Specifications include, but are not limited to: • The methodologies and approaches the Respondent will use to purchase medical debt for City of St. Louis residents who are four hundred percent (400%) or less of the federal poverty level and whose medical debt equals or exceeds five percent (5%) of total household income at a reduced rate (as little as 1/100 of its outstanding charge value) with no tax consequences for those whose medical debt is forgiven. • How Respondent will take lead on recruiting and working with medical providers to determine eligibility for medical debt forgiveness; how respondent will select eligible individuals for medical debt forgiveness; and how Respondent will notify eligible individuals that their medical debt has been forgiven. • How Respondent will take lead on negotiating with medical providers on their participation in this program, including but not limited to BJC, Mercy, SSM and Community Health Centers/Federally Qualified Health Centers as well as other City of St. Louis-based providers of medical care, mental health care, or behavioral health care. • How Respondent will facilitate with medical providers any necessary Business Associate Agreements (BAAs) or Non-Disclosure Agreements (NDAs) needed to facilitate this program with medical providers; what kinds of information Respondent anticipates obtaining from medical providers through BAAs and NDAs, and whether any such information will be treated by Respondent as confidential or otherwise not subject to disclosure and why. • How Respondent will receive, maintain, protect, and keep secure any patient account information it receives from medical providers as part of implementing this program. • Activities along with timeline for this initiative and estimated overall amount of medical debt for which Respondent will obtain forgiveness. • Respondent’s anticipated costs for program administration, technology, indirect costs, and costs of any other expenses that do not include the actual purchase of medical debt from medical providers. Must also be included in Respondent’s Budget. • Respondent’s ability to conduct data analysis to guide and inform the City of St. Louis on program progress and program impacts. • Reporting monthly demographics of those who receive the benefit of medical debt forgiveness through this program, including but not limited to zip code (must be located in City of St. Louis), race, ethnicity, age, sex, income, and amount of debt forgiven. • Reporting a narrative summary of Project status during each monthly reporting period, including but not limited to: how Respondent is engaging with medical providers, eligible City residents to whom debt relief is being offered, and the City of St. Louis Department of Health; any challenges encountered in administering this program and solutions obtained to effectively implement this program; how Respondent is prioritizing low-tomoderate income City residents with medical debt; and any purchase prices utilized in acquiring medical debt portfolios as part of this program. • Respondent’s ability to meet monthly, whether virtually or in-person, with the City of St. Louis Department of Health in order to provide an update on progress on implementing this program. • Reporting the amount expended by Respondent on the project during the month and cumulatively for any whole contract period, and including what amounts were for administering the program, fees, the amounts that went to forgive medical debt for residents of the City of St. Louis, and how much medical debt of residents of the City of St. Louis has been alleviated to date by this program. • How Respondent will ensure its administration of these funds are in compliance with relevant American Rescue Plan Act (ARPA) guidelines and regulations and all other relevant U.S. Treasury and other federal guidelines and regulations pertaining to the implementation of these ARPA dollars for medical debt forgiveness. • How Respondent will support the City of St. Louis’s monitoring and compliance needs related to the implementation of this program. • How Respondent will solicit and collect testimonials from eligible City of St. Louis residents who had their medical debt forgiven under this program and provide such testimonials to the City of St. Louis Department of Health. • How Respondent will support marketing and outreach for this program in collaboration with the City of St. Louis communications teams. • How Respondent will acknowledge the City of St. Louis when describing projects or programs funded in whole or in part with ARPA funds provided by the City of St. Louis for this program; how Respondent will ensure that all flyers, advertisements, press releases, or other marketing communication material issued by Respondent and that apply to the medical debt relief program funded by the City of St. Louis will include the City of St. Louis logo and be approved by authorized City of St. Louis representatives before Respondent publishes such materials.