the Department of Homeland Security’s (DHS) risk-reduction mission. NPPD ensures proper steps are taken to safeguard the Nation’s critical infrastructure and key resources (CIKR), protect the Nation’s cyber security, and telecommunications. NPPD also implements interoperable systems and networks to facilitate effective emergency communications, promote implementation and standardization of consistent risk management approaches across the Department and Nation to protect high-risk CIKR assets, enhance the security of citizens and people traveling to the United States, and promote an integrated national approach to homeland security protection activities.

The Homeland Security Act of 2002 charges Federal Protective Services (FPS) with protecting the buildings, grounds and property that are owned, occupied or secured by the Federal Government (including any agency, instrumentality or wholly owned or mixed ownership corporation) and the persons on the property. To ensure the health and well being of the workforce, NPPD/FPS requires pre-employment medical, employee medical, and drug screening services for its duty stations located throughout the country. Pre-employment medical services include applicant medical and physical screening, physical performance assessment, and drug testing in accordance with U.S.

Department of Health and Human Services (HHS) regulations. Employee medical services include one or more of the following: medical examinations, return to work reviews after an injury or illness and, drug testing.

In accordance with HHS regulations and Department of Transportation (DOT) regulations, the contractor shall ensure that NPPD/FPS has access to facilities in all 50 US States, plus locations in Puerto Rico, the Virgin Islands, and the Mariana Islands to include Guam.

Requests for the testing of individuals from NPPD will originate from the NPPD/FPS Medical and Drug Program. Requests may also originate from either NPPD/FPS Medical and Drug Program Coordinator. The contractor shall fully cooperate with any requests for testing set forth in the SOW originating from authorized personnel.

On a daily basis, or when available, the NPPD/FPS Medical and Drug Program Coordinator will send an electronic file to the contractor to notify them of the applicant's drug screening tests and/or medical

HSHQEH-16-R-00001 Page 3 of 26 examinations. This file will contain all the information about the applicant contact and required tests/exams that are needed to schedule the applicants and/or employees.

2. SCOPE

The NPPD/FPS intends to acquire Medical, Psychological, Fitness and Drug Testing Services for its employees located throughout the country.

2.1. PRE-EMPLOYMENT MEDICAL SERVICES

A. Description

Federal agencies are responsible for ensuring that their employees are fully qualified to safely and efficiently perform the essential duties of their respective positions. In law enforcement and other safety sensitive areas, this mandate takes on extraordinary significance in that certain positions require the employee to engage in activities that are strenuous, hazardous, and carry a high degree of responsibility to the public. These areas are generally, but not exclusively, weapon carrying positions. Because of this and in accordance with 5 CFR 339, Federal agencies have the authority to require:

1. that applicants undergo a pre-employment medical examination and provide specific documentation related to their medical histories; and

2. that employees demonstrate their continued medical fitness for the position based on previously established medical guidelines, physical requirements, and critical tasks specific to each position.

Psychological screening shall be treated as a component of the Pre-Employment medical examination. If requested as part of a Fitness for Duty exam a specialty consultation with a psychologist or psychiatrist is required.

When requested as part of a Fitness For Duty, the request shall describe the services requested. During the Pre- Employment Examination, any tool commonly employed in a primary care setting is appropriate. A "virtual face-to-face" is not specific and appropriate and shall not be used for either a Pre- Employment or Fitness For Duty medical examination.

B. Pre-Employment Medical Examinations

Pre-employment medical services covered in the SOW will include one or all of the following in accordance with HHS: applicant medical, physical screening , and drug testing.

1. Pre-Employment Examination Process

Physical examinations performed under this SOW shall be consistent with established medical guidelines for weapon-carrying positions. Specifically, the medical screening shall include a thorough assessment of the applicant's medical history and shall determine the following:

a. The applicant's current and forecasted future medical fitness for fulfilling the duties of the advertised positions;

b. Whether the individual has a history of a particular medical problem in which recurrence cannot be medically ruled out;

c. The etiology of any disease or condition;

d. The level/degree of stability of an existing or past disease/condition;

e. The level/degree of severity of conditions identified, and

f. The existence and extent of any current concern that is not identified in history, but which may be present during the exam.

