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COVID-19 Telehealth Program (rule, 86 FR 18898, April 12, 2021)

Summary

A Federal Communications Commission final rule published in the Federal Register on April 12, 2021 (Vol. 86, No. 68), summarizing the Report and Order in WC Docket No. 20–89, FCC 21–24, on the COVID-19 Telehealth Program. It expands the administrative responsibilities of the Universal Service Administrative Company (USAC). The Commission finds it in the public's interest to direct USAC to administer the remainder of Round 1 and all of Round 2 of the Program under the Commission's oversight. The rule is effective April 12, 2021 and applicable February 2, 2021, and names Stephanie Minnock of the Wireline Competition Bureau as the contact.

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Cite this document

“COVID-19 Telehealth Program (rule, 86 FR 18898, April 12, 2021).” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/covid-19-telehealth-program-rule-86-fr-18898-april-12-2021-a47aa2f03d/, SHA-256 e9c6ee863e7770840f0eaac459efe92c24fc88b18f058631aab8b0f89ea82dc2.

Full text

                                             18898               Federal Register / Vol. 86, No. 68 / Monday, April 12, 2021 / Rules and Regulations

                                             Guard Patrol Commander enforcing the                    the petition reaffirming its commitment                the entry for Columbia to read as
                                             security zone can be contacted on VHF–                  to applying for channel 27. The Bureau                 follows:
                                             FM channels 16 and 22A.                                 believes the public interest would be                  *     *     *    *    *
                                               (4) Coast Guard Sector San Juan will,                 served by the substitution and will                      (i) * * *
                                             when necessary and practicable, notify                  permit KOMU–TV to better serve its
                                             the maritime community of periods                       viewers, who have experienced                                       Community                          Channel No.
                                             during which the security zone will be                  reception problems with VHF channel
                                             in effect by providing advance notice of                8.
                                             scheduled arrivals and departure of                                                                                 *            *            *           *           *
                                                                                                        This is a synopsis of the
                                             cruise ships via a Marine Broadcast                     Commission’s Report and Order, MB                                              MISSOURI
                                             Notice to Mariners.                                     Docket No. 20–428; RM–11870; DA 21–
                                               (5) All persons and vessels must                      268, adopted March 4, 2021, and
                                             comply with the instructions of on-                     released March 4, 2021. The full text of                   *          *              *             *          *
                                             scene patrol personnel. On-scene patrol                 this document is available for download                 Columbia .................................          17, 27
                                             personnel include commissioned,                         at https://www.fcc.gov/edocs. To request
                                             warrant, or petty officers of the U.S.                                                                              *            *            *           *           *
                                                                                                     materials in accessible formats for
                                             Coast Guard. Coast Guard Auxiliary and                  people with disabilities (braille, large               [FR Doc. 2021–06391 Filed 4–9–21; 8:45 am]
                                             local or state officials may be present to              print, electronic files, audio format),                BILLING CODE 6712–01–P
                                             inform vessel operators of the                          send an email to fcc504@fcc.gov or call
                                             requirements of this section, and other                 the Consumer & Governmental Affairs
                                             applicable laws.                                        Bureau at 202–418–0530 (voice), 202–
                                               (c) Definition. As used in this section,                                                                     FEDERAL COMMUNICATIONS
                                                                                                     418–0432 (tty).                                        COMMISSION
                                             cruise ship means a passenger vessel
                                             greater than 100 feet in length that is                    This document does not contain
                                                                                                     information collection requirements                    47 CFR Chapter I
                                             authorized to carry more than 150
                                             passengers for hire, except for a ferry.                subject to the Paperwork Reduction Act                 [WC Docket No. 20–89; FCC 21–24; FRS
                                                                                                     of 1995, Public Law 104–13. In addition,               17581]
                                               Dated: April 6, 2021.                                 therefore, it does not contain any
                                             Gregory H. Magee,                                       proposed information collection burden                 COVID–19 Telehealth Program
                                             Captain, U.S. Coast Guard, Captain of the               ‘‘for small business concerns with fewer
