SAM #80JSC026Medevac_RFI

NASA Johnson Space Center RFI for Worldwide Emergency Medical Evacuation and Repatriation Services (MedEvac 5)

NASA Johnson Space Center is seeking industry input for a future contract covering worldwide emergency medical evacuation and repatriation services for International Space Station personnel and other NASA travelers. - Scope includes: - Prepaid, firm fixed price group membership for medical evacuation and repatriation - Medical monitoring, referrals, consultations, hospital admittance, guarantee of payments, facilitation of hospital payments, insurance coordination, provision of medications, vaccines, blood transfers, medical devices, replacement of corrective lenses, transportation home after stabilization, and repatriation of mortal remains - Optional medevac using Portable Medical Isolation Units - Medical transport via air ambulance (advance reservation and call-up/execution) - Membership options for independent travelers (individual/family coverage for various durations) - Unique requirements: - Operations from remote and geopolitically sensitive locations (e.g., Russia, Kazakhstan, Baikonur Cosmodrome) - Ability to secure flight permits and coordinate with regional aviation authorities - Timely guarantee of payments and management of financial transactions affected by sanctions - International accreditations (CAMTS, EURAMI, NAAMTA) - HIPAA/international privacy compliance - Surge readiness and participation in NASA contingency tabletop simulations - Secure electronic traveler registration and annual program status meetings - Estimated coverage: - Approximately 55,250 worldwide travel days (2026-2030 base period) - 13,000 travel days (option year 2031) - No specific OEMs or vendors named; NASA is seeking responses from all interested parties, including small businesses and HBCU/MI institutions. - Place of performance includes NASA Johnson Space Center, International Space Station, and multiple international locations (Russia, Kazakhstan, Netherlands, Canada, Japan, Houston TX).

