The need to substitute SiO2 with low dielectric constant (kappa) materials increases with each complementary metal-oxide-semiconductor process generation as interconnect RC delay, crosstalk, and power dissipation play an ever larger role in high-performance integrated circuits. Fluorinated amorphous carbon films (a-C:F,H) with low-kappa properties (kappa similar to 2.0-2.4) deposited by plasma-assisted chemical vapor deposition (CVD) techniques provide several advantages including low temperature processing, good gap fill capabilities, minimal moisture absorption, and simple implementation. Several deposition techniques have been examined, including high-density plasma and parallel-plate plasma-assisted CVD. In each case, it is possible to deposit a-C:F,H films with widely varying properties, such as kappa and thermal stability. This has led to a good deal of confusion as to what is required to produce useful material. Results from many different sources are examined to develop a coherent picture of the relationships between deposition techniques, microstructural features, and macroscopic properties, and to summarize the scientific and technical challenges that remain for a-C:F,H implementation. The relationships between film deposition parameters such as applied substrate bias and film properties are presented in the discussion. In addition, x-ray photoelectron spectroscopy and network constraint theory are used to develop connections between microstructural and macroscopic properties, as well as to show how deposition parameters can be used to create a predictive model. This will demonstrate what process parameters are important in film formation. Finally, efforts to incorporate this material into integrated circuits, as well as measurements of the reliability and performance will be reviewed.