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).”

Oswego County, NY officials are celebrating the award of a new $26 million New York State grant aimed at dramatically expanding affordable fiber access to long-underserved rural communities in the northwestern part of the state, just north of Syracuse.

According to the announcement by New York State Governor Kathy Hochul, Oswego’s latest grant award will help fund the deployment of 345 miles of new fiber infrastructure to largely rural unserved regions, helping to bring affordable broadband access to nearly 11,000 homes, businesses and community institutions across 22 towns and villages.

Oswego County will own the finished open access network and lease the fiber to Internet Service Providers (SPs), including Empire Access, "on a non-discriminatory and non-exclusive basis."

Empire, a family-owned ISP and named the fastest ISP in the nation by PCMag in 2021, currently offers local residents symmetrical 500 Megabit per second (Mbps) service for $50 a month; symmetrical 1 gigabit per second (Gbps) service for $65 a month; and symmetrical 2 Gbps service for $100 a month.

California ISP Onward, which has increasingly partnered with California cities to expand affordable fiber access, is leveraging $4.7 million in American Rescue Plan Act (ARPA) broadband grants to further expand its footprint into long-unserved areas of San Diego County.

According to a recent announcement, San Diego county’s Broadband Committee has approved nearly $9 million in ARPA broadband grants to help expand fiber access to 1,000 residents in three unincorporated areas:

• $4.7M awarded to Onward to deliver high-speed internet service to 281 households in Warner Springs.
• $2.7M awarded to AT&T to deliver high-speed service to 101 households in San Dieguito.
• $1.5M awarded to AT&T to deliver service to 53 households in Ramona.

The county says a Notice of Funding Availability was shared with all known Internet Service Providers in the County back in July of 2024. The County requested grant proposals through public outreach and engagement based on findings from its Comprehensive Broadband Plan.

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The effort is running parallel with the San Diego County Library Tech Connect Program that has provided 7,000 Google Chromebooks and MiFi hotspots with unlimited data plans to residents and students to the internet for free.

The Onward website states that the planned $4.7 million expansion into Warner Springs is still in the planning stage, but that once completed the fiber options will be between 10 to 100 times faster than existing offerings. Onward has also partnered with Rancho Cucamonga to dramatically boost access elsewhere in San Diego County.

Since it first broke ground in 2014, Longmont, Colorado’s city-owned NextLight fiber network has won numerous awards and inspired countless communities nationwide.

Now the popular community provider has reached another milestone: it now delivers next-generation affordable fiber access to 28,000 area residents.

The municipal broadband provider also announced that ongoing community support means the city is on track to repay its construction bond by the 2029 due date.

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“NextLight currently passes about 90 percent of the 47,000 premises in Longmont,” NextLight’s Scott Rochat told ILSR. “So at present, we serve about two-thirds of those homes and businesses. We’re delighted to see that so many in the community have chosen to make NextLight their choice for internet service, and we keep welcoming more.”

Last year, Rochat told ILSR the network passed 42,000 premises and was seeing a 64 percent take rate in Longmont.

The network has been so popular locally that officials have pushed the fiber network into neighboring areas, funded exclusively by subscriber revenues and money set aside for capital projects, with no bonding or other supplementary funds involved.

The Arkansas State Broadband Office – ARConnect – continues to leverage American Rescue Plan Act (ARPA) funds to drive affordable fiber access into underserved parts of the Natural State.

Three funding rounds are winding their way to completion, as fiber connectivity is being made available to rural markets for the first time, with a heavy reliance on local cooperatives.

ARConnect officials say they’ve now awarded more than $534 million in grants that will expand access to 130,000 locations in total, with most of the projects completed by 2030. Including matching funds, $1 billion is expected to be invested in total, bringing notable improvements to an estimated 875,000 Arkansas residents.

The Arkansas ARC Grant Program began in February 2021, using federal Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Program funding propped up by ARPA, which both Republican Arkansas state senators voted against.

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As of last December, state officials have committed all but $4,832 of its $1.57 billion in ARPA funds to active projects in the state.

ARC Round 1 doled out $118 million in grants to 76 projects, expanding access to approximately 55,700 homes, businesses, and community anchor institutions.

ARC Round 2 awarded $274.4 million in grants to 87 different projects, impacting approximately 54,000 homes, businesses, and community anchor institutions.

The Volunteer Energy Cooperative (VEC) in Birchwood Tennessee says it’s leveraging American Rescue Plan Act (ARPA) funding to expand affordable fiber access into long underserved parts of The Volunteer State.

Roughly 10 percent of residents in the unincorporated areas of Hamilton County, Tennessee lack access to broadband. A problem that’s probably worse given the notorious unreliability of FCC broadband mapping data. Tennessee is currently ranked 24th in the nation in terms of broadband availability, affordability, and speed.

