CSS - IHS1519435 PAWNEE ECHOCARDIOGRAM - AMENDMENT 01.pdf

Combined Synopsis/Solicitation

This is a combined synopsis/solicitation for commercial products or commercial services prepared in accordance with part 12. This announcement constitutes the only solicitation.

Offers are being requested and a separate written solicitation will not be issued.

Solicitation number IHS1519435 is issued as a request for quotation (RFQ), for Echocardiogram and Vascular Interpretation Services by Teleservice Means.

This acquisition is not set-aside for small business concerns. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisition.gov.

The product service code (PSC) for this acquisition is Q522 and the North American Industry Classification System (NAICS) code is 621111, with a size standard of $16 million.

This RFQ contains one hundred twenty five (125) FORTY (40) Line Items:

CLIN ITEM ESTIMATED

ANNUAL

QUANTITY

UOM UNIT PRICE TOTAL PRICE

01 Base Period Echocardiogram and Vascular Interpretation Services

- Ankle/Brachial Indices

(ABI)

21 EA

- Arterial Lower Duplex Doppler

61 EA

- Arterial Upper Duplex Doppler

1 EA

- Carotid Duplex Complete Bilateral Doppler

83 EA

- Carotid Limited Ultrasound

83 EA

- Complete Abdominal U/S

37 EA

- Echocardiogram Complete

248 EA

- Echocardiogram Scrotum

11 EA

- Elastography Parenchyma (Organ

2 EA

- Gallbladder Ultrasound

32 EA

- Liver Ultrasound 98 EA

- Pelvic Limited 1 EA

AMENDMENT 01 - 01/28/2026

http://www.acquisition.gov/

- Pelvic Ultrasound 45 EA

- Renal Ultrasound 93 EA

- Abdominal Aortic/Renal Arterial Duplex Doppler

46 EA

- Soft Tissue Abdomen

US

22 EA

- Soft Tissue Chest US 8 EA

- Soft Tissue Extremity

US

39 EA

- Soft Tissue Head/Neck

US

34 EA

- Spleen Ultrasound 2 EA

- Thyroid/Parathyroid Ultrasound

68 EA

- Transvaginal Ultrasound

90 EA

- Upper and Lower Extremity Venous Ultrasound Complete

17 EA

- Upper and Lower Extremity Venous Ultrasound Limited

27 EA

02 Option Period 1 Echocardiogram and Vascular Interpretation Services

- Ankle/Brachial Indices

(ABI)

23 EA

- Arterial Lower Duplex Doppler

67 EA

- Arterial Upper Duplex Doppler

2 EA

- Carotid Duplex Complete Bilateral Doppler

91 EA

- Carotid Limited Ultrasound

91 EA

- Complete Abdominal U/S

41 EA

- Echocardiogram Complete

273 EA

- Echocardiogram Scrotum

12 EA

- Elastography Parenchyma (Organ

2 EA

- Gallbladder Ultrasound

35 EA

- Liver Ultrasound 108 EA

- Pelvic Limited 2 EA

- Pelvic Ultrasound 50 EA

- Renal Ultrasound 102 EA

- Abdominal Aortic/Renal Arterial Duplex Doppler

51 EA

- Soft Tissue Abdomen Us

24 EA

- Soft Tissue Chest Us 9 EA

- Soft Tissue Extremity Us

43 EA

- Soft Tissue Head/Neck Us

37 EA

- Spleen Ultrasound 3 EA

- Thyroid/Parathyroid Ultrasound

75 EA

- Transvaginal Ultrasound

99 EA

- Upper and Lower Extremity Venous Ultrasound Complete

19 EA

- Upper and Lower Extremity Venous Ultrasound Limited

30 EA

03 Option Period 2 Echocardiogram and Vascular Interpretation Services

- Ankle/Brachial Indices

(ABI)

25 EA

- Arterial Lower Duplex Doppler

74 EA

- Arterial Upper Duplex Doppler

3 EA

- Carotid Duplex Complete Bilateral Doppler

100 EA

- Carotid Limited Ultrasound

100 EA

- Complete Abdominal U/S

45 EA

- Echocardiogram Complete

300 EA

- Echocardiogram Scrotum

13 EA

- Elastography Parenchyma (Organ

4 EA

- Gallbladder Ultrasound

39 EA

- Liver Ultrasound 119 EA

- Pelvic Limited 3 EA

- Pelvic Ultrasound 54 EA

- Renal Ultrasound 113 EA

- Abdominal Aortic/Renal Arterial Duplex Doppler

56 EA

- Soft Tissue Abdomen

US

27 EA

- Soft Tissue Chest US 10 EA

- Soft Tissue Extremity

US

47 EA

- Soft Tissue Head/Neck

US

41 EA

- Spleen Ultrasound 4 EA

- Thyroid/Parathyroid Ultrasound

82 EA

- Transvaginal Ultrasound

109 EA

- Upper and Lower Extremity Venous Ultrasound Complete

21 EA

- Upper and Lower Extremity Venous Ultrasound Limited

33 EA

04 Option Period 3 Echocardiogram and Vascular Interpretation Services

- Ankle/Brachial Indices

(ABI)

28 EA

- Arterial Lower Duplex Doppler

81 EA

- Arterial Upper Duplex Doppler

4 EA

- Carotid Duplex Complete Bilateral Doppler

110 EA

- Carotid Limited Ultrasound

110 EA

- Complete Abdominal U/S

49 EA

- Echocardiogram Complete

330 EA

- Echocardiogram Scrotum

15 EA

- Elastography Parenchyma (Organ

5 EA

- Gallbladder Ultrasound

43 EA

- Liver Ultrasound 130 EA

- Pelvic Limited 4 EA

- Pelvic Ultrasound 60 EA

- Renal Ultrasound 124 EA

- Abdominal Aortic/Renal Arterial Duplex Doppler

61 EA

- Soft Tissue Abdomen

US

29 EA

- Soft Tissue Chest US 11 EA

- Soft Tissue Extremity

US

52 EA

- Soft Tissue Head/Neck

US

45 EA

- Spleen Ultrasound 5 EA

- Thyroid/Parathyroid Ultrasound

91 EA

- Transvaginal Ultrasound

120 EA

- Upper and Lower Extremity Venous Ultrasound Complete

23 EA

- Upper and Lower Extremity Venous Ultrasound Limited

36 EA

05 Option Period 4 Echocardiogram and Vascular Interpretation Services

- Ankle/Brachial Indices

(ABI)

31 EA

- Arterial Lower Duplex Doppler

89 EA

- Arterial Upper Duplex Doppler

5 EA

- Carotid Duplex Complete Bilateral Doppler

122 EA

- Carotid Limited Ultrasound

122 EA

- Complete Abdominal U/S

54 EA

- Echocardiogram Complete

363 EA

- Echocardiogram Scrotum

16 EA

- Elastography Parenchyma (Organ

6 EA

- Gallbladder Ultrasound

47 EA

- Liver Ultrasound 143 EA

- Pelvic Limited 5 EA

- Pelvic Ultrasound 66 EA

- Renal Ultrasound 136 EA

- Abdominal Aortic/Renal Arterial Duplex Doppler

67 EA

- Soft Tissue Abdomen

US

32 EA

- Soft Tissue Chest US 12 EA

- Soft Tissue Extremity

US

57 EA

- Soft Tissue Head/Neck

US

50 EA

- Spleen Ultrasound 6 EA

- Thyroid/Parathyroid Ultrasound

100 EA

- Transvaginal Ultrasound

132 EA

- Upper and Lower Extremity Venous Ultrasound Complete

25 EA

- Upper and Lower Extremity Venous Ultrasound Limited

40 EA

TOTAL ALL LINE ITEMS

PERIOD OF PERFORMANCE: 03/01/2026 – 02/28/2031

LOCATION: Pawnee Indian Health Clinic 1201 Heritage Circle Pawnee, OK 74058. Services to be provided via teleservice.

Vendor Requirements: SEE ATTACHED STATEMENT OF WORK

Submit Quotes no later than: 02/03/2026 02:00p.m. CDT to the Following Point of Contact:

Mary Ann Yocham, Contract Specialist, via Email: maryann.yocham@ihs.gov.

Evaluation: FAR 52.212-2 Evaluation -- Commercial Products and Commercial Services.

(Deviation Date)

(a) Evaluation factors. The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors will be used to evaluate offers:

Technical:

• Contractor shall be able to interpret standard echocardiograms and vascular studies

(carotid, venous, and arterial) by teleradiology and direct observation.

• Contractor shall be able to dictate/transmit in a manner that can be received into the current RPMS/HER System

• Contract must be able to provide a turnaround time of 72 hours beginning upon completion of the exam for all routine reports and 24 hours beginning upon completion of the exam for all urgent reports.

• Contractor reposts shall be compatible with the HL7 software package and shall interface with the Government furnished Image Archive and PACS communication platforms.

• Contractor shall provide Cardiologists who possess a current, valid, unrestricted license in a state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States and should be eligible to participate in the Medicare/Medicaid programs.

Past Performance: This will include reviewing performance information available in CPARS as well as other sources of information.

Price: Pricing will be evaluated by taking the price of each reading, multiplying it by one (1) and adding the total together.

(b) Options (if applicable). The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. The evaluation of options does not obligate the Government to exercise the option(s).

(c) Notice of award. A written notice of award or acceptance of an offer furnished to the successful Offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

The Government contemplates award of a Firm Fixed Price Blanket Purchase Agreement resulting from this solicitation pursuant to the terms and conditions below. Terms and conditions other than those stated will not be accepted. The above pricing is all inclusive.

PROVISIONS: The following FAR and HHSAR provisions apply to this solicitation:

FAR 52.212-1, Instructions to Offeror- Commercial Products and Commercial Services (Deviation Date); FAR 52.204-7 System for Award Management—Registration; FAR 52.219-4 Notice Of Price Evaluation Preference For Hubzone Small Business Concerns. (Deviation Date); HHSAR 352.239- 78, Information and Communication Technology Accessibility Notice (DEVIATION)

CLAUSES: The following FAR and HHSAR clauses apply to this solicitation:

FAR 52.212-4, Contract Terms And Conditions—Commercial Products And Commercial Services (Deviation Aug 2025); FAR 52.203-17 Contractor Employee Whistleblower Rights (Nov 2023);

FAR 52.204-9 Personal Identity Verification Of Contractor Personnel (Jan 2011); FAR 52.204-13, System For Award Management Maintenance (Nov 2025); FAR 52.209-6 Protecting The Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed For Debarment, Or Voluntarily Excluded (Jan 2025); FAR 52.209-10 Prohibition On Contracting With Inverted Domestic Corporations (Nov 2015); FAR 52.217-2, Cancellation Under Multiyear Contracts (Oct 1997); FAR 52.219-28 Postaward Small Business Program Rerepresentation (Jan 2025); FAR 52.222-3 Convict Labor (Jun 2003); FAR 52.222-35 Equal Opportunity for Veterans (Jun 2020); FAR 52.222-36 Affirmative Action For Workers With Disabilities (Jun 2020); FAR 52.222-37 Employment Reports On Veterans (Jun 2020); FAR 52.222-41 Service Contract Labor Standards (Aug 2018); FAR 52.222-50 Combating Trafficking In Persons (Nov 2021); FAR 52.222- 62 Paid Sick Leave Under Executive Order 13706 (Jan 2022); FAR 52.223-23, Sustainable Products And Services (Deviation Date); FAR 52.224-1 Privacy Act Notification (Apr 1984); FAR 52.224-2 Privacy Act (Apr 1984), FAR 52.224-3 Privacy Training (Jan 2017); 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 52.233-3 Protest After Award (Nov 2025); FAR 52.233-4 - Applicable Law for Breach of Contract Claim (Oct 2004); FAR 52.240-91, Security Prohibitions And Exclusions (Nov 2025); FAR 52.244- 6, Subcontracts For Commercial Products And Commercial Services (Jan 2025); HHSAR 352.204- 72, Records Management. (Deviation) (Feb 2024); HHSAR 352.204-73, Contractor Personnel Security And Agency Access. (Deviation) (Feb 2024); HHSAR 352.211-3, Paperwork Reduction Act. (Dec 2015); HHSAR 352.232-71, Electronic Submission Of Payment Requests; HHSAR 352.239-70 Standards For Health Information Technology (Deviation) (Dec 2022); HHSAR 352.239-74, Information System Hosting, Operation, Maintenance, Or Use. (Deviation) (Feb 2024); HHSAR 352.239-75, Security Controls Compliance Testing. (Deviation) (Feb 2024);

HHSAR 352.239-79, Information And Communication Technology Accessibility. (Deviation) (Feb 2024)

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 of contract or option period expiration.

(End of clause)

HHSAR 352.204-71, Information And Information Systems Security. (Deviation) (Feb 2024)

(e) Roster of employees. Contractors and subcontractors shall provide a roster containing the name, position, e-mail address, phone number, and responsibilities of each employee, including subcontractors, performing work under the contract to develop, have the ability to access, or host and/or maintain a government information system(s). The roster must be submitted to Contracting Officer within 30 days stated number of days from the effective date of the contract. Revisions to the roster as a result of staffing changes must be submitted within the number of days of the change provided by the Contracting Officer. The Contracting Officer, or the Contracting Officer’s Representative (COR), will notify the Contractor of the appropriate level of investigation required for each staff member based on the information provided on the roster. If an employee is filling a new position, the Contractor must provide a position description and the Government will determine the appropriate suitability level.

(1) Such issues shall be remediated as quickly as is practical, but in no event longer than 30 days.

The Contractor shall notify the Contracting Officer in writing.

(2) When the security fixes involve installing third party patched (e.g., Microsoft OS patches or Adobe Acrobat), the Contractor will provide written notice to HHS that the patch has been validated as not affecting the systems within 10 working days. When the Contractor is responsible for operations or maintenance of the systems, they shall apply the security fixes within 10 days.

HHSAR 352.224-70, Notification Of System Of Records Notice. (Deviation) (Feb 2024)

(b) The System of Records Notice(s) (SORN(s)) that is applicable to this contract is/are: 09-17- 0001 Medical, Health, and Billing Records Systems 09-17-0005 Personal health Records (PHR) Administrative Records- IHS

(c) The System of Records design, development, or operation work the Contractor is to perform is: as outlined in the statement of work.

(d) The disposition to be made of the Privacy Act records upon completion of contract performance is as follows: Destroy the records or if there is a legitimate need for a contractor to keep the records after completion of a contract, the contractor must take measures as defined in HHSAR 352.224- 71.

(End of clause) HHSAR 352.224-71, Confidential Information. (Deviation) (Feb 2024)

(1) The publication or dissemination of the following types of information are restricted under this contract: ANY GOVERNMENT RECORD INFORMATION, PAYMENT INFORMATION, EMPLOYEE/PATIENT PHI OR PII.

(2) The reason(s) for restricting the types of information identified in subparagraph (d)(1) is/are:

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 AND PRIVACY

ACT OF 1974 (2020 EDITION).

(End of clause) “System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in this solicitation. Contracting officers will rely on representations from offers based on provisions in the solicitation. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.”

Miscellaneous:

NO FAX QUOTATIONS

ELECTRONIC SUBMISSIONS – SUBMISSION VIA EMAIL IS THE ONLY ACCEPTABLE

ELECTRONIC SUBMISSION. (maryann.yocham@ihs.gov)

All contractors must be registered in the System for Award Management database located at https://www.sam.gov when submitting an offer or quotation. Please submit the following information with each quote: Vendor Name, Cage Code, UEI, Tax Identification Number, Prompt Payment Terms, Delivery Time, GSA Contract Number (if applicable), Date quote expires, warranty, total price for each line item, total quote price, and technical documentation in sufficient detail to determine technical acceptability. Failure to provide sufficient technical details may result in rejection of your quote.

https://www.sam.gov/

Department of Health and Human Services Indian Health Service Oklahoma City Area

Statement of Work (SOW) Echocardiogram Interpretation Services

1. PURPOSE OF THE PROJECT

The Pawnee Indian Health Center, Indian Health Services (IHS) has a requirement for echocardiogram and vascular interpretation services by teleservice means.

2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS

The contractor shall interpret standard echocardiograms and vascular studies (carotid, venous, and arterial) by teleradiology and direct observation. Interpretations will be completed by appropriate licensed, trained, and privileged personnel and dictated/transmitted in a manner that can be received into the current RPMS/EHR (Resource and Patient Management System/Electronic Health Record) system. Direct phone access will be provided to personnel to make consultations consistently and quickly. The turnaround time for all final reports will be within a 72-hour period beginning upon completion of the exam. See attached schedule for all required interpretations.

3. PERIOD OF PERFORMANCE

The base year Period of Performance will be 12 months from date of award with four (4) twelve (12) month option years.