Description

Offerors are responsible for monitoring this site for the release of the solicitation and any amendments. Potential offerors are responsible for downloading their own copy of the solicitation and amendments (if any). The National Aeronautics and Space Administration (NASA) Johnson Space Center (JSC) is hereby soliciting information from potential sources for Emergency Medical Evacuation Services. Through this Request for Information (RFI), NASA plans to gain industry feedback on its approach to procuring cost effective solutions for NASA's Emergency Medical Evacuation service requirements. NASA JSC is seeking capability statements from all interested parties, including all socioeconomic categories of Small Businesses and Historically Black Colleges and Universities (HBCU)/Minority Institutions (MI), for the purposes of determining the appropriate level of competition for the Medical Evacuation Services 5 Contract (MedEvac 5). The services procured via the MedEvac 5 Contract will include Medical Evacuation and Repatriation Services with an attending medical team that could include a NASA physician and medical equipment to medical facilities which provide US-standards of medical care with ultimate evacuation to home-based hospitals or facilities of NASA's choosing. Evacuation may occur from remote locations including, but not limited to, parts of Russia and Kazakhstan. These requirements include additional medical travel services, but are not limited to, medical monitoring, medical referrals and consultations with English-speaking doctors, hospital admittance, providing Guarantee of Payments (GOPs) to ensure timely access to medical care and discharge, facilitation of hospital payments, coordination of insurance information, medications, vaccines, blood transfers, medical devices and replacement of corrective lenses, and transportation home after stabilization if evacuation is deemed necessary or repatriation of mortal remains. NASA anticipates a firm fixed price, pre-paid membership for group coverage to meet its service requirements. For planning purposes, NASA currently estimates its traveling members perform a total of thirteen thousand (13,000) worldwide travel days per year. Responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. The Government is under no obligation to issue a solicitation or to award any contract on the basis of this RFI. Ability to Deliver Full Scope of Services Can your organization deliver the full scope of prepaid emergency medical evacuation and medical travel services described in the draft SOW? __ Yes __ No                If No, which portions of the requirement cannot currently be supported (select all that apply)? __ Medical evacuation and repatriation __ Medical monitoring, referrals, and consultations __ Field Rescue __ Guarantee of Payments (GOP) issuance __ Hospital payment facilitation __ Medical equipment/medications/vaccines support __ Repatriation of remains __ Reservation and Callup Capability __ Other (fill in) ___________________________________________________ Recommendations or Clarifications to the Draft SOW and Pricing Template Are there areas of the draft SOW where additional clarification would improve your ability to respond (select all that apply)? _ Scope of medical travel services __ Standards of care requirements __ Membership model expectations __ Operational response timelines __ Coordination with NASA medical personnel __ Pricing structure __ No clarification needed __ Other (fill in) _______________________________________________ Would changes to the pricing framework improve cost‑effectiveness? _ Yes (fill in) _________________________________________________ _ No Potential Constraints or Barriers to Participation Which potential challenges could limit your organization’s participation (select all that apply)? __ Regulatory hurdles __ Insurance or financial issue constraints __ Limited regional capability __ Aviation or permit restrictions __ Sanctions-related financial complications __ None anticipated Would Government‑provided clarifications or changes mitigate these issues? __ Yes __ No Relevant Organizational Experience Does your organization currently provide prepaid medical evacuation services? __ Yes __ No How long has your organization provided international medical evacuation services? __ Less than 2 years __ 2–5 years __ 5–10 years __ More than 10 years Is your pricing model primarily: __ Membership‑based (prepaid) __ Fee‑for‑service __ Hybrid __ Other Experience in Russia, Kazakhstan, Baikonur, or Sensitive Airspace Does your organization have experience conducting medical evacuations from Russia? __ Yes __ No Does your organization have experience conducting medical evacuations from Kazakhstan? __ Yes __ No Does your organization have experience operating in or near Baikonur Cosmodrome? __ Yes __ No If No, have you conducted comparable operations in similarly restricted or geopolitically sensitive locations? __ Yes (fill in) ___________________________________________________________ _ No Can your organization secure required flight permits and coordinate with regional aviation authorities (e.g., Roscosmos, Russian/Kazakh authorities)? __ Yes __ No Guarantee of Payments (GOP) in Russia and Kazakhstan Can you provide timely GOPs specifically to Russian medical facilities? __ Yes __ No Can you provide timely GOPs to Kazakh medical facilities? __ Yes __ No Does your organization have processes to manage financial transactions affected by sanctions or banking restrictions in these regions? __ Yes __ No Industry Changes Have you observed significant industry changes in