Who Are We? The Commission for the Transportation Disadvantaged is an independent state agency serving as the policy development and implementation agency.

Who Are We?The Commission for the Transportation Disadvantaged is an independent state agency serving as the policy development and implementation agency for Florida’s Transportation Disadvantaged Program. The Commission is administratively housed within the Florida Department of Transportation.

Who Is the Commission?7 Voting Members

5 members who must have significant experience in the operation of a business.

2 members must have a disability and use the transportation disadvantaged system

8 Ex Officio, Nonvoting Advisors- Secretary of Transportation Secretary of Children and Families Director of Workforce Innovation Executive Director of the Dept. of Veteran’s Affairs Secretary of Dept. of Elder Affairs Secretary of Agency for Health Care Administration Director of Agency for Persons with Disabilities County Manager/Administrator (appt by Gov)

Delegates may be appointed by the Secretaries/Directors.

What’s Our Mission?To ensure the availability of

efficient, cost-effective and quality

transportation services for

transportation disadvantaged

persons.

Who is Transportation Disadvantaged?

Those persons who because of physical or mental disability, income status, age are unable to transport themselves or purchase transportation and are, therefore, dependent on others to obtain access to health care, employment, education, shopping, social activities, or other life-sustaining activities or children who are handicapped or high-risk or at-risk as defined in s. 411.202, Florida Statutes.” (Chapter 427, Florida Statutes)

How Many People Are Considered “TD”

Florida’s Potential TD Population Projections in Millions2008 7.0 2010 7.342015 8.25Florida’s Total Population in Millions2008 18.7 2010 17.42015 18.5

Source: Center for Urban Transportation Research, University of South Florida, 5/20 Year Plan and the U.S. Bureau of the Census, Population Division

What Does the Commission Do? Provides statewide oversight for a coordinated

transportation system Administers the Transportation Disadvantaged Trust

Fund Partners with local officials and citizens to assist with

mobility needs and to resolve concerns. Provides statewide training and technical assistance Performs quality assurance reviews to ensure program

accountability, cost effectiveness and quality of services. Develops policies and procedures Approves CTC and planning agency appointments. Develops minimum performance standards Submits an annual performance report to the Governor,

Florida Senate and Florida House of Representatives. Annually evaluates local system performance measures

and works with locals for improvements. Manages the TD Helpline/Ombudsman Program (1-800-

983-2435)

Does Coordination Save $? An Independent Assessment conducted for

the Agency for Health Care Administration (AHCA) showed the coordinated system saved $41 million to the State of Florida in Fiscal Year 2002.

Bus Pass Program- Client contacts CTC for a trip CTC screens the applicant If appropriate, CTC issues a bus pass

instead of a door-to-door trip Only 23 Florida counties have access to a

transit system, many of these systems provide limited service.

What is “Coordination”? Coordination means….…“the arrangement for the provision of transportation services to the transportation disadvantaged in a manner that is cost-effective, efficient and reduces fragmentation and duplication of services.” (427.011 (11), F.S.)

What are the Benefits of Coordination?

Ensures safety and welfare of the most vulnerable Reduces expenditures for purchasing agencies and

providers Increases service due to cost savings Improves efficiency Reduces duplication/fragmentation Stretches limited tax dollars Improves tax dollar accountability due to gatekeeper role Prevents fraud and abuse Improves local education of community transportation

services Improves quality of life Increases tax savings in other program areas due to

increased access of health care, employment, nutrition and education.

Increases local participation, promote increased support from local governments.

Who are Our Partners?Community Transportation CoordinatorsTransportation OperatorsDesignated Official Planning AgenciesLocal Coordinating BoardsPurchasing AgenciesConsumers

Commissionfor the

TransportationDisadvantaged

DesignatedOfficial

PlanningAgency

CommunityTransportation

Coordinator

Designates

LocalCoordinating

Board

PurchasingAgencies

(i.e. AHCA)

Appoints and Staffs

Recommends to CTD

Buys Trips

Operators

Contracts With

TransportationDisadvantaged

Persons

Provide Transportation

Oversees

Contracts With

Organization of Florida’s Coordinated Transportation Program

May contract with

The Commission contracts with 49 entities (Community Transportation Coordinators or CTCs) to carry out the provision of transportation service in all 67 counties in Florida.

The CTCs may contract with transportation operators following a competitive process to provide the transportation service. In rural areas, the CTC is most likely the sole provider.

There are 446 total operators, 84% of which are private.

There are 5,662 total employees.

How is Performance Measured? Annually, the local coordinating

board evaluates the CTCs performance and recommends changes to the Commission, when needed.

Biennially, the Commission’s Quality Assurance Team monitors each CTC (compliance with local and Commission standards, ADA, Chapter 427, F.S. and Rule 41-2, F.A.C.)

Purchasing agencies also monitor for similar performance and compliance issues.

