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Contract Tracker
The federal health IT contracts worth watching, with sourcing, timing signals, and practical implications.
Contract Tracker shows public contract movement. Capture Intelligence (Premium) adds competitive analysis. MarketPulse delivers custom pursuit research on demand.
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Active
VA Ambient Scribe IDIQ (36C10B26R0006)
Department of Veterans Affairs
Five-year IDIQ for COTS cloud AI ambient scribe at VA — enterprise IDIQ. Proposals received April 2026; in active GAO protest (B-424447.1) with decision due August 6, 2026. Funded through the FY2027 VA Medical Services account. Prior contract (36C10B26C0025) went... ★ Full competitive note — Premium
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VA EHRM (Electronic Health Record Modernization)
Department of Veterans Affairs
VA's enterprise EHR modernization replacing VistA. Four Michigan sites went live April 11, 2026 (Detroit, Saginaw, Ann Arbor, Battle Creek) — the first wave of 13 sites planned for 2026 deployments (Ohio, Indiana, Kentucky, and Alaska to follow). Performance record... ★ Full competitive note — Premium
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MHS GENESIS (DHMSM Bridge)
Defense Health Agency (DHA)
DoD enterprise EHR deployed at 3,200+ locations serving 9.6M beneficiaries and 205,000 providers. Worldwide deployment completed March 2024. Leidos bridge is a planned/reported ~$1.4B sole-source extension; competition is delayed to 2028 at the earliest. The reported sole-source bridge has been... ★ Full competitive note — Premium
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Federal Electronic Health Record Modernization (FEHRM)
DoD / VA Joint Program Office
FEHRM is the joint DoD-VA interoperability office — not a contract. Both agencies use the Oracle Health platform, but government ownership, data governance, and workflows differ. DoD completed MHS GENESIS deployment (March 2024). VA is in active deployment after the... ★ Full competitive note — Premium
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T4NG2 (VA IT Services)
Department of Veterans Affairs / VA TAC
VA's primary enterprise IT services vehicle — successor to T4NG ($22.3B, ~64% obligated). Active / Awarded. SAM listed 30 original awards in October 2023, with the final roster reported at 33 after protest resolution (Taurian, Technatomy, Peregrin added via corrective... ★ Full competitive note — Premium
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VA Health Connect / IHT 2.0
Department of Veterans Affairs / VHA
VA/VHA Multiple-Award IDIQ — $14B / 10-year, 100% SDVOSB set-aside, 9 awardees, performance period August 2025 to August 2035. VA Health Connect functions include nurse triage hotline, telehealth coordination, clinical triage and escalation, and tele-emergency for veterans unable to reach... ★ Full competitive note — Premium
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Enterprise Intelligence & Data Solutions (EIDS)
Defense Health Agency (DHA) / PEO DHMS
EIDS is a PEO DHMS program / PMO — not a single contract — administering multiple vehicles. Scope spans the MIP (MHS Information Platform), the MHS Common Data Model, and data / AI / analytics / application hosting. Key accomplishment:... ★ Full competitive note — Premium
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DHA Enterprise Generative AI
Defense Health Agency (DHA)
Ask Sage announced (Dec. 8, 2025) an enterprise-wide generative AI agreement with DHA, claiming the first Impact Level 5 (IL5) GenAI offering authorized for Protected Health Information (PHI) in the Military Health System. The IL5 ATO for GenAI covering PHI... ★ Full competitive note — Premium
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CMS Rural Health Transformation
Centers for Medicare & Medicaid Services (CMS)
$50B CMS grant program (FY2026–FY2030) to states — not a contract. Strengthens rural healthcare infrastructure across all 50 states. Scope explicitly includes AI workflow modernization alongside telehealth, cybersecurity, and provider network development. Rural focus means telehealth-integrated AI tools for small/rural... ★ Full competitive note — Premium
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IHS Health IT Modernization (RPMS Replacement)
Indian Health Service (IHS) / HHS
Enterprise EHR replacing RPMS (Resource and Patient Management System) — IHS's legacy EHR built in-house since the 1980s, serving 2.6M American Indians and Alaska Natives across 575+ federally recognized tribes and 170+ facilities. GDIT awarded Nov 2023. Platform: Oracle Cerner... ★ Full competitive note — Premium
