Healthcare Facilities

Mass General Brigham (MGB) is a large hospital system in the greater Boston area. MGB employs more than 1,200 clinicians, who serve more than 1.25 million patients. During the COVID-19 pandemic, MGB identified disparities in patients’ access to video visits and its patient gateway. Unsurprisingly, those who were not using the patient gateway were largely members of racial and ethnic minority groups, particularly those whose primary language was not English. In response, MGB began initiatives aimed at increasing health equity and digital access.

The Rural Utilities Service announces the acceptance of applications under the Distance Learning and Telemedicine grant program for fiscal year (FY) 2025, subject to the availability of funding. This notice is being issued prior to passage of a FY 2025 Appropriations Act in order to allow applicants sufficient time to leverage financing, prepare and submit their applications, and give the Agency time to process applications within FY 2025. Based on FY 2024 appropriated funding, the Agency estimates that approximately $40 million will be available for FY 2025.

A look at some of the possible changes to the Universal Service Fund (USF):

Rural Americans encounter substantial healthcare disparities when compared to urban counterparts, including provider shortages, less access to specialists, and higher mortality risks from various chronic and acute conditions. While 13.8% of the U.S. population lives in rural areas, rural regions comprise two-thirds of healthcare provider shortage areas. Accordingly, broadband-enabled telehealth that mitigates barriers to healthcare access can be a transformative solution for patients and physicians in rural areas.

John Windhausen recently announced his decision to step down as Executive Director of the SHLB Coalition, explaining that at 66 years old, it is the right time for him to begin winding down professionally. In his statement, Windhausen noted, “Our advocacy is entering a phase where it will need to ramp up significantly, particularly with changes in the presidential administration.

The fate of the $8 billion Universal Service Fund (USF) now lies in the hands of the Supreme Court, which has the power to determine whether the subsidy program is unconstitutional. The legality issue concerns the Federal Communications Commission’s choice to delegate the administration of USF programs (Connect America Fund, Lifeline, E-Rate and Rural Health Care) to a private third party—the Universal Service Administrative Company (USAC). The Sixth and Eleventh Circuits have already ruled to uphold the constitutionality of the USF’s current funding mechanism.

Former Federal Communications Commission Chairman Ajit Pai said Congress should fund the $8.1 billion Universal Service Fund through annual appropriations. “I do think that the time has come for Congress to shift this to a general appropriation,” said Pai, FCC chairman from 2017 to 2021. “[If USF were funded by appropriation] we wouldn’t have this situation now where we’re essentially getting more and more money from a declining base of contributors.”

In October and November, the SHLB Coalition received seven outstanding nominations for our annual board election. Midway through the election season, one of our current board members unexpectedly stepped down due to personal health reasons, increasing our open seats from two to three. One of these seats is always designated for a staff member at an Anchor Institution. Voting ran through November 5.

Chris Mitchell speaks with Andy Schwartzman, Senior Counselor at the Benton Institute for Broadband & Society, about pressing legal issues affecting telecommunications policy in the U.S.

The future of the $8.5 billion Universal Service Fund (USF), which supports broadband access in schools, libraries, and rural communities, hangs in the balance as three critical court cases move forward. In a rare twist, two cases saw oral arguments on the same day, adding a sense of urgency to the outcomes. These decisions could redefine affordable internet connectivity for students, families, and communities nationwide. We summarize each case and outline the stakes for the E-rate and other USF programs. As we await the courts’ decisions, SHLB is not just observing from the sidelines.