Forms to be used in the recording of the medical history and examination's physical findings have been developed by the Government and will be utilized for examination purposes. These forms also serve as guidelines as to what information is salient to the exam process and include guidelines for

HSHQEH-16-R-00001 Page 4 of 26 the measurement of:

i. vital signs

ii. height/weight

iii. vision

iv. corrected and uncorrected visual acuity (near and distant)

v. peripheral vision

vi. visual depth perception

vii. color vision per Ishihara Color Vision Test or in the alternative Farnsworth D-15

g. pure tone audiometry (500; 1,000; 2,000; 3,000; 4,000; 6,000; 8,000 frequencies)

h. tuberculosis skin test results (to be read 48 to 72 hours past administration)medical doctor's interpretation of twelve lead EKG (upon review of the EKG, the Primary Reviewing Physician shall sign or otherwise initial the EKG)

The contractor shall have five (5) working days from Government notification to contact applicants to schedule medical tests within seven (7) working days to complete the pre-employment medical screening process. The Primary Reviewing Physician shall review the completed examination to determine if an applicant is medically suitable for the position. The Primary Reviewing Physician shall render a written medical opinion to the NPPD/FPS Medical and Drug Program Coordinator within nine (9) working days of the pre- employment medical exam date.

C. Medical Conclusion/Recommendation Process for Pre-Employment Medical Services

After performing an assessment of the applicant's medical history and a comprehensive systematic examination, the examining physician shall complete a summary of the findings in order to establish the applicant's health status and the stability of the condition(s) identified.

The examining physician shall refrain from making any recommendation verbally or in writing to the individual regarding the individual's medical fitness for the position. Rather, the examining physician shall forward the exam/history data to the Contractor's Primary Reviewing Physicians. On occasion an Independent Medical Evaluation may be necessary for a Fitness for Duty Examination and if this is needed the request would specifically state this.

This section refers to Pre-Employment Examination where the Contractor shall ensure receipt of the Examining Physician report outlining the history, physical and ancillary and supporting data to the Board-certified Primary Reviewing Physician for a fitness recommendation on whether to hire the applicant.

The Contractor's Primary Reviewing Physicians shall possess an understanding of the stressors and responsibilities of the various positions and shall be thoroughly knowledgeable of the medically established guidelines for each position. Occupations may be added or guidelines may be revised as needed by the Government, and the contractor shall adjust work processes and occupational knowledge as needed. Upon review of the information obtained from the applicant pre-employment medical examination, the Contractor’s Primary Reviewing Physicians shall determine whether the individual meets the medical requirements of the position and provide to the government in (9) working days. The Government's Designated Medical and Drug Program Coordinator staff will receive and review the Primary Reviewing Physician's recommendation and determine the next steps.

1. Contractor’s Primary Reviewing Physicians shall be responsible for:

a. Reviewing all medical examination records and ensuring their completeness.

b. Ensuring that the information obtained from the physical examination, the medical findings, conclusions, and recommendations are consistent with generally accepted professional guidelines.

c. Ensuring that the examination procedures and methods for reporting the information are uniform

d. Providing to the Government's Designated Medical and Drug Program Coordinator staff through written report within nine (9) working days of receipt of a file whether and what additional medical documentation is necessary to clarify the status of a particular medical condition(s).

3. POST-EMPLOYMENT AND EMPLOYEE MEDICAL SERVICES

HSHQEH-16-R-00001 Page 5 of 26

3.1. Description

Physical examinations performed under this SOW shall be consistent with the medical guidelines for weapon-carrying positions. Specifically, the medical examination shall include an assessment of the individual's medical history and his or her current medical and physical status and provide sufficient information to provide a recommendation concerning the individual's continued fitness for the position.

3.2. Fitness for Duty Examinations

The Government generally requires a Fitness for Duty (FFD) examination whenever there is a direct question of the employee's ability to meet the medical and/or physical requirements of the position. At times the Government may require an employee who has applied for or is receiving continuation of pay or compensation as a result of an on the job injury/disease to report for a FFD examination to determine the medical limitations that may affect placement decisions. If required, a psychological examination for a FFD examination will be specifically requested.