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MHS GENESIS-Theater + JOMIS (Operational Medicine Systems)
Defense Health Agency (DHA) / PEO DHMS
Per current PEO DHMS terminology, this program covers MHS GENESIS-Theater and JOMIS operational medicine systems — the deployed/theater version of MHS GENESIS for disconnected, low-bandwidth military operations. JOMIS is installed on USNS Mercy and integrated with MedCOP for real-time force... ★ Full competitive note — Premium
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DHA Telehealth Programs
Defense Health Agency (DHA)
Two key DHA telehealth programs. (1) Amwell Converge platform — Amwell/Leidos Digital First task order up to $180M over 22 months, replacing MHS Video Connect as the enterprise virtual health platform. Supports synchronous video, async messaging, care coordination, and MHS... ★ Full competitive note — Premium
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CMS Cloud Infrastructure (OCI)
Centers for Medicare & Medicaid Services (CMS)
Oracle announced (Feb. 11, 2026) that Oracle Cloud Infrastructure was selected to support select CMS workload migration on FedRAMP High infrastructure — part of CMS modernization. Combined with DoD MHS GENESIS (Oracle Health) and VA EHRM (Oracle Health), this would... ★ Full competitive note — Premium
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CDM DEFEND (Health Data Cybersecurity)
CISA / DHS
Continuous Diagnostics and Mitigation DEFEND program. Protects health data and IT infrastructure across HHS agencies including CMS, CDC, NIH, FDA. Implements zero trust architecture and continuous monitoring. Specific vendor and ceiling for the current health-data DEFEND prime is being verified... ★ Full competitive note — Premium
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TRICARE Managed Care Support - T-5 (MCS)
Defense Health Agency (DHA)
Managed healthcare delivery for 9.6M+ TRICARE beneficiaries — not IT. T-5 generation went live January 1, 2025, replacing T-2017 contracts (Humana / TriWest regional transition). Option Period Two in execution: Humana East $7.34B and Evernorth $719.4M (pharmacy). Period of performance... ★ Full competitive note — Premium
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TPharm5 (TRICARE Pharmacy)
Defense Health Agency (DHA)
TRICARE pharmacy benefit management. Express Scripts (Evernorth) holds HT940221C0007 with a reported award value of approximately $4.29B; specific option-year exercise dollar amounts require source verification before display. Express Scripts manages Rx benefits, claims, mail-order pharmacy, and retail network for all... ★ Full competitive note — Premium
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MPSM (Medicare Payment Systems Modernization)
Centers for Medicare & Medicaid Services (CMS)
Legacy Medicare claims system transformation — a CMS program (PMO), not a single contract. Multiple task orders for modernizing Part A, B, and D payment processing. Small businesses can access CMS analytics work through existing IDIQ paths or through the... ★ Full competitive note — Premium
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TEFCA / RCE (Health Information Exchange)
HHS ONC/ASTP
Trusted Exchange Framework and Common Agreement — foundational nationwide health information exchange mandated by 21st Century Cures Act. Sequoia Project operates as the ONC Recognized Coordinating Entity (RCE), enabling interoperability across DoD, VA, CMS, and all federal health systems. FEHRM... ★ Full competitive note — Premium
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CDC DCIPHER (Disease Surveillance)
Centers for Disease Control and Prevention (CDC)
Palantir Foundry-based disease surveillance, outbreak detection, and population health monitoring for CDC. Originally COVID-19, expanded to broader surveillance. Coverage supported by FedScoop / Potomac reporting. Palantir also attempted DHA health IT entry through CSO framework but encountered government preference against... ★ Full competitive note — Premium
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SSA DCPS2 (Disability Claims Processing)
Social Security Administration (SSA)
Disability claims processing modernization with heavy health records integration. Processes medical evidence for disability determinations. Insufficient current evidence as a discrete federal health IT contract item — treat as Needs Source until specific SSA award/solicitation is verified.
