Wednesday, July 26, 2023
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Expanding Access to Rural Health Care
FCC's Rosenworcel Proposes National Goal of 100 Percent Access to Affordable Broadband
Broadband Funding
Data
State/Local Initiatives
Wireless
Elections & Media
Government & Communications
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Environment
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Funding
Biden-Harris Administration Helps Expand Access to Rural Health Care Through Investing in America Agenda
US Department of Agriculture (USDA) Deputy Secretary Xochitl Torres Small announced that USDA is expanding access to health care for more than 5 million people living in 39 states and Puerto Rico as part of President Joe Biden’s Investing in America agenda. USDA is awarding $129 million in Emergency Rural Health Care Grants to improve healthcare facilities in rural towns across the nation. These grants will help 172 rural healthcare organizations expand critical services. Grants to improve telehealth include:
- North Arkansas Regional Medical Center, AR, ($145,000): This Rural Development investment will be used to assist with reimbursement costs of essential communications/telephone equipment. The equipment was urgently needed during the COVID 19 Pandemic. This directly impacted health care services by allowing for telehealth services and overall improved community health outcomes.
- Georgia Health Information Network Inc., GA, ($1,000,000): This Rural Development investment will be used to provide The Georgia Health Information Network Inc. to expand its telehealth network to add a new hub site and three end user sites located in rural areas. The new hub and end user sites are located in Jefferson, Emanuel, Wilkes, and Washington counties.
- The Corporation of Mercer University, GA, ($224,500): his Rural Development investment will be used to help The Corporation of Mercer University acquire startup equipment costs for a primary care facility in Taylor County. The funds will allow the primary care facility to help with the COVID-19 pandemic, any future pandemic events and health care needs for the community. Currently there is not a primary care facility in Reynolds, Georgia. The new facility will allow the physicians to provide preventive care to the residents of Taylor County and improve health outcomes. The facility will also increase access to quality health care and access to telehealth to Taylor County.
- Independence Community College, KS, ($30,100): This Rural Development investment will be used to establish an on campus health care center at Independence Community College. The center will partner with Labette Health to staff and provide medical services to students, staff, and faculty, both on site and through telehealth services.
The Federal Communications Commission released a Report and Order creating the Enhanced Alternative Connect America Cost Model program which extends subsidies for rural broadband providers for 10 additional years (beyond the remaining 5 years) at a cost of $1.27 to $1.33 billion annually to the FCC’s Universal Service Fund. In exchange, any ISP that elects this subsidy would be required to deploy 100/20 broadband to everyone in its service area. According to my estimates, if all these ISPs accept the A-CAM offer and build fiber, cable, or licensed fixed wireless, that takes 582,675 locations off the board for the BEAD program. The FCC picking up the tab for some locations will significantly help some states. In Nebraska, the A-CAM areas include 24,776 Unserved and Underserved locations, 23% of their total Unserved and Underserved locations.
Federal Communications Commission Chairwoman Jessica Rosenworcel shared with her colleagues an updated Notice of Inquiry that would kick off the agency’s evaluation of the state of broadband across the country. Chairwoman Rosenworcel proposes that the FCC consider several crucial characteristics of broadband deployment, including affordability, adoption, availability, and equitable access, when determining whether broadband is being deployed in a reasonable and timely fashion to “all Americans." In addition to focusing on a universal service standard, the Chairwoman proposes to increase the national fixed broadband standard to 100 megabits per second (Mbps) for download and 20 Mbps for upload, and discusses a range of evidence supporting this standard, including the requirements for new networks funded by the Infrastructure Investment and Jobs Act (IIJA). The FCC previously set the broadband standard at 25/3 Mbps in 2015 and has not updated it since. The Notice of Inquiry proposes to set a separate national goal of 1 Gbps/500 Mbps for the future.
The National Telecommunications and Information Administration (NTIA) announced how much Broadband Equity, Access, and Deployment (BEAD) funding each of the 50 states would be allocated. The answer varies from state to state, but one thing they all have in common is that Volume 1 and Volume 2 of their initial proposals are due December 27, 2023. Once NTIA approves the proposal, the state will get 20 percent of its BEAD funding. Volume 1 must include: Existing broadband funding, Unserved and underserved locations, Community anchor institutions, Challenge process plans. Volume 2 must include: Local tribal and regional planning coordination, How initial 20 percent of BEAD funds will be used, Low-cost options & affordability plans, Labor standards and readiness, Minority & women-owned business inclusion, Climate assessment, Other details.
Some states also are working on BEAD five-year plans. Rules call for states to file these within 270 days of when their BEAD planning funds were released. The BEAD Five-Year Plan must include:
- Existing broadband program information,
- State broadband funding currently available and where it came from,
- Existing federal funding, including Universal Service Fund (USF),
- Employees to be involved in BEAD,
- Known or potential BEAD implementation barriers,
- “Asset inventory” about broadband activities and partners such as community anchor institutions, community organizations,
- External engagement process description,
- Data available such as Affordable Connectivity Program (ACP) enrollment, NTIA internet use survey, American Community Survey, NTIA Indications of Broadband Needs Map,
- Local and regional broadband service needs and gaps, including unserved and underserved locations and community anchor institutions without 1 Gbps connectivity,
- Digital equity and inclusion needs, goals and strategies,
- Alignment of plan with other economic development, telehealth, workforce development plans,
- Technical assistance and additional capacity needed,
- High-level planning.
The latter planning must include:
- estimated timeline and cost for universal service,
- planned utilization of federal, state and local funding,
- priority of areas for federal support,
- any consideration about public-private partnerships or cooperatives,
- strategies to address affordability issues,
- strategies to ensure skilled workforce and labor standards plans.
BroadbandOhio, a division of the Ohio Department of Development, released for public comment Volume I of the state's Initial Proposal for the Broadband Equity, Access, and Deployment (BEAD) program. Volume I outlines existing broadband funding within Ohio, the list of the locations designated as "unserved" and "underserved" in the Federal Communications Commission's National Broadband Map, Ohio Community Anchor Institutions (CAIs) and a list of Ohio CAIs that do not have 1 gigabit symmetrical service, and an overview of the proposed plan for the BEAD challenge process. The public comment period for Volume I of the BEAD Initial Proposal is open and will end on August 22, 2023. Ohioans may submit any feedback or comments by emailing broadbandohio@development.ohio.gov.
Oregon faces a range of challenges on the route to making broadband available throughout the state, said Nick Batz, director of the Oregon Broadband Office (OBO). “Our biggest challenge is the size of the state,” he said. “We’re roughly the size of the United Kingdom but have six percent of the population. We have a number of mountain ranges and a number of rivers and valleys.” He also noted that there are areas of the state that have large chunks of lava rock just under the surface, making it difficult to bury anything, including telecommunications cabling, in the ground. While connectivity in population centers is “pretty good,” Batz said, it’s a different story in what he calls “frontier communities” – areas of the state where a person can drive long distances without seeing another car, but where the driver will pass isolated houses. Another broadband deployment challenge that Oregon faces is permitting, Batz said. Providers will need to get permits from the Bureau of Land Management, and that bureau did not receive any additional budget to handle the additional workload that government funding programs are expected to generate. The OBO also identified workforce as a major challenge to meeting deployment goals. To address that challenge, staffers have been exploring whether community colleges can provide appropriate training. Broadband mapping also has been a challenge. The office is one of several that have said that they weren’t able to file availability challenges to the Federal Communications Commission's map.
North Carolina Governor Cooper Announces CommScope to Add 250 New Jobs in $60 Million Investment for Fiber-Optic Cable Manufacturing Operations
CommScope, a global telecommunications leader, plans to add 250 new jobs with a $60.3 million investment to expand its fiber-optic cable manufacturing operations in Catawba County, North Carolina, Governor Roy Cooper (D-NC) announced. CommScope develops, manufactures, installs, and supports network and hardware infrastructure for a digital society, such as the high-speed internet that connects people and places around the world. This project will upgrade the Catawba County facilities to increase the company’s capacity to produce fiber optic cable. The North Carolina Department of Commerce led the state’s efforts to support the company’s expansion in the state. CommScope’s expansion will be facilitated, in part, by a Job Development Investment Grant (JDIG) approved by the state’s Economic Investment Committee. Over the course of the 12-year term of this grant, the project is estimated to grow the state’s economy by more than $834 million. Using a formula that takes into account the new tax revenues generated by the new jobs, the JDIG agreement authorizes the potential reimbursement to the company of up to $1,899,900 spread over 12 years. State payments only occur following performance verification by the Departments of Commerce and Revenue that the company has met its incremental job creation and investment targets. JDIG projects result in positive net tax revenue to the state treasury, even after taking into consideration the grant’s reimbursement payments to a given company.
Elections & Media
DeSantis’ new campaign deputy was part of massive anti-net neutrality campaign that used dead people to spam the FCC
A GOP consultant set to be the next deputy campaign manager for presidential hopeful Governor Ron DeSantis (R-FL) was part of the infamous astroturfing campaign against net neutrality. Ethan Eilon, who Bloomberg reported is being promoted by Gov. DeSantis from digital director to deputy campaign manager, is alleged to have numerous ties to the myriad efforts that saw the Federal Communications Commission flooded with millions of fraudulent comments supporting the 2017 decision to repeal net neutrality. As reported by Gizmodo in 2019, an organization co-founded by Eilon, Free Our Internet, was one of numerous groups subpoenaed by the New York attorney general over the astroturfing campaign. Aside from his work with Gov. DeSantis, Eilon ran a marketing firm known as Conservative Connector. The firm received over $31 million during the 2016 presidential election from the campaign of former President Donald Trump and the Republican National Committee. The astroturfing effort helped give the Trump administration cover to repeal net neutrality, a popular initiative among big telecom companies, but one that the vast majority of Americans oppose.
The US District Court for the Western District of Louisiana barred certain government agencies from working with social media companies for “the purpose of urging, encouraging, pressuring, or inducing in any manner the removal, deletion, suppression, or reduction of content containing protected free speech.” The injunction seems to threaten the myriad of government programs—including those in the Department of Homeland Security, the Department of Justice, the Department of Health and Human Services, and the State Department—that seek to work with social media platforms to fulfill their missions including assuring election integrity and safety. These operations function as internet referral programs, as they are called in many other countries where they exist, since they ask the companies to assess whether certain material on their systems is harmful or illegal. They can easily turn from conveying valuable information to social media companies to coercion. Some of the examples described in the court’s ruling appear to verge on intimidation, as when a government official’s call for certain content to be removed was accompanied by comments about antitrust action or initiatives to reform Section 230, a law that grants social media companies the legal immunity for the material posted by their users. These internet referral programs, while valuable, lack an adequate system of procedural protections. Article V of the European Union’s draft Regulation on Terrorist Content provides a guide for a regulated and transparent system of internet referral programs. It would have required platforms to assess on a priority basis referral from competent national authorities concerning terrorist material on their platforms. The executive branch, Congress and social media companies should move ahead expeditiously in this reform effort.
[Mark MacCarthy is a Nonresident Senior Fellow in Governance Studies at the Center for Technology Innovation at Brookings.]
Benton (www.benton.org) provides the only free, reliable, and non-partisan daily digest that curates and distributes news related to universal broadband, while connecting communications, democracy, and public interest issues. Posted Monday through Friday, this service provides updates on important industry developments, policy issues, and other related news events. While the summaries are factually accurate, their sometimes informal tone may not always represent the tone of the original articles. Headlines are compiled by Kevin Taglang (headlines AT benton DOT org), Grace Tepper (grace AT benton DOT org), and David L. Clay II (dclay AT benton DOT org) — we welcome your comments.
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