Base Year: 02/01/2026 – 01/31/2027 Option Year 1: 02/01/2027 – 01/31/2028 Option Year 2: 02/01/2028 – 01/31/2029 Option Year 3: 02/01/2029 – 01/31/2030 Option Year 4: 02/01/2030 – 01/31/2031

4. LEVEL OF EFFORT

4.1. The contractor shall provide echocardiogram and vascular interpretation services Monday through Friday 8:00am to 4:30 pm. Contractor will provide a 72-hour turnaround time on routine reports and a 24-hour turnaround time on Urgent reports beginning upon completion of exam.

4.2. The contractor shall provide complete reports with the patient’s name, date of birth, and chart number on each page of the report.

4.3. Date and time dictated, date and time transcribed, job number, dictator’s initials and transcriber’s initials shall be typed at the end of each report.

4.4. All contractor reports shall be compatible with the HL7 software package used by Indian Health Service (the VA HL7 software package). The contractor shall interface with Government furnished Image

Archive and PACS (Picture Archiving and Communications System) communication platforms.

4.5. All technologist’s must be able to access vendor’s report database via Internet or Network access.

4.6. All Cardiologists shall possess a current, valid unrestricted license in a state, the District of Columbia, the

Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract.

Oklahoma City Area

Personnel must meet state licensure requirements and maintain ongoing training and education to maintain the appropriate level of competency.

4.7. All Cardiologists shall be eligible to participate in the Medicare and Medicaid programs.

4.8. Pawnee Indian Health Center shall periodically evaluate the performance and professional quality of interpretations through document review. The contractor shall make provision whereby unsatisfactory performance or untimely completion of interpretations will be addressed in mutually agreed upon manner.

4.9. The contractor shall submit a plan which outlines a course of action, should the vendor be unable to carry out the duties outlined within the contract.

4.10. The contractor shall maintain the securing of patient data and comply with the Privacy Act of 1974.

5. SPECIAL REQUIREMENTS

5.1. The USPHS Pawnee Indian Health Center is a tobacco/smoke free environment (buildings and grounds).

No tobacco/smoking use will be tolerated during service.

5.2. Patient Data Security Plan: The Contractor shall describe the security plan for patient data. This includes the location of physical servers and reading centers in support for contractor services. The plan shall include any encrypted wireless systems that may be in use by reading providers should there be any.

5.3. Interconnection Security Agreement (ISA): Contractor shall provide and complete an ISA business agreement with the IHS, prior to the performance of any actions related to the contract.

5.4. Security Requirements: The Contractor shall obtain completed IHS ISSO Security Clearance prior to the start of this contract. This clearance will establish that the Contractor has provided sufficient local telecommunications network firewalls and procedures to ensure patient confidentiality and security consistent with HIPAA (Health Insurance Portability and Accountability Act of 1996) regulations.

5.5. Communications/Network Infrastructure: The Contractor shall interface with Government furnished Image Archive and PACS (Picture Archiving and Communications System) communication platforms and ensure fully operational and communication with the PIHC RPMS Health Systems environment within VLAN if deemed applicable. All contractor reports shall be compatible with the HL7 software package used by Indian Health Service (the VA HL7 software package).

5.6. The contractor shall meet the below requirements set by clinic regulations for accessing and creating VPN tunnels for receiving echocardiogram studies for interpretations.

IKEv2 Policy:

Integrity: SHA-256 Encryption: AES-256

PRF: SHA-256

DH Group: 14

IKEv2 Proposal:

Encryption: AES-256

HASH: SHA-256

Oklahoma City Area

PFS Group: 14 (optional if supported by your device)

5.7. Security Requirements: Contractor personnel will be required to contact the government designated point of contact upon arrival when reporting for serv ice calls ort delivery supplies. The Contractor shall be responsible for the security of all organizational information. Current rules and regulations applicable to the premises, where the work shall be performed shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by Pawnee Indian Health Center official, presenting valid identification, smoking restriction and any safety procedures.

5.8. The contractor shall not disclose or cause to disseminate any information concerning operations of Pawnee Indian Health Center. Such action(s) could result in violation of the contract and possible legal actions.

5.8.1. All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative.

6. DELIVERABLES AND REPORTING REQUIREMENTS

6.1. Delivery: The contractor shall provide echocardiogram reports in the appropriate time frame as list above in the technical requirements section.

6.2. Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to the government’s designated representative for coordination of supplies, delivery, and/or maintenance. The POC will be empowered to make daily decisions to ensure that the contract implementation and day-to-day maintenance meets the terms and conditions of this contract.

6.3. Contractor’s Phone Numbers: The contractor shall provide a toll-free telephone number for service calls, which must be answered during at least eight working hours, between 8:00 am and 4:30 pm, Monday through Friday.

6.4. Personnel Qualifications: Only licensed Physicians with the specialty in Cardiology will interpret the echocardiograms and vascular studies. The contractor shall ensure that all personnel (Cardiologists) are appropriately licensed and trained to provide interpretations of standard echocardiogram and vascular exams. Personnel must meet state licensure requirements and maintain ongoing training and education to maintain the appropriate level of competency.

7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES

Oklahoma City Area

7.1. All digital medical imaging files provided to the Contractor for interpretation shall remain the property of the government. Contractor shall not publish and/or share outside Contractor’s organization any IHS digital or analog image or imaging study reports undertaken with the express written consent of the sending IHS facility shall be done in a manner allowed by HIPAA and all other IHS rules and regulations.

7.2. Section 508 and Accessibility

This product must conform to the Revised Section 508 (https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines) and WCAG 2.0 Level AA standards as outlined below.

