In the NIFOG, the VHF frequencies are reused as both simplex and repeater input/outputs. If you look at the full NIFOG guide, you'll see it.
151.1375 is VTAC11. It's also the repeater input of VTAC33 and the repeater output of VTAC36
154.4525 is VTAC12. It's also the repeater input of VTAC34 and the repeater output of VTAC37
158.7375 is VTAC13. It's also the repeater input of VTAC35 and the repeater output of VTAC38
159.4725 is VTAC14. It's also the repeater input of VTAC38 and the repeater output of VTAC35
NIFOG sez:
CAUTION: Ensure coordination between VTAC simplex and repeater operations. These channels are created by utilizing the frequencies listed for VTAC11-14
The idea is the on scene COMM-L or COMM-T would pick what makes the most sense based on the event, and assign users accordingly. This lets them use simplex if it is all that is needed, or use tactical repeaters, and set up on the pair arrangement that makes the most sense.
The Federal VHF LE channels are set up the same way.
UTAC, 7TAC and 8TAC channels have standardized offsets, and there's enough of them, that they simply use the repeater output as a simple channel.
As for the NAC:
$293 is "Default NAC"
$F7E is "Receiver will un-squelch with any incoming NAC (think carrier squelch as GTR8000 said)
Download the DHS NIFOG document that I linked to above and spend some time reading it. There's some really good info in there that explains a lot of it. If you get towards the back after the frequency stuff, there's some great general radio information and resources.