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Features of the original document layout such as columns, tables, line and letter spacing, pagination, and margins will not be preserved in the text version. If you need the complete document, download the WordPerfect version or Adobe Acrobat version, if available. Pleading Cycle Established CC Docket Nos. In the Telecommunications Act of 1996, Congress sought to provide rural Americans with affordable access to quality health care, by directing telecommunications carriers to provide telecommunications services to any public or non-profit health care provider, at rates that are reasonably comparable to rates charged for similar services in urban areas in the same state. Consistent with the Commission's requirements, USAC offers numerous immediate and long term recommendations for reducing the administrative expenses of the rural health care program.