                                                                                                                                                            AGENCY: Federal Communications
                                             Port San Juan.                                          than 25 employees,’’ pursuant to the
                                                                                                                                                            Commission.
                                             [FR Doc. 2021–07439 Filed 4–9–21; 8:45 am]              Small Business Paperwork Relief Act of
                                                                                                                                                            ACTION: Final rule.
                                             BILLING CODE 9110–04–P                                  2002, Public Law 107–198, see 44 U.S.C.
                                                                                                     3506(c)(4). Provisions of the Regulatory               SUMMARY: In this document, the Federal
                                                                                                     Flexibility Act of 1980, 5 U.S.C. 601–                 Communications Commission
                                             FEDERAL COMMUNICATIONS                                  612, do not apply to this proceeding.                  (Commission) takes the next steps in
                                             COMMISSION                                                 The Commission will send a copy of                  funding the COVID–19 Telehealth
                                                                                                     this Report and Order in a report to be                Program (Program) by expanding the
                                             47 CFR Part 73                                          sent to Congress and the Government                    administrative responsibilities of the
                                             [MB Docket No. 20–428; RM–11870; DA 21–                 Accountability Office pursuant to the                  Universal Service Administrative
                                             268; FR ID 17580]                                       Congressional review Act, see 5 U.S.C.                 Company (USAC). The Commission
                                                                                                     801(a)(1)(A).                                          finds it in the public’s interest to direct
                                             Television Broadcasting Services;                                                                              USAC to administer the remainder of
                                             Columbia, Missouri                                      List of Subjects in 47 CFR Part 73
                                                                                                                                                            Round 1 and all of Round 2 of the
                                             AGENCY: Federal Communications
                                                                                                           Television.                                      Program under the Commission’s
                                             Commission.                                             Federal Communications Commission.                     oversight.
                                             ACTION: Final rule.                                     Thomas Horan.                                          DATES: Effective April 12, 2021 and
                                                                                                     Chief of Staff, Media Bureau.                          applicable February 2, 2021.
                                             SUMMARY: On March 4, 2021, the Media                                                                           FOR FURTHER INFORMATION CONTACT:
                                             Bureau, Video Division (Bureau) issued                  Final Rule                                             Stephanie Minnock, Wireline
                                             a Notice of Proposed Rulemaking in                        For the reasons discussed in the                     Competition Bureau, 202–418–7400 or
                                             response to a petition for rulemaking                   preamble, the Federal Communications                   by email at Stephanie.Minnock@fcc.gov.
                                             filed by The Curators of the University                 Commission amends 47 CFR part 73 as                    We ask that requests for
                                             of Missouri (University), the licensee of               follows:                                               accommodations be made as soon as
                                             KOMU–TV, channel 8 (NBC/CW),                                                                                   possible in order to allow the agency to
                                             Columbia, Missouri, requesting the                      PART 73—RADIO BROADCAST                                satisfy such requests whenever possible.
                                             substitution of channel 27 for channel 8                SERVICE                                                Send an email to fcc504@fcc.gov or call
                                             at Columbia in the DTV Table of                                                                                the Consumer and Governmental Affairs
                                             Allotments. For the reasons set forth in                ■ 1. The authority citation for part 73                Bureau at (202) 418–0530.
                                             the Report and Order referenced below,                  continues to read as follows:                          SUPPLEMENTARY INFORMATION: This is a
                                             the Bureau substitutes channel 27 for                                                                          summary of the Commission’s
                                                                                                       Authority: 47 U.S.C. 154, 155, 301, 303,




