About this file

This is a Justification and Approval (J&A) form for other than full and open competition for a federal contract acquisition by the Centers for Disease Control and Prevention (CDC).

The acquisition is titled "Chronic Kidney Disease Epidemiology in the Military Health System" and is a follow-on requirement with firm-fixed pricing. The proposed contractor is Henry Jackson Foundation for the Advancement of Military Medicine, Inc., located at 6720-A Rockledge Drive, Bethesda, MD 20817. The contract period of performance is July 31, 2026 through July 30, 2030 (base year plus three option years) for severable services. The acquisition provides ongoing access to and evaluation of public health surveillance data from the Department of Defense electronic health records system, critical to U.S. Chronic Kidney Disease policy efforts, and enables comparison of DoD CKD metrics with Healthy People 2030 indicators. The justification cites FAR 6.302-1 (only one responsible source) as the authority, based on the contractor's unique access to Military Health System (MHS) data maintained under Department of Defense authorities and existing inter-agency data-sharing agreements involving Henry Jackson Foundation and the Uniformed Services University of the Health Sciences. Market research conducted in November 2025 determined that while other organizations possess general analytical capabilities, Henry Jackson Foundation possesses unique capabilities oriented toward sustained MHS data repository-based surveillance activities. The Competition Advocate approved the justification on June 12, 2026, and the Contracting Officer approved it on May 4, 2026.

View the file

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

JUSTIFICATION AND APPROVAL

FOR OTHER THAN FULL AND OPEN COMPETITION

Completion Instructions: The Department of Health and Human Services (HHS) has established a standard template for the preparation of a J&A for Other Than Full and Open Competition. If this is an 8(a) set-aside, please note this form is not required unless the acquisition is valued (including all options) at greater than $22 million. This template is NOT applicable for actions using simplified acquisition procedures (FAR Part 13), Federal Supply Schedule orders (FAR 8.4) or task or delivery orders subject to fair opportunity (FAR 16.505).

Tailor all aspects of this template to the individual acquisition. Consult FAR Subpart 6.3 for guidance. An addendum may be added in case additional space is needed.

When this document is printed, the blue italic instructions are automatically deleted on the printed version.

Acquisition Title:

Agency:

Acquisition Year (FY):

Author and Title:

2. Description of Action:

Nature: New Requirement Follow-on Requirement

Modification to Existing Purchase Order/Contract Number:

Pricing: Firm-Fixed Price Time & Materials Cost

Other:

Funds: OMA Other Funds:

Name of Proposed Contractor(s):

Street Address:

City, State, Zip:

3. Description of Services or Supplies:

Basis for Approval (FAR 6.303-1(d)): Individual Basis Class Basis

The total estimated value of the proposed action, including all options is $

As applicable, briefly describe the services or supplies required to meet the agency's needs, including make & model number where appropriate. Include quantities of supplies or period of performance for services. Provide information for any options included. If the action is a modification to an existing contract, distinguish clearly between the work covered by the original contract and the work to be obtained by the proposed modification.

https://www.acquisition.gov/far/part-8#FAR_Subpart_8_4 https://www.acquisition.gov/far/part-13 https://www.acquisition.gov/far/part-16#FAR_16_505 https://www.acquisition.gov/far/part-6#FAR_Subpart_6_3 https://www.acquisition.gov/far/part-6#FAR_6_303_1

4. Authority and Rationale: Identify the statutory authority, FAR title and FAR citation permitting other than full and open competition. It may be one of the following most commonly used citations by the operating divisions of the Department of Health and Human Services (HHS), but other exceptions may apply per FAR Subpart 6.3.

Actions other than simplified acquisition procedures (select only one and provide an explanation):

FAR 6.302-1: Only one responsible source and no other supplies or services will satisfy agency requirements, 41 U.S.C.

3304(a)(1)

Explain why the intended contractor is the only responsible source who can provide the required supplies or s ervices.

Discuss the unique capabilities, expertise, etc. that support the lack of competition/why no other type of supplies or servic es will satisfy agency requirements. Explain factors/unique qualifications such as proprietary data or exclusive licensing rights, if applicable. When competition is limited to items particular to one manufacturer, this justification must explain why the particular brand name, product, or feature is essential to the Government's requirements, and that market research indicates other companies' similar products, or products lacking the particular feature, do not meet, or cannot be modified to meet the agency's needs in accordance with FAR 11.105. If in connection with a follow-on contract for continued development or production of highly specialized equipment, detail the substantial duplication of cost or unacceptable delays.

