Rural Health Care

Sen Brian Schatz (D-Hawai‘i) led a bipartisan group of senators to urge the leadership of both the Senate and House of Representatives to include $2 billion in the next coronavirus relief package to help health care providers expand telehealth services by improving their access to broadband. The senators are calling for $2 billion in additional funding to the Rural Health Care (RHC) Program, the only federal program that supports broadband deployment at urban and rural health care provider locations.

On March 19, 2020, Sens Amy Klobuchar (D-MN) and Tina Smith (D-MN) wrote to Federal Communications Commission Chairman Ajit Pai to urge the FCC to take action to ensure that all K-12 students in Minnesota have access to high-speed internet so they can continue their education while schools are closed in response to the coronavirus (COVID-19) pandemic.

The principles we need to connect us were enshrined by a Republican-led Congress in the Telecommunications Act of 1996. In the legislation, overwhelmingly approved by both Republicans and Democrats, the law mandates that the Federal Communications Commission to base policies for the preservation and advancement of universal service on principles including:

The debate on whether broadband is a luxury or an essential connection to society is over. More than twice as many people are now using residential broadband during business hours as before the COVID-19 crisis. Over 55 million students have been impacted by school closures. The use of telehealth has skyrocketed. This, I believe, is our broadband moment: a hinge of history that will determine whether today’s residential broadband is fit for the changed world in which we inhabit or whether its limits work to disadvantage those that are not equipped to use it.

On March 19, 2020, Reps Darren Soto (D-FL), Jared Huffman (D-CA), and Donald Payne, Jr. (D-NJ) wrote Federal Communications Commission Chairman Ajit Pai to urge his full consideration of policies that would protect Americans' access to communications services by ensuring that no one gets their cell phone, landline, or internet access disconnected during the COVID-19 national emergency.

House Health Subcommittee Chairwoman Anna G. Eshoo (D-CA) and Rep Don Young (R-AK) introduced H.R. 6474, the Healthcare Broadband Expansion During COVID-19 Act, a bipartisan bill to provide $2 billion to expand telehealth and high-quality internet connectivity at public and nonprofit healthcare facilities, including mobile clinics and temporary health facilities deployed to respond to the coronavirus pandemic. Healthcare providers pay an average of over $40,000 per year for broadband connectivity.

Twenty-eight senators wrote a letter to the Federal Communications Commission demanding that it consider how repealing net neutrality could negatively impact public safety, universal access, and broadband competition. In October 2019, the US Court of Appeals for the D.C. Circuit upheld the Trump FCC’s repeal of the Open Internet Order as lawful but also ruled that the FCC failed to adequately consider public safety, the Lifeline program for low-income consumers, and competitive broadband providers’ access to poles needed to deploy their networks.

The Federal Communications Commission held its mandatory monthly meeting via a brief, video-less, teleconference call March 31, with commissioners dialing in from home and the public able to access it over a never-more-important broadband connection. The commissioners had already voted to approve all the meeting agenda items, and their time — the meeting lasted less than 20 minutes — was spent mostly talking about the pandemic and how they and the industry were dealing with it. 

Federal Communications Commission Chairman Ajit Pai announced his plan for a COVID-19 Telehealth Program to support health care providers responding to the ongoing coronavirus pandemic. As part of the CARES Act, Congress appropriated $200 million to the FCC to support health care providers’ use of telehealth services in combating the COVID-19 pandemic. If adopted by the FCC, the Program would help eligible health care providers purchase telecommunications, broadband connectivity, and devices necessary for providing telehealth services.

In order to provide further support to healthcare providers, the Federal Communications Commission should, in addition to adopting final rules for the proposed Connected Care Pilot Program, consider the following actions during the emergency: