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Congressional Research Service


                                                                                               January 28, 2021

Federal Universal Service Fund and Other Selected Federal

Broadband Programs: A Primer


Introduction
Efforts to deploy voice telephone service throughout the
United States began almost 100 years ago. Starting in the
1990s, these efforts shifted toward the deployment of
broadband internet service to homes and businesses and the
provision of infrastructure to support applications such as
telehealth and distance learning. As a result of the
Coronavirus Disease 2019 (COVID-19) pandemic,
Congress created and funded new programs to accelerate
broadband deployment and adoption in minority
communities, on Tribal lands, and among qualifying
households. Enabling telehealth is one major focus of these
programs.

Federal Communications Commission
The Universal Service Fund (USF) is intended to ensure
that telecommunications services, including broadband, are
available and affordable throughout the country. Federal
Communications  Commission  (FCC) programs supported
by the USF-the  High-Cost Program, the Connect America
Fund, the Lifeline Program, the Rural Health Care Program,
and the Schools and Libraries Program-are funded by fees
on telecommunications carriers, not through regular
appropriations. The FCC sets the regulatory and fee
structures for these programs, but the Universal Service
Administration Company, an independent not-for-profit
corporation designated by the FCC to run USF programs,
manages contributions and disburses funds.

High-Cost  Program
The High-Cost Program has historically provided support to
qualifying telephone companies serving high-cost areas
(such as rural communities) with the goal of making voice
service affordable there.

Connect  America   Fund
The High-Cost Program is being phased out and replaced
by the Connect America Fund (CAF), which supports the
provision of affordable fixed and mobile voice and
broadband services in high-cost areas. In 2018, the CAF
allocated approximately $1.5 billion to deploy networks
serving more than 700,000 unserved rural homes and
businesses in 45 states.

The Rural Digital Opportunity Fund (RDOF)  is a
program initiated by the FCC under the Connect America
Fund. Through the RDOF, the FCC plans to commit $20.4
billion to bring high-speed fixed broadband service to rural
homes  and small businesses in two phases. In December
2020, the FCC announced Phase I auction results, in which
180 bidders won $9.2 billion to deploy high-speed
broadband to over 5.2 million unserved homes and
businesses. The Phase II auction will be able to draw on a


budget of up to $11.2 billion, targeting partially served
areas as well as the few unserved areas that did not receive
Phase I funding. The timeframe for the Phase II auction has
not yet been determined by the FCC and is dependent on
broadband maps that are to be developed under the
Broadband DATA   Act (P.L. 116-130).

Lifeline Program
The Lifeline Program helps low-income customers initiate
telephone service and pay their monthly bills. The program
offers up to $9.25 per month towards telephone or internet
services for eligible subscribers (up to $34.25 for those
living on Tribal lands).

Rural Health  Care  Program
The Rural Health Care Program allows rural health care
providers to pay rates for internet and telecommunications
services similar to those of their urban counterparts, making
telehealth services more affordable in rural areas. The
program's funding cap for 2020 was initially set at $604.76
million, but an additional $197.98 million in unused funds
from prior years was released in June 2020, bringing the
total to $802.74 million-the most in the program's history.
This program has two permanent parts, the Healthcare
Connect Program and the Telecommunications Program, as
well as the fixed-term Connected Care Pilot Program.

  The Healthcare Connect  Program  (established in
   2012) supports broadband connectivity to eligible health
   care providers and encourages the establishment of state
   and regional provider networks. Under this program,
   eligible rural health care providers (and eligible non-
   rural health care providers that are members of a
   consortium with more than 50% rural health care
   providers) receive a 65% discount on internet services.

  The Telecommunications  Program  (established in
   1997) subsidizes the difference between urban and rural
   rates for telecommunications services. It is not used for
   broadband services.

  The Connected  Care Pilot Program will provide up to
   $100 million over three years for selected pilot projects.
   This funding will cover 85% of the eligible costs of
   broadband connectivity, certain network equipment, and
   information services to provide connected health care
   services to the intended patient population, with a strong
   preference for projects to benefit low-income Americans
   and veterans. On January 15, 2021, the FCC announced
   23 initial project awards to 14 applicants.


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