FAR 6.302-2: Unusual and compelling urgency, 41 U.S.C. 3304(a)(2)

If unusual and compelling urgency is the basis for the justification, explain the chronological events leading up to the requirement and explain why time constraints cannot permit even a limited competition. Describe the detrimental effects/ serious injury to the mission of the requiring activity or to the government, financial or otherwise, that will result if this justification is not approved. Describe impact of required delivery/performance date. Describe the detrimental effects/ serious injury to the mission of the requiring activity or to the government, financial or otherwise, that will result if this justification is not approved and the product or service cannot be provided by the intended sole source contractor. Failure to plan for expiring funds is not a valid reason for citing this exception. May not exceed one year, including all options, unless the head of the agency determines that exceptional circumstances apply.

FAR 6.302-5: Authorized or Required by Statute, 41 U.S.C. 3304(a)(5)

Provide a citation to the statutory authorization and a brief description of its content, or identify the specified source or other agency.

Other (See FAR Subpart 6.3 for additional authority)

Provide the authority and citation to the applicable section of FAR 6.3.

Provide a full explanation to justify use of the exception.

5. Agency Actions to Take or Remove Barriers That Led to Other Than Full and Open Competition (If applicable):

Describe the actions, if any, the agency may take to remove or overcome any barriers that led to the restricted consideration prior to any subsequent acquisition for the supplies of services is made. If no such actions have been taken, explain why.

https://www.acquisition.gov/far/part-6#FAR_6_302_1 https://www.acquisition.gov/far/part-6#FAR_Subpart_6_3 https://www.acquisition.gov/far/part-11#FAR_11_105 https://www.acquisition.gov/far/part-6#FAR_6_302_2 https://www.acquisition.gov/far/part-6#FAR_6_302_5

6. Bridge Contracts:

For contract extensions or bridge contracts when a competitive follow-on is in the process of being developed, summarize history of current contract and explain the reasons for any delays in the acquisition. Include discussion of the milestones f or the follow-on action; the milestones should be as efficient as possible. Discuss why it would be neither cost effective nor realistic to expect another contractor to perform during the brief interim period; include issues such as start -up costs, phase-in, transfer of GFP, recruitment and staffing, etc. If the action is because of a protest, provide a brief discussion of the protest including the date the protest was filed and the basis of the protest. Explain that the action will provide the minimum quant ity or performance period.

7. Actions to Increase Competition:

Describe efforts made to compete the action, including whether a notice was or will be publicized as required by FAR Subpart

5.2 or which exception under FAR 5.202 applies. If a notice was publicized, discuss the number of written responses to the synopsis and the results of the assessment of the written responses. List sources, if any, that expressed, in writing, an interest in the acquisition. Provide rationale if interested sources were rejected. If applicable, state that no other sources have expressed interest, but all offers received shall be considered. Describe what actions will be taken to increase competition before subsequent acquisition of the supplies or services is required. You may state that an action is a one-time requirement, but if a similar requirement arises, every effort will be made to compete it to the maximum extent possible. If action is sole source because of proprietary data or licensing rights and there will be a continuing need for the requirement, there must be evidence that advanced planning has been initiated to overcome the barriers to competition, or there should be documentation to support an analysis that replacement costs/licensing purchase costs outweigh the benefits of competition. If the action is a contract extension or bridge, explain actions to compete the follow-on. If action is an urgent new requirement and a competitive follow-on is anticipated, explain that efforts are underway to facilitate a full and open competition.

8. Market Research:

Describe the extent of the market research conducted to identify all qualified sources and the results thereof. “Market Research” is defined as those attempts you made to ascertain whether other qualified sources exist, and can include contact with knowledgeable experts regarding similar or duplicate requirements, contact with industry, results of a sources sought synopsis, or draft solicitations. Research of the marketplace may consist of written, electronic (i.e. email) telephonic, or world wide web inquiries. Lack of advanced planning is not an acceptable reason for the lack of market research, but true urgency may necessitate abbreviated market research that is limited to readily available historical and commercial information. If ac tion is a contract extension or bridge contract, describe the market research efforts underway or completed for the follow-on. See FAR 10.002(b)(2).

9. Procurement History:

Purchase order or contract number:

Was action competed? Yes No

If action was not competed, state the cited authority, summarize rationale, and describe the actions that were supposed to be taken to increase competition and the results thereof:

https://www.acquisition.gov/far/part-5#FAR_Subpart_5_2 https://www.acquisition.gov/far/part-5#FAR_Subpart_5_2 https://www.acquisition.gov/far/part-5#FAR_5_202 https://www.acquisition.gov/far/part-10#FAR_10_002

10.Additional Information to support the justification:

If applicable, explain why technical packages or specifications to facilitate competition were not developed or available;

describe actions taken to remedy the situation.

11. Technical / Requirements Certification: By my signature below, I certify that the supporting data included in this

J&A is accurate and complete.

Program Manager

Name:

Position Title:

Email address:

Phone:

Program Manager Supervisor (or one level above Program Manager)

Name:

Position Title:

Email address:

Signature:

Date:

12. Fair and Reasonable Price/Cost Determination: As Contracting Officer, by my signature below, I hereby determine that the anticipated price/cost to the Government for this contract action will be fair and reasonable.

