; (C) that acts directly or indirectly in the interest of its members in relation to the plan; (D) that is able to demonstrate an ability to implement and manage a group health plan; and (E) that meets any other criteria the Secretary deems necessary to meet the intent of this section. B Connecting Rural Americans to High Speed Broadband 6101. Establishing forward-looking broadband standards Section 601 of the Rural Electrification Act of 1936 ( 7 U.S.C. 950bb ) is amended— (1) in subsection (d)(1)(A), by striking clause (i) and inserting the following: (i) demonstrate the ability to furnish or improve service in order to meet the broadband service standards established under subsection (e)(1) in all or part of an unserved or underserved rural area; ; (2) in subsection (e)— (A) by striking paragraphs (1) and (2) and inserting the following: (1) In general Subject to paragraph (2), for purposes of this section, the Secretary shall establish broadband service standards for rural areas which provide for— (A) a minimum acceptable standard of service; and (B) projections of minimum acceptable standards of service for 5, 10, 15, 20, and 30 years into the future. (2) Adjustments (A) In general At least once every 2 years, the Secretary shall review, and may adjust through notice published in the Federal Register, the broadband service standards in effect under paragraph (1) to encourage the delivery of high quality, cost-effective broadband service in rural areas. (B) Considerations In establishing and adjusting the broadband service standards in effect under paragraph (1), the Secretary shall consider— (i) the broadband service needs of rural families and businesses; (ii) broadband service available to urban and suburban areas; (iii) future technology needs of rural residents; (iv) advances in broadband technology; and (v) other relevant factors as determined by the Secretary.