Solicitations for supplies and services shall require the submission of a Section 508 Product Assessment Template. The template can be found at https://www.itic.org/policy/accessibility/vpat.

352.239-73 Electronic Information and Technology Accessibility Notice.

(a) As prescribed in HHSAR 339.203-70(a), the Contracting Officer shall insert the following provision:

Electronic and Information Technology Accessibility Notice (December 18, 2015)

(a) Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d), as amended by the Workforce Investment Act of 1998 and the Architectural and Transportation Barriers Compliance Board Electronic and Information (EIT) Accessibility Standards (36 CFR part 1194), require that when Federal agencies develop, procure, maintain, or use electronic and information technology, Federal employees with disabilities have access to and use of information and data that is comparable to the access and use by Federal employees who are not individuals with disabilities, unless an undue burden would be imposed on the agency. Section 508 also requires that individuals with disabilities, who are members of the public seeking information or services from a Federal agency, have access to and use of information and data that is comparable to that provided to the public who are not individuals with disabilities, unless an undue burden would be imposed on the agency.

(b) Accordingly, any offeror responding to this solicitation must comply with established HHS EIT accessibility standards. Information about Section 508 is available at http://www.hhs.gov/web/508. The complete text of the Section 508 Final Provisions can be accessed at http://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards.

(c) The Section 508 accessibility standards applicable to this solicitation are stated in the clause at 352.239-74, Electronic and Information Technology Accessibility.

In order to facilitate the Government’s determination whether proposed EIT supplies meet applicable Section 508 accessibility standards, offerors must submit an HHS Section 508 Product Assessment Template, in accordance with its completion instructions.

The purpose of the template is to assist HHS acquisition and program officials in determining whether proposed EIT supplies conform to applicable Section 508 accessibility standards. The template allows offerors or developers to self-evaluate their supplies and document—in detail—whether they conform to a specific Section 508 accessibility standard, and any underway remediation efforts addressing conformance issues. Instructions for preparing the HHS Section 508 Evaluation Template are available under Section 508 policy on the HHS website http://www.hhs.gov/web/508.

In order to facilitate the Government’s determination whether proposed EIT services meet applicable Section 508 accessibility standards, offerors must provide enough information to assist the Government in determining that the EIT services conform to Section 508 accessibility standards, including any underway remediation efforts addressing conformance issues.

Oklahoma City Area

(d) Respondents to this solicitation must identify any exception to Section 508 requirements. If a 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 or services delivered do not conform to the described accessibility standards, remediation of the supplies or services to the level of conformance specified in the contract will be the responsibility of the Contractor at its expense.

Standards

The included standards that must be met for this contract are taken from the following two resources. Compliance with these standards is mandatory for Federal agencies subject to Section 508 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794d).

Section 508 Standards and Guidelines: https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines

Web Content Accessibility Guidelines (WCAG) 2.0: https://www.w3.org/TR/WCAG20/

Electronic content must be accessible to HHS acceptance criteria

Checklist for various formats are available at http://508.hhs.gov, or from the IHS Section 508 Coordinator listed at https://www.hhs.gov/web/section-508/additional-resources/section-508-contacts/index.html, (email:

IHSSection508@ihs.gov). Materials that are final items for delivery should be accompanied by the appropriate checklist, except upon approval of the Contracting Officer or Representative.

Electronic Content Accessibility - Non-Web Based

602 Support Documentation 603 Support Services All WCAG A & AA Success Criteria apply except:

o 2.4.1 Bypass Blocks o 2.4.5 Multiple Ways o 3.2.3 Consistent Navigation o 3.2.4 Consistent Identification

Software Accessibility - Non-Web Based

All WCAG A & AA Success Criteria apply – EXCEPT the following:

o 2.4.1 Bypass Blocks o 2.4.5 Multiple Ways o 3.2.3.Consistent Navigation o 3.2.4 Consistent Identification

502 Interoperability with Assistive Technology 503 Application 602 Support Documentation 603 Support Services 302 All Functional Performance Criteria - Note: Applies when Chapter 5 does not address one or more functions of ICT

(E204), or when an agency invokes "equivalent facilitation" (E101.2)

Hardware Accessibility

404 Preservation of Information Provided for Accessibility 405 Privacy 406 Standard Connections

Oklahoma City Area

407 Operable Parts 409 Status Indicators 410 Color Coding 411 Audible Signals 602 Support Documentation 603 Support Services 302 All Functional Performance Criteria - Note: Applies only when Chapter 4 does not address one or more functions of ICT

(E204), or when an agency invokes "equivalent facilitation" (E101.2))

For Hardware that has closed functionality include

402 Closed Functionality

Functional Performance Criteria

301.1 Scope - The requirements of Chapter 3 shall apply to ICT where required by 508 Chapter 2 (Scoping Requirements), 255 Chapter 2 (Scoping Requirements), and where otherwise referenced in any other chapter of the Revised 508 Standards or Revised 255 Guidelines.

302.1 Without Vision - Where a visual mode of operation is provided, ICT shall provide at least one mode of operation that does not require user vision.

302.2 With Limited Vision - Where a visual mode of operation is provided, ICT shall provide at least one mode of operation that enables users to make use of limited vision.

302.3 Without Perception of Color - Where a visual mode of operation is provided, ICT shall provide at least one visual mode of operation that does not require user perception of color.

302.4 Without Hearing - Where an audible mode of operation is provided, ICT shall provide at least one mode of operation that does not require user hearing.

302.5 With Limited Hearing - Where an audible mode of operation is provided, ICT shall provide at least one mode of operation that enables users to make use of limited hearing.

302.6 Without Speech - Where speech is used for input, control, or operation, ICT shall provide at least one mode of operation that does not require user speech.

