The Department of Health and Human Services, specifically the Health Resources and Services Administration, has issued a Notice of Justification and Approval for Other Than Full and Open Competition regarding contract HHSH258201800012C with the University of Puerto Rico - Medical Science Campus. This contract modification extends the existing agreement by six months to ensure the continued provision of essential outpatient care for Hansen's Disease (leprosy) patients in the San Juan, Puerto Rico area, including 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 may contact Charisse Whitney at CWhitney@hrsa.gov or by phone at 225-756-3785, or Anne Stephan at AStephan@hrsa.gov.