by mutual agreement for the exchange of traffic 
without regard to the rules established by the Fed-
eral Communications Commission pursuant to this 
subsection. 
(b) 
INTERCARRIER
COMPENSATION
RECOVERY 
MECHANISM.—If, at any time after the date of enactment 
of this Act, the Federal Communications Commission 
mandates that intercarrier compensation revenues be re-
covered through an alternate revenue recovery mechanism, 
the Federal Communications Commission may establish 
such mechanism to be included as high-cost support. 
SEC. 302. NETWORK TRAFFIC IDENTIFICATION ACCOUNT-
ABILITY STANDARDS. 
Part II of title II of the Communications Act of 1934 
is amended by adding at the end the following: 
‘‘SEC. 262. NETWORK TRAFFIC IDENTIFICATION ACCOUNT-
ABILITY STANDARDS. 
‘‘(a) NETWORK TRAFFIC IDENTIFICATION STAND-
ARDS.—A communications service provider shall ensure, 
to the degree technically possible and in accordance with 
industry standards, that all traffic that originates on its 
network contains or, in the case of non-originated traffic, 
preserves sufficient information in call signaling to allow 
for traffic identification by other communications service 
providers that transport or terminate such traffic, includ-
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ing the telephone number of the calling and called parties 
and such other information as the Commission deems ap-
propriate. Except as otherwise permitted by the Commis-
sion, to the degree technically possible, a communications 
service provider that transports traffic between commu-
nications service providers shall transmit without altering 
the call signaling information it receives from another 
communications service provider. 
‘‘(b) NETWORK TRAFFIC IDENTIFICATION RULE-
MAKING.—The Commission shall establish rules for traffic 
identification consistent with this section within 180 days 
after the date of enactment of the Universal Service Re-
form Act of 2010. 
‘‘(c) NETWORK TRAFFIC IDENTIFICATION ENFORCE-
MENT.—The Commission shall adopt and enforce pen-
alties, fines, and sanctions under this section.’’. 
SEC. 303. TRAFFIC PUMPING. 
(a) TRAFFIC
STIMULATION
CHARGE.—The term 
‘‘traffic stimulation charge’’ means any switched access or 
reciprocal compensation charge assessed by a local ex-
change carrier upon a connecting carrier for delivery of 
telecommunications during which a free or below cost serv-
ice or product is provided by an entity with which the local 
exchange carrier has a business, financial, or contractual 
arrangement relating directly or indirectly to switched ac-
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cess or reciprocal compensation revenues from the offering 
of such service or product. 
(b) PROHIBITION.—The assessment of a traffic stim-
ulation charge constitutes an unreasonable practice under 
section 201(b) of the Communications Act of 1934 (47 
U.S.C. 201(b)), and local exchange carriers are prohibited 
from assessing traffic stimulation charges. 
(c) NO PRESUMPTION
OF VALIDITY.—Nothing in 
this Act shall be construed as indicating that traffic stimu-
lation charges assessed prior to the effective date of this 
Act were just, reasonable, or in accordance with the Com-
munications Act of 1934 or any other statute, regulation, 
tariff, or policy. 
TITLE IV—RURAL HEALTH CARE 
SUPPORT MECHANISMS 
SEC. 401. RURAL HEALTH CARE SUPPORT MECHANISMS. 
(a) AMENDMENT.—Subparagraph (A) of section 
254(h)(1) of the Communications Act of 1934 (47 U.S.C. 
254(h)(1)(A)) is amended to read as follows: 
‘‘(A) HEALTH CARE SERVICES FOR RURAL 
AREAS.—Within 180 days after the date of en-
actment of the Universal Service Reform Act of 
2010, the Commission shall prescribe regula-
tions that provide that a communications serv-
ice provider shall, upon receiving a bona fide re-
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quest, provide covered services which are nec-
essary for the provision of health care services 
in a State, including instruction relating to 
such services, to any public or not-for-profit 
health care provider that serves persons who re-
side in rural areas in that State at rates that 
are reasonably comparable to rates charged for 
similar services in urban areas in that State. A 
communications service provider providing serv-
ice under this subparagraph shall be entitled to 
have an amount equal to the difference, if any, 
between the rates for services provided to health 
care providers for rural areas in a State and 
the rates for similar services in urban areas in 
that State treated as a service obligation as a 
part of its obligation to participate in the mech-
anisms to preserve and advance universal serv-
ice.’’. 
(b) DEFINITION
OF HEALTH CARE PROVIDER.— 
Subparagraph (B) of section 254(h)(7) of such Act (47 
U.S.C. 254(h)(7)(B)) is amended to read as follows: 
‘‘(B) HEALTH CARE PROVIDER.—The term 
‘health care provider’ means— 
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‘‘(i) post-secondary educational insti-
tutions offering health care instruction, 
teaching hospitals, and medical schools; 
‘‘(ii) community health centers or 
health centers providing health care to mi-
grants; 
‘‘(iii) local health departments or 
agencies; 
‘‘(iv) community mental health cen-
ters; 
‘‘(v) not-for-profit hospitals; 
‘‘(vi) critical access hospitals; 
‘‘(vii) rural hospitals with emergency 
rooms; 
‘‘(viii) rural health clinics; 
‘‘(ix) not-for-profit nursing facilities 
or not-for-profit skilled nursing facilities; 
‘‘(x) hospice providers; 
‘‘(xi) emergency medical services fa-
cilities; 
‘‘(xii) rural dialysis facilities; 
‘‘(xiii) elementary, secondary, and 
post-secondary school health clinics; and 
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