The Federal Communications Commission’s (FCC) Rural Health Care (RHC) Program budget has remained static for 20 years, despite inflation, technology innovation and increased demand for services. The FCC expects the demand may exceed the cap for the first time in 2017. We have an opportunity, now, to continue supporting rural health care and increase the RHC budget by reallocating unused funds from existing programs, without putting pressure on the overall fund size or contribution factor.