Ke hoʻohana nei i ka pūnaewele .gov mana ʻO ka pūnaewele .gov nona ka hui aupuni aupuni o ʻAmelika.
ʻO kahi kahua paʻa .gov e hoʻohana ana i kahi HTTPS (padlock) a i ʻole https:// blocking, ʻo ia hoʻi, pili ʻoe i ka pūnaewele .gov ma kahi ʻano palekana.E kaʻana like i ka ʻike koʻikoʻi ma nā pūnaewele paʻa a paʻa.
Welina mai i ka HHS.gov i hoʻolālā hou ʻia i ka hoʻokō ʻana i ka hoʻolālā ʻike maka o ka Pūnaehana Hoʻolālā Pūnaewele ʻAmelika.Hoʻomau like ka ʻike a me ka hoʻokele ʻana, akā ʻoi aku ka maʻalahi o ka hoʻolālā hou ʻana a me ka mobile-friendly.
Ke hoʻomau nei ke Keʻena ʻOihana Ola a me nā lawelawe kanaka (HHS a i ʻole ke Keʻena) i ke kaʻina o ka hoʻololi ʻana mai nā kulekele pilikia COVID-19, makemake ka 'Oihana e wehewehe i ka telehealth federal e hiki mai ana a me nā mea hoʻokele mamao e hiki ai ke hoʻomau i ka loaʻa ʻana o ke kōkua iā lākou. pono.Aia ma lalo kahi pepa ʻoiaʻiʻo e hōʻike ana i nā mea e hoʻololi ai no nā maʻi a me nā mea mālama olakino i ka wā i haʻi aku ai ke Kakauolelo HHS i kahi Public Health Emergency (PHE) no COVID-19 e like me ka Paukū 319 o ka Public Health Service Act (e ʻike i lalo) ), e mau ana ka loli ʻole. ma ke ʻano he "COVID".-19 PHE”).Pau ka PHE.Ua ʻae ʻo Congress i ka Omnibus Appropriations Act o 2023, e hoʻolōʻihi ana i ka nui o ka hoʻolālā olakino telehealth maʻalahi i hilinaʻi ʻia e ka poʻe i ka wā PHE COVID-19 a hiki i ka hopena o 2024. HHS e kaʻana i nā alakaʻi hou aʻe no nā mea hou a me nā lā palena e pili ana i ka mālama ʻana i kēia mau maʻalahi. Eia hou, ke hoʻohana nei ka Health Resources and Services Administration (HRSA) i ka pūnaewele HHS www.Telehealth.HHS.gov, e hoʻomau i ka lawelawe ʻana ma ke ʻano he kumu no nā maʻi, nā mea mālama olakino a me nā mokuʻāina no ka ʻike telemedicine e like me nā hana maikaʻi loa telemedicine, nā hoʻoponopono kulekele. a me nā uku hou, nā laikini interstate, ke komo ʻana i ka broadband, nā manawa kālā, a me nā hanana.
ʻO Medicare a me Telehealth I ka wā PHE, hiki i ka poʻe me Medicare ke komo ākea i nā lawelawe telehealth, e komo pū ana i ko lākou mau home, me ka ʻole o ka palena ʻāina a i ʻole ka palena wahi ma muli o ke Kakauolelo o ka Appropriations Act e hoʻopuka ana i nā mea hoʻohui i ka Appropriations Preparedness and Response Act no Telemedicine 2020 a me Coronavirus.Kānāwai kōkua, kōkua a me ka palekana waiwai.Loaʻa i ka Telemedicine nā lawelawe i hāʻawi ʻia ma o nā ʻōnaehana kelepona e like me nā kamepiula a hiki i nā mea mālama olakino ke hāʻawi i ka mālama i nā maʻi ma kahi mamao ma mua o ke kino ma ke keʻena.ʻO ka Consolidated Appropriations Act o 2023 e hoʻonui i ka nui o Medicare telemedicine flexibilities a hiki i Dekemaba 31, 2024, e like me:
Eia kekahi, ma hope o Dekemaba 31, 2024, i ka pau ʻana o kēia mau maʻalahi, hiki i kekahi mau ACO ke hāʻawi i nā lawelawe telehealth, e ʻae ana i nā kauka a me nā kauka lapaʻau ʻē aʻe e mālama i nā poʻe maʻi me ka ʻole o ke kipa kanaka, me ka nānā ʻole i ko lākou wahi e noho ai.Inā komo kekahi mea mālama ola i kahi ACO, pono nā kānaka e nānā me lākou e ʻike i nā lawelawe telehealth e loaʻa.Pono ka Medicare Advantage Plans e uhi i nā lawelawe telehealth i uhi ʻia e Medicare a hiki ke hāʻawi i nā lawelawe telehealth hou aʻe.Pono nā poʻe i kākau inoa ʻia i kahi hoʻolālā Medicare Advantage e nānā i kā lākou kelepona olakino me kā lākou papahana.