Provide the basis for this determination, e.g., describe techniques to be used to determine fair and reasonable price (FAR Subpart 15.402), such as price analysis, cost analysis, cost realism. Per FAR Subpart 15.403-4(a)(1), the threshold for obtaining cost or pricing data is $750,000.

Name: Phone:

Signature: Date:

13. Contracting Officer's Approval (Required for proposed contract not to exceed $700,000 (value calculated including all options)): I hereby certify that this justification is accurate and complete to the best of my knowledge. I approve this justification subject to availability of funds, and provided that the services and supplies herein described have otherwise been authorized for acquisition.

Name: Phone:

Signature: Date:

https://www.acquisition.gov/far/part-15#FAR_15_402 https://www.acquisition.gov/far/part-15#FAR_15_402 https://www.acquisition.gov/far/part-15#FAR_15_403_4

14. Legal Review:

All J&As greater than $68 million must have a legal review from the General Law Division of the Office of the General Counsel prior to sending it to the Department.

15. OPDIV Competition Advocate Approval (Required for proposed contract over $700,000 but not exceeding $13.5 million (value calculated including all options)):

I have reviewed this justification and find that it adequately supports other than full and open competition.

Name:

Phone:

Signature:

Date:

All J&As greater than $68 million must have a review from the Office of Small & Disadvantaged Business Utilization (OSDBU) prior to sending it to the Department. The OSDBU at their discretion may review any J&A.

16. Office of Small and Disadvantaged Business Utilization Review: (Required for contracts exceeding $68 million (value calculated including all options)):

Concur:

Non-Concur:

17. OPDIV HCA Approval (Required for proposed contract over $13.5 million but not exceeding $68 million (value calculated including all options)):

18. Department Competition Advocate (Required for contracts exceeding $68 million (value calculated including all options)):

Concur:

Non-Concur:

(The below approval paragraph is required if the cumulative contract value, including all options, exceeds $68 million.)

19. HHS Senior Procurement Executive (SPE) Approval:

Based on the foregoing justification, I hereby approve other than full and open competition for the above stated procurement, subject to the availability of funds, and provided that the services herein described have otherwise been authorized for acquisition.

State supplies/services being procured:

State the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304:

Modificationto Existing Purchase OrderContract Number:
Other:
Other Funds:
Name:
Position Title:
Email address:
Phone:
Name_2:
Position Title_2:
Email address_2:
Date:
Phone_2:
Date_2:
Phone_3: 770-488-4409
Date_3: 05/04/2026
Name_3: Terrance Perry
Phone_4: 770-488-8424
Date_4:
Name_4:
Phone_5:
Date_5:
Name_5:
Phone_6:
Date_6:
Name_6:
Phone_7:
Date_7:
Name_7:
Phone_8:
Date_8:
Text51: Chronic Kidney Disease Epidemiology in the Military Health System
Text52:
Text53: 2026
Dropdown54: [CDC]
Check Box55: Off
Check Box56: Yes
Check Box57: Off
Check Box58: Yes
Check Box59: Off
Check Box60: Off
Check Box61: Off
Check Box62: Off
Text63: Henry Jackson Foundation for the Advancement of Military Medicine, Inc.
Text64: 6720-A Rockledge Drive
Text65: Bethesda, MD 20817
Check Box66: Yes
Check Box67: Off
Text68:
Text69: Period of performance: July 31, 2026 - July 30, 2030 (base year +3 option years). Severable services.

This project provides ongoing access to and evaluation of important public health surveillance data from the Department of Defense (DoD) electronic health records system, critical to the U.S. Chronic Kidney Disease (CKD) policy efforts. It also allows for the comparison of DoD CKD metrics with Healthy People 2030 CKD indicators and goals and for delineation of specific objectives which will require advanced surveillance capabilities to track progress. This will be the only mechanism providing systemic analysis of this extremely valuable aggregated data. The project will enable (1) the clinical leadership of the Military Health System (MHS) to understand natural history trends and outcome factors in the incidence and prevalence of kidney injury and disease in the DoD beneficiary population, and (2) the scientific staff of the Centers for Disease Control and Prevention to strengthen their CKD surveillance, epidemiology, economic, and health outcomes and policy initiatives.

Note: The template above refers to FAR 6.303-1(d) as the relevant FAR Section for the Basis for Approval. The Revolutionary FAR Overhaul has updated that reference to FAR 6.104(c).

