A $40 Billion IDIQ, a $7.5 Billion MATOC & More VA Contract Opportunities

• Five active VA solicitations span facility upgrades, clinical support and benefits services
• The opportunities include a $7.5 billion MATOC and $40 billion IDIQ
• VA and other federal healthcare officials will take the stage at the 2026 Healthcare Summit on Dec. 3

The Department of Veterans Affairs is accelerating major infrastructure upgrades and modernizations of its network of medical facilities nationwide, creating a steady stream of contract opportunities for the government contracting industry. Current open and active contract opportunities span the entire VA enterprise, ranging from multi-billion-dollar contract vehicles to regional facility maintenance and clinical support procurements.

Derek Herbert, chief production officer for the Office of the Under Secretary for Benefits at the VA, is speaking during a session at the Potomac Officers Club’s 2026 Healthcare Summit on Dec. 3. He will sit alongside industry and other government leaders on the Balancing Fraud Mitigation and Customer Service Delivery in Today’s World panel to discuss healthcare fraud trends and how agencies can continue seamless delivery of critical services to the public while mitigating improper payments. Secure your tickets today!

What Are the Open Contracts at the VA?

EHRM Infrastructure Upgrades

The Office of Facilities Acquisition, or OFA, is conducting a market survey to identify companies capable of upgrading the electronic health record modernization infrastructure at the Overton Brooks VA Medical Center in Shreveport, Louisiana. Work will cover updates to the communication, electrical and building management system interfaces; expansion and renovation of existing spaces; assessment and upgrade of the fiber infrastructure backbone within and between buildings; hazardous material abatement; installation of a diversified path for wide area network; and other services. 

The VA intends to award a firm-fixed-price contract for the requirement. The estimated magnitude of construction is between $3 million and $20 million.

Interested parties may submit their capability statements on or before Nov. 12.

Biological Sampling and Analysis Pharmacy Clean Room

VA is seeking a small business capable of providing industrial hygiene and environmental monitoring services within healthcare, laboratory, cleanroom and other similar facilities, according to a combined synopsis and solicitation posted on SAM.gov. The selected contractor will conduct monthly air and surface sampling for bacterial and fungal contamination at the VA Sierra Nevada Healthcare System in Reno, Nevada. The selected contractor will provide all sampling media, equipment and laboratory for analysis. 

The agency will award a firm-fixed-price contract as a small business set-aside for the requirement. The anticipated period of performance is five years, including options. 

Offers are due Nov. 20. 

Design-Build & Construction

The Office of Construction & Facilities Management is soliciting bids for a $7.5 billion multiple task order contract, or MATOC, for nationwide construction services. The MATOC is intended to establish four vendor pools, three dedicated to service-disabled veteran-owned small businesses and one unrestricted, to support VA infrastructure within the U.S. 

Work covers the full range of design, construction and engineering services to meet requirements across:  

• Veterans Health Administration Minor Construction Program
• VHA Non-Recurring Maintenance Program
• VA Major Construction Program
• VA Super Construction Program

The MATOC is available to the entire VA enterprise. Bids are due Dec. 4. 

Learn how agencies such as the VA are improving the delivery of public health services at the 2026 Healthcare Summit. Leaders from the Centers for Medicare & Medicaid Services, Department of Health and Human Services, National Institutes of Health and other agencies will take the stage to share insights into programs and advanced technologies revolutionizing healthcare. Sign up today to secure your seat! 

Medical Disability Examinations-Next Generation 

The VA has issued a request for proposals for its $40 billion Medical Disability Examinations-Next Generation, or MDE-NG, indefinite-delivery/indefinite-quantity contract to support the Veterans Benefits Administration’s compensation and pension determinations. VBA administers the Compensation and Pension program, which provides benefits to veterans, service members and their loved ones. 

VBA requires industry partners to conduct medical disability examinations and securely process case requests using an IT network fully integrated with existing VA systems. 

The effort is divided into six service groups:

• Service Groups 1 through 4 cover geographic regions of the continental United States
• Service Group 5 covers Benefits Delivery at Discharge or Integrated Disability Evaluation System claimants within the continental U.S., Alaska or Hawaii
• Service Group 6 will support veterans or service members in U.S. territories and selected international locations, including Australia, France, Germany, Greece, Japan, South Korea, United Arab Emirates and the United Kingdom. 

The anticipated period of performance is five years, including four 12-month options. The agency anticipates making two to four awards per service group, with each IDIQ guaranteeing a minimum contract value of $3.5 million. 

Offers are due Dec. 17.

St. Louis JC Bed Tower IOTA 

The VA intends to solicit bids for initial outfitting, transition and activation services at the John Cochran division of the St. Louis VA Medical Center in Missouri. The John Cochran division’s hospital infrastructure, which includes a building constructed in 1953 and a clinical addition built in the 1980s, is undergoing modernization and expansion. As part of the effort, the VA’s Office of Construction and Facilities Management, in partnership with the U.S. Army Corps of Engineers, will relocate inpatient functions to a new seismically compliant Bed Tower. 

The VA will award a contract with an eight-year ordering period to support the new bed tower’s activation. The agency is expected to issue an official request for proposals in the coming weeks. 

Where Can GovCons Discover More Contract Opportunities?

The Potomac Officers Club’s 2026 Healthcare Summit on Dec. 3 at the Hilton-McLean in Virginia will convene the top decision-makers in federal healthcare to discuss operational challenges and technology investments. 

The VA has requested a $488.2 billion budget for fiscal 2027, with $10.7 billion to be allocated to the agency’s IT systems and electronic health record modernization. Herbert, who leads enterprise investment coordination with the Office of Information and Technology and oversees the digital transformation of the VA’s claims processing, can provide insight into how the agency intends to utilize the budget to improve service delivery for veterans. Additional speakers from the VA are expected to be announced in the coming weeks.

Attendees will also hear from keynote speakers Kimberly Brandt, deputy administrator and chief operating officer at CMS, and Dr. Matthew J. Memoli, principal deputy director of the NIH, who are expected to provide updates on current federal programs and upcoming acquisition priorities. More keynote speakers will be announced soon!

Speakers from government include: 

• Dr. Gil Alterovitz, chief artificial intelligence officer and chief data officer at the Agency for Healthcare Research and Quality within HHS
• Melissa Austin, director of the Walter Reed National Military Medical Center
• Ricky Clark, director of the Information Technology Acquisition and Assessment Center at the NIH
• Todd Couts, deputy director of the Business Services Group at CMS
• Lt. Col. William Gamble, trauma surgeon at Walter Reed National Military Medical Center
• Sandra McIntyre, program manager for the Joint Operational Medicine Information Systems at the Program Executive Office for Defense Management Systems (pending agency approval)
• James Perkins, acting portfolio acquisition executive for Medical Digital Solutions at PEO DHMS (pending agency approval)
• CDR. Darshan Thota, chief medical informatics officer for the Joint Trauma System
• Christopher Wallace, chief of cybersecurity at PEO DHMS (pending agency approval)

The summit will feature panels on the most important topics in federal healthcare, including AI governance, combat support, and balancing cost, quality and access to health services. Get your tickets today!