OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Heidi HeitkampUnited States Senate110 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Heitkamp:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Mazie K. HironoUnited States Senate330 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Hirono:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

I-

I I

Il

V

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Bob CaseyUnited States Senate393 Russell Senate Office BuildingWashington, D.C. 20510

Dear Senator Casey:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

o

Sincerely,

1

tAv'Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Sherrod BrownUnited States Senate713 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Brown:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Angus KingUnited States Senate133 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator King:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the colmectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

0T

Sincerely,

viu

cAJ

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Tina SmithUnited States Senate309 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Smith:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Ajit V. PaioaTSincerely,

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Michael BennetUnited States Senate261 Russell Senate Office BuildingWashington, D.C. 20510

Dear Senator Bennet:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIHMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable John HoevenUnited States Senate338 Russell Senate Office BuildingWashington, D.C. 20510

Dear Senator Hoeven:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

(J

AjitV.Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Dan SullivanUnited States Senate702 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Sullivan:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RI-IC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Lisa MurkowskiUnited States Senate709 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Murkowski:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the colmectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Shelley Moore CapitoUnited States Senate172 Russell Senate Office BuildingWashington, D.C. 20510

Dear Senator Capito:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RI-IC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Susan CollinsUnited States Senate413 Dirksen Senate Office BuildingWashington, D.C. 20510

Dear Senator Collins:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

-

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Roy BluntUnited States Senate260 Russell Senate Office BuildingWashington, D.C. 20510

Dear Senator Blunt:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RI-IC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

viAjit V. Pal

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Tammy BaldwinUnited States Senate717 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Baldwin:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or S 171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RUC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Claire McCaskillUnited States Senate730 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator McCaskill:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

o

Sincerely,

'ItkVAjit V.Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Thomas R. CarperUnited States Senate513 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Carper:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

1

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Jeanne ShaheenUnited States Senate506 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Shaheen:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Amy KiobucharUnited States Senate302 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Kiobuchar:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RUC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Debbie StabenowUnited States Senate731 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Stabenow:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

VAjit V. Pai

I'

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Gary PetersUnited States Senate724 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Peters:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or 171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Martin HeinrichUnited States Senate303 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Heinrich:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Chris Van HollenUnited States SenateB4OC Dirksen Senate Office BuildingWashington, D.C. 20510

Dear Senator Van Hollen:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Patrick J. LeahyUnited States Senate437 Russell Senate Office BuildingWashington, D.C. 20510

Dear Senator Leahy:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

-

I I

IlviAjitV.Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Jon TesterUnited States Senate311 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Tester:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHIC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

(1vI \i6A/

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Kirsten GillibrandUnited States Senate478 Russell Senate Office BuildingWashington, D.C. 20510

Dear Senator Gillibrand:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Maggie HassanUnited States SenateB85 Russell Senate Office BuildingWashington, D.C. 20510

Dear Senator Hassan:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

/1 Sincerely,

Ajit V. Paic/La:

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Benjamin L. CardinUnited States Senate509 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Cardin:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Tom UdallUnited States Senate531 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Udall:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Doug JonesUnited States Senate326 Russell Senate Office BuildingWashington, D.C. 20510

Dear Senator Jones:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Joe DonnellyUnited States Senate720 Hart Senate Office BuildingWashington, D.C. 20510

Dear Senator Donnelly:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,

Ajit V. Pai

OFFICE OF

THE CHAIRMAN

FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON

June 15, 2018

The Honorable Catherine Cortez MastoUnited States SenateB4OA Dirksen Senate Office BuildingWashington, D.C. 20510

Dear Senator Cortez Masto:

Thank you for your letter expressing support for the Federal CommunicationsCommission's efforts to strengthen the Rural Health Care (RHC) Program and improve access totelehealth in rural America. As the son of two doctors in rural Kansas, I understand the criticalrole that broadband plays in providing patients in rural areas with high-quality health careservices. And as Chairman, I've seen the potential of telemedicine firsthand, from a VeteransAffairs facility in rural Lecanto, Florida to Augusta Health in relatively rural Staunton, Virginia.

That's why I have circulated a draft Report and Order to my colleagues that would takeimmediate action to increase funding for rural hospitals and health clinics by 43%, or $171million per year. This significant increase-alongside future inflation adjustments and amechanism to carry forward unused funding from previous years-will ensure that rural healthcare providers get the connectivity they need to better serve patients for years to come. I hopethat my colleagues will support this order soon.

In addition, we must always ensure that scarce federal funds are being well spent. That'swhy Commission staff are taking a hard look at eliminating any waste, fraud, and abuse withinthe RHC program. After all, every dollar misspent by an unscrupulous service provider is adollar that can't offset the costs that doctors and nurses incur serving some of the mostvulnerable patients in America. I look forward to working with my colleagues to continue theseefforts later this year.

I appreciate your continued interest in this matter. Please let me know if I can be of anyfurther assistance.

Sincerely,