ʻO nā mokuʻāina me Medicaid, CHIP, a me Telehealth he hiki ke maʻalahi i ka uhi ʻana i nā lawelawe Medicaid a me ka Children's Health Insurance Program (CHIP) i hāʻawi ʻia ma o ka telehealth.No laila, ʻokoʻa ka maʻalahi o ka telemedicine e ka mokuʻāina, me kekahi i pili i ka hopena o COVID-19 PHE, pili kekahi i ka hoʻolaha PHE o ka mokuʻāina a me nā pilikia ʻē aʻe, a ua hāʻawi ʻia kekahi e nā papahana Medicaid a me CHIP o ka mokuʻāina ma mua o ka maʻi maʻi.Ma hope o ka hoʻopau ʻia ʻana o ka hoʻolālā PHE federal, e hoʻomau ka ʻokoʻa ʻana o nā lula telehealth Medicaid a me CHIP e ka mokuʻāina.Paipai nā Centers for Medicare and Medicaid Services (CMS) i nā mokuʻāina e hoʻomau i ka uku ʻana i nā lawelawe Medicaid a me CHIP i hāʻawi ʻia ma o ka telehealth.No ke kōkua ʻana i nā mokuʻāina i ka hoʻomau ʻana, ka hoʻopaʻa ʻana, a i ʻole ka hoʻonui ʻana i ka uhi telehealth a me nā kulekele uku, ua hoʻokuʻu ʻo CMS i ka State Medicaid a me CHIP Telehealth Toolkit, a me kahi palapala hou e wehewehe ana i nā kumuhana kulekele e ʻōlelo ʻia e hoʻolaha i ka hoʻohana ʻana i ka telehealth: https:// www.medicaid.gov/medicaid/benefits/downloads/medicaid-chip-telehealth-toolkit.pdf;
Inikua Ola Ola pilikino a me Telemedicine E like me ka hihia i kēia manawa i ka wā PHE COVID-19, ke pau ka PHE COVID-19, ʻokoʻa ka uhi no ka telemedicine a me nā lawelawe mālama mamao ʻē aʻe e ka hoʻolālā ʻinikua pilikino.I ka wā e pili ana i ka telemedicine a me nā lawelawe mālama mamao ʻē aʻe, hiki i nā hui ʻinikua pilikino ke hoʻohana i ka hoʻokaʻawale kumukūʻai, ʻae mua ʻia, a i ʻole nā ​​ʻano ʻano hoʻokele olakino ʻē aʻe o ia mau lawelawe.No ka 'ike hou aku e pili ana i ka ho'okokoke 'ana o ka mea 'inikua i ka telemedicine, pono ka po'e ma'i e ho'oka'a'ike aku i ka helu lawelawe mea kū'ai o kā lākou mea ho'olimalima ma ke kua o kā lākou kāleka 'inikua.
I ka wā o ka PHE COVID-19, no ka manawa mua, ke ʻimi nei nā mea mālama ola ma lalo o ka HIPAA Privacy, Security, and Breach Notice Rule (HIPAA Rule) e kamaʻilio me nā poʻe maʻi a hāʻawi i nā lawelawe telehealth me ka hoʻohana ʻana i nā ʻenehana kamaʻilio mamao mamao. aole i maopopo loa.Pono e hoʻokō i ka HIPAA.Ua hoʻolaha ka HHS Office of Civil Rights (OCR) i ka lā Malaki 17, 2020, e hoʻokō ʻo ia i kona noʻonoʻo a ʻaʻole e hoʻopaʻi i nā mea mālama ola kino ʻaʻole i mālama i nā lula HIPAA.Hiki i nā mea hoʻolako e hoʻohana ana i nā ʻenehana nānā mamao ke hoʻohana iā lākou me ka ʻole o ka hoʻopaʻi ʻia ʻana o OCR no ka mālama ʻole ʻana i nā lula HIPAA.Pili kēia manaʻo i nā lawelawe telemedicine i hāʻawi ʻia no kekahi kumu, inā pili paha nā lawelawe telemedicine i ka maʻi a me ka mālama ʻana i kahi maʻi e pili ana iā COVID-19.
