SOLICITATION NOTICE
R -- Update of Legislative Review & Analysis of State Laws Related to Immunization
- Notice Date
- 6/14/2011
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 611310
— Colleges, Universities, and Professional Schools
- Contracting Office
- Department of Health and Human Services, Centers for Disease Control and Prevention, Procurement and Grants Office (Atlanta), 2920 Brandywine Road, Room 3000, Atlanta, Georgia, 30341-4146
- ZIP Code
- 30341-4146
- Solicitation Number
- 00HCVGB1-2011-98879
- Archive Date
- 6/23/2011
- Point of Contact
- Linda M Young, Phone: (770) 488-2655
- E-Mail Address
-
lml3@cdc.gov
(lml3@cdc.gov)
- Small Business Set-Aside
- N/A
- Description
- The Centers for Disease Control and Prevention intends to issue a sole source purchase order to George Washington University, School of Public Health and Health Services, Department of Health Policy, 2021 K. Street, NW, Suite 800, Washington, DC, for updated legal surveys and analyses of state laws related to (1) vaccination benefits for adult Medicaid beneficiaries, (2) provision of vaccination services by non-physician healthcare providers under standing orders, and (3) vaccination requirements for employees and residents in long-term care facilities, based on three previous reviews conducted by George Washington University. Purpose and Objective: Legislative Review & Analysis of State Laws Related to Immunization. The purpose of this project is to update three comprehensive legislative reviews exploring laws related to immunization in the 50 states and the District of Columbia. Topics covered by these reviews include (1) vaccination benefits offered to adult Medicaid beneficiaries, (2) scope of immunization practice by non-physician practitioners under their own license and standing orders protocols, and (3) vaccination requirements for staff and residents at long-term care facilities. State immunization laws are constantly evolving in response to new scientific discoveries, political pressures, and other external factors. Updating these reviews will ensure that CDC has access to the most current information available related to state immunization laws. This information is critical to CDC’s ability to (1) track the impact of healthcare reform on access to vaccination benefits and (2) to conduct and provide technical assistance for emergency preparedness planning that fully utilizes available healthcare resources in each state. Public health authorities at the national, state, and local levels will benefit from understanding how non-physician providers can be used to expand vaccination opportunities both during pandemic or bioterrorism events as well as during non-emergency vaccination campaigns. Policymakers and researchers can use information about Medicaid vaccination benefits to monitor potential disparities in access between currently eligible beneficiaries and those who gain coverage under Affordable Care Act expansions of Medicaid. The goal of this contract is to build on work already completed by researchers at the George Washington University (GWU) School of Public Health and Health Services as part of The Epidemiology of U.S. Immunization Law project. GWU published three reports on the above-referenced topics between Winter 2003 and Winter 2007 (research was completed from approximately Spring 2003 to Spring 2007). These reports have served as important references for CDC researchers and grantees in the interim. CDC is perceived by state and local health authorities and researchers as the preeminent resource for information related to public health, up to and including laws and regulations governing public health. As a result, the National Center for Immunization and Respiratory Diseases regularly receives queries from the public on aspects of state law pertaining to immunization. The updates proposed in the present statement of work will provide CDC with the information needed to furnish appropriate technical assistance to its grantees and to the public, as well as targeting our efforts in collaboration with professional and other organizations. Specific objectives of this contract are to: (1) Update the 2003 report produced for CDC as part of The Epidemiology of U.S. Immunization Law to include new legislation as needed: “Medicaid Coverage of Immunizations for Non-Institutionalized Adults.” (2) Update the 2007 report produced for CDC as part of The Epidemiology of U.S. Immunization Law to include new legislation as needed: “State Laws Related to the Use of Standing Orders Covering Immunization Practice.” (3) Update the 2005 report produced for CDC as part of The Epidemiology of U.S. Immunization Law to include new legislation as needed: “Immunization Requirements for Staff and Residents of Long-Term Care Facilities Under State Laws/Regulations” (4) Update the project website housed at www.gwumc.edu/sphhs/departments/healthpolicy/immunization/ to display the updated reports and related materials as necessary. (5) Develop and submit manuscripts to peer-reviewed, legal and public health journals and health professional newsletters and magazines disseminating findings of updated legal review. Background and overview: CDC provided initial funding for The Epidemiology of U.S. Immunization Law in 2002. The overall goals of the