Enter VEC, which has begun construction on a new fiber expansion plan that will bring affordable fiber access to nearly 300 homes in Birchwood thanks to a $615,617 ARPA grant.

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“Whether it’s educational, or if it’s business, even this community center that we’re in today, if you’re going to have opportunities for the youth, you have to connect to the internet,” VEC CEO Dion Cooper tells local CBS affiliate WDEF 12.

VEC’s fiber expansion will extend fiber-optic lines along Birchwood Pike from Highway 60 to David Hill Road, later expanding westward toward the Tennessee River and eastward along Grasshopper Road to Pierce Road. In addition to the fiber expansion, Hamilton County recently secured a state grant to develop a modern computer lab at the Birchwood Community Center.

The Maine Connectivity Authority (MCA) continues to make steady inroads bridging the state’s long standing digital divide on the back of federal grants and a public private-partnership between Lincoln County and Consolidated Communications (Fidum Fiber).

In January, Fidium announced it was beginning construction on the project, which should bring fiber connectivity to 8,300 homes and businesses.

The first phase of the project aims to expand fiber to the towns of Wiscasset, Whitefield, and Edgecomb, as well as parts of Alna and Westport Island. Partial Route 1 closures were required due to fiber installs.

Ultimately, the partnership is also intended to bring fiber access for the first time to Alna, Boothbay, Boothbay Harbor, Dresden, Nobleboro, Southport, Waldoboro, and Woolwich, in neighboring Sagadahoc County.

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This project is being paid for by American Rescue Plan Act (ARPA) funds, an MCA grant, and Consolidated Communications (Fidium Fiber). The funding was part of a broader $9.6 million in grant awards announced by the MCA last August, intended to bring fiber to 15,561 homes and businesses across 12 widely underserved communities in the Pine Tree state.

Lincoln County in particular saw a grant award of $6 million matched by $24.3 million in private and public investment – including county ARPA funds – which the MCA notes was the “highest percentage of financial commitment from any public-private partnership awarded through an MCA program to date.”

“We're thrilled to partner with Fidium to expand their fiber broadband network to our community,” Wiscasset Town Manager Dennis Simmons said of the opportunity.

As federal broadband funding sources face continued uncertainty, California’s massive last-mile grant program continues to plow ahead, looking increasingly like a vital lifeline for communities hoping to ensure that every individual has access to robust, reliable, and affordable Internet access.

Cold Springs Rancheria of Mono Indians was among the applicants celebrating a winning grant application in the California Public Utilities Commission’s (CPUC) latest Federal Funding Account (FFA) announcement.

The grant marks the eighth successful application by a Tribal nation in this program and another in a long list of community-focused projects led by public entities like municipalities.

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Cold Spring Rancheria’s application, for up to $1.5 million dollars, will bring much-needed connectivity to a total of 94 units, including 5 anchor institutions, on the Reservation in Fresno County with 100 percent of the households served by this project qualifying as low-income.

Many residents on the Reservation lack access to a terrestrial Internet service offering speeds anywhere near the definition of broadband (100 Mbps Upload/20 Mbps Download). Those that do have access to purported “broadband” speeds must rely on out-of-date DSL connections and, as a result, struggle with slow and spotty connections.

After working for several years to find a viable solution to these connectivity challenges, Tribal officials can now look forward to the fastest and most reliable Internet access via fiber-to-the-home technology.

The new, Tribally-owned broadband network will help the Tribe achieve universal access.

Officials in Carver County Minnesota continue to make great progress expanding affordable fiber access to the county of 111,000 residents, thanks largely to their publicly-owned open access fiber network CarverLink and their partnership with Metronet.

Since its inception in 2013, Carver County has leveraged public and private collaborations and funding with the goal of making symmetrical gigabit (1 Gbps) fiber available to all locations county wide. With the looming completion of its most recent $10.5 million expansion, CarverLink Fiber Manager Randy Lehs told ISLR they’re getting very close to their ultimate goal.

The county currently has ownership and use of nearly 1,200 miles of fiber throughout Carver County and southern Minnesota connecting more than 280 last mile public and community support locations. Many of these markets have no connectivity; many others are stuck on dated, sluggish, patchy connectivity from regional monopolies.

CarverLink doesn’t provide fiber directly to residents and businesses. Instead it long-ago established a partnership with Metronet (formerly Jaguar Communications), to provide gigabit fiber service to businesses and local residential households. Winner of PCMag's “Fastest Major ISP for 2023” award, Metronet provides multi-gigabit fiber to 300+ communities across 17 states.

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“CarverLink also oversees the availability of dark fiber within our network that is available to qualified service providers or other entities using dark fiber for new opportunities–open access, open interconnect fiber,” Lehs said.  “And through our open access fiber, services are also available from Broadband-MN and Arvig.”