Ma ʻApelila 11, 2023, ua hoʻolaha ʻo OCR ma muli o ka pau ʻana o ka PHE COVID-19, e pau kēia Hoʻolaha Hoʻokō i ka lā 11 o Mei, 2023 i ka hola 11:59 pm.E hoʻomau ka OCR i ke kākoʻo i ka hoʻohana ʻana i ka telemedicine ma hope o ka PHE ma o ka hāʻawi ʻana i nā mea mālama mālama ola i uhi ʻia i kahi manawa hoʻololi 90 lā e hana i nā hoʻololi kūpono i kā lākou hana e hāʻawi i ka telemedicine ma kahi ʻano huna a paʻa e like me nā koi o nā hoʻoponopono olakino HIPAA. .I loko o kēia wā hoʻololi, e hoʻomau ka OCR i kona manaʻo a ʻaʻole e hoʻopaʻi i ka poʻe lawelawe mālama ola i uhi ʻia no ka hoʻokō ʻole ʻana i ka HIPAA Telemedicine Fair Practice Rules.E hoʻomaka ana ka manawa hoʻololi ma Mei 12, 2023 a hoʻopau i ʻAukake 9, 2023 ma 23:59.
No ka ʻike hou aku, e ʻoluʻolu e kipa i ka pūnaewele OCR no nā leka hoʻopau no kekahi mau leka hoʻokō i hoʻopuka ʻia ma muli o ka pilikia olakino olakino COVID-19.
Mai ka hoʻomaka ʻana o PHE, ua hoʻokuʻu ka HHS Substance Abuse and Mental Health Services Authority (SAMHSA) i ke alakaʻi hoʻololi hoʻoponopono no nā papahana lapaʻau opioid (OTP) e kōkua i ka hoʻoponopono ʻana i nā hopena olakino o ka hele ʻana i ka nohona ma OTP a me kāna mau maʻi. ..
Hoʻokuʻu ʻia ʻo Personal Medical Examination: Hoʻokuʻu ʻo SAMHSA i ke koi OTP no kahi hoʻokolokolo lapaʻau ma ka pūnaewele no kēlā me kēia maʻi e loaʻa iā OTP buprenorphine, inā e nānā ʻia ke kauka papahana, kauka mālama mua, a i ʻole ʻoihana mālama ola ʻae ʻia e ka Polokalamu Hoʻoholo a Kauka.Hiki ke hana ʻia kahi loiloi kūpono o ke kūlana o ka mea maʻi me ka telemedicine.Ua hoʻolaha ʻo SAMHSA e hoʻolōʻihi ʻia kēia maʻalahi a hiki i Mei 11, 2024. E mana ka hoʻonui ʻia i ka lā 11 Mei, 2023, a ke manaʻo nei hoʻi ʻo SAMHSA e hoʻopaʻa i kēia maʻalahi ma ke ʻano he ʻāpana o kāna Notice of Proposed Rulemaking, e paʻi ʻia ma Dekemaba. 2022.
Nā Doses Home: Ma Malaki 2020, ua hoʻopuka ʻo SAMHSA i kahi waiver OTP, kahi e hiki ai i nā mokuʻāina ke koi i kahi "hoʻokuʻu nui no nā mea maʻi kūpaʻa āpau ma OTP e loaʻa i nā lā he 28 o ka nui o ka opioids home.Nā lāʻau lapaʻau no nā maʻi maʻi.Hiki i nā mokuʻāina ke "koi a hiki i 14 mau lā o ka lāʻau lapaʻau home no nā poʻe maʻi i emi ʻole ka paʻa akā ʻo ka OTP i hoʻoholo ai hiki ke mālama palekana i kēia pae o ka lāʻau lapaʻau home."
I loko o nā makahiki ʻekolu mai ka ʻae ʻia ʻana o kēia waiver, ua hōʻike nā mokuʻāina, nā OTP, a me nā mea kuleana ʻē aʻe i ka hopena o ka hoʻonui ʻana i ka hoʻokomo ʻana o ka mea maʻi i ka mālama ʻana, hoʻonui ʻia ka ʻoluʻolu o ka poʻe maʻi me ka mālama ʻana, a me ka liʻiliʻi o nā hanana o ka hoʻohana ʻana i ka lāʻau lapaʻau.Ua hoʻoholo ʻo SAMHSA ua lawa nā hōʻike e hoʻoikaika a paipai kēia hoʻokuʻu i ka hoʻohana ʻana i nā lawelawe OTP i mua o ka piʻi nui ʻana o ka make overdose pili i ka fentanyl.Ma ʻApelila 2023, ua hoʻoponopono hou ʻo SAMHSA i ke alakaʻi, e hoʻoponopono ana i nā pae hoʻohālike e pili ana i nā ʻōlelo OTP no ka hoʻohana pono ʻole ʻia o ka methadone.
