Many rural healthcare facilities are struggling to keep their doors open. Some have been shuttered. Add to that the looming federal budget crisis threatening to end Medicare payments for telehealth and the urgency of what a coalition of Vermont healthcare leaders, librarians, and state broadband officials are doing comes into view. 

It’s called VITAL VT (Virtual Integration for Telehealth Access through Libraries in Vermont) – an exploratory effort being launched with a $10,000 grant from the Leahy Institute For Rural Partnerships, working in collaboration with the University of Vermont Medical Center and the Vermont Library Association.

The aim is to leverage the state’s unprecedented deployment of community-owned fiber networks and create a scalable, community-centered telehealth model. 

“We’re really looking to find any way to make any of our community members in Vermont get access to care – easier, better, quicker. So we’re wondering if telehealth (hubs) might be the right answer for that, if we’re able to put it right in people’s libraries, right in their own towns,” Roz King, chief of research for emergency medicine at the University of Vermont, told local CBS affiliate WCAX.

Data-mapping ‘Healthcare Deserts’

In speaking with ILSR this week, King said what spurred the initiative was a talk given by one of UVM’s medical students who noted how Vermont was beginning to see “healthcare deserts where in some rural counties PCP’s were aging out and no one was there to provide healthcare (services).”

As the municipal broadband movement continues to gain momentum, we created a new fact sheet to highlight the dramatic surge in the number of communities building publicly-owned, locally controlled high-speed Internet infrastructure over the last three years.

In January, we announced our updated tally of municipal broadband networks across the U.S., which showed that between January 2021 and January 2024 at least 47 new municipal networks had been lit up for service.

Our census of new municipal broadband networks comes while dozens of other projects are still in the planning or pre-construction phase, which includes the possibility of building 40 new municipal networks in California alone.

The new fact sheet not only contains pertinent numbers to illustrate the rising tide of municipal broadband networks, it also includes snapshots of four recently launched networks now providing service to communities hungry for high-quality Internet connectivity and competitive choice.

You can find the new Rising Tide of Municipal Broadband fact sheet here.

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Community Broadband Resource Pairing

NEK Broadband has been awarded a $16 million grant by the Vermont Community Broadband Board (VCBB) to expand fiber access to 10 new Vermont communities. It’s among the earliest of what is likely to be a flurry of activity by the mostly-newly created Communications Union Districts - partnerships between rural cities and towns - which have formed over the last few years to solve the connectivity crisis for the tens of thousands of Vermonters who have been left behind by the current broadband marketplace.

A New Approach

Vermont’s broadband policy leaders say they plan to embrace CUDs as the primary avenue by which they hope to bridge the state’s long standing digital divide. A significant portion of the state’s $150 million broadband package will be funneled toward CUDs in a state where 85 percent of municipalities and 90 percent of underserved locations fall within a CUD.

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The formation of most of the state’s CUDs is relatively new, though the most veteran example (EC Fiber) formed more than fifteen years ago. After years of persistence by EC Fiber, determined progress, and attitudinal changes in policy at the state level, CUDs now sit at the heart of the state’s rural broadband efforts.

With nearly 65,000 households unable to connect to the Internet at basic broadband speeds of 25/3 Megabits per second (Mbps), municipalities across the Green Mountain State have risen to the fore in formulating creative models for addressing the tens of thousands of homes without broadband access. Iterating on the EC Fiber (with roots back to the early 2000s), joint, municipally led projects have led to the creation of a total of nine Communications Union Districts (CUDs) at present, which places community-owned broadband at the forefront in Vermont.

What’s equally exciting is that the state has likewise stepped up, calling the CUDs the primary avenue by which it will solve the state’s connectivity crisis, and funneling at least $116 million in their direction in the next handful of years, with much of this spending dedicated to CUDs. To date, nearly 85 percent of Vermont’s municipalities and 90 percent of its underserved locations fall within a CUD. 

ILSR’s Community Broadband Initiative Director Christopher Mitchell recently joined Kimberly Adams on Marketplace Tech to talk about the $65 billion in the infrastructure bill that is being allocated to expanding broadband access. The pandemic exposed many inequities in our economy including the lack of robust Internet connectivity in many rural areas. The infrastructure bill is a start to mending the injustices that have existed in the broadband sector for over a decade. 

The key takeaway from the infrastructure bill, Christopher explains, is “that we are going to see unprecedented investment in rural connectivity, and we have multiple years’ worth of subsidies for low-income families, where they don’t earn enough money to be able to afford the connection that may already be available to them.” 

Vermont, one of the most rural states on the map, is a successful model for developing reliable broadband systems. “They have developed a system in which a lot of the nearby communities can band together. They work with a local provider, and that company will then use the infrastructure that is owned by the community to deliver services across it.”

Building equitable broadband infrastructure is no small feat. Critical components easily get lost in legislation, like affordable connectivity for middle-class Americans. As Christopher puts it, “What about the rest of us?” This is one success, of many, in the long fight for accessible Internet connectivity.

Listen to the episode below, or here.

This story originally appeared on ILSR.org. Read the original here.

Vermont’s nine Communication Union Districts (CUDs) were formed to build communication infrastructure to deliver reliable and affordable high-speed Internet access across one of the most rural states in the nation.

The East Central CUD, which owns and operates EC Fiber, has led the charge since its founding in 2011. But over the last few years other CUDs have launched their own plans to build fiber-to-the-home (FTTH) networks in their respective districts with each at various stages of planning or building.

Addison County is situated on the western border of the state about 35 miles west of the state capital (Montpelier), tucked between Lake Champlain and the Green Mountains. The region has long been served, or rather underserved, by Comcast, as the area’s primary Internet Service Provider does not cover the most rural parts of the county, leaving many of the county’s approximately 36,200 residents with outdated DSL service.

The Vermont Department of Public Service released its most recent 10-year telecommunications plan earlier this month, once again prioritizing Communication Union Districts (CUDs) as the key to closing the digital divide and connecting the 51,000 households that remain unserved and underserved throughout the state. 

The nearly 400-page report outlines a community-centered plan to deploy infrastructure providing 100 megabits per second (Mbps) symmetrical broadband across the state, with capabilities to increase speeds when demand warrants it. The plan maintains that the two main ways to get there are via partnerships and fiber.

The report - which was developed in partnership with CTC Energy and Technology and Vermont-based Rural Innovations Strategies, Inc. - details the importance of  optimizing the power of public-private partnership in maintaining that balance. 

The plan comes off the heels of the state legislature passing H.B. 360, a $150 million broadband bill which was funded by the federal American Rescue Act Plan, in May. The bill, now Act 71, created the Vermont Community Broadband Board and tasked the board with helping to fund and organize the deployment of broadband infrastructure for Vermont's nine CUDs.

CUDs were created in 2015, when the state legislature passed a law allowing two or more towns to join forces as a municipal entity and build communication infrastructure together. The hope was that CUDs would prompt local areas to assume responsibility and control over the broadband solution in their areas by collaborating with ILECs and ISPs. They succeeded and have been rapidly gaining steam over the last few years, with, for example, some DV Fiber currently working to serve upwards of 20 towns in the Southeast corner of the state, and NEK CUD working in Vermont’s Northeast Kingdom to serve more than 50.