the last three years that would affect NASA’s acquisition strategy? __ Yes __ No If Yes, which categories best describe these changes (select all that apply)? __ Aviation or air ambulance regulatory changes __ Medical capability advancements __ Insurance or financial industry changes __ Shifts in global geopolitical environments __ Significant cost‑structure changes __ Other (fill in) ______________________________________________ Aircraft and Fleet Capabilities Does your fleet include long‑range aircraft suitable for transcontinental medical evacuation? _ Yes __ No Which aircraft types do you operate for long‑range missions (select all that apply)? __ Fixed‑wing jet air ambulance __ Turboprop air ambulance __ Charter/partnered aircraft __ Other Do your aircraft have the capability to minimize transfers by operating long‑haul missions directly? __ Yes __ No Geographic Coverage and Assets Do you maintain dedicated assets in specific regions? __ Yes __ No If Yes, where do you maintain dedicated assets (select all that apply)? __ North America __ Europe __ Middle East __ Central Asia __ Asia‑Pacific __ Africa __ South America Do you rely on a vetted partner network in regions without dedicated assets? __ Yes __ No Presence in Kazakhstan or Russia Do you have personnel, infrastructure, or dedicated assets in Kazakhstan (e.g., Almaty or Astana)? __ Yes __ No Do you have personnel, infrastructure, or dedicated assets in Moscow or elsewhere in Russia? __ Yes __ No International Accreditation Which accreditations does your organization or partners currently hold (select all that apply)? __ CAMTS __ EURAMI __ NAAMTA __ Other recognized medical transport accreditation __ None Example Evacuation Scenario Can your organization provide one example of a medical evacuation conducted in the last 24 months from a logistically challenging or politically sensitive region? __ Yes __ No Does your organization maintain records that can demonstrate timelines and operational steps for such a mission? __ Yes __ No Service Scope & Eligibility Does your membership model cover all NASA civil servants, contractors, and invitational travelers without age limits? __ Yes    __ No Are evacuations and medical support available regardless of pre-existing conditions? __ Yes __ No Do you exclude high-risk activities or specific regions? __ No exclusions __ Activity exclusions __ Location exclusions Can evacuations be authorized by NASA physician even if local care is available but below U.S. standard? __ Yes __ No Response Time SLAs & Performance First clinical contact time: __ ≤15 min    __ 16–30 min    __ 31–60 min __ >60 min GOP issuance timelines globally/Russia/Kazakhstan: __ ≤30 min     __ 31–60 min    __ 1–2 hrs    __ >2 hrs Bedside-to-wheels-up time: __ ≤6 hrs    __ 6–12 hrs __ 12–24 hrs    __ >24 hrs Percentage of direct long-haul missions: __ ≥80%    __ 60–79%    __ 40–59%    __ <40% Aviation Operations & Safety Air Operator’s Certificate (AOC) status: __ Own AOC    __ Partner AOCs    __ Mixed    __ None Safety Management System implemented and audited? __ Yes (3rd-party)    __ Yes (self-audited)    __ No Typical flight crew international mission hours: __ ≥2000    __ 1000–1999    __ 500–999    __ <500 Ability to secure Russian/Kazakh permits under expedited timelines: __ Yes    __ No    __ Case-by-case Clinical Governance & Accreditation Clinical escort staffing levels appropriate for ICU cases? __ Always    __ Usually    __ Case-by-case    __ Rarely Aircraft equipped with ICU-level devices? __ Yes    __ No    __ Some assets Can NASA physician integrate as attending? __ Yes    __ No    __ Requires agreement Financial Operations & Sanctions Ability to manage compliant payments in Russia/Kazakhstan? __ Yes    __ No    __ Limited Ability to settle invoices in local currency without discharge delays? __ Yes    __ No    __ Sometimes Are hospital invoices audited prior to payment? __ Always    __ Often    __ Sometimes    __ Rarely Network Governance & Subcontracting Are partner hospitals/air operators vetted annually? __ Yes    __ No Do subcontracts include required flow-down clauses? __ Yes    __ No Regions with ≥2 vetted providers: __ NA    __ EU    __ ME    __ Central Asia    __ APAC    __ Africa    __ SA Data Protection & Reporting HIPAA + international privacy compliance? __ Yes    __ No Secure NASA-accessible case updates (portal/API)? __ Yes    __ No Ability to deliver monthly/quarterly KPIs? __ Yes    __ No Business Continuity & Surge Readiness Max simultaneous medevac missions supported: __ ≥10    __ 7–9    __ 4–6    __ ≤3 Contingency assets staged in Eurasia/Central Asia? __ Yes    __ No Exercises conducted for Russia/Kazakhstan access scenarios in last 12 months? __ Yes    __ No Insurance, Licensure, and Liability Internationally valid aviation + medical malpractice coverage? __ Yes    __ No Are clinical staff licensed in embarkation/destination regions? __ Yes    __ No    __ Case-by-case Pricing Transparency & FFP Feasibility Can you commit to FFP, prepaid membership using defined volumes? __ Yes    __ No Will any services be separately billable? __ No (all-inclusive)    __ Some excluded    __ Many excluded Volume-based or multi-center discounts offered? __ Yes    __ No Customer Experience & Language Support Multilingual support including English + native Russian/Kazakh? __ Yes    __ No Traveler-facing materials (cards, app, hotline)? __ Yes    __ No Past Performance & References # of sensitive-region evacuations in last 24 months: __ ≥10    __ 5–9    __ 1–4    __ 0 Can you provide 3 client references? __ Yes   __ No  

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