E lilo ana kēia alakaʻi hou hou ʻia ʻApelila 2023 ma hope o ka pau ʻana o ka PHE a e hoʻomau ʻia no hoʻokahi makahiki ma hope o ka pau ʻana o ka PHE a i ʻole a hiki i ka wā e hoʻopuka ai ka HHS i kahi lula hope e hoʻololi ana i ka 42 CFR Part 8. He Notice of Proposed Rulemaking Proposing Amendments to Mahele 8 o 42 CFR (87 FR 77330), i kapa ʻia ʻo "Nā lāʻau no ka mālama ʻana i nā maʻi o ka hoʻohana ʻana i ka Opioid", kahi a SAMHSA e hana nei i ka hoʻopau ʻana.
Hoʻokuʻu ʻia ka ʻōlelo aʻoaʻo hou o ʻApelila 2023 i ka pono e lawe i ka lāʻau lapaʻau home me ka nānā ʻole ʻana ma lalo o 42 CFR § 8.12(i) ma lalo o nā kūlana ma lalo.ʻO ka mea nui, hiki i ka TRP ke hoʻohana i kēia waiver no ka hāʻawi ʻana i nā ʻano methadone i mālama ʻole ʻia i ka home e like me nā manawa lapaʻau maʻamau:
Ua hoʻolaha mua ʻo SAMHSA e hoʻonui ʻia kēia maʻalahi a hiki i Mei 11, 2024. Pono nā mokuʻāina e hoʻopaʻa inoa i ko lākou ʻae ʻana i kēia hoʻokuʻu ʻia i mea e hoʻohana ai nā OTP Mokuʻāina.Hiki i nā mokuʻāina a i ʻole nā ​​keʻena lapaʻau opioid mokuʻāina i ʻae ʻia e hana ma ka ʻaoʻao o ka mokuʻāina ke hoʻopaʻa inoa i ko lākou ʻae ʻana i kēia hoʻokuʻu ʻia ma o ka hoʻouna ʻana i kahi palapala ʻae palapala i ka pahu leta Division of Pharmacological Therapeutics i kēlā me kēia manawa ma hope o ka paʻi ʻia ʻana o kēia alakaʻi.No ka hōʻoia ʻana i ka hoʻololi maʻalahi i kēia alakaʻi mai ka maʻalahi i hoʻokuʻu ʻia i ka wā o ka pilikia olakino olakino COVID-19, paipai ʻia nā mokuʻāina e hana pēlā ma mua o Mei 10, 2023. hiki i ka moku'āina ke hāʻawi i ka ʻae palapala.
Ke manaʻo nei hoʻi ʻo SAMHSA e hoʻopaʻa i kēia maʻalahi ma ke ʻano he ʻāpana o kāna Hoʻolaha ʻo Dekemaba 2022 no ka hoʻoholo ʻana i ke kānāwai.Ma muli o ka ʻae ʻia ʻana o ka waiver, ʻōlelo ʻia, ua hōʻike nā OTP a me nā mea kuleana ʻē aʻe ua hoʻonui kēia maʻalahi i ka hauʻoli o ka mea maʻi me ka mālama ʻana a me ka hoʻomaikaʻi ʻana i ka hoʻopili ʻana i nā mea maʻi.Ua maikaʻi loa ke kākoʻo no kēia maʻalahi, me nā hōʻike mai nā keʻena lapaʻau opioid mokuʻāina a me nā OTP hoʻokahi e hōʻike ana e paipai a hoʻomaikaʻi ke ana i ka mālama ʻoiai e hōʻemi ana i ka stigma e pili ana i ka maʻi hoʻohana opioid (OUD).