302.7 With Limited Manipulation - Where a manual mode of operation is provided, ICT shall provide at least one mode of operation that does not require fine motor control or simultaneous manual operations.

302.8 With Limited Reach and Strength - Where a manual mode of operation is provided, ICT shall provide at least one mode of operation that is operable with limited reach and limited strength.

302.9 With Limited Language, Cognitive, and Learning Abilities - ICT shall provide features making its use by individuals with limited cognitive, language, and learning abilities simpler and easier.

8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES

8.1. Required personnel, materials, supplies and equipment: The contractor shall furnish all personnel, materials, supplies and equipment required to perform work under the contract.

9. CHANGES TO THE STATEMENT OF WORK (SOW)

Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.

Oklahoma City Area

10. DELIVERABLES/PERFORMANCE MATRIX

Performance Matrix Performance Standard AQL Delivery of Reports Routine reports delivered within

72 hours, Urgent reports delivered wtihon 24 hours

95%

Service/Support Contractor provided service in accordance with SOW

95%

Reports complete with all requrieed elements

Reports are accurate and complete with all the required elements as outlined in Level of Efforts section

95%

Invoicing Invoices received timely and accurate

95%

Department Supervisor Signature:_________________________

Chief Operating Officer Signature:_________________________

MIRANDA L.

GRAHAM -S

Digitally signed by MIRANDA L.

GRAHAM -S

Date: 2025.06.16 10:25:32 -05'00'

Joyce G. Oberly - S

Digitally signed by Joyce G. Oberly -S Date: 2025.06.17 08:31:39 -05'00'

CLIN ITEM ESTIMATED

QUANTITY

01 Base Period Echocardiogram and Vascular Interpretation Services

Ankle/Brachial Indices (ABI) 21 Arterial Lower Duplex

Doppler

Arterial Upper Duplex Doppler

Carotid Duplex Complete Bilateral Doppler

Carotid Limited Ultrasound 83 Complete Abdominal U/S 37 Echocardiogram Complete 248 Echocardiogram Scrotum 11 Elastography Parenchyma

(Organ

Gallbladder Ultrasound 32 Liver Ultrasound 98 Pelvic Limited 1 Pelvic Ultrasound 45 Renal Ultrasound 93 Abdominal Aortic/Renal

Arterial Duplex Doppler

Soft Tissue Abdomen Us 22 Soft Tissue Chest Us 8 Soft Tissue Extremity Us 39 Soft Tissue Head/Neck Us 34 Spleen Ultrasound 2 Thyroid/Parathyroid

Ultrasound

Transvaginal Ultrasound 90 Upper And Lower Extremity

Venous Ultrasound Complete

Upper And Lower Extremity Venous Ultrasound Limited

02 Option Period 1 Echocardiogram and Vascular Interpretation Services

Ankle/Brachial Indices (Abi) 23 Arterial Lower Duplex Doppler

Arterial Upper Duplex Doppler

Carotid Duplex Complete Bilateral Doppler

Carotid Limited Ultrasound 91 Complete Abdomenal U/S 41

Echocardiogram Complete 273 Echocardiogram Scrotum 12 Elastography Parenchyma (Organ

Gallbladder Ultrasound 35 Liver Ultrasound 108 Pelvic Limited 2 Pelvic Ultrasound 50 Renal Ultrasound 102 Abdominal Aortic/Renal Arterial Duplex Doppler

Soft Tissue Abdomen Us 24 Soft Tissue Chest Us 9 Soft Tissue Extremity Us 43 Soft Tissue Head/Neck Us 37 Spleen Ultrasound 3 Thyroid/Parathyroid Ultrasound

Transvaginal Ultrasound 99 Upper And Lower Extremity Venous Ultrasound Complete

Upper And Lower Extremity Venous Ultrasound Limited

03 Option Period 2 Echocardiogram and Vascular Interpretation Services

Ankle/Brachial Indices (Abi) 25 Arterial Lower Duplex Doppler

Arterial Upper Duplex Doppler

Carotid Duplex Complete Bilateral Doppler

Carotid Limited Ultrasound 100 Complete Abdominal U/S 45 Echocardiogram Complete 300 Echocardiogram Scrotum 13 Elastography Parenchyma (Organ

Gallbladder Ultrasound 39 Liver Ultrasound 119 Pelvic Limited 3 Pelvic Ultrasound 54 Renal Ultrasound 113 Abdominal Aortic/Renal Arterial Duplex Doppler

Soft Tissue Abdomen US 27 Soft Tissue Chest US 10 Soft Tissue Extremity US 47 Soft Tissue Head/Neck US 41

Spleen Ultrasound 4 Thyroid/Parathyroid Ultrasound

Transvaginal Ultrasound 109 Upper and Lower Extremity Venous Ultrasound Complete

Upper and Lower Extremity Venous Ultrasound Limited

04 Option Period 3 Echocardiogram and Vascular Interpretation Services

Ankle/Brachial Indices (ABI) 28 Arterial Lower Duplex Doppler

Arterial Upper Duplex Doppler

Carotid Duplex Complete Bilateral Doppler

Carotid Limited Ultrasound 110 Complete Abdominal U/S 49 Echocardiogram Complete 330 Echocardiogram Scrotum 15 Elastography Parenchyma (Organ

Gallbladder Ultrasound 43 Liver Ultrasound 130 Pelvic Limited 4 Pelvic Ultrasound 60 Renal Ultrasound 124 Abdominal Aortic/Renal Arterial Duplex Doppler

Soft Tissue Abdomen US 29 Soft Tissue Chest US 11

Soft Tissue Extremity US 52 Soft Tissue Head/Neck US 45 Spleen Ultrasound 5 Thyroid/Parathyroid Ultrasound