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                                             channel 8 at Columbia.                                  307, 309, 310, 334, 336, and 339.                      document, Report and Order in WC
                                             DATES: Effective April 12, 2021.                                                                               Docket No. 20–89; FCC 21–24, adopted
                                             FOR FURTHER INFORMATION CONTACT:                        § 73.622 Digital television table of
                                                                                                                                                            on February 2, 2021 and released on
                                                                                                     allotments.
                                             Joyce Bernstein, Media Bureau, at (202)                                                                        February 2, 2021. Due to the COVID–19
                                             418–1647 or Joyce.Bernstein@fcc.gov.                    ■ 2. In § 73.622 in paragraph (i), amend               pandemic, the Commission’s
                                             SUPPLEMENTARY INFORMATION: The                          the Post-Transition Table of DTV                       headquarters will be closed to the
                                             University filed comments in support of                 Allotments, under Missouri, by revising                general public until further notice. The


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                                                                 Federal Register / Vol. 86, No. 68 / Monday, April 12, 2021 / Rules and Regulations                                        18899

                                             full text of this document is available at                 3. The CARES Act, which authorized                 metrics in a subsequent order.
                                             the following internet address: https://                the Commission to create the Program,                 Thereafter, Commission staff will
                                             docs.fcc.gov/public/attachments/FCC-                    allows the Commission to rely on its                  provide USAC with additional guidance
                                             21-24A1.pdf.                                            rules under Part 54, i.e., to use the                 as necessary regarding remaining Round
                                                                                                     services of USAC, if the Commission                   1 responsibilities, the Round 2
                                             I. Introduction
                                                                                                     determines that doing so is in the public             application review process, the Round 2
                                                1. In the Report and Order, the                      interest. During Round 1 of the Program,              application prioritization criteria, the
                                             Commission takes the next step towards                  the Commission made this public                       Round 2 invoice review process, and
                                             committing funding through the                          interest finding and directed USAC to                 any other related administrative
                                             COVID–19 Telehealth Program by                          help administer a narrow portion of the               functions required to implement the
                                             finding it is in the public interest to                 Program by processing eligibility                     Program. Given the ongoing nature of
                                             expand the administrative                               determinations and promoting the                      the pandemic, and the urgent need for
                                             responsibilities of the Universal Service               Program to interested stakeholders.                   the Program, the Commission finds that
                                             Administrative Company to include the                   Based on the lessons learned during                   it is in the public interest to designate
                                             Program. The ongoing COVID–19                           Round 1, the need to complete Round                   USAC as the administrator for the
                                             pandemic has caused unprecedented                       1 and swiftly implement Round 2 of the                Program at this time so that it can
                                             stress on the Nation’s health care                      Program, USAC’s extensive experience,                 expeditiously put into place any
                                             system. As health care providers have                   and the support of commenters in the                  necessary administrative resources and
                                             struggled to provide urgently needed                    record, the Commission finds it is in the             processes while the Commission and its
                                             care, telehealth has emerged as an                      public interest to direct USAC to                     staff continue to evaluate policy
                                             essential resource to combatting the                    administer the remainder of Round 1                   questions.
                                             pandemic. In March 2020, Congress                       and all of Round 2 of the Program under                  7. The Commission delegates
                                             allocated $200 million to the                           the Commission’s oversight.                           financial oversight of the Program to the
                                             Commission to establish a program to                       4. USAC has more than 20 years of                  Commission’s Managing Director and
                                             help health care providers offer                        expertise developed from administering                direct the Office of the Managing
                                             telehealth and connected care services                  the Commission’s Universal Service                    Director (OMD) to work in coordination
