Assistance program
Universal Service Fund - Rural Health Care
$4.6 Billion committed in FY2020–FY2026
- Agency
- Federal Communications Commission, Federal Communications Commission
- Assistance
- Not Applicable
- CFDA number
- 32.005
- What it does
- 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.â€
- Who benefits
- Not Applicable
- Who applies
- Eligible health care providers include: (1) post-secondary educational institutions offering health care instruction, including teaching hospitals and medical schools; (2) community health centers or health centers providing health care to migrants; (3) local health departments or agencies; (4) community mental health centers; (5) not-for-profit hospitals; (6) rural health clinics; (7) skilled nursing facilities (as defined in 42 USC § 1395i-3(a)) and (8) consortium of health care providers consisting of one or more entities falling into the first seven categories. In addition, eligible health care providers must be non-profit or public.
Committed by fiscal year
* FY2026 is year-to-date — the fiscal year is still in progress, so its total is still filling in. The striped band and dashed line mark that provisional stretch.
Top recipients
By dollars committed.
How to read these numbers
- Committed through this program
Money committed under this assistance listing (its CFDA program), counted in the year each action happened.
- How it's paid
Most programs pay out one way — a grant, or a direct payment to individuals; the flow bar only appears when a program genuinely mixes types.
- Some recipients aren't itemized
For entitlement programs like Social Security and Medicare, the government reports one aggregate instead of naming tens of millions of people, so the recipient roster isn't part of the public record.
- Awards, counted once
An award count is the number of distinct awards with at least one action that year — each counted once, however many times it was amended.
- The colored bars
Every bar on this page splits by how the money moves:
Direct payments