Veterans Affairs explores broadband solutions for rural veterans' telehealth access

The Subcommittee on Technology Modernization Oversight held a field hearing on July 26, 2025, focusing on improving access to telemedicine and broadband services for veterans, particularly in rural areas. The meeting highlighted the challenges faced by veterans in accessing reliable internet services, which are crucial for telehealth appointments.

One of the key discussions centered around the costs associated with connecting homes to fiber broadband. A representative noted that approximately 7,500 homes had been connected at a cost of about $350 million, with a total of over 50,000 homes expected to benefit from the Connect Illinois program. This raised concerns about the high cost per home for fiber installation, prompting suggestions for alternative solutions, such as fixed wireless connections, which could provide quicker access to internet services for veterans.

The panelists acknowledged that while fiber is a long-term solution with a lifespan of up to 50 years, it is expensive to install. They discussed the potential of using low Earth orbit satellite internet as a more affordable option for rural veterans, although current legislative limitations prevent the Department of Veterans Affairs (VA) from subsidizing such services. The VA is exploring pilot programs to assess the feasibility of satellite internet, but installation challenges remain a significant barrier.

The conversation also touched on the broader issue of gaps in care for rural veterans, with panelists noting that specialized services are often less accessible in these areas. The distance to healthcare facilities can be a significant obstacle, with some veterans facing long drives to receive care. The need for a mix of technologies, including fiber, wireless, and satellite options, was emphasized as essential to improving access to care for veterans living in remote locations.

In conclusion, the hearing underscored the urgent need for innovative solutions to bridge the digital divide for veterans, particularly in rural communities. The discussions highlighted both the challenges and potential pathways forward in enhancing telehealth access, with a commitment to exploring various technologies to meet the needs of veterans effectively.