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Program Assessment


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Universal Service Fund for Rural Health Care Providers

The program aims to improve rural health facilities' access to telecommunications and Internet services by subsidizing access to these services. These discounts help to offset generally higher prices for such services in rural areas, which can improve these facilities' medical services.


What This Rating Means

Results Not Demonstrated

A rating of Results Not Demonstrated (RND) indicates that a program has not been able to develop acceptable performance goals or collect data to determine whether it is performing.
  • The program does not use performance measures, so its results cannot be determined. While telephone subcribership rates and other data are available, the Federal Communications Commission (FCC) has not determined what program outcomes should be measured, or what appropriate goals for the program should be.
  • The program experiences financial management challenges arising from operational management by a non-Federal entity. The non-Federal administrator operates without a contract or memorandum of understanding with the FCC, and no measures of its administrative performance have been determined.
  • A lack of measures inhibits the FCC from improving performance through quantitative analysis, or setting targets that would demonstrate the satisfaction of statutory guidance. The FCC does collect market data that is used on an ad-hoc basis to examine the program through the regulatory process, though such data is not demonstrative of the program's impacts.

Improvement Plan

About Improvement Plans

We are taking the following actions to improve the performance of the program:

  • Developing performance measures for the program in order to gague program outcomes, and setting goals and targets in order to more rigorously manage the program to achieve specific results.
  • Working with the non-Federal administrator to improve financial management and accountability, and examining options to improve the program's management structure.
  • Improving rural health facilities' connectivity and addressing lower than expected program participation by instituting a pilot program to subsidize state and regional broadband networks.

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The content on is developed by the U.S. Office of Management and Budget and Federal agencies.