Level of Government

Hundreds of thousands of physician offices, hospitals, and health systems across the US have transitioned from paper-based medical records to health IT that is certified under the Office of the National Coordinator (ONC) Health IT Certification Program. This report highlights the impact that the 21^st Century Cures Act (Cures Act) and its implementation contributed to continued progress toward interoperable access, exchange, and use of electronic health information (EHI).

For the first time ever, Congress allowed the Federal Communication Commission's spectrum auction authority to lapse—a development that prevents the agency from auctioning more spectrum to 5G network operators. At roughly the same time, President Joe Biden's nominee to the FCC, Gigi Sohn [Senior Fellow and Public Advocate at the Benton Institute for Broadband & Society], abruptly withdrew from contention without any clear replacement.

The American Rescue Plan has helped to power one of the strongest and most equitable recoveries on record while making investments which position our nation for economic success in the coming decades. Over 30,000 state, local, Tribal, and territorial governments have received State and Local Fiscal Recovery Funds and made $24.3 billion in critical infrastructure investments in broadband, water, and sewer. Governments have reported budgeting nearly $7.3 billion in SLFRF funds towards broadband.

New polling shows that the Affordable Connectivity Program (ACP) is overwhelmingly popular among Republican, Democratic, and Independent voters alike. A strong, bipartisan majority of voters (78 percent) support continuing the ACP, including 64 percent of Republicans, 70 percent of Independents, and 95 percent of Democrats, according to a national survey of 1,000 registered voters conducted by Public Opinion Strategies and RG Strategies in January 2023. Similar majorities also hold for urban, suburban, and rural households, who all support ACP by 68 percent or more. 

The Affordable Connectivity Congressional Map illustrates estimated enrollment in the Affordability Connectivity Program (ACP) by congressional district and state. The following states rank highest for ACP enrollment: Louisiana (21%), Kentucky (18%), New Mexico (18%), North Carolina (17%), Ohio (17%), South Carolina (16%), Alabama (16%), Mississippi (15%), New York (15%), and Oklahoma (15%). Enrollment is high in both rural and urban areas.

In support of the intrinsic role that libraries play in promoting informed, healthy, vibrant communities, the Institute of Museum and Library Services (IMLS) has awarded $180 million in annual grants to each of the 50 states, the District of Columbia, and the US Territories and Freely Associated States. These grants represent the largest source of federal funding support for library services.

If you’re a person living in the United States without quality broadband, you should be very disappointed in the way your elected officials have failed to meet the following challenge of closing the digital divide recently: 

Kentucky, which only established its broadband office in 2022, is putting in some hard, and in some cases unique, work to enhance internet access and prepare for the $42.5 billion Broadband Equity, Access, and Deployment (BEAD) Program. Meghan Sandfoss, executive director for Kentucky’s Office of Broadband Development, delved into some of the challenges the state has encountered.

The North Star of communications policy should be to make services faster, better, and cheaper for all. Yet, next year, about 50 million Americans could find that their access to the core communications service of our time—broadband—has become slower, worse, and more expensive, with many even likely to be disconnected. That shift would constitute the biggest step any country has ever taken to widen, rather than close, its digital divide. The reason for the potential debacle?

Technological innovation often leads to organizational innovation, and organizational innovation often leads to organizational opposition. As new forms of business organizations emerge and become dominant, interest groups and others often resist the change, decrying the new models as fundamentally negative. The reality of economic history is these new business models have been enormously positive. The world would be a vastly poorer place without the rise of the industrial organization, then the multidivisional corporation and now the Internet-based platform.