Marginalized Populations

Reps Randy Feenstra (R-IA) and Chris Pappas (D-NH) introduced the Audio-Only Telehealth Access Act, which would make Medicare’s coverage of audio-only telehealth services permanent. The current waiver—which is set to expire on March 31, 2025—allows the Centers for Medicare & Medicaid Services (CMS) to reimburse healthcare providers for patient evaluation, patient management, and behavioral health services over the phone.

In November 2024, Nguyen Thi Que’s mobile phone suddenly stopped working as telecom companies in Vietnam permanently shut down the 2G network. “I thought of buying a new phone, but I don’t have money,” said the 73-year-old, who sells iced tea at a bus stop in Hanoi. Vietnam’s plan was simple: Offer free 4G feature phones to help low-income 2G consumers adapt to the change.

Congress established the BEAD program to ensure everyone, everywhere has access to high-quality broadband, with affordability as a top priority. This has become even more urgent following the end of the Affordable Connectivity Program last year, which left millions of households without essential support for education, career opportunities, and healthcare access. We must remain committed to prioritizing affordability and equal access. After all, BEAD without equity is just BAD.

The Trump administration will overhaul a $42 billion federal grant program aimed at expanding high-speed internet to the nation, including easing some rules that could benefit Elon Musk’s satellite internet service, Starlink. The program will be revamped to “take a tech-neutral approach” in its distribution of funds to states, Commerce Secretary Howard Lutnick said.

Commerce Secretary Howard Lutnick announced that his department is “ripping out” the “pointless requirements” inserted by former President Joe Biden into a major broadband program that is set to deliver high-speed internet to millions of Americans. Some broadband analysts have shared Lutnick’s frustration with the requirements in BEAD, which has been in planning and contracting for three years.

SpaceX’s Starlink is dipping its toes into the affordable broadband market, with the launch of its “Residential Lite” service in 15 U.S. states. While it’s cheaper than Starlink’s standard residential plan, the move is hardly a gamechanger for rural broadband connectivity.

It looks like Elon Musk’s Starlink service is going to get a big boost from the U.S. government. States will be able to award more Broadband Equity, Access and Deployment (BEAD) Program funds to satellite-internet providers like Starlink, as well as to more fixed wireless access (FWA) providers, rather than mainly to companies that lay fiber-optic cables. Personally, I think it will be a shame to squander this once-in-a-lifetime opportunity to reach as many homes as possible with fiber via the $42.5 billion in BEAD funds.

The House Communications and Technology Subcommittee met on March 5 in a hearing titled "Fixing Biden’s Broadband Blunder." Republicans on the panel seem most focused on concerns raised by states and broadband providers about the National Telecommunications and Information Administration's (NTIA) Broadband Equity, Access, and Deployment (BEAD) Program. Established by Congress in the Infrastructure Investment and Jobs Act, the BEAD Program is distributing $42.45 billion to states to provide grants for last-mile deployment in unserved and underserved areas.

The Commerce Department is examining changes to the $42.5 billion Broadband Equity, Access and Deployment Program aimed at expanding internet access around the country with new rules that will make it easier for Starlink, Elon Musk’s satellite-internet service, to tap in to rural broadband funding, said people familiar with the plans. Commerce Secretary Howard Lutnick has told staff he plans to make the grant program “technology-neutral,” the people said.

The BEAD Program is on course to ensuring that every location in the U.S. has fast, reliable, and affordable internet access over networks that can be easily upgraded to keep up with the connectivity demands of Americans for decades to come. Secretary Lutnick's reported meddling is likely to leave millions of Americans with broadband that is slower, less reliable, and more expensive—while at the same time surrendering US leadership in the global race for high-speed broadband. Americans deserve better.