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NIH STRIDES (Cloud for Biomedical Data)
National Institutes of Health (NIH)
Cloud platform tracking — NIH STRIDES Initiative provides discounted commercial cloud access for NIH-funded biomedical research, genomics processing, and AI/ML workloads. Specific vendor agreement values are not always public; treat as Cloud Program Watch until a discrete contract/vendor agreement is... ★ Full competitive note — Premium
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CDC DIBBs (Data Integration Building Blocks)
Centers for Disease Control and Prevention (CDC)
CDC Data Integration Building Blocks — modular data integration tools for state/local/tribal/territorial (STLT) public health agencies. Standardizes disease reporting and lab results. 2026 target: greater than 30% STLT adoption of at least one DIBBs product.
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T6 Health Systems — AOI 2 (PEO DHMS CSO)
Defense Health Agency (PEO DHMS)
Awarded Nov 19, 2025 under the PEO DHMS Commercial Solutions Opening (CSO HT0038-25-S-C001), Area of Interest 2. Period of performance through 2030. One of the AOIs under the DHMS innovation CSO; AOI 1b proposals due Jul 1, 2026 and AOI... ★ Full competitive note — Premium
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ManTech — DMIX / DISS Support
Defense Health Agency
DMIX (Defense Medical Information Exchange) / DISS support task order to ManTech. Award/order number 140D0422F0251.
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Swingtide — Market Intelligence Support
Defense Health Agency
Market intelligence support, ~$745K, awarded Jan 2026. Solicitation HT003826CE001.
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STR Zero Day — Leidos
Defense Health Agency
STR Zero Day effort, $8.07M, awarded May 7, 2026 to Leidos. Solicitation HT003826FE006.
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IHS Four Directions Warehouse (4DW) — Clinical Data Repository
Indian Health Service (IHS) / HHS
IHS Health IT Modernization program contract for development of the Four Directions Warehouse (4DW), a clinical data repository supporting the PATH EHR transition. Awarded Sept 2024 to Cherokee Nation Integrated Health, LLC under an Indian Small Business Economic Enterprise (ISBEE)... ★ Full competitive note — Premium
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IHS PATH EHR Future Task Orders (Sustainment & Deployment Pipeline)
Indian Health Service (IHS) / HHS
Task-order pipeline watch on the IHS EHR Modernization IDIQ (GDIT prime, 140D0424D0001, $2.54B ceiling). With TO #9 ($325.7M, sustainment & operations, awarded May 2026, contract 140D0426F0370) now placed and PATH go-live targeted Aug 2026, the IDIQ will continue generating significant... ★ Full competitive note — Premium
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Upcoming
Community Care Network Next Gen (CCN NG)
Department of Veterans Affairs
Next-generation VA community care MA-IDIQ (Solicitation 36C10G26R0003) for CCN Next Gen Medical, replacing current CCN regional contracts. Two new mechanisms enter that do not exist in current CCN: (1) value-based payments starting with lower-extremity joint replacement episodes, with at least... ★ Full competitive note — Premium
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Related Analysis
CCN Dental (36C10G26R0004)
Department of Veterans Affairs
Companion dental network management vehicle to the CCN Next Gen medical IDIQ. Separate procurement, same structural logic: multiple-award IDIQ for nationwide dental network coordination for veterans using community care. New vehicle — no standalone dental companion existed in prior CCN... ★ Full competitive note — Premium
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DHA Data Governance (WOSB Set-Aside)
Defense Health Agency (DHA)
Solicitation HT001126RE011 — WOSB set-aside for enterprise data governance using a VAULTIS-Guided Framework. Scope: comprehensive baseline data inventory, centralized metadata repository, Analysis of Alternatives for enterprise data catalog, and automated metadata harvesting tools. Performance period Jan 30, 2026 to Jan... ★ Full competitive note — Premium