There is no specific protocol or specific form for FFD Psychological or Psychiatric evaluations but the Government expects to receive consistent information in line with the usual commonly accepted consultation documentation.

The contractor shall schedule a FFD examination within nine (9) working days of the Government's request. The contractor shall provide the Government with the specifics of the appointment within 48 hours of request, to allow the Government sufficient time to notify the employee. The employee shall be notified within one week prior to the scheduled appointment but no less than two weeks before the appointment. It should be noted that in all FFD examinations it is the Government and not the contractor who is responsible for informing the employee of the appointment and for having the employee sign all necessary consents for the examination. The Government will provide the contractor with all necessary consents at least three (3) working days prior to the scheduled examination.

The contractor shall arrange for the general examination. The examination shall be within 60 miles of the locations listed on the duty station attachment. The examination shall include provisions for the following laboratory work:

• Complete Blood Count (CBC) with differential

• Chemistry profile

• Thyroid Panel

• Urinalysis

The contractor's Primary Reviewing Physicians shall review all exam and lab results, and provide a final report to the Medical and Drug Program Coordinator within nine (9) working days from receipt of results. In the event that the Contractor's Primary Reviewing Physicians indicate that a more detailed assessment by a physician specialist is required, the Primary Reviewing Physicians shall notify the Government's Designated Medical and Drug Program Coordinator staff within nine (9) working days from receipt of results and will then schedule the appropriate specialist examination upon approval of the Government. The contractor shall provide the Government with two weeks notice when the additional examination is scheduled as to allow time for the Government to inform the employee of the specifics. The contractor shall also indicate the cost of each specialist and breakdown the cost by specialist exam, review of records, report, each diagnosis/specialized medical test, etc.

If an employee does not appear for the scheduled examination, the contractor shall notify the Government immediately (within 4 hours of the scheduled appointment).

3.3. Expert Witness

Expert witness testimony may be requested on a case-by-case and may be required in relation to a recommendation whether to hire or not, or in response to a query concerning the results of a drug testing. Expert witness testimony will require a medical and other documentation case review, a narrative summary and in some cases a qualified medical opinion that may need to been done in-person. The expert witness shall provide testimony regarding the medical opinion at deposition, hearing, trial or other forum and a review of additional medical or other documentation provided by the agency following any expert medical opinion, to determine if the additional information impacts the medical opinion previously provided.

HSHQEH-16-R-00001 Page 6 of 26

The training of contractor personnel shall be in accordance to the HHS Drug Free Workplace. The contractor may be required to provide case specific testimony and shall be available upon Government’s request.

3.4. Routine and Specialized Medical Tests

A routine medical examination may be provided to some employees either on a scheduled basis or on as-needed basis, depending on the requirements of the individual position. While a general examination shall be consistent with accepted medical guidelines and include routine assessments, including but not limited to measurements of height, weight, and vital signs; the following enhancements may be ordered by the Government for certain individuals at any time:

• Audiometry

• Blood glucose

• Blood lead level

• Cardiac risk level

• Chest x ray (PA and lateral)

• Color vision assessment (ishihara 14 plate edition)

• Lab profile (CBC with differential, chemistry profile, urinalysis)

• Maximal stress EKG with MD interpretation

• Peripheral vision and visual depth perception

• Protoporphyrin, zinc (ZPP) blood test

• Resting twelve lead EKG with MD interpretation

• Spirometry (FVC%, FEV1, FEVl/FVC)

• TB Skin test (with chest x-ray if indicated)

• Visual acuity (corrected and uncorrected, near and distant)

• Psychological/Psychiatric testing

3.5. Employee Exit Examinations

An “exit examination” may on occasion be ordered for an employee. This examination shall include the following components:

• Audiometry

• Height and Weight

• Blood lead level

• Lab profile (CBC with differential, chemistry profile, urinalysis)

• Resting EKG with MD differential

• Visual acuity (corrected and uncorrected, near and distant)

• Vital signs

Upon request by the Government the contractor shall schedule any of the above enhancements within (7) days of request .

