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8. paloma gpt presentation (2) 8. paloma gpt presentation (2) Presentation Transcript

  • Universal Service Administrative Company Rural Health Care Program March 19, 2013
  • USAC, the Universal Service Fund (USF), and the FCCThe Universal Service Administrative Company (USAC)administers the Universal Service Fund (USF) on behalf ofand under the auspices of the FCC High Cost Low Income Rural Health Schools and ($4 billion) ($1.3 billion) Care Libraries ($400 million) ($2.25 billion)www.usac.org/rhc 2
  • Rural Health Care Program Telecom/ Healthcare Pilot Program Internet Connect Fund Programwww.usac.org/rhc 3
  • The RHC ProgramTelecommunications and Internet Program Basics• For telecommunications services, RHC funds the difference between the urban and rural rates• For Internet access, RHC funds a straight 25% discount off the rural rate• There are approximately 4,700 health care providers receiving support under the telecommunications and internet access programwww.usac.org/rhc 4
  • The RHC ProgramPilot Program Basics• Established by the FCC to help public and non-profit health care providers deploy a state or regional dedicated broadband health care network and, at the applicant’s discretion, to connect that network to Internet2, National LambdaRail (NLR), or the public Internet.• Cost reimbursement program will support the connection of non-profit health care providers nationwide to broadband telehealth networks.• There are 50 Pilot Projects with over 3,800 affiliated health care providers.www.usac.org/rhc 5
  • The RHC ProgramHealthcare Connect Fund Basics• Encourages growth or formation of statewide or regional broadband health care networks• Replaces current RHC Internet Access Program – RHC Telecommunications Program remains in place• Supports HCP-owned infrastructure, subject to certain constraints• Provides uniform 35 percent HCP contribution requirement for all supported services and infrastructure• Allows eligibility for individual HCPs and consortiawww.usac.org/rhc 6
  • Program Comparison Telecom or InternetFeature HCF Pilot Program Access ProgramsDiscount on Urban-rural difference 65 percent 85 percenttelecom services or mileage basedDiscount on 25 percent (not eligible 65 percent 85 percentInternet services after 6/30/2014)Administrative Eligible: Off-site dataoffices, off-site Eligible centers; Not Eligible: Not eligibledata centers admin officesCustomized Eligible Eligible Not eligiblenetworksEquipment Eligible Eligible Not eligible www.usac.org/rhc 7
  • Healthcare Connect Fund Overviewwww.usac.org/rhc 8
  • Healthcare Connect FundGoals1. Increase access to broadband for Health Care Providers (HCPs), particularly those serving in rural areas2. Foster development and deployment of broadband health care networks3. Maximize cost-effectiveness of the programwww.usac.org/rhc 9
  • Healthcare Connect FundHighlights• Encourages growth or formation of statewide or regional broadband health care networks• Replaces current RHC Internet Access Program – RHC Telecommunications Program remains in place• Supports HCP-owned infrastructure, subject to certain constraints• Provides uniform 35 percent HCP contribution requirement for all supported services and infrastructure• Allows eligibility for individual HCPs and consortiawww.usac.org/rhc 10
  • Healthcare Connect FundConsortium Approach• HCF encourages HCPs to work together in consortia to meet their broadband connectivity needs• Consortia may receive upfront support for: — Build-out costs and indefeasible rights of use (IRU) — Equipment necessary for the formation of networks — Self-construction chargeswww.usac.org/rhc 11
  • Healthcare Connect FundConsortium EligibilityBoth rural and non-rural HCPs are eligible to participate• Non-rural HCPs may apply only as part of a consortia that includes at least 50 percent rural HCPs• Large hospitals (400 beds or more) are capped on funding – No more than $30,000 annually for recurring charges – No more than $70,000 over five years for non- recurring chargeswww.usac.org/rhc 12
  • Healthcare Connect Fund Featureswww.usac.org/rhc 13
  • HCF FeaturesAdministrative Efficiencies• All services, equipment, and expenses related to infrastructure and construction discounted 65 percent• Simplified application process• Eligibility determination separated from competitive bidding process (FCC Form 460)• Request for Services (FCC Form 461), Funding Requests (FCC Form 462), and Requests for Disbursements (FCC Form 463) simplifiedwww.usac.org/rhc 14
  • HCF FeaturesGreater Contract OptionsIncluding:• Multi-year contracts• Pre-paid arrangements• Use of existing Government Master Service Agreements (MSAs)www.usac.org/rhc 15
  • HCF FeaturesCustom Networks• Last mile, middle mile, backbone services, and leased equipment are eligible for support• Customized network configurations are eligible for supportwww.usac.org/rhc 16
  • HCF FeaturesBuild-out, Infrastructure, Administrative Offices• Service provider build-out to the customer demarcation point and the network equipment necessary to make a broadband connection functional are eligible for support• Connections and network equipment associated with off-site data centers and off-site administrative offices are eligible for supportwww.usac.org/rhc 17
  • HCF FeaturesExemptionsThe following are exempt from competitive bidding:• HCPs requesting no more than $10,000 in annual support• HCPs purchasing services from an MSA awarded through competitive bidding• Previously endorsed “Evergreen” contracts• Contracts bid under the E-rate programwww.usac.org/rhc 18
  • HCF FeaturesEligible Services and Costs• Public and private networks• Last mile, middle mile, or backbone services• Point-to-multipoint, IP-based, and cloud-based services• Dark fiber, fiber maintenance costs, leases, and IRUs• Build-out and up-front costs• Equipment to make broadband service functional• Internet2 and National Lambda Railwww.usac.org/rhc 19
  • Healthcare Connect Fund Fund Specificswww.usac.org/rhc 20
  • Fund Specifics• Shares $400 million annual cap provided to the Rural Health Care support mechanism• $150 million annual cap on support for upfront payments, multi-year commitments, and HCP self- construction• Non-recurring costs that exceed an average of $50,000 per HCP in a consortium must be prorated over a minimum three-year period• No more than $50 million allocated for Skilled Nursing Facilities (SNF) Pilot Programwww.usac.org/rhc 21
  • Timeline• Pilot Projects – Funding available beginning July 1, 2013, for existing Pilot projects – Projects may obtain funding for HCP sites as they exhaust Pilot funds – May add new sites to existing Pilot networks• New individual and consortium applicants – Funding available beginning January 1, 2014 – Competitive bidding process may begin late summer 2013www.usac.org/rhc 22
  • Skilled Nursing Facility PilotProgram Details• $50 million available over three years, beginning in Funding Year• Available only to SNFs that do not currently have broadband services sufficient to support their intended telehealth activitieswww.usac.org/rhc 23
  • WWW.USAC.ORG/RHCHealthcare Connect Fund• Rhc-assist@usac.orgTelecom/Internet Program• RHC-admin@usac.org Thank Youwww.usac.org/rhc 24