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PEO DHMS Deployment Solutions (New IDIQ)
Defense Health Agency (DHA) / PEO DHMS
Solicitation HT003826RE001 — $300M Multiple-Award IDIQ for on-demand deployment of health IT solutions. One-year base + four option years. Scope: site preparation, training, change management, data migration, user adoption, and post-installation support for MHS GENESIS and OpMed product deployments. Evaluation... ★ Full competitive note — Premium
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VA Enterprise Imaging (NEIS + Multi-VISN PACS + Bi-Directional)
Department of Veterans Affairs
Three connected VA imaging modernization procurements. (1) NEIS — National Enterprise Imaging Solution (36C10X25Q0015, est. $300-500M, FY2027) replacing fragmented PACS/VNA across 170+ VA medical centers. NEIS scope includes FedRAMP cloud storage, viewers, workflow, AI, DICOM/non-DICOM, and EHR integration. Currently in... ★ Full competitive note — Premium
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HHS HOPSS - HHS One Professional Services Solutions
Department of Health and Human Services (HHS)
Reported upcoming small business vehicle covering HHS-wide STEM and IT services — health data analytics, cybersecurity, and digital transformation for CMS, CDC, NIH, and FDA. If awarded, HOPSS would provide direct vehicle access for HHS-wide work without needing to sub... ★ Full competitive note — Premium
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HCDS - Health Care Delivery Solutions (MHS GENESIS Follow-On)
Defense Health Agency (DHA) / PEO DHMS
Industry day held March 31, 2026. Draft strategy separates work into distinct contract lanes: PMO support, product support, and services support — plus Technical Integration, Product Management, and Human-Centered Design (HCD) carve-outs. There will be no prime systems integrator. Authority... ★ Full competitive note — Premium
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FDA Sentinel 3.0
Department of Health and Human Services (HHS) / FDA
FDA Sentinel 3.0 (2026 updated market research) — reference 75F40126SSN00100. Scope: data broker services Tiers 1-6, GOCO platform Tier 7, and scientific support Tier 8. Sentinel is FDA's national electronic system for monitoring the safety of regulated medical products using... ★ Full competitive note — Premium
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VA Health Services DevSecOps
Department of Veterans Affairs / VA TAC
DA01 Health Services DevSecOps — new-contract Sources Sought (36C10B26Q0163). Scope: Agile health services applications across the lifecycle, ATO support, configuration management, UX, and sustainment.
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VA Data Center and Telecommunications Modernization
Department of Veterans Affairs / VA TAC
VA TAC Sources Sought 36C10B26Q0218 for infrastructure modernization — EOL replacement, standardization, and unified data center / telecommunications baseline supporting clinical and enterprise services.
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VA HELM / SCMDSO (Healthcare Environment and Logistics Management)
Department of Veterans Affairs / OIT Product Delivery Services
Single-contractor sustainment and modernization for VA Healthcare Environment and Logistics Management (HELM) product line. Covers 5 sub-product lines (Environmental and Healthcare Management, Healthcare Technology and Asset Management, Expendable Inventory Management, Prosthetics, Technical Services) and ~34 products across 174 sites. RFI... ★ Full competitive note — Premium
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CIO-CS Follow-On / The Store
NIH / GSA (watch)
NIH CIO-CS follow-on (a.k.a. 'The Store') Pre-RFP watch — reported ceiling ~$20B-$25B covering IT commodities, software, cloud, cyber, collaboration, and health IT. Multi-agency reach via the NIH/GSA assisted-acquisition pathway.