3.6. Provisions for Other Specialized Medical Services

The contractor shall review other medical services documentation as follows:

1. Return to work requests

2. Documentation regarding whether an individual is a "qualified individual with handicap" under the

Americans with Disabilities Act and Rehabilitation Act

3. Reasonable accommodation requests

4. Family/medical leave act requests

5. Employees with time and attendance issues

6. Consultations with the Office of Chief Counsel of NPPD/FPS on any medically-related issue that affects

Tort claims from private parties

7. Consultations with the Office of Employee and Labor Relations and/or the Office of General Counsel

8. Contractor shall perform a CDL Medical Examination and provide written report of the assessment.

HSHQEH-16-R-00001 Page 7 of 26

3.7. Medical Conclusion/Recommendation Process for Post-Employment Medical Services After performing an assessment of the employee’s medical history and a comprehensive systematic examination, the examining physician shall complete a summary of the findings in order to establish the applicant's/employee’s health status and the stability of the condition(s) identified. The contractor shall ensure receipt of the Examining Physician’s finding within (10) working days and provide the Government.

1. The Contractor’s Primary Reviewing Physicians Employee and Post Employment medical services shall be responsible for:

a. Reviewing all medical examination records and ensuring their completeness.

b. Ensuring that the information obtained from the physical examination, the medical findings, conclusions, and recommendations are consistent with generally accepted professional guidelines.

c. Ensuring that the examination procedures and methods for reporting the information are uniform.

d. Indicating to the Government’s Designated Medical and Drug Program Coordinator staff through written report within nine(9) working days of receipt of file whether and what additional medical documentation is necessary to clarify the status of a particular medical condition(s).

e. Indicating to the Government’s Designated Medical and Drug Program Coordinator staff in a written report within ten (10) working days of receipt of file whether the employee’s continued medical fitness for the position may only be determined by a comprehensive assessment by a physician of specialty prior to rendering an opinion. The contractor shall arrange such an assessment and shall notify the Government’s Designated Medical and Drug Program Coordinator staff of the details of the appointment. In addition, if an appropriate medical specialist contributed a written opinion, the written opinion shall be attached to the final recommendation of the Primary Reviewing Physician. The written recommendation shall provide the names of any and all physicians contributing to the opinion.

f. Providing the Government’s Designated Medical and Drug Program Coordinator staff with the written report as to the employee’s medical fitness within nine (9) working days from receipt of the employee’s exam/history data from the examining physician/specialist.

g. Additional opinions, based on additional medical documentation received, may be requested from the Primary Reviewing Physicians. A written medical opinion based on the secondary requests shall be provided within ten (10) working days beginning from the date upon which the requesting office or its designee receives notice from the Primary Reviewing Physician that one is required.

3.8. Functional Capacity Exam with Report

The contractor shall perform an examination and prepare written report the indicates the employee’s physical assessment.

4. DRUG TESTING SERVICES

4.1. Background

The primary objective of a urine drug screening program is to establish and maintain a Drug Free Federal workplace in accordance with Executive Order 12564 and Public Law I 00-71. The work shall be performed in accordance with all applicable policies, procedures and rules set forth by HHS outlined in the "urine specimen collection handbook for Federal Workplace Drug Testing Programs" at http://workplace.samhsa.gov/DrugTesting/SpecimenCollection/UrnSpcm nHndbk 10012004.htm. The contractor shall update processes, as necessary, according to the HHS rules outlined in the above referenced handbook, and stay abreast of HHS requirement changes, and modify processes to accommodate HHS requirement modifications.

The contractor shall, upon notification from NPPD or FPS Medical and Drug Program Coordinator, HSHQEH-16-R-00001 Page 8 of 26 http://workplace.samhsa.gov/DrugTesting/SpecimenCollection/UrnSpcm collect urine specimens from applicants/employees.

The Medical and Drug Program Coordinator will send electronic files to the contractor, when necessary to notify/request for medical examinations.

On occasion it may be necessary to notify the contractor by phone and/or mail of the need to schedule an employee for a medical exam. The collections may occur at many duty locations and the contractor shall make these collections by establishing a clinic, if necessary. The contractor shall also make available expert witnesses, as necessary, in connection with administrative and judicial proceedings.