Transvaginal Ultrasound 120 Upper and Lower Extremity Venous Ultrasound Complete

Upper and Lower Extremity Venous Ultrasound Limited

05 Option Period 4 Echocardiogram and Vascular Interpretation Services

Ankle/Brachial Indices (ABI) 31

Arterial Lower Duplex Doppler

Arterial Upper Duplex Doppler

Carotid Duplex Complete Bilateral Doppler

Carotid Limited Ultrasound 122 Complete Abdominal U/S 54 Echocardiogram Complete 363 Echocardiogram Scrotum 16 Elastography Parenchyma (Organ

Gallbladder Ultrasound 47 Liver Ultrasound 143

Pelvic Limited 5 Pelvic Ultrasound 66 Renal Ultrasound 136

Abdominal Aortic/Renal Arterial Duplex Doppler

Soft Tissue Abdomen US 32 Soft Tissue Chest US 12 Soft Tissue Extremity US 57 Soft Tissue Head/Neck US 50 Spleen Ultrasound 6 Thyroid/Parathyroid Ultrasound

Transvaginal Ultrasound 132 Upper and Lower Extremity Venous Ultrasound Complete

Upper and Lower Extremity Venous Ultrasound Limited

Appendix___: Business Associate Agreement

I. Authority:

Pursuant to 45 C.F.R. § 164.502(e), the Indian Health Service (IHS), as a covered entity, is required to enter into an agreement with a “business associate,” as defined by 45 C.F.R. § 160.103, under which the business associate must agree to appropriately safeguard Protected Health Information (PHI) that it will use and disclose when performing functions, activities or services pursuant to its contract with the IHS. By signing Contract No. ________ (Contract), _______________ agrees that it is a Business Associate and will comply with the terms below, in addition to other applicable Contract terms and conditions, and applicable law, relating to the safekeeping, use, and disclosure of PHI. This Appendix comprises the Business Associate Agreement (Agreement).

II. Definitions:

The following terms shall have the same meaning as those terms in 45 C.F.R. Part 160 and Part 164, which are the federal regulations implementing the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended: Breach, Designated Record Set, Disclosure, Health Care Operations, Individual, Minimum Necessary, Notice of Privacy Practices, PHI, Required by Law, Secretary, Security Incident, Subcontractor, Unsecured PHI, and Use.

A. Business Associate. “Business Associate” shall generally have the same meaning as the term “business associate” at 45 C.F.R. § 160.103, and in reference to the party to this Agreement shall mean ____________.

B. Covered Entity. “Covered Entity” shall generally have the same meaning as the term “covered entity” at 45 C.F.R. § 160.103, and in reference to the party to this Agreement, shall mean the IHS.

C. HIPAA Rules. “HIPAA Rules” shall mean the Privacy, Security, Breach Notification, and Enforcement Rules at 45 C.F.R. Part 160 and Part 164.

D. Master Patient Index (MPI). The “Master Patient Index” or “MPI” is composed of a unique list of patients and a current list of medical centers where each patient has been seen. This enables the sharing of patient data between operationally and regionally diverse systems. Each record (or index entry) on the MPI contains a small amount of patient data used to identify individual entries.

The mission of the MPI is to uniquely identify a patient and to “link” that patient’s data throughout the IHS facilities using the Integration Control Number (ICN). The MPI is the authoritative source of a patient’s ICN, the enterprise-wide identifier for IHS facilities and the key to accessing a patient’s record. The accuracy of patient information and patient identification directly affects clinical, administrative, billing, and interdepartmental processes.

III. Obligations and Activities of Business Associate:

A. Compliance: Business Associate agrees not use or disclose PHI other than as authorized by the Agreement or as required by law. Business Associate acknowledges that it is directly liable under the HIPAA Rules and subject to civil and, in some cases, criminal penalties for making uses and disclosures of PHI that are not authorized by the Agreement or required by law. Business Associate agrees that it will require all of its agents, employees, subsidiaries, and affiliates, to whom Business Associate provides PHI, or who create or receive PHI on behalf of Business Associate for Covered Entity, to comply with the HIPAA Rules and to enter into written agreements with Business Associate that provide the same restrictions, terms, and conditions as set forth in the Agreement.

B. Subcontractors: In accordance with 45 C.F.R. §§ 164.502(e)(1)(ii) and

164.308(b)(2), which govern relations with subcontractors, Business Associate agrees to ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalf of Business Associate agree to the same restrictions, terms, and conditions that apply to Business Associate with respect to such PHI.

C. Safeguarding PHI: Business Associate shall develop and use appropriate procedural, physical, and electronic safeguards to protect against the use or disclosure of PHI in a manner not authorized by this Agreement or required by law. Business Associate will limit any use, disclosure, or request for use or disclosure of PHI to the minimum amount necessary to accomplish the intended purpose of the use, disclosure, or request.

D. Safeguarding Electronic PHI: Business Associate agrees to use appropriate safeguards, as set forth in Subpart C of 45 C.F.R. Part 164 with respect to electronic PHI, to prevent use or disclosure of electronic PHI other than as authorized by this Agreement or required by law.

E. Reporting Use or Disclosures Not Authorized By this Agreement or Required by Law: Business Associate agrees to report to Covered Entity any use or disclosure of PHI not authorized by this Agreement or required by law within thirty (30) days of discovering the use or disclosure, or any security incident of which it becomes aware. In addition, Business Associate shall mitigate, to the extent practicable, any harmful effect that is known to Business Associate of the use, disclosure, or security incident.

F. Reporting of Breach: In accordance with the policy of the Department of Health and Human Services, Business Associate will report, within one hour of discovery, all suspected or confirmed breaches to Covered Entity.