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PEO DHMS CSO (Competitive Solutions Opening)
Defense Health Agency (DHA) / PEO DHMS
DHA's non-traditional acquisition pathway under OTA authority (10 U.S.C. § 4022) — CSO/OTA pathway. SAM.gov shows the active CSO open until July 1, 2026. Active AOIs: 1b (AI/ML/NLP), 4 (Data Applications — canceled due to McKinsey task order dispute, but... ★ Full competitive note — Premium
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DHA Zero Trust 2.0 / GSP
Defense Health Agency (DHA)
Strategy watch — FY2026 initiative consolidating expiring health IT infrastructure contracts under a Global Service Provider model with Zero Trust 2.0 architecture. Strategy doc, not a discrete procurement at this stage. Covers network ops, endpoint security, cloud infrastructure for the... ★ Full competitive note — Premium
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SAMHSA BHSIS Recompete (Behavioral Health Services Information System)
Substance Abuse and Mental Health Services Administration (SAMHSA)
Full recompete of SAMHSA's flagship behavioral health data system. BHSIS is the backbone of national behavioral health data infrastructure, collecting facility-level substance use and mental health treatment data (N-SUMHSS, TEDS, the Behavioral Health Treatment Services Locator) across all 50 states.... ★ Full competitive note — Premium
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FDA SIRCE II (Systems for Inspection, Recalls, Compliance & Enforcement)
Department of Health and Human Services (HHS) / FDA
Recompete of FDA's Office of Regulatory Affairs (ORA) IT modernization vehicle. RFI 75F40126Q00072 posted Feb 2026 signals an imminent competitive solicitation covering ORA's full IT stack: imports screening, recall management, inspection compliance, and enforcement systems across 150+ domestic posts and... ★ Full competitive note — Premium
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HRSA OPTN Next Gen IT Contracts (Phase 2)
Health Resources & Services Administration (HRSA)
Phase 2 of HRSA's dismantling of the 40-year UNOS monopoly over the Organ Procurement and Transplantation Network — the most consequential procurement restructuring in HRSA history. HRSA is moving from Competitive Transition Contracts (Phase 1 multi-vendor awards, Sept 2024) to... ★ Full competitive note — Premium
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CMS SPARC II (Strategic Partners Acquisition Readiness Contract — Recompete)
Centers for Medicare & Medicaid Services (CMS)
Recompete of CMS's primary IT IDIQ vehicle and the single highest-priority CMS opportunity in the 12-24 month window. SPARC I (HHSM-500-2016-00046I, $25B ceiling) expires February 20, 2027. SPARC II will be CMS's most competitive IT vehicle re-competition in a decade.... ★ Full competitive note — Premium
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CDC DMI Successor / NSSP Ecosystem Contracts
Centers for Disease Control and Prevention (CDC)
Watch item covering the conversion of CDC's Data Modernization Initiative (DMI) grant-based activities into recurring contracts, plus the NSSP/BioSense recompete cycle. As CDC's FY2024-2025 DMI appropriations ($100M-$175M/yr) wind down, program-specific IT procurements (eCR, wastewater/environmental surveillance, NHSN modernization, lab reporting) are... ★ Full competitive note — Premium
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NIH Scientific & Technical Support Services IDIQ ($3B)
National Institutes of Health (NIH)
NIH's largest multi-award IDIQ in the current pipeline (solicitation 75N98026R00042), Full and Open. Covers bioinformatics, computational biology, BSL 2-4 lab research support, and clinical research across all NIH institutes. Proposals were due April 27, 2026 — that deadline has passed,... ★ Full competitive note — Premium
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CMS RMADA 3 (Research, Measurement, Assessment, Design & Analysis)
Centers for Medicare & Medicaid Services (CMS)
Multiple-award successor to RMADA 2, providing CMS/CMMI with research, measurement, demonstration evaluation, actuarial analysis, and data-analytics services tied to value-based care and payment innovation. RMADA 2 was awarded to 17 companies in 2019 at a $5B ceiling. CMS extended RMADA... ★ Full competitive note — Premium
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ACF CCWIS Support Task Recompete (Child Welfare Information Systems)
Department of Health and Human Services (HHS) / ACF
Recompete watch for ACF Children's Bureau's CCWIS technical-assistance/support task. CCWIS is a mandatory federal program requiring states to modernize child welfare IT systems. ICF currently holds the $69.7M support task (75ACF125F80006) on the CIO-SP3 GWAC; with the CIO-SP3 bridge expiring... ★ Full competitive note — Premium
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HHS NGITS BPA Recompete (Application Hosting, Operations, Engineering)