All Pre-Employment Drug Test Collection shall occur at a Clinic. Under the Random Drug Test, collections will be made at government facilities where large numbers of employees are assigned. The number of government facility collection sites will be small and arranged with the NPPD or FPS Medical and Drug Program Coordinator. Most of the urgent collection, (e.g., Post Accident, Reasonable Suspicious) would be made at a Clinic site.

The contractor shall provide the Government a list of collection sites and will update the list on as needed basis.

Routine Urine Drug Screening

Executive Order 12564 and Public Law 100-71 prohibit any unauthorized use of controlled substances.

The drug testing is conducted by analyzing the applicant's/employee's urine specimen. The analysis shall be performed at laboratories certified and monitored by HHS. A list of HHS approved laboratories is published monthly in the Federal Register. Specimens shall be analyzed for the following:

• Marijuana metabolites

• Cocaine metaboliters

• Opiate metabolites Codeine/Morphine

• 6-Acetylmorphine

• Amphetamines AMP/MAMP

• MDMA

• Phencyclidine

• Other substances identified by HHS or other legal entities in the future

4.2. Categories of Drug Screening

For all services below, the Medical Review Officer (MRO) shall notify the Government's Designated Medical and Drug Program Coordinator within 8 hours after confirmation of the positive result, and within 24 hours for a negative test result. The contractor shall notify the NPPD or FPS requesting office within 4 hours of the scheduled appointment for those applicants/employees who do not report for their scheduled test.

1. Applicants Pre-employment (applicants): These services support pre-employment drug screening. Within two

(2) calendar days of the initial notification, the contractor shall be responsible for coordinating the scheduling of the services within 48 hours with the individual and the collection facility. Most collections shall occur at clinics. The contractor shall also be required to perform on site drug testing at various locations, which may include NPPD or FPS offices. The collection site will generally be provided a two week notice to schedule on site testing. Random drug screenings will take place at the workplaces and at clinic collection sites. There will be a mix of collections at the workplace and at the clinic collection sites. The Medical Reviewing Officer will either notify the Medical and Drug Program Coordinator or the NPPD/FPS Medical Program within two (2) working days of the results of the test.

2. Employees

HSHQEH-16-R-00001 Page 9 of 26

Injury, illness, unsafe or unhealthy practices (Post Accident): These services are conducted after accidents on drivers or other employees whose performance may have contributed to the accident (as determined by a citation for a moving vehicle) and on all drivers involved in fatal or serious accidents even if the driver is not cited for a moving violation.

Testing will be requested for the presence of illegal drugs after a serious accident or where an unsafe work practice occurs in which the agency has reason to believe that illegal drug use contributed to the incident. The contractor shall schedule this type of testing immediately after notification by NPPD or FPS Medical and Drug Program Coordinator and testing shall be completed within 8 hours of such notifications.

Reasonable suspicion: This test is conducted when the appropriate NPPD or FPS Medical and Drug Program Coordinator authorize testing. When management has reason to believe an employee is using illegal drugs, the employee will be given written notification and will be asked to provide a urine sample.

The contractor shall schedule this type of testing immediately after notification by NPPD or FPS Medical and Drug Program Coordinator and testing shall be completed within 8 hours of such notification usually at a clinic.

Random: Random testing shall be performed at Government work sites at scheduled times and the collector will be provided a two week notice. Random drug screenings will take place at some larger workplaces and at clinic collection sites. There will be a mix of collections at the workplace and at the clinic collection sites. Testing may occur anytime within a 24 hour period. The contractor shall be expected upon request to provide a collection team consisting of male and/or female collectors.

Depending on the number of employees to be tested, the contractor may be asked to provide up to four collectors (two of each gender). The majority of collections will be obtained between the hours of 6:00AM and 7:00PM local time. However, collections can be made anytime in locations where operations exist on a 24 hour basis. The NPPD or FPS Medical and Drug Program Coordinator will notify employees of the scheduled test and will provide the name of the site coordinator to the contractor.

Return-to-Duty and Follow-up: These tests are conducted on an individual who has violated the prohibited drug standards, and is returning to official duty. Follow-up tests are unannounced. Employees who are undergoing a rehabilitation program or who have a confirmed history of drug use will be required to provide samples on a random, unannounced basis to assure the agency that the employee is remaining drug free. The contractor shall schedule follow up testing with the employee within 24 hours after notification by NPPD or FPS Medical and Drug Program Coordinator.

