Rural Health Care

Community anchor institutions should be at the center of any comprehensive national strategy to promote the availability and use of High-Performance Broadband. Community anchor institutions use broadband to provide essential services to their community, such as education, information access, and telehealth services. But in the 21st century, community anchors’ missions are moving beyond their walls. Libraries no longer deliver knowledge that is housed only within their buildings or the covers of hardbound books.

It's budget season. Federal departments and agencies are making their funding requests to Congress for fiscal year 2021 (starting October 1, 2020 and ending September 30, 2021). And part of the ask is reporting how well an agency did achieving its FY 2019 goals. One of the primary goals of the Federal Communications Commission is to close the digital divide in rural America.

One theme I keep hearing at the National Rural Health Association's 2020 summit is “rural America is having a moment; let’s make it a movement.” And there’s certainly a new movement in telehealth that we should tap into.  Given the significant cost savings and improved patient outcomes associated with connected care, we should align public policy in support of this movement in telehealth.

The percentage of end-user phone bills that go toward the Universal Service Fund (USF) has been climbing and there are serious questions about the sustainability of that funding mechanism, despite a relatively stable USF budget. The money for USF comes from companies that offer interstate and international long-distance telecom services (i.e., voice services). At one time most of the money went toward voice services but over the years, more and more of it has gone towards broadband.

Congress is on the verge of passing legislation to improve broadband maps. Unfortunately, tucked inside the “Broadband DATA Act” is a provision that could unintentionally jeopardize broadband funding for schools, libraries, and healthcare providers.

The Federal Communications Commission’s Enforcement Bureau announced a $31 million settlement with TeleQuality Communications for violating competitive bidding and rate rules and overbilling the FCC’s Rural Health Care Program. The settlement requires TeleQuality to provide the Universal Service Fund with $31 million worth of repayments and forfeitures of payment claims as a sanction. Over a four-year period, from 2015-2018, the company admits to using fabricated sales quotes as urban rates and failing to use FCC-required methods for determining rural rates.

The Schools, Health & Libraries Broadband (SHLB) Coalition released its 2020 Policy Roadmap, outlining the path forward for community anchor institution (CAI) broadband. Schools, libraries, healthcare providers, and other CAIs rely on high-quality broadband to provide essential services to their communities. It is imperative that policymakers, industry, and anchor institutions collaborate to connect all CAIs to affordable, gigabit broadband – a key step in closing the digital divide. The SHLB Coalition will pursue the following policy priorities in 2020: