Intent to Sole Source Modification

The Indian Health Service (IHS), a division of the Department of Health and Human Services, has published a Special Notice regarding an intent to sole source a modification to an existing contract with UpToDate, Inc. under Contract No. 75H70522P00055. This modification seeks to expand service coverage by adding additional IHS Area Office sites to the existing contract while maintaining alignment with Executive Orders 14240, 14271, and 14275 in support of the Contract Reduction Initiative. The IHS has determined that sole sourcing is necessary to ensure continuity of essential health services and prevent mission disruption. The notice was posted on November 19, 2025, and represents the agency's intent to proceed with a non-competitive procurement approach based on specific operational and technical justifications.

The primary objective of this modification is to extend the incumbent contractor's services to additional IHS Area Office locations while preserving system continuity and preventing operational disruption. The IHS contends that the modification must be executed with the incumbent due to proprietary data rights, specialized technical certifications, and integrated infrastructure that only the current contractor maintains. Interested offerors who believe they can meet the stated requirements may submit evidence of capability by November 25, 2025, though responses received after November 30, 2025, at 5:00 PM CST will not be evaluated. The Government will use submitted evidence solely to determine whether a competitive procurement process can be conducted, with the final decision to compete resting entirely within Government discretion. Questions regarding the notice or the sole source intent should be directed to Contracting Officer Karen McDonald at Karen.mcdonald@ihs.gov by November 30, 2025.