Drug Enforcement Administration (DEA) and PHE regulations Ma ka lā Malaki 2020, HHS a me DEA e ʻae i nā loea e kuhikuhi i ka Hōʻike II-V (“Controlled Substances”) i nā mea i hoʻomalu ʻia ma muli o ke kipa telehealth me ka ʻole o ka hoʻokolokolo kino mua ma ka pūnaewele.Eia kekahi, ua wehe ka DEA i ke koi no ka hoʻopaʻa inoa ʻana o kahi kauka me ka DEA ma ka mokuʻāina o ka mea maʻi inā hiki i ka mea lapaʻau ke kuhikuhi i nā lāʻau lapaʻau ma o telemedicine ma ka mokuʻāina kahi i hoʻopaʻa inoa ʻia ai ka loio me ka DEA a ma ʻAmelika Hui Pū ʻIa.Kūlana maʻi.ʻO ka hui pū ʻana, kapa ʻia lākou ʻo "Controlled Medication Telemedicine Flexibility".
Ma Malaki 2023, ke ʻimi nei ka DEA i nā manaʻo e pili ana i ʻelua mau ʻōlelo hoʻolaha hoʻomohala i manaʻo ʻia no ka maʻalahi o ka telehealth lāʻau.Hoʻolālā ʻia kēia mau manaʻo no ka hoʻoikaika ʻana i ka loaʻa ʻana o nā lāʻau lapaʻau i mālama ʻia, me ka poʻe i komo i ka mālama ʻana me ka maʻalahi.Hoʻolālā ka DEA, me ka SAMHSA, e hoʻopuka i kahi lula hope ma ka lā 11 o Nowemapa, 2023.
Ma ka hopena o PHE, ua hoʻopuka ka DEA a me SAMHSA i kahi lula interim e hoʻonui ana i ka maʻalahi telemedicine no nā mea i hoʻomalu ʻia a hiki i Nowemapa 11, 2023, ʻoiai e noʻonoʻo ana i nā loli i ke kānāwai i manaʻo ʻia e pili ana i ka manaʻo o ka lehulehu.Eia kekahi, hiki i nā kauka i hoʻokumu i nā pilina me nā poʻe maʻi ma o telemedicine ma mua a i ʻole ma mua o Nowemapa 11, 2023 hiki ke hoʻomau i ke kuhikuhi ʻana i nā lāʻau lapaʻau i mālama ʻia i kēia mau maʻi me ka ʻole o ka hoʻokolokolo kino kanaka a me ka nānā ʻole inā aia ka mea lapaʻau ma ka palapala inoa DEA mokuʻāina o ka mea maʻi ma mua o Nowemapa. .11, 2024.
ʻO ka Laikini Ola Ola Telebehavioral I ka wā o COVID-19 PHE, hiki i nā mea mālama ola kino ke hāʻawi i nā lawelawe olakino ma waena o ka mokuʻāina ma o ka waiver laikini i hoʻopuka ʻia.No ka hoʻonui ʻana i ka hoʻohana ʻana i ka telemedicine, hiki i nā mokuʻāina ke hoʻomaʻamaʻa i ka hāʻawi ʻana i ka telemedicine interstate ma o ka lawe ʻana i ka laikini.ʻO ka lawe ʻana i ka laikini e pili ana i ka hiki i kahi kauka lapaʻau i laikini ʻia ma kekahi mokuʻāina e hoʻomaʻamaʻa i ka lāʻau lapaʻau ma kahi mokuʻāina ʻē me nā pilikia liʻiliʻi a me nā kaohi ma o ka hoʻoili ʻana, hōʻoia, a i ʻole ka hāʻawi ʻana i kahi laikini.ʻO ka hoʻonuiʻana i ka hiki ke hoʻololi i nā laikini e hoʻonui i ka loaʻaʻana o nā lawelawe mālama ola a kōkua i ka hoʻomau i ka mālamaʻana i nā maʻi.