COORDINATED TRANSPORTATION SYSTEM FUNDING

Total FY 2008 Revenues = $361,842,788

As reported in the FY 2008 Annual Performance Report

CTD (Commission for the Transp. Dis.) $37,186,235

FDOT & USDOT (Dept. of Transportation) $17,218,135

DCF (Children and Families) $22,091,655

AHCA (Health Care Administration- Medicaid) $54,352,081

DOE (Education) $1,758,900

DOEA (Elderly Affairs) $9,003,751

DOH/DCA/DJJ/AWI (Health, Community Affairs, Juvenile Justice, Agency for Workforce Innov.)

$1,105,773

Other Federal Programs $4,442,931

Local Government $174,028,390

Local Non-Government $14,862,793

Fare Box $25,686,998

2008 Total Revenues $361,737,642

Reported in the 2008 Annual Performance Report

What Makes Up The Transportation Disadvantaged Trust Fund (TDTF)?

15% Florida DOT Public Transit Block Grant- $11,030,461

$1.50 License Tag Fees- 21,134,000

Voluntary Dollar - license tag- $30,000

Temporary Disabled Parking Permits- $217,000

Direct Transfer from the State Transportation Trust Fund - $6,000,000

= $39,713,563 ($1.5 million to planning agencies, remainder for trip/equipment grants)Estimate for FY 2008-2009

Funds trips that aren’t sponsored by any other agency

Partly based on a performance driven formula (total trips, total miles, square mileage of county, population of county)

Eligibility guidelines (no other funding available, no other means of transportation, public transit, disability, age, and income)

Prioritization allowed pursuant to state law.

What Makes The TDTF Different?

Are there Unmet Needs for the TDTF Trips?

Yes!!1,009,436 denied trips reported in

FY 2008Lack of Fixed Route, no other

options in more rural areasOperating hours are limitedCounty line limits

Operating Expense per Total Trips, 2003-2008

Includes fixed route, non-ambulatory, stretcher, and ambulatory trips

As reported in the FY 2008 Annual Performance Report

Operating Expense per Paratransit Trip, 2004-2008

As reported in the FY 2008 Annual Performance Report

How Safe is the System?National

standard is 1.2-2.5 per 100,000 miles traveled; State of Florida exceeds this standard.

As reported in the FY 2008 Annual Performance Report

How Safe and Reliable is the System?

National Standard is 10,000 miles between roadcalls; the State of Florida exceeds this standard.

As reported in the FY 2008 Annual Performance Report

As reported in the FY 2008 Annual Performance Report

Where are the Riders Going?Trip Purpose 2007 2008

Medical 18,049,456 16,8203,714

Employment 6,864,421 8,674,243

Education/Training 10,382,810 10,547,852

Nutritional 8,055,814 6,996,297

Life-Sustaining/

Other*

8,179,554 7,847,891

Total 51,033,782 50,269,997

*Life-Sustaining/Other is defined as “anyone transported for the purpose of conducting personal business (e.g.- banks, social service offices); and shopping, excluding grocery shopping. Or anyone transported for reasons other than the above. This could include after school programs, transporting persons against their will, social, or recreational reasons.”

Recent Activities- Medicaid Commission is on contract with State Medicaid

Agency. Medicaid Agency pays Commission a flat fee

monthly. Commission pays providers a flat fee. Providers may use any method to provide

transportation services (gas vouchers, mileage reimbursement, rental cars, etc…).

source: Agency for Health Care Administration, Expenditure Reports, 1995 and 2005

Medicaid Non-Emergency Transportation Funding, 1995 and 2006

$105,564,922

$73,101,734

$0

$20,000,000

$40,000,000

$60,000,000

$80,000,000

$100,000,000

$120,000,000

1995 2007

Challenges facing Florida’s Coordination Efforts

Various program standards and requirements

Local ordinances impeding coordinationConsistent program information and

educationCompliance with Chapter 427, F.S. Lack of funding

Hurricane EffortsSpecial needs are the first to evacuateMost CTCs are the local entity to facilitate

evacuationsCTCs continued to provide services to

dialysis and urgent care medical tripsAssisted in the delivery of water and food

State and National RecognitionFederal Transit Administration’s State

Leadership Award in February 2004 and 2008

US Department of Transportation and US Department of Human Services “Best Practice” Model

Received the Florida Tax Watch and Florida Council of 100’s Davis Productivity Award in 1998 and 2005

Received Community Transportation Association of America’s State Achievement Award in May 2000 and June 2004

Thank you for listening and learning about the Transportation Disadvantaged Program. Any questions?

Bobby JerniganInterim Executive Director

Commission for the Transportation Disadvantaged

605 Suwannee Street, MS 49Tallahassee, FL 32399-0450

[email protected](850) 410-5706, (850) 410-5752 fax

(800) 983-2435www.dot.state.fl.us/ctd