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affordable connectivity program
The End of Affordable Internet
The federal funding contained in the Affordable Connectivity Program offered a vital lifeline for people in South Carolina and nationwide. Now we must fight to resurrect such a program so that everyone has digital access that enriches individual lives and communities.
Jun 11, 2024
Almost four years ago, Congress established a little-known program called the Affordable Connectivity Program (ACP) as part of the Bipartisan Infrastructure Law. Since it was created, the program provided millions of Americans with affordable, high-quality internet. It never got much attention, but it’s impact on communities across the country including in South Carolina was enormous.
Launched by the Federal Trade Commission, the program provided eligible households with a discount on internet service of up to $30 every month to bridge the digital divide. Just this year alone, 415,680 families in South Carolina relied on the program, which averaged to about one in five households in the state. In total, the program saved people in South Carolina over $12 million each month on internet service.
Despite widespread support for the program, its funding expired on June 1st. As elected officials representing Silicon Valley, the tech hub of the world, and Chester, Fairfield, and Richland, predominantly Black counties that have struggled with reliable internet, we are fighting to raise awareness about rising internet bills for families and extend the program for another four years.
The ACP is too important to just let it expire without a fight. When bills come due and 23 million American households are suddenly slapped with an additional cost, the people who will hurt the most are our seniors, young students, people in rural areas or food deserts, and those who rely on the internet for activity and a sense of community.
The ACP is too important to just let it expire without a fight.
For many older Americans, the internet is a lifeline. It lets them talk with loved ones, learn about essential services and benefits, and access healthcare information online. Without affordable internet access, seniors may feel lonelier and more disconnected, lowering their enjoyment and quality of life.
Young people will also be hit especially hard by the program ending. The Covid-19 pandemic highlighted the importance of online educational resources and in an era where technology shapes every aspect of our lives, students need to prepare for jobs in a digital economy. Both of us believe we need to ensure that the next generation has access to good jobs and opportunities and a shot at the American Dream. But we can’t prepare these students for the high paying tech jobs and advanced manufacturing jobs of the future if they don’t have internet access. The internet allows individuals to take advantage of at home remote and virtual trainings.
Another impacted group includes those living in rural areas far away from doctors, hospitals, or pharmacies. The stories we heard about what people went through before this program was enacted were heartbreaking. People were driving for miles and miles just to pick up their medication. Telemedicine provides another, much easier way to receive medical care through remote consultations to prescription refills that can be delivered directly to their homes. People living in food deserts face a similar situation when it comes to ordering groceries and other necessities. Ripping this access away deepens already existing disparities in both healthcare and nutrition.
At any age and in any location, people turn to the internet to find community and make friends. It’s become an essential place particularly for people who may experience discrimination or bullying at school. People with specific hobbies like playing an instrument or running have been able to connect and form bands or running clubs. The ACP empowered people to find like-minded people and pursue their passions and interests online.
The ACP program has improved the lives of millions and opened a new world of social connections, health benefits, education opportunities, and good paying jobs in South Carolina and nationwide. All of us need to speak out now to raise awareness and explore new solutions to protect affordable internet access for all.
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To Ensure Health Equity, Congress Should Renew the Affordable Connectivity Program
As a physician delivering telemedicine-based addiction care to rural and low-income communities, the program has been the essential linchpin for creating access to lifesaving medications for opioid use disorder.
Apr 03, 2024
In an ironic twist, people recovering from opioid addiction recently gained permanently expanded access to telemedicine services through a new federal policy—but many are likely to be among the 22 million low-income households losing access to affordable internet.
The Federal Communications Commission recently began to wind down the Affordable Connectivity Program, the country’s largest, most successful internet affordability program. This government-sponsored benefit program, introduced during the pandemic, provides low-income Americans with a one-time subsidy to purchase an internet-capable device and monthly subsidies for broadband services.
As a physician delivering telemedicine-based addiction care to rural and low-income communities, the Affordable Connectivity Program has been the essential linchpin for creating telemedicine access to lifesaving medications for opioid use disorder.
I urge Congress to renew funding for the Affordable Connectivity Program and pursue legislative pathways to permanently expand internet access to all.
Substance use disorders are life-threatening chronic conditions, but they’re treatable. More than 70% of people with substance use disorders transition into recovery. However, early recovery is fragile. When people are ready to engage in care, low-barrier, rapid access to care is vitally important to support treatment success, especially during reentry from incarceration when the overdose risk is up to 129 times greater than community-based populations. Nearly half of people using opioids in rural areas were recently incarcerated, emphasizing the need for expanded rural access to treatment.
Yet, in-person addiction care is disproportionately limited in rural communities, requiring long drive times to access care. This is simply not an option for most of my patients, particularly those in early recovery. Most are trying to rebuild their lives while confronting significant financial debts incurred during past periods of expensive, prolonged substance use and incarceration. Stigma locks them out of high-earning positions, effectively segregating them to low-wage positions with limited opportunities for advancement and usually no access to benefits like paid time off to engage in care.
Many of us can get a leg up during hard times from family or peers. However, most patients in early recovery are at the starting line of repairing social relationships weakened by trust lost during active substance use and prolonged absence during incarceration. Often, the social supports they can access are facing similar resource-limited circumstances, with minimal ability or bandwidth to help with transportation or finances.
Every day, my patients choose what they can afford from a menu of necessities.
What will you have today?
- Food
- Transportation to work
- Cellphone access
- Savings toward rent
- Fees to obtain a driver’s license
Rarely can they cover more than one or two at a time. How could expensive, time-intensive travel to distant healthcare ever compete?
It shouldn’t have to. And thanks to the relaxation of telemedicine rules and the Affordable Connectivity Program, it hasn’t had to.
While the Affordable Connectivity Program’s $30 monthly subsidy sounds inconsequential, the true value of costs saved is much higher, as the collateral costs (e.g., transportation, lost-wages) of in-person services are avoided. With reliable access to data plans, my patients attend their medical appointments from their worksites during their lunch breaks or easily negotiate alternative breaks with their bosses, who are more willing to be flexible because work can quickly resume when patients remain on-site. This has allowed patients to consistently receive addiction treatment without incurring lost wages and transportation costs during the two-to-four-hour long process of in-person care. With their financial distress tempered, my patients have more quickly transitioned from survival mode to future planning.
The Affordable Connectivity Program also enabled internet access to key social resources that promote health and stability. My patients have taken online classes, searched and prepared for jobs, and built healthy social connections with online recovery communities, the latter particularly key for rural patients with limited in-person social options.
Funding for the Affordable Connectivity Program is projected to run out in April unless Congress acts quickly to renew funding. Amidst the Affordable Connectivity Program’s wind down, my team has begun switching patients to the remaining alternative telecommunication benefits for low-income households, like the Lifeline program. However, this inferior program provides only $9.95 monthly toward internet service—insufficient to cover the entire cost of a plan—and limited options of qualifying service providers. For my patients battling homelessness living in tents, cars, and motel room rentals while working tireless hours to survive and endeavor toward stable thriving, a $20 increase in monthly expenses is insurmountable.
The communities with significantly limited internet access—rural, low-income, Black—are also disproportionately impacted by the opioid crisis and low access to in-person treatment. Their precarious internet access falsely positions the internet as a luxury, rather than an essential resource for healthcare, education, employment, transportation, and social belonging. Internet access is a health equity issue.
I urge Congress to renew funding for the Affordable Connectivity Program and pursue legislative pathways to permanently expand internet access to all. Without swift action, I fear that losing the Affordable Connectivity Program will lead to more lives lost to treatable substance use disorders.
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