Telehealth

The Department of Commerce’s National Telecommunications and Information Administration awarded an $18.9 million Tribal Broadband Connectivity Program (TBCP) grant to the Inter-Tribal Council of Nevada (ITCN). This grant will fund high-speed internet infrastructure deployment, use, and adoption projects to improve connectivity across Tribal lands.

The Department of Commerce’s National Telecommunications and Information Administration (NTIA) awarded $143,639,693.50 in funds from the Consolidated Appropriations Act, 2021 to Tribes in California and Washington.The awards provide funds for high-speed internet infrastructure deployment projects through the Internet for All Initiative’s Tribal Broadband Connectivity Program for the Hoopa Valley Tribal Council and Yurok Telecommunications in California and the Spokane Tribe of Indians in Washington.

Telemedicine’s ultimate success will depend in large part on technology—how seamless patients will find the process, and the digital divide that now keeps many physicians from offering telehealth services and patients from accessing them.

For patients to participate in telehealth encounters, they have to use a number of proprietary, health system-specific portals and platforms. That can be challenging for many older adults and minority groups. Effective virtual care depends on digital fluency, meaning they need to be able to engage in all aspects of digital technologies, from accessing the internet to navigating telehealth applications and performing basic troubleshooting.

In August 2020, the Veterans Health Administration’s (VHA) Office of Connected Care recognized the growing demand for patients’ access to video-based virtual care, and that many patients lack a video-capable device, or the internet connection required to access this care. To bridge “the digital divide, which exists between individuals with access to a device and connectivity and those who [lack that] access,” VHA introduced the digital divide consult.

The United States has long struggled with a health care system that is both expensive and often inaccessible when it comes to providing certain populations with equitable care. The White House and Congress acted quickly to transition patients to telehealth during the height of the COVID-19 pandemic. However, the future adoption and use of telehealth will depend on how the U.S. health care system addresses coverage and reimbursement, medical licensure, and service modalities.

Rep. Cindy Axne (DIA-03) and Rep.

Though telehealth has the potential to reduce some health care expenditures, both the Congressional Budget Office (CBO) and the Government Accountability Office (GAO) project that increased use of telehealth will add to overall health care costs. Based on a recent CBO score of a five-month extension of pandemic authorities, permanent expansion could cost Medicare alone $25 billion over ten years, even without expanded use. As telehealth use grows, there is the potential for even greater costs in both federal health care programs and the private sector.

Federal Communications Commission Chairwoman Jessica Rosenworcel responded to House lawmakers' letter concerning the second funding round of the COVID-19 Telehealth Program. The lawmakers had requested that the funding beprioritized in rural areas. In her response, Chairwoman Rosenworcel detailed the metrics the FCC used to evaluate second round applications for the program.

On March 15, 2022, President Joe Biden signed the Consolidated Appropriations Act, 2022 which provides funding through September 30, 2022 for projects and activities of the Federal Government. Much of the coverage of the law highlights the $13.6 billion in funding to address Russia’s invasion of Ukraine and the impact on surrounding countries. But there's also more funding for broadband in the new law.