The Department of Health and Human Services, specifically the Health Resources and Services Administration (HRSA), has issued a Notice of Justification and Approval for Other Than Full and Open Competition regarding contract HHSH258201800009C. This contract modification extends the existing agreement with the Texas Department of State Health Services by six months to ensure the continued provision of outpatient care for Hansen's Disease (leprosy) patients in Texas, which includes services such as diagnosis, screening, treatment, case management, and medication management. The modification is critical for maintaining uninterrupted healthcare services for this specialized patient population. For further details, interested parties can contact Charisse Whitney at cwhitney@hrsa.gov or 225-756-3785, or Anne Stephan at astephan@hrsa.gov or 240-463-9761.