Project were to achieve greater understanding of the policy barriers to immunization financing and access and furnish technical assistance support to initiatives that promote change. These reports have served as important references for CDC researchers and grantees in the interim. During the recent H1N1 influenza pandemic, there was particular interest in understanding how non-physician providers could assist in mass vaccination efforts in order to rapidly increase communitywide coverage with 2009 H1N1 influenza vaccine. However, interest in expanding access to vaccination services has prompted changes in state law since 2007, particularly with regard to immunization practice by pharmacists. In addition, personnel shortages experienced during the 2009 H1N1 influenza pandemic response may have prompted states to expand the scope of practice of non-physician providers in preparation for future emergency response activities. The Affordable Care Act of 2010 expands Medicaid eligibility to persons living at up to 133% of the federal poverty level, representing a significant expansion in coverage for childless adults. Newly-eligible Medicaid beneficiaries will have access to all ACIP-recommended vaccines without cost-sharing as determined by provisions of the ACA; however, current adult Medicaid beneficiaries are not covered by these provisions. In order for CDC to monitor the effect of the ACA on access to vaccinations, a baseline level of benefits must be established. Since GWU’s initial report, three new vaccines (human papillomavirus, tetanus-diphtheria-acellular pertussis, and herpes zoster vaccine) have been recommended for use among some adults 18-64. In addition, increasing budgetary pressures at the state government level have likely affected benefits provided to current Medicaid-eligible adults. Increased interest in vaccination of healthcare personnel as an important indicator of healthcare quality has increased the prominence, and potentially the prevalence, of state laws requiring vaccination of healthcare personnel in various healthcare settings. The Joint Commission is currently updating its accreditation standard for influenza vaccination of staff in long-term care facilities to expand the facilities covered and the activities required for accreditation. A review of current laws related to vaccination requirements in long-term care facilities will determine which states may be better equipped to comply with national reporting requirements related to vaccination of healthcare personnel in long-term care settings. With the exception of the proposed contractor, no organization or unit within or outside CDC currently tracks and summarizes laws related to the above-referenced topics. In the absence of the proposed review, there is no central repository of legal information that can inform the planning, monitoring, and technical assistance activities described in Section 1.0. Scope of Work: For this project, the Contractor will submit a plan for completion of the work described herein. Throughout the award period, the Contractor will submit reports describing progress toward completion of the project tasks. At the end of the project period, the Contractor will summarize findings during the time of the project and submit three reports detailing changes in state laws related to the topics described above. More detailed requirements are given below. Place of Performance/Hours of Operation: Work will take place at the contractor’s site. Period of Performance: The period of performance is 24 months from the date of award. Technical Services Required: Legal review and analysis to discover and synthesize changes in the legislative environment related to Medicaid benefits for adults, scope of immunization practice by non-physicians, and vaccination requirements in long-term care facilities. (See tasks 2.1) Tasks: The contractor shall: Task 1: Update report on Medicaid immunization benefits for non-institutionalized adults. Within 12 months of award of the task order, the Contractor will complete data collection as necessary to update the Medicaid report, to include benefits for HPV, zoster, and Tdap vaccines. Data collection will include a survey of state Medicaid directors regarding their future plans for adult immunization benefits and total state expenditures on immunizations for Medicaid beneficiaries. Within 24 months of award, the Contractor will submit the final updated report. CDC may request a preliminary final report for review within 18 months of the award. Task 2: Update report on state laws covering immunization practice by non-physician providers under their own license or via the use of standing orders. Within 12 months of award of the task order, the Contractor will complete data collection as necessary to update the standing orders report, to include medical assistants. Within 24 months of award, the Contractor will submit the final updated report. CDC may request a preliminary final report for review within 18 months of the award. Task 3: Update report on vaccination requirements for staff and residents in long-term care facilities. Within 18 months of award of the task order, the Contractor will complete data collection as necessary to update the long-term care facilities report. Within 24 months of