G. Notification of Breach of Unsecured PHI: In addition to the above, Business

Associate shall notify Covered Entity of a breach, as set forth in 45 C.F.R. § 164.410, of the security of any unsecured PHI that Business Associate received from, or created or received on behalf of, Covered Entity within thirty (30) calendar days after the discovery of the breach by Business Associate, its employees, officers, and/or other agents, unless notification is specifically excepted by 45 C.F.R. § 164.412.

1. Requirements of Notice. Such notice shall include, to the extent possible, the identification of each individual whose unsecured PHI has been, or is reasonably believed by Business Associate to have been, accessed, acquired, or disclosed during such breach; a brief description of the circumstances of the breach of security, including the date of the breach and the date of Business Associate’s discovery of the breach; and the type of unsecured PHI involved in the breach. Business Associate agrees to provide any other available information that Covered Entity is required to include in notification to the individual under 45 §164.404(c). In the event notification is delayed, evidence demonstrating the necessity of the delay shall accompany the notification.

H. Individual Access to PHI: Business Associate shall maintain a designated record set for each individual for whom it maintains PHI. In accordance with an individual’s right to access his or her PHI, Business Associate shall make available all PHI in the individual’s designated record set to the individual to whom that information pertains, or, upon the request of the individual, to that individual’s authorized representative, as necessary to satisfy Covered Entity’s obligations under 45 C.F.R. § 164.524. Availability to access PHI shall be made within five (5) calendar days of receipt of a valid request.

I. Accounting of Disclosures: Business Associate shall maintain records of PHI received from, or created or received on behalf of, Covered Entity and shall document subsequent uses and disclosures of such information by Business Associate. Business Associate shall, within five (5) calendar days after receiving a request from Covered Entity, provide to Covered Entity such information as Covered Entity may require to fulfill its obligations to account for disclosures of PHI pursuant to 45 C.F.R. § 164.528.

J. Amendment of PHI: Business Associate shall, within five (5) calendar days of a request by Covered Entity, make PHI available to Covered Entity for Covered Entity to fulfill its obligations under 45 C.F.R. § 164.526 to amend PHI and shall, as directed by Covered Entity, within five (5) calendar days of receipt of such direction, incorporate any amendments into PHI held by Business Associate. In addition, Business Associate shall ensure incorporation of any such amendments into PHI held by its agents or subcontractors within ten (10) days of such direction, and shall notify Covered Entity within five (5) calendar days of when those agents or subcontractors have completed the incorporation of the amendments. Business Associate shall forward to Covered Entity all requests to amend PHI that it receives directly from individuals within five (5) calendar days of its receipt of a request.

K. Carrying out Covered Entity’s Obligations: To the extent Business Associate is to carry out one or more of Covered Entity’s obligation(s) under Subpart E of 45 C.F.R. Part 164, Business Associate agrees to comply with the requirements of Subpart E that apply to Covered Entity in the performance of such obligation(s).

L. Disclosures for Verifying Compliance: Upon request, Business Associate shall permit access by the Secretary and Covered Entity during normal business hours to its facilities, books, records, accounts, and any other sources of information, including PHI and any agreements that it has with subcontractors, vendors, and/or other agents relating to the use and disclosure of PHI received from Covered Entity, or created or received by Business Associate on behalf of Covered Entity, for purposes of determining both Business Associate’s and Covered Entity’s compliance with the HIPAA Rules.

IV. Permitted Uses and Disclosures by Business Associate:

A. Business Associate shall not use or disclose PHI except to perform functions, activities, or services on behalf of Covered Entity as provided for in the Contract, this Agreement, the HIPAA Rules, or other applicable law.

B. Business Associate agrees that it may use or disclose PHI on behalf of Covered Entity only:

1. Upon obtaining the authorization of the individual to whom the PHI pertains;

2. For the purposes of treatment, payment or health care operations unless Covered Entity has agreed to a restriction pursuant to 45 C.F.R. § 164.520(b)(iv)(A) or 45 C.F.R. § 164.522; or

3. Without an authorization or consent, if in accordance with 45 C.F.R. § 164.510, 45 C.F.R. § 164.512, 45 C.F.R. § 164.514(e), 45 C.F.R. § 164.514(f), or 45 C.F.R. § 164.514(g).

C. Business Associate shall use and disclose PHI in compliance with each applicable requirement of 45 C.F.R. § 164.504(e), which section is fully incorporated herein.

D. Business Associate agrees to make uses, disclosures, and requests for PHI consistent with Covered Entity’s minimum necessary policies and procedures.

E. It is anticipated that Business Associate will have access to the MPI.

F. Business Associate may not use or disclose PHI in a manner that would violate Subpart E of 45 C.F.R. Part 164 if done by Covered Entity, except for the specific uses and disclosures set forth below.

1. Business Associate may disclose PHI for the proper management and administration of Business Associate or to carry out the legal responsibilities of Business Associate, provided the disclosures are required by law, or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that the information will remain confidential and used or further disclosed only as required by law or for the purposes for which it was disclosed to the person, and the person notifies Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached.

V. Obligations of Covered Entity:

A. Covered Entity shall provide Business Associate with its Notice of Privacy

Practices and any changes to the Notice.

B. Covered Entity shall notify Business Associate of any limitation(s) in Covered Entity’s Notice of Privacy Practices under 45 C.F.R. § 164.520, to the extent that such limitation may affect Business Associate’s use or disclosure of PHI.

C. Covered Entity shall notify Business Associate of any change in, or revocation of, the permission by an individual to use or disclose his or her PHI to the extent that such changes may affect Business Associate’s use or disclosure of PHI.

D. Covered Entity shall notify Business Associate of any restriction on the use or disclosure of PHI that Covered Entity has agreed to or is required to abide by under 45 C.F.R.