How to bid on Intraoperative Neuromonitoring (IONM) Services for the VA

What the VA is buying and why it matters

The Department of Veterans Affairs (VA) is seeking proposals for Intraoperative Neuromonitoring (IONM) services for the South Texas Veterans Health Care System in San Antonio, Texas. This will be an Indefinite Delivery Indefinite Quantity (IDIQ) contract, with a base year and four one-year option periods.

The services include on-site Certified Neurophysiologic Intraoperative Monitoring (CNIM) technologists, remote oversight by Board Certified Neurophysiologists, and the full provision of all necessary equipment, materials, disposable supplies, and IT connectivity. The contractor must provide real-time IONM monitoring and communication with surgical teams, offering 24/7/365 coverage with defined emergency response requirements. Compliance with VA directives, infection control, immunizations, mandatory training, and documentation standards is required. This opportunity is specifically for Service-Disabled Veteran-Owned Small Businesses (SDVOSB).

Key dates and what happens at the deadline

The VA anticipates issuing the solicitation around August 1, 2026. The estimated closing date for proposals is around August 30, 2026, at 3:00 PM ET. This is a pre-solicitation notice, so the exact dates will be confirmed when the full solicitation is released.

When the solicitation is released, it will provide complete instructions for submitting your proposal. It is important to submit your proposal by the deadline to be considered.

Who this opportunity suits

This opportunity is specifically for Service-Disabled Veteran-Owned Small Businesses (SDVOSB) that are registered in the Small Business Administration's Small Business Search. The relevant North American Industry Classification System (NAICS) Code is 621399, Office of All Other Miscellaneous Health Practitioners, with a small business size standard of $10.0 million.

Firms with expertise in providing comprehensive intraoperative neuromonitoring services, including staffing, equipment, and compliance with healthcare regulations, are well-suited for this contract.

How to respond

The solicitation will be available for download from sam.gov. Interested offerors are responsible for downloading the solicitation and any subsequent amendments from that website. No hard copies will be made available.

Prospective offerors are encouraged to register their interest in the solicitation on sam.gov to receive notifications of the solicitation's issuance and any amendments. It is the offeror's responsibility to periodically check the website for any updates.

Practical tips for preparing a competitive response

Given this is an SDVOSB set-aside, ensure your business is properly registered and verified in the Small Business Administration's Small Business Search. This is a mandatory requirement for consideration.

Carefully review the full solicitation once it is released, paying close attention to all requirements for staffing, equipment, and compliance. Develop a clear plan for providing 24/7/365 coverage and meeting all VA directives, including credentialing, infection control, and training. Highlight your firm's experience with similar complex healthcare service contracts.

Prepare your proposal well in advance of the deadline. This will allow ample time to address any questions that may arise after reviewing the solicitation and to ensure all required documentation is complete and accurate. No telephone requests will be accepted, so all communication should follow the instructions in the solicitation.