VA Healthcare & Services Contracts — March 20, 2026

$226.6M obligated in competitive awards (full open + small biz set-aside) to IT application support and suicide prevention outreach, with $99M already outlayed on larger contract.

Firm fixed price terms on both contracts expose contractors to cost overruns over 4-5 year periods; Cognosante faces subaward dependency ($179M across 14 subs), JR Reingold shows $0 outlay signaling potential delays.

Unexercised options total $187M ($67M Cognosante + $133M JR Reingold), plus 1-year extensions to 2027-2028.

Small business set-aside success for JR Reingold positions it for follow-on VA mental health work.

Large IT business application support award under full competition underscores demand for systems design (NAICS 541512).

Small biz set-aside for custom programming-enabled services (NAICS 541511/PSC R799) targets suicide prevention.

{"entity"=>"Cognosante MVH LLC / Novetta Solutions", "reason"=>"$147M obligation with $99M outlayed but high subaward reliance ($179M)", "trigger"=>"option exercise to $214M or subaward delays"}

{"entity"=>"J.R. Reingold & Associates", "reason"=>"$79M obligation at $0 outlay under small biz set-aside", "trigger"=>"initial funding release or extension to 2028"}

{"entity"=>"VA Technology Acquisition Center / SAC Frederick", "reason"=>"Issuers of both awards favoring firm fixed price for IT/health services", "trigger"=>"follow-on RFPs or budget allocation changes"}