USACE Little Rock District anticipates an IDIQ MATOC for firm-fixed-price design-build construction and initial outfitting in support of Military Health System facilities, primarily renovation but also major repair and new construction in active healthcare facilities. Work includes mechanical/medical gas/plumbing, electrical, fire protection, architectural/building envelope, conveying, structural/antiterrorism, civil/site infrastructure, and cradle-to-grave project management, design, warehousing, installation, commissioning, warranty, and training, often on multi-phased and fast-tracked projects. The acquisition uses two-phase design-build selection, is open to unrestricted and small businesses in a single pool, and has a shared capacity of $3B, with most task orders ranging from $2M to $90M and averaging 2–3 years. The ordering period is seven years total—a five-year base plus a two-year option—with about six task orders anticipated annually and potential simultaneous projects at different locations. Performance will be in CONUS, Alaska, Hawaii, and U.S. Territories, mostly for Air Force clients with possible other DoD/Federal use, and the estimated solicitation issue date is on or about November 30, 2026.

This anticipated IDIQ MATOC will provide firm-fixed-price design-build construction, repair/alteration, and initial outfitting for Military Health System facilities, primarily renovations in active healthcare settings but also major repair and new construction. Work includes mechanical/medical gas/plumbing, electrical, fire protection, architectural/building envelope, conveying, structural/antiterrorism, and civil/site infrastructure, performed in CONUS, Alaska, Hawaii, and U.S. Territories. A single unrestricted-and-small-business pool will share a $3B capacity under a seven-year ordering period (five-year base plus two-year option), with most task orders expected at $2M–$90M, average performance of 2–3 years, and about six task orders executed annually. The acquisition will use two-phase design-build selection, with Phase I targeting three small-business and five unrestricted offerors for Phase II technical design and price proposals. The solicitation is anticipated on or about November 30, 2026; contractors must handle fast-tracked timelines and potentially simultaneous projects, mostly for Air Force clients with other DoD/Federal clients possible.