Department of Health and Human Services (HHS)
Recompete/consolidation watch across the three HHS Next-Generation IT Services BPAs — Application Hosting, Operations, and Engineering — that form the departmental IT services backbone for HHS OS and staffing divisions (~12,000 employees). The Application Hosting BPA (HHSP233201700023B) is most active... ★ Full competitive note — Premium
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FDA FIRE (Foundational Innovation and RAPID Engagement)
Department of Health and Human Services (HHS) / FDA
Pre-concept FDA contracting experiment. FDA's Office of Digital Transformation issued an RFI (posted Dec 17, 2025; responses due Jan 18, 2026) exploring a first-of-kind venture-capital prime / portfolio-subcontractor model to advance public-health innovation. If FDA proceeds past RFI, FIRE would... ★ Full competitive note — Premium
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HRSA Ryan White RSR Data Modernization
Health Resources & Services Administration (HRSA)
Recompete watch on HRSA HIV/AIDS Bureau (HAB) data-support contract underpinning the Ryan White HIV/AIDS Program reporting systems — the Ryan White Services Report (RSR) and AETC reporting infrastructure that track HIV care and surveillance data nationally. WRMA holds the current... ★ Full competitive note — Premium
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CDC Electronic Case Reporting (eCR) Modernization
Centers for Disease Control and Prevention (CDC)
Watch item on CDC's electronic case reporting modernization — the automated, real-time exchange of case-report data between EHRs and public health agencies. eCR is a core CDC Data Modernization Initiative (DMI) investment, currently delivered through the APHL/AIMS platform with HL7... ★ Full competitive note — Premium
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ASPR NPIVS (National Provider Identity Verification System)
Department of Health and Human Services (HHS) / ASPR
Pre-solicitation watch on ASPR's National Provider Identity Verification System (RFI/sources-sought 75A50126R00001, targeted ~FY2027). NPIVS supports identity verification of healthcare providers for emergency-response and preparedness operations — a preparedness IT system with strategic national-security implications. ASPR's overall IT contracting footprint is... ★ Full competitive note — Premium
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Opportunity Radar
AI-scanned federal health IT opportunities with confidence estimates, updated daily
Why some opportunities aren't here: SAM.gov lists public solicitations; GSA eBuy lists RFQs visible only to Schedule holders. We surface eBuy RFQ existence and a link here (tagged eBuy RFQ), but reading the full RFQ and submitting a quote require the relevant GSA Schedule. If a search comes up empty, check eBuy Open and SAM.gov directly.
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Small Business Vehicle Opportunities
AI-predicted vehicle assignments for federal health IT opportunities, updated daily
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How we source this data
Contract names, agencies, award dates, and ceiling values confirmed against SAM.gov, USASpending.gov, agency announcements, or congressional records. Each entry shows a "last verified" date.
Recompete timelines, contract ceilings without public disclosure, and opportunity confidence scores are estimates based on historical patterns and available signals. These are labeled as estimates wherever they appear.
Strategic implications, likely vehicle assignments, and competitive positioning are editorial analysis based on procurement patterns. These represent informed judgment, not confirmed facts.
Curated contract data is reviewed and updated regularly. Opportunity Radar and Vehicle Radar run automated daily scans. Always verify independently on SAM.gov or the relevant agency procurement portal before making business decisions.
Vehicle Radar
Which contract vehicles are seeing the most federal health IT activity. Based on recent task order postings and MMT contract tracker analysis. Assessment as of April 2026. For FY2027 budget signals, see the Capture Intelligence sheet.
| Vehicle | Agency | Activity | Trend | Why |
|---|---|---|---|---|
| CIO-SP3 | NIH/NITAAC | High | ▲ | Absorbing CIO-SP4 demand. Extended runway, no replacement vehicle. |
| OASIS+ | GSA | Increasing | ▲ | Health IT consulting and PMO work shifting here post-CIO-SP4. |
| T4NG / T4NG2 | VA TAC | High | ▶ | T4NG2 task orders beginning. Protests resolved. |
| MHS EITS | DHA | Steady | ▶ | Infrastructure renewals and cybersecurity upgrades ongoing. |
| GSA MAS | GSA | Moderate | ▶ | COTS health IT products. On-ramp for smaller firms. |
| SEWP VI | NASA | Increasing | ▲ | Picking up demand from CIO-SP4 void. IT products/services. |
Vehicle activity based on SAM.gov task order postings and MMT contract tracker data. Not a predictive model.
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