Federal Health IT IDIQ Tracker

Track the vehicles, ceilings, and re-compete windows that shape the federal health IT competitive landscape. Updated monthly.

11Vehicles tracked
6Agencies covered
April 2026Last updated

Sample entry

Re-compete · ~8 months

T4NG2 (Transformation Twenty-One Total Technology Next Generation 2)

Department of Veterans Affairs · Multi-Award IDIQ

The primary vehicle through which VA buys IT professional services. T4NG2 is the follow-on to the $22.3B T4NG contract.

Ceiling
★ Premium
Awardees
★ Premium
Ceiling burn rate
★ Premium
NAICS
★ Premium
MMT Intel
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All tracked vehicles

Re-compete · ~8 months

T4NG2 (Transformation Twenty-One Total Technology Next Generation 2)

Department of Veterans Affairs · Multi-Award IDIQ

The primary vehicle through which VA buys IT professional services. T4NG2 is the follow-on to the $22.3B T4NG contract.

Ceiling
$36.2B (estimated)
Awardees
TBD (solicitation pending)
Ceiling burn rate
N/A (not yet awarded)
NAICS
541512, 541519, 541611, 541690
MMT Intel

T4NG2 draft RFP expected Q3 FY2026. VA intends to expand the scope beyond T4NG to include cloud migration, cybersecurity, and AI/ML capabilities. Incumbent T4NG holders have a significant advantage. SDVOSB set-aside pool likely to be preserved.

Active

ITES-3H (IT Enterprise Solutions 3 — Hardware)

Army / CHESS · Multi-Award IDIQ

DoD-wide hardware and related services vehicle managed by Army CHESS. Used by DHA and MHS for infrastructure purchases.

Ceiling
$12.1B
Awardees
17 prime contractors
Ceiling burn rate
48% ($5.8B obligated)
NAICS
334111, 334118, 541512
MMT Intel

Significant DHA task order activity for MHS GENESIS infrastructure. Burn rate accelerating as Oracle Health deployment expands. PoP extends through 2028.

Active

CIO-SP4 (Chief Information Officer — Solutions and Partners 4)

NIH NITAAC · Government-Wide GWAC

Government-wide IT solutions contract. Primary vehicle for HHS and NIH health IT acquisitions. Accessible to all federal agencies.

Ceiling
$50B
Awardees
500+ (all pools)
Ceiling burn rate
12% (ramping)
NAICS
541512, 541519, 518210, 541611
MMT Intel

CIO-SP4 awards completed in 2024. Task order activity is ramping across HHS, VA, and DoD health. Protest-driven delays resolved. Small business pool is highly competitive. Watch for AI/ML-specific task orders in FY2026-2027.

Active

EHR II (Electronic Health Record II)

Defense Health Agency · Single-Award IDIQ

The MHS GENESIS deployment and sustainment contract. Oracle Health (Cerner) is the sole prime. Covers deployment, training, optimization, and interoperability.

Ceiling
$9.4B (cumulative modifications)
Prime
Oracle Health (Cerner)
Ceiling burn rate
72% ($6.8B obligated)
NAICS
541512
MMT Intel

Deployment to all DoD sites nominally complete but optimization and sustainment costs continue to climb. Congressional scrutiny on cost overruns. Sub-contracting opportunities exist for interoperability, data migration, and training support. DOGE review flagged this contract for audit.

Upcoming

Alliant 3

GSA · Government-Wide GWAC

The follow-on to Alliant 2 GWAC. Will be a primary IT services vehicle across all federal agencies including health IT.

Ceiling
$75B (estimated)
Awardees
TBD (solicitation in progress)
Timeline
Final RFP expected mid-2026, awards late 2026
NAICS
541512, 541519, 541611, 518210
MMT Intel

GSA revised evaluation criteria after industry feedback. Self-scoring methodology will carry forward from Alliant 2 but with updated categories. Health IT task orders through Alliant are significant across VA, HHS, and DHA. Prepare past performance packages now.

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