The Iowa Department of Health and Human Services is seeking qualified entities to develop “Combat Cancer Health Hub” networks (one Hub with up to three Spoke sites) that expand advanced cancer treatment—including radiation therapy, chemotherapy, tele‑oncology, and virtual tumor boards—to rural Iowa communities. The Hub must either already provide, or be capable of providing by June 30, 2028, external radiation therapy; each Spoke must provide or scale up chemotherapy services by the same deadline. Applicants must submit a mandatory Letter of Intent (June 3, 2026) and a full application (June 17, 2026). The award will be a multi‑year, fixed‑price, federally funded contract (≈ $26.7 M total) with a five‑year performance period (August 17, 2026 – September 30, 2031). Key requirements include:
• Legal agreements with three designated Spoke sites and documented budget alignment.
• Detailed five‑year work plan covering hub‑and‑spoke coordination, tele‑oncology, tumor‑board implementation, and sustainability.
• Compliance with cost‑restriction rules (e.g., 10 % administrative‑cost cap, $1 M limit on minor renovations, $225,700 salary cap per funded position).
• Mandatory reporting (monthly, quarterly, annual) and FFATA compliance.
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