                                             and connected devices to patients at                    Fund Programs, which includes, but is                 with the Wireline Competition Bureau
                                             their homes or mobile locations in                      not limited to, conducting applicant                  (Bureau) to ensure that all financial
                                             response to the COVID–19 pandemic.                      outreach, developing application                      aspects of the program have adequate
                                             The Commission established the                          systems, reviewing funding requests,                  internal controls. These duties fall
                                             Program and committed this funding to                   and processing requests for                           within OMD’s current delegated
                                             health care providers across the country.               disbursement. Given USAC’s long-                      authority to ensure that the Commission
                                             In December 2020, Congress                              standing, successful record of                        operates in accordance with federal
                                             appropriated an additional $249.95                      administering the Universal Service                   financial statutes and guidance. Such
                                             million for a second round of funding                   Fund Programs, directing USAC to                      financial oversight must be consistent
                                             for the Program under the Consolidated                  administer this Program would ensure                  with the metrics to be established by the
                                             Appropriations Act, 2021.                               the expeditious implementation of                     Commission in a subsequent order, and
                                             II. Discussion                                          Round 2 of the Program and efficient                  any Commission rules and policies to
                                                                                                     continuation of the remaining work of                 the extent these are applicable to the
                                                2. After careful review of the record,               Round 1 of the Program. In addition,                  Program. OMD performs this role with
                                             and consideration of the Commission’s                   using USAC in this manner will allow                  respect to USAC’s administration of the
                                             staff resources and the need to                         for more efficient allocation of                      Commission’s Universal Service
                                             expeditiously implement Round 2 of the                  Commission staff resources.                           Programs and the Commission
                                             Program, the Commission adopted the                        5. The record further supports using               anticipates that OMD will leverage
                                             proposal to direct USAC to administer                   USAC for the administration of the                    existing policies and procedures, to the
                                             the remainder of Round 1, which                         remainder of Round 1 and all of Round                 extent practicable and consistent with
                                             includes, but is not limited to,                        2 of the Program. Commenters that                     section 903 of the Consolidated
                                             conducting an initial review of invoices,               opined on this matter supported the                   Appropriations Act, 2021, Public Law
                                             providing outreach and guidance to                      proposal to have USAC administer the                  116–260, 134 Stat. 1182 to ensure the
                                             stakeholders about the invoicing                        Program, and at least one commenter                   efficient and effective management of
                                             processes, and processing post-program                  noted USAC’s successful administration                the Program. The Commission
                                             feedback reports. The Commission                        of the Rural Health Care Program.                     anticipates that among the first acts,
                                             similarly directs USAC to administer all                Although another commenter noted that                 OMD will perform to ensure satisfaction
                                             of Round 2 of the Program, which                        USAC would need additional resources                  of its financial management obligations
                                             includes, but is not limited to, updating               to accommodate this work, the                         is the execution of a memorandum of
                                             the portal that will be used by                         Commission intends to allocate a                      understanding, or similar agreement,
                                             applicants, reviewing applications                      sufficient amount of administrative                   with USAC. Finally, the Commission
                                             consistent with the metrics to be                       expenses from the COVID–19 Telehealth                 notes that OMD is required to consult
                                             established by the Commission in a                      appropriation to USAC so that it can                  with the Bureau on any policy matters
                                             subsequent order, conducting an initial                 successfully mobilize the necessary                   affecting the Program, consistent with
                                             review of invoices, providing outreach                  resources to administer the Program.                  § 0.91(a) of the Commission’s rules.
                                             and guidance to stakeholders about the                     6. Consistent with its role in                        8. In USAC’s administration of the




