FY26 Recompete of the Electro-Therapeutic Modalities for Pain Management (ETMPM) - Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program
Veterans Affairs · COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)
Capture briefs (a one-page, shareable copy of this page) are part of Pro. The CSV here holds the notice, its timeline and past awards.
Where this opportunity stands
Every notice posted under solicitation 36C791-27-AP-0004 in this department, oldest first.
- Aug 11, 2026 · this noticePre-solicitation
Next steps for this stage
Standard steps for the notice type; not advice about this buyer.
- Answer the notice: this is when the requirement can still be shaped.
- Contact the contracting officer named on the notice.
- Check who won similar work; they are the likely bidders.
What the notice says
The Department of Veterans Affairs (VA) is releasing the attached Consolidated Request for Information (RFI) Frequently Asked Questions (FAQs) document for the FY26 Recompete of the Electro?Therapeutic Modalities for Pain Management (ETMPM) and Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program. The attached FAQ document consolidates all questions submitted by industry respondents following the VA�s RFI notices issued on January 20, 2026, and June 25, 2026, and provides the Government�s official responses. The purpose of this FAQ is solely to share the outcomes of the Gover… (show all)
nment�s market research effort conducted in accordance with FAR Part 10 and the communication principles outlined in FAR 15.201(e). These responses are informational in nature and are not to be construed as direction, evaluation criteria, commitments, or representations on behalf of the VA. The FAQ does not amend or supersede any future solicitation requirements. All final, binding specifications, CLIN/SLIN structures, Minimum Technical Requirements (MTRs), certifications, submission instructions, and evaluation criteria will be published exclusively in the formal solicitation issued through SAM.gov, in accordance with FAR Part 5 and VA acquisition policy. The VA appreciates the valuable feedback received from industry partners during the market research phase of this acquisition. This information assisted the VA in refining technical requirements, validating commercially available capabilities under NAICS Code 334510, and shaping a procurement strategy aligned with clinical needs, market conditions, regulatory compliance (e.g., including BAA/TAA considerations), and the operational requirements of the VA�s Denver Logistics Services (DLS). The Government encourages all interested and responsible prospective Offerors to continue monitoring SAM.gov for the forthcoming solicitation and any future presolicitation updates on this procurement program. The VA doesn�t intend to issue any additional updates or guidance on this procurement program outside the formal solicitation release but reserves the right to do if needed.
Who won similar work
297 award notices on SAM.gov in the last 24 months. Matched by: Same agency (Veterans Affairs), same NAICS 334510.
Single-winner award sizes (295): middle half $28K to $540K, median $94K; range $15K to $246.7M.
| Winner | Awards | Value | Last |
|---|---|---|---|
| INSPIRE MEDICAL SYSTEMS, INC. · $INSP · $624.8M | 54 | $80.2M | Oct 15, 2026 |
| NOVOCURE INC · $NVCR · $509.3M | 15 | $820K | Sep 29, 2026 |
| VETERANS HEALTHCARE SUPPLY SOLUTIONS, INC | 11 | $37.6M | Jul 29, 2026 |
| AFTER ACTION MEDICAL AND DENTAL SUPPLY, LLC | 10 | $89.9M | Sep 23, 2026 |
| Trillamed LLC | 9 | $9.1M | Sep 1, 2026 |
| AVMEDICAL LLC | 5 | $12.6M | Sep 21, 2026 |
| ALLIANT ENTERPRISES, LLC | 5 | $4.5M | Sep 23, 2025 |
| GEO-MED, LLC | 5 | $2.3M | Jun 18, 2026 |
| OLYMPUS AMERICA INC | 5 | $1.3M | Aug 6, 2026 |
| NIHON KOHDEN AMERICA, LLC | 5 | $973K | Jun 15, 2026 |
Value counts single-winner awards. "Shared" awards are multiple-award contracts that list every winner with the same total ceiling; that ceiling is not one company's win, so it is not added in. Revenue next to a ticker is the company's last annual revenue from its 10-K.
