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UNIVERSAL SERVICE FUND - RURAL HEALTH CARE

Program Information

Popular name

USAC - RURAL HEALTH CARE

Program Number

32.005

Sub-agency

N/A

Program objective

The Rural Health Care Program, one of the FCC’s Universal Service Fund programs, provides funding to eligible health care providers for telecommunications and broadband services necessary for the provision of health care. The goal of the program is to improve the quality of health care available to patients in rural communities by ensuring that eligible health care providers have access to telecommunications and broadband services. The Rural Health Care Program is currently made up of two programs: the Telecommunications Program and the Healthcare Connect Fund (HCF) Program. The Telecommunications Program, established in 1997, subsidizes the difference between urban and rural rates for telecommunications services. Under the Telecommunications Program, eligible rural health care providers can obtain rates on telecommunications services in rural areas that are reasonably comparable to rates charged for similar services in corresponding urban areas. The HCF Program, established in 2012, promotes the use of broadband services and facilitates the formation of health care provider consortia that include both rural and urban health care providers by providing a flat 65% discount on an array of advanced telecommunications and information services. These services include internet access, dark fiber, business data, traditional digital service line (DSL), and private carriage services. Universal service has been defined by Congress as “an evolving level of telecommunications services . . . taking into account advances in telecommunications and information technologies and services.”

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2018

    The program awarded funds to approximately 5,379 organizations.

  2. 2019

    The program awarded funds to approximately 5,338 organizations.

  3. 2020

    The program plans to award funds to approximately 5,340 organizations.

  4. 2021

    In RHC program Funding Year 2021, the Rural Health Care Program approved 14,685 funding requests totaling $496,644,570.88 in universal service support. Funding commitments were made to 12,322 health care providers located in all 50 states and two territories. These health care providers received telecommunications and broadband services from 1,150 service providers.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

Program regulations (at 47 CFR § 54.600 et seq.), Orders, Public Notices, News Releases, program forms, form instructions, and other announcements for the program.

Program details

Additional resources