Voluntary Testing: Those employees who wish to demonstrate their support of the program may request to be tested voluntarily, whether or not they are in a testing designated position. The contractor shall schedule voluntary testing within 24 hours after notification by NPPD or FPS Medical and Drug Program Coordinator.

4.3. Scheduling

1. Applicants

On a daily basis, or when available, the NPPD or FPS Medical and Drug Program Coordinator will send an electronic file to the contractor to notify them of the applicant's drug screening tests. This notification will be an electronic web-based data file. This file will contain all the information about the applicant contact and required tests/exams that are needed to schedule the applicants. The contractor MRO shall report positive results to the NPPD or FPS Medical and Drug Program Coordinator.

The contractor shall be responsible for scheduling the applicant for drug testing. Upon successfully notifying the applicant of the need for a urine specimen, the contractor shall make provisions to assure that the applicant provides such a specimen within 48 hours of the applicant being notified. The contractor shall contact the applicant by telephone to notify him or her of the appointment date, time, address, and contact person.

2. Employees

HSHQEH-16-R-00001 Page 10 of 26

The contractor shall be responsible for scheduling and providing collectors for the drug testing within two weeks of being requested by NPPD or FPS Medical and Drug Program Coordinator. No notice is provided to the employee until the day of the test. The contractor shall provide NPPD or FPS Medical and Drug Program Coordinator with a written confirmation report of the scheduled collectors/contact information within one week of being requested by the Government. The contractor will also be required to perform random drug testing at various locations. At times the Government may request post accident/unsafe practice testing. This type of drug screening test is for the presence of illegal drugs after a serious accident or where an unsafe work practice occurs in which the agency has reason to believe that illegal drug use contributed to the incident. The contractor shall schedule this type of testing immediately after notification by NPPD or FPS Medical and Drug Program Coordinator and testing shall be completed within 8 hours of such notification.

For emergency requests (reasonable suspicion; injury, illness, unsafe or unhealthy practices), the contractor shall ensure the completion of the collection within 8 hours of notification. Such requests may occur at anytime during the day or week, at any location, and generally will be made via telephone, followed by written confirmation.

Within 30 calendar days after award, the contractor shall supply the Government the contact information for the collection sites.

4.4. The Collector

The collector is a certified individual who instructs and assists a donor at a collection site, receives and makes an initial inspection of the urine specimen provided by the donor, and initiates and completes the custody and control form (CCF). The collector is vital to the success of a drug-testing program and is the one individual with whom all donors will have direct face- to-face contact. If the collector does not ensure the integrity of the specimen and adhere to the collection process, the specimen may not be considered a valid piece of evidence. Agency site coordinator(s) may travel on-site to oversee collections and collectors. On occasion the Government may request that an agency site coordinator serve as a collector. On occasion, a collector may be required to testify.

The contractor shall contact the Government to resolve problems concerning:

1. applicants who are unable to provide a specimen while at the collection facility

2. permission to conduct direct observation collections for applicants or employees suspected of adulterating specimens.

4.5. Collection Site

The collection site is the location for specified applicants/employees to present themselves for the purpose of providing their urine specimens under controlled conditions. Generally, pre-employment; reasonable suspicion;

Return-to-Duty; Follow-up; and, Voluntary Testing will be conducted at the contractor sites unless alternative sites have been agreed upon by the Government and the contractor.

Random, injury, illness, or unhealthy practices collections will be conducted primarily at Government locations.

There will be appropriate forms available when collections take place at Government facilities. The contractor shall assume responsibility for ensuring that specific collection site requirements are adhered to.

The majority of applicants/employees requiring testing will report to a location designated by the contractor.

Collection sites for employee drug testing are usually at the workplace. When the collection site is not at the workplace, it shall be within 60 miles of the locations listed on the duty station attachment.

Applicant drug testing is scheduled either in conjunction with another pre- employment process or is scheduled within 60 miles of the locations listed on the duty station attachment. In certain cases, the contractor shall be required to travel to the individual's location if the collection site is not located within 60 miles of the applicant/employee.

If the contractor is unable to make a prompt specimen collection appointment because a collection site is not available within a 60 miles the locations listed on the duty station attachment, the contractor shall notify the Government within 24 hours of the initial request for services. The Government may provide the contactor an additional 24 hours to locate an acceptable collection site. However, if unable to locate an acceptable collection site, the contractor shall make arrangements to travel to a site mutually agreed upon by both parties. This travel will be at no additional cost to the Government.

HSHQEH-16-R-00001 Page 11 of 26

The contractor shall, at a minimum:

1. Ensure the collection site provided has restroom facilities that are clean, well lit, and sufficiently secure to prevent compromise during the collection of specimens. The Government will be responsible for securing any collection at Government locations.

2. Ensure any collection site for urine collections shall be secure at all times. No unauthorized personnel shall be permitted in any part of the collection site where urine specimens are collected or stored.

3. Immediately notify NPPD or FPS Medical and Drug Program Coordinator if a site fails to meet any of the above requirements. The contractor shall then, in consultation with the Government, select an alternate site meeting in the above requirements.

a. Collection Supplies The contractor shall be responsible for providing all supplies necessary to conduct proper collections at the designated sites.

b. Applicant/Employee Identification Applicant or employee identification will be through a government issued picture identification badge or driver's license. The Contractor shall confirm the identity of the applicant/employee for drug screening.

In the event an applicant/employee does not have proper identification, authorization to collect the specimen must be obtained from Government authorized officials and noted on the Chain of Custody Form (CCF).

Additionally, if an applicant/employee fails to appear at the assigned time, the collector shall contact the Contractor, who in tum shall report to the Government within 4 hours of the scheduled appointment time.

c. Specimen fitness If the applicant/employee is unable to provide a specimen of at least 30 ml (45ml preferred) but does provide enough specimens to activate the temperature strip, the collector shall first determine if the specimen is within the acceptable temperature range.

If the specimen was of insufficient quantity and within the acceptable temperature range, the collector shall dispose of the original specimen and collection container but retain the CCF. The collector notes the time of the first attempt on the CCF, and informs the individual of when the two-hour period begins and ends. The individual is required to remain at the test site until a second specimen is provided. The individual may be given a reasonable amount of liquid to drink for this purpose. If the specimen is less than 30ml and the temperature is outside the acceptable range, the collector shall immediately contact the Government authorized official to discuss the appropriate action to be taken.

If the individual is unable to provide a second specimen within 2 hours, the collector shall contact the contractor for instructions. For applicants and employees, the contractor shall immediately contact the Government authorized official before the individual is allowed to leave the site.

If the specimen is not immediately prepared for shipment, it shall be appropriately secured and refrigerated during temporary storage. In no instance shall the specimen be stored longer than 24 hours after collection. Note that there will be no collection on Friday afternoon or weekends to avoid delays.

d. Collection Control In order to ensure that the urine sample is properly identified, strict chain of custody procedures shall be applied.

While performing any part of the chain of custody procedures, the contractor shall ensure that the specimen and custody documents are always under the total control of the collector. If the collector must leave the workstation, the specimen and custody form shall accompany the collector. Collectors shall work with only one donor at a time.

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Only the proper laboratory chain of custody forms shall be utilized for the purpose of maintaining control and accountability from initial collection to final disposition of all specimens. The forms shall identify the specimens through use of pre-printed applicant/ employee identification information that matches label items and a sequential number assigned to each urine specimen obtained. With each transfer of possession, the chain of custody form shall be signed, dated, and time stamped by the individual releasing the specimen. By signing and dating the CCF, the individual certifies that the urine in the bottle came from his/her body at the time of collection. Refusal to sign the CCF shall be noted on the CCF by the collector. The collector shall complete the CCF for the collection process. The applicant/employee shall not be released until the specimen is sealed in the transmittal package. The contractor shall ensure that the number of person handling the specimens does not exceed two consisting of the collector and one other contractor employee.

