The IHS Great Plains Area intends to award a firm-fixed-price, IDIQ, non-personal services contract for 24/7/365 telemedicine clinical support, including Tele-ED and TeleSAMFE/TeleSANE services, for five rural IHS hospitals in North Dakota and South Dakota (Pine Ridge, Rosebud, Eagle Butte, Fort Yates, and Belcourt). The contract has a five-year ordering period anticipated from August 1, 2027 through July 31, 2032, with services ordered through task orders. The IDIQ contract minimum is $1,000,000 and maximum is $7,500,000, while task orders range from $1,000 to $1,700,000. This is an Indian Small Business Economic Enterprise set-aside under NAICS 621999. Award will be based on best value, with technical capability and past performance combined significantly more important than price.