EMERGENCY MEDICAL EVACUATION SERVICES

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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.

1. Ability to Deliver Full Scope of Services
   1. Can your organization deliver the full scope of prepaid emergency medical evacuation and medical travel services described in the draft SOW?

__ Yes

__ No

              

1. 1. 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) ____________________________________________________

1. Recommendations or Clarifications to the Draft SOW and Pricing Template
   1. 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) ________________________________________________

1. 1. Would changes to the pricing framework improve cost‑effectiveness?

__ Yes (fill in) __________________________________________________

__ No

1. Potential Constraints or Barriers to Participation
   1. 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

1. 1. Would Government‑provided clarifications or changes mitigate these issues?

__ Yes

__ No

1. Relevant Organizational Experience
   1. Does your organization currently provide prepaid medical evacuation services?

__ Yes

__ No

1. 1. How long has your organization provided international medical evacuation services?

__ Less than 2 years

__ 2–5 years

__ 5–10 years

__ More than 10 years

1. 1. Is your pricing model primarily:

__ Membership‑based (prepaid)

__ Fee‑for‑service

__ Hybrid

__ Other

1. Experience in Russia, Kazakhstan, Baikonur, or Sensitive Airspace
   1. Does your organization have experience conducting medical evacuations from Russia?

__ Yes

__ No

1. 1. Does your organization have experience conducting medical evacuations from Kazakhstan?

__ Yes

__ No

1. 1. Does your organization have experience operating in or near Baikonur Cosmodrome?

__ Yes

__ No

1. 1. If No, have you conducted comparable operations in similarly restricted or geopolitically sensitive locations?

__ Yes (fill in) ____________________________________________________________

__ No

1. 1. Can your organization secure required flight permits and coordinate with regional aviation authorities (e.g., Roscosmos, Russian/Kazakh authorities)?

__ Yes

__ No

1. Guarantee of Payments (GOP) in Russia and Kazakhstan
   1. Can you provide timely GOPs specifically to Russian medical facilities?

__ Yes

__ No

1. 1. Can you provide timely GOPs to Kazakh medical facilities?

__ Yes

__ No

1. 1. Does your organization have processes to manage financial transactions affected by sanctions or banking restrictions in these regions?

__ Yes

__ No

1. Industry Changes
   1. Have you observed significant industry changes in the last three years that would affect NASA’s acquisition strategy?

__ Yes

__ No

1. 1. 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) _______________________________________________

1. Aircraft and Fleet Capabilities
   1. Does your fleet include long‑range aircraft suitable for transcontinental medical evacuation?

__ Yes

__ No

1. 1. 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

1. 1. Do your aircraft have the capability to minimize transfers by operating long‑haul missions directly?

__ Yes

__ No

1. Geographic Coverage and Assets
   1. Do you maintain dedicated assets in specific regions?

__ Yes

__ No

1. 1. If Yes, where do you maintain dedicated assets (select all that apply)?

__ North America

__ Europe

__ Middle East

__ Central Asia

__ Asia‑Pacific

__ Africa

__ South America

1. 1. Do you rely on a vetted partner network in regions without dedicated assets?

__ Yes

__ No

1. Presence in Kazakhstan or Russia
   1. Do you have personnel, infrastructure, or dedicated assets in Kazakhstan (e.g., Almaty or Astana)?

__ Yes

__ No

1. 1. Do you have personnel, infrastructure, or dedicated assets in Moscow or elsewhere in Russia?

__ Yes

__ No

1. International Accreditation
   1. Which accreditations does your organization or partners currently hold (select all that apply)?

__ CAMTS

__ EURAMI

__ NAAMTA

__ Other recognized medical transport accreditation

__ None

1. Example Evacuation Scenario
   1. 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

1. 1. Does your organization maintain records that can demonstrate timelines and operational steps for such a mission?

