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It further threatens the viability of the E-rate by allowing states to be the final decisionmaker as to " who gets what . In November 1998 , the Joint Board made recommendations on the issues referred to it by the Commission earlier that year . However , training for all the home testing kits at the point of purchase , either by a doctor or nurse educator , is highly recommended . Consistent with the Joint Board 's recommendations , the Commission concluded that the amount of support provided by the new forward-looking mechanism will be no less than the amount of support provided under the present mechanism . Burns said " It takes the Schools and Libraries program out of the realm of politics by tying it to a legitimate and stable funding source ; it brings the program into compliance with the intent of Congress ; it puts universal service back on firm ground ; and it puts money into classrooms rather than the pockets of bureaucrats . The Commission stated that the Joint Board and the Commission will undertake a comprehensive review of the operation of the high-cost support mechanism for non-rural carriers on or before January 1 , 2003 . Consistent with the Joint Board 's recommendations , the Commission adopted a new federal high-cost mechanism , which consists of a two-step process that considers both the costs of providing supported services and the states ' ability to support those costs using their own resources . The point is that once again , when Washington makes policy , it arrives in a one-size-fits-all package , and local education needs are as diverse as America 's student population . To the extent we are , as a practical matter , scrutinizing statements and line items on bills to pressure carriers into hiding from the customer support mechanisms that the Act requires be made explicit , I must respectfully object . The Commission adopted the framework for a federal high-cost support mechanism , consistent with the Joint Board 's most recent recommendation , that will provide support for non-rural carriers ' intrastate , forward-looking costs that exceed both a national cost benchmark and the individual state 's resources available to support those costs .