The Department of Veterans Affairs (VA) intends to award a sole source contract for In-Home Respiratory Therapy Services to R. Keith Enterprises Inc., also known as The Respiratory Agency. This contract will provide off-site respiratory therapy for one veteran requiring Lung Expansion and Airway Clearance therapy, as prescribed by the Malcolm Randall VA Medical Center, over a five-year period. This procurement underscores the VA's commitment to addressing the specialized healthcare needs of veterans through streamlined contracting processes. Interested parties may submit proposals or capability statements to the Contracting Officer, Peter Bedard, at peter.bedard@va.gov, prior to the specified deadline, with the applicable NAICS code being 621399 and a size standard of $10 million.