Ma waena o nā pono ʻē aʻe, hiki i ka lawe ʻana i ka laikini ke hiki i nā mokuʻāina ke mālama i ka mana hoʻoponopono, e ʻae ana i nā mea mālama olakino e lawelawe i nā mea maʻi hou aku, e ʻae ana i nā mea maʻi e loaʻa ka mālama mai kahi ʻoihana nui o nā mea mālama olakino, a me ke kōkua ʻana i nā mokuʻāina e hoʻomaikaʻi i ke komo ʻana i nā kaiāulu o ka mālama ʻana i nā kaiāulu a me nā haʻahaʻa. heluna kanaka loaa..ʻO nā ʻaelike laikini he mau ʻaelike ma waena o nā mokuʻāina e hoʻomaʻamaʻa i ke kaʻina hana a ʻae i nā mea lawelawe e hoʻouna i hoʻokahi palapala noi e hoʻomaʻamaʻa i nā mokuʻāina e komo ana.Hiki i nā ʻaelike laikini ke hoʻomāmā i ke kaumaha a hoʻemi i nā manawa kali no nā mea mālama ola e hoʻomaʻamaʻa ma waho o ka mokuʻāina, mālama i ka nānā ʻana i nā hoʻoponopono mokuʻāina, a mālama i nā uku mālama ola no nā papa laikini mokuʻāina.Pono nā palapala laikini no nā lawelawe pilikino a me ka telemedicine.ʻO nā kuʻikahi laikini e loaʻa nei: Kuikahi Interstate ma Audiology a me Speech Pathology, Kuʻikahi Kūkākūkā, Kuikahi Hoʻoponopono Lapaʻau Emergency, Kuʻikahi Laikini Laikini Interstate, Kuikahi Laikini Nurse, Kuʻikahi Hoʻoponopono Hana Hana, Kuʻikahi Hoʻoponopono Kino, a me Inter-Jurisdictional Psychology Treaty, me ka hiki ke hoʻonui i ke Kuikahi Psychology Inter-Jurisdictional. ʻoihana ʻē aʻe.
ʻO ka pilikia olakino olakino a me ka nele o nā mea mālama olakino noʻonoʻo, me ka mālama ʻana i nā maʻi hoʻohana lāʻau, kuhikuhi i ka pono no ka hoʻonui ʻana i nā hana laikini ma nā mokuʻāina.Nui nā manawa no nā mokuʻāina e hoʻohana i nā kumuwaiwai federal e kākoʻo i ka hoʻonui ʻana i ka telemedicine ma o ka laikini interstate:
Ua hoʻonui ʻo HHS i kāna kākoʻo ma o HRSA i ka Federation of State Medical Councils a me ka Association of State and Provincial Psychological Councils, nāna i hoʻokumu i ka Interstate Medical Licensing Treaty, Provider Bridge, Psychological Inter-Jurisdictional Treaty, a me Multidisciplinary Licensing Resources, i kēlā me kēia, ma o ka Laikini. Haawina Hoolilo.Papahana.
Eia kekahi, loaʻa i nā kumuwaiwai laikini hou ka ʻike hou loa e pili ana i ka laikini interstate, nā ʻaelike laikini, a me ka laikini no nā ʻoihana ola kino.Hāʻawi kēia punawai i ke alakaʻi hou i ka pehea e hoʻomaʻamaʻa ai i ke kānāwai a me ka pono ma waho o ka mokuʻāina a paipai i ka hoʻohana ʻana i nā kumu hoʻohālike laikini e hoʻonui i ka hiki ke mālama ola.
Loaʻa i ka Broadband He kuleana koʻikoʻi nā pili pūnaewele Broadband i ke kōkua ʻana i nā kaiāulu haʻahaʻa a me nā kānaka e hoʻohana i nā lawelawe telemedicine.No ka hoʻonui ʻana i ke ala ākea ma nā home a me nā mokuʻāina, ua hoʻoholo ʻo Congress i ka 2021 Consolidated Appropriations Act e hoʻokaʻawale i $3.2 biliona i ka Federal Communications Commission (FCC) e hana i ka Emergency Broadband Benefits Program (EBB Program) e kōkua i nā ʻohana haʻahaʻa e uku no ke komo ʻana i ka broadband a nā mea hana pūnaewele.
Nowemapa 15, 2021 Hāʻawi ka Infrastructure Investment and Jobs Act (IIJA) i $ 65 biliona i ke kālā broadband, kahi o $ 48.2 biliona e mālama ʻia e ka National Telecommunications and Information Administration (NTIA) o ke Keʻena Kālepa i ka Mana Hoʻohui hou i hana ʻia i ka Pūnaewele.a ulu.Ua hoʻolako pū ʻo IIJA i ka FCC me $14.2 biliona e hoʻonui a hoʻonui (ka papahana EBB) i ka Affordable Connectivity Program (ACP) a me $ 2 biliona i ka USDA e hoʻokumu i nā hui e hoʻolako i ka broadband.
E kōkua ana kēia mau papahana broadband i ka hoʻomaikaʻi ʻana i ka loaʻa ʻana o ka poʻe maʻi i nā lawelawe pūnaewele a me nā mea pono no nā lawelawe telehealth, e hōʻemi ana i nā ʻokoʻa a me nā kaumaha kālā i ke komo ʻana i nā wikiō wikiō a me nā lawelawe olakino.