Text70: Template refers to FAR 6.302-1. FAR RFO updated reference is 6.103-1. HJF is the only responsible source capable of performing this requirement because the effort relies on access to Military Health System (MHS) data maintained under Department of Defense (DoD) authorities and existing inter-agency data-sharing agreements involving HJF and the Uniformed Services University of the Health Sciences (USUHS). Researchers affiliated with USUHS have developed and maintain an established analytic database derived from these data sources that is readily accessible for the required surveillance and epidemiological analyses.HJF possesses unique institutional knowledge, established operational relationships, and existing authorized access to the MHS Data Repository necessary to perform the required work without interruption. CDC cannot provide another vendor access to these data systems without DoD concurrence and establishment of additional approvals and agreements, which would result in substantial administrative burden, schedule delays, and increased costs to the Government.
Text71:

Not Applicable

Check Box72: Yes
Check Box73: Off
Check Box74: Off
Check Box75: Off
Text76:

Not applicable Text77:

Not applicable Text78:

Not applicable Text79:

The primary barrier to competition is the restricted access to Military Health System (MHS) data controlled under Department of Defense (DoD) authorities and existing data-sharing agreements supporting HJF and USUHS research activities. CDC will coordinate with DoD and program stakeholders to assess future opportunities to expand access mechanisms, standardize data-sharing procedures, and reduce reliance on incumbent-specific access arrangements. To foster future competition, CDC will initiate acquisition planning and coordination activities no later than 12 months prior to contract expiration to allow sufficient time to assess potential alternative sources, engage with DoD regarding data access requirements, and determine whether additional vendors may be authorized to access the required data and supporting infrastructure. Early planning will allow the Government to evaluate transition requirements, identify barriers to competition, and pursue mitigation strategies before the follow-on acquisition.However, because MHS data access permissions and approvals are controlled externally by DoD, CDC cannot unilaterally remove these barriers. Unless DoD expands access to additional sources or modifies existing approval processes, competition may continue to be limited by factors outside the agency’s control.

Text80: Not applicable
Text81: The Government intends to publicize the proposed contract action in accordance with FAR 5.201 and FAR 6.301. Any capability statements or responses received will be evaluated to determine whether another responsible source can satisfy the Government’s requirements. Information received regarding potentially capable vendors will be shared with DoD and relevant stakeholders to assess whether future expansion of MHS data access or related agreements could support broader competition. Future acquisitions will also include additional market research and early acquisition planning to evaluate opportunities for increased competition if DoD expands access to MHS data systems and related agreements.
Check Box82: Off
Check Box83: Yes
Text84: Market research was conducted in November 2025 to identify concerns capable of meeting the Government’s requirements. Research included review of incumbent performance, assessment of organizations with relevant epidemiological and analytic capabilities, evaluation of existing DoD and USUHS data access arrangements, and analysis of potential vendors’ ability to support sustained MHS Data Repository (MDR)-based surveillance activities. The Government evaluated several organizations, including Henry Jackson Foundation (HJF) (incumbent), MITRE, and Battelle. Market research determined that while MITRE and Battelle possess general analytical capabilities, their capabilities are oriented toward discrete analytical efforts rather than sustained MDR-based surveillance activities required under this effort.

Market research further determined that HJF is the only source possessing the combination of existing data use agreements, established relationships with DoD and the USUHS, institutional experience working with MHS data, and operational analytic infrastructure necessary to successfully perform the requirement. HJF’s established role supporting USUHS and experience facilitating ongoing surveillance activities in collaboration with CDC were identified as critical differentiators.

Due to the prerequisite of accessing and using MHS data, together with the specialized scientific, epidemiologic, and analytic expertise required to appropriately analyze these data, the market research concluded that these capabilities are not readily transferable and cannot be replicated by other potential sources within the required timeframe.

Market research also included consideration of small business participation; however, no small business concerns were identified with the required specialized expertise, established MHS data access, and demonstrated experience necessary to perform the work. Accordingly, market research supports the conclusion that HJF is the only responsible source capable of satisfying the Government’s requirements within the required timeframe

Text85:
Text86: Purchase Order/Contract No. REDACTED was previously awarded to HJF on a sole source basis under FAR 6.302-1, Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements. The HJF was selected as the venue for the proposed study because of their unique access to the MHS data. Researchers at the Uniformed Services University of the Health Sciences have developed an analytic database that is readily accessible. It is in the government’s best interest to take advantage of this data use agreement between HJF and DoD. The effort relies on MHS data controlled under DoD authorities and existing agreements with HJF, limiting access to approved partners only. Absent DoD authorization to expand data access, CDC cannot competitively award this requirement to another vendor.
Text87: Not applicable
2026-04-24T10:59:53-0400
RUI LI -S
Text89:
Text90: Ann Bonis
2026-05-04T09:00:35-0500
ANN BONIS -S
Text93:
2026-06-12T15:07:23-0400
Terrance Perry -S
Check Box96: Off
Check Box97: Off
Check Box98: Off
Check Box99: Off
Text102:
Text103:
Text105:
Text1:

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