- $INSP reported $624.8M revenue in FY2025. The median single-winner award in these 295 past awards, $94K, is under 0.1% of that. 10-K
- $NVCR reported $509.3M revenue in FY2025. The median single-winner award in these 295 past awards, $94K, is under 0.1% of that. 10-K
One award's total value against one year of revenue; many awards are paid over several years.
- Oct 15, 2026INSPIRE MEDICAL SYSTEMS, INC.$25K6515--SUPPLIES-IMPLANTABLE PULSE GENERATOR- CINCINNATIMateriality: <0.01% of $INSP revenue (Low) SEC
- Oct 15, 2026INSPIRE MEDICAL SYSTEMS, INC.$25K6515--SUPPLIES-IMPLANTABLE PULSE GENERATOR- INDIANAPOLISMateriality: <0.01% of $INSP revenue (Low) SEC
- Oct 13, 2026BRAVO, INC.$3.4M6515--NX EQ Vein FindersMateriality: <0.01% of $CCZ revenue (Low) SEC
- Oct 7, 2026INSPIRE MEDICAL SYSTEMS, INC.$25K6515--SUPPLIES-IMPLANTABLE PULSE GENERATOR- DAYTONMateriality: <0.01% of $INSP revenue (Low) SEC
- Oct 6, 2026Alvarez LLC$5.2M6515--Patient Monitoring System Salt Lake City VA Health Care SystemNo listed company matched (Materiality N/A)
- Oct 2, 2026L1 ENTERPRISES INCORPORATED$524KNX EQ - Physiologic Monitors - EEG ModulesNo listed company matched (Materiality N/A)
- Oct 2, 2026FIRST NATION GROUP LLC$1.7M6515--AWARDED Gastroscope and Colonoscope Systems in Support o Iowa City VA Healthcare SystemNo listed company matched (Materiality N/A)
- Oct 1, 2026INSPIRE MEDICAL SYSTEMS, INC.$25K6515--SUPPLIES-IMPLANTABLE PULSE GENERATOR- DAYTONMateriality: <0.01% of $INSP revenue (Low) SEC
- Sep 29, 2026FORTEC FIBERS INC$81K6515--Aurora Dual Delivery CO2 Laser System NIHCS Fort Wayne VAMCNo listed company matched (Materiality N/A)
- Sep 29, 2026NOVOCURE INC$50K6515--SUPPLY-OPTUNE PLUS TRANSDUCERS- CLEVELANDMateriality: <0.01% of $NVCR revenue (Low) SEC
Materiality: one award's value as a share of the winner's revenue over the latest 12 months in its SEC filings (or its last fiscal year, as noted when you point at it). Low under 1%, Medium 1 to 5%, High 5% or more. Many awards are paid over several years, so this overstates a single year's share.
Competitive landscape
For the 8 most frequent past winners above. Lobbying is matched by the company's exact name or exact ticker; agencies are as named on the filings.
- 0 of these past winners lobbied Veterans Affairs, Dept of (VA) since 2024 (0 filings)
- 0 of their lobbyists list a past Veterans Affairs, Dept of (VA) job
- $5K from their corporate PACs since 2024 to members of House Committee on Appropriations, House Committee on Veterans' Affairs, Senate Committee on Appropriations, Senate Committee on Veterans' Affairs
- 0 foreign-agent (FARA) registrations
Policy around it
Bills the past winners named while lobbying this agency's issues, rules from the department, and executive orders that name the agency, last 12 months.
- 0 bills named on the past winners' lobbying filings
- 25 rules from the department in the last 12 months
- 0 executive orders naming the agency in the last 12 months
Market
For past winners matched exactly to a listed company. Insider trades are open-market buys and sells (Form 4) in the last 90 days, shown as facts; our own study found insiders do not reliably buy ahead of awards. A sale marked 10b5-1 was made under a trading plan set up in advance.
- 2 of the past winners are listed companies
- 0 insider buys and 1 insider sells at them in the last 90 days
Sources: SAM.gov notices and award notices; Senate LDA lobbying filings; FEC filings; FARA; Federal Register; congress.gov; SEC Form 4. Every row above links to its record.
Companies are matched to tickers by exact name only. A company we could not match shows no market rows; that is a miss, not a finding.