__ Yes

__ No

1. Service Scope & Eligibility
   1. Does your membership model cover all NASA civil servants, contractors, and invitational travelers without age limits?
      __ Yes   

__ No

1. 1. Are evacuations and medical support available regardless of pre-existing conditions?
      __ Yes

__ No

1. 1. Do you exclude high-risk activities or specific regions?
      __ No exclusions

__ Activity exclusions

__ Location exclusions

1. 1. Can evacuations be authorized by NASA physician even if local care is available but below U.S. standard?
      __ Yes

__ No

1. Response Time SLAs & Performance
   1. First clinical contact time:
      __ ≤15 min   

__ 16–30 min   

__ 31–60 min

__ >60 min

1. 1. GOP issuance timelines globally/Russia/Kazakhstan:
      __ ≤30 min

    __ 31–60 min  

 __ 1–2 hrs  

 __ >2 hrs

1. 1. Bedside-to-wheels-up time:
      __ ≤6 hrs  

 __ 6–12 hrs

__ 12–24 hrs   

__ >24 hrs

1. 1. Percentage of direct long-haul missions:
      __ ≥80%   

__ 60–79%   

__ 40–59%   

__ <40%

1. Aviation Operations & Safety
   1. Air Operator’s Certificate (AOC) status:
      __ Own AOC   

__ Partner AOCs   

__ Mixed   

__ None

1. 1. Safety Management System implemented and audited?
      __ Yes (3rd-party)   

__ Yes (self-audited)   

__ No

1. 1. Typical flight crew international mission hours:
      __ ≥2000   

__ 1000–1999   

__ 500–999   

__ <500

1. 1. Ability to secure Russian/Kazakh permits under expedited timelines:
      __ Yes   

__ No   

__ Case-by-case

1. Clinical Governance & Accreditation
   1. Clinical escort staffing levels appropriate for ICU cases?
      __ Always   

__ Usually   

__ Case-by-case   

__ Rarely

1. 1. Aircraft equipped with ICU-level devices?
      __ Yes   

__ No   

__ Some assets

1. 1. Can NASA physician integrate as attending?
      __ Yes   

__ No   

__ Requires agreement

1. Financial Operations & Sanctions
   1. Ability to manage compliant payments in Russia/Kazakhstan?
      __ Yes   

__ No   

__ Limited

1. 1. Ability to settle invoices in local currency without discharge delays?
      __ Yes   

__ No   

__ Sometimes

1. 1. Are hospital invoices audited prior to payment?
      __ Always   

__ Often   

__ Sometimes   

__ Rarely

1. Network Governance & Subcontracting
   1. Are partner hospitals/air operators vetted annually?
      __ Yes   

__ No

1. 1. Do subcontracts include required flow-down clauses?
      __ Yes   

__ No

1. 1. Regions with ≥2 vetted providers:
      __ NA   

__ EU   

__ ME   

__ Central Asia   

__ APAC   

__ Africa   

__ SA

1. Data Protection & Reporting
   1. HIPAA + international privacy compliance?
      __ Yes   

__ No

1. 1. Secure NASA-accessible case updates (portal/API)?
      __ Yes   

__ No

1. 1. Ability to deliver monthly/quarterly KPIs?
      __ Yes   

__ No

1. Business Continuity & Surge Readiness
   1. Max simultaneous medevac missions supported:
      __ ≥10   

__ 7–9   

__ 4–6   

__ ≤3

1. 1. Contingency assets staged in Eurasia/Central Asia?
      __ Yes   

__ No

1. 1. Exercises conducted for Russia/Kazakhstan access scenarios in last 12 months?
      __ Yes   

__ No

1. Insurance, Licensure, and Liability
   1. Internationally valid aviation + medical malpractice coverage?
      __ Yes   

__ No

1. 1. Are clinical staff licensed in embarkation/destination regions?
      __ Yes   

__ No   

__ Case-by-case

1. Pricing Transparency & FFP Feasibility
   1. Can you commit to FFP, prepaid membership using defined volumes?
      __ Yes   

__ No

1. 1. Will any services be separately billable?
      __ No (all-inclusive)  

 __ Some excluded   

__ Many excluded

1. 1. Volume-based or multi-center discounts offered?
      __ Yes   

__ No

1. Customer Experience & Language Support
   1. Multilingual support including English + native Russian/Kazakh?
      __ Yes   

__ No

1. 1. Traveler-facing materials (cards, app, hotline)?
      __ Yes   

__ No

1. Past Performance & References
   1. # of sensitive-region evacuations in last 24 months:
      __ ≥10  

 __ 5–9   

__ 1–4   

__ 0

1. 1. Can you provide 3 client references?
      __ Yes  

__ No