AIR AMBULANCE PATIENT TRANSPORTATON SERVICES

Request for Information (RFI)

This RFI is issued by the United States Transportation Command (USTRANSCOM) for informational and planning purposes to gather market research regarding Air Ambulance Services. USTRANSCOM plans to establish a multiple award contract or blanket purchase agreement (BPA) in 2027 for decentralized, short-notice aerial patient transport services using fixed-wing or rotary-wing aircraft with trained medical personnel. This RFI is not a Request for Proposal (RFP) and does not commit the Government to any contract award.

• Contractor-furnished air ambulance services from Outside Continental U.S. (OCONUS) to Continental U.S. (CONUS) and within CONUS for Department of Defense (DOD)-eligible patients.

• Aircraft must be configured to air ambulance standards and meet Federal Aviation Regulation (FAR) 135 requirements.

• Services include providing all personnel, equipment, tools, fuel, oil, materials, facilities, supervision, and indirect materials.

• Aircraft and medical crew may need to be ready for immediate departure (within two hours) after notification.

• Accreditation requirements include CAMTS and/or NAAMTA.

• The current Air Ambulance BPAs expire September 30, 2027.

• Follow-on contract(s) or agreement(s) are anticipated to be awarded around the third quarter of FY27, with a period of performance start date of October 1, 2027.

• Responses are due by 4:00 PM (CT) on May 21, 2026.

• Questions are due by 10:00 AM (CT) on May 14, 2026.

• Responses must be submitted electronically via email to the RFI POCs listed.

• Physical copies will not be accepted.

• Responses should not exceed 15 pages (8.5 x 11, 12-point font, 1-inch margins).

• The Government is seeking information on company capabilities, aircraft types, fuel burn rates, commercial availability, industry standards, pricing structures, and potential challenges.

• USTRANSCOM encourages responses from businesses of all sizes, including large and small businesses and all socioeconomic categories.

• Small business set-aside opportunities are being considered for NAICS code 481211 (Nonscheduled Charter Passenger Air Transportation).

• Proprietary information should be appropriately marked; confidential information should not be submitted.

• USTRANSCOM and AMC will not be responsible for any costs incurred by interested parties responding to this RFI.

• An attachment, "DRAFT Requirements Description," dated May 8, 2026, is referenced.

Statement of Work (SOW) / Performance Work Statement (PWS)

This document outlines the requirements for air ambulance patient transportation services for Department of War (DoW) eligible patients, both within the Continental United States (CONUS) and from Outside the Continental United States (OCONUS).

• Provide air ambulance services using contractor-furnished aircraft configured to air ambulance standards.

• Services include personnel, equipment, tools, fuel, oil, materials, facilities, supervision, and indirect materials.

• Aircraft and medical crew must be ready for immediate departure (within two hours) after notification.

• The USG may transport one or more patients/non-medical attendants and/or cargo up to the aircraft's capacity.

• Aircraft payload will be computed using FAA-approved weight and balance methods.

• Medical attendants must be qualified according to patient care needs, as validated by the Patient Movement Requirements Center (PMRC).

• Contractors must use appropriate aircraft for the number of patients and route.

• Point-to-point pricing requires daily status and location updates via email.

• Departure Reliability Rate: At least 95% of scheduled departures must be "on time" (within 20 minutes of scheduled departure). Failure to maintain this rate may result in contract cancellation.

• Medical Documentation: 95% of all medical documentation must be submitted to ICSG email within 48 hours of service completion.

• Cyber-Incident Reporting: No more than one late cyber-incident report or unreported cyber-incident in a 12-month period.

• Not explicitly defined in this excerpt, but services are for DoW eligible patients within CONUS and from OCONUS.

• Accreditation: Carriers must be DoW-approved and accredited for basic life support and critical care life support by CAMTS or NAAMTA. Non-DoW approved carriers may be used only if DoW-approved carriers are unavailable and it's necessary to save "life, limb, or eyesight."

• Aircraft Certification: Aircraft must be licensed, operated, and maintained in accordance with FAA and DoT regulations, including having a required FAA Operations Specification (OpSpec) for air ambulance service.

• Ordering Procedure: The government will make a best-value decision considering price and other factors. Price is significantly more important than non-price considerations.

• Mission Acceptance: Carriers must accept or decline a mission within one hour of receiving a Patient Movement Request (PMR).

• Landing Permits: Contractors must obtain landing permits for military installations.

• Insurance: Contractors must procure and maintain minimum insurance coverage as required by 14 CFR Part 205.4.

• Reporting: Specific procedures for reporting accidents, incidents, and medical incidents are detailed.

• Cybersecurity: Contractors must comply with DFARS clause 252.204-7012 regarding safeguarding covered defense information and cyber incident reporting, including developing a System Security Plan (SSP).

• Controlled Unclassified Information (CUI): Contractors must protect CUI, including General Privacy (PRVCY) information (PII), and adhere to OPSEC procedures.