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                                             application and invoicing processes,                    administering the Universal Service                   Program, it is directed to comply with,
                                             and administering any required audit                    Fund Programs, USAC’s role for the                    on an ongoing basis, all applicable laws
                                             and reporting requirements. For both                    Program will be limited to program                    and Federal government guidance on
                                             the remainder of Round 1 and all of                     administration; USAC will not have                    privacy and information security
                                             Round 2 of the Program, the                             authority to make policy decisions for                standards and requirements, such as the
                                             Commission will retain the final                        the Program. As indicated, the full                   Privacy Act, relevant provisions in the
                                             funding decision-making authority.                      Commission will establish award                       Federal Information Security


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                                             18900               Federal Register / Vol. 86, No. 68 / Monday, April 12, 2021 / Rules and Regulations

                                             Modernization Act of 2014, National                     USAC’s ability to prepare for the                     Office of Management and Budget
                                             Institute of Standards and Technology                   administration of the Program would                   (OMB), concurs that the rules adopted
                                             publications, and Office of Management                  result in a delay in the commitment and               herein are ‘‘non-major’’ under the
                                             and Budget guidance.                                    use of Program funds. In light of the                 Congressional Review Act, 5 U.S.C.
                                                9. The Commission finds that the                     continued spread and devastating                      804(2). Because the Commission finds
                                             Public Notice, DA 21–14 rel. Jan 6, 2021                impact of COVID–19, and the continued                 for good cause that notice and public
                                             provided sufficient notice and allowed                  urgent need to address this public                    procedure on the rules adopted herein
                                             for suitable public comment on our                      health crises, any further delay in the               is impracticable, unnecessary, or
                                             proposal to allow USAC to administer                    use of Program funds to assist health                 contrary to the public interest, the
                                             the Program. However, out of an                         care providers in meeting the health                  Report and Order will become effective
                                             abundance of caution, the Commission                    care needs of their patients could                    February 2, 2021 pursuant to 5 U.S.C.
                                             also determines that using additional                   impede efforts to mitigate the spread of              808(2). The Commission will send a
                                             notice and comment procedures for the                   the disease, and would also frustrate                 copy of the Report and Order to
                                             administration of the emergency relief                  Congress’s decision to declare an                     Congress and the Government
                                             Program, and thereby delaying its                       ‘‘emergency period’’ when it                          Accountability Office pursuant to 5
                                             effectiveness by at least several months,               appropriated $200 million for Round 1                 U.S.C. 801(a)(1)(A).
                                             would be impracticable and contrary to                  of the Program. This emergency relief
                                                                                                     imposes a minimal regulatory burden on                IV. Ordering Clauses
                                             the public interest. The good cause
                                             exception to the notice and comment                     any parties and serves to expedite the                  13. Accordingly, it is ordered that,
                                             procedures of the Administrative                        commitment of appropriated funds to                   pursuant to the authority contained in
                                             Procedure Act ‘‘excuses notice and                      help health care providers combat this                sections 201, 254, 303(r), and 403 of the
                                             comment in emergency situations, or                     global pandemic. For the same reasons,                Communications Act of 1934, as
                                             where delay could result in serious                     and because USAC must begin                           amended, 47 U.S.C. 201, 254, 303(r),
                                             harm.’’ ‘‘In determining whether good                   preparations as soon as practicable to                and 403, DIVISION B of the Coronavirus
                                             cause exists, an agency should ‘balance                 handle the tasks the Commission has                   Aid, Relief, and Economic Security Act,
                                             the necessity for immediate                             assigned to it, the Commission also                   Public Law No 116–136, 134 Stat. 281,
                                             implementation against principles of                    finds good cause to make the rules                    and DIVISION N of the Consolidated
                                             fundamental fairness which require that                 granting this relief effective immediately            Appropriations Act, 2021, Public Law
                                             all affected persons be afforded a                      upon release of the Report and Order.                 116–260, 134 Stat. 1182, the Report and
                                             reasonable amount of time to prepare for                III. Procedural Matters                               Order is adopted.
                                             the effective date of its ruling.’ ’’                                                                           14. It is further ordered that, pursuant
                                                10. As a general matter, the                         A. Paperwork Reduction Act Analysis                   to the authority contained in section
                                             Commission believes that public notice                    11. This document contains no new                   808(2) of the Congressional Review Act,
                                             and comment requirements are an                         information collection requirements                   5 U.S.C. 808(2), the Report and Order
                                             essential component of our rulemaking                   subject to the Paperwork Reduction Act                shall become effective February 2, 2021.
                                             process. In this case, however, because                 of 1995 (PRA), Public Law 104–13.
                                             of the unprecedented nature of this                                                                           Federal Communications Commission.
                                             pandemic and the need for immediate                     B. Congressional Review Act                           Marlene Dortch,
                                             action, the Commission finds there is                     12. The Commission has determined,                  Secretary.
                                             good cause for forgoing a formal Notice                 and the Administrator of the Office of                [FR Doc. 2021–06153 Filed 4–9–21; 8:45 am]
                                             of Proposed Rulemaking. Delaying                        Information and Regulatory Affairs,                   BILLING CODE 6712–01–P




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