Spectral lines from molecules and electron recombination at THz frequencies and below reveal the composition, motions, and physical properties of our Universe. We describe state-of-the-art research that uses these spectral lines in our Solar System, proto-planetary and stellar systems, the interstellar medium of the Milky Way, galaxies and active galactic nuclei in the nearby Universe, and throughout cosmic time. Astronomy research is entering a new paradigm, in which wideband instrumentation is enabling multiple species and transitions to be observed simultaneously, changing what is accessible to investigate with a single observation and fundamentally how observations are analyzed, including in distant galaxies for which the observed frequency of the line differs substantially from its rest frequency. The majority of the research described would not be possible using only the frequency ranges currently allocated to the Radio Astronomy Service. It is imperative to maintain the current protections and expand allocations below 100 GHz.