The contractor shall adhere strictly to the following timeframes established by the Government. Failure of the contractor to adhere to the timeframe shall be reported immediately to the Government authorized official:

i. In the Random Testing Program, the collection process will generally be scheduled by the Government under the direction of NPPD or FPS Medical and Drug Program Coordinator to occur as close to the start of a work shift as possible. At Government locations where there is a 24-hour operation, collections may occur at any hour during the shift.

ii. Injury, illness, unsafe or unhealthy practices, and reasonable suspicion collections shall be made within 8 hours after notification by NPPD or FPS Medical and Drug Program Coordinator.

iii. Pre-employment and voluntary collections shall occur within 48 hours after NPPD or FPS Medical and Drug Program Coordinator notifies the contractor.

iv. For Follow-up collections, NPPD or FPS Medical and Drug Program Coordinator will provide the primary contractor with the date the collection is needed.

Collection under direct observation shall never be made except with specific verbal authorization from the Government. When approved, a same sex collector shall directly observe the collection. The HHS and DOT guidelines apply and allow direct observation; however, direct observation is not authorized under this Statement of Work without specific authorization from the Government.

In cases where specimens are provided without direct observation, the collectors shall always have the container within sight before and after the individual has urinated. The individual being tested and the collector shall keep the specimen in view at all times prior to being sealed and labeled. The identification label shall contain the date, the individual's specimen number and other required information. If the specimen is transferred to a second container, the collector shall require the individual to observe the transfer of the specimen and the placement of the identification label securely on the container. The tamper proof seal shall be placed over the container cap and down the sides of the bottle. The designated contract Drug Testing Laboratory may provide additional instructions on proper chain of custody procedures. The designated Drug Testing Laboratory refers to a Contractor-designated laboratory in compliance with the HHS/SAMSHA Mandatory Guidelines for Drug Testing.

After collection of urine specimens, the contractor shall arrange to ship the specimens to the designated contract Drug Testing Laboratory (DTL). The specimen shall be placed in appropriate containers (specimen boxes or padded mailers) that are securely sealed to eliminate the possibility of tampering.

Collectors shall prepare packages in accordance with specific written DTL instructions. The Contractor shall ensure that all specimens are delivered to the DTL, within 24 hours of collection, by next day delivery service.

e. Quality Control and Training

The Contractor shall conduct on site visits and randomly monitor/review number for days for scheduling, number of days for rescheduling previously rejected specimens, and number of days for

HSHQEH-16-R-00001 Page 13 of 26 mailing specimens. The contractor shall provide proper training to the contract collectors on HHS guidelines for any collection efforts.

f. Response to Agency Upon being notified by the Government of drug collection problems, due to failure to comply with the SOW, the contractor shall research the problems and report to the Government, in writing, the corrective actions taken within 48 hours after the notification.

The contractor shall notify the Government promptly prior to closing a designated collection facility.

The contractor shall ensure that all specimens are sent from the collector to the contractor ten (10) calendar days after a facility is closed. Upon request of the Government to discontinue use of a facility, the contractor shall have two weeks to identify and report to the Government the name and address of the new facility.

g. Reports and Records

The contractor shall provide the Government with statistical summary reports on all collections containing specific details on employees tested, site locations, and costs incurred. The statistical summary reports shall be submitted no later than the 10th of each month following the month during which a site collection was conducted.

5. FAMILY AND MEDICAL LEAVE ACT (FMLA)

The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA protections because of a need for leave due to his/her serious health condition or a family member’s health condition, to submit a medical certification. The Medical Review Officer (MRO) shall review the medical documentation and certification that is submitted to support the request for leave under FMLA and offer a written opinion on whether the person (employee or family member) has a serious health condition that qualifies under FMLA.

6. REASONBLE ACCOMMODATIONS UNDER THE AMERICAN WITH DISABILITIES

When an employee requests a reasonable accommodations under ADA the MRO shall review the supporting material and offer a written opinion on whether the person (employee) has a disability under ADA.

7. KEY PERSONNEL REQUIREMENTS

Medical Review Officer (MRO) must be a physician licensed any U.S., Canadian, or Mexican jurisdiction, currently Board-certified in Occupational Medicine, or Internal Medicine and having successfully passed the Medical Review Officer Certification Council (MROCC) examination, continuing education and recertification requirements as mandated. Note that having successfully passed the American Association Of Medical Review Officer (AAMRO) is an acceptable substitute for the MROCC examination.