award, the Contractor will submit the final updated report. CDC may request a preliminary final report for review. Task 4: Update “Epidemiology of Immunization Law” project website. Within 24 months of award of the task order, the Contractor will update the project website at www.gwumc.edu/sphhs/departments/healthpolicy/immunization/index.cfm to include the updated reports described in the previous tasks. The Contractor will also modify existing graphic depictions of project results (i.e. the Standing Orders Project map) to reflect the findings of the current task order. Task 5: Develop manuscripts for publication in peer-reviewed journals. Within 24 months of award of the task order, the Contractor will, in conjunction with CDC scientists, draft and submit to CDC clearance at least one manuscript describing the findings of the above-referenced tasks for submission to a peer-reviewed journal. All publications based on project data will need to be cleared by CDC, even manuscripts drafted or published after the end of the performance period. Specific Task Deliverables: See tasks above. (1) Medicaid immunization benefits report, (2) Scope of immunization practice/standing orders report, (3) Vaccination requirements of long-term care facilities report, (4) Web site, (5) Manuscripts for publication, (6) The Contractor shall bring problems or potential problems affecting performance to the attention of the Contracting Officer and Contracting Officer Technical Representative (COTR) as soon as possible. Verbal reports will be followed up with written reports, as follows: 1. Medicaid immunization benefits report, 1 copy, due within 730 days after date of award, 2. Scope of immunization practice/standing orders report, 1 copy, due within 730 days after date of award, 3. Vaccination requirements of long-term care facilities report, 1 copy, due within 730 days after date of award, 4. Web Site, 1 copy, due within 730 days after date of award, 5. Manuscripts for publication, 1 copy, due within 730 days after date of award, 6. Quarterly Progress Reports, 1 copy, due Quarterly: beginning 90 days after date of award. Delivery Instructions: Deliverables shall be submitted by electronic format in Microsoft Word to the COTR and hard copies sent to CDC by FedEx, UPS or similar carrier. (U.S. postal service does not deliver to the address). Acceptance of Deliverables: The COTR will review the contractor deliverables in accordance with CDC policy and regulations. The COTR will provide in writing a description of all deficiencies to be corrected by the contractor. The corrected deliverables shall be re-submitted within 10 calendar days at no additional cost to the Government. Records/Data. All data and materials produced during the course of this contract are the property the Centers for Disease Control and Prevention. Security and Privacy: Work on this project requires that personnel have access to Privacy Information. Personnel shall adhere to the Privacy Act, Title 5 of the U.S. Code, Section 552a and applicable agency rules and regulations, and shall agree to adhere to those privacy and security policies and procedures in place within the Contractor’s business environment. Government Furnished Items: The Government (CDC) will provide background documents and information necessary for contractor to begin the work. If the work is to be performed primarily off-site at the contractor’s locations, where the contractor needs to access CDC’s network, the CDC will not provide IT equipment and the computers used by contractor personnel shall meet CDC’s standard software and security configuration before logging onto CDC’s network. No travel is required. Personnel: The contractor shall identify key personnel in the technical proposal. Familiarity with vaccination laws is a requirement. Vendor will need to be familiar with the methods of the previous legal reviews, the materials of which are the property of George Washington University. The primary function of this analysis is to provide a baseline for monitoring changes to state Medicaid programs as the provision of the Affordable Care Act are implemented nationally. However, elements of the ACA relating to Medicaid will come into effect as early as January 2013, so that the review and analysis of current Medicaid programs must be completed as soon as possible before state governments begin to implement changes in anticipation of ACA requirements. CDC believes that this requirement is met by only one provider. This procurement will be processed under the authority of FAR 6.302-1 and 6.302-2. Only one responsible source and no other sources will satisfy agency requirements. No solicitation is being issued. Interested persons may identify their interest and capability to respond to this requirement. This procurement is not set-aside for small business. For contractual questions contact Linda M. Young.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/CDCP/PGOA/00HCVGB1-2011-98879/listing.html)
- Place of Performance
- Address: Corporate Square Drive, Building 12, Room 4324, Atlanta, Georgia, 30329, United States
- Zip Code: 30329
- Zip Code: 30329
- Record
- SN02472218-W 20110616/110614234903-7897c334006c9c50adcc